Nokea
Which of the following best describes community-based nursing?
- A. A philosophy that guides family-centered illness care
- B. Providing care with a focus on the groups needs
- C. Giving care with a focus on the aggregates needs
- D. A value system in which all clients receive optimal care
Correct Answer: A
Rationale: The correct answer is A: A philosophy that guides family-centered illness care. Community-based nursing emphasizes providing care within the context of the family unit, recognizing the influence of family dynamics on health outcomes. Choice B is incorrect because it focuses on groups rather than families. Choice C is incorrect as it refers to aggregate needs of populations, not individual families. Choice D is incorrect as it is a broad statement about optimal care for all clients, not specific to community-based nursing.
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The nurse often has to make resource allocation decisions. Which of the following best describes the
- A. The specific moral or ethical principle related to the situation
- B. The cheapest, most economical approach
- C. The most rational probable outcome
- D. The needs of the aggregate rather than a few individuals
Correct Answer: A
Rationale: The correct answer is A: The specific moral or ethical principle related to the situation. In resource allocation decisions, nurses must consider ethical principles such as beneficence, justice, autonomy, and nonmaleficence. By applying these principles, nurses can ensure fair and ethical distribution of resources. Choice B (The cheapest, most economical approach) may not always align with ethical principles and could compromise quality of care. Choice C (The most rational probable outcome) may not necessarily consider ethical implications. Choice D (The needs of the aggregate rather than a few individuals) could lead to neglecting individual patient needs.
Which of the following actions would most likely be performed by a public health nurse?
- A. Asking community leaders what interventions should be chosen
- B. Assessing the community and deciding on appropriate interventions
- C. Using data from the main health care institutions in the community to determine needed health
- D. Working with community groups to create policies to improve the environment
Correct Answer: A
Rationale: The correct answer is A because public health nurses collaborate with community leaders to understand community needs and preferences. They rely on community input for effective interventions. Option B is incorrect because assessing and deciding interventions should involve a multidisciplinary team, not a sole decision by the nurse. Option C is incorrect as it focuses on institutional data rather than community input. Option D is incorrect because creating policies is typically a collaborative effort involving various stakeholders.
A community health nurse critically examines their practice to decrease the influence of privilege when providing healthcare.Which statement does the nurse understand to be a critical aspect of privilege in nursing?
- A. Acknowledging one's privilege is critical to addressing unjust systems.
- B. The nursing profession is not influenced by privileg
- D. Privilege is solely determined by socioeconomic status.
Correct Answer: A
Rationale: The correct answer is A because acknowledging one's privilege is crucial in addressing unjust systems within nursing practice. By recognizing one's privilege, the nurse can better understand how it impacts their interactions with patients and colleagues, allowing for more equitable and culturally sensitive care. This awareness helps in challenging biases and advocating for marginalized groups. Choice B is incorrect as nursing, like any profession, is influenced by privilege. Choice D is incorrect because privilege encompasses various factors beyond just socioeconomic status, such as race, gender, and education.
A nurse is unable to provide culturally competent care to a population within the community. Which of the following is an effect of this type of care?
- A. Enhanced communication
- B. C M
- C. Increased cost of health cUare S N T O
- D. Achievement of health indicators
Correct Answer: C
Rationale: The correct answer is C: Increased cost of health care. When a nurse is unable to provide culturally competent care, it can lead to misunderstandings, lack of trust, and ineffective treatments, resulting in increased healthcare costs. Culturally competent care helps improve patient outcomes and reduces unnecessary procedures. Choices A, B, and D are incorrect because they do not directly address the negative impact of providing culturally incompetent care on healthcare costs.
A nurse states that the client has exhibited an explicit cultural behavior. Which of the following has the nurse most likely observed?
- A. Verbal communication
- B. Body language
- C. Use of titles
- D. Perception of health and illness
Correct Answer: C
Rationale: The correct answer is C: Use of titles. When a client uses specific titles such as "Doctor" or "Nurse" to address healthcare providers, it reflects their cultural behavior and beliefs. This demonstrates respect and hierarchy within their culture. Verbal communication (A) and body language (B) are important aspects of cultural behavior but may not always be explicit. Perception of health and illness (D) is more related to beliefs rather than explicit cultural behavior.