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Which of the following best describes community-oriented nursing?
- A. Focusing on the provision of care to individuals and families
- B. Providing care to manage acute or chronic conditions
- C. Giving direct care to ill individuals within their family setting
- D. Having the goal of health promotion and disease prevention
Correct Answer: D
Rationale: The correct answer is D: Having the goal of health promotion and disease prevention. Community-oriented nursing focuses on improving the overall health of a population by promoting wellness and preventing illnesses. This approach involves working collaboratively with communities to identify health needs, develop strategies for prevention, and implement interventions to enhance health outcomes. Choices A, B, and C focus more on individualized care and treatment, whereas community-oriented nursing emphasizes a population-based approach. Therefore, D is the best description as it aligns with the core principles of community health nursing.
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Making sure that essential community-oriented health services are available defines which of the
- A. Policy development
- B. Assessment
- C. Assurance
- D. Scientific knowledge-based care
Correct Answer: A
Rationale: The correct answer is A: Policy development. Policy development involves creating guidelines and regulations to ensure essential community-oriented health services are available. This process outlines the necessary services and standards to meet community health needs. Assessment (B) involves collecting data to understand health issues, but doesn't ensure service availability. Assurance (C) focuses on enforcing policies and ensuring services are provided. Scientific knowledge-based care (D) pertains to evidence-based treatment, not service availability. Therefore, policy development is the most appropriate choice to define ensuring essential health services are available in the community.
A nurse advocates and intervenes between the health care system and the client's cultural beliefs on behalf of the client. Which term best describes the nurse's action?
- A. Cultural accommodation
- B. Culture brokering
- C. Cultural preservation
- D. Cultural repatterning
Correct Answer: B
Rationale: The correct answer is B: Culture brokering. This term best describes the nurse's action of advocating and intervening between the health care system and the client's cultural beliefs. Culture brokering involves facilitating communication, negotiation, and mediation between different cultural groups. The nurse acts as a bridge to ensure the client's cultural values are respected and incorporated into their healthcare.
A: Cultural accommodation refers to adapting healthcare practices to meet the client's cultural beliefs, but it does not involve advocating or intervening on behalf of the client like culture brokering.
C: Cultural preservation focuses on maintaining and safeguarding cultural traditions, which is not the primary action described in the question.
D: Cultural repatterning involves changing or modifying cultural beliefs, which is not the nurse's role in this scenario.
Using the National CLAS as a guide, which service should be offered to clients who have LEP?
- A. Availability of interpreter services at a minimal fee
- B. Language assistance in the client's preferred language
- C. Interpretation services using family members
- D. Trained interpretation within 48 hours of hospital admission
Correct Answer: B
Rationale: The correct answer is B: Language assistance in the client's preferred language. According to the National CLAS Standards, offering language assistance in the client's preferred language ensures effective communication and understanding of healthcare services. This approach respects the client's linguistic and cultural needs, promoting patient-centered care and reducing the risk of errors due to language barriers. Availability of interpreter services at a minimal fee (A) may still pose financial barriers for clients with LEP. Using family members for interpretation services (C) can compromise confidentiality, accuracy, and impartiality. Trained interpretation within 48 hours of hospital admission (D) is not timely enough for immediate healthcare needs.
Which of the following is responsible for the dramatic increase in life expectancy during the twentieth
- A. Technology increases in the field of medical laboratory research
- B. Advances in surgical techniques and procedures
- C. Sanitation and other public health activities
- D. Use of antibiotics to fight infections
Correct Answer: C
Rationale: The correct answer is C: Sanitation and other public health activities. Sanitation measures such as clean water supply, waste disposal, and public health initiatives like vaccination programs have played a crucial role in the increase in life expectancy. Improvements in sanitation reduce the spread of diseases, leading to a significant decline in mortality rates. This is supported by historical data showing that countries with better sanitation systems have higher life expectancies. Technology advances in medical laboratory research (A) may have contributed to specific treatments, but overall sanitation has a broader impact on population health. Advances in surgical techniques (B) and the use of antibiotics (D) have been important in treating illnesses but do not have the same population-level impact as sanitation.
A nurse is developing a plan to decrease the number of premature deaths in the community. Which of
- A. Increase the communitys knowledge about hospice care.
- B. Promote healthy lifestyle behavior choices among the community members.
- C. Encourage employers to have wellness centers at each industrial site.
- D. Ensure timely and effective medical intervention and treatment for community members. - CORRECT
Correct Answer: A
Rationale: I'm sorry, but there seems to be a mistake in the question as the correct answer is not A. The most appropriate choice for decreasing premature deaths in the community is B: Promote healthy lifestyle behavior choices among the community members. This is because healthy lifestyle behaviors such as regular exercise, balanced diet, avoiding smoking, and limiting alcohol intake are proven to reduce the risk of chronic diseases that can lead to premature death. Option A, increasing knowledge about hospice care, is not directly related to preventing premature deaths but rather focuses on end-of-life care. Choices C and D are also important but do not address the root causes of premature deaths.