Which of the following is the primary focus of public health nursing?
- A. Families and groups
- B. Illness-oriented care
- C. Individuals within the family unit
- D. Promotion of quality of life
Correct Answer: D
Rationale: The correct answer is D: Promotion of quality of life. Public health nursing primarily focuses on improving the overall health and well-being of communities by promoting healthy lifestyles, preventing diseases, and enhancing quality of life. This includes addressing social determinants of health and advocating for policies that support health equity. Choices A, B, and C are more focused on individual or group care rather than population health. Choice A emphasizes families and groups, while choice B centers on illness rather than prevention. Choice C focuses on individuals within the family unit rather than the broader community. Thus, the correct answer, D, aligns best with the core principles of public health nursing.
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Which of the following statements describes how nursing in the community is more challenging than nursing in an acute care setting?
- A. There is limited access to information useful to the nurse in giving care in the community.
- B. More paperwork and forms are required when giving care in the home.
- C. It is more challenging to control the environment in the community.
- D. Specialization isn't possible in the community setting.
Correct Answer: A
Rationale: The correct answer is A because limited access to information in the community setting hinders the nurse's ability to provide comprehensive care. In acute care settings, information such as patient history, lab results, and vital signs are readily available. In the community, nurses may have to rely on incomplete records or lack real-time data. This impacts treatment decisions and coordination with other healthcare providers. Choice B is incorrect as paperwork is a common challenge in both settings. Choice C is incorrect because controlling the environment in the community is different but not necessarily more challenging. Choice D is incorrect as specialization can still occur in the community through advanced training and collaboration.
A nurse believes that the best treatment for illness is the use of Western medicine and alternative therapies should not be used for healing. Which of the following best describes what has happened?
- A. Ethnocentrism
- B. Cultural imposition
- C. Racism
- D. Stereotyping
Correct Answer: A
Rationale: Correct Answer: A: Ethnocentrism
Rationale:
1. Ethnocentrism is the belief in the superiority of one's own culture over others.
2. The nurse's belief in Western medicine as superior demonstrates ethnocentrism.
3. Alternative therapies are dismissed without consideration, reflecting a biased view.
4. This attitude can lead to a lack of respect for diverse cultural healing practices.
Summary of Other Choices:
B: Cultural imposition - This term refers to forcing one's own cultural beliefs onto others, which is not explicitly demonstrated in this scenario.
C: Racism - While the nurse's view may be biased, it is not based on racial discrimination as racism implies.
D: Stereotyping - The nurse's view is a generalization about the effectiveness of different healing methods, but not necessarily based on stereotypes.
Which statement about the nursing workforce is true?
- A. The nursing workforce is overwhelmingly whit
- C. The number of minority nurses meets the needs of the country's demographics.
- D. The nursing workforce is becoming increasingly diverse with increasing minorities.
Correct Answer: D
Rationale: The correct answer is D because it aligns with current trends in the nursing workforce. Increasing diversity is a well-documented phenomenon in nursing, supported by data showing a rise in minority representation. This trend is crucial to address healthcare disparities and provide culturally competent care. Choice A is incorrect as the nursing workforce is becoming more diverse. Choice C is incorrect as the number of minority nurses still falls short of matching demographic needs.
A nurse is striving to be culturally competent. Which of the following actions would most likely be taken by the nurse?
- A. Respect individuals from different cultures and value diversity.
- B. Immerse himself or herself in different cultures.
- C. Design care for special ethnic groups.
- D. Give explicit instructions to avoid client decision making.
Correct Answer: A
Rationale: The correct answer is A: Respect individuals from different cultures and value diversity. This is because cultural competence involves understanding and respecting the beliefs, values, and practices of individuals from diverse backgrounds. By respecting individuals from different cultures and valuing diversity, the nurse can provide more culturally sensitive and effective care.
Choice B is incorrect because simply immersing oneself in different cultures does not guarantee cultural competence. Choice C is incorrect as designing care specifically for special ethnic groups may lead to stereotyping and overlooking individual differences within those groups. Choice D is incorrect as giving explicit instructions to avoid client decision making goes against the principles of autonomy and patient-centered care.
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.
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