Nokea
Which of the following nursing interventions are appropriate to address parasitism issues?
- A. Administering broad-spectrum antihelminthic treatment to patients
- B. Emphasizing the importance of thoroughly washing vegetables, especially if consumed raw
- C. Instructing on proper stool disposal and emphasizing not to use it as fertilizer
- D. Promoting hand washing before and after meals
Correct Answer: C
Rationale: The correct answer is C because proper stool disposal and advising against using it as fertilizer are crucial in preventing the spread of parasites. This intervention targets the source of parasitic infections. Choice A is incorrect as administering antihelminthic treatment is reactive, not preventive. Choice B is important for preventing bacterial contamination, not specifically for parasitism. Choice D is a general hygiene measure and does not directly address parasitism issues. Thus, choice C is the most appropriate nursing intervention for addressing parasitism.
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During the assessment phase of the nursing process, a community health nurse conducted research to identify the distribution pattern of breast cancer within a population and the associated risk factors. This is called
- A. Statistical analysis.
- B. Needs assessment.
- C. Census collection.
- D. Epidemiology.
Correct Answer: D
Rationale: During the assessment phase of the nursing process, conducting research to identify the distribution pattern of breast cancer and its risk factors falls under the realm of epidemiology. Epidemiology focuses on studying the distribution and determinants of health-related states or events in specified populations, which aligns with the nurse's objective in this scenario. Statistical analysis (A) involves interpreting data, not specifically identifying patterns and risk factors. Needs assessment (B) pertains to identifying gaps in services or resources, not disease patterns. Census collection (C) is the process of gathering demographic data, not specifically studying disease distribution. Therefore, the correct answer is D: Epidemiology.
What is the learning process aimed at improving health status through changes in knowledge, attitudes, and practices?
- A. Motivating
- B. Counseling
- C. Disease prevention
- D. Health education
Correct Answer: D
Rationale: The correct answer is D: Health education. This learning process focuses on improving health through knowledge, attitudes, and practices. Health education aims to empower individuals to make informed decisions for their well-being. Motivating (A) is about encouraging action, counseling (B) involves providing guidance and support, and disease prevention (C) targets specific strategies to reduce the risk of illnesses. In this context, health education encompasses a broader approach to promoting overall health and wellness.
As an important tool for planning a community health survey was conducted, the first tangible outcome of collaboration and teamwork with the Local Health Department and its Rural Health Units (RHUs) was observed. This later led to case findings activities via collection and examination of stools from children for suspected parasitism. Which of the following community nursing diagnoses will guide the Parish Health Team for concrete action?
- A. Parasitism as a foreseeable crisis
- B. Malnutrition as a health deficit
- C. Parasitism as a health deficit
- D. Parasitism as a health threat
Correct Answer: D
Rationale: The correct answer is D: Parasitism as a health threat. This diagnosis guides the Parish Health Team to take concrete action because parasitism poses a direct risk to the community's health. By identifying parasitism as a health threat, the team can prioritize interventions to prevent and control the spread of parasites, ensuring the well-being of the population.
Choices A, B, and C are incorrect:
A: Parasitism as a foreseeable crisis - This choice does not provide a clear direction for action and lacks a sense of urgency compared to a health threat.
B: Malnutrition as a health deficit - While malnutrition is a significant issue, the question specifically mentions suspected parasitism as the focus of case findings activities.
C: Parasitism as a health deficit - This choice does not emphasize the immediate danger posed by parasitism, unlike the concept of a health threat.
What are the steps involved in the community assessment process for community health nurses? (Select all that apply.)
- A. Writing a community diagnosis
- B. Evaluating the outcomes
- C. Collecting assessment data
- D. Identifying the cause of the problem, planning community interventions
Correct Answer: D
Rationale: The correct answer is D: Identifying the cause of the problem, planning community interventions. This step is crucial in the community assessment process as it helps community health nurses understand the root cause of health issues and develop effective interventions. First, identifying the cause allows for targeted interventions. Second, planning interventions ensures that resources are allocated efficiently. Writing a community diagnosis (A) is an important step but comes after identifying the cause. Evaluating outcomes (B) is necessary but occurs after interventions are implemented. Collecting assessment data (C) is an initial step but does not encompass the entire community assessment process.
The public health RN is engaging with a teen in his community who is concerned about how he will be able to stay part of his friend group when they are all vaping and your client does not want to take part but does not want to feel awkward. Using motivational interviewing techniques, the RN says to the client, 'I understand this concern. Please tell me more about this and how it feels awkward for you.' The RN's question is an example of:
- A. Moving the teen to find a new friend group.
- B. Addressing the problem of teen awkwardness.
- C. Agreeing that awkwardness is hard.
- D. Using open-ended questioning.
Correct Answer: D
Rationale: The correct answer is D: Using open-ended questioning. The RN's question is open-ended, allowing the teen to express thoughts and feelings freely. This technique helps the client explore their concerns and motivations, fostering self-reflection and problem-solving. This approach aligns with motivational interviewing principles, aiming to evoke the client's own reasons for change.
Choices A, B, and C are incorrect:
A: Moving the teen to find a new friend group - This option involves a directive approach, which is contrary to motivational interviewing's collaborative and client-centered nature.
B: Addressing the problem of teen awkwardness - While acknowledging the teen's feelings, this choice focuses on the issue rather than facilitating the client's exploration of their own perspective.
C: Agreeing that awkwardness is hard - This choice reflects empathy, but it does not encourage the client to elaborate on their feelings and thoughts, limiting the depth of the conversation.