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A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?
- A. Your desire to be an organ donor must be documented in writing
- B. Performing a physical examination of an ill client
- C. Providing treatment and health education to a client with a disease
- D. Giving some of their own surplus clothes to those who can use them
Correct Answer: A
Rationale: The correct answer is A because organ donation requires documented consent to ensure the individual's wishes are respected. This documentation is crucial for legal and ethical reasons. Choice B is incorrect as it pertains to conducting a physical examination, not related to organ donation. Choice C focuses on treatment and health education, not addressing the client's inquiry about organ donation. Choice D involves donating clothes, which is unrelated to organ donation. Therefore, A is the correct response as it addresses the client's query about organ donation by emphasizing the need for written documentation.
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A nurse is teaching participants at a community center about advance directives. Which of the following information should the nurse include in the teaching?
- A. A client must create a do-not-resuscitate order when completing advance directives.
- B. Advance directives cannot be changed once implemented.
- C. A health care surrogate makes health care decisions when the client is no longer able.
- D. Assigning a health care surrogate requires legal consultation.
Correct Answer: C
Rationale: The correct answer is C: A health care surrogate makes health care decisions when the client is no longer able. This information is crucial for understanding advance directives as it highlights the role of a health care surrogate in making decisions on behalf of the client when they are incapacitated. This empowers individuals to ensure their wishes are carried out even when they are unable to communicate them.
Choice A is incorrect because creating a do-not-resuscitate order is just one aspect of advance directives, not a mandatory requirement. Choice B is incorrect as advance directives can be updated or changed as long as the individual is competent to do so. Choice D is incorrect as assigning a health care surrogate does not always require legal consultation, although it may be recommended in some cases.
Personal responsibility for health involves active participation in one's own health through education and lifestyle changes. Which exemplify personal responsibility? (Select allthat apply.)
- A. Reviewing one's own medical records
- B. Monitoring the positive and negative effects of prescription and over-th
- C. counter medications
- D. Avoiding tobacco and recreational drug use
Correct Answer: A
Rationale: The correct answer is A because reviewing one's own medical records allows individuals to understand their health history, track changes, and communicate effectively with healthcare providers. This exemplifies personal responsibility as it empowers individuals to take charge of their health by being informed and proactive.
Choice B is incorrect because monitoring medication effects is important but not directly related to personal responsibility for health through education and lifestyle changes. Choice D is incorrect as avoiding tobacco and drugs is a lifestyle choice, not an action that involves active participation in one's health through education.
Which is a Healthy People 2020 goal?
- A. Decrease the incidence of preventable disease, disability, injury, and premature death
- B. Reduce health inequity, decrease disparities, and improve the health of certain groups
- C. Create social and physical environments that promote good health for all
- D. Promote healthy development and healthy behaviors for the geriatric stage of life
Correct Answer: B
Rationale: The correct answer is B because reducing health inequity, decreasing disparities, and improving the health of certain groups aligns with the overarching goal of achieving health equity for all in Healthy People 2020. This goal focuses on addressing the social determinants of health to ensure that everyone has the opportunity to achieve their highest level of health. Choices A, C, and D are important aspects of public health but do not specifically address health equity and disparities among different population groups. Therefore, B is the most appropriate choice for a Healthy People 2020 goal.
A community health nurse is reviewing the reports for a group of clients. The nurse should identify that which of the following disorders is on the CDC's national notifiable conditions list?
- A. Lyme disease
- B. Providing care with a focus on the aggregates needs
- C. Having the goal of health promotion and disease prevention
- D. Health disparities among any groups are morally and legally wrong
Correct Answer: A
Rationale: The correct answer is A: Lyme disease. The CDC's national notifiable conditions list includes diseases that are required to be reported to the CDC for public health monitoring and control. Lyme disease is on this list due to its potential for widespread transmission and public health impact. The other choices are incorrect as they do not relate to the concept of notifiable conditions or public health surveillance. Providing care with a focus on aggregate needs, having goals of health promotion, and addressing health disparities are important aspects of community health nursing but are not directly related to notifiable conditions.
Which environmental health activity would the nurse perform while engaged in the core public health function of assurance?
- A. Educating the community about the need to boil contaminated drinking water
- B. Collecting data about health issues related to contaminated drinking water
- C. Developing polices to regulate the discharge of pollutants into the waterways
- D. Assessing measures to reduce exposure to contaminated water
Correct Answer: D
Rationale: The correct answer is D: Assessing measures to reduce exposure to contaminated water. This activity falls under the assurance function as it involves ensuring that appropriate measures are in place to protect the community from health risks associated with contaminated water. By assessing these measures, the nurse is actively working to reduce the community's exposure to harmful contaminants, thereby fulfilling the role of assuring the public's health.
A: Educating the community about the need to boil contaminated drinking water falls under the core function of education rather than assurance.
B: Collecting data about health issues related to contaminated drinking water is a part of the assessment function, not assurance.
C: Developing policies to regulate the discharge of pollutants into the waterways is more aligned with the policy development function rather than assurance.
In summary, the correct answer focuses on actively evaluating and implementing measures to reduce exposure to contaminated water, which directly contributes to the assurance function of environmental health.