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Which statement made by a parent indicates a need for more education about child abuse?
- A. "I have stopped slapping my child, and I am learning to count to 10 before reacting."
- B. "I never spank or hit my children; I yell at them to stop being stupid, and if they don't, I tell them that the boogeyman will steal them away at night if they don't obey."
- C. "I use 'time out' when my child acts out or is naughty. Sometimes, my child doesn't cope well with this, but I am persistent."
- D. "When my child misbehaves, I distract him and try to focus his attention on other things. If he throws a tantrum, I just pick him up and leave the store or show or wherever we may be."
Correct Answer: B
Rationale: The correct answer is B because the parent's statement indicates emotional abuse through threats of harm and fear tactics. Yelling and using scare tactics like the boogeyman can have long-lasting negative effects on a child's emotional well-being, leading to anxiety and insecurity.
Choice A shows progress in managing anger and using positive discipline techniques. Choice C demonstrates a parent trying to use a common discipline method, although the child's coping difficulties may need further support. Choice D shows a parent using distraction and removal techniques, which are generally considered appropriate strategies for managing tantrums.
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A client with tuberculosis (TB) wants to know why directly observed therapy (DOT) is required as part of the treatment. What community health nurse (CHN) response would be the most appropriate one?
- A. "Clients with TB are often nonadherent to their medication regimen; DOT will ensure that you take the medications prescribed to you."
- B. "This therapy is recommended by TB experts as the best way to ensure that you receive the treatment you need and that the infection doesn't become resistant to treatment."
- C. "This ensures that you get your medication even at the late stages of TB, when your memory may be affected by inadequate oxygenation to the brain."
- D. "TB medications are very expensive, and this method ensures that government health care resources are not wasted by those who will not take the medications regularly."
Correct Answer: B
Rationale: The correct answer is B because directly observed therapy (DOT) is recommended by TB experts to ensure treatment adherence and prevent drug resistance. TB treatment requires strict adherence to a regimen to prevent the development of drug-resistant strains. DOT involves a healthcare provider directly observing the client taking their medication to ensure compliance. Choice A addresses nonadherence but does not emphasize the importance of preventing drug resistance. Choices C and D are incorrect as they do not directly relate to the main purpose of DOT in preventing drug resistance and ensuring treatment effectiveness.
What is the most important action to be taken by the community health nurse (CHN) who wishes to decrease childhood obesity?
- A. Lobbying legislators to enact stronger legislation regarding unhealthy lunches and food from snack machines in schools
- B. Increasing availability of nutrition programs in which schoolchildren are taught to make healthy food choices
- C. Involving the entire family in the management of obesity in a child
- D. Providing after-school activities and summer camps that focus on diet and exercise
Correct Answer: C
Rationale: The correct answer is C. Involving the entire family in the management of obesity in a child is the most important action because family support and involvement are crucial for sustainable behavior change in children. The family plays a significant role in shaping a child's habits and lifestyle choices. By engaging the entire family, the community health nurse can create a supportive environment where healthy behaviors are encouraged and reinforced consistently. This approach addresses the root causes of childhood obesity by promoting healthy eating habits and physical activity within the child's daily life, rather than relying solely on external interventions like legislation or programs.
Choice A is less effective because while legislation can create a healthier environment, it may not directly address the underlying family dynamics influencing a child's behavior. Choice B is important but may not be as effective as involving the family since parental influence extends beyond school-based programs. Choice D is valuable but may not address the core issue of family involvement, which is crucial for sustainable behavior change.
A group member who has exhibited an angry emotional outburst tearfully apologizes to the group for being "hateful." The group leader responds, "I believe I speak for all of us when I say that you did not appear hateful. You just appeared to be passionate about your beliefs." In this scenario, which of the following behaviours is the group leader exhibiting?
- A. Analyzing
- B. Clarifying
- C. Evaluating
- D. Reflecting
Correct Answer: D
Rationale: The correct answer is D: Reflecting. The group leader is reflecting by restating the group member's emotions and behaviors back to them in a non-judgmental manner. This helps the group member feel understood and validated. Analyzing (A) involves breaking down information, clarifying (B) involves making things clearer, and evaluating (C) involves making judgments or assessments. In this scenario, the group leader is not doing any of those actions, but rather reflecting back the group member's emotions.
After hearing the debates about an appropriate course of action for a specific client, a community health nurse (CHN) expresses a desire for a rule that would help with decision making. What criteria could the CHN apply to this rule for his or her decision making?
- A. The rule absolutely will not get the CHN in trouble with the employer.
- B. The rule will gain the support of an expert, such as a spiritual leader.
- C. The CHN would recommend the rule to anyone in a similar situation.
- D. The supervisor would feel comfortable reporting the rule to the administration.
Correct Answer: C
Rationale: The correct answer is C. The rationale is that the CHN should apply a rule that they would recommend to anyone in a similar situation. This criteria ensures that the decision-making process is fair, ethical, and beneficial for the client. Choice A is incorrect as it focuses on avoiding trouble with the employer rather than client well-being. Choice B is incorrect as relying solely on the support of an expert may not always align with the best interests of the client. Choice D is incorrect as the supervisor's comfort level does not guarantee the rule is appropriate for the client. Ultimately, choice C prioritizes client-centered care and ethical decision-making.
A student asks the school nurse how acquired immune deficiency syndrome (AIDS) is diagnosed. Which answer is correct?
- A. AIDS is diagnosed through the negative results of a screening test called an enzyme-linked immunosorbent assay (ELISA).
- B. Antibodies to HIV, which form in about 6 weeks to 3 months following infection with HIV, are detected in the blood.
- C. Antibodies to HIV reach peak levels of 200/mL of blood.
- D. AIDS is diagnosed through positive ELISA results and clinical signs of AIDS.
Correct Answer: B
Rationale: The correct answer is B because antibodies to HIV are typically detected in the blood within 6 weeks to 3 months after infection, indicating exposure to the virus. This seroconversion period is when the body starts producing antibodies to fight the HIV virus. The presence of these antibodies in the blood is a key indicator of HIV infection, leading to a diagnosis of AIDS.
Choice A is incorrect because a negative ELISA result does not diagnose AIDS, as it only indicates the absence of HIV antibodies. Choice C is incorrect as there is no specific peak level of HIV antibodies required for diagnosis. Choice D is incorrect because a positive ELISA result alone is not sufficient to diagnose AIDS; clinical signs and symptoms must also be present.