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Which type of study will the nurse use to understand the experiences of an immigrant group in the community?
- A. Qualitative
- B. Randomized control
- C. Needs assessment
- D. Quality improvement
Correct Answer: A
Rationale: The nurse would use a qualitative study to understand the experiences of an immigrant group because qualitative research focuses on exploring and understanding individuals' experiences, perspectives, and behaviors in-depth. This type of study allows for gathering rich, detailed data through methods like interviews, observations, and focus groups, which are well-suited for capturing the complexities and nuances of immigrant experiences. A randomized control study (B) involves intervention and control groups for causality, not suitable for exploring experiences. Needs assessment (C) focuses on identifying needs and gaps in services. Quality improvement (D) aims to enhance processes and outcomes within a specific setting.
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A nurse is preparing to perform a sterile wound irrigation and dressing change for a client. Which of the following actions by the nurse breaks in surgical aseptic technique?
- A. Balancing the bottle on the sterile basin while pouring the liquid
- B. Clarify the reason for the referral
- C. Identify family needs and interventions
- D. Provide discharge teaching
Correct Answer: A
Rationale: The correct answer is A because balancing the bottle on the sterile basin contaminates the sterile field. Sterile technique requires keeping all items above waist level, avoiding leaning over the sterile field, and maintaining a safe distance to prevent contamination. Choices B, C, and D are unrelated to sterile technique and do not involve direct contact with the sterile field. Clarifying the reason for referral, identifying family needs, and providing discharge teaching are important aspects of nursing care but do not pertain to maintaining a sterile field during wound irrigation and dressing change.
Why has there been an increase in the number of acute and chronically ill people residingin the community who need professional nursing care?
- A. Shorter length of stay in long-term care facilities
- B. Increase in ambulatory surgery
- C. Decrease in the use of outpatient clinics
- D. Increase in length of stay in emergency departments
Correct Answer: A
Rationale: Correct Answer: A - Shorter length of stay in long-term care facilities
Rationale: Shorter stays in long-term care facilities mean patients are discharged sooner, leading to more individuals with acute and chronic illnesses needing nursing care in the community. This trend results in an increased demand for professional nursing care outside of traditional care settings.
Summary:
Choice B (Increase in ambulatory surgery) does not directly relate to the increase in the number of ill people residing in the community, as ambulatory surgery focuses on outpatient procedures.
Choice C (Decrease in the use of outpatient clinics) would actually lead to fewer individuals seeking care in the community, thus not explaining the increase in nursing care needs.
Choice D (Increase in length of stay in emergency departments) is unlikely to result in more individuals needing professional nursing care in the community, as emergency departments typically deal with acute issues that are either resolved or require hospitalization.
A nurse successfully persuades an obese client to perform a weekly weigh-in at homeusing a digital scale and record the weight in a log. This strategy is an example of:
- A. Telehealth
- B. Health information technology
- C. Personal responsibility for health
- D. Evidenc
Correct Answer: C
Rationale: The correct answer is C, "Personal responsibility for health." This is because by persuading the client to monitor and record their weight at home, the nurse is empowering the client to take ownership of their health and actively participate in managing their weight. This strategy encourages the client to be accountable for their health outcomes and promotes self-care. Option A, "Telehealth," is incorrect because it refers to the delivery of healthcare services through technology, not necessarily personal responsibility. Option B, "Health information technology," is also incorrect as it pertains to the use of technology to manage health information, not about individual responsibility. Option D is cut off, but if it were "Evidence-based practice," it would be incorrect as it does not directly relate to the client's responsibility for their health.
Which action by the nurse is an example of engaging in environmental justice?
- A. Using the environment to assist in client recovery
- B. Encouraging communities to engage in composting
- C. Eliminating lead-based paint in public housing
- D. Educating the community on proper disposal of hazardous materials
Correct Answer: C
Rationale: The correct answer is C: Eliminating lead-based paint in public housing. This action exemplifies environmental justice as it aims to address a specific environmental hazard that disproportionately affects marginalized communities living in public housing. By removing lead-based paint, the nurse is advocating for a safe and healthy living environment for all individuals, regardless of their socioeconomic status. This action promotes fairness and equality in environmental protection. In contrast, choices A, B, and D focus on general environmental initiatives that may not directly target environmental injustices or disparities. Therefore, choice C is the most effective in addressing environmental justice concerns.
What is the primary goal of integrating environmental health into nursing practice?
- A. Improving health care infrastructure
- B. Enhancing patient satisfaction
- C. Promoting environmental justice
- D. Reducing health care costs
Correct Answer: C
Rationale: The primary goal of integrating environmental health into nursing practice is to promote environmental justice. This involves addressing health disparities caused by environmental factors impacting vulnerable populations. By advocating for fair treatment and equal access to a healthy environment, nurses can contribute to improving overall health outcomes. Improving health care infrastructure (A) focuses on facilities and resources, not specifically on environmental justice. Enhancing patient satisfaction (B) and reducing health care costs (D) are important but not the primary goal of environmental health integration in nursing practice.