Nokea
Why is there an increasing use of home monitoring devices? (Select all that apply.)
- A. Rising number of people with acute conditions
- B. Increased need to deliver healthcare to medically underserved populations
- C. Advances in technology to assess clients' conditions in their home
- D. Performing assessments in real time using Internet video systems
Correct Answer: A
Rationale: The correct answer is A because the rising number of people with acute conditions necessitates continuous monitoring, which can be efficiently achieved through home monitoring devices. This enables healthcare providers to closely track and manage patients' health remotely. Choice B is incorrect as the increased need to deliver healthcare to medically underserved populations may lead to other solutions, not necessarily home monitoring devices. Choice C is incorrect because advancements in technology benefit various aspects of healthcare, not just home monitoring devices. Choice D is incorrect as real-time assessments using Internet video systems are just one of the many methods for monitoring patients, not exclusive to home monitoring devices.
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Which was a duty performed by district nurses in Liverpool, England, in 1865?
- A. Use epidemiologic knowledge and methods
- B. Encourage community organization
- C. Report facts to and ask questions of physicians
- D. Assist physicians with surgery in the newly constructed hospitals
- F. Identifying potential negative outcomes due to exposure to the toxic chemicals
Correct Answer: C
Rationale: The correct answer is C. District nurses in Liverpool in 1865 reported facts to and asked questions of physicians. This duty was crucial for proper patient care as it ensured that physicians were informed about the patient's condition and could provide appropriate treatment. Other choices are incorrect because: A) Epidemiologic knowledge and methods were not commonly used by district nurses at that time. B) Encouraging community organization was not a primary duty of district nurses. D) District nurses did not typically assist physicians with surgery. F) Identifying potential negative outcomes due to exposure to toxic chemicals was not a common duty of district nurses in 1865 Liverpool.
The nurse is developing a PICOT question to study methods to promote smoking cessation in high school students in a rural community. Which statement identifies the targeted population?
- A. The rural community
- B. Community members who smoke
- C. All high school students in the community
- D. High school students in the rural community who smoke
Correct Answer: D
Rationale: The correct answer is D because it specifically identifies the targeted population as high school students in the rural community who smoke, which aligns with the study's focus on smoking cessation in this specific group. Choice A is too broad, choice B includes all community members who smoke, choice C includes all high school students without specifying smoking status. By choosing D, the nurse can focus on a more precise and relevant population for the study.
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.
Public health nursing is distinguished from other specialties by adherence to eightprinciples. Which is one of the eight domains of public health nursing practice?
- A. Policy development and individual planning skills
- B. Individual dimensions of practice skills
- C. Financial planning and management skills
- D. Leadership and individual critical thinking skills
Correct Answer: A
Rationale: The correct answer is A: Policy development and individual planning skills. This domain is crucial in public health nursing as it involves advocating for policies that promote health and prevent disease within communities. Public health nurses need to understand how policies are developed and implemented to address population health issues effectively. Choices B, C, and D focus on individual aspects of practice and do not capture the population-based perspective of public health nursing. Therefore, they are incorrect.
A nurse is administering a continuous enteral feeding to a client. Which of the following actions should the nurse take?
- A. Check gastric residuals every 4 hours
- B. Implementing health promotion activities such as education programs
- C. Obtaining and interpreting information regarding risks and benefits to the community
- D. Monitoring the sexual activity of adolescents
Correct Answer: A
Rationale: The correct answer is A: Check gastric residuals every 4 hours. This is essential when administering enteral feeding to prevent complications such as aspiration or feeding intolerance. By monitoring residuals, the nurse can assess the client's tolerance to the feeding regimen and adjust accordingly. Option B is incorrect as it is unrelated to enteral feeding. Option C is also incorrect as it pertains to community health, not individual client care. Option D is irrelevant and invasive to the client's privacy. Monitoring sexual activity of adolescents is outside the scope of enteral feeding administration.