Nokea
You are preparing a patient for surgery and completing the preoperative checklist. Which of the following is not typically part of the preoperative checklist?
- A. Assessing for allergies
- B. Conducting the Time Out
- C. Ensuring that informed consent is signed
- D. Ensuring that the history and physical examination have been completed
Correct Answer: B
Rationale: Step-by-step rationale:
1. Conducting the Time Out is typically part of the surgical safety checklist during the actual surgery, not the preoperative checklist.
2. Assessing for allergies is important to prevent adverse reactions during surgery.
3. Ensuring informed consent is signed is crucial for legal and ethical reasons.
4. Ensuring history and physical examination are completed helps in assessing the patient's health status before surgery.
Therefore, choice B is not typically part of the preoperative checklist, making it the correct answer.
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Which action demonstrates health advocacy?
- A. Providing direct patient care
- B. Working to change policies that affect health care access
- C. Educating patients about their health conditions
- D. Conducting health screenings in underserved areas
Correct Answer: B
Rationale: The correct answer is B because advocating for health involves addressing systemic issues that impact health outcomes. Changing policies can lead to broader and sustainable improvements in healthcare access for all individuals. Providing direct patient care (A) focuses on individual needs, educating patients (C) is important but not necessarily advocacy, and conducting health screenings (D) is part of preventive care but not advocacy for systemic change.
What action would a community health nurse take to address health disparities?
- A. Providing health education to individuals
- B. Advocating for policies that promote health equity
- C. Conducting community health assessments
- D. Offering free health screenings
Correct Answer: B
Rationale: The correct answer is B because advocating for policies that promote health equity addresses the root causes of health disparities at a systemic level, leading to sustainable change. Providing health education to individuals (A) is important but may not address underlying systemic issues. Conducting community health assessments (C) is a valuable tool but alone does not directly address health disparities. Offering free health screenings (D) may improve access to care but does not tackle the broader social determinants of health that contribute to disparities. Advocating for policies that promote health equity is the most effective way for a community health nurse to create lasting change and address health disparities comprehensively.
When assessing a community to determine its health needs, which data would be most useful?
- A. Demographic data
- B. Health behavior data
- C. Environmental data
- D. Morbidity and mortality data
Correct Answer: D
Rationale: The correct answer is D: Morbidity and mortality data. This data provides direct information on the health status of the community by indicating the prevalence of diseases and deaths. It helps identify major health issues, prioritize interventions, and allocate resources effectively. Demographic data (A) provides information on population characteristics but does not directly reflect health needs. Health behavior data (B) offers insights into lifestyle choices but may not capture underlying health conditions. Environmental data (C) focuses on external factors impacting health, which are important but not as direct in indicating community health needs as morbidity and mortality data.
Which of the following are major veins commonly used in parenteral cannulation?
- A. Basilic vein
- B. Femoral vein
- C. Subclavian vein
- D. Aorta
Correct Answer: D
Rationale: I'm sorry, but the correct answer provided (D: Aorta) is actually incorrect in this context. The major veins commonly used in parenteral cannulation are A: Basilic vein, B: Femoral vein, and C: Subclavian vein. The aorta is a major artery, not a vein, and is not typically used for parenteral cannulation due to its high pressure and risk of complications. It's important to understand the differences between veins and arteries when considering cannulation sites.
Which is a key component of the chronic care model?
- A. Implementing community health education programs
- B. Improving access to care for all individuals
- C. Increasing funding for health care services
- D. Coordinating care across different health care settings
Correct Answer: A
Rationale: The correct answer is A because implementing community health education programs is a key component of the chronic care model as it focuses on empowering individuals to manage their own health effectively. This approach enhances patient engagement, self-management skills, and health literacy, leading to better health outcomes and reduced healthcare costs.
Choice B is incorrect as improving access to care, although important, is not a specific component of the chronic care model. Choice C is incorrect because increasing funding does not directly relate to the core principles of the chronic care model. Choice D is incorrect as coordinating care across different settings is important but not the central focus of the chronic care model, which emphasizes patient-centered care and self-management.