Community Nursing test #2

A nurse is using the I PREPARE mnemonic to assess a client's potential environmental exposures. Which of the following questions should the nurse ask when assessing for "A" in the mnemonic?

"What do you like to do for fun?"

A nurse recognizes that although a patient speaks English, the patient is from a culture with which the nurse is unfamiliar. Therefore, a cultural assessment should be attempted. Which of the following questions should the nurse ask? (Select all that apply.)

1) "Can you tell me where your family is from?" 2) "Do you practice a particular religious faith?" 3)"Is there anything special we need to know about your food preferences?

What do demographic figures suggest about the ways in which the population of the United States is changing? (Select all that apply.)

1) Hispanics are the largest minority group population. 2)Mortality for both genders in all age groups declined. 3)Approximately 12% of the U.S. population was born in a different country.

Which of the following statements are accurate descriptions of current social and economic trends in the United States? (Select all that apply.)

1) Many families are seeing decreases in family income. 2) Massive and unexpected social and economic changes have occurred. 3)Citizens are appreciating the quality of life enjoyed in the United States.

The nurse is teaching a group of consumers about food safety. Of the following statements, which ones would the nurse communicate during the seminar? Select all that apply.

1) Refrigerate leftovers as soon as the meal is finished. 2) Any dishes that held uncooked meat must be washed properly before cooked foods are placed on them. 3) Do not serve undercooked foods especially meat fish and eggs.

Three nurses disagree over the appropriate treatment for a woman who is an excellent candidate for hospice care. The first nurse believes that deciding on care rather than cure is the woman's decision and no one else can decide for her. The second nurse says that it is the responsibility of the health care team to do good for the woman, and if the physician thinks there is still a possibility of cure, then the nurses should do everything they can to implement the treatment plan. The third nurse states that it isn't fair for the family members to expend all their resources on the woman, who is probably going to die anyway. Which of the following conclusions can be drawn from this dispute? (Select all that apply.)

1) There is no single accepted approach for resolving such disagreements. 2) Ethical principles can conflict with one another.

A baccalaureate prepared nurse is developing an educational program on cultural perspectives in nursing. The nurse should include which of the following factors that are influenced by an individual's culture? (Select all that apply)

1) Views about illness 2) Family structure 3)Health care interactions 4)Nutritional practices

The nurse visits the home of a toddler diagnosed with gastroenteritis caused by Salmonella. The nurse should investigate which of the following statements if made by the child's mother? Select all answers that apply:

1)"My children love playing with our pet iguana." 2)"My children like poached eggs for breakfast."

The importance of exploring the diversity among people interacting in the health care arena includes:

A richer understanding of all people delivering and receiving care

For a bedridden Muslim patient, the nurse rearranges the room and moves the bed so that it faces toward Mecca for the patient's daily prayers. Which of the following is the nurse demonstrating through these actions?

Accommodation

What facets of culture related to health and illness may affect nursing practice?

Attitudes about touch Death and dying practices Beliefs about privacy and childbirth ** All of the above

Which of the following statements about children and environmental hazards is correct?

Children are more susceptible to environmental toxins because of their smaller size.

A public health nurse uses secondary prevention to reduce environmental health risks when doing which of the following?

Collecting blood specimens from pre-school children to check for lead levels.

The nurse is assessing a child with suspected lead poisoning. Which of the following assessments is the nurse most likely to find?

Complaints of numbness and tingling in feet

The role of the nurse regarding complementary and alternative medicine should include which action?

Educating the client about therapies that he or she is using or is interested in using

Campaigns to decrease the inequitable burden of environmental risks on the poor and people of color in the United States strive to apply the ethical principle of:

Environmental justice.

What factor(s) act as barriers to providing culturally sensitive or culturally congruent care to clients and their support persons?

Ethnocentrism Discrimination Stereotyping and prejudice **All of the above

A college health nurse is working with students, faculty, and staff to improve environmental air quality. To address the primary cause of air pollution on campus, the nurse plans a precautionary intervention. Which of the following interventions best demonstrates an appropriate approach?

Increase the use of bicycles, foot-powered scooters, rollerblades, and walking as the primary mode of transportation on campus.

A nurse employed in a large city hospital cares for clients from many different cultures. Which of the following practices will help the nurse meet the spiritual needs of these clients?

Learning about various religious traditions

A Native American client with a low-grade fever insists on using a sweat lodge to treat his illness. What is the nurse's best response?

Monitoring the client's condition, and keeping in mind that treatment consistent with the client's beliefs will probably be the most successful

How did health care and its delivery change during the 1980s? (Select all that apply.)

Nurse practitioners were increasingly used to provide care. Public health programs suffered reduced political support, financing, and effectiveness Laws began to be passed that discouraged the use of alcohol, drugs, and tobacco.

A nurse is assessing potential environmental health risks in the community. Which of the following would be the first step that the nurse should take?

Perform a windshield survey

A new nurse is learning about environmental hazards in the workplace and at home in nursing orientation. Which statement, if made by the new nurse, indicates the need for further teaching?

Radon, a naturally occurring radioactive gas, is the first leading cause of lung cancer, which kills more women than any other type of cancer, including breast."

A home health nurse in a small Appalachian community is caring for a client at home. The client is an active member of the church, and as death nears, the local minister and many members of the congregation gather in the home for a "death watch." What is the most appropriate nursing action?

Respectfully observe the client's religious beliefs and allow the family and minister unlimited access to the client

Which of the following best defines culture?

Shared values, beliefs, customs and symbols that are learned and passed on from generation to generation

A nurse identifies higher-than-normal levels of lead when screening a 3-year-old child. The nurse works with the local health department to put together a team to address the environmental issues responsible for the child's abnormal lead level. Team members should include the following specialists:

Specially trained housing inspector, pediatric specialist, lead-based paint intervention team, and laboratory specialists to test the child's home and the surrounding neighborhood.

A client who will be traveling to a malaria-infested country is receiving instruction on the prophylactic use of chloroquine (Aralen hydrochloride). What instruction is accurate for this client?

Start the medication before going on the trip.

A known hypertensive client comes to a blood pressure screening and tells the nurse she is going to use fresh lime juice in her water and take fresh garlic each day to take care of her high blood pressure like they do in her home country. The proper response from the nurse would be:

The limes and garlic may help but be sure to continue to take your blood pressure pills as ordered.

The public health nurse has a responsibility to be informed about environmental health risks in the community. In what ways is this competency demonstrated?

The nurse provides education and advocates for policies that support a healthier environment

A client is identified as having Rocky Mountain Spotted Fever. This is an example of what type of indirect transmission?

Vector-borne transmission