Podcast
Questions and Answers
What is the main focus of community-based nursing interventions?
What is the main focus of community-based nursing interventions?
- Performing epidemiologic investigations (correct)
- Counseling a pregnant teen with anemia
- Consulting with a parent of a child who is vomiting
- Conducting childbirth education classes
A nursing student asks about integrative medicine. Which statement accurately describes integrative medicine?
A nursing student asks about integrative medicine. Which statement accurately describes integrative medicine?
- It refers to the use of complementary and alternative medicine in place of traditional therapies for a condition.
- It refers to situations when a client and his or her family prefer to use an unproven method of treatment over a proven one.
- It means that mainstream medical therapies and complementary and alternative therapies are combined based on scientific evidence for being effective. (correct)
- It means that complementary and alternative medicine is used together with conventional therapies to reduce pain or discomfort.
Which healthcare setting is NOT typically associated with community-based nursing interventions?
Which healthcare setting is NOT typically associated with community-based nursing interventions?
- Day surgery center (correct)
- Hospice care
- Urgent care center
- Immunization clinic
In the context of community-based nursing, which activity would be least appropriate for a nurse to engage in?
In the context of community-based nursing, which activity would be least appropriate for a nurse to engage in?
If a client prefers unproven treatments over proven ones, what term best describes their approach?
If a client prefers unproven treatments over proven ones, what term best describes their approach?
Which factor would a nurse least likely identify as a possible risk factor when reviewing a woman's history?
Which factor would a nurse least likely identify as a possible risk factor when reviewing a woman's history?
What is an incorrect assumption about emergency contraceptives (ECs) that a nurse would need to stress in a class for young adult women?
What is an incorrect assumption about emergency contraceptives (ECs) that a nurse would need to stress in a class for young adult women?
For a fertility evaluation, what instruction indicates the male partner understands the semen analysis test?
For a fertility evaluation, what instruction indicates the male partner understands the semen analysis test?
What key information should a nurse emphasize about emergency contraceptives (ECs) during a class for young adult women?
What key information should a nurse emphasize about emergency contraceptives (ECs) during a class for young adult women?
In the context of fertility evaluation, which instruction would be incorrect regarding the semen analysis test?
In the context of fertility evaluation, which instruction would be incorrect regarding the semen analysis test?
What would the nurse be least likely to include when discussing the changes in health care delivery over the past century?
What would the nurse be least likely to include when discussing the changes in health care delivery over the past century?
Based on cultural background, how does an Asian American client most likely view illness?
Based on cultural background, how does an Asian American client most likely view illness?
What is the most important aspect for a nurse to incorporate into a plan of care for a woman during pregnancy, labor, and childbirth?
What is the most important aspect for a nurse to incorporate into a plan of care for a woman during pregnancy, labor, and childbirth?
Which component would be included in a discussion on case management in maternal and newborn health care?
Which component would be included in a discussion on case management in maternal and newborn health care?
In a class discussion on trends in health care over centuries, which topic would be least likely to be focused on?
In a class discussion on trends in health care over centuries, which topic would be least likely to be focused on?
What is the primary goal of highly active antiretroviral therapy (HAART) for the treatment of HIV?
What is the primary goal of highly active antiretroviral therapy (HAART) for the treatment of HIV?
When promoting adherence to HAART in an HIV-positive woman, what should be initially assessed?
When promoting adherence to HAART in an HIV-positive woman, what should be initially assessed?
Which group is identified as an emerging risk group for HIV infection when developing a teaching plan for a community group?
Which group is identified as an emerging risk group for HIV infection when developing a teaching plan for a community group?
After teaching adolescents about HIV, what is a successful outcome if they can identify the major means of HIV transmission?
After teaching adolescents about HIV, what is a successful outcome if they can identify the major means of HIV transmission?
What is the purpose of highly active antiretroviral therapy (HAART) for individuals with HIV?
What is the purpose of highly active antiretroviral therapy (HAART) for individuals with HIV?
What diagnostic test would a nurse expect to prepare a woman for to evaluate endometrial cancer?
What diagnostic test would a nurse expect to prepare a woman for to evaluate endometrial cancer?
At what age should a woman typically have her first Pap smear?
At what age should a woman typically have her first Pap smear?
In the development of cervical cancer, which area is most commonly involved?
In the development of cervical cancer, which area is most commonly involved?
When a woman has an abnormal Pap smear classified as ASCUS, what would be the nurse's expectation?
When a woman has an abnormal Pap smear classified as ASCUS, what would be the nurse's expectation?
If a woman is being prepared for diagnostic testing related to endometrial cancer, which test is least likely to be performed?
If a woman is being prepared for diagnostic testing related to endometrial cancer, which test is least likely to be performed?
Which genetic disorder is an example of an autosomal dominant inheritance disorder?
Which genetic disorder is an example of an autosomal dominant inheritance disorder?
What is the purpose of explaining an elevated alpha-fetoprotein screening test result to a couple?
What is the purpose of explaining an elevated alpha-fetoprotein screening test result to a couple?
What would a nursing instructor likely include when teaching about the potential misuse of genetic discoveries and advances?
What would a nursing instructor likely include when teaching about the potential misuse of genetic discoveries and advances?
What should a nurse emphasize when discussing prenatal testing for genetic risks and disorders?
What should a nurse emphasize when discussing prenatal testing for genetic risks and disorders?
When considering genetic disorders, what is a characteristic of autosomal dominant inheritance?
When considering genetic disorders, what is a characteristic of autosomal dominant inheritance?
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Study Notes
Risk Factors for Women's Health Issues
- Age is not a significant risk factor for women's health issues (A)
- History of smoking is a risk factor for women's health issues (B)
- Diabetes since age 15 years is a risk factor for women's health issues (C)
- Weight below standard for height and age is a risk factor for women's health issues (D)
Fertility and Pregnancy
- Semen analysis is a test for male fertility, and the sample should be collected after 2-3 days of abstinence (D)
- Emergency contraceptives (ECs) are not a form of regular birth control and do not provide protection against STIs (A, C, D)
- ECs are birth control pills in higher, more frequent doses (C)
Sexually Transmitted Infections (STIs)
- The goal of highly active antiretroviral therapy (HAART) for HIV treatment is to improve survival rates (C)
- HAART is not intended to promote the progression of disease or conduct additional drug research (A, D)
- To promote adherence to HAART, the nurse should initially assess the patient's beliefs and education about the treatment (A)
- Heterosexual women are an emerging risk group for HIV infection (C)
Cervical Cancer
- The transformation zone is the area most commonly involved in cervical cancer (C)
- An abnormal Pap smear classified as ASCUS may require further testing, such as HPV testing (B)
- The nurse should expect the client to undergo a transvaginal ultrasound for diagnostic testing for endometrial cancer (B)
Nursing Interventions
- Community-based nursing interventions may include conducting childbirth education classes, counseling, and consulting with parents (B, C, D)
- Integrative medicine combines conventional therapies with complementary and alternative therapies to reduce pain or discomfort (C)
- Health care delivery trends over the past century have shifted from disease prevention to health promotion and wellness (A, B, E)
- Analysis of morbidity and mortality is an important aspect of health care delivery (A)
Cultural Competence
- In Asian American culture, illness is often viewed as an imbalance of yin and yang (D)
- Case management in maternal and newborn health care involves advocacy, coordination, communication, and education (A, B, C, E)
- Pregnancy-related mortality is often caused by hemorrhage, embolism, obstructed labor, or infection (A, B, C, D)
- Heart disease is a major health problem for women, and smoking is a significant risk factor (B)
Informed Consent
- Informed consent is a violation if the client is not fully informed about the treatment or procedure (A)
- The nurse's role in case management involves broader assessment, including the environment, and increased decision-making and support (B, C, D)
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