Nursing Trends in Health Care Discussion

30 Questions

What is the main focus of community-based nursing interventions?

Performing epidemiologic investigations

A nursing student asks about integrative medicine. Which statement accurately describes integrative medicine?

It means that mainstream medical therapies and complementary and alternative therapies are combined based on scientific evidence for being effective.

Which healthcare setting is NOT typically associated with community-based nursing interventions?

Day surgery center

In the context of community-based nursing, which activity would be least appropriate for a nurse to engage in?

Performing epidemiologic investigations

If a client prefers unproven treatments over proven ones, what term best describes their approach?

Alternative therapy

Which factor would a nurse least likely identify as a possible risk factor when reviewing a woman's history?

Age of 25 years

What is an incorrect assumption about emergency contraceptives (ECs) that a nurse would need to stress in a class for young adult women?

ECs induce an abortion-like reaction

For a fertility evaluation, what instruction indicates the male partner understands the semen analysis test?

I will withdraw before I ejaculate during sex to collect the specimen

What key information should a nurse emphasize about emergency contraceptives (ECs) during a class for young adult women?

ECs are not to be used in place of regular birth control

In the context of fertility evaluation, which instruction would be incorrect regarding the semen analysis test?

I will ejaculate into a condom and then transfer it to a container for testing

What would the nurse be least likely to include when discussing the changes in health care delivery over the past century?

Wellness promotion

Based on cultural background, how does an Asian American client most likely view illness?

From an imbalance of yin and yang

What is the most important aspect for a nurse to incorporate into a plan of care for a woman during pregnancy, labor, and childbirth?

Educating the client about the importance of a support person

Which component would be included in a discussion on case management in maternal and newborn health care?

Resource allocation

In a class discussion on trends in health care over centuries, which topic would be least likely to be focused on?

Evolution of alternative medicine practices

What is the primary goal of highly active antiretroviral therapy (HAART) for the treatment of HIV?

Improve survival rates

When promoting adherence to HAART in an HIV-positive woman, what should be initially assessed?

The woman's beliefs and education

Which group is identified as an emerging risk group for HIV infection when developing a teaching plan for a community group?

New health care workers

After teaching adolescents about HIV, what is a successful outcome if they can identify the major means of HIV transmission?

Sexual intercourse and needle sharing

What is the purpose of highly active antiretroviral therapy (HAART) for individuals with HIV?

To suppress viral replication and preserve immune function

What diagnostic test would a nurse expect to prepare a woman for to evaluate endometrial cancer?

Transvaginal ultrasound

At what age should a woman typically have her first Pap smear?

In the development of cervical cancer, which area is most commonly involved?

Squamous-columnar junction

When a woman has an abnormal Pap smear classified as ASCUS, what would be the nurse's expectation?

Testing for HPV

If a woman is being prepared for diagnostic testing related to endometrial cancer, which test is least likely to be performed?

Liver function tests

Which genetic disorder is an example of an autosomal dominant inheritance disorder?

Huntington's disease

What is the purpose of explaining an elevated alpha-fetoprotein screening test result to a couple?

A more specific determination of the acid-base status

What would a nursing instructor likely include when teaching about the potential misuse of genetic discoveries and advances?

Greater emphasis on the causes of diseases

What should a nurse emphasize when discussing prenatal testing for genetic risks and disorders?

Necessity for further definitive evaluations

When considering genetic disorders, what is a characteristic of autosomal dominant inheritance?

Manifests if only one copy carries the mutation

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 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)

Test your knowledge on trends in health care delivery over the past centuries, focusing on changes during the last century. Identify what would be least likely included in the discussion.

Make Your Own Quizzes and Flashcards

Convert your notes into interactive study material.