Nursing Trends in Health Care Discussion
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Questions and Answers

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?

  • 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?

  • 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?

    <p>Performing epidemiologic investigations</p> Signup and view all the answers

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

    <p>Alternative therapy</p> Signup and view all the answers

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

    <p>Age of 25 years</p> Signup and view all the answers

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

    <p>ECs induce an abortion-like reaction</p> Signup and view all the answers

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

    <p>I will withdraw before I ejaculate during sex to collect the specimen</p> Signup and view all the answers

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

    <p>ECs are not to be used in place of regular birth control</p> Signup and view all the answers

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

    <p>I will ejaculate into a condom and then transfer it to a container for testing</p> Signup and view all the answers

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

    <p>Wellness promotion</p> Signup and view all the answers

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

    <p>From an imbalance of yin and yang</p> Signup and view all the answers

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

    <p>Educating the client about the importance of a support person</p> Signup and view all the answers

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

    <p>Resource allocation</p> Signup and view all the answers

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

    <p>Evolution of alternative medicine practices</p> Signup and view all the answers

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

    <p>Improve survival rates</p> Signup and view all the answers

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

    <p>The woman's beliefs and education</p> Signup and view all the answers

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

    <p>New health care workers</p> Signup and view all the answers

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

    <p>Sexual intercourse and needle sharing</p> Signup and view all the answers

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

    <p>To suppress viral replication and preserve immune function</p> Signup and view all the answers

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

    <p>Transvaginal ultrasound</p> Signup and view all the answers

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

    <p>21</p> Signup and view all the answers

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

    <p>Squamous-columnar junction</p> Signup and view all the answers

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

    <p>Testing for HPV</p> Signup and view all the answers

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

    <p>Liver function tests</p> Signup and view all the answers

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

    <p>Huntington's disease</p> Signup and view all the answers

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

    <p>A more specific determination of the acid-base status</p> Signup and view all the answers

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

    <p>Greater emphasis on the causes of diseases</p> Signup and view all the answers

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

    <p>Necessity for further definitive evaluations</p> Signup and view all the answers

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

    <p>Manifests if only one copy carries the mutation</p> Signup and view all the answers

    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)

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    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.

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