A nurse is using public surveillance. Which of the following describes the actions involved? (Se-lect all that apply.)
a. Estimating the magnitude of an influenza outbreak
b. Determining the geographical distribution of gonorrhea cases
c. Detecting an epidemic of whooping cough
d. Reducing the prevalence of obesity
e. Determining the incidence of cardiovas-cular disease
ANS: A, B, C
Estimating the magnitude of the problem, determining geographic distribution of an illness, and detecting epidemics are all uses of public surveillance. Reduction of the prevalence of obesity and determining the incidence of cardiovascular disease are not how public health surveillance is used.
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A client tells the nurse that he receives health care services through the private sector. This sector of the health care delivery system includes:
a. independent providers who are reimbursed on a fee-for-service basis. b. providing public school nurse services. c. providing health care to the homeless population. d. Medicaid services.
The charge nurse has provided a staff inservice on the cultural triad and nursing care. Which statement, made by a staff nurse, best indicates an understanding of a healthcare team's difficulty with cultural literacy?
1. "Our healthcare team has limited knowledge of each others' backgrounds." 2. "Each of our perspectives of our own heritage interferes with cultural literacy." 3. "A feeling of being disconnected from our own culture has resulted in cultural illiteracy." 4. "The lack of healthcare policies have contributed to the current state of cultural illiteracy."
A nurse is caring for a patient who is orally intubated and receiving mechanical ventilation. To decrease the risk for ventilator-associated pneumonia, which action will the nurse include in the plan of care?
a. Elevate head of bed to 30 to 45 degrees. b. Suction the endotracheal tube every 2 to 4 hours. c. Limit the use of positive end-expiratory pressure. d. Give enteral feedings at no more than 10 mL/hr.
The National Quality Forum was established in 1999 for which purpose?
a. To identify and develop nursing-sensitive quality measures b. To support state and health system efforts to implement and evaluate medical liability reform models c. To allow the AHRQ to expand its work supporting comparative effectiveness research d. To set standards for health care performance measures