The public health nurse has a clear vision of what needs to be done and where to begin to improve the health of the community. Why would the nurse spend time meeting with community groups to discuss the most important task to be addressed first?

a. To increase the group's self-esteem
b. To maintain communication links with the groups
c. To make the groups feel good about their contribution
d. To work with the groups, not for the groups


ANS: D
Historically, health care providers have been accused of providing care for or to people without actually involving the recipients in the decisions. Public health nursing is a "with the people"—not a "to the people" or "for the people"—approach to planning.

Nursing

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Therapeutic use of concentrated essences or essential oils that have been extracted from plants and flowers is known as:

a. aromatherapy c. phytochemical ther-apy b. imagery d. odorology

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The nurse's instructions to a client with a newly created Koch ileostomy (continent ileostomy) include: Select all that apply

1. The surgery involved manipulating a portion of the terminal ileum. 2. A nipple valve was created to control the flow of fecal matter. 3. The stoma should appear pink and moist. 4. Fecal matter will be removed by a catheter inserted through the stoma. 5. The stoma will be reversed when the bowels have had the time to heal.

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Which of the following sites is best suited for measuring oxygen saturation (pulse oximetry)?

1. A polished ring finger of a client with pneumonia whose nail capillary refill time is 2.5 seconds 2. A pierced earlobe of a client with a closed head injury whose nail capillary refill time is 3.5 seconds 3. The ring finger of a client with Parkinson's disease that has a capillary refill time of less than 3 seconds 4. An earlobe of a client who is experiencing moderate diaphoresis with a nail capil-lary refill time of 3.5 seconds

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A client brings her mother to the office and states, "I'm worried about Mom; she takes aluminum hydroxide up to three times a day for this pain in her abdomen." Which statement about aluminum hydroxide is true?

1. Aluminum hydroxide can cause acute appendicitis and should be stopped immediately. 2. A transient abdominal discomfort occurs with the use of aluminum hydroxide and there is no need for concern. 3. It is safe to take aluminum hydroxide up to three times daily, due to its safety profile. 4. Antacids are for occasional use only; further investigation is warranted.

Nursing