A nurse fulfills the environmental health competency of "assessment and referral." Which of the following actions has the nurse most likely completed?

a. Advocating for public policy changes
b. Understanding policy framework and ma-jor pieces of legislation
c. Completing an environmental health his-tory
d. Describing the scientific principles about environmental health


ANS: C
Assessment and referral states that all nurses should be able to successfully complete an envi-ronmental health history, recognize the potential environmental hazards and sentinel illnesses, and make appropriate referrals for conditions with probably environmental causes. Advocating for public policy changes is part of advocacy. Understanding policy framework and legislation is part of legislation and regulation. Describing the scientific principles of environmental health is part of basic knowledge and concepts.

Nursing

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The clinic nurse is caring for a patient who has just been diagnosed with chronic obstructive pulmonary disease (COPD). The patient asks the nurse what COPD means. What would be the nurse's best response?

A) "It is an umbrella term for diseases like acute bronchitis." B) "It means that the lungs have been damaged in such a way that there airflow is limited in and out of the lungs." C) "It means your lungs can't expand and contract like they are supposed to, which makes it hard for you to breathe." D) "It is a term that covers so many lung diseases I can't list them all."

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As a nurse assessing abused children, the abused child may display which behavioral characteristics? (Select all that apply.)

1. High need for adult contact 2. Attempt suicide or abuse alcohol or drugs 3. Consistently be measured in the 95th percentile on growth charts 4. Verbalize fault for injuries: "I deserved it" 5. Express violence toward pets

Nursing

The measurement of lecithin in relation to sphingomyelin (L/S ratio) is used to determine fetal lung maturity. Which ratio reflects maturity of the lungs?

a. 1.4:1 c. 2:1 b. 1.8:1 d. 1:1

Nursing