A nurse leader is using critical thinking skills to address the problem of limited access to health care by low-income families in a community. Which of the following actions would most likely be taken by the nurse?
a. Use assertiveness when working with community leaders
b. Read an evidence-based practice article about the problem
c. Form a coalition to brainstorm effective methods to address the problem
d. Promote diversity in the workplace by hiring minorities
ANS: C
Critical thinking includes analyzing and synthesizing data, using knowledge and values in mak-ing judgments, and using creative approaches in decision making and problem solving. Critical thinking may be fostered through the use of guided group discussions and through activities that stimulate creativity, such as brainstorming. The use of assertiveness, reading an evidence-based practice article, or promoting diversity does not require the use of critical thinking skills.
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The nurse prepares community program objectives that are specific, measurable, achievable, relevant, and time bound (SMART) to help in planning interventions and establishing measurement systems to evaluate programs and outcomes
Which is a measurable objective? A) Program will reduce teenage obesity. B) Fewer teens will start smoking. C) Blood pressure for children aged 12 to 18 years in Marks School will be reduced by 5% after petting the dog for 1 day in March 2019. D) Number of older minority residents in Legacy Independent facility receiving a flu shot will triple.
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1. Doing multiple home visits to support breastfeeding mothers. 2. Providing information about breastfeeding. 3. Encouraging supplementation if a mother is having trouble breastfeeding. 4. Community health nurses are not involved with breastfeeding. That work is handled by nurses in the acute care hospital.
As you go in to give R.B. his medication, he speaks to you in fragmented sentences. "Is that a bird? the little flowers jump up and down. What says the moon?"
Before you can say anything, he asks, "do you see that bird over my bed? she is telling me not to leave this room. If I move she will swoop down and try to peck at my eyes. Be careful!" Is he having a delusion or a hallucination? Explain your answer. Which responses by the nurse are appropriate? Select all that apply. a. "I don't see a bird over your head, but I can understand how that would be upsetting to you." b. "There is no bird over your bed." c. "Tell me more about what you are seeing." d. "The voice you are hearing is part of your illness. It can't hurt you." e. "I'll come back to talk to you when you are settled down."