In a situation in which there are not enough resources to care for everyone who wants and could benefit from care, what would an ethical community/public health nurse do?
A. Ask the agency supervisor how to approach this problem.
B. Focus on basic services such as immunization for everyone in the community.
C. Give care to everyone who can pay the cost of whatever care they might need.
D. Follow agency policies, whatever those policies might be.
E. Give care to those workers and their families who have insurance to pay for their care.
ANS: B
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Using the ecologic theory as a guide, which statement correctly indicates the effects of the environment on children?
1. Children's adaptation to the environment is based on their specific risks and protective factors, and these can change health outcomes. 2. Children and the environment surrounding them influence each other, and can change health outcomes. 3. Children can use people in the environment to develop coping strategies to deal with risk factors. 4. Children handle stressors better than adults do because they can use aspects of the environment to change as needed.
A 9-year-old child is in the hospital preparing for major abdominal surgery for a tumor on a kidney. The parents of the child tell the nurse that they don't want the child to receive narcotics for pain postoperatively
The best response by the nurse is: 1. "Okay, I'll tell the doctor not to order any. Are you sure you want to do this?" 2. "You do not have a choice of medication. Decisions involving pain relief are up to the health care providers.". 3. "The pain for your child will be severe. Can you tell me why you feel this way?" 4. "The pain will be severe. Why don't we ask your child about this?"
An IV of 1000 mL at 100 mL per hr is started at 1200 hours. At 1800 hours, 400 mL have been infused. How many mL should have been infused? How could this have been prevented?
What will be an ideal response?
Which of the following nursing activities is part of the termination phase of a home visit?
1. Conducting a physical assessment 2. Identifying household members 3. Summarizing accomplishments of the visit 4. Teaching about health