A nurse is planning care for clients in the community. For which of the following actions should the nurse plan an interprofessional conference?
Implementing a population-based approach to client care
Conducting a windshield survey in a neighborhood
Teaching fall prevention strategies to caregivers
Maintaining confidentiality of HIV-positive status
The Correct Answer is A
Rationale:
A. Implementing a population-based approach to client care requires collaboration among multiple healthcare professionals, including nurses, physicians, social workers, public health specialists, and community health workers. An interprofessional conference allows the team to share expertise, coordinate interventions, set goals, allocate resources, and evaluate outcomes for the target population. Population-based care often involves complex planning, policy development, and addressing social determinants of health, which necessitates input from multiple disciplines.
B. Conducting a windshield survey is a community assessment activity performed primarily by nurses or public health teams to gather observational data about neighborhoods, such as housing, resources, and environmental hazards. While collaborative input may be useful, it does not typically require a formal interprofessional conference.
C. Teaching fall prevention strategies to caregivers is a direct client education intervention. Although collaboration may occur with physical therapists or occupational therapists, a formal interprofessional conference is not required for routine teaching.
D. Maintaining confidentiality of HIV-positive status is a legal and ethical responsibility of the nurse. While consultation may occur in complex cases, confidentiality itself does not necessitate an interprofessional conference.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Rationale:
A. Chlamydia is a sexually transmitted bacterial infection. Abstaining from sexual activity during treatment (and until the infection is cleared) prevents reinfection and reduces transmission to partners. This is a critical component of client education.
B. Chlamydia is caused by the bacterium Chlamydia trachomatis, not a virus. Treatment requires antibiotics (commonly azithromycin or doxycycline), not antiviral medications, and the duration of therapy is shorter than 30 days.
C. Dysuria (painful urination) is a common symptom of chlamydia and can persist until the infection is successfully treated. Educating the client to expect this helps them understand normal symptom progression and prevents unnecessary anxiety.
D. Contact tracing and partner notification are essential public health measures to prevent further spread. Partners should be evaluated and treated, even if asymptomatic, to reduce reinfection and community transmission.
E. Infection with chlamydia does not confer immunity. Clients remain at risk for reinfection and should continue to practice safe sexual behaviors and routine screening.
Correct Answer is A
Explanation
Rationale:
A. Using a fan to circulate air can relieve the sensation of dyspnea or air hunger in hospice clients. The movement of air across the face stimulates airflow receptors and can reduce the subjective feeling of breathlessness. This nonpharmacologic intervention is safe, effective, and appropriate for comfort-focused care.
B. Arterial blood gases provide objective data about oxygenation and acid-base status, but in a hospice setting, the focus is comfort rather than invasive diagnostics. ABGs are not prioritized for immediate relief of air hunger.
C. Corticosteroids may be indicated for certain causes of dyspnea (e.g., airway inflammation, malignancy), but prednisone is not the first-line immediate intervention for acute air hunger and may take hours to have an effect.
D. Prone positioning is generally used in acute respiratory distress (e.g., ARDS in ICU settings) to improve oxygenation. For a hospice client with acute air hunger, upright or semi-Fowler’s positions are preferred because they facilitate lung expansion and ease breathing.
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