A nurse manager in a local community health agency is creating a job description for a new nurse who will practice community-oriented nursing. Which of the following should the nurse include in the job description? (Select all that apply)
Investigate potential health and environmental issues.
Initiate support groups for parents of autistic children.
Provide wound care for clients in their homes.
Participate in local health surveillance activities.
Provide health-related education to community groups.
Correct Answer : A,D,E
Choice A reason: Investigating potential health and environmental issues is a key function of community-oriented nursing, as it helps to identify and address the factors that affect the health of the population.
Choice B reason: Initiating support groups for parents of autistic children is not a specific task of community-oriented nursing, as it focuses on a particular subgroup rather than the whole population. This is more aligned with community-based nursing, which provides care to individuals and families in their natural settings.
Choice C reason: Providing wound care for clients in their homes is not a specific task of community-oriented nursing, as it focuses on individual needs rather than population needs. This is also more aligned with community-based nursing, which provides direct care to clients in their homes.
Choice D reason: Participating in local health surveillance activities is a key function of community-oriented nursing, as it helps to monitor and evaluate the health status and trends of the population.
Choice E reason: Providing health-related education to community groups is a key function of community-oriented nursing, as it helps to promote health and prevent disease among the population.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
Choice A reason: Providing coffee and snacks during the meetings is not an effective intervention, as it does not address the psychological needs of the veterans. Coffee may also worsen the symptoms of PTSD, such as anxiety, insomnia, and irritability, as it is a stimulant.
Choice B reason: Avoiding discussing the traumatic events experienced by the veterans is not a helpful intervention, as it may reinforce the avoidance behavior and prevent the veterans from processing and coping with their trauma. The nurse should encourage the veterans to share their experiences and feelings in a safe and supportive environment, and refer them to appropriate counseling services.
Choice C reason: Changing the meeting sites frequently is not a beneficial intervention, as it may create confusion and stress for the veterans. The nurse should establish a consistent and familiar location for the meetings, and ensure that the veterans feel comfortable and secure.
Choice D reason: Teaching the clients to practice deep breathing exercises is a useful intervention, as it can help the veterans manage their stress and anxiety, and reduce the physiological arousal associated with PTSD. Deep breathing exercises can also promote relaxation and mindfulness, and enhance the veterans' well-being.
Correct Answer is D
Explanation
Choice A reason: Discussing the benefits of eating a well-balanced diet with the client's family is not the first action that the nurse should take. This is an important intervention that can help the client and the family to improve their nutrition and reduce the risk of further complications, but it should be done after the nurse has assessed the family's coping and learning needs.
Choice B reason: Assisting the client and the client's partner with finding an affordable exercise program is not the first action that the nurse should take. This is an important intervention that can help the client and the partner to increase their physical activity and enhance their cardiovascular health, but it should be done after the nurse has evaluated the client's physical and functional status.
Choice C reason: Offering to accompany the client and the client's partner during health care provider visits is not the first action that the nurse should take. This is an important intervention that can help the client and the partner to receive support and guidance during the treatment process, but it should be done after the nurse has established rapport and trust with the family.
Choice D reason: Asking family members about the impact of the disease on relationships within the family is the first action that the nurse should take. This is based on the principle of family-centered care, which states that the nurse should recognize and respect the family as the primary source of support and care for the client. The nurse should ask open-ended questions, listen actively, and express empathy to the family members, and explore how the disease has affected their roles, responsibilities, emotions, and communication.
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