A public health nurse is recruiting Black men for a research study on coronary artery disease. Which of the following reasons explains the importance for the nurse to have knowledge of the Tuskegee Syphilis Study?
The Tuskegee Syphilis Study provides guidelines for recruitment of Black and African-American research participants.
The Tuskegee Syphilis Study demonstrated a correlation between coronary artery disease and syphilis.
The Tuskegee Syphilis Study excluded Black men.
The Tuskegee Syphilis Study is a source of distrust and a barrier to Black clients participating in research studies.
The Correct Answer is D
Choice A Reason:
The Tuskegee Syphilis Study does not provide guidelines for the recruitment of Black and African-American research participants. Instead, it is a historical example of unethical research practices that led to significant harm and mistrust within the Black community. The study involved misleading and withholding treatment from Black men with syphilis, which has had long-lasting effects on their willingness to participate in research.
Choice B Reason:
The Tuskegee Syphilis Study did not demonstrate a correlation between coronary artery disease and syphilis. The study was focused solely on the natural progression of untreated syphilis in Black men. It did not investigate or establish any links to coronary artery disease. This choice is incorrect as it misrepresents the purpose and findings of the study.
Choice C Reason:
The Tuskegee Syphilis Study did not exclude Black men; in fact, it specifically targeted Black men for participation. The study involved 600 Black men, 399 of whom had syphilis and 201 who did not. The men were misled about the nature of the study and were not provided with adequate treatment, even after penicillin became the standard treatment for syphilis. This choice is incorrect as it inaccurately describes the study's participant selection.
Choice D Reason:
The Tuskegee Syphilis Study is indeed a source of distrust and a barrier to Black clients participating in research studies. The unethical treatment of the participants, including the lack of informed consent and the withholding of effective treatment, has led to a deep-seated mistrust of medical research within the Black community. This mistrust can make it challenging to recruit Black participants for research studies, as they may fear similar exploitation and harm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Asking if the client has an immunization card for documentation is important for record-keeping and ensuring that the client's vaccination history is up-to-date. However, this question does not directly address the safety of administering the vaccine. The primary concern for safety is identifying any potential allergies or adverse reactions.
Choice B Reason:
Inquiring if there are any questions regarding the client's vaccine schedule is helpful for clarifying any doubts and ensuring the client understands their vaccination plan. While this is important for overall vaccine management, it does not specifically address immediate safety concerns related to administering the vaccine.
Choice C Reason:
Asking if the client has a site preference for vaccine administration can enhance the client's comfort and experience. However, this question is more about personal preference and does not impact the safety of the vaccine administration process.
Choice D Reason:
If they have had any past issues or allergies to the vaccine. This is the most critical question for ensuring safety. Identifying any previous adverse reactions or allergies to vaccines is essential to prevent potential allergic reactions or other complications. This information allows the nurse to take necessary precautions or choose an alternative vaccine if needed, ensuring the client's safety during immunization.
Correct Answer is B
Explanation
Choice A Reason:
Reinforcing past teachings on how to read food labels is an important educational intervention. It helps the client make informed dietary choices, which can be crucial in managing heart failure. However, this intervention is more aligned with secondary prevention, which focuses on early detection and management of disease risk factors to prevent progression. Tertiary prevention, on the other hand, aims to manage and mitigate complications of an already established disease.
Choice B Reason:
Tertiary prevention focuses on managing and mitigating the effects of an existing disease to prevent complications and improve quality of life. In the context of heart failure, this involves monitoring and managing symptoms to prevent disease progression and hospitalizations. Reviewing the client's daily weights helps detect early signs of fluid retention, a common issue in heart failure, allowing for timely interventions.
Choice C Reason:
Reminding the client to ask for the pneumococcal vaccine during their next provider appointment is a preventive measure aimed at reducing the risk of infections, which can exacerbate heart failure. This intervention falls under primary prevention, as it aims to prevent the occurrence of a new health issue (pneumonia) rather than managing an existing condition.
Choice D Reason:
While assessing for edema is important in managing heart failure, it is more of a diagnostic activity rather than an intervention. Tertiary prevention involves interventions to manage and mitigate the effects of an existing disease.
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