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.
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Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Partnering with local churches and writing grants for childcare funding towards affordable daycares is a valuable initiative. It addresses the need for accessible childcare, which can significantly impact community health by allowing parents to work and support their families. However, this action does not directly address the immediate health risks posed by older homes, such as lead-based paint.
Choice B Reason:
Advocating for more transportation to health care facilities is crucial in rural areas where access to healthcare can be limited. Improved transportation can ensure that residents receive timely medical care, which is essential for maintaining overall health. Nonetheless, this action does not specifically target the health hazards associated with older homes.
Choice C Reason:
Teaching residents about the dangers of lead-based paint is the most direct and relevant action for a community health nurse working in an area with many homes built before the 1970s. Lead-based paint poses significant health risks, especially to children, including developmental delays and other serious health issues. Educating the community about these dangers and how to mitigate them can have an immediate and profound impact on public health.
Choice D Reason:
Partnering with a nonprofit organization for the farmers' market to sell fresh produce twice a week is an excellent way to promote healthy eating and improve nutrition in the community. Access to fresh produce can help prevent chronic diseases and improve overall health. However, like choices A and B, this action does not directly address the specific health risks associated with older homes.
Correct Answer is B
Explanation
Choice A: Nominal Group Planning is Best Used in Situations Where the Final Decision is Made by the Nurse Leading the Team
This statement is incorrect. Nominal group planning, also known as the nominal group technique (NGT), is designed to facilitate group decision-making and ensure that all members have an equal opportunity to contribute their ideas. It is not intended for situations where a single individual, such as the nurse leading the team, makes the final decision. Instead, NGT aims to gather diverse perspectives and reach a collective agreement on priorities.
Choice B: Nominal Group Planning is Used for Group Exploration to Allow for the Exchange of Dialogue and Opinions by the Stakeholders
This statement is correct. Nominal group planning is a structured method for group brainstorming that encourages contributions from everyone and facilitates quick agreement on the relative importance of issues, problems, or solutions. It allows for the exchange of dialogue and opinions among stakeholders, ensuring that all voices are heard and considered in the decision-making process.
Choice C: Nominal Group Planning Involves Group Consensus Before Prioritizing Data
While nominal group planning does involve group discussion and the sharing of ideas, it does not necessarily require full consensus before prioritizing data. Instead, it uses a voting system to rank the ideas based on their importance. This method ensures that the most critical issues are identified and prioritized, even if there is not complete agreement among all participants.
Choice D: Nominal Group Planning is Authoritarian with the Key Stakeholder Dictating Prioritization of Community Data
This statement is incorrect. Nominal group planning is not an authoritarian process. It is designed to be democratic and inclusive, allowing all group members to participate equally in the decision-making process. The key stakeholder does not dictate the prioritization of community data; instead, the group collectively determines the priorities through discussion and voting.
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