A new nurse states to a nursing colleague, "But why do I have to be involved in politics? I just want to be the very best clinical nurse I can." Which of the following would be the best response from the nursing colleague?

"When you’ve completed your clinical orientation, then you’ll have time to be involved in politics"

"You’re absolutely right; if you are good clinically, you have fulfilled your obligation"

"As long as you pay your membership fee to the American Nurses Association, you have participated in the profession’s political endeavors"

"Political action is the way you try to fulfill your ethical responsibilities to clients"

Answer and Explanation

The Correct Answer is D

Choice A reason: Delaying political involvement until after orientation sidesteps its ongoing relevance. Nurses influence health policy, like staffing laws, impacting client care quality. This dismisses how advocacy shapes ethical practice, limiting systemic improvements beyond individual clinical skills alone comprehensively over time.

Choice B reason: Claiming clinical excellence fulfills all obligations ignores broader ethical duties. Politics shapes healthcare access, like funding for underserved areas. Focusing solely on bedside care neglects advocacy’s role in addressing systemic inequities affecting client outcomes long-term fundamentally across populations.

Choice C reason: Reducing political action to ANA fees minimizes its scope. True involvement, like lobbying for safety laws, directly impacts clients. Passive membership doesn’t address ethical needs for active policy influence on care quality and access beyond mere financial support alone.

Choice D reason: Political action fulfills ethical duties by advocating for clients’ rights, like better resources or laws. It extends care beyond the bedside, addressing systemic issues—e.g., opioid crisis policies—ensuring justice and beneficence in healthcare delivery comprehensively for all affected populations effectively.

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Correct Answer is C

Explanation

Choice A reason: Malaria is common globally, but dengue leads in U.S. travel cases. This errors per epidemiology data. It’s universally distinct, less frequent here.

Choice B reason: Yellow fever is rare in U.S. travel; dengue prevails. This misaligns with public health standards. It’s universally distinct, not top vector.

Choice C reason: Dengue is the most common travel-introduced vector disease in U.S. This fits epidemiology standards. It’s universally recognized, distinctly accurate.

Choice D reason: Onchocerciasis is rare in U.S.; dengue dominates travel vectors. This errors per nursing knowledge. It’s universally distinct, less relevant.

A. Attempt communication using an English-Spanish phrase book. B. Obtain an interpreter to translate. C. Emphatically state, "No hablo Español" (I don’t speak Spanish). D. Call the local hospital and arrange a referral.

Correct Answer is B

Explanation

Choice A reason: Phrase books lack accuracy; interpreters ensure clear communication. This errors per nursing standards. It’s universally distinct, less effective.

Choice B reason: Interpreters provide accurate, culturally competent communication, per nursing standards. This aligns with best practice. It’s universally applied, distinctly optimal.

Choice C reason: Stating no Spanish doesn’t help; interpreters solve barriers. This misaligns with nursing care. It’s universally distinct, unhelpful action.

Choice D reason: Referral delays care; interpreters address immediate needs. This errors per public health standards. It’s universally distinct, indirect.

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A new nurse states to a nursing colleague, "But why do I have to be involved in politics? I just want to be the very best clinical nurse I can." Which of the following would be the best response from the nursing colleague?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse understands that which of the following is the most common vector-borne disease as a result of travelers introducing the disease to the United States?

Correct Answer is C

Explanation

A Spanish-speaking family comes to the public health department. No one in the family speaks English, and nobody at the health department speaks Spanish. Which of the following actions should be taken by the nurse?

Correct Answer is B

Explanation

The nursing diagnosis that would have the highest priority in the care of the client who has become comatose following cerebral hemorrhage is which of the following?

A migrant farmworker presents to the clinic reporting an acute onset dizziness, intense thirst, vomiting, fatigue, and headache with difficulty concentrating. Which of the following conditions would cause such symptoms?

For a bedridden Muslim patient, the nurse rearranges the room and moves the bed so that it faces toward Mecca for the patient’s daily prayers. Which of the following is the nurse demonstrating through these actions?

An instructor is reviewing Salmonella infections with her class. Which of the following comments indicates that the student needs further review on Salmonella?

The public health nurse understands that which of the following statements best explains why Herpes Simplex Virus 2 (HSV-2) infection is more challenging for a client than gonorrhea infection?

A client was clearly very relieved when an HIV test came back negative. "Thank goodness. I’ve had sex several times without a condom, and when one of my friends said he was sick, I think I panicked." Which of the following would be most important to emphasize to the client immediately?

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