A nurse manager of a rural clinic is orienting a new employee. Which of the following information should the nurse include as a characteristic of rural health?
Lower maternal morbidity rates
Reduced incidence of death from motor-vehicle crashes
Increased rates of chronic illness
More frequent dental preventative care visits
The Correct Answer is C
A. Lower maternal morbidity rates: Rural health often does not reflect lower maternal morbidity rates. In fact, rural areas may experience higher maternal morbidity due to limited access to healthcare services, fewer prenatal resources, and a shortage of specialized medical providers, leading to potential complications during pregnancy.
B. Reduced incidence of death from motor-vehicle crashes: Rural areas tend to have higher rates of motor vehicle crashes due to factors such as longer travel distances, less regulated driving conditions, and often poorly maintained roads. These conditions contribute to an increased risk of accidents and fatalities in these regions.
C. Increased rates of chronic illness: Rural health is often characterized by increased rates of chronic illnesses, such as hypertension, diabetes, and obesity. Contributing factors include limited access to healthcare, fewer health education resources, socioeconomic disparities, and lifestyle factors like diet and exercise habits that may be less favorable in rural settings.
D. More frequent dental preventative care visits: Rural areas typically have fewer dental care resources and access, which can lead to less frequent dental visits for preventative care. This situation can result in higher rates of dental issues and a lack of regular screenings and treatments for oral health problems.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The advice of an expert nephrology nurse. While experienced nurses provide valuable clinical insights, their knowledge may be based on personal experience rather than the latest evidence-based research. Best practices should be supported by scientific studies rather than anecdotal expertise.
B. Retrospective chart reviews. Chart reviews can offer useful data on past interventions and outcomes, but they do not always reflect the most current evidence-based practices. Additionally, they may contain inconsistencies or lack standardized guidelines necessary for broad application.
C. Facility critical pathway. Critical pathways are developed based on evidence-based guidelines, but they may not always reflect the most up-to-date research. These protocols are useful for standardizing care within a specific institution but should be supplemented with current peer-reviewed research to ensure best practices.
D. A recent peer-reviewed nursing research article. Peer-reviewed nursing research articles provide the most current and scientifically validated evidence. These sources undergo rigorous evaluation before publication, ensuring that recommendations are based on high-quality research rather than opinion or outdated protocols.
Correct Answer is A
Explanation
A. Hospital ethics committee: The nurse should consult the hospital ethics committee for guidance in resolving ethical conflicts related to client care. This committee is specifically designed to address ethical dilemmas and provide support for decision-making, ensuring that care aligns with ethical principles and the client's values.
B. Quality improvement committee: While the quality improvement committee focuses on enhancing care quality and patient safety, it is not primarily concerned with resolving ethical dilemmas. This committee may address systemic issues, but it does not specialize in ethical conflicts regarding individual client care.
C. Chaplain: While a chaplain can provide spiritual support and guidance, they may not be equipped to address the ethical aspects of the client's care. Consulting a chaplain could be helpful for emotional or spiritual concerns, but the ethics committee is more appropriate for resolving ethical dilemmas.
D. Director of nursing: The director of nursing may provide support and resources, but they may not have specialized training in ethics. Referring to the hospital ethics committee is more appropriate for addressing specific ethical conflicts in client care.
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