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

Answer and Explanation

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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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.

A. Notify the provider. B. Check the condition of the client. C. Report the occurrence to the unit manager. D. Complete an incident report.

Correct Answer is B

Explanation

A. Notify the provider: While it is essential to inform the provider about the medication error, the immediate priority is to assess the client's condition first to determine if any adverse effects have occurred. The provider can be notified after ensuring the client is stable.

B. Check the condition of the client: The first action the nurse should take is to assess the client's condition. This includes monitoring for any immediate adverse effects or reactions related to the wrong medication administered. Ensuring the client's safety is the top priority in this situation.

C. Report the occurrence to the unit manager: Reporting the error to the unit manager is an important step in the process but should be done after assessing the client's condition. The immediate focus must be on the client's well-being before addressing administrative aspects of the error.

D. Complete an incident report: Completing an incident report is necessary for documenting the error and ensuring quality improvement measures, but it is not the first action. The nurse must first prioritize the assessment and safety of the client.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an ethical conflict about the care they are receiving. Which of the following resources should the nurse consult about resolving the dilemma?

Correct Answer is A

Explanation

A nurse is caring for a client and realizes they have administered the wrong medication. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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