The public health nurse understands that under police power, the states can do which of the following?
Allow patients to refuse medications
Place someone on house arrest for not being compliant with their TB medication
Allow patients to have advance directives in place
Arrest someone for using illegal drugs
The Correct Answer is B
A. Allow patients to refuse medications: While patients generally have the right to refuse treatment, public health laws can override this right in cases of communicable diseases to protect public safety.
B. Place someone on house arrest for not being compliant with their TB medication: Under public health laws, states have the authority to enforce quarantine or isolation to prevent the spread of infectious diseases like tuberculosis (TB), especially if an individual refuses treatment.
C. Allow patients to have advance directives in place: Advance directives relate to personal healthcare decisions, not police power, which focuses on protecting public health and safety.
D. Arrest someone for using illegal drugs: While drug use is a legal issue, police power in public health is focused on disease control rather than criminal enforcement of drug laws.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Having the knowledge and skill set needed to advocate for the patient, but not being able to act on it due to not having the authority to do so. Moral distress occurs when a nurse knows the right action to take but is constrained by external factors such as policies, hierarchy, or legal limitations.
B. Having the authority to call off a code, then realizing the decision was harmful to the patient. This describes moral regret or ethical uncertainty, not moral distress. Moral distress occurs when a nurse is unable to act according to their ethical beliefs.
C. Having the authority to override a physician's order for pain medication. This describes an ethical dilemma rather than moral distress. Moral distress arises when a nurse cannot act despite knowing the right course of action.
D. Having the knowledge and skill set needed to provide culturally competent care. Cultural competence is an important aspect of nursing, but it does not describe moral distress, which involves ethical conflict and external barriers.
Correct Answer is B
Explanation
A. Clients with HIV infection are encouraged to use condoms to protect sexual partners. This is an example of primary prevention, which aims to prevent disease transmission before it occurs.
B. Health care workers are required to have a tuberculosis skin test or chest X-ray. Secondary prevention involves early detection and screening to identify disease in its early stages before symptoms develop or to prevent progression. TB screening (skin tests or chest X-rays) allows for early identification and treatment, preventing further transmission and severe disease.
C. Health care workers are encouraged to receive annual vaccinations for influenza. This is also primary prevention because vaccinations help prevent initial infection.
D. Clients with HIV infection are given medications to improve immunological response. This represents tertiary prevention, which focuses on managing existing disease to prevent complications.
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