Which client would have been most likely to receive care from the Frontier Nursing Service?
A child with a broken femur
An injured soldier
A woman in labor
A homebound, elderly male
The Correct Answer is C
Choice A reason: A child with a broken femur needs orthopedic care, often hospital-based. Frontier Nursing Service focused on rural midwifery and primary care, not specialized trauma, making this less likely as their core mission targeted maternal and child health primarily and historically here.
Choice B reason: An injured soldier typically received military medical care, not civilian services like Frontier Nursing. This group, founded in 1925, served rural Appalachian families, especially women and children, not battlefield injuries, distinguishing their community focus clearly and consistently overall.
Choice C reason: Frontier Nursing Service, started by Mary Breckinridge, specialized in midwifery for rural women in labor. Delivering babies in remote areas was their hallmark, using nurse-midwives to reduce maternal mortality, making this their most likely client historically and operationally in practice fully.
Choice D reason: A homebound elderly male might receive general care, but Frontier Nursing prioritized maternal and infant health. Their focus on childbirth and family care in rural settings made laboring women their primary clients, not elderly chronic care, distinguishing their mission distinctly here.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Sunscreen teaching is primary, not tertiary for pesticide exposure. Treatment fits tertiary. This errors per nursing standards. It’s universally distinct, preventive.
Choice B reason: Safe handling is primary prevention, not tertiary management. Treatment is tertiary. This misaligns with public health definitions. It’s universally distinct, pre-exposure.
Choice C reason: Screening is secondary, not tertiary like treating exposure. This errors per nursing standards. It’s universally distinct, detection not management.
Choice D reason: Treating pesticide exposure prevents complications, a tertiary strategy. This aligns with public health standards. It’s universally recognized, distinctly post-exposure care.
Correct Answer is A
Explanation
Choice A reason: Rocky Mountain spotted fever, caused by Rickettsia rickettsii, spreads via tick bites, a classic vector-borne mechanism. Ticks transfer the bacteria during feeding, triggering fever and rash, demonstrating how vectors biologically transmit pathogens between hosts, distinguishing it epidemiologically clearly.
Choice B reason: Anthrax, from Bacillus anthracis, isn’t vector-borne but spreads via spores through direct contact, inhalation, or ingestion, like contaminated soil. No biological vector like ticks is involved; it’s an environmental exposure disease, not reliant on intermediary transmission biologically or consistently.
Choice C reason: Hepatitis B transmits through blood or bodily fluids, not vectors. It’s a viral infection from human-to-human contact, like needle sharing, lacking a biological intermediary like mosquitoes, distinguishing it from vector-borne diseases reliant on external carriers entirely for spread.
Choice D reason: E. coli O157:H7 spreads via contaminated food or water, not vectors. It’s a bacterial pathogen causing gastrointestinal illness, transmitted directly through ingestion, not biologically via insects or animals, separating it from vector-dependent disease transmission mechanisms completely and distinctly.
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