Lillian Wald was a significant person in the history of American nursing. Which contributions can be attributed to her? (Select all that apply.)

Correct Answer: A

Rationale: The correct answer is A because Lillian Wald was a pioneer in the development of public health nursing practice. She founded the Henry Street Settlement in New York City, where she provided nursing care to the impoverished immigrant population. This led to the establishment of the Visiting Nurse Service, which focused on preventive care and community health education. Choice B is incorrect because it is incomplete and does not specify any specific contribution made by Lillian Wald. Choice C is incorrect as Lillian Wald did not establish the first nursing service for occupational health. Choice D is incorrect as although Lillian Wald advocated for nursing registration, this was not her primary contribution to the field of nursing.

Correct Answer: C

Rationale: The correct answer is C because Medicare typically reimburses for skilled nursing services related to wound care for postoperative clients. Wound care requires specialized knowledge and skills that registered nurses (RNs) and practical nurses (PNs) possess. Assessing speech patterns (A) and safety teaching (B) can be done by other healthcare professionals. Evaluating crutch use (D) is important but may not necessarily require the level of skill and knowledge provided by RNs or PNs for Medicare reimbursement.

Correct Answer: D

Rationale: The correct answer is D because reviewing target population data is crucial for planning an immunization campaign. This data helps the nurse understand the specific needs, demographics, and health status of the children of migrant farm workers. By analyzing this data, the nurse can tailor the campaign to address the unique challenges and barriers this population may face. A: Uncertain risks - This is not the most critical data to review initially as it may not provide specific information necessary for planning the campaign. B: Potential outcomes - While important to consider later in the planning process, it is not as essential as understanding the target population data. C: Priority of solutions - This is premature to determine without first reviewing the target population data to inform the solutions.

Correct Answer: B

Rationale: The correct answer is B: Smallpox. Smallpox is highly transmissible through respiratory droplets, making it a prime candidate for use as a biological weapon. It can spread through various portals of entry, including inhalation and direct contact. Smallpox has a high mortality rate and can easily cause widespread devastation. Anthrax (A), Botulism (C), and Tularemia (D) are also potential bioterrorism agents, but they are not as easily transmissible through multiple portals of entry as Smallpox, making them less likely to be used for mass dissemination.

Correct Answer: D

Rationale: The correct answer is D: Native Americans. They have the highest risk for diabetes due to genetic predisposition, lifestyle factors, and limited access to healthcare. Genetic factors such as a higher prevalence of obesity and insulin resistance contribute to the increased risk. Lifestyle factors like diet and physical inactivity also play a significant role. Additionally, Native Americans often face barriers to healthcare, leading to undiagnosed or poorly managed diabetes. African Americans, Hispanic Americans, and Asian Americans have higher rates of diabetes compared to the general population, but the risk is highest among Native Americans due to a combination of genetic, lifestyle, and healthcare access factors.