Which argument was used to convince the Metropolitan Life Insurance Company to establish the first community health nursing program for workers in 1909?

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NCLEX Questions and Answers in Community Health Nursing Questions

Question 1 of 5

Which argument was used to convince the Metropolitan Life Insurance Company to establish the first community health nursing program for workers in 1909?

Correct Answer: D

Rationale: The correct answer is D because using Public Health Nurses (PHNs) to keep workers healthier leading to increased productivity aligns with the company's primary goal of maximizing profits. This argument appeals to the company's financial interests by linking employee health to productivity. Choice A is incorrect because moral reasons alone may not be sufficient to convince a company to invest in a program. Choice B is incorrect because the cost comparison is not the main driver for establishing the program. Choice C is incorrect as although it may have some benefits, the primary concern for the company would likely be the bottom line, making choice D the most persuasive argument.

Question 2 of 5

Which community health nursing activity demonstrates tertiary prevention related to mental health?

Correct Answer: C

Rationale: The correct answer is C because providing case management services that link clients with serious mental illnesses to mental health and community support services is an example of tertiary prevention. Tertiary prevention focuses on managing and reducing the impact of established conditions. By linking clients with mental illnesses to necessary support services, the aim is to prevent further deterioration of their mental health and improve their overall well-being. A: Disseminating information about mental health to community organizations is more aligned with primary prevention, aiming to prevent the onset of mental health issues. B: Partnering with PHNs for early identification of children with mental health challenges is related to secondary prevention, focusing on early detection and intervention to prevent the progression of mental health issues. D: Screening clients at high risk for mental disorders is also an example of secondary prevention, aimed at early detection and intervention before the onset of serious mental health issues.

Question 3 of 5

A home health nurse (HHN) in training states, "I don't understand why we have to collaborate with so many other disciplines. Doesn't this conflict with the concept of holistic nursing practice?" What would be the best response by an experienced colleague?

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Interdisciplinary collaboration in home health nursing does not negate holistic nursing practice. It enhances it by bringing together various professionals to address the client's physical, emotional, and social needs comprehensively. 2. Collaboration prevents fragmentation of care by ensuring that all aspects of the client's well-being are considered and addressed collectively. 3. Holistic nursing involves viewing the client as a whole person and addressing all aspects of their health, which can be best achieved through collaboration with other disciplines. 4. Choice A acknowledges the importance of holistic nursing while also emphasizing the necessity of working with other disciplines to provide optimal care. Summary of Incorrect Choices: B: This choice inaccurately limits the application of holistic nursing to tertiary facilities and fails to address the benefits of interdisciplinary collaboration in home health settings. C: This choice undermines the significance of holistic nursing in home health by suggesting it is less holistic than other areas of community health nursing. D: This choice inaccurately implies that interdisciplinary collaboration conflicts

Question 4 of 5

What practice is being implemented by the occupational health nurse (OHN) who periodically conducts spirometry testing of employees working with hazardous gases?

Correct Answer: B

Rationale: The correct answer is B: Secondary prevention. Spirometry testing by the OHN aims to detect early signs of respiratory issues in employees exposed to hazardous gases, preventing further health deterioration. This falls under secondary prevention, as it involves early detection and intervention to reduce the impact of the disease. Primary prevention (A) focuses on preventing disease before it occurs, while tertiary prevention (C) and tertiary care (D) are aimed at managing and treating existing health conditions. Conducting spirometry testing aligns with the goal of secondary prevention, making it the most suitable choice in this scenario.

Question 5 of 5

In addition to the common barriers faced by most rural residents, what is an additional barrier to health care that a Mexican migrant farm worker is more likely to encounter?

Correct Answer: A

Rationale: The correct answer is A: Absence of culturally appropriate care. Mexican migrant farm workers face language barriers, lack of understanding of the healthcare system, and cultural differences that can impact their ability to access and receive appropriate care. Culturally appropriate care considers their beliefs, practices, and language preferences, promoting trust and improving health outcomes. B: Availability of specialists may not be a specific additional barrier for Mexican migrant farm workers compared to other rural residents. C: Distance of health care facilities affects all rural residents similarly and is not unique to Mexican migrant farm workers. D: Lack of anonymity is not a significant additional barrier for Mexican migrant farm workers in accessing healthcare compared to the cultural barriers they face.

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