A community health nurse is assigned to a rural and migrant health clinic. What are some
issues facing this population and strategies for primary, secondary and tertiary prevention for
this population? (Review the Community Health Review Module)
Some issues include a hazardous work environment, poverty status, inadequate
housing, limited availability of clean water, poor healthcare access, lack of insurance,
and cultural barriers. Primary preventions include nutrition education, family planning
and sex education, health and hygiene issues, prenatal classes, and advocating for
better access to health care. Secondary preventions include community assessments,
disease surveillance, and screening for diseases like cancer, diabetes, and
hypertension. Tertiary preventions include rehabilitation, exercise rehabilitation, case
management, support groups, and exercise for patients who are hypertensive.
What behaviors would indicate to the charge nurse that one of the nurses could be
experiencing countertransference? (Found in the Mental Health Review Module)
Some behaviors that indicate this can include the nurse competing with the patient,
arguing with the patient, and overly identifying with the patient.
The nurse is assessing a client upon admission. What factors should the nurse look for that
would increase a client’s risk for injury?
Some factors the nurse should look for include visual acuity, observing posture and
gait, and evaluating muscular strength.
List the six (6) Quality and Safety Education for Nurses (QSEN) competencies and explain
their importance.
Patient-centered care: Providing care and compassion to address all need of the
patient
Teamwork and collaboration: Working together with the entire health care team
members to improve patient outcomes
Evidence-based practice: Using current knowledge to base care and judgement off
Quality improvement: Constantly improving health care services and better meet
patient needs
Safety: Minimizing risk factors that could cause injury to harm to patients, self, and
others
Informatics: Using information technology as a communication and information-
gathering tool to make better decisions and improve patient care
The charge nurse takes a telephone order for morphine 50 mg IVP every 3 hours. After
hanging up the phone, the nurse feels this order is not safe. List three (3) strategies to prevent
errors of miscommunication when receiving telephone orders.
The nurse should repeat the order to the provider, confirm the order is correct, and
make sure to call the provider back if the dosing or information is unsafe and do not
administer the medication.
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