Author Question: Which of the following is true in regard to public health nursing? a. The main focus of public ... (Read 227 times)

silviawilliams41 · **on:** Jul 22, 2018

Which of the following is true in regard to public health nursing?

a. The main focus of public health nursing is on political processes for healthy public policy.
b. Public health nursing is the same as community health nursing.
c. Public health nursing focuses on the incidence of disease.
d. Public health nursing includes direct care and services to various populations.

Question 2

The nurse consults with the primary physician of a client who is experiencing continuous, severe pain. In planning for the client's treatment, the nurse is aware of the principles of pain manage-ment.

Which of the following is it appropriate for the nurse to expect treatment to include? a. Focusing on intramuscular administration of analgesics
b. Waiting for pain to become more intense before administering opioids
c. Administering opioid with non-opioid analgesics for severe pain experiences
d. Administering large doses of opioids initially to clients who have not taken the medications before

matt95 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D

Feedback
A Although public health nursing looks at political processes to influence healthy public policy, this is not its main focus.
B Public health nursing is not the same as community health nursing. Public health nursing is one aspect of community health nursing, among many others.
C Public health nursing has a much more inclusive focus than just the incidence of disease, including health promotion, health protection, and healthy public policy.
D Public health nursing strives to safeguard and improve the health of populations in the community, including providing direct care and services.

Answer to Question 2

C
To treat a client who is experiencing continuous severe pain, the nurse should expect the client to receive opioid and non-opioid analgesics for severe pain experiences.
Intramuscular administration of analgesics is not expected because the injection itself is painful, and inconsistent and erratic absorption of the drug may occur. Intramuscular analgesics should be avoided.
The nurse should administer opioids before the client's pain becomes intense. It is easier to maintain pain control than it is to get intense pain under control.
Large doses of opioids are not given initially to clients who have not taken the medications be-fore because they may cause respiratory depression. The expectation is to begin with lower doses and titrate upward.