Author Question: A nurse was becoming very frustrated at the ongoing stream of farmworkers with respiratory problems ... (Read 13 times)

biggirl4568 · **on:** Jul 8, 2018

A nurse was becoming very frustrated at the ongoing stream of farmworkers with respiratory problems each spring. Which of the following actions should be taken by the nurse?

a. Provide community education on herbicides and other chemicals spread each spring with information on self-protective measures, such as respirators.
b. Fight to get farmers to quit spreading chemicals on their fields each spring.
c. Suggest that farmers spray water on the fields immediately after the chemicals are spread to reduce dust in the air.
d. Tell farm workers to obtain different employment.
e. Try to get farmers to reduce the amount of chemicals used on their fields.

Question 2

A nurse eagerly explained to a long-term disabled male client the most recent relevant research related to his care. The client, rather than express appreciation, said, I prefer to have my care given this way.

The nurse explained that research suggested an alternative approach was more clinically effective, but the client said, I am more comfortable during the day if my care is given this way. Which of the following actions should be taken by the nurse?
a.
Accept that the client knows what works best
b.
Ask the nursing supervisor to review the research with the client
c.
Give evidence-based care according to current research findings
d.
Negotiate a compromise between patient preferences and research-based approach to care

kusterl · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: A
Environmental health issues in rural communities, such as pesticide exposure or health hazards from point-source factory emissions, are more effectively assessed and remedied on a community level than on a case-by-case basis. Nurses' involvement in helping people understand health problems in a larger context can be the genesis of change. It is not realistic to have farmers quit or reduce the spreading of chemicals, spray water on their fields after chemical application, or ask them to obtain different employment. Nurses must work with farmers so that they are able to use safe measures when applying the chemicals to their fields.

Answer to Question 2

ANS: A
A person who lives with a disability commonly becomes an expert at knowing what works best for his or her body. The nurse must ask the client what works best for him or her and what goals the client is pursuing. Research is based on probabilities of effectiveness with large groups, but individuals may have a different unique reaction to any intervention.