Professional Documents
Culture Documents
MULTIPLE CHOICE
4. A number of resources are available for nurses regarding evidence-based care. Which of the following
resources is not a journal source for these practices?
a. Centre for Evidence-Based Nursing
b. Health Affairs
c. Hasting Report
d. Worldviews on Evidence-Based Nursing
ANS: A
Today’s nurses have access to a large variety of resources on evidence-based practice. Some of these
that are journal-based include Health Affairs, Hasting Report, Advances in Nursing Science, and
Worldviews on Evidence-Based Nursing. Some resources that are not journals, but are Internet or
Web-based, include Centre for Evidence-Based Nursing, Sigma Theta Tau, Research Centre for
Transcultural Studies in Health, and Cochrane Collaboration.
5. Which of the following does not provide health care ratings or scoring of hospital performance?
a. Health Grades
b. Morningstar
c. Leapfrog Hospital Quality and Safety
d. Department of Health and Human Services’ Hospital Compare site
ANS: B
Several groups and agencies report on health care and hospital quality and performance. Some of these
groups include Health Grades, Leapfrog Hospital Quality and Safety, Thomson Reuters, the
Department of Health and Human Services’ Hospital Compare site, and U.S. News and World Report.
Morningstar is a financial investment-based publication.
6. The development, provision, and evaluation of multidisciplinary health care services to population
groups experiencing increased health risks or disparities, and performed in conjunction with health
care consumers and the community as a means of improving the health of the community is called:
a. population-focused nursing practice c. population-based health care practice
b. population-based nursing practice d. population-based care
ANS: C
Population-based health care practice is the development, provision and evaluation of
multidisciplinary health care services to population groups experiencing increased health risks or
disparities. It is performed in conjunction with health care consumers and the community in order to
improve the health of the community and its diverse groups. Population-focused nursing practice is
defined by nursing activities that concern all people and reflects responsibility to and for the people.
Population-based nursing practice is defined as the practice of nursing in which the primary concern of
care is to improve the health status of vulnerable or at-risk population groups within a community by
employing health promotion and disease prevention across the health continuum. Population-based
care requires active partnership of both providers and recipients of care.
7. Vulnerable populations are groups of people that are subgroups of a community with certain
characteristics. Which of the following is not necessarily one of the criteria for vulnerable population
groups?
a. powerless c. enfranchised
b. marginalized d. experiencing health disparities
ANS: C
Vulnerable population groups are subgroups of communities whose common experiences meet certain
criteria which categorize them as being vulnerable. These criteria include being powerless,
marginalized, disenfranchised (not enfranchised), and experiencing health disparities.
8. Variables that increase or decrease the probability of illness or death and that can be modified are
called:
a. health determinants c. vulnerable population groups
b. underserved d. health risk factors
ANS: D
Health risk factors are variables that increase or decrease the probability of illness or death. Health risk
factors may be modifiable. Health determinants are variables that include biological, psychological,
environmental, and health system factors that may cause changes in the health status of individuals,
families, groups, communities, or populations. Vulnerable population groups are subgroups of a
community who are powerless, marginalized, or disenfranchised and are experiencing health
disparities. The underserved are those people who have not received adequate medical care services.
10. At least 50% of the Joint Commission’s accreditation standards for hospitals and other health care
facilities were written to align with whose conditions for participation?
a. HIPAA c. Medicare
b. IOM d. Leapfrog
ANS: C
When the Joint Commission designed their accreditation standards for hospitals, they aligned as many
as 50% of these standards with criteria from Medicare’s conditions for participation for hospitals and
other health care facilities. These criteria set forth by Medicare are requirements for reimbursement for
these health care facilities.
11. Which of the following chapters from the Joint Commission’s hospital accreditation manual does not
fall under the category of patient-focused functions?
a. provision of care, treatment, and services
b. medication management
c. nursing services
d. ethics, rights, and responsibilities
ANS: C
The Joint Commission’s standards for hospital accreditation have identified a number of different
chapters that can be categorized into two groups: patient-focused functions and organization-focused
functions. The identified patient-focused functions are: 1) provision of care, treatment, and services; 2)
medication management, 3) ethics, rights, and responsibilities, and 4) surveillance, prevention, and
control of infections. Organization-focused functions are: 1) nursing services, 2) medical staff, 3)
management of information, 4) management of human resources, 5) management of the environment
of care, 6) leadership, and 7) improving organization performance.
Another random document with
no related content on Scribd:
After drinking it, we are told, he can never drink again, which is quite
likely.167.2 The reasoning which has given rise to all these beliefs
perhaps applies also to the tradition in Wales, Ireland and the Isle of Man
that it is unlucky to disturb old burial-places and old churches, and utilise
their materials. Professor Rhys relates an example in which a farmer in
the Ronnag, a small valley near South Barrule, in the Isle of Man, carted
earth from an old burial-ground and used it to manure his fields. His
cattle died, and every one attributed it to this cause. The farmer himself
was convinced at last, and desisted from the desecration.167.3 A similar
story is told of a cattle-dealer in the parish of Templepatrick, near
Belfast, who attempted to use the soil of an ancient fort as a top-dressing
for his land.167.4 We may compare with these instances a curious Manx
curse: “May a stone of the church be found in the head of thy
dwelling!”167.5 It would seem as if that which had been part of, or had
become by contact united with, the dead, or had been part of the subject
of a taboo, were still, notwithstanding severance, in indissoluble
connection with the remainder, and thus capable of communicating its
evil effects or of bringing into similar connection any other object. Too
much stress, however, cannot be laid on this conjecture at present. The
question needs further investigation.
The other class of prescriptions consists of such as the following. An
English cure for boils mentioned by Mr. Thiselton Dyer was to poultice
for three days and nights, and then to place the poultices, cloths and all,
in the coffin of a body about to be buried.168.1 In Germany, when a
sucking babe dies, the mother puts a bottle of her milk in the coffin, and
then the breast dries up without making her ill.168.2 To the same end a
South Slavonic mother sticks in the infant’s shift over the breast two
pins, probably to be taken from her own. The coffin-lid must not be
nailed at the head and foot, else the mother will bear no more, or if she
bear, it will be a difficult labour.168.3 In Silesia, to destroy lice, bugs and
moths, it is recommended to catch a few specimens, bottle them up in a
quill and secretly by a waning moon lay the quill in the coffin of a
spotless maiden.168.4 The population of North Carolina is mainly of
German descent. There, by the same process of logic, it is forbidden in
making garments for the dead to bite the thread, lest the teeth rot.168.5
The Transylvanian Saxons spit into an open grave to heal sore throat.168.6
In East Prussia, as in West Sussex, a child is cured of a certain nightly
offence by being taken to an open grave to repeat it.168.7 In Donegal,
warts are got rid of by throwing some clay from under your right foot in
the path by which a funeral is going, and by saying: “Corpse of clay,
carry my warts away.” This must be done three times, and as the corpse
decays in the grave the warts will vanish.169.1 As might be expected, to
bring warts into contact with a corpse is a specially efficacious means of
getting rid of them. In the Obererzgebirge warts or any other superficial
ailments are rubbed with a piece of linen, which is then laid in the coffin
with a corpse.169.2 To recover from the ague in the Netherlands the
sufferer’s garter used to be tied round a gallows.169.3 When a death
occurs in Poland, if anything has been stolen from the family, a similar
object, or a piece of the same stuff, is laid in the coffin; and as it decays
the thief withers away and dies. It is even enough, in case of robbery, to
lay a portion of the stolen goods in the churchyard.169.4 We considered in
the last chapter the identification of the thief with the property stolen,
and no more need be added on the subject.
The principle which underlies all these practices dictated the
sympathetic treatment of wounds by washing and keeping clean and
bright the instrument inflicting them—a treatment taught by Paracelsus,
believed in by Bacon and proclaimed as a valuable discovery by Sir
Kenelm Digby, who learned it in France. Though long since discredited
by science, it is still in use among the peasantry of England, and can be
traced backwards into savagery. A few instances will suffice to exhibit
the vast area over which it is found, and the different modes of its
application. In Sussex a few years ago Mrs. Latham saw it actually in
use. A man had been accidentally wounded by a sword-stick, and the
whole time he was confined to his bed the sword-stick was kept hung at
his bed’s head, and was polished at stated intervals day and night, and
anxiously examined lest a spot of rust be found thereon; for that would
have been a token that the wounded man would die.170.1 In Suffolk, if a
horse be lamed by treading on a nail, the nail must be found, cleaned and
kept bright and well greased; and in dressing a human wound the old
plaster must be buried, not burnt, else the wound will not heal.170.2
Similar treatment of a wound by a tool or weapon was practised within
the memory of living men by the descendants of the Dutch settlers in the
Hudson River.170.3 About Schaffhausen and Solothurn it is held that if
one be pricked with a needle, the wound will heal the sooner if the
needle be at once plunged into wax.170.4 In the Tirol, in order to prevent
a wound from giving trouble, the weapon that has caused it is
immediately stuck into ash-wood.170.5 About Siena a nail which has
inflicted any hurt is gently warmed over the fire with a clove of garlic in
oil prepared from herbs gathered on Saint John’s day, and it is then used
to sprinkle the oil about.170.6 In Esthonia, if you cut your finger, you are
advised to bite the blade of the knife, and the wound will then cease to
bleed.170.7 Among the Galician Jews, if a child fall on the floor, the pain
will pass away, provided water be poured on the floor, at the spot where
the child came in contact with it.171.1 These superstitions are not a whit
more civilised than those of the races we call savage. Dr. Boas mentions
a tribe of North American Indians who are very careful to keep the arrow
that has wounded a friend concealed, and as far from the fire as possible;
for he would be very ill if, while still covered with blood, it were put into
the fire.171.2 Melanesians keep the arrow, when extracted, in a damp
place, or in cool leaves; then the inflammation will be little and soon
subside. A story is told by Dr. Codrington of a man who aimed at another
with a ghost-shooter, that is to say, a magically prepared arrow which
does not actually reach the foe, but is only believed to do so by being
directed towards him. In this case the man’s next of kin, his sister’s child,
happened to come between him and the object of his aim, and he felt
sure he had hit it full. To prevent inflammation of the imaginary wound
he put the contents of his ghost-shooter into water, and the child took no
hurt. If a Melanesian have really shot another, and can get back the
arrow, he puts it into the fire. To heat the wound he will keep the bow
near the fire; and the bowstring will be kept taut and occasionally pulled,
to bring on tension of the nerves and tetanus in the wounded man. Or a
bundle of certain leaves, tied on the bow will produce a fatal result. Nor
is this all. The assailant and his friends will drink hot and burning juices,
and chew irritating leaves; they will burn pungent and bitter herbs to
produce an irritating smoke. The wound by his arrow has set up such
union between the shooter and his victim that these proceedings are
expected to react upon the latter.172.1 The Zulus are said to have the like
belief. They think that if the corpse of a slain enemy swell up, they
themselves will suffer pain in the intestines. If they have time, therefore,
they tear out the entrails of their fallen foes; if not, they pierce the navel
with an assegai, as was done to the body of young Bonaparte, the
Imperialist Pretender.172.2
“A hair of the dog that bit you” is a remedy which has passed into a
proverb. In dealing with witchcraft we had occasion to note some
instances of its application, as when the dust of a witch’s footprint is
rubbed on the bespelled animal. The Abruzzians hold the bite of a cat to
be venomous; and their prescription for it is a bit of the same cat’s fur
applied with pounded garlic. So, for a serpent-bite a portion of the skin
of the creature is put on the wound; but, as Signor Finamore remarks, the
question is to get it.172.3 In Sicily the sting of one of the small scorpions
found in damp places in the island is healed by scorpion-oil prepared
from the same scorpion. The mode of preparing the oil is to decapitate
the animal and plunge it into a vessel of oil, which is then closed
tightly.172.4 In Devonshire a person who is bitten by a viper is advised at
once to kill the creature and rub the wound with its fat; and the flesh of a
rattlesnake is accounted the best cure for its own bite in the Northern
States of America.172.5 In Belgium a dog’s bite is to be healed by
inducing a bitch to lick the sore.173.1 The reason for the treatment is
obscure in some of these cases; but we shall probably be right in
referring its origin to the desire to set up union between the victim and
the animal inflicting the wound, by means of a detached portion of the
latter’s substance. This view is strengthened by the treatment directed, in
the neighbourhood of Masulipatam, for a scorpion which has stung a
man. The brute is to be caught by slipping a noose over its tail, and tied
to something to prevent its wandering. For the more it wanders, the more
the poison will wander in the man’s body; while to kill it may have the
effect of killing its victim. Here the union by means of the injected
poison is already complete, and the scorpion is dealt with
accordingly.173.2
Folk-leechcraft thus provides us with further illustration of the theory
lying at the foundation of the story-incident of the Life-token. A severed
portion of the body, or any of its issues, or anything once in contact with
it, though now detached, is none the less believed to continue in real, if
unapparent, connection with it. Whatever, therefore, is undergone by the
one, is undergone also by the other. For the purposes of healing, as of
injury, to affect the one is to affect the other. It is curious that a large
number of the remedies prescribed are of a character that, judging from
the examples of witchcraft in the last chapter, one would suppose
calculated to inflict injury rather than to heal. To hang in the chimney
things which have become united with the patient’s body, or to put them
into a coffin, if done with malicious intent, would certainly result in evil
to the victim. We must, however, be at all times prepared to find tradition
inconsistent. In the cases referred to, the disease is thought of, rather than
the patient, as identified with the object operated on; and the intention is
to destroy the disease by causing it to waste away. Probably the
prescription was at first applied only to excrescences and other diseased
growths, like warts, tumours and wens. These alone were touched by the
dead hand, or by the cloth, or the spider, which was to be enclosed in the
grave, or hung in the chimney. The remedy having been tried for them,
would be extended to other ailments, without adverting to the reason of
its primitive limitation. So far as regards objects committed to the
keeping of the dead, a comparison of love-charms comprising the same
process will have suggested an alternative explanation, namely, that they
are brought thus into permanent contact with the corpse for the purpose
of putting them under the influence of the departed spirit. This is a less
materialistic explanation, and one that will have weight with students
who can estimate the importance, in savage life, of the worship of the
dead. It is possible that there may be an element of truth in it, as well as
in the explanation which regards the objects as merely intended to be
affected by the physical decay and corruption of the corpse. But, either
way, is clearly necessary the postulate that the disease in the patient’s
body is capable of being affected by the influence, whatever it may be,
on the objects in contact with the dead,—that in them, and by means of
them, the patient himself is actually in contact also.
CHAPTER XI.
SACRED WELLS AND TREES.