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A 66-year-old client is retiring and will no longer have health insurance through a place of employment. Which agency should the client be referred to by the employee health nurse for health insurance needs?
- A. Women, Infant, and Children program.
- B. Consolidated Omnibus Budget Reconciliation Act provisions.
- C. Medicare.
- D. Medicaid.
Correct Answer: C
Rationale: Medicare is the federal health insurance program for those 65 and older, making it the most suitable for a 66-year-old retiree's insurance needs.
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The nurse is working with a Parent Teacher Organization (PTO) to increase safety for children walking to and from a nearby elementary school. Which action should the nurse include to help achieve this goal?
- A. Encourage residents with older homes along the school route to get their homes inspected for excessive lead levels.
- B. Advise the residents to keep their porch lights on during hours that children are walking to and from school.
- C. Lead a discussion about the benefits of designated safe houses located throughout the school neighborhood.
- D. Help the residents plan a campaign to remind people driving through the school zone to wear seatbelts at all times.
Correct Answer: C
Rationale: Designated safe houses provide a structured safety measure, offering refuge for children in emergencies, directly enhancing pedestrian safety.
After assessing the health care needs of an elementary school, the nurse determines that an increased prevalence of pediculosis capitis is a priority problem. The nurse develops a 2-month program with the goal to eradicate the condition in the school. The program includes educational pamphlets sent home to parents and regular assessment of children by the school nurse. Which action should the nurse implement to evaluate the effectiveness of the program?
- A. Evaluate the teacher's ability to identify pediculosis capitis 2 months after initiation of the program.
- B. Measure the prevalence of pediculosis capitis among the children after four months.
- C. Survey parents 3 weeks after pamphlets are sent home to assess their understanding of the condition.
- D. Conduct an initial examination of each child in the school to obtain baseline data.
Correct Answer: B
Rationale: Measuring prevalence after the program compares pre- and post-intervention rates, directly assessing the program's success in reducing pediculosis cases.
A client who recently returned from international travel presents to the clinic with high fever, chills, headache, and muscular aches. The healthcare provider suspects severe acute respiratory syndrome (SARS). To prevent transmission of the virus to others, which instruction is most important for the nurse to provide?
- A. Wear a N95 respirator mask during direct contact with others.
- B. Cover mouth and turn head when coughing
- C. Use meticulous hand washing technique.
- D. Discard all tissues used during coughing in a biohazard bag.
Correct Answer: A
Rationale: An N95 respirator mask is critical for preventing airborne transmission of SARS, offering superior protection compared to other measures like hand washing or tissue disposal.
A prescription for discharge is written for an elderly client who has asked to be discharged to home. The client lives alone and is able to walk 10 to 15 feet (3 to 4.5 meters) with assistance. Which action should the nurse implement first?
- A. Review the home medication schedule with the client and family.
- B. Provide the client with information about medical alert devices.
- C. Arrange for a bedside commode to be delivered to the home.
- D. Meet with the case manager to plan a home safety evaluation.
Correct Answer: D
Rationale: A home safety evaluation is critical to identify hazards and ensure the client's limited mobility is accommodated, preventing falls and ensuring safety.
When assessing a community's health promotion needs, which action should the nurse take first?
- A. Evaluate previous project outcomes.
- B. Interview community members.
- C. Project future health care requirements.
- D. Schedule a community-wide health fair.
Correct Answer: B
Rationale: Interviewing community members identifies current health promotion needs and priorities, ensuring interventions are relevant and effective.