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a client who has diabetes mellitus asks a home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. which of the following is the first action the nurse should take when assisting this client?
- A. provide the client with a printed recipe
- B. observe the client during preparation of traditional foods
- C. use cookbooks to include traditional foods in meal plans
- D. explain diabetes exchange list
Correct Answer: D
Rationale: The correct answer is D: explain diabetes exchange list. The nurse should first explain the diabetes exchange list to the client as it educates on portion sizes and food groups suitable for managing diabetes. This empowers the client to make informed choices. Providing a printed recipe (A) assumes the client understands portion control. Observing the client during food preparation (B) doesn't address education on appropriate food choices. Using cookbooks (C) may not align with the client's cultural preferences or dietary needs. The other choices are incomplete without addressing the foundational education needed for diabetes management.
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a nurse is caring for a client who is homeless. which of the following actions should the nurse take first?
- A. determine the clients understanding of her living situation
- B. assist the client to develop goals for obtaining shelter
- C. discuss the risks of being homeless with the client
- D. develop client teaching using a variety of strategies
Correct Answer: C
Rationale: The correct answer is C: discuss the risks of being homeless with the client. This is the first action the nurse should take because it addresses the immediate health and safety concerns of the client. By discussing the risks associated with homelessness, the nurse can help the client understand the potential dangers and motivate them to seek assistance. Option A focuses on assessing the client's understanding, which can come later once immediate risks are addressed. Option B involves future planning and is not the most urgent priority. Option D involves teaching strategies, which may not be effective if the client is not aware of the risks. Therefore, option C is the most appropriate initial action to ensure the client's immediate well-being.
several nurses are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. which of the following services should the nurses plan to provide to the congregation?
- A. organize an influenza immunization clinic with the American red cross
- B. perform wound care in the home of members
- C. provide end of life care for members who are terminal
- D. facilitate discharge from the facility to the home
Correct Answer: D
Rationale: The correct answer is D: facilitate discharge from the facility to the home. This service is essential for ensuring a smooth transition for patients returning home from a healthcare facility. Nurses can coordinate care, medication management, and follow-up appointments to prevent readmissions. Choice A is incorrect as the organization of an influenza immunization clinic is not directly related to facilitating patient discharge. Choice B is incorrect as performing wound care at home may not be within the scope of parish nursing and could risk infection control. Choice C is incorrect as providing end-of-life care is crucial but may not be the primary focus of a parish nurse group.
a community health nurse is planning a program for adolescents about preventing
- A. STIs. which of the following actions should the nurse take first?
- B. collect data to identify barriers to learning
- C. establish methods to evaluate program outcomes
- D. obtain visual aids that feature adolescents
- E. provide computer based education
Correct Answer: C
Rationale: The correct answer is C: establish methods to evaluate program outcomes. This is the first step because without knowing how to measure the success of the program, the nurse won't be able to determine its effectiveness in preventing STIs. By establishing evaluation methods, the nurse can track progress, identify areas for improvement, and ensure the program is meeting its goals. Collecting data (B) and obtaining visual aids (D) are important steps, but evaluating outcomes should come first. Providing computer-based education (E) may be a useful method, but it's not the initial priority.
a nurse at a local health department is caring for several clients. which of the following infections should the nurse report to the state health department?
- A. chlamydia
- B. herpes simplex virus
- C. group B Streptococcus B hemolytic
- D. human papillornavirus
Correct Answer: B
Rationale: The correct answer is B: herpes simplex virus. The nurse should report herpes simplex virus to the state health department because it is a notifiable infectious disease that requires monitoring for public health purposes. Herpes simplex virus can be transmitted through various means, including sexual contact, and can cause recurrent outbreaks and complications. Reporting to the state health department allows for tracking of the infection, implementing control measures, and preventing further spread. Other choices (A, C, D) are also important infections but may not require immediate reporting to the state health department as they are not typically considered notifiable diseases.
a community health nurse observes the accumulation of garbage at a neighborhood playground. which of the following actions should the nurse take first to promote a clean and safe environment?
- A. meet with community members to discuss methods of playground maintenance
- B. partner city officials with community members to improve the playground condition
- C. work with local businesses to sponsor more trash receptacles in the playground
- D. engage neighborhood families to monitor the playground for further trash buildup
Correct Answer: D
Rationale: The correct answer is D because engaging neighborhood families to monitor the playground for further trash buildup addresses the immediate issue effectively. By involving the community directly, the nurse empowers residents to take ownership of the problem and fosters a sense of responsibility for maintaining a clean environment. This approach promotes sustainable change by creating a culture of vigilance and accountability among families. Other choices such as A, B, and C involve external parties and may not address the root cause or build community capacity for long-term solutions. Therefore, D is the most proactive and community-centered option to promote a clean and safe environment.