Nokea
a community health clinic nurse manager is reviewing the incidence rate of chlamydia in the state. in a given year, 3144 new cases were reported and the population was estimated at 325,986. which of the following is the incidence rate in the state for the year?
- A. about 300 reported cases per 100,000 population
- B. about 1 reported case per 10,000 population
- C. about 10 reported cases per 1000 population
- D. about 3 reported cases per 10,000 population
Correct Answer: C
Rationale: The correct answer is C: about 10 reported cases per 1000 population. To calculate the incidence rate, you divide the number of new cases (3144) by the total population (325,986) and then multiply by 1000 to get the rate per 1000 population. So, (3144/325,986)*1000 ≈ 9.64, which rounds up to 10. Choice A is incorrect as it overestimates the incidence rate. Choice B is incorrect as it underestimates the rate. Choice D is incorrect as it also underestimates the rate.
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During a home health visit a school age child who has muscular dystrophy confidesin the nurse that he was struck by his parents. which of the following actions should the nurse take first?
- A. report the incident to local authorities
- B. check the child for injuries
- C. refer the parent to a social service agency
- D. enroll the parent in anger management classes.
Correct Answer: A
Rationale: The correct answer is A: report the incident to local authorities. The nurse's first priority is to ensure the safety and well-being of the child. Reporting to local authorities is crucial to protect the child from further harm and to initiate an investigation. Checking for injuries (B) is important but secondary to ensuring the child's safety. Referring the parent to a social service agency (C) or enrolling them in anger management classes (D) does not address the immediate safety concerns of the child. In this situation, immediate action through reporting to authorities is the most appropriate course of action.
a community health nurse is planning an educational program for a group of women who are postmenopausal. which of the following outcomes is appropriate for this program?
- A. clients will schedule bone density screening
- B. clients will arrange for mammograms every 3 years
- C. clients will start hormone replacement therapy
- D. clients will significantly decrease caloric intake
- E. a nurse is working with a care manager for a client who participates in a health maintenance organization. the nurse should identify that a health maintenance organization provides which of the following payment structures.
Correct Answer: C
Rationale: The correct answer is C: clients will start hormone replacement therapy. Postmenopausal women often experience hormonal imbalances that can lead to various health issues such as osteoporosis and heart disease. Hormone replacement therapy can help alleviate symptoms and reduce the risk of these conditions. Scheduling bone density screenings (A) is important but does not address the underlying hormonal changes. Mammograms (B) are essential for breast cancer screening but are not directly related to postmenopausal hormonal health. Significantly decreasing caloric intake (D) is not a suitable outcome for a program targeted at postmenopausal women's health. The question also includes unrelated information about a health maintenance organization (E), which is a distractor.
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.
a nurse is serving on a state task force for disaster planning. the nurse is engaging in disaster preparedness efforts when performing which of the following actions
- A. implementing a disaster triage plan with a local medical facility
- B. functioning as a manager at a temporary shelter
- C. assisting with the identification of a biological agent
- D. organizing a mass casualty drill for community members
- E. a 35-year-old client who has a diagnosis of tuberculosis informs the providers office that she is unable to pay for the treatment. which of the following actions by the nurse will facilitate obtaining appropriate treatment? 1. help the client apply for Medicare explore options for alternative therapies arrange for medication through local agencies send the client to the nearest facility for further evaluation
Correct Answer: A
Rationale: The correct answer is A: implementing a disaster triage plan with a local medical facility. This action aligns directly with disaster preparedness efforts by ensuring that the necessary protocols and procedures are in place to effectively manage and prioritize care during a disaster. Triage is crucial in allocating resources efficiently and saving lives.
Choice B: functioning as a manager at a temporary shelter, while important for disaster response, does not specifically focus on disaster preparedness efforts like implementing a triage plan.
Choice C: assisting with the identification of a biological agent is more related to responding to a specific disaster situation rather than overall disaster preparedness efforts.
Choice D: organizing a mass casualty drill for community members is beneficial for preparedness but does not involve directly implementing a disaster triage plan.
In summary, implementing a disaster triage plan is the most relevant action for disaster preparedness efforts as it ensures readiness and effective response in managing casualties during a disaster.
public health nurse take
- A. alert the family members of coworkers about possible exposure to anthrax
- B. place the employee under quarantine for 14 days
- C. refer coworkers who might have been exposed to a provider for prophylactic antibiotics 4.
- D. instruct the client to wear a mask at work
Correct Answer: A
Rationale: The correct answer is A because a public health nurse's role includes notifying family members and coworkers about possible exposure to anthrax to prevent further spread. Choice B is incorrect as quarantine is typically done by health authorities, not the nurse. Choice C is incorrect as the nurse does not directly prescribe antibiotics. Choice D is incorrect as the client, not the nurse, should wear a mask for protection.