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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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.
a first response team isworking at the location of a bombing incident. a nurse triaging a group of clients should give treatment priority to which of the following clients.
- A. a client who has superficial partial thickness burn injuries over 5% of his body
- B. a client who has a femur fracture with a 2+ pedal pulse
- C. a client who is ambulatory andexhibits manic behavior
- D. a client who has a rigid abdomen with manifestations of shock.
Correct Answer: C
Rationale: The correct answer is C: a client who is ambulatory and exhibits manic behavior. In a triage situation, priority should be given to clients who have the highest risk of deterioration or immediate life-threatening conditions. In this scenario, a client exhibiting manic behavior may be a sign of an underlying medical or psychological emergency that requires immediate attention to prevent harm to themselves or others. This client may be at risk of causing harm or disrupting the triage process, making it necessary to address their condition promptly. Clients with superficial burns, femur fractures with a pedal pulse, or rigid abdomen with shock manifestations are important to assess and treat, but they do not present an immediate threat to themselves or others like a client exhibiting manic behavior.
a school nurse is planning safety education for a group of adolescents. the nurse should give priority to which of the following topics as the leading cause of death for this age group
- A. motor vehicle safety
- B. sports injury prevention
- C. substance abuse prevention
- D. gun safety
Correct Answer: B
Rationale: The correct answer is B: sports injury prevention. Adolescents are more likely to die from sports-related injuries than any other cause listed. This is because sports activities carry inherent risks of serious injuries, such as head trauma or spinal cord injuries. By prioritizing sports injury prevention education, the school nurse can help reduce the likelihood of fatalities within this age group.
Choice A (motor vehicle safety) is also important, but statistics show that sports injuries are the leading cause of death for adolescents. Choice C (substance abuse prevention) and D (gun safety) are significant issues, but they are not the leading causes of death for this age group. Choices E, F, and G are not provided, so they are not relevant to this question.
A nurse is planning priority actions for a community health initiative. Which of the following should be prioritized?
- A. Encourage enrollment and attendance at weight reduction programs.
- B. Educate children at a daycare center about nutrition and exercise.
- C. Distribute health risk appraisal questionnaires at community functions.
- D. Measure the BMI of older adults at a community senior center.
Correct Answer: C
Rationale: The correct answer is C: Distribute health risk appraisal questionnaires at community functions. This is prioritized because it helps identify health risks at a population level, enabling targeted interventions. Choice A focuses on individual weight reduction, not community health. Choice B targets a specific group, neglecting the broader community. Choice D only addresses one aspect of health in a specific population.
client states my life has no meaning right now.
- A. have you been thinking about harming yourself
- B. how long have you been feeling this way
- C. tell me what is going on with you right now
- D. do you really think your life has no purpose
Correct Answer: D
Rationale: The correct answer is D because it directly addresses the client's statement by reflecting it back to them for clarification. This approach encourages the client to explore their thoughts further and may lead to deeper insights. Choice A is incorrect as it jumps to conclusions about self-harm. Choice B focuses on duration rather than the meaning behind the statement. Choice C is too general and does not specifically address the client's feeling of meaninglessness.