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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.
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a nurse is providing education to a group of adolescents who are pregnant and attending high school. which of the following information should the nurse include in theirteaching?
- A. the need for supplemental folic acid is greatest during the third trimester
- B. the incidence of high birth weight infants is higher in adolescent pregnancy
- C. pregnant adolescent need to gain less weight than adult mothers
- D. caffeinated beverages should be replaced with caffeine-free beverages
Correct Answer: A
Rationale: The correct answer is A because during the third trimester, the baby's neural tube is rapidly developing, making folic acid crucial to prevent birth defects. Choice B is incorrect as adolescent pregnancy is associated with higher rates of low birth weight infants, not high birth weight. Choice C is incorrect as pregnant adolescents need to gain a similar amount of weight as adult mothers to support fetal growth. Choice D is incorrect as moderate caffeine intake is generally considered safe during pregnancy.
a community health nurse is providing screening for lipid disorders. which of the following is the primary goal of this activity?
- A. early detection of disease
- B. client enrollment in prevention programs
- C. promotion of appropriate lifestyle changes
- D. identification of family history of medical problems
Correct Answer: A
Rationale: The correct answer is A: early detection of disease. Screening for lipid disorders aims to identify individuals at risk of developing cardiovascular diseases early on. Early detection allows for timely interventions to prevent or manage lipid disorders effectively. Choice B focuses on intervention programs, which come after detection. Choice C emphasizes lifestyle changes, which are secondary to detection. Choice D is about family history, not the primary goal of screening.
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.
a nurse is conducting a community assessment. which of the following information should the nurse include as part of the windshield survey?
- A. demographic data
- B. mortality rate
- C. informant interviews
- D. housing quality
Correct Answer: A
Rationale: The correct answer is A: demographic data. In a windshield survey, the nurse observes the community from a car to gather data. Demographic data, such as age, gender, ethnicity, and socioeconomic status, provides a foundational understanding of the community's composition and needs. Mortality rate (B) and housing quality (D) are important but are not typically assessed through a windshield survey. Informant interviews (C) involve direct communication and are not part of a windshield survey method.
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: A
Rationale: The correct answer is A: Motor vehicle safety. Adolescents are at the highest risk of death due to motor vehicle accidents, making it a crucial topic for safety education. This age group is more likely to engage in risky driving behaviors such as speeding, distracted driving, and not wearing seat belts. By focusing on motor vehicle safety, the nurse can address the leading cause of death and help adolescents make safer choices.
Incorrect Choices:
B: Sports injury prevention - While sports injuries are common, they are not the leading cause of death for adolescents.
C: Substance abuse prevention - Substance abuse is a significant concern, but it is not the primary cause of death for this age group.
D: Gun safety - While gun safety is important, it is not the leading cause of death for adolescents.