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.
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a community health nurse is educating a parent about the importance of hepatitis B immunization. which of the following explanations should the nurse give the parent about the disease?
- A. one dose of the immunization gives children lifelong protection from hepatitis B
- B. hepatitis B spreads easily among children through casual contact
- C. many people who acquire acute hepatitis B develop chronic hepatitis
- D. people who have had a hepatitis B infection still need the immunization
Correct Answer: B
Rationale: The correct answer is B: Hepatitis B spreads easily among children through casual contact. This is the most appropriate explanation to give the parent because hepatitis B is primarily transmitted through contact with infected blood or body fluids, making children especially vulnerable due to their frequent interactions. Choice A is incorrect as multiple doses are needed for full protection. Choice C is incorrect as not everyone with acute hepatitis B develops chronic hepatitis. Choice D is incorrect because previous infection does not guarantee lifelong immunity.
a parrish nurse is counseling a family following a client’s recent diagnosis of heart disease. which of the following actions should the nurse takefirst?
- A. discuss the benefits of eating a well-balanced diet with the client’s family
- B. assist the client and the clients partner with finding an affordable exercise program
- C. offer to accompany the client and the clients partner during health care provider visits
- D. ask family members about the impact of the disease on relationships within the family
Correct Answer: B
Rationale: The correct answer is B: assist the client and the client's partner with finding an affordable exercise program. This is the first action the nurse should take because regular exercise is essential for managing heart disease. By helping the client and partner to find an affordable exercise program, the nurse is promoting a crucial aspect of heart disease management. This action directly addresses a key component of the treatment plan and supports the client's overall well-being.
Other choices are incorrect because they do not address the immediate need for implementing a lifestyle change to manage heart disease. Choice A focuses on diet, which is important but exercise is the priority. Choice C involves healthcare provider visits, which may be important but not the first step. Choice D addresses relationships, which is relevant but not the immediate priority.
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.
a nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. the client does not speak the same language as the nurse. which of the following actions should the nurse take?
- A. have the client’s daughter communicate information about the procedure
- B. arrange for a member of the client’s community to interpret the teaching
- C. identify the clients spoken dialect prior to contacting an interpreter
- D. use professional terminology when providing education prior to the procedure
Correct Answer: A
Rationale: The correct answer is A. The nurse should have the client's daughter communicate information about the procedure since she is accompanying the client and can facilitate effective communication. This option ensures that the client receives accurate information and instructions regarding the tetanus immunization. Choice B introduces a potential bias or misunderstanding if the community member is not trained in healthcare terminology. Choice C may delay the communication process unnecessarily. Choice D may confuse the client further due to the language barrier. It is essential to involve a trusted family member or caregiver for accurate and clear communication.
a nurse is working with a community health care team to devise strategies for preventing violence in the community. which of the following interventions is an example of tertiaryprevention?
- A. presenting community education programs about stress management
- B. developing resources for victims of abuse
- C. urging community leaders to make nonviolence a priority
- D. assessing for risk factors of intimate partner abuse during health examinations
Correct Answer: D
Rationale: The correct answer is D because assessing for risk factors of intimate partner abuse during health examinations falls under tertiary prevention, which aims to minimize the impact of a health condition or injury. By identifying risk factors, healthcare professionals can intervene to prevent further harm or escalation of abuse.
A: Presenting community education programs about stress management is an example of primary prevention, focusing on preventing the occurrence of violence.
B: Developing resources for victims of abuse is an example of secondary prevention, aiming to intervene and provide support after violence has occurred.
C: Urging community leaders to make nonviolence a priority is also an example of primary prevention, focusing on promoting non-violent behaviors in the community.
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