A community nurse has collected rates of alcohol-related motor vehicle accidents involving teenagers. Which action should the nurse take next?
- A. Develop a plan to address the high rates of alcohol-related motor vehicle accidents.
- B. Partner with high school nurses to educate students about the risks of drinking and driving.
- C. Diagnose the community with ineffective health management patterns related to the high levels of drunk driving.
- D. Establish support groups for teenagers with alcohol abuse.
Correct Answer: C
Rationale: Diagnosing the community with ineffective health management patterns follows the data collection and analysis phase.
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A nurse is using the health belief model as a framework when developing a community action campaign to increase the percentage of the population who receives the influenza vaccine. Which of the following considerations will need to be made?
- A. How empowerment can be used to motivate community members
- B. How modeling can be used in the community to increase public awareness
- C. Perceived susceptibility in the community about getting influenza
- D. Perceived stage of behavior change that exists in the community
Correct Answer: C
Rationale: Understanding the community's perceived susceptibility to influenza is key to increasing vaccination rates.
A nurse is using a functional focus to assess a person. Which of the following will the nurse be evaluating?
- A. Visual acuity
- B. Pupil reactivity
- C. Ability to drive
- D. The red reflex
Correct Answer: C
Rationale: A functional focus assesses how visual abilities affect a person's lifestyle, such as driving.
Which is an example of asymptomatic pathogenesis?
- A. Blood pressure of 170/98 experiencing headaches
- B. Positive finding on colonoscopy and blood in stool
- C. Elevated prostate-specific antigen (PSA)
- D. Elevated TSH who is always tired
Correct Answer: C
Rationale: Elevated PSA without symptoms is an example of asymptomatic pathogenesis, where the disease is present but not yet manifested.
Which of the following represents a method of secondary prevention?
- A. Self-breast examination education
- B. Yearly mammograms
- C. Chemotherapy for advanced breast cancer
- D. Complete mastectomy for breast cancer
Correct Answer: B
Rationale: Secondary prevention includes screening for early disease detection, such as mammograms for breast cancer.
A nurse is using a genogram to represent a family. Which of the following statements is accurate?
- A. A genogram identifies the genetic disorders of the family.
- B. A genogram includes information about the past two generations.
- C. A genogram can be used to make connections about family health patterns.
- D. A genogram begins with a circle in the center of the page.
Correct Answer: C
Rationale: A genogram helps identify family health patterns and relationships, and typically includes data from at least three generations.