a faith based organization asks a community health nurse to develop a mobile meal program for older................................... the following actions should the nurse plan to take
- A. first.
- B. determine potential funding sources for the program
- C. inquire about the availability of volunteers
- D. identify alternative solutions to address concerns
- E. perform a needs assessment
Correct Answer: C
Rationale: The correct answer is C: inquire about the availability of volunteers. This is the first step the nurse should take because volunteers are essential for the successful implementation of the mobile meal program. Without a sufficient number of volunteers, the program may not be sustainable. Additionally, volunteers can provide valuable support in meal preparation, delivery, and interacting with older adults.
Other choices are incorrect because:
A: Planning the program first without considering the availability of volunteers may lead to difficulties in execution.
B: Determining funding sources is important but should come after ensuring there are enough volunteers to support the program.
D: Identifying alternative solutions is premature without first establishing the foundation of volunteer support.
E: Performing a needs assessment is important but should come after securing volunteer assistance to ensure feasibility.
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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 community health nurse is working with a group of homeless veterans who have posttraumatic stress disorder. which of the following interventions should the nurse implement?
- A. provide coffee and snacks during the meetings
- B. avoid discussing the traumatic events experienced by the veterans
- C. change the meetings sites frequently
- D. teach the clients to practice deep breathing exercises
Correct Answer: C
Rationale: The correct answer is C: change the meeting sites frequently. This intervention is important for individuals with PTSD as it helps prevent triggers associated with specific locations, reducing anxiety and potential retraumatization. Providing coffee and snacks (A) may be helpful, but changing meeting sites is a more crucial step. Avoiding discussing traumatic events (B) may hinder the veterans' healing process by avoiding necessary therapeutic conversations. Teaching deep breathing exercises (D) can be beneficial but may not address the core issues related to PTSD.
a community health nurse is providing teaching to a group of clients who have alcohol use disorder. which of the following findings should the nurse include in the teaching as a manifestation of alcohol withdrawal?
- A. bradycardia
- B. hypothermia
- C. increased appetite
- D. insomnia
Correct Answer: B
Rationale: The correct answer is B: hypothermia. Alcohol withdrawal can lead to a decrease in the body's ability to regulate temperature, resulting in hypothermia. This is due to alcohol's impact on the central nervous system's ability to regulate body temperature. Bradycardia (A) is not typically associated with alcohol withdrawal; increased appetite (C) is more commonly seen during the acute intoxication phase; insomnia (D) is a symptom of alcohol withdrawal, but it is not a manifestation related to temperature regulation.
a school nurse is implementing health screening. which of the following assessment finding should the nurse recognize as the highest priority?
- A. a child who has a BMI of 18
- B. an adolescent who has scoliosis
- C. an adolescent who has psoriasis
- D. a child who has nits
Correct Answer: B
Rationale: The correct answer is B: an adolescent who has scoliosis. Scoliosis is a condition where the spine curves abnormally, potentially leading to serious health issues if not addressed early. The nurse must prioritize assessing scoliosis as it can affect the individual's posture, mobility, and even breathing. BMI of 18 (choice A) may indicate underweight but doesn't pose an immediate health threat. Psoriasis (choice C) is a skin condition that, while uncomfortable, is not life-threatening. Nits (choice D) are treatable and not urgent.
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.
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