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A graduate nursing student requests information, including laboratory findings and chest x-ray results, about all clients with symptoms of HINI influenza A who have been seen during the last month in a community health clinic. Which action should the charge nurse take?
- A. Provide the information for research purposes only.
- B. Ask the student to sign a standard waiver form.
- C. Obtain written authorization from clients to release the information.
- D. Ask if permission has been obtained from the research committee.
Correct Answer: C
Rationale: Obtaining client authorization ensures compliance with privacy laws like HIPAA, protecting client confidentiality.
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The community health nurse determines that the average family income of a certain community is $67,000 per year with a range of $27,000 to $102,000. Based on this demographic information, which additional information is important for the nurse to assess?
- A. Characteristics of familles in the upper-middle class.
- B. The reliability of such a high average family income.
- C. The frequency of incomes above and below the average.
- D. Interventions focused on college-educated individuals.
Correct Answer: C
Rationale: Assessing income distribution frequency reveals socioeconomic disparities, guiding targeted interventions to address the needs of both lower and higher-income groups within the community.
After assessing the health care needs of an elementary school, the nurse determines that an increased prevalence of pediculosis capitis is a priority problem. The nurse develops a 2-month program with the goal to eradicate the condition in the school. The program includes educational pamphlets sent home to parents and regular assessment of children by the school nurse. Which action should the nurse implement to evaluate the effectiveness of the program?
- A. Evaluate the teacher's ability to identify pediculosis capitis 2 months after initiation of the program.
- B. Measure the prevalence of pediculosis capitis among the children after four months.
- C. Survey parents 3 weeks after pamphlets are sent home to assess their understanding of the condition.
- D. Conduct an initial examination of each child in the school to obtain baseline data.
Correct Answer: B
Rationale: Measuring prevalence after the program compares pre- and post-intervention rates, directly assessing the program's success in reducing pediculosis cases.
One hundred families in a community refuse to have their children immunized because of religious beliefs. When one documented case of whooping cough occurs within this aggregate, which intervention should the nurse implement?
- A. Immunize all children under age 5 in the one hundred family aggregate.
- B. Immunize all members of the one hundred families.
- C. Quarantine the one hundred family aggregate.
- D. Quarantine all family members of the child with whooping cough.
Correct Answer: D
Rationale: Quarantining the affected child's family members prevents whooping cough spread, targeting those most likely exposed.
The nurse is caring for a client with gonorrhea. The client reports having sex with multiple partners. Which response should the nurse provide?
- A. Emphasize that using safe sex practices removes the risk of sexually transmitted Infections (STIs)
- B. Clarify that all sexually transmitted infections (STIs) are transmitted through sexual intercourse.
- C. Discuss that partners without similar symptoms may not be infected.
- D. Instruct the client on the importance of notifying sexual partners.
Correct Answer: D
Rationale: Notifying sexual partners is critical to prevent further spread of gonorrhea, ensuring they are tested and treated, as asymptomatic individuals can still transmit the infection.
A nurse is planning a nutrition class for a group of older adults at a community center and wants to emphasize the amount and types of fat in some foods versus others. Which teaching method is best for the nurse to use?
- A. Ask each older adult to bring a food for others to taste, then estimate the fat contained in these foods.
- B. Show a movie about cooking with foods that are low in fat but delicious.
- C. Determine foods most often eaten by this group and discuss the nutritional panel of each product.
- D. Display posters with foods and tell the seniors about the fat content
Correct Answer: C
Rationale: Discussing nutritional panels of commonly eaten foods provides practical, personalized education on fat content, enabling informed dietary choices.