Nokea
A healthcare provider requested a community health nurse to make weekly visits to a 10-year-old patient for weight reduction, monitoring fingerstick blood glucose levels, and severe headaches. The nurse is reviewing the patient's data. Which data warrants follow-up?
- A. The patient reports being teased by his friends for being “overweight.â€.
- B. The patient prefers solitary play situations.
- C. The patient lives with his mother and younger brother in subsidized housing in an inner city setting.
- D. The patient reports becoming easily short of breath.
Correct Answer: D
Rationale: The patient reporting that they become easily short of breath is a significant concern. Shortness of breath could indicate a number of health issues, including asthma, heart conditions, or other respiratory problems. This warrants immediate follow-up.
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In the event of a communication breakdown during a disaster, what actions should be taken?
- A. Contact a larger hospital to see how they handle disaster communication.
- B. Find out who did not follow the Communication tree.
- C. Have one person follow-up for all the hospital to see where the breakdown occurred.
- D. Confirm that all essential staff are on either the lockdown team or the relief team.
Correct Answer: D
Rationale: Confirming that all essential staff are on either the lockdown team or the relief team ensures that everyone knows their roles and responsibilities, which is crucial for effective communication during a disaster.
A patient is admitted to the emergency department with symptoms resembling the flu. What information should the nurse gather to rule out exposure to anthrax spores?
- A. Determine the patient's occupation.
- B. Identify the patient's personal contacts over the past week.
- C. Obtain a twenty-four-hour diet history.
- D. Inquire about previous vaccination for smallpox.
Correct Answer: A
Rationale: Anthrax is a serious disease caused by Bacillus anthracis, a bacterium that forms spores. Certain occupations, such as those involving livestock or animal products, may increase the risk of exposure to anthrax spores.
The community health nurse suspects that immunization rates in a lower-socioeconomic section of %%city are likely below the state health department's target. What should be the nurse's initial action to address this health problem?
- A. Call a meeting of citizens to inform them of the importance of having their children immunized.
- B. Partner with a local children's hospital to set up free immunization clinics in the neighborhood.
- C. Join a political action group that focuses attention on the issue in the local news media.
- D. Review current epidemiological population data that might document a low immunization rate.
Correct Answer: D
Rationale: Reviewing current epidemiological population data would provide the nurse with a clear picture of the immunization rates in different sections of the city. This should be the initial step as it would guide subsequent actions, such as setting up immunization clinics in areas where they are most needed.
The community health nurse collaborated with the American Heart Association to launch a comprehensive educational program about strokes and acute coronary syndrome. Which result indicates that the program was successful?
- A. All educational pamphlets prepared for distribution were disseminated among the served counties.
- B. 75% of the workshop attendees rated the educational program as outstanding.
- C. Cardiac-related fatalities decreased by 109% six months after the program's presentation.
- D. 65% of the program's participants committed to adopting a healthier lifestyle.
Correct Answer: C
Rationale: A decrease in cardiac-related fatalities by 109% six months after the program's presentation is a direct and measurable outcome that indicates the program was successful in its goal to prevent strokes and acute coronary syndrome.
Which community would benefit most from a lead poisoning education and screening program provided by the public health nurse?
- A. A community of older adults living in subsidized housing located near an airport.
- B. An urban community of young adults who frequently camp and hike in remote desert areas.
- C. A coastal community of mixed age groups who eat a diet high in fish and other seafood.
- D. A farming community where families with young children live primarily in 100-year-old farmhouses.
Correct Answer: D
Rationale: Families with young children living primarily in 100-year-old farmhouses would likely benefit most from a lead poisoning education and screening program. Older homes, particularly those built before 1978, often contain lead-based paint, which can pose a significant risk for lead poisoning, especially in young children.