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a home health nurse is planning theinitial home visit for a client who has dementia and
- A. lives with his adult son’s family. which of the following actions should the nurse take first during the visit?
- B. encourage the family to join a support group
- C. provide the family with information about respite care
- D. educate the family regarding the progression of dementia
- E. engage the family in informal conversation
Correct Answer: A
Rationale: The correct answer is A. The nurse should first assess the client's living situation to ensure safety and support. Living with the son's family may impact care needs. Encouraging the family to join a support group (B) can come later to offer emotional support. Providing information about respite care (C) is important but not the priority. Educating the family about dementia progression (D) can wait until after assessing immediate needs. Engaging in informal conversation (E) is beneficial but not the initial priority.
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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.
client states my life has no meaning right now.
- A. have you been thinking about harming yourself
- B. how long have you been feeling this way
- C. tell me what is going on with you right now
- D. do you really think your life has no purpose
Correct Answer: D
Rationale: The correct answer is D because it directly addresses the client's statement by reflecting it back to them for clarification. This approach encourages the client to explore their thoughts further and may lead to deeper insights. Choice A is incorrect as it jumps to conclusions about self-harm. Choice B focuses on duration rather than the meaning behind the statement. Choice C is too general and does not specifically address the client's feeling of meaninglessness.
a nurse is conducting a community assessment. which of the following information should the nurse include as part of the windshield survey?
- A. demographic data
- B. mortality rate
- C. informant interviews
- D. housing quality
Correct Answer: A
Rationale: The correct answer is A: demographic data. In a windshield survey, the nurse observes the community from a car to gather data. Demographic data, such as age, gender, ethnicity, and socioeconomic status, provides a foundational understanding of the community's composition and needs. Mortality rate (B) and housing quality (D) are important but are not typically assessed through a windshield survey. Informant interviews (C) involve direct communication and are not part of a windshield survey method.
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.
which of the following .........should the nurse include
- A. .............should be placed beside the child’s bed
- B. house hold contacts will receive prophylactic antibiotics
- C. transmission will be emitted because of herd immunity
- D. the child is most contagious after the rash develops
Correct Answer: C
Rationale: The correct answer is C. The nurse should include information about transmission being limited due to herd immunity. This is important because herd immunity occurs when a large portion of the community becomes immune to a disease, reducing the chances of transmission even to those who are not immune. This information is crucial for preventing the spread of infectious diseases within a community.
Choice A is incorrect as it does not provide relevant information about disease transmission or prevention. Choice B is incorrect as it focuses on treatment rather than prevention of transmission. Choice D is incorrect as it provides inaccurate information about the timing of contagion.