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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.
a nurse is counseling a client who is to undergo enzyme linked immunosorbent assay testing for hiv. which of the following information should the nurse include?
- A. the test monitors progression of the disease
- B. the test measures antibodies to the virus
- C. the test results are accurate 24 hr. after exposure to the virus
- D. a positive result requires initiating immunoglobulin administration
Correct Answer: B
Rationale: The correct answer is B: the test measures antibodies to the virus. In enzyme linked immunosorbent assay (ELISA) testing for HIV, antibodies produced by the body in response to the virus are detected. This helps in diagnosing HIV infection. Monitoring disease progression (choice A) requires other tests like viral load testing. Test results are not accurate within 24 hours of exposure (choice C) as it takes time for antibodies to develop. Initiating immunoglobulin administration (choice D) is not necessary for all positive results and depends on the individual's condition.
public health nurse take
- A. alert the family members of coworkers about possible exposure to anthrax
- B. place the employee under quarantine for 14 days
- C. refer coworkers who might have been exposed to a provider for prophylactic antibiotics 4.
- D. instruct the client to wear a mask at work
Correct Answer: A
Rationale: The correct answer is A because a public health nurse's role includes notifying family members and coworkers about possible exposure to anthrax to prevent further spread. Choice B is incorrect as quarantine is typically done by health authorities, not the nurse. Choice C is incorrect as the nurse does not directly prescribe antibiotics. Choice D is incorrect as the client, not the nurse, should wear a mask for protection.
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 school nurse is planning safety education for a group of adolescents. the nurse should give priority to which of the following topics as the leading cause of death for this age group
- A. motor vehicle safety
- B. sports injury prevention
- C. substance abuse prevention
- D. gun safety
Correct Answer: B
Rationale: The correct answer is B: sports injury prevention. Adolescents are more likely to die from sports-related injuries than any other cause listed. This is because sports activities carry inherent risks of serious injuries, such as head trauma or spinal cord injuries. By prioritizing sports injury prevention education, the school nurse can help reduce the likelihood of fatalities within this age group.
Choice A (motor vehicle safety) is also important, but statistics show that sports injuries are the leading cause of death for adolescents. Choice C (substance abuse prevention) and D (gun safety) are significant issues, but they are not the leading causes of death for this age group. Choices E, F, and G are not provided, so they are not relevant to this question.