Nokea
A newly hired school nurse conducts a 'windshield' survey of the geographic area served by the school, Which method is best for the nurse to use to objectively validate the findings obtained?
- A. Review the previous school nurse's anecdotal documents.
- B. Obtain morbidity and mortality data for the geographic area.
- C. Talk with teachers about their concerns for the students.
- D. Discuss with the Parent/Teacher Association (PTA) board about their perception of school events.
Correct Answer: B
Rationale: Morbidity and mortality data provide objective, quantifiable evidence to validate windshield survey findings, offering insights into health trends and disease prevalence in the community.
You may also like to solve these questions
Which measure should the college health clinic nurse implement to reduce the incidence of meningococcal meningitis in college freshmen?
- A. Provide dorm teaching sessions about the need to finish prescribed antibiotic doses.
- B. Encourage incoming freshmen to obtain the meningococcal polysaccharide vaccine prior to dorm living.
- C. Require documentation from incoming freshmen that Haemphilus influenza type b (Hib) vaccinations are current.
- D. Develop a clinic protocol for the prophylactic use of isoniazid for positive reactors.
Correct Answer: B
Rationale: The meningococcal vaccine is the most effective measure to prevent meningococcal meningitis in high-risk dorm settings.
According to the Centers for Disease Control and Prevention, which diseases are reportable infectious diseases? Select all that apply.
- A. Pediculosis.
- B. Bacterial conjunctivitis.
- C. Anthrax.
- D. Diphtheria.
- E. Tuberculosis.
Correct Answer: C,D,E
Rationale: Anthrax, Diphtheria, and Tuberculosis are reportable due to their severe public health implications, potential for outbreaks, and, in the case of anthrax, bioterrorism concerns. Pediculosis and bacterial conjunctivitis, while public health concerns, are not typically mandated for reporting to the CDC.
The school health nurse observes that a large percentage of Hispanic children in the elementary school are overweight. Which screening program should the nurse choose to target the highest priority health concern for this population?
- A. Diabetes mellitus.
- B. Hypothyroidism.
- C. English proficiency.
- D. Iron deficiency anemia.
Correct Answer: A
Rationale: Overweight Hispanic children are at high risk for type 2 diabetes, making diabetes screening a priority to detect and manage this condition early, given its increasing prevalence in this population.
During a community health screening fair for older adults, the nurse observes a client who has pale, bluish feet, with sores on both lower extremities that are healing poorly. Which intervention should the nurse implement?
- A. Refer to healthcare provider for complete evaluation.
- B. Send client to the emergency department for treatment.
- C. Instruct client to apply antibiotic ointment to sores.
- D. Create a list of foods that promote wound healing.
Correct Answer: A
Rationale: Pale, bluish feet with poor-healing sores suggest serious conditions like peripheral vascular disease, requiring a comprehensive healthcare provider evaluation.
During a substance abuse class at an elementary school, a student says, 'My Dad used to drink one beer a day. Now he drinks at least a six-pack every day.' What does this child's description of the father indicate?
- A. The parent's judgment is likely too impaired to provide care for the child.
- B. Since the parent is increasing his alcohol intake, it is likely that he will soon begin using other addicting drugs.
- C. The parent is exhibiting tolerance to alcohol and must increase the amount to achieve the desired effect.
- D. The child is denying that there is a problem of alcohol abuse in the family.
Correct Answer: C
Rationale: The increase from one beer to a six-pack daily suggests tolerance, where the parent needs more alcohol to achieve the same effect, a hallmark of developing alcohol dependency.