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A nurse designs a series of four weekly classes for clients with type 2 diabetes mellitus. Which information should the nurse use as an outcome evaluation for the classes?
- A. Fasting blood glucose average readings were 20% lower at the end of the classes.
- B. Discussion of food exchanges and calories was a well-attended class.
- C. Demonstrating the use of a blood glucose meter was an effective teaching strategy.
- D. Parking convenience for attendees continued to be a major concern.
Correct Answer: A
Rationale: Lower fasting blood glucose readings directly indicate improved diabetes management, reflecting the classes' effectiveness.
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A community health nurse is helping a group of nursing students plan a tertiary prevention program for a local community clinic that serves a majority Hispanic population. Which service project meets the requirement of a tertiary prevention program and would best serve this population?
- A. Teach clients about recommended immunizations for children.
- B. Instruct teens about prevention of sexually transmitted diseases.
- C. Take blood pressures at a local shopping mall in the community.
- D. Demonstrate foot care to a group of clients who have diabetes.
Correct Answer: D
Rationale: Demonstrating foot care for diabetic clients is tertiary prevention, focusing on managing complications of an existing condition, highly relevant for a Hispanic population with a high prevalence of diabetes.
The nurse is teaching adults in the community about suicide awareness. Which information should the nurse include in the teaching?
- A. Suicide discussion is dangerous with people with depression.
- B. The majority of suicides occur in lower socioeconomic groups.
- C. Social support systems ensure suicide prevention.
- D. Severe life stresses at any age is a risk factor for suicide.
Correct Answer: D
Rationale: Severe life stresses are a well-established risk factor for suicide across all ages, critical for awareness and prevention efforts.
A client who recently returned from international travel presents to the clinic with high fever, chills, headache, and muscular aches. The healthcare provider suspects severe acute respiratory syndrome (SARS). To prevent transmission of the virus to others, which instruction is most important for the nurse to provide?
- A. Wear a N95 respirator mask during direct contact with others.
- B. Cover mouth and turn head when coughing
- C. Use meticulous hand washing technique.
- D. Discard all tissues used during coughing in a biohazard bag.
Correct Answer: A
Rationale: An N95 respirator mask is critical for preventing airborne transmission of SARS, offering superior protection compared to other measures like hand washing or tissue disposal.
Community health nurses are particularly concerned with the spread of communicable diseases such as hepatitis A. Which group of Individuals should the nurse identify as being at greatest risk for contracting this type of hepatitis?
- A. Low income families living in cramped quarters.
- B. Sexually active persons with multiple partners.
- C. IV drug users who share needles.
- D. Those who have recently received a blood transfusion.
Correct Answer: A
Rationale: Hepatitis A spreads primarily through the fecal-oral route, often via contaminated food or water. Low-income families in cramped quarters are at higher risk due to increased exposure to unsanitary conditions and poor hygiene practices.
The school nurse administers methylphenidate to an adolescent with Attention Deficit Hyperactivity Disorder (ADHD). When evaluating the drug's effectiveness, which information is most important for the nurse to review?
- A. Parent's report about behavior.
- B. Current grade report.
- C. Self-report about treatment progress.
- D. Past grade report.
Correct Answer: A
Rationale: Parents' reports on behavior provide critical insights into ADHD symptom management across settings, essential for evaluating methylphenidate's effectiveness.