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a nurse is caring for a client who is having difficulty performing activities of daily living. the nurse is functioning in which of the following roles when arranging for an occupational therapist to visit the client.
- A. Administrator
- B. nurse consultant
- C. case manager
- D. clinician
Correct Answer: C
Rationale: The correct answer is C: case manager. A case manager coordinates and arranges services for clients, such as arranging for an occupational therapist to visit the client. This role involves assessing needs, developing care plans, and coordinating care among different providers.
A: Administrator is responsible for managing the overall operations of a healthcare facility, not individual client care.
B: Nurse consultant provides expert advice and guidance to other healthcare providers but does not typically arrange for specific services for clients.
D: Clinician directly provides patient care and treatment, but does not typically coordinate services provided by other healthcare professionals.
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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 nurse at a local health department is caring for several clients. which of the following infections should the nurse report to the state health department?
- A. chlamydia
- B. herpes simplex virus
- C. group B Streptococcus B hemolytic
- D. human papillornavirus
Correct Answer: B
Rationale: The correct answer is B: herpes simplex virus. The nurse should report herpes simplex virus to the state health department because it is a notifiable infectious disease that requires monitoring for public health purposes. Herpes simplex virus can be transmitted through various means, including sexual contact, and can cause recurrent outbreaks and complications. Reporting to the state health department allows for tracking of the infection, implementing control measures, and preventing further spread. Other choices (A, C, D) are also important infections but may not require immediate reporting to the state health department as they are not typically considered notifiable diseases.
the partner of an older adult client who has Alzheimer’s disease reports that he is not eating. the nurse........client partner refuses to assist the client with feeding. the partner insists the client feed himself without help. which of the priority action the nurse should take?
- A. arrange for meals on wheels’ assistance
- B. determine the client’sability to self-feed
- C. direct the home health aide to assist with meals
- D. refer the clients partner to an Alzheimer’s support group
Correct Answer: D
Rationale: The correct answer is D: refer the client's partner to an Alzheimer's support group. This is the priority action because the partner needs education and support to understand the challenges of caring for someone with Alzheimer's. By connecting them with a support group, they can learn coping strategies and receive emotional support.
A: arranging for meals on wheels' assistance does not address the underlying issue of the partner's refusal to assist with feeding.
B: determining the client's ability to self-feed is important but does not address the partner's refusal to assist.
C: directing the home health aide to assist with meals may be helpful, but addressing the partner's attitude is more crucial.
D: referring the client's partner to an Alzheimer's support group is the most appropriate to provide education and support.
E, F, G: Not applicable.
A nurse working in an infectious disease clinic is caring for a client with a new diagnosis of Lyme disease. Which of the following agencies is responsible for voluntarily reporting cases of this disease to the CDC?
- A. Office of the Surgeon General.
- B. State health department.
- C. Hospital infection control department.
- D. Local Red Cross chapter.
Correct Answer: B
Rationale: The correct answer is B: State health department. The state health department is responsible for voluntarily reporting cases of Lyme disease to the CDC as part of the national surveillance system for infectious diseases. State health departments collect and report data on various diseases to monitor trends, detect outbreaks, and implement public health interventions. The Office of the Surgeon General does not handle disease reporting, the Hospital infection control department focuses on preventing healthcare-associated infections within the hospital, and the Local Red Cross chapter is not involved in disease surveillance. Thus, the state health department is the appropriate agency for reporting cases of Lyme disease to the CDC.
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.