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A nurse is interested in studying the incidence of infant death in a particular city and wants to compare that city's rate to the state's rate. Which state resource should the nurse select to gather this information?
- A. Census data.
- B. Bureau of Vital Statistics.
- C. Disease registry.
- D. Department of Health.
Correct Answer: B
Rationale: The Bureau of Vital Statistics provides detailed data on vital events like deaths, making it the best resource for accurate infant mortality rates for city and state comparisons.
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On a day when the temperature is expected to drop to below freezing during the night, the nurse is asked to determine which homeless adults are most in need of the limited spaces that are available in a shelter. It is most important for which person to be admitted for the night?
- A. A young person with diabetes mellitus.
- B. A middle-aged person who has hypertension.
- C. An older person who is malnourished.
- D. An adult who was hit by a car 3 weeks ago.
Correct Answer: C
Rationale: A malnourished older person is most vulnerable to hypothermia due to impaired thermoregulation, making shelter critical to prevent cold-related illnesses.
Two years ago, the nurse assessed the health needs of high school students and determined that student pregnancy was a priority problem. The nurse then developed a pregnancy prevention program for the entire school district. Which finding is the best indicator of the program's effectiveness?
- A. 80% of the students attend a voluntary sex education seminar.
- B. Students report an average delay of 2 years for their first sexual experience.
- C. Students requesting information about adolescent pregnancy has increased by 25%.
- D. 75% of the parents agree to support a pregnancy prevention program in the schools.
Correct Answer: B
Rationale: A delay in first sexual experience directly indicates behavioral change, reducing pregnancy risk and demonstrating the program's effectiveness in altering student behavior.
The public health nurse is evaluating resources in a rural community. Which healthcare resource is most important to the community?
- A. Accessibility to trauma care.
- B. Annual health fair.
- C. Family planning center.
- D. Weather-related disaster plan.
Correct Answer: A
Rationale: In rural areas, accessibility to trauma care is critical due to geographic isolation, ensuring timely management of emergencies and improving survival rates.
The public health nurse is evaluating resources in a rural community. Which healthcare resource is most important to the community?
- A. Accessibility to trauma care.
- B. Annual health fair.
- C. Family planning center.
- D. Weather-related disaster plan.
Correct Answer: A
Rationale: In rural areas, accessibility to trauma care is critical due to geographic isolation, ensuring timely management of emergencies and improving survival rates.
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.