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A nurse is planning a nutrition class for a group of older adults at a community center and wants to emphasize the amount and types of fat in some foods versus others. Which teaching method is best for the nurse to use?
- A. Ask each older adult to bring a food for others to taste, then estimate the fat contained in these foods.
- B. Show a movie about cooking with foods that are low in fat but delicious.
- C. Determine foods most often eaten by this group and discuss the nutritional panel of each product.
- D. Display posters with foods and tell the seniors about the fat content
Correct Answer: C
Rationale: Discussing nutritional panels of commonly eaten foods provides practical, personalized education on fat content, enabling informed dietary choices.
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While presenting a workshop titled, 'Improving Access to Health Services' to community leaders, the community health nurse is asked by a city council member to explain the reason for addressing this issue. Which statement provides the best response?
- A. The Centers for Disease Control and Prevention (CDC) has identified this problem as a variable in morbidity.
- B. The Community Health Improvement Process is used for issues in high risk populations.
- C. The Institute of Medicine includes 'access' as one of its priority recommendations.
- D. The committee for 'Healthy People 2030' has identified 'access' as a national goal.
Correct Answer: D
Rationale: Healthy People 2030' identifies access as a national goal, underscoring its importance in public health, making it a compelling reason for addressing the issue.
A community health nurse is planning strategies to prevent an increase in the incidence of osteoporosis in the community. Which activity should the nurse include?
- A. Ensure that all meals delivered to persons receiving Meals-on-Wheels include fresh or canned fruit.
- B. Schedule blood pressure screenings during craft club hours for elderly women at the senior center.
- C. Lobby the local school board to increase physical education classes at all schools in the district.
- D. Collaborate with a local scout troop to determine families that need wheelchair ramps installed.
Correct Answer: C
Rationale: Increasing physical education promotes weight-bearing exercises, essential for building bone density and preventing osteoporosis, especially in youth.
A toddler is brought by a parent to the health department for scheduled immunizations. The toddler clings to the caregiver and cowers when approached. Which assessment warrants immediate intervention by the nurse?
- A. Small bruises on the lower extremities.
- B. A one-inch laceration across center of forehead.
- C. Refusal to answer simple questions.
- D. Several dime-sized circular burns on the back.
Correct Answer: D
Rationale: Circular burns are suggestive of abuse, requiring immediate intervention to ensure the child's safety and further investigation.
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.
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.