A public health nurse is evaluating a program designed to reduce the incidence of diabetes in the community. Which outcome indicates that the program is successful?
- A. increased participation in diabetes education sessions
- B. higher rates of blood glucose monitoring
- C. reduced incidence of diabetes-related complications
- D. greater knowledge of diabetes prevention methods
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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During a home visit, the nurse observes that a client with limited mobility has difficulty accessing the bathroom. What should the nurse do first?
- A. suggest the client installs a bedside commode
- B. assist the client in modifying the home environment
- C. refer the client to an occupational therapist
- D. educate the client on mobility aids
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is planning a community health fair to promote mental health awareness. Which activity is most likely to engage participants?
- A. a lecture on the signs and symptoms of depression
- B. a workshop on stress management techniques
- C. a panel discussion with mental health experts
- D. a booth distributing brochures on mental health resources
Correct Answer: B
Rationale: A workshop on stress management techniques is the most engaging activity as it allows participants to actively participate, learn practical skills, and interact with others. This hands-on approach fosters engagement and provides attendees with tools they can directly apply in their lives. Choice A, a lecture, may be informative but lacks the interactive element that promotes engagement. Choice C, a panel discussion, might be informative but could be passive for attendees. Choice D, distributing brochures, is informative but lacks the interactive and engaging nature of a workshop.
During a home health visit the nurse notices that an older male client with type 2 diabetes mellitus is wearing loose cloth slippers. The client reports that he cannot comfortably wear other shoes because his toenails get in the way. The nurse inspects the clients feet and finds long thick nails that curl down under some of the toes. Which action should the nurse take?
- A. demonstrate proper foot care to client and family
- B. have a home health aide assist client with hygiene weekly
- C. schedule an appointment for the client with podiatrist
- D. trim the clients toenails gradually over several visits
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A male client who has been taking propranolol (Inderal) for 18 months tells the nurse the healthcare provider discontinued the medication because his blood pressure has been normal for the past three months. Which instruction should the nurse provide?
- A. Abruptly stop the medication.
- B. Continue the medication at the same dose.
- C. Ask the healthcare provider about tapering the drug dose over the next week.
- D. Increase the dose of the medication.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with a history of diabetes mellitus is admitted with hypoglycemia. Which finding requires immediate intervention?
- A. Blood glucose of 60 mg/dL.
- B. Heart rate of 100 beats per minute.
- C. Tremors.
- D. Diaphoresis.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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