An older adult is diagnosed with Parkinson's disease. What problems should the nurse expect to address in this client's home health care plan? Select all that apply.
- A. Feeding assistance.
- B. Fragile skin.
- C. Risk for falls.
- D. Chronic pain.
- E. Depression.
Correct Answer: A,B,C,D,E
Rationale: Feeding assistance, fragile skin, risk for falls, chronic pain, and depression are all potential problems for an older adult with Parkinson's disease. These issues arise due to motor symptoms, skin changes, balance impairment, muscle stiffness, and increased prevalence of depression.
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The nurse is developing disaster plans for a community. Which situation is an example of a high-intensity and small-scope disaster?
- A. A hurricane that destroys 50,000 homes and kills 5,000 victims.
- B. A forest fire that destroys 25,000 acres with significant damage to livestock.
- C. A tornado that destroys 25 houses and uproots an interstate for 0.5 miles.
- D. An explosion at a water treatment plant that affects the community water supply.
Correct Answer: C
Rationale: A tornado that destroys 25 houses and uproots an interstate for 0.5 miles is an example of a high-intensity, small-scope disaster. The disaster is high-intensity due to the destructive nature of a tornado, but the scope is relatively small, affecting only a limited number of houses and a small section of an interstate.
A child living in an inner city setting reports that there are no playgrounds or sidewalks in their area, so their grandmother does not allow them to go outside after school. The grandmother cooks traditional meals every evening. The child describes how they love their grandmother's cooking, and they get to use homemade tortillas instead of forks to pick up their food to eat. The child reports that they become short of breath easily when they are playing with their friends, and they have “a lot†of headaches. On a scale of 0 to 10, with 10 being very happy, how would you rate your happiness with your weight? The child reports “2.â€. What do you believe is one thing that you can change to help you lose some of your weight?
- A. Increase physical activity
- B. Improve diet
- C. Reduce portion sizes
- D. All of the above
Correct Answer: D
Rationale: All of the above strategies - increasing physical activity, improving diet, and reducing portion sizes - are important for weight loss. They work together to create a calorie deficit, which is necessary for weight loss. It's also important to note that these strategies should be implemented as part of a sustainable lifestyle change, rather than a short-term diet.
The nurse is screening for hypertension at a local health fair. A community resident has a blood pressure reading of 138/80 mm Hg. What interventions should the nurse implement for this client? Select all that apply.
- A. Encourage the client to “keep doing whatever you are doing.â€.
- B. Assess the client's lifestyle and other risk factors for hypertension.
- C. Ask the client about any current antihypertensive medications.
- D. Obtain another blood pressure reading to verify the first reading.
- E. Recommend further evaluation for possible pre-hypertension.
Correct Answer: B,C,D,E
Rationale: Assessing the client's lifestyle and other risk factors for hypertension, asking about current antihypertensive medications, obtaining another blood pressure reading to verify the first reading, and recommending further evaluation for possible pre-hypertension are all appropriate interventions for a client with a blood pressure reading of 138/80 mm Hg, which indicates possible pre-hypertension.
In the context of the “Healthy People 2030†objectives, the nurse identifies a significant issue in the community related to the prevention of dental caries in children. Where would be the most effective location to start a prevention program?
- A. The local shopping mall.
- B. Hospital emergency departments.
- C. Women, Infants, and Children office.
- D. Community youth center.
Correct Answer: C
Rationale: The Women, Infants, and Children (WIC) office is an effective location for a prevention program. WIC offices serve a population that includes pregnant women, infants, and young children, who are at high risk for dental caries. These offices provide a supportive environment for education and preventive services.
A community health nurse who works in a Gulf Coast town that caters to tourists is conducting a disaster management class for residents and business owners. What is the most important content for the nurse to include in this class?
- A. Methods used to treat water to ensure it is safe to drink.
- B. Available evacuation routes from the town.
- C. Hurricane preparedness for families and businesses.
- D. Actions to be taken during a tornado.
Correct Answer: C
Rationale: Given the geographical location of the Gulf Coast town, hurricane preparedness for families and businesses is the most important content to include in the class. Hurricanes are a common natural disaster in this area, and being prepared can help reduce the impact of such events.
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