Nokea
Because this year's demographics reflect that a large percentage of the population is less than 19 years of age, a community group proposes building a new well-child clinic. Which question indicates that the nurse understands the potential gaps in this data?
- A. What percentage of the population was under 19 years of age in each of the previous 5 years?
- B. What is the distribution of males to females within this population?
- C. How can the income level of the families within the community be determined?
- D. How will the large percentage under 19 years affect the community dependency ratio?
Correct Answer: A
Rationale: Option A is the correct answer because understanding the percentage of the population under 19 years of age in each of the previous five years helps to determine if the high percentage of youth is a consistent trend or a recent change. This information is crucial for assessing the need for a new well-child clinic. Choices B, C, and D are incorrect because they do not directly address the gaps in the data related to the age distribution trend over time, which is essential for making an informed decision about the necessity of the proposed clinic.
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A client with hypertension is being seen in a community clinic. The nurse notes that the client has not been taking their prescribed medication regularly. What is the most appropriate initial intervention?
- A. Educate the client on the importance of medication adherence
- B. Explore the reasons for non-adherence with the client
- C. Refer the client to a hypertension specialist
- D. Adjust the client's medication regimen
Correct Answer: B
Rationale: The most appropriate initial intervention when a client is not adhering to prescribed medication is to explore the reasons for non-adherence with the client. Understanding the client's perspective can help identify barriers to adherence, such as side effects, cost, forgetfulness, or misunderstanding of the treatment. By addressing these reasons, the nurse can work collaboratively with the client to develop strategies to improve medication compliance. Educating the client on the importance of adherence (Choice A) may be necessary but should come after exploring the reasons for non-adherence. Referring the client to a hypertension specialist (Choice C) or adjusting the medication regimen (Choice D) should be considered after addressing the underlying reasons for non-adherence.
The school nurse is preparing a presentation on the importance of physical activity for elementary school students. Which benefit should the nurse emphasize?
- A. Improved academic performance
- B. Increased social interactions
- C. Enhanced physical strength
- D. Better sleep patterns
Correct Answer: A
Rationale: The correct answer is A: Improved academic performance. Physical activity has been shown to improve academic performance by enhancing concentration and cognitive function. This benefit is particularly important for elementary school students who are developing foundational skills. Choice B, increased social interactions, while important for overall development, may not directly relate to the academic aspect that the nurse is focusing on. Choice C, enhanced physical strength, is a valid benefit of physical activity but may not be as relevant to academic performance as the ability to concentrate and learn. Choice D, better sleep patterns, is also a valuable outcome of physical activity but is not as directly linked to academic performance as improved cognitive function.
During which home visit performed by a registered nurse or a practical nurse can the home healthcare agency expect Medicare reimbursement for documenting a skilled care service provided?
- A. 13-18 years of age
- B. 11-12 years of age
- C. 18-24 months of age
- D. 4-6 years of age
Correct Answer: D
Rationale: The correct answer is D: 4-6 years of age. According to current CDC guidelines, a child receiving the measles, mumps, rubella (MMR) vaccine at 12 months of age should plan to receive the MMR booster between 4-6 years of age. Choices A, B, and C are incorrect as they do not align with the CDC's recommended age range for the MMR vaccine booster. It is crucial for healthcare providers to stay updated with current guidelines to ensure the timely administration of vaccines for optimal protection.
A community health nurse is working with a local organization to address food insecurity. Which action should the nurse prioritize?
- A. organizing a food drive to collect non-perishable items
- B. creating a community garden to grow fresh produce
- C. establishing a weekly meal program for those in need
- D. partnering with local businesses to donate food
Correct Answer: C
Rationale: The correct answer is establishing a weekly meal program for those in need. This action prioritizes providing consistent and reliable access to food for individuals experiencing food insecurity. While organizing a food drive (Choice A) and partnering with local businesses to donate food (Choice D) are helpful, they may not offer a sustainable solution for ongoing food needs. Creating a community garden (Choice B) may promote self-sufficiency and access to fresh produce, but it may not address the immediate food needs of individuals who are food insecure. Therefore, establishing a weekly meal program is the most effective choice to ensure regular access to food for those in need.
A public health nurse is working with a community to improve access to dental care. Which intervention is most likely to be effective?
- A. Setting up dental clinics in accessible locations
- B. Distributing flyers with information about dental services
- C. Offering transportation vouchers for dental appointments
- D. Partnering with local businesses to promote dental health
Correct Answer: A
Rationale: Setting up dental clinics in accessible locations is the most effective intervention to improve access to dental care. By having dental clinics in easily reachable places, community members are more likely to seek and utilize dental services. Distributing flyers may raise awareness, but it may not address the issue of physical accessibility to dental care. Offering transportation vouchers could help with transportation barriers but might not address the core issue of proximity to dental services. Partnering with local businesses to promote dental health is a good initiative, but it may not directly improve access to dental care as setting up clinics in accessible locations would.