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In the event of a communication breakdown during a disaster, what actions should be taken?
- A. Contact a larger hospital to see how they handle disaster communication.
- B. Find out who did not follow the Communication tree.
- C. Have one person follow-up for all the hospital to see where the breakdown occurred.
- D. Confirm that all essential staff are on either the lockdown team or the relief team.
Correct Answer: D
Rationale: Confirming that all essential staff are on either the lockdown team or the relief team ensures that everyone knows their roles and responsibilities, which is crucial for effective communication during a disaster.
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After the first injection of the Hepatitis B Vaccine (HBV) series is administered to a group of healthcare workers, what advice should the nurse give to them?
- A. Suggest that they stay with someone for 10 hours post-injection.
- B. Advise them to bring a family member along for the final injection.
- C. Urge them to get all their family members vaccinated as soon as possible.
- D. Recommend annual blood tests to monitor their immunization levels.
Correct Answer: D
Rationale: Regular monitoring of immunization levels is important after receiving the HBV series. This is because healthcare workers are at a higher risk of exposure to Hepatitis B, and ensuring immunity is crucial for their safety.
A client comes to the clinic for an annual physical exam. When asked about their influenza vaccine status, the client responds, “I never get the vaccine because I don't get the flu.â€. Which aspect of the Health Belief Model is the client demonstrating?
- A. Perceived barriers.
- B. Perceived susceptibility.
- C. Perceived severity.
- D. Perceived benefits.
Correct Answer: A
Rationale: The client's decision not to get the flu vaccine because they don't get the flu demonstrates perceived barriers, one aspect of the Health Belief Model. The client may perceive that the potential discomfort or inconvenience of getting the vaccine outweighs the benefits.
The community health nurse determines that the average family income of a certain community is $67,000 per year with a range of $27,000 to $102,000. Based on this demographic information, which additional information is important for the nurse to assess?
- A. Characteristics of families in the upper-middle class.
- B. Interventions focused on college-educated individuals.
- C. The reliability of such a high average family income.
- D. The frequency of incomes above and below the average.
Correct Answer: D
Rationale: Understanding the frequency of incomes above and below the average can help the nurse identify income inequality within the community. This information is crucial as income inequality can impact access to healthcare services and health outcomes.
During a routine office visit, a nurse is obtaining an older adult client's vital signs and notices the caregiver is very quiet and withdrawn. When asked, the caregiver acknowledges feeling exhausted from caring for the client 24 hours a day. What is the best information for the nurse to provide?
- A. Suggest that social services be contacted to find a respite care facility for the client.
- B. Tell the caregiver to consider hiring a private nurse to provide some time away.
- C. Advise a case management evaluation of the client's home environment.
- D. Recommend that the client's family return to the area to help provide assistance.
Correct Answer: A
Rationale: Respite care is a service that provides temporary relief to primary caregivers, allowing them time to rest and take care of their own needs. It can be provided in the client's home, a healthcare facility, or an adult day care center. This service is especially beneficial for caregivers who are feeling exhausted, as it offers them a break while ensuring that their loved ones continue to receive care.
The number of students seeking information about teenage pregnancy has risen by 259%. Two years ago, a nurse evaluated the health needs of high school students and identified student pregnancy as a significant issue. As a result, the nurse created a pregnancy prevention program for the entire school district. Which outcome is the strongest evidence of the program's success?
- A. 80% of the students participate in a voluntary sex education seminar.
- B. Students report an average delay of 2 years for their first sexual encounter.
- C. 75% of the parents express support for a pregnancy prevention program in the schools.
- D. The school district reports a decrease in the number of teenage pregnancies.
Correct Answer: D
Rationale: A decrease in the number of teenage pregnancies in the school district is the strongest evidence of the program's success. This outcome directly aligns with the goal of a pregnancy prevention program, which is to reduce the number of teenage pregnancies.