in the last month three cases of tuberculosis have been referred to the health department. which of the following is the priority information for the community health nurse to obtain from each client?
- A. demographics
- B. house hold members
- C. occupation
- D. health history
Correct Answer: D
Rationale: The correct answer is D: health history. Obtaining the health history is crucial to assess the severity of tuberculosis, previous treatments, and potential risk factors. This information helps in determining the appropriate treatment plan and preventing the spread of the disease. Demographics (A) may provide general information but do not directly impact the management of tuberculosis. Household members (B) are important for contact tracing but not the priority. Occupation (C) is relevant for identifying potential exposure, but health history takes precedence.
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which of the following .........should the nurse include
- A. .............should be placed beside the child’s bed
- B. house hold contacts will receive prophylactic antibiotics
- C. transmission will be emitted because of herd immunity
- D. the child is most contagious after the rash develops
Correct Answer: C
Rationale: The correct answer is C. The nurse should include information about transmission being limited due to herd immunity. This is important because herd immunity occurs when a large portion of the community becomes immune to a disease, reducing the chances of transmission even to those who are not immune. This information is crucial for preventing the spread of infectious diseases within a community.
Choice A is incorrect as it does not provide relevant information about disease transmission or prevention. Choice B is incorrect as it focuses on treatment rather than prevention of transmission. Choice D is incorrect as it provides inaccurate information about the timing of contagion.
a nurse is serving on a state task force for disaster planning. the nurse is engaging in disaster preparedness efforts when performing which of the following actions
- A. implementing a disaster triage plan with a local medical facility
- B. functioning as a manager at a temporary shelter
- C. assisting with the identification of a biological agent
- D. organizing a mass casualty drill for community members
- E. a 35-year-old client who has a diagnosis of tuberculosis informs the providers office that she is unable to pay for the treatment. which of the following actions by the nurse will facilitate obtaining appropriate treatment? 1. help the client apply for Medicare explore options for alternative therapies arrange for medication through local agencies send the client to the nearest facility for further evaluation
Correct Answer: A
Rationale: The correct answer is A: implementing a disaster triage plan with a local medical facility. This action aligns directly with disaster preparedness efforts by ensuring that the necessary protocols and procedures are in place to effectively manage and prioritize care during a disaster. Triage is crucial in allocating resources efficiently and saving lives.
Choice B: functioning as a manager at a temporary shelter, while important for disaster response, does not specifically focus on disaster preparedness efforts like implementing a triage plan.
Choice C: assisting with the identification of a biological agent is more related to responding to a specific disaster situation rather than overall disaster preparedness efforts.
Choice D: organizing a mass casualty drill for community members is beneficial for preparedness but does not involve directly implementing a disaster triage plan.
In summary, implementing a disaster triage plan is the most relevant action for disaster preparedness efforts as it ensures readiness and effective response in managing casualties during a disaster.
a community health nurse is providing screening for lipid disorders. which of the following is the primary goal of this activity?
- A. early detection of disease
- B. client enrollment in prevention programs
- C. promotion of appropriate lifestyle changes
- D. identification of family history of medical problems
Correct Answer: A
Rationale: The correct answer is A: early detection of disease. Screening for lipid disorders aims to identify individuals at risk of developing cardiovascular diseases early on. Early detection allows for timely interventions to prevent or manage lipid disorders effectively. Choice B focuses on intervention programs, which come after detection. Choice C emphasizes lifestyle changes, which are secondary to detection. Choice D is about family history, not the primary goal of screening.
a nurse is caring for a client who is having difficulty performing activities of daily living. the nurse is functioning in which of the following roles when arranging for an occupational therapist to visit the client.
- A. Administrator
- B. nurse consultant
- C. case manager
- D. clinician
Correct Answer: C
Rationale: The correct answer is C: case manager. A case manager coordinates and arranges services for clients, such as arranging for an occupational therapist to visit the client. This role involves assessing needs, developing care plans, and coordinating care among different providers.
A: Administrator is responsible for managing the overall operations of a healthcare facility, not individual client care.
B: Nurse consultant provides expert advice and guidance to other healthcare providers but does not typically arrange for specific services for clients.
D: Clinician directly provides patient care and treatment, but does not typically coordinate services provided by other healthcare professionals.
a community health nurse is planning a program for adolescents about preventing
- A. STIs. which of the following actions should the nurse take first?
- B. collect data to identify barriers to learning
- C. establish methods to evaluate program outcomes
- D. obtain visual aids that feature adolescents
- E. provide computer based education
Correct Answer: C
Rationale: The correct answer is C: establish methods to evaluate program outcomes. This is the first step because without knowing how to measure the success of the program, the nurse won't be able to determine its effectiveness in preventing STIs. By establishing evaluation methods, the nurse can track progress, identify areas for improvement, and ensure the program is meeting its goals. Collecting data (B) and obtaining visual aids (D) are important steps, but evaluating outcomes should come first. Providing computer-based education (E) may be a useful method, but it's not the initial priority.