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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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A nurse is providing teaching to a 50-year-old female client. Which of the following statements should the nurse include in the teaching?
- A. You should have a complete eye examination every 2 years until the age of 64.
- B. You should have your hearing screened every 5 years.
- C. You should have your stool tested for blood every other year until the age of 74.
- D. You should have your fasting blood glucose level checked every 6 years.
Correct Answer: C
Rationale: The correct answer is C: You should have your stool tested for blood every other year until the age of 74. This is important for early detection of colorectal cancer, which is recommended starting at age 50. Stool testing for blood helps identify any signs of bleeding in the digestive tract, a potential indicator of colorectal cancer. The other choices are incorrect because eye examinations should be done annually after age 65, hearing screening should be done every 3-5 years, fasting blood glucose should be checked more frequently for diabetes screening, and stool testing for blood should be continued beyond age 74 due to the ongoing risk of colorectal cancer.
a parrish nurse is counseling a family following a client’s recent diagnosis of heart disease. which of the following actions should the nurse takefirst?
- A. discuss the benefits of eating a well-balanced diet with the client’s family
- B. assist the client and the clients partner with finding an affordable exercise program
- C. offer to accompany the client and the clients partner during health care provider visits
- D. ask family members about the impact of the disease on relationships within the family
Correct Answer: B
Rationale: The correct answer is B: assist the client and the client's partner with finding an affordable exercise program. This is the first action the nurse should take because regular exercise is essential for managing heart disease. By helping the client and partner to find an affordable exercise program, the nurse is promoting a crucial aspect of heart disease management. This action directly addresses a key component of the treatment plan and supports the client's overall well-being.
Other choices are incorrect because they do not address the immediate need for implementing a lifestyle change to manage heart disease. Choice A focuses on diet, which is important but exercise is the priority. Choice C involves healthcare provider visits, which may be important but not the first step. Choice D addresses relationships, which is relevant but not the immediate priority.
During a home health visit a school age child who has muscular dystrophy confidesin the nurse that he was struck by his parents. which of the following actions should the nurse take first?
- A. report the incident to local authorities
- B. check the child for injuries
- C. refer the parent to a social service agency
- D. enroll the parent in anger management classes.
Correct Answer: A
Rationale: The correct answer is A: report the incident to local authorities. The nurse's first priority is to ensure the safety and well-being of the child. Reporting to local authorities is crucial to protect the child from further harm and to initiate an investigation. Checking for injuries (B) is important but secondary to ensuring the child's safety. Referring the parent to a social service agency (C) or enrolling them in anger management classes (D) does not address the immediate safety concerns of the child. In this situation, immediate action through reporting to authorities is the most appropriate course of action.
the partner of an older adult client who has Alzheimer’s disease reports that he is not eating. the nurse........client partner refuses to assist the client with feeding. the partner insists the client feed himself without help. which of the priority action the nurse should take?
- A. arrange for meals on wheels’ assistance
- B. determine the client’sability to self-feed
- C. direct the home health aide to assist with meals
- D. refer the clients partner to an Alzheimer’s support group
Correct Answer: D
Rationale: The correct answer is D: refer the client's partner to an Alzheimer's support group. This is the priority action because the partner needs education and support to understand the challenges of caring for someone with Alzheimer's. By connecting them with a support group, they can learn coping strategies and receive emotional support.
A: arranging for meals on wheels' assistance does not address the underlying issue of the partner's refusal to assist with feeding.
B: determining the client's ability to self-feed is important but does not address the partner's refusal to assist.
C: directing the home health aide to assist with meals may be helpful, but addressing the partner's attitude is more crucial.
D: referring the client's partner to an Alzheimer's support group is the most appropriate to provide education and support.
E, F, G: Not applicable.
a community health nurse observes the accumulation of garbage at a neighborhood playground. which of the following actions should the nurse take first to promote a clean and safe environment?
- A. meet with community members to discuss methods of playground maintenance
- B. partner city officials with community members to improve the playground condition
- C. work with local businesses to sponsor more trash receptacles in the playground
- D. engage neighborhood families to monitor the playground for further trash buildup
Correct Answer: D
Rationale: The correct answer is D because engaging neighborhood families to monitor the playground for further trash buildup addresses the immediate issue effectively. By involving the community directly, the nurse empowers residents to take ownership of the problem and fosters a sense of responsibility for maintaining a clean environment. This approach promotes sustainable change by creating a culture of vigilance and accountability among families. Other choices such as A, B, and C involve external parties and may not address the root cause or build community capacity for long-term solutions. Therefore, D is the most proactive and community-centered option to promote a clean and safe environment.