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several nurses are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. which of the following services should the nurses plan to provide to the congregation?
- A. organize an influenza immunization clinic with the American red cross
- B. perform wound care in the home of members
- C. provide end of life care for members who are terminal
- D. facilitate discharge from the facility to the home
Correct Answer: D
Rationale: The correct answer is D: facilitate discharge from the facility to the home. This service is essential for ensuring a smooth transition for patients returning home from a healthcare facility. Nurses can coordinate care, medication management, and follow-up appointments to prevent readmissions. Choice A is incorrect as the organization of an influenza immunization clinic is not directly related to facilitating patient discharge. Choice B is incorrect as performing wound care at home may not be within the scope of parish nursing and could risk infection control. Choice C is incorrect as providing end-of-life care is crucial but may not be the primary focus of a parish nurse group.
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The partner of an older adult client who has Alzheimer’s disease reports that he is not eating. The partner refuses to assist with feeding. Which of the following is the priority action the nurse should take?
- A. Arrange for Meals on Wheels assistance.
- B. Determine the client’s ability to self-feed.
- C. Direct the home health aide to assist with meals.
- D. Refer the client’s partner to an Alzheimer’s support group.
Correct Answer: B
Rationale: The correct answer is B: Determine the client's ability to self-feed. The priority action is to assess the client's capacity to feed themselves independently. This is crucial in identifying any issues or barriers the client may be facing in terms of feeding. By determining the client's ability to self-feed, the nurse can develop an appropriate plan of care tailored to the client's specific needs.
Choices A, C, and D are incorrect because they do not address the immediate concern of evaluating the client's ability to feed themselves. While arranging for Meals on Wheels or directing the home health aide to assist with meals may be helpful interventions, they do not address the root cause of the issue. Referring the client's partner to an Alzheimer's support group may be beneficial in the long term but does not address the immediate need to assess the client's ability to self-feed.
a home health nurse is visiting a client who had a stroke 2 months ago. which of the following findings should the nurse report to the interprofessional care team?
- A. the client dresses her affected side first.
- B. the client bears weight on their arms when using crutches
- C. the client coughs when swallowing her medications
- D. the client’s caregiver fills a pill organizer weekly
Correct Answer: D
Rationale: The correct answer is D because it indicates the caregiver's involvement in medication management, which is crucial for a client post-stroke. The nurse should report this to ensure medication adherence and safety. Choice A is not concerning as it shows the client's independence in dressing. Choice B could be a normal weight-bearing technique with crutches. Choice C may indicate dysphagia, which is important but not as immediate as medication management.
A nurse is planning priority actions for a community health initiative. Which of the following should be prioritized?
- A. Encourage enrollment and attendance at weight reduction programs.
- B. Educate children at a daycare center about nutrition and exercise.
- C. Distribute health risk appraisal questionnaires at community functions.
- D. Measure the BMI of older adults at a community senior center.
Correct Answer: C
Rationale: The correct answer is C: Distribute health risk appraisal questionnaires at community functions. This is prioritized because it helps identify health risks at a population level, enabling targeted interventions. Choice A focuses on individual weight reduction, not community health. Choice B targets a specific group, neglecting the broader community. Choice D only addresses one aspect of health in a specific population.
a community health nurse is planning an educational program for a group of women who are postmenopausal. which of the following outcomes is appropriate for this program?
- A. clients will schedule bone density screening
- B. clients will arrange for mammograms every 3 years
- C. clients will start hormone replacement therapy
- D. clients will significantly decrease caloric intake
- E. a nurse is working with a care manager for a client who participates in a health maintenance organization. the nurse should identify that a health maintenance organization provides which of the following payment structures.
Correct Answer: C
Rationale: The correct answer is C: clients will start hormone replacement therapy. Postmenopausal women often experience hormonal imbalances that can lead to various health issues such as osteoporosis and heart disease. Hormone replacement therapy can help alleviate symptoms and reduce the risk of these conditions. Scheduling bone density screenings (A) is important but does not address the underlying hormonal changes. Mammograms (B) are essential for breast cancer screening but are not directly related to postmenopausal hormonal health. Significantly decreasing caloric intake (D) is not a suitable outcome for a program targeted at postmenopausal women's health. The question also includes unrelated information about a health maintenance organization (E), which is a distractor.
A newly hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect potential physical hazards?
- A. Track rates of illness caused by infection among employees.
- B. Survey workers about job-related emotional stress.
- C. Identify industrial toxins that are present in the environment.
- D. Measure noise levels at various locations in the facility.
Correct Answer: D
Rationale: The correct answer is D: Measure noise levels at various locations in the facility. This action helps the nurse detect potential physical hazards because high noise levels can lead to hearing loss, stress, and other health issues. By measuring noise levels, the nurse can assess if the workplace is within safe limits set by regulations.
A, B, and C are incorrect because tracking rates of illness caused by infection, surveying workers about emotional stress, and identifying industrial toxins relate to different types of hazards (biological, psychological, and chemical) rather than physical hazards.
By focusing on noise levels, the nurse can effectively address physical hazards, ensuring a safer work environment for employees.