Nokea
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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a community health nurse is providing teaching to a group of clients who have alcohol use disorder. which of the following findings should the nurse include in the teaching as a manifestation of alcohol withdrawal?
- A. bradycardia
- B. hypothermia
- C. increased appetite
- D. insomnia
Correct Answer: B
Rationale: The correct answer is B: hypothermia. Alcohol withdrawal can lead to a decrease in the body's ability to regulate temperature, resulting in hypothermia. This is due to alcohol's impact on the central nervous system's ability to regulate body temperature. Bradycardia (A) is not typically associated with alcohol withdrawal; increased appetite (C) is more commonly seen during the acute intoxication phase; insomnia (D) is a symptom of alcohol withdrawal, but it is not a manifestation related to temperature regulation.
a faith based organization asks a community health nurse to develop a mobile meal program for older................................... the following actions should the nurse plan to take
- A. first.
- B. determine potential funding sources for the program
- C. inquire about the availability of volunteers
- D. identify alternative solutions to address concerns
- E. perform a needs assessment
Correct Answer: C
Rationale: The correct answer is C: inquire about the availability of volunteers. This is the first step the nurse should take because volunteers are essential for the successful implementation of the mobile meal program. Without a sufficient number of volunteers, the program may not be sustainable. Additionally, volunteers can provide valuable support in meal preparation, delivery, and interacting with older adults.
Other choices are incorrect because:
A: Planning the program first without considering the availability of volunteers may lead to difficulties in execution.
B: Determining funding sources is important but should come after ensuring there are enough volunteers to support the program.
D: Identifying alternative solutions is premature without first establishing the foundation of volunteer support.
E: Performing a needs assessment is important but should come after securing volunteer assistance to ensure feasibility.
a nurse is counseling a client who has a new diagnosis of chlamydia. which of the following information should the nurse include in the teaching? (select all that apply)
- A. you should avoid sexual contact until therapy is complete
- B. notify anyone with whom you have had sexual contact over the past 2 months
- C. you will need to take an antiviral medication for 30 days
- D. once your complete treatment you will have an acquired immunity against chlamydia
- E. you might experience painful urination until the infection has resolved
Correct Answer: D
Rationale: The correct answer is D. The nurse should include in the teaching that once the client completes treatment for chlamydia, they will not have acquired immunity against chlamydia. This is important information for the client to understand to prevent future infections. The other options are incorrect for the following reasons: A is incorrect because sexual contact should be avoided until therapy is complete to prevent spreading the infection. B is incorrect because the client should notify all recent sexual partners, not just those within the past 2 months. C is incorrect because chlamydia is a bacterial infection, not a viral infection, so antibiotics, not antivirals, are used for treatment. E is incorrect because painful urination is a symptom of chlamydia, not a side effect of treatment.
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 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.