Nokea
The community health nurse collaborated with the American Heart Association to launch a comprehensive educational program about strokes and acute coronary syndrome. Which result indicates that the program was successful?
- A. All educational pamphlets prepared for distribution were disseminated among the served counties.
- B. 75% of the workshop attendees rated the educational program as outstanding.
- C. Cardiac-related fatalities decreased by 109% six months after the program's presentation.
- D. 65% of the program's participants committed to adopting a healthier lifestyle.
Correct Answer: C
Rationale: A decrease in cardiac-related fatalities by 109% six months after the program's presentation is a direct and measurable outcome that indicates the program was successful in its goal to prevent strokes and acute coronary syndrome.
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The occupational health nurse in a mobile clinic is formulating an exposure control plan for blood-borne pathogens. Which topics should the nurse incorporate into this plan? Select all that apply.
- A. Areas with negative-pressure airflow.
- B. Puncture-resistant sharps containers.
- C. Needleless medication delivery systems.
- D. Vaccination schedule for Hepatitis B.
- E. Personal protective equipment (PPE).
Correct Answer: B,C,D,E
Rationale: Puncture-resistant sharps containers, needleless medication delivery systems, vaccination schedule for Hepatitis B, and personal protective equipment (PPE) are all critical components of an exposure control plan for blood-borne pathogens. These measures directly reduce the risk of exposure and infection.
The nurse is triaging victims of a tornado at an emergency shelter. An adult who has been wandering and crying comes to the nurse. Which action should the nurse take?
- A. Check the client's temperature, blood sugar, and urine output.
- B. Arrange for the client to be transported for laboratory tests and an electrocardiogram (ECG).
- C. Delegate care of the crying client to an unlicensed assistant.
- D. Direct the client to the shelter's nutrition center to obtain water and food.
Correct Answer: D
Rationale: Directing the client to the shelter's nutrition center to obtain water and food is the best action in this situation. The client may be dehydrated or hungry, which could be contributing to their distress. Providing for these basic needs can help to calm the client and provide a sense of safety and stability.
During a community health screening fair for older adults, a nurse notices a client with pale, bluish feet and sores on both lower extremities that are healing poorly. What should be the nurse's intervention be?
- A. Instruct the client to apply antibiotic ointment to the sores.
- B. Create a list of foods that promote wound healing.
- C. Refer the client to a healthcare provider for a complete evaluation.
- D. Send the client to the emergency department for treatment.
Correct Answer: C
Rationale: The client's symptoms of pale, bluish feet and sores on both lower extremities that are healing poorly suggest a severe and untreated medical condition, possibly related to circulation or skin integrity. Therefore, the nurse should refer the client to a healthcare provider for a complete evaluation.
The public health nurse is assessing resources in a rural community. Which healthcare resource is of utmost importance to the community?
- A. Annual health fair.
- B. Family planning center.
- C. Access to trauma care.
- D. Plan for weather-related disasters.
Correct Answer: C
Rationale: Access to trauma care is crucial in rural areas where distances to hospitals can be great. Injuries and acute illnesses require immediate attention, and having access to trauma care can significantly improve outcomes.
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.