The community health nurse suspects that immunization rates in a lower-socioeconomic section of %%city are likely below the state health department's target. What should be the nurse's initial action to address this health problem?
- A. Call a meeting of citizens to inform them of the importance of having their children immunized.
- B. Partner with a local children's hospital to set up free immunization clinics in the neighborhood.
- C. Join a political action group that focuses attention on the issue in the local news media.
- D. Review current epidemiological population data that might document a low immunization rate.
Correct Answer: D
Rationale: Reviewing current epidemiological population data would provide the nurse with a clear picture of the immunization rates in different sections of the city. This should be the initial step as it would guide subsequent actions, such as setting up immunization clinics in areas where they are most needed.
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The epidemiological triad can be utilized to devise strategies for preventing farm machinery injuries. What action should the nurse take to concentrate on the agent?
- A. Convert written vehicle instructions into a pictorial format.
- B. Educate farm workers not to smoke around farm equipment.
- C. Offer rehabilitation services to injured farm workers.
- D. Collaborate with lawmakers to mandate safe tractor design.
Correct Answer: D
Rationale: Collaborating with lawmakers to mandate safe tractor design can have a significant impact on reducing farm machinery injuries. By addressing the issue at the design level, many injuries can be prevented.
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.
A patient is admitted to the emergency department with symptoms resembling the flu. What information should the nurse gather to rule out exposure to anthrax spores?
- A. Determine the patient's occupation.
- B. Identify the patient's personal contacts over the past week.
- C. Obtain a twenty-four-hour diet history.
- D. Inquire about previous vaccination for smallpox.
Correct Answer: A
Rationale: Anthrax is a serious disease caused by Bacillus anthracis, a bacterium that forms spores. Certain occupations, such as those involving livestock or animal products, may increase the risk of exposure to anthrax spores.
A mother who is six weeks postpartum reports to the home health nurse that her milk supply seems to be diminishing. The nurse notices that the mother's 16-month-old child is constantly vying for her attention. What is the best advice the nurse can provide to help the mother with breastfeeding while also caring for a toddler?
- A. Have the 16-month-old child play in another room during breastfeeding.
- B. Read a book to the 16-month-old child while the mother is breastfeeding the infant.
- C. Encourage the toddler to watch TV while the mother is breastfeeding the baby.
- D. Give the toddler crayons and paper while the mother is breastfeeding the infant.
Correct Answer: B
Rationale: Reading a book to the 16-month-old child while the mother is breastfeeding the infant can be a practical solution. It allows the mother to attend to both children simultaneously, keeping the older child engaged while tending to the infant.
The nurse is conducting a suicide awareness session for adults in the community. What information should the nurse include in the session?
- A. Severe life stresses at any age can increase the risk of suicide.
- B. Suicides predominantly occur in lower socioeconomic groups.
- C. Robust social support systems can prevent suicide.
- D. Discussing suicide with individuals suffering from depression can be hazardous.
Correct Answer: A
Rationale: Severe life stresses at any age can indeed increase the risk of suicide. Stressful life events can overwhelm an individual's coping mechanisms and lead to feelings of hopelessness and despair, which are significant risk factors for suicide.
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