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The elementary school nurse has identified a problem requiring a secondary intervention. Which intervention should the nurse implement?
- A. Instruct on technique of 'stop, drop & roll' at assembly.
- B. Involve the parent teacher association (PTA) in a fund raising event for the new gym.
- C. Invite 1st grade parents to a 'Meet the Teachers' event.
- D. Send letters to parents regarding a recent lice infestation.
Correct Answer: D
Rationale: Sending letters about a lice infestation is a secondary prevention intervention, addressing an identified problem to control its spread.
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A client comes to the public health clinic requesting information about which immunizations to receive prior to visiting a developing nation. Which immunization should the nurse recommend as a priority for this client?
- A. Hepatitis B vaccine.
- B. Influenza vaccine.
- C. Tetanus toxoid vaccine.
- D. Hepatitis A vaccine.
Correct Answer: D
Rationale: Hepatitis A vaccine is prioritized for travel to developing nations due to high risk of transmission through contaminated food and water.
While presenting a workshop titled, 'Improving Access to Health Services' to community leaders, the community health nurse is asked by a city council member to explain the reason for addressing this issue. Which statement provides the best response?
- A. The Centers for Disease Control and Prevention (CDC) has identified this problem as a variable in morbidity.
- B. The Community Health Improvement Process is used for issues in high risk populations.
- C. The Institute of Medicine includes 'access' as one of its priority recommendations.
- D. The committee for 'Healthy People 2030' has identified 'access' as a national goal.
Correct Answer: D
Rationale: Healthy People 2030' identifies access as a national goal, underscoring its importance in public health, making it a compelling reason for addressing the issue.
After assessing the health care needs of an elementary school, the nurse determines that an increased prevalence of pediculosis capitis is a priority problem. The nurse develops a 2-month program with the goal to eradicate the condition in the school. The program includes educational pamphlets sent home to parents and regular assessment of children by the school nurse. Which action should the nurse implement to evaluate the effectiveness of the program?
- A. Evaluate the teacher's ability to identify pediculosis capitis 2 months after initiation of the program.
- B. Measure the prevalence of pediculosis capitis among the children after four months.
- C. Survey parents 3 weeks after pamphlets are sent home to assess their understanding of the condition.
- D. Conduct an initial examination of each child in the school to obtain baseline data.
Correct Answer: B
Rationale: Measuring prevalence after the program compares pre- and post-intervention rates, directly assessing the program's success in reducing pediculosis cases.
The nurse is planning a health fair for high school students. Which assessment is most important for the nurse to obtain?
- A. Weight and height.
- B. Sexual activity.
- C. Immunization history.
- D. Visual acuity.
Correct Answer: B
Rationale: Assessing sexual activity is critical for high school students to address sexual health, STIs, and pregnancy risks, guiding tailored education and interventions.
Several clients who have recently come to the local health clinic in a rural county are diagnosed with tuberculosis (TB). After reporting the occurrence to the health department, which community focused action should the nurse implement first?
- A. Collaborate with local schools in screening children.
- B. Develop a community educational program.
- C. Provide referrals for home health care follow up.
- D. Perform a community health assessment.
Correct Answer: D
Rationale: A community health assessment is the first step to understand the extent of the TB outbreak, identify high-risk groups, and tailor interventions like screening or education effectively.