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A home health nurse is planning the initial home visit for a client who has dementia and lives with his adult son's family. Which of the following actions should the nurse take first during the visit?
- A. Encourage the family to join a support group
- B. Provide the family with information about respite care
- C. Educate the family regarding the progression of dementia
- D. Engage the family in informal conversation
Correct Answer: D
Rationale: The correct answer is D: Engage the family in informal conversation. This is the first action the nurse should take during the initial visit because building rapport and establishing trust with the family is crucial in the care of a client with dementia. By engaging in informal conversation, the nurse can observe family dynamics, assess the family's understanding of the client's condition, and gather valuable information about the client's daily routine and needs. This lays the foundation for effective communication and collaboration moving forward.
A: Encouraging the family to join a support group can be beneficial but should come after establishing rapport and assessing the family's needs.
B: Providing information about respite care is important, but it is not the priority during the initial visit.
C: Educating the family about the progression of dementia is important, but it should be done after building rapport and assessing their current understanding.
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A nurse is working to reduce individual and family violence in the local community. Which of the following actions by the nurse demonstrates a primary prevention strategy to achieve this goal?
- A. Conducting counseling for at-risk parents
- B. Assessing a family for marital discord
- C. Teaching parenting techniques to new parents
- D. Providing treatment for a young adult who has a substance use disorder
Correct Answer: C
Rationale: The correct answer is C: Teaching parenting techniques to new parents. This is a primary prevention strategy because it focuses on educating parents before any violence occurs. By providing new parents with effective parenting techniques, the nurse is helping to prevent the occurrence of violence in the first place. This intervention addresses the root cause and promotes a positive family environment.
Choices A, B, and D are not primary prevention strategies. Conducting counseling for at-risk parents (A) is a secondary prevention strategy as it aims to intervene with individuals already at risk. Assessing a family for marital discord (B) is also a secondary prevention strategy as it involves identifying existing issues. Providing treatment for a young adult with a substance use disorder (D) is a tertiary prevention strategy, focusing on treating the individual after the issue has already developed.
A nurse is planning a priority intervention to reduce obesity in the community. Which of the following actions should the nurse take?
- 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: B
Rationale: The correct answer is B: Educate children at a daycare center about nutrition and exercise. This is the priority intervention because educating children about nutrition and exercise can help prevent obesity in the long term. By teaching healthy habits early on, the nurse can make a significant impact on reducing obesity rates in the community. Encouraging enrollment in weight reduction programs (A) may help individuals who are already obese but does not address prevention. Distributing health risk appraisal questionnaires (C) and measuring BMI of older adults (D) are important but not the priority for reducing obesity in the community.
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 will help the nurse detect potential physical hazards because excessive noise can lead to hearing loss and other health issues. By measuring noise levels, the nurse can identify areas where noise levels exceed safe limits and implement control measures.
Choice A is incorrect as it focuses on illness caused by infections, not physical hazards. Choice B is incorrect as it pertains to emotional stress, not physical hazards. Choice C is incorrect as it focuses on industrial toxins, which are chemical hazards, not physical hazards.
A nurse is teaching a group of school-age children about healthy snack options. Which of the following snacks should the nurse include?
- A. Cheesecake
- B. Air-popped popcorn
- C. Milkshake made with whole milk
- D. Baked potato chips
Correct Answer: B
Rationale: The correct answer is B: Air-popped popcorn. Popcorn is a whole grain snack that is high in fiber and low in calories, making it a healthy option for school-age children. It provides sustained energy and promotes satiety. It is also a good source of vitamins and minerals. Cheesecake (A) is high in sugar and saturated fat, not a healthy choice. Milkshake made with whole milk (C) is high in sugar and saturated fat, lacking nutritional value. Baked potato chips (D) are still high in fat and calories compared to air-popped popcorn. Overall, air-popped popcorn is the best choice among the options provided for a healthy snack for school-age children.
A community health nurse is working with a family that is struggling to adapt following the loss of a family member. Which of the following actions should the nurse take first?
- A. Refer the family to a grief support group.
- B. Determine the roles of individual family members.
- C. Encourage the family to assign specific tasks to individual family members.
- D. Assist the family to establish a daily routine.
Correct Answer: B
Rationale: The correct answer is B: Determine the roles of individual family members. This is the first step because understanding the roles within the family will help identify strengths and resources to support them through the grieving process. By determining roles, the nurse can assess each family member's needs and abilities, facilitating targeted interventions. Referral to a grief support group (A) may be beneficial later, but understanding family dynamics comes first. While assigning tasks (C) and establishing a routine (D) are important, they should come after identifying roles to ensure they are tailored to the family's specific needs.