The nurse needs to delegate some tasks related to a homebound client's care to a home health aide. Which task should the nurse assign to the aide?
- A. Fitting a prosthetic device.
- B. Evaluating the client's need for an elevated toilet seat.
- C. Performing a sterile dressing change.
- D. Assessing a pressure sore.
Correct Answer: B
Rationale: Evaluating the need for an elevated toilet seat involves assessing the client's mobility and safety in the bathroom, tasks that a home health aide could perform under the supervision of a nurse.
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In the context of the “Healthy People 2030†objectives, the nurse identifies a significant issue in the community related to the prevention of dental caries in children. Where would be the most effective location to start a prevention program?
- A. The local shopping mall.
- B. Hospital emergency departments.
- C. Women, Infants, and Children office.
- D. Community youth center.
Correct Answer: C
Rationale: The Women, Infants, and Children (WIC) office is an effective location for a prevention program. WIC offices serve a population that includes pregnant women, infants, and young children, who are at high risk for dental caries. These offices provide a supportive environment for education and preventive services.
During a routine office visit, a nurse is obtaining an older adult client's vital signs and notices the caregiver is very quiet and withdrawn. When asked, the caregiver acknowledges feeling exhausted from caring for the client 24 hours a day. What is the best information for the nurse to provide?
- A. Suggest that social services be contacted to find a respite care facility for the client.
- B. Tell the caregiver to consider hiring a private nurse to provide some time away.
- C. Advise a case management evaluation of the client's home environment.
- D. Recommend that the client's family return to the area to help provide assistance.
Correct Answer: A
Rationale: Respite care is a service that provides temporary relief to primary caregivers, allowing them time to rest and take care of their own needs. It can be provided in the client's home, a healthcare facility, or an adult day care center. This service is especially beneficial for caregivers who are feeling exhausted, as it offers them a break while ensuring that their loved ones continue to receive care.
Which community would benefit most from a lead poisoning education and screening program provided by the public health nurse?
- A. A community of older adults living in subsidized housing located near an airport.
- B. An urban community of young adults who frequently camp and hike in remote desert areas.
- C. A coastal community of mixed age groups who eat a diet high in fish and other seafood.
- D. A farming community where families with young children live primarily in 100-year-old farmhouses.
Correct Answer: D
Rationale: Families with young children living primarily in 100-year-old farmhouses would likely benefit most from a lead poisoning education and screening program. Older homes, particularly those built before 1978, often contain lead-based paint, which can pose a significant risk for lead poisoning, especially in young children.
In the event of a communication breakdown during a disaster, what actions should be taken?
- A. Contact a larger hospital to see how they handle disaster communication.
- B. Find out who did not follow the Communication tree.
- C. Have one person follow-up for all the hospital to see where the breakdown occurred.
- D. Confirm that all essential staff are on either the lockdown team or the relief team.
Correct Answer: D
Rationale: Confirming that all essential staff are on either the lockdown team or the relief team ensures that everyone knows their roles and responsibilities, which is crucial for effective communication during a disaster.
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.
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