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The parish nurse notes that an older adult client has had a 5 lb (2.3 kg) weight loss since a check-up one month ago. The client has good hygiene, still drives a car, and lives alone. To which agency should the nurse refer this client?
- A. The Senior Citizen Center.
- B. The Social Security Administration office.
- C. The Adult Day Care Center.
- D. The Women, Infant, and Children office.
Correct Answer: A
Rationale: The Senior Citizen Center offers social activities and meal programs that can address potential causes of weight loss, such as isolation or inadequate nutrition, suitable for an independent older adult.
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A school nurse identifies 15 new students with positive tuberculin tests among the 500 at-risk students tested. Which is the rate per 1,000 with new positive tests?
- A. 3/1,000.
- B. 30/1,000.
- C. 1.7/1,000.
- D. 15/1,000.
Correct Answer: B
Rationale: The rate is calculated as (15/500) * 1,000 = 30/1,000, accurately reflecting the proportion of students with positive tests per 1,000.
The city health department director asks the community health nurse to make a presentation describing the greatest health concern facing the city. How should the nurse begin to collect the data needed for this presentation?
- A. Review morbidity data for the city's population compiled by the Bureau of Vital Statistics.
- B. Conduct a random telephone survey to determine the public's perception about health problems.
- C. Call American Medical Association members to determine the most frequently treated diagnoses.
- D. Survey major hospitals in the area to determine the most common reasons for admissions.
Correct Answer: A
Rationale: Morbidity data from the Bureau of Vital Statistics provides comprehensive, objective information on disease prevalence, identifying major health concerns.
A homeless client with alcohol dependency will be dismissed from the emergency department in 24 hours. The nurse notes that a tuberculin (TB) skin test was prescribed by the healthcare provider. Which intervention is most important for the nurse to implement prior to discharge?
- A. Explain to the client results should be read between 48 and 72 hours.
- B. Identify how the client will follow up to have the results read.
- C. Determine if the client understands the purpose of the tuberculin test.
- D. Give the client written Information about the tuberculosis test.
Correct Answer: B
Rationale: Ensuring follow-up for TB test reading is critical, especially for a homeless client, to confirm diagnosis and prevent missed results.
A nurse is planning a nutrition class for a group of older adults at a community center and wants to emphasize the amount and types of fat in some foods versus others. Which teaching method is best for the nurse to use?
- A. Ask each older adult to bring a food for others to taste, then estimate the fat contained in these foods.
- B. Show a movie about cooking with foods that are low in fat but delicious.
- C. Determine foods most often eaten by this group and discuss the nutritional panel of each product.
- D. Display posters with foods and tell the seniors about the fat content
Correct Answer: C
Rationale: Discussing nutritional panels of commonly eaten foods provides practical, personalized education on fat content, enabling informed dietary choices.
The nurse notes that the influenza immunization rates are much lower for certain demographic groups than for others. Which intervention is likely to be most useful in increasing the rates of immunization in these under-served immunization groups?
- A. Legislative proposals that mandate influenza vaccinations for all.
- B. Radio announcements about the availability of the influenza vaccine.
- C. Reports describing influenza rates during times of greatest prevalence.
- D. Designation of clinics conveniently located in target neighborhoods.
Correct Answer: D
Rationale: Conveniently located clinics address access barriers, increasing influenza vaccination rates in underserved groups.