The school nurse is conducting an audit of incident reports for adolescent students. Which finding is the best indication that the Healthy People 2030 objectives are being addressed?
- A. The number of requests for pregnancy testing is higher than last year.
- B. Decrease in the number of sick days.
- C. Increase in the number of students participating in physical education.
- D. Improvement in the overall health of the student population.
Correct Answer: D
Rationale: An improvement in the overall health of the student population is the best indication that the Healthy People 2030 objectives are being addressed. The Healthy People 2030 objectives aim to improve health and well-being nationwide. Therefore, an improvement in the overall health of the student population suggests that these objectives are being met.
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The nurse is triaging victims of a tornado at an emergency shelter. An adult who has been wandering and crying comes to the nurse. Which action should the nurse take?
- A. Check the client's temperature, blood sugar, and urine output.
- B. Arrange for the client to be transported for laboratory tests and an electrocardiogram (ECG).
- C. Delegate care of the crying client to an unlicensed assistant.
- D. Direct the client to the shelter's nutrition center to obtain water and food.
Correct Answer: D
Rationale: Directing the client to the shelter's nutrition center to obtain water and food is the best action in this situation. The client may be dehydrated or hungry, which could be contributing to their distress. Providing for these basic needs can help to calm the client and provide a sense of safety and stability.
While conducting a head lice screening for third-grade students, the school nurse notices a brownish thickening on the neck of one child. What should be the nurse's response to this observation?
- A. Review the child's medical records for a list of allergies or sensitivities.
- B. Inspect the child's torso and arms for other signs of physical injury.
- C. Advise the parents to start treatment with permethrin.
- D. Recommend the parents to seek further medical evaluation for the child.
Correct Answer: D
Rationale: Given the observation of a brownish thickening on the neck of the child, it would be appropriate to recommend the parents to seek further medical evaluation for the child. This symptom could be indicative of various conditions, which would require further investigation.
The Incident Command team discovers that over 30% of essential staff did not receive any communication. What should be done next?
- A. Identify the issue the facility is facing.
- B. Determine two actions the incident team should take to address the issue.
- C. Identify two parameters the team should monitor to ensure all essential personnel are aware of the communication tree.
- D. All of the above.
Correct Answer: D
Rationale: All of the above actions should be taken to address the communication issue. The Incident Command team should identify the issue the facility is facing, determine actions to address the issue, and identify parameters to monitor to ensure all essential personnel are aware of the communication tree.
A nurse has developed a six-month program to address the increased incidence of hospital-acquired infections among clients in a long-term care facility. The program includes three mandatory classes on proper handwashing techniques and increases the availability of hand cleansers in the facility. Which measure provides the best indication of the program's effectiveness?
- A. Survey employees to determine how often hand cleansers are used during client care.
- B. Compare the incidence of infections before and after the program's implementation.
- C. Observe a random sample of employees washing their hands three weeks after the program starts.
- D. Use an experimental design to compare program participants with a control group.
Correct Answer: B
Rationale: Comparing the incidence of infections before and after the program's implementation is the most direct and reliable measure of the program's effectiveness. A significant reduction in the rate of hospital-acquired infections after the implementation of the program would indicate that the program is effective.
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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