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The school nurse is reviewing adolescent students' incident reports. Which observation would best indicate that the objectives of Healthy People 2030 are being met?
- A. The number of requests for pregnancy tests has increased compared to the previous year.
- B. Fewer firearms were found on school premises this year compared to last year.
- C. There has been a decrease in the number of students enrolled in the school this year.
- D. The rate of absenteeism has significantly risen over the past two years.
Correct Answer: B
Rationale: A decrease in the number of firearms found on school premises could suggest improvements in school safety, one of the focus areas of Healthy People 2030.
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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.
The community health nurse collaborated with the American Heart Association to launch a comprehensive educational program about strokes and acute coronary syndrome. Which result indicates that the program was successful?
- A. All educational pamphlets prepared for distribution were disseminated among the served counties.
- B. 75% of the workshop attendees rated the educational program as outstanding.
- C. Cardiac-related fatalities decreased by 109% six months after the program's presentation.
- D. 65% of the program's participants committed to adopting a healthier lifestyle.
Correct Answer: C
Rationale: A decrease in cardiac-related fatalities by 109% six months after the program's presentation is a direct and measurable outcome that indicates the program was successful in its goal to prevent strokes and acute coronary syndrome.
A 5-year-old patient has been brought in for a routine check-up and vaccination update. The mother reports that the child has been having difficulty focusing in school and has shown a decreased appetite in recent weeks. What actions should the nurse take?
- A. Review the child's medical history for any allergies or sensitivities.
- B. Examine the child's torso and arms for any signs of physical trauma.
- C. Advise the parents to initiate treatment with permethrin.
- D. Recommend the parents to seek further medical evaluation for the child.
Correct Answer: D
Rationale: Given the child's symptoms of difficulty focusing in school and decreased appetite, it would be appropriate to recommend the parents to seek further medical evaluation for the child. These symptoms could be indicative of various conditions, including emotional distress, sleep disorders, or other health issues.
A client comes to the clinic for an annual physical exam. When asked about their influenza vaccine status, the client responds, “I never get the vaccine because I don't get the flu.â€. Which aspect of the Health Belief Model is the client demonstrating?
- A. Perceived barriers.
- B. Perceived susceptibility.
- C. Perceived severity.
- D. Perceived benefits.
Correct Answer: A
Rationale: The client's decision not to get the flu vaccine because they don't get the flu demonstrates perceived barriers, one aspect of the Health Belief Model. The client may perceive that the potential discomfort or inconvenience of getting the vaccine outweighs the benefits.
A 2-month-old infant contracts a disease through vertical transmission. Which situation should the nurse investigate further to ascertain how the infant might have been exposed to the disease?
- A. The infant received a scheduled immunization.
- B. The father fed the infant spoiled baby food.
- C. The mother is breastfeeding the infant.
- D. The infant was bitten by an infected mosquito.
Correct Answer: C
Rationale: Breastfeeding is a common method of vertical transmission. Certain infections in the mother can be passed to the infant through breast milk. Therefore, if a 2-month-old infant contracts a disease that could be transmitted vertically, it would be important to investigate if the mother could be the source of the infection.