Nokea
Two years ago, the nurse assessed the health needs of high school students and determined that student pregnancy was a priority problem. The nurse then developed a pregnancy prevention program for the entire school district. Which finding is the best indicator of the program's effectiveness?
- A. 80% of the students attend a voluntary sex education seminar.
- B. Students report an average delay of 2 years for their first sexual experience.
- C. Students requesting information about adolescent pregnancy has increased by 25%.
- D. 75% of the parents agree to support a pregnancy prevention program in the schools.
Correct Answer: B
Rationale: A delay in first sexual experience directly indicates behavioral change, reducing pregnancy risk and demonstrating the program's effectiveness in altering student behavior.
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On a day when the temperature is expected to drop to below freezing during the night, the nurse is asked to determine which homeless adults are most in need of the limited spaces that are available in a shelter. It is most important for which person to be admitted for the night?
- A. A young person with diabetes mellitus.
- B. A middle-aged person who has hypertension.
- C. An older person who is malnourished.
- D. An adult who was hit by a car 3 weeks ago.
Correct Answer: C
Rationale: A malnourished older person is most vulnerable to hypothermia due to impaired thermoregulation, making shelter critical to prevent cold-related illnesses.
Two years ago, the nurse assessed the health needs of high school students and determined that student pregnancy was a priority problem. The nurse then developed a pregnancy prevention program for the entire school district. Which finding is the best indicator of the program's effectiveness?
- A. 80% of the students attend a voluntary sex education seminar.
- B. Students report an average delay of 2 years for their first sexual experience.
- C. Students requesting information about adolescent pregnancy has increased by 25%.
- D. 75% of the parents agree to support a pregnancy prevention program in the schools.
Correct Answer: B
Rationale: A delay in first sexual experience directly indicates behavioral change, reducing pregnancy risk and demonstrating the program's effectiveness in altering student behavior.
The home health nurse enters the home of a client, and the client's spouse immediately reports that the client cannot be awakened and appears to have taken an overdose of some medications. After determining that the client is unresponsive but is breathing and has a pulse, which action should the nurse take?
- A. Call 911 for emergency transport.
- B. Determine what medications were ingested.
- C. Contact the poison control center.
- D. Attempt to induce vomiting using a tongue blade.
Correct Answer: A
Rationale: Calling 911 ensures immediate medical intervention for an unresponsive client, critical to address a potential overdose.
A client who recently returned from international travel presents to the clinic with high fever, chills, headache, and muscular aches. The healthcare provider suspects severe acute respiratory syndrome (SARS). To prevent transmission of the virus to others, which instruction is most important for the nurse to provide?
- A. Wear a N95 respirator mask during direct contact with others.
- B. Cover mouth and turn head when coughing
- C. Use meticulous hand washing technique.
- D. Discard all tissues used during coughing in a biohazard bag.
Correct Answer: A
Rationale: An N95 respirator mask is critical for preventing airborne transmission of SARS, offering superior protection compared to other measures like hand washing or tissue disposal.
A toddler is brought by a parent to the health department for scheduled immunizations. The toddler clings to the caregiver and cowers when approached. Which assessment warrants immediate intervention by the nurse?
- A. Small bruises on the lower extremities.
- B. A one-inch laceration across center of forehead.
- C. Refusal to answer simple questions.
- D. Several dime-sized circular burns on the back.
Correct Answer: D
Rationale: Circular burns are suggestive of abuse, requiring immediate intervention to ensure the child's safety and further investigation.