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While reviewing the objectives for 'Healthy People 2030,' the nurse determines that the community has a significant problem in preventing dental caries among children. To bring about change that addresses this identified community health problem, which is the best place to initiate a prevention program?
- A. Hospital emergency departments.
- B. The local shopping mall.
- C. Women, Infant, and Children office.
- D. Community youth center.
Correct Answer: C
Rationale: The WIC office targets low-income families with young children, ideal for dental caries prevention through education and resources.
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The nurse is planning a health fair for high school students. Which assessment is most important for the nurse to obtain?
- A. Weight and height.
- B. Sexual activity.
- C. Immunization history.
- D. Visual acuity.
Correct Answer: B
Rationale: Assessing sexual activity is critical for high school students to address sexual health, STIs, and pregnancy risks, guiding tailored education and interventions.
The school nurse administers methylphenidate to an adolescent with Attention Deficit Hyperactivity Disorder (ADHD). When evaluating the drug's effectiveness, which information is most important for the nurse to review?
- A. Parent's report about behavior.
- B. Current grade report.
- C. Self-report about treatment progress.
- D. Past grade report.
Correct Answer: A
Rationale: Parents' reports on behavior provide critical insights into ADHD symptom management across settings, essential for evaluating methylphenidate's effectiveness.
A newly hired school nurse conducts a 'windshield' survey of the geographic area served by the school, Which method is best for the nurse to use to objectively validate the findings obtained?
- A. Review the previous school nurse's anecdotal documents.
- B. Obtain morbidity and mortality data for the geographic area.
- C. Talk with teachers about their concerns for the students.
- D. Discuss with the Parent/Teacher Association (PTA) board about their perception of school events.
Correct Answer: B
Rationale: Morbidity and mortality data provide objective, quantifiable evidence to validate windshield survey findings, offering insights into health trends and disease prevalence in the community.
The school nurse administers methylphenidate to an adolescent with Attention Deficit Hyperactivity Disorder (ADHD). When evaluating the drug's effectiveness, which information is most important for the nurse to review?
- A. Parent's report about behavior.
- B. Current grade report.
- C. Self-report about treatment progress.
- D. Past grade report.
Correct Answer: A
Rationale: Parents' reports on behavior provide critical insights into ADHD symptom management across settings, essential for evaluating methylphenidate's effectiveness.
A middle-aged client presents for an annual health visit at a community clinic. The client is 5 feet 10 inches (177.8 cm) tall, weighs 250 pounds (113.4 kg), and works as an accountant. The client has smoked at least one pack of cigarettes every day for the last 15 years. Which secondary prevention measure should the nurse recommend the client to follow?
- A. Smoking cessation.
- B. Compliance with antihypertensive and lipid lowering agents.
- C. Blood pressure and lipid screening.
- D. Increase physical activity and diet low in saturated fat.
Correct Answer: C
Rationale: Blood pressure and lipid screening are secondary prevention measures to detect cardiovascular issues early, critical for a smoker with obesity and high cardiovascular risk.