A community health nurse is planning a program for young adults about STI prevention. Which of the following actions should the nurse take first when preparing this program?

Develop content appropriate to learner needs.

Arrange for computer-assisted learning

Collect data to identify learners' current knowledge base

Identify topics with health department nurses.

Answer and Explanation

The Correct Answer is C

A. Develop content appropriate to learner needs: Developing content is a subsequent step. To create truly appropriate content, the nurse first needs to understand what the target audience (young adults) already knows, what their misconceptions are, and what specific information they need and are interested in.

B. Arrange for computer-assisted learning: This is a strategy for delivering the education but not the first step. It should come after identifying learner needs and planning content accordingly to ensure effectiveness.

C. Collect data to identify learners' current knowledge base: This is the first and most critical step. A needs assessment allows the nurse to tailor the program to the audience’s existing knowledge, misconceptions, and educational requirements, ensuring that the intervention is relevant and impactful.

D. Identify topics with health department nurses: Consulting other professionals is helpful, but the initial step should focus directly on the target learners to ensure the program meets their specific needs.

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Correct Answer is B

Explanation

A. The client has a body mass index of 23: A BMI of 23 falls within the normal healthy range (18.5–24.9), which is associated with a lower risk of heart disease compared to overweight or obesity.

B. The client recently started vaping: Vaping introduces nicotine and other harmful chemicals that can increase heart rate, blood pressure, and promote inflammation, all of which elevate the risk for cardiovascular disease. Although often perceived as safer than smoking, vaping still poses significant heart health risks.

C. The client includes insoluble fiber foods in their diet: Insoluble fiber supports digestive health and can indirectly reduce heart disease risk by promoting overall healthy eating habits, but it does not directly increase cardiovascular risk.

D. The client limits dietary intake of high sugar foods: Reducing high sugar intake helps prevent obesity, diabetes, and dyslipidemia, all of which decrease the risk of heart disease, so this behavior is protective rather than a risk factor.

A. Receives hemodialysis for chronic kidney disease B. Cares for infants at a day care center C. Immigrated to the US, as a young adolescent D. Reports prior IV drug use as an adolescent

Correct Answer is B

Explanation

A. Receives hemodialysis for chronic kidney disease: Hemodialysis increases the risk for hepatitis B and C due to potential exposure to contaminated blood or equipment, but it is not a primary risk factor for hepatitis A, which is spread via the fecal-oral route.

B. Cares for infants at a day care center: Day care workers are at increased risk for hepatitis A due to frequent exposure to fecal matter, especially when caring for diapered children who may be asymptomatic carriers of the virus.

C. Immigrated to the US, as a young adolescent: While certain countries have higher rates of hepatitis A, immigration alone does not inherently increase risk unless the person was exposed to poor sanitation or contaminated food or water before moving.

D. Reports prior IV drug use as an adolescent: IV drug use is a well-known risk factor for hepatitis B and C due to bloodborne transmission, but it is less commonly associated with hepatitis A, which is transmitted through ingestion of contaminated food or water.

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A community health nurse is planning a program for young adults about STI prevention. Which of the following actions should the nurse take first when preparing this program?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is B

Explanation

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