A community health nurse is planning an educational program for a local community on the prevention of chronic diseases. Which of the following actions best reflects the nurse's role in promoting community health?
Designing and delivering educational sessions on healthy lifestyle choices and preventive measures to the community.
Focusing solely on treating acute health issues as they arise within the community.
Providing one-on-one medical treatment for community members who are currently experiencing chronic disease symptoms.
Conducting individual health screenings and providing personalized counselling for each participant.
The Correct Answer is A
A. Designing and delivering educational sessions on healthy lifestyle choices and preventive measures to the community. This reflects the nurse's role in promoting health and preventing disease on a community-wide level.
B. Focusing solely on treating acute health issues as they arise within the community. Addressing acute issues is reactive and does not promote long-term health improvement.
C. Providing one-on-one medical treatment for community members who are currently experiencing chronic disease symptoms. While valuable, this action focuses on individuals rather than addressing community-wide prevention.
D. Conducting individual health screenings and providing personalized counseling for each participant. Screenings and counseling are important but do not reflect broader community-level education efforts.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
A. Black, tarry stools: Celecoxib, a COX-2 inhibitor, can increase the risk of gastrointestinal bleeding, which can manifest as black, tarry stools. This is a serious adverse effect that should be reported.
B. Dry mouth: Dry mouth is not a common adverse effect of celecoxib. This is incorrect.
C. Bone pain: Bone pain is not a recognized adverse effect of celecoxib and may be related to the underlying osteoarthritis rather than the medication.
D. Polyuria: Polyuria is not associated with celecoxib. It is unrelated to the medication’s mechanism of action.
Correct Answer is D
Explanation
A. Observe the patient's facial expressions and body language for signs of discomfort: While observation is important, it doesn't provide a complete picture of the client's pain experience and may not capture all aspects, such as intensity or location.
B. Measure the patient's vital signs and note any changes: Vital signs are important but can be nonspecific indicators of pain and are not as reliable for assessing pain intensity or quality.
C. Review the patient's medical history for past pain management interventions and their outcomes: While this is useful, it does not directly address the client's current pain experience.
D. Ask the patient to describe the pain using a pain scale and provide details about its location, duration, and intensity. A comprehensive pain assessment requires the client's self-report to fully understand the pain's characteristics. A pain scale (e.g., 0-10) helps quantify the intensity, and asking about its location, duration, and type allows for a thorough understanding of the pain's impact.
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