A community health nurse is planning strategies to prevent an increase in the incidence of osteoporosis in the community. Which activity should the nurse include?

Ensure that all meals delivered to persons receiving Meals-on-Wheels include fresh or canned fruit.

Schedule blood pressure screenings during craft club hours for elderly women at the senior center.

Lobby the local school board to increase physical education classes at all schools in the district.

Collaborate with a local scout troop to determine families that need wheelchair ramps installed.

Answer and Explanation

The Correct Answer is C

A) Ensure that all meals delivered to persons receiving Meals-on-Wheels include fresh or canned fruit:
While ensuring meals include fruit can contribute to overall nutrition, it does not specifically address the prevention of osteoporosis. Osteoporosis prevention strategies typically focus on calcium and vitamin D intake and weight-bearing exercises rather than just including fruit in meals.

B) Schedule blood pressure screenings during craft club hours for elderly women at the senior center:
Blood pressure screenings are important for managing cardiovascular health but do not directly impact the prevention of osteoporosis. Osteoporosis prevention strategies are more focused on factors such as bone density, calcium intake, and physical activity.

C) Lobby the local school board to increase physical education classes at all schools in the district:
Increasing physical education classes in schools is a key strategy for osteoporosis prevention. Weight-bearing exercises and physical activity are essential for building and maintaining bone density, especially in youth. Lobbying for increased physical education supports long-term bone health by promoting regular exercise from an early age.

D) Collaborate with a local scout troop to determine families that need wheelchair ramps installed:
While installing wheelchair ramps is important for accessibility and mobility, it does not directly contribute to osteoporosis prevention. Osteoporosis prevention focuses on improving bone health through dietary changes and physical activity rather than addressing mobility issues.

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Correct Answer is B

Explanation

A) 80% of the students attend a voluntary sex education seminar:
While a high attendance rate at a sex education seminar indicates interest and participation in the program, it does not directly measure the program's impact on preventing student pregnancy. Attendance alone does not provide evidence of behavioral change or reduced pregnancy rates among students.

B) Students report an average delay of 2 years for their first sexual experience:
An average delay in the age of first sexual experience is a strong indicator of the program's effectiveness in influencing behavior. Delaying sexual activity can reduce the risk of unintended pregnancies, showing that the program has successfully impacted students' decisions regarding sexual activity.

C) Students requesting information about adolescent pregnancy has increased by 25%:
An increase in requests for information about adolescent pregnancy may suggest growing awareness or curiosity, but it does not directly measure changes in pregnancy rates or the effectiveness of the prevention program in reducing pregnancies.
D) 75% of the parents agree to support a pregnancy prevention program in the schools:
While parental support is important for the success of health programs, this measure reflects support and approval rather than direct outcomes related to pregnancy prevention. The effectiveness of the program is better gauged by changes in student behavior and pregnancy rates, rather than parental agreement.

A. Women, Infant, and Children program. B. Consolidated Omnibus Budget Reconciliation Act provisions. C. Medicare. D. Medicaid.

Correct Answer is C

Explanation

A) Women, Infant, and Children program:
The Women, Infant, and Children (WIC) program provides nutritional assistance to low-income pregnant women, new mothers, and young children. It is not designed for general health insurance needs and is not applicable to a 66-year-old retiring from employment.

B) Consolidated Omnibus Budget Reconciliation Act provisions:
The Consolidated Omnibus Budget Reconciliation Act (COBRA) allows employees and their families to continue their health insurance coverage for a limited period after leaving employment. While COBRA can provide temporary coverage, it may not be the most appropriate long-term solution for a retiree who will likely need ongoing health insurance coverage beyond the COBRA continuation period.

C) Medicare:
Medicare is a federal health insurance program specifically designed for individuals aged 65 and older. Since the client is 66 years old and retiring, Medicare is the most appropriate agency to refer to for health insurance needs. Medicare provides comprehensive health coverage for seniors and is suited to their age group.

D) Medicaid:
Medicaid provides health coverage for low-income individuals and families, including some older adults with limited income and resources. However, for a 66-year-old client who is retiring and is likely eligible for Medicare, Medicaid may not be the primary insurance option unless the client has specific low-income needs that qualify them for additional assistance. Medicare is the primary program for seniors.

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A community health nurse is planning strategies to prevent an increase in the incidence of osteoporosis in the community. Which activity should the nurse include?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A 66-year-old client is retiring and will no longer have health insurance through a place of employment. Which agency should the client be referred to by the employee health nurse for health insurance needs?

Correct Answer is C

Explanation

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