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 D

Explanation

A) The Centers for Disease Control and Prevention (CDC) has identified this problem as a variable in morbidity:
While the CDC provides valuable data and insights on various health issues, it may not directly frame "access to health services" as a key reason for addressing the issue in the broader context of health improvement strategies. The focus here is on the broader, more comprehensive goals rather than specific CDC findings.

B) The Community Health Improvement Process is used for issues in high-risk populations:
The Community Health Improvement Process is a method used to address health issues, but this statement does not directly explain why improving access to health services is crucial. It focuses more on the process rather than the rationale behind improving access.

C) The Institute of Medicine includes "access" as one of its priority recommendations:
The Institute of Medicine (now the National Academy of Medicine) has indeed highlighted the importance of access to health services. However, the most compelling reason for emphasizing access is its inclusion in national health goals, which underscores its broad importance.

D) The committee for "Healthy People 2030" has identified "access" as a national goal:
This statement provides the best response because it highlights that improving access to health services is a national health goal outlined in "Healthy People 2030." This demonstrates the significant importance placed on access to health services at a national level and aligns with broader public health objectives, making it a strong justification for addressing the issue in the workshop.

A. Explain to the client results should be read between 48 and 72 hours. B. Identify how the client will follow up to have the results read. C. Determine if the client understands the purpose of the tuberculin test. D. Give the client written Information about the tuberculosis test.

Correct Answer is B

Explanation

A) Explain to the client results should be read between 48 and 72 hours:
While it is important for the client to know when the results should be read, this step is secondary to ensuring the client has a plan for follow-up. Knowing the timeline for reading the results alone does not guarantee that the client will actually return to have the test read.

B) Identify how the client will follow up to have the results read
Ensuring that the client has a clear plan for follow-up is the most crucial intervention. For a homeless client, arranging for follow-up might involve coordinating with local health services or shelters to make sure the client returns for the test reading. Without a solid follow-up plan, the TB test could be missed, which is important for ensuring proper diagnosis and treatment.

C) Determine if the client understands the purpose of the tuberculin test:
Understanding the purpose of the test is important for client education, but it does not directly address the issue of follow-up. The priority should be ensuring that the client knows how to get the test results read, which is essential for the test's effectiveness.

D) Give the client written information about the tuberculosis test
Providing written information can be helpful, but it does not guarantee that the client will follow up to have the test read. Given the challenges faced by homeless individuals, direct assistance in planning follow-up care is more critical than providing written information alone.

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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

While presenting a workshop titled, "Improving Access to Health Services" to community leaders, the community health nurse is asked by a city council member to explain the reason for addressing this issue. Which statement provides the best response?

Correct Answer is D

Explanation

A homeless client with alcohol dependency will be dismissed from the emergency department in 24 hours. The nurse notes that a tuberculin (TB) skin test was prescribed by the healthcare provider. Which intervention is most important for the nurse to implement prior to discharge?

Correct Answer is B

Explanation

Community health nurses are particularly concerned with the spread of communicable diseases such as hepatitis A. Which group of Individuals should the nurse identify as being at greatest risk for contracting this type of hepatitis?

A school nurse identifies 15 new students with positive tuberculin tests among the 500 at-risk students fested. Which is the rate per 1,000 with new positive tests?

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 community health nurse is helping a group of nursing students plan a tertiary prevention program for a local community clinic that serves a majority Hispanic population. Which service project meets the requirement of a tertiary prevention program and would best serve this population?

Several clients who have recently come to the local health clinic in a rural county are diagnosed with tuberculosis (TB). After reporting the occurrence to the health department, which community focused action should the nurse implement first?

An adolescent tells the school nurse that she is pregnant. Her last menstrual period was 4 months ago, and she has not yet received any medical care. She smokes but denies any other substance use. Which interventions should the nurse implement? (Select all that apply.)

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?