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 ["A","C","D","F"]

Explanation

A) Client survey both in clinic and in the home:
Conducting surveys in both the clinic and home settings provides a comprehensive approach to gathering data on vaccination rates and influenza cases. This method ensures a wider reach and captures information from diverse populations, which can help in understanding factors influencing vaccination rates.
B) Ask a set number of clients if they have had the flu:
This action is less systematic and may not provide comprehensive data on vaccination rates or trends. It focuses more on individual experiences rather than providing a broad analysis of vaccination coverage and influenza cases.
C) Determine change in immunization rates from prior year to current year:
Analyzing the change in immunization rates over time helps identify trends and patterns. This comparison will reveal whether there has been a decline in vaccination rates, which could correlate with the increase in influenza cases. This step is crucial for understanding the effectiveness of past vaccination efforts and identifying areas for improvement.

D) Generate influenza immunization and case reports from the electronic record for prior year and current year:
Generating and reviewing reports from electronic health records provides concrete data on immunization rates and influenza cases. This data is essential for identifying trends and making informed decisions about where and how to target interventions.

E) Develop an action plan to increase immunization rates:
While developing an action plan is a necessary step after analyzing the data, it is not part of the data gathering process itself. It comes after understanding the current trends and patterns from the data collected.
F) Delineate geographic distribution of area to survey and review for patterns:
Understanding the geographic distribution helps in identifying areas with higher or lower vaccination rates and influenza cases. This spatial analysis can reveal patterns related to vaccination coverage and infection rates, guiding targeted interventions and resource allocation.

A. Parent's report about belravior. B. Current grade report. C. Self-report about treatment progress. D. Past grade report.

Correct Answer is A

Explanation

A) Parent's report about behavior:
The parent’s report about the adolescent's behavior is crucial for evaluating the effectiveness of methylphenidate in managing ADHD symptoms. Parents observe the child’s behavior in various settings and can provide detailed information on improvements or ongoing challenges with attention, hyperactivity, and impulsivity. This feedback is essential in assessing whether the medication is having the desired effect and if any adjustments are needed.

B) Current grade report:
While academic performance is an important aspect of evaluating the impact of ADHD medication, it is not the sole indicator of effectiveness. Grades can be influenced by multiple factors, including teaching methods, learning environment, and personal circumstances, so they provide only part of the picture.

C) Self-report about treatment progress:
Self-reports from adolescents can offer valuable insights into their own perception of how well the medication is working. However, younger individuals might not always accurately assess or communicate the effects of the medication, especially in the context of ADHD, where self-awareness can be limited.

D) Past grade report:
Past grade reports can provide historical context and help in comparing changes over time. However, they do not provide immediate feedback on the current effectiveness of the medication. Current behaviors and symptoms, as reported by parents, are more directly relevant to assessing the current impact of the medication.

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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

Correct Answer is ["A","C","D","F"]

Explanation

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?

Correct Answer is A

Explanation

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