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?

Review the previous school nurse's anecdotal documents.

Obtain morbidity and mortality data for the geographic area.

Talk with teachers about their concerns for the students.

Discuss with the Parent/Teacher Association (PTA) board about their perception of school events.

Answer and Explanation

The Correct Answer is B

A. Review the previous school nurse's anecdotal documents:
While reviewing past documents may provide some context or historical insights, anecdotal evidence is subjective and may not offer a comprehensive or objective validation of current findings.

B. Obtain morbidity and mortality data for the geographic area:
Morbidity and mortality data offer objective, quantifiable information about health conditions and outcomes in the community. This data helps validate and supplement the observations from a windshield survey by providing concrete evidence on health trends, disease prevalence, and outcomes in the area.

C. Talk with teachers about their concerns for the students:
Teachers’ perspectives can provide valuable insights into student health and well-being, but this method is subjective and may not provide the objective validation needed to corroborate findings from a windshield survey.

D. Discuss with the Parent/Teacher Association (PTA) board about their perception of school events:
The PTA board’s perceptions can offer useful information about community and school events, but their feedback is subjective and may not provide the objective data needed to validate the findings of a windshield survey.

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Correct Answer is C

Explanation

A. Rescreen the entire prison population in 6 weeks:
While rescreening may be necessary at some point, it is not the immediate priority. The focus should be on diagnosing and managing the individuals who have already tested positive.

B. Start the two inmates on antitubercular medications:
Starting antitubercular medications is important, but it should only be done after confirming that the individuals have active TB. The positive skin test indicates exposure but does not confirm active TB disease.

C. Refer the two inmates for chest x-rays:
A chest x-ray is crucial to determine whether the positive skin test indicates active TB disease or latent TB infection. This step is essential for accurate diagnosis and appropriate management. It helps distinguish between active TB, which requires treatment, and latent TB, which may require different management strategies.

D. Screen the prison guards for TB:
While screening the prison guards could be a part of a broader infection control plan, it is not the most immediate priority. The focus should be on further evaluating and managing the inmates who have tested positive.

A. Accessibility to trauma care. B. Annual health fair. C. Family planning center. D. Weather-related disaster plan.

Correct Answer is A

Explanation

A) Accessibility to trauma care:
In a rural community, where access to specialized healthcare services can be limited due to geographic isolation, having accessibility to trauma care is crucial. Trauma care resources are vital for managing severe injuries and emergencies, which may be more challenging to address promptly in rural areas. Ensuring that the community has access to emergency trauma care can significantly impact health outcomes and survival rates in critical situations.

B) Annual health fair:
While an annual health fair can be beneficial for promoting health awareness and providing screenings, it is a periodic event rather than an ongoing resource. In rural communities, continuous and accessible healthcare services, such as trauma care, have a more immediate and critical impact on health outcomes compared to periodic health fairs.

C) Family planning center:
A family planning center is important for reproductive health and can provide valuable services to individuals and families. However, in the context of immediate and potentially life-threatening health needs, such as trauma care, its importance is comparatively lower. In rural settings, immediate access to trauma care can be more critical due to the potential for severe injuries and emergencies.

D) Weather-related disaster plan:
A weather-related disaster plan is essential for preparing for and responding to natural disasters, which can be crucial in a rural setting prone to severe weather events. However, in terms of day-to-day healthcare needs and addressing immediate health crises like trauma, accessibility to trauma care is more directly relevant to the community’s ongoing health and safety.

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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?

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Naxlex Comprehensive Predictor Exams

Tuberculosis (TB) screening at a federal prison reveals that two inmates have a positive skin test. Which action is most important for the nurse to take?

Correct Answer is C

Explanation

The public health nurse is evaluating resources in a rural community. Which healthcare resource is most important to the community?

Correct Answer is A

Explanation

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