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A nurse has developed a six-month program to address the increased incidence of hospital-acquired infections among clients in a long-term care facility.
The program includes three mandatory classes on proper handwashing techniques and increases the availability of hand cleansers in the facility.
Which measure provides the best indication of the program’s effectiveness?

Survey employees to determine how often hand cleansers are used during client care.

Compare the incidence of infections before and after the program’s implementation.

Observe a random sample of employees washing their hands three weeks after the program starts.

Use an experimental design to compare program participants with a control group.

Answer and Explanation

The Correct Answer is B

Answer and explanation

The correct answer is Choice B.

Choice A rationale

While surveying employees to determine how often hand cleansers are used during client care can provide some insight into the adherence to the program, it does not directly measure the effectiveness of the program in reducing hospital-acquired infections.

Choice B rationale

Comparing the incidence of infections before and after the program’s implementation is the most direct and reliable measure of the program’s effectiveness. A significant reduction in the

rate of hospital-acquired infections after the implementation of the program would indicate that the program is effective.

Choice C rationale

Observing a random sample of employees washing their hands three weeks after the program starts can provide information about the employees’ compliance with the handwashing techniques taught in the program. However, this measure does not directly indicate whether the program has been effective in reducing the incidence of hospital-acquired infections.

Choice D rationale

Using an experimental design to compare program participants with a control group could provide valuable data on the program’s effectiveness. However, this method might not be feasible or ethical in a healthcare setting, as it would involve deliberately withholding the program from the control group.

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Correct Answer is D

Explanation

Answer and explanation

The correct answer is Choice D.

Choice A rationale

Identifying the issue the facility is facing is an important step in addressing the communication issue. However, it is not the only action that should be taken. The Incident Command team should also determine actions to address the issue, identify parameters to monitor, and consider all of these steps together.

Choice B rationale

Determining actions to address the issue is an important step in addressing the communication issue. However, it is not the only action that should be taken. The Incident Command team should also identify the issue, identify parameters to monitor, and consider all of these steps together.

Choice C rationale

Identifying parameters to monitor to ensure all essential personnel are aware of the communication tree is an important step in addressing the communication issue. However, it is not the only action that should be taken. The Incident Command team should also identify the issue, determine actions to address the issue, and consider all of these steps together.

Choice D rationale

All of the above actions should be taken to address the communication issue. The Incident Command team should identify the issue the facility is facing, determine actions to address the issue, and identify parameters to monitor to ensure all essential personnel are aware of the communication tree. By considering all of these steps together, the Incident Command team can effectively address the communication issue and improve communication within the facility.

A. The local shopping mall. B. Hospital emergency departments. C. Women, Infants, and Children office. D. Community youth center.

Correct Answer is C

Explanation

Answer and explanation

The correct answer is Choice D.

Choice A rationale

While a local shopping mall might attract a large number of people, it may not be the most effective location for a dental caries prevention program. The program would likely be more successful in a setting where children and their parents regularly go and feel comfortable discussing health-related topics.

Choice B rationale

Hospital emergency departments primarily deal with acute health issues. They may not be the most suitable setting for a preventive program focused on dental health, which is a long-term and ongoing concern.

Choice C rationale

The Women, Infants, and Children (WIC) office provides support to low-income women and young children, including nutrition education and healthy food. While this setting might reach a population that could benefit from a dental caries prevention program, it may not reach all children in the community.

Choice D rationale

A community youth center could be an effective location for a dental caries prevention program. These centers often provide a variety of programs for children and have the

infrastructure to support health education programs. They are also places where children and their parents are likely to feel comfortable and receptive to learning.

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Naxlex Comprehensive Predictor Exams

The Incident Command team discovers that over 30% of essential staff did not receive any communication.What should be done next?

Correct Answer is D

Explanation

In the context of the “Healthy People 2030” objectives, the nurse identifies a significant issue in the community related to the prevention of dental caries in children. Where would be the most effective location to start a prevention program?

Correct Answer is C

Explanation

The community health nurse determines that the average family income of a certain community is $67,000 per year with a range of $27,000 to $102,000.Based on this demographic information, which additional information is important for the nurse to assess?

During a community health screening fair for older adults, a nurse notices a client with pale, bluish feet and sores on both lower extremities that are healing poorly.What should the nurse’s intervention be?

The school nurse is conducting an audit of incident reports for adolescent students.Which finding is the best indication that the Healthy People 2030 objectives are being addressed?

A 5-year-old patient has been brought in for a routine check-up and vaccination update.The mother reports that the child has been having difficulty focusing in school and has shown a decreased appetite in recent weeks.What actions should the nurse take?

The nurse is conducting a suicide awareness session for adults in the community. What information should the nurse include in the session?

An older adult is diagnosed with Parkinson’s disease.What problems should the nurse expect to address in this client’s home health care plan? Select all that apply.

The nurse is screening for hypertension at a local health fair.A community resident has a blood pressure reading of 138/80 mm Hg. What interventions should the nurse implement for this client? Select all that apply.