A nurse reviews notes for a school-age child from the child's schoolteacher. The teacher reports that the student cannot focus, has a short attention span, and has had consistently low grades for 6 months. Which of the following problems should the nurse suspect?

Lack of mentoring

Transportation challenges

Unhealthy family relationships

Food insecurity

Answer and Explanation

The Correct Answer is D

Choice A reason: Lack of mentoring
Lack of mentoring can affect a child's academic performance, but it is less likely to be the primary cause of a short attention span and inability to focus. Mentoring programs can help improve academic outcomes by providing guidance, support, and motivation. However, the symptoms described—short attention span and inability to focus—are more directly linked to other underlying issues.

Choice B reason: Transportation challenges
Transportation challenges can lead to increased absenteeism and lower academic performance. However, they are not typically associated with a short attention span or inability to focus. While transportation issues can cause stress and fatigue, they do not directly impact a child's cognitive abilities in the same way that other factors might.

Choice C reason: Unhealthy family relationships
Unhealthy family relationships can significantly impact a child's emotional and psychological well-being, which in turn can affect their academic performance. Children from families with poor communication, high conflict, or lack of support may struggle with concentration and focus. However, the primary symptoms described—short attention span and inability to focus—are more commonly associated with other specific issues.

Choice D reason: Food insecurity
Food insecurity is directly linked to cognitive and behavioral issues in children. Lack of adequate nutrition can lead to difficulties in concentration, short attention span, and overall poor academic performance. Children who do not have reliable access to nutritious food are more likely to experience fatigue, irritability, and difficulty focusing, which aligns with the symptoms described in the scenario.

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Correct Answer is C

Explanation

Choice A reason: There's no way to predict how a client will do on a medical regimen.
This statement is incorrect because the Theory of Reasoned Action/Planned Behavior (TRA/TPB) provides a framework for predicting and understanding behaviors, including adherence to medical regimens. According to this theory, behavioral intentions, influenced by attitudes, subjective norms, and perceived behavioral control, can predict actual behavior. Therefore, it is possible to predict how a client might adhere to a medical regimen based on these factors.

Choice B reason: There is a high chance of better outcomes with more education.
While education is important, it alone may not be sufficient to ensure better outcomes. The TRA/TPB suggests that intentions to perform a behavior are influenced by attitudes towards the behavior, subjective norms, and perceived behavioral control. Without addressing these factors, simply providing more education may not lead to improved adherence or outcomes.

Choice C reason: There is a higher chance of complications due to poor adherence to the plan.
This statement aligns with the TRA/TPB, which posits that poor adherence to a medical regimen can lead to negative health outcomes. In the context of diabetes management, poor adherence to dietary and exercise plans can result in uncontrolled blood glucose levels, leading to complications such as cardiovascular disease, neuropathy, and retinopathy. The client's reported lack of motivation and non-adherence to the meal plan and exercise regimen increases the risk of such complications.

Choice D reason: The outcomes will be about the same.
This statement is incorrect because it overlooks the impact of adherence on health outcomes. According to the TRA/TPB, adherence to recommended behaviors is crucial for achieving positive health outcomes. In diabetes management, adherence to dietary and exercise plans is essential for controlling blood glucose levels and preventing complications. Therefore, outcomes are unlikely to remain the same if the client does not adhere to the recommended regimen.

A. Prevalence rate B. Case fatality rate C. Age-specific mortality rate D. Cause-specific mortality rate

Correct Answer is C

Explanation

Choice A: Prevalence Rate
The prevalence rate measures the total number of cases of a disease or health condition in a population at a specific point in time or over a specified period. It is expressed as a proportion of the population. While useful for understanding the burden of disease, the prevalence rate does not provide information on the number of deaths, making it unsuitable for calculating mortality data.

Choice B: Case Fatality Rate
The case fatality rate (CFR) is the proportion of individuals diagnosed with a particular disease who die from that disease within a specified period. It is expressed as a percentage. While CFR provides insight into the severity of a disease, it does not give the overall number of deaths in a population, nor does it specify the age group affected.

Choice C: Age-Specific Mortality Rate
The age-specific mortality rate is the number of deaths in a specific age group per 100,000 population in that age group over a given period. This measure is ideal for calculating the number of deaths among school-age children, as it provides detailed mortality data specific to that age group. By using this rate, the nurse can accurately determine the mortality rate for school-age children in the county.

Choice D: Cause-Specific Mortality Rate
The cause-specific mortality rate is the number of deaths from a specific cause per 100,000 population in a given year. While this measure is useful for understanding the impact of specific diseases or conditions, it does not provide a comprehensive view of mortality across different age groups. Therefore, it is not the best choice for calculating the overall number of deaths among school-age children.

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A nurse reviews notes for a school-age child from the child's schoolteacher. The teacher reports that the student cannot focus, has a short attention span, and has had consistently low grades for 6 months. Which of the following problems should the nurse suspect?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A community health nurse is calculating the number of deaths of school-age children in a county. Which of the following methods should the nurse use to obtain this data?

Correct Answer is C

Explanation

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