A public health nurse plans to investigate the incidence rate of tuberculosis to inform the development of local public health programs aimed at prevention. Which of the following sources should the nurse use to retrieve this information?
Health department data and statistics reports
Expert opinion from local health care providers
Browsing an internet search engine
Clinical guidelines from a professional organization
The Correct Answer is A
A. Health department data and statistics reports: Local or state health departments routinely collect and publish epidemiological data, including incidence and prevalence rates of communicable diseases like tuberculosis. These reports provide reliable, up-to-date statistics that are essential for planning and evaluating public health programs.
B. Expert opinion from local health care providers: Expert opinion can provide insights into trends or clinical observations, but it is anecdotal and not sufficient for calculating incidence rates. Public health planning requires data that is systematically collected and analyzed.
C. Browsing an internet search engine: While internet searches may yield general information, the results may not be accurate, up-to-date, or specific to the local population. Official health department sources are more reliable for incidence data.
D. Clinical guidelines from a professional organization: Clinical guidelines provide recommendations for diagnosis, treatment, and management, but they do not usually include local incidence statistics. They are not a primary source for epidemiological data.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Conflict manager: A conflict manager helps parties resolve disagreements and mediate disputes. In this scenario, the nurse is not mediating between the client and their partner but is providing guidance directly to the client.
B. Advocate: Acting as a client advocate involves supporting the client’s rights, choices, and best interests, even when others may disagree. By providing information about treatment termination, the nurse empowers the client to make informed decisions independently.
C. Social worker: A social worker provides counseling, resources, and support for psychosocial needs. While the nurse may offer similar guidance, the role described focuses on protecting client rights rather than providing social services.
D. Negotiator: A negotiator facilitates agreement between parties through discussion or compromise. The nurse is not negotiating with the partner but is supporting the client’s autonomy, which aligns with advocacy rather than negotiation.
Correct Answer is A
Explanation
A. The client started working in a parking garage 3 months ago: Working in a parking garage can increase exposure to carbon monoxide and other exhaust fumes, which can be harmful to both the pregnant client and the fetus. Prolonged inhalation of these toxins may reduce oxygen delivery and contribute to complications, making this finding a priority for further evaluation.
B. The client is doing 30 min of moderate exercise daily: Moderate exercise is recommended during pregnancy as it improves circulation, reduces stress, and supports healthy weight gain. This behavior is considered safe and beneficial unless otherwise contraindicated by the provider.
C. The client is drinking 2.5 L of water per day: Adequate hydration is essential during pregnancy to support amniotic fluid levels, circulation, and kidney function. A daily intake of 2.5 liters is appropriate and aligns with recommended guidelines for pregnant clients.
D. The client last visited the dentist 4 months ago: Routine dental care is important during pregnancy due to increased risk of gingivitis, but a dental visit 4 months ago does not indicate an unsafe behavior. Continuing regular appointments every 6 months is generally sufficient unless specific concerns arise.
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