A school nurse is planning safety education for a group of adolescents. The nurse should give priority to which of the following topics as the leading cause of death for this age group?
Motor vehicle safety
Sports injury prevention
Substance abuse prevention
Gun safety
The Correct Answer is A
Choice A reason: Motor vehicle safety is the topic that the nurse should give priority to, as it is the leading cause of death for adolescents. According to the World Health Organization (WHO), road traffic injuries are the top cause of death among 15- to 19-year-olds globally, accounting for 115 000 deaths in 2019¹. Adolescents are vulnerable road users, especially as drivers, passengers, pedestrians, cyclists, or motorcyclists. The nurse should educate the adolescents about the risk factors and prevention strategies for road traffic injuries, such as wearing seat belts, helmets, and reflective clothing, avoiding distractions, alcohol, and drugs, and following traffic rules and signs.
Choice B reason: Sports injury prevention is not the topic that the nurse should give priority to, as it is not the leading cause of death for adolescents. Sports injuries are common among adolescents, as they are physically active and participate in various sports and recreational activities. Sports injuries can cause pain, disability, or death, depending on the type, severity, and location of the injury. The nurse should educate the adolescents about the risk factors and prevention strategies for sports injuries, such as warming up, cooling down, stretching, using protective equipment, and seeking medical attention when needed.
Choice C reason: Substance abuse prevention is not the topic that the nurse should give priority to, as it is not the leading cause of death for adolescents. Substance abuse is the harmful use of psychoactive substances, such as alcohol, tobacco, or drugs, that can affect the health and well-being of adolescents. Substance abuse can cause acute or chronic effects, such as intoxication, overdose, addiction, organ damage, or mental disorders. The nurse should educate the adolescents about the risk factors and prevention strategies for substance abuse, such as avoiding peer pressure, coping with stress, seeking help, and accessing treatment.
Choice D reason: Gun safety is not the topic that the nurse should give priority to, as it is not the leading cause of death for adolescents. Gun safety is the practice of using firearms in a safe and responsible manner, to prevent accidental or intentional injuries or deaths. Gun safety can involve proper handling, storage, and disposal of firearms, as well as education and awareness about the dangers and consequences of gun violence. The nurse should educate the adolescents about the risk factors and prevention strategies for gun safety, such as avoiding access to firearms, reporting threats, and supporting non-violent solutions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Helping the client apply for Medicare is not the best action by the nurse, as Medicare is a federal health insurance program for people who are 65 or older, disabled, or have end-stage renal disease. The client does not meet any of these criteria and may not be eligible for Medicare.
Choice B reason: Exploring options for alternative therapies is not the best action by the nurse, as alternative therapies may not be effective or safe for treating tuberculosis. Tuberculosis is a serious bacterial infection that requires specific antibiotics to cure. Alternative therapies may also interfere with the prescribed medication or cause adverse effects.
Choice C reason: Arranging for medication through local agencies is the best action by the nurse, as it ensures that the client receives the appropriate treatment for tuberculosis. Local agencies may have programs or resources that can help the client access free or low-cost medication. The nurse should also educate the client about the importance of adhering to the medication regimen and completing the course of treatment.

Choice D reason: Sending the client to the nearest facility for further evaluation is not the best action by the nurse, as it may delay the initiation of treatment and increase the risk of transmission of tuberculosis to others. The client already has a diagnosis of tuberculosis and needs to start the treatment as soon as possible. The nurse should also advise the client to wear a mask and avoid close contact with others until the infection is no longer contagious.
Correct Answer is D
Explanation
Choice A reason: Demographic data is not part of the windshield survey, but rather a secondary source of information that the nurse can obtain from census reports, health statistics, or other documents. Demographic data includes information such as age, gender, race, ethnicity, income, education, and occupation of the community members.
Choice B reason: Mortality rate is not part of the windshield survey, but rather a secondary source of information that the nurse can obtain from vital records, health reports, or other documents. Mortality rate is a measure of the number of deaths in a given population, usually expressed as deaths per 1000 or 100,000 people.
Choice C reason: Informant interviews are not part of the windshield survey, but rather a primary source of information that the nurse can obtain by talking to key informants or community leaders who have knowledge and insight about the community. Informant interviews can help the nurse to identify the community's strengths, needs, problems, and resources.
Choice D reason: Housing quality is part of the windshield survey, which is a direct observation of the community by driving or walking through it. Housing quality includes information such as the type, age, condition, size, and value of the houses, as well as the availability and accessibility of utilities, sanitation, and safety features. Housing quality can reflect the socioeconomic status, health status, and environmental risks of the community.
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