After assessing the health care needs of an elementary school, the nurse determines that an increased prevalence of pediculosis capitis is a priority problem.
The nurse develops a 2-month program with the goal to eradicate the condition in the school.
The program includes educational pamphlets sent home to parents and regular assessment of children by the school nurse.
What action should the nurse implement to evaluate the effectiveness of the program?

Survey parents 3 weeks after pamphlets are sent home to assess their understanding of the condition.

Evaluate the teacher’s ability to identify pediculosis capitis 2 months after initiation of the program.

Measure the prevalence of pediculosis capitis among the children after four months.

Conduct an initial examination of each child in the school to obtain baseline data.

Answer and Explanation

The Correct Answer is C

Answer and explanation The correct answer is C. Choice A rationale

Surveying parents 3 weeks after the pamphlets are sent home would provide information about their understanding of the condition, but it would not directly measure the effectiveness of the program in eradicating pediculosis capitis in the school.

Choice B rationale

Evaluating the teacher’s ability to identify pediculosis capitis 2 months after the initiation of the program would provide information about the teacher’s knowledge and awareness, but it would not directly measure the effectiveness of the program in eradicating the condition in the school.

Choice C rationale

Measuring the prevalence of pediculosis capitis among the children after four months would directly assess the effectiveness of the program. A decrease in the prevalence of the condition would indicate that the program was effective.

Choice D rationale

Conducting an initial examination of each child in the school to obtain baseline data would be a useful step in the beginning of the program to understand the extent of the problem, but it would not evaluate the effectiveness of the program.

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Correct Answer is B

Explanation

Answer and explanation The correct answer is B. Choice A rationale

Fitting a prosthetic device requires specialized knowledge and skills that a home health aide may not possess. This task should be performed by a healthcare professional with appropriate training.

Choice B rationale

Evaluating the need for an elevated toilet seat involves assessing the client’s mobility and safety in the bathroom, tasks that a home health aide could perform under the supervision of a nurse.

Choice C rationale

Performing a sterile dressing change is a complex task that requires specific nursing knowledge and skills. It should not be delegated to a home health aide.

Choice D rationale

Assessing a pressure sore involves making judgments about the client’s skin integrity and the effectiveness of treatment strategies. This is a nursing responsibility and should not be delegated to a home health aide.

A. Emphasize that practicing safe sex eliminates the risk of STIs. B. Instruct the patient on the importance of informing sexual partners. C. Discuss that partners without similar symptoms may not be infected. D. Clarify that all STIs are transmitted through sexual intercourse.

Correct Answer is B

Explanation

Answer and explanation

The correct answer is Choice B.

Choice A rationale

While practicing safe sex can significantly reduce the risk of sexually transmitted infections (STIs), it does not completely eliminate the risk. Condoms, for example, can protect against many STIs, but they are not 100% effective and do not protect against all types of STIs.

Choice B rationale

Informing sexual partners about a gonorrhea diagnosis is crucial. Gonorrhea is a highly contagious infection that can be transmitted through sexual contact. If a person has been

diagnosed with gonorrhea, their sexual partners may also be at risk and should be informed so they can seek testing and treatment if necessary.

Choice C rationale

It’s important to understand that STIs, including gonorrhea, can be asymptomatic, meaning they do not present any symptoms. Therefore, even if a partner does not have similar symptoms, they could still be infected.

Choice D rationale

Not all STIs are transmitted through sexual intercourse. Some STIs can be transmitted through non-sexual means. For example, HIV can be transmitted through sharing needles, and mother- to-child transmission can occur during childbirth or breastfeeding.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse needs to delegate some tasks related to a homebound client’s care to a home health aide. Which task should the nurse assign to the aide?

Correct Answer is B

Explanation

The nurse is caring for a patient with the sexually transmitted infection (STI) gonorrhea. The patient reports having multiple sexual partners.What response should the nurse provide?

Correct Answer is B

Explanation

A teenager with a history of recurring atopic dermatitis (eczema) tells the school nurse of a desire to play high school sports.Which action should the nurse take?

A patient is admitted to the emergency department with symptoms resembling the flu. What information should the nurse gather to rule out exposure to anthrax spores?

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.

The nurse is developing disaster plans for a community.Which situation is an example of a high-intensity and small-scope disaster?

A community health nurse who works in a Gulf Coast town that caters to tourists is conducting a disaster management class for residents and business owners. What is the most important content for the nurse to include in this class?

After the first injection of the Hepatitis B Vaccine (HBV) series is administered to a group of healthcare workers, what advice should the nurse give to them?

Despite numerous instructions, an elderly patient with Parkinson’s disease is unable to administer ophthalmic medication without assistance due to hand tremors.What is the best course of action for the nurse?

The occupational health nurse in a mobile clinic is formulating an exposure control plan for blood-borne pathogens. Which topics should the nurse incorporate into this plan? Select all that apply.