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 D

Explanation

Answer and explanation

The correct answer is Choice D.

Choice A rationale

Reviewing the child's medical records for a list of allergies or sensitivities is always a good practice during a routine check-up³?³?³?³?. However, in this case, the brownish thickening on the neck of the child may not necessarily be related to allergies or sensitivities. This symptom could be indicative of various conditions, which would require further medical evaluation.

Choice B rationale

Inspecting the child's torso and arms for other signs of physical injury is an important step if there is suspicion of physical abuse³?[^40^]?¹?². However, the symptom described by the nurse does not necessarily suggest physical trauma. Therefore, while a physical examination is part of a routine check-up, it may not directly address the child's reported symptom.

Choice C rationale

Permethrin is a medication used to treat scabies and lice¹³¹?. There is no indication in the scenario provided that the child has these conditions. Therefore, advising the parents to start treatment with permethrin would not be appropriate based on the information given.

Choice D rationale

Given the observation of a brownish thickening on the neck of the child, it would be appropriate to recommend the parents to seek further medical evaluation for the child²?²?²?. This symptom could be indicative of various conditions, which would require further investigation.

A. Delineate the geographic distribution of the area to survey and review for patterns. B. Ask a set number of clients if they have had the flu. C. Generate influenza immunization and case reports from the electronic record. D. Determine the change in immunization rates from the previous year to the current year.

Correct Answer is C

Explanation

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

Delineating the geographic distribution of the area to survey and review for patterns could provide useful information about the spread of influenza in the community, but it would not directly provide data about vaccination rates or reasons for any decline.

Choice B rationale

Asking a set number of clients if they have had the flu could provide anecdotal information about the prevalence of the flu, but it would not provide comprehensive data about vaccination rates or reasons for any decline.

Choice C rationale

Generating influenza immunization and case reports from the electronic record would provide direct data about the number of people who have been vaccinated and the number of influenza cases. This information could be used to identify trends and understand reasons for any decline in vaccination rates.

Choice D rationale

Determining the change in immunization rates from the previous year to the current year would provide information about trends in vaccination rates, but it would not provide comprehensive data about the number of influenza cases or reasons for any decline.

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Naxlex Comprehensive Predictor Exams

While conducting a head lice screening for third-grade students, the school nurse notices a brownish thickening on the neck of one child.What should be the nurse’s response to this observation?

Correct Answer is D

Explanation

Correct Answer is C

Explanation

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