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. Which action should the nurse implement to evaluate the effectiveness of the program?

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.

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

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

Answer and Explanation

The Correct Answer is B

A) Evaluate the teacher's ability to identify pediculosis capitis 2 months after initiation of the program:
Evaluating the teachers’ ability to identify pediculosis capitis is important for ongoing surveillance, but it does not directly measure the effectiveness of the program in reducing the prevalence of the condition. This action focuses more on teacher training rather than the program's overall impact.

B) Measure the prevalence of pediculosis capitis among the children after four months:
Measuring the prevalence of pediculosis capitis among children after the implementation of the program is the most effective way to evaluate the program's success. By comparing the prevalence before and after the program, the nurse can assess whether the interventions (educational pamphlets and regular assessments) have led to a reduction in cases.

C) Survey parents 3 weeks after pamphlets are sent home to assess their understanding of the condition:
Surveying parents about their understanding of pediculosis capitis is useful for evaluating the reach and impact of the educational component. However, it does not directly measure the effectiveness of the program in reducing the actual prevalence of pediculosis capitis among children.

D) Conduct an initial examination of each child in the school to obtain baseline data:
Conducting an initial examination provides valuable baseline data on the prevalence of pediculosis capitis before the program begins. However, this action alone does not evaluate the effectiveness of the program; it must be followed by assessments after the program’s implementation to determine if there has been a reduction in cases.

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Correct Answer is A

Explanation

A) Accessibility to trauma care:
In a rural community, where access to specialized healthcare services can be limited due to geographic isolation, having accessibility to trauma care is crucial. Trauma care resources are vital for managing severe injuries and emergencies, which may be more challenging to address promptly in rural areas. Ensuring that the community has access to emergency trauma care can significantly impact health outcomes and survival rates in critical situations.

B) Annual health fair:
While an annual health fair can be beneficial for promoting health awareness and providing screenings, it is a periodic event rather than an ongoing resource. In rural communities, continuous and accessible healthcare services, such as trauma care, have a more immediate and critical impact on health outcomes compared to periodic health fairs.

C) Family planning center:
A family planning center is important for reproductive health and can provide valuable services to individuals and families. However, in the context of immediate and potentially life-threatening health needs, such as trauma care, its importance is comparatively lower. In rural settings, immediate access to trauma care can be more critical due to the potential for severe injuries and emergencies.

D) Weather-related disaster plan:
A weather-related disaster plan is essential for preparing for and responding to natural disasters, which can be crucial in a rural setting prone to severe weather events. However, in terms of day-to-day healthcare needs and addressing immediate health crises like trauma, accessibility to trauma care is more directly relevant to the community’s ongoing health and safety.

A. Hospital emergency departments. B. The local shopping mall. C. Women, Infant, and Children office. D. Community youth center.

Correct Answer is C

Explanation

A) Hospital emergency departments:
Hospital emergency departments primarily deal with acute and urgent medical issues rather than preventive care. While they can provide treatment for dental emergencies, they are not typically the best setting for initiating preventive programs aimed at reducing dental caries among children.

B) The local shopping mall:
While a shopping mall could be a venue for public health campaigns or educational events, it is not specifically designed for targeted prevention programs related to dental health. The setting may not effectively reach or engage the populations most at risk for dental caries.

C) Women, Infant, and Children (WIC) office:
The WIC office is an ideal location for initiating a prevention program for dental caries among children. WIC serves low-income families with young children and provides services that include education on nutrition and health. By integrating dental health education and resources into the WIC program, the nurse can effectively target families who might benefit most from preventive measures, such as fluoride treatments, dental check-ups, and oral hygiene education.

D) Community youth center:
A community youth center could be a valuable venue for reaching children and their families, and it may offer opportunities for educational programs. However, the WIC office specifically targets families with young children who are at higher risk for dental caries, making it a more directly relevant setting for preventive initiatives.

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Naxlex Comprehensive Predictor Exams

The public health nurse is evaluating resources in a rural community. Which healthcare resource is most important to the community?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

Four students come to the school clinic simultaneously, seeking help from the school nurse. In which order of priority should the nurse provide care to these students? (Arrange the client with the highest priority first, on top, and lowest priority last, on bottom.)

A client comes to the public health clinic requesting information about which immunizations to receive prior to visiting a developing nation. Which immunization should the nurse recommend as a priority for this client?

A homeless client with alcohol dependency will be dismissed from the emergency department in 24 hours. The nurse notes that a tuberculin (TB) skin test was prescribed by the healthcare provider. Which intervention is most important for the nurse to implement prior to discharge?

According to the Centers for Disease Control and Prevention, which diseases are reportable infectious diseases? Select all that apply.

Which measure should the college health clinic nurse implement to reduce the incidence of meningococcal meningitis in college freshmen?

A toddler is brought by a parent to the health department for scheduled immunizations. The toddler clings to the caregiver and cowers when approached. Which assessment warrants immediate intervention by the nurse?

A community health nurse is helping a group of nursing students plan a tertiary prevention program for a local community clinic that serves a majority Hispanic population. Which service project meets the requirement of a tertiary prevention program and would best serve this population?

An adolescent tells the school nurse that she is pregnant. Her last menstrual period was 4 months ago, and she has not yet received any medical care. She smokes but denies any other substance use. Which interventions should the nurse implement? (Select all that apply.)