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After assessing the health needs of an elementary school, the nurse identifies that an increased incidence of bicycle injuries is a significant issue.
The nurse develops a 2-month program with the goal of eliminating bicycle injuries in the school.
The program includes educational pamphlets sent home to parents and two educational sessions conducted by the school nurse.
What action should the nurse take to evaluate the effectiveness of the program?

Determine the type of bicycle injuries each child sustained before conducting the sessions.

Survey parents after one month to assess their understanding of the educational pamphlet.

Compare the incidence of bicycle injuries at the beginning and end of the program.

Conduct an initial survey of the children to determine their knowledge of bicycle safety.

Answer and Explanation

The Correct Answer is C

Answer and explanation

The correct answer is Choice C.

Choice A rationale

While understanding the type of bicycle injuries sustained can provide useful information for tailoring educational sessions, it does not directly measure the effectiveness of the program. The goal of the program is to eliminate bicycle injuries, so the key measure of success is a decrease in the incidence of these injuries.

Choice B rationale

Surveying parents about their understanding of the educational pamphlet can provide useful feedback on one component of the program. However, it does not directly measure whether the program has achieved its goal of reducing bicycle injuries.

Choice C rationale

Comparing the incidence of bicycle injuries at the beginning and end of the program directly measures the impact of the program on the issue it was designed to address. If the program is effective, there should be a noticeable decrease in the incidence of bicycle injuries.

Choice D rationale

Conducting a survey to assess children’s knowledge of bicycle safety can provide useful information on the educational component of the program. However, increased knowledge does not necessarily translate into behavior change or a decrease in injuries.

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Correct Answer is B

Explanation

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

While exhibiting posters can be a useful visual aid, it might not be the most effective method. Not all seniors may be able to see or understand the posters, and this method does not allow for much interaction or discussion.

Choice B rationale

Identifying the most commonly consumed foods among the group and discussing each product’s nutritional information would be the most effective method. This approach is personalized and relevant, making the information more likely to be remembered and applied.

Choice C rationale

Screening a film might be informative, but it may not be as engaging or interactive as other methods. Additionally, not all seniors may be able to hear or understand the film.

Choice D rationale

Requesting each senior to bring a food item for others to sample, then estimating the fat content of these foods, could be an engaging activity. However, it might not be practical or safe, especially considering dietary restrictions some seniors might have.

A. Do you have any discharge from the eye? B. Are all of your immunizations up-to-date? C. Have you started any new medications recently? D. How frequently do you wash your hands?

Correct Answer is A

Explanation

Answer and explanation

The correct answer is Choice A.

Choice A rationale

If an older adult client reports pain, redness, and swelling in the eye, asking about discharge from the eye is crucial. These symptoms could indicate a number of conditions, including conjunctivitis or uveitis. Discharge, especially if it is pus-like or sticky, could suggest an infection.

Choice B rationale

While keeping immunizations up-to-date is generally important for health, it is not the most relevant question in this context. Not all eye conditions are preventable through immunization.

Choice C rationale

Asking about new medications is relevant as certain medications can cause side effects or allergic reactions that affect the eyes. However, the symptoms described are more commonly associated with conditions like conjunctivitis or uveitis, which are not typically caused by medications.

Choice D rationale

Regular hand washing is important for general health and can prevent the spread of many diseases. However, it is not the most relevant question when a client presents with pain, redness, and swelling in the eye.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing a nutrition class for a group of senior citizens at a local community center. The focus of the class is to highlight the quantity and types of fats in various foods.What is the most effective teaching method the nurse should employ?

Correct Answer is B

Explanation

An older adult client visits the community health clinic, reporting the onset of pain, redness, and swelling in the right eye.What is the most important for the clinic nurse to ask the client?

Correct Answer is A

Explanation

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?

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 community health nurse determines that the average family income of a certain community is $67,000 per year with a range of $27,000 to $102,000.Based on this demographic information, which additional information is important for the nurse to assess?

A 2-month-old infant contracts a disease through vertical transmission.Which situation should the nurse investigate further to ascertain how the infant might have been exposed to the disease?

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?

Which community would benefit most from a lead poisoning education and screening program provided by the public health nurse?