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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 A

Explanation

Answer and explanation

The correct answer is Choice A.

Choice A rationale

Anthrax is a serious disease caused by Bacillus anthracis, a bacterium that forms spores. Certain occupations, such as those involving livestock or animal products, may increase the risk of exposure to anthrax spores.

Choice B rationale

While it’s important to identify personal contacts in the case of some infectious diseases, anthrax is not spread from person to person. Therefore, identifying personal contacts over the past week would not necessarily help to rule out exposure to anthrax spores.

Choice C rationale

A twenty-four-hour diet history would not typically be useful in ruling out exposure to anthrax spores. Anthrax is not usually spread through food or water.

Choice D rationale

Inquiring about previous vaccination for smallpox would not help to rule out exposure to anthrax spores. Smallpox and anthrax are caused by different organisms, and the smallpox vaccine does not provide protection against anthrax.

A. A hurricane that destroys 50,000 homes and kills 5,000 victims. B. A forest fire that destroys 25,000 acres with significant damage to livestock. C. A tornado that destroys 25 houses and uproots an interstate for 0.5 miles. D. An explosion at a water treatment plant that affects the community water supply.

Correct Answer is C

Explanation

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

A hurricane that destroys 50,000 homes and kills 5,000 victims is a high-intensity disaster, but it is not small-scope. The impact is widespread, affecting a large number of homes and people.

Choice B rationale

A forest fire that destroys 25,000 acres and causes significant damage to livestock is also a high-intensity disaster. However, the scope is not small as it affects a large area and has a significant impact on the local economy.

Choice C rationale

A tornado that destroys 25 houses and uproots an interstate for 0.5 miles is an example of a high-intensity, small-scope disaster. The disaster is high-intensity due to the destructive nature of a tornado, but the scope is relatively small, affecting only a limited number of houses and a small section of an interstate.

Choice D rationale

An explosion at a water treatment plant that affects the community water supply is a high- intensity disaster due to the potential for widespread impact on the community’s water supply. However, the scope is not necessarily small as it could affect a large population.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

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

Correct Answer is C

Explanation

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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 epidemiological triad can be utilized to devise strategies for preventing farm machinery injuries. What action should the nurse take to concentrate on the agent?