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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Answer and explanation The correct answer is C. Choice A rationale
While the ANA Code of Ethics provides general guidance on ethical nursing practice, it does not provide specific procedures for reporting elder abuse.
Choice B rationale
A nursing procedure manual might not contain the specific legal procedures for reporting elder abuse. These procedures can vary by jurisdiction.
Choice C rationale
State law often provides specific guidelines on how and when to report suspected elder abuse. Therefore, it would be the most appropriate resource for the nurse to use in this situation.
Choice D rationale
The Nurse Practice Act governs nursing practice in each state, but it might not provide detailed procedures for reporting elder abuse.
Correct Answer is ["B","C","D","E"]
Explanation
Answer and explanation
The correct answers are Choices B, C, D, and E.
Choice A rationale
Encouraging the client to “keep doing whatever you are doing” is not an appropriate intervention for a client with a blood pressure reading of 138/80 mm Hg. This blood pressure reading is considered elevated and could indicate pre-hypertension. Therefore, the nurse should assess the client’s lifestyle and other risk factors for hypertension, ask the client about any current antihypertensive medications, obtain another blood pressure reading to verify the first reading, and recommend further evaluation for possible pre-hypertension.
Choice B rationale
Assessing the client’s lifestyle and other risk factors for hypertension is an important intervention for a client with a blood pressure reading of 138/80 mm Hg. Lifestyle factors, such as diet, physical activity, alcohol consumption, and tobacco use, can significantly influence
blood pressure levels. Therefore, the nurse should assess these factors and provide appropriate education and interventions.
Choice C rationale
Asking the client about any current antihypertensive medications is an important intervention for a client with a blood pressure reading of 138/80 mm Hg. The client may be taking medications that could affect their blood pressure. Therefore, the nurse should ask about these medications and consider their potential impact on the client’s blood pressure.
Choice D rationale
Obtaining another blood pressure reading to verify the first reading is an important intervention for a client with a blood pressure reading of 138/80 mm Hg. Blood pressure can fluctuate throughout the day and can be influenced by various factors, such as stress, physical activity, and caffeine consumption. Therefore, the nurse should obtain another reading to confirm the initial measurement.
Choice E rationale
Recommending further evaluation for possible pre-hypertension is an important intervention for a client with a blood pressure reading of 138/80 mm Hg. A blood pressure reading of 138/80 mm Hg is considered elevated and could indicate pre-hypertension. Therefore, the nurse should recommend further evaluation to confirm this diagnosis and determine appropriate treatment.
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