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?
Do you have any discharge from the eye?
Are all of your immunizations up-to-date?
Have you started any new medications recently?
How frequently do you wash your hands?
The Correct Answer is A
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
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is A
Explanation
Answer and explanation
The correct answer is Choice A.
Choice A rationale
Conducting interviews with community members is a crucial first step when evaluating a community's health promotion needs[^30^]³²³³³?. These interviews can provide valuable insights into the community's health concerns, behaviors, and needs. They can also help
identify barriers to health promotion and potential strategies for overcoming these
barriers[^30^]³²³³³?.
Choice B rationale
Organizing a health fair for the entire community can be a valuable health promotion strategy. However, it would not typically be the first step in evaluating a community's health promotion needs. Before organizing such an event, it would be important to understand the specific health concerns, behaviors, and needs of the community, which could be achieved through methods such as interviews with community members[^30^]³²³³³?.
Choice C rationale
Forecasting future healthcare needs is an important aspect of health promotion planning. However, it would not typically be the first step in evaluating a community's health promotion needs. Before forecasting future needs, it would be important to understand the current health concerns, behaviors, and needs of the community, which could be achieved through methods such as interviews with community members[^30^]³²³³³?.
Choice D rationale
Assessing the outcomes of previous projects can provide valuable insights for future health promotion efforts. However, it would not typically be the first step in evaluating a community's health promotion needs. Before assessing previous outcomes, it would be important to understand the current health concerns, behaviors, and needs of the community, which could be achieved through methods such as interviews with community members[^30^]³²³³³?.
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