On a day when the temperature is expected to drop to below freezing during the night, the nurse is asked to determine which homeless adults are most in need of the limited spaces that are available in a shelter. It is most important for which person to be admitted for the night?

A young person with diabetes mellitus.

A middle-aged person who has hypertension.

An older person who is malnourished.

An adult who was hit by a car 3 weeks ago.

Answer and Explanation

The Correct Answer is C

A) A young person with diabetes mellitus:
While diabetes mellitus is a significant health condition that requires management, especially in cold weather, it does not necessarily indicate an immediate or heightened risk compared to other conditions. Diabetes requires proper care and monitoring, but the urgency related to exposure to freezing temperatures may not be as critical as other conditions.

B) A middle-aged person who has hypertension:
Hypertension is an important condition that requires management, but in the context of a cold weather emergency, it does not represent an immediate risk related to exposure. The middle-aged person with hypertension may need stable conditions for managing their health, but their situation is less critical in terms of immediate exposure to freezing temperatures.

C) An older person who is malnourished:
An older person who is malnourished is at a higher risk when exposed to freezing temperatures. Malnutrition can impair the body’s ability to regulate temperature and increase susceptibility to cold-related illnesses such as hypothermia. Therefore, this individual is at greater risk and most in need of shelter to protect against the dangers of extreme cold.

D) An adult who was hit by a car 3 weeks ago:
An individual who was injured in a car accident 3 weeks ago may have ongoing medical needs, but unless there are specific complications or issues directly related to cold exposure, their immediate need for shelter due to freezing temperatures is less critical compared to a malnourished older person. Ensuring warmth and protection from the cold is the primary concern for those most vulnerable to the weather conditions.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A) Collaborate with local schools in screening children:
While screening children in local schools is an important step in controlling the spread of tuberculosis (TB), it is a more specific action that should come after a broader community assessment. Identifying high-risk groups and areas within the community is crucial before targeting specific populations for screening. This ensures that resources are allocated effectively and that screening efforts are well-directed.

B) Develop a community educational program:
Developing a community educational program is essential for raising awareness about TB, its transmission, and prevention strategies. However, before implementing such a program, it is important to conduct a community health assessment to understand the current level of knowledge, the prevalence of the disease, and the specific needs of the community. This assessment will provide valuable information to tailor the educational program appropriately.

C) Provide referrals for home health care follow up:
Providing referrals for home health care follow-up is crucial for managing and monitoring individuals with TB. However, this action is more focused on individual care rather than addressing the community-wide impact of the disease. Before setting up individual follow-ups, a community health assessment will help in understanding the overall scope of the TB outbreak and guide the development of more comprehensive intervention strategies.

D) Perform a community health assessment:
Conducting a community health assessment is the most appropriate initial action. This step involves evaluating the overall health status of the community, identifying the extent of the TB outbreak, and determining the community’s needs and resources. The assessment will provide a foundation for implementing targeted interventions, such as educational programs, screening efforts, and follow-up care. Understanding the community's health status and needs is essential for planning effective responses and controlling the spread of TB.

A. Greens and beans. B. Meats and sweets. C. Fish on a dish. D. Berries or cherries.

Correct Answer is B

Explanation

A) Greens and beans:
While greens and beans are generally considered healthy foods, they are not the types of foods that should be limited in a Mediterranean-based diet. This option does not accurately reflect foods that should be restricted for heart health.

B) Meats and sweets:
This selection correctly identifies foods that should be limited in a Mediterranean-based eating approach. The Mediterranean diet emphasizes a lower intake of red meats and sweets, favoring healthier fats, whole grains, and vegetables. Thus, "meats and sweets" accurately represents the types of foods that should be consumed in moderation.

C) Fish on a dish:
Fish is a key component of the Mediterranean diet and is typically encouraged rather than limited. This option does not align with the goal of identifying foods to limit.

D) Berries or cherries:
Berries and cherries are nutrient-dense fruits that are encouraged in a Mediterranean-based diet rather than limited. This choice does not reflect the foods that should be restricted.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

On a day when the temperature is expected to drop to below freezing during the night, the nurse is asked to determine which homeless adults are most in need of the limited spaces that are available in a shelter. It is most important for which person to be admitted for the night?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Several clients who have recently come to the local health clinic in a rural county are diagnosed with tuberculosis (TB). After reporting the occurrence to the health department, which community focused action should the nurse implement first?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

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

The nurse is planning a health fair for high school students. Which assessment is most important for the nurse to obtain?

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?

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.)

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?

Which annual screening should the nurse include when planning an eye health program at a preschool?

The school nurse administers methylphenidate to an adolescent with Attention Deficit Hyperactivity Disorder (ADHD). When evaluating the drug's effectiveness, which information is most important for the nurse to review?