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?

Collaborate with local schools in screening children.

Develop a community educational program.

Provide referrals for home health care follow up.

Perform a community health assessment.

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is A

Explanation

A) Gather information about the client's recent exposure to pesticides:
This action is the highest priority because the symptoms described—dizziness, headaches, abdominal cramps, and difficulty breathing—are consistent with pesticide poisoning, which is a common risk for migrant farm workers. Gathering information about recent pesticide exposure will help in identifying if this is the cause of the client's symptoms and guide appropriate treatment or intervention.

B) Obtain a blood sample to assess for possible lead paint exposure:
While lead exposure could be a concern, particularly in older mobile homes, the symptoms described are more immediately suggestive of pesticide poisoning. Prioritizing assessment related to pesticide exposure is more relevant to the client's current symptoms.

C) Ask about the length of his workday and frequency of rest breaks:
While understanding work conditions is important for overall health, the acute symptoms the client is experiencing are more directly linked to chemical exposure. Addressing the potential for pesticide exposure is a more urgent concern.

D) Determine the number and age of persons living in the mobile home:
This information is useful for understanding the living conditions but does not directly address the acute symptoms the client is experiencing. The priority is to identify potential causes of the symptoms, such as pesticide exposure.

A. Ask each older adult to bring a food for others to taste, then estimate the fat contained in these foods. B. Show a movie about cooking with foods that are low in fat but delicious. C. Determine foods most often eaten by this group and discuss the nutritional panel of each product. D. Display posters with foods and tell the seniors about the fat content

Correct Answer is C

Explanation

A) Ask each older adult to bring a food for others to taste, then estimate the fat contained in these foods:
While involving participants by having them bring foods can encourage engagement, estimating fat content without precise measurements or nutritional information may lead to inaccuracies. This method does not provide the structured and clear information needed for effective education about fat content.

B) Show a movie about cooking with foods that are low in fat but delicious:
Showing a movie can be an engaging way to present information, but it may not offer detailed, interactive learning about the specific fat content of foods. A movie provides general information but lacks the direct discussion and analysis of nutritional data that participants might need.

C) Determine foods most often eaten by this group and discuss the nutritional panel of each product:
This method is effective as it addresses the specific foods commonly consumed by the older adults in the group. Discussing the nutritional panels of these foods allows for a focused examination of fat content and other nutritional information relevant to their diets. This approach provides practical, personalized education and helps participants make informed dietary choices.

D) Display posters with foods and tell the seniors about the fat content:
Displaying posters with information about fat content is useful for visual learning but may not be as interactive or engaging as discussing specific foods that participants are familiar with. This method provides general information but lacks the personalized touch of discussing commonly eaten foods and their nutritional panels.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A migrant farm worker who lives in a mobile home with several other workers visits the Migrant Health Care Center. The client reports Increasing episodes of dizziness, headaches, abdominal cramps, and difficulty breathing. Which nursing action has the highest priority?

Correct Answer is A

Explanation

A nurse is planning a nutrition class for a group of older adults at a community center and wants to emphasize the amount and types of fat in some foods versus others. Which teaching method is best for the nurse to use?

Correct Answer is C

Explanation

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