The number of students seeking information about teenage pregnancy has risen by 259%. Two years ago, a nurse evaluated the health needs of high school students and identified student pregnancy as a significant issue.
As a result, the nurse created a pregnancy prevention program for the entire school district. Which outcome is the strongest evidence of the program’s success?
80% of the students participate in a voluntary sex education seminar.
Students report an average delay of 2 years for their first sexual encounter.
75% of the parents express support for a pregnancy prevention program in the schools.
The school district reports a decrease in the number of teenage pregnancies.
The Correct Answer is D
Answer and explanation
The correct answer is Choice D.
Choice A rationale
While having 80% of students participate in a voluntary sex education seminar is a positive outcome, it does not directly indicate the success of a pregnancy prevention program.
Participation in a seminar does not necessarily translate into behavior change. Students may attend the seminar but not apply the knowledge or skills learned, which would not result in a decrease in teenage pregnancies.
Choice B rationale
A reported average delay of 2 years for the first sexual encounter among students can be seen as a positive outcome, as it may reduce the risk of teenage pregnancies. However, this delay does not guarantee that students are using effective contraception when they do start having sex. Therefore, while this outcome may contribute to the success of a pregnancy prevention program, it is not the strongest evidence of success.
Choice C rationale
Parental support for a pregnancy prevention program in schools is important for the program’s implementation and sustainability. However, parental support does not directly result in a decrease in teenage pregnancies. Parents can be supportive of the program, but if the students do not apply the knowledge or skills learned, the number of teenage pregnancies may not decrease.
Choice D rationale
A decrease in the number of teenage pregnancies in the school district is the strongest evidence of the program’s success. This outcome directly aligns with the goal of a pregnancy prevention program, which is to reduce the number of teenage pregnancies. If the school district reports a decrease in the number of teenage pregnancies, it indicates that the program is effectively helping students to prevent pregnancies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
While demonstrating proper foot care is important, this client’s situation requires immediate attention. Long, thick nails that curl under the toes can lead to complications such as ulcers, infections, and pain.
Choice B rationale
Gradually trimming the client’s toenails over several visits may not be the best approach. The client’s long, thick nails are causing discomfort and could lead to more serious complications.
Choice C rationale
Arranging for a home health aide to assist the client with hygiene weekly could be part of a long-term plan, but it does not address the immediate issue of the client’s long, thick toenails.
Choice D rationale
Scheduling an appointment for the client with a podiatrist is the best option. A podiatrist is a healthcare professional who specializes in foot care. They can safely trim the client’s long, thick toenails and assess for any other foot-related issues.
Correct Answer is B
Explanation
Answer and explanation
The correct answer is Choice B.
Choice A rationale
Rechecking the client’s vital signs in 30 minutes may not be the most appropriate action in this situation. The client is showing signs of possible complications such as infection (elevated
temperature, malaise) and referred pain in the shoulder, which could indicate diaphragmatic irritation. These symptoms, along with the client’s recent surgery, suggest that immediate medical attention may be necessary.
Choice B rationale
Having the client transported via ambulance to the hospital is the most appropriate action. The client’s symptoms suggest possible complications that require immediate medical attention.
Abdominal tenderness and shoulder pain could indicate a serious condition such as a perforation or infection. The elevated heart rate and low blood pressure could suggest sepsis or shock. Immediate medical evaluation and treatment are necessary.
Choice C rationale
Determining the client’s current oxygen saturation rate is important, but it is not the most immediate need. While this information could provide additional data about the client’s condition, it does not address the potential seriousness of the client’s symptoms. The client needs immediate medical attention.
Choice D rationale
Instructing the client to drive to the hospital for admission is not the best choice. Given the client’s symptoms and recent surgery, it would be safer for the client to be transported by ambulance. This would ensure that the client receives immediate medical attention and that the client’s condition can be monitored during transport.
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