The parish nurse notes that an older adult client has had a 5 lb (2.3 kg) weight loss since a check-up one month ago. The client has good hygiene, still drives a car, and lives alone. To which agency should the nurse refer this client?

The Senior Citizen Center.

The Social Security Administration office.

The Adult Day Care Center.

The Women, Infant, and Children office.

Answer and Explanation

The Correct Answer is A

A. The Senior Citizen Center: The Senior Citizen Center is a resource that offers a variety of services to older adults, including social activities, meal programs, and support services. Given the client's recent weight loss and living alone, referring them to the Senior Citizen Center could provide access to resources and support that might help address potential underlying issues such as social isolation or inadequate nutrition.

B. The Social Security Administration office: The Social Security Administration (SSA) office handles matters related to social security benefits, such as retirement, disability, and survivor benefits. While important, it does not provide the kind of immediate support and services related to the client's weight loss and daily needs.

C. The Adult Day Care Center: The Adult Day Care Center provides daytime care and activities for older adults who need supervision or assistance during the day. Since the client drives and lives alone, this may not be the most appropriate referral unless there are additional concerns about daily supervision or care needs.

D. The Women, Infant, and Children (WIC) office: The WIC program provides nutrition assistance to low-income pregnant women, new mothers, and young children. It is not relevant for older adults, so this would not be the appropriate agency for addressing the client’s needs related to weight loss.

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 A

Explanation

A) Refer to healthcare provider for complete evaluation:
The symptoms described—pale, bluish feet, and sores with poor healing—are indicative of possible peripheral vascular disease, circulatory issues, or other serious conditions that require a thorough medical evaluation. Referring the client to a healthcare provider ensures that a comprehensive assessment can be performed to diagnose the underlying cause and develop an appropriate treatment plan.

B) Send client to the emergency department for treatment:
While the symptoms are concerning, they do not necessarily indicate an immediate emergency requiring urgent care. Referral to a healthcare provider for a complete evaluation is generally more appropriate unless the client exhibits signs of a life-threatening condition or severe infection.

C) Instruct client to apply antibiotic ointment to sores:
Applying antibiotic ointment might help with wound care but does not address the underlying issue that is causing the poor wound healing and the bluish discoloration. Without a complete evaluation, it's uncertain whether antibiotic ointment alone will be sufficient or appropriate.

D) Create a list of foods that promote wound healing:
Although nutrition is important for wound healing, addressing the underlying health issues affecting the client's circulation and skin integrity is more critical. A healthcare provider can offer comprehensive treatment that includes managing the client’s overall health condition, which may involve more than just dietary changes.

A. Client survey both in clinic and in the home B. Ask a set number of clients if they have had the flu C. Determine change in immunization rates from prior year to current year D. Generate influenza immunization and case reports from the electronic record for prior year and current year E. Develop an action plan to increase immunization rates F. Delineate geographic distribution of area to survey and review for patterns

Correct Answer is ["A","C","D","F"]

Explanation

A) Client survey both in clinic and in the home:
Conducting surveys in both the clinic and home settings provides a comprehensive approach to gathering data on vaccination rates and influenza cases. This method ensures a wider reach and captures information from diverse populations, which can help in understanding factors influencing vaccination rates.
B) Ask a set number of clients if they have had the flu:
This action is less systematic and may not provide comprehensive data on vaccination rates or trends. It focuses more on individual experiences rather than providing a broad analysis of vaccination coverage and influenza cases.
C) Determine change in immunization rates from prior year to current year:
Analyzing the change in immunization rates over time helps identify trends and patterns. This comparison will reveal whether there has been a decline in vaccination rates, which could correlate with the increase in influenza cases. This step is crucial for understanding the effectiveness of past vaccination efforts and identifying areas for improvement.

D) Generate influenza immunization and case reports from the electronic record for prior year and current year:
Generating and reviewing reports from electronic health records provides concrete data on immunization rates and influenza cases. This data is essential for identifying trends and making informed decisions about where and how to target interventions.

E) Develop an action plan to increase immunization rates:
While developing an action plan is a necessary step after analyzing the data, it is not part of the data gathering process itself. It comes after understanding the current trends and patterns from the data collected.
F) Delineate geographic distribution of area to survey and review for patterns:
Understanding the geographic distribution helps in identifying areas with higher or lower vaccination rates and influenza cases. This spatial analysis can reveal patterns related to vaccination coverage and infection rates, guiding targeted interventions and resource allocation.

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

The parish nurse notes that an older adult client has had a 5 lb (2.3 kg) weight loss since a check-up one month ago. The client has good hygiene, still drives a car, and lives alone. To which agency should the nurse refer this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a community health screening fair for older adults, the nurse observes a client who has pale, bluish feet, with sores an both lower extremities that are healing poorly. Which intervention should the nurse implement?

Correct Answer is A

Explanation

Correct Answer is ["A","C","D","F"]

Explanation

A community health nurse is planning strategies to prevent an increase in the incidence of osteoporosis in the community. Which activity should the nurse include?

While presenting a workshop titled, "Improving Access to Health Services" to community leaders, the community health nurse is asked by a city council member to explain the reason for addressing this issue. Which statement provides the best response?

The community health nurse believes that immunization rates in a lower-socioeconomic section of the city are probably below the target set by the state health department. Which action should the nurse take first to intervene with this health problem?

According to the Centers for Disease Control and Prevention, which diseases are reportable infectious diseases? Select all that apply.

Four students come to the school clinic simultaneously, seeking help from the school nurse. In which order of priority should the nurse provide care to these students? (Arrange the client with the highest priority first, on top, and lowest priority last, on bottom.)

A toddler is brought by a parent to the health department for scheduled immunizations. The toddler clings to the caregiver and cowers when approached. Which assessment warrants immediate intervention by the nurse?