The public health department is concerned there is an increase in violence among the children in the community. Which individual should the department involve in determining which children are most likely to be a victim or a perpetrator?

next-door neighbor

parent

school nurse

pediatric primary care provider

Answer and Explanation

The Correct Answer is C

Rationale:
A. Next-door neighbor is incorrect because while neighbors may observe certain behaviors, they typically do not have consistent access to comprehensive information about a child’s health, behavior, or social risk factors, making them less reliable for identifying at-risk children.

B. Parent is incorrect because although parents provide valuable insight, they may not always recognize signs of victimization or aggressive behavior in their child, and relying solely on parental reporting can lead to underestimation of risk.

C. School nurse is correct because the school nurse regularly interacts with children in a structured environment, has access to health records, observes social interactions, and can identify early warning signs of both victimization and aggression. School nurses are uniquely positioned to help public health departments target prevention and intervention efforts effectively.

D. Pediatric primary care provider is incorrect because although they monitor children’s overall health and development, they may see the child infrequently and have limited observation of day-to-day social interactions and behaviors that indicate risk for violence in the school or community setting.

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Correct Answer is B

Explanation

Rationale:
A. Availability is incorrect because availability refers to whether healthcare services, resources, or interventions exist in the community. In this scenario, the issue is not the presence of services but the individual’s knowledge.

B. Awareness is correct because awareness involves the knowledge and understanding of health risks, preventive measures, and available services. The older man’s lack of knowledge about the link between smoking and lung cancer illustrates a gap in health awareness, which is a key challenge for older adults in rural areas.

C. Affordability is incorrect because affordability concerns whether an individual can pay for healthcare services or interventions. The situation does not indicate financial barriers.

D. Accessibility is incorrect because accessibility refers to the ease of reaching or using healthcare services, such as distance, transportation, or physical limitations. Here, the primary problem is the lack of awareness, not physical or logistical access.

A. Latent TB infection is a condition in which TB germs remain in the host in a dormant state. B. TB infection without signs or symptoms is classified as latent TB. C. Dormant TB germs can reactivate and cause TB disease. D. Individuals with latent TB easily spread TB germs.

Correct Answer is D

Explanation

Rationale:

A. Latent TB infection is a condition in which TB germs remain in the host in a dormant state – True. In this state, the bacteria are alive but inactive, and the host’s immune system keeps them under control, preventing disease.

B. Latent TB is asymptomatic, which is why individuals may be unaware of their infection until screening or exposure testing.

C. Reactivation occurs if the immune system becomes compromised, such as during HIV infection, immunosuppressive therapy, diabetes, malnutrition, or aging. Reactivation leads to active TB disease, which is symptomatic and highly contagious if pulmonary involvement occurs.

D. People with latent TB do not shed the bacteria and therefore cannot transmit TB. Only active pulmonary TB poses a significant infection risk to otherTop of FormBottom of Form

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The public health department is concerned there is an increase in violence among the children in the community. Which individual should the department involve in determining which children are most likely to be a victim or a perpetrator?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Which statement about latent TB infection is not true?

Correct Answer is D

Explanation

An advanced public health nurse investigates a cluster of cases of learning disabilities, hearing impairment, and developmental delays in school-age children who live in an apartment complex that was built in 1971. The nurse suspects exposure to:

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