The school health nurse observes that a large percentage of Hispanic children in the elementary school are overweight. Which screening program should the nurse choose to target the highest priority health concern for this population?
Diabetes mellitus.
Hypothyroidism.
English proficiency.
Iron deficiency anemia.
The Correct Answer is A
A. Diabetes mellitus:
Given that a large percentage of Hispanic children in the elementary school are overweight, diabetes mellitus is a significant health concern. Overweight and obesity are major risk factors for type 2 diabetes, which is increasingly prevalent in children with these conditions. Screening for diabetes mellitus is crucial for early identification and management to prevent complications associated with this condition.
B. Hypothyroidism:
While hypothyroidism can contribute to weight gain, it is less directly linked to the prevalence of overweight in the general population compared to diabetes mellitus. Screening for hypothyroidism would be less prioritized unless there are specific indications or symptoms related to thyroid dysfunction.
C. English proficiency:
Although English proficiency is important for academic success and communication, it is not directly related to the health concerns associated with overweight and obesity. Addressing health issues like diabetes is more urgent for managing the overweight problem.
D. Iron deficiency anemia:
Iron deficiency anemia is a concern in some populations, but it is less directly associated with overweight and obesity compared to diabetes mellitus. Screening for iron deficiency anemia would be relevant in different contexts but is not the highest priority in addressing the immediate health impact of obesity-related conditions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Glaucoma:
Glaucoma is generally a concern for older adults rather than preschool-aged children. Screening for glaucoma typically starts later in life when the risk for this condition increases.
B. Red light reflex:
The red light reflex test is used primarily in infants and very young children to screen for conditions such as cataracts and retinoblastoma. While important, it is not usually the primary focus of annual screenings in preschool settings, which typically emphasize visual acuity.
C. Visual acuity:
Visual acuity screening is crucial for preschool-aged children to identify any issues with vision that could affect their development and learning. It helps detect problems like amblyopia (lazy eye) or refractive errors that need early intervention.
D. Conjunctivitis:
Conjunctivitis, or pink eye, is a common condition but is not typically part of routine annual eye health screenings. It is more relevant to address conjunctivitis as it arises rather than as part of an annual screening program.
Correct Answer is C
Explanation
A) Women, Infant, and Children program:
The Women, Infant, and Children (WIC) program provides nutritional assistance to low-income pregnant women, new mothers, and young children. It is not designed for general health insurance needs and is not applicable to a 66-year-old retiring from employment.
B) Consolidated Omnibus Budget Reconciliation Act provisions:
The Consolidated Omnibus Budget Reconciliation Act (COBRA) allows employees and their families to continue their health insurance coverage for a limited period after leaving employment. While COBRA can provide temporary coverage, it may not be the most appropriate long-term solution for a retiree who will likely need ongoing health insurance coverage beyond the COBRA continuation period.
C) Medicare:
Medicare is a federal health insurance program specifically designed for individuals aged 65 and older. Since the client is 66 years old and retiring, Medicare is the most appropriate agency to refer to for health insurance needs. Medicare provides comprehensive health coverage for seniors and is suited to their age group.
D) Medicaid:
Medicaid provides health coverage for low-income individuals and families, including some older adults with limited income and resources. However, for a 66-year-old client who is retiring and is likely eligible for Medicare, Medicaid may not be the primary insurance option unless the client has specific low-income needs that qualify them for additional assistance. Medicare is the primary program for seniors.
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