To promote heart healthy eating during a school health fair, the nurse presents information about a "Mediterranean-based" approach to eating. To assess learning, the nurse sponsors a contest and asks the children to create a rhyme that shows foods that should be limited. Which selection should the nurse choose as the winner of the contest?

Greens and beans.

Meats and sweets.

Fish on a dish.

Berries or cherries.

Answer and Explanation

The Correct Answer is B

A) Greens and beans:
While greens and beans are generally considered healthy foods, they are not the types of foods that should be limited in a Mediterranean-based diet. This option does not accurately reflect foods that should be restricted for heart health.

B) Meats and sweets:
This selection correctly identifies foods that should be limited in a Mediterranean-based eating approach. The Mediterranean diet emphasizes a lower intake of red meats and sweets, favoring healthier fats, whole grains, and vegetables. Thus, "meats and sweets" accurately represents the types of foods that should be consumed in moderation.

C) Fish on a dish:
Fish is a key component of the Mediterranean diet and is typically encouraged rather than limited. This option does not align with the goal of identifying foods to limit.

D) Berries or cherries:
Berries and cherries are nutrient-dense fruits that are encouraged in a Mediterranean-based diet rather than limited. This choice does not reflect the foods that should be restricted.

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Correct Answer is B

Explanation

A) Evaluate previous project outcomes:
Evaluating previous project outcomes provides valuable insights into what has been effective or ineffective in past health promotions. However, this step should come after understanding the current needs of the community. Previous outcomes are more relevant once the nurse has a clear grasp of the community’s current health promotion needs.

B) Interview community members:
Interviewing community members is the most immediate and essential action for assessing the community’s health promotion needs. Direct input from community members helps identify their perceptions, needs, and priorities, which is critical for tailoring relevant and effective health promotion interventions. This step provides a foundational understanding of the community's specific health issues and concerns.

C) Project future health care requirements:
Projecting future health care requirements is important for long-term planning but should be informed by an understanding of current community needs. Before making projections, it is necessary to assess and understand the existing health promotion needs through direct community engagement.

D) Schedule a community-wide health fair:
Scheduling a health fair can be an effective health promotion activity, but it should be based on an understanding of the community's specific needs. Without assessing these needs first, the health fair may not address the most pressing issues or effectively engage the community.

A. Provide the information for research purposes only. B. Ask the student to sign a standard waiver form. C. Obtain written authorization from clients to release the information. D. Ask if permission has been obtained from the research committee.

Correct Answer is C

Explanation

A) Provide the information for research purposes only:
Providing client information without proper authorization, even for research purposes, violates confidentiality and privacy regulations. Client information should only be shared in accordance with legal and ethical guidelines to protect patient privacy.

B) Ask the student to sign a standard waiver form:
While obtaining a waiver might be necessary for some purposes, it is not sufficient on its own for releasing personal health information. The primary requirement is to obtain written authorization from the clients whose information is being requested.

C) Obtain written authorization from clients to release the information:
The most appropriate action is to obtain written authorization from the clients before releasing any personal health information. This ensures compliance with privacy regulations, such as the Health Insurance Portability and Accountability Act (HIPAA), which mandates that client information be protected and only disclosed with explicit consent.

D) Ask if permission has been obtained from the research committee:
Permission from a research committee does not substitute for individual client consent. While research committees oversee ethical aspects of research, the release of personal health information must also adhere to privacy laws and require individual client authorization.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When assessing a community's health promotion needs, which action should the nurse take first?

Correct Answer is B

Explanation

A graduate nursing student requests information, including laboratory findings and chest x-ray results, about all clients with symptoms of HINI. influenza A who have been seen during the last month in a community health clinic. Which action should the charge nurse take?

Correct Answer is C

Explanation

During a substance abuse class at an elementary school, a student says, "My Dad used to drink one beer a day. Now he drinks at least a six-pack every day." What does this child's description of the father indicae?

A school nurse is developing a health risk screening protocol for use at an elementary school. Which information is most important for the nurse to include in this protocol?

Community health nurses are particularly concerned with the spread of communicable diseases such as hepatitis A. Which group of Individuals should the nurse identify as being at greatest risk for contracting this type of hepatitis?

The nurse is planning a health fair for high school students. Which assessment is most important for the nurse to obtain?

A school nurse identifies 15 new students with positive tuberculin tests among the 500 at-risk students fested. Which is the rate per 1,000 with new positive tests?

The community health nurse determines that the average family income of a certain community is $67,000 per year with a range of $27,000 to $102,000. Based on this demographic information, which additional information is important for the nurse to assess?

While assessing a child at the community health clinic, the nurse notes that the toddler has multiple bruises on his legs and buttocks. After reporting suspected child abuse to the supervisor, which action should the nurse take next?