Two years ago, the nurse assessed the health needs of high school students and determined that student pregnancy was a priority problem. The nurse then developed a pregnancy prevention program for the entire school district. Which finding is the best indicator of the program's effectiveness?

80% of the students attend a voluntary sex education seminar.

Students report an average delay of 2 years for their first sexual experience.

Students requesting information about adolescent pregnancy has increased by 25%.

75% of the parents agree to support a pregnancy prevention program in the schools.

Answer and Explanation

The Correct Answer is B

A) 80% of the students attend a voluntary sex education seminar:
While a high attendance rate at a sex education seminar indicates interest and participation in the program, it does not directly measure the program's impact on preventing student pregnancy. Attendance alone does not provide evidence of behavioral change or reduced pregnancy rates among students.

B) Students report an average delay of 2 years for their first sexual experience:
An average delay in the age of first sexual experience is a strong indicator of the program's effectiveness in influencing behavior. Delaying sexual activity can reduce the risk of unintended pregnancies, showing that the program has successfully impacted students' decisions regarding sexual activity.

C) Students requesting information about adolescent pregnancy has increased by 25%:
An increase in requests for information about adolescent pregnancy may suggest growing awareness or curiosity, but it does not directly measure changes in pregnancy rates or the effectiveness of the prevention program in reducing pregnancies.
D) 75% of the parents agree to support a pregnancy prevention program in the schools:
While parental support is important for the success of health programs, this measure reflects support and approval rather than direct outcomes related to pregnancy prevention. The effectiveness of the program is better gauged by changes in student behavior and pregnancy rates, rather than parental agreement.

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Correct Answer is C

Explanation

A. Renal insufficiency: While annual screening for renal insufficiency is important for individuals with diabetes to detect early signs of diabetic nephropathy, it is not as directly related to the immediate risks associated with smoking and family history of heart disease.

B. Peripheral neuropathy: Screening for peripheral neuropathy is essential for diabetes management, but it is not the most critical in the context of the client's smoking history and family history of early heart disease.

C. Hyperlipidemia: Given the client’s significant risk factors—including smoking two packs of cigarettes daily and a family history of early cardiovascular events—it is crucial to screen for hyperlipidemia. Smoking and a family history of early heart attack both increase the risk of cardiovascular disease, which is often associated with high cholesterol levels. Addressing hyperlipidemia can help mitigate the risk of cardiovascular complications.

D. Retinopathy: Screening for diabetic retinopathy is important for managing diabetes and preventing vision problems. However, in the context of the client's smoking and family history, addressing hyperlipidemia is a more immediate concern related to cardiovascular health.

A. Fasting blood glucose average readings were 20% lower at the end of the classes. B. Discussion of food exchanges and calories was a well-attended class. C. Demonstrating the use of a blood glucose meter was an effective teaching strategy. D. Parking convenience for attendees continued to be a major concern.

Correct Answer is A

Explanation

A) Fasting blood glucose average readings were 20% lower at the end of the classes:
This outcome measure directly evaluates the effectiveness of the diabetes education classes. A significant reduction in fasting blood glucose levels indicates that the classes had a positive impact on the clients' diabetes management, reflecting the practical success of the educational interventions.

B) Discussion of food exchanges and calories was a well-attended class:
While class attendance is a positive indicator of interest, it does not measure the actual effectiveness of the classes in improving diabetes management. Attendance alone does not confirm that the information was effectively applied or that it led to improved health outcomes.

C) Demonstrating the use of a blood glucose meter was an effective teaching strategy:
Although demonstrating the use of a blood glucose meter is an important teaching strategy, evaluating its effectiveness does not provide a comprehensive measure of the overall impact of the classes. The ultimate goal is to see improvements in health outcomes, such as blood glucose control.

D) Parking convenience for attendees continued to be a major concern:
While logistical issues like parking convenience are important for class accessibility, they do not reflect the effectiveness of the educational content in improving health outcomes. The focus should be on measurable changes in clients' health status, such as blood glucose levels.

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Two years ago, the nurse assessed the health needs of high school students and determined that student pregnancy was a priority problem. The nurse then developed a pregnancy prevention program for the entire school district. Which finding is the best indicator of the program's effectiveness?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse designs a series of four weekly classes for clients with type 2 diabetes mellitus. Which information should the nurse use as an outcome evaluation for the classes?

Correct Answer is A

Explanation

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