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 Centers for Disease Control and Prevention (CDC) has identified this problem as a variable in morbidity.

The Community Health Improvement Process is used for issues in high risk populations.

The Institute of Medicine includes "access" as one of its priority recommendations.

The committee for "Healthy People 2030" has identified "access" as a national goal.

Answer and Explanation

The Correct Answer is D

A) The Centers for Disease Control and Prevention (CDC) has identified this problem as a variable in morbidity:
While the CDC provides valuable data and insights on various health issues, it may not directly frame "access to health services" as a key reason for addressing the issue in the broader context of health improvement strategies. The focus here is on the broader, more comprehensive goals rather than specific CDC findings.

B) The Community Health Improvement Process is used for issues in high-risk populations:
The Community Health Improvement Process is a method used to address health issues, but this statement does not directly explain why improving access to health services is crucial. It focuses more on the process rather than the rationale behind improving access.

C) The Institute of Medicine includes "access" as one of its priority recommendations:
The Institute of Medicine (now the National Academy of Medicine) has indeed highlighted the importance of access to health services. However, the most compelling reason for emphasizing access is its inclusion in national health goals, which underscores its broad importance.

D) The committee for "Healthy People 2030" has identified "access" as a national goal:
This statement provides the best response because it highlights that improving access to health services is a national health goal outlined in "Healthy People 2030." This demonstrates the significant importance placed on access to health services at a national level and aligns with broader public health objectives, making it a strong justification for addressing the issue in the workshop.

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Correct Answer is C

Explanation

A) Long bone density testing:
Bone density testing is typically not a priority for elementary school students. This type of testing is more relevant for older populations or individuals at risk for conditions such as osteoporosis. For elementary-aged children, other measures are more pertinent to their immediate health needs.

B) Annual flu vaccination status:
While tracking annual flu vaccination status is important for preventing influenza and maintaining public health, it does not encompass a broad range of health risks. A health risk screening protocol should include measures that provide a comprehensive view of a child's overall health and growth.

C) Weight and height measurement:
Weight and height measurements are fundamental components of health risk screening in elementary school children. These measurements help assess growth patterns, identify potential issues with malnutrition or obesity, and monitor overall health. They are critical for evaluating whether children are developing appropriately and for identifying early signs of potential health problems.

D) Serum total cholesterol level:
Measuring serum total cholesterol levels is more relevant for older children or those with specific risk factors for cardiovascular disease. For elementary school children, it is more practical to focus on growth metrics such as weight and height, which provide immediate and actionable insights into their health status.

A. Hospital emergency departments. B. The local shopping mall. C. Women, Infant, and Children office. D. Community youth center.

Correct Answer is C

Explanation

A) Hospital emergency departments:
Hospital emergency departments primarily deal with acute and urgent medical issues rather than preventive care. While they can provide treatment for dental emergencies, they are not typically the best setting for initiating preventive programs aimed at reducing dental caries among children.

B) The local shopping mall:
While a shopping mall could be a venue for public health campaigns or educational events, it is not specifically designed for targeted prevention programs related to dental health. The setting may not effectively reach or engage the populations most at risk for dental caries.

C) Women, Infant, and Children (WIC) office:
The WIC office is an ideal location for initiating a prevention program for dental caries among children. WIC serves low-income families with young children and provides services that include education on nutrition and health. By integrating dental health education and resources into the WIC program, the nurse can effectively target families who might benefit most from preventive measures, such as fluoride treatments, dental check-ups, and oral hygiene education.

D) Community youth center:
A community youth center could be a valuable venue for reaching children and their families, and it may offer opportunities for educational programs. However, the WIC office specifically targets families with young children who are at higher risk for dental caries, making it a more directly relevant setting for preventive initiatives.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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?

An adolescent tells the school nurse that she is pregnant. Her last menstrual period was 4 months ago, and she has not yet received any medical care. She smokes but denies any other substance use. Which interventions should the nurse implement? (Select all that apply.)

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

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?

The nurse notes that the influenza immunization rates are much lower for certain demographic groups than for others. Which intervention is likely to be most useful in increasing the rates of immunization in these under-served immunization groups?

The school nurse is assessing a group of middle school students for signs of scoliosis and discovers a student with a noticeable unequal symmetry of the upper and lower back. Which intervention is most important for the nurse to implement?