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 A

Explanation

A. Low income families living in cramped quarters: Hepatitis A is primarily spread through the fecal-oral route, often through contaminated food or water. Individuals living in overcrowded or unsanitary conditions are at a higher risk due to the increased likelihood of exposure to contaminated sources and poor hygiene practices. Thus, low-income families living in cramped quarters are particularly vulnerable to hepatitis A.

B. Sexually active persons with multiple partners: While hepatitis B and C are more commonly associated with sexual transmission, hepatitis A is less commonly spread through sexual activity. Hepatitis A transmission is more directly related to poor sanitation and hygiene rather than sexual behavior alone.

C. IV drug users who share needles: Intravenous drug users who share needles are at high risk for hepatitis B and C, not hepatitis A. Hepatitis A is not typically transmitted through blood but rather through contaminated food and water.

D. Those who have recently received a blood transfusion: Hepatitis A is not transmitted through blood transfusions. Hepatitis B and C are the types of hepatitis associated with blood transfusions. Hepatitis A is spread through ingestion of contaminated food or water.

A. Teach clients about recommended immunizations for children. B. Instruct teens about prevention of sexually transmitted diseases. C. Take blood pressures at a local shopping mall in the community. D. Demonstrate foot care to a group of clients who have diabetes.

Correct Answer is D

Explanation

A. Teach clients about recommended immunizations for children:
Teaching about immunizations is a form of primary prevention, as it aims to prevent diseases before they occur. It is not classified as tertiary prevention.

B. Instruct teens about prevention of sexually transmitted diseases:
Instructing about the prevention of sexually transmitted diseases (STDs) is a form of secondary prevention. It focuses on preventing the spread of disease and identifying it early.

C. Take blood pressures at a local shopping mall in the community:
Measuring blood pressure is an example of secondary prevention, which involves screening for health issues to detect them early. It does not fall under tertiary prevention, which focuses on managing existing conditions.

D. Demonstrate foot care to a group of clients who have diabetes:
Demonstrating foot care to clients with diabetes is an example of tertiary prevention. It involves managing and preventing complications in individuals who already have a chronic condition (diabetes). This helps in minimizing the impact of the disease and improving the quality of life for those affected.

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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

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?

Correct Answer is A

Explanation

A community health nurse is helping a group of nursing students plan a tertiary prevention program for a local community clinic that serves a majority Hispanic population. Which service project meets the requirement of a tertiary prevention program and would best serve this population?

Correct Answer is D

Explanation

A client comes to the public health clinic requesting information about which immunizations to receive prior to visiting a developing nation. Which immunization should the nurse recommend as a priority for this client?

The community health nurse believes that immunization rates in a lower-socioeconomic section of the city are probably below the target set by the state health department. Which action should the nurse take first to intervene with this health problem?

Four students come to the school clinic simultaneously, seeking help from the school nurse. In which order of priority should the nurse provide care to these students? (Arrange the client with the highest priority first, on top, and lowest priority last, on bottom.)

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 public health nurse is evaluating resources in a rural community. Which healthcare resource is most important to the community?

The city health department director asks the community health nurse to make a presentation describing the greatest health concern facing the city. How should the nurse begin to collect the data needed for this presentation?

The school nurse who is reviewing immunization records of students who will start kindergarten within the next month notes that most of the students have only received one dose of the measles, mumps, rubella (MMR) vaccine. Which intervention should the nurse implement?