While reviewing the objectives for "Healthy People 2030," the nurse determines that the community has a significant problem in preventing dental caries among children. To bring about change that addresses this identified community health problem, which is the best place to initiate a prevention program?

Hospital emergency departments.

The local shopping mall.

Women, Infant, and Children office.

Community youth center.

Answer and Explanation

The Correct Answer is C

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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Correct Answer is C

Explanation

A) The parent's judgment is likely too impaired to provide care for the child:
While a significant increase in alcohol consumption may affect a parent's ability to provide appropriate care for their child, this conclusion is not directly supported by the information provided. The child’s statement about the increase in alcohol consumption indicates a change in drinking behavior but does not explicitly detail the impact on parental judgment or caregiving abilities.
B) Since the parent is increasing his alcohol intake, it is likely that he will soon begin using other addicting drugs:
An increase in alcohol consumption does not necessarily imply that the individual will start using other addictive substances. While alcohol use can be part of a broader pattern of substance abuse, there is no direct evidence from the statement to support this prediction. The focus should remain on the observed change in alcohol use rather than speculating about future drug use.
C) The parent is exhibiting tolerance to alcohol and must increase the amount to achieve the desired effect:
The child's observation that the father has increased his alcohol intake from one beer a day to a six-pack a day suggests the development of tolerance. Tolerance occurs when an individual needs to consume more of a substance to achieve the same effect. This increase in alcohol consumption indicates that the father’s body has adapted to the lower amounts of alcohol, necessitating larger quantities to achieve the desired effects.
D) The child is denying that there is a problem of alcohol abuse in the family:
The child’s statement does not demonstrate denial but rather reports a change in the father’s drinking behavior. Denial would involve minimizing or refusing to acknowledge the problem, whereas the child is providing a straightforward account of the increase in alcohol consumption. The statement reflects an observation rather than an avoidance of recognizing the issue.

A. Mortality rate in the community. B. Expressed needs of community members. C. Life expectancy of clients in the community. D. Description of health problems by community leaders.

Correct Answer is B

Explanation

A) Mortality rate in the community:
The mortality rate is an important indicator of overall health in a community and provides information about the number of deaths over a specific period. While it is useful for identifying trends and health outcomes, it does not capture the immediate and current health concerns or priorities of the community members.

B) Expressed needs of community members:
The expressed needs of community members are crucial for understanding the specific health concerns and priorities of the population. This information helps tailor interventions and programs to address the actual needs and preferences of the community, ensuring that the healthcare strategies implemented are relevant and effective.

C) Life expectancy of clients in the community:
Life expectancy is an important measure of general health and longevity in a community. However, it is a broader measure that does not provide specific insights into current health issues or immediate needs. Understanding life expectancy alone does not address the specific concerns or requirements of the community members.

D) Description of health problems by community leaders:
While descriptions of health problems by community leaders can provide valuable context and insight, they may not always reflect the full spectrum of the community’s health needs or the individual concerns of its members. Direct input from community members about their expressed needs offers a more comprehensive and relevant understanding of the health issues that require attention.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

When assessing the health of a community, which is the most important information for the nurse to obtain?

Correct Answer is B

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?

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?

A nurse is planning a nutrition class for a group of older adults at a community center and wants to emphasize the amount and types of fat in some foods versus others. Which teaching method is best for the nurse to use?

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?

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

On a day when the temperature is expected to drop to below freezing during the night, the nurse is asked to determine which homeless adults are most in need of the limited spaces that are available in a shelter. It is most important for which person to be admitted for the night?

Several clients who have recently come to the local health clinic in a rural county are diagnosed with tuberculosis (TB). After reporting the occurrence to the health department, which community focused action should the nurse implement first?