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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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A) Make a referral to have the scoliosis further evaluated:
Making a referral for further evaluation is the most important intervention. A noticeable unequal symmetry of the upper and lower back suggests the possibility of scoliosis, a condition that requires accurate diagnosis and assessment by a specialist. An orthopedic evaluation or consultation with a healthcare provider can provide a definitive diagnosis and guide appropriate management or treatment.

B) Measure the degree of the thoracic and lumbar curvature:
Measuring the degree of curvature can provide useful information about the severity of scoliosis but should be done by a healthcare professional specializing in scoliosis. Initial steps should focus on referring the student for a comprehensive evaluation, which will include assessing the degree of curvature along with other diagnostic procedures.

C) Ask about the student's ability to participate in sports:
While it is important to consider the student's ability to participate in sports, this is not the immediate priority. The primary concern should be obtaining a proper diagnosis and assessment of the potential scoliosis to determine if there are any limitations or necessary modifications in physical activities.

D) Review students' health record for a recent growth spurt:
Reviewing the health record for a recent growth spurt may provide context, as rapid growth can influence scoliosis development or progression. However, the most critical step is to refer the student for further evaluation to address the observed signs of scoliosis and determine the appropriate course of action.

A. Women, Infant, and Children program. B. Consolidated Omnibus Budget Reconciliation Act provisions. C. Medicare. D. Medicaid.

Correct Answer is C

Explanation

A) Women, Infant, and Children program:
The Women, Infant, and Children (WIC) program provides nutritional assistance to low-income pregnant women, new mothers, and young children. It is not designed for general health insurance needs and is not applicable to a 66-year-old retiring from employment.

B) Consolidated Omnibus Budget Reconciliation Act provisions:
The Consolidated Omnibus Budget Reconciliation Act (COBRA) allows employees and their families to continue their health insurance coverage for a limited period after leaving employment. While COBRA can provide temporary coverage, it may not be the most appropriate long-term solution for a retiree who will likely need ongoing health insurance coverage beyond the COBRA continuation period.

C) Medicare:
Medicare is a federal health insurance program specifically designed for individuals aged 65 and older. Since the client is 66 years old and retiring, Medicare is the most appropriate agency to refer to for health insurance needs. Medicare provides comprehensive health coverage for seniors and is suited to their age group.

D) Medicaid:
Medicaid provides health coverage for low-income individuals and families, including some older adults with limited income and resources. However, for a 66-year-old client who is retiring and is likely eligible for Medicare, Medicaid may not be the primary insurance option unless the client has specific low-income needs that qualify them for additional assistance. Medicare is the primary program for seniors.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A 66-year-old client is retiring and will no longer have health insurance through a place of employment. Which agency should the client be referred to by the employee health nurse for health insurance needs?

Correct Answer is C

Explanation

A prescription for discharge is written for an elderly client who has asked to be discharged to home. The client lives alone and is able to walk 10 to 15 feet (3 to 4.5 meters) with assistance. Which action should the nurse implement first?

A community health nurse is planning strategies to prevent an increase in the incidence of osteoporosis in the community. Which activity should the nurse include?

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

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.)

Which annual screening should the nurse include when planning an eye health program at a preschool?

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?

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?