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 D

Explanation

A) Instruct on technique of "stop, drop & roll" at assembly:
This is a primary prevention intervention aimed at educating students on how to prevent burns in the event of a fire. It does not address a specific identified problem but rather provides general safety education.

B) Involve the parent teacher association (PTA) in a fund raising event for the new gym:
This action focuses on raising funds for a new gym, which is related to school improvement and development rather than addressing an immediate health issue. It does not fall under secondary intervention for an identified problem.

C) Invite 1st grade parents to a "Meet the Teachers" event:
This intervention focuses on fostering relationships between parents and teachers and improving school engagement. While valuable, it does not address a specific health problem that requires secondary intervention.

D) Send letters to parents regarding a recent lice infestation:
This is a secondary prevention intervention aimed at addressing an already identified problem—in this case, a lice infestation. By informing parents, the nurse is helping to manage and control the spread of lice among students, which is a direct response to an identified health issue.

A. 3/1,000. B. 30/1,000. C. 1.7/1,000. D. 15/1,000.

Correct Answer is B

Explanation

A) 3/1,000:
To calculate the rate per 1,000, you divide the number of new positive tests by the total number of students tested, then multiply by 1,000. For 15 new positive tests among 500 students, the rate is (15/500) * 1,000 = 30/1,000. Thus, 3/1,000 is incorrect.

B) 30/1,000:
The correct calculation for the rate per 1,000 is determined by dividing the number of new positive tests (15) by the total number of students tested (500) and then multiplying by 1,000. Therefore, (15/500) * 1,000 = 30/1,000. This rate accurately reflects the proportion of students with positive tests per 1,000.

C) 1.7/1,000:
The rate of 1.7/1,000 would result from incorrect calculations. Using the correct formula, the rate per 1,000 should be 30/1,000.

D) 15/1,000:
The rate of 15/1,000 suggests that there are 15 positive tests per 1,000 students, which does not reflect the actual number of new positive tests (15) among 500 students. The correct rate calculation yields 30/1,000, not 15/1,000.

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Naxlex Comprehensive Predictor Exams

The elementary school nurse has identified a problem requiring a secondary intervention. Which intervention should the nurse implement?

Correct Answer is D

Explanation

A school nurse identifies 15 new students with positive tuberculin tests among the 500 at-risk students fested. Which is the rate per 1,000 with new positive tests?

Correct Answer is B

Explanation

The nurse is caring for a client with gonorrhea. The client reports having sex with multiple partners. Which response should the nurse provide?

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Which measure should the college health clinic nurse implement to reduce the incidence of meningococcal meningitis in college freshmen?

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