Nursing Elites

1. A community health nurse is addressing the issue of domestic violence in the community. Which intervention should the nurse implement first?

• A. establishing a support group for survivors of domestic violence
• B. developing educational materials on recognizing signs of abuse
• C. partnering with local law enforcement to increase awareness
• D. conducting a community needs assessment to identify resources

Correct answer: D

Rationale: Conducting a community needs assessment is the most appropriate initial intervention when addressing domestic violence in the community. This step helps the nurse identify existing resources, gaps, and specific needs of the community related to domestic violence. By understanding the community's needs through a needs assessment, the nurse can tailor subsequent interventions effectively. Option A, establishing a support group, may be beneficial later but should not be the first step. Developing educational materials (Option B) and partnering with law enforcement (Option C) are important strategies; however, without understanding the community's specific needs through a needs assessment, the interventions may not be as targeted or effective.

2. The nurse is planning a health education program for 10-year-olds. Which setting is most likely to increase the preadolescents' participation in the program?

• A. the school classroom
• B. community center
• C. home of one of the children
• D. a local place of worship

Correct answer: A

Rationale: The school classroom is the most suitable setting to increase preadolescents' participation in a health education program. At the age of 10, children are accustomed to the school environment, making it familiar and comfortable for them. This familiarity can help reduce anxiety and increase engagement during the program. Community centers may be less familiar and could pose distractions, potentially reducing participation. Conducting the program at the home of one of the children may lead to unequal access for other participants and may not provide the necessary facilities for an educational session. A local place of worship may not be perceived as a neutral or suitable environment for a health education program, potentially hindering participation.

3. The nurse is assisting with the triage of clients at a large community disaster and finds a man lying on the ground, who states that the blast threw him out of a second-story window. Which action should the nurse implement first?

• A. Logroll the client to his side and assess for back injuries
• B. Perform a complete neurological assessment
• C. Open the client's airway immediately
• D. Place the nurse's hands around the client's neck to stabilize

Correct answer: C

Rationale: Opening the client's airway immediately is the priority in this scenario. Ensuring the airway is clear takes precedence over other actions as it is crucial for the client's breathing and oxygenation. Logrolling the client to assess for back injuries may worsen the condition if there are spinal injuries, so this should not be done as the first step. Performing a complete neurological assessment is important but not the immediate priority over ensuring the airway is clear. Placing the nurse's hands around the client's neck to stabilize is incorrect and could potentially harm the client, as neck stabilization should only be done if there is a suspected neck injury, which is not indicated in this case.

4. A nurse is planning a community health fair to promote cardiovascular health. Which activity should be included to best engage participants?

• A. free blood pressure screenings
• B. lectures on heart-healthy diets
• C. distribution of pamphlets on heart disease
• D. cooking demonstrations of healthy recipes

Correct answer: A

Rationale: Offering free blood pressure screenings should be included in the community health fair to best engage participants. This activity provides immediate, valuable information about participants' cardiovascular health. Blood pressure screenings are interactive, engaging, and offer personalized insights that can motivate individuals to take action towards improving their heart health. Lectures on heart-healthy diets, distribution of pamphlets, and cooking demonstrations, although beneficial, may not have the same level of immediate impact and engagement as the hands-on experience of getting one's blood pressure checked.

5. During a community health fair, the nurse conducts a blood pressure screening for a 60-year-old woman who has a blood pressure of 160/100 mm Hg. What should the nurse do first?

• A. Instruct the client to monitor her blood pressure at home
• B. Refer the client to her healthcare provider for further evaluation
• C. Educate the client on lifestyle changes to reduce blood pressure
• D. Recheck the blood pressure in 15 minutes

Correct answer: B

Rationale: When encountering a high blood pressure reading at a community health fair, it is essential for the nurse to refer the client to her healthcare provider for further evaluation. This step ensures that the client receives a comprehensive assessment, diagnosis, and appropriate management plan. In this scenario, it is crucial to prioritize professional evaluation over self-monitoring, lifestyle education, or immediate rechecking of the blood pressure. Referral to a healthcare provider allows for timely intervention and ongoing monitoring of the client's blood pressure to prevent potential complications.

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