a community health nurse is planning a health promotion campaign which of the following should be the first step
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Nursing Elites

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Community Health HESI Test Bank

1. A community health nurse is planning a health promotion campaign. What should be the first step?

Correct answer: B

Rationale: The correct first step in planning a health promotion campaign is to assess the needs of the community. By understanding the community's specific health needs, preferences, and resources, the nurse can tailor the campaign effectively. Developing educational materials (choice A) should come after assessing needs to ensure relevance. Implementing interventions (choice C) and evaluating outcomes (choice D) should also follow the assessment phase to measure the impact of the campaign accurately.

2. The home health care agency can expect to obtain Medicare reimbursement for which home visit performed by a registered nurse or a practical nurse?

Correct answer: C

Rationale: The correct answer is C because wound care for a postoperative infection qualifies for Medicare reimbursement. Medicare typically covers skilled nursing care, like wound care, required due to a postoperative infection. Choices A, B, and D involve assessments, teaching, and evaluation, which may not always be eligible for Medicare reimbursement unless they are directly related to skilled nursing care for a specific medical condition.

3. Diabetes has become a major health problem. How can healthcare professionals contribute to reducing the incidence of diabetes?

Correct answer: D

Rationale: Raising community awareness about diabetes prevention is an effective way to reduce the incidence of diabetes. By educating the public about healthy lifestyle choices, risk factors, and preventive measures, healthcare professionals can empower individuals to make informed decisions regarding their health. Choice A is not as proactive as raising awareness in the community. While screening is important, prevention through awareness can have a broader impact. Choice B is specific to a particular act and may not apply universally. Choice C, establishing support groups, is beneficial for those already affected by diabetes but may not directly reduce the incidence of the disease.

4. During a large community disaster, a man states that the blast threw him out of a second-story window. Which action should the nurse implement first?

Correct answer: D

Rationale: In this situation, the nurse should first stabilize the client's neck to prevent potential spinal cord injuries. Logrolling the client or performing other assessments should only be done after ensuring spinal stabilization. Opening the airway immediately is important in cases of airway obstruction, but stabilizing the neck takes priority in this scenario. Performing a complete neurological assessment may delay immediate stabilization, which is crucial in suspected spinal injuries.

5. While assessing an Rh-positive newborn whose mother is Rh-negative, the nurse recognizes the risk for hyperbilirubinemia. Which of the following should be reported immediately?

Correct answer: C

Rationale: A serum bilirubin level of 12 mg/dL in a newborn is concerning and can indicate a significant risk of hyperbilirubinemia, which requires immediate medical intervention to prevent complications like kernicterus. Jaundice at 26 hours (Choice A) is a symptom, not a laboratory result, and needs monitoring but not an immediate report. Hematocrit of 55% (Choice B) may be elevated but is not indicative of hyperbilirubinemia. A positive Coombs test (Choice D) indicates the presence of antibodies on the newborn's red blood cells but does not directly correlate with the risk of hyperbilirubinemia.

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