Nursing Elites

1. The healthcare provider is planning a health education session for teenagers on the importance of physical activity. Which strategy is most likely to be effective?

• A. lecturing about the benefits of physical activity
• B. showing videos of athletes
• C. organizing interactive physical activities
• D. distributing pamphlets on physical fitness

Correct answer: C

Rationale: Organizing interactive physical activities is the most effective strategy for educating teenagers on the importance of physical activity. This approach engages the teenagers actively, making the learning experience more enjoyable and memorable. Lecturing (choice A) may not be as engaging for teenagers, potentially leading to disinterest. Showing videos of athletes (choice B) may capture attention momentarily but may not have a lasting impact on understanding the importance of physical activity. Distributing pamphlets (choice D) is a passive method that may not effectively convey the message or engage teenagers in a meaningful way.

2. A client with a history of chronic kidney disease is receiving erythropoietin therapy. Which finding indicates that the therapy is effective?

• A. Hemoglobin of 12 g/dL.
• B. Reticulocyte count of 1%.
• C. Blood pressure of 130/80 mm Hg.
• D. Serum ferritin level of 100 ng/mL.

Correct answer: A

Rationale: The correct answer is A. A hemoglobin level of 12 g/dL is an indicator of effective erythropoietin therapy as it shows an increase in red blood cell production. Reticulocyte count (choice B) reflects the bone marrow's response to anemia but does not directly confirm the effectiveness of erythropoietin therapy. Blood pressure (choice C) and serum ferritin level (choice D) are not specific indicators of the effectiveness of erythropoietin therapy for chronic kidney disease.

3. A community health nurse is addressing the issue of domestic violence in the community. Which intervention should be prioritized?

• A. Providing education on the signs of domestic violence
• B. Setting up a support group for survivors
• C. Partnering with local law enforcement to increase patrols
• D. Creating a confidential hotline for reporting abuse

Correct answer: D

Rationale: Creating a confidential hotline for reporting abuse is the most critical intervention when addressing domestic violence. A hotline offers a safe and confidential way for individuals experiencing abuse to report incidents, seek help, and access support services. This intervention prioritizes immediate safety and support for victims. Providing education on the signs of domestic violence (Choice A) is important for prevention but may not address the urgent needs of individuals currently experiencing abuse. Setting up a support group for survivors (Choice B) is valuable for emotional support but may not reach those who are not yet identified as survivors. Partnering with local law enforcement to increase patrols (Choice C) focuses more on the law enforcement response rather than providing a direct avenue for victims to seek help and support.

4. The nurse notices that the influenza immunization rate is much lower for certain demographic groups than for others. Which intervention is likely to be most useful in increasing the rates of immunization in the underserved community groups?

• A. designated clinics conveniently located in target neighborhoods
• B. reports on decreasing influenza rates during times of greatest prevalence
• C. legislative proposals that mandate influenza vaccinations for all
• D. radio announcements about the availability of the influenza vaccine

Correct answer: A

Rationale: Conveniently located clinics in target neighborhoods increase accessibility, making it easier for underserved community groups to receive influenza immunizations. This intervention directly addresses the issue of lower immunization rates by improving convenience and access. Reports on decreasing influenza rates (choice B) may not directly impact immunization rates. Legislative proposals mandating vaccinations (choice C) could face resistance and may not always be the most effective or practical solution. Radio announcements (choice D) may raise awareness but may not address the underlying barriers to immunization faced by underserved communities.

5. Prior to implementing a community health program targeting teenage smoking, which information is most important for the nurse to obtain?

• A. greater access to any healthcare provider
• B. allowance for early discharge
• C. Prevalence and patterns of smoking among teenagers
• D. approval by the network healthcare provider

Correct answer: C

Rationale: The most important information for the nurse to obtain before implementing a community health program targeting teenage smoking is the prevalence and patterns of smoking among teenagers. Understanding this data is crucial to tailor the program to the specific needs and behaviors of the target group, ensuring it addresses the root causes effectively. Choices A, B, and D are unrelated to the specific needs of the target group and do not provide essential information for designing an effective smoking cessation program for teenagers.

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