Nursing Elites

1. The healthcare professional is planning a health fair to promote cancer awareness and prevention. Which activity is most likely to increase participation?

• A. offering free cancer screenings
• B. distributing pamphlets on cancer prevention
• C. hosting a guest speaker who is a cancer survivor
• D. providing informational booths on different types of cancer

Correct answer: A

Rationale: Offering free cancer screenings is the most likely activity to increase participation in the health fair. Providing direct services such as screenings not only attracts participants but also promotes early detection, which is crucial in cancer prevention. Distributing pamphlets, hosting a guest speaker, or providing informational booths are informative but may not have the same impact in driving participation as the opportunity for free screenings.

2. A community health nurse is developing a program to reduce the incidence of teen pregnancy. Which strategy is most likely to be effective?

• A. Distribute free condoms at local high schools
• B. Offer comprehensive sex education classes
• C. Promote abstinence-only education
• D. Provide access to reproductive health services

Correct answer: B

Rationale: Comprehensive sex education has been shown to be more effective in reducing teen pregnancy rates compared to abstinence-only education. Providing comprehensive sex education equips teens with knowledge about safe sex practices, contraception methods, and healthy relationships, which empowers them to make informed decisions. Distributing free condoms and providing access to reproductive health services are important components, but without proper education, teens may not understand how to use these resources effectively. Promoting abstinence-only education limits information and may not address the reality of teen sexual behavior, potentially leading to higher pregnancy rates.

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

• A. Providing education on the dangers of substance abuse
• B. Setting up a support group for individuals struggling with addiction
• C. Partnering with local law enforcement to reduce drug availability
• D. Creating a confidential hotline for reporting substance abuse

Correct answer: D

Rationale: Creating a confidential hotline for reporting substance abuse should be prioritized because it offers a safe and accessible way for individuals to seek help and support for their substance abuse issues. This intervention allows individuals to report their concerns anonymously and seek guidance without fear of judgment or repercussions. Providing education on the dangers of substance abuse (Choice A) is important but may not be as immediately impactful as offering a direct avenue for help. Setting up a support group (Choice B) is valuable but may not reach as many individuals or provide the same level of anonymity as a confidential hotline. Partnering with law enforcement (Choice C) is crucial for addressing substance abuse issues from a legal perspective but may not directly address the immediate needs of individuals seeking help.

4. A client with a history of alcohol abuse is admitted with acute pancreatitis. Which assessment finding requires immediate intervention?

• A. Amylase of 120 U/L.
• B. Lipase of 150 U/L.
• C. Calcium of 8.5 mg/dL.
• D. Temperature of 101°F (38.3°C).

Correct answer: D

Rationale: In a client with acute pancreatitis and a history of alcohol abuse, a temperature of 101°F (38.3°C) can indicate infection, which is a serious complication requiring immediate intervention. Elevated amylase and lipase levels are common in acute pancreatitis but do not directly indicate the need for urgent intervention. A calcium level of 8.5 mg/dL is within the normal range and does not require immediate action in this context.

5. The healthcare provider is assessing a client who has returned from hemodialysis. Which finding requires immediate intervention?

• A. Weight gain of 1 pound.
• B. Dizziness.
• C. Fatigue.
• D. Muscle cramps.

Correct answer: D

Rationale: After hemodialysis, muscle cramps can indicate an electrolyte imbalance, such as low potassium or magnesium levels, which requires immediate intervention to prevent potential complications like cardiac arrhythmias. Weight gain of 1 pound, dizziness, and fatigue are common post-hemodialysis symptoms that may not necessarily require immediate intervention unless they are severe or persisting.

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