A community health nurse is in the initial phase of planning a smoking cessation program. Which of the following actions should the nurse take first?

Evaluate the methods of successful smoking cessation programs.

Gain community support for the program.

Determine the prevalence of smoking in the community.

Formulate objectives for the smoking cessation program.

Answer and Explanation

The Correct Answer is C

Choice A reason: Evaluating the methods of successful smoking cessation programs is an important step in planning a smoking cessation program, but it is not the first action the nurse should take. The nurse needs to assess the needs and characteristics of the target population before selecting the most appropriate methods and interventions¹.

Choice B reason: Gaining community support for the program is a key factor in ensuring the program's sustainability and effectiveness, but it is not the first action the nurse should take. The nurse needs to identify the stakeholders and partners who can help with the program's implementation and evaluation².

Choice C reason: Determining the prevalence of smoking in the community is the first action the nurse should take. This is an assessment step that will help the nurse estimate the magnitude of the problem, identify the risk factors and barriers, and prioritize the goals and strategies for the program³.

Choice D reason: Formulating objectives for the smoking cessation program is a planning step that requires assessment data. The nurse should not formulate objectives without first determining the prevalence of smoking in the community and the needs and preferences of the potential participants⁴.

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Correct Answer is B

Explanation

Choice A: The client’s insurance provides coverage for palliative care

This option is incorrect. While insurance coverage for palliative care is important, it is not a qualifying criterion for hospice care. Hospice care eligibility is primarily based on the patient’s medical condition and prognosis, not on insurance coverage.

Choice B: The client has declined additional life prolonging treatments

This option is correct. One of the key criteria for hospice care is that the patient must choose palliative care (comfort care) over curative treatments. This means the patient has decided to stop treatments aimed at prolonging life and instead focus on quality of life and symptom management.

Choice C: The client requires inpatient care due to lack of a caregiver

This option is incorrect. While the need for inpatient care can be a factor in the type of hospice services provided, it is not a criterion for qualifying for hospice care. Hospice care can be provided in various settings, including the patient’s home, regardless of caregiver availability.

Choice D: The client has documentation stating he has less than 12 months to live

This option is incorrect. The standard criterion for hospice care is a prognosis of six months or less to live if the disease follows its usual course. Documentation stating a life expectancy of less than 12 months does not meet the hospice eligibility requirement.

A. One of the child's parents appears frightened of the other parent. B. Neither of the child's parents are financially stable. C. One of the child's parents has a history of alcohol use disorder. D. The child spends the weekends with their grandparents.

Correct Answer is ["A","B","C"]

Explanation

Choice A reason: This is correct. One of the child's parents appearing frightened of the other parent may indicate domestic violence or intimidation in the family, which can increase the risk of child abuse and neglect¹².

Choice B reason: This is correct. Neither of the child's parents being financially stable may indicate economic stress or poverty, which can increase the risk of child abuse and neglect¹².

Choice C reason: This is correct. One of the child's parents having a history of alcohol use disorder may impair their judgment, impulse control, or ability to care for the child, which can increase the risk of child abuse and neglect¹².

Choice D reason: This is incorrect. The child spending the weekends with their grandparents may indicate a supportive extended family or respite for the parents, which can decrease the risk of child abuse and neglect¹.

Choice E reason: This is incorrect. The child's family having an indoor cat that sleeps with the child may indicate a positive attachment or comfort for the child, which can decrease the risk of child abuse and neglect¹..

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A community health nurse is in the initial phase of planning a smoking cessation program. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is working for a hospice organization. The nurse should identify that which of the following criteria must be met for a client to qualify for hospice care?

Correct Answer is B

Explanation

A school nurse is reviewing the family history of a school-age child who has a fractured ulna for the second time. Which of the following findings place the child at risk for child abuse? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

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