A community health nurse is planning a program for adolescents about preventing STIs. Which of the following actions should the nurse take first?
Collect data to identify barriers to learning.
Establish methods to evaluate program outcomes.
Obtain visual aids that feature adolescents.
Provide computer-based education.
The Correct Answer is A
Choice A reason: Collecting data to identify barriers to learning is the first action that the nurse should take. This is based on the principle of assessment, which states that the nurse should gather information about the needs, interests, and characteristics of the target population before planning any intervention. The nurse should assess the barriers that may prevent the adolescents from participating in or benefiting from the program, such as lack of knowledge, motivation, access, or support.
Choice B reason: Establishing methods to evaluate program outcomes is not the first action that the nurse should take. This is based on the principle of evaluation, which states that the nurse should measure the effectiveness and impact of the intervention after implementing it. The nurse should determine the criteria and indicators that will be used to evaluate the program outcomes, such as changes in knowledge, attitudes, behaviors, or health status.
Choice C reason: Obtaining visual aids that feature adolescents is not the first action that the nurse should take. This is based on the principle of implementation, which states that the nurse should deliver the intervention using appropriate strategies and resources. The nurse should obtain visual aids that are relevant, accurate, and appealing to the adolescents, and that can enhance the learning process and the message delivery.
Choice D reason: Providing computer-based education is not the first action that the nurse should take. This is based on the principle of implementation, which states that the nurse should deliver the intervention using appropriate strategies and resources. The nurse should provide computer-based education if it is feasible, accessible, and preferred by the adolescents, and if it can facilitate the learning objectives and outcomes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This comment does not indicate rationalization, but rather a recognition of the consequences of obesity. The client may be expressing a need for help or motivation to change their lifestyle.
Choice B reason: This comment indicates rationalization, which is a defense mechanism that involves making excuses or justifying one's behavior or situation. The client may be avoiding personal responsibility or denying the possibility of change by blaming their obesity on their genes.
Choice C reason: This comment does not indicate rationalization, but rather a challenge or barrier that the client faces in achieving their health goals. The client may be acknowledging their weakness or seeking support to overcome their temptation.
Choice D reason: This comment does not indicate rationalization, but rather a projection or displacement of the client's negative feelings onto others. The client may be feeling insecure or rejected because of their obesity, and assuming that others share the same opinion.
Correct Answer is C
Explanation
Choice A reason: Helping the client apply for Medicare is not the best action by the nurse, as Medicare is a federal health insurance program for people who are 65 or older, disabled, or have end-stage renal disease. The client does not meet any of these criteria and may not be eligible for Medicare.
Choice B reason: Exploring options for alternative therapies is not the best action by the nurse, as alternative therapies may not be effective or safe for treating tuberculosis. Tuberculosis is a serious bacterial infection that requires specific antibiotics to cure. Alternative therapies may also interfere with the prescribed medication or cause adverse effects.
Choice C reason: Arranging for medication through local agencies is the best action by the nurse, as it ensures that the client receives the appropriate treatment for tuberculosis. Local agencies may have programs or resources that can help the client access free or low-cost medication. The nurse should also educate the client about the importance of adhering to the medication regimen and completing the course of treatment.
Choice D reason: Sending the client to the nearest facility for further evaluation is not the best action by the nurse, as it may delay the initiation of treatment and increase the risk of transmission of tuberculosis to others. The client already has a diagnosis of tuberculosis and needs to start the treatment as soon as possible. The nurse should also advise the client to wear a mask and avoid close contact with others until the infection is no longer contagious.
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