A community health nurse is reviewing primary prevention strategies for West Nile virus with a group of clients in a rural health clinic. Which of the following instructions should the nurse include?

Avoid exposure to deer ticks.

Eliminate areas of standing water.

Use a respiratory mask when cleaning bird coops.

Plan outdoor activities after dusk.

Answer and Explanation

The Correct Answer is B

A. Avoid exposure to deer ticks: West Nile virus is transmitted through mosquito bites, not deer ticks. Avoiding ticks is important for preventing Lyme disease and other tick-borne illnesses, but it does not reduce the risk of West Nile virus.

B. Eliminate areas of standing water: Mosquitoes breed in stagnant water, increasing the risk of West Nile virus transmission. Removing standing water from containers, birdbaths, and gutters reduces mosquito populations and helps prevent the spread of the virus in rural and urban areas.

C. Use a respiratory mask when cleaning bird coops: This is a preventive measure for diseases such as histoplasmosis, which is caused by inhaling fungal spores from bird droppings. It does not protect against West Nile virus, which is spread through mosquito bites rather than airborne transmission.

D. Plan outdoor activities after dusk: Mosquitoes that carry West Nile virus are most active at dawn and dusk. Engaging in outdoor activities during these times increases the risk of being bitten. Instead, individuals should limit outdoor exposure or use protective measures such as insect repellent and long clothing during peak mosquito activity.

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Correct Answer is B

Explanation

A. Hospice care: Hospice care is intended for clients with terminal illnesses who require end-of-life support, pain management, and comfort care. It is not appropriate for this client, who is experiencing challenges related to transportation and meal preparation but does not have a terminal diagnosis.

B. Meals on Wheels: Meals on Wheels is a community resource that provides home-delivered meals to older adults who are unable to cook for themselves. This service ensures that the client receives nutritious meals while addressing their fear of cooking on the stove.

C. Home health services: Home health services provide skilled nursing care, therapy, and medical assistance for clients recovering from illness, injury, or surgery. Since this client’s needs are primarily related to meal preparation and transportation rather than medical care, home health services may not be the most appropriate recommendation.

D. American Association of Retired Persons (AARP): AARP offers various resources for older adults, including financial planning, social engagement, and advocacy. However, it does not directly address immediate concerns such as meal preparation and transportation.

A. "We should start tracking how soon clients are discharged after laparoscopic versus open surgery." B. "We should be sure to log out of the computers immediately following documentation." C. "We should involve our clients' partners in care planning as much as possible." D. "We should provide change-of-shift report as a team, including the assistive personnel who assisted with care."

Correct Answer is A

Explanation

A. "We should start tracking how soon clients are discharged after laparoscopic versus open surgery.": This statement reflects the QSEN concept of quality improvement by focusing on collecting and analyzing data related to patient discharge times. By tracking this information, the team can identify trends, evaluate the effectiveness of care, and implement changes to improve patient outcomes and streamline the discharge process.

B. "We should be sure to log out of the computers immediately following documentation.": While this statement emphasizes an important aspect of safety and confidentiality in documentation, it does not directly address quality improvement initiatives. It focuses more on operational procedures rather than evaluating and enhancing the quality of patient care.

C. "We should involve our clients' partners in care planning as much as possible.": Involving clients' partners in care planning aligns with the QSEN concept of patient-centered care. While this approach is essential for improving patient satisfaction and outcomes, it is not specifically a quality improvement initiative.

D. "We should provide change-of-shift report as a team, including the assistive personnel who assisted with care.": This statement reflects teamwork and communication strategies, which are important for effective patient care. However, it does not directly focus on quality improvement initiatives aimed at evaluating and enhancing the overall quality of care provided to clients.

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A community health nurse is reviewing primary prevention strategies for West Nile virus with a group of clients in a rural health clinic. Which of the following instructions should the nurse include?

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