A faith-based organization asks a community health nurse to develop a mobile meal program for older adults. Which of the following actions should the nurse plan to take first?

Determine potential funding sources for the program

Inquire about the availability of volunteers

Identify alternative solutions to address concerns

Perform a needs assessment

Answer and Explanation

The Correct Answer is D

Choice A reason: Determining potential funding sources for the program is an important action, but not the first one. The nurse should first assess the needs of the target population, such as the number of older adults who need the service, their nutritional status, their preferences, and their barriers to access food.

Choice B reason: Inquiring about the availability of volunteers is an important action, but not the first one. The nurse should first assess the needs of the target population, and then plan the resources and personnel needed to implement the program.

Choice C reason: Identifying alternative solutions to address concerns is an important action, but not the first one. The nurse should first assess the needs of the target population, and then identify the possible challenges and solutions to deliver the service effectively and efficiently.

Choice D reason: Performing a needs assessment is the first action that the nurse should take, as it provides the basis for planning, implementing, and evaluating the program. A needs assessment involves collecting and analyzing data about the health status, needs, and resources of the target population and the community. It helps to identify the gaps, priorities, and goals of the program.

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Correct Answer is D

Explanation

Step-by-Step Incidence Calculation Step 1 is (3,144 ÷ 325,986) = 0.00964292 Step 2 is 0.00964292 × 100,000 = 964.292 Step 3 is rounding 964.292 to the nearest whole number = 964

The closest answer choice to 964 cases per 100,000 population is D.

Answer: D.

Choice A reason: Option A states about 100 reported cases per 100,000 population, which is roughly one-tenth of the calculated rate (964 per 100,000). It underestimates the true incidence by nearly 864 cases per 100,000.

Choice B reason: Option B describes about 1 reported case per 10,000 population, equivalent to 10 per 100,000. This is far below the actual incidence (964 per 100,000) and thus is incorrect.

Choice C reason: Option C suggests about 10 reported cases per 10,000 population, which translates to 100 per 100,000. That remains well under the calculated rate and does not match the data.

Choice D reason: Option D indicates about 1,000 reported cases per 100,000 population. The calculated rate of 964 per 100,000 rounds to approximately 1,000 per 100,000, making this the correct choice.

A. Demographics B. Household members C. Occupation D. Health history

Correct Answer is B

Explanation

Choice A reason: Demographics is not the priority information for the community health nurse to obtain from each client, as it is not directly related to the transmission or treatment of tuberculosis. Demographics is the statistical data of a population, such as age, gender, race, or income. The nurse may collect this information for surveillance or research purposes, but it is not essential for the immediate care of the client.

Choice B reason: Household members is the priority information for the community health nurse to obtain from each client, as it is crucial for the prevention and control of tuberculosis. Household members are the people who live with or share the same living space with the client. They are at high risk of being exposed to or infected with tuberculosis, as the disease is spread through respiratory droplets from coughing or sneezing. The nurse should identify and screen the household members for tuberculosis, and provide them with prophylactic antibiotics if needed.

Choice C reason: Occupation is not the priority information for the community health nurse to obtain from each client, as it is not directly related to the transmission or treatment of tuberculosis. Occupation is the type of work or profession that the client does. The nurse may collect this information for occupational health or social support purposes, but it is not essential for the immediate care of the client.

Choice D reason: Health history is not the priority information for the community health nurse to obtain from each client, as it is not directly related to the transmission or treatment of tuberculosis. Health history is the record of the client's past and present medical conditions, medications, allergies, or surgeries. The nurse may collect this information for diagnosis or management purposes, but it is not essential for the immediate care of the client.

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A faith-based organization asks a community health nurse to develop a mobile meal program for older adults. Which of the following actions should the nurse plan to take first?

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Naxlex Comprehensive Predictor Exams

A community health clinic nurse manager is reviewing the incidence rate of chlamydia in the state. In a given year, 3,144 new cases were reported and the population was estimated at 325,986. Which of the following is the incidence rate in the state for the year?

Correct Answer is D

Explanation

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Correct Answer is B

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