A public health nurse learns that a client is being treated for active tuberculosis. Which of the following actions should the nurse take to prevent the spread of tuberculosis within the community?

Ensure client adherence to the medication regimen.

Perform tuberculosis screenings throughout the community.

Report the active case to the public health department.

Provide education to the community about the manifestations of tuberculosis.

Answer and Explanation

The Correct Answer is C

Choice A reason: Ensuring client adherence to the medication regimen is crucial in the treatment of tuberculosis. However, this action alone does not prevent the spread of the disease within the community. Adherence ensures that the client's condition improves and reduces the risk of developing drug-resistant strains of tuberculosis.

Choice B reason: Performing tuberculosis screenings throughout the community is a proactive measure to identify new cases, but it is not the most immediate action required when a nurse learns of an active case. Screenings are part of a broader strategy to control tuberculosis.

Choice C reason: Reporting the active case to the public health department is the correct action. It allows for the implementation of public health measures to prevent the spread of tuberculosis. The health department can initiate contact tracing and ensure that those exposed are tested and treated if necessary.

Choice D reason: Providing education about the manifestations of tuberculosis is important for community awareness, but it is not the immediate action required to prevent the spread. Education is a long-term strategy to help the community recognize symptoms and seek early treatment.

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Correct Answer is C

Explanation

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.

A. Request a referral for a social worker. B. Ask the client why they do not want to continue treatment. C. Discuss the client's wishes with their provider. D. Instruct the client that they need to change their advance directives first.

Correct Answer is C

Explanation

Choice A reason:While involving a social worker can provide additional support, it is secondary to first communicating the client's treatment decisions to the primary healthcare provider.

Choice B reason: Understanding the client's reasoning is important; however, the priority is to respect their decision and communicate it to the provider.

Choice C reason: Respect for Autonomy: Clients have the right to make informed decisions about their healthcare, including the refusal of treatment.Effective Communication: By discussing the client's wishes with their healthcare provider, the nurse facilitates a collaborative approach to care planning, ensuring that the client's preferences are acknowledged and respected.

Choice D reason: Instructing the client to change their advance directives may be necessary if the client decides to refuse all treatments, but it is not the first action the nurse should take. Understanding the client's wishes should be the priority.

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A public health nurse learns that a client is being treated for active tuberculosis. Which of the following actions should the nurse take to prevent the spread of tuberculosis within the community?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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