A school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? (select all that apply)

Recommending a seating arrangement for a child in a body cast.

Lobbying for funding for health promotion efforts.

Creating a plan of care for children who have a diagnosis of diabetes mellitus.

Organizing a program to promote skateboard safety.

Teaching a class about risks of smoking cigarettes

Answer and Explanation

Correct Answer : B,D,E

Choice A reason: Recommending a seating arrangement for a child in a body cast is not a primary prevention activity, but rather a tertiary prevention activity. Tertiary prevention aims to reduce the impact of a disability or chronic condition and improve the quality of life of the affected individual¹.

Choice B reason: Lobbying for funding for health promotion efforts is a primary prevention activity, as it can help support the implementation of programs and policies that prevent diseases and injuries before they occur².

Choice C reason: Creating a plan of care for children who have a diagnosis of diabetes mellitus is not a primary prevention activity, but rather a secondary prevention activity. Secondary prevention aims to detect and treat diseases or injuries early to prevent complications and progression¹.

Choice D reason: Organizing a program to promote skateboard safety is a primary prevention activity, as it can help prevent injuries and accidents among children who engage in this recreational activity³.

Choice E reason: Teaching a class about the risks of cigarette smoking is a primary prevention activity, as it can help prevent the initiation of tobacco use and its associated health consequences among children and adolescents⁴.

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Correct Answer is A

Explanation

Choice A reason: The child has recent onset of urinary incontinence is a possible sign of maltreatment, as it may indicate sexual abuse, emotional trauma, or neglect. The school nurse should report this finding to the child protective services and follow up with the child and the family¹².

Choice B reason: The child receives free lunches at school is not a sign of maltreatment, but rather a socioeconomic indicator. The school nurse should not assume that the child is maltreated based on this factor alone, but rather assess the child for other signs and symptoms of abuse or neglect³.

Choice C reason: The child has bruises on both knees is not a sign of maltreatment, but rather a common injury among children who are active and playful. The school nurse should not report this finding unless there are other suspicious circumstances, such as inconsistent explanations, unusual locations, or patterns of bruises⁴.

Choice D reason: The child reports having a toothache is not a sign of maltreatment, but rather a health issue that may require dental care. The school nurse should not report this finding unless there are other signs of neglect, such as poor oral hygiene, lack of access to health care, or failure to follow up on referrals⁵.

A. The client nods their head and smiles during the teaching. B. The client demonstrates what they learned during the teaching. C. The client wears their glasses and hearing aids during the teaching. D. The client makes frequent eye contact during the teaching.

Correct Answer is B

Explanation

Choice A reason: Nodding and smiling are positive reactions, but they do not necessarily indicate understanding, as they can be polite responses or reflexive actions.

Choice B reason: Demonstration of learned content is a clear indication of understanding. When a client can replicate the teaching, it shows they have comprehended the information and are able to apply it.

Choice C reason: While wearing glasses and hearing aids can help a client see and hear the teaching better, it does not confirm that the client has understood the material presented.

Choice D reason: Frequent eye contact might suggest attentiveness, but like nodding and smiling, it is not a reliable indicator of comprehension.

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A school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? (select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A teacher suspects a child is being maltreated at home and takes them to the school nurse. Which of the following findings should the nurse report as an indication of possible maltreatment?

Correct Answer is A

Explanation

A community health nurse is providing teaching to a client who speaks a different language. Which of the following findings should the nurse document as an indication that the client understands the teaching?

Correct Answer is B

Explanation

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A home health nurse is assessing the health history of a new client. The nurse should identify that which of the following conditions increases the client's risk for falls?

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