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After assessing the health needs of an elementary school, the nurse identifies that an increased incidence of bicycle injuries is a significant issue.
The nurse develops a 2-month program with the goal of eliminating bicycle injuries in the school.
The program includes educational pamphlets sent home to parents and two educational sessions conducted by the school nurse.
What action should the nurse take to evaluate the effectiveness of the program?

Determine the type of bicycle injuries each child sustained before conducting the sessions.

Survey parents after one month to assess their understanding of the educational pamphlet.

Compare the incidence of bicycle injuries at the beginning and end of the program.

Conduct an initial survey of the children to determine their knowledge of bicycle safety.

Answer and Explanation

The Correct Answer is C

Answer and explanation

The correct answer is Choice C.

Choice A rationale

While understanding the type of bicycle injuries sustained can provide useful information for tailoring educational sessions, it does not directly measure the effectiveness of the program. The goal of the program is to eliminate bicycle injuries, so the key measure of success is a decrease in the incidence of these injuries.

Choice B rationale

Surveying parents about their understanding of the educational pamphlet can provide useful feedback on one component of the program. However, it does not directly measure whether the program has achieved its goal of reducing bicycle injuries.

Choice C rationale

Comparing the incidence of bicycle injuries at the beginning and end of the program directly measures the impact of the program on the issue it was designed to address. If the program is effective, there should be a noticeable decrease in the incidence of bicycle injuries.

Choice D rationale

Conducting a survey to assess children’s knowledge of bicycle safety can provide useful information on the educational component of the program. However, increased knowledge does not necessarily translate into behavior change or a decrease in injuries.

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Correct Answer is D

Explanation

Answer and explanation The correct answer is D. Choice A rationale

While the discussion of food exchanges and calories being well-attended indicates interest and engagement in the class, it does not necessarily reflect an improvement in the clients’ management of their diabetes.

Choice B rationale

Parking convenience for attendees, while important for accessibility and attendance, does not provide information about the effectiveness of the classes in improving diabetes management.

Choice C rationale

Demonstrating the use of a blood glucose meter can be an effective teaching strategy, but it does not provide measurable outcomes related to the clients’ diabetes control.

Choice D rationale

Fasting blood glucose average readings being 20% lower at the end of the classes is a direct and measurable outcome that indicates improved diabetes control. This suggests that the classes were effective in teaching clients how to better manage their type 2 diabetes.

A. Emphasize that practicing safe sex eliminates the risk of STIs. B. Instruct the patient on the importance of informing sexual partners. C. Discuss that partners without similar symptoms may not be infected. D. Clarify that all STIs are transmitted through sexual intercourse.

Correct Answer is B

Explanation

Answer and explanation

The correct answer is Choice B.

Choice A rationale

While practicing safe sex can significantly reduce the risk of sexually transmitted infections (STIs), it does not completely eliminate the risk. Condoms, for example, can protect against many STIs, but they are not 100% effective and do not protect against all types of STIs.

Choice B rationale

Informing sexual partners about a gonorrhea diagnosis is crucial. Gonorrhea is a highly contagious infection that can be transmitted through sexual contact. If a person has been

diagnosed with gonorrhea, their sexual partners may also be at risk and should be informed so they can seek testing and treatment if necessary.

Choice C rationale

It’s important to understand that STIs, including gonorrhea, can be asymptomatic, meaning they do not present any symptoms. Therefore, even if a partner does not have similar symptoms, they could still be infected.

Choice D rationale

Not all STIs are transmitted through sexual intercourse. Some STIs can be transmitted through non-sexual means. For example, HIV can be transmitted through sharing needles, and mother- to-child transmission can occur during childbirth or breastfeeding.

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Naxlex Comprehensive Predictor Exams

A nurse designs a series of four weekly classes for clients with type 2 diabetes mellitus. Which information should the nurse use as an outcome evaluation for the classes?

Correct Answer is D

Explanation

The nurse is caring for a patient with the sexually transmitted infection (STI) gonorrhea. The patient reports having multiple sexual partners.What response should the nurse provide?

Correct Answer is B

Explanation

Which community would benefit most from a lead poisoning education and screening program provided by the public health nurse?

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