An occupational health nurse is planning a program on early detection of breast cancer for employees at a local business. Which of the following is the first action the nurse should take?

Develop educational materials for employees.

Have breast models available to employees during teaching sessions.

Determine employee knowledge level of breast self-examination.

Schedule a guest speaker to talk about breast cancer to employees

Answer and Explanation

The Correct Answer is C

A. Develop educational materials for employees.

Developing educational materials is an important step but should come after assessing the employees' knowledge level. Tailoring materials based on the specific needs identified through assessment enhances the relevance and effectiveness of the educational content.

B. Have breast models available to employees during teaching sessions.

Having breast models is a valuable resource for hands-on demonstrations during teaching sessions. However, the availability of breast models is a component of the educational program rather than the initial step.

C. Determine employee knowledge level of breast self-examination.

Explanation: Before implementing an educational program, it is essential to assess the baseline knowledge and awareness of the target audience. By determining the employees' knowledge level of breast self-examination (BSE), the nurse can tailor the program to address specific needs and gaps in understanding. This assessment helps in designing an effective and targeted educational intervention.

D. Schedule a guest speaker to talk about breast cancer to employees.

Bringing in a guest speaker is a useful strategy, but it may be more effective after assessing the employees' existing knowledge. This allows the guest speaker to focus on specific areas of interest and address the unique needs identified through the assessment.

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Correct Answer is D

Explanation

A. Notify spiritual support personnel about a client who requests a visit.

While spiritual support is essential for some patients, it is not the priority in this situation where the focus is on physical and functional recovery after hip arthroplasty.

B. Ask social services to inform a client about community support organizations.

Community support organizations are valuable, but the immediate concern for a post-hip arthroplasty patient is more about the physical and rehabilitation aspects.

C. Request a dietitian consult for a client who asks for information about a vegan diet.

Dietary concerns are important, but in the context of post-hip arthroplasty, the primary focus is on activity restrictions and rehabilitation.

D. Inform the physical therapist of activity restrictions for a client following a hip arthroplasty.

This is the priority action. After a hip arthroplasty, restrictions on certain activities and the need for rehabilitation and physical therapy are crucial for the patient's recovery and prevention of complications.

A. "Who is available to help you?" B. "Is there anything that makes you feel less depressed?" C. "Are you having any thoughts about hurting yourself?" D. "Could you describe how you are feeling today?"

Correct Answer is C

Explanation

A. "Who is available to help you?"

While support systems are important, assessing for suicidal thoughts takes precedence to ensure the client's safety.

B. "Is there anything that makes you feel less depressed?"

Exploring coping mechanisms and what alleviates depressive symptoms is important, but it may not be the most urgent concern in this context.

C. "Are you having any thoughts about hurting yourself?"

This question is crucial as it assesses the client's risk of self-harm or suicide, which is a priority concern in someone seeking help for depression. It helps identify the immediate safety of the client.

D. "Could you describe how you are feeling today?"

While exploring the client's feelings is important, the question about thoughts of self-harm directly addresses the immediate risk associated with depression.

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An occupational health nurse is planning a program on early detection of breast cancer for employees at a local business. Which of the following is the first action the nurse should take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting discharge planning for several clients. When reviewing information to report to other members of the interprofessional team, which of the following actions is the nurse's priority?

Correct Answer is D

Explanation

A nurse in a community health clinic is assessing a client who has two preschoolers, was recently divorced, and is seeking help for managing depression. Which of the following questions should the nurse ask first?

Correct Answer is C

Explanation

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