The number of students seeking information about teenage pregnancy has risen by 259%. Two years ago, a nurse evaluated the health needs of high school students and identified student pregnancy as a significant issue.
As a result, the nurse created a pregnancy prevention program for the entire school district. Which outcome is the strongest evidence of the program’s success?
80% of the students participate in a voluntary sex education seminar.
Students report an average delay of 2 years for their first sexual encounter.
75% of the parents express support for a pregnancy prevention program in the schools.
The school district reports a decrease in the number of teenage pregnancies.
The Correct Answer is D
Answer and explanation
The correct answer is Choice D.
Choice A rationale
While having 80% of students participate in a voluntary sex education seminar is a positive outcome, it does not directly indicate the success of a pregnancy prevention program.
Participation in a seminar does not necessarily translate into behavior change. Students may attend the seminar but not apply the knowledge or skills learned, which would not result in a decrease in teenage pregnancies.
Choice B rationale
A reported average delay of 2 years for the first sexual encounter among students can be seen as a positive outcome, as it may reduce the risk of teenage pregnancies. However, this delay does not guarantee that students are using effective contraception when they do start having sex. Therefore, while this outcome may contribute to the success of a pregnancy prevention program, it is not the strongest evidence of success.
Choice C rationale
Parental support for a pregnancy prevention program in schools is important for the program’s implementation and sustainability. However, parental support does not directly result in a decrease in teenage pregnancies. Parents can be supportive of the program, but if the students do not apply the knowledge or skills learned, the number of teenage pregnancies may not decrease.
Choice D rationale
A decrease in the number of teenage pregnancies in the school district is the strongest evidence of the program’s success. This outcome directly aligns with the goal of a pregnancy prevention program, which is to reduce the number of teenage pregnancies. If the school district reports a decrease in the number of teenage pregnancies, it indicates that the program is effectively helping students to prevent pregnancies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Answer and explanation The correct answer is C. Choice A rationale
While the dissemination of all educational pamphlets among the served counties indicates successful distribution of information, it does not necessarily reflect a change in health outcomes or behaviors.
Choice B rationale
Although a high rating from workshop attendees indicates that the program was well-received, it does not provide measurable health outcomes.
Choice C rationale
A decrease in cardiac-related fatalities by 109% six months after the program’s presentation is a direct and measurable outcome that indicates the program was successful in its goal to prevent strokes and acute coronary syndrome.
Choice D rationale
While a commitment to adopting a healthier lifestyle from 65% of the program’s participants is a positive outcome, it is based on self-report and does not provide direct evidence of a decrease in strokes or acute coronary syndrome.
Correct Answer is A
Explanation
Answer and explanation
The correct answer is Choice A.
Choice A rationale
A graduate nursing student requesting information, including laboratory findings and chest X- ray results, about all clients with symptoms of H1N1 who have been seen during the last month in a community health clinic is asking for sensitive patient information. This information is protected under privacy laws and regulations, such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States. Therefore, the charge nurse should obtain written authorization from clients to release the information. This ensures that the privacy and confidentiality of the patients are maintained, which is a fundamental principle in healthcare.
Choice B rationale
While it’s important to verify if permission has been obtained from the research committee, it’s not the first step in this process. The primary concern should be the patients’ rights to privacy and confidentiality. Therefore, obtaining written authorization from the clients to release their information should be the first step.
Choice C rationale
Asking the student to sign a standard waiver form is not sufficient to protect the privacy and confidentiality of the patients. The charge nurse should first obtain written authorization from the clients before releasing any information.
Choice D rationale
Providing the information for research purposes only does not absolve the healthcare provider from the responsibility of obtaining written consent from the patients. The patients’ rights to privacy and confidentiality must be respected, and their consent is necessary before any information can be released.
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