A 9-year-old is hospitalized for neutropenia and is placed in reverse isolation. The child asks the nurse, 'Why do you have to wear a gown and mask when you are in my room?' How should the nurse respond?

Correct Answer: B

Rationale: The correct answer is B) To protect you because you can get an infection very easily. In a community health nursing context, it is crucial to educate patients, especially children, about the rationale behind infection control measures such as reverse isolation. By wearing a gown and mask, the nurse is preventing the introduction of pathogens from the outside environment to the immunocompromised child. Emphasizing that these precautions are in place to protect the child from potentially harmful infections is essential for promoting understanding and cooperation. Option A is incorrect because the primary purpose of wearing protective gear in this scenario is not to protect the nurse, but rather to prevent the child from getting infections. Option C is incorrect as it does not directly address the child's question and may not provide a clear explanation. Option D is incorrect as it confuses the purpose of isolation by suggesting that it is to prevent others from getting the child's infection rather than the other way around. By choosing option B, the nurse provides a clear and developmentally appropriate explanation to the child, fostering understanding and cooperation in adhering to infection control measures for their safety and well-being.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Obsessive. The client's thoughts of anger towards her husband are indicative of obsessive thoughts. Obsessive thoughts are intrusive and unwanted, often causing distress to the individual experiencing them. In community health nursing, it is crucial to recognize signs of mental health issues like obsessive thoughts as they can impact a person's overall well-being and relationships. Option B) Phobic is incorrect because phobic thoughts are related to irrational fears of specific objects or situations, not feelings of anger towards a specific person like in this case. Option C) Delusional is incorrect as delusional thoughts involve beliefs that are not based in reality. The client in this scenario is experiencing thoughts of anger, which may be rooted in actual events or emotions. Option D) Paranoid is incorrect as paranoid thoughts involve unfounded suspicions and distrust of others, which is not the case in this scenario. Understanding different types of thoughts and their implications is essential for community health nurses to provide appropriate support and interventions for individuals experiencing mental health challenges. Recognizing the nature of the client's thoughts can guide the nurse in offering effective care and referrals for further assessment and treatment if needed.

Correct Answer: A

Rationale: In this scenario, the most appropriate intervention for the public health nurse to prioritize is option A: provide free immunizations at local schools. This intervention is crucial because it directly addresses the accessibility barrier that low-income families often face in obtaining immunizations for their children. By offering free immunizations at local schools, the nurse can reach a large number of children who may not have easy access to healthcare facilities or the means to pay for vaccinations. Option B, creating educational materials about vaccine safety, while important, may not be as effective in increasing immunization rates in this community because lack of access, rather than lack of information, is the primary barrier. Option C, organizing a community forum to discuss immunization concerns, is valuable for addressing misconceptions and fears surrounding vaccines. However, it may not directly address the immediate need for increasing immunization rates in a low-income community. Option D, partnering with local media to promote the importance of vaccines, can be a useful strategy for raising awareness. However, without addressing the financial barriers that low-income families face in accessing vaccines, awareness campaigns alone may not lead to a significant increase in immunization rates. Educationally, this rationale highlights the importance of considering the specific needs of the community when planning public health interventions and the significance of addressing barriers to access in promoting health equity and improving health outcomes.

Correct Answer: D

Rationale: The most effective strategy for engaging high school students in learning about sexually transmitted infections (STIs) is option D: facilitating a discussion on safe sex practices. This approach is student-centered, interactive, and promotes critical thinking and active participation. Facilitating a discussion allows students to ask questions, share their thoughts and experiences, and engage in peer-to-peer learning. It creates a safe environment for students to discuss sensitive topics openly and learn from each other. This approach also empowers students to take ownership of their sexual health by actively participating in the conversation. On the other hand, providing detailed statistical data on STI rates (option A) may overwhelm students with information and fail to engage them effectively. Distributing brochures about STI prevention (option B) may not promote active learning or allow for the interactive exchange of ideas. Showing a documentary on the impact of STIs (option C) may be informative but lacks the opportunity for students to actively participate and engage with the material. In an educational context, facilitating a discussion on safe sex practices aligns with principles of active learning, student engagement, and promoting a supportive learning environment. By choosing this strategy, the nurse can effectively educate high school students about STIs in a way that is interactive, informative, and empowering.

Correct Answer: C

Rationale: In planning an educational campaign to reduce the incidence of hypertension in the community, the primary target should be middle-aged adults (Option C). This group is at a higher risk for developing hypertension due to lifestyle factors such as poor diet, lack of exercise, and increased stress levels. Middle-aged adults often have established habits that contribute to hypertension, making them a crucial group to educate about prevention and management strategies. By targeting this age group, the public health nurse can have a significant impact on reducing hypertension rates in the community. Adolescents (Option A) may not be the primary target as they typically have lower rates of hypertension compared to middle-aged adults. Young adults (Option B) may also have lower prevalence rates and may not be as receptive to health campaigns targeting chronic conditions. Older adults (Option D) are another important group but may already be managing hypertension or have established healthcare routines. Educationally, understanding the demographics most at risk for hypertension allows for targeted interventions that can yield the greatest impact on community health outcomes. By focusing on middle-aged adults, the nurse can address risk factors specific to this group and tailor educational materials to effectively promote behavior change and hypertension management.