A school nurse is developing a program to address bullying among students. Which component is most important to include?

Correct Answer: B

Rationale: In the context of addressing bullying among students, training for teachers on how to handle bullying incidents (Option B) is the most important component to include in the program developed by the school nurse. Teachers play a crucial role in identifying, preventing, and addressing bullying situations in schools. By providing teachers with specific training on how to recognize signs of bullying, how to intervene effectively, and how to support both the victim and the bully, the school can create a safer and more supportive environment for students. While education on the effects of bullying (Option A) is important for raising awareness among students, without teachers equipped to address incidents, the impact may be limited. A peer mentoring program (Option C) can be valuable in fostering positive relationships and support among students, but it may not directly address the immediate need for intervention and prevention of bullying. Similarly, a zero-tolerance policy for bullying (Option D) is essential but should be complemented by teacher training to ensure consistent enforcement and effective responses to incidents. In an educational context, emphasizing teacher training aligns with the idea of creating a comprehensive approach to bullying prevention and intervention that involves all stakeholders in the school community. By empowering teachers with the knowledge and skills to address bullying effectively, the school nurse's program can have a more significant and lasting impact on student well-being and school climate.

Correct Answer: B

Rationale: The correct answer is B) I drank a glass of juice after midnight. This statement should be reported to the healthcare provider because ingesting anything, including juice, after midnight can increase the risk of aspiration during surgery, which is a serious complication. Reporting this information allows the healthcare team to take necessary precautions to prevent such risks and ensure the safety of the client during the surgical procedure. Option A is incorrect because it is important for the nurse to address the client's anxiety and provide support but it does not pose a direct risk to the surgical procedure. Option C is incorrect as having an allergy to latex is important information but it is not directly related to the immediate pre-surgical preparation. Option D is incorrect as experiencing nausea after a previous surgery is important information for the healthcare provider to know but it does not pose an immediate risk to the upcoming surgical procedure. In an educational context, this question highlights the importance of preoperative assessment and client preparation in ensuring safe surgical outcomes. Nurses play a crucial role in gathering and communicating essential information to the healthcare team to optimize patient safety and care. It underscores the significance of attention to detail and thorough preoperative evaluations in nursing practice.

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.