After accepting the position of school nurse in an public elementary school, what strategy is best for the nurse to use to obtain an overview understanding of the student body?

Correct Answer: D

Rationale: The correct answer is D because conducting a windshield survey of the geographic areas served by the school allows the nurse to visually observe the community, identify resources, potential health risks, and demographics. This method provides a holistic understanding of the student body beyond health records or parent interactions. Reviewing health records (A) would only provide medical information, not a comprehensive overview. Talking with PTA officers (B) may give insight into school activities but not a complete student body profile. Sending a survey form to parents (C) only captures information from a limited group and may not be representative of the entire student population. Conducting a windshield survey is the most effective strategy to gain an overview understanding of the student body.

Correct Answer: C

Rationale: Rationale for Choice C: 1. Choice C empowers the client by encouraging him to consider wearing a helmet, promoting his safety. 2. It acknowledges the client's autonomy while emphasizing the importance of helmet use. 3. The nurse's response aligns with the principles of health promotion and injury prevention. Summary of Other Choices: - Choice A: TTM focuses on stages of behavior change, not the immediate safety concern of helmet use. - Choice B: This response fails to address the critical safety issue at hand, prioritizing individual choice over safety. - Choice D: While true, this choice does not address the client's current behavior or provide guidance for future actions.

Correct Answer: A

Rationale: The correct answer is A because understanding the community health practice is crucial for providing effective care. Educating staff on client demographics, health needs, and cultural considerations can enhance patient outcomes. Option B is incorrect as it provides specific information rather than a general guideline. Options C and D are incomplete and do not address the community health aspect.

Correct Answer: C

Rationale: The correct answer is C: Number of people without access to healthcare. This should be the highest priority as it directly addresses a fundamental issue of healthcare accessibility and equity. Without access to healthcare, individuals cannot receive necessary medical care, leading to poorer health outcomes and increased healthcare disparities. Choice A (Overuse of diagnostic technology) is not the highest priority as it focuses on efficiency rather than accessibility. Choice B (Government-based health insurance) is important but does not directly address the issue of lack of access to healthcare. Choice D (The neonatal and infant mortality rates) is also important but does not target the root cause of lack of access to healthcare for the general population. Prioritizing addressing the number of people without access to healthcare will help improve overall health outcomes and reduce disparities in the community.

Correct Answer: C

Rationale: Rationale for Correct Answer (C): Documentation of a skilled care service provided during the visit is essential for Medicare reimbursement as it demonstrates that the services delivered were medically necessary and met the criteria for coverage. Medicare requires evidence of skilled care to justify payment. Including this documentation ensures compliance with Medicare guidelines. Summary of Incorrect Choices: A: A prescription from the healthcare provider is not directly related to Medicare reimbursement. While prescriptions may be part of the client's record, they are not a mandatory requirement for Medicare payment. D: A copy of the client's health history and social is important for providing comprehensive care but not specifically required for Medicare reimbursement. This information may be part of the client's record for clinical purposes but does not directly impact reimbursement.