Research demonstrates that exercise is important for general wellness and weight control. How might the school nurse use this information to implement primary prevention?

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Question 1 of 5

Research demonstrates that exercise is important for general wellness and weight control. How might the school nurse use this information to implement primary prevention?

Correct Answer: B

Rationale: The correct answer is B because increasing noncompetitive physical activity programs in schools aligns with primary prevention efforts. By implementing policies that promote regular exercise for all students, the school nurse can proactively address wellness and weight control issues. This approach targets the entire student population, not just overweight children, and encourages healthy habits for all. A: Developing individualized exercise programs for overweight children is more focused on secondary prevention rather than primary prevention. It addresses existing weight issues rather than preventing them. C: Monitoring body mass index in children focuses on early detection rather than primary prevention. It does not address the broader population or promote general wellness. D: Notifying parents about their child's weight in comparison to national norms is important but does not actively promote primary prevention through school-wide initiatives like increased physical activity programs.

Question 2 of 5

What might interfere with a nurse's decision to increase the evidence base of current nursing practice in an agency? Select all that apply.

Correct Answer: A

Rationale: The correct answer is A because colleagues who lack skills in literature search and research critique can hinder a nurse's ability to increase the evidence base in practice. This is because collaboration and knowledge-sharing are essential in evidence-based practice. Choice B is incorrect as dedication to history and tradition does not necessarily impede evidence-based practice. Choice C is incorrect because emphasis on conformity does not directly relate to the nurse's decision to increase evidence base. Choice D is incorrect as having extensive experience in research interpretation should actually support, rather than interfere with, improving evidence-based practice.

Question 3 of 5

A nurse just finished teaching breast self-examination to a large group of women at a professional conference. During the session, she distributed literature and used culturally appropriate visual aids. However, the session was not as effective as it could have been. What is the most important thing the nurse forgot to include?

Correct Answer: C

Rationale: The correct answer is C: The opportunity for the women to practice what they learned. This is crucial because practical application reinforces learning. By allowing the women to practice breast self-examination techniques during the session, they can gain confidence and ensure they understand the process correctly. This hands-on approach enhances retention and ensures the information is effectively internalized. Choice A (Lots of time for audience members to ask questions and clarify the information) is important but not as critical as providing the opportunity for practice. While addressing questions is beneficial, practical application solidifies learning. Choice B (An explanation of why culturally appropriate images are more acceptable) is relevant for engaging the audience but not as essential as hands-on practice. Cultural sensitivity is important but does not directly impact the effectiveness of the teaching session. Choice D (The use of simple language instead of printed material in case the women could not read) is also important for accessibility but does not address the core issue of reinforcing learning through practice. Simplified language aids comprehension but

Question 4 of 5

When is the optimal time for the nurse educator to elicit feedback from program participants?

Correct Answer: D

Rationale: The correct answer is D, throughout the program. This ensures continuous communication and allows for real-time adjustments to meet participants' needs. Feedback throughout the program helps maintain engagement and improves learning outcomes. Options A and B are limited in scope and may miss important feedback points. Option C only captures feedback at the end, missing opportunities for immediate improvement. Overall, option D is the most effective as it allows for ongoing assessment and enhancement of the program.

Question 5 of 5

A nurse established an ongoing group meeting of teenagers with diabetes. In the early stages, the nurse was very directive in arranging location, providing low-carbohydrate drinks and snacks, steering the discussion, and trying to meet all the teenagers' needs. After the group had been meeting for about 3 months, the nurse noticed that the group members no longer simply accepted everything the nurse suggested. Instead, the teenagers began making decisions themselves, and eventually, the nurse no longer controlled the group. What most likely happened to cause this shift?

Correct Answer: A

Rationale: The correct answer is A: The group became cohesive enough to share leadership tasks. This shift in group dynamics is indicative of the development of group cohesion and maturity. As the teenagers with diabetes continued to meet regularly, they likely built trust and rapport with each other and the nurse. This increased cohesion allowed for a more collaborative approach to decision-making, with members feeling empowered to take on leadership responsibilities. This shift demonstrates a positive progression in group dynamics towards shared leadership and mutual respect. Summary: B: Teenagers don't like feeling dependent on adults with power - This choice is not the best answer as it focuses on individual feelings of dependence rather than the group dynamics and cohesion that likely led to the shift. C: Teenagers often rebel against adult authority - While rebellion against authority is common in adolescence, it does not fully explain the shift in the group dynamics towards shared leadership.

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