The nurse is caring for a client with the sexually transmitted disease HPV. The client reports having had prior sexually transmitted infections. Which response should the nurse provide?

Correct Answer: B

Rationale: The correct response for the nurse to provide in this situation is option B: instruct the client of the importance of notifying sexual partners. This response is the most appropriate because it focuses on a crucial aspect of managing sexually transmitted diseases (STDs), which is partner notification to prevent further spread of the infection. By informing sexual partners, they can seek testing and treatment, thus breaking the chain of transmission. Option A is incorrect because while safe sex practices are important in preventing STD transmission, in this scenario, the client already has HPV, so the focus should be on managing the current infection. Option C is incorrect as complications can indeed occur if HPV is left untreated or unmanaged. Reassuring the client that complications will not occur may lead to a false sense of security. Option D is also incorrect as it is not relevant to the situation at hand. While contraceptives may offer some protection against certain infections, they do not protect against all STDs, including HPV. From an educational perspective, this question highlights the importance of comprehensive STD management, which includes not only treating the current infection but also taking steps to prevent its spread to others. It emphasizes the nurse's role in educating clients about responsible sexual behavior and partner notification to promote public health and prevent further transmission of STDs.

Correct Answer: A

Rationale: In community health nursing, engaging participants in health promotion activities is crucial for successful outcomes. The correct answer is A) free blood pressure screenings because it is a hands-on, interactive activity that directly involves participants in assessing their cardiovascular health. This activity not only raises awareness but also provides immediate feedback, promoting early detection and prevention of cardiovascular issues. Option B) lectures on heart-healthy diets may be informative but may not be as engaging for all participants, as passive learning methods are not always as effective in community settings where diverse learning styles are present. Option C) distribution of pamphlets on heart disease is informative but lacks the interactive component needed to actively engage participants and may not ensure that the information is understood or retained. Option D) cooking demonstrations of healthy recipes, while beneficial, may not be as inclusive for all participants who may have dietary restrictions or preferences, limiting their engagement. By incorporating free blood pressure screenings, the nurse can create a more interactive and inclusive environment that promotes active participation and empowers individuals to take control of their cardiovascular health. This approach aligns with best practices in community health nursing by focusing on participant engagement and empowerment for better health outcomes.

Correct Answer: A

Rationale: In the context of preventing childhood obesity, prioritizing the creation of a school-based exercise program (option A) is the most effective intervention for several reasons. First, regular physical activity is crucial in combating obesity by promoting calorie expenditure and overall health. By implementing an exercise program in schools, children have consistent access to structured physical activity, which can help instill lifelong healthy habits. Additionally, schools are a key environment where children spend a significant amount of time, making it an ideal setting to influence behavior positively. Distributing educational pamphlets on healthy eating (option B) can be useful in raising awareness, but without a practical component like the exercise program, behavior change may be limited. Organizing a community health fair (option C) is valuable for overall health promotion but may not have the sustained impact of a continuous exercise program. Partnering with local restaurants to offer healthy meal options (option D) is beneficial but focuses more on dietary choices than on physical activity, which is crucial in addressing obesity. In an educational context, emphasizing the importance of physical activity through a school-based program aligns with evidence-based practice in preventing childhood obesity. It provides a holistic approach that combines education, practical application, and environmental support to promote long-term health and wellness.

Correct Answer: B

Rationale: In community health nursing, it is essential to engage participants actively to raise awareness effectively. Interactive workshops on stress management (Option B) are the best activity to include in a community event about mental health. This option allows participants to actively participate, learn practical skills, share experiences, and interact with each other, fostering a supportive and engaging environment. It empowers individuals to manage their stress effectively, promoting mental well-being in the community. Lectures by mental health professionals (Option A) may be informative but can be passive and less engaging for participants. Distribution of mental health resources (Option C) is important but may not actively engage participants in the event. Screenings for depression and anxiety (Option D) are more suitable for individual assessments rather than a community event where engagement and participation are crucial for raising awareness effectively. By choosing interactive workshops on stress management, the nurse can create a dynamic and participatory learning environment that encourages active engagement, skill-building, and community support in addressing mental health concerns. This approach aligns with best practices in community health education, emphasizing empowerment and practical skill development for promoting mental well-being at the community level.

Correct Answer: A

Rationale: In the case of a client with chronic kidney disease experiencing pruritus, the correct intervention to include in the plan of care is to administer antihistamines as prescribed (Option A). Pruritus, or severe itching, is a common symptom associated with chronic kidney disease due to the buildup of waste products in the blood that are normally filtered by the kidneys. Antihistamines can help relieve itching by blocking histamine, which is released in response to allergens or other triggers. Applying moisturizing lotion to the skin (Option B) can be soothing but does not address the underlying cause of pruritus in chronic kidney disease. Using cool water for bathing (Option C) can provide temporary relief but may not be as effective as medication in managing pruritus. Encouraging a high-protein diet (Option D) is not appropriate in this situation as excessive protein intake can further burden the kidneys and worsen the client's condition. In an educational context, understanding the pathophysiology of chronic kidney disease and its associated symptoms like pruritus is crucial for nurses caring for clients with this condition. Knowledge of appropriate interventions, such as administering antihistamines for pruritus, helps nurses provide comprehensive and evidence-based care to improve patient outcomes.