The nurse is designing a community health project based on a report provided by the World Health Organization that describes healthcare problems in the United States. Which healthcare issue should the nurse give the highest priority when planning the project?

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Question 1 of 5

The nurse is designing a community health project based on a report provided by the World Health Organization that describes healthcare problems in the United States. Which healthcare issue should the nurse give the highest priority when planning the project?

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.

Question 2 of 5

The nurse is screening children at a local community health clinic for infectious diseases. Which child is at highest risk for hepatitis B virus (HBV)?

Correct Answer: A

Rationale: The correct answer is A, a newborn, as they are at higher risk due to potential exposure during birth from an infected mother. Newborns can acquire HBV through vertical transmission. Choice B, a 3-year-old, and choice D, a 7-year-old, are less at risk compared to newborns. Choice C, which seems to be incomplete, does not provide any relevant information.

Question 3 of 5

A community health nurse is conducting a neighborhood discussion group about disaster planning. What information regarding the transmission of anthrax should the nurse provide to the group?

Correct Answer: A

Rationale: The correct answer is A: Infection is acquired when anthrax spores enter a host. Anthrax is caused by Bacillus anthracis spores entering the body through inhalation, ingestion, or a skin break. Spores can remain dormant for long periods and become active in a suitable host. Explanation of incorrect choices: B: Mature anthrax bacteria do not live dormant on inanimate objects. Anthrax is primarily transmitted through contact with contaminated animal products or soil. C: Spores can survive for extended periods outside a host. This resilience is a key factor in anthrax's ability to cause infection. D: Anthrax is not transmitted through respiratory droplets from person to person. It is more commonly acquired through contact with infected animals or contaminated materials.

Question 4 of 5

The nurse is preparing an orientation class for new employees at an inner city clinic that serves a low-income population. Which information should the nurse include in the presentation to these new employees?

Correct Answer: B

Rationale: The correct answer is B: Basic physiologic needs are likely to be unmet in this clinic's client population. Rationale: 1. Low-income populations often face challenges meeting basic needs like food, shelter, and healthcare. 2. The nurse should address these unmet needs to provide holistic care. 3. Understanding the underlying issues can help tailor interventions and support for the clients. Summary: A: Lack of transportation is important but not the major impediment. C: Printed material may be less effective, but it's not the most critical issue. D: Attendance issues may be due to various reasons, not just non-compliance.

Question 5 of 5

The public health RN is called to investigate a report of several cases of varicella at a day care center. The day care workers state that 5 children have been sent home over the past 2 weeks w/ fever & itchy blisters. Which intervention should the RN implement first?

Correct Answer: A

Rationale: The correct answer is A: Validate that the children who were sent home had chickenpox. The first step in investigating a potential outbreak of a communicable disease like varicella (chickenpox) is to confirm the diagnosis. By validating that the children indeed had chickenpox, the RN can accurately assess the situation and take appropriate actions to prevent further spread. Choice B is incorrect because sending the child to their pediatrician should come after confirming the diagnosis to ensure proper medical care. Choice C is incorrect as it recommends a prolonged exclusion period without confirmation of the disease, which may not be necessary. Choice D is incorrect as it dismisses the seriousness of the situation and could lead to further spread of the illness if the children do have chickenpox.

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