The nurse is evaluating the effectiveness of a community health program aimed at reducing teen pregnancy rates. Which outcome indicates the program was successful?

Correct Answer: D

Rationale: The correct answer is D: greater use of contraception among teens. This outcome indicates successful prevention of pregnancies by demonstrating that teens are taking proactive steps to avoid unintended pregnancies. Increased attendance at health education classes (choice A) may show improved knowledge but does not directly measure the prevention of pregnancies. While a decreased number of repeat pregnancies among teens (choice B) is positive, it does not necessarily indicate prevention of initial pregnancies. A higher number of teens seeking prenatal care (choice C) is important for maternal and fetal health but does not directly reflect the prevention of teen pregnancies.

Correct Answer: A

Rationale: In the context of community health nursing, organizing playroom activities for hospitalized children is crucial for their physical, emotional, and social well-being. The correct answer, option A, sports and games with rules, is the most appropriate choice for a small group of 7-year-old hospitalized children. Engaging in sports and games with rules not only promotes physical activity and coordination but also helps children learn important social skills such as teamwork, following rules, and sportsmanship. Option B, finger paints and water play, may be messy and require more supervision in a hospital setting. While sensory activities are beneficial for children's development, they may not be the most suitable choice for a small group of hospitalized children. Option C, "dress-up" clothes and props, encourages imaginative play, but it may not be as engaging for a small group of children and may not promote physical activity or social interaction as effectively as sports and games. Option D, chess and television programs, may not be developmentally appropriate or engaging for most 7-year-old children. Chess may be too complex for some children, and excessive television viewing is not recommended for hospitalized children as it may limit their physical activity and social interaction. By choosing sports and games with rules, the nurse can create a fun and interactive environment that promotes physical activity, socialization, and the development of important skills, making it the most suitable option for a small group of 7-year-old hospitalized children in a community health nursing context.

Correct Answer: D

Rationale: The best strategy for the nurse to use when teaching insulin injection techniques to a newly diagnosed client with diabetes is to observe a return demonstration. This method ensures that the client can correctly perform the technique. Providing written pre and post tests (choice A) may assess knowledge but not application. Asking questions during practice (choice B) may help with understanding but not necessarily with the actual performance. Allowing another diabetic to assist (choice C) may provide peer support but does not guarantee correct technique demonstration.

Correct Answer: A

Rationale: Administering analgesics on a fixed schedule is the most appropriate pain management strategy for a client with terminal cancer experiencing severe pain. This approach ensures consistent pain control and helps prevent breakthrough pain. Administering analgesics only when the client requests (Choice B) may lead to uncontrolled pain as the client may delay requesting medication until the pain becomes unbearable. Using non-pharmacological methods only (Choice C) may not provide adequate pain relief for a client experiencing severe pain. Increasing the dose of analgesics when the client complains of pain (Choice D) may result in inconsistent pain control and could lead to potential overdose or adverse effects.

Correct Answer: C

Rationale: The correct answer is C: Hyperglycemia. Total parenteral nutrition (TPN) contains a high glucose content, which can lead to elevated blood sugar levels, resulting in hyperglycemia. Monitoring for hyperglycemia is crucial in clients receiving TPN to prevent complications such as osmotic diuresis, dehydration, and electrolyte imbalances. Choices A, B, and D are incorrect because TPN is more likely to cause hyperglycemia rather than hypoglycemia, hyperkalemia, or hyponatremia.