Which action by the community health nurse working at a Kaiser Permanente clinic would best represent secondary prevention

Correct Answer: A

Rationale: The correct answer is A because vision screening for school-age children falls under secondary prevention. This action aims to detect vision problems early in children who may not show symptoms, preventing further complications. It focuses on early detection and intervention to reduce the impact of vision issues. Choice B (Hearing test for adults) would fall under tertiary prevention as it aims to manage and treat existing hearing problems. Choice C (Blood pressure reading for children) would fall under primary prevention as it aims to prevent the development of high blood pressure through early detection and lifestyle interventions.

Correct Answer: A

Rationale: Florence Nightingale is the correct answer because she is widely recognized as the pioneer of modern nursing and a prominent advocate for sanitation practices. She implemented meticulous record-keeping on sanitation techniques and their impact on health outcomes during the Crimean War. This data-driven approach led to significant improvements in patient care and reduced infection rates. Lillian Wald and Mary Brewster were also influential nurses, but they are not specifically known for their focus on sanitation techniques and health effects. Oprah, on the other hand, is not a nurse and is not associated with healthcare or nursing practices.

Correct Answer: C

Rationale: The correct answer is C: Notify the state health department. This is crucial to prevent the spread of communicable diseases in the community. By reporting to the state health department, proper protocols can be implemented to contain and manage the diseases effectively. Keeping it a secret (A) is unethical and can lead to further spread. Only telling family members (B) is not sufficient as it does not address the public health concern. Option D is incomplete, making it incorrect. Reporting to the state health department is the appropriate action to ensure public health and safety.

Correct Answer: B

Rationale: The correct answer is B - Identification of the health risk. This component is used to summarize the assessment data by pinpointing the specific health risk or problem identified in the community. It helps in focusing on the primary issue that needs intervention. Choice A, Identify Needs, is too broad and does not specify the actual health risk. Choice C, Identify community, is essential but does not directly address summarizing the assessment data related to the problem. Choice D is incomplete, so it cannot be the correct answer. Therefore, B is the most appropriate choice for summarizing the assessment data effectively.

Correct Answer: A

Rationale: The correct answer is A because the health assessment of students in a college town requires a comprehensive approach. Selecting multiple answers (SATA) allows for a thorough evaluation of various aspects such as physical, mental, emotional, and social well-being. Vital statistics (B) are important but may not provide a complete picture of the students' health. The number of sandboxes in the playground (C) is irrelevant to assessing student health. Health resources available in the community (D) are essential but do not encompass the holistic assessment needed for students' well-being. Overall, option A ensures a holistic and in-depth evaluation of the students' health status.