There are 12 students with confirmed cases of the H1N1 flu in ...

[roselinechinyere27m]

There are 12 students with confirmed cases of the H1N1 flu in grades 6 to 8 at the local middle school in the community. The community nurse advises the caregivers of the ill children to keep the children home for a minimum of 5 to 7 days.
 
  Which should be the nurse's next step?
  A) Recommend closing the school for 6 weeks
  B) Implement education in the school setting regarding respiratory and hand hygiene
  C) Require each child in the school to undergo a physical evaluation by the school nurse
  D) Initiate a system of discipline in the school setting for improper hand washing

Question 2

The community health nurse assesses the neighborhood in which the clients live.
 
  When observing the physical environment, the nurse notes that most of the homes in the neighborhood are well kept and the children playing in the yards are wearing clean clothing. The children appear well nourished. The nurse determines that the neighborhood has little need for a well-child clinic. This assessment is based on:
  A) Subjective data
  B) Objective data
  C) Cognitive analysis
  D) Valid data

[kescobar@64]

Answer to Question 1

Ans: B
Feedback:
Association means that events of illness or disability have a strong tendency to occur together rather than just by chance. The school setting is a common site where illness occurs by association. Education can prevent or limit the transmission of this disease. Because the children with known cases of H1N1 are being kept at home now and will not be contagious on return, there is no need to close the school. A mandatory physical evaluation of each child in the school would be both impractical and unnecessary, as most children will not have the virus and those who do may not yet be symptomatic. Although children should be educated on methods of proper hand washing, simply punishing those who fail to perform proper hand hygiene would be neither appropriate nor effective.

Answer to Question 2

Ans: A
Feedback:
Community health nurses often use informal assessments, such as windshield surveys, to learn about the neighborhoods in which their clients live. These surveys involve subjectively observing the physical community on foot or through the windshield of a car. In this way, the nurse can assess the level of economic development of the community on the basis of its physical environment, educational systems, safety and transportation, health and social services, communication, and recreation. This type of assessment is not based on objective or valid data, as the means of the assessment are purely subjective. It also does not involve cognitive analysis.