Community Health Nursing Flashcards

Questions and Answers

What action should a community health nurse take first when planning a program for adolescents about preventing STIs?

Collect data to identify barriers to learning.

Which information should the nurse include when counseling a client with a new diagnosis of chlamydia? (Select all that apply)

Notify anyone whom had sexual contact in the past 2 months. (correct)

You might have painful urination until the infection resolves. (correct)

Avoid sexual contact until therapy is complete. (correct)

You should resume sexual activities as soon as symptoms resolve.

What should the nurse include in the initial home visit for a patient with dementia living with their adult son?

Engage the family in informal conversation.

What question should the nurse ask a family with a member who has heart disease?

Ask family members about the impact of the disease on relationships. Signup and view all the answers

What role is the nurse acting as if they arrange for occupational therapy for a patient with difficulties in ADLs?

Case manager. Signup and view all the answers

What should the nurse do while working in a shelter following a disaster?

Address physical needs of clients. Signup and view all the answers

What factor has the greatest effect on the success of a smoking cessation class?

Client's motivation. Signup and view all the answers

What should the nurse do first when a diabetic patient wants to adapt traditional cultural foods into their diet?

Observe the client during preparation of traditional foods. Signup and view all the answers

What action should a nurse take for a patient with Methicillin-resistant Staphylococcus aureus (MRSA)?

Double bag soiled dressing in a polyethylene bag. Signup and view all the answers

What rationalization might an obese client use regarding their condition?

I am obese; it's in my genes. Signup and view all the answers

What information is included in a windshield survey?

Housing quality. Signup and view all the answers

Why is the Hepatitis B immunization important?

Many people who acquire acute Hep B develop chronic Hepatitis. Signup and view all the answers

What type of patient should a triage nurse give priority to?

Patient with rigid abdomen and manifestations of shock. Signup and view all the answers

What should a nurse determine about a homeless client?

Determine client's understanding of their living situation. Signup and view all the answers

What action promotes a clean and safe environment in a playground?

Meet with community members to discuss methods of playground maintenance. Signup and view all the answers

What action should a nurse take if the client doesn't speak the same language?

Identify client's spoken language prior to contacting an interpreter. Signup and view all the answers

What infection should be reported to the state health department?

Chlamydia. Signup and view all the answers

What is an expected finding of measles?

Koplik spots inside the mouth. Signup and view all the answers

What should a parish nurse do to address primary and secondary needs?

Organize an influenza immunization clinic with the American Red Cross. Signup and view all the answers

What action demonstrates accurate cultural knowledge about a specific cultural group?

Including both hot and cold food items on Hispanic clients' menu. Signup and view all the answers

What is the primary goal of screening for lipid disorders?

Early detection. Signup and view all the answers

What should a school nurse health screening identify as the highest priority?

A child has nits. Signup and view all the answers

What should the nurse include when teaching about household contacts?

Household contacts will receive prophylactic antibiotics. Signup and view all the answers

What should a home health nurse do during their first visit to a client?

Conduct a mental status examination. Signup and view all the answers

What should a nurse provide for chemotherapy-induced nausea?

Provide sips of room-temperature ginger ale between meals, maintain HOB elevated after eating. Signup and view all the answers

What promotes psychomotor learning about breastfeeding?

Provide dolls for clients to demonstrate positioning. Signup and view all the answers

What is engaging in disaster preparedness efforts involve?

Organizing mass casualty drills for community members. Signup and view all the answers

What should a nurse do for a 35-year-old patient with TB who cannot pay for treatment?

Arrange for meds through local agencies. Signup and view all the answers

What is the fastest growing segment of homes with less population?

Families with children. Signup and view all the answers

What should a nurse check for in a child with muscular dystrophy who was struck by their parents?

Check child for injuries. Signup and view all the answers

What should a nurse do when planning a program about healthy eating for elementary school students?

Determine students' motivation to learn about healthy food choices. Signup and view all the answers

What is a community-oriented nursing job description? (Select all that apply)

Investigate potential health and environmental issues. Signup and view all the answers

What educational program should be scheduled for post-menopausal women?

Clients will schedule bone density screening. Signup and view all the answers

What is primary prevention in violence?

Teaching parenting techniques to new parents. Signup and view all the answers

What is a potential physical hazard a nurse should assess?

Measure noise levels at various locations in a facility. Signup and view all the answers

What should be the priority topic for safety education for adolescents?

Motor vehicle safety. Signup and view all the answers

What do cultural variances in the expression of pain include?

Chinese practices include enduring pain to prevent family dishonor. Signup and view all the answers

What should the nurse do if a partner refuses to help a client with Alzheimer's with feeding?

Determine client's ability to self-feed. Signup and view all the answers

What should a nurse include about enzyme-linked immunosorbent assay (ELISA) testing for HIV?

It measures antibodies to the virus. Signup and view all the answers

What role does a case manager act as?

Advocate. Signup and view all the answers

What should a nurse do when a faith-based organization asks them to develop a mobile meal program for older adults?

Perform a needs assessment. Signup and view all the answers

What is tertiary prevention?

Developing resources for victims of abuse. Signup and view all the answers

What is a manifestation of alcohol withdrawal?

Insomnia. Signup and view all the answers

What should pregnant adolescents in high school be taught?

Caffeinated beverages should be replaced with caffeine-free options. Signup and view all the answers

What should a nurse say to a client who says life has no meaning right now?

Have you been thinking of harming yourself? Signup and view all the answers

What should nurses do regarding Veterans with PTSD?

Change meeting sites frequently. Signup and view all the answers

Who are the hosts during a measles outbreak in school-aged children?

The children. Signup and view all the answers

What should a 50-year-old female client be taught regarding stool testing?

You should have your stool tested for blood every other year until age 74. Signup and view all the answers

Who voluntarily reports cases of Lyme disease to the CDC?

State health department. Signup and view all the answers

What finding should be reported if a stroke occurred 2 months ago?

Coughs when swallowing medication. Signup and view all the answers

Study Notes

Adolescent Health and STIs

Community health nurse's first action for adolescent STI prevention: collect data to identify barriers to learning.
Important teaching regarding chlamydia includes: avoiding sexual contact until therapy is completed, notifying sexual partners from the past two months, and acknowledging potential painful urination until infection resolves.

Home Health and Family Engagement

During an initial home visit for a patient with dementia, engage family members in informal conversation to foster a supportive environment.
For families dealing with heart disease, inquire about the impact of the illness on family relationships to understand emotional dynamics.

Nursing Roles and Responsibilities

A nurse arranging for occupational therapy for a client struggling with activities of daily living acts in the role of case manager, coordinating care and services.
When working in disaster relief within a shelter, prioritize addressing the physical needs of clients as a fundamental responsibility.

Lifestyle Changes and Cultural Considerations

Client motivation is the most significant factor influencing the success of a smoking cessation class.
When assisting a patient with diabetes in adapting traditional cultural foods, the nurse should first observe the client during food preparation to provide relevant dietary advice.

Infection Control and Reporting

For a patient with methicillin-resistant Staphylococcus aureus (MRSA): properly double bag soiled dressings to prevent contamination.
Chlamydia is an infection that must be reported to the state health department due to its public health implications.

Health Screenings and Immunizations

The primary goal of screening for lipid disorders is early detection to prevent cardiovascular diseases.
High priority during school health screenings is alerted when a child is found to have nits, indicating a possible lice infestation.

Community Health Efforts and Education

To promote a clean and safe environment, nurses should collaborate with community members to discuss and implement playground maintenance methods.
Cultural care: awareness of cultural practices such as those from Chinese communities where enduring pain is valued to maintain family honor.

Patient Education and Support

For post-menopausal women, education programs should include scheduling bone density screenings to monitor osteoporosis risks.
Advising pregnant adolescents to replace caffeinated beverages with caffeine-free options is crucial for their health.

Crisis Management and Rehabilitation

During a mental status examination for a new home health client, the nurse should prioritize understanding the client's cognitive state.
In cases where domestic violence is suspected, the nurse must ensure client safety and assess the situation carefully.

Advocacy in Healthcare

Nurses are advocates for their clients, including facilitating access to medications for uninsured patients with tuberculosis through local agencies.
In planning a mobile meal program for older adults, performing a needs assessment is the first critical step.

Miscellaneous Health Concerns

Insomnia is a common manifestation of alcohol withdrawal that requires monitoring.
Stroke patients experiencing coughing when swallowing medication should be reported, as this may indicate aspiration risk.

Educational Outreach and Community Engagement

Organizing disaster preparedness drills for community members enhances overall safety and emergency response awareness.
Providing dolls for clients to practice breastfeeding positioning is an effective method to promote psychomotor learning.

Specialized Health Insights

Encouraging adolescents to adhere to motor vehicle safety as it is the leading cause of death in that age group is essential in safety education.
Veterans with PTSD should meet in varied locations to minimize triggers associated with past experiences.

Reproductive Health and Screening Recommendations

Females aged 50 and older should be advised to have stool tests for blood every other year until the age of 74 to screen for colorectal cancer.
Identifying potential physical hazards in facilities includes measuring noise levels to assess workplace safety implications.

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Description

This quiz covers essential concepts in community health nursing, focusing on STI prevention and client education strategies. It includes scenarios involving adolescents and clients diagnosed with chlamydia to reinforce practical nursing skills. Test your knowledge and preparation for real-world applications in community health.