RN Community Health Flashcards 2023 A

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Questions and Answers

What can a client expect during treatment for alcohol use disorder?

Help with other aspects of their life.

What should a nurse instruct a client with a positive gonorrhea culture regarding their sexual partners?

Recent sexual partners will need to be treated.

Which techniques should a nurse use for process evaluation of a health department? (Select all that apply)

Focus groups (correct)

Interviews (correct)

Values self-study

Satisfaction survey (correct)

Written audits (correct)

What statement indicates that a client understands the need to see a doctor before starting an exercise program?

I will see my doctor before beginning an exercise program. Signup and view all the answers

What is the main purpose of Alcoholics Anonymous (AA)?

To help clients maintain sobriety. Signup and view all the answers

What information can a family genogram help identify?

Biological risk factors. Signup and view all the answers

What should a nurse instruct an immunocompromised client about food safety?

Frozen food should be cooked immediately after it is thawed. Signup and view all the answers

What is the nurse's responsibility if a client with stage IV pancreatic cancer chooses hospice care?

Make the hospice referral in accordance with the client's decision. Signup and view all the answers

What indicates an understanding of tracheostomy care by a caregiver?

I will use tap water to clean the inner cannula. Signup and view all the answers

What role does a school nurse play during the response phase of a disaster?

Perform triage and provide hands-on care as needed to victims. Signup and view all the answers

What should a community health nurse assess first when planning a mobile meals program?

The need for the program. Signup and view all the answers

Which clients should be assigned to the immediate category during triage in a disaster? (Select all that apply)

Client 2 Signup and view all the answers

What factors should a nurse consider when referring a client with Parkinson's disease to an occupational therapist?

Difficulty holding eating utensils, gait, hand findings, and dressing self. Signup and view all the answers

What ethical principle do Nurses 1 and 2 demonstrate when providing access to immunizations for clients?

Justice. Signup and view all the answers

What findings indicate a stress response that requires further evaluation?

Worry, crying, decreased concentration, new onset of headaches, and elevated blood glucose levels. Signup and view all the answers

What condition should the nurse anticipate for the client with fever, rash, and itching?

Chickenpox Signup and view all the answers

What should the nurse inform about child maltreatment?

It is more common in homes where partner violence is present. Signup and view all the answers

What instruction should a nurse provide when performing the Rinne test?

After I place this tuning fork behind your ear, tell me when you no longer hear the sound. Signup and view all the answers

What action should the nurse take for a client with severe injuries and low chance of survival?

Provide comfort measures and assess the next client. Signup and view all the answers

What task could be assigned to a nurse in a public health agency focused on assessment?

Investigate local health hazards. Signup and view all the answers

What primary prevention strategy should a school nurse demonstrate?

Proper handwashing techniques. Signup and view all the answers

A barrier to healthcare resources for rural communities is the unavailability of ______.

outreach services. Signup and view all the answers

What is an example of tertiary prevention related to influenza?

Administer antiviral medications within 48 hours. Signup and view all the answers

What characteristic is a risk factor for future child maltreatment?

Changing providers frequently during pregnancy. Signup and view all the answers

What should a nurse suggest to a client with alcohol use disorder?

Take naltrexone daily. Signup and view all the answers

How is the prevalence proportion calculated in a population of 24,096 with 2,096 cases of heart disease?

By using the number of affected individuals over the total population. Signup and view all the answers

What should household members of a client with active pulmonary tuberculosis take?

Isoniazid for at least 6 months. Signup and view all the answers

What should a public health nurse include in disaster preparedness planning?

A list of areas where residents speak multiple languages. Signup and view all the answers

What activity should be completed first by an environmental task force?

Review community-specific epidemiological data. Signup and view all the answers

What is an example of tertiary prevention in a public health care plan?

Administering antibiotics to a client with AIDS. Signup and view all the answers

How is pertussis bacteria transmitted?

Through airborne droplets. Signup and view all the answers

Which client should be prioritized during triage after an explosion?

A client with tracheal deviation and shortness of breath. Signup and view all the answers

For what condition should a nurse discuss alternative strategies with a client?

Cirrhosis using kava. Signup and view all the answers

Who should receive the meningococcal vaccine?

A client moving into a college dormitory. Signup and view all the answers

What intervention can help relieve pain for a terminally ill client?

Brief hand massages. Signup and view all the answers

How should a client with hepatitis A prevent the spread of the virus?

Clean bathroom fixtures with a chlorine bleach solution. Signup and view all the answers

Who should the home health nurse visit first?

A school-age child who experienced status asthmaticus. Signup and view all the answers

Which condition is included on the Nationally Notifiable Infectious Conditions list?

Varicella. Signup and view all the answers

What distraction technique can be used during an immunization for a 5-year-old?

Ask the child to pretend to blow up a balloon. Signup and view all the answers

Which health risks should be provided to a young adult migrant farm worker?

Dental health screening Signup and view all the answers

What action should the nurse take regarding a diagnosis of influenza type A in an adult day care?

Administer antiviral medication to clients at the facility. Signup and view all the answers

What topic is crucial for lowering adolescent mortality rates?

Safety belt use. Signup and view all the answers

What statement indicates a client is experiencing role conflict as a caregiver?

I feel overwhelmed with not having enough time for my mom as well as my children. Signup and view all the answers

Which method yields direct data for a community needs assessment?

Informant interviews. Signup and view all the answers

What finding may indicate possible neglect in an older adult client?

Taking outdated prescriptions. Signup and view all the answers

What demographic data should be included in a community assessment?

Racial distribution. Signup and view all the answers

What behavior is an early manifestation of Alzheimer's disease?

Forgetting the location of common objects. Signup and view all the answers

What intervention is an example of secondary prevention?

Recognizing and reporting suspected maltreatment. Signup and view all the answers

What occupational health risk should be communicated to farmers?

Respiratory disorders. Signup and view all the answers

What should a nurse do when several unvaccinated children have measles?

Report this information to the state health department. Signup and view all the answers

Study Notes

Varicella (Chicken Pox) Care

Symptoms include fever, fatigue, headache, appetite loss, and a blister-like rash.
Airborne isolation precautions are necessary due to transmission through the air.
Use a negative-pressure room and N95 mask; designate equipment for the patient.

Family Violence and Child Maltreatment

Child maltreatment is more prevalent in homes with partner violence.

Rinne Hearing Test Instructions

Proper instruction for the Rinne test involves placing a tuning fork behind the ear and asking the client to notify when the sound is no longer audible.

Mass Casualty Triage

Triage principles indicate that severely injured clients with low survival chances should receive comfort measures while moving on to the next client.

Public Health Assessment Tasks

Investigating local health hazards aligns with the assessment focus in public health.

Primary Prevention Strategies

Demonstrating proper handwashing techniques serves as a primary prevention method to promote health.

Rural Health Care Barriers

Unavailability of outreach services significantly limits health care access in rural communities.

Tertiary Prevention Examples

Administering antiviral medications within 48 hours for clients with influenza is a tertiary prevention strategy to reduce complications.

Risk Factors for Child Maltreatment

Frequent provider changes during pregnancy may indicate partner violence risk and relate to child maltreatment concerns.

Alcohol Use Disorder Management

Naltrexone should be taken daily to curb cravings and prevent relapse after alcohol withdrawal.

Prevalence Proportion Calculation

Prevalence proportion assesses the existing cases within a defined population and time frame.

Pulmonary Tuberculosis Transmission

Household members of active pulmonary tuberculosis patients should take isoniazid for a minimum of six months as a preventive measure.

Disaster Preparedness Planning

Include community members' multilingual capabilities in disaster plans to ensure effective communication during emergencies.

Environmental Task Force Activities

Review community-specific epidemiological data as an initial step in identifying environmental health concerns.

Tertiary Prevention in Nursing Care

Administering antibiotics to an AIDS patient diagnosed with Pneumocystis jirovecii is considered tertiary prevention.

Pertussis Infection Transmission

The Bordetella pertussis bacteria are spread through airborne droplets from infected individuals.

Emergency Department Triage Priority

A client with tracheal deviation and shortness of breath indicates a potential pneumothorax and should be prioritized for immediate care.

Complementary Strategy Discussions

Discuss alternative strategies with clients, especially those whose conditions could worsen, like a cirrhosis patient using kava.

Meningococcal Vaccine Recommendations

Clients moving into college dormitories should receive the meningococcal vaccine due to increased exposure risk.

Palliative Care Techniques

Brief hand massages for terminally ill clients may effectively reduce pain and stress.

Hepatitis A Infection Prevention

Recommend cleaning bathroom fixtures with a chlorine bleach solution to prevent the spread of hepatitis A virus.

Status Asthmaticus Patient Follow-Up

Visit a client who recently experienced status asthmaticus first due to the potential for rapid condition changes.

Nationally Notifiable Infectious Conditions

Varicella is included in the list of nationally notifiable infectious conditions reported to the CDC.

Pediatric Immunization Techniques

Engage children by asking them to pretend to blow up a balloon during injections to minimize pain perception.

Health Education for Migrant Workers

Address risks such as pesticide exposure, tuberculosis screening, skin cancer awareness, and dental health to mitigate health concerns in migrant farmworkers.

Influenza Type A Outbreak Prevention

Administer antiviral medications to potentially exposed clients in adult day care settings to prevent outbreaks.

Adolescent Mortality and Safety

Discuss safety belt use as a critical topic to reduce mortality rates due to automobile crashes among adolescents.

Role Conflict in Caregiving

Indicate role conflict when caretakers feel overwhelmed managing responsibilities for children and elderly parents.

Need Assessment Data Collection

Gather direct data through informant interviews with community members to inform service needs.

Indicators of Possible Neglect

Outdated prescriptions for clients suggest inadequate medical care and potential neglect.

Demographic Data Collection

Include racial distribution and other statistical demographics for community assessment.

Early Alzheimer's Disease Manifestation

Forgetting the location of common objects is an early sign of Alzheimer's disease.

Secondary Prevention of Violence

Reporting suspected maltreatment to protective services embodies secondary prevention efforts for community health nurses.

Occupational Health Risks for Farmers

Educate about respiratory disorders exposure, along with other health risks prevalent among farmers.

Reporting Measles Cases

Report instances of measles to the state health department as they are nationally notifiable diseases.

Alcohol Use Disorder Treatment Understanding

Understanding the holistic approach of treatment, addressing various life aspects, indicates client readiness for recovery.

Gonorrhea Culture Follow-Up

Instruct clients with a positive gonorrhea culture to inform recent sexual partners for evaluation and treatment.

Quality Improvement in Health Departments

Use techniques such as focus groups, written audits, satisfaction surveys, and interviews for process evaluation of health services.### Community Health Nurse Education
Importance of consulting a healthcare provider before starting an exercise program to ensure safety and receive a physical examination.

Support for Substance Use Disorders

Alcoholics Anonymous (AA) aids individuals recovering from alcohol addiction through a 12-step recovery program, aiming for sustained sobriety.

Genogram in Health Assessments

Genograms identify biological risk factors by tracking disease incidence across generations within a family, crucial for developing education needs.

Food Safety for Immunocompromised Clients

Thaw frozen food in the refrigerator and cook it immediately after thawing to ensure safety, especially for clients undergoing chemotherapy.

Hospice Care and Client Autonomy

Nurses must respect client decisions regarding treatment; if a client opts for hospice care, the nurse is responsible for making the necessary referrals.

Care Techniques for Tracheostomy

Caregivers can use tap water for cleaning the tracheostomy inner cannula, highlighting the importance of proper technique in chronic care.

School Nurse Role in Disaster Response

During a disaster response phase, a school nurse should perform triage, provide immediate care, coordinate first-aid, and support affected individuals.

Assessing Community Needs for Programs

Before implementing a mobile meals program, it is critical for nurses to assess community needs to inform all subsequent planning steps.

Triage in Disaster Situations

Clients with life-threatening injuries but a high probability of survival should be prioritized. Specific indicators include inability to walk and respiratory distress.

Parkinson's Disease and ADLs

In clients with Parkinson's, difficulties in daily activities like holding utensils, gait, and dressing indicate the need for occupational therapy to enhance mobility and independence.

Emotional Responses to Traumatic Events

Following a disaster, clients may exhibit stress reactions such as worry, crying, and cognitive difficulties; these symptoms can affect chronic condition management, requiring further evaluation.

Ethical Principles in Nursing

Nurses practice justice by ensuring equitable access to health resources, such as immunizations, for clients with limited availability.

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Description

Test your knowledge on community health nursing with this set of flashcards. Each card presents a clinical scenario, pushing you to think critically about patient symptoms and appropriate nursing responses. Perfect for RN students preparing for their exams in 2023.