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Questions and Answers
Questions and Answers
Which method will yield direct data during a needs assessment conducted by a community health nurse?
Which method will yield direct data during a needs assessment conducted by a community health nurse?
- Surveys
- Focus groups
- Informant interviews (correct)
- Observation
Using tap water to clean the inner cannula of a tracheostomy is an appropriate technique.
Using tap water to clean the inner cannula of a tracheostomy is an appropriate technique.
False (B)
What ethical principle involves assessing risks and benefits of meal delivery services for an older adult?
What ethical principle involves assessing risks and benefits of meal delivery services for an older adult?
- Beneficence (correct)
- Nonmaleficence
- Justice
- Autonomy
What action should a nurse take first if they suspect an outbreak of scabies?
What action should a nurse take first if they suspect an outbreak of scabies?
Leaving a clipboard with prescription information face up on an office desk is a violation of confidentiality.
Leaving a clipboard with prescription information face up on an office desk is a violation of confidentiality.
What is an early manifestation of Alzheimer's disease according to a community health nurse's presentation?
What is an early manifestation of Alzheimer's disease according to a community health nurse's presentation?
What should an employee with a positive Mantoux tuberculin test obtain?
What should an employee with a positive Mantoux tuberculin test obtain?
What information should a public health nurse contribute to a disaster preparedness plan?
What information should a public health nurse contribute to a disaster preparedness plan?
What is a component of healthy grieving for families of terminally ill clients?
What is a component of healthy grieving for families of terminally ill clients?
Which client should receive the meningococcal vaccine?
Which client should receive the meningococcal vaccine?
Which vaccine is safe to administer to a pregnant client?
Which vaccine is safe to administer to a pregnant client?
What should a community health nurse do first for an adolescent with an unplanned pregnancy?
What should a community health nurse do first for an adolescent with an unplanned pregnancy?
What should a nurse inject for a tuberculin skin test?
What should a nurse inject for a tuberculin skin test?
What actions should a nurse take when a school-age child has pertussis?
What actions should a nurse take when a school-age child has pertussis?
What concept is a public health nurse demonstrating by lobbying Congress for increased funding for health screenings?
What concept is a public health nurse demonstrating by lobbying Congress for increased funding for health screenings?
What should a nurse identify as the need for a mobile meals program?
What should a nurse identify as the need for a mobile meals program?
Child maltreatment is more common in homes where partner violence is present.
Child maltreatment is more common in homes where partner violence is present.
What can an adult child do to help relieve their terminally ill father's pain?
What can an adult child do to help relieve their terminally ill father's pain?
What is a primary focus of a nurse developing an education program about bioterrorism?
What is a primary focus of a nurse developing an education program about bioterrorism?
What should a community health nurse provide victims of violence with?
What should a community health nurse provide victims of violence with?
Which client should a community health nurse assess first?
Which client should a community health nurse assess first?
What area should a nurse address as part of the cultural assessment?
What area should a nurse address as part of the cultural assessment?
What is a common issue during a home visit for an older adult client?
What is a common issue during a home visit for an older adult client?
What action should be taken if several unvaccinated children contracted measles?
What action should be taken if several unvaccinated children contracted measles?
What should a nurse instruct a client with a positive gonorrhea culture?
What should a nurse instruct a client with a positive gonorrhea culture?
What should a school nurse demonstrate as primary prevention during a discussion?
What should a school nurse demonstrate as primary prevention during a discussion?
What is important during the response phase of a community disaster planning for school shootings?
What is important during the response phase of a community disaster planning for school shootings?
What should a nurse emphasize during a presentation on crime reduction strategies for older adults?
What should a nurse emphasize during a presentation on crime reduction strategies for older adults?
What precaution is needed to prevent C. diff infections?
What precaution is needed to prevent C. diff infections?
What is a tertiary prevention strategy for influenza?
What is a tertiary prevention strategy for influenza?
What should be done with a client who has a large, open occipital wound in a mass casualty situation?
What should be done with a client who has a large, open occipital wound in a mass casualty situation?
What is the term used for monitoring medication compliance for TB treatment?
What is the term used for monitoring medication compliance for TB treatment?
What should a nurse determine when assessing clients who have experienced violence?
What should a nurse determine when assessing clients who have experienced violence?
What should a nurse educate clients about regarding lead exposure in old housing?
What should a nurse educate clients about regarding lead exposure in old housing?
What should a client be asked who is struggling with alcohol intake after a loss?
What should a client be asked who is struggling with alcohol intake after a loss?
What should a nurse ask an older adult client when observing unwashed dishes during a home visit?
What should a nurse ask an older adult client when observing unwashed dishes during a home visit?
What should a school nurse do during visual acuity testing with a child?
What should a school nurse do during visual acuity testing with a child?
What methods can a community health nurse use for quality improvement?
What methods can a community health nurse use for quality improvement?
What should a community health nurse discuss with a client who is overweight regarding exercise?
What should a community health nurse discuss with a client who is overweight regarding exercise?
What role can a faith community nurse serve in a community?
What role can a faith community nurse serve in a community?
What should a community health nurse do when leading a county-level environmental task force?
What should a community health nurse do when leading a county-level environmental task force?
What challenge may a community health nurse face in meeting healthcare needs of residents in a rural community?
What challenge may a community health nurse face in meeting healthcare needs of residents in a rural community?
What topic is crucial for a nurse to include in health promotion teaching for adolescents?
What topic is crucial for a nurse to include in health promotion teaching for adolescents?
What type of mask should a nurse prepare to administer medication to a client who has active TB?
What type of mask should a nurse prepare to administer medication to a client who has active TB?
What should be obtained from the community health nurse working in a community with a population of 24,096?
What should be obtained from the community health nurse working in a community with a population of 24,096?
What tertiary prevention strategy should a public health nurse plan for hypertension prevention?
What tertiary prevention strategy should a public health nurse plan for hypertension prevention?
What can a hospice nurse do for a patient at the end of life experiencing dyspnea?
What can a hospice nurse do for a patient at the end of life experiencing dyspnea?
What feeling might a primary caregiver experience in their role?
What feeling might a primary caregiver experience in their role?
What is a risk factor for future child maltreatment when a client is 28 weeks pregnant?
What is a risk factor for future child maltreatment when a client is 28 weeks pregnant?
What should a community health nurse do for a client who stopped taking their prescribed blood pressure medication?
What should a community health nurse do for a client who stopped taking their prescribed blood pressure medication?
Questions and Answers
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Study Notes
Study Notes
Community Health Nursing Practices
- Informant Interviews: Effective method for collecting direct data in community needs assessments.
- Chronic Tracheostomy Care: Caregivers should use tap water for cleaning the inner cannula.
- Ethical Principle of Beneficence: Essential when evaluating meal delivery services for older adults with no transportation.
- Outbreak Investigation: First step is determining the incidence rate during suspected outbreaks like scabies.
Confidentiality and Ethics
- Violation of Confidentiality: Leaving sensitive prescription information exposed on an office desk constitutes a breach.
- Alzheimer’s Early Manifestations: Forgetting locations of common objects is an early sign to recognize.
Tuberculosis (TB) Management
- TB Screening Protocol: Positive Mantoux test requires the individual to obtain a chest X-ray for further evaluation.
Disaster Preparedness
- Community Planning: Important to include linguistic diversity in resources for populations at risk, such as hurricane preparedness.
Grief and End-of-Life Care
- Healthy Grieving: Open expression of anger is a normal component of grief, important for families to understand.
Vaccination and Pregnancy
- Meningococcal Vaccine: Recommended for clients moving into college dorms to prevent outbreaks.
- Tdap Vaccine in Pregnancy: Safe and essential to administer during pregnancy.
Prenatal Care and Support
- Unplanned Pregnancy Support: Nurses should prioritize helping adolescents find prenatal care providers.
Tuberculin Skin Test
- Dosage: Standard injection is 0.1 mL of purified protein derivative for TB screening.
Managing Infectious Diseases
- Pertussis Protocol: Parents should keep infected children home for two weeks and obtain prophylactic treatment for family members.
- Referral for Violence Victims: Provide information on crisis lines to help victims of violence in the community.
Assessment and Intervention
- Priority Triage: New onset of confusion in clients in mobile health clinics necessitates immediate assessment.
- Cultural Assessment Areas: Inquiry about clients’ illness practices is essential for effective care.
Public Health Reporting and Education
- Measles Exposure: Mandatory reporting to the state health department when children contract measles without immunizations.
- Gonorrhea Treatment: Advise clients that partners need treatment after a positive culture.
Preventive Health Strategies
- Primary Prevention: Demonstrating proper handwashing can help prevent the spread of diseases in schools.
- Crisis Response: During school shooting scenarios, performing triage and providing care is crucial in the response phase.
Home and Community Safety
- Personal Safety Measures: Encourage removing ID tags from key rings to enhance safety for seniors.
Infection Control
- C. difficile Prevention: Implement contact precautions to prevent outbreaks within healthcare settings.
Health Promotion Strategies
- Tertiary Prevention for Influenza: Administer antiviral medications within 48 hours for clients manifesting symptoms.
Emergency Triage Practices
- Mass Casualty Incident: Assess and prioritize clients based on the severity of injuries, such as maintaining airways in clients with severe wounds.
Medication Compliance
- Monitoring Migrant Workers: Observe medication compliance in populations undergoing treatment for TB.
Addressing Violence in Healthcare
- Sexual Assault Care: Assess if a sexual assault victim requires a rape kit during evaluations.
Nutrition and Lead Exposure
- Dietary Recommendations: Suggest increasing red meat and milk for children to help manage lead exposure risks.
Substance Use and Support
- Alcohol Support: Provide information about Alcoholics Anonymous (AA) to clients struggling with alcohol use after loss.
Caregiver Support
- Family Caregiver Awareness: Identify feelings of being overwhelmed by dual caregiving roles for aging parents and children.
Child Safety and Maltreatment
- Maternal Risk Factors: Frequent provider changes during pregnancy can indicate potential for future child maltreatment.
Blood Pressure Management
- Medication Adherence: Investigate the reasons behind a client discontinuing their prescribed blood pressure medication.
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