RN Community Health Practice 2019

Questions and Answers

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.

False

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?

Determine incidence rate Signup and view all the answers

Leaving a clipboard with prescription information face up on an office desk is a violation of confidentiality.

True Signup and view all the answers

What is an early manifestation of Alzheimer's disease according to a community health nurse's presentation?

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

What should an employee with a positive Mantoux tuberculin test obtain?

A chest x-ray Signup and view all the answers

What information should a public health nurse contribute to a disaster preparedness plan?

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

What is a component of healthy grieving for families of terminally ill clients?

The ability to openly express your anger Signup and view all the answers

Which client should receive the meningococcal vaccine?

Client who is moving into a college dorm Signup and view all the answers

Which vaccine is safe to administer to a pregnant client?

Tdap Signup and view all the answers

What should a community health nurse do first for an adolescent with an unplanned pregnancy?

Help the client obtain a provider for prenatal care Signup and view all the answers

What should a nurse inject for a tuberculin skin test?

0.1 mL of purified protein derivative Signup and view all the answers

What actions should a nurse take when a school-age child has pertussis?

All of the above Signup and view all the answers

What concept is a public health nurse demonstrating by lobbying Congress for increased funding for health screenings?

Advocacy Signup and view all the answers

What should a nurse identify as the need for a mobile meals program?

The need for the program Signup and view all the answers

Child maltreatment is more common in homes where partner violence is present.

True Signup and view all the answers

What can an adult child do to help relieve their terminally ill father's pain?

Give your father brief hand massages Signup and view all the answers

What is a primary focus of a nurse developing an education program about bioterrorism?

Face Signup and view all the answers

What should a community health nurse provide victims of violence with?

Referral information to crisis lines Signup and view all the answers

Which client should a community health nurse assess first?

New onset of confusion Signup and view all the answers

What area should a nurse address as part of the cultural assessment?

Illness practices Signup and view all the answers

What is a common issue during a home visit for an older adult client?

Taking outdated prescriptions Signup and view all the answers

What action should be taken if several unvaccinated children contracted measles?

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

What should a nurse instruct a client with a positive gonorrhea culture?

Instruct that recent sexual partners will need to be treated Signup and view all the answers

What should a school nurse demonstrate as primary prevention during a discussion?

Proper handwashing Signup and view all the answers

What is important during the response phase of a community disaster planning for school shootings?

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

What should a nurse emphasize during a presentation on crime reduction strategies for older adults?

I should remove the ID tag that is on my key ring Signup and view all the answers

What precaution is needed to prevent C. diff infections?

Contact precautions Signup and view all the answers

What is a tertiary prevention strategy for influenza?

Administer antiviral medication within 48 hours to clients with manifestations Signup and view all the answers

What should be done with a client who has a large, open occipital wound in a mass casualty situation?

Turn the client to the left semi-Fowler's position and begin assessing the next client Signup and view all the answers

What is the term used for monitoring medication compliance for TB treatment?

MCN Signup and view all the answers

What should a nurse determine when assessing clients who have experienced violence?

Whether a client who has been sexually assaulted requires a rape kit examination Signup and view all the answers

What should a nurse educate clients about regarding lead exposure in old housing?

I will increase the amount of red meat and milk in my child's diet Signup and view all the answers

What should a client be asked who is struggling with alcohol intake after a loss?

Can I give you some information about Alcoholics Anonymous? Signup and view all the answers

What should a nurse ask an older adult client when observing unwashed dishes during a home visit?

How often do you have visitors come to see you? Signup and view all the answers

What should a school nurse do during visual acuity testing with a child?

Allow the child to keep her glasses on during the test Signup and view all the answers

What methods can a community health nurse use for quality improvement?

All of the above Signup and view all the answers

What should a community health nurse discuss with a client who is overweight regarding exercise?

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

What role can a faith community nurse serve in a community?

Facilitate substance abuse support groups Signup and view all the answers

What should a community health nurse do when leading a county-level environmental task force?

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

What challenge may a community health nurse face in meeting healthcare needs of residents in a rural community?

Unavailability of outreach services Signup and view all the answers

What topic is crucial for a nurse to include in health promotion teaching for adolescents?

Safety belt use Signup and view all the answers

What type of mask should a nurse prepare to administer medication to a client who has active TB?

N95 Signup and view all the answers

What should be obtained from the community health nurse working in a community with a population of 24,096?

Prevalence proportion Signup and view all the answers

What tertiary prevention strategy should a public health nurse plan for hypertension prevention?

Exercise program Signup and view all the answers

What can a hospice nurse do for a patient at the end of life experiencing dyspnea?

Use a fan Signup and view all the answers

What feeling might a primary caregiver experience in their role?

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

What is a risk factor for future child maltreatment when a client is 28 weeks pregnant?

Changed providers 3 times Signup and view all the answers

What should a community health nurse do for a client who stopped taking their prescribed blood pressure medication?

Determine the reason for discontinuing the medication Signup and view all the answers

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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Description

This quiz focuses on essential concepts in community health nursing, emphasizing practical scenarios and assessment methods. It targets registered nurses preparing for community health roles and covers various care techniques and assessment tools. Test your knowledge with these flashcards designed for the RN Community Health practice environment.