ATIRN_1702288930_ATI RN COMMUNITY HEALTH PROCTORED EXAM 2019 TEST BANK 2 VERSIONS NGN MIXED QUESTIONS AND CORRECT ANSWERSAGRADE.pdf

ATI RN COMMUNITY HEALTH PROCTORED EXAM 2019 TEST BANK 2 VERSIONS NGN MIXED QUESTIONS AND CORRECT ANSWERS|AGRADE 1.A Community health nurse is providing teaching about nutrition guidelines to a group adolescents. Which of the following Information should the nurse include in teaching ? A. Adolescents have a decrease need for calcium due to high milk intake B appetite naturally increases during the Adolescent years C 75% of adult bone mass is developed during the Adolescent years D empty calories provide 70% of the total calories consumed by adolescents An occupational health nurse is caring for a client who does not speak the same language asthenurse. Which of the following actions should the nurse take first? Validate the clients Understanding of communicated information 2. determine the client's primary language Use common words and phrases when speaking to the clientObtain a translator that is the same gender A case manager is caring for a client who is being discharged following total hip arthroplasty. Which of the following actions is an example of the nurse functioning in The Negotiator role. providing social service with the list of needed referralsreporting safety concerns to the Home Health agency discuss payment options with various pharmacies schedule appointments for physical therapy services A nurse manager is providing teaching to a newly licensed nurse about Mantoux testing. Whichof the following clients should the nurse manager include as an example of a client whomight manifest a false positive reading. A client who has lived in a country where tuberculosis is endemic B a client who has undergone radiation therapy within last 3 years C a client who has acquired immune deficiency syndrome D. a client who has received the Bacille Calmette-Guerin vaccine within the last 10 years 5.A school nurse is planning primary prevention activities for the new school year. Which of thefollowing should the nurse include ? Select all that apply Lobbying 4 funding for health promotion efforts recommending a seating arrangement for a child in a body cast 3.teaching a class about the risks of cigarette smoking 4.Create a plan of care for children who have a diagnosis of diabetes mellitus 5. Organizing a program to promote skateboard safety 6 A recently hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect physical hazards? Identify industrial toxins that are present in the environment measure noise levels at various locations in the facility track rates of illness caused by infection among employeessurvey workers about job-related emotional stress 7.Hospice nurse is planning care for a client who follows traditional American Indian practices.Which of the following actions should the nurse take? Discuss safe use of herbal medications provide direct eye contact when communicating with the client's familyface the clients bed towards the east develop a list of appropriate hot and cold food choices 8.A community health nurse is working with a group of homeless veterans who have post- traumatic stress disorder. Which of the following interventions should the nurse implement? provide coffee and snacks during the meetings avoid discussing the traumatic event experienced by the veterans 3.teach the clients to practice deep breathing exercises 4. change the meeting sites frequently 9.A group of technicians from a local automotive repair shop presents to an urgent care clinicwith reports of dizziness, headaches, and nausea. After Providing need to care for the clientswhich of the following government agencies should the nurse notified to follow up on these report ? OSHA Center for Disease Control Environmental Protection Agency 4 Department of Health and Human Services 10A nurse is providing teaching to a 50 year old female client. Which of the following statement should the nurse include in teaching? You should have your fasting blood glucose level checked every 6 yearsYou should have your hearing screen every 5 years you should have complete eye examination every two years until the age of 64 you should have your stool tested for blood every other year until the age of 74 11.A nurse is caring for a client who asks, “can I decide not to continue with chemotherapy?”Thenurse responses, this is your choice, and I'll support whatever decision you make. The nurses response is example of which of the following ethical principles? beneficence Nonmaleficence 3.Veracity 4.autonomy 12.A nurse manager that clinic is reviewing the preventive services offered to clients. Which of the following activities should the nurse identify as secondary prevention activity? 1. Advocate 4 laws that prohibit texting while driving 2. provide a smoking cessation class refer a client who is recovering from substance abuse disorder to a social service programand hers are pregnant client to participate in prenatal care 13.An occupational health nurse is discussing how promotion with a client who has a history of obesity. Which of the following comment indicates the client is using rationalization as a coping mechanism? I am obese because it is in my genes I know you don't like me because I'm obese I have lots of health problems from being obese I have difficulty resisting the items in vending machine 14.A home health nurse is evaluating an older client. Which of the following assessment findingsshould the nurse report as a possible indicator of elder abuse? 1. The client attends Alcoholics Anonymous meetings 2.the client exhibits extreme thirst the client receives in home meal delivery The client reports that his son no longer visits A nurse in a Health Department is participating in immunization clinic. The nurse should identify that which of the following children requires an alteration in the standard immunization schedule? An 18 month old toddler who has failure to thrivea three year old toddler has leukemia a four-month-old infant who has Down syndrome 4. a 12 month old infant who has sickle cell disease The partner of an older adult client who has Alzheimer's disease reports that he is not eating.The home health aide tells the nurse that the client partner refuses to assist the client with feeding. The partner insist that the client feed himself without help. Which of the following is the priority action of the nurse should take? Determine the client's ability to self feed Refer the clients partner to an Alzheimer's support group arrange for meals-on-wheels assistance Direct the home health aide to assist with meals 17The first response team is working at the location of a bombing incident. A nurse triaging inthe group of clients should give treatment priority through which of the following clients? A client who has ambulatory and Exhibits manic behavior a client who has rigid abdomen and manifestations of shock A client who has a femur fracture and a 2 + pedal pulse A client who has a superficial partial thickness burn injuries over 5% of his body 18.a client arrives at a mental health clinic and tell the nurse that there she has no purpose inlife.Which of the following is the nurses priority response? How long have you been feeling this way? Do you really think your life has no purpose? Tell me what is going on with you right now? Have you been thinking about harming yourself? 19A community health nurse is teaching a group of adolescent clients about substance use disorders. Which of the following statements by a client indicates an understanding of the teaching? Barbiturates cause an increase in heart rate 2.Opiods cause a decrease in respiratory rate anabolic steroids stimulate the immune system Amphetamines alleviate symptoms of depression 20 A nurse case manager is providing discharge planning for a client. The nurse is functioningand which of the following roles when arranging for the delivery of medical equipment to the client's home? Systems allocator 2.CoordinatorConsultant Advocate 21A nurse is providing teaching to a newly licensed nurse about case management. The nurseshould include that which of the following tasks is the responsibility of the case manager? Teach Smoking cessation support groupPerform employee risk assessments evaluate the cost effectiveness of clients treatments Enforce OSHA standards in the workplace 22A home health nurse is making home safety evaluation visit for an older client who was recentlydischarged from the facility after receiving a diagnosis of diabetes mellitus. Which of thefollowing findings indicate a need for corrective intervention? A red light is kept on in the bedroom at night an extension cord extends across the floor from the electrical outlet to a floor lamp3. the water heater is set at 130 degrees Fahrenheit A rubber backed bath mat is on the floor outside the showerthe floors of the house are made of wood. 23A community health nurse is planning to use web-based information resources in the care of a client who is undergoing dialysis. Which of the following criteria should the nurse consider and select an appropriate resources for the client? 1. The website is sponsored by Health Care political action committee 2. the website provides a peer review process for publishing informationthe website is hosted by a dialysis equipment Marketing Group the website is updated every 5 years 24Public Health nurses address in community leaders at a forum about Community Improvement. The nurse should identify that which of the following groups is being the fastestgrowing segment of the homeless population? Families who have children men who are unemployed people who have substance use disordersadolescent Runaways 25.A home health nurse is teaching a client about the safe use of crutches. Which of the following information should the nurse include in the teaching? Wipe the rubber crutch tips to remove moisture wear leather soled shoes when walking with crutches3. Lean Forward while walking with crutches support body weight on the axillae 26A community health nurse is caring for a client who has a new diagnosis of Gonorrhea. Whichof the following actions should the nurse take? Obtain a blood culture change the client about application of imiquimod cream 3.notify the State Health Department 4. administer metronidazole 500 mg PO 27.Community Health Clinic is planting annual goals. Which of the following outcomes addresses the ethical principle of distributive justice? Clients verbalize their right to refuse treatment Clients understand the right to confidentiality 3.clients receive Medicare benefits When eligible 4. clients demonstrate completion of advance directives 28.A community health nurse is planning a program for young adults about STI prevention. Which of the following actions should the nurse take preparing for this program? identify topics with Health Department nurses develop content appropriate to learner needs arrange for computer-assisted learning collect data to identify learner current knowledge base 29 A community health nurse notes that 6 new cases of diabetes mellitus have been reported in the past 3 months. In the previous year, 5 cases are reported. The population of the community is 15000 people. Which of the following is the prevalence proportion for the community? 1.73.3/100,000 2.0.9/100,000 3.40.0/100,000 4 33.3/100,000 30A community health nurse is teaching a group of parents about manifestations of alcohol withdrawal. Which of the following manifestations should the nurse include in teaching? Hypotension Hyperglycemia 3.Seizures 4. Somnolence 31. Community Health nurses working with a migrant population. The nurse should recognizethat which of the following interventions is necessary to provide care to the population? Providing health services at work sites treating clients on a fee-for-service basis Requiring clients to show a work visa before they receive care offering Health screenings at a community center 32.A nurse is working with parent suspected of child abuse recognizes that the social factormostpredictive of abusive behavior is inadequate living conditions social isolation relationship difficulties prior exposure to violence 33. A home health nurse is visiting a client who has a new diagnosis of diabetes mellitus. Whichof the following actions should the nurse take first? Teach the client about appropriate food choices Refer the client to diabetes mellitus support group Identify the clients dietary preferences develop a nutritional program 34 A nurse is assessing an outbreak of mumps among school-age children. Use the epidemiological triangle, the nurse should recognize that which of the following is the host? 1. the virus 2.the children the vaccine the school 35. Which of the following federal agencies should a community health nurse seek guidancefromregarding a public building that has asbestos leaking from Rip's in the heating duct insulation ? National Institutes of Health Environmental Protection Agency Centers for Disease Control and prevention Department of Health and Human Resources 36 A nurse educated is teaching a group of newly licensed nurses about maintaining client confidentiality according to HIPAA regulations. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? We should share our computer passwords with our manager A client's diagnosis can be posted on the communication board inside the clients roomHIPAA rules vary from state to state HIPAA rules allow clients to receive a copy of their medical records 37. During a home health visit, a school-age child who has muscular dystrophy confides in thenurse that he was struck by his parent. Which of the following actions should the nurse take first? 1. Report the incident to local authorities 2. check the client for injuries 3. Refer the parent to Social Service Agency 4.Enrollthe parent and anger management classes A nurse is caring for a client who is homeless. Which of the following actions should thenurse take first? Determine the client's understanding of her living situation discuss the risks of being homeless with the client assist a client to develop goals for obtaining shelter4develop client teaching using a variety of strategies A nurse in a clinic is reviewing home safety precautions with a client who is to beginradioactiveiodine therapy. Which of the following statements of the client indicates an understanding of the teaching? I will wait one week after treatment to use a laxative I will all my granddaughter to visit for 4 hours daily I will use cloth handkerchiefs instead of tissues I will use a toilet that is not used by others in my family 40 A nurse is conducting a community assessment. Which of the following information shouldthenurse include as part of the windshield survey? Demographic data informant interviews 3.housing quality 4. mortality rate During a routine School visit to physical education class, A Nurse receives multiple reports of shortness of breath, coughing, and nausea. Which of the following actions should the nurse FirstTake? establish a triage area notify the parents of the students contact the local Health Departmentadminister oxygen therapy A school nurse is caring for a child who has Muscular Dystrophy and is having difficultyswallowing at lunch. Which of the following referral should the nurse initiate? occupational therapistrespiratory therapist Dietitian speech language therapist A home health nurse is reviewing messages from a group of clients. Which of the following clients should the nurse contact First? A client reports that her new colostomy stoma appears purple A mother who reports that her son vomited after a dose of Methylphenidatea client who has COPD and reports oxygen saturation of 90% a client who reports feeling a vibration and his new internal arteriovenous graft for dialysis A school nurse is planning safety education for a group of adolescents. The nurse shouldgivepriority to which of the following topics as leading cause of death for this age group? Gun safety Sports Injury prevention 3.Motor Vehicle Safety 4. Substance Abuse Prevention 45.A nurse in a community health center is counseling a group of clients or currently experiencing intimate partner abuse. Which of the following strategies is a priority for the nurseto include in the counseling? Providing referrals for legal counseling identifying a primary support person using stress management techniques developing an escape plan Public health nurse is assisting a client who is a recent immigrant. The client refuses assistance from Community Resources. Which of the following actions should the nurse take toprovide culturally appropriate care? Explain that the client must use the available resources learn more about the client Ethnic values review the client's current health practices use a family member As an interpreter when discussing services he was relevant nonverbal communication techniques A community health nurse is teaching a group of older clients about hypertension. The nurseshould identify the which of the following clients has a barrier to learning? 1.Fear of public speaking 2. Low literacy limited experience lack of credibility 48. A nurse is reviewing data for communicable diseases in rural health region. Which of the following data should the nurse identify as an age Factor affecting the spread of communicablediseases An increase in migrant Farm Workers living in the communityan antigenic shift in the composition of strain of influenza a decrease in the number of ambulatory clinics in the area a change in the prevalence of older adults obtaining the pneumococcal vaccine 49.A nurse working in an infectious disease clinic is caring for a client who has a new diagnosis of Lyme disease. Which of the following agencies are responsible for voluntarily reporting cases of this disease to the Centers for Disease Control and prevention? Office of the Surgeon Generallocal Red Cross chapter hospital infection control Department State Health Department 50. A nurse is working with a case manager for a client who participates in health maintenance organization. The nurse should identify that a health maintenance organization provides which of the following payment structures? The provider is paid a fixed sum for the client on a monthly or yearly basis the client pays the insurer percentage of the total cost for each service rendered by the provider the client is participating in a fee-for-service health care insurance program the provider bills the client directly for the predetermined percentage of the cost of services 51.A nurse is discussing short and long-term goals with a client who has alcohol use disorder has been admitted to a treatment facility. Which of the following statements is appropriate for the nurse to include in the discussion? Remaining Physically Active will help to minimize drowsiness and chills associated with initialalcohol withdrawal he will be taking a once weekly dose of disulfiram to help control withdrawal symptoms during treatment he will begin learning functional skills to replace their defense mechanisms and behaviors ballintreatment attending Al-Anon meetings will help you identify a role model to assist you with making needed changes 52.A nurse manager is reviewing the disaster plan at a long-term care facility. Which of the following is the most comprehensive method for the nurse determine the effectiveness of theplan?Use in-services to have the staff discussed various disaster scenarios Test staff to determine their knowledge of the principles of the plan analyze findings from a facility tabletop disaster simulation review how the staff implements the plan during a Hands-On practice drill A parish nurse is planning activities for a faith-based community. Which of the followingactivities to the nurse include? Offer Primary Care to uninsured members change a negative pressure wound therapy dressing Teach Stress Management strategies provide case management A community health nurse is educating a parent about the importance of hepatitis B immunization. Which of the following exclamation should the nurse give to the parent about thedisease? One dose of the immunization give children life-long protection from hepatitis BHepatitis B spreads easily among children through casual contact many people who acquire acute hepatitis B develop chronic hepatitis people who have had a hepatitis B infection still need the immunization 55.A nurse working in assisted care facilities developing a disaster plan. Which of the followingis the first action the nurse to take? Verify dates on the annual community-wide mass casualty drill determine potential environmental health hazards develop response strategies specific to older adults identify materials needed for staff and Resident education 56. A home health nurse is providing teaching to a client who has diabetes mellitus about properdisposal of insulin syringes. Which of the following statements by the client indicates an understanding of the teaching? I will discard the syringes in a metal container I will store use syringes in a biohazard bag before discarding I will take containers of used syringes to the local recycling centerI will wear gloves when I discard the syringes 57 A nurse is providing teaching to a client who has a confirmed case of tuberculosis. Which ofthe following statements by the client indicates teaching has been effective? I will have a repeat tuberculin skin test every 6 weeks I will be contagious until I have completed the full medication regimen 3. Iwill be taking medication daily for least 6 months 4. I will need to have a special HEPA filter installed in my home A community health nurse is an initial phase of planning a smoking cessation program.Which of the following is the first action the nurse should take? determine the prevalence of smoking in the community Formulate objectives for the smoking cessation program Gain community support for the program Evaluate the methods of successful smoking cessation programs A hospice nurse is concerned that the partner of a client is experiencing caregiver burden.Which of the following actions should the nurse take first? Teach the partner about getting enough rest suggest an assistive Personnel visits daily to provide client care encourage the partner to invite family members to assist with client careexplore possible solutions with the partner 60 A nurse is volunteering at a local community center is addressing a variety of Health needs with a group of older adult clients. Which of the following interventions should the nurse identifyasa tertiary prevention strategy? Holding a cooking class that focuses on low sodium mealscalculating the BMI of all clients 3 providing a class on living with arthritis Distributing literature regarding signs and manifestations of a stroke community health ATI 1. During a home health visit a school age child who has muscular dystrophy confides in the nurse that he was struck by his parents. which of the following actions should the nurse takefirst? report the incident to local authorities 2. check the child for injuries refer the parent to a social service agency enroll the parent in anger management classes. a nurse is planning a program about healthy eating at an elementary school where moststudents select French fries and pizza at lunch every day. which of the following actions should the nurse plan to take first? give positive feedback to students who make appropriate choices. help students recognize the value of making healthy food choices provide students with resources about making wise choices independently 4. determine student’s motivation to learn about healthy food choices. 3. a nurse manger in local community health agency is creating a job description for a newnurse who will practice community oriented nursing. which of the following should the nurse include in the job description? (select all that apply) investigate potential health and environmental issues 2. initiate support groups for parents of autistic children provide wound care for clients in their homes participate in local health surveillance activities provide health related education to community groups a community health nurse is planning an educational program for a group of womenwho are postmenopausal. which of the following outcomes is appropriate for this program? clients will schedule bone density screening clients will arrange for mammograms every 3 years clients will start hormone replacement therapy clients will significantly decrease caloric intake a client who has diabetes mellitus asks a home health nurse to help her adapt some of hertraditional cultural foods to fit her meal plan. which of the following is the first action the nurse should take when assisting this client? provide the client with a printed recipe observe the client during preparation of traditional foods use cookbooks to include traditional foods in meal plans explain diabetes exchange list a home health nurse manager is caring for a client who has methicillin resistant staphylococcus aureus. which of the following actions should the nurse take? remove fresh flowers from the client’s home wear a mask when within 3 feet of the client encourage the client to use a hepa filter in the house double bag soiled dressing in polyethylene bags. an occupational health nurse is discussing health promotion with a client who has ahistoryof obesity. which of the following comments indicates the client is using rationalization as a coping mechanism? i have lots of health problems from being obese 2. I am obese it’s in my genes i have difficulty resisting the items in vending machines i know you don’t like me because i am obese a nurse is conducting a community assessment. which of the following information should the nurse include as part of the windshield survey? demographic data mortality rate informant interviews 4. housing quality 10. a community health nurse is educating a parent about the importance of hepatitis B immunization. which of the following explanations should the nurse give the parent about the disease? one dose of the immunization gives children lifelong protection from hepatitis B hepatitis B spreads easily among children through casual contact many people who acquire acute hepatitis B develop chronic hepatitis people who have had a hepatitis B infection still need the immunization 11. a first response team is working at the location of a bombing incident. a nurse triagingagroup of clients should give treatment priority to which of the following clients. a client who has superficial partial thickness burn injuries over 5% of his body a client who has a femur fracture with a 2+ pedal pulse a client who is ambulatory and exhibits manic behavior a client who has a rigid abdomen with manifestations of shock. 12. a nurse is working with a community health care team to devise strategies for preventing violence in the community. which of the following interventions is an exampleoftertiary prevention? presenting community education programs about stress management 2. developing resources for victims of abuse urging community leaders to make nonviolence a priority assessing for risk factors of intimate partner abuse during health examinations 13. public health nurse take alert the family members of coworkers about possible exposure to anthrax place the employee under quarantine for 14 days refer coworkers who might have been exposed to a provider for prophylactic antibiotics instruct the client to wear a mask at work 14. a community health nurse is providing teaching to a group of clients who have alcohol use disorder. which of the following findings should the nurse include in the teaching as a manifestation of alcohol withdrawal? bradycardia hypothermia increased appetite 4. insomnia 15. a nurse is caring for a client who is homeless. which of the following actions should the nurse take first? determine the clients understanding of her living situation assist the client to develop goals for obtaining shelter discuss the risks of being homeless with the client develop client teaching using a variety of strategies 16. a community health nurse observes the accumulation of garbage at a neighborhood playground. which of the following actions should the nurse take first to promote a cleanand safe environment? meet with community members to discuss methods of playground maintenance partner city officials with community members to improve the playground condition work with local businesses to sponsor more trash receptacles in the playground engage neighborhood families to monitor the playground for further trash buildup 17. a nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. the client does not speak the same language as the nurse. which of the following actions should the nurse take? have the client’s daughter communicate information about the procedure arrange for a member of the client’s community to interpret the teaching 3. identify the clients spoken dialect prior to contacting an interpreter 4. use professional terminology when providing education prior to the procedure 18. a nurse at a local health department is caring for several clients. which of the followinginfections should the nurse report to the state health department? chlamydia herpes simplex virus group B Streptococcus B hemolytic human papillornavirus 19. a clinic nurse is assessing a client who has measles. which of the following findings should the nurse expect? koplik spots inside the mouth persistent low grade temperature muscle aches and tenderness rash confined to the trunk of the body 20. a community health nurse is planning a program for adolescents about preventingSTIs. which of the following actions should the nurse take first? collect data to identify barriers to learning establish methods to evaluate program outcomes obtain visual aids that feature adolescents provide computer based education 21. a nurse is counseling a client who has a new diagnosis of chlamydia. which of the following information should the nurse include in the teaching? (select all that apply) you should avoid sexual contact until therapy is complete notify anyone with whom you have had sexual contact over the past 2 months you will need to take an antiviral medication for 30 days once your complete treatment you will have an acquired immunity against chlamydia you might experience painful urination until the infection has resolved 22. a home health nurse is planning the initial home visit for a client who has dementia andlives with his adult son’s family. which of the following actions should the nurse take first during the visit? encourage the family to join a support group provide the family with information about respite care educate the family regarding the progression of dementia 4. engage the family in informal conversation 23. a parrish nurse is counseling a family following a client’s recent diagnosis of heart disease. which of the following actions should the nurse take first? discuss the benefits of eating a well-balanced diet with the client’s family assist the client and the clients partner with finding an affordable exercise program offer to accompany the client and the clients partner during health care provider visits ask family members about the impact of the disease on relationships within the family a nurse is caring for a client who is having difficulty performing activities of dailyliving. the nurse is functioning in which of the following roles when arranging for an occupational therapist to visit the client. Administrator nurse consultant 3. case manager 4. clinician 25. a nurse is working in a shelter following a disaster. which of the following is the priority action for the nurse to take? create diversionary activities for children address the physical needs of clients help clients gather needed supplies explore feelings the clients are experiencing 26. a community health nurse is planning a smoking cessation class. which of the followingfactors will have the greatest effect on the success of the class? 1. presenters teaching strategies2.. presenter’s credibility 3. client’s motivation 4.. client’s education level 27. a home health nurse is caring for a client who has chemotherapy induced nausea thathas been resistant to relief form pharmacological measures. which of the following interventionsshould the nurse initiate (select all that apply)? use seasonings to enhance the flavor of foods provide sips of room temperature ginger ale between meals maintain the head of the clients bed in an elevated position after eating offer 120 ml (4 oz.) of cold 2% milk as a meal replacement assist the client in using guided imagery 28. a nurse is preparing an educational program about breastfeeding for a group of newparents. the nurse should use which of the following instructional strategies to promote psychomotor learning review flashcards that identify holding technique with the group show the group a video on breastfeeding techniques facilitate a discussion group about the benefits of breastfeeding provide dolls for the participants to demonstrate positioning 29. a nurse is serving on a state task force for disaster planning. the nurse is engaging indisaster preparedness efforts when performing which of the following actions implementing a disaster triage plan with a local medical facility functioning as a manager at a temporary shelter assisting with the identification of a biological agent organizing a mass casualty drill for community members 30. a 35-year-old client who has a diagnosis of tuberculosis informs the providers office that she is unable to pay for the treatment. which of the following actions by the nurse willfacilitate obtaining appropriate treatment? help the client apply for Medicare explore options for alternative therapies arrange for medication through local agencies send the client to the nearest facility for further evaluation 31. a public health nurse is addressing community leaders at a forum about community improvement. the nurse should identify which of the following groups as being the fastest growing segment of the homeless population. people who have substance use disorders 2. families who have children adolescent runaways men who are unemployed 32. a nurse is counseling a client who is to undergo enzyme linked immunosorbent assaytesting for hiv. which of the following information should the nurse include? the test monitors progression of the disease the test measures antibodies to the virus the test results are accurate 24 hr. after exposure to the virus a positive result requires initiating immunoglobulin administration 33. a nurse case manager is providing discharge planning for a client. the nurse is functioning in which of the following roles when arranging for the delivery of medicalequipment to the client’s home consultant systems allocator 3. advocate 4. coordinator 34. a faith based organization asks a community health nurse to develop a mobile meal program for older.......................... the following actions should the nurse plan to take first. determine potential funding sources for the program inquire about the availability of volunteers identify alternative solutions to address concerns 4. perform a needs assessment 35. several nurses are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. which of the following services should thenurses plan to provide to the congregation? organize an influenza immunization clinic with the American red cross perform wound care in the home of members provide end of life care for members who are terminal facilitate discharge from the facility to the home 36. a community health nurse is caring for client in a culturally diverse community. which of the following actions demonstrates accurate cultural knowledge about a specific cultural group? touching the hair of an African American client during an assessment offering to shake hands when meeting an Asian client of the opposite gender maintaining eye contact when interviewing a native American client 4. including both hot and cold food items on a Hispanic client’s menu 37. a community health nurse is providing screening for lipid disorders. which of the following is the primary goal of this activity? early detection of disease client enrollment in prevention programs promotion of appropriate lifestyle changes identification of family history of medical problems 38. a school nurse is implementing health screening. which of the following assessment finding should the nurse recognize as the highest priority? a child who has a BMI of 18 an adolescent who has scoliosis an adolescent who has psoriasis 4. a child who has nits which of the following........... should the nurse include should be placed beside the child’s bed house hold contacts will receive prophylactic antibiotics transmission will be emitted because of herd immunity the child is most contagious after the rash develops 40. a home health nurse is scheduled for a first time visit to a client. which of the followingshould the nurse perform first? blood pressure screening 2. mental status examination review of the neighborhood family history 42 a nurse is working to reduce individual and family violence in the local community. which of the following actions by the nurse demonstrates a primary prevention strategy toachieve this goal? 1. conducting counseling for at risk parents 2.. assessing a family for marital discord 3.. teaching parenting techniques to new parents 4. providing treatment for a young adult who has a substance use disorder 43. a newly hired occupational health nurse is assessing hazards in the work environment. which of the following actions will help the nurse detect potential physical hazards? track rates of illness caused by infection among employees survey workers about job related emotional stress identify industrial toxins that are present in the environment measure noise levels at various locations in the facility 44. a school nurse is planning safety education for a group of adolescents. the nurse should give priority to which of the following topics as the leading cause of death for this age group 1. motor vehicle safety sports injury prevention substance abuse prevention gun safety 45. a nurse of a community clinic is preparing an educational guide about cultural variances in expression of pain. which of the following information should the nurse include? middle eastern cultural practices include hiding pain from close family members native American cultural practices include being outspoken about pain Puerto Rican cultural practices include the view that outspoken expressions of pain areshameful Chinese cultural practices include enduring pain to prevent family dishonor 46. the partner of an older adult client who has Alzheimer’s disease reports that he is noteating. the nurse. client partner refuses to assist the client with feeding. the partner insists the client feed himself without help. which of the priority action the nurse shouldtake? arrange for meals on wheels’ assistance determine the client’s ability to self-feed direct the home health aide to assist with meals refer the clients partner to an Alzheimer’s support group 48. a nurse working in an infectious disease clinic is caring for a client has a new diagnosisofLyme disease. which of the following agencies is responsible for voluntarily reporting cases of this disease to the centers for disease control and prevention office of the surgeon general state health department hospital infection control department local red cross chapter 49. a nurse is providing teaching to a 50-year-old female client. which of the following statements should the nurse include in the teaching? you should have a complete eye examination every 2 years until the age of 64 you should have your hearing screened every 5 years you should have your stool tested for blood every other year until the age of 74 you should have your fasting blood glucose level checked every 6 years a nurse is discussing short and long term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. which of the following statements isappropriate for the nurse to include in the discussion? you will be taking a once weekly dose of disulfiram to help control withdrawal symptomsduring treatment remaining physically active will help to minimize drowsiness and chills associated with initialalcohol withdrawal. attending Al anon meetings will help you identify a role model to assist you with making needed changes you will begin learning functional skills to replace defense mechanisms and behaviors while in treatment a nurse is assessing an outbreak of mumps among school age children. using the epidemiological triangle. the nurse should recognize that which of the following is the host. the vaccine the virus the school 4. the children 52. a community health nurse is working with a group of homeless veterans who haveposttraumatic stress disorder. which of the following interventions should the nurse implement? provide coffee and snacks during the meetings avoid discussing the traumatic events experienced by the veterans change the meetings sites frequently teach the clients to practice deep breathing exercises 53. client states my life has no meaning right now. have you been thinking about harming yourself how long have you been feeling this way tell me what is going on with you right now do you really think your life has no purpose 54. a nurse is providing education to a group of adolescents who are pregnant and attending high school. which of the following information should the nurse include in theirteaching? the need for supplemental folic acid is greatest during the third trimester the incidence of high birth weight infants is higher in adolescent pregnancy pregnant adolescent need to gain less weight than adult mothers caffeinated beverages should be replaced with caffeine-free beverages 55. nurse expect oliguria diplopia hypoglycemia dizziness 56. a community health clinic nurse manager is reviewing the incidence rate of chlamydiain the state. in a given year, 3144 new cases were reported and the population was estimated at 325,986. which of the following is the incidence rate in the state for the year? about 300 reported cases per 100,000 population about 1 reported case per 10,000 population about 10 reported cases per 1000 population about 3 reported cases per 10,000 population 57. a home health nurse is visiting a client who had a stroke 2 months ago. which of thefollowing findings should the nurse report to the interprofessional care team? the client dresses her affected side first. the client bears weight on their arms when using crutches the client coughs when swallowing her medications the client’s caregiver fills a pill organizer weekly A public health nurse is assisting a client who is a recent immigrant. The client refuses assistance from community resources. Which of the following actions should the nurse take to provide culturally appropriate? SATA Learn more about the client’s ethnic values Uses relevant nonverbal communication techniquesReview the client’s current health practices A community health nurse has recognized an outbreak of influenza at alocal school. Which of the following actions is a secondary level of prevention? Check for possible exposure to influenza. A community health nurse is providing teaching about nutrition guidelines to a group of adolescents. Which of the following informationshould the nurse including in the teaching? Appetite naturally increases during the adolescent years A public health nurse learns that a client in an agricultural communityis being treated for active TB. Which of the following actions should the nurse take to prevent the spread of TB within the community? Ensure the client adherence to the medication regimen A community health nurse is caring for a 20 year old college student who has a new diagnosis of herpes. The client reports having unprotectedsex with multiple individuals. Which of the following actions should the nurse take? Ask the client for the contact information of recent sexual partners A school nurse realizes that a student who has asthma visits the health office two to three times every day to use his rescue inhaler. Which of thefollowing interventions should the nurse plan to implement first? Encourage the student’s parent to identify and reduce environmental triggers A newly hired occupational health nurse is assessing hazards in thework environment. Which of the following actions will help the nurse detect potential physical hazards? Measures noise levels at various locations in the facility A home health nurse is educating a client diagnosed with COPD abouthome oxygen use. Which of the following statements by the client indicates a need for addition teaching? I should notify the local fire department that oxygen is being used in my home A community health nurse observes the continual accumulation of garbage at a neighborhood playground. Which of the following actionsshould the nurse take first to promote a clean and safe environment? Meet with community members to discuss methods of playground maintenance A nurse manager in a local community health agency is creating a job description for a new nurse who will practice community oriented nursing.Which of the following should the nurse include in the job description? SATA Investigate potential health and environmental issues Initiate support groups for parents of autistic children Provide health related education to community groups Participate in local health surveillance activities. A home health nurse is conducting an initial intake assessment for aclient who has hypothyroidism. Which of the following assessment findings is associated with this disease? Muscle weakness A community health nurse is planning to use web based information resources in the care of a client who is undergoing dialysis. Which of thefollowing criteria should the nurse consider in selecting appropriate resources for the client? The website provides a peer review process for publishing information A home health nurse is schedule for a first time visit to a client. Whichof the following should the nurse perform first? Mental status exam Which of the following federal agencies should a community health nurse seek guidance from regarding a public building that has asbestosleaking from rips in the heating duct insulation? Environmental protection agency Upon performing routine screenings, a school nurse identifies three classrooms with students who have pediculosis. Using principles of epidemiology, which of the following is the next action the nurse shouldtake? Review class rosters to determine whether a common host exists in the threeclassrooms A first response team is working at the location of a bombing incident. A nurse triaging a group of clients should give treatment priority to which of the following clients? A client who has a rigid abdomen with manifestations of shock A community health nurse notes that six new cases of DM have beenreported in the past 3 months. In the previous year, five cases were reported. The population of the community is 15,000 people. What is theprevalence proportion for the community? 0.9/100,000 A nurse at a shelter is assisting with client triage after a tornado destroyed a community. Which of the following clients should receivepriority care? An adult who is short of breath Several nurses affiliated with a church are developing a parish nurse group to help address the primary and secondary health care needs of thecongregation. Which of the following is appropriate to include in regard tocare they could provide? Organize an influenza immunization clinic with the American Red Cross. A nurse in a clinic is caring for a client who has DM and states, “I don’tthink I am using my blood sugar machine correctly.” Which of the following actions should the nurse take first? Ask the client to perform the procedure A home health nurse is providing teaching to a client who has chronic obstructive pulmonary disease and is experiencing weight loss. Which of the following should the nurse include in the teaching? Begin meals with high calorie foods A home health nurse is providing teaching to a client who is prescribeddopidogrel bisulfate. The nurse should include that which of the following over the counter meds can casue a medication interaction while taking dopidogrel bisulfate? Aspirin A community health nurse is providing teaching to a client who has anew diagnosis of hepatitis C. Which of the following information should the nurse include? Consume a high carbohydrate, moderate fat diet A hospice nurse is caring for a client who is experiencing acute air hunger. Which of the following actions should the nurse take? Obtain ABG’s A nurse is assessing an outbreak of mumps among school age children. Using the epidemiological triangle, the nurse should recognizethat which of the following is the host? The children A nurse at a local health department s caring for several clients. Whichof the following infections should the nurse report to the state health department? Group B streptococcus B- hemolytic A home health nurse is teaching a client who has a new diagnosis of heart failure about digoxin. For which of the following adverse effects should the nurse instruct the client to monitor and report to the provider?Halo vision A nurse is caring for a client who is having difficulty performing activities of daily living. The nurse is functioning roles when arranging foran occupational therapist to visit the client? Case manager A 35 year old client who has a diagnosis of tuberculosis informs the provider’s office that she is unable to pay for the treatment. Which of thefollowing actions by the nurse will facilitate obtaining appropriate treatment? Help the client apply for Medicare Explore options for alternative therapies Send the client to the nearest facility for further evaluation Arrange for the medication through local agencies A community health nurse is teaching a group of parents about home safety of newborns. Which of the following statements by a parentindicatesan understanding of the teaching? “I will change the batteries in our smoke detectors once a year.” “I will place my baby’s crib on the side of the room opposite of the heat vent.” “I will make sure that the slats on the baby’s crib are no more than 4 inches apart.” A nurse is instructing a child who has asthma how to use a metereddose inhaler (MDI). After depressing the canister, in which order shouldthe client continue to use the MDI? Breathe out slowly Inhale slowly Hold your breathe Remove inhaler A home health nurse is conducting an initial assessment for a clientwho is prescribed warfarin. Which of the following clinical findings is associated with thrombocytopenia? Black tarry stools A nurse is discussing short and long-term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. Which ofthe following statements is appropriate for the nurse to include in the discussion? “You will begin learning functional skills to replace defense mechanismsand behaviors while in treatment.” Which of the following should the nurse include in a cultural assessment? Family relationships A home health nurse is teaching a client who is newly diagnosed withdiabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? “I will use a mirror to inspect my feet daily.” A home health nurse is developing a protocol for providing care to clients who have a central venous access device. Which of the followinginstructions should the nurse include? Scrub the catheter port for 15 seconds prior to access. A nurse is providing teaching to a 50-year-old female client. Which ofthe following statements should the nurse include in the teaching? “You should have your vision screened every 2 years until age of 64.” A community health nurse is planning a smoking cessation class. Which of the following factors will have the greatest effect on the class’ssuccess? Clients’ motivation A nurse working in an assisted care facility is developing a disasterplan. Which of the following is the first action the nurse should take? Determine potential environmental health hazards. A school nurse is caring for a child who has muscular dystrophy and ishaving difficulty swallowing at lunch. Which of the following referrals should the nurse intake? Speech-language therapist A nurse has provided a training session about disease prevention for staff at a community summer camp. When asked to provide an example ofvector-borne illness, which of the following responses indicates the teaching has been effective? Lyme disease A nurse is caring for a client who is homeless. Which of the followingactions should the nurse take first? Determine the client’s understanding of her living situation. A nurse in a pediatric clinic is evaluating a child who has Fifth disease.Which of the following findings is associated with this diagnosis? Facial rash A nurse is preparing a presentation about disease management for agroup of older adults who have osteoarthritis. Which of the following guidelines should the nurse include? Remove hot dishes from oven with both hands. A nurse is teaching a client who has a new prescription for home oxygen therapy. Which of the following statements by the client indicatesan understanding of the teaching? “I will disconnect the humidifier when using portable oxygen.” A nurse volunteering at a local community center is addressing a variety of health needs with a group of older adult clients. Which of thefollowing interventions is considered a tertiary prevention strategy? Providing a class on living with arthritis A home health nurse is reviewing messages from a group of clients.Which of the following clients should the nurse contact first? A client who reports that her new colostomy stoma appears purple A nurse is planning an education program for new inmates in a correctional facility. Which of the following topics is most important forthe nurse to include in the teaching? Communicable disease prevention A school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? (Select allthat apply.) Teaching a class about the risks of cigarette smoking Organizing a program to promote skateboard safety Lobbying for fusing for health promotion efforts Community Practice B RN Community Health Online Practice2019 B A public health nurse is planning a community health promotion program for hypertension prevention. Which of the following interventions should the nurse include as a tertiary prevention strategy? Provide education about risk factors for hypertension. Conduct a hypertension screening clinic for the community. Teach clients who have a family history of hypertension how to monitor blood pressure. Implement an exercise program for clients who have hypertension. A school nurse is serving on a community disaster planning committee looking at school shooting scenarios. Which of the following actions should the nurse plan to take during the response phase? Conduct ongoing assessments to identify potential hazards.Provide disaster training to school personnel. Perform triage and provide hands-on care as needed to victims. Serve as a liaison between available community resources and those in need. A school nurse is discussing levels of prevention with a teacher. Which of the following activitiesshouldthe nurse identify as a primary prevention strategy? Provide nutritional counseling for students who have diabetes.Report suspected child neglect to the proper authorities. Conduct vision and hearing screening for kindergarten enrollment. Demonstrate proper handwashing techniques. A nurse is planning to teach a community group about the meningococcal vaccine. The nurse shouldidentity that which of the following clients should receive the vaccine? A client who is traveling to northern EuropeAn infant who has bronchiolitis An infant who is 4 weeks old A client who is moving into a college dormitory A home health nurse is visiting an older adult client and notes that unwashed dishes are piled up and newspapers cover the front steps. Which of the following questions should the nurse ask the client todetermine if the client is socially isolated? "Why haven't you brought in your newspapers?""Doyou need help completing your housework?" "How often do you have visitors come to see you?" "Have you considered moving to an assisted living facility?" A community health nurse is working with a community where the incidence of violence has increased. Which of the following actions should the nurse take as a tertiary prevention strategy? Provide open education sessions to teach parenting skills. Provide victims of violence with referral information to crisis lines. Identify potential community risk factors for violence. Assess for evidence of violence during routine encounters. A community health nurse is discussing the role of a faith community nurse with a chaplain. Which ofthe following information should the nurse include in the discussion? The faith community nurse can provide pharmacological pain management for clients who have a terminal illness. The faith community nurse can plan workplace safety training for employees in a local factory.Thefaith community nurse can provide wound care for clients in their homes. The faith community nurse can facilitate substance abuse support groups A nurse on the scene following a mass casualty explosion is triaging a client who has a large, open occipital wound and the following findings: respiratory rate 6/min, agonal pattern; capillary refill time 4.5 seconds; nonresponsive to painful stimuli. Which of the following actions should the nurse take? Turn the client to left semi-Fowler's position and begin assessing the next client. Place a rm pressure dressing to the occiput and open the airway. Apply a cervical spine collar and perform a focused neurological exam. Requestthat the client be assessed immediately by the next available provider A nurse at a county health clinic is caring for a client who has recently assumed the role of primary caregiver for their parent. Which of the following client statements indicates that they are experiencing role conflict? "I feel overwhelmed with not having enough time for my mom as well as my children." "I hope my siblings will be able to visit and help care for mom for a few days." "Iam glad that my job is flexible, so I can accommodate my mom's needs." "I don't think my partner likes having to help more with the household chores." A case manager at a home health agency is obtaining equipment for a client's home use. Which of thefollowing actions is a violation of client confidentiality? The case manager used a computer at the agency with an automatic sign-o mechanism. The case manager left a clipboard with the client's prescription information face up on the office desk. The case manager sent a fax to the equipment company on a machine using programmed speed dial. The case manager shared the client's name with the equipment company. A nurse is giving a presentation about family violence at a local community center. Which of thefollowinginformation should the nurse include? Socially active parents and guardians are at greater risk for becoming violent.Partner violence occurs more frequently in lower socioeconomic households. Child maltreatment is more common in homes where partner violence is present. Childrenwho are abused are less likely to become abusers. A nurse in a county health department is caring for a client who states, "I've been drinking too much inthe evenings since my friend died last year." Which of the following responses should the nurse make? "It sounds like you are probably an alcoholic." "Don't you think your family is being affected by your drinking?" "Can I give you some information about Alcoholics Anonymous?" "Idon't think your friend would have approved of your drinking." Community leaders have requested a meeting with a community health nurse to discuss creating a mobile meals program. Which of the following information should the community health nurse assessfirst? The leadership support of the community The accessibility of residencesThe availability of volunteers The need for the program A nurse is preparing an educational program about influenza for a group of community health nurses.Which of the following activities should the nurse include as an example of tertiary prevention? Offer classes to elementary school teachers about handwashing. Provide information to occupational nurses about the reasons for employees to not come to work. Administer antiviral medications within 48 hr to clients who have manifestations of influenza. Provide immunizations at long-term care facilities. A community health nurse is conducting a program regarding crime reduction strategies for older adultclients at the senior center. Which of the following statements indicates an understanding of the information? "When I am in my car, I will keep my personal items on the seat beside me." "When I open my front door, I will ask for identification if the person is someone I do not know." "Ishould store my purchases in the back seat when I am out shopping." "I should remove the identification tag that is on my key ring." A nurse is developing an educational program about bioterrorism and smallpox. The nurse should include in the teaching that the smallpox rash is expected to rst appear in which of the followinglocations? Face Posterior shouldersAbdomen Lower extremities A community health nurse is providing care to a client who has stopped taking their prescribed bloodpressure medication. Which of the following actions should the nurse take first? Advise the client that adherence to the medication regimen will promote healthy outcomes. Determine the client's reason for discontinuing the medication. Discuss the consequences of discontinuing the medication with the client.Educate the client about the benefits of the medication. A nurse is assessing the risks and benefits of meal delivery services for an older adult client who livesalone and has no transportation. Which of the following ethical principles is the nurse demonstrating? Distributive justice Respect for autonomyFidelity Beneficence A community health nurse is caring for an adolescent who is seeking help for an unplanned pregnancy.Which of the following actions should the nurse take first? Recommend that the adolescent meet with the school guidance counselor to discuss educationaloptions. Help the client obtain a provider for prenatal care. Educate the client about contraceptives to prevent future unplanned pregnancies. Provide information on parenting classes so the client can learn about caring for a newborn A community health nurse is conducting a needs assessment of a community. The nurse should identifythatwhich of the following methods will yield direct data? Health surveys Medical records Informant interviews Morbidity/mortality statistics A hospice nurse is teaching about expected grief reactions with the family of a client who has end- stagepancreatic cancer. Which of the following information should the nurse include? "It is common to experience a persistent state of sadness while grieving." "Disturbances in your self-esteem is an expected grief reaction." "You will feel a sense of hopelessness throughout the grieving process." "A component of healthy grieving is the ability to openly express your anger." A nurse manager at a community health clinic is presenting an in-service for nurses about assessing clients who have experienced violence. Which of the following statements by a nurse indicates an understanding of the teaching? "I do not need to ask about violence at future visits once I determine that a client is not at risk." "I should not document the name of the person the client accuses of the violence in the client's medicalrecord." "I should wait until I see signs of physical violence before I help the client develop a safety plan." "I should determine whether a client who has been sexually assaulted requires a rape kit examination." A nurse at a county health department is caring for a client who is at 28 weeks of gestation. The nurseshould identify which of the following characteristics as a risk factor for future child maltreatment? The client refers to the unborn fetus by name. The client works part-time at a local restaurant. The client has changed providers three times during their pregnancy. The client has recurring nightmares about the unborn fetus. A school nurse is conducting visual acuity testing for a school-age child using a Snellen letter chart. Which of the following actions should the nurse take? Allow the child to keep her glasses on during the testing. Havethe child stand 5 feet away from the Snellen letter chart. Progress to the next line once the child reads two symbols correctly. Beginthe test by instructing the child to use both eyes to read the chart. A home health care nurse is teaching a client's family about preventing the transmission of Clostridiumdiffcille. Which of the following transmission-based precautions should the nurse include in the teaching? Contact precautions Droplet precautions Airborne precautions Protective environment A nurse is preparing a community education program about health care needs during pregnancy. Thenurse should include that which of the following vaccines is safe to administer to a client who is pregnant? Herpes zoster Tetanus, diphtheria, pertussis (Tdap)Varicella Measles, mumps, and rubella An adult child of a client who is terminally ill and at the end of life approaches a hospice nurse and asks, "What can I do to help relieve my father's pain?" Which of the following interventions should thenurse suggest? "Give your father brief hand massages." "Increasethe illumination in your father's room." "Avoid using analgesics unless your father exhibits nonverbal signs of pain.""Administer citalopram when your father is agitated." A school nurse is notified that a school-age child has pertussis. Which of the following actions shouldthe school nurse take? (Select all that apply.) Instruct the parent to keep the child at home for 2 weeks after the initial symptoms first present. Encourage family members to obtain prophylactic treatment. Quarantine the children in the child's class. Recommend that the child receive a pneumococcal vaccine in 28 days. Check the immunization status of the child's classmates A public health nurse is working in a community that has a population of 24,096. There are 2,096 existingcases of heart disease within the population. The nurse can determine which of the following from this information? Mortality rateAttack rate Prevalence proportion Incidenceproportion A nurse is conducting a home visit for an older adult client. The nurse should identify which of thefollowingfindings as an indicator of possible neglect? Lives alone Taking outdated prescriptions Has a BMI of 25 Presence of alcohol in the home A community health nurse suspects an outbreak of scabies in the local area. Which of the followingactions should the nurse take first? Educate the community about disease transmission. Determine the incidence rate. Institute prophylactic treatment. Discuss treatment plans with the clients' families. A community health nurse is providing teaching about health promotion to a group of adolescents. Which of the following topics is the most important for the nurse to include in an attempt to lower adolescent mortality rates? Underage smoking Safer sex practices Safety belt use Heart-healthy diet A nurse is assessing a new client at a public health clinic. Which of the following areas should the nurseaddress as part of the cultural assessment? Immunization status Sexual activity Illness practices Food allergies An occupational health nurse in a factory is performing a routine tuberculosis screening and identifiesan employee who has a positive Mantoux tuberculin test. Which of the following actions should the nurse plan to take? Instruct the employee that they will need to obtain a chest x- ray. Initiate an employee immunization program. Instruct the employee to wear an N95 respiratory mask.Administer prophylactic penicillin to other employees. A nurse is caring for a client who has a positive gonorrhea culture. Which of the following actions should the nurse take? Instruct the client that recent sexual partners will need to be treated. Instruct the client to return for a blood test in 1 month. Administer penicillin G 2.4 million units IM once. Teach the client how to apply imiquimod 5% cream to the lesions. A public health nurse is lobbying Congress to increase funding for health screenings provided tomigrant farm workers. Which of the following concepts is the nurse demonstrating? Advocacy Principlism Deontology Communitarianism A nurse in a community center is preparing to administer a tuberculin skin test to multiple clients toscreen for tuberculosis. Which of the following actions should the nurse take? Prepare the outer aspect of the upper arm for the injection.Insert the needle at a 45° angle. Inject 0.1 mL of purified protein derivative. Create a wheal that measures about 15 mm in diameter A home health nurse is evaluating a caregiver's technique for providing care to a client who has a chronic tracheostomy. Which of the following statements by the caregiver indicates an understandingofthe procedure? "I should remove the soiled ties before replacing them with clean ones." "I will use tap water to clean the inner cannula." "I should use a slip knot to secure the tracheostomy ties." "I will cut a four inch by four-inch gauze to use as a dressing." A public health nurse is participating in a disaster preparedness planning committee for a local community that is at risk for hurricanes. Which of the following information should the nursecontribute to the plan? A list of residents who have experienced a hurricane in the past and will not need evacuation A list of areas within the community where residents speak multiple languages How to activate the local medical facilities' emergency-management plans The name of the individual who is necessary to implement the plan A community health nurse is participating in a quality improvement plan for a local health department. Which of the following techniques should the nurse use for process evaluation of the facility? (Select all that apply.) Focus groups Written audits Satisfaction survey Interviews Values self-study A hospice nurse is caring for a client who is at the end of life and has developed dyspnea and noisy breathing. Which of the following actions should the nurse take? Suction the client's oropharynx. Administer the client's pain medication intramuscularly. Use a fan in the client's room. Place the client in Trendelenburg position. A nurse is providing education regarding lead exposure to a group of clients who live in a housing development built in 1968. Which of the following client statements indicates an understanding of theteaching? "I will use a dry-sanding technique when preparing to repaint my front door.""Iwill vacuum our wood floors every week." "I will increase the amount of red meat and milk in my child's diet." "Iwill use hot tap water to prepare my baby's formula A community health nurse is working to meet the health care needs of residents in a rural community. Which of the following characteristics should the nurse identify as a barrier to health care resources forthis population? Less autonomy in providing client care Disinterest by members of the population in providing input for community health programsLackof cohesiveness among community members Unavailability of outreach services A community health nurse is teaching a client who is overweight about steps to take to begin an exercise program. The nurse should identify that which of the following statements is an indicationthatthe client understands the teaching? "I will need to purchase exercise equipment before I can start." "I should try to perform aerobic exercise for an hour a day, 5 days a week." "I will see my doctor before beginning an exercise program." "Ishould avoid participating in weight-lifting exercises." A public health nurse is monitoring medication compliance for a group of migrant workers who are being treated for tuberculosis (TB). The nurse should use information from which of the followingresources to assist with this process? Agency for Healthcare Quality and Research (AHRQ) Migrant Clinicians Network (MCN) Centers for Disease Control and Prevention (CDC) U. S. Preventive Services Task Force (USPSTF) A community health nurse is planning a presentation for adults who have a family history of Alzheimer's disease. Which of the following behaviors should the nurse include as an early manifestation of Alzheimer's disease? Withdrawal from social activities Forgetting the location of common objectsExperiencing incontinence Neglecting personal hygiene A community health nurse is assigned to lead a county-level environmental task force. Which of thefollowing activities should the nurse direct the task force to complete first? Review community-specific epidemiological data. Recommendupdates to local environmental policies. Create program goals that align with Healthy People objectives. Distribute environmental health education materials to community members. A nurse is preparing to administer medication to a client who has active tuberculosis. Which of the following precautionary measures should the nurse take? Wear gloves. Wear protective eyewear. Use disposable equipment. Use an N95 respirator. A community health nurse is made aware that several children, who are from the same family and did not receive immunizations, have contracted measles. Which of the following actions should the nurse take? Report this information to the state health department. Encourage the family to keep the children isolated during the incubation period. Speak to the guardians about getting the children immunized after they are disease free. Provide the infected children's names to the parents and guardians of children who might have been exposed. A community health nurse is working in a mobile health care clinic. Which of the following clients should the nurse assess first? A client who has a superficial partial thickness burn to the handAclient who has a temperature of 38.3° C (101° F) A client who has COPD and an oxygen saturation of 90% A client who has a new onset of confusion and slurred speech Community Health Exit HESI A nurse is planning a primary prevention strategy for reducing obesity in a community. Which of thefollowing strategies should the nurse use educate children about nutrition and exercise at a daycare center A community health nurse is developing health promotion activities for a community. Which of the following is the highest priority action participate in community assessment to identify community health problems A home health nurse is scheduling client visits for the day. Which of the following clients should thenurse plan to visit first a 79-year-old client with an exacerbation of COPD A state public health nurse is asked to determine which country has the most people living in it with a diagnosis of Alzheimer’s disease. Which of the following measures will determine this information analytic epidemiology A community health nurse is reviewing laboratory results for his case load of clients. Which of the following is the highest priority finding a sputum specimen that is positive for tuberculosis A nurse is triaging victims of a commuter train crash. Which of the following clients should betransported to the Emergency Department first an ambulatory client whose nose is bleeding and who reports feeling dizzy A community health nurse is caring for clients in a culturally diverse community. Which of the followingactions demonstrates accurate cultural knowledge about a specific cultural group include both hot and cold food items on a Hispanic client’s menu A nurse is caring for a client who has questions about his treatment plan. Which of the following shouldthe nurse perform as a client advocate (select all that apply) provide education to the client about the diagnosis inform the client about the provider’s responsibility to provide informationassist the client in preparing questions for the provider affirm the client’s decision about the treatment plan A nurse is working with a client who is homeless. Which of the following is the first step that the nurse should take to advocate for this client refer the client to a public homeless shelter A nurse is providing education to a group of adolescents who are pregnant and attending high school. Which of the following information should the nurse include in this teaching caffeinated beverages should be replaced with caffeine-free A community health nurse is writing an emergency response plan for a day care. Which of the followingshould be included in the plan immunization protocol for various biological agents A community health nurse is preparing to teach accident and injury prevention. Which of the followingwould be the priority topic for a family with a 10-year-old child use if seat belts in automobiles A child is brought to the school nurse by her teacher who thinks the child may have contracted rubeola. Which of the following findings supports this diagnosis koplik spots in the oral mucosa A home health nurse is performing an eye assessment and vision screening on an older adult client recently assigned to her care. Which of the following findings indicates a need for an interventionslightly yellow sclera Which of the following is an example of the responsibilities of public health nursing informing state health officials of a potential meningitis outbreak A nurse is providing a staff development program on HIPPA regulations to the staff at a community health clinic. Which of the following comments by one of the attendees would indicate a need for further teaching “Demographic data that identify a client can be released without consent” A nurse administers a tuberculin skin test to a client who is HIV positive. Which of the followingindicates a positive reaction to the test Induration at infection site of 8 mm After presenting several teaching sessions to a group of high school students about the harmful effects of tobacco use, a nurse valuates the teaching to be effective when a student states which of the following “Aslong as I stop smoking while I am young, none of those diseases will affect me” A home health nurse is educating a client diagnosed with COPD about home oxygen use. Which of thefollowing statements by the client indicates a need for additional teaching “I should use wool blankets on my bed when oxygen in use” A nurse is providing teaching to the wife of a client who has had a stroke regarding health-related services that will be provided in the home. Which of the following statements by the wife indicates that the teachinghas been effective “The physical therapist will teach my husband exercises to increase hand dexterity” A nurse is assisting with the development of a disaster management plan for a local community. Duringwhich of the following times should an evacuation plan be disclosed to the public During disaster preparedness activities A community health nurse is teaching a client who has tuberculosis about modes of disease transmission. The nurse recognizes that the client understands the concept when the client makes which of the followingstatements “I will wear a mask when I’m in an enclosed area with other people” A nurse is caring for a client who asks “can I decide not to continue with chemotherapy?” The nurse responds, “This is your choice and I’ll support whatever decision you make.” The nurse’s response is anexample of which of the following ethical principles Autonomy FrmRN2u A community health nurse is working with a family in which only the children speak English. The nurseshould select a translator who is Skilled in health-related interpretation A community health nurse working with a migrant population recognizes that which of the following is necessary to provide care to this population Offering health screenings at a community center Which of the following activities is the responsibility of a case manager Evaluate cost effectiveness of client treatments A nurse uses a secondary prevention intervention when doing which of the following Performing hypertension screening in a community center An occupational health nurse is planning a program on early detection of breast cancer for female employees at a local business. Which of the following is the first action the nurse should take Determine employee knowledge level of breast self-examination While addressing community leaders at a forum for establishing community improvement initiatives, a public health nurse identifies which of the following groups as the fastest growing segment of the homeless population Families with children A nurse is working in an occupational health setting. Which of the following is a primary preventionactivity for the nurse Conducting smoking cessation classes A parish nurse is visiting an older adult client who was recently widowed. The client tells the nurse that he no longer has a way to get to the grocery store or the doctor. Which of the following responses by thenurse is appropriate “How would you feel about me contacting a local service that helps older adults with transportation?” A case manager nurse is caring for a client being discharged post total hip arthroplasty. Which of the following activities is an example of the nurse functioning in the negotiator role Discussing payment options with various pharmacies What patient would the Home Health Nurse send to the doctor first Abdominal pain A community health nurse is evaluating an outbreak of hepatitis A among adult clients in his community. Which of the following should the nurse do to identify the cause of the disease Identify restaurants where the clients have recently eaten A nurse working for a home hospice organization recognizes that clients must meet which of the following criteria to qualify for hospice care Documented need for palliative care A nurse is working with a case manager for a client who participates in a health maintenance organization. Which of the following is characteristic of the payment structure provided under this systemThe client pays the insurer a percentage of the total costs for each service rendered by the provider A nurse is providing education to a troop of local Boy Scouts regarding first aid for venomous snake bitesin the event that transport to the hospital is delayed. Which of the following would be appropriate informationto include in teaching about bites to an extremity Apply a constricting band above the bite while maintaining circulation below the bite In reviewing goals of “healthy people” nurse determines the community has a significant problem preventing dental caries in children. To bring about change WIC program intake offices A nurse is providing teaching to a community group regarding smallpox. Which of the following is anappropriate response in relation to why people who received a single vaccination prior to 1980 are no longer considered protected The vaccine does not confer life-long immunity A community health nurse is conducting a community assessment. Which of the following data should beincluded as a component of the assessment Resources available to address health care issues A school nurse is creating a plan to address an increase in violence among high school students. Which ofthe following is a secondary prevention strategy that the schools nurse can implement Surveying students to identify risk factors for bullying A school nurse is assessing the spinal alignment of students at a grade school. Which of the following findings indicates a child should be assessed further for scoliosis Unilateral scapular hump when the child bends at the waist A nurse is preparing to provide postmortem care for a client who is Chinese American. Which of the following should the nurse consider when providing care The family will remain with the body until burial A community health nurse is teaching a client who has active tuberculosis about disease management. Which of the following information should be included in the teaching Provide sputum cultures until three come back negative A public health nurse has received a report of several infants who attend the same daycare being diagnosed with respiratory syncytial virus (RSV). Which of the following actions should the nurse takefirst Provide the staff with information regarding measures to minimize disease transmission Primary Goal of Community Health Nursing Enhance the individuals, families and communities Nurse is working with interdisciplinary group to write procedures for assessment of clients from multiracial inner city population. “Remember that all Hispanic clients may not wish to give personal medinformation to a stranger” Recommend changing the language that stereotypes one ethnic group Patient having trouble with peripheral vision-what best for nurse to do orient patient to surroundings (something about the environment Risk for constipation - immobility, older adults, dehydration, narcotics or BP medications Population-focused nursing practice Community diagnosis SIDS-prevention supine position, sleep on back Primary prevention of Asthma Take bronchodilator first Rheumatoid Arthritis Resources The arthritis association Necessary when a person is in need of psychiatric treatment, presents a danger to self or others, or is unable to meet his or her own basic needs Involuntary admission criteria Child injury v/s abuse Abuse Nurse is performing an intake interview at a prenatal clinic on a patient who is at 6 weeks gestation Supervision of the renovation of an old house the family just purchased due to teratogen defect The community health nurse attempting to address the issue of child abuse in a large metropolitan area-primary prevention program High school child development and parenting classes Scheduling home visits, which is best for the home health charge nurseto assign to the LPN A bedfast client who needs daily irrigation of stage 4 pressure ulcer Occupational Health Act Location of the workplace as relates to health facilities Nurse has to conduct community Dx to determine nursing needs and problems Community -based practive. Pregnant woman not getting enough what vitamin may cause neural tube defects Folic acid Plans formulated for solving community problems Community organization Training of potential leaders in the community Core group formation PHN bag is an important tool for care during a home visit prevent the spread of infection Prenatal consult asked HHN if she can have her delivery at home advised her against a home delivery Her OB score is G5P3 6 months pregnant, comes to the center for consult and what med is contraindicated Retinol 2000,000 IU Type of family-nurse contact offers with the best opportunity to observe family dynamics Home visit Philosophy of public health nursing worth and dignity of man Abuse Advise the mother to call the police if violent behavior occurs again 70-year-old male client at nursing home after a hip replacement and at risk for decubitus ulcers because Thinning of the skin with loss of elasticity Vietnamese child during a HH visit and nurse notices round swellings on child's back. Mom says she rubbed a coin on his oiled skin The purpose is to rid the body of disease Core business of public health Disease control, health protection, helath public policy, injury prevention Herbal plant given for fever, headache and cough Langundi Pillars of primary health care Provision of medical care and emergency treatment If there were 250 deaths and 36,114 live births registered in Region III, with a total population of 200,000, the fetal death rate would be 6.9 per 1000 live births Type of water supply facility composed of system with piped distribution network and household taps Level III Pandemic occurrence of a disease The simultaneous occurrence of epidemic of the same disease in several countries 5 year old child given Retinol capsule every 6 months to prevent xerophthalmia-preschooler dose 200,000 IU In the Philippines, condition most frequent cause of death associated with schistosomiasis Liver cirrhosis Operation Timbang is which level of prevention of health problem Primary In conducting a census, the method of population assignment based on the usual place of residence of thepeople De facto Method of family planning not immediately used by a breastfeeding mother Combined OCP 3 year old boy with severe pneumonia or very severe disease fast breathing Very important part of the community health nursing planning process Evaluation of structures and qualifications of health care team An advantage of a home visit Provides an opportunity to do first hand appraisal of the home situation The different clients of the community health nurse Individual Family Population group Community Dependency ratio Compares the number of economically dependent with the economically productive group inpopulation Newborn Screening act is R.A 9288 He defined public health as the science and art of preventing disease, prolonging life, promoting healthand efficiency through organized community effort Winslow Woman brought her 2 month old baby to the health center for immunization - infant’s temperatureregistered 38 degrees C Proceed with the infant’s immunizations When is Rabies awareness month celebrated March 6 year old boy entering school for the first time Foreseeable crisis Severe dehydration Sunken eyes Skin pinch goes back slowly Abnormally sleepy or difficult to awaken Element of FOURmula one aims to ensure quality and affordability of health services Health regulation community health ATI 1. During a home health visit a school age child who has muscular dystrophy confides in the nurse that he was struck by his parents. which of the following actions should the nurse takefirst? report the incident to local authorities2. check the child for injuries refer the parent to a social service agency enroll the parent in anger management classes. a nurse is planning a program about healthy eating at an elementary school where moststudents select French fries and pizza at lunch every day. which of the following actions should the nurse plan to take first? give positive feedback to students who make appropriate choices. help students recognize the value of making healthy food choices provide students with resources about making wise choices independently4. determine student’s motivation to learn about healthy food choices. 3. a nurse manger in local community health agency is creating a job description for a newnurse who will practice community oriented nursing. which of the following should the nurse include in the job description? (select all that apply) investigate potential health and environmental issues 2. initiate su provide wound care for clients in their homes participate in local health surveillance activities provide health related education to community groups a community health nurse is planning an educational program for a group of womenwho are postmenopausal. which of the following outcomes is appropriate for this program? clients will schedule bone density screening clients will arrange for mammograms every 3 years clients will start hormone replacement therapy clients will significantly decrease caloric intake a nurse is working with a care manager for a client who participates in a healthmaintenance organization. the nurse should identify that a health maintenance organization provides which of the following payment structures. the client is participating in a fee for service health care insurance program the provider is paid a fixed sum for the client on a monthly or yearly basis the client pays the insurer a percentage of the total costs for each service rendered by theprovider the provider bills the client directly for a predetermined percentage of the cost of services a client who has diabetes mellitus asks a home health nurse to help her adapt some of hertraditional cultural foods to fit her meal plan. which of the following is the first action the nurse should take when assisting this client? provide the client with a printed recipe observe the client during preparation of traditional foods use cookbooks to include traditional foods in meal plans explain diabetes exchange list a home health nurse manager is caring for a client who has methicillin resistant staphylococcus aureus. which of the following actions should the nurse take? remove fresh flowers from the client’s home wear a mask when within 3 feet of the client encourage the client to use a hepa filter in the house double bag soiled dressing in polyethylene bags. an occupational health nurse is discussing health promotion with a client who has ahistoryof obesity. which of the following comments indicates the client is using rationalization as a coping mechanism? i have lots of health problems from being obese2. I am obese it’s in my genes i have difficulty resisting the items in vending machines i know you don’t like me because i am obese a nurse is conducting a community assessment. which of the following information should the nurse include as part of the windshield survey? demographic data mortality rate informant interviews4. housing quality 10. a community health nurse is educating a parent about the importance of hepatitis B immunization. which of the following explanations should the nurse give the parent about the disease? one dose of the immunization gives children lifelong protection from hepatitis B hepatitis B spreads easily among children through casual contact many people who acquire acute hepatitis B develop chronic hepatitis people who have had a hepatitis B infection still need the immunization 11. a first response team is working at the location of a bombing incident. a nurse triagingagroup of clients should give treatment priority to which of the following clients. a client who has superficial partial thickness burn injuries over 5% of his body a client who has a femur fracture with a 2+ pedal pulse a client who is ambulatory and exhibits manic behavior a client who has a rigid abdomen with manifestations of shock. 12. a nurse is working with a community health care team to devise strategies for preventing violence in the community. which of the following interventions is an exampleoftertiary prevention? presenting community education programs about stress management2. developing resources for victims of abuse urging community leaders to make nonviolence a priority assessing for risk factors of intimate partner abuse during health examinations 13. public health nurse take alert the family members of coworkers about possible exposure to anthrax place the employee under quarantine for 14 days refer coworkers who might have been exposed to a provider for prophylactic antibiotics instruct the client to wear a mask at work 14. a community health nurse is providing teaching to a group of clients who have alcohol use disorder. which of the following findings should the nurse include in the teaching as a manifestation of alcohol withdrawal? bradycardia hypothermia increased appetite 4. insomnia 15. a nurse is caring for a client who is homeless. which of the following actions should the nurse take first? determine the clients understanding of her living situation assist the client to develop goals for obtaining shelter discuss the risks of being homeless with the client develop client teaching using a variety of strategies 16. a community health nurse observes the accumulation of garbage at a neighborhood playground. which of the following actions should the nurse take first to promote a cleanand safe environment? meet with community members to discuss methods of playground maintenance partner city officials with community members to improve the playground condition work with local businesses to sponsor more trash receptacles in the playground engage neighborhood families to monitor the playground for further trash buildup 17. a nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. the client does not speak the same language as the nurse. which of the following actions should the nurse take? have the client’s daughter communicate information about the procedure arrange for a member of the client’s community to interpret the teaching 3. identify the clients spoken dialect prior to contacting an interpreter 4. use professional terminology when providing education prior to the procedure 18. a nurse at a local health department is caring for several clients. which of the followinginfections should th

ATIRN_1702288930_ATI RN COMMUNITY HEALTH PROCTORED EXAM 2019 TEST BANK 2 VERSIONS NGN MIXED QUESTIONS AND CORRECT ANSWERSAGRADE.pdf

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