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ATI Community proctored exam Graded A+

ATI COMMUNITY PROCTORED EXAM 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 2. An occupational health nurse is caring for a client who does not speak the same language as the nurse. Which of the following actions should the nurse take first? 1. Validate the clients Understanding of communicated information 2. determine the client's primary language 3. Use common words and phrases when speaking to the client 4. Obtain a translator that is the same gender 3. 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. 1. providing social service with the list of needed referrals 2. reporting safety concerns to the Home Health agency 3. discuss payment options with various pharmacies 4. schedule appointments for physical therapy services 4. A nurse manager is providing teaching to a newly licensed nurse about Mantoux testing. Which of the following clients should the nurse manager include as an example of a client who might 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 the following should the nurse include ? Select all that apply 1. Lobbying 4 funding for health promotion efforts 2. recommending a seating arrangement for a child in a body cast ing 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? 1. Identify industrial toxins that are present in the environment 2. measure noise levels at various locations in the facility 3. track rates of illness caused by infection among employees 4. survey 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? 1. Discuss safe use of herbal medications 2. provide direct eye contact when communicating with the client's family 3. face the clients bed towards the east 4. 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? 1. provide coffee and snacks during the meetings 2. 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 clinic with reports of dizziness, headaches, and nausea. After Providing need to care for the clients which of the following government agencies should the nurse notified to follow up on these report ? 1. OSHA 2. Center for Disease Control 3. 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? 1. You should have your fasting blood glucose level checked every 6 years 2. You should have your hearing screen every 5 years 3. you should have complete eye examination every two years until the age of 64 4. 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?” The nurse 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? 1. beneficence 2. Nonmaleficence 3.Veracity omy 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 3. refer a client who is recovering from substance abuse disorder to a social service program 4. and 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? 1. I am obese because it is in my genes 2. I know you don't like me because I'm obese 3. I have lots of health problems from being obese 4. I have difficulty resisting the items in vending machine 14.A home health nurse is evaluating an older client. Which of the following assessment findings should the nurse report as a possible indicator of elder abuse? 1. The client attends Alcoholics Anonymous meetings 2. the client exhibits extreme thirst 3. the client receives in home meal delivery 4. The client reports that his son no longer visits 15. 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? 1. An 18 month old toddler who has failure to thrive 2. a three year old toddler has leukemia 3. a four-month-old infant who has Down syndrome 4. a 12 month old infant who has sickle cell disease 16.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? 1. Determine the client's ability to self feed 2. Refer the clients partner to an Alzheimer's support group 3. arrange for meals-on-wheels assistance 4. 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 in the group of clients should give treatment priority through which of the following clients? 1. A client who has ambulatory and Exhibits manic behavior 2. a client who has rigid abdomen and manifestations of shock 3. A client who has a femur fracture and a 2 + pedal pulse 4. 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 in life. Which of the following is the nurses priority response? 1. How long have you been feeling this way? 2. Do you really think your life has no purpose? 3. Tell me what is going on with you right now? 4. 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? 1. Barbiturates cause an increase in heart rate 2. Opiods cause a decrease in respiratory rate 3. anabolic steroids stimulate the immune system 4. Amphetamines alleviate symptoms of depression 20 A nurse case manager is providing discharge planning for a client. The nurse is functioning and which of the following roles when arranging for the delivery of medical equipment to the client's home? 1. Systems allocator 2. Coordinator 3. Consultant 4. Advocate 21A nurse is providing teaching to a newly licensed nurse about case management. The nurse should include that which of the following tasks is the responsibility of the case manager? 1. Teach Smoking cessation support group 2. Perform employee risk assessments 3. evaluate the cost effectiveness of clients treatments 4. Enforce OSHA standards in the workplace 22A home health nurse is making home safety evaluation visit for an older client who was recently discharged from the facility after receiving a diagnosis of diabetes mellitus. Which of the following findings indicate a need for corrective intervention? 1. A red light is kept on in the bedroom at night 2. an extension cord extends across the floor from the electrical outlet to a floor lamp 3. the water heater is set at 130 degrees Fahrenheit 4. A rubber backed bath mat is on the floor outside the shower 5. the 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 information 3. the website is hosted by a dialysis equipment Marketing Group 4. 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 fastest growing segment of the homeless population? 1. Families who have children 2. men who are unemployed 3. people who have substance use disorders 4. adolescent 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? 1. Wipe the rubber crutch tips to remove moisture 2. wear leather soled shoes when walking with crutches 3. Lean Forward while walking with crutches 4. support body weight on the axillae 26A community health nurse is caring for a client who has a new diagnosis of Gonorrhea. Which of the following actions should the nurse take? 1. Obtain a blood culture 2. 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? 1. Clients verbalize their right to refuse treatment 2. 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? 1. identify topics with Health Department nurses 2. develop content appropriate to learner needs 3. arrange for computer-assisted learning 4. 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? 1. Hypotension 2. Hyperglycemia 3. Seizures 4. Somnolence 31. Community Health nurses working with a migrant population. The nurse should recognize that which of the following interventions is necessary to provide care to the population? 1. Providing health services at work sites 2. treating clients on a fee-for-service basis 3. Requiring clients to show a work visa before they receive care 4. offering Health screenings at a community center 32.A nurse is working with parent suspected of child abuse recognizes that the social factor most predictive of abusive behavior is 1. inadequate living conditions 2. social isolation 3. relationship difficulties 4. prior exposure to violence 33. A home health nurse is visiting a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first? 1. Teach the client about appropriate food choices 2. Refer the client to diabetes mellitus support group 3. Identify the clients dietary preferences 4. 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 3. the vaccine 4. the school 35. Which of the following federal agencies should a community health nurse seek guidance from regarding a public building that has asbestos leaking from Rip's in the heating duct insulation ? 1. National Institutes of Health 2. Environmental Protection Agency 3. Centers for Disease Control and prevention 4. 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? 1. We should share our computer passwords with our manager 2. A client's diagnosis can be posted on the communication board inside the clients room 3. HIPAA rules vary from state to state 4. 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 the nurse 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.Enroll the parent and anger management classes 38. A nurse is caring for a client who is homeless. Which of the following actions should the nurse take first? 1. Determine the client's understanding of her living situation 2. discuss the risks of being homeless with the client 3. assist a client to develop goals for obtaining shelter 4 develop client teaching using a variety of strategies 39. A nurse in a clinic is reviewing home safety precautions with a client who is to begin radioactive iodine therapy. Which of the following statements of the client indicates an understanding of the teaching? 1. I will wait one week after treatment to use a laxative 2. I will all my granddaughter to visit for 4 hours daily 3. I will use cloth handkerchiefs instead of tissues 4. 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 should the nurse include as part of the windshield survey? 1. Demographic data 2. informant interviews 3. housing quality 4. mortality rate 41.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 First Take? 1. establish a triage area 2. notify the parents of the students 3. contact the local Health Department 4. administer oxygen therapy 42. A school nurse is caring for a child who has Muscular Dystrophy and is having difficulty swallowing at lunch. Which of the following referral should the nurse initiate? 1. occupational therapist 2. respiratory therapist 3. Dietitian 4. speech language therapist 43. A home health nurse is reviewing messages from a group of clients. Which of the following clients should the nurse contact First? 1. A client reports that her new colostomy stoma appears purple 2. A mother who reports that her son vomited after a dose of Methylphenidate 3. a client who has COPD and reports oxygen saturation of 90% 4. a client who reports feeling a vibration and his new internal arteriovenous graft for dialysis 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 leading cause of death for this age group? 1. Gun safety 2. 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 nurse to include in the counseling? 1. Providing referrals for legal counseling 2. identifying a primary support person 3. using stress management techniques 4. developing an escape plan 46.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 care? 1. Explain that the client must use the available resources 2. learn more about the client Ethnic values 3. review the client's current health practices 4. use a family member As an interpreter when discussing services 5. he was relevant nonverbal communication techniques 47. A community health nurse is teaching a group of older clients about hypertension. The nurse should identify the which of the following clients has a barrier to learning? 1.Fear of public speaking 2. Low literacy 3. limited experience 4. 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 communicable diseases 1. An increase in migrant Farm Workers living in the community 2. an antigenic shift in the composition of strain of influenza 3. a decrease in the number of ambulatory clinics in the area 4. 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? 1. Office of the Surgeon General 2. local Red Cross chapter 3. hospital infection control Department 4. 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? 1. The provider is paid a fixed sum for the client on a monthly or yearly basis 2. the client pays the insurer percentage of the total cost for each service rendered by the provider 3. the client is participating in a fee-for-service health care insurance program 4. 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? 1. Remaining Physically Active will help to minimize drowsiness and chills associated with initial alcohol withdrawal 2. he will be taking a once weekly dose of disulfiram to help control withdrawal symptoms during treatment 3. he will begin learning functional skills to replace their defense mechanisms and behaviors ball in treatment 4. 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 the plan? 1. Use in-services to have the staff discussed various disaster scenarios 2. Test staff to determine their knowledge of the principles of the plan 3. analyze findings from a facility tabletop disaster simulation 4. review how the staff implements the plan during a Hands-On practice drill 53. A parish nurse is planning activities for a faith-based community. Which of the following activities to the nurse include? 1. Offer Primary Care to uninsured members 2. change a negative pressure wound therapy dressing 3. Teach Stress Management strategies 4. provide case management 54. 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 the disease? 1. One dose of the immunization give children life-long protection from hepatitis B 2. Hepatitis B spreads easily among children through casual contact 3. many people who acquire acute hepatitis B develop chronic hepatitis 4. 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 following is the first action the nurse to take? 1. Verify dates on the annual community-wide mass casualty drill 2. determine potential environmental health hazards 3. develop response strategies specific to older adults 4. identify materials needed for staff and Resident education 56. A home health nurse is providing teaching to a client who has diabetes mellitus about proper disposal of insulin syringes. Which of the following statements by the client indicates an understanding of the teaching? 1. I will discard the syringes in a metal container 2. I will store use syringes in a biohazard bag before discarding 3. I will take containers of used syringes to the local recycling center 4. I 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 of the following statements by the client indicates teaching has been effective? 1. I will have a repeat tuberculin skin test every 6 weeks 2. I will be contagious until I have completed the full medication regimen 3. I will be taking medication daily for least 6 months 4. I will need to have a special HEPA filter installed in my home 58. 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? 1. determine the prevalence of smoking in the community 2. Formulate objectives for the smoking cessation program 3. Gain community support for the program 4. Evaluate the methods of successful smoking cessation programs 59. 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? 1. Teach the partner about getting enough rest 2. suggest an assistive Personnel visits daily to provide client care 3. encourage the partner to invite family members to assist with client care 4. explore 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 identify as a tertiary prevention strategy? 1. Holding a cooking class that focuses on low sodium meals 2. calculating the BMI of all clients 3 providing a class on living with arthritis 3. Distributing literature regarding signs and manifestations of a stroke 1. A community health nurse observes the accumulation of garbage at a neighborhood playground. Which of the following actions should the nurse take to promote a clean and safe environment? 2. Work with local businesses to sponsor more trash receptacles in the playground 3. Meet with community members to discuss methods of playground maintenance 4. Partner City officials with community members to improve the playgrounds condition 5. Engage neighborhood families to monitor the playground for further trash build up 2. Nurse is planning the initial home visit for a client who has dementia and lives with his adult Sons family. Which of the following actions should the nurse take first during the visit? 1. Educate the family regarding the progression of dementia 2. engage the family in informal conversation 3. provide the family with information about respite care 4. encourage the family to join a support group 3. 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? 1. Bradycardia 2. Hypothermia 3. Insomnia 4. increased appetite 4.A nurse is counseling a client who is to undergo enzyme-linked immunosorbent assay testing for HIV. Which of the following information should the nurse include? 1. The test measures antibodies to the virus 2. the test results are accurate 24 hours after exposure to the virus 3. a positive result requires initiating immunoglobulin Administration 4. the test monitors progression of the disease 5.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 example of tertiary prevention? 1. Assessing for risk factors of intimate partner abuse during Health examinations 2. presenting Community Education programs about Stress Management 3. Urging community leaders to make nonviolence a priority 4. Developing resources for victims of abuse 6.A faith-based organization ask a community health nurse to develop on mobile meal program for older adults who are no longer driving. Which of the following actions should the nurse plan to take first? 1. perform a needs assessment 2. inquire about the availability of volunteers 3. identify alternative solutions to address concerns 4. determine potential funding sources for the program 7. A nurse is planning a primary prevention strategy for reducing obesity in the community. Which of the following strategies should the nurse use? 1. Educate children at a daycare about nutrition and exercise 2. measure the BMI of older adults at a community Senior Center 3. encourage enrollment and attendance at weight reduction programs 4. distribute health risk appraisal questionnaires at Community functions 8. Several nurses are developing a parish nurse group to help adjust the primary and secondary health care needs of a congregation. Which of the following Services should the nurses plan to provide to the congregation? 1. provide end-of-life care for members who are terminal 2. perform wound care in the home of members 3. facilitate discharge from the facility to the home 4. organize an influenza immunization clinic with American Red Cross 9. A nurse is conducting a community assessment. Which of the following information should the nurse include as part of the windshield survey? 1. Demographic data 2. housing quality 3. informant interviews 4. mortality rates 10.A client who has diabetes mellitus asks a home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. Which of the following is the first action the nurse should take when assisting this client? 1. Explain the diabetes exchange list 2. use cookbooks to include traditional foods and meal plans 3. observe the client during preparation of traditional foods 4. provide the client with printed recipes 11. A school nurse is implementing Health screenings. Which of the following assessment findings should the nurse recognize as the highest priority? 1. A child who has nits 2. An Adolescent who has scoliosis 3. and Adolescent who has psoriasis 4. a child who has a BMI of 18 12. The first response team is working at the location of a bombing incident. The nurse triaging a group of clients should give treatment priority to which of the following clients? 1. A client who has a femur fracture with a 2 + pedal pulse 2. a client who has a rigid abdomen With manifestations of shock 3. a client who has superficial partial thickness burn injuries over 5% of his body 4. a client who is ambulatory and Exhibits manic behavior 13. 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 the following actions by the nurse will facilitate obtaining appropriate treatment? 1. Explore options for alternative Therapies 2. arrange for medication through local agencies 3. send the clients to the nearest facility for further evaluation 4. help the client apply for Medicare 14 A home health nurses scheduled for first-time visit to a client. Which of the following should the nurse perform first? 1. Mental status examination 2. review of the neighborhood 3. family history 4. blood pressure screening 15. A nurse is working in a shelter following a disaster. Which of the following is the priority action for the nurse to take? 1. Explore feelings the clients are experiencing 2. create diversionary activities for children 3. help clients gather needed supplies 4. address the physical needs of clients 16 A community health nurse is educating up here in about the importance of hepatitis B immunization. Which of the following explanations should the nurse give to a parent about the disease? 1. People who have had hepatitis B infection still need the immunization 2. Hepatitis B spreads easily among children through casual contact 3. many people who acquire acute hepatitis B develop chronic hepatitis 4. One dose of the immunization gives children life-long protection from hepatitis B 17.A nurse at a community clinic is preparing an educational guide about cultural variances and expression of pain. Which of the following information should the nurse include? 1. Native American Cultural practices include being outspoken about pain 2. Chinese Cultural practice include and during pain to prevent family dishonor 3.. Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful 4. Middle Eastern cultural practices include hiding pain from close family members 18. A nurse is providing education to the family of a school-age child who has pertussis. Which of the following information should the nurse include in the teaching? 1. Household contacts will receive prophylactic antibiotics 2. transmission will be limited because of the herd immunity 3. the child is most contagious after the rash develops 4. a dehumidifier should be placed beside the child's bed 19 A partner of an older client who has Alzheimer's disease reports that he is not eating. The home health aide tells the nurse that the clients partner refuses to assist a client with feeding. The partner and sister client feed himself without help. Which of the following is the priority action the nurse should take? 1. refer the clients partner to an Alzheimer's support group 2. direct the home health aide to assist with meals 3. determine the client's ability to self-feed 4. arrange for meals-on-wheels assistance 20. A community nurse is planning a smoking cessation class. Which of the following factors will have the greatest effect on the success of the class? 1. Client education level 2. presenters teaching strategies 3. presenters credibility 4. clients motivation 21 A nurse is planning a program about healthy eating at an elementary school where most students select French fries and pizza at lunch every day. Which of the following actions should the nurse plan to take first? 1. Provide students with resources about making wise choices independently 2. help students recognize the value of making healthy food choices 3. give positive feedback to students who make appropriate choices 4. determined students motivation to learn about healthy food choices 22. A community health nurse is caring for clients in a culturally diverse Community. Which of the following actions demonstrates accurate cultural knowledge about a specific cultural group? 1. Maintaining eye contact when interviewing a Native American client 2. including both hot and cold food items on a Hispanic client menu 3. touching the hair of an African American client during an assessment 4. offering to shake hands when meeting an Asian client of the opposite gender 23 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 is appropriate for the nurse to include in the discussion? 1. Attending Al-Anon meetings will help you identify role model to assist you with making needed changes 2. remaining Physically Active will help minimize drowsiness and chills associated with initial alcohol withdrawal 3. you will begin learning functional skills to replace defense mechanisms and behaviors while in treatment 4. you will be taking a once weekly dose of disulfiram to help control withdrawal symptoms during treatment 24 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 moving segment of the homeless population? 1. Families who have children 2. men who are unemployed 3. adolescent Runaways 4. people who have substance use disorders 25. 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 medical equipment to the clients home. 1. Consultant 2. Coordinator 3. Advocate 4 systems allocators 26. A nurse at a local Health Department is caring for several clients. Which of the following infection should the nurse report to the State Health Department? 1. Herpes simplex virus 2. Group B streptococcus b hemolytic 3. Chlamydia 4 human papillomavirus 27. A nurse manager in a local community health agency is creating job description for a new nurse who will practice community-oriented nursing. Which of the following should the nurse include in the job description? Select all that apply 1. provide wound care for clients in their homes 2. participate in local Health surveillance activities 3. initiate support groups for parents of autistic children 4. provide health-related education to community groups 5. Investigate potential health and environmental issues 28. The community health nurse is interviewing a client who reports intimate partner abuse. Which of the following actions should the nurse take? 1. Assist the client to create a plan of Escape 2. ask 3 nurses of the same gender as the client to participate in the interview 3. communicate disapproval of the partners actions 4.. record a summary of the clients description of the event 29. A nurse is caring for a client who is having difficulty performing activities of daily living. The nurse is functioning in which of the following rules when arranging for an occupational therapist to visit the client? 1. Administrator 2. nurse consultant 3. case manager 4. Clinician 30. 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? 1. Arrange for the member of the client’s community to interpret the teaching 2. identify the clients spoken dialect prior to contacting an interpreter 3. have the clients daughter communicate information about the procedure 4. use professional terminology when providing education prior to the procedure 31. An occupational health nurse is discussing health promotion with a client who has a history of obesity. Which of the following comments indicates the client is using rationalization as a coping mechanism? 1. I am obese because it is in my genes 2. I have difficulty resisting the items in vending machines 3. I know you don't like me because I am obese 4. I have lots of health problems from being obese 32. A home health nurse is caring for a client who has chemotherapy induced nausea that has been resistant to relief from pharmacological measures. Which of the following interventions should the nurse initiate? 1. Assist the client and using guided imagery 2. maintain the head of the bed in the elevated position after eating 3. provide steps of room temperature ginger ale between meals 4. offer 120 ml of cold 2% milk as a meal replacement 5. using seasonings to enhance the flavor of foods 33. A parish nurse is counseling a family following a client's recent diagnosis for heart disease. Which of the following actions should the nurse take first? 1. Discuss the benefits of eating a well-balanced diet with the client's family 2. assist the client and the clients partner with finding an affordable exercise program 3. Ask family members about the impact of the disease and relationships within the family 4. offer to accompany the client and the client partner during healthcare provider visits 34. A school nurse is playing 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. Sports Injury prevention 2. Motor Vehicle Safety 3. gun safety 4. Substance Abuse Prevention 35. A nurse is serving on a state task force for disaster planning. The nurse is engaging a disaster preparedness effort when performing which of the following actions? 1. Organizing a mass casualty drill for community members 2. function as a manager at a temporary shelter 3. assisting with the identification of a biological agent 4. implementing a disaster triage plan with local medical facility 36. During a home health visit, a school-age child who has muscular dystrophy confides in the nurse that he was struck by his parent. Which of the following actions should the nurse take first? 1. Enroll the parent and anger management classes 2. check the child for injuries 3. report the incident to the local authorities 4. refer the parent to a Social Service Agency 37. A nurse is preparing an educational program about breastfeeding for a group of new parents. The nurse should use which of the following is structural strategies to promote psychomotor learning? 1. facilitated Discussion Group about the benefits of breastfeeding 2. provide dolls for the participants to demonstrate positioning 3. show the group of video on breastfeeding techniques 4. review flashcards identify holding techniques with the group 38. A Community Health Clinic nurse manager is reviewing the incidence rate of chlamydia in the state. In a given year 3144 new cases were reported and the population was estimated at . Which of the following is the incidence rate in the state for the year? 1. about 10 reported cases per 1000 population 2. about three reported cases per 10,000 population 3. about 300 reported cases per 100,000 population 4. about one reported case per 10,000 population 39. An occupational health nurse is assisting agricultural workers for acute effects of pesticide exposure. Which of the following findings should the nurse expect? 1. Dizziness 2. Oliguria 3. Diplopia 4. Hypoglycemia 40 The nurses working with the case manager for a client who participates in the health maintenance organization. The nurse should identify that the health maintenance organization provides which of the following payment structures? 1. The client is participating a fee for service healthcare insurance program 2. the provider is paid a fixed sum for the client on a monthly basis or yearly basis 3. the client pays the insurer of percentage of the total cost for each service rendered by the provider 4. to provide our bills the client directly for predetermined percentage of the cost of services 41. A newly-hired occupational health nurse is assisting hazards in the work environment. Which of the following actions will help the nurse detect potential physical hazards? 1. identify industrial toxins that are present in the environment 2. survey workers about job-related emotional stress 3. track rates of illness caused by infection among employees 4. measure noise levels at various locations in the facility 42. My client arrives at a mental health clinic and tells the nurse she has no purpose in life. Which of the following is the nurses priority response? 1. How long have you been feeling this way? 2. Tell me what is going on with you right now 3. do you really think your life has no purpose? 4. Have you been thinking about harming yourself? 43. In the last month, three cases of tuberculosis have been referred to the health department. Which of the following is a priority information for the community health nurse to obtain from each client? 1. Household members 2. health history 3. Demographics 4. Occupation 44. A nurse is assessing an outbreak of mumps among school-age children. Using that epidemiological triangle, The nurse should recognize that which of the following is the host? 1. The virus 2. the vaccine 3. the children 4. the school 45 A nurse is working in an infectious disease clinic is caring for a client who has a new diagnosis of lyme disease. Which of the following agencies is responsible for voluntarily reporting cases of the disease to the Center for Disease Control and prevention? 1. State Health Department 2. Office of the Surgeon General 3. local Red Cross chapter 4. hospital infection control Department 46. 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 the teaching? 1. The incidence of higher birth weight infants is higher in adolescent pregnancy 2. pregnant adolescents need to gain less weight than adult mothers 3. Caffeinated beverages should be replaced with caffeine-free beverages 4 the need for supplemental folic acid is greatest during the third trimester 47 A nurse is caring for a client who is homeless. Which of the following actions should the nurse take first? 1. Develop client teaching using a variety of strategies 2. discuss the risks of being homeless with the client 3. determine the client's understanding of her living situation 4. assist the client to develop goals for obtaining shelter 48. 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 to achieve this goal? 1. Assessing a family for marital Discord 2. providing treatment for a young adult who has substance use disorder 3. teaching parenting techniques to new parents 4. conducting counseling for at-risk parents 49. A community health nurse is providing screening for lipid disorders. Which of the following is the primary goal of this activity? 1. Client enrollment and prevention programs 2. early detection of disease 3. identification of family history of medical problems 4. promotion of appropriate Lifestyle Changes 50. A nurse is providing teaching to a 50 year old female client. Which of the following statements should the nurse include in the teaching? 1. You should have a complete eye examination every two years until the age of 64 2. you should have your fasting blood glucose level checked every 6 years 3. you should have your hearing screened every 5 years 4. you should have your stool tested for blood every other year until the age of 74 51. A community health nurse is planning a program for adolescents about preventing STIs. Which of the following actions should the nurse take first? 1. Establish methods to evaluate program outcomes 2. obtain visual aids that feature adolescence 3. provide computer based education 4. collect data to identify barriers to learning 52. A community health nurse is planning an educational program for a group of women who are post menopausal. which of the following outcomes is appropriate for this program? 1. Clients will schedule bone density screens 2. clients will start hormone replacement therapy 3. clients will arrange for a mammogram every 3 years 4. clients will significantly decrease caloric intake 53. 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? 1. remove fresh flowers from the clients room 2. double bag soil dressing in polyethylene bags 3. wear a mask when within 3 feet of the client 4. Advise the client to use a HEPA filter in the house 54. A nurse is counseling a client who has a new diagnosis of chlamydia. Which of the following information should the nurse include in teaching? 1. Notify anyone with whom you had sexual contact over the past 2 months 2. you might experience painful urination until the infection has resolved 3. once you complete treatment, you'll have an acquired immunity against chlamydia 4. you will need to take an antiviral medication for 30 days 5. you should avoid sexual contact until therapy is complete 55. A community health nurse working with a group of homeless veterans who has post- traumatic stress disorder. Which of the following interventions should the nurse implement? 1. Change the meeting sites frequently 2. teach the clients to practice deep breathing exercises 3. provide coffee and snacks during the meetings 4. avoid discussing the traumatic events experienced by the veterans 56 A clinic nurse is assessing a client who has the measles. Which of the following findings should the nurse expect? 1. Muscle aches and tenderness 2. persistent low-grade temperature 3. rash confined to the trunk of the body 4. koplik spots inside the mouth 57. A nurse at a shelter assisting with client triage after tornado destroyed a community. Which of the following clients should receive Priority Care? 1. A school-age client who has a head abrasion 2. an adult client who is short of breath 3. an infant client who is crying 4. an older adult client who has a fractured arm 58. A nurse is triaging clients who were involved in a commuter train crash. Which of the following clients should the nurse choose for transport to the emergency department first? 1. A client who has a fracture of the humerus with a 2 + radial pulse in the affected arm 2. and ambulatory client who has a nosebleed and reports feeling dizzy 3. A client who has full thickness burn injury over 30% of his total body surface area 4. a client who is exhibiting agonal respirations with fixed dilated pupils 59. A government official reports to the health department that an employee was possibly exposed to Anthrax. Which of the following actions should the public health nurse take? 1. Refer co-workers who might have been exposed to a provider for prophylactic antibiotics 2. Alert all of the family members of co-workers about their possible exposure to anthrax 3. instruct the client to wear a mask at work 4. place the employee under quarantine for 14 days 60. A home health nurse is visiting a client who has had a stroke 2 months ago. Which of the following findings should the nurse report to the interprofessional care team? 1. the client Bears weight on her arms when using the crutches 2. the clients caregiver bills a pill organizer weekly 3. the client coughs when swallowing her medications 4. the client dresses her affected side first

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