NR442 - Community Health Practice nn nn nn nn
Exam A (50 Items) final report nn nn nn nn nn nn
questions 100% fully covered nn nn nn nn
answers A+ guide. nn nn nn
1. A community health nurse is planning a presentation for adults who have a family
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history of Alzheimer's disease. Which of the following behaviors should the nurse
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include as an early manifestation of Alzheimer's disease
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a. Withdrawal from social activities nn nn nn
b. Forgetting the location of common object nn nn nn nn nn
c. Experiencing incontinence nn
d. Neglecting personal hygiene nn nn
Rationale: Forgetting the location of common objects is an early manifestation of Alzheimer'sdisease.
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2. A community health nurse identifies an increase in the occurrence of osteoporosis-
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relatedfractures in women experiencing menopause. Which of the following primary prevention
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strategies should the nurse implement?
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a. Advise the women to keep their immunizations updated.
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b. Encourage the women to participate in weight-bearing activities. nn nn nn nn nn nn nn
c. Educate the women about the importance of limiting sun exposure.
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d. Instruct at-risk women to increase their intake of foods high in vitamin E.
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Rationale: Weight-bearing exercises, such as weight lifting, walking, and running, have beenfound
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to be beneficial in preventing osteoporosis.
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3. A nurse is caring for a client who has terminal lung cancer and is receiving hospice care.
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Which of the following statements should the nurse identify as an indication that the client is
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inthe denial stage of the grief process?
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a. "I'm looking forward to my daughter's wedding next year."
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b. "I don't deserve to die. This just isn't fair."
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c. "If I could just make it through this, I'd never smoke again."
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d. "I'm going to plan my memorial service next week."
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Rationale: During the denial stage of the grief process, the client rejects the reality of theimpending loss.
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4. A home care nurse is visiting an older adult and notes that unwashed dishes are piled up
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and newspapers cover the front steps. Which of the following questions should the nurse to ask
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the client to determine if he is socially isolated?
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a. "Why haven't you brought in your newspapers?" nn nn nn nn nn nn
b. "Do you need help completing your housework?”
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c. "How often do you have visitors come to see you?"
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d. "Have you considered moving to an assisted living facility?"
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Rationale: "How often do you have visitors come to see you?" MY ANSWER The nurse should
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, NR442 - RN Community Health Practice Assessment A (50 Items)
nn nn nn nn nn nn nn nn nn
2022-2023
ask this question because it addresses the issue of social isolation by determining the frequencyof
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contact between the client and others.
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5. A community health nurse is discussing the role of a faith community nurse with a
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chaplain.Which of the following information should the nurse include in the discussion?
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a. The faith community nurse can provide pharmacologic pain management for
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clientswho have a terminal illness.
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b. The faith community nurse can plan safety training for employees in a local factory.
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c. The faith community nurse can provide wound care for clients in their homes.
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d. The faith community nurse can facilitate substance abuse support
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nn groups. Rationale: This is one of the roles of a faith community nurse.
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6. A community health nurse is conducting a needs assessment of a community. The
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nurseshould identify that which of the following methods will yield direct data?
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a. Health surveys nn
b. Medical records nn
c. Informant interviews
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d. Morbidity/mortality statistics
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Rationale: The nurse should identify that informant interviews of the community's leaders
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willprovide direct data. This information can help the nurse identify services needed by the
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community.
nn
7. A nurse is providing education regarding lead exposure to a group of clients who live in
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ahousing development built in 1968. Which of the following client statements indicates an
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understanding of the teaching?
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a. "I will use a dry-sanding technique when preparing to repaint my front door."
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b. "I will vacuum our wood floors every week."
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c. "I will increase the amount of red meat and milk in my child's diet."
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d. "I will use hot tap water to prepare my baby's formula."
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Rationale: Children should receive adequate amounts of iron and calcium in their diets
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toprevent lead absorption from their environment.
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8. A community health nurse is participating in a quality improvement plan for a local
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health department. Which of the following techniques should the nurse use for process
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evaluation ofthe facility? (Select all that apply).
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a. Focus groups nn
b. Written audits nn nn
c. Satisfaction survey
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d. Interviews nn
e. Values self-studynn nn
Exam A (50 Items) final report nn nn nn nn nn nn
questions 100% fully covered nn nn nn nn
answers A+ guide. nn nn nn
1. A community health nurse is planning a presentation for adults who have a family
nn nn nn nn nn nn nn nn nn nn nn nn nn
history of Alzheimer's disease. Which of the following behaviors should the nurse
nn nn nn nn nn nn nn nn nn nn nn nn
include as an early manifestation of Alzheimer's disease
nn nn nn nn nn nn nn nn
a. Withdrawal from social activities nn nn nn
b. Forgetting the location of common object nn nn nn nn nn
c. Experiencing incontinence nn
d. Neglecting personal hygiene nn nn
Rationale: Forgetting the location of common objects is an early manifestation of Alzheimer'sdisease.
nn nn nn nn nn nn nn nn nn nn nn nn
2. A community health nurse identifies an increase in the occurrence of osteoporosis-
nn nn nn nn nn nn nn nn nn nn nn
relatedfractures in women experiencing menopause. Which of the following primary prevention
nn nn nn nn nn nn nn nn nn nn
strategies should the nurse implement?
nn nn nn nn nn
a. Advise the women to keep their immunizations updated.
nn nn nn nn nn nn nn
b. Encourage the women to participate in weight-bearing activities. nn nn nn nn nn nn nn
c. Educate the women about the importance of limiting sun exposure.
nn nn nn nn nn nn nn nn nn
d. Instruct at-risk women to increase their intake of foods high in vitamin E.
nn nn nn nn nn nn nn nn nn nn nn nn
Rationale: Weight-bearing exercises, such as weight lifting, walking, and running, have beenfound
nn nn nn nn nn nn nn nn nn nn nn
to be beneficial in preventing osteoporosis.
nn nn nn nn nn nn
3. A nurse is caring for a client who has terminal lung cancer and is receiving hospice care.
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
Which of the following statements should the nurse identify as an indication that the client is
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
inthe denial stage of the grief process?
nn nn nn nn nn nn nn
a. "I'm looking forward to my daughter's wedding next year."
nn nn nn nn nn nn nn nn
b. "I don't deserve to die. This just isn't fair."
nn nn nn nn nn nn nn nn
c. "If I could just make it through this, I'd never smoke again."
nn nn nn nn nn nn nn nn nn nn nn
d. "I'm going to plan my memorial service next week."
nn nn nn nn nn nn nn nn
Rationale: During the denial stage of the grief process, the client rejects the reality of theimpending loss.
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
4. A home care nurse is visiting an older adult and notes that unwashed dishes are piled up
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
and newspapers cover the front steps. Which of the following questions should the nurse to ask
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
the client to determine if he is socially isolated?
nn nn nn nn nn nn nn nn nn
a. "Why haven't you brought in your newspapers?" nn nn nn nn nn nn
b. "Do you need help completing your housework?”
nn nn nn nn nn nn
c. "How often do you have visitors come to see you?"
nn nn nn nn nn nn nn nn nn
d. "Have you considered moving to an assisted living facility?"
nn nn nn nn nn nn nn nn
Rationale: "How often do you have visitors come to see you?" MY ANSWER The nurse should
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
, NR442 - RN Community Health Practice Assessment A (50 Items)
nn nn nn nn nn nn nn nn nn
2022-2023
ask this question because it addresses the issue of social isolation by determining the frequencyof
nn nn nn nn nn nn nn nn nn nn nn nn nn nn
contact between the client and others.
nn nn nn nn nn nn
5. A community health nurse is discussing the role of a faith community nurse with a
nn nn nn nn nn nn nn nn nn nn nn nn nn nn
chaplain.Which of the following information should the nurse include in the discussion?
nn nn nn nn nn nn nn nn nn nn nn nn
a. The faith community nurse can provide pharmacologic pain management for
nn nn nn nn nn nn nn nn nn
clientswho have a terminal illness.
nn nn nn nn nn
b. The faith community nurse can plan safety training for employees in a local factory.
nn nn nn nn nn nn nn nn nn nn nn nn nn
c. The faith community nurse can provide wound care for clients in their homes.
nn nn nn nn nn nn nn nn nn nn nn nn
d. The faith community nurse can facilitate substance abuse support
nn nn nn nn nn nn nn nn nn
nn groups. Rationale: This is one of the roles of a faith community nurse.
nn nn nn nn nn nn nn nn nn nn nn nn
6. A community health nurse is conducting a needs assessment of a community. The
nn nn nn nn nn nn nn nn nn nn nn nn
nurseshould identify that which of the following methods will yield direct data?
nn nn nn nn nn nn nn nn nn nn nn nn
a. Health surveys nn
b. Medical records nn
c. Informant interviews
nn nn
d. Morbidity/mortality statistics
nn nn
Rationale: The nurse should identify that informant interviews of the community's leaders
nn nn nn nn nn nn nn nn nn nn nn
willprovide direct data. This information can help the nurse identify services needed by the
nn nn nn nn nn nn nn nn nn nn nn nn nn nn
community.
nn
7. A nurse is providing education regarding lead exposure to a group of clients who live in
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
ahousing development built in 1968. Which of the following client statements indicates an
nn nn nn nn nn nn nn nn nn nn nn nn nn
understanding of the teaching?
nn nn nn nn
a. "I will use a dry-sanding technique when preparing to repaint my front door."
nn nn nn nn nn nn nn nn nn nn nn nn
b. "I will vacuum our wood floors every week."
nn nn nn nn nn nn nn
c. "I will increase the amount of red meat and milk in my child's diet."
nn nn nn nn nn nn nn nn nn nn nn nn nn nn
d. "I will use hot tap water to prepare my baby's formula."
nn nn nn nn nn nn nn nn nn nn nn
Rationale: Children should receive adequate amounts of iron and calcium in their diets
nn nn nn nn nn nn nn nn nn nn nn nn
toprevent lead absorption from their environment.
nn nn nn nn nn nn
8. A community health nurse is participating in a quality improvement plan for a local
nn nn nn nn nn nn nn nn nn nn nn nn nn
health department. Which of the following techniques should the nurse use for process
nn nn nn nn nn nn nn nn nn nn nn nn nn
evaluation ofthe facility? (Select all that apply).
nn nn nn nn nn nn nn
a. Focus groups nn
b. Written audits nn nn
c. Satisfaction survey
nn nn
d. Interviews nn
e. Values self-studynn nn
