ATI RN Community Health Online Practice 2016 B

ATI RN Community Health Online Practice 2016 B 1. A public health nurse is developing a visual health program by using a community-oriented approach. Which of the following interventions should the nurse include? Teach a client who has vision loss about safety in the home environment. Provide genetic counseling to the family of a newborn who has congenital cataracts. Consult with the local school nurse to schedule yearly vision screenings for students- Develop a plan of care for a client who was newly diagnosed with glaucoma. Consulting with the local school nurse to schedule yearly vision screenings for students focuses on the health care of a population rather than illness care for individuals. Therefore, this intervention Is using a community-oriented approach. The other answers options are community based approach. 2. A home health nurse is caring for a client who has a breast cancer. Which of the following assessment findings should the nurse identify as an indication that the client is coping effectively? Inability to concentrate Makes eye contact Excessive sleeping Lack of interest in food 3. A community health nurse is teaching a client who was newly diagnosed with active pulmonary tuberculosis about disease transmission. Which of the following information should the nurse include? Household members should be places in respiratory isolation. The client should use disposable utensils during meals. Household members should take isoniazid for 6-12 months The client should have a repeat purified protein derivative test in 3 months. Resp. isolation is not necessary for household memebers of a client who has active pulmonary tuberculosis. IT is not necessary for a client who has active pulmonary TB to use disposable utensils during meals in the home setting. Household memebers of a client who has active pulmonary TB are at risk for developing the disease. Therefore, taking isoniazid prophylactically for 6-12 months is recommended. A client who has active pulmonary tuberculosis should receive a chest x ray for future screenings. 4. A case manager is developing a discharge plan for a client who has a spinal cord injury and is in rehabilitation facility. Which of the following actions should the nurse take first? Hold a care conference w/ the client and his family to discuss tx options. Contact service providers to determine the availability of services offered. Determine the client's ability to perform self-care Evaluate the client satisfaction with the case managers services.