ATI Community Health B. Questions with 100% Accurate answers. Graded A+

ATI Community Health B. Questions with 100% Accurate answers. Graded A+ Document Content and Description Below A nurse is assessing a new client. Which of the following information should the nurse include in the cultural portion of the assessment? A. Food preferences B. Employment status C. History of il lness D. Sexual orientation - -A. Food preferences Rationale: Fodd preference are a part of a cultural assessment 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. A. Offer classes to elementary school teachers about hand washing B. Provide information to occupational nurses about the reasons for employees to not come to work C. Administer antiviral medications within 48 hr to clients who have manifestations of influenza. D. Provide immunizations at long-term care facilities. - -C. Administer antiviral medications within 48 hr to clients who have manifestations of influenza. Rationale: Tertiary prevention involves ways to reduce the complications of illness. Which includes administering antiviral medications to clients who already have influenza. A nurse is collecting demographic data as a part of a community assessment. Which of the following information should the nurse include? A. Racial distribution B. Family genograms C. Number of open water sources D. Presence of condemned buildings - -A. Racial distribution Rationale: Racial distribution is part of demographic data. A community health nurse suspects an outbreak of scabies in the local area. Which of the following actions should the nurse take first? A. Educate the community about disease transmission B. Determine the incidence rate C. Institute prophylactic treatment D. Discuss treatment plans with the client's families - -B. Determine the incidence rate Rationale: The first action that the nurse should take when using the nursing process is to determine the number of new cases of scabies in the community A public health nurse is planning care for four clients. Which of the following interventions should the nurse recognize as tertiary prevention? A. Providing chemoprophylaxis for malaria to a client who is traveling to mosquito-infested countries. B. Performing a serologicial screening for HIV for a client who is pregnant C. Participating in partner notification for a client who has an STI D. Administering antibiotics to a client who has AIDS and was diagnosed with Pneumocystis jiroveci - -D. Administering antibiotics to a client who has AIDS and was diagnosed with Pneumocystis jiroveci Rationale: Administering antibiotics to a client who has AIDS and was diagnosed with Pneumocystis jiroveci is an example of tertiary prevention. A home health nurse is assessing an older adult client who is taking captopril to treat heart failure. Which of the following findings should the nurse identify as an adverse effect of this medication? A. Weight gain B. Ataxia C. Photophobia D. Dry cough - -D. Dry cough Rationale: Captopril prevents the conversion of angiotensin I to angiotensin II, causing bradykinin to accumulate. The client ma experience coughing as a result of bradykinin accumulation. A home health nurse is caring for a client who has breast cancer. Which of the following assessment findings should the nurse identify as an indication that the client is copying effectively? A. Inability to concentrate B. Makes eye contact C. Excessive sleeping D. Lack of interest in food - -B. Makes eye contact Rationale: The nurse should recognize that making eye contact is a characteristic of effective coping. A public health nurse is providing information to a client who has alcohol use disorder and is asking about treatment. Which of the following statements should the nurse identify as an indication that the client understands the information? A. "I will not hae to completely stop drink alcohol if I go into an inpatient treatment program." B. "Once I make it through detoxification, I will be free of my addiction." C. "I am not eligible for an outpatient program until I have completed an inpatient program first." D. "I can expect to get help with other aspects of my life while in treatment." - -D. "I can expect to get help with other aspects of my life while in treatment." Rationale: Successful treatment of alcohol use disorder is more likely if the client receives help in other areas of his life, such as his physical health, psychological well-being, and family interactions. The daughter of a client who is terminally ill and at the end of life approaches a hospice nurse and asks what she can do to help relieve her father's pain. Which of the following interventions should the nurse suggest? A. Give the client brief hand massages B. Increase the illumination in the room C. Place a warm cloth on the patient's forehand D. Administer citalopram when the client is agitated - -A. Give the client brief hand massages Rationale: Soft massages and brief hand massages can reduce pain and stress in palliative care settings A community health nurse is developing a plan of care for a client who is Hispanic. Which of the following actions should the nurse include in the plan? A. Avoid using hand gestures when working with the client B. Use therapeutic touch during conversation C. Discourage the client from using a faith healer D. Maintain direct eye contact when speaking with the client - -B. Use therapeutic touch during conversation Rationale: A client who is Hispanic might view touch as a gesture of caring and compassion A nurse is caring for a client who has AIDS and is experiencing rapid weight loss. Which of the following actions should the nurse take first? A. Examine the client's oral mucous membranes B. Encourage the client to consume 1.2 to 2.0 g/kg pf protein daily C. Recommend the client increase her daily calorie intake by 25% D. Teach the client about findings that should be reported to the provider - -A. Examine the client's oral mucous membranes Rationale: The first action that the nurse should take when using the nursing process is to assess the client. The nurse should examine the client's oral muscous membranes for painful lesions, such as candidiasis. A school nurse is discussing levels of prevention with a teacher. Which of the following activities should the nurse identify as a primary prevention strategy? A. Provide nutritional counseling for students who have diabetes B. Report suspected child neglect to the proper authorities C. Conduct vision and hearing screening for kindergarten enrollment D. Demonstrate proper hand washing techniques - -D. Demonstrate proper hand washing techniques Rationale: This is an example of primary prevention, the goal of which is to promote health and prevent diseases from developing A school nurse is conducting hearing screening procedures in an elementary school. Which of the following instructions should the nurse provide when performing the Rinne test? A. "After I place the tuning fork on your scalp, tell me if you hear the sound better in one eat or the same in both ears." B. "Use your finger to close one ear while I whisper some numbers into your other ear." C. "After I place this tuning fork behind your ear, tell me when you no longer hear the sound." D. "You'll wear headphones and press the button when you hear a sound." - -C. "After I place this tuning fork behind your ear, tell me when you no longer hear the sound." Rationale: This is the appropriate instruction for a Rinne test, a hearing evaluation that compares air conduction and bone conduction of sound. A public health nurse is developing a presentation for local day care providers about infectious childhood diseases. Which of the following statements should the nurse include? A. "Respiratory syncytial virus is spread through contact with respiratory secretions from an infected person." B. "Rotavirus infections in children peak during the summer months." C. Children who have fifth disease will exhibit bloody diarrhea." D. "Antiviral medications shorten the duration of a shigella infection." - -A. "Respiratory syncytial virus is spread through contact with respiratory secretions from an infected person." Rationale: The nurse should include this statement in the presentation, as respiratory syncytial virus (RSV) is spread by direct contact with respiratory secretions while within 3 feet of a person who is infected. Manifestations of RSV include dyspnea, tachyp