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Questions and Answers g g g
1. A school nurse is notified that a school-
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age child has pertussis. Which of the following actions should the school nur
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se take? (Select all that apply.)
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A. Instruct the parent to keep the child at home for 2 weeks after the initial sy
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mptoms first present.
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B. Encourage family members to obtain prophylactic treatment.
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C. Quarantine the children in the child's class.
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D. Recommend that the child receive a pneumococcal vaccine in 28 days.
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E. Check the immunization status of the child's classmates.
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,Answer> A. Instruct the parent to keep the child at home for 2 weeks after the initial sy
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mptoms first present. g g
B. Encourage family members to obtain prophylactic treatment.
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E. Check the immunization status of the child's classmates.
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2. A case manager at a home health agency is obtaining equipment for a cl
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ient's home use. Which of the following actions is a violation of client conf
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identiality?
A. The case manager used a computer at the agency with an automatic sign-
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off mechanism.
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B. The case manager left a clipboard with the client's prescription information f
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ace up on the office desk.
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C. The case manager sent a fax to the equipment company on a machine using p
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rogrammed speed dial. g g
D. The case manager shared the client's name with the equipment company.
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Answer> B. The case manager left a clipboard with the client's prescription informati
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on face up on the office desk.
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When using a clipboard, the case manager should place the clipboard on the desk fa
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ce down so that a client's personal health information is not visible to other individual
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s.
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,3. A public health nurse is planning a community health promotion program f
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or hypertension prevention. Which of the following interventions should the n
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urse include as a tertiary prevention strategy?
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A. Provide education about risk factors for hypertension.
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B. Conduct a hypertension screening clinic for the community.
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C. Teach clients who have a family history of hypertension how to monitor bl
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ood pressure.
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D. Implement an exercise program for clients who have hypertension.
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Answer> D. Implement an exercise program for clients who have hypertension.
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The nurse should implement tertiary prevention strategies for clients who have hypert
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nsion to promote the highest level of functioning possible, which can include regular ex
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cise to maintain an active lifestyle.
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4. A school nurse is serving on a community disaster planning committee loo
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king at school shooting scenarios. Which of the following actions should the n
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urse plan to take during the response phase?
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A. Conduct ongoing assessments to identify potential hazards.
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B. Provide disaster training to school personnel.
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D. Serve as a liaison between available community resources and those in need
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Answer> C. Perform triage and provide hands-on care as needed to victims.
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, During the response phase of disaster planning, the school nurse's role can include tri
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age, providing hands-on care, coordinating the first-aid response team, and serv-
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g ing as a counselor to those in need.
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5. A school nurse is discussing levels of prevention with a teacher. Which of
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the following activities should the nurse identify as a primary prevention stra
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tegy?
A. Provide nutritional counseling for students who have diabetes.
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B. Report suspected child neglect to the proper authorities.
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C. Conduct vision and hearing screening for kindergarten enrollment.
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D. Demonstrate proper handwashing techniques. g g g
Answer> D. Demonstrate proper hand- washing techniques.
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This is an example of primary prevention, the goal of which is to promote health and pre
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vent diseases from developing.
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6. A nurse is planning to teach a community group about the meningococcal v
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accine. The nurse should identity that which of the following clients should re
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ceive the vaccine? g g
A. A client who is traveling to northern Europe
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B. An infant who has bronchiolitis
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C. An infant who is 4 weeks old
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