ATI Community Practice B
A client's home use of equipment is being procured by a case manager at a home health
agency. Which of the following acts breaches the confidentiality of a client? A. At the agency,
the case manager used a computer with an automatic sign-off feature. B. On the office desk,
the case manager left a clipboard with the client's prescription information facing up. C. Using a
speed dial program, the case manager sent a fax to the equipment company. D. The client's
name was shared with the equipment company by the case manager. On the office desk, the
case manager left a clipboard with the client's prescription information facing up. When using a
clipboard, the case manager should place the clipboard on the desk face down so that a client's
personal health information is not visible to other individuals.
A community health nurse is assigned to lead a county-level environmental task force. The
nurse should direct the task force to complete which of the following first? A. Review
community-specific epidemiological data.
B. Recommend that local environmental policies be updated. C. Create program goals that
align with Healthy People objectives.
D. Distribute environmental health education materials to community members. - ANS-A.
Examine epidemiological data specific to the community. The first action the nurse should direct
the task force to take when using the nursing process is to conduct a community assessment,
which includes a review of community-specific epidemiological data. The task force will be able
to identify environmental health issues in the county with the assistance of the community
assessment. A community health nurse is caring for an adolescent who is seeking help for an
unplanned pregnancy. Which of the following actions should the nurse take first?
A. Recommend that the adolescent meet with the school guidance counselor to discuss
educational options.
B. Facilitate the client's search for a prenatal care provider. C. Educate the client about
contraceptives to prevent future unplanned pregnancies.
D. ANS-B: Provide the client with information about parenting classes so that they can learn
about newborn care. Help the client obtain a provider for prenatal care.
The client is an adolescent and experiencing an unplanned pregnancy, which are factors that
place the client and fetus at risk for complications. Therefore, when using the safety/risk
reduction approach to client care, the first action the nurse should take is to assist the client in
obtaining prenatal care.
A community health nurse is conducting a needs assessment of a community. The nurse
should identify that which of the following methods will yield direct data?
A. Health surveys
B. Medical records
C. Informant interviews
D. Statistics on morbidity and mortality - ANS-C. Informant interviews
, The nurse should identify that informant interviews with community members or leaders will
provide direct data. This information can help the nurse identify services needed by the
community.
A community health nurse is conducting a program regarding crime reduction strategies for
older adult clients at the senior center. Which of the following statements indicates an
understanding of the information?
A. "When I am in my car, I will keep my personal items on the seat beside me."
B. "When I open my front door, I will ask for identification if the person is someone I do not
know."
C. When I go shopping, I should put my purchases in the backseat. D. "I should remove the
identification tag that is on my key ring." - ANS-D. "I should remove the identification tag that is
on my key ring."
The clients ought to be instructed by the nurse to remove any identification tags from their key
rings. The customer is at risk of home invasions if keys and identifying information are lost. A
community health nurse is discussing the role of a faith community nurse with a chaplain.
Which of the following information should the nurse include in the discussion?
A. Clients with terminal illnesses can receive pharmacological pain management from the faith
community nurse. B. A local factory's employees can receive safety training from the faith
community nurse. C. The faith community nurse can provide wound care for clients in their
homes.
D. The faith community nurse can facilitate substance abuse support groups. - ANS-D. The
faith community nurse can facilitate substance abuse support groups.
This is one of the roles of a faith community nurse.
A community health nurse is informed that several children from the same family have
contracted measles despite not having been immunized. The nurse ought to take which of the
following actions? A. Report this information to the state health department.
B. Encourage the family to keep the children isolated during the incubation period.
C. Speak to the guardians about getting the children immunized after they are disease free.
D. Provide the infected children's names to the parents and guardians of children who might
have been exposed. - ANS-A. Inform the state department of health of this information. The
CDC lists measles as a nationally notifiable disease. Disease reporting requirements are
state-imposed rather than federally mandated. Therefore, the nurse should report this
occurrence to the state health department, which then determines if it will report to the CDC.
A community health nurse is participating in a quality improvement plan for a local health
department. The nurse should use which of the following methods for the facility's process
evaluation. (Select all relevant options.) A. Focus groups
B. Written audits
C. Satisfaction survey
D. Interviews
E. Values self-study - ANS-A. Focus groups
B. Written audits
C. Satisfaction survey
D. Interviews
A client's home use of equipment is being procured by a case manager at a home health
agency. Which of the following acts breaches the confidentiality of a client? A. At the agency,
the case manager used a computer with an automatic sign-off feature. B. On the office desk,
the case manager left a clipboard with the client's prescription information facing up. C. Using a
speed dial program, the case manager sent a fax to the equipment company. D. The client's
name was shared with the equipment company by the case manager. On the office desk, the
case manager left a clipboard with the client's prescription information facing up. When using a
clipboard, the case manager should place the clipboard on the desk face down so that a client's
personal health information is not visible to other individuals.
A community health nurse is assigned to lead a county-level environmental task force. The
nurse should direct the task force to complete which of the following first? A. Review
community-specific epidemiological data.
B. Recommend that local environmental policies be updated. C. Create program goals that
align with Healthy People objectives.
D. Distribute environmental health education materials to community members. - ANS-A.
Examine epidemiological data specific to the community. The first action the nurse should direct
the task force to take when using the nursing process is to conduct a community assessment,
which includes a review of community-specific epidemiological data. The task force will be able
to identify environmental health issues in the county with the assistance of the community
assessment. A community health nurse is caring for an adolescent who is seeking help for an
unplanned pregnancy. Which of the following actions should the nurse take first?
A. Recommend that the adolescent meet with the school guidance counselor to discuss
educational options.
B. Facilitate the client's search for a prenatal care provider. C. Educate the client about
contraceptives to prevent future unplanned pregnancies.
D. ANS-B: Provide the client with information about parenting classes so that they can learn
about newborn care. Help the client obtain a provider for prenatal care.
The client is an adolescent and experiencing an unplanned pregnancy, which are factors that
place the client and fetus at risk for complications. Therefore, when using the safety/risk
reduction approach to client care, the first action the nurse should take is to assist the client in
obtaining prenatal care.
A community health nurse is conducting a needs assessment of a community. The nurse
should identify that which of the following methods will yield direct data?
A. Health surveys
B. Medical records
C. Informant interviews
D. Statistics on morbidity and mortality - ANS-C. Informant interviews
, The nurse should identify that informant interviews with community members or leaders will
provide direct data. This information can help the nurse identify services needed by the
community.
A community health nurse is conducting a program regarding crime reduction strategies for
older adult clients at the senior center. Which of the following statements indicates an
understanding of the information?
A. "When I am in my car, I will keep my personal items on the seat beside me."
B. "When I open my front door, I will ask for identification if the person is someone I do not
know."
C. When I go shopping, I should put my purchases in the backseat. D. "I should remove the
identification tag that is on my key ring." - ANS-D. "I should remove the identification tag that is
on my key ring."
The clients ought to be instructed by the nurse to remove any identification tags from their key
rings. The customer is at risk of home invasions if keys and identifying information are lost. A
community health nurse is discussing the role of a faith community nurse with a chaplain.
Which of the following information should the nurse include in the discussion?
A. Clients with terminal illnesses can receive pharmacological pain management from the faith
community nurse. B. A local factory's employees can receive safety training from the faith
community nurse. C. The faith community nurse can provide wound care for clients in their
homes.
D. The faith community nurse can facilitate substance abuse support groups. - ANS-D. The
faith community nurse can facilitate substance abuse support groups.
This is one of the roles of a faith community nurse.
A community health nurse is informed that several children from the same family have
contracted measles despite not having been immunized. The nurse ought to take which of the
following actions? A. Report this information to the state health department.
B. Encourage the family to keep the children isolated during the incubation period.
C. Speak to the guardians about getting the children immunized after they are disease free.
D. Provide the infected children's names to the parents and guardians of children who might
have been exposed. - ANS-A. Inform the state department of health of this information. The
CDC lists measles as a nationally notifiable disease. Disease reporting requirements are
state-imposed rather than federally mandated. Therefore, the nurse should report this
occurrence to the state health department, which then determines if it will report to the CDC.
A community health nurse is participating in a quality improvement plan for a local health
department. The nurse should use which of the following methods for the facility's process
evaluation. (Select all relevant options.) A. Focus groups
B. Written audits
C. Satisfaction survey
D. Interviews
E. Values self-study - ANS-A. Focus groups
B. Written audits
C. Satisfaction survey
D. Interviews
