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Preguntas fijas Jueves Community

Preguntas fijas Jueves Community 1. A community health nurse is planning an educational program for a group of women who are postmenopausal. which of the following outcomes is appropriate for this program? 1. clients will schedule bone density screening 2. clients will arrange for mammograms every 3 years 3. clients will start hormone replacement therapy 4. clients will significantly decrease caloric intake 2. During a home health visits a school age child who has muscular dystrophy confides in the nurse that he was struck by his parents. Which of the following actions should the nurse take first? Report the incident to local authorities Check the child for injuries Refer the parent to a social service agency Enroll the parent in anger management classes 3. A nurse is planning a program about healthy eating at an elementary school where most student select French fries and pizza at lunch every day. Which of the following actions should the nurse plan to take first? Give positive feedback to students who make appropriate choices Help students recognize the values of making health food choice Provide students with resource about making wise choice independently Determine student’s motivation to learn about healthy food choices 4. A nurse is working with a care manager for a client who participates in a health maintenance organization. The nurse should identify that a health maintenance organization provides which of the following payment structures. The client is participating in a fee for service health care insurance program The provider is paid a fixed sum for the client on a monthly or yearly basic The client pays the insurer a percentage of the local cost for each service rendered by the provider. The provider bills the client directly for a predetermined percentage of the cost of services 5. A home health nurse manager is caring for a client who has methicillin resistant staphylococcus aureus. Which of the following actions should the nurse take? Remove fresh flowers from the client’s home Wear a mask when within 3 feet of the client Encourage the client to use a heap filter in the house Double bag soiled dressing in polyethylene bags 6. An occupational health nurse is discussing health promotion with a client who has a history of obesity. Which of the following comments indicates the client is using rationalization as a coping mechanism? I have lost of health problems from being obese I am obese it’s in my genes I have difficulty resisting the items in vending machines I know you don’t like me because I am obese 7. A nurse is working with a community health care team to devise strategies for preventing violence in the community. Which of the following interventions is an example of tertiary prevention? Presenting community education programs about stress management Developing resources for victims of abuse Urging community leaders to make nonviolence a priority Assessing for risk factors of intimate partner abuse during health examinations 8.A nurse is caring for a client who is homeless. Which of the following actions should the nurse take first? Determine the clients understanding of her living situation Assist the client develop goals for obtaining shelter Discuss the risk of being homeless with the client Develop client teaching using a variety of strategies 9.A nurse at a local health department is caring for several clients. which of the following infections should the nurse report to the state health department? 1. chlamydia 2. herpes simplex virus 3. group B Streptococcus B hemolytic 4. human papillornavirus 10.A home health nurse is caring for a client who has chemotherapy induced nausea that has been resistant to relief form pharmacological measures. Which of the following interventions should the nurse initiate (select all that apply)? 1. use seasonings to enhance the flavor of foods 2. provide sips of room temperature ginger ale between meals 3. maintain the head of the client’s bed in an elevated position after eating 4. offer 120 ml (4 oz.) Of cold 2% milk as a meal replacement 5. assist the client in using guided imagery 11. A nurse is serving on a state task force for disaster planning. the nurse is engaging in disaster preparedness efforts when performing which of the following actions 1. implementing a disaster triage plan with a local medical facility 2. functioning as a manager at a temporary shelter 3. assisting with the identification of a biological agent 4. organizing a mass casualty drill for community members 12. A 35-year-old client who has a diagnosis of tuberculosis informs the providers office that she is unable to pay for the treatment. which of the following actions by the nurse will facilitate obtaining appropriate treatment? 1. help the client apply for Medicare 2. explore options for alternative therapies 3. arrange for medication through local agencies 4. send the client to the nearest facility for further evaluation 13. A nurse case manager is providing discharge planning for a client. the nurse is functioning in which of the following roles when arranging for the delivery of medical equipment to the client’s home 1. consultant 2. systems allocator 3. advocate 4. coordinator 14. Several nurses are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. Which of the following services should the nurses plan to provide to the congregation. 1. Organize an influenza immunization clinic with the American red cross 2. Perform wound care in the home of members 3. Provide end of life care for members who are terminal 4. Facilitate discharge from the facility to the home 15. A community health nurse is caring for client in a culturally diverse community. which of the following actions demonstrates accurate cultural knowledge about a specific cultural group? 1. touching the hair of an African American client during an assessment 2. offering to shake hands when meeting an Asian client of the opposite gender 3. maintaining eye contact when interviewing a native American client 4. including both hot and cold food items on a Hispanic client’s menu 16. A school nurse is implementing health screening. Which of the following assessment finding should the nurse recognize as the highest priority? 1. a child who has a BMI of 18 2. an adolescent who has scoliosis 3. an adolescent who has psoriasis 4. a child who has nits 17. A school nurse is planning safety education for a group of adolescents. The nurse should give priority to which of the following as the leading cause of death for this age group 1. Motor vehicle safety 2. Sports injury prevention 3 Substance abuse prevention 4. Gun safety 18. A nurse working in an infectious disease clinic is caring for a client who has a new diagnosis of Lyme disease. Which of the following agencies is responsible for voluntarily reporting cases of this disease to the Centers for Disease Control and Prevention 1. Office of the Surgeon General 2. State Health Department 3. Hospital Infection Control Department 4. Local Red Cross Chapter 19. A case manager is caring for a client who is being discharged following total hip arthroplasty. Which of the following actions is an example of the nurse functioning in The Negotiator role? • providing social service with the list of needed referrals • reporting safety concerns to the Home Health agency • discuss payment options with various pharmacies CKECK HOUSE CONDITION • schedule appointments for physical therapy services 20. A recently hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect physical hazards? 1. Identify industrial toxins that are present in the environment 2. measure noise levels at various locations in the facility 3. track rates of illness caused by infection among employees 4. survey workers about job-related emotional stress 21. Hospice nurse is planning care for a client who follows traditional American Indian practices. Which of the following actions should the nurse take? 1. Discuss safe use of herbal medications 2. provide direct eye contact when communicating with the client's family 3. face the clients bed towards the east 4. develop a list of appropriate hot and cold food choices 22. A group of technicians from a local automotive repair shop presents to an urgent care clinic with reports of dizziness, headaches, and nausea. After Providing need to care for the clients which of the following government agencies should the nurse notified to follow up on these report? 1.OSHA 2. Center for Disease Control 3. Environmental Protection Agency 4 Department of Health and Human Services 23. A nurse manager that clinic is reviewing the preventive services offered to clients. Which of the following activities should the nurse identify as secondary prevention activity? 1. Advocate 4 laws that prohibit texting while driving 2. provide a smoking cessation class 3. refer a client who is recovering from substance abuse disorder to a social service program 4. and hers are pregnant client to participate in prenatal care 24. An occupational health nurse is discussing how promotion with a client who has a history of obesity. Which of the following comment indicates the client is using rationalization as a coping mechanism? 1. I am obese because it is in my genes 2. I know you don't like me because I'm obese 3. I have lots of health problems from being obese 4. I have difficulty resisting the items in vending machine 25. The first response team is working at the location of a bombing incident. A nurse triaging in the group of clients should give treatment priority through which of the following clients? 1. A client who has ambulatory and Exhibits manic behavior 2. a client who has rigid abdomen and manifestations of shock 3. A client who has a femur fracture and a 2 pedal pulse 4. A client who has a superficial partial thickness burn injuries over 5% of his body 26. A home health nurse is making home safety evaluation visit for an older client who was recently discharged from the facility after receiving a diagnosis of diabetes mellitus. Which of the following findings indicate a need for corrective intervention? • A red light is kept on in the bedroom at night • an extension cord extends across the floor from the electrical outlet to a floor lamp • the water heater is set at 130 degrees Fahrenheit • A rubber backed bath mat is on the floor outside the shower • the floors of the house are made of wood. 27.Community Health Clinic is planting annual goals. Which of the following outcomes addresses the ethical principle of distributive justice? 1. Clients verbalize their right to refuse treatment 2. Clients understand the right to confidentiality 3. clients receive Medicare benefits When eligible 4. clients demonstrate completion of advance directives 28. A nurse is caring for a client who is homeless. Which of the following actions should the nurse take first? 1. Determine the client's understanding of her living situation 2. discuss the risks of being homeless with the client 3. assist a client to develop goals for obtaining shelter 4 develop client teaching using a variety of strategies 29. A school nurse is caring for a child who has Muscular Dystrophy and is having difficulty swallowing at lunch. Which of the following referral should the nurse initiate? 1. occupational therapist 2. respiratory therapist 3. Dietitian 4. speech language therapist 30. A home health nurse is reviewing messages from a group of clients. Which of the following clients should the nurse contact First? 1. A client reports that her new colostomy stoma appears purple 2. A mother who reports that her son vomited after a dose of Methylphenidate 3. a client who has COPD and reports oxygen saturation of 90% 4. a client who reports feeling a vibration and his new internal arteriovenous graft for dialysis 31. A school nurse is planning safety education for a group of adolescents. The nurse should give priority to which of the following topics as leading cause of death for this age group? 1. Gun safety 2. Sports Injury prevention 3. Motor Vehicle Safety 4. Substance Abuse Prevention 32. A community health nurse is teaching a group of older clients about hypertension. The nurse should identify the which of the following clients has a barrier to learning? 1.Fear of public speaking 2. Low literacy 3. limited experience 4. lack of credibility 33. A nurse is working with a case manager for a client who participates in health maintenance organization. The nurse should identify that a health maintenance organization provides which of the following payment structures? 1. The provider is paid a fixed sum for the client on a monthly or yearly basis 2. the client pays the insurer percentage of the total cost for each service rendered by the provider 3. the client is participating in a fee-for-service health care insurance program 4. the provider bills the client directly for the predetermined percentage of the cost of services 34. A nurse manager is reviewing the disaster plan at a long-term care facility. Which of the following is the most comprehensive method for the nurse determine the effectiveness of the plan? 1. Use in-services to have the staff discussed various disaster scenarios 2. Test staff to determine their knowledge of the principles of the plan 3. analyze findings from a facility tabletop disaster simulation 4. review how the staff implements the plan during a Hands-On practice drill 35. A nurse is providing teaching to a client who has a confirmed case of tuberculosis. Which of the following statements by the client indicates teaching has been effective? 1. I will have a repeat tuberculin skin test every 6 weeks 2. I will be contagious until I have completed the full medication regimen 3. I will be taking medication daily for least 6 months 4. I will need to have a special HEPA filter installed in my home 36.. A community health nurse is an initial phase of planning a smoking cessation program. Which of the following is the first action the nurse should take? mine the prevalence of smoking in the community 2. Formulate objectives for the smoking cessation program 3. Gain community support for the program 4. Evaluate the methods of successful smoking cessation programs 37. A hospice nurse is concerned that the partner of a client is experiencing caregiver burden. Which of the following actions should the nurse take first? 1. Teach the partner about getting enough rest 2. suggest an assistive Personnel visits daily to provide client care 3. encourage the partner to invite family members to assist with client care 4. explore possible solutions with the partner 38. A nurse is providing teaching to a 50-year-old female client. Which of the following statement? should the nurse include in teaching? 1. You should have your fasting blood glucose level checked every 6 years 2. You should have your hearing screen every 5 years 3. you should have complete eye examination every two years until the age of 64 4. you should have your stool tested for blood every other year until the age of 74 39. A nurse is caring for a client who asks, “can I decide not to continue with chemotherapy?” The nurse responses, this is your choice, and I will support whatever decision you make. The nurse’s response is example of which of the following ethical principles? icence 2.Nonmaleficence 3.Veracity omy 40. A nurse is assessing an outbreak of mumps among school-age children. Use the epidemiological triangle, the nurse should recognize that which of the following is the host? 1. the virus 2. the children 3. the vaccine 4. the school 41.During a routine School visit to physical education class, A Nurse receives multiple reports of shortness of breath, coughing, and nausea. Which of the following actions should the nurse First Take? 1. establish a triage area 2. notify the parents of the students 3. contact the local Health Department 4. administer oxygen therapy 42. A nurse is reviewing data for communicable diseases in rural health region. Which of the following data should the nurse identify as an age Factor affecting the spread of communicable diseases? 1.An increase in migrant Farm Workers living in the community 2. an antigenic shift in the composition of strain of influenza 3. a decrease in the number of ambulatory clinics in the area 4. a change in the prevalence of older adults obtaining the pneumococcal vaccine 43. A nurse is counseling a client who is to undergo enzyme-linked immunosorbent assay testing for HIV. Which of the following information should the nurse include? • The test measures antibodies to the virus • the test results are accurate 24 hours after exposure to the virus • a positive result requires initiating immunoglobulin Administration • the test monitors progression of the disease 44. A faith-based organization ask a community health nurse to develop on mobile meal program for older adults who are no longer driving. Which of the following actions should the nurse plan to take first? • perform a needs assessment • inquire about the availability of volunteers • identify alternative solutions to address concerns determine potential funding sources for the program 45. A school nurse is implementing Health screenings. Which of the following assessment findings should the nurse recognize as the highest priority? 1. A child who has nits 2. An Adolescent who has scoliosis 3. and Adolescent who has psoriasis 4. a child who has a BMI of 18 46. The first response team is working at the location of a bombing incident. The nurse triaging a group of clients should give treatment priority to which of the following clients? 1. A client who has a femur fracture with a 2 pedal pulse 2. a client who has a rigid abdomen With manifestations of shock 3. a client who has superficial partial thickness burn injuries over 5% of his body 4. a client who is ambulatory and Exhibits manic behavior 47. A nurse is providing education to the family of a school-age child who has pertussis. Which of the following information should the nurse include in the teaching? 1. Household contacts will receive prophylactic antibiotics 2. transmission will be limited because of the herd immunity 3. the child is most contagious after the rash develops 4. a dehumidifier should be placed beside the child's bed 48. A nurse is planning a program about healthy eating at an elementary school where most students select French fries and pizza at lunch every day. Which of the following actions should the nurse plan to take first? 1. Provide students with resources about making wise choices independently 2. help students recognize the value of making healthy food choices 3. give positive feedback to students who make appropriate choices 4. determined students’ motivation to learn about healthy food choices 49. A home health nurse is caring for a client who has chemotherapy induced nausea that has been resistant to relief from pharmacological measures. Which of the following interventions should the nurse initiate? 1. Assist the client and using guided imagery 2. maintain the head of the bed in the elevated position after eating 3. provide steps of room temperature ginger ale between meals 4. offer 120 ml of cold 2% milk as a meal replacement 5. using seasonings to enhance the flavor of foods 50. The nurses working with the case manager for a client who participates in the health maintenance organization. The nurse should identify that the health maintenance organization provides which of the following payment structures? 1. The client is participating a fee for service healthcare insurance program 2. the provider is paid a fixed sum for the client on a monthly basis or yearly basis 3. the client pays the insurer of percentage of the total cost for each service rendered by the provider 4. to provide our bills the client directly for predetermined percentage of the cost of services 51. A nurse at a shelter assisting with client triage after tornado destroyed a community. Which of the following clients should receive Priority Care? 1. A school-age client who has a head abrasion 2. an adult client who is short of breath 3. an infant client who is crying 4. an older adult client who has a fractured arm 52. A community health nurse is providing teaching to a group of clients who have alcohol use disorder. Which of the following findings should the nurse include in the teaching as a manifestation of alcohol withdrawal? • Bradycardia • Hypothermia • Insomnia • increased appetite 53. A nurse is planning a primary prevention strategy for reducing obesity in the community. Which of the following strategies should the nurse use? • Educate children at a daycare about nutrition and exercise • measure the BMI of older adults at a community Senior Center • encourage enrollment and attendance at weight reduction programs • distribute health risk appraisal questionnaires at Community functions 54. A client who has diabetes mellitus asks a home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. Which of the following is the first action the nurse should take when assisting this client? 1. Explain the diabetes exchange list 2. use cookbooks to include traditional foods and meal plans 3. observe the client during preparation of traditional foods 4. provide the client with printed recipes 55. A nurse at a community clinic is preparing an educational guide about cultural variances and expression of pain. Which of the following information should the nurse include? 1. Native American Cultural practices include being outspoken about pain 2. Chinese Cultural practice include and during pain to prevent family dishonor 3.. Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful 4. Middle Eastern cultural practices include hiding pain from close family members 56. A community nurse is planning a smoking cessation class. Which of the following factors will have the greatest effect on the success of the class? 1. Client education level 2. presenters teaching strategies 3. presenters credibility 4. clients motivation 57. A community health nurse is caring for clients in a culturally diverse Community. Which of the following actions demonstrates accurate cultural knowledge about a specific cultural group? 1. Maintaining eye contact when interviewing a Native American client 2. including both hot and cold food items on a Hispanic client menu 3. touching the hair of an African American client during an assessment 4. offering to shake hands when meeting an Asian client of the opposite gender 58. A nurse is discussing short and long-term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. Which of the following statements is appropriate for the nurse to include in the discussion? 1. Attending Al-Anon meetings will help you identify role model to assist you with making needed changes 2. remaining Physically Active will help minimize drowsiness and chills associated with initial alcohol withdrawal 3. you will begin learning functional skills to replace defense mechanisms and behaviors while in treatment 4. you will be taking a once weekly dose of disulfiram to help control withdrawal symptoms during treatment 59. A nurse manager in a local community health agency is creating job description for a new nurse who will practice community-oriented nursing. Which of the following should the nurse include in the job description? Select all that apply 1. provide wound care for clients in their homes 2. participate in local Health surveillance activities 3. initiate support groups for parents of autistic children 4. provide health-related education to community groups 5. Investigate potential health and environmental issues 60. A nurse is serving on a state task force for disaster planning. The nurse is engaging a disaster preparedness effort when performing which of the following actions? 1. Organizing a mass casualty drill for community members 2. function as a manager at a temporary shelter 3. assisting with the identification of a biological agent 4. implementing a disaster triage plan with local medical facility 61. A Community Health Clinic nurse manager is reviewing the incidence rate of chlamydia in the state. In a given year 3144 new cases were reported and the population was estimated at . Which of the following is the incidence rate in the state for the year? 1. about 10 reported cases per 1000 population 2. about three reported cases per 10,000 population 3. about 300 reported cases per 100,000 population 4. about one reported case per 10,000 population 62. A newly-hired occupational health nurse is assisting hazards in the work environment. Which of the following actions will help the nurse detect potential physical hazards? 1. identify industrial toxins that are present in the environment 2. survey workers about job-related emotional stress 3. track rates of illness caused by infection among employees 4. measure noise levels at various locations in the facility 63. My client arrives at a mental health clinic and tells the nurse she has no purpose in life. Which of the following is the nurse’s priority response? 1. How long have you been feeling this way? 2. Tell me what is going on with you right now 3. do you really think your life has no purpose? 4. Have you been thinking about harming yourself?

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