ATI Community Health Proctored Exam

A nurse who is facilitating a support group in a community center notices that one member of the group expresses anger repeatedly. Which of the following strategies should the nurse use to facilitate the group process with this member. Remind the group that everyone should have a chance to participate. Divide the group into pairs and give each pair a topic for discussion. Give the member extra time to compose her thought before expressing them. Focus more on the group members who have a positive outlook. This is a strategy that is often effective with group members who demonstrate angry, hostel, or negative behavior. The nurse should also speak to the group member in private to try to uncover the source of her ongoing anger. Which of the following activities done by a nurse is considered public health nursing? Reviewing morbidity and mortality data for the community. Caring for new mothers and infants. Reviewing the medications prescribed for an older adult couple. Reviewing morbidity and mortality data for the community is a key component of public health nursing, which focuses on the health care of populations and communities. A nurse working for a non-profit organization with limited resources is asked to develop an education program that will benefit a supporting agency's employees. The nurse was planning another program to benefit more people in the community. Which of the following is an ethical tenet the nurse should follow in deciding which program to implement. Allow members of the community to vice their shared ideas. Develop public policy in concert with the interest and needs of the community. Give precedence to community support provided by public servants over entrepreneurs. Place the needs of the community above those of special interest groups. This statement upholds the ethical tenet for policy development: to serve citizens, not customers. While the nurse may feel pressure to comply with the agency's request due to its financial or material support, the nurse must use available resources to meet the needs of the greatest number of citizens first. A community health nurse is providing care to a client who has stopped taking his prescribed blood pressure medication. Which of the following actions should the nurse take first to promote adherence to treatment. Inform the provider of the client's decision. Determine the client's reason for discontinuing the medication. Discuss the consequences of discontinuing the medication with the client. Using the nursing process, the first step the nurse should take is to assess the client. By determining the client's reason for discontinuing the medication, the nurse can promote adherence to treatment. A clinic nurse is caring for a client who reports taking ginkgo biloba for several weeks since seeing a naturapathic healer. The nurse should instruct the client that ginkgo biloba may alter the effects of which of the following medications? Warfarin Metoprolol Digoxin Ginkgo biloba can hinder coagulation; therefore, the nurse should instruct the client that ginkgo biloba may alter the effects of warfarin. A community health nurse is preparing a community presentation about the epidemiological triangle. Which of the following elements is a host.? Salmonella on a wood cutting board. A raccoon with rabies A farm containing pesticides. a factory with high noise levels. The epidemiological triangle is a model of the agent-host environment interaction that causes disease. The host is a living species, either human or animal, that is capable of being infected ore affected by an agent. A community health nurse is providing anticipatory guidance to a group of adolescents. To reduce premature deaths in this age group, which of the following topics would be most important to discuss. Underage smoking Safe sex practices Safety belt use. Automobile crashes are currently the leading cause of death among adolescents; therefore, this topic is important to discuss when providing anticipatory guidance to reduce premature deaths in the age group.