(Answered) RN Community Health 2019 A,B | COMMUNITY 403 Final EXAM ATI | ATI Communication: 63Q adaptive quizzes | ATI Midterm AM 2020| NURSE 403 FINAL EXAM | Otros quizzes

WORD COMMUNITY 403 Final EXAM ATI RN Community Health Online Practice 2019 A A home health nurse is visiting with an older adult client. Which of the following observations indicate the need for home modification? a. The home has power strips that have breakers. b. The client uses an electric toaster oven for cooking. c. There are two rocking chairs in the living room. d. The bathtub has a seat and a hand-held shower head A case manager is planning an educational program for a client who has diabetes mellitus. Which of the following activities should the nurse include when using the psychomotor domain of learning? a. show the client a video about how to monitor blood glucose levels b. give the client a pamphlet about foot care c. observe the client's technique for drawing up insulin d. review the color diagram of the food pyramid with the client A case manager is developing a discharge plan for a client who has spinal cord injury and is in a rehab facility. Which of the following actions should the nurse take first? a. contact service providers to determine the availability of services offered b. determine the client's ability to perform self-care c. hold a care conference with the client and his family to discuss treatment options d. evaluate the client's satisfaction with the case managers services A school nurse is teaching health promotion to a group of staff members who sit at a desk and use a computer for 8hr at a time. Which of the following information is the priority for the nurse to include a. take a walk after work b. have your visual acuity assessed regularly c. adjust your chair so your elbows are at desk height d. point and flex your toes periodically A nurse is assessing a new client. Which of the following information should the nurse include in the cultural portion of the assessment? a. employment status b. history of illness c. sexual orientation d. food preferences A nurse is collecting demographic data as part of a community assessment. Which of the following information should the nurse include? a. presence of condemned buildings b. racial distribution c. family genograms d. number of open water sources A nurse is caring for a client who has terminal lung cancer and is receiving hospice care. Which of the following statements should the nurse ID as an indication that the client is in the denial stage of the grief process? a. I'm going to plan my memorial service next week b. I don't deserve to die. this just isn't fair c. If I could just make it through this, I'd never smoke again d. I'm looking forward to my daughter's wedding next year An occupational health nurse is planning to use an interpreter during an educational session with a group of workers who speak a different language than the nurse. Which of the following actions should the nurse take? a. evaluate the interpreter's approach to clients prior to the educational session b. instruct the interpreter to guide the nurse in providing info in a culturally sensitive manner c. ask the interpreter to add info she feels may be necessary d. encourage the interpreter to paraphrase the workers' questions and responses d. choose an interpreter who speaks the workers language and dialect A nurse in a clinic is planning teaching for a client who was newly diagnosed with Hepatitis C. Which of the following instructions should the nurse include in the teaching? a. schedule an appointment for an immunoglobulin injection b. wear a mask in public places while receiving treatment c. abstain from sexual intercourse until antibody tests are negative d. consume a low-carbohydrate diet until symptoms resolve A home health nurse is reviewing several client requests regarding complementary strategies. The nurse should ID that which of the following alternative therapies is contraindicated for the client? Kava for a client who has cirrhosis A community health nurse is teaching a client who was newly diagnosed with active pulmonary tuberculosis about disease transmission. Which of the following info should the nurse include? a. household members should be placed in respiratory isolation b. the client should have a repeat purified protein derivative test in 3 months c. the client should use disposable utensils during meals d. household members should take isoniazid for 6-12 months Household members should take isoniazid for at least 6mo A nurse in a rural community is planning education for a young adult client who is a migrant farm worker. Which of the following actions should the nurse include? a. recommend a dental health screening b. provide skin cancer information c. provide forms to apply for Medicare d. provide environmental health information e. refer the client for a tuberculosis screening A nurse is teaching a client who has a new diagnosis of hepatitis A about how to prevent the spread of the virus. Which of the following instruction should the nurse include? a. clean your bathroom fixtures with a chlorine bleach solution b. rinse your toothbrush with hydrogen peroxide after each use A community health nurse is planning to establish a community garden to introduce new nutritious food options in the area. Which of the following actions should the nurse take first to initiate the plan? a. monitor the progress of the project to keep the project on course b. select residents to take on leadership roles in the project c. identify community members who demonstrate an interest in the project d. hold a community information session to inform the residents of the plan A palliative care nurse is teaching a client who has cancer about the services that are available for the client. Which of the following statements should the nurse ID as an indication that the client understands the teaching? a. I can begin palliative care when i have less than 6 months to live b. this type of care can help me with pain control c. my family will not be involved with this type of care program d. if I begin palliative care, i will have to stop my chemotherap A community healht nurse is teaching a group of clients about environmental health hazards. Which of the following examples should the nurse include as a possible source of carbon monoxide exposure A. motor vehicles B. gas ranges C. vented gas heaters D. electric space heaters A community health nurse is planning a health education program for adults. The nurse should plan to take which of the following actions during the program? A. program content is organized topicall B. pamphlets are written at a 12th grade level C. the presentation is delivered via powerpoint slides D. attendance at the program is voluntary Provide take-home materials written at 6th grade level An occupational health nurse is assessing a client who reports taking ibuprofen daily. The nurse should counsel the client about the risk for which of the following adverse effects? Gastric ulcerations Orthostatic hypertension Hyperglycemia Urinary retention A public health nurse is developing a presentation for local day care providers about infectious childhood diseases. Which statements should the nurse include “Respiratory syncytial virus is spread through contact with respiratory secretions from an infected person.” “Rotavirus infections in children peak during the summer months.” “Children who have fifth disease will exhibit bloody diarrhea.” “Antiviral medications shorten the duration of a shigella infection.” A home health nurse is planning care for the day. Which client should the nurse visit first a. an older adult client who has a newly prescribed antihypertensive medication and needs a BP check b. an older adult client who was treated in the ED last night for a stage III pressure ulcer c. a school-age child who was treated in the ED last night with status asthmaticus d. a school-age child whose percutaneous endoscopic gastrostomy (PEG) tube needs changing A nurse in a pediatric clinic is providing care to several clients. The nurse should recognize that which condition is included on the Nationally Notifiable Infectious Condition list a. varicella b. scarlet fever c. erythema infectious d. molluscum contagiosa A nurse is performing a home visit for a client who has TB. As the nurse is leaving the clients house a neighbor asks "is it true that my neighbor has TB?", which response should the nurse make a. you should take precautions against this infection b. have you ever been tested for TB? c. you should ask the public health department d. do you have questions about TB A community health nurse is planning an educational program for farmers about occupation health risk. Which risk should the nurse include a. respiratory disorders b. hypertension c. sickle cell anemia d. diabetes mellitus A public health nurse is developing a visual health program by using a community-oriented approach. Which of the following interventions should the nurse include a. provide genetic counseling to the family of a newborn who has congenital cataracts b. develop a plan of care for a client who is newly diagnosed with glaucoma c. teach a client who has a vision loss about safety in the home environment d. consult the local school nurse to schedule yearly vision screenings for students A community health nurse is participating in a group session for clients who have alcohol and substance use disorders. Which of the following information should the nurse provide regarding support programs for these individuals a. alcoholics anonymous is a support group that requires disclosure of attendance to employers b. AA assists a client who has an addiction to alcohol with developing a daily recovery program c. narcotics anonymous will cure a client from her substance use disorder if she stays involved with the program d. NA is one-on-one program that assists clients A nurse is conducting a home visit with a client who reports a history of partner violence. The nurse should ID that which of the following findings places the client at greatest risk for partner violence Client states they are leaving their partner A nurse is developing a genogram for a client to determine education needs. Which of the following health risk info should the nurse expect to obtain with this tool a. economic b. social c. behavioral d. biologicalA home health nurse is caring for a client who has breast cancer. Which of the following assessment findings should the nurse ID as an indication that the client is coping effectively a. excessive sleeping b. makes eye contact c. inability to concentrate d. lack of interest in food A nurse in a clinic is caring for a client who reports taking gingko biloba ... The nurse should instruct the client that ginkgo biloba can alter the effects of which of the following medications a. diltiazem b. warfarin c. digoxin d. metoprolol A nurse is caring for a client who has stage IV pancreatic cancer and has received info regarding available treatment options. Which is the responsibility of the nurse if the client chooses to forgo treatment and enter hospice care a. assess whether or not the family agree with the clients decision b. verify that the clients health insurance pays for hospice services c. make the hospice referral in accordance with the clients decision d. recommend a second opinion for another provider A community health nurse ID an increase in the occurence of osteoporosis-related fractures in female clients who are experiencing menopause. Which primary prevention strategy should the nurse implement a. encourage the women to participate in weight-bearing activities b. advise the women to keep their immunization updated c. educate the women about the importance of limiting sun exposure d. instruct at-risk women to increase there intake for foods high in vitamin E A home health nurse is caring for a client who is immunocompromised due to chemotherapy. Which of the following statements should the nurse make regarding food safety Frozen food should be cooked immediately after it is thawed A community health nurse is conducting a vision screening at a health fair for an older adult client who has age-related macular degeneration. Which of the following statements should the nurse ID as an indication that the client is adapting to the changes a. i have learned that i cannot go outside when the sun is bright b. i canceled all my magazine prescriptions since I can't read them c. i purchased green towels to use in my bathroom d. i have a prescription bottle magnifier to help me read my pill bottle labels A school nurse is reviewing the records of four students who are returning to school after being dx with MRSA. Which of the following actions should the nurse take a. recommend prophylactic treatment of classmates b. provide education about MRSA throughout the school system c. report the cases of MRSA to child protective services d. coordinate an immunization clinic at the school 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 ear or the same in both ears b. 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 d. use your finger to close one ear while i whisper some numbers into your other ear a community health nurse is creating a program to reduce violence in the community. which of the following interventions should the nurse ID as secondary prevention recognize and report A home health nurse is conducting a follow-up visit for a client who was recently discharged from an acute rehab program for alcohol use disorder. Which of the following actions should the nurse take a. schedule transcranial magnetic stimulation (TMS) biweekly b. tell the client to take naltrexone daily c. teach the client to avoid foods that contain tyramine d. instruct the client to take buprenophine for the next 9 to 12 months A nurse in an ED is triaging clients following an explosion at a local factory. Which client should the nurse ID as the priority a. a client who has agonal respirations and an open head injury b. a client who has tracheal deviation and shortness of breath c. a client who has a fracture of the humerus and a bleeding foot laceration d. a client who has superficial burns to 10% of the abdomen A public health nurse is providing info to a client who has alcohol use disorder and is asking about tx. Which statement should the nurse ID as an indication that the client understands the info a. i am not eligible for an outpatient program until i have completed an inpatient program first b. i can expect to get help with other aspects of my life while in treatment c. once i make it through detoxification, i will be free of my addiction d. i will not have to completely stop drinking alcohol if i go into an inpatient treatment program A community health nurse is working with a group of clients in a rural community who are unable to afford health insurance. Which action is the best for the nurse to take tot advocate for these clients Work with local health care practitioners A public health nurse is planning care for four clients. Which intervention should the nurse recognize as tertiary prevention? a. providing chemoprophylaxis for malaria to a client who is traveling to mosquito-infested countries b. administering antibiotics to a client who has AIDS and was diagnosed with pneumocystis jiroveci c. performing a serological screening for HIV for a client who is pregnant d. participating in partner notification for a client who has an STI A community health nurse has been contacted regarding a client dx of influenza type A in adult day care. Which action should the nurse take to assist in the prevention of an outbreak a. administer antiviral medication to clients at the facility b. recommend that the day care center close for 2 weeks c. schedule immunizations for clients at the facility d. give immune globulin to clients at the facility who have early manifestations of influenza A home health nurse is evaluating a parnter's understanding of postop care of a client who had a total hip arthroplasty. Which of statement by the partner indicates an understanding of the prescribed care I will remind my partner to use a walker when moving around in the house A community health nurse is planning to develop a community health program. Which of the following actions should the nurse take first Determine the need A community health nurse is assessing a group of clients for risk factors of violent behavior. Which finding should the nurse ID as a risk factor for developing violent behavior spanked as a child A public health nurse is conducting an edu session about Lyme disease for a group of older adult clients at a senior center. Which statement should the nurse ID as an indication that the clients understand the teaching a. i can get lyme disease from a mosquito bite b. i will have abdominal pain and diarrhea if i get lyme disease c. i should get an annual immunization to prevent lyme disease. d. i can take penicillin for 10-14 days to manage lyme disease A nurse in an ED is caring for a client who is homeless and has hypothermia. Which action should the nurse take Initiate referral to facility's social worker A nurse in a community health clinic is preparing to administer an immunization to a 5yr old. Which action should the nurse take a. request that the child count backwards from the number 10 during the injection b. ask the child to pretend to blow up a balloon during the injection c. reassure the child that the injection is not going to hurt d. ask the child's parent to leave the room during the injection A public health nurse is planning an edu program for a group of nurses at a community health department about pertussis a. individuals who have had pertussis do not require immunization b. newborns should receive the first dose of the diphtheria, tetanus, and acellular pertussis (DTaP) vaccine prior to discharge from the hospital c. individuals should receive an annual influenza vaccine to minimize the risk fo infection with pertussis d. individuals transmit the pertussis bacteria through airborne droplets ?????????????????? a nurse in a rural health clinic is caring for a client who has HF. The client states "I'm not going to take any more heart medicine" a. why did you decide to stop your heart medicine? b. don't you know what stopping your medicine will do to your heart? c. don't you think your doctor knows what's best for your heart? d. can you tell me more about your decision to stop your medicine? Community Practice B RN Community Health Online Practice 2019 B A public health nurse is planning a community health promotion program for hypertension prevention. Which of the following interventions should the nurse include as a tertiary prevention strategy? Provide education about risk factors for hypertension. Conduct a hypertension screening clinic for the community. Teach clients who have a family history of hypertension how to monitor blood pressure. Implement an exercise program for clients who have hypertension. A school nurse is serving on a community disaster planning committee looking at school shooting scenarios. Which of the following actions should the nurse plan to take during the response phase? Conduct ongoing assessments to identify potential hazards. Provide disaster training to school personnel. Perform triage and provide hands-on care as needed to victims. Serve as a liaison between available community resources and those in need. 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? Provide nutritional counseling for students who have diabetes. Report suspected child neglect to the proper authorities. Conduct vision and hearing screening for kindergarten enrollment. Demonstrate proper handwashing techniques. A nurse is planning to teach a community group about the meningococcal vaccine. The nurse should identity that which of the following clients should receive the vaccine? A client who is traveling to northern Europe An infant who has bronchiolitis An infant who is 4 weeks old A client who is moving into a college dormitory A home health nurse is visiting an older adult client and notes that unwashed dishes are piled up and newspapers cover the front steps. Which of the following questions should the nurse ask the client to determine if the client is socially isolated? "Why haven't you brought in your newspapers?" "Do you need help completing your housework?" "How often do you have visitors come to see you?" "Have you considered moving to an assisted living facility?" A community health nurse is working with a community where the incidence of violence has increased. Which of the following actions should the nurse take as a tertiary prevention strategy? Provide open education sessions to teach parenting skills. Provide victims of violence with referral information to crisis lines. Identify potential community risk factors for violence. Assess for evidence of violence during routine encounters. 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? The faith community nurse can provide pharmacological pain management for clients who have a terminal illness. The faith community nurse can plan workplace safety training for employees in a local factory. The faith community nurse can provide wound care for clients in their homes. The faith community nurse can facilitate substance abuse support groups A nurse on the scene following a mass casualty explosion is triaging a client who has a large, open occipital wound and the following findings: respiratory rate 6/min, agonal pattern; capillary refill time 4.5 seconds; nonresponsive to painful stimuli. Which of the following actions should the nurse take? Turn the client to left semi-Fowler's position and begin assessing the next client. Place a rm pressure dressing to the occiput and open the airway. Apply a cervical spine collar and perform a focused neurological exam. Request that the client be assessed immediately by the next available provider A nurse at a county health clinic is caring for a client who has recently assumed the role of primary caregiver for their parent. Which of the following client statements indicates that they are experiencing role conflict? "I feel overwhelmed with not having enough time for my mom as well as my children." "I hope my siblings will be able to visit and help care for mom for a few days." "I am glad that my job is flexible, so I can accommodate my mom's needs." "I don't think my partner likes having to help more with the household chores." A case manager at a home health agency is obtaining equipment for a client's home use. Which of the following actions is a violation of client confidentiality? The case manager used a computer at the agency with an automatic sign-o mechanism. The case manager left a clipboard with the client's prescription information face up on the office desk. • The case manager sent a fax to the equipment company on a machine using programmed speed dial. The case manager shared the client's name with the equipment company. A nurse is giving a presentation about family violence at a local community center. Which of the following information should the nurse include? Socially active parents and guardians are at greater risk for becoming violent. Partner violence occurs more frequently in lower socioeconomic households. Child maltreatment is more common in homes where partner violence is present. Children who are abused are less likely to become abusers. A nurse in a county health department is caring for a client who states, "I've been drinking too much in the evenings since my friend died last year." Which of the following responses should the nurse make? "It sounds like you are probably an alcoholic." "Don't you think your family is being affected by your drinking?" "Can I give you some information about Alcoholics Anonymous?" "I don't think your friend would have approved of your drinking." Community leaders have requested a meeting with a community health nurse to discuss creating a mobile meals program. Which of the following information should the community health nurse assess first? The leadership support of the community The accessibility of residences The availability of volunteers The need for the program 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? Offer classes to elementary school teachers about handwashing. Provide information to occupational nurses about the reasons for employees to not come to work. Administer antiviral medications within 48 hr to clients who have manifestations of influenza. Provide immunizations at long-term care facilities. 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? "When I am in my car, I will keep my personal items on the seat beside me." "When I open my front door, I will ask for identification if the person is someone I do not know." "I should store my purchases in the back seat when I am out shopping." "I should remove the identification tag that is on my key ring." A nurse is developing an educational program about bioterrorism and smallpox. The nurse should include in the teaching that the smallpox rash is expected to rst appear in which of the following locations? Face Posterior shoulders Abdomen Lower extremities A community health nurse is providing care to a client who has stopped taking their prescribed blood pressure medication. Which of the following actions should the nurse take first? Advise the client that adherence to the medication regimen will promote healthy outcomes. Determine the client's reason for discontinuing the medication. Discuss the consequences of discontinuing the medication with the client. Educate the client about the benefits of the medication. A nurse is assessing the risks and benefits of meal delivery services for an older adult client who lives alone and has no transportation. Which of the following ethical principles is the nurse demonstrating? Distributive justice Respect for autonomy Fidelity Beneficence 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? Recommend that the adolescent meet with the school guidance counselor to discuss educational options. Help the client obtain a provider for prenatal care. Educate the client about contraceptives to prevent future unplanned pregnancies. Provide information on parenting classes so the client can learn about caring for a newborn 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? Health surveys Medical records Informant interviews Morbidity/mortality statistics A hospice nurse is teaching about expected grief reactions with the family of a client who has end- stage pancreatic cancer. Which of the following information should the nurse include? "It is common to experience a persistent state of sadness while grieving." "Disturbances in your self-esteem is an expected grief reaction." "You will feel a sense of hopelessness throughout the grieving process." "A component of healthy grieving is the ability to openly express your anger." A nurse manager at a community health clinic is presenting an in-service for nurses about assessing clients who have experienced violence. Which of the following statements by a nurse indicates an understanding of the teaching? "I do not need to ask about violence at future visits once I determine that a client is not at risk." "I should not document the name of the person the client accuses of the violence in the client's medical record." "I should wait until I see signs of physical violence before I help the client develop a safety plan." "I should determine whether a client who has been sexually assaulted requires a rape kit examination." A nurse at a county health department is caring for a client who is at 28 weeks of gestation. The nurse should identify which of the following characteristics as a risk factor for future child maltreatment? The client refers to the unborn fetus by name. The client works part-time at a local restaurant. The client has changed providers three times during their pregnancy. The client has recurring nightmares about the unborn fetus. A school nurse is conducting visual acuity testing for a school-age child using a Snellen letter chart. Which of the following actions should the nurse take? Allow the child to keep her glasses on during the testing. Have the child stand 5 feet away from the Snellen letter chart. Progress to the next line once the child reads two symbols correctly. Begin the test by instructing the child to use both eyes to read the chart. A home health care nurse is teaching a client's family about preventing the transmission of Clostridium diffcille. Which of the following transmission-based precautions should the nurse include in the teaching? Contact precautions • Droplet precautions Airborne precautions Protective environment A nurse is preparing a community education program about health care needs during pregnancy. The nurse should include that which of the following vaccines is safe to administer to a client who is pregnant? Herpes zoster Tetanus, diphtheria, pertussis (Tdap) Varicella Measles, mumps, and rubella An adult child of a client who is terminally ill and at the end of life approaches a hospice nurse and asks, "What can I do to help relieve my father's pain?" Which of the following interventions should the nurse suggest? "Give your father brief hand massages." "Increase the illumination in your father's room." "Avoid using analgesics unless your father exhibits nonverbal signs of pain." "Administer citalopram when your father is agitated." A school nurse is notified that a school-age child has pertussis. Which of the following actions should the school nurse take? (Select all that apply.) Instruct the parent to keep the child at home for 2 weeks after the initial symptoms first present. Encourage family members to obtain prophylactic treatment. Quarantine the children in the child's class. Recommend that the child receive a pneumococcal vaccine in 28 days. Check the immunization status of the child's classmates A public health nurse is working in a community that has a population of 24,096. There are 2,096 existing cases of heart disease within the population. The nurse can determine which of the following from this information? Mortality rate Attack rate • Prevalence proportion Incidence proportion A nurse is conducting a home visit for an older adult client. The nurse should identify which of the following findings as an indicator of possible neglect? Lives alone Taking outdated prescriptions Has a BMI of 25 Presence of alcohol in the home A community health nurse suspects an outbreak of scabies in the local area. Which of the following actions should the nurse take first? Educate the community about disease transmission. Determine the incidence rate. Institute prophylactic treatment. Discuss treatment plans with the clients' families. A community health nurse is providing teaching about health promotion to a group of adolescents. Which of the following topics is the most important for the nurse to include in an attempt to lower adolescent mortality rates? Underage smoking Safer sex practices Safety belt use Heart-healthy diet A nurse is assessing a new client at a public health clinic. Which of the following areas should the nurse address as part of the cultural assessment? Immunization status Sexual activity Illness practices Food allergies An occupational health nurse in a factory is performing a routine tuberculosis screening and identifies an employee who has a positive Mantoux tuberculin test. Which of the following actions should the nurse plan to take? Instruct the employee that they will need to obtain a chest x-ray. Initiate an employee immunization program. Instruct the employee to wear an N95 respiratory mask. Administer prophylactic penicillin to other employees. A nurse is caring for a client who has a positive gonorrhea culture. Which of the following actions should the nurse take? Instruct the client that recent sexual partners will need to be treated. Instruct the client to return for a blood test in 1 month. Administer penicillin G 2.4 million units IM once. Teach the client how to apply imiquimod 5% cream to the lesions. A public health nurse is lobbying Congress to increase funding for health screenings provided to migrant farm workers. Which of the following concepts is the nurse demonstrating? Advocacy Principlism Deontology Communitarianism A nurse in a community center is preparing to administer a tuberculin skin test to multiple clients to screen for tuberculosis. Which of the following actions should the nurse take? Prepare the outer aspect of the upper arm for the injection. Insert the needle at a 45° angle. Inject 0.1 mL of purified protein derivative. Create a wheal that measures about 15 mm in diameter A home health nurse is evaluating a caregiver's technique for providing care to a client who has a chronic tracheostomy. Which of the following statements by the caregiver indicates an understanding of the procedure? "I should remove the soiled ties before replacing them with clean ones." "I will use tap water to clean the inner cannula." "I should use a slip knot to secure the tracheostomy ties." "I will cut a four inch by four-inch gauze to use as a dressing." A public health nurse is participating in a disaster preparedness planning committee for a local community that is at risk for hurricanes. Which of the following information should the nurse contribute to the plan? A list of residents who have experienced a hurricane in the past and will not need evacuation A list of areas within the community where residents speak multiple languages How to activate the local medical facilities' emergency-management plans The name of the individual who is necessary to implement the plan A community health nurse is participating in a quality improvement plan for a local health department. Which of the following techniques should the nurse use for process evaluation of the facility? (Select all that apply.) Focus groups Written audits Satisfaction survey Interviews Values self-study A hospice nurse is caring for a client who is at the end of life and has developed dyspnea and noisy breathing. Which of the following actions should the nurse take? Suction the client's oropharynx. Administer the client's pain medication intramuscularly. Use a fan in the client's room. Place the client in Trendelenburg position. A nurse is providing education regarding lead exposure to a group of clients who live in a housing development built in 1968. Which of the following client statements indicates an understanding of the teaching? "I will use a dry-sanding technique when preparing to repaint my front door." "I will vacuum our wood floors every week." "I will increase the amount of red meat and milk in my child's diet." "I will use hot tap water to prepare my baby's formula A community health nurse is working to meet the health care needs of residents in a rural community. Which of the following characteristics should the nurse identify as a barrier to health care resources for this population? Less autonomy in providing client care Disinterest by members of the population in providing input for community health programs Lack of cohesiveness among community members Unavailability of outreach services A community health nurse is teaching a client who is overweight about steps to take to begin an exercise program. The nurse should identify that which of the following statements is an indication that the client understands the teaching? "I will need to purchase exercise equipment before I can start." "I should try to perform aerobic exercise for an hour a day, 5 days a week." "I will see my doctor before beginning an exercise program." "I should avoid participating in weight-lifting exercises." A public health nurse is monitoring medication compliance for a group of migrant workers who are being treated for tuberculosis (TB). The nurse should use information from which of the following resources to assist with this process? Agency for Healthcare Quality and Research (AHRQ) Migrant Clinicians Network (MCN) Centers for Disease Control and Prevention (CDC) U. S. Preventive Services Task Force (USPSTF) A community health nurse is planning a presentation for adults who have a family history of Alzheimer's disease. Which of the following behaviors should the nurse include as an early manifestation of Alzheimer's disease? Withdrawal from social activities Forgetting the location of common objects Experiencing incontinence Neglecting personal hygiene A community health nurse is assigned to lead a county-level environmental task force. Which of the following activities should the nurse direct the task force to complete first? Review community-specific epidemiological data. Recommend updates to local environmental policies. Create program goals that align with Healthy People objectives. Distribute environmental health education materials to community members. A nurse is preparing to administer medication to a client who has active tuberculosis. Which of the following precautionary measures should the nurse take? Wear gloves. Wear protective eyewear. Use disposable equipment. Use an N95 respirator. A community health nurse is made aware that several children, who are from the same family and did not receive immunizations, have contracted measles. Which of the following actions should the nurse take? Report this information to the state health department. Encourage the family to keep the children isolated during the incubation period. Speak to the guardians about getting the children immunized after they are disease free. Provide the infected children's names to the parents and guardians of children who might have been exposed. A community health nurse is working in a mobile health care clinic. Which of the following clients should the nurse assess first? A client who has a superficial partial thickness burn to the hand A client who has a temperature of 38.3° C (101° F) A client who has COPD and an oxygen saturation of 90% A client who has a new onset of confusion and slurred speech 1-A community health nurse is teaching a group of adult clients about factors that influence health behaviors. Which of the following is a modifiable risk factor that the nurse should include in the teaching? A. Family history of diabetes B. Immunization status C. Mental illness D. Air pollution 2-A nurse on a bioterrorism committee is developing a brochure to increase public awareness about the threat of inhalation anthrax. Which of the following pieces of information should the nurse plan to include in the brochure? A. An immunization for inhalation anthrax is recommended for administration to children. B. Clients who have manifestations of inhalation anthrax will need antibiotic treatment for 60 days. C. The initial manifestations of inhalation anthrax include an itchy skin lesion that blisters and scabs. D. Clients exposed to housemates who have 3-A community health nurse who works in a refugee center is evaluating children who are new arrivals to the United States. An assessment of a listless 20-month-old toddler indicates that the child is in the 6th percentile for weight and the 40th percentile for height. The toddler has thin limbs, a protuberant abdomen, and dull, dry hair. This assessment should raise suspicion for which of the following conditions? A. Chronic hypoxemia B. Anemia C. Protein decit D. Fluid overload 4-A home health nurse is providing teaching about respite care to the primary caregiver of a client with Alzheimer’s disease. Which of the following pieces of information should the nurse include in this teaching? A. "Respite care refers to a community support group for family caregivers." B. "Respite care requires placing the client in an assisted living facility." C. "Respite care provides family members with temporary relief from caregiving." D. "Respite care involves daily assistance from a home health aide." 5-A charge nurse in an emergency department is informed that a tornado touched down in a nearby town, and mass casualties are on the way. Which of the following actions should the nurse take first? A. Follow facility policy to activate the disaster plan. B. Prepare the triage rooms. C. Obtain additional supplies. D. Call in off-duty staff members 6-A home health nurse is prioritizing visits for four clients. Which of the following clients should the nurse plan to visit first? A. A client who has heart failure and reports a weight loss of 2.2 kg (1 lb) over the past week B. A client who has osteoarthritis of the knees and reports joint pain when ambulating C. A client who has Alzheimer’s disease and is not able to remember the current year D. A client who has type 2 diabetes mellitus and reports a new fissure between her toes 7-A nurse is responding to a communitywide request for health care providers to assist at the scene of an explosion. When using the North Atlantic Treaty Organization triage system, the nurse should put which of the following tags on a client who is unresponsive and has third-degree burns over 75% of her body? A. Red B. Yellow C. Green D. Black 8-Charge nurse in an emergency department receives notication of a massive explosion at a local industrial plant. More than 30 casualties from the explosion will begin arriving shortly. Which of the following actions should the nurse take first? A. Activate the emergency response plan. B. Call in available personnel. C. Obtain additional supplies. D. Move current clients to hospital rooms. 9-A community health nurse at a familyplanning clinic is developing a program about adolescent sexuality. Which of the following is a developmental task of adolescence according to Erikson’s theory of psychosocial development? A. Adjusting to dramatic changes in body image B. Developing hypothetical reasoning skills C. Establishing the capacity for an intimate love relationship D. Learning to make good choices and avoid risk-taking behaviors 10-A nurse is providing teaching to a client about healthy lifestyle changes. The client states,"I work long hours. I never have time for exercising or eating anything besides fast food." Which of the following goals should the nurse include in the client’s nursing plan of care? A. The client will improve overall health by the next visit. B. The client will introduce two green vegetables into her diet by the end of the month. C. The client will reduce daily stress and increase activity by exercising. D. The client will reduce her weight by 4.5 kg (10 lb) within 2 weeks. 11-A nurse is caring for a client who has a positive Mantoux skin test following screening for tuberculosis (TB). The nurse should inform the client that this positive reaction indicates which of the following findings? A. The client has never been exposed to TB. B. The client had infectious TB in the past, but the infection is not active. C. The client has active TB. D. Further evaluation is required. 12-A nurse is caring for several clients who have become ill after a company picnic. After extensive interviews and a review of the event’s food-handling practices, the nurse determines the most likely cause of the illnesses was a poultry dish that had been allowed to cool for several hours before being served. Which of the following steps in the epidemiological process is this nurse performing? A. Planning B. Assessing C. Implementing D. Evaluating 13-A public health nurse is responsible for several activities in the local community. Through which of the following actions is the nurse is implementing tertiary prevention? A. Teaching stress-reduction techniques to parents of children who have developmental delays B. Advocating for the expansion of mental health rehabilitation facilities with community leaders C. Performing screenings for depression for older adult clients D. Coordinating a drive through clinic for influenza immunizations 14-A community health nurse is preparing a disaster preparedness plan for smallpox. Which of the following groups of people should the nurse include for inoculation in the plan? A. Newborns B. Mortuary workers C. Immunosuppressed clients D. Clients who have eczema 15-A nurse is conducting a screening class for hypertension. Which of the following should be the nurse's goal for secondary prevention? A. Prevent the onset of the condition B. Identify the severity of the condition C. Identify the condition early D. Deter condition-related complications 16-A community health nurse is caring for a client who was exposed to human immunodeciency virus (HIV) 2 days ago. The client asks the nurse what she should do. Which of the following responses should the nurse provide? A. "I will administer an HIV vaccine today, and it will need to be repeated in 3 months." B. "I will administer an HIV test today, and you will need to return in 48 hours to have me read the results." C. "You will need to have an HIV test every other week for 6 months." D. "You will need to take prophylactic medications for 4 weeks." 17-A home hospice nurse is caring for a client who is dying. A family member of the client is talking to the nurse. Which of the following statements by the family member requires clarification by the nurse? A. "Although my father can’t get around very much, at least he is alert." B. "My siblings and I have a schedule of when we are available to provide care for our father." C. "My biggest concern is that I don’t want my father to be in any pain." D. "I’m glad that professionals will be here in case my father stops breathing." 18-A nurse is teaching a group of older adult clients about complementary and alternative therapies. Which of the following interventions should the nurse recommend to improve balance? A. Naturopathic medicine B. Magnet therapy C. Tai chi D. Progressive relaxation therapy 19-A triage nurse is in the emergency department when several hundred clients who were injured in a train collision arrive at the facility for treatment. Which of the following clients requires immediate treatment? A. A client who has neck pain and was transported to the facility on a backboard B. A client who has epigastric and lef t arm pain and is diaphoretic C. A client who has nasal and orbital ecchymosis and a respiratory rate of 16/min D. A client who has abdominal pain and is 2 months pregnant 20-A nurse is planning to participate in a public education program about preventing West Nile virus. Which of the following instructions should the nurse include in the presentation? A. "Eliminate sources of standing water." B. "Make sure your immunizations are up to date." C. "Keep all of your pets indoors." D. "Spray insect nests with a repellant that contains DEET." 21-A nurse is providing psychological counseling at a community center for families whose loved ones died in a re. After learning that both of their children died in the fire, 2 parents express disbelief at the loss of their children. One parent states,"How will I make it through this?" Which of the following is an appropriate response by the nurse? A. "Are you feeling overwhelmed right now?" B. "Don’t worry. You will have plenty of help." C. "Can I call someone to sit here with you?" D. "Anyone who has experienced a loss like this would feel the same way. 22-A nurse is working in the triage area of an emergency department. Which of the following activities is unlikely to be the nurse’s responsibility in this setting? A. Fostering positive public relations for the facility B. Performing a comprehensive client assessment C. Preventing cross contamination of infectious clients D. Educating a client and his family members 23-A school nurse is called to the scene of a large fight that just ended. The school security officers have called the police to the scene. Which of the following actions should the nurse take first? A. Teach coping skills to the children who witnessed the fight. B. Triage the injured students. C. Provide support to help staff members deal with the traumatic situation. D. Compare the response to the incident with school policies 24-A nurse is performing a community assessment in a rural setting. Which of the following types of health care is most likely to be absent in this setting? A. Tertiary care B. Primary prevention C. Chronic care D. Secondary prevention 25-A nurse is planning a smoking cessation program for women of childbearing age. Which of the following risks is associated with smoking during pregnancy? A. Infant developmental delays B. Maternal osteoporosis C. Maternal ulcers D. Infant lung cancer 26-An industrial health nurse is caring for a client who states,"I have been under a lot of stress lately." When the nurse suggests stress-management techniques, the client calmly states that he has a pistol in his car and intends to take his life in the parking lot after work that day. Which of the following actions should the nurse take? A. Have the industrial facility's security ofcers search the client’s car and remove the pistol B. Call emergency medical services to transport the client to a proper treatment facility C. Contact the client’s family member to pick him up from work and take him for treatment D. Explore the client’s reasons for suicide 27-A charge nurse in an emergency department is notified by the county’s emergency medical services of a multiple casualty crash involving a truck carrying radioactive waste. Which of the following actions should the nurse take first? A. Designate a decontamination area to accommodate clients who are irradiated. B. Notify the admissions office to clear as many critical care beds as possible. C. Clear the department of all non-urgent clients and move those awaiting admission to a holding area. D. Determine the number of casualties the emergency department can 28-A public health nurse is caring for an older adult client who has chronic airflow limitation disease and is a former cigarette smoker. The client’s medications include ipratropium bromide and albuterol inhalers, and she has a new prescription for home oxygen to use as needed. Primary prevention for this client should include which of the following? A. Periodic pulmonary function tests B. Review of appropriate use of oxygen in the home C. Yearly mammography examinations D. Annual influenza immunizations 29-A nurse is providing teaching to a client who has a prescription for ciprofloxacin following exposure to anthrax. Which of the following statements by the client indicates that further teaching is required? A. "I will limit my intake of coffee, tea, and carbonated beverages." B. "I will wear a large-brim hat and long sleeves if I am out in the sun." C. "I will take the ciprofloxacin with an antacid if I get an upset stomach." D. "I will avoid taking ciprofloxacin along with dairy products." 30-A public health nurse is assisting community leaders to develop a disaster response plan in the event of an outbreak of a serious communicable disease. When teaching the community leaders about infectious disease, the nurse should explain that a vector is which of the following? A. A mode of transmission for the disease B. A microorganism that causes the infection C. An environment where the pathogen can survive D. A client who is susceptible to the infection 31-An occupational health nurse is teaching a group of clients about work environment risks. Which of the following actions is the nurse performing? A. Case management B. Secondary prevention C. Tertiary prevention D. Primary prevention 32-A home health nurse and an assistive personnel (AP) are discussing the care needs of a client. Which of the following statements by the AP requires intervention by the nurse? A. "I will change the client’s PICC line dressing on my next visit." B. "Bathing the client is something that I can do without assistance." C. "I will assist the client in ambulating outdoors each time I visit." D. "Next time I visit, I plan to clean up the clutter in the client’s bedroom." 33-A nurse manager at a clinic for the homeless notes that many of the clients have a history of mental illness and substance use disorder. While compiling figures for a regulatory agency about individuals who visit the clinic, the nurse should classify these clients as having which of the following conditions? A. Codependency B. Bipolar disorder C. Comorbidity D. Somatization disorder 34-A charge nurse is assembling a list of clients who can be safely discharged home to accommodate incoming casualties following an earthquake. The nurse should recognize that discharging which of the following clients would be unsafe? A. A client who has osteomyelitis and will require 6 weeks of IV antibiotic therapy B. A client who has Crohn’s disease and is 1 day preoperative for an ileostomy C. A client who has Alzheimer’s disease and is awaiting placement in a long term care facility D. A client who has an ileus following spinal surgery 5 days ago and is ambulatory in a brace 35-A home health nurse is caring for a client who is living in a mental health group home. During a visit, the nurse discovers that the client has been hoarding psychotropic medications. Which of the following actions should the nurse take first? A. Have the client transported to an acute care facility B. Determine the reason for the client’s hoarding behavior C. Alert the staff members who have been administering the client’s medications D. Require the client to return any hoarded medications 36-A home health nurse is performing an assessment of an older adult client’s home. Which of the following findings should the nurse recognize as a potential hazard? A. Hot water temperature set at 46°C (115°F) 120 B. A night light in each room of the house C. A secured large area rug in the living room D. Wires to the television tunneled under the carpet 37-A nurse is planning a teaching session at a community center about preventing suicide. Which of the following groups should the nurse recognize is most at risk for suicide? A. Older adult male clients ages 75 to 90 years old B. School-age children ages 6 to 12 years old C. Adolescent female clients ages 12 to 20 years old D. Middle-aged adult clients ages 25 to 44 years old 38-A nurse is teaching a community group about smallpox. When discussing the possible means of transmission, which of the following statements by a member of the group indicates that further teaching is required? A. "Smallpox can be transmitted through bodily uids, such as blood or vomit." B. "Smallpox can be transmitted through contaminated objects, such as bedding and clothing." C. "Smallpox can be transmitted through bites from insects, such as mosquitoes." D. "Smallpox can be transmitted through inhalation of droplets, such as 39-A nurse is planning a health fair for a local community. Which of the following should be the nurse's priority when deciding which screening programs will benefit this population the most? A. Identify prevalent health problems in the community B. Identify health care resources available to clients in the community C. Identify the cost of the screening programs D. Identify the availability of transportation to the health fair 40-A nurse is teaching a community group who lives near a nuclear power plant about safety precautions related to radiation exposure. A client asks,"Isn’t there something we should have on hand in case of a nuclear disaster?" The nurse should recognize that the client is referring to which of the following substances? A. Potassium iodide B. Potassium cyanide C. Ciprooxacin D. Atropine 41-A public health nurse is responsible for several activities in the local community. Through which of Communication: 63Q adaptive quizzes 1-A nurse is caring for a client who has a reputation for being demanding with the nursing staff. The nurse says to the charge nurse,"I can't believe I have to care for this client again today!" Which of the following responses should the charge nurse make A. "Someone has to care for him." B. "If you don't like your assignment, call the nurse manager." C. "You are upset about having this client assigned to you today." D. "Why don't you want to take care of this client?" 2- A nurse is caring for an adolescent client who was recently diagnosed with testicular cancer. When the nurse asks the client a question, he angrily spits in the nurse's face. Which of the following responses should the nurse provide? A. "I will come back to change your linens when you are feeling better." B. "Who do you think you are to treat me like that?" C. "Why did you spit in my face?" D. "You seem to be very upset." 3- The adult child of a client arrives to take his parent home from the facility following a colon resection. The client's son tells the nurse,"I don't know how I am going to take care of my mom now.” Which of the following responses should the nurse make? A. "A home health nurse will be stopping by tomorrow. If you have any questions, you can ask the nurse." B. "Your mother has been taught to care for the colostomy independently." C. "What part of your mother's care are you concerned about?" D. "Your job is quite simple. I’ll make sure that the colostomy bag is clean before your mother leaves." 4- A nurse is caring for an older adult client who dies during the night while his partner is at his side. The next morning, the partner says,"I can't believe he's gone." Which of the following responses should the nurse make? A. "It must be hard to accept that this has happened." B. "His suffering is over now, and he is in a better place." C. "Would you like to take his personal items home with you?" D. "He lived a long and full life." 5-A nurse is teaching a client how to perform personal ileostomy care prior to discharge. The client says,"I don’t think that I am going to be able to take care of this myself." Which of the following responses should the nurse make? A. "In time, you will become better at this than I am." B. "Don’t worry about it. Most clients feel like that at first." C. "What part of the ileostomy care are you having trouble with?" D. "I agree. This is a difficult process." A nurse is caring for a 13-year-old female client who is admitted for an emergency appendectomy. While the nurse is providing the preoperative teaching, the client asks,"Will I have a large scar from the surgery?" Which of the following responses should the nurse make? A. "It will be small enough that it won’t show when you're wearing a bathing suit." B. "That isn’t our biggest concern right now. You will be ne." C. "You should be happy. You won't be in pain for much longer." D. "What is your favorite class in school?" A nurse is admitting a client who is scheduled for a biopsy of a testicular mass. The client asks,"Do you think the doctor will nd cancer?" Which of the following responses should the nurse make? A. "Most tumors in the testicles are benign." B. "It must be difficult for you not to know what the doctor will find." C. "I think that you should discuss this with your doctor." D. "Why are you worried about cancer? A client who has recently undergone a prostatectomy refuses to eat breakfast and tells the nurse,"Just leave me alone. I don't want food, and I don't want to see anyone right now." Which of the following responses should the nurse make? A. "It sounds like you need to be alone right now. I'll be glad to listen if you want to talk later." B. "I'll go, but I'll be back in a little while when you have calmed down." C. "I'm going to have to ask you to lower your voice because there are other clients on this unit." D. "Why are you yelling at me when I'm just trying to help you? A nurse is caring for a client in a homecare setting. The client asks for the nurse's phone number and requests to take the nurse out for coffee. Which of the following responses should the nurse make? A. "I have a partner, and I am not interested in dating anyone else." B. "It's against the agency's policy for me to date clients." C. "We must maintain a professional relationship for me to address your health care needs effectively." D. "I don't want to get coffee with you." A client in a clinic setting tells the nurse,"I haven't seen my son for 2 weeks." The nurse replies,"Your son has not come to see you for 2 weeks?" This is an example of the nurse using which of the following therapeutic communication techniques? A. Reflecting B. Questioning C. Focusing D. Restating A nurse is talking with a client who states, "The nurses around here are incompetent." Which of the following responses should the nurse make? A. "Could you tell me about a specic example of a nurse being incompetent?" B. "Let's talk about the progress you have made today and not about the nurses." C. "The nurses and doctors at this facility are highly experienced and do an excellent job." D. "I am doing the best I can to take care of these very ill clients." A nurse on a medical-surgical unit is talking with a client who pauses while discussing his feelings about being in the facility. The nurse replies,"Please go on." Which of the following communication techniques is the nurse using? A. Reecting B. Providing a general lead C. Focusing D. Seeking clarification A nurse is admitting a client who has major depressive disorder. The client states,"This has been the worst day of my life." Which of the following responses should the nurse offer? A. "You should focus on positive things rather than negative things." B. "We all have a bad day from time to time." C. "Why would someone with so much to live for say that?" D. "Please take a seat and talk to me about your feelings." A nurse is caring for an adolescent client who is overweight. The adolescent tells the nurse that classmates tease him about his weight. Which of the following responses should the nurse make? A. "You shouldn't worry about what other people say." B. "Tell me how you feel when your classmates tease you." C. "Your friends will learn to like you for who you are inside, not what you look like." D. "It is important to begin to eat healthier so you can look the way you want to look." A nurse is caring for a client who has major depressive disorder. The client tells the nurse,"Don't bother me. Find someone else to talk with. I don't have anything to say that’s worth sharing." Which of the following statements should the nurse ma