NR442___RN_Community_Health_Practice_Assessment_A.

NR442 - Community Health Practice nn nn nn nn




Exam A (50 Items) final report nn nn nn nn nn nn




questions 100% fully covered nn nn nn nn




answers A+ guide. nn nn nn




1. A community health nurse is planning a presentation for adults who have a family
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history of Alzheimer's disease. Which of the following behaviors should the nurse
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include as an early manifestation of Alzheimer's disease
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a. Withdrawal from social activities nn nn nn


b. Forgetting the location of common object nn nn nn nn nn


c. Experiencing incontinence nn


d. Neglecting personal hygiene nn nn




Rationale: Forgetting the location of common objects is an early manifestation of Alzheimer'sdisease.
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2. A community health nurse identifies an increase in the occurrence of osteoporosis-
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relatedfractures in women experiencing menopause. Which of the following primary prevention
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strategies should the nurse implement?
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a. Advise the women to keep their immunizations updated.
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b. Encourage the women to participate in weight-bearing activities. nn nn nn nn nn nn nn


c. Educate the women about the importance of limiting sun exposure.
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d. Instruct at-risk women to increase their intake of foods high in vitamin E.
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Rationale: Weight-bearing exercises, such as weight lifting, walking, and running, have beenfound
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to be beneficial in preventing osteoporosis.
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3. A nurse is caring for a client who has terminal lung cancer and is receiving hospice care.
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Which of the following statements should the nurse identify as an indication that the client is
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inthe denial stage of the grief process?
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a. "I'm looking forward to my daughter's wedding next year."
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b. "I don't deserve to die. This just isn't fair."
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c. "If I could just make it through this, I'd never smoke again."
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d. "I'm going to plan my memorial service next week."
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Rationale: During the denial stage of the grief process, the client rejects the reality of theimpending loss.
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4. A home care nurse is visiting an older adult and notes that unwashed dishes are piled up
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and newspapers cover the front steps. Which of the following questions should the nurse to ask
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the client to determine if he is socially isolated?
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a. "Why haven't you brought in your newspapers?" nn nn nn nn nn nn


b. "Do you need help completing your housework?”
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c. "How often do you have visitors come to see you?"
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d. "Have you considered moving to an assisted living facility?"
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Rationale: "How often do you have visitors come to see you?" MY ANSWER The nurse should
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, NR442 - RN Community Health Practice Assessment A (50 Items)
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2022-2023


ask this question because it addresses the issue of social isolation by determining the frequencyof
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contact between the client and others.
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5. A community health nurse is discussing the role of a faith community nurse with a
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chaplain.Which of the following information should the nurse include in the discussion?
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a. The faith community nurse can provide pharmacologic pain management for
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clientswho have a terminal illness.
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b. The faith community nurse can plan safety training for employees in a local factory.
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c. The faith community nurse can provide wound care for clients in their homes.
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d. The faith community nurse can facilitate substance abuse support
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nn groups. Rationale: This is one of the roles of a faith community nurse.
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6. A community health nurse is conducting a needs assessment of a community. The
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nurseshould identify that which of the following methods will yield direct data?
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a. Health surveys nn


b. Medical records nn


c. Informant interviews
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d. Morbidity/mortality statistics
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Rationale: The nurse should identify that informant interviews of the community's leaders
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willprovide direct data. This information can help the nurse identify services needed by the
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community.
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7. A nurse is providing education regarding lead exposure to a group of clients who live in
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ahousing development built in 1968. Which of the following client statements indicates an
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understanding of the teaching?
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a. "I will use a dry-sanding technique when preparing to repaint my front door."
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b. "I will vacuum our wood floors every week."
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c. "I will increase the amount of red meat and milk in my child's diet."
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d. "I will use hot tap water to prepare my baby's formula."
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Rationale: Children should receive adequate amounts of iron and calcium in their diets
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toprevent lead absorption from their environment.
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8. A community health nurse is participating in a quality improvement plan for a local
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health department. Which of the following techniques should the nurse use for process
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evaluation ofthe facility? (Select all that apply).
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a. Focus groups nn


b. Written audits nn nn


c. Satisfaction survey
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d. Interviews nn


e. Values self-studynn nn