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Exam (elaborations)

Community Health Mid-Term Exam 2021 | Community Health Mid-Term Exam - Graded A

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Community Health Mid-Term Exam 2021 | Graded A+ 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 - - -

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