Community Health Exit HESI Updated- & Community Proctored

Community Health Exit HESI A nurse is planning a primary prevention strategy for reducing obesity in a community. Which of the following strategies should the nurse use educate children about nutrition and exercise at a daycare center A community health nurse is developing health promotion activities for a community. Which of the following is the highest priority action participate in community assessment to identify community health problems A home health nurse is scheduling client visits for the day. Which of the following clients should the nurse plan to visit first a 79-year-old client with an exacerbation of COPD A state public health nurse is asked to determine which country has the most people living in it with a diagnosis of Alzheimer’s disease. Which of the following measures will determine this information analytic epidemiology A community health nurse is reviewing laboratory results for his case load of clients. Which of the following is the highest priority finding a sputum specimen that is positive for tuberculosis A nurse is triaging victims of a commuter train crash. Which of the following clients should be transported to the Emergency Department first an ambulatory client whose nose is bleeding and who reports feeling dizzy 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 include both hot and cold food items on a Hispanic client’s menu A nurse is caring for a client who has questions about his treatment plan. Which of the following should the nurse perform as a client advocate (select all that apply) provide education to the client about the diagnosis inform the client about the provider’s responsibility to provide information assist the client in preparing questions for the provider affirm the client’s decision about the treatment plan A nurse is working with a client who is homeless. Which of the following is the first step that the nurse should take to advocate for this client refer the client to a public homeless shelter A nurse is providing education to a group of adolescents who are pregnant and attending high school. Which of the following information should the nurse include in this teaching caffeinated beverages should be replaced with caffeine-free A community health nurse is writing an emergency response plan for a day care. Which of the following should be included in the plan immunization protocol for various biological agents A community health nurse is preparing to teach accident and injury prevention. Which of the following would be the priority topic for a family with a 10-year-old child use if seat belts in automobiles A child is brought to the school nurse by her teacher who thinks the child may have contracted rubeola. Which of the following findings supports this diagnosis koplik spots in the oral mucosa A home health nurse is performing an eye assessment and vision screening on an older adult client recently assigned to her care. Which of the following findings indicates a need for an intervention slightly yellow sclera Which of the following is an example of the responsibilities of public health nursing informing state health officials of a potential meningitis outbreak A nurse is providing a staff development program on HIPPA regulations to the staff at a community health clinic. Which of the following comments by one of the attendees would indicate a need for further teaching “Demographic data that identify a client can be released without consent” A nurse administers a tuberculin skin test to a client who is HIV positive. Which of the following indicates a positive reaction to the test Induration at infection site of 8 mm After presenting several teaching sessions to a group of high school students about the harmful effects of tobacco use, a nurse valuates the teaching to be effective when a student states which of the following “As long as I stop smoking while I am young, none of those diseases will affect me” A home health nurse is educating a client diagnosed with COPD about home oxygen use. Which of the following statements by the client indicates a need for additional teaching “I should use wool blankets on my bed when oxygen in use” A nurse is providing teaching to the wife of a client who has had a stroke regarding health-related services that will be provided in the home. Which of the following statements by the wife indicates that the teaching has been effective “The physical therapist will teach my husband exercises to increase hand dexterity” A nurse is assisting with the development of a disaster management plan for a local community. During which of the following times should an evacuation plan be disclosed to the public During disaster preparedness activities A community health nurse is teaching a client who has tuberculosis about modes of disease transmission. The nurse recognizes that the client understands the concept when the client makes which of the following statements “I will wear a mask when I’m in an enclosed area with other people” A nurse is caring for a client who asks “can I decide not to continue with chemotherapy?” The nurse responds, “This is your choice and I’ll support whatever decision you make.” The nurse’s response is an example of which of the following ethical principles Autonomy FrmRN2u A community health nurse is working with a family in which only the children speak English. The nurse should select a translator who is Skilled in health-related interpretation A community health nurse working with a migrant population recognizes that which of the following is necessary to provide care to this population Offering health screenings at a community center Which of the following activities is the responsibility of a case manager Evaluate cost effectiveness of client treatments A nurse uses a secondary prevention intervention when doing which of the following Performing hypertension screening in a community center An occupational health nurse is planning a program on early detection of breast cancer for female employees at a local business. Which of the following is the first action the nurse should take Determine employee knowledge level of breast self-examination While addressing community leaders at a forum for establishing community improvement initiatives, a public health nurse identifies which of the following groups as the fastest growing segment of the homeless population Families with children A nurse is working in an occupational health setting. Which of the following is a primary prevention activity for the nurse Conducting smoking cessation classes A parish nurse is visiting an older adult client who was recently widowed. The client tells the nurse that he no longer has a way to get to the grocery store or the doctor. Which of the following responses by the nurse is appropriate “How would you feel about me contacting a local service that helps older adults with transportation?” A case manager nurse is caring for a client being discharged post total hip arthroplasty. Which of the following activities is an example of the nurse functioning in the negotiator role Discussing payment options with various pharmacies What patient would the Home Health Nurse send to the doctor first Abdominal pain A community health nurse is evaluating an outbreak of hepatitis A among adult clients in his community. Which of the following should the nurse do to identify the cause of the disease Identify restaurants where the clients have recently eaten A nurse working for a home hospice organization recognizes that clients must meet which of the following criteria to qualify for hospice care Documented need for palliative care A nurse is working with a case manager for a client who participates in a health maintenance organization. Which of the following is characteristic of the payment structure provided under this system The client pays the insurer a percentage of the total costs for each service rendered by the provider A nurse is providing education to a troop of local Boy Scouts regarding first aid for venomous snake bites in the event that transport to the hospital is delayed. Which of the following would be appropriate information to include in teaching about bites to an extremity Apply a constricting band above the bite while maintaining circulation below the bite In reviewing goals of “healthy people” nurse determines the community has a significant problem preventing dental caries in children. To bring about change WIC program intake offices A nurse is providing teaching to a community group regarding smallpox. Which of the following is an appropriate response in relation to why people who received a single vaccination prior to 1980 are no longer considered protected The vaccine does not confer life-long immunity A community health nurse is conducting a community assessment. Which of the following data should be included as a component of the assessment Resources available to address health care issues A school nurse is creating a plan to address an increase in violence among high school students. Which of the following is a secondary prevention strategy that the schools nurse can implement Surveying students to identify risk factors for bullying A school nurse is assessing the spinal alignment of students at a grade school. Which of the following findings indicates a child should be assessed further for scoliosis Unilateral scapular hump when the child bends at the waist A nurse is preparing to provide postmortem care for a client who is Chinese American. Which of the following should the nurse consider when providing care The family will remain with the body until burial A community health nurse is teaching a client who has active tuberculosis about disease management. Which of the following information should be included in the teaching Provide sputum cultures until three come back negative A public health nurse has received a report of several infants who attend the same daycare being diagnosed with respiratory syncytial virus (RSV). Which of the following actions should the nurse take first Provide the staff with information regarding measures to minimize disease transmission Primary Goal of Community Health Nursing Enhance the individuals, families and communities Nurse is working with interdisciplinary group to write procedures for assessment of clients from multiracial inner city population. “Remember that all Hispanic clients may not wish to give personal med information to a stranger” Recommend changing the language that stereotypes one ethnic group Patient having trouble with peripheral vision-what best for nurse to do orient patient to surroundings (something about the environment Risk for constipation - immobility, older adults, dehydration, narcotics or BP medications Population-focused nursing practice Community diagnosis SIDS-prevention supine position, sleep on back Primary prevention of Asthma Take bronchodilator first Rheumatoid Arthritis Resources The arthritis association Necessary when a person is in need of psychiatric treatment, presents a danger to self or others, or is unable to meet his or her own basic needs Involuntary admission criteria Child injury v/s abuse Abuse Nurse is performing an intake interview at a prenatal clinic on a patient who is at 6 weeks gestation Supervision of the renovation of an old house the family just purchased due to teratogen defect The community health nurse attempting to address the issue of child abuse in a large metropolitan areaprimary prevention program High school child development and parenting classes Scheduling home visits, which is best for the home health charge nurseto assign to the LPN A bedfast client who needs daily irrigation of stage 4 pressure ulcer Occupational Health Act Location of the workplace as relates to health facilities Nurse has to conduct community Dx to determine nursing needs and problems Community -based practive . Pregnant woman not getting enough what vitamin may cause neural tube defects Folic acid Plans formulated for solving community problems Community organization Training of potential leaders in the community Core group formation PHN bag is an important tool for care during a home visit prevent the spread of infection Prenatal consult asked HHN if she can have her delivery at home advised her against a home delivery Her OB score is G5P3 6 months pregnant, comes to the center for consult and what med is contraindicated Retinol 2000,000 IU Type of family-nurse contact offers with the best opportunity to observe family dynamics Home visit Philosophy of public health nursing worth and dignity of man Abuse Advise the mother to call the police if violent behavior occurs again 70-year-old male client at nursing home after a hip replacement and at risk for decubitus ulcers because Thinning of the skin with loss of elasticity Vietnamese child during a HH visit and nurse notices round swellings on child's back. Mom says she rubbed a coin on his oiled skin The purpose is to rid the body of disease Core business of public health Disease control, health protection, helath public policy, injury prevention Herbal plant given for fever, headache and cough Langundi Pillars of primary health care Provision of medical care and emergency treatment If there were 250 deaths and 36,114 live births registered in Region III, with a total population of 200,000, the fetal death rate would be 6.9 per 1000 live births Type of water supply facility composed of system with piped distribution network and household taps Level III Pandemic occurrence of a disease The simultaneous occurrence of epidemic of the same disease in several countries 5 year old child given Retinol capsule every 6 months to prevent xerophthalmia-preschooler dose 200,000 IU In the Philippines, condition most frequent cause of death associated with schistosomiasis Liver cirrhosis Operation Timbang is which level of prevention of health problem Primary In conducting a census, the method of population assignment based on the usual place of residence of the people De facto Method of family planning not immediately used by a breastfeeding mother Combined OCP 3 year old boy with severe pneumonia or very severe disease fast breathing Very important part of the community health nursing planning process Evaluation of structures and qualifications of health care team An advantage of a home visit Provides an opportunity to do first hand appraisal of the home situation The different clients of the community health nurse Individual Family Population group Community Dependency ratio Compares the number of economically dependent with the economically productive group in population According to Maslow’s hierarchy of needs, developing one’s potential is Self-actualization Newborn Screening act is R.A 9288 He defined public health as the science and art of preventing disease, prolonging life, promoting health and efficiency through organized community effort Winslow Woman brought her 2 month old baby to the health center for immunization - infant’s temperature registered 38 degrees C Proceed with the infant’s immunizations When is Rabies awareness month celebrated March 6 year old boy entering school for the first time Foreseeable crisis Severe dehydration Sunken eyes Skin pinch goes back slowly Abnormally sleepy or difficult to awaken Element of FOURmula one aims to ensure quality and affordability of health services Health regulation ATI RN COMMUNITY HEALTH 2019 PROCTORED EXAM VERSION 2 written by NurseNancy Downloaded by: rosislandeineus | Distribution of this document is illegal This study source was downloaded by from CourseH on :18:32 GMT -06:00 Community Health ATI Proctored 1. A home health nurse is providing teaching to the guardian of a child who has leukemia about methods to prevent complications. Which of the following statements by the guardian indicates an understanding of the teaching? a) "I'm sure my child will feel better now that he can ride his bicycle." b) "I should take my child's rectal temperature daily." c) "I will make sure my child gets a measles, mumps, and rubella vaccine this week." d) "I should inspect my child's mouth for sores" 2. A nurse at a community clinic is preparing an educational guide about cultural variance in expression of pain. which of the following information should the nurse include? a) Native American cultural practices include being outspoken about pain. b) Middle Eastern cultural practices include hiding pain from close family members. c) Puerto Rican cultural practice include the view that outspoken expression of pain is shameful. d) Chinese cultural practices include enduring pain to prevent family dishonor 3. A case manager is completing discharge planning for a client who has alcohol use disorder and cirrhosis of the liver. Which of the following actions should the case manager take first? a) Arrange for a home health nurse to visit the client following discharge. b) Contact a social worker to assist the client with managing finances. c) Provide the client with information on self-help group for alcohol use disorder. d) Determine which home safety measure the client needs to implement 4. A home health nurse is assessing a client who has AIDS. Which of the following responses by the client indicates a risk for suicide? a) "I don't want to lose control of my ability to make decisions." b) "I am afraid of experiencing pain near the end." c) "I know that everything will be better soon." d) "I am relying more and more on my partner for support." 5. A faith-based organization asks a community health nurse to develop a mobile meal program for older adults who are no longer the following actions should the nurse plan to take first? a) Inquire about the availability of volunteers. b) Performs a needs assessment. c) Determines potential funding sources for the program d) Identify alternative solutions to address concerns. 6. A nurse is caring for a client who has hepatitis A virus. Which of the following reservoirs should the nurse identify for this infection? a) Blood b) Genitourinary tract c) Skin d) Feces 7. A nurse is conducting home visits to postpartum adolescents who participated in prenatal parenting classes. Which of the following statements indicates an understanding of the teaching? a) "I warm my baby's bottle in the microwave for 30 seconds at a time." b) "I use baby talk when talking to my baby." c) "I limit the time her grandparents cuddle my baby to prevent spoiling." d) "I carry my baby with me as I move around the house." 8. A nurse educator is teaching a group of newly licensed nurse about maintaining client confidentially according to HIPPA regulation. which of the following statements by a newly licensed nurse indicates an understanding of the teaching? S - The Marketplace to Buy and Sell your Study Material Downloaded by: rosislandeineus | Distribution of this document is illegal This study source was downloaded by from CourseH on :18:32 GMT -06:00 S - The Marketplace to Buy and Sell your Study Material a) "HIPAA rules allow clients to receive a copy of their medical records." b) "HIPAA rules vary from state to states." c) "What should share our computer passwords with our manager." d) "A client's diagnosis can be posted on the communication board inside the client's room." 9. A nurse is working with a community health care team to devise strategies for preventing violence in the community. Which of the following intervention is an example of tertiary prevention? a) Presenting community education programs about stress management b) Urging community leaders to make nonviolence a priority c) Developing resource for victims of abuse d) Assessing for risk factors of intimate partner abuse during health examinations 10. A nurse is teaching a group of clients about ways to prevent skin cancer. Which of the following statement by the nurse demonstrate a priority prevention strategy? a) "Use acetaminophen as needed for sunburn." b) "Apply cool tap water soaks for 20 minutes to relieve sunburn." c) "Ensure you have a yearly skin examination with your provider." d) "Avoid direct sunlight between 10 and 4pm." 11. A parish nurse is counselling a family following a client's recent diagnosis of heart disease. Which of the following action should the nurse take first? a) Assist the client and the client's partner with finding an affordable exercise program. b) Offer to accompany the client and the client's partner during health care provider visits. c) Ask family members about the impact of the disease on relationship within the family. d) Discuss the benefits of eating a well-balanced diet with the client's family. 12. A nurse is caring for a child whose parent reports that their partner has been physically maltreating the child. The parent states, "My partner has moved out, so please don't tell anyone." Which of the following statements should the nurse make? a) "I think you should report the abuse to law enforcement." b) "I will not report the abuse because I know you will keep your child safe." c) "You should let your pediatrician know about the abuse." d) "State law requires health care providers to report suspected abuse." 13. A home health nurse is assessing a client who has hepatitis A. Which of the following findings should the nurse expect? a) Malaise b) Ankle edema c) Petechiae d) Weight gain 14. A school nurse is assessing a child who has a fever and notices several bite marks on the child's arm. The nurse should referral for suspected child maltreatment based on which of the following additional findings? (Select all that apply) a) The child is wearing open-toed shoes and the weather is cold outside. b) The child is frequently absent from school. c) The child's clothes are wrinkled and dry. d) The child tells the nurse that they are sick because they are bad. e) The child reports coughing all day. 15. A nurse is reviewing levels of prevention with a newly licensed nurse. Which of the following is an example of tertiary prevention? a) Providing STI testing for students on a college campus. b) Educating adults about breast cancer screening guidelines c) Teaching about inhaler use to a client who has asthma S - The Marketplace to Buy and Sell your Study Material Downloaded by: rosislandeineus | Distribution of this document is illegal This study source was downloaded by from CourseH on :18:32 GMT -06:00 S - The Marketplace to Buy and Sell your Study Material d) Promoting the use of helmets with children who rides bicycles. 16. A nurse is providing teaching to a newly licensed nurse about case management. The nurse should include that which of the following tasks is the responsibility of a case manager? A. evaluate the cost effectiveness of client’s treatments B. teach a smoking cessation support group C. perform employee risk assessments D. enforce OSHA standards in the workplace 17. A home health nurse is planning the initial home visit a client who has dementia and lives with his adult son's family. Which of the following actions should the nurse take first during the visit? a) Provide the family with information about respite care b) Educate the family regarding the progression of dementia c) Engage the family in informal conversation d) Encourage the family to join a support group. 18. A nurse in a community health clinic is assessing a client who has two preschoolers was recently divorced and is seeking help for major depression. Which of the following questions should the nurse ask first? a) "Is there anything that makes you feel less depressed?" b) "Could you describe how you are feeling today?" c) "Are you having any thoughts about hurting yourself?" d) "Who is available to help you?" 19. A mental health nurse is scheduling a home health appointment with a client who has recently lost his partner in a motor vehicle crash. Which of the following statements by the client indicates the need for immediate nursing intervention? a) "I just feel so angry right now." b) "There's no need for anyone to come see me, including you." c) "Everything is going to be fine soon." d) "I'm not going to talk to you about my problems." 20. A nurse is teaching a client who has a terminal illness about hospice care. Which of the following statement by the client indicate an understanding of the teaching? (select all thar apply) a) "I can receive care in the hospital or at home." b) "My provider will recommend that I entre hospice care when I have 1 year left to live." c) "I can discontinue hospice care whenever I want." d) "I will need to have private insurance because Medicare does not cover hospice services." e) "I will receive care from a variety of interprofessional team members." 21. A nurse is working with a married couple who each have children from prior relationships living is the home. The nurse should clarify the family as which of the following household structure? a) Adoptive family b) Foster family c) A commune d) Blended family 22. A nurse is planning a primary strategy for reducing obesity in a community. Which of the following strategies should the nurse use? a) Educate children at a day care center about nutrients and exercise. b) Measure the BMI of older adults at a community senior center. c) Distribute health-risk appraisal questionnaires at community functions. S - The Marketplace to Buy and Sell your Study Material Downloaded by: rosislandeineus | Distribution of this document is illegal This study source was downloaded by from CourseH on :18:32 GMT -06:00 S - The Marketplace to Buy and Sell your Study Material d) Encourage enrollment and attendance at weight-reduction programs 23. A community health nurse is teaching a group of parents about manifestations of alcohol withdrawal. Which of the following manifestation should the nurse include in the teaching? a) Hyperglycemia b) Hypotension c) Seizures d) Somnolence 24. A parish nurse is planning activities for a faith-based community. Which of the following activities should the nurse include? a) Change a negative pressure wound therapy dressing b) Teach stress management strategies c) Provide case management d) Offer primary care to uninsured members. 25. A home health nurse is caring for a client who 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? (Select all that apply). a) Offer 120 mL (4 OZ) of cold 2% milk as a meal replacement. b) Use seasoning to enhance the flavor of foods. c) Provide sips of room-temperature ginger ale between meals. d) Maintain the head of the client's bed in an elevated position after eating. e) Assist the client in using guided imagery. 26. A home health nurse is caring for a client who has terminal cancer and no longer wants to receive enteral tube feeding. Which of the following actions should the nurse take? a) Request the facility chaplain to visit the client. b) Ask the client to sign an informed consent form c) Complete against medical advice form. d) Explain the process for completing a living will. 27. A nurse is providing teaching to a client about directives regarding end-of-life care. Which of the following information should the nurse include in the teaching? a) The living will is a legally binding contract between the client and the provider b) The client can choose a non-family member as the designated power of attorney. c) The client's family has the authority to revoke the do-not-resuscitate order at any time. d) The client can verbally choose a health care proxy if two nurses witness the designation. 28. A nurse is providing teaching to a newly licensed nurse about secondary prevention strategies related to violence and abuse. Which of the following strategies should the nurse include in the teaching? a) Teach a parenting skills class at a child development center. b) Refer clients to the appropriate community agency if signs of abuse are evident. c) Coordinate a personal defense program at a local agency. d) Assess clients for withdrawal and passivity during home health visits 29. A nurse is participating in a qualify improvement committee for home health client. Which of the following topics should the nurse recommend for the committee to review? a) An increase in clients reviewing annual flu vaccines. b) An increase in client admissions for home health care c) An increase in levels of local air pollution d) An increase in client falls at home S - The Marketplace to Buy and Sell your Study Material Downloaded by: rosislandeineus | Distribution of this document is illegal This study source was downloaded by from CourseH on :18:32 GMT -06:00 S - The Marketplace to Buy and Sell your Study Material 30. A school nurse is planning primary prevention activities for the school year. Which of the following action should the nurse plan to take? a) Schedule hearing screening for each grade level. b) Provide referrals for students who have asthma c) Monitor the immunization status of students d) Provide first aid for injured students. 31. A nurse is caring for a client who asks, "Can I decide not to continue not to continue with chemotherapy?" The nurse responds. "This is your choice and "I'II support whenever decision you make." The nurse's response is an example of which of the following ethical principles? a) Nonmaleficence b) Autonomy c) Beneficence d) Veracity 32. A community health nurse is working with a migrant population. The nurse should recognize the which of the following interventions necessary to provide care to this population? a) Offering health screenings at a community center b) Requiring clients to show a work visa before they receive care. c) Providing health services at work sales d) Treating clients on a fee-for-service basis. 33. A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special level at home. Which of the following statements should the nurse make first? a) "Eat a balanced diet with high-protein snacks." b) "Apply moisture barrier ointment three times a day." c) "A social worker can help you with the cost of supplies." d) "Describe the place where you are currently living." 34. A nurse is planning an in-service about isolation precautions for her coworkers. For which of the following infections should the nurse identify the need for contact precautions? a) Pertussis b) Pulmonary tuberculosis c) Herpes Simplex d) Diphtheria 35. An occupational health nurse is completing a walk-through of a factory to identify workers at risk for injury. Which of the following workers should the nurse identify as being at risk? a) A worker who is 7-week postoperative following rotator cuff surgery and is labelling boxes b) A worker standing with a wide base of support when pulling a cart toward himself. c) A worker who is wearing a back brace and bends at the waist when picking up a pallet. d) A worker who is standing in place for extended periods and rests one foot on a box 36. A nurse is serving on a state task force for disaster planning. The nurse is engaging in disaster preparation efforts when performing which of the following actions? a) Functioning as a manager at a temporary shelter b) Organizing a mass casualty drill for community members c) Implementing a disaster triage plan with a local medical facility d) Assisting with the identification of a biological agent 37. A nurse is an extended care facility enters the room of a client and notices a fire in the trash can. Which of the following actions is the nurse priority? a) Activate the alarm b) Attempt to extinguish the fire. c) Move the client to another location d) Shut the doors and windows of the room. S - The Marketplace to Buy and Sell your Study Material Downloaded by: rosislandeineus | Distribution of this document is illegal This study source was downloaded by from CourseH on :18:32 GMT -06:00 S - The Marketplace to Buy and Sell your Study Material 38. A home health nurse is caring for a client who has a clostridium difficile infection. Which of the following actions should the nurse take? a) Clean the client's bathroom with a diluted bleach solution. b) Use an alcohol-based hand sanitizer following care. c) Obtain a surgical mask for the client to wear when away from home.