ATI_Community_Health_Proctored

ATI Community Health Proctored : Level 3 1) A parish nurse is planning activities for a faith -based community. Which of the activities should the nurse include? a. Teach stress management strategies b. Provide case management c. Offer primary care to uninsured members d. Change the negative pressure wound therapy dressing 2) A nurse is working with a case manager for a client who participates in a health maintenance organization. The nurse should identify that a health mainte nance organization provides which of the following payment structures? a. The client pays the insurer a percentage of the total cost for each service rendered by the provider b. The provider is paid a fixed sum for the client on a monthly or yearly bases c. The client is participating in a fee -for service health care insurance program d. The provider bills the client directly predetermined percentage for the cost of service s. 3) A public health nurse is developing protocols to use in emergency shelters following a disaster. Which of the following should the nurse include as a secondary prevention strategy for clients who survive a disaster? a. Providing age-appropriate activities for shelter residents b. Compiling resources available to transition individuals from shelters to a home c. Interviewing shelter residents to determine the effectiveness of coping behaviors d. Publishing a listing of shelter locations in loca l media source 4) 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 bottle in the microwave 30 secon ds at a time b. I limit the time her grandparents cuddle my baby to prevent spoiling c. I carry my baby with me as I move around the house d. I use baby talk when talking to my baby 5) A nurse is caring for a client who has hepatitis A. Which of the following reservoirs should the nurse identify for this infection? a. Blood b. Feces c. Genitourinary tract d. Skin 6) A nurse is triaging victims of a commuter train crash. Which of the following clients should be transported to the Emergency Department first? a. An ambulatory client whose nose is bleeding and who reports feeling dizzy b. A client who has a fracture of the humerus with a 2+ radial pulse in the effected arm c. A client who is exhibiting agonal respirations with fixed pupils d. A client who has full -thickness burn injuries over 30% of his total body surface area 7) A nurse working in an assisted living care facility is developing a disaster plan. Which of the f ollowing is the first action the nurse should take? a. Develop response strategies specific to older adults b. Verify dates of the annual community -wide mass causality drill c. Determine potential environmental health hazards d. Identify materials needed for staff and resident education. 8) 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 at being at risk? a. A worker who is stand ing in place in extended period and rests one foot on a box b. A worker standing with a wide base support when pulling a cart towards himself c. A worker who is 7 weeks postoperative following a rotator cuff surgery and is labeling boxes. d. A worker who is wearing a back brace and bends at the waist when picking up a pallet. 9) 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 t center b. Assess client for withdrawal and passivity during home health visits c. Refer clients to the appropriate community agency if signs of abuse is evident d. Coordinate a personal defense program at a local agency 10) A community health nurse is working with a migrant population. The nurse should recognize which of the following interventions is necessary to provide care to this population? a. Requiring the clients to show a work visa before they receive care b. Treating clients on a fee -for-service basis c. Providing health services at work sites d. Offer health screenings at a community center 11) A nurse caring for a client who is homeless. Which of the following actions should the nurse take first? a. Assist the client to develop goals for obtaining shelter. b. Discuss the risks of being homeless with the client c. Develop client teaching using a variety strategies d. Determine the client’s understanding of her living situation. 12) A nurse is working for a hospice organization. The nurse should identify that which of the following criteria must be met for a client to qualify for hospice care? a. The client has declined additional life -prolonging treatments b. The client requires inpatient care due to lack of a caregiver c. The client has documentation that states he has less than 12 months to live d. The client's insurance provides coverag e for palliative care 13) 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 client can chose a non -family member as the designated pow er of attorney b. The living will binding contract between the client and the provider c. The client family has the authority to revoke the do -not-resuscitate order at any time d. The client can verbally choose a health care proxy it two nurses witne ss the designation. 14) A home health nurse is planning the initial home visit for 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. Encourage the family to jo in a support group b. Provide the family about respite care c. Engage the family in informal conversation d. Educate the family regarding the progression of dementia 15) A nurse educator is teaching a group of newly licensed nurses about maintaining client confidentially according to HIPAA regulations. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? a. HIPAA rules vary from state to state b. We should share our computer password with our managers c. HIPAA rules allows clients to receive a copy of the medical records d. A client dx can 16) A nurse is assessing an outbreak of mumps among school aged children. Us ing the epidemiological triangle, the nurse should recognize that which of the following is the host? a. The vaccine b. The school c. The virus d. The children 17) A home health nurse is caring for 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 ? (SATA) a. Offer 120ml(4oz) of cold 2% milk as a meal replacement b. Maintain the head of the bed in an elevated position after eating c. Provide sips of room -temperature ginger ale between meals