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Exam (elaborations)

RN Community Health Online Practice 2023 A

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RN Community Health Online Practice 2023 A

Institution
Community Health Nursing
Course
Community Health Nursing











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Institution
Community Health Nursing
Course
Community Health Nursing

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Uploaded on
October 21, 2024
Number of pages
107
Written in
2024/2025
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49 Multiple choice questions

Term 1 of 49
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?

"I can expect to get help with other aspects of my life while in treatment."


Successful treatment of alcohol use disorder is more likely if the client receives help in
other areas of their life, such as their physical health, psychological well-being, and
family interactions.

"After I place this tuning fork behind your ear, tell me when you no longer hear the
sound."

This is the appropriate instruction for a Rinne test, a hearing evaluation that compares air
conduction and bone conduction of sound.

"I will use tap water to clean the inner cannula."

The caregiver can use tap water when performing tracheostomy care.

"Frozen food should be cooked immediately after it is thawed."


The nurse should inform the client that frozen food should be thawed in a bowl in the
refrigerator and should be cooked as soon as it is thawed.

,Term 2 of 49
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?

Recognizing and reporting suspected maltreatment to the appropriate protective
services


Secondary prevention is an intervention that focuses on early detection of a health
problem to facilitate early diagnosis and treatment. Recognizing and reporting
suspected abuse facilitates diagnosis and intervention, helping to prevent further abuse.


Respiratory disorders

Farmers are at an increased risk for respiratory disorders due to exposure to agricultural
chemicals, such as herbicides and pesticides. Other health risks for farmers include
accidents with vehicles and machinery, dermatitis, dental problems, and stress and
anxiety disorders.


Alcoholics Anonymous (AA) assists a client who has an addiction to alcohol with
developing a daily recovery program.

AA is a support group that will assist a client who has an alcohol or substance use
disorder with developing a daily recovery program using a 12-step approach. AA's
primary purpose is to help the client obtain and maintain sobriety.


Review community-specific epidemiological data.

The first action the nurse should direct the task force to take when using the nursing
process is to conduct a community assessment, which includes a review of community-
specific epidemiological data. The community assessment will assist the task force in
identifying environmental health concerns within the county.

,Term 3 of 49
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?

prevalence proportion

The prevalence proportion can be calculated by using the number of people who were
affected at a given time and the total population.

"After I place this tuning fork behind your ear, tell me when you no longer hear the
sound."

This is the appropriate instruction for a Rinne test, a hearing evaluation that compares air
conduction and bone conduction of sound.

"I feel overwhelmed with not having enough time for my mom as well as my children."

Role conflict occurs when a client performs two or more roles that are in opposition of
each other. Caring for children and a parent can cause feelings of stress for the client
and lead to conflict within the family.

"I will use tap water to clean the inner cannula."

The caregiver can use tap water when performing tracheostomy care.

, Term 4 of 49
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?

Administer antiviral medications within 48 hr to clients who have manifestations of
influenza.

Tertiary prevention involves ways to reduce the complications of illness, which includes
administering antiviral medications to clients who already have influenza.

Make the hospice referral in accordance with the client's decision.

The nurse should follow the ethical principle of respect for client autonomy and make
the hospice referral for the client.

Taking outdated prescriptions

The client taking outdated prescriptions is an example of inadequate medical care and is
an indicator of possible neglect.

Turn the client to left semi-Fowler's position and begin assessing the next client.

Principles of triage indicate that clients who have extensive injuries and a low probability
of survival do not receive treatment. Therefore, the nurse should provide only comfort
measures before moving on to assess the next client.

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