NUR206 Community nursing concepts

Exam 2: NUR206 (Latest 2024/ 2025 Update) Community Nursing Concepts Exam | Questions and correct Answers 100% A 12-year-old female is seen by the school nurse after recently experiencing increasing difficulty sitting and paying attention in class, and increasingly illegible handwriting. The nurse observes that the child has protruding eyeballs and a staring expression. What action should the nurse take next? a. Refer the child for psychologic evaluation due to attention deficit disorder. b. Call the child's parents to schedule the child for an immediate medical exam. c. Gather additional data by taking a health history and measuring vital signs d. Collaborate with the teacher to place the child on a behavior modification program. - c. Gather additional data by taking a health history and measuring vital signs A 17-year old unmarried, pregnant client with drug addiction is a high school dropout, homeless, and has a history of past abuse arrives at the clinic for her first prenatal visit. Which findings should the nurse document as health risk factors for the client? (Select all that apply) a. age b. school dropout. c. drug addiction d. history of abuse e. pregnancy f. homelessness g. unmarried - a. age c. drug addiction d. history of abuse e. pregnancy f. homelessness A 93-year-old client with a number of co-morbidities is assessed by the home health nurse. What problem is most important for the nurse to investigate further? a. Social isolation b. Medication interactions c. Urinary incontinences d. Caregiver stress - b. Medication interactions A client is admitted to the emergency department with flu-like symptoms. Which intervention should the nurse to obtain to rule out exposure to anthrax-spores? a. Determine the client's occupation b. Inquire about previous vaccination for smallpox. c. Obtain a twenty-four diet history d. Identify the client's personal contacts over the past week - a. Determine the client's occupation A client presents at a community-based clinic with complaints of shortness of breath, headache, dizziness, and nausea. During the assessment, the nurse learns that the client is a migrant worker who often uses a gasoline-powered pressure washer to clean equipment and farm buildings. Which type of poisoning is the most likely etiology of this client's symptoms? a. Asbestos. b. Silica dust. c. Histoplasmosis. d. Carbon monoxide - d. Carbon monoxide A college student asks the nurse in the Campus Student Health Center about obtaining medication for motion sickness before a scuba diving trip. What instruction should the nurse give the student regarding the use of prescription-strength scopolamine (Transderm-V)? a. Take the oral preparation 30 minutes before diving. b. Apply the skin patch behind the ear 12 hours before your trip. c. Use the medication at the first feeling of nausea on the boat. d. Apply a new skin patch every 6 hours to the chest or abdomen. - b. Apply the skin patch behind the ear 12 hours before your trip. A community group proposes building a new well-child clinic because this year's demographics reflect that a large percentage of the population is less than 19 years of age. Which question indicates that the nurse understands the potential gaps in these data? a. What is the distribution of males to females within this population? b. What percentage of the population was under 19 years of age in each of the 5 previous years? c. How will the large percentage of under 19-year-olds affect the community's dependency ration? d. How can the income level of the families within the community be determined? - b. What percentage of the population was under 19 years of age in each of the 5 previous years? A community health nurse is planning to implement an outreach program for a community group. Which criteria should the nurse clarify about the program when examining sources for funding? a. focuses on multiple health problems and concerns b. identifies populations and individuals in need of healthcare services c. evaluations variations in health services and health status among populations d. offers healthcare services to community members in local factories, schools, and churches - d. offers healthcare services to community members in local factories, schools, and churches A female adult walks into a local community health clinic and tells the nurse that she is homeless and cannot seem to find help. Which statement indicates to the nurse that a client is feeling separated from society and helpless? a. "I'm feeling really isolated from everyone and scared." b. "I feel like I cannot get enough food to live any longer." c. "I know that I will always be poor so what's the use of trying?" d. "People like me are never respected, no matter how well we do." - a. "I'm feeling really isolated from everyone and scared." A Hispanic mother insists on using special candles to treat her child's ear infection. The nurse should demonstrate cultural accommodation by making which request? a. Use the prescribed antibiotics and if there is no improvement, use the candles b. Give the prescribed antibiotics in addition to using the candles. c. Do not use the candles because of the risk of fire and subsequent burns to the child. d. Provide the prescribed antibiotics instead of using the candles - b. Give the prescribed antibiotics in addition to using the candles. A home health nurse is reviewing the laboratory results for several clients with a history of heart failure (HF). Which client finding should the nurse report to the healthcare provider immediately? a. Total cholesterol 190 mg/dl. b. B-type natriuretic peptide 550 pg/ml. c. Glycosylated Hemoglobin of 7% d. Potassium 3.7 mEq/L - b. B-type natriuretic peptide 550 pg/ml. A home health nurse knows that a 70-year-old male client who is convalescing at home following a hip replacement, is at risk for developing decubitus ulcers. Which physical characteristic of aging contributes to such a risk? a. 16% increase in overall body fat. b. Reduced melanin production. c. Thinning of the skin with loss of elasticity. d. Calcium loss in the bones. - c. Thinning of the skin with loss of elasticity. A homeless client with alcohol dependency will be dismissed from the emergency department in 24 hours. The nurse notes that a tuberculin skin test was prescribed by the healthcare provider. What intervention is most important for the nurse to implement prior to discharge? a. Identify how the client will follow-up to have the results read. b. Give the client written information about the tuberculosis test c. Determine if the client understands the purpose of the tuberculin test d. Explain to the client results should be read between 48 and 72 hours - a. Identify how the client will follow-up to have the results read.