1
NR442 - Community Health Practice
Exam A (50 Items)
1. A community health nurse is planning a presentation for adults
who have a family history of Alzheimer's disease. Which of the
following behaviors should the nurse include as an early
manifestation of Alzheimer's disease
a. Withdrawal from social activities
b. Forgetting the location of common object
c. Experiencing incontinence
d. Neglecting personal hygiene
Rationale: Forgetting the location of common objects is an early
manifestation of Alzheimer's disease.
2. A community health nurse identifies an increase in the
occurrence of osteoporosis-related fractures in women
experiencing menopause. Which of the following primary
prevention strategies should the nurse implement?
a. Advise the women to keep their immunizations updated.
b. Encourage the women to participate in weight-
bearing activities.
c. Educate the women about the importance of limiting sun
exposure.
pg. 1
, 2
d. Instruct at-risk women to increase their intake of foods high
in vitamin E.
Rationale: Weight-bearing exercises, such as weight lifting,
walking, and running, have been found to be beneficial in
preventing osteoporosis.
3. A nurse is caring for a client who has terminal lung cancer and
is receiving hospice care. Which of the following statements
should the nurse identify as an indication that the client is in the
denial stage of the grief process?
a. "I'm looking forward to my daughter's wedding next year."
b. "I don't deserve to die. This just isn't fair."
c. "If I could just make it through this, I'd never smoke
again."
d. "I'm going to plan my memorial service next week."
Rationale: During the denial stage of the grief process, the client
rejects the reality of the impending loss.
4. A home care nurse is visiting an older adult and notes that
unwashed dishes are piled up and newspapers cover the front
steps. Which of the following questions should the nurse to ask
the client to determine if he is socially isolated?
pg. 2
, 3
a. "Why haven't you brought in your newspapers?"
b. "Do you need help completing your housework?”
c. "How often do you have visitors come to see you?"
d. "Have you considered moving to an assisted living
facility?"
Rationale: "How often do you have visitors come to see you?" MY
ANSWER The nurse should
pg. 3
, 4
ask this question because it addresses the issue of social isolation
by determining the frequency of contact between the client and
others.
5. A community health nurse is discussing the role of a faith
community nurse with a chaplain. Which of the following
information should the nurse include in the discussion?
a. The faith community nurse can provide pharmacologic
pain management for clients who have a terminal illness.
b. The faith community nurse can plan safety training for
employees in a local factory.
c. The faith community nurse can provide wound care for
clients in their homes.
d. The faith community nurse can facilitate
substance abuse support groups. Rationale: This is one of
the roles of a faith community nurse.
6. A nurse is conducting a home visit for an older adult client. The
nurse should identify which of the following findings as an
indicator of possible neglect?
a. Lives alone
b. Taking outdated prescriptions
c. Has a BMI of 25
d. Presence of alcohol in the home
pg. 4
NR442 - Community Health Practice
Exam A (50 Items)
1. A community health nurse is planning a presentation for adults
who have a family history of Alzheimer's disease. Which of the
following behaviors should the nurse include as an early
manifestation of Alzheimer's disease
a. Withdrawal from social activities
b. Forgetting the location of common object
c. Experiencing incontinence
d. Neglecting personal hygiene
Rationale: Forgetting the location of common objects is an early
manifestation of Alzheimer's disease.
2. A community health nurse identifies an increase in the
occurrence of osteoporosis-related fractures in women
experiencing menopause. Which of the following primary
prevention strategies should the nurse implement?
a. Advise the women to keep their immunizations updated.
b. Encourage the women to participate in weight-
bearing activities.
c. Educate the women about the importance of limiting sun
exposure.
pg. 1
, 2
d. Instruct at-risk women to increase their intake of foods high
in vitamin E.
Rationale: Weight-bearing exercises, such as weight lifting,
walking, and running, have been found to be beneficial in
preventing osteoporosis.
3. A nurse is caring for a client who has terminal lung cancer and
is receiving hospice care. Which of the following statements
should the nurse identify as an indication that the client is in the
denial stage of the grief process?
a. "I'm looking forward to my daughter's wedding next year."
b. "I don't deserve to die. This just isn't fair."
c. "If I could just make it through this, I'd never smoke
again."
d. "I'm going to plan my memorial service next week."
Rationale: During the denial stage of the grief process, the client
rejects the reality of the impending loss.
4. A home care nurse is visiting an older adult and notes that
unwashed dishes are piled up and newspapers cover the front
steps. Which of the following questions should the nurse to ask
the client to determine if he is socially isolated?
pg. 2
, 3
a. "Why haven't you brought in your newspapers?"
b. "Do you need help completing your housework?”
c. "How often do you have visitors come to see you?"
d. "Have you considered moving to an assisted living
facility?"
Rationale: "How often do you have visitors come to see you?" MY
ANSWER The nurse should
pg. 3
, 4
ask this question because it addresses the issue of social isolation
by determining the frequency of contact between the client and
others.
5. A community health nurse is discussing the role of a faith
community nurse with a chaplain. Which of the following
information should the nurse include in the discussion?
a. The faith community nurse can provide pharmacologic
pain management for clients who have a terminal illness.
b. The faith community nurse can plan safety training for
employees in a local factory.
c. The faith community nurse can provide wound care for
clients in their homes.
d. The faith community nurse can facilitate
substance abuse support groups. Rationale: This is one of
the roles of a faith community nurse.
6. A nurse is conducting a home visit for an older adult client. The
nurse should identify which of the following findings as an
indicator of possible neglect?
a. Lives alone
b. Taking outdated prescriptions
c. Has a BMI of 25
d. Presence of alcohol in the home
pg. 4
