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A case manager at a home health agency is obtaining equipment for a client's home
use. Which of the following actions is a violation of client confidentiality?
- The case manager used a computer at the agency with an automatic sign-off
mechanism
- The case manager left a clipboard with the client's prescription information face
up on the office desk
- The case manager sent a fax to the equipment company on a machine using
programmed speed dial
- The case manager shared the client's name with the equipment company
- answer-The case manager left a clipboard with the client's prescription
information face up on the office desk
A case manager is planning an education program for a client who has diabetes
mellitus. Which of the following activities should the nurse include when using the
psychomotor domain of learning.
- Review a color diagram of the food pyramid with the client
- Show the client a video about hos to monitor blood glucose levels
- Encourage the client to discuss their feelings about self-worth
- Observe the client's technique for drawing up insulin
- answer-Observe the client's technique for drawing up insulin
A community health nurse identifies an increase in the occurrence of osteoporosis-
related fractures in female clients who are experiencing menopause. Which of the
following primary prevention strategies should the nurse implement?
- Advise the clients to avoid live-virus vaccines
,- Encourage the clients to participate in weight bearing activities
- Educate the clients about the importance of avoiding sun exposure
- Instruct at-risk clients to increase their intake of foods high in vitamin E
- answer-Encourage the clients to participate in weight bearing activities
A community health nurse is approached by a member of the community who
voices concerns about air pollution. Which of the following statements by the
nurse indicates the nurse needs further education regarding confidentiality?
- "Records indicate that several pesticides have been entering the local streams,
causing significant water pollution."
- "According to the latest research, the infant mortality ratio is 6.7 per 1,000 live
births in this community."
- Residents near Cherry Street Substation have a mortality rate of 29.6% from
brain tumors compared to the citywide rate of 9.2%"
- "The circulation supervisor at the library is concerned about the amount of air
pollution coming from the town's industrial corridor."
- answer-"The circulation supervisor at the library is concerned about the amount
of air pollution coming from the town's industrial corridor."
A community health nurse is caring for an adolescent who is seeking help for an
unplanned pregnancy. Which of the following actions should the nurse first take?
- Recommend the adolescent meet with the school guidance counselor to discuss
educational options
- Help the adolescent obtain a provider for prenatal care
- Educate the adolescent about contraceptive to prevent future unplanned
pregnancies
- Provide information on parenting classes so the adolescent can learn about caring
for a newborn
- answer-Help the adolescent obtain a provider for prenatal care
, A community health nurse is caring for clients who have difficulty adhering to
their plan of care because of lack of access to providers. The nurse and providers in
the community implement a telehealth program to improve the client's access to
care.
Client 1 - Monthly telephone consults with dietician. Insurance stopped covering
visits
Client 2 - The client will have weekly video consultations with dietician to discuss
their food diary. Unreliable internet connection which prevents them from meeting
with the dietician weekly.
Client 3 - The client will follow up with a dietician in a community-based
telehealth program that is free to participants. ESL - no interpreter available when
they call for a telehealth consultation
Client 4 - Client will have monthly consults with a pharmacist through electronic
health portal to obtain assistance with instructions. Education materials are above
their reading level
Client
- answer-Clients 1,2,3 and 4
A community health nurse is conducting a vision screening at a health fair for an
older client who has age related macular degeneration. Which of the following
statements should the nurse identify as an indication that the client is adapting to
changes?
- "I have a prescription bottle magnifier to help me read my pill bottle labels."
- "I canceled all of my magazine subscriptions since I can't read them."
- "I purchased green towels to use in my bathroom."
- "I have learned that I cannot go outside when the sun is bright."
- answer-"I have a prescription bottle magnifier to help me read my pill bottle
labels."