RN Community Heath Practice 2016 B

A nurse is teaching a client who has a new diagnosis of hepatitis A how to prevent the spread of the virus. Which of the following instruction should the nurse include? o “Rinse your toothbrush with hydrogen peroxide after each use” o “Clean your bathroom fixtures with a chlorine bleach solution” o “Use shared hand towels to dry your hands after washing” o “Use condoms during sexual contact for 2 weeks” A school nurse is discussing level of prevention with a teacher. Which of the following activities should the nurse identify as primary prevention strategy? o Provide nutritional counseling for students who have diabetes o Report suspected child neglect to the proper authorities o Conduct vision and hearing screening for kindergarten enrollment o Demonstrate proper hand washing techniques A community health nurse is working to meet the health care needs of residents in a rural community. Which of the following characteristics should the nurse identify as a barrier to health care resources for this population? o Less autonomy in providing client care o Disinterest by members of the population in providing input for community health programs o Lack of cohesiveness among community members o Unavailability of outreach services A case manager is developing a discharge plan for a client who has a spinal cord injury and is in rehabilitation facility. Which of the following actions should the nurse take first? o Hold a care conference with the client and his family to discuss treatment options o Contact service providers to determine the availability of services offered o Determine the clients ability to perform self­care o Evaluate the clients satisfaction with the case managers service A community health nurse is working in a mobile health care clinic. Which of the following clients should the nurse assess first? o A client who requires removal of sutures from a laceration o A client who has a temperature of 37.80C (100.10F) o A client who has COPD and an oxygen saturation of 92% o A client who has a new onset of confusion and slurred speech A home health nurse is planning care for the day. Which of the following clients should the nurse visit first? o An older adult client who was treated in the emergency department last night for a stage III pressure ulcer o A school age child who was treated in the emergency department last night with status ashmaticus o An older adult client who has a newly prescribed antihypertensive medication and needs a BP check o A school age child whose percutaneous endoscopic gastrostomy (PEG) tube needs changing A public health nurse is working in a community that has a population of 24,096. There are 2,096 existing cases of heart disease within the population. The nurse can determine which of the following from this information? o Mortality rare o Attack rate o Prevalence proportion