Answers
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?
Taking outdated prescriptions
The client taking outdated prescriptions is an example of inadequate medical care and is an
indicator of possible neglect.
A nurse is collecting demographic data as a part of a community assessment. Which of the
following information should the nurse include?
Racial distribution
Racial distribution is part of demographic data. Other types of demographic data include marital
information, population density, and death and birth rates.
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?
Forgetting the location of common objects
Forgetting the location of common objects is an early manifestation of Alzheimer's disease.
A community health nurse is creating a program to reduce violence in the community. Which of
the following interventions should the nurse identify as secondary prevention?
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.
A community health nurse is planning an educational program for farmers about occupational
health risks. Which of the following risks should the nurse include?
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.
A community health nurse is made aware that several children, who are from the same family
and did not receive immunizations, have contracted measles. Which of the following actions
should the nurse take?
Report this information to the state health department.
The CDC lists measles as a nationally notifiable disease. Requirements for reporting diseases are
state mandated, rather than federally mandated. Therefore, the nurse should report this
occurrence to the state health department, which then determines if it will report to the CDC.
A public health nurse is providing information to a client who has alcohol use disorder and is
asking about treatment. Which of the following statements should the nurse identify as an
indication that the client understands the information?
"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.
A nurse is caring for a client who has a positive gonorrhea culture. Which of the following
actions should the nurse take?
, Instruct the client that recent sexual partners will need to be treated.
The nurse should instruct the client that sexual partners from the past 60 days should be
referred for evaluation and treatment of gonorrhea.
A community health nurse is participating in a quality improvement plan for a local health
department. Which of the following techniques should the nurse use for process evaluation of
the facility?
Select all that apply.
Focus groups
Written audits
Satisfaction survey
Interviews
Values self-study
Focus groups is correct. The nurse should include focus groups, which are small groups of
individuals who use the health department services, for process evaluation of the facility. This
information allows for review of the facility's strengths and weaknesses in the quality of client
care delivery.
Written audits is correct. The nurse should include written audits, which are written evaluations
of the quality of care provided by the health department, for process evaluation of the facility.
This information allows for review of the facility's strengths and weaknesses in the quality of
client care delivery.
Satisfaction survey is correct. The nurse should include satisfaction surveys, which are
assessments of clients' perception of their care made via telephone or written questionnaires,
for process evaluation of the facility.