EVOLVE HESI RN Community Health Practice Quiz

1. The nurse is preparing to discharge an elderly, recently widowed female client following a mild stroke. At this time she is able to walk with the aid of a walker. As part of the discharge planning, what referral is most important for the nurse to make? Pastoral care. Meals-on-Wheels. Grief support group. Physical therapy. 2. The nurse is teaching a community group about risks of cardiovascular disease. Several clients ask the nurse to determine their risk. Which client should the nurse identify as having the greatest risk for cardiovascular disease? A male with a serum cholesterol level of 199 mg/dl. A female with a serum cholesterol level of 201 mg/dl. A male with a low-density lipoprotein (LDL) level of 200 mg/dl. A female with a low-density-lipoprotein (LDL) level of 160 mg/dl. 3. Which topic should the nurse include in planning a primary prevention class for adolescents? Risk factors for heart disease. Dietary management of obesity. Suicide risks and prevention. Coping with stressful situations. 4. After accepting the position of school nurse in an public elementary school, what strategy is best for the nurse to use to obtain an overview understanding of the student body? Review all of the health records of the students presently registered for classes. Talk with the current officers of the parent-teacher association. Send home a survey form to parents of third grade students. Conduct a windshield survey of the geographic areas served by the school. 5. A young woman tells the public health nurse that a friend was recently diagnosed with Hepatitis B and she is concerned about getting the disease. During the assessment interview, which question is most important for the nurse to ask this woman? "Did you drink after or use any utensils that your friend used?" "Have you noticed any yellowish tinge to the whites of your eyes?" "Have you shared any needles or had sex with your friend?" "How long ago was your friend diagnosed with Hepatitis B?" 6. Which example should the nurse identify as a significant outcome for the Leading Health Indicators of Healthy People 2020? A community has adopted a no smoking policy. A rural community has a public transportation system. The high school drop out rate has decreased by 15%. A county has decreased their divorce rate by 10%. 7. The nurse administers a booster dose of DTaP (diphtheria, tetanus, and pertussis) vaccine to an infant. Which level of prevention is the nurse implementing? Primary prevention. Tertiary prevention. Secondary prevention. Primary nursing. 8. The nurse is planning a community-based project to reduce obesity in a school-aged population. Which outcome statement best supports the goal for this population? Increase in exercise will decrease obesity in children with a sedentary life style. Students with a body mass index above the 95 percentile will decrease. Within 2 years, students with a body mass index greater than 95% will be reduced by 50%. In the target population, 30% of students will be below the 95 percentile in weight. 9. The home health nurse is admitting a client with Parkinson's disease to the home healthcare service. In planning care for this client, which nursing diagnosis has priority? Impaired physical mobility related to muscle rigidity and weakness. Ineffective coping related to depression and dysfunction due to disease progression. Ineffective breathing pattern related to respiratory muscle weakness. Fear related to constant possibility of experiencing seizures. 10. An occupational health nurse is reviewing a 20-year-old trend in the United States that has resulted in an increase in certain medical conditions due to the rapid expansion of an urban industrial workforce. Which medical conditions are specifically identified with this trend? (Select all that apply.) Asthma. Alcoholism. Lung cancer. Lead poisoning. West Nile virus infection. Hepatitis B virus infection. 11. The nursing education coordinator is creating employee orientation materials for staff nurses who plan to work at a clinic that serves a lower socioeconomic neighborhood. What information should the educator include regarding the clinic's client population? (Select all that apply.) Most of the clients are unemployed or disabled. Access to mass transit may be an issue. Clients will need reminders to bring insurance cards. Basic physiologic needs of this population are often unmet. Clients who are homebound will qualify for Medicaid. Nonadherence to healthcare recommendations is likely. 12. The nurse is assessing a Vietnamese child during a home health visit and identifies round swellings on the child's back. The child's mother says she rubbed the edge of a coin on her child's oiled skin. The nurse should recognize that this behavior is prompted by which cultural belief? The child's behavior was not acceptable. The purpose is to rid the body of disease. This method is commonly used for discipline. Temper tantrums are commonly managed using this method. 13. Lillian Wald was a significant person in the history of American nursing. Which contributions can be attributed to her? (Select all that apply.) Development of public health nursing practice. First nursing service for occupational health. Campaigned for laws to require registration for nurses. Established committee that was the forerunner of the NLN. Instituted a sliding scale fee for service. 14. A terrorist attack has occurred and several people have inhaled Ricin. Which intervention should the emergency department nurse implement when caring for these clients? Administer the antibiotic streptomycin, IV STAT. Provide all clients with the Ricin antidote. Implement strict respiratory isolation immediately. Provide supportive nursing care until antitoxin is available. 15. Which intervention should the public health nurse implement when attempting to address one of the leading health indicators of Healthy People 2020? Lead a weekly water aerobics class for the elderly at a community center. Teach a class on cultural awareness to nursing students at the university. Design and implement a no smoking campaign at the local high school. Write a grant to help provide glucometers to individuals who cannot afford one. SubmitSave Answers