NR 442 Community Health Practice Exam A
(50 Items)
1. A community health nurse is planning a presentation for adults who have a family
history ofAlzheimer'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'sdisease.
2. A community health nurse identifies an increase in the occurrence of osteoporosis-
relatedfractures 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.
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
beenfound 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 inthe 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
theimpending loss.
4. A home care nurse is visiting an older adult and notes that unwashed dishes are piled
up andnewspapers cover the front steps. Which of the following questions should the
nurse to ask the client to determine if he is socially isolated?
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
, ask this question because it addresses the issue of social isolation by determining the
frequencyof 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
clientswho 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 community health nurse is conducting a needs assessment of a community. The
nurseshould identify that which of the following methods will yield direct data?
a. Health surveys
b. Medical records
c. Informant interviews
d. Morbidity/mortality statistics
Rationale: The nurse should identify that informant interviews of the community's
leaders willprovide direct data. This information can help the nurse identify services
needed by the community.
7. A nurse is providing education regarding lead exposure to a group of clients who
live in ahousing development built in 1968. Which of the following client
statements indicates an understanding of the teaching?
a. "I will use a dry-sanding technique when preparing to repaint my front door."
b. "I will vacuum our wood floors every week."
c. "I will increase the amount of red meat and milk in my child's diet."
d. "I will use hot tap water to prepare my baby's formula."
Rationale: Children should receive adequate amounts of iron and calcium in
their diets toprevent lead absorption from their environment.
(50 Items)
1. A community health nurse is planning a presentation for adults who have a family
history ofAlzheimer'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'sdisease.
2. A community health nurse identifies an increase in the occurrence of osteoporosis-
relatedfractures 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.
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
beenfound 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 inthe 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
theimpending loss.
4. A home care nurse is visiting an older adult and notes that unwashed dishes are piled
up andnewspapers cover the front steps. Which of the following questions should the
nurse to ask the client to determine if he is socially isolated?
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
, ask this question because it addresses the issue of social isolation by determining the
frequencyof 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
clientswho 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 community health nurse is conducting a needs assessment of a community. The
nurseshould identify that which of the following methods will yield direct data?
a. Health surveys
b. Medical records
c. Informant interviews
d. Morbidity/mortality statistics
Rationale: The nurse should identify that informant interviews of the community's
leaders willprovide direct data. This information can help the nurse identify services
needed by the community.
7. A nurse is providing education regarding lead exposure to a group of clients who
live in ahousing development built in 1968. Which of the following client
statements indicates an understanding of the teaching?
a. "I will use a dry-sanding technique when preparing to repaint my front door."
b. "I will vacuum our wood floors every week."
c. "I will increase the amount of red meat and milk in my child's diet."
d. "I will use hot tap water to prepare my baby's formula."
Rationale: Children should receive adequate amounts of iron and calcium in
their diets toprevent lead absorption from their environment.
