ATI RN Community Health Online Practice 2016 B
1. A public health nurse is developing a visual health program by using a
community-oriented approach. Which of the following interventions should the
nurse include?
Teach a client who has vision loss about safety in the home environment.
Provide genetic counseling to the family of a newborn who has congenital
cataracts. Consult with the local school nurse to schedule yearly vision
screenings for students- Develop a plan of care for a client who was newly
diagnosed with glaucoma.
Consulting with the local school nurse to schedule yearly vision screenings for
students focuses on the health care of a population rather than illness care for
individuals. Therefore, this intervention Is using a community-oriented approach. The
other answers options are community based approach.
2. A home health nurse is caring for a client who has a breast cancer. Which of the
following assessment findings should the nurse identify as an indication that the
client is coping effectively? Inability to concentrate
Makes eye contact
Excessive sleeping
Lack of interest in
food
3. A community health nurse is teaching a client who was newly diagnosed with
active pulmonary tuberculosis about disease transmission. Which of the following
information should the nurse include?
Household members should be places in respiratory
isolation. The client should use disposable utensils
during meals.
Household members should take isoniazid for 6-12 months
The client should have a repeat purified protein derivative test in 3 months.
Resp. isolation is not necessary for household memebers of a client who has active
pulmonary tuberculosis.
IT is not necessary for a client who has active pulmonary TB to use disposable utensils
during meals in the home setting.
Household memebers of a client who has active pulmonary TB are at risk for
developing the disease. Therefore, taking isoniazid prophylactically for 6-12 months is
recommended.
A client who has active pulmonary tuberculosis should receive a chest x ray for future
screenings.
4. 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?
Hold a care conference w/ the client and his family to discuss tx
options. Contact service providers to determine the availability
of services offered. Determine the client's ability to perform
self-care
Evaluate the client satisfaction with the case managers services.
First two options are implementation step of the nursing process. The 3rd options is to
, assess the client needs. Evaluate option is the evaluation step of the nursing process.
5. A community health nurse is working in a mobile health care clinic. Which of the
following clients should the nurse assess first?
A client who has a new onset of confusion and slurred speech
6. A public health nurse is developing a presentation for local day care providers
about infectious childhood diseases. Which of the following statements should the
nurse include?
, "RSV is spread through contact with respiratory secretions from an
infected person." “rotavirus infections in children peal during the summer
months.”
“Children who have 5th disease will exhibit bloody
diarrhea.” Antiviral medications shorten the duration of
a shigella infection.”
The nurse should include this statement in the presentation, as RSV is spread
by direct contact w/ respiratory secretions while within 3 feet of a person who
is infected. Manifestations of RSV include dyspnea, tachypnea, coughing, and
wheezing.
Rotavirus infection in children peak during winter months of the year.
Manifestations of rotavirus include fever and vomiting followed by watery
diarrhea.
The clinical manifestation of 5th disease (erythema infectiosum) do not inclue
bloody diarrhea. Clinical manifestations include rash that gives the client a
slapped-faced appearance that progresses from the face down to the body.
Other manifestations include fever, myalgia, N/V, and lethargy.
Antibiotics shorten the length of a shigella infection and decrease mortality
rates. Manifestation of shigella include fever and anorexia followed by watery
or bloody diarrhea.
7. A nurse in a rural community is planning education for a young adult client who is a
migrant farm worker. Which of the following actions should the nurse include?
(Select all that apply)
- Provide environmental health
- Refer client for TB screening
- Provide skin cancer information
- Recommend a dental health screening
-Provide forms to apply for medicare
Medicare are individuals must meet age requirement or be permanently
disabled.
Migrant FW are at risk exposure to pesticides and other hazardous materials
that could be harmful. Thereofre should include environmental health
information in the client’s education.
Rate of TB are estimated higher amoing migrant workers due to crowded
living conditions and substandard housing. Therefore, the nurse should
include a tuberculosis screening in the clients education.
Dental problems are primary health risk for migrant FW.
8. 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?
Mortality
rate attack
rate
Prevalence
proportion
1. A public health nurse is developing a visual health program by using a
community-oriented approach. Which of the following interventions should the
nurse include?
Teach a client who has vision loss about safety in the home environment.
Provide genetic counseling to the family of a newborn who has congenital
cataracts. Consult with the local school nurse to schedule yearly vision
screenings for students- Develop a plan of care for a client who was newly
diagnosed with glaucoma.
Consulting with the local school nurse to schedule yearly vision screenings for
students focuses on the health care of a population rather than illness care for
individuals. Therefore, this intervention Is using a community-oriented approach. The
other answers options are community based approach.
2. A home health nurse is caring for a client who has a breast cancer. Which of the
following assessment findings should the nurse identify as an indication that the
client is coping effectively? Inability to concentrate
Makes eye contact
Excessive sleeping
Lack of interest in
food
3. A community health nurse is teaching a client who was newly diagnosed with
active pulmonary tuberculosis about disease transmission. Which of the following
information should the nurse include?
Household members should be places in respiratory
isolation. The client should use disposable utensils
during meals.
Household members should take isoniazid for 6-12 months
The client should have a repeat purified protein derivative test in 3 months.
Resp. isolation is not necessary for household memebers of a client who has active
pulmonary tuberculosis.
IT is not necessary for a client who has active pulmonary TB to use disposable utensils
during meals in the home setting.
Household memebers of a client who has active pulmonary TB are at risk for
developing the disease. Therefore, taking isoniazid prophylactically for 6-12 months is
recommended.
A client who has active pulmonary tuberculosis should receive a chest x ray for future
screenings.
4. 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?
Hold a care conference w/ the client and his family to discuss tx
options. Contact service providers to determine the availability
of services offered. Determine the client's ability to perform
self-care
Evaluate the client satisfaction with the case managers services.
First two options are implementation step of the nursing process. The 3rd options is to
, assess the client needs. Evaluate option is the evaluation step of the nursing process.
5. A community health nurse is working in a mobile health care clinic. Which of the
following clients should the nurse assess first?
A client who has a new onset of confusion and slurred speech
6. A public health nurse is developing a presentation for local day care providers
about infectious childhood diseases. Which of the following statements should the
nurse include?
, "RSV is spread through contact with respiratory secretions from an
infected person." “rotavirus infections in children peal during the summer
months.”
“Children who have 5th disease will exhibit bloody
diarrhea.” Antiviral medications shorten the duration of
a shigella infection.”
The nurse should include this statement in the presentation, as RSV is spread
by direct contact w/ respiratory secretions while within 3 feet of a person who
is infected. Manifestations of RSV include dyspnea, tachypnea, coughing, and
wheezing.
Rotavirus infection in children peak during winter months of the year.
Manifestations of rotavirus include fever and vomiting followed by watery
diarrhea.
The clinical manifestation of 5th disease (erythema infectiosum) do not inclue
bloody diarrhea. Clinical manifestations include rash that gives the client a
slapped-faced appearance that progresses from the face down to the body.
Other manifestations include fever, myalgia, N/V, and lethargy.
Antibiotics shorten the length of a shigella infection and decrease mortality
rates. Manifestation of shigella include fever and anorexia followed by watery
or bloody diarrhea.
7. A nurse in a rural community is planning education for a young adult client who is a
migrant farm worker. Which of the following actions should the nurse include?
(Select all that apply)
- Provide environmental health
- Refer client for TB screening
- Provide skin cancer information
- Recommend a dental health screening
-Provide forms to apply for medicare
Medicare are individuals must meet age requirement or be permanently
disabled.
Migrant FW are at risk exposure to pesticides and other hazardous materials
that could be harmful. Thereofre should include environmental health
information in the client’s education.
Rate of TB are estimated higher amoing migrant workers due to crowded
living conditions and substandard housing. Therefore, the nurse should
include a tuberculosis screening in the clients education.
Dental problems are primary health risk for migrant FW.
8. 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?
Mortality
rate attack
rate
Prevalence
proportion
