ATI COMMUNITY HEALTH 2022 PROCTORED EXAM-STUDY GUIDE

A school nurse is educating a group of high school student about recommended dietary guidelines. Which of the following statements by a student indicates an understanding of the teaching? A.) "I can consume up to 25% of my daily calories from saturate fatty acids. B.) "I should consume less than 300mg / day of dietary cholesterol. C.) "I can increase my daily consumption of foods that contain refined grains." D.) "I should consume 800mg / day of dietary calcium." High levels of cholesterol put people at risk for CVD. A nurse in an emergency department is caring for a client who is homeless and has hypothermia. Which of the following actions should the nurse take? A.) Notify the local lay enforcement agency of the client's situation B.) initiate a referral to the facility's social worker. C.) Ask the client why he did not seek shelter sooner. D.) Tell the client everything will work out now that he is in the hospital. The social worker can assist with finding housing. 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 in the 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." During denial stage the client rejects the reality of their impending death. A nurse is providing education regarding lead exposure to a group of clients who live in a housing 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." Adequate iron and calcium in a diet prevents lead absorption from the environment A school nurse is notified that a school-age child has been newly diagnosed with pertussis. Which of the following actions should the school nurse take? (Select all that apply.) A.) Instruct the parent to keep the child at home until the coughing stage has passed B.) Encourage family members to obtain prophylactic treatment C.) Quarantine the children in the child's class D.) Recommend that the child receive a pneumococcal vaccine in 28 days. E.) Check the immunization status of the child's classmates. A nurse is developing a community education program about risk factors for family violence. The nurse should include which of the following circumstances as a risk factor for intimate partner abuse? A.) Attempting to end the relationship B.) Lacking supportive friends outside the relationship C.) Having health issues that limit independence D.) Taking antianxiety or sedative medications Clients in a relationship with a potential or actual abuser heighten their risk for intimate partner abuse when they attempt to leave the relationship. A nurse is caring for a client who has stage IV pancreatic cancer and has received information regarding available treatment options. Which of the following is the responsibility of the nurse if the client chooses to forgo treatment and enter hospice care? A.) Make the hospice referral in accordance with the client's decision B.) Verify that the client's health insurance pays for hospice services C.) Recommend a second opinion from another provider D.) Assess whether or not the family agrees with the client's decision Follow the ethical principle of autonomy and make the hospice referral for the client. A home health nurse is providing nutritional instructions to a client who has COPD and is malnourished. Which of the following instructions should the nurse include? A.) Drink at least 450mL (16oz) of liquid with each meal B.) Avoid foods that contain eggs C.) Lie flat for 15 to 30 mins after eating D.) Use milk instead of water when making canned soup Use milk when preparing canned soup to increase intake of protein and calories. A nurse is giving a presentation about family violence at a local community center. Which of the following information should the nurse include? A.) Minority populations may be at greater risk for abuse. B.) Intimate partner abuse occurs more frequently in lower socioeconomic households C.) Child abuse is more common in homes where intimate partner abuse is present D.) Children who are abused are less likely to become abusers A community health nurse is creating a program to reduce domestic violence in the community. Which of the following interventions should the nurse identify as secondary prevention? A.) Creating a public service announcement about the warning signs of intimate partner abuse B.) Recognizing and reporting suspected abuse to the appropriate protective services C.) Collaborating with support agencies to ensure the ongoing treatment for abuse D.) Educating individuals and groups about preventing domestic and community abuse Secondary prevention is an intervention that focuses on early detection of a problem already occurring to facilitate diagnosis and treatment, to help prevent further abuse. A nurse is planning health promotion activities for the local community. Which of the following activities should the nurse include as an example of primary prevention? A.) Teaching foot care to adults who have diabetes mellitus B.) Testing school-age children for lead exposure C.) Providing tuberculosis screenings for day care providers D.) Teaching meal planning classes to older adults D is primary or preventative. A is tertiary (after diagnosis)B & C are secondary prevention. A nurse is preparing to administer medication to a client who has active tuberculosis. Which of the following precautionary measures should the nurse take? A.) Wear gloves B.) Wear a gown C.) Use disposable equipment D.) Use an N95 respiratory Active TB requires airborne precautions, droplets smaller than 5 microns. The nurse should wear an N95 respiratory when administering medication to prevent transmission of the infection. A nurse is caring for a 16-year-old client who has a new diagnosis of human papillomavirus. Which of the following actions should the nurse take? A.) Report the infection to the state health department B.) Instruct the client to return for a blood test in 1 month. C.) Administer ceftriaxone 250mg IM. D.) Teach the client how to apply imiquimod 5% cream to the lesions. The client can self-treat the lesions using topical imiquimod 5% cream at bedtime for up to 16 weeks. A nurse is caring for a client who has recently emigrated from another country and states, "The health care system in my country was better and should be used everywhere." The nurse should recognize that the client is demonstrating which of the following behaviors? A.) Social organization B.) Cultural imposition C.) Ethnocentrism D.) Stereotyping Ethnocentrism occurs when people view the world from the perspective of their own cultural background and viewpoint. .................................................................................................CONTINUE