ATI back of chapter questions 2,4,7,9

1. A nurse at a community clinic is conducting a well‑child visit with a preschool‑age child. The nurse should identify which of the following manifestations as a possible indication of child neglect? (Select all that apply.) A. underweight B. healing spiral fracture of the arm C. Genital irritation D. Burns on the palms of the hands E. poor hygiene

A. CORRECT: Being underweight is a possible manifestation of child neglect. E. CORRECT: poor hygiene is possible manifestation of child neglect

5. A nurse is collecting data to identify health needs in the local community. Which of the following examples should the nurse identify as secondary data? (Select all that apply.) A. Birth statistics B. Previous health survey results C. Windshield survey D. Community forum E. Health records

A. CORRECT: Birth statistics are an example of secondary data the nurse should review. B. CORRECT: Previous health survey results are an example of secondary data the nurse should review. E. CORRECT: Health records are an example of secondary data the nurse should review

5. A nurse is working with a client who has systemic lupus erythematosus and recently lost her health insurance. Which of the following actions should the nurse take in the implementation phase of the case management process? A. Coordinating services to meet the client's needs B. Comparing outcomes with original goals C. Determining the client's financial constraints D. Clarifying roles of interprofessional team members

A. CORRECT: Coordinating services to meet the client's needs is an action the nurse should take in the implementation phase of the case management process.

4. A nurse developing a community health program is determining barriers to community resource referrals. Which of the following factors should the nurse include as an example of a resource barrier?A. Costs associated with services B. Decreased motivation C. inadequate knowledge of resources D. Lack of transportation

A. CORRECT: Costs associated with services are an example of a resource barrier to community referrals.

5. A nurse at an urban community health agency is developing an education program for city leaders about homelessness. Which of the following groups should the nurse include as the fastest‑growing segment of the homeless population? A. families with children B. adolescent runaways C. intimate partner abuse survivors D. older adults.

A. CORRECT: families with children are the fasting‑growing segment of the homeless population.

4. A nurse is conducting a community assessment. Which of the following data collection methods is the nurse using when having direct conversations with individual members of the community? A. Key informant interviews B. Participant observation C. Focus groups D. Health surveys

A. CORRECT: informant interviews are direct conversations with individual community members for the purpose of obtaining ideas and opinions.

1. A nurse is preparing to conduct a windshield survey. Which of the following data should the nurse collect as a component of this assessment? (Select all that apply.) A. ethnicity of community members B. individuals who hold power within the community C. natural community boundaries D. Prevalence of disease E. Presence of public protection

A. CORRECT: the nurse should identify the ethnicity of the people visible in the community as a component of a windshield survey. C. CORRECT: the nurse should identify natural community boundaries as a component of a windshield survey. E. CORRECT: the nurse should identify the presence of public protection, such as police, fire, and animal control, as a component of a windshield survey

A nurse is planning interventions for migrant farm workers in a rural area. Which of the following should the nurse include as part of primary prevention? A. Establish food banks at locations throughout the community. B. Provide employers handouts on recognizing pesticide toxicity. C. Partners with clinics to provide onsite care for acute injuries. D. Create handouts on identifying skin cancer in multiple languages.

A. Establish food banks at locations throughout the community

1. A nurse is creating partnerships to address health needs within the community. The nurse should be aware that which of the following characteristics must exist for partnerships to be successful? (Select all that apply.) A. Being a leading partner with decision-making authority B. flexibility among partners when considering new ideas C. adherence of partners to ethical principles D. Varying goals for the different partners E. Willingness of partners to negotiate roles

B. CORRECT: flexibility must exist for a partnership to be successful. C. CORRECT: integrity must exist for a partnership to be successful. E. CORRECT: negotiation must exist for a partnership to be successful

2. A nurse is completing a needs assessment and beginning analysis of data. Which of the following actions should the nurse take first? A. Determine health patterns within collected data. B. Compile collected data into a database. C. Ensure data collection is complete. D. Identify health needs of the local community

B. CORRECT: in order to adequately and appropriately analyze collected data, the nurse must first compile collected data into a database.

A nurse is reviewing the various roles of a community health nurse. Which of the following actions is an example of a nurse functioning as a consultant? A. advocating for federal funding of local health screening programs B. updating state officials about health needs of the local community C. facilitating discussion of a client's ongoing needs with an interprofessional team D. Performing health screenings for high blood pressure at a local health fair

B. CORRECT: updating officials about community health needs is an example of a nurse functioning as a consultant. Community health nurses serve as a consultant regarding the health care needs of individuals, families, and groups within the community served.

4. A community health nurse is developing strategies to prevent or improve mental health issues in the local area. In which of the following situations is the nurse implementing a tertiary prevention strategy? A. providing support programs for new parents B. Screening a client whose partner recently died for suicide risk C. teaching a client who has schizophrenia about medication interactions D. Discussing stress reduction techniques with employees at an industrial site

C. CORRECT: teaching a client who has schizophrenia about medication interactions is a tertiary prevention strategy.

.A case management nurse at an acute care facility is conducting an initial visit with a client to identify needs prior to discharge home. After developing a working relationship with the client, the nurse is engaging in the referral process. Which of the following actions should the nurse take first? A. Monitor the client's satisfaction with the referral. B. Provide the client information to referral agencies. C. Review available resources with the client. D. Identify referrals that the client needs

D. CORRECT: identify referrals that the client needs. using the nursing process, the first action the nurse should take at this point in the referral process is to assess client needs. After gathering client data, the nurse should identify referrals that the client needs and prioritize plans. This allows the nurse and client to focus on specific needs while moving forward in the referral process

3. A nurse is planning a community health program. Which of the following actions should the nurse include as part of the evaluation plan? A. Determine availability of resources to initiate the plan. B. Gain approval for the program from local leaders. C. Establish a timeline for implementation of interventions. D. Compare program impact to similar programs.

D. CORRECT: the nurse should include a comparison of program impact to similar programs as part of the evaluation plan. This comparison assists with determining the efficiency of the program

3. A community health nurse is developing an education program on substance use disorders for a group of adolescents. Which of the following information should the nurse include when discussing nicotine and smoking? A. Smoking is the fifth‑most preventable cause of death in the United States. B. Nicotine is a central nervous system depressant. C. Withdrawal effects from smoking are minimal. D. Tolerance to nicotine develops quickly

D. CORRECT: tolerance to nicotine does develop quickly

A nurse is developing a community health education program for a group of clients who have a new diagnosis of diabetes mellitus. Which of the following learning strategies should the nurse include for clients who are auditory learning? A. Showing photographs of sites for injection. B. Provide equipment to practice hands-on skills. C. Supplying outlines for note-taking. D. Facilitating small group discussions.

D. Facilitating small group discussions.

A nurse is preparing and educational program on cultural perspective in nursing. the nurse should include that which of the following factors are influenced by an individuals culture? a. nutritional practices b. family structure c. health care interactions d. biological variations e. views about illness

a. nutritional practices b. family structures c. healthcare interactions e. views about illness

A nurse is using the I PREPARE mnemonic to assess a clients potential environment exposures. which of the following questions should the nurse ask when assessing for "A" in the mnemonic? a. what do you life to do for fun? b. what year was your resident built? c. what jobs have you had in the past? d. what industries are near where you live?

a. what do you like to do for fun?

A nurse is conducting health screenings at a statewide health fair and identifies several clients who require referral to a provider. Which of the following statements by a client indicates a barrier to accessing health care? a. "I don't drive, and my son is only available to take places in the morning." b. "I cant off during the day, and the local after-hours clinic is no longer in operation." c. "Only one doctor in my town is a designated provider by my health maintenance organization." d. "I would like to schedule an appointment with the local doctor in my town who speaks Spanish and English."

answer- b. "I cant off during the day, and the local after-hours clinic is no longer in operation."

A nurse is caring for a client who is from a different culture than himself. When beginning the cultural assessment, which of the following actions should the nurse take first? a. determine the clients perceptions of his current health status b. gather data about the clients cultural beliefs c. determine how the clients culture can affect the effectiveness of nursing actions d. gather information about previous client interactions with the health care system

b. gather data about the clients cultural beliefs

A nurse is reviewing information about the local health department to prepare for an interview. which of the following services should the nurse expect the local health department to provide? (select all that apply) a. managing the women, infants, and children program b. providing education to achieve community health goals c. coordinating directives from state personnel d.reporting communicable diseases to the CDC e. licensing of registered nurses

b. providing education to achieve community health goals c. coordinating directives from state personnel