CHQ2

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

"As a nurse, I am required by law to report suspected child abuse."

A nurse is teaching a client who has a new prescription for disulfiram. Which of the following information should the nurse include in the teaching

"Do not drink alcohol while taking this medication."

A nurse is caring for a client who has schizophrenia. Which of the following statements by the client indicates understanding of a relapse prevention plan?

"I know which of my hallucinations trigger a relapse."

A nurse is discussing the manifestations of alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicates understanding?

"I should expect tremors to start less than 24 hours after I stop drinking."

A provider prescribes quetiapine 50 mg PO divided equally every 12 hr for 3 days Available is quetiapine 25 mg tablets. How many tablets should the nurse administer per dose on day 3? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

1

A nurse is calculating the intake of a client during the past 9 hr. The client's intake includes lactated Ringer's IV at 150 mL/hr, cefazolin 2 g IV intermittent bolus in 100 mL of 0.9% sodium chloride, two units of packed RBCs of 275 mL and 250 mL; two IV bolus infusions of 250 mL of 0.9% sodium chloride, famotidine 20 mg IV intermittent bolus in 50 mL of 0.9% sodium chloride. What should the nurse document in the medical record?

2525

A nurse is assisting with triaging clients following an explosion. Which of the following clients should the nurse identify as the highest priority?

A conscious adult client who has second-degree burns on both lower legs; respiratory rate is > 30/min

The term health can be described in many different ways. How the community health nurse would interpret health?

A holistic state of well-being

Which instance would be considered child abuse and neglect according to the federal Child Abuse and Prevention and Treatment Act (Select all that apply)?

A) A father leaving a child in the back seat of a car on a hot August day B) A mother not feeding a 5-year-old child all day C) A mother allowing her boyfriend to punch her daughter E) A neighbor touching the private parts of a 12-year-old boy

When developing appropriate programs for adult mental health promotion, the nurse incorporates knowledge about the most prevalent mental disorders. Which disorder would the nurse identify as the most prevalent?

Anxiety disorders

A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take?

Apply 4 to 5 mL of liquid soap to the hands.

A nurse in an emergency department is caring for an adolescent client who reports being sexually assaulted just prior to admission. Which of the following actions should the nurse take?

Ask the client to describe the situation.

When assessing a family in crisis, which of action would the community health nurse need to take first?

Assess the nature of the crisis

A nurse is planning a community diabetes mellitus management program. Which of the following goals should the nurse include for the program?

Clients will have a decreased incidence of foot amputations.

A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect?

Dilated pupils

Which statement best describes the difference between health promotion and disease prevention?

Disease prevention differs from health promotion in that disease prevention is targeted toward a specific disease or diseases.

A nurse receives blood test results that indicate that a 14-year-old client has been using cannabis. Based on knowledge of factors that affect rate of cannabis use among youth, which would be the most effective strategy to discourage this behavior?

Explain the risks associated with cannabis use

When assessing a vulnerable population's relative risk, which would the community health nurse identify most likely as contributing to this risk?

Exposure to abuse

After teaching a class about family and domestic violence directed toward children as a community health problem, which, if stated by the class, indicates to the instructor that the teaching was effective?

Family violence has occurred in most countries for centuries as children have been thought of as the property of their parents.

A community health nurse working with a group of families who come to local community health care center tells them that she is going to be setting up child care so that the families can participate in the various classes being offered by the center. Three months have passed, and the nurse still has not instituted the child care program. The nurse has violated which ethical principle?

Fidelity

A nurse is assisting an older adult client who sometimes loses her balance while walking. Which of the following devices should the nurse use when helping the client ambulate?

Gait belt

The nurse decided to use a learning model based on Skinner with a client with diabetes to improve compliance with dietary and blood glucose assessment requirements. Which would be the best way to implement this program?

Give rewards for a lower blood sugar level and a food diary that reflects moderate dietary compliance

What is the difference between health equality and health equity?

Health equality means giving everyone the same thing, whereas equity means giving people what they need to reach their best health.

What are population characteristics and cultural considerations for rural populations?

Higher risk for being underinsured or uninsured Tend to be poorer Fewer years of formal education

A community health nurse is discussing with a student nurse, the importance of engaging in assurance activities. Which statement made by the student nurse would demonstrate an understanding of assurance activities?

I should be involved in activities that ensure necessary services are being provided to the community

The nurse assesses a new client and performs a standard screening for intimate partner violence. Which is the most appropriate question to ask first?

I's normal for couples to disagree about things. What happens when you and your partner disagree?

After teaching a group of students about abuse and families, the instructor determines that the students have an understanding of this issue when they state:

Intimate partner violence is a leading cause of morbidity and mortality in women worldwide.

A community health nurse is working with a grassroots lobbying group to bring equitable health care access to a rural farm migrant area. Which fundamental ethical principle is the nurse using to guide provisions of care for the migrant population?

Justice

A child is referred to the school nurse to be assessed for neglect. Which assessment finding would the nurse classify as neglect?

Lack of weight gain

The nurse works with a 16-year-old client who has an alcohol use disorder. Which mental disorder, highly correlated to substance use disorder, should the nurse also assess for in this client?

Major depression

After discussing the leading health indicators with a class, which condition if stated by the class as one of these indicators suggests that the class has understood the information?

Mental health

Which statement about the National Alliance on Mental Illness (NAMI) is most accurate?

NAMI is committed to enhance the care of those with mental illness and improve the quality of life of those who are affected.

The steps of the transtheoretical model used for additions include all of the following:

Precontemplation Relapse Action Maintenance Contemplation

Primary, secondary, and tertiary levels of prevention help reduce risk, identify and limit disabilities, and reduce complications of mental health problems. Which exemplifies a tertiary prevention strategy for mental health problems?

Promote support groups for people with mental health disorders

A nurse at an urban community health agency is developing an education program for city leaders about homelessness. Which of the following should the nurse include as a primary level of prevention for Poverty and Homelessness?

Provide health education in the local area for prevention of diseases related to multiuse of needles.

A public health nurse is assessing an older adult client who lives with a family member. The nurse identifies several bruises in various stages of healing. The client and family member explain that the bruises are a result of clumsiness. However, based on the distribution of the bruises, the nurse suspects abuse. Which of the following actions should the nurse take first?

Report the findings to a supervisor.

A nurse in the emergency department is assessing a client who has experienced intimate partner abuse. The nurse should monitor the client for which of the following behavioral findings?

Self-esteem disturbance

Demographic characteristics indicate that people in developed countries are living longer, healthier lives, yet tremendous health and social disparities exist. Which describes social determinants of health?

Social conditions in which people live and work

In the video Adverse Childhood Experiences (ACEs). Nadine Burke-Harris stated that ACES can affect your health in varied ways. What did she state was most important health risk for a teenager?

Suicide

The nurse examines a client who is taking haloperidol for schizophrenia and notices that she habitually twists her tongue and arms. This side effect of her medication is known as:

Tardive dyskinesia

A community health nurse is teaching a group of parents about factors relating to child abuse. What factors would the nurse include as parental risk factors? Select all that apply.

Teenage mothers Inadequate education about parenting History of child abuse in their own childhood.

What is the ecological model?

The belief that all processes occurring within individual people and their environment should be viewed as interdependent.

A nurse in a substance abuse clinic is assessing a client who recently started taking disulfiram. The client reports having discontinued the medication after experiencing severe nausea and vomiting. Which of the following reasons should the nurse suspect to be a likely cause of the client's distress?

The client consumed alcohol while taking the medication.

Regarding homelessness, which of the following statements are true?

The largest segment of the homeless population is the mentally ill due to the deinstitutionalized plan The fastest-growing segment of the homeless population is families with children At-risk populations for homelessness include older adults, adolescents, children, pregnant women

How would a community health nurse define vulnerable populations?

Those with increased risk for adverse health outcomes

Which is a societal risk factor for intimate partner violenc

Traditional gender roles

A nurse is assessing a client who is experiencing acute cocaine toxicity. Which of the following findings should the nurse expect?

Tremors

When discussing elder abuse with a senior citizen group, which would the community health include?

Types of elder abuse include physical abuse, emotional abuse, neglect, and exploitation.

What is a relationship risk factor for intimate partner violence?

Unhealthy family interactions

A group of community health nursing students design a health education program for a group of pregnant teens that includes teaching nutrition during pregnancy, demonstrating helpful exercises, and discussing their concerns. This is an example of

health promotion.