NU426 Mod. 1 PrepU

Injuries

A nurse is working in a school health program that provides care to elementary school-aged children. The nurse would focus teaching on which area as being most problematic? Substance abuse Eating disorders Sexually transmitted infections Injuries

Hospice

In what area of nursing practice does the nurse provide palliative care in the patient's home? Occupational nursing Hospice Parish nursing Rehabilitation

Insist that everyone who is infested with lice follows the prescribed treatment.

A nurse employed in a school suspects an outbreak of pediculosis. Which of the following nursing actions should be taken to prevent and control the outbreak? Perform hair inspection. Wash clothing and vacuum furniture, bedding, and carpets. Insist that everyone who is infested with lice follows the prescribed treatment. Improve the school hygiene.

Occupational health nurse

A nurse is based in an automotive assembly plant and works with the plant's employees in the areas of health promotion and basic primary care. What nursing role is this nurse performing? Occupational health nurse Community nurse specialist Nurse clinician Public health nurse

Ambulatory health care

A nurse is comparing some of the similarities and differences between the care that is provided in community- and hospital-based settings. What type of care is provided in both of these settings? Dietitians Ambulatory health care Occupational health care Hospice care

Providing case management services for the employees

A nurse is working as an occupational health nurse at a local factory. With which activity would the nurse least likely be involved? Setting up a healthy lifestyle education program Logging workers' exposure to potentially toxic substances Caring for employees that become ill at work Providing case management services for the employees

Community nursing center

A nurse is working in a rural nurse-managed agency that provides immunizations, health assessments, and screening services. The nurse is most likely working in which of the following? Community nursing center Home health care Case management Hospice care

Hospice care

A client has end-stage chronic obstructive pulmonary disease (COPD) and is terminally ill. The family wants the client to spend her last days in a facility that will be able to keep the patient comfortable and control her severe dyspnea. What facility will meet the needs of the client and family? Rehabilitation care Hospice care Intermediate care facilities Ambulatory care

is terminally ill and needs symptom control.

A client who is in end-stage renal failure has been moved to an inpatient hospice facility. The rationale for this move is that the client: is terminally ill and needs symptom control. no longer has health insurance. no longer requires skilled care. needs help to regain the ability to perform activities of daily living.

Perform a thorough pain assessment.

A client with long-term breast cancer who was recently enrolled in a hospice program demonstrates signs and symptoms of clinical depression. Which action by the hospice nurse is appropriate? Educate the client that depression is expected. Perform a thorough pain assessment. Ask the client whether she is planning to hurt herself. Explain that antidepressants are not indicated for the client.

Changes to federal legislation Changes in population trends

A community health nurse is educating a group of community stakeholders on the importance of increased outpatient resources in the community. Which factors will the nurse explain directly impact the shift in care from inpatient to outpatient services? Select all that apply. Changes in population trends Decreased number of older adults Changes to federal legislation Increased hospital revenues Decreased inpatient services

"Wear protective attire and devices when working with a toxic substance."

A new employee asks the occupational health nurse about measures to prevent inhalation exposure to toxic substances. What should the nurse recommend? "Position a fan blowing toxic substances away from you to prevent you from being exposed." "Wear protective attire and devices when working with a toxic substance." "Make sure that you keep your immunizations up to date to prevent respiratory diseases resulting from toxins." "Always wear a disposable paper face mask when you are working with inhalable toxins."

Shift of health care delivery into the community

A nursing student has taught a colleague that nursing practice is not limited to hospital settings, explaining that nurses are now working in ambulatory health clinics, hospice settings, and homeless shelters and clinics. What factor has most influenced this increased diversity in practice settings for nurses? Population shift to more rural areas Shift of health care delivery into the community Advent of primary care clinics Increased use of rehabilitation hospitals

Give the pain medication without fear of respiratory depression.

A patient with a "Do Not Resuscitate" (DNR) order requires large doses of a narcotic for pain that rates a 10 on a 0-10 scale. After the patient requests pain medication, the nurse assesses a respiratory rate of 12 breaths per minute. What intervention by the nurse would be considered ethical? Ask the patient to wait 20 minutes and reassess. Give half of the prescribed dose. Give the pain medication without fear of respiratory depression. Withhold the pain medication and contact the physician.

Assess for signs and symptoms of anaphylaxis.

A school nurse is caring for a child who appears to be having an allergic response. What should be the initial action of the school nurse? Assess for signs and symptoms of anaphylaxis. Assess for erythema and urticaria. Administer an over-the-counter (OTC) antihistamine. Administer epinephrine.

It supports safety precautions for the nurse when making a home care visit.

At the beginning of a day that will involve several home visits, the nurse has ensured that the health care agency has a copy of the nurse's daily schedule. What is the rationale for this action? It allows the agency to keep track for billing purposes. It supports safety precautions for the nurse when making a home care visit. It allows for greater flexibility for the nurse and his or her colleagues for changes in assignments. It allows the client to cancel or change appointments with minimal inconvenience.

To provide anticipatory guidance to the family

The school nurse is preparing to work with an incoming kindergarten student who has a diagnosis of cerebral palsy. What is the reason the nurse will start a planning meeting at school with parents and teachers before school starts? To provide anticipatory guidance to the family To assess the safety of the child's assistive devices To arrange for a teaching aide to work with the child To provide follow-up care after the child's clinic visit

Managing and evaluating client care for seriously ill clients

Medicare is a federal program that finances many Americans' home health care expenses. The Medicare program facilitates what aspect of home health care? Providing care without the oversight of a physician Writing necessary medication orders for the client Prescribing physical, occupational, and speech therapy if needed Managing and evaluating client care for seriously ill clients

Perform hand hygiene before and after giving direct client care.

The community health nurse is preparing to conduct a home visit. When performing the home visit, how should the nurse best implement the principles of infection control? Perform hand hygiene before and after giving direct client care. Remove the client's soiled wound dressings from the home promptly. Use transmission-based precautions with each client. Establish a sterile field in the client's home before providing care.

to ensure safe work conditions.

The goal of OSHA is to provide cost-effective health insurance. to ensure safe work conditions. to enhance achievement in school. to create nursing interventions to evaluate health care needs.

Community health nurses focus on community needs as well as the needs of individual patients.

The home health nurse and the parish nurse have separate roles in health care. What best describes the common factor all community-based nurses share? Community nurses take care of clients with family and friends. Community health nurses take care of patients after they are discharged from the hospital. Community health nurses take care of the patients in the home setting. Community health nurses focus on community needs as well as the needs of individual patients.

Choice of palliative care over cure focused

The nurse is caring for a client who is interested in learning about hospice care. Which of the eligibility criteria would the nurse stress? Serious, progressive illness Choice of palliative care over cure focused Limited life expectancy Physician-certified illness

The nurse should never walk into a patient's home uninvited.

The nurse is making an initial home visit for a client requiring wound care. What statement is true regarding safety during a home visit by a nurse? The nurse should take reactive measures. The nurse should park his or her car away from the home. The nurse should never walk into a patient's home uninvited. The nurse should schedule visits according to the patient's lifestyle.

growing number of elderly clients

The nurse is transitioning to a home health setting. What factor has resulted in a shift in the health care delivery setting? fewer insurance regulations increased hospital revenues growing number of elderly clients consistent federal regulations

Promoting and maintaining population health and preventing and minimizing disease progress

The nurse is working in an ambulatory health clinic. What is the focus of community-based nursing practice? Promoting and maintaining population health and preventing and minimizing disease progress Providing rehabilitation and restorative services Adapting hospital care to the home environment for less cost Monitoring clients at home because clients do not have hospital insurance coverage Delivery of hospice services for clients with terminal illness

The discharge of patients who are more critically ill

What is the primary basis for growth in home care nursing? Recent changes in healthcare legislation The growth of complementary and alternative medicine The aging of the population The discharge of patients who are more critically ill

Infections

What should the school nurse working in the elementary school setting be aware is one of the most frequent health care problems to affect this population? Eating disorders Emotional problems Infections Drug abuse

Monitoring immunization status

Which is a role of a school nurse? Caring for major injuries Monitoring immunization status Discussing a student's school performance Performing comprehensive physical examinations

Providing CPR certification to shift supervisors

Which occupational nursing action supports the primary goal of the Occupational Safety & Health Administration (OSHA)? Providing CPR certification to shift supervisors Negotiating cost-effective health insurance Attending continuing education related to occupational health nursing Evaluating health promotion needs of employees

Review agency policies regarding visits, ask permission to enter home, perform hand hygiene, and document care provided.

Which order of activities is accurate when making a home visit? Review agency policies regarding visits, ask permission to enter home, perform hand hygiene, and document care provided. Confirm need for visit with referring agency, park away from the home, perform hand hygiene, and document teaching and client response to teaching. Call client to arrange time for visit, perform hand hygiene, ask permission to enter home, bring only required equipment into the home. Investigate the neighborhood before the visit, leave a message telling the client the time and nature of the nurse's visit, ask permission to enter the home, and include client behaviors in charting outcomes.

Hospice care

Which type of care is used for clients with terminal illness who have a life expectancy of less than 6 months? Hospice care Ambulatory care Skilled nursing care Intermediate care

Fit all employees with protective masks.

You are an occupational health nurse in a large ceramic manufacturing company. How would you intervene to prevent occupational lung disease in the employees of the company? Fit all employees with protective masks. Insist on adequate breaks for each employee. Give workshops on disease prevention. Provide employees with smoking cessation materials.