CH EAQ's

A nurse is planning to discuss the importance of following the prescribed course of treatment with a group of adolescent clients. What is the nurse's priority consideration regarding these clients?

They are involved more with the present than with the future.

A nurse advises a client to refrain from adding salt to food as a way to prevent high blood pressure. What kind of health care service is this?

primary care

During a regular checkup, a pregnant client reports constipation. Which strategies should the nurse recommend? Select all that apply.

Exercise regularly Add a few tablespoons of wheat bran to cereal at breakfast. Plan to have a bowel movement at the same time every day.

What services do community health centers provide in preventive and primary care services? Select all that apply

Health screenings physical assessments disease management

How is public health nursing different from community health nursing?

Public health focuses on population

A nurse is concerned about helping reduce the incidence of mental illness in the community. What action is most appropriate for the nurse to implement?

Speaking to high school students about coping with anxiety

Which facility has enabled rural hospitals to have increased access to specialist consultations?

Telemedicine

What does a community-based nurse do as a change agent?

The nurse empowers clients and their families to creatively solve problems The nurse works with clients to solve problems and helps clients identify and alternative care facility The nurse empowers clients to become instrumental in creating change within a health care agency

A nurse needs to provide preventive and primary care to adults during a health camp. Which of these actions should the nurse perform? Select all that apply.

- the nurse should discuss vaccinations -the nurse should discuss family planning -the nurse should instruct the health camp about road safety measures

A nurse instructs a client who avoids bathing to take a bath or shower each day as a means of maintaining hygiene and preventing infection. Which of these reactions should the nurse expect if the client is in the action stage? Select all that apply.

-I try to take a shower every day, but I skip it sometimes because of my tight work schedule. -I understand that bathing regularly is a good habit, but my bathroom is very cold in the mornings -i want to take a bath regularly, but I don't have time because I need to look after my kids and my parents.

A nursing student is recalling the various stages of health behavior change. What are the characteristics of the preparation stage? Select all that apply.

-the client requires assistance to plan changes in health behavior -the client understands that the advantages of health behavior change exceed the disadvantages -the client makes small changes in health behavior in preparation for major changes in the next month

Which activity by the community nurse can be considered an illness prevention strategy?

Arranging an immunization program for chicken pox

How does a nurse play the role of a "change agent" in a community-based nursing practice?

By identifying and implementing new and more effective approaches to problems

A nursing student is listing factors that may improve the quality of life of clients in the community with chronic leg ulcers. Which factor listed by the nursing student needs correction?

"Nursing wound care specialists should inform clients that the cost of care may be expensive and the the level of pain may increase"

Health promotion efforts within the healthcare system should include efforts related to secondary prevention. Which activities reflect secondary prevention interventions in relation to health promotion? Select all that apply.

- Encouraging regular dental check ups -teaching the procedure for Breast self-exam

What services does block and parish nursing provide for preventive and primary care services? Select all that apply.

- Respite care - homemaker aides - running errands

Which nursing activities are examples of primary prevention?

-Assisting with immunization programs -Facilitating a program about dangers of smoking

A community health nurse makes a home visit to a disabled 13-year-old client who has a 6-month-old infant sister. The infant lies quietly in her crib and rarely smiles or vocalizes; it appears that the infant barely has her basic needs met. What is the nurse's most appropriate intervention?

Determine whether there is anyone who can help with chores and the infant's care.

The registered nurse is teaching a community event about health promotion activities appropriate for good skin health. Which instructions given by the nurse would be beneficial? Select all that apply.

Eat foods rich in vitamin B. Sleep for longer periods of time. Avoid exposure to sun after administering ketoconazole.

Health promotion efforts for a chronically ill client should include interventions related to primary prevention. What should this include?

Encouraging daily physical exercise

What is the most important nursing intervention for minority adolescents?

Helping ensure improved access to appropriate healthcare

A senior high school student, whose immunization status is current, asks the school nurse which immunizations will be included in the precollege physical. Which vaccine should the nurse tell the student to expect to receive?

MMR (measles, mumps, rubella)

A community health nurse visits an infant who was born at home 24 hours ago. While assessing the infant the nurse identifies slight jaundice of the face and trunk. What should the nurse do next?

Obtain a stat order for bilirubin level

What is the main focus of community health nursing?

To improve the quality of health in a population

The school nurse presents a class on female reproduction to a group of junior high school girls. Which statement by a student after the class indicates a need for clarification of the teaching?

Women with big breasts have more milk after they have a baby.

Which role does a nurse play when helping clients to identify and clarify health problems and to choose appropriate courses of action to solve those problems?

counselor

A nurse notes that a client is in the habit of skipping breakfast and lunch and educates the client on the harmful effects of not getting enough nutrition. Which responses are signs that the client has reached the action stage of health behavior change? Select all that apply.

I still tend to skip breakfast when I'm in a hurry to get to work I follow a proper eating schedule, but sometimes it gets in the way of my work

A client who has become a mother for the first time asks the nurse several questions related to her new parenting role. After answering her questions, the nurse recommends that she join a support group for new mothers at the local YWCA. Which type of prevention is this?

Primary

The primary healthcare provider of a woman who had a mastectomy has arranged for a mastectomy peer support visit. What does the nurse identify as the primary reason for the referral?

To prevent social isolation

The nurse is trained to work as a member of a disaster preparedness team. Which activities should the nurse be prepared to perform if a disaster were to occur? Select all that apply.

Triage Decontamination procedures Evaluation of the disaster plan