Community Health B
A school nurse is helping a student schedule speech therapy and physical therapy appointments that do not interfere with the students academic schedule. This is an example of which of the following roles of the school nurse
Case manager
A community health nurse is planning an in service about sexually transmitted infections to a group of adolescents. Which of the following clinical findings should the nurse include as a manifestation of primary syphilis
Chancre
A community health nurse is conducting an educational program for parents about the effects of pollution on preschool age children. Which of the following statements by a parent indicates an understanding of the teaching
Children breathe more rapidly than adults, which increases their exposure to air pollutants
A school health nurse is caring for an adolescent newly DX with type 1 DM. Which of the following actions is appropriate to include in the clients plan of care
Consult with a dietician to determine an appropriate school lunch for the client
A nurse is caring for a 50 year old client who has DM, recently lost his job, and has no health insurance. The nurse should advise the client to do which of the following
Contact medicaid to determine eligibility
A newly licensed nurse is performing a community assessment. While collecting secondary data at the library, the nurse is approached by a community member who is concerned about air pollution. Which of the following statements by the nurse indicates a need for further education regarding confidentiality
The circulation supervisor at the library is concerned about the amount of air pollution coming from the towns industrial corridor
A public health nurse is providing an educational program about inhalation anthrax to a group of first responders in the community. Which of the following statements by a member of the group indicates an understanding of the teaching
A person exposed to inhalation anthrax may develop a dry cough
A community health nurse is preparing a community presentation about the epidemiological triangle. Which of the following elements is a host
A raccoon with rabies
A home health nurse is planning care for the day. Which of the following clients should the nurse visit first
A school age child who was treated in the ED last night with status asthmaticus
A nurse in a clinic is planning teaching for a client who is newly diagnosed with hepatitis C. Which of the following instructions should the nurse include in the teaching
Abstain from sexual intercourse until antibody tests are negative
A newly licensed nurse in a public health agency is assigned to assist with the task force that is responsible for the core function of assessment. Which of the following is a task that the nurse could be assigned that would be consistent with the focus of the task force
Investigating local health hazards
A clinic nurse manager is developing an education program on TB skin testing. The nurse should include that which of the following can cause a false negative result
Advanced HIV and AIDS, time between exposure and screening, age of the client
A nurse is planning to teach a community group about the meningococcal vaccine. For which of the following individuals is this vaccination recommended
An individual moving into a dormitory setting
A nurse in a community health center is talking with a client who is receiving treatment for an opioid addiction. Which of the following statements by the nurse is appropriate for encouraging the client to attend his 12 step meetings
At narcotics anonymous, your willingness to change with be crucial for your sobriety
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 becoming a victim of intimate partner abuse
Attempting to end the relationship with their partner
A community health nurse has conducted a teaching session about breast self-exams. Which of the following best indicates whether or not the teaching was effective
Demonstration on a breast model
A nurse in a community health center is talking with the parent of an adolescent whois concerned that her son seems depressed and is giving away his favorite belongings. Which of the following actions should the nurse take
Determine if the adolescent has considered harming himself
A community health nurse is providing care to a client who has stopped taking his prescribed blood pressure medication. Which of the following actions should the nurse take first to promote adherence to treatment
Determine the clients reason for discontinuing the medication
A community health nurse is planning a presentation to aging adults who have a family history of Alzheimers disease. The nurse should include that which of the following behaviors is an early manifestation of the disease
Difficulty learning new things
A home health nurse is assessing a client who has a prescription for captopril to treat heart failure. Which of the following findings is an adverse effect of this medication
Dry cough
A community health nurse is teaching a group of older adults about environmental health hazards. A need for additional teaching is indicated when a group member lists which of the following as a possible source of carbon monoxide exposure
Electric space eaters
A nurse is caring for a client who has AIDS and is experiencing rapid weight loss. Which of the following actions should the nurse take first
Examine the clients oral mucous membranes
A nurse who is facilitating a support group in a community center notices that one member of the group expresses anger repeatedly. Which of the following strategies should the nurse use to facilitate the group process with this member
Focus more on the group members who have a positive outlook
An occupational health nurses assessing a client who reports taking ibuprofen daily for several year. The nurse should counsel the client on the risk for which of the following conditions
Gastric Ulcerations
The daughter of a client who is terminally ill and at the end of life approaches the hospice nurse and asks what she can do to help relieve her fathers anxiety. Which of the following interventions should the nurse suggest
Give the client brief hand massages
A nurse is providing education regarding lead exposure to a group of clients who live in a subsidized housing development built in 1968. Which of the following client statements indicates an understanding of the teaching
I will increase the amount of red meat and milk in my childs diet
A nurse is providing safety information to the parents of an infant. Which of the following statements by the parent indicates the need for further teaching
I will make sure the water heater setting is no higher than 140 degrees
A nurse manager is providing orientation to a nurse who is new to hospice care. Which of the following statements indicates that the new nurse needs additional orientation
I will provide care and education to clients in order to promote recovery
A community health nurse is providing education to a group of children who have asthma. Which of the following statements indicates an understanding of the teaching
I will say indoors during cold weather
A community heath nurses caring for a client who has a new DX of lyme disease. The requirements for a reporting LYMe disease are manadated by which of the following
Individual state law
A school nurse is notified that an elementary school child is newly diagnosed with pertussis. Which of the following actions should the school nurse take
Instruct the parent to keep the child home until the coughing stage gas passes, encourage family members to seek treatment, check the immunization status of the childs classesmates
A nurse working for a non profit organization resources is asked to develop an education program that will benefit a supporting agency employees. The nurse was planning another program to benefit more people in the community. Which of the following is an ethical tenet the nurse should follow in deciding which program to implement
Place the needs of the community above those of special interest groups
A community health nurse is visiting a family that has newborn twins and two school age children. The parents tell the nurse they are emotionally and financially overwhelmed. Which of the following referrals are appropriate
Postpartum support group, WIC, free school lunch program
A public health nurse is working in a community that has a population of 24,096. There are 2,096 existing cases of heart disease within the population. The nurse can determine which of the following from this information
Prevalence proportion
A community health nurse is asked to give a health education program to a group of african american men age 40-75. Considering the health concerns of this group, which of the following topics is most important to include in the program
Prostate cancer screening
A school nurse sees four students in 1 week who have a return to school release after being diagnosed with MRSA. Which of the following actions should the nurse take
Provide education about MRSA throughout the school system
A nurse in a rural community is planning education for a young adult client who is a migrant farm worker. Which of the following should the nurse include in the plan of care
Provide environmental health information, conduct TB screening, provide skin cancer information, conduct dental health screening
Community leaders have requested a meeting with a community health nurse to discuss creating a mobile meals program. Which of the following should the community health nurse assess first
The need for the program
A nurse is collecting demographic data as a part of a community assessment. Which of the following should be included
Racial distribution
Which of the following activities done by a nurse is considered public health nursing
Reviewing morbidity and mortality data for a community
A community health nurse is providing anticipatory guidance to a group of adolescents. To reduce premature deaths in this age group, Which of the following topics would be most important to discuss
Safety belt use
A nurse is planning health promotion activities for the local community. Which of the following is an example of primary prevention
Teaching meal planning classes to older adults
A home health nurse is talking with a client whose partner died 3 months ago. The client states, "I still can't believe my partner is gone sometimes" Which of the following is an appropriate nursing response
Tell me more about how you're feeling
A home health nurse is caring for an older adult client who has DM complicated by severe peripheral neuropathy. Which of the following instructions should the nurse provide the client to avoid injury to the feet and lower legs
Test bath water with a thermometer before entering, inspect feet for areas of redness daily, monitor temperature of feet and lower extremities for changes
A nurse is preparing a community education program about health care needs during pregnancy. The nurse should include that which of the following vaccines is safe to administer to a client who is pregnant
Tetanus, diphtheria, pertussis
A client asks a home health infusion nurse the difference between peripheral IV line and a peripherally inserted central cath PICC for long term venous access. Which of the following responses is appropriate
The central cath does not require replacement as often as the peripheral IV
A home health nurse is orienting a newly licensed nurse who is drawing blood from a client for lab testing and gets stuck by a used needle. Which of the following statements by the newly licensed nurse indicates a need for further teaching
The client will be tested for hep A virus
A hospice nurse is caring for a client who is at the end of life and has developed dyspnea and noisy breathing. Which of the following actions should the nurse take
Use a fan in the clients room
A clinic nurse is caring for a client who reports taking ginkgo biloba for several weeks since seeing a naturopathic healer. The nurse should instruct the client that ginkgo biloba may alter the effects of which of the following medications
Warfarin
A nurse at a rehabilitation facility is providing discharge teaching for a client who is recovering from a stroke. Which of the following statements should the nurse include
You should use a hand held mirror to improve your ability to see objects around you
