CommunityPracticeA
A community health nurse is creating a program to reduce violence in the community. Which of the following interventions should the nurse identify as secondary prevention
Recognizing and reporting suspected abuse to the appropriate protective services
A home health nurse is evaluating a partner's understanding of a postoperative care of a client who had a total hip replacement. Which of the following statements by the partner Indicates an understanding of the prescribed care?
"I will remind my partner to use a walker when moving around the house."
A home health nurse is planning care for the day. Which of the following clients should the nurse visit first?
A school-aged child who was treated in the emergency department last night for status asthmaticus
A school nurse is conducting health screening procedures in an elementary school. Which of the following instructions should she prcvide when performing the Rinne test?
"After I place this tuning fork behind your ear, tell me when you no longer hear the sound."
A nurse in a rural health clinic is caring for a client who has heart failure. The client states, "I'm not going to take any more heart medicine." Which of the following responses should the nurse make?
"Can you tell me more about your decision to stop your medicine?"
A nurse is teaching a client who has a new diagnosis of hepatitis A about how to prevent the spread of the virus. Which of the following instructions should the nurse include?
"Clean your bathroom fixtures with a chlorine bleach solution."
A nurse is performing a home visit for a client who has TB. As the nurse is leaving the client's house, a neighbor asks, "Is it true my neighbor has TB?" Which of the following responses should the nurse make?
"Do you have questions about tuberculosis?"
A home health nurse is caring for a client who is immunocompromised due to chemotherapy. Which of the following statements should they make regarding food safety?
"Frozen food should be cooked immediately after it is thawed."
A public health nurse is conducting an educational session about Lyme disease for a group of older adult clients. Which of the following statements should the nurse identify as an indication that the clients understand the teaching?
"I can take penicillin for 10-14 days to manage Lyme disease"
A community health nurse is conducting a vision screening at a health fair for an older adult client who has age-related macular degeneration. Which of the following statements should the nurse identify as an indication that the client is adapting to changes?
"I have a prescription bottle magnifier to help me read my pill bottle labels."
A nurse is caring for a client who has terminal lung cancer and is receiving hospice care. Which of the following statements should the nurse identify as an indication that the client is in the denial stage of the grief process?
"I'm looking forward to my daughter's wedding next year."
A public health nurse is developing a presentation for local day care providers about infectious childhood diseases. Which of the following statements should the nurse include?
"Respiratory syncytial virus (RSV) is spread through contact with respiratory secretions from an infected person."
A palliative care nurse is teaching a client who has cancer about the services that are available for the client. Which of the following statements should the nurse identify as an indication that the client understands the teaching?
"This type of care can help me with pain control."
An occupational health nurse is planning to use an interpreter during an educational session with a group of workers who speak a different language than the nurse. Which of the following actions should the nurse take?
-Instruct the interpreter to guide the nurse in providing information in a culturally-sensitive manner -Choose an interpreter who speaks the workers' language and dialect -Evaluate the interpreter's approach to clients prior to the educational session
A nurse in a rural community is planning education for a young adult client who is a migrant farm worker. Which of the following actions should the nurse include? (Select all that apply.) Provide environmental health information. Refer the client for a tuberculosis screening. Provide skin cancer information. Recommend a dental health screening. Provide forms to apply for Medicare.
-Provide environmental health information. -Refer the client for a tuberculosis screening. -Provide skin cancer information. -Recommend a dental health screening.
A community health nurse is assessing a group of clients for risk factors of violent behavior. Which of the following findings should the nurse identify as a risk factor for developing violent behavior?
A client says they were spanked as a child
A nurse in an emergency department is triaging clients following an explosion at a local factory. Which of the following clients should the nurse identify as a priority?
A client who has a tracheal deviation and shortness of breath (think ABCs)
A nurse in a clinic is planning teaching for a client who was 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 community health nurse has been contacted regarding a client diagnosis of influenza type A in an adult day care. Which of the following actions should the nurse take to assist in the prevention of an outbreak?
Administer antiviral medication to the clients at the facility
A public health nurse is planning care for four clients. Which of the following interventions should the nurse recognize as tertiary prevention?
Administering antibiotics to a client who has AIDs and was diagnosed with pneumocytis jirovecii
A community health nurse is participating in a group session for clients who have alcohol and substance abuse disorders. Which of the following information should the nurse provide regarding support programs for these individuals?
Alcoholics Anonymous (AA) assists a client who has an addiction to alcohol with developing a daily recovering program
A nurse in a community health clinic is preparing to administer an immunization to a 5-year-old child. Which of the following actions should the nurse take?
Ask the child to pretend blow up a balloon during the injection.
A nurse is developing a genogram for a client to determine education needs. Which of the following health risk information should the nurse expect to obtain with this tool?
Biological
A public health nurse is developing a visual health program by using a community oriented approach. Which of the following interventions should the nurse include?
Consult with the local school nurse to schedule yearly vision screenings for students
A case manager is developing a plan for a client who has a spinal cord injury and in a rehab facility. Which of the actions should the nurse take first?
Determine the clients ability to perform self care
A community health nurse is planning to develop a community health program. Which of the following actions should the nurse take first?
Determine the need
A community health nurse identifies an increase int he occurrence of osteoporosis related fractures in female clients who are experience menopause. Which of the following primary prevention strategies should the nurse implement?
Encourage the clients to participate in weight-bearing activities
A nurse is assessing a new client. Which of the following information should the nurse include in the cultural portion of the assessment?
Food preferences
A community health nurse is teaching a group of clients about environmental health hazards. Which of the following examples should the nurse include as a possible source of carbon monoxide exposure?
Gas ranges
An occupational health nurse is assessing a client who reports taking ibuprofen daily. The nurse should counsel the client about the risk for which of the following adverse effects?
Gastic ulcerations
A community health nurse is teaching a client who was newly diagnosed with active pulmonary tuberculosis about disease transmission. Which of the following information should the nurse include?
Household members should take isoniazid for at least 6 months
A public health nurse is providing information to a client who has alcohol use disorder and is asking about treatment. Which of the following statements should the nurse identify as an indication that the client understands the information?
I can expect to get help with other aspects of my life while in treatment
A community health nurse is planning to establish a community garden to introduce nutritious food options in the area. Which of the following actions should the nurse take first to initiate the plan?
Identify community members who demonstrate an interest in the project
A home health nurse is caring for a client who has breast cancer. Which of the following assessment findings should the nurse identify as an indication that the client is coping effectively?
Makes eye contact
A public health nurse is planning an educational program for a group of nurses at a community health department about pertussis. Which of the following formation should the nurse include?
Individuals transmit the pertussis bacteria through airborne droplets
A nurse in an emergency department is caring for a client who is homeless and has hypothermia. Which of the following actions should the nurse take?
Initiate a referral to the facility's social worker
A home health nurse is reviewing several client requests regarding complementary strategies. The nurse should identify that which of the following alternative therapies is contraindicated for a client?
Kava for a client who has cirrhosis
A nurse is caring for a client who has stage IV pancreatic cancer and has received information regarding available treatment options. Which of the following is the responsibility of the nurse if the client chooses to forgo treatment and enter hospice care?
Make the hospice referral in accordance with the client's decisions
A case manager is planning an educational program fora. client who has diabetes mellitus. Which of the following activities should the nurse include while using the psychomotor domain of learning?
Observe the client's technique for drawing up insulin
A school nurse is teaching health promotion to a group of staff members who sit at a desk and use a computer for 8 hours at a time. Which of the following information is a porosity for the nurse to induced?
Point and flex your toes periodically
A school nurse is revising the records of four students who are returning to school after being diagnosed with MRSA. Which of the following actions should the nurse take?
Provide education about MRSA through the school system.
A community health nurse is planning a health education program for adults. The nurse should plan to take which of the following actions during the program?
Provide take-home materials written at a 6th grade level
A nurse is collecting demographic data as a part of a community assessment. Which of the following information should the nurse include?
Racial distribution
A community health nurse is planning an educational program for farmers about occupational health risks. Which of the following risks should the nurse include?
Respiratory disorders
A home health nurse is conducting a follow up visit for a client who was recently discharged from an acute rehab program for alcohol use disorder. Which of the following actions should the nurse take?
Tell the client to take naltrexone daily.
A nurse is conducting a home visit with a client who reports a history of partner violence. The nurse should identify that which of the following finings places the client at greatest risk for partner violence?
The client states they are leaving their partner
A home health nurse is visiting with an older adult client. Which of the following observation indicates the need for hone modification?
There are two rocking chairs in the living room
A nurse in a pediatric clinic is providing care to several clients. The nurse should recognize that which of the following conditions is included on the Nationally Notifiable Infectious Conditions list?
Varicella
A nurse in a clinic is caring for a client who reports taking ginkgo biloba for several weeks after seeing a naturopathic healer. The nurse should instruct the client that ginkgo biloba can alter the effects of which of the following medications?
Warfarin
A community health nurse is working with a group of clients in a rural community who are unable to afford health insurance. Which of the following actions is the best for the nurse to take to advocate for these clients?
Work with local health care practitioners to establish a free clinic
