Exam 2 Community

A nurse is using the I PREPARE mnemonic to assess a client's potential environmental exposures. Which of the following questions should the nurse ask when assessing for "A" in the mnemonic? A. "What do you like to do for fun?" B. "What year was your residence built?" C. "What jobs have you had in the past?" D. "What industries are near where you live?"

A. "What do you like to do for fun?"

A nurse manager at a community agency is developing an orientation program for newly hired nurses. When discussing the difference between community-based and community-oriented nursing, the nurse should include which of the following situations as an example of community-based nursing? (select all that apply) A. A home health nurse performing wound care for a client who is immobile. B. An occupational health nurse providing classes on body mechanics at a local industrial plant. C. A school nurse teaching a student who has asthma about medications. D. A parish nurse teaching a class on low-sodium cooking techniques. E. A mental health nurse discussing stress management techniques with a support group.

A. A home health nurse performing wound care for a client who is immobile. C. A school nurse teaching a student who has asthma about medications.

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? A. Administer antiviral medications to the client at the facility. B. Schedule immunizations for the clients at the facility. C. Recommend that the day care center close for 2 weeks. D. Give immune globulins to the clients at the facility who have early manifestations of influenza.

A. Administer antiviral medications to the client at the facility.

A nurse is collecting data to identify health needs in the local community. Which of the following are examples of secondary data the nurse should review? (Select all that apply.) A. Birth statistics. B. Previous health survey results. C. Windshield survey. D. Community forum. E. Health records.

A. Birth statistics. B. Previous health survey results. E. Health records.

A nurse is working with a client who has systemic lupus erythematosus and recently lost her health insurance. Which of the following is an appropriate action by the nurse in the implementation phase of the case management process? A. Coordinating services to meet the client's needs. B. Comparing outcomes with original goals. C. Determining the client's financial constraints. D. Clarifying roles of interprofessional team members.

A. Coordinating services to meet the client's needs.

A nurse developing a community health program is determining barriers to community resource referrals. Which of the following is an example of a resource barrier? A. Costs associated with services. B. Decreased motivation. C. Inadequate knowledge of resources. D. Lack of transportation.

A. Costs associated with services.

A nurse is advocating for local leaders to place a newly-approved community health clinic in an area of the city that has fewer resources than other areas. The nurse is advocating for the leaders to uphold which of the following ethical principles? A. Distributive justice. B. Fidelity. C. Respect for autonomy. D. Veracity.

A. Distributive justice.

A nurse is planning interventions for migrant farm workers in a rural area. Which of the following should the nurse include as part of primary prevention? A. Establish food banks at locations throughout the community. B. Provide employers handouts on recognizing pesticide toxicity. C. Partner with clinics to provide onsite care for acute injuries. D. Create handouts on identifying skin cancer in multiple languages.

A. Establish food banks at locations throughout the community.

A nurse is preparing to conduct a windshield survey. Which of the following data should the nurse collect as a component of this assessment? (Select all that apply.) A. Ethnicity of community members. B. Individuals who hold power within the community. C. Natural community boundaries. D. Prevalence of disease. E. Presence of public protection.

A. Ethnicity of community members. C. Natural community boundaries. E. Presence of public protection.

A nurse at an urban community health agency is developing an education program for city leaders about homelessness. Which of the following groups should the nurse include as the fastest‑growing segment of the homeless population? A. Families with children B. Adolescent runaways C. Intimate partner abuse survivors D. Older adults

A. Families with children

A nurse is conducting a community assessment. Which of the following data collection methods is the nurse using when having direct conversations with individual members of the community? A. Key informant interviews. B. Participant observations. C. Focus groups. D. Health surveys.

A. Key informant interviews.

An occupational health nurse is consulting with senior management of a local industrial facility. When discussing work-related illness and injury the nurse should include which of the following as physical agents? (SATA). A. Noise B. Age C. Lighting D. Viruses. E. Stress.

A. Noise C. Lighting

A nurse is preparing an educational program on cultural perspectives in nursing. The nurse should include that which of the following factors are influenced by an individual's culture? (SATA) A. Nutritional practices B. Family structure C. Health Care interactions D. Biological variations E. Views about illness

A. Nutritional practices B. Family structure C. Health Care interactions E. Views about illness

A nurse is preparing a list of important topics to discuss with young adults who are seen at the clinic. Which of the following topics should the nurse plan to address with this aggregate? A. Preconception counseling B. Managing the common cold C. Detecting congenital abnormalities D. Accessing Medicare benefits

A. Preconception counseling

A nurse is collecting demographic data as a part of a community assessment. Which of the following information should the nurse include? A. Racial distribution. B. Family genograms. C. Number of open water sources. D. Presence of condemned buildings.

A. Racial distribution.

A home health nurse is conducting a follow-up visit for a client who has recently discharged from an acute rehabilitation program for alcohol use disorder. Which of the following actions should the nurse take? A. Tell the client to take Naltrexone daily. B. Instruct the client to take Buprenorphine for the next 9 to 12 months. C. Teach the client to avoid foods that contain tyramine. D. Schedule Transcranial Magnetic Stimulation biweekly.

A. Tell the client to take Naltrexone daily.

A nurse is preforming a community assessment in a rural setting. Which of the following types of healthcare should the nurse recognize is most likely to be absent in the setting? A. Tertiary care. B. Primary Prevention. C. Chronic care. D. Secondary prevention.

A. Tertiary care.

A nurse at a community clinic is conducting a well-child visit with a preschool-age child. The nurse should identify which of the following as a manifestation of child neglect? (Select all that apply) A. Underweight B. Healing spiral fracture of the arm. C. Genital irritation. D. Burns on the palms of the hands. E. Poor hygiene

A. Underweight E. Poor hygiene

A newly hired occupational health nurse at an industrial facility is performing an initial workplace assessment. Which of the following should the nurse determine when conducting a work site survey? A. Work practices of employees. B. Past exposure to specific agents. C. Past Jobs of individuals. D. Length of time working in current role.

A. Work practices of employees

A nurse is reviewing info about the local health department to prepare for an interview. Which of the following services should the nurse expect the local health department to provide? (SATA) A. Managing the Women, Infants, and Children program B. Providing education to achieve community health goals C. Coordinating directives from state personnel D. Reporting communicable diseases to the CDC E. Licensing of registered nurses

B. Providing education to achieve community health goals C. Coordinating directives from state personnel

A nurse is preparing a presentation on bio-terrorism. Which of the following findings should the nurse include as an indication of potential bio-terrorism?A. Nationwide incidence of pneumonia is higher than the prior year. B. A large number of otherwise healthy adults are dying from sepsis. C. A health department reports cases of influenza in October. D. Most of the clients' diagnoses with pneumonia have an elevated WBC count.

B. A large number of otherwise healthy adults are dying from sepsis.

A public health nurse is planning interventions for children in the community. Which of the following topics should the nurse choose to target a major concern for school-aged children? A. Skin cancer detection B. Access to healthcare C. STI prevention D. Cholesterol screening

B. Access to healthcare

A public health nurse is responsible for several activities in the local community. The nurse is implementing tertiary prevention when he takes which of the following actions? A. Teaching stress reduction techniques to parents whose children have developmental delays. B. Advocating for the expansion of mental health facilities with community leaders. C. Performing screening for depression for older adult clients. D. Coordinating a drive-through clinic for immunization vaccines.

B. Advocating for the expansion of mental health facilities with community leaders.

A community health nurse is determining available and needed supplies in the event of a bioterrorismattack. The nurse should be aware that community members exposed to anthrax will need access to which of the following medications? A. Metronidazole. B. Ciprofloxacin. C. Zanamivir. D. Fluconazole.

B. Ciprofloxacin.

A nurse on a bioterrorism committee is developing a brochure to increase public awareness about the threat of inhalation anthrax. Which of the following information should the nurse plan to include in the brochure? A. An immunization for inhalation anthrax is recommended for administration to children. B. Clients who have manifestations of inhalation anthrax will need antibiotic treatment for 60 days. C. The initial manifestation of inhalation anthrax include an itchy skin lesion that blisters and scabs. D. Client exposed to housemates that have inhalation anthrax must receive prophylactic treatment.

B. Clients who have manifestations of inhalation anthrax will need antibiotic treatment for 60 days.

A nurse is completing a needs assessment and beginning analysis of data. Which of the following actions should the nurse take first? A. Determine health patterns within collected data. B. Compile collected data into a database. C. Ensure data collection is complete. D. Identify health needs of the local community.

B. Compile collected data into a database.

A nurse is creating partnerships to address health needs within the community. The nurse should be aware that which of the following characteristics must exist for partnerships to be successful? (Select all that apply.) A. Being a leading partner with decision-making authority. B. Flexibility among partners when considering new ideas. C. Adherence of partners to ethical principles. D. Varying goals for the different partners. E. Willingness of partners to negotiate roles.

B. Flexibility among partners when considering new ideas. C. Adherence of partners to ethical principles. E. Willingness of partners to negotiate roles.

A nurse is caring for a client who is from a different culture than them. When beginning the cultural assessment, which of the following actions should the nurse take first? A. Determine the client's perception of their current health status B. Gather data about the client's cultural beliefs C. Determine how the client's culture can affect the effectiveness of nursing actions D. Gather information about previous client interactions with the health care system

B. Gather data about the client's cultural beliefs

A nurse is conducting health screenings at a statewide health fair and identifies several clients who require referral to a provider. Which of the following statements by a client indicates a barrier to accessing healthcare? A. "I don't drive, and my son is only available to take me places in the mornings" B. I can't take off during the day, and the local after-hours clinic is no longer in operation." C. "Only one doctor in my town is a designated provider by my health maintenance organization." D. "I would like to schedule an appointment with the local doctor in my town who speaks Spanish and English."

B. I can't take off during the day, and the local after-hours clinic is no longer in operation."

A newly hired public health nurse is familiarizing himself with the levels of disaster management.Which of the following actions is a component of disaster prevention? A. Outlining specific roles of community agencies. B. Identifying community vulnerabilities. C. Prioritizing care of individuals. D. Providing stress counseling.

B. Identifying community vulnerabilities.

A public health nurse is planning several initiatives for a city. Which of the following interventions should the nurse include as part of public health assurance? A. Meeting with city officials to propose changes to health laws. B. Partnering with a laboratory company to provide free HIV screening for the public. C. Reviewing data for incidence of influenza over a 25-year span. D. Providing medical facilities with information accidental injury rates.

B. Partnering with a laboratory company to provide free HIV screening for the public.

A school nurse is planning health promotion and disease prevention activities for the upcoming school year. In which of the following situations is the nurse planning a secondary prevention strategy? A. Placing posters with images of appropriate hand hygiene near restrooms. B. Routinely checking students for pediculosis throughout the school year. C. Implementing age-appropriate injury throughout the school year. D. Working with a dietitian to determine carbohydrate counts for students who have diabetes mellitus.

B. Routinely checking students for pediculosis throughout the school year.

A public health nurse is planning an in-service on older adult health. Which of the following information should the nurse include? A. The percentage of older adults in the population is decreasing. B. The proportion of older adults who live alone is increasing. C. Older adults take one-half of all prescription medications. D. Older adults have a decreased recovery time following injury.

B. The proportion of older adults who live alone is increasing.

A nurse is reviewing the various roles of a community health nurse. Which of the following is an example of a nurse functioning as a consultant? A. Advocating for federal funding of local health screening programs. B. Updating state officials about health needs of the local community. C. Facilitating discussion of a client's ongoing needs with an interprofessional team. D. Performing health screenings for high blood pressure at a local health fair.

B. Updating state officials about health needs of the local community.

A nurse is compiling an ecomap as part of a family assessment. Which of the following questions should the nurse plan to ask to gather appropriate data. A. "Do you have a family history of heart disease?" B. "What kinds of foods does your family eat?" C. "Is your family involved in any community organizations?" D. "How does your family cultural beliefs influence your health values?"

C. "Is your family involved in any community organizations?"

A nurse is interviewing a group of people several weeks after a community tornado. Which of the following statements by a group member should the nurse identify as the emotional reaction of reconstruction? (SATA). A. "I am tired and don't think I'll ever be able to fix everything." B. "I can't believe we survived. I keep telling everyone what happened." C. "Things will never be the same, but we will find a way to go on." D. "Our neighborhood is working together to make good changes." E. "My old hobbies don't seem interesting anymore since the tornado."

C. "Things will never be the same, but we will find a way to go on." D. "Our neighborhood is working together to make good changes."

A school nurse is scheduling visits with a physical therapist for a child who has cerebral palsy. In which of the following roles is the nurse functioning? A. Direct caregiver. B. Consultant. C. Case manager. D. Counselor.

C. Case manager

A public health health nurse is reviewing the outcomes of an exercise program at various locations. Which of the following aspects of care does the findings evaluate? A. Timeliness. B. Client-centered. C. Equity. D. Safety.

C. Equity.

A nurse is providing teaching to a client who has a prescription for ciprofloxacin following expose to anthrax. Which of the following statements by the client indicates that further teaching is required? A. I will limit my intake of coffee, tea, and cola beverages. B. I will wear a large-brim hat and long sleeves if I am out in the sun. C. I will take the ciprofloxacin with an antacid if i get an upset stomach. D. I will avoid taking ciprofloxacin with dairy products.

C. I will take the ciprofloxacin with an antacid if i get an upset stomach.

A nurse is preparing a community health program on communicable diseases. When discussing modes of transmission, the nurse should include which of the following as an airborne illness? A. Cholera. B. Malaria. C. Influenza. D. Salmonellosis.

C. Influenza.

A community health nurse is educating the public on the agents of bioterrorism. Which of the following are Category A biological agents? (Select all that apply.) A. Hantavirus. B. Typhus. C. Plague D. Tularemia E. Botulism

C. Plague D. Tularemia E. Botulism

A community health nurse that works in a refugee center is evaluating children who are new arrivals in the United States. Assessment of a listless, 20-month old toddler indicates that the child is in the 6th percentile for weight and the 40th percentile for height. The toddler has thin limbs, a protuberant abdomen, and dull, dry hair. The assessment should lead the nurse to suspect the child might have which of the following conditions? A. Chronic hypoxemia. B. Anemia. C. Protein deficient. D. Fluid overload.

C. Protein deficient.

A nurse is planning measures to reduce the incidence of obesity. Which of the following interventions affects the environment according to the epidemiological triangle? A. Determine whether clients have a family history of obesity. B. Measure clients BMI. C. Provide low-fat meal options at public schools. D. Ask affected adults to keep a diary of food intake.

C. Provide low-fat meal options at public schools.

A community health nurse is implementing health programs with several populations in the local area. In which of the following situations is the nurse using primary prevention? A. Performing a home safety check at a client's home. B. Teaching healthy nutrition to clients who have hypertension. C. Providing influenza immunizations to employees at a local preschool. D. Implementing a program to notify individuals exposed to a communicable disease.

C. Providing influenza immunizations to employees at a local preschool.

A nurse is teaching a community group about smallpox. When discussing the possible means of transmission, which of the following statements by a member of the group indicates that further teaching is required? A. Smallpox can be transmitted through bodily fluids, such as blood or vomit. B. Smallpox can be transmitted through contaminated objects, such as bedding and clothing. C. Smallpox can be transmitted through bites, such as mosquitos. D. Smallpox can be transmitted through inhalation of droplets, such as coughing.

C. Smallpox can be transmitted through bites, such as mosquitos.

A community health nurse is developing strategies to prevent or improve mental health issues in the local area. In which of the following situations is the nurse implementing a tertiary prevention strategy? A. Providing support programs for new parents B. Screening a client whose partner recently died for suicide risk C. Teaching a client who has schizophrenia about medication interactions D. Discussing stress reduction techniques with employees at an industrial site

C. Teaching a client who has schizophrenia about medication interactions.

A nurse is preparing an education program on disease transmission for employees at a local day care facility. When discussing the epidemiological triangle, the nurse should include which of the following as agents? (Select all that apply.) A. Resource availability. B. Ethnicity. C. Toxins. D. Bacteria. E. Altered immunity.

C. Toxins. D. Bacteria.

A nurse is talking to a client who asks for additional information about hospice. Which of the following is an appropriate statement by the nurse? A. "Clients who require skilled nursing care at home qualify for hospice care." B. "One function of hospice is to provide teaching to clients about life-sustaining measures." C. "Hospice assists clients to develop the skills needed to care for themselves independently." D. "A component of hospice care is to control the client's symptoms."

D. "A component of hospice care is to control the client's symptoms."

A charge nurse is assembling a list of clients who can be safely discharged home to accomodate incoming casualties following an earthquake. The nurse should recognize it is unsafe to discharge which of the following clients? A. A client who has osteomyelitis and will requires 6 weeks of IV antibiotics. B. A client who has Crohn's disease and is 1 day preoperative for an ileostomy. C. A client who has Alzheimer's disease and is awaiting placement in a long-term care facility. D. A client who has an ileus following spinal surgery 5 days ago and is ambulatory in a brace.

D. A client who has an ileus following spinal surgery 5 days ago and is ambulatory in a brace.

A nurse is planning a community health program. Which of the following actions should the nurse include as part of the evaluation plan? A. Determine availability of resources to initiate the plan. B. Gain approval for the program from local leaders. C. Establish a timeline for implementation of interventions. D. Compare program impact to similar programs.

D. Compare program impact to similar programs.

A school health nurse is discussing levels of prevention with a teacher. Which of the following activities should the nurse identify as a primary prevention strategy? A. Provide nutritional counseling for students who have diabetes. B. Report suspected child neglect to the appropriate authorities. C. Conduct hearing and vision screening for kindergarten enrollment. D. Demonstrate proper hand-washing techniques.

D. Demonstrate proper hand-washing techniques.

A nurse is developing a community health education program for a group of clients who have a newdiagnosis of diabetes mellitus. Which of the following learning strategies should the nurse include for clients who are auditory learners? A. showing photographs of sites for injection. B. Providing equipment to practice hands-on skills. C. Supplying outlines for note-taking. D. Facilitating small group discussions.

D. Facilitating small group discussions.

A home health nurse is planning care for a client following a stroke. The nurse plans to interview each member of the family to see how they might help the client progress towards recovery. The nurse is using which of the following approaches to family health? A. Family as a component of society B. Family as a system C. Family as a client D. Family as context

D. Family as context

A nurse is reviewing the various roles of a community health nurse. Which of the following actions is an example of a nurse functioning as a consultant? A. Monitor the client's satisfaction with the referral. B. Provide the client information to referral agencies. C. Review available resources with the client. D. Identify referrals that the client needs.

D. Identify referrals that the client needs.

A community health nurse is developing an education program on substance use disorders for a group of adolescents. Which of the following information should the nurse include when discussing nicotine and smoking? A. Smoking is the fifth‑most preventable cause of death in the United States. B. Nicotine is a central nervous system depressant. C. Withdrawal effects from smoking are minimal. D. Tolerance to nicotine develops quickly.

D. Tolerance to nicotine develops quickly.