Module 6 community

Which of the following are considered the primary concepts of community-based nursing? SATA

-self care -preventative care within the context of culture and community

Stage 1 HIV

within 2-4 weeks after infection, flu like illness, very contagious, may not feel sick, a fourth generation antibody/antigen test or nucleic acid (NAT) test is necessary to know if they have it

A patient who wears contact lenses is to be placed on rifampin for tuberculosis therapy. What should the nurse tell the patient?

you should switch to wearing your glasses while taking this medication

increased risk of neurologic complications is associated with adults and children including Guillain-Barre syndrome, neuropathy and myelitis

zika

priority disease by WHO

zika

healthy people 2020 4 overall goals

-attain high quality of longer lives free of disease, disability, injury, and premature death -acheive high equity, eliminate disparities and improve health of all groups -create social and physical environments that promote health for all -promote quality of life, health development and health behaviors across all life stages

a community diagnosis state

-describes a situation -implies the etiology while focusing on a specific community (risk of low birth weight among adolescents who are pregnant in the downtown district related to low income)

universal characteristics of families (5)

-every family is a small social system -moves through stages in its life cycle -has its own cultural values and rules -has structure -has certain basic functions

impact of HIC in the south may be due to several factors:

-people unaware of their HIV status -poverty -stigma -limited access to quality health care -many southern states have not widely adapted new HIV advances in prevention and testing

The nurse is interviewing a client about health behaviors. What lifestyle factors will the nurse consider when conducting a health risk appraisal? SATA

-recreational activities -driving habits -blood pressure

A nurse is preparing a presentation for a local community group about mental health. When describing a mentally healthy person, which of the following characteristics would the nurse include? SATA

-satisfaction with life situations -acceptance of reality -positive self image

when determining the health of the community, consider 3 factors:

-status/people -structure -process

A nurse is assessing the injection site of a client who has received a purified protein derivative test. Which finding indicates a need for further evaluation?

15 mm induration

oral rehydration therapy

2 cups water, 1 1/2 tablespoons sugar and 1/2 teaspoon salt

A client diagnosed with tuberculosis (TB) is taking medication for the treatment of TB. The nurse should instruct the client that he or she will be safe from infecting others approximately how long after initiation of the medication therapy?

2-3 weeks after initiation of bactericidal drugs

Nursing students are reviewing information about grieving and its assessment findings. The students demonstrate an understanding of the information when they identify which of the following as a behavioral indicator?

forgetfulness

An older adult patient has just been admitted to a long-term care facility. Which of the following would be most important to reduce the risk for infection?

use the purified protein derivative test to evaluate for TB

The nurse caring for a client with tuberculosis anticipates administering which vitamin with isoniazid (INH) to prevent INH-associated peripheral neuropathy?

vitamin B6

After diagnosing a client with pulmonary tuberculosis, the physician tells family members that they must receive isoniazid (INH [Laniazid]) as prophylaxis against tuberculosis. The client's daughter asks the nurse how long the drug must be taken. What is the usual duration of prophylactic isoniazid therapy?

6-12 months

The nurse is educating a patient who will be started on an antituberculosis medication regimen. The patient asks the nurse, "How long will I have to be on these medications?" What should the nurse tell the patient?

6-12 months

A client who has started therapy for drug-resistant tuberculosis demonstrates understanding of tuberculosis transmission when he says: ill

I'll stop being contagious when I have a negative acid-fast bacilli test

A home care nurse is approached by the client's neighbor while walking to the car after visiting the client. The neighbor asks, "What's wrong with Tom? Is he sick?" How should the nurse respond?

I'm a nurse caring for Tom but I cannot tell you anything about his condition

A home care nurse is caring for an older adult with multiple medications after being discharged from the hospital with acute coronary syndrome. Which nursing action best promotes self-management of the medication regimen for this client?

assist to identify duplicate medications

A nurse is administering a purified protein derivative (PPD) test to a client. Which statement concerning PPD testing is true?

a positive reaction indicates that the pt has been exposed to the disease

The nurse is discussing health care goals with a client. What intervention will a nurse perform when assisting a client to achieve health care goals?

appreciate the pt's beliefs about the cause of illness

TB symptoms

fever, cough, night sweats, fatigue, anorexia, weight loss, chest pain

Which statement indicates a client understands teaching about the purified protein derivative (PPD) test for tuberculosis?

because I had a previous reaction to the test, this time I need to get a chest XRAY

How is HIV/AIDS transmitted?

body fluids (blood, seminal fluid, vaginal secretions, amniotic fluid, breast milk). NOT transmitted through casual contact

biggest predictor of health

wealth

A home care nurse is assessing a client's need for home visits. Which of the following would the nurse use as the primary determinant for future visits?

client's current health status

A home care nurse is planning a first client visit. While reviewing the referral information, the orders are not clear. What priority action will the nurse take?

contact the referring agency

A physician determines that a client has been exposed to someone with tuberculosis. The nurse expects the physician to order which treatment?

daily doses of isoniazid, 300 mg for 6 months to 1 year

second leading cause of death in children less than 5

diarrheal diseases

blood in stool

dysentery

the basic unit of society

family

occurs when a family is not able to cope with an event which directly impacts the family unit. The family's resources (physical, financial, emotional) are inadequate to meet the demands of the situation (natural disaster causes loss of house)

family crisis

greatest impact to reduce incidence of measles

from WHO program, integrated management of childhood illness (IMCI), which promotes wide coverage of immunizations, rapid referral of serious cases, prompt recognition of secondary conditions, improved nutrition (breastfeeding) and vitamin A

prevention for pneumonia

immunizations, birth spacing, improved nutrition, better living conditions esp smokeless cooking stoves

A client has presented to the local health center with a large mass in her right breast. She has felt the lump for about a year but was afraid to come to the clinic because she was sure it was cancer. What is the most appropriate nursing diagnosis for this client?

ineffective individual coping related to reluctance to seek care

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?

injuries

risk factors for pneumonia

low birth weight, poverty, crowding, lower education levels, poor nutrition, inadequate childcare, delayed treatment, poor air quality, smoking

The nurse is assessing a client and learns that the client and his wife were married just 3 weeks earlier. What principle should underlie the nurse's care planning for this client?

marriage causes transition, which has the potential to cause stress

measles deaths

most are in low income countries with poor health

A nurse is working in a university health center. A 20-year-old client comes to the center with vague complaints. The client states that she's been cramming for a final examination scheduled for the next day. The nurse suspects that the client is experiencing anxiety. Which of the following statements from the client would most support the nurse's suspicions?

my stomach feels really upset sometimes like I'm going to vomit

TB bacteria

mycobacterium

A nurse determines that the plan of care developed for a family who is grieving has been successful when the family demonstrates which of the following?

new relationships

polio is a threat as long as

one case exists

The nurse is caring for a client who has been admitted for the treatment of AIDS. In the morning, the client tells the nurse that he experienced night sweats and recently "coughed up some blood." What is the nurse's most appropriate action?

place the pt on respiratory isolation and inform the physician

educate mothers to seek care early

pneumonia

leading cause of death in children less than 5

pneumonia

viral disease that affects the nervous system, mainly spread by person to person contact but can also be spread by eating raw or undercooked food or drinking water or other drinks that are contaminated with the feces of an infected person

polio

A nurse is assisting family members with a therapeutic intervention for a patient with substance abuse. Which of the following would most likely occur?

presenting the pt with a realistic picture of the problem

data from community members

primary

What does a positive Mantoux test indicate?

production of an immune response

When a disease infects a host a portal of entry is needed for an organism to gain access. What has been identified as the usual portal of entry for tuberculosis?

respiratory system

data from other people

secondary

A community health nurse has scheduled a hypertension clinic in a local shopping mall in which shoppers have the opportunity to have their blood pressure measured and learn about hypertension. This nursing activity would be an example of which type of prevention activity?

secondary prevention

a gap exists between family nursing theory, development, and practice. public health nursing will continue to lag in the area of

spending time in family health care

A client has been diagnosed with AIDS and tuberculosis (TB). A nursing student asks the nurse why the client's skin test for TB is negative if the client's physician has diagnosed TB. The nurse's correct reply is which of the following?

the client's immune system cannot mount a response to the skin test

While talking with the parents of conjoined twins who are medically unstable, the nurse observes that the father of the babies has an aggressive stance, is speaking in a loud voice, and makes several hostile statements such as, "I'd sure like to have words with that doctor who told us our babies would be okay." The nurse knows that this father's cognitive appraisal has led to what?

the development of negative emotions

An adult client has tested positive for tuberculosis (TB). While providing client teaching, what information should the nurse prioritize?

the importance of adhering closely to the prescribed medication regimen

A nurse is conducting an initial assessment on a client with possible tuberculosis. Which assessment finding indicates a risk factor for tuberculosis?

the pt had a liver transplant 2 years ago

The nurse is caring for a client with tuberculosis. Why should the nurse always encourage a client with tuberculosis to perform active range-of-motion (ROM) exercises three times a day?

to maintain muscle strength

times of risk and may lead to crisis. requires families to change behaviors, make new decisions, reallocate roles and or resources, and learn new skills. (divorce, birth, marriage)

transitions

Nursing students are reviewing the various infectious diseases that require transmission-based precautions. The students demonstrate understanding of the information when they identify which infectious disease as requiring airborne precautions?

tuberculosis