NUR 426 Exam 4 Practice Assessment
A nurse is assessing a client who lives in a rural area during their first visit to a mental health clinic. Which of the following questions should the nurse ask to help determine if the client might experience an affordability disparity?
"Do you have insurance that covers mental health care?"
A charge nurse is discussing the phases of community response to disaster with nursing staff. Which of the following statements indicates an understanding of the heroic phase of disaster response?
"Personnel are willing to work in dangerous conditions to provide assistance."
A public health nurse is teaching a group of nurses about smallpox. Which of the following statements by one of the nurses indicates understanding of the teaching?
"Unlike chickenpox, the vesicles of smallpox are more abundant on the face."
A community health nurse is following up with community leaders on the status of a community-engaged research process. Which of the following statements by a community leader indicates to the nurse that additional education about a community-engaged research principle is necessary?
"We will solve this problem by starting over with all new resources" is correct "We will focus our results on individuals" is correct.
A school nurse is working with a population of parents who are concerned about the decreased number of students in their district who are completing high school. Which of the following is a reason for the nurse to choose community-engaged research to investigate the problem?
It involves commitment to a long-term, sustainable process.
A nurse is collecting the medical history of a client. The client reports that they have experienced violence in the past with a previous partner. What is an immediate concern of the nurse?
The client reports that they are experiencing frequent gastrointestinal issues.
Identifying Levels of Lead in Children's Blood that Require Intervention
3.5 mcg/dL
A nurse is assessing a toddler who has suspected lead poisoning. Which of the following findings should the nurse expect the client to manifest with acute lead poisoning?
Anorexia
A nurse is caring for a client who has a prescription for a referral for case management services. Which of the following actions should the nurse identify is the responsibility of case management services?
Arrange for the client to receive home health care services
A nurse is teaching a class about vulnerable populations that are at risk for health disparities. The nurse should include that which of the following populations are at risk for health disparities?
Clients experiencing poverty
A community health nurse is involved in community-engaged research in a community in which residents express concerns about social justice. Which of the following community-engaged research principles best addresses their concerns?
Community-engaged research facilitates a collaborative, equitable partnership in all phases of research.
A nurse manager in a community clinic is using Healthy People 2030 to plan care for clients. Using the Healthy People 2030 guidelines, which of the following interventions should the nurse use to reduce health disparities? Which of the following is an example of how Healthy People 2030 addresses strategies to reduce health disparities?
Consider the literacy level of clients using evidence-based interventions and strategies
A community health nurse has just been newly assigned to a small rural community. Which of the following are some steps that the nurse can take to address the community's needs?
Everything but Decide on educational theories to use
A nurse is working with a limited staff because of a severe storm in the area. The facility incident commander has initiated disaster protocols. Which of the following actions should the nurse take?
Focus on providing care that prevents life-threatening emergencies.
A school nurse receives a call that some children and teachers report being exposed to an undetermined noxious gas odor presenting in the classrooms and are experiencing dizziness. Which of the following actions should the nurse take?
Have students evacuated from the school and establish a triage area in the school parking lot.
Which of the following situations would the parish nurse likely find cultural differences or variations?
Heritage is correct Nutrition is correct Death rituals is correct
A community health nurse is assigned to identify activities that are a part of the prevention/mitigation phase of the disaster management cycle. Which of the following activities should the nurse identify as being in the prevention/mitigation phase?
Identify community members who have disabilities
A nurse is discussing health insurance coverage with state legislators. Which of the following disadvantages related to health insurance should the nurse include in the discussion that is specific to clients who live in rural communities rather than urban areas?
Limited access to primary care providers
A community health nurse is assisting with initiating a community's disaster plan following a nearby disaster. Which of the following resources responds to the disaster first?
Local government
A nurse is reviewing the guidelines for reporting nationally notifiable infectious diseases. Which of the following diseases should the nurse plan to report to the Centers for Disease Control and Prevention (CDC)?
Lyme disease
A nurse is working with an interdisciplinary disaster committee to develop a community-wide emergency response plan in the event of a nonbiological or chemical incident. The nurse should include which of the following agencies to be notified immediately after calling 911?
Office of Emergency Management (OEM)
A community health nurse is researching social determinants of health in the differing populations they serve. The nurse should identify that which of the following factors place populations at the highest risk for negative health outcomes?
Poverty
A nurse in an emergency department often sees victims of intimate partner violence. Which of the following actions should the nurse take when caring for victims of violence?
Provide the client with information on resources in the community to support victims of violence.
A nurse should identify which of the following as ways to make a positive impact in reducing health disparities in the clients they care for?
Screen clients for intimate partner violence in the acute setting is correct. Inquire about school performance of all school-age children in the acute setting is correct Provide parenting support information to parents seen in the emergency department is correct
A nurse is teaching a class about health disparities that impact access to health care. The nurse should include that which of the following factors can impact access to health care?
Sensory deficits
A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administer a vaccine following exposure?
Smallpox
A community health nurse is working in a rural area where there are many homes built before the 1970s. To promote good health, which of the following actions should the nurse take?
Teach residents about the dangers of lead-based paint.
A public health nurse is responsible for conducting a community-engaged, educational research project in a county. Which of the following principles will the nurse consider when conducting a needs assessment with the residents?
The results should be disseminated to all residents.
A nurse is caring for a group of clients in an infectious disease unit. The nurse should wear an OSHA-approved N95 respirator mask when caring for a client with which of the following infectious diseases?
Tuberculosis