Population Exam 4

A nurse is providing diet education to children who are attending a health fair. This is an example of which of the following levels of disease prevention?

Primary

A nurse in a clinic is providing care for a client who has a chronic health condition. Which of the following actions should the nurse identify as a primary prevention activity to prevent the progression of the client's chronic condition?

Providing a brochure with information about community resources

A nurse is counseling a caregiver who has a special needs child regarding the support of socio-emotional development and language skills. Which of the following recommendations should the nurse make?

Read to the child at least four times per week

A nurse is discussing with another nurse how health outcomes for underinsured clients can be improved by returning to school to achieve a higher level of education. Which of the following rationales should the nurse include in the discussion?

Returning to school could help a client get a job that allows them to gain access to health insurance that provides more coverage or better benefits

A home health nurse is providing care for client and observes during the visit that the client's caregiver appears tired and tearful. Which of the following activities should the nurse suggest to the client's caregiver?

Schedule a time each day to get out and exercise

A school nurse is assessing an adolescent client who indicates they have been experiencing depression due to a recent move. Which of the following interventions should the nurse implement?

Schedule an appointment with a school-based counselor

A nurse in palliative care is preparing to review the various types of palliative conditions with a newly licensed nurse. Which of the following conditions should the nurse plan to review with the newly licensed nurse?

Parkinson's disease Alzheimer's disease Chronic obstructive pulmonary disease

An occupational health nurse is attending to a new employee who had an accident at a worksite. Which of the following tasks should the nurse complete as a part of the protocol for an employee injury?

Perform a drug test

A public health nurse is orienting a group of nurses to primary prevention interventions that they could possibly be involved with. Which of the following are considered primary prevention interventions?

Pest control Sun protection Air purification systems

A group of public health nurses is meeting with a community group to generate ideas to reduce health risks impacted by the environment. Which of the following ideas should the nurse share at this meeting? (Select all that apply.)

Provide educational programs to local farming communities regarding waste in water run off Advocate for repairs to the fence which surround the community pool Provide receptacles where individuals can dispose of plastic materials

A county health nurse is addressing a recent outbreak of an infectious airborne illness in a poorly performing school in a low-income area of the city. The school lacks multiple resources such as a cafeteria, counseling services, a gymnasium, and a dedicated school nurse. Which of the following interventions should the nurse implement first to improve outcomes for the students?

Provide testing to detect infected students

A nurse is caring for an adolescent client who has a history of depression and suicidal ideation. Which of the following client statements should the nurse identify as requiring further intervention?

I dont have anyone I can talk to about my problems

A nurse is caring for a client who has asthma and allergies. The client asks the nurse about environmental influences they should avoid. The nurse should inform the client to avoid which of the following?

Mold

A community health nurse is preparing a public service announcement about Lyme disease. Which of the following strategies should the nurse include as an example of secondary prevention?

Notify your health care provider if you notice a rash

A nurse is creating a community wellness program for a group of community members who have been identified as having an increased risk of developing hypertension. Which of the following actions should the nurse include as secondary prevention?

Obtain blood cholesterol levels

A nurse is caring for a client who has a new onset of diabetes mellitus and is experiencing uncontrolled blood glucose levels. The client informs the nurse about their strict dietary compliance. Which secondary prevention actions should the nurse anticipate the provider prescribing?

Oral hypoglycemic medications

A nurse is caring for a client who is receiving hospice care services and observes that the client's health is improving, and the client is becoming more active. What information should the nurse discuss with the client and their family?

Other therapies that are like hospice services

A nurse is caring for a client who has Alzheimer's disease and is obtaining data from their partner who is their full-time caregiver. Which of the following responses by the partner should the nurse identify as a potential concern?

I get agitated when they dont eat their food at mealtime

A nurse is reviewing the records of a group of clients. Which of the following clients should the nurse identify as eligible to receive health insurance under the Medicare program?

A client who is age 65 or older

A nurse is reviewing the records of a group of clients. Which of the following clients should the nurse identify as eligible to receive health insurance under the Medicaid program?

A client whose income is below the poverty line

A nurse is performing a health screening for an older adult client. Which of the following findings should the nurse identify is a health disparity?

Mental health

A nurse is providing information with a newly licensed nurse about evidence that supports that 25% of the population will be elderly by 2060. Which of the following variables should the nurse identify as influencing this evidence?

Ability of a community to provide adequate resources Family Function Increased number of clients with chronic disorders Changes in retirement age

A public health nurse is orienting a newly licensed nurse to the job. The new nurse cannot remember what the "A" stands for in the I PREPARE mnemonic. Which of the following terms is correct?

Activities

A public health nurse is reviewing the records of a group of clients who have a low socioeconomic status. The nurse should identify that which of the following clients are most likely to experience long-term economic stability?

An older adult couple living in a community where goods and services are within walking distance

A nurse is speaking to a community group about asbestos. Which of the following information should the nurse include? (Select all that apply.)

Asbestos can be found in automotive products Asbestos fibers become airborne during repairs Asbestos can be found in the soil

A nurse is admitting a client who requests not to be intubated or have any other life saving measures initiated. Which of the following actions should the nurse take?

Ask the client if they have a copy of their advance directive

A nurse at a community center is preparing to provide wellness education for a community group that is 70% Black, 20% Hispanic, and 10% White. Which of the following outcomes should the nurse include in the class?

By the end of the teaching session participants will be able to list three ways to reduce cholesterol levels in their current diet

A home care nurse is speaking with a parent who saw their child playing with cleaning supplies. The parent is not sure if the child ingested anything. Which of the following actions should the nurse take first?

Call the poison control center regarding possible chemical exposure

A community health nurse is reviewing a new county ordinance that prohibits the sale of tobacco to anyone under 18 years of age. The nurse should recognize this ordinance as which of the following levels of prevention?

Community, Primary

A school nurse is preparing a lesson for a high school health class about the prevention of sexually transmitted infections (STIs). Which of the following interventions should the nurse include that aims to block transmission of STIs at the portal of exit?

Condom use

A nurse is admitting a client who has hip fracture from recent fall at home. During the admission interview, the client's partner, who is frail, informs the nurse that they will be the client's caregiver upon discharge to home. Which of the following actions should the nurse take?

Consult case management

A nurse notices that a colleague who was involved in a recent mass casualty incident is experiencing extreme fatigue and flashbacks. Which of the following resources should be the nurse's priority suggestion for their colleague?

Critical incident stress debriefing

A nurse is teaching about the Family Medical Leave Act (FMLA) with the client and their caregiver who is their adult child. Which of the following statements by the caregiver indicates understanding?

During FMLA, I will not receive a paycheck

A nurse in a community health clinic is providing an in-service to staff members about anthrax. The nurse explains that endospores allow anthrax to maintain environmental persistence. Which of the following information should the nurse include to describe environmental persistence?

Endospores support the ability of anthrax to survive and remain infectious

A primary care nurse is reviewing the medical history of a client. Which of the following chronic conditions should the nurse identify as risk factors for developing kidney disease?

Hypertension Diabetes Coronary heart disease Obesity

A nurse is obtaining a health history from a client. The client states, "I am not taking my medications because of their costs." Which of the following statements should the nurse make?

I can provide you with resources to assist with your concern

A nurse is caring for a client who has a serious mental illness and reports having challenges maintaining consistent work. Which of the following client statements indicates to the nurse that the client is living in a food desert?

I cannot always afford ride-share services to get to the nearest store, which is 30 minutes away from where I live

A nurse is discussing the epidemiology framework with a newly licensed nurse. Which of the following terms should the nurse include in the discussion?

Environment Host Agent

A nurse is planning to open a free health care clinic in a low-income, high-crime area. Which of the following terms best describes this type of project?

Environmental justice

A nurse is caring for a client who was exposed to large amounts of pesticides and is exhibiting vague manifestations associated with this exposure. Which of the following manifestations could be an early vague sign of cancer?

Fever Pain Weight loss

A nurse is caring for a client who has an acute case of cellulitis. After implementing a treatment protocol with the client, the client reports that they have had difficulty finding a job for almost a year and they sometimes skip meals to save money. Which problem is the priority for the nurse to address in the care plan?

Food access

A nurse is preparing to present an informational session on global warming to a group of clients. Which of the following should the nurse include as the major cause of global warming?

Greenhouse gas emissions

A nurse is reviewing epidemiological information on environmental pollutants within the community. Which of the following pathophysiologies due to hazardous exposure should the nurse anticipate among manual labor workers?

Hearing loss

A nurse is discussing individual client factors that influence developing a communicable or infectious disease with a peer. Which of the following factors could increase a client's risk for contracting a communicable or infectious disease?

Immunosuppressant medications Poor nutrition Older age Living in a nursing home

A nurse is planning a presentation at a local public health conference about the relationship between quality education and health outcomes. Which of the following information should the nurse include in the presentation?

Individuals who attain a quality education increase the likelihood of obtaining a job that pays a living wage

A nurse is preparing a workshop on preventing common communicable and infectious diseases in the community. Which of the following prevention methods should the nurse include to target diseases that are transmitted directly?

Isolation

A public health nurse is speaking with a client about why it is important to be an advocate for the environment. Which of the following reasons should the nurse identify as the primary purpose for environmental advocacy?

It can help ensure Earth's resources are available in the future

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 nurse in a public clinic is planning a health fair for clients in the community who are at risk for developing type 2 diabetes mellitus. Which of the following activities should the nurse include for secondary prevention?

Screening for blood sugar levels

A community health nurse is establishing a care plan for a 12-year-old client who is disruptive in school. The nurse includes a referral for a mentorship program as one of the interventions in the care plan. Which of the following rationales should the nurse include to support the referral?

Students who are mentored are more likely to attain educational success

A community health nurse is counseling a client who cares for a mentally ill parent. The client states "I am feeling overwhelmed and exhausted." Which of the following referrals should the nurse make to provide this client with first level support?

Support group

A nurse is discussing telehealth with a group of state legislators. Which of the following statements pertinent to homebound clients should the nurse include in the discussion?

Telehealth helps clients who have difficulty accessing a physician's office communicate with their primary care providers

A school nurse receives a telephone call from a parent who suspects their school-age child may have coronavirus-2 (SARS-C0V-2). Which of the following instructions should the nurse give as secondary prevention?

The child should be tested to determine the cause of their illness

A nurse is reviewing a client's record and notes that the client receives both Medicare and Medicaid. Which of the following information should the nurse identify that this reveals about the client?

The client is vulnerable to health disparities

A nurse is collecting data from an older adult client who has chronic obstructive pulmonary disease (COPD), arthritis, cataracts, and a BMI of 18.5. Which of the following findings should the nurse identify as a potential barrier to the client's nutritional goal?

The client relies on the public transit system for transportation The client potential mobility impairment because of arthritis

A nurse is evaluating the social profile of a new adolescent client at a community health clinic. Which of the following actions by the client is the priority for the nurse to address?

The client took courses online and experienced cyberbullying

A nurse is discussing the plan of care for a school-age child who was recently diagnosed with diabetes mellitus with the child's parents. The family of three is living on a tight budget because the father's business has been closed due to the COVID-19 disease lockdown. Which of the following factors requires attention from the nurse?

The elementary school is closed and students are learning remotely

A nurse in a community health clinic is explaining to staff members that a mutation of influenza has increased the communicability of the virus. Which of the following information should the nurse include to describe the effect of communicability of a virus?

The new mutation spreads easier from one individual to another

A nurse is counseling a client who has diabetes mellitus and is considering enrollment in a private managed care program. The policy will cover medical expenses for the client's condition, as well as vision care, but the client's current health care provider is not listed as a contracted provider under the managed care program. Which of the following information should the nurse share with the client?

The policy does not allow them to keep their current health care provider