ATI CH
A home health nurse is educating a client diagnosed with COPD about home oxygen use. Which of the following statements by the client indicates a need for additional teaching?
"I should use wool blankets on my bed when oxygen in use"
A community health nurse is teaching a group of adolescent clients about substance use disorders. 1%ich of the following statements by a client indicates an understanding of the teaching?
B. Opioids cause a decrease in respiratory rate
A home health nurse is evaluating an older client. Which of the following assessment findings should the nurse report as a possible indicator of elder abuse?
B. The client exhibits extreme thirst
After presenting several teaching sessions to a group of high school students about the harmful effects of tobacco use, a nurse valuates the teaching to be effective when a student states which of the following
"As long as I stop smoking while I am young, none of those diseases will affect me"
A nurse is providing a staff development program on HIPPA regulations to the staff at a community health clinic. Which of the following comments by one of the attendees would indicate a need for further teaching?
"Demographic data that identify a client can be released without consent"
A client arrives at a mental health clinic and tell the nurse that she has no purpose m life. Which of the following is the nurse's priority response?
D. Have you been thinking about harming yourself?
A parish nurse is visiting an older adult client who was recently widowed. The client tells the nurse that he no longer has a way to get to the grocery store or the doctor. Which of the following responses by the nurse is appropriate
"How would you feel about me contacting a local service that helps older adults with transportation?"
A community health nurse is teaching a client who has tuberculosis about modes of disease transmission. The nurse recognizes that the client understands the concept when the client makes which of the following statements
"I will wear a mask when I'm in an enclosed area with other people"
What patient would the Home Health Nurse send to the doctor first
Abdominal pain
A nurse is providing teaching to the wife of a client who has had a stroke regarding health-related services that will be provided in the home. Which of the following statements by the wife indicates that the teaching has been effective?
"The physical therapist will teach my husband exercises to increase hand dexterity"
A nurse is caring for a client who has questions about his treatment plan. Which of the following should the nurse perform as a client advocate (select all that apply)?
- provide education to the client about the diagnosis - inform the client about the provider's responsibility to provide information - assist the client in preparing questions for the provider - affirm the client's decision about the treatment plan
Child injury v/s abuse
Abuse
A community health nurse is evaluating an outbreak of hepatitis A among adult clients in his community. Which of the following should the nurse do to identify the cause of the disease
Identify restaurants where the clients have recently eaten
A recently hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect physical hazards?
B. Measure noise levels at various locations 111 the facility
Scheduling home visits, which is best for the home health charge nurse to assign to the LPN
A bedfast client who needs daily irrigation of stage 4 pressure ulcer
A nurse manager is providing teaching to a newly licensed nurse about Mantoux testing. Which of the following clients should the nurse manager include as an example of a client who might manifest a false positive reading?
A client who has received the Bacille Calmette-Guerm vaccme within the last 10 years
The partner of an older adult client who has Alzheimer's disease reports that he is not eating. The home health aide tells the nurse that the client's partner refuses to assist the client with feeding. The partner insists that the client feeds himself without help. 1%ich of the following is the priority action the nurse should take?
A. Determine the client's ability to self-feed
A hospice nurse is planning care for a client who follows traditional American Indian practices. Which of the following actions should the nurse take?
A. Discuss safe use of herbal medications
An occupational health nurse is discussing health promotion with a client who has a history of obesity. Which of the following comment Indicates the client is using rationalization as a coping mechanism?
A. I am obese because It is in my genes
A school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? (Select all that apply) A. Lobbying for funding for health promotion efforts B. Recommending a seating arrangement for a child in a body cast C. Teaching a class about the risks of cigarette smoking D. Create a plan of care for children who have a diagnosis of diabetes mellitus E. Organizing a program to promote skateboard safety
A. Lobbying for funding for health promotion efforts C. Teaching a class about the risks of cigarette smoking E. Organizing a program to promote skateboard safety
A group of technicians from a local automotive repair shop presents to an urgent care clinic with reports of dizziness, headaches, and nausea. After providing need to care for the clients which of the following government agencies should the nurse notify to follow up on these reports?
A. OSHA
Abuse
Advise the mother to call the police if violent behavior occurs again
A community health nurse is providing teaching about nutrition guidelines to a group of adolescents. Which of the following information should the nurse include in teaching?
Appetite naturally increases during the adolescent years
A nurse is providing education to a troop of local Boy Scouts regarding first aid for venomous snake bites in the event that transport to the hospital is delayed. Which of the following would be appropriate information to include in teaching about bites to an extremity
Apply a constricting band above the bite while maintaining circulation below the bite
A nurse is caring for a client who asks "can I decide not to continue with chemotherapy?" The nurse responds, "This is your choice and I'll support whatever decision you make." The nurse's response is an example of which of the following ethical principles
Autonomy
The first response team is working at the location of a bombing incident. A nurse triaging in the group of clients should give treatment priority through which of the following clients?
B. A client who has a rigid abdomen and manifestations of shock
A nurse case manager is providmg discharge planning for a client. The nurse is functionmg in which of the following roles when arranging for the delivery of medical equipment to the client's home?
B. Coordinator
A community health nurse IS working with a group of homeless veterans who have post-traumatic stress disorder. Which of the following interventions should the nurse implement?
C. Teach the clients to practice deep breathing exercises
A nurse is providing teaching to a 50-year-old female client. Which of the following statement should the nurse include in teaching?
C. You should have complete eye examination every two years until the age of 64
A client presents to the emergency department after being exposed to anthrax. The nurse should recognize that the
Chances of recovery are good if improvement is seen in 3 to 5 days.
A school nurse is planning an educational for parents about head lice. The nurse should include which of the following in the program?
Combs should be placed in boiling water for 10 min.
A nurse planning and education program for new inmates in a correctional facility. Which of the following topic is most important for the nurse to include in the teaching?
Communicable disease prevention
Nurse has to conduct community Dx to determine nursing needs and problems
Community -based practive .
Population-focused nursing practice
Community diagnosis
Plans formulated for solving community problems
Community organization
A nurse is working in an occupational health setting. Which of the following is a primary prevention activity for the nurse
Conducting smoking cessation classes
Training of potential leaders in the community
Core group formation
A nurse in a health department is participating in an immunization clinic. The nurse should identify that which of the following children requires an alteration In the standard immunization schedule?
D. A 12-month-old infant who has sickle cell disease
A nurse is caring for a client who asks, "Can I decide not to continue with chemotherapy?" The nurse response is, "This is your choice, and I'll support whatever decision you make." The nurse's response is an example of which of the following ethical principles?
D. Autonomy
A nurse manager at a clinic is reviewing the preventive services offered to clients. Which of the following activities should the nurse identify as secondary prevention activity?
D. Encourage a pregnant client to participate in prenatal care
An occupational health nurse is planning a program on early detection of breast cancer for female employees at a local business. Which of the following is the first action the nurse should take
Determine employee knowledge level of breast self-examination
An occupational health nurse is caring for a client who does not speak the same language as the nurse. Which Of the following actions should the nurse take first?
Determine the client's primary language
A case manager is caring for a client who is being discharged following a total hip arthroplasty. Which of the following actions is an example of the nurse functioning in the negotiator role?
Discuss payment options with various pharmacies
A case manager nurse is caring for a client being discharged post total hip arthroplasty. Which of the following activities is an example of the nurse functioning in the negotiator role
Discussing payment options with various pharmacies
A nurse working for a home hospice organization recognizes that clients must meet which of the following criteria to qualify for hospice care
Documented need for palliative care
A nurse is assisting with the development of a disaster management plan for a local community. During which of the following times should an evacuation plan be disclosed to the public
During disaster preparedness activities
Primary Goal of Community Health Nursing
Enhance the individuals, families and communities
While addressing community leaders at a forum for establishing community improvement initiatives, a public health nurse identifies which of the following groups as the fastest growing segment of the homeless population
Families with children
Pregnant woman not getting enough what vitamin may cause neural tube defects
Folic acid
Prenatal consult asked HHN if she can have her delivery at home advised her against a home delivery
Her OB score is C5P3
The community health nurse attempting to address the issue of child abuse in a large metropolitan area primary prevention program
High school child development and parenting classes
Type of family-nurse contact offers with the best opportunity to observe family dynamics
Home visit
A nurse administers a tuberculin skin test to a client who is HIV positive. Which of the following indicates a positive reaction to the test?
Induration at infection site of 8 mm
Necessary when a person is in need of psychiatric treatment, presents a danger to self or others, or is unable to meet his or her own basic needs
Involuntary admission criteria
Occupational Health Act
Location of the workplace as relates to health facilities
A community health nurse working with a migrant population recognizes that which of the following is necessary to provide care to this population
Offering health screenings at a community center
Several nurses affiliated with a church are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. Which of the following is appropriate to include in regard to care they could provide?
Organize a flu immunization clinic with the American Red Cross.
Which of the following activities is the responsibility of a case manager?
Performing hypertension screening in a community center
A public health nurse is tracking reports of flu-like illness in the local school system. This is an example of which of the following approaches?
Prevalence rate
A community health nurse is teaching a client who has active tuberculosis about disease management. Which of the following information should be included in the teaching
Provide sputum cultures until three come back negative
A community health nurse is providing instruction about infection control to the family of 5-years-old child who has impetigo contagious. The child has siblings living in the home. Which of the following recommendations is appropriate?
Provide the child with separate towels and lines
public health nurse has received a report of several infants who attend the same daycare being diagnosed with respiratory syncytial virus (RSV). Which of the following actions should the nurse take first
Provide the staff with information regarding measures to minimize disease transmission
Nurse is working with interdisciplinary group to write procedures for assessment of clients from multiracial inner city population. "Remember that all Hispanic clients may not wish to give personal med information to a stranger"
Recommend changing the language that stereotypes one ethnic group
Which of he following activities would the school nurse perform in the role a consultant?
Recommend policy chances to minimizes the spread of influenza
A nurse is educating a community about disaster planning for an upcoming hurricane season. Which of the following is an example of personal preparedness?
Recommending that each family has batteries, a radio and a flashlight
A community health nurse is conducting a community assessment. Which of the following data should be included as a component of the assessment
Resources available to address health care issues
6 months pregnant, comes to the center for consult and what med is contraindicated
Retinol 2000.000 IU
A first-response team is working at the location of a bombing incident. A nurse triaging a group of clients should give treatment priority to which of the following conditions?
Rigid abdomen with symptoms of shock
A community health nurse is working with a family in which only the children speak English. The nurse should select a translator who is
Skilled in health-related interpretation
A home health nurse is assessing a client who was diagnosed with congestive heart failure. Which of the following assessment finding should be reported to the provider?
Sodium level of 119
Nurse is performing an intake interview at a prenatal clinic on a patient who is at 6 weeks gestation
Supervision of the renovation of an old house the family just purchased due to teratogen defect
A school nurse is creating a plan to address an increase in violence among high school students. Which of the following is a secondary prevention strategy that the schools nurse can implement
Surveying students to identify risk factors for bullying
Primary prevention of Asthma
Take bronchodilator first
Rheumatoid Arthritis Resources
The arthritis association
A nurse is working with a case manager for a client who participates in a health maintenance organization. Which of the following is characteristic of the payment structure provided under this system
The client pays the insurer a percentage of the total costs for each service rendered by the provider
A school nurse is assessing the spinal alignment of students at a grade school. Which of the following findings indicates a child should be assessed further for scoliosis
The family will remain with the body until burial
A home health nurse is making a home safety evaluation visit with an older adult client recently discharged from the hospital after being diagnosed with diabetes mellitus. Which of the following findings indicates a need for a corrective intervention? Select all that apply)
The hot water heater is set at 130 F. An extension cord extends across the floor from the electrical outlet to floor lamp.
Vietnamese child during a HH visit and nurse notices round swellings on child's back. Mom says she rubbed a coin on his oiled skin
The purpose is to rid the body of disease
A nurse is providing teaching to a community group regarding smallpox. Which of the following is an appropriate response in relation to why people who received a single vaccination prior to 1980 are no longer considered protected
The vaccine does not confer life-long immunity
70-year-old male client at nursing home after a hip replacement and at risk for decubitus ulcers because
Thinning of the skin with loss of elasticity
In reviewing goals of "healthy people" nurse determines the community has a significant problem preventing dental caries in children. To bring about change
WIC program intake offices
A client tells a nurse that she is planning a hiking trip. Which of the following measures should the nurse recommend minimizing the client's risk for contracting Rocky Mountain spotted fever?
Wear protective clothing
A home health nurse is scheduling client visits for the day. Which of the following clients should the nurse plan to visit first?
a 79-vear-old client with an exacerbation of COPD
A community health nurse is reviewing laboratory results for his case load of clients. Which of the following is the highest priority finding?
a sputum specimen that is positive for tuberculosis
Risk for constipation - immobility, older
adults, dehydration, narcotics or BP medications
A nurse is triaging victims of a commuter train crash. Which of the following clients should be transported to the Emergency Department first?
an ambulatory client whose nose is bleeding and who reports feeling dizzy
A state public health nurse is asked to determine which country has the most people living in it with a diagnosis of Alzheimer's disease. Which of the following measures will determine this information?
analytic epidemiology
A nurse is providing education to a group of adolescents who are pregnant and attending high school. Which of the following information should the nurse include in this teaching?
caffeinated beverages should be replaced with caffeine-free
A nurse is planning a primary prevention strategy for reducing obesity in a community. Which of the following strategies should the nurse use?
educate children about nutrition and exercise at a davcare center
A community health nurse is writing an emergency response plan for a day care. Which of the following should be included in the plan?
immunization protocol for various biological agents
A community health nurse is caring for clients in a culturally diverse community. Which of the following actions demonstrates accurate cultural knowledge about a specific cultural group?
include both hot and cold food items on a Hispanic client's menu
Which of the following is an example of the responsibilities of public health nursing
informing state health officials of a potential meningitis outbreak
A community health nurse is preparing to teach accident and injury prevention. Which of the following would be the priority topic for a family with a 10-year-old child?
koplik spots in the oral mucosa
Patient having trouble with peripheral vision-what best for nurse to do
orient patient to surroundings (something about the environment
A community health nurse is developing health promotion activities for a community. Which of the following is the highest priority action?
participate in community assessment to identify community health problems
PHN bag is an important tool for care during a home visit
prevent the spread of infection
A nurse is working with a client who is homeless. Which of the following is the first step that the nurse should take to advocate for this client?
refer the client to a public homeless shelter
A home health nurse is performing an eye assessment and vision screening on an older adult client recently assigned to her care. Which of the following findings indicates a need for an intervention?
slightly yellow sclera
SIDS-prevention
supine position, sleep on back
Philosophy of public health nursing
worth and dignity of man
