Community EAQ

What purpose does block and parish nursing serve in preventive and primary care services?

Block and parish nursing provides services to older clients or those who are unable to leave their homes.

A nurse is preparing to teach a mental health course at a community health center. What information should the nurse include as one of the most effective ways to limit the occurrence of mental illness in the community?

Developing multiple coping strategies

A nurse is teaching a birthing/prenatal class about breast-feeding. Which hormone stimulates the production of milk during lactation?

Prolactin

What is the professional nurse's legal responsibility regarding child abuse?

Report any suspected abuse to local law enforcement authorities.

A nursing student is listing the different levels of the health care services pyramid. Under which type of health care services should the nursing student include subacute care?

Tertiary care

A nursing student lists the preventive and primary care services available in schools, primary healthcare provider's offices, occupational health clinics, community health centers, and nursing centers. Which service provided by these centers is most expensive?

disease management

A home health nurse on a first visit checks the client's vital signs and obtains a blood sample for an international normalized ratio (INR). After these tasks are completed, the client asks the nurse to straighten the blankets on the bed. What is the nurse's most appropriate response?

of course. I want to do whatever I can for you.

The nurse at a community healthcare center focuses on providing primary preventive care. What is the focus of primary preventive care?

promoting health in healthy individuals

What should the community nurse teach about the risk of adolescent pregnancy?

risk for premature birth

The nurse teaches a health class about communicable diseases and states that the virus that causes chickenpox can also cause another disease. Which disease is the nurse describing?

Herpes zoster

The registered nurse is organizing a community health care program for administering tetanus vaccinations. Which member of the health care team is most suitable for being delegated the task of administering vaccinations?

LPN

A nurse in the health clinic is counseling a college student who recently was diagnosed with asthma. On what aspect of care should the nurse focus?

Evaluating whether the necessary lifestyle changes are understood

A nurse is caring for a client attending a community-based health center and reviews the client's medical record. What should the nurse encourage the client to do?

Push with the palms rather than the fingers when rising from a chair.

The nurse is teaching a class about nutrition to a group of adolescents. Taking into consideration the prevalence of overweight teenagers, what is the best recommendation the nurse can make?

"Decrease fast food intake."

A client tells the nurse, "I keep reverting to my old habit of drinking soda, although I have stopped drinking as much." What stage of health behavior change has the client reached?

Action stage

A nurse helps a client to clarify health problems and choose appropriate courses of action. What competency in community-based practice is the nurse exercising?

Counselor

A community healthcare nurse is conducting a survey about homeless children in the community. Which finding helps the nurse distinguish absolute homelessness from relative homelessness?

The children do not have a physical shelter and may sleep outdoors or in vehicles.

The home health nurse provides education to a client with cancer of the tongue who will begin gastrostomy feedings at home. Which statement by the client indicates teaching by the nurse is effective?

"Before I start the procedure, I will measure the residual volume."

During a health symposium a nurse teaches the group how to prevent food poisoning. Which statement by one of the participants indicates the teaching is understood?

"Meats and cream-based foods need to be refrigerated."

Which activity by the community nurse can be considered an illness prevention strategy?

Arranging an immunization program for chicken pox

A 13-year-old girl tells the nurse at the pediatric clinic that she took a pregnancy test and got a positive result. She confides that her grandfather, with whom she, her younger sisters, and her mother live, has repeatedly molested her for the past 3 years. When the nurse asks the girl whether she has told anyone else, she replies, "Yes, but my mother doesn't believe me." Legally, who should the nurse notify?

Child protective services for immediate intervention

What purpose does a community health center serve in preventive and primary care services?

Community health centers are outpatient clinics that provide primary care to a specific population.

A community health nurse makes a home visit to a disabled 13-year-old client who has a 6-month-old infant sister. The infant lies quietly in her crib and rarely smiles or vocalizes; it appears that the infant barely has her basic needs met. What is the nurse's most appropriate intervention?

Determine whether there is anyone who can help with chores and the infant's care.

The nurse is teaching campfire safety to a group of community members and includes information about what to do if a person catches on fire. The nurse teaches the most effective method for putting out the flames. Which information from the group members indicates successful learning?

Instruct the victim to roll on the ground.

The nurse at a health fair has taken a client's blood pressure twice, 10 minutes apart, in the same arm while the client is seated. The nurse records the two blood pressures of 172/104 mm Hg and 164/98 mm Hg. What is the appropriate nursing action in response to these readings?

Take the client's blood pressure in the other arm and then schedule a healthcare practitioner's appointment for as soon as possible.

A nurse is conducting cholesterol screening for a manufacturing corporation during a health fair. A 50-year-old man who is 6 feet (183 cm) tall and weighs 293 pounds (133 kg) puts out his cigarette and asks the nurse how to modify his risk factors for coronary artery disease. On which risk factors should the nurse help the client focus? Select all that apply.

weight smoking

A client with dementia and a percutaneous endoscopic gastrostomy (PEG) tube is being cared for at home. Which action provides evidence that a family member is effectively managing the client's care?

Head of the bed remains elevated after the feeding.

What services do community health centers provide in preventive and primary care services? Select all that apply.

Health screenings Physical assessment Disease Management