Community FINAL Practice Q's
A resident in a rural community has been diagnosed with asthma. Which of the following providers will most likely provide care to this client? a. Advanced nurse practitioner b. Allergist c. Pediatrician d. Pulmonologist
A
A local hospital is overwhelmed with victims from a tornado that leveled a nearby community of 75,000 people. The hospital is short-staffed. Which action is most important for nurse in this situation? a. Nurses performing duties outside their normal job duties & area of expertise b, Family members providing unskilled interventions for their loved ones c. Giving care to persons with extensive injuries & little chance of survival d. Asking if anyone can interpret for pts.
A
A lonely, depressed young widow has been self-medicating with cocaine for the past year. Which term should a nurse use to best describe this individual's situation? A. The individual is experiencing psychological dependency. B. The individual is experiencing physical dependency. C. The individual is experiencing substance dependency. D. The individual is experiencing social dependency.
A
A nurse has completed health risk appraisals with several different families. Which of the following families would be of most concern to the nurse? A. An older couple who has just retired and sold their house, who talk about moving to a retirement community. B. Newlyweds who have been saving their money, who want to discuss birth control and family planning in preparation for future pregnancies. C. Parents who come with their child for his pre-kindergarten physical exam and want to be sure all the child's immunizations are up to date. D. A woman who is very pleased with her new position at the hospital and wants to have her pre-employment exam and drug screen.
A
A school nurse notes that 60 children have missed days of high school because of pertussis this past year and this rate has been relatively constant for the past 5 years. The nurse plans to work with the community to increase awareness of the seriousness of this disease for children younger than 6 months of age and to raise and maintain the immunization rates, because in this community the pertussis is: A. Endemic B. Epidemic C. Pandemic D. Sporadic
A
After hearing of plans to build a city dump near a community of poor and predominantly African-American citizens, what principle might cause a nurse to want to help block the proposed site for consideration? A) Environmental justice B) Equal rights C) Primary prevention D) Risk protection
A
In the United States, which demographic group has the highest risk for HIV infection? a. African-American homosexual men b. Hispanic IV drug abusers c. Native American heterosexual males d. White lesbians
A
In the work setting, what is your primary responsibility in preparing for management of disasters, including natural disasters & bioterrorism incidents? A. Knowing the agency's emergency response plan B. Being aware of the signs & symptoms of potential agents of bioterrorism C. Knowing how & what to report to the Centers for Disease Control and Prevention (CDC) D. Making ethical decisions about exposing self to potentially lethal substances
A
Staff members have agreed to implement evidence-based practice; they have chosen a specific problem and searched the literature. The group has selected the interventions that seem the easiest to implement. What should be the staff's next step? a. Assessing the quality of the evidence in the literature b. Deciding how best to orient the staff and community to the proposed changes c. Eliminating all nursing interventions that are not evidence based d. Choosing another specific problem for the next literature search
A
The home health nurse is admitting a client with Parkinson's disease to the home healthcare service. In planning care for this client, which nursing diagnosis has priority? A. Impaired physical mobility related to muscle rigidity and weakness. B. Ineffective coping related to depression and dysfunction due to disease progression C. Ineffective breathing pattern related to respiratory muscle weakness D. Fear related to constant possibility of experiencing seizures
A
The nurse is caring for a female client who was brought to the emergency department (ED) by the spouse. Based on the client's injuries, the nurse suspects the client may have been physically abused. Which of the following actions would be most appropriate for the nurse to take? a. Question the client about the possibility of abuse when the spouse is not in the room b. Explain to the client that the client will have to speak with a police officer to rule out the possibility of abuse c. Explain to the spouse that the client's injuries appear to be the result of physical abuse d. Ask the client & the spouse how long they have been married
A
The nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal. Which of the following would alert the nurse to the potential for delirium tremors? A. hypertension, hallucinations, change in LOC B. hypotension, ataxia, hunger C. hypertension, stupor, agitation, muscular rigidity D. hypotension, agitation, coarse hand tremors
A
The nurse is working in a community clinic that serves a population comprised mainly of migrant families. In planning the use of resources for secondary prevention, which activity should be the priority? A. Skin testing for tuberculosis B. Glucose monitoring for DM C. Blood work for cardiovascular disease D. Height and weight for altered nutrition
A
What action is best for the community health nurse to take if the nurse suspects that an infant is being physically abused? A. Follow agency protocols to report suspected abuse. B. Report suspicions to the local child abuse reporting hotline. C. Educate the child's caregivers about growth and development issues D. Call the police department to have the child removed from the home
A
What fact led Lillian Wald to suggest nurses practice in schools? A. Over 20% of children were absent from school each day. B. Nurses had to enter the schools to assess and care for the children of families receiving care in their homes. C. Nurses needed employment, and hospitals did not want to increase their nursing staff. D. It was less expensive to employ nurses in schools than physicians.
A
What is the most probable cause of the increase in new emerging infectious diseases? A. Activities or behavior of humans, including changes in the environment B. Increasing urbanization and growth in new housing materials C. New infectious agents are evolving throughout the world D. Overpopulation in many areas, creating a need to reduce global population
A
What should a nurse caring for clients of another culture be sure to do? A. Alter personal nonverbal behaviors to reflect the cultural norms of the client. B. Keep all behaviors culturally neutral to avoid misinterpretation. C. Rely on friendly gestures to communicate caring for the client. D. Avoid any pretense of prejudice by treating the client in the same way as any other client.
A
Which action represents secondary prevention to reduce environmental health risks? A) Collecting blood specimens from preschool children to check for lead levels B) Meeting with local government officials to request that the city clean up a hazardous vacant lot C) Referring a child with toxic lead levels to a neurologist D) Teaching parents of a 2-year-olds about the dangers of lead-based paint in older homes
A
Which of the following conditions of the rural environment provides increased opportunities for teaching? a. Increased interaction among residents due to neighbors visiting neighbors on the family farms b. Involvement in rural community activities provides more contact with community residents than in urban areas c. Nursing responsibilities in these areas stress the importance of primary, secondary, and tertiary prevention d. Increased illnesses and injuries of rural residents require that they see nurses more often
A
A nurse organizes a community action group to help resolve health problems in a low income neighborhood with a large population of recent immigrants from Africa. What problem should the nurse address first? A. High rate of unemployment B. Low immunization rate of children C. Provision of substandard health care D. Access to bilingual care providers
B
Which of the following are barriers to practicing family-oriented nursing? select all that apply A. The traditional charting system in health care has been oriented to the individual. B. A lack of comprehensive family assessment tools exists. C. The nursing diagnostic systems are disease- and individual-focused. D. Insurance carriers recognize the family as a unit, as well as the individual client.
A, B, C
Emerging infectious diseases may arise as a result of factors operating singly or in combination, and these factors may include which of the following (select all that apply)? A) Environmental changes. B) Host behavior. C) Improved surveillance. D) Microbial adaptation. E) Public health infrastructure deterioration.
A, B, D, E
What data will the nurse who wishes to assess the structure of community health review? Select all that apply. a. Health facilities and their staffing patterns b. Health risk profiles of selected aggregates c. Statistics of morbidity and mortality in comparison with similar communities d. Treatment and service use patterns from local health agencies and care providers
A, D
The Centers for Disease Control and Prevention developed a school health program that all schools should follow. What activities are included? Select all that apply. A. Ensuring a healthy school environment B. Assisting teachers with education related to health C. Encouraging nutritious school meals D. Giving immunizations to students, staff, teachers, and their families E. Supporting community involvement in the schools F. Working with teachers to plan and implement field trips to maximize learning
A. Ensuring a healthy school environment B. Assisting teachers with education related to health C. Encouraging nutritious school meals E. Supporting community involvement in the schools
A nurse states, "The best way to treat a client from another country is to care for them the same way we would want to be cared for. After all, we are all humans with the same wants and needs." What does this statement reflect in relation to culture? A) Awareness B) Blindness C) Knowledge D) Preservation
B
Select the appropriate interventions for caring for the client in alcohol withdrawal. a. Monitor VS b. Provide stimulation in the environment c. Maintain NPO status d. Provide reality orientation as needed e. Address hallucinations
ADE
A community health nurse supervisor has integrated exposure history questions into the assessment practices of the nurses that are relevant to the urban industrial community served. This strategy indicates that the nurse manager is aware of the relationship between: A) Community strengths and weaknesses. B) Environment and human health/disease. C) Toxicology studies conducted by the Environmental Protection Agency and the environment. D) Federal and state environmental regulations.
B
A mother who has a history of chronic heroin use has lost custody of her children due to abuse and neglect. She has been admitted to an inpatient substance-abuse program. Which client statement should a nurse associate with a positive prognosis for this client? A. "I'm not going to use heroin ever again. I know I've got the willpower to do it this time." B. "I cannot control my use of heroin. It's stronger than I am." C. "I'm going to get all my children back. They need their mother." D. "Once I deal with my childhood physical abuse, recovery should be easy."
B
A nurse carefully taught a patient from a different culture exactly how much medication to take emphasizing the importance of taking the correct amount. The patient comes back to the hospital with symptoms of an overdose, although the patient denies taking more than the label indicated. What is the most likely explanation? A. The patient was taking more mediation to get well faster. B. The patient was also taking folk medicines with many of the same effects & perhaps some of the same ingredients as the prescribed medication. C. The patient did not understand the correct dose. D. The patient had an idiosyncratic response to the medication & should have a smaller dose ordered.
B
A nurse is assigned to teach clients STD prevention information. The nurse updates her teaching plan to incorporate new guidelines from CDC & includes which of the following as updated information during the next teaching session? A) Always use spermicides with condoms to reduce the risk of contracting chlamydia or gonorrhea. B) Condoms can be effective in preventing infections transmitted by fluids from mucosal surfaces but are not always effective in preventing infections transmitted by skin-to-skin contact. C) Condoms should not be used during oral sex, because they are not effective in preventing transmission of infection. D) When genital ulcers are present, condoms should be used to prevent the spread of infection
B
A school health nurse plans to use evidence-based practice (EBP) to guide the development of health education programs most likely to increase retention of learning in elementary school children. What may be the best way to use EBP in this situation? A) Ask other school health nurses what they included in their own education programs. B) Compare and contrast randomized clinical trials related to learning in elementary school children. C) Develop a series of games to accompany the programs developed to promote health. D) Seek out and examine health education programs for elementary school children on the Internet
B
A school nurse was talking to the teacher of an 8-year-old child who was living with her mother in their car. What might lead the nurse to talk to the teacher about the child? a. Concern that other children are mistreating the child b. Concern over developmental delays c. Concern that child is given adequate food during lunch d. Concern that the child may need to sit in the front in order to be able to see well
B
After finding several studies related to the clinical problem, a nurse knows the studies must be evaluated. For the studies to be considered convincing, they should ideally be: A. Federally supported multiagency clinical studies B. Multiple high-quality studies with large sample sizes and consistent findings C. Research studies done by multidisciplinary teams in multiple settings D. Controlled clinical trials
B
Besides the typical programs at school-based health centers, what does a full-service school-based health center offer? A. Employee care at a discounted cost at the school B. Care to others in the community C. Sex education, birth control, family planning, and care throughout pregnancy D. Networking with other health care services in the community
B
Congress passes a bill with the potential to decrease health care services. How can the nurse best influence the bill's implications at this time? A. The nurse can exercise veto power by calling for petitions from various health care agencies. B. The nurse can influence how the law is regulated by contacting the regulatory agency and by participating in public hearings C. The nurse should contact members of congress to request that they pass opposing legislation D. The nurse should write the Whitehouse asking the President to withdraw the law
B
The multidisciplinary home health care team is discussing a female client diagnosed with Parkinson's disease. The home health care nurse reports the client is getting worse and her husband is no longer able to care for her in the home. Which action should the home health nurse implement first? A. Request a chaplain to counsel with the couple B. Assign a home health care aide to provide care daily C. Talk to the husband about placing his wife in a nursing home D. Contact the client's children to discuss the situation
B
The nurse is caring for a client who has streptococcal pneumonia. Which of the following infection control precautions should the nurse implement? a. Request the dietary department provide disposable utensils on the client's meal tray. b. Wear a surgical mask when obtaining the client's vital signs. c. Remove fresh flowers from the client's room. d. Place the client in a private room with monitored negative air pressure.
B
The nurse is preparing to discharge an elderly, recently widowed female client following a mild stroke. At this time she is able to walk with the aid of a walker. As part of the discharge planning, what referral is most important for the nurse to make? A. Pastoral care B. Meals On Wheels C. Support Group D. PT
B
The school nurse has arranged for volunteers to help check each child's hearing and vision. Any child that the volunteers feel did not "pass" will be sent to the nurse for follow-up. The nurse will then send a note to the parents that a physician should be seen. Which level of prevention is this activity? a. Primary b. Secondary c. Tertiary d. Both primary and secondary
B
What action by the nurse can best ensure long-term positive health outcomes of poor pregnant teens & their children? a. Assisting teen mothers to learn about their body changes during pregnancy b. Developing programs that allow teen mothers to complete their education c. Offering courses in proper care of babies and how to be a parent d. Monitoring pregnant teens to detect early problems with pregnancy
B
What are the prerequisites to the provision of culturally competent care? a. Cultural recognition and cultural acceptance b. Cultural awareness and cultural sensitivity c. Cultural appreciation and cultural knowledge d. Linguistic knowledge and cultural awareness
B
What statistic do countries use to compare the success of their health care systems? A) Attack rate B) Infant mortality rate C) Cause-specific morbidity rate D) Cause-specific mortality rate
B
Which of the following best describes why planning care for an individual is so challenging in today's health care system? a. Because today's clients have high expectations of the health care system b. Because multiple providers, payers, and settings have to be coordinated c. Because of the new high technology constantly being created and used for client treatment d. Because so many different health care providers are in the acute care setting today
B
Which of the following should be the initial consideration made by a nurse who is working with lesbian, gay, bisexual, and transgendered (LGBT) families? A. Understanding of same sex marriage laws within the state B. Understanding of personal feelings of working with members of this community C. Assessment of the family structure within the LGBT family D. Assessment of sexual orientation in a safe environment
B
Why is it so crucial that nurses be knowledgeable about public health surveillance? A. Because nurses are employed in public health agencies B. Because nurses are often the first to recognize and respond to a problem C. Because nurses are responsible for ensuring that action is taken when necessary D. Because nurses are typically the ones to interact with the public and the media
B
Worldwide what is the number one cause of death? A. Chronic disease (HTN, CV, Ca, Stroke) B. Infectious diseases C. Injuries (MVC, falls head injuries) D. Terrorism (biologic, trauma)
B
Six students order meals at the local mom-and-pop restaurant. Which students are at high risk for illness? Select all that apply. A. The first student asks for a salad with chicken strips and dressing on the side. B. The second student asks for a hamburger, very rare. C. The third student orders a tuna salad sandwich with extra mayonnaise. D. The fourth student orders a breakfast meal with two very soft-poached eggs and toast. E. The fifth student asks for the recipe of the week, Carpaccio (raw beef tenderloin). F. The sixth student orders two tomato-and-cheese pizza slices.
B, D, E
A nurse enters a family's home for the first time. Which of the following goals should the nurse have? (Select all that apply.) A. Assessing each family member in detail both physically & psychologically B. Collaborating with the family to establish goals & a plan for meeting them C. Determining the exact relationship between each member of the family D. Exploring the family's perception of their problems & needs
B, D
How might a public health department be aware of an impending health problem before any problem is reported to the agency? Select all that apply. A) Doctors are feeling rushed as they interact with each patient. B) EDs are notably busier than usual. C) Nurses are calling in ill to the local hospital. D) Pharmacists are discussing the increase in medication purchases. E) School nurses are expressing dismay over increased student absenteeism. F) X-ray departments and other labs are unusually busy and falling behind.
B, D, E, F
The nurse is designing a bioterrorism plan for a community. Which agents are transmitted person to person via respiratory or inhalation exposure? (Select all that apply.) A. Ricin B. Pneumonic plague C. Anthrax D. Botulism E. Smallpox
B, E
A client newly diagnosed with human papillomavirus (HPV) infection, herpes simplex virus 2 (HSV-2) infection, and syphilis asks, "Okay, so how do I get rid of all this stuff?" In developing a plan of care, the nurse recognizes that it is most essential to address: A) Correct use of condoms to prevent transmission of all sexually transmitted diseases (STDs). B) Cures for each of the STDs identified. C) Risk of skin-to-skin contact in transmitting the identified STDs. D) Safety of sexual contact in the absence of lesions.
C
A home health nurse knows that a 70-year-old male client who is convalescing at home following a hip replacement, is at risk for developing decubitus ulcers. Which physical characteristic of aging contributes to such a risk? A. 16% increase in overall body fat B. Reduced melanin production C. Thinning of the skin with loss of elasticity D. Calcium loss in the bones
C
A migrant farmworker presents to the clinic reporting an acute onset of severe abdominal pain, nausea, vomiting, diarrhea, and headache with difficulty concentrating. Which of the following conditions most likely cause such symptoms? A. Appendicitis B. Bacterial gastroenteritis C. Pesticide poisoning D. Viral illness
C
A nurse is caring for a client returning from an x-ray. The nursing assistant is helping transfer the client back to bed. Which transfer technique by the nurse uses appropriate ergonomic principles? A. Lowering the bed for transfer and then raising the bed before leaving the room, making sure to place the call light is within reach. B. Maintaining a narrow base of support during transfer and encouraging the client to hold onto her if afraid during transfer. C. Raising the bed for transfer, maintaining a wide base of support during transfer, and lowering the bed before leaving the room. D. Explaining the procedure to the client and grabbing the client underneath the arms to pull her over to the bed.
C
A nurse is completing a health risk appraisal with a client. Which of the following comments would cause the nurse to probe further to determine if the family is in crisis? A. "I can't visit my husband in the hospital when I'm at work all day. How can I be sure he's all right?" B. "My husband always handled our finances. Now that he's gone, I'll have to learn how to do this." C. "I don't know what to do now that my husband is dead. There is no way I can go back to work and also take care of our three children." D. "What am I supposed to do now that everything we own is gone? Are there any agencies that can help me?"
C
A nurse is completing an initial home visit with a family. Which of the following actions should be taken first by the nurse? A. Assess the family and the home setting for both strengths and problems. B. Determine the family's expectations of a home visit. C. Establish rapport between the nurse and the family. D. Engage in extended social interaction as would be expected from any guest.
C
A nurse seriously considered copying last month's surveillance report and changing the date since the number of occurrences per month had not noticeably changed in the entire time the nurse had worked at the local department. If the data are always about the same, why spend time continuing to collect and report it? A. Because such data are legally required B. Because it is still part of the nurse's responsibilities, even if it is a waste of time C. To determine a local baseline rate and immediately notice any change D. To determine differences among communities in need for state assistance
C
A public health nurse found that out of the 70 people who ate the potato salad at a school picnic, 63 developed symptoms of food poisoning. What is the attack rate? A) 63% B) 70% C) 90% D) 100%
C
A school nurse is demonstrating the use of a metered dose inhaler to help a group of children with persistent asthma use their rescue inhaler properly. Which level of prevention is this activity? A. Primary B. Seconday C. Tertiary D. Both primary and tertiary
C
A young woman tells the public health nurse that a friend was recently diagnosed with Hepatitis B and she is concerned about getting the disease. During the assessment interview, which question is most important for the nurse to ask this woman? A. Did you drink after or use any utensils that your friend used? B. Have you noticed any yellowish color to the whites of your eyes? C. Have you shared any needles or had sex with your friend? D. How long ago was your friend diagnosed with Hepatitis B?
C
An instructor is reviewing Salmonella infections with her class. Which comment indicates that the instructor needs further review on how Salmonella is spread? A. "Certain pets and farm animals may be Salmonella carriers." B. "It is possible to transmit Salmonella by person-to-person contact." C. "Salmonella may be spread by spores that form once contaminated blood is exposed to the air." D. "Salmonella outbreaks are usually due to contaminated meat, poultry, and eggs."
C
Cultural sensitivity can best be described as: a. The ability to understand and care for culturally diverse groups of clients. b. Successful conflict resolution between different cultural systems. c. Professional awareness of the significance of cultural factors in the delivery of health care. d. The manner in which a subculture views their social environment.
C
During a home health visit, a male client reports to the nurse that he felt a solid testicular mass during self-exam, but that it wasn't painful. What instruction should the nurse provide the client? A. Continue to monitor the mass until the next scheduled annual medical exam B. Notify the healthcare provider if the mass becomes soft, painful, or starts to drain C. Schedule an appointment with the healthcare provider for prompt evaluation. D. Testicular nodules are of concern only if they feel matted or are not easily movable.
C
Mexican immigrants who take metamizole ("Mexican aspirin") for pain may experience life-threatening agranulocytosis. What will a nurse who employs cultural repatterning do? A. Complete a cultural assessment to identify any other dangerous medications that the client may be taking. B. Put this into perspective by considering that many drugs used in the United States cause agranulocytosis. C. Explain the harmful effects of metamizole and recommend an alternative medication for pain. D. Recognize that taking metamizole is common among persons living in Mexico and accept this as a cultural tradition.
C
Which topic should the nurse include in planning a primary prevention class for adolescents? A. Risk factors for heart disease B. Dietary management of obesity C. Suicide risks & prevention D. Coping with stressful situations
C
Persons with immune deficiencies may have a negative tuberculosis (TB) skin test even though they are infected. Knowing this, what would the nurse expect to see in the test results when a TB skin test is given to persons with AIDS? A) Decreased positive predictive value B) Decreased reliability C) Decreased sensitivity D) Decreased specificity
C
The definition of a family is which of the following? A. Two or more people who are bonded together by legal blood relationships B. A group of people with whom a person closely identifies C. Two or more people who depend on each other for emotional, physical, and/or economic support D. Two or more people who are related through adoption, guardianship, or marriage
C
What is the most common reason that people do not immediately seek medical treatment when they first become ill with HIV? A. They are afraid to get tested for fear results will be positive. B. They avoid the problem (maybe it will go away). C. They don't recognize their symptoms as possibly being due to HIV. D. It is too expensive to get HIV test.
C
What is the most important question to be considered for summative evaluation of a program designed to reduce BMIs in adolescents in a high school? A) Are the students satisfied with the program? B) Can parents and guardians support the program requirements? C) Have BMIs in the students decreased? D) What is the program cost compared with the program benefit?
C
Which action would be most helpful for the nurse executive to implement evidence-based practice at a community nursing center that serves a large Cuban immigrant population? A. Have university experts with cultural competency expertise review clinic policies. B. Have weekly staff meetings for the purpose of discussing which methods seem to work best when helping immigrants. C. Include Cuban immigrants from the community on the center's advisory board. D. Send personnel to conferences and seminars that focus on treating Hispanic immigrants.
C
Which finding in a young single pregnant woman would cause you the most concern? a. Elevated blood pressure b. First prenatal visit at 5 months' gestation c. Persistent homelessness d. Positive STD test
C
Which of the following families is at high risk for health problems? A. A man agrees that he needs to eat better and exercise more but also expresses how busy he is at his job. B. A man knows that his grandfather, father, and older brother all died of cardiac disease. C. A man is currently unemployed & despairs about finding a position. D. A man expresses disappointment that, having been laid off as an executive, his new position pays only about two thirds of his original salary.
C
A 12-year-old female is seen by the school nurse after recently experiencing increasing difficulty sitting still and paying attention in class, and increasingly illegible handwriting. The nurse observes that the child has protruding eyeballs and a staring expression. What action should the nurse take next? A. Refer the child for psychologic evaluation due to attention deficit disorder B. Call the child's parents to schedule the child for an immediate medical exam C. Gather additional data by taking a health history and measuring vital signs D. Collaborate with the teacher to place the child on a behavior modification program
C. Gather additional data by taking a health history and measuring vital signs need more information (Grave's Disease potentially)
A nurse is asked to make a home visit on a family who recently emigrated from Russia. A physician has informed the husband of the wife's diagnosis of cancer. Ethically, what is the nurse's most important action? A. Emphasizing the family must set up a surgical appointment for the wife immediately B. Assessing the family's insurance and other assets C. Educating the family concerning the usual treatment for breast cancer and the wife's prognosis D. Interview the family and assess their perspective of the diagnosis and threat to the family's well-being E. Stressing the seriousness of the diagnosis and the need to act immediately
D
A nurse is conducting a screening at the local high school, & all community residents have been invited. A large group of people have gathered to have various screening tests done. The nurse has only a regular blood pressure (BP) cuff. Since it will be used on individuals who are extremely obese as well as some students who look anorexic, what might the BP results lack? A) Reliability B) Sensitivity C) Specificity D) Validity
D
A nurse wants to empower the family of a mother who has been newly diagnosed with breast cancer. Which of the following actions would the nurse most likely take? A. Apply for emergency financial assistance on the family's behalf. B. Arrange for community members to assist with child care. C. Invite the mother to join a cancer support group. D. Teach the family how to navigate the health care system.
D
A school nurse is teaching a class of sophomores about the relationship between the risk of sexually transmitted disease (STD) and risk-taking behaviors. A key point to include is: A) All STDs are easily preventable with consistent condom use. B) Once a young woman is pregnant, she is no longer at risk for most STDs. C) STDs are most likely to be transmitted during a student's initial sexual encounter. D) Use of alcohol and drugs makes a student more likely to make decisions that result in exposure to and infection with STDs.
D
A terrorist attack has occurred & several people have inhaled Ricin. Which intervention should the emergency department nurse implement when caring for these clients? a. Administer the antibiotic streptomycin, IV STAT b. Provide all clients with the Ricin antidote c. Implement strict respiratory isolation immediately d. Provide supportive nursing care to the clients
D
After accepting the position of school nurse in an public elementary school, what strategy is best for the nurse to use to obtain an overview understanding of the student body? A. Review all of the health records of the students presently registered for classes B. Talk with the current officers of the parent-teacher association C. Send home a survey form to parents of third grade students D. Conduct a windshield survey of the geographic areas served by the school
D
At a town meeting with public health officials to discuss a communicable disease outbreak, a nurse is asked to explain what is meant by the phrase "a virulent organism." The nurse explains that this means the organism causing the disease is able to do what? A. Bypass normal immunological response mechanisms B. Invade major organ systems C. Produce toxins and poisons that weaken the body D. Produce very severe physical reactions
D
Between 2000 and 2005, 1000 of 10,000 young women ages 17 to 20 years at a university tested positive for a sexually transmitted infection (STI). Of the 1000 diagnosed STIs, 300 were gonorrhea and 500 were chlamydia. How could this STI problem be summarized? a. The proportion of cases of gonorrhea to all STIs was 300:1300. b. The proportion of cases of gonorrhea to chlamydia was 300:500. c. The proportion of cases of gonorrhea to all STIs was 50%. d. The proportion of STIs to the total population was 1:10.
D
During an outbreak of hepatitis A, nurses are giving injections of hepatitis A immunoglobulin to selected susceptible persons. What sort of immunity will follow? A. Active immunity B. Long-lasting immunity C. Natural immunity D. Passive immunity
D
Several small communities requested help from the state department of health for improving their teenage pregnancy rate. Which community should the nurse suggest get funds first? A) Community A—with 23 single teenage pregnancies in a city of 500 B) Community B—with 45 single teenage pregnancies in a city of 1000 C) Community C—with 90 single teenage pregnancies in a city of 2000 D) Community D—with 90 single teenage pregnancies in a city of 1500
D
The nurse contacts participants who completed an educational program on breast self-exams to see whether they have any questions and to determine whether they are doing breast self-exams. What kind of evaluation is the nurse doing? A. Final evaluation B. Formative evaluation C. Goal evaluation D. Summative evaluation
D
The pharmacist sent up the wrong medication for the patient. The nurse filled out an incident report when the error was discovered. What will be the likely outcome when the quality improvement team reviews the incident report? a. The nurse will receive a commendation for recognition of the error b. The pharmacist will be disciplined c. The pharmacist will be reported to the state pharmacy board d. The CQI team will try to determine how the error occurred
D
What will the nurse who wishes to assess the status of a community's health examine? a. Community awareness b. Health facilities c. Health care manpower d. Vital statistics
D
When is the optimal time for the nurse educator to elicit feedback from program participants? A. At the beginning of the program B. At the program midpoint C. Immediately following program completion D. Throughout the program
D
Which infectious disease intervention represents secondary prevention? a. Clients with HIV infection are encouraged to use condoms to protect sexual partners. b. Clients with HIV infection are given medications to improve immunological response. c. Health care workers are encouraged to receive annual vaccinations for influenza. d. Health care workers are required to have a tuberculosis skin test or chest x-ray.
D
Which medication orders should a nurse anticipate for a client who has a history of complicated withdrawal from benzodiazepines? A. Haloperidol (Haldol) and fluoxetine (Prozac) B. Carbamazepine (Tegretol) and donepezil (Aricept) C. Disulfiram (Antabuse) and lorazepan (Ativan) D. Chlordiazepoxide (Librium) and phenytoin (Dilantin)
D
Which of the following is an important aspect of a program's feasibility? a. Whether the community, especially agency clients, desire a program b. Whether local politicians support the agency's idea for a program c. Whether agency professionals think a program is needed d. Whether all involved support the need for such a program
D
Which of the following would a nurse give as an anti-craving agent to a client with alcohol dependence syndrome? A. Disulfiram B. Lorazepam C. Citrated Calcium Carbimide D. Acamprosate E. Metronidazole
D
You are talking to a group of people about an industrial explosion in which many people were killed or injured. Which individual has the greatest risk for psychiatric difficulties, such as posttraumatic distress disorder, related to the incident? A. Individual who repeatedly watched television coverage of the event B. Person who recently learned that her son was killed in the incident C. An individual who witnessed the death of a co-worker during the explosion D. A person who was injured & trapped for several hours before rescue
D