Community Health 2019 B

42. A nurse is preparing an educational program about influenza for a group of community health nurses. Which of the following activities should nurse include as an example of tertiary prevention?

Antiviral medication within 48 hr for pts with manifestations.

9. A nurse is assessing the risks and benefits of meal delivery services for an older adult client who lives alone and has no transportation. Which of the following ethical principles is the nurse demonstrating?

Beneficence

17. A community health nurse suspects and I'll break up with scabies in the local area. Which of the following actions should the nurse take first?

Determine incident rate

4. A nurse manager at a community health clinic is presenting an in service for nurses about assessing clients who have experienced violence. Which of the following statements by a nurse indicates an understanding of the teaching?

Determine whether a client who has been sexually assaulted requires a rape kit examination. Sexually assaulted victim

49. A nurse at a county health clinic is caring for a client who has recently assume the role of primary caregiver for their parent. Which of the following client statements indicates that they are experiencing real comfy?

Feeling overwhelmed for not having enough time for mom and children

11. A community health nurse is planning a presentation for adults will have a family history of Alzheimer's disease. Which of the following behaviors for the nurse include as an early manifestation of Alzheimer's disease?

Forgetting the locations of common objects

41. An adult child of a client who is terminally ill and at the end of life approaches a hospice nurse and asks,"What can I do to help relieve my fathers pain"? Which of the following intervention should the nurse suggest

Give brief hand massage

16. A community health nurse is caring for an adolescent who is seeking help for an unplanned pregnancy. Which of the following actions should the nurse take first?

Help the client Obtain a provider for prenatal care

6. A nurse is providing education regarding lead exposure to a group of clients who live in a housing development built in 1968. Which of the following client statements indicates an understanding of the teaching?

Increase red meat Because of Iron and calcium.

2. Hey School Nurse is serving on a community disaster planning committee looking at school shooting scenarios.Which of the following actions should the nurse plan to take during the response please?

Perform triage and provide hands-on care

33. A community health nurse is discussing the role of a faith community nurse with a chaplain. Which of the following information should the nurse include in the discussion?

The faith community nurse can facilitate support groups for substance abuse

45. Community leaders have requested a meeting with a community health nurse to discuss creating a mobile meals program. Which of the following information should the community health nurse assess first?

The need for the program

21. A nurse is planning to teach a community group about the meaning of cockle vaccine. The nurse should identify that which of the following client should receive the vaccine?

Client moving into a college dorm

50. A home health nurse is visiting an older adult client and notes that unwashed dishes are piled up and newspapers cover the front steps;. Which of the following questions should the nurse ask the client to determine if the client is socially isolated?

how often do you have visitors

25. A nurse is assessing a new client at a public health clinic. Which of the following areas sure the nurse address as part of the cultural assessment?

illness practices

13. A community health nurse is conducting a needs assessment of a community. The nurse should identify that which of the following methods will yield direct data?

informant interviews

46. A community health nurse is working with a community where is the incidence of violence has increased. Which of following actions should the nurse take as a tertiary prevention strategy?

provide victims with referrals info to crisis lines

29. A nurse is preparing to administer medication to client who has active tuberculosis. Which of the following precautionary measures should the nurse take?

N95

39. A public health nurse is participating in a disaster preparedness planning committee for a local community that is at risk for hurricanes. Which of the following information should the nurse contribute to the plan?

Residents who speak multiple languages

37. A public health nurse is planning a community health promotion program for hypertension prevention. Which of the following prevention sure the nurse include as a tertiary prevention strategy?

Implement an exercise program for HTN pts

5. Hey School Nurse is notified that a school age child has pertussis. Which of the following actions should the school nurse take? Select all that apply

2 weeks at home after initial symptoms started prophylactic tx immunizations status

14. A hospice nurse is teaching about expected grief reactions with the family of a client who has an stage pancreatic cancer. Which of the following information should the nurse include?

A component of healthy grieving is openly expressing anger

15. A public health nurse is lobbying Congress to increase funding for health screenings provided to migrant farm workers. Which of the following concepts is a nurse demonstrating?

Advocacy

1. A school nurse is conducting visual acuity testing for a school age child using a Snellen letter chart. Which of the following actions should the nurse take?

Allow to keep glasses on

36. And occupational health nurse in a factories performing a routine tuberculosis screening and identifies an employee who has a positive man mantoux tuberculin test.Which of the following actions should the nurse plan to take?

Chest XRAY

35. A nurse is giving a presentation about family violence a look at community center. Which of the following information should the nurse include?

Child maltreatment is more common homes for partner violence is present.

7. A community health nurse is working in a mobile healthcare clinic. Which of the following client should the nurse assess first?

Client with new onset of confusion and slurred speech

32. A public health nurse is monitoring medication compliance with a group of migrant workers were being treated for tuberculosis. The nurse should use information from which of the following resources to assist with this process?

MCN migrant clinicians network

19. A community health nurse is teaching a client who is overweight about steps to take to begin an exercise program. The nurse should identify that which if the following statements is an indication that the client understands the teaching?

See doctor before starting

3. A case manager at a home health agency is obtaining equipment for a clients home use. Which of the following actions is a relation of client confidentiality?

She left a Clipboard with the clients prescription information face up on the office desk.

27. A nurse is preparing a community education program about health care needs during pregnancy the nurse should include which of the following vaccines is safe to administer to a client who is pregnant?

Tdap

10. A home health nurse is evaluating a caregiver to take me for providing care to a client who has a calling turkeys to me. Which of the following statements by the caregiving the keys in understanding of the procedure?

Use tap water to clean the inner cannula

22. A nurse is a county health dept is caring for a who states, "I've been drinking too much in the evening since my friend died las year". Which of the following responses should the nurse make?

can I give you some information

18. A nurse at a county health department is caring for a client who is at 20 weeks of gestation. The nurse should identify which of the following characteristics as a risk factor for future child maltreatment?

changed providers three times

31. A community health nurse is assigned to leave a county level environmental task force. Which of the following activities to the nurse direct the task force to complete first?

community specific epidemiological

43. I HomeConnect care nurse is teaching a client Family about preventing the transmission of plus clostridium difíciles. Which of the following transmission based precautions to the nurse include in the teaching?

contact

20. A community health nurse is providing care to a client who has stopped taking the prescribed blood pressure medication. Which will the phone actually nurse take first?

determine reason for stopping

44. A nurse is developing an educational program about bio terrorism and smallpox. The nurse should include in the teaching that the smallpox rash is expected to first appear in which of the following locations?

face

34. A nurse in a community center is preparing to administer eight tuberculin skin test to multiple clients to screen for tuberculosis. Which of the following actions should the nurse take?

inject 0.1 ML of purified protein derivative to form the wheel.

30. A community health nurse is participating in a quality improvement plan for local health dept. Which of the following techniques should the nurse use to process evaluation up with a facility? Select all that apply

focus groups Satisfaction survey written audits interviews

40. A school nurse is discussing levels of prevention with a teacher. Which of the following activities Sheila nurse identify as Premier prevention strategy?

handwashing techniques demonstration

23. A public health nurse is working in a community that has a population of 24096. There are 20096 existing cases of heat disease within the population. The nurse can determine which of the following from this information?

prevalence proportion

26. A community health nurse is conducting a program regarding crime reduction strategies were older adult client at the senior center. We should the following statements in the cane understanding of information

remove identification tag on key ring

47. A community health nurse is made aware that several children, who are from the same family and did not receive immunizations, has contracted measles. Which of the following actions should the nurse take?

report to the health Dept.

24. A community health nurse is providing teaching about health promotion to a group of adolescent. Which of the following topics is the most important for the nurse to include in an attempt to lower adolescents mortality rates?

safety belt use

48. A nurse is caring for a client who has a positive gonorrhea culture. Which of the following actions should the nurse take?

sex partners will need to be notified

12. A nurse is conducting a home visit for an older adult client. The nurse should identify which of the following findings as an indicator of possible neglect?

taking outdated prescriptions

28. A nurse o the scene following a mass casualty explosion is triaging a client who has a large, open occipital wound and the following findings: respiratory rate 6/min, agonal pattern, capillary refill time 4.5 sec, nonresponsive to painful stimuli. Which of the following actions should the nurse take?

turn the client to semi fowlers positions and move on to the next patient.

8. The community health nurse is working to meet the healthcare needs of residence in a rural community. Which of the following characteristics sure the nurse identify as a barrier to healthcare resources for this population?

unavailable outreach sources

38. A hospice nurse is caring for a client who is at the end of life he has developed dyspnea and noisy breathing. Which of the following actions should the nurse take?

use a fan in the clients room