Community Health 2019 B

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 A. "Give your father brief hand massages" B. "Increase the illumination in your father's room" C. "Avoid using analgesics unless your father exhibits nonverbal signs of pain" D. "Administer citalopram when your father is agitated."

A. "Give your father brief hand massage"

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? A. "I feel overwhelmed with not having enough time for my mom as well as my children'" B. "I hope my siblings will be able to visit and help care for mom for a few days." C. "I am glad that my job is flexible, so i can accommodate my mom's needs." D. "I don't think my partner likes having to help more with the household chores'"

A. "I feel overwhelmed with not having enough time for my mom as well as my children'"

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? A. Advocacy B. Principlism C. Deontology D. Communitarianism

A. Advocacy

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? A. Allow the child to keep her glasses on during the testing B. Have the child stand 5 feet away from C. Progress to the next line once the child reads two symbols correctly D. Begin the test by instructing the child to use both eyes to read the chart

A. Allow the child to keep her glasses on during the testing

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 A. Focus groups B. Written audits C. Satisfaction survey D. Interviews E. Values self-study

A. Focus groups B. Written audits C. Satisfaction survey D. Interviews

A nurse is caring for a client who has a positive gonorrhea culture. Which of the following actions should the nurse take? A. Instruct the client that that recent sexual partners will need to be notified B. Instruct the client to return for a blood test in 1 month C. Administer penicillin G 2.4 million units IM once D. Teach the client how to apply imiquimod 5% cream to the lesions

A. Instruct the client that that recent sexual partners will need to be notified

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? A. Instruct the employee that they will need to obtain a chest x-ray

A. Instruct the employee that they will need to obtain a chest x-ray

A 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 A. Instruct the parent to keep the child at home for 2 weeks the initial symptoms first present B. Encourage family members to obtain prophylactic treatment C. Quarantine the children in the child's class D. Recommend that the child receive a pneumococcal vaccine in 28 days E. Check the immunization status of the child's classmates

A. Instruct the parent to keep the child at home for 2 weeks the initial symptoms first present B. Encourage family members to obtain prophylactic treatment E. Check the immunization status of the child's classmates

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? A. Report this information to the health Dept. B. Encourage the family to keep the children isolated during the incubation C. Speak to the guardians about getting the children immunized after they are disease free D. Provide the infected children's names to the parents and guardians of children who might have been exposed

A. Report this information to the health Dept.

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? A. Turn the client to semi fowlers positions and and begin assessing the next client. B. Place a firm pressure dressing to the occiput and open the airway C. Apply a cervical spine collar and perform a focused neurological exam D. Request that the client be assessed immediately by the next available provider

A. Turn the client to semi fowlers positions and and begin assessing the next client.

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? A. Contact precautions B. Droplet precautions C. Airborne precautions D. Protective environment

A. contact

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? A. Face B. Posterior shoulders C. Abdomen D. Lower extremities

A. face

A home health nurse is evaluating a caregiver in providing care to a client who has tracheostomy. Which of the following statements by the caregiving indicates an understanding of the procedure? A. "I should remove the soiled ties before replacing them with clean ones" B. "I will use tap water to clean the inner cannula" C. "I should use a slip knot to secure the tracheostomy care" D. "I will cut a four inch by four inch gauze to use as a dressing."

B. "I will use tap water to clean the inner cannula"

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? A. A list of residents who have experienced a hurricane in the past and will not need evacuation B. A list of areas within the community where residents who speak multiple languages C. How to activate the local medical facilities' emergency-management plans D. The name of the individual who is necessary

B. A list of areas within the community where residents who speak multiple languages

A community health nurse suspects an outbreak with scabies in the local area. Which of the following actions should the nurse take first? A. Educate the community about disease transmission B. Determine the incidence rate C. Institute prophylactic treatment D. Discuss treatment plans with the clients' families

B. Determine incident rate

A community health nurse is providing care to a client who has stopped taking the prescribed blood pressure medication. Which will the nurse take first? A. Advise the client that adherence to the medication regimen will promote healthy outcomes B. Determine the client's reason for discontinuing the medication C. Discuss the consequences of discontinuing the medication with the client D. Educate the client about the benefits of the medication

B. Determine the client's reason for discontinuing the medication

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? A. Withdrawal from social activities B. Forgetting the location of common objects C. Experiencing incontinence D. Neglecting personal hygiene

B. Forgetting the locations of common objects

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? A. Recommend that the adolescent meet with the school guidance counselor to discuss educational options B. Help the client obtain a provider for prenatal care C. Educate the client about contraceptives to prevent future unplanned pregnancies D. Provide information on parenting classes so the client can learn about caring for a newborn

B. Help the client Obtain a provider for prenatal care

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? A. Agency for healthcare Quality and Research (AHRQ) B. Migrant clinicians network (MCN) C. Centers for Disease Control and Prevention (CDC) D. U.S Preventive Services Task Force (USPSTF)

B. Migrant clinicians network (MCN)

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? A. Provide open education sessions to each parenting skills B. Provide victims with referrals info to crisis lines C. Identify potential community risk factors for violence D. Assess for evidence of violence routine encounters

B. Provide victims with referrals info to crisis lines

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? A. Lives alone B. Taking outdated prescriptions C. Has a BMI of 25 D. Presence of alcohol in the home

B. Taking outdated prescriptions

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? A. Herpes zoster B. Tetanus, diphtheria, pertussis (Tdap) C. Varicella D. Measles, mumps, and rubella

B. Tetanus, diphtheria, pertussis (Tdap)

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? A. The case manager used a computer at the agency with an automatic sign-off mechanism B. The case manager left a Clipboard with the clients prescription information face up on the office desk. C. The case manager sent a fax to the equipment company on a machine using programmed speed dial D. The case manager shared the client's name with the equipment company

B. The case manager left a Clipboard with the clients prescription information face up on the office desk.

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? A. "It sounds like you are probably an alcoholic." B. "Don't you think your family is being affected by your drinking." C. "Can I give you some information about Alcoholics Anonymous" D. "I don't think your friend would have approved of your drinking."

C. "Can I give you some information about Alcoholics Anonymous"

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? A. "Why haven't you brought in your newspaper?" B. "Do you need help completing your household?" C. "How often do you have visitors come to see you?" D. "Have you considered moving to an assisted living facility?"

C. "How often do you have visitors come to see you?"

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? A. "I will use a dry-sending technique when preparing to repaint my front door." B. "I will vacuum our wood floors every week." C. "I will increase the amount of red meat and milk in my child's diet." D. "I will use hot tap water to prepare my baby's formula."

C. "I will increase the amount of red meat and milk in my child's diet."

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? A. "I will need to purchase exercise equipment before i can start." B. "I should try to perform aerobics exercise for an hour a day, 5 days a week." C. "I will see my doctor before beginning an exercise program." D. "I should avoid participating in weight-lifting exercises."

C. "I will see my doctor before beginning an exercise program."

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? A. Offer classes to elementary school teachers about handwashing B. Provide information to occupational nurses about the reasons for employees to not come to work C. Administer antiviral medications within 48 hr to clients who have manifestations of influenza D. Provide immunizations at long-term care facilities

C. Administer antiviral medications within 48 hr to clients who have manifestations of influenza

A nurse is giving a presentation about family violence a look at community center. Which of the following information should the nurse include? A. Socially active parents and guardians are at greater risk for becoming violet B. Partner violence occurs more frequently in lower socioeconomic households C. Child maltreatment is more common homes for partner violence is present. D. Children who are abused are less likely to become abusers

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

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? A. health surveys B. Medical records C. Informant interviews D. Morbidity/mortality statistics

C. Informant interviews

A 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?

C. Perform triage and provide hands-on care as needed to victims

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? A. Underage smoking B. Safter sex practices C. Safety belt use D. Heart-healthy diet

C. Safety belt use

A nurse at a county health department is caring for a client who is at 28 weeks of gestation. The nurse should identify which of the following characteristics as a risk factor for future child maltreatment? A. The client refers to the unborn fetus by name B. The client works part-time at a local restaurant C. The client has changed providers three times during their pregnancy D. The client has returning nightmares about the unborn fetus

C. The client has changed providers three times during their pregnancy

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? A. Suction the client's oropharynx B. Administer the client's pain medication intramuscularly C. Use a fan in the clients room D. Place the client in Trendelenburg position

C. Use a fan in the clients room

A nurse is assessing a new client at a public health clinic. Which of the following areas should the nurse address as part of the cultural assessment? A. Immunization status B. Sexual activity C. Illness practices D. Food allergies

C. illness practices

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? A. prepare the outer aspect of the upper arm for the injection B. Insert the needle at a 45" angle C. inject 0.1 ML of purified protein derivative D. Create a wheal that measures about 15 mm in diameter

C. inject 0.1 ML of purified protein derivative

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? A. "I do not need to ask about violence at future visits once I determine that a client is not at risk." B. "I should not document the name of the person the client accuses of the violence in the client's medical record" C. "I should wait until i see signs of physical violence before i help the client develop a safety plan." D. "I should determine whether a client who has been sexually assaulted requires a rape kit examination."

D. "I should determine whether a client who has been sexually assaulted requires a rape kit examination."

A community health nurse is working in a mobile healthcare clinic. Which of the following client should the nurse assess first? A. A client who has a superficial partial-thickness burn to the hand B. A client who has a temperature of 38.3 decrees celcius (101 decrees fahrenheit) C. A client who has COPD and an oxygen saturation of 90% D. A client who has a new onset of confusion and slurred speech

D. A client who has a new onset of confusion and slurred speech

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? A. A client who is traveling to northern Europe B. An infant who has bronchiolitis C. An infant who is 4 weeks old D. A client who is moving into a college dormitory

D. A client who is moving into a college dormitory

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. "It is common to experience a persistent state of sadness while grieving" B. Disturbances in your self-esteem C. "You will feel a sense of hopelessness throughout the grieving process." D. A component of healthy grieving is openly expressing anger

D. A component of healthy grieving is openly expressing anger

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? A. Distributive justice B. Respect for autonomy C. Fidelity D. Beneficence

D. Beneficence

A school nurse is discussing levels of prevention with a teacher. Which of the following activities Sheila nurse identify as Premier prevention strategy? A. Provide nutritional counseling for students who have diabetes B. Report suspected child neglect to the proper authorities C. Conduct vision and hearing screening for kindergarten enrollment D. Demonstrate proper handwashing techniques

D. Demonstrate proper handwashing techniques

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 A. "When I am in my car, i will keep my personal items on the seat beside me." B. "When I open my front door, I will ask for identification if the person is someone I do not know." C. "I should store my purchases in the back seat when i am out shopping." D. "I should remove the identification tag on my key ring."

D. I should remove the identification tag on my key ring

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? A. Provide education about risk factors for hypertension B. Conduct a hypertension screening clinic for the community C. Teach clients who have a family history of hypertension how to monitor blood pressure D. Implement an exercise program for HTN pts

D. Implement an exercise program for HTN pts

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? A. The faith community nurse can provide pharmacological pain management for clients who have a terminal illness B. The faith community nurse can provide wound care for clients in their homes C. The faith community nurse can provide wound care for clients in their homes D. The faith community nurse can facilitate substance abuse support groups

D. The faith community nurse can facilitate substance abuse support groups

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? A. The leadership support of the community B. The accessibility of residence C. The availability of volunteers D. The need for the program

D. The need for the program

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? A. Less autonomy in providing client care B. Disinterest by members of the population in providing input for community health programs C. Lack of cohesiveness among community members D. Unavailable of outreach sources

D. Unavailable of outreach sources

A nurse is preparing to administer medication to client who has active tuberculosis. Which of the following precautionary measures should the nurse take? A. Wear gloves B. Wear protectives eyewear C. Use disposable equipment D. Use an N95 respirator

D. Use an N95 respirator

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? A. Mortality rate B. Attack rate C. Prevalence proportion D. Incidence proportion

D. prevalence proportion

A community health nurse is assigned to lead a county level environmental task force. Which of the following activities to the nurse direct the task force to complete first? A. Review community specific epidemiological data B. Recommend updates to local environment policies C. Create program goals that align with healthy people objectives D. Distribute environmental health education materials to community members

Review community specific epidemiological data