Community health exam 1

A community health nurse in a pediatric clinic is reviewing the history of a 12-year old client. Which of the following immunizations should the nurse expect to administer? A. Meningococcal conjugate B. Herpes zoster C. Rotavirus D. Pneumococcal polysaccharide

A. Meningococcal conjugate

A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? A."Information about a client can be disclosed to family members at any time." B."A client's address would be an example of personally identifiable information." C."HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form." D."HIPAA is a federal law, not a state law."

A. "Information about a client can be disclosed to family members at any time."

Residents of rural communities report that they must travel for long distances to obtain health care services. As a result, they seek health care only for emergencies and severe illnesses. Which aspect of the health care system in the United States is illustrated in this situation? a. Access to care b. Cost c. Quality d. Advances in technology

A. Access to care

A nurse is reinforcing teaching with a group of adolescent females who are pregnant about expected changes related to pregnancy. Which of the following client statements indicates understanding of the teaching? A. It is normal to have a white vaginal discharge B. I should recognize fetal movement by 12 weeks C. I will take fluid pills if my ankles begin to swell D. My nipples are areolae will become pale as my breasts enlarge

A. It is normal to have white vaginal discharge

A nurse is reviewing the guidelines for reporting nationally notifiable infectious diseases. Which of the following diseases should the nurse plan to report to the Centers for Disease Control and Prevention (CDC)? .A lyme disease B. cytomegalovirus C. strep pharyngitis D. toxoplasmosis

A. Lyme disease

A community health nurse is providing a community education program about disaster preparedness. Which of the following should the nurse recommend that clients include in their family's disaster readiness supply hit or go bag? (SATA) A. Pencil and paper B. Whistle C. Antibiotics D. Copies of Insurance cards E. Household bleach

A. Pencil and paper B. Whistle D. Copies of insurance cards E. household bleach

A nurse is providing staff education about smallpox as a bioterrorism threat. Which of the following statements indicates an understanding of this agent? (SATA) A. Smallpox is transmitted person to person B. Infection is characterized by severe respiratory distress C. Smallpox vaccination ensures lifelong immunity D. Naturally occurring smallpox has been eradicated from the world E. Smallpox is often confused with varicella

A. Smallpox is transmitted person to person D. Naturally occurring smallpox has been eradicated from the world E. Smallpox is often confused with varicella

A nurse in a community health clinic is administering seasonal and inactive influenza vaccines. What will you ask them?

Are you allergic to eggs?

An older adult client who lives alone tells a clinic nurse that he is unable to drive himself to the store and is afraid to cook on the stove. Which of the following community resources should the nurse recommend for this client? A. Hospice Care B. Meals on Wheels C. A rehabilitation facility D. Temporary Assistance for the Needy Families (TANF)

B. Meals on Wheels

A public health nurse is assessing an older adult client who lives with a family member. The nurse identifies several bruises in various stages of healing. The client and family member explain that the bruises are a result of clumsiness. However, based on the distribution of the bruises, the nurse suspects abuse. Which of the following actions should the nurse take first? a. Document the bruises in the client's chart. b. Report the findings to a supervisor. c. Provide the client with a crisis hotline number. d. Discuss respite care with the client's family.

B. Report the findings to a supervisor

A nurse is planning a staff education session regarding biological weapons of mass destruction. Which of the following should he plan to include in the session? (SATA) A. Sarin B. Smallpox C. Anthrax D. Hydrogen cyanide E. Botulism

B. Smallpox C. Anthrax E. Botulism

An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy?A. Teach plant workers about proper lifting techniques B. Set up an influenza campaign C. Help plant workers identify signs of carpal tunnel syndrome D. Collaborate with physical therapists to develop programs for injured employees to return to work.

C. Help plant workers identify signs of carpal tunnel syndrome

A nurse is planning care for a child who has mumps. Which of the following instructions should the nurse include in the plan? A.Initiate standard precautions B.Initiate airborne precautions C.Initiate droplet precautions D.Initiate contact precautions

C. Initiate droplet precautions

A school nurse is teaching a group of nurses newly hired to work in the school system about pediculosis capitis (head lice). Which of the following info is appropriate to include in the teaching? A. Family pets can contribute to the transmission of lice B. Children from lower socioeconomic areas are more likely to have lice C. Nits that are shed into the environment are capable of hatching for up to 10 days. D. Infestation often appears as grayish brown, threadlike burrows along the skin behind the ears.

C. Nits that are shed into the environment are capable of hatching for up to 10 days.

A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client? A. A negative pressure isolation room B. A semi-private room with a client who has pediculosis capitis C. A positive pressure isolation room D. A private room

D. A private room

A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local health fair. Which of the following instructions should the nurse indicate? A. Expect some breast dimpling or discharge with age. B. For those who have a menstrual cycle, perform a BSE every month, 2 or 3 days before menstruation. C. Using the palm of the hand, feel for lumps using a circular motion. D. Breasts can be examined in the shower with soapy hands.

D. Breasts can be examined in the shower with soapy hands.

A nurse working for a home health agency is assessing an older adult male client. Which of the following findings is the priority for the nurse to address? A. Swollen gums B. Pruritus C. Urinary hesitancy D. Dysphagia

D. Dysphagia

A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administer a vaccine following exposure? A. Anthrax B. Botulism C. Plague D. Smallpox

D. Smallpox

A nurse is developing an education program for the community group about dietary intake of vitamins and minerals. The nurse should include which of the following foods as good sources of vitamin C? Select all that apply. A.Green pepper B.Orange C.Cabbage D. Strawberries

Green pepper Orange Cabbage Strawberries (found on another quizlet)

Public health nursing is a specialty because: a. It has a distinct focus and scope of practice .b. It must be done by a registered nurse with a master's degree. c. It is focused on disadvantaged citizens. d. It performs interventions at the acute care level.

a. It has a distinct focus and scope of practice.

A 66-year-old woman is retired and no longer has health insurance through her place of employment. Which of the following programs would be appropriate for her health insurance needs? a. Medicare b. Medicaid c. Social Security d. Economic Opportunity Act

a. Medicare

Which statement regarding Florence Nightingale's ideas about ethics is correct? a. Nursing is a call to service, and the moral character of persons entering nursing is important. b. Ethical principles are based on the values of the individual nurse. c. Society will dictate the ethical principles to which nurses must adhere. d. Ethics are very important in times of war, such as in the Crimean War, when she set up public health centers.

a. Nursing is a call to service, and the moral character of persons entering nursing is important. (She improved environmental conditions too)

A nurse plans to contact a multilateral organization. Which of the following would the nurse most likely contact? a. United Nations (UN) b. United States Agency for International Development (USAID) c. Project Hope d. Catholic Relief Services

a. United Nations (UN)

A nurse believes everyone is entitled to equal rights and equal treatment in society. Which of the following principles is being applied? a. Distributive or social justice b. Egalitarianism. c. Libertarian view of justice d. Communitarianism

b. Egalitarianism

Current threats to health in the United States that community health nurses are faced include: a. diphtheria, cholera, and hepatitis. b. HIV, H1N1 influenza, and bioterrorism. c. avian flu, tuberculosis (TB), and radiation. d. polluted water and air.

b. HIV, H1N1 influenza, and bioterrorism.

A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should the nurse include? a. The client will list foods that are high in calcium, which should be avoided. b. The client will walk for 30 min 5 days a week. c. The client will increase calorie intake by 200 cal/day. d. The client will replace cigarettes with smokeless tobacco products.

b. The client will walk for 30 min 5 days a week.

Florence Nightingale's contributions to public health included: a. caring for the sick, poor, and neglected in institutions and at home. b. using a population-based approach that led to improved environmental conditions. c. writing the Elizabethan Poor Law to guarantee medical care for all. d. founding of the district nursing association to provide health care to needy people.

b. using a population-based approach that led to improved environmental conditions.

7. A community health nurse reviews Healthy People 2020 when considering the health needs that will be addressed in the community. Which goal would the nurse find in this document? a. Promote healthy behaviors for children. b. Cure cancer. c. Eliminate health disparities. d. Provide primary care to all citizens.

c. Eliminate health disparities.

A community health nurse is utilizing telehealth. Which of the following best describes the rationale for its use? a. Enables clients to get nursing care in their homes b. Substitutes for health department delivered care c. Improves access to care in rural areas d. Replaces face-to-face care for those who cannot afford it

c. Improves access to care in rural areas