Community Health Proctored 2019 ATI

8. an occupational health nurse is discussing health promotion with a client

2. I am obese it's in my genes

a nurse case manager is providing discharge planning for a client. the nurse is functioning in which of the following roles when arranging for the delivery of medical equipment to the client's home

3. advocate

13. public health nurse take

refer coworkers who might have been exposed to a provider for prophylactic antibiotics

a school nurse is planning safety education for a group of adolescents. the nurse should give priority to which of the following topics as the leading cause of death for this age group

1. motor vehicle safety

several nurses are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. which of the following services should the nurses plan to provide to the congregation?

1. organize an influenza immunization clinic with the American red cross

a community health nurse is providing teaching to a group of clients who have alcohol use disorder. which of the following findings should the nurse include in the teaching as a manifestation of alcohol withdrawal?

insomnia

a community health nurse is providing screening for lipid disorders. which of the following is the primary goal of this activity?

1. early detection of disease

a nurse is caring for a client who is homeless. which of the following actions should the nurse take first?

1. determine the clients understanding of her living situation

a nurse is counseling a client who is to undergo enzyme linked immunosorbent assay testing for hiv. which of the following information should the nurse include?

2. the test measures antibodies to the virus

a nurse is preparing an educational program about breastfeeding for a group of new parents. the nurse should use which of the following instructional strategies to promote psychomotor learning

4. provide dolls for the participants to demonstrate positioning

a nurse is conducting a community assessment. which of the following information should the nurse include as part of the windshield survey?

Housing quality

a nurse is counseling a client who has a new diagnosis of chlamydia. which of the following information should the nurse include in the teaching? (select all that apply)

you should avoid sexual contact until therapy is complete 2. notify anyone with whom you have had sexual contact over the past 2 month you might experience painful urination until the infection has resolved

a nurse is working to reduce individual and family violence in the local community. which of the following actions by the nurse demonstrates a primary prevention strategy to achieve this goal?

3.. teaching parenting techniques to new parents

53. client states my life has no meaning right now.

1. have you been thinking about harming yourself

47. a nurse is planning priority

encourage enrollment and attendance at weight reduction programs

in the last month three cases of tuberculosis have been referred to the health department. which of the following is the priority information for the community health nurse to obtain from each client?

health history

a community health nurse is planning an educational program for a group of women who are postmenopausal. which of the following outcomes is appropriate for this program?

1. clients will schedule bone density screening

a community health nurse is planning a program for adolescents about preventing STIs. which of the following actions should the nurse take first?

1. collect data to identify barriers to learning

a clinic nurse is assessing a client who has measles. which of the following findings should the nurse expect?

1. koplik spots inside the mouth

a community health nurse observes the accumulation of garbage at a neighborhood playground. which of the following actions should the nurse take first to promote a clean and safe environment?

1. meet with community members to discuss methods of playground maintenance

a nurse is working in a shelter following a disaster. which of the following is the priority action for the nurse to take?

2. address the physical needs of clients

During a home health visit a school age child who has muscular dystrophy confides in the nurse that he was struck by his parents. Which of the following actions should the nurse take first?

2. check the child for injuries

the partner of an older adult client who has Alzheimer's disease reports that he is not eating. the nurse........client partner refuses to assist the client with feeding. the partner insists the client feed himself without help. which of the priority action the nurse should take

2. determine the client's ability to self-feed

a nurse is working with a community health care team to devise strategies for preventing violence in the community. which of the following interventions is an example of tertiary prevention?

2. developing resources for victims of abuse

a public health nurse is addressing community leaders at a forum about community improvement. the nurse should identify which of the following groups as being the fastest growing segment of the homeless population

2. families who have children

a nurse working in an infectious disease clinic is caring for a client has a new diagnosis of Lyme disease. which of the following agencies is responsible for voluntarily reporting cases of this disease to the centers for disease control and prevention

2. state health department

a community health clinic nurse manager is reviewing the incidence rate of chlamydia in the state. in a given year, 3144 new cases were reported and the population was estimated at 325,986. which of the following is the incidence rate in the state for the year?

3. about 10 reported cases per 1000 population

a 35-year-old client who has a diagnosis of tuberculosis informs the providers office that she is unable to pay for the treatment. which of the following actions by the nurse will facilitate obtaining appropriate treatment?

3. arrange for medication through local agencies

a nurse is caring for a client who is having difficulty performing activities of daily living. the nurse is functioning in which of the following roles when arranging for an occupational therapist to visit the client

3. case manager

a community health nurse is working with a group of homeless veterans who have posttraumatic stress disorder. which of the following interventions should the nurse implement?

3. change the meetings sites frequently

a community health nurse is planning a smoking cessation class. which of the following factors will have the greatest effect on the success of the class?

3. client's motivation

a nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. the client does not speak the same language as the nurse. which of the following actions should the nurse take?

3. identify the clients spoken dialect prior to contacting an interpreter

a community health nurse is educating a parent about the importance of hepatitis B immunization. which of the following explanations should the nurse give the parent about the disease?

3. many people who acquire acute hepatitis B develop chronic hepatitis

a home health nurse is visiting a client who had a stroke 2 months ago. which of the following findings should the nurse report to the interprofessional care team?

3. the client coughs when swallowing her medications

a nurse is providing teaching to a 50-year-old female client. which of the following statements should the nurse include in the teaching?

3. you should have your stool tested for blood every other year until the age of 74

a nurse of a community clinic is preparing an educational guide about cultural variances in expression of pain. which of the following information should the nurse include?

4. Chinese cultural practices include enduring pain to prevent family dishonor

a first response team is working at the location of a bombing incident. a nurse triaging a group of clients should give treatment priority to which of the following clients.

4. a client who has a rigid abdomen with manifestations of shock.

a nurse is providing education to a group of adolescents who are pregnant and attending high school. which of the following information should the nurse include in their teaching?

4. caffeinated beverages should be replaced with caffeine-free beverages

a nurse is planning a program about healthy eating at an elementary school where most students select French fries and pizza at lunch every day. which of the following actions should the nurse plan to take first?

4. determine student's motivation to learn about healthy food choices.

a home health nurse manager is caring for a client who has methicillin resistant staphylococcus aureus. which of the following actions should the nurse take?

4. double bag soiled dressing in polyethylene bags.

a home health nurse is planning the initial home visit for a client who has dementia and lives with his adult son's family. which of the following actions should the nurse take first during the visit?

4. engage the family in informal conversation

a community health nurse is caring for client in a culturally diverse community. which of the following actions demonstrates accurate cultural knowledge about a specific cultural group?

4. including both hot and cold food items on a Hispanic client's menu

a newly hired occupational health nurse is assessing hazards in the work environment. which of the following actions will help the nurse detect potential physical hazards?

4. measure noise levels at various locations in the facility

a nurse is serving on a state task force for disaster planning. the nurse is engaging in disaster preparedness efforts when performing which of the following actions

4. organizing a mass casualty drill for community members

a nurse is assessing an outbreak of mumps among school age children. using the epidemiological triangle. the nurse should recognize that which of the following is the host.

4. the children

a school nurse is implementing health screening. which of the following assessment finding should the nurse recognize as the highest priority?

a child who has nits

a parrish nurse is counseling a family following a client's recent diagnosis of heart disease. which of the following actions should the nurse take first?

ask family members about the impact of the disease on relationships within the family

a nurse is discussing short and long term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. which of the following statements is appropriate for the nurse to include in the discussion?

attending Al anon meetings will help you identify a role model to assist you with making needed changes

a nurse at a local health department is caring for several clients. which of the following infections should the nurse report to the state health department?

chlamydia

which of the following .........should the nurse include

house hold contacts will receive prophylactic antibiotic

a nurse manger in local community health agency is creating a job description for a new nurse who will practice community oriented nursing. which of the following should the nurse include in the job description? (select all that apply)

investigate potential health and environmental issues 2. initiate support groups for parents of autistic children participate in local health surveillance activities 5. provide health related education to community groups

a home health nurse is scheduled for a first time visit to a client. which of the following should the nurse perform first?

mental status examination

a client who has diabetes mellitus asks a home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. which of the following is the first action the nurse should take when assisting this client?

observe the client during preparation of traditional foods

a faith based organization asks a community health nurse to develop a mobile meal program for older................................... the following actions should the nurse plan to take first

perform a needs assessment

a home health nurse is caring for a client who has chemotherapy induced nausea that has been resistant to relief form pharmacological measures. which of the following interventions should the nurse initiate (select all that apply)?

provide sips of room temperature ginger ale between meals 3. maintain the head of the clients bed in an elevated position after eating

a nurse is working with a care manager for a client who participates in a health maintenance organization. the nurse should identify that a health maintenance organization provides which of the following payment structures

the client pays the insurer a percentage of the total costs for each service rendered by the provide