HESI Community Health Practice

A client is suspected of being poisoned and presents with symmetric, descending flaccid paralysis, blurred vision, double vision, and dry mouth. The nurse should consider these findings consistent with which potential bioterrorism agent? a. ricin b. botulism toxin c. sulfur mustard d. yersinia pestis

b. botulism toxin

A 16-year old female client returns to the clinic because she is pregnant for the third time by a new boyfriend. Which vaccine should the nurse plan to administer? a. MMR b. Hepatitis B c. Human papillomavirus d. Pneumococcal

b. hepatitis B

The occupational health nurse is completing a yearly self-evaluation. Which activity should the nurse document as an example of proficient performance criteria in professionalism? a. contributes money to a professional society or organization b. maintains chairmanship of the hospital nursing council c. documents the nursing process in care care management d. develops policy initiatives that impact occupational health and safety

b. maintains chairmanship of the hospital nursing council

The nurse-manager is planning to transform safety ideas into prevention and protection strategies in the work place. What committee should review and plan policies and education about safety in the work place? a. policy and procedures committee b. quality assurance committee c. education committee d. ethics committee

b. quality assurance committee

What title should be given to this occupational health nurse job description? A registered nurse who develops researchable questions, conducts research, and communicates the findings to occupational and environmental health nurses, other peers, and the public. a. manager b. researcher c. clinician/practitioner d. health promotion specialist

b. researcher

A female client makes routine visits to a neighborhood community health center. The nurse notes that this client often presents with facial bruising, particularly around the eyes. The nurse discusses prevention of domestic violence with the client even though the client does not admit to being battered. What level of prevention has the nurse applied in this situation? a. primary prevention b. secondary prevention c. tertiary prevention d. health promotion

b. secondary prevention

The home health care agency can expect to obtain Medicare reimbursement for which home visit performed by a registered nurse or a practical nurse? a. assessment of the speech pattern of a mobile adult who had a mild stroke last year b. safety teaching for an older male client whose wife complains that he uses an unsafe ladder while painting c. wound care for a client who had postoperative infection following abdominal surgery two weeks ago d. evaluation of crutch use by a 65-year old client who broke his tibia while snow skiing

c. wound care for a client who had postoperative infection following abdominal surgery two weeks ago

The nurse is administering the measles, mumps, rubella (MMR) vaccine to a 12-month old child during the well-baby visit. Which age range should the nurse advise the parents to plan for their child to receive the MMR booster based on the current recommendations and guidelines by the CDC? a. 13-18 years of age b. 11-12 years of age c. 18-24 months of age d. 4-6 years of age

d. 4-6 years of age

The nurse is designing a home health care program for disabled children. Which factor should be considered when assessing reimbursement for services from private insurance companies? a. greater access to any healthcare provider b. allowance for early discharge c. concern for the quality of care d. approval by the network healthcare provider

d. approval by the network healthcare provider

What title should be given to this occupational health nurse job description? A registered nurse with expertise in health promotion, illness and injury prevention, risk reduction, and adult learning principles. a. case manager b. health educator c. nurse consultant d. health promotion specialist

d. health promotion specialist

The nurse is designing a community health project based on a report provided by the World Health Organization that describes healthcare problems in the United States. Which healthcare issue should the nurse give the highest priority when planning the project? a. overuse of diagnostic technology b. government-based health insurance c. the neonatal and infant mortality rates d. number of people without access to healthcare

d. number of people without access to healthcare

The nurse is planning an immunization campaign targeting the children of migrant farm workers in the community. Which data should the nurse review before exploring solution options when developing this program plan? a. uncertain risks b. potential outcomes c. priority of solutions d. target population data

d. target population data

A 17-year old unmarried, pregnant client with drug addiction is a high school dropout, homeless, and has a history of past abuse arrives at the clinic for her first prenatal visit. Which findings should the nurse document as health risk factors for the client? (Select all that apply) a. age b. school dropout c. drug addiction d. history of abuse e. pregnancy f. homelessness g. unmarried

a. age c. drug addiction d. history of abuse e. pregnancy f. homelessness

Which bioterrorism agent is at high risk for use as a potential biological weapon that is readily transmitted by several portals of entry? a. anthrax b. smallpox c. botulism d. tularemia

a. anthrax

The nurse plans to implement a community health program targeting teenage smoking. Prior to initiating this program, which information is most important for the nurse to obtain? a. the incidence of smoking among the teenage population in this community b. the amount of available funding for tobacco prevention education programs c. the target objectives for teenage smoking described by Healthy People 2020 d. satisfaction data from programs that targeted the teenage population in this community

a. the incidence of smoking among the teenage population in this community

A female adult walks into a local community health clinic and tells the nurse that she is homeless and cannot seem to find help. Which statement indicates to the nurse that a client is feeling separated from society and helpless? a. "I'm feeling really isolated from everyone and scared." b. "I feel like I cannot get enough food to live any longer." c. "I know that I will always be poor so what's the use of trying?" d. "People like me are never respected, no matter how well we do."

a. "I'm feeling really isolated from everyone and scared."

The nurse is screening children at a local community health clinic for infectious diseases. Which child is at highest risk for hepatitis B virus? a. a newborn b. a 3-year old c. a 7-year old d. an 11-year old

a. a newborn

A community health nurse is conducting a neighborhood discussion group about disaster planning. What information regarding transmission of anthrax should the nurse provide to the group? a. infection is acquired when anthrax spores enter a host b. mature anthrax bacterial live dormant on inanimate objects c. spores cannot survive for extended periods outside a living host d. anthrax is transmitted by respiratory droplets from person to person

a. infection is acquired when anthrax spores enter a host

What title should be given to this occupational health nurse job description? A registered nurse who functions in a comprehensive executive role to set goals, formulate policy, and direct and evaluate the health service. a. manager b. researcher c. health educator d. health promotion specialist

a. manager

Which factors influence an occupational health nurse's role in the workplace? (Select all that apply) a. skill level b. punctuality c. role perception d. organizational politics e. graduate school program attended f. commitment to the company occupational health and safety program

a. skill level c. role perception f. commitment to the company occupational health and safety program

What title should be given to this occupational health nurse job description? A registered nurse who establishes a provider network, recommends treatment plans that assure quality and efficacy while controlling costs, monitors outcomes, and maintains communication among all involved. a. manager b. researcher c. case manager d. health promotion specialist

c. case manager

The nurse working in a community health clinic that serves recent Somali immigrants notes that most mothers refuse to give permission for routine immunizations of their preschoolers. Which individual is likely to have the most influential on these women's perceptions about their children's healthcare needs? a. husbands b. clinic healthcare provider c. older females d. tribal chief

d. tribal chief

A client presents at a community-based clinic with complaints of shortness of breath, headache, dizziness, and nausea. During the assessment, the nurse learns that the client is a migrant worker who often uses a gasoline-powered pressure washer to clean equipment and farm buildings. Which type of poisoning is the most likely etiology of this client's symptoms? a. asbestos b. silica dust c. histoplasmosis d. carbon monoxide

d. carbon monoxide

The nurse is conducting a process evaluation of a prevention education program for older adults who are risk for substance abuse. Which data source provides the information the nurse needs to conduct this process evaluation? a. client's score on an alcohol screening instrument b. results of a urine drug and alcohol screen c. most recent community census data d. documentation of client education in the nursing record

d. documentation of client education in the nursing record

What title should be given to this occupational health nurse job description? A registered professional nurse who has knowledge and experience in occupational and environmental health nursing and is able to communicate effectively, both orally and in writing, and possesses good administrative, consultative, and listening skills a. manager b. case manager c. health educator d. nurse consultant

d. nurse consultant

A community health nurse is planning to implement an outreach program for a community group. Which criteria should the nurse clarify about the program when examining sources for funding? a. focuses on multiple health problems and concerns b. identifies populations and individuals in need of healthcare services c. evaluations variations in health services and health status among populations d. offers healthcare services to community members in local factories, schools, and churches

d. offers healthcare services to community members in local factories, schools, and churches

The nurse is assisting with the triage of clients at a large community disaster and find a man lying on the ground, who states that the blast threw him out of a second story window. Which action should the nurse implement first? a. logroll the client to his side and assess for back injuries b. perform a complete neurological assessment c. open the client's airway immediately d. place the nurse's hands around the client's neck to stabilize

d. place the nurse's hands around the client's neck to stabilize

The nurse is planning a nutrition class for a group of high school students emphasizing the goals for the nutrition from Healthy People 2020. Which meal selection provides the best choices in meeting these goals? a. pasta with cheese sauce, garlic butter bread, and vegetable juice drink b. a 6-oz pork chop, creamed peas, cheese sauce on potatoes, coffee c. vegetable lasagna, lettuce salad, a whole wheat roll, 8 oz of 2% milk d. bacon, lettuce, tomato sandwich, whole grain chips, 8 oz. of whole milk

c. vegetable lasagna, lettuce salad, a whole wheat roll, 8 oz of 2% milk

The nurse is preparing an orientation class for new employees at an inner city clinic that serves a low-income population. Which information should the nurse include in the presentation to these new employees? a. a lack of transportation is the major impediment for the clinic's clients b. basica physiologic needs are likely to be unmet in this clinic's client population c. printed material is less effective for this population that has limited reading skills d. a group education class is often poorly attended by non-compliant clients.

b. basic physiologic needs are likely to be unmet in this clinic's patient population

The home health nursing director is conducting an educational program for registered nurses and practice nurses about Medicare reimbursement. To obtain payment for Medicare services, what must be included in the client's record? a. a prescription from the healthcare provider for each visit made b. documentation of a skilled care service provided during the visit c. a copy of the client's health history and social security card d. a record of the preventive healthcare services provided during the visit

b. documentation of a skilled care service provided during the visit

Which client has the highest risk for developing community-acquired pneumonia? a. a 40-year old first-grade teacher who works with underprivileged children b. a 75-year old retired secretary with exercise-induced wheezing c. a 60-year old homeless person who is an alcoholic and smokes d. a 35-year old aerobics instructor who skips meals and eats only vegetables

c. a 60-year old homeless person who is an alcoholic and smokes

What title should be given to this occupational health nurse job description? An advanced practice nurse who provides workers with primary care services with an emphasis on the diagnosis and management of common acute illnesses/injuries and stable chronic diseases. a. case manager b. nurse consultant c. clinician nurse practitioner d. health promotion specialist

c. clinician nurse practitioner

What title should be given to this occupational health nurse job description? A registered nurse who teaches and prepares nursing students to function as expert clinicians/practitioners, administrators, educators, researchers, or consultants to the work site. a. researcher b. case manager c. health educator d. health promotion specialist

c. health educator

The community health nurse is planning a series of educational courses about the healthcare system and meeting healthcare needs for the community center. Which adjunct issue should the nurse address for a group of older adults. a. peer concerns b. adult daycare c. retirement issues d. vocational concerns

c. retirement issues