NUR 496 EAQ #1 Community Health

client

A 40 yo client with a terminal illness wishes to die at home in the presence of his/her spouse and child. Who will be the primary concern of the nurse viewing this family as context?

Assess the client for alcohol withdrawal symptoms.

A client is admitted to the hospital for acute pancreatitis. The nurse obtains the client's VS, performs a physical assessment, and reviews the client's health history. Which intervention is the priority?

- Helping the family set up hospice - Giving the family information about the dying process - Making sure that the family knows what to do at the time of death

A client suffering from cancer is near the end of life. Which actions would be performed by the nurse to support the client's family members?

"Untreated active tuberculosis is communicable."

A client with TB asks the nurse about the communicability of the disease. Which response would the nurse use?

if the mother is breast-feeding her baby

A mother diagnosed with AIDS states she has been caring for her baby even though she has not been feeling well. Which important information would the nurse determine regarding the care provided by the mother?

Notify the local public health department of the new diagnosis.

After a client at an outpatient clinic has been diagnosed with active TB, which action by the nurse is best?

client 1: history of being physically and sexually abused by family member from 4-12 yrs, exhibits stress through hyperactivity.

Based on the client data which client has the greatest risk for harm to self or others?

Vaccinating children in a school

Four nurse leaders are performing different tasks. Which nurse leader's action indicates the role of the community nurse leader?

Helping the client set a date to stop smoking

The community health nurse is educating a client who is interested in discontinuing cigarette smoking. Which would the teaching plan include?

- Encourage the client to wear nonskid shoes. - Suggest that the client use an assistive device. - Help the client rearrange furniture in the house

The community nurse is assessing an older adult client who lives alone at home. The nurse finds that the client refrains from physical activity for fear of falling when walking. Which interventions by the

Assess the wife for caregiver burden. Assess the husband for signs of physical abuse. Identify social support within the community.

The home health care nurse visits an older adult couple living independently. The wife cares for the husband, who has dementia. Which interventions would the nurse implement for them?

Getting the client's attention before speaking

The nurse is assessing a client with impaired hearing. Which action by the nurse is important for establishing good communication with the client?

Tuberculosis

The nurse is planning personal protective equipment for a client who is homeless and who is hospitalized for alcohol withdrawal. The nurse recalls that this population is at risk for which condition?

"I will maintain complete bed rest."

The nurse provides education about self-care management to a client who was recently diagnosed with emphysema. The nurse concludes that further teaching is needed when the client makes which statement?

Risk factor

The son of migrant farm workers has no history of immunizations and is brought to the county health clinic. After measles is diagnosed, the public health nurse goes to the migrant camp to search for people with a greater-than-average chance of contracting the disease. Which is the name of this variable?

Palliative care is the same as hospice care.

The student nurse is describing palliative care to a client's family. Which statement made by the student nurse indicates a need for correction by the RN?

Epidemiological process

Two siblings who live in a camp for migrant workers have contracted measles. The nurse, trying to determine which individuals had contact with the children, identifies whose with immunity and assesses the probability of containing the measles to the camp. Which technique has the nurse used in managing this situation?

Intake of salty food Medication compliance Recent travel

When a client with HF is seen in the clinic with new onset ankle edema, the nurse would question the client about which lifestyle factors that may have contributed to the ankle swelling?

- Limit allergens in the home. - Continue the medications even if the child is asymptomatic.

When preparing a child with asthma for discharge, which instructions would the nurse emphasize to the family?

- covering mouth w/forearm when coughing or sneezing - putting tissues in a plastic bag after using them to cough - using an alcohol-based hand sanitizer to wash the hands

Which actions by a client who lives with family and has an upper respiratory infection indicate that the home health nurse's teaching about infection control has been effective?:

determining a safe place to go in an emergency, memorizing the domestic violence hotline number,

Which actions would be included in the safety plan for a woman in crisis, who is emotionally and physically abused by her husband?

arranging an immunization program for chicken pox

Which activity by the community nurse is an illness prevention strategy?

- financial status - environmental hazards and support systems - access to public transportation and community activities

Which assessment would the nurse perform while assisting an older adult with her/his living arrangements?

Attempting suicide Pattern of substance abuse

Which behavioral findings to intimate partner violence in young adolescents?

a state of complete physical, mental, and social well-being

Which definition does the World Health Organization (WHO) use to define health?

to ease the pain from illness

Which describes the focus of hospice care?

- Encourage regular physical activity and the use of stress-management strategies - Consider the client's social environment and strengthen social support to promote health - Assess the client for fear of falling and provide support by making environmental changes

Which important points would the nurse keep in mind when caring for an older adult to promote health?

-Sneeze or cough into the upper sleeve. -Use alcohol-based hand sanitizers after blowing the nose. -Turn the head away from others when coughing or sneezing.

Which information will the employee health nurse include when teaching about ways to prevent transmission of influenza in the workplace?

- Promote dietary modifications by using varied techniques - Assess the client's current lifestyle and promote lifestyle changes - Monitor the client's blood pressure and weight and establish blood pressure

Which interventions should the nurse take to ensure the well-being of a community-dwelling older adult with hypertension?

to eliminate health disparities related to race, ethnicity, and socioeconomic status

Which is the goal of Healthy People 2020?

improve quality of health in a population

Which is the main focus of community health nursing?

short-term relief for family caregivers.

Which is the purpose of respite care?

- assisting w/ immunizations - facilitating a program about the dangers of smoking

Which nursing activities are examples of primary prevention?

Preventing violence

Which nursing goal would be priority for an adolescent who has a history of fighting, stealing, vandalizing property, running away from home and has been suspended from school repeatedly?

Community health nursing does not provide direct or indirect care services to subpopulations in a community.

Which point about community health nursing made by the student nurse needs correction?

- Checking the skill set of the delegatee - Selecting the delegatee based on his or her competence levels - Being certain that the delegatee is capable of completing the task

Which points would the nurse take into consideration when delegating a task?-

1. Adolescents 2. Homosexual men 3. Transgender clients 4. Multiple sex partners 5. Intravenous drug users

Which population would the nurse include in a community education session on sexually transmitted infections (STIs)?

disease management

Which preventive and primary care service provided by a community health center is most expensive?

potential for self-harm

Which priority parameter would the nurse monitor in a young adult client with schizophrenia who says, 'The voices in heaven are telling me to come home to GOd'?

outpatient clinics that provide primary care to a specific population

Which purpose does a community health center serve in preventive and primary care services?

what type of work have you done in the past

Which question will the nurse ask to assess a client's potential exposure to inhaled environmental irritants or toxic gases?

Epidemiologist

Which role is the nurse expected to have in a community-based nursing practice if there is a sudden spread of malaria?

Most women try to leave about 6 times before they are successful

Which statement MOST accurately describes women who are involved in a situation of domestic violence?

to provide general medical and surgical services

Which statement best describes the mission of a community hospital?

"The focus is on understanding the traditions, beliefs, and values of the client's culture." "I will be aware of my own cultural background and beliefs when attending to clients who belong to different cultures."

Which statements by the nurse indicate an understanding of caring for clients of various cultures?

Report cases of communicable diseases Report incidences of domestic violence Ensure that clients in a community have received necessary immunizations

Which tasks should the nurse perform to comply with public health laws?

Identifying the benefits of attending a support group for battered women Providing her with information regarding local domestic violence shelters

Which tertiary interventions would the nurse use for a young adult who sustained injuries as a result of physical battering by her partner?

assess level of danger notify adult protective services

a client reports being physically abused by his/her partner. Which interventions would the nurse include in the plan of care?

ensure patent airway

a client with chest trauma is admitted in the ED. Which intervention takes priority?

- environmental hazards - inappropriate footwear - improper use of assistive devices

which are extrinsic factors responsible for falls in older adults?