ATI RN COMMUNITY HEALTH

16. A nurse is providing teaching to a newly licensed nurse about case management. The nurse should include that which of the following tasks is the responsibility of a case manager? A. evaluate the cost effectiveness of client's treatments B. teach a smoking cessation support group C. perform employee risk assessments D. enforce OSHA standards in the workplace

A. evaluate the cost effectiveness of client's treatments

A home health nurse is providing teaching to the guardian of a child who has leukemia about methods to prevent complications. Which of the following statements by the guardian indicates an understanding of the teaching? A. Educate the family regarding the progression of dementia B. Engage the family in informal conversation C. Provide the family with info about respite care D. Encourage the family to join a support group

B. Engage the family in informal conversation

. Manifestation of alcohol withdrawal: A. Bradycardia B. Hypothermia C. Insomnia D. Increased appetite

C. Insomnia

8. A nurse educator is teaching a group of newly licensed nurse about maintaining client confidentially according to HIPPA regulation. which of the following statements by a newly licensed nurse indicates an understanding of the teaching? a) "HIPAA rules allow clients to receive a copy of their medical records." b) "HIPAA rules vary from state to states." c) "What should share our computer passwords with our manager." d) "A client's diagnosis can be posted on the communication board inside the client's room."

a) "HIPAA rules allow clients to receive a copy of their medical records."

20. A nurse is teaching a client who has a terminal illness about hospice care. Which of the following statement by the client indicate an understanding of the teaching? (select all that apply) a) "I can receive care in the hospital or at home." b) "My provider will recommend that I entre hospice care when I have 1 year left to live." c) "I can discontinue hospice care whenever I want." d) "I will need to have private insurance because Medicare does not cover hospice services." e) "I will receive care from a variety of interprofessional team members."

a) "I can receive care in the hospital or at home." b) "My provider will recommend that I entre hospice care when I have 1 year left to live." c) "I can discontinue hospice care whenever I want." e) "I will receive care from a variety of interprofessional team members

7. A nurse is conducting home visits to postpartum adolescents who participated in prenatal parenting classes. Which of the following statements indicates an understanding of the teaching? a) "I warm my baby's bottle in the microwave for 30 seconds at a time." b) "I use baby talk when talking to my baby." c) "I limit the time her grandparents cuddle my baby to prevent spoiling." d) "I carry my baby with me as I move around the house."

a) "I warm my baby's bottle in the microwave for 30 seconds at a time."

22. A nurse is planning a primary strategy for reducing obesity in a community. Which of the following strategies should the nurse use? a) Educate children at a day care center about nutrients and exercise. b) Measure the BMI of older adults at a community senior center. c) Distribute health-risk appraisal questionnaires at community functions. d) Encourage enrollment and attendance at weight-reduction programs

a) Educate children at a day care center about nutrients and exercise.

13. A home health nurse is assessing a client who has hepatitis A. Which of the following findings should the nurse expect? a) Malaise b) Ankle edema c) Petechiae d) Weight gain

a) Malaise

34. A nurse is planning an in-service about isolation precautions for her coworkers. For which of the following infections should the nurse identify the need for contact precautions? a) Pertussis b) Pulmonary tuberculosis c) Herpes Simplex d) Diphtheria

c) Herpes Simplex

21. A nurse is working with a married couple who each have children from prior relationships living is the home. The nurse should clarify the family as which of the following household structure? a) Adoptive family b) Foster family c) A commune d) Blended family

d) Blended family

14. A school nurse is assessing a child who has a fever and notices several bite marks on the child's arm. The nurse should referral for suspected child maltreatment based on which of the following additional findings? (Select all that apply) a) The child is wearing open-toed shoes and the weather is cold outside. b) The child is frequently absent from school. c) The child's clothes are wrinkled and dry. d) The child tells the nurse that they are sick because they are bad. e) The child reports coughing all day

a) The child is wearing open-toed shoes and the weather is cold outside. b) The child is frequently absent from school. d) The child tells the nurse that they are sick because they are bad.

31. A nurse is caring for a client who asks, "Can I decide not to continue not to continue with chemotherapy?" The nurse responds. "This is your choice and "I'II support whenever decision you make." The nurse's response is an example of which of the following ethical principles? a) Nonmaleficence b) Autonomy c) Beneficence d) Veracity

b) Autonomy

36. A nurse is serving on a state task force for disaster planning. The nurse is engaging in disaster preparation efforts when performing which of the following actions? a) Functioning as a manager at a temporary shelter b) Organizing a mass casualty drill for community members c) Implementing a disaster triage plan with a local medical facility d) Assisting with the identification of a biological agent

b) Organizing a mass casualty drill for community member

5. A faith-based organization asks a community health nurse to develop a mobile meal program for older adults who are no longer the following actions should the nurse plan to take first? a) Inquire about the availability of volunteers. b) Performs a needs assessment. c) Determines potential funding sources for the program d) Identify alternative solutions to address concerns.

b) Performs a needs assessment.

24. A parish nurse is planning activities for a faith-based community. Which of the following activities should the nurse include? a) Change a negative pressure wound therapy dressing b) Teach stress management strategies c) Provide case management d) Offer primary care to uninsured members.

b) Teach stress management strategies

27. A nurse is providing teaching to a client about directives regarding end-of-life care. Which of the following information should the nurse include in the teaching? a) The living will is a legally binding contract between the client and the provider b) The client can choose a non-family member as the designated power of attorney. c) The client's family has the authority to revoke the do-not-resuscitate order at any time. d) The client can verbally choose a health care proxy if two nurses witness the designation.

b) The client can choose a non-family member as the designated power of attorney.

18. A nurse in a community health clinic is assessing a client who has two preschoolers was recently divorced and is seeking help for major depression. Which of the following questions should the nurse ask first? a) "Is there anything that makes you feel less depressed?" b) "Could you describe how you are feeling today?" c) "Are you having any thoughts about hurting yourself?" d) "Who is available to help you?"

c) "Are you having any thoughts about hurting yourself?"

19. A mental health nurse is scheduling a home health appointment with a client who has recently lost his partner in a motor vehicle crash. Which of the following statements by the client indicates the need for immediate nursing intervention? a) "I just feel so angry right now." b) "There's no need for anyone to come see me, including you." c) "Everything is going to be fine soon." d) "I'm not going to talk to you about my problems."

c) "Everything is going to be fine soon."

4. A home health nurse is assessing a client who has AIDS. Which of the following responses by the client indicates a risk for suicide? a) "I don't want to lose control of my ability to make decisions." b) "I am afraid of experiencing pain near the end." c) "I know that everything will be better soon." d) "I am relying more and more on my partner for support."

c) "I know that everything will be better soon."

11. A parish nurse is counselling a family following a client's recent diagnosis of heart disease. Which of the following action should the nurse take first? a) Assist the client and the client's partner with finding an affordable exercise program. b) Offer to accompany the client and the client's partner during health care provider visits. c) Ask family members about the impact of the disease on relationship within the family. d) Discuss the benefits of eating a well-balanced diet with the client's family.

c) Ask family members about the impact of the disease on relationship within the family.

26. A home health nurse is caring for a client who has terminal cancer and no longer wants to receive enteral tube feeding. Which of the following actions should the nurse take? a) Request the facility chaplain to visit the client. b) Ask the client to sign an informed consent form c) Complete against medical advice form. d) Explain the process for completing a living will.

c) Complete against medical advice form.

9. A nurse is working with a community health care team to devise strategies for preventing violence in the community. Which of the following intervention is an example of tertiary prevention? a) Presenting community education programs about stress management b) Urging community leaders to make nonviolence a priority c) Developing resource for victims of abuse d) Assessing for risk factors of intimate partner abuse during health examinations

c) Developing resource for victims of abuse

17. A home health nurse is planning the initial home visit 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? a) Provide the family with information about respite care b) Educate the family regarding the progression of dementia c) Engage the family in informal conversation d) Encourage the family to join a support group.

c) Engage the family in informal conversation

30. A school nurse is planning primary prevention activities for the school year. Which of the following action should the nurse plan to take? a) Schedule hearing screening for each grade level. b) Provide referrals for students who have asthma c) Monitor the immunization status of students d) Provide first aid for injured students.

c) Monitor the immunization status of students

37. A nurse is an extended care facility enters the room of a client and notices a fire in the trash can. Which of the following actions is the nurse priority? a) Activate the alarm b) Attempt to extinguish the fire. c) Move the client to another location d) Shut the doors and windows of the room.

c) Move the client to another location

25. A home health nurse is caring for a client who a client who has chemotherapy-induced nausea that has been resistant to relief from pharmacological measures. Which of the following interventions should the nurse initiate? (Select all that apply). a) Offer 120 mL (4 OZ) of cold 2% milk as a meal replacement. b) Use seasoning to enhance the flavor of foods. c) Provide sips of room-temperature ginger ale between meals. d) Maintain the head of the client's bed in an elevated position after eating. e) Assist the client in using guided imagery.

c) Provide sips of room-temperature ginger ale between meals. d) Maintain the head of the client's bed in an elevated position after eating.

32. A community health nurse is working with a migrant population. The nurse should recognize the which of the following interventions necessary to provide care to this population? a) Offering health screenings at a community center b) Requiring clients to show a work visa before they receive care. c) Providing health services at work sales d) Treating clients on a fee-for-service basis.

c) Providing health services at work sales

23. A community health nurse is teaching a group of parents about manifestations of alcohol withdrawal. Which of the following manifestation should the nurse include in the teaching? a) Hyperglycemia b) Hypotension c) Seizures d) Somnolence

c) Seizures

15. A nurse is reviewing levels of prevention with a newly licensed nurse. Which of the following is an example of tertiary prevention? a) Providing STI testing for students on a college campus. b) Educating adults about breast cancer screening guidelines c) Teaching about inhaler use to a client who has asthma d) Promoting the use of helmets with children who rides bicycles.

c) Teaching about inhaler use to a client who has asthma

10. A nurse is teaching a group of clients about ways to prevent skin cancer. Which of the following statement by the nurse demonstrate a priority prevention strategy? a) "Use acetaminophen as needed for sunburn." b) "Apply cool tap water soaks for 20 minutes to relieve sunburn." c) "Ensure you have a yearly skin examination with your provider." d) "Avoid direct sunlight between 10 and 4pm."

d) "Avoid direct sunlight between 10 and 4pm."

33. A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special level at home. Which of the following statements should the nurse make first? a) "Eat a balanced diet with high-protein snacks." b) "Apply moisture barrier ointment three times a day." c) "A social worker can help you with the cost of supplies." d) "Describe the place where you are currently living."

d) "Describe the place where you are currently living."

12. A nurse is caring for a child whose parent reports that their partner has been physically maltreating the child. The parent states, "My partner has moved out, so please don't tell anyone." Which of the following statements should the nurse make? a) "I think you should report the abuse to law enforcement." b) "I will not report the abuse because I know you will keep your child safe." c) "You should let your pediatrician know about the abuse." d) "State law requires health care providers to report suspected abuse.

d) "State law requires health care providers to report suspected abuse.

35. An occupational health nurse is completing a walk-through of a factory to identify workers at risk for injury. Which of the following workers should the nurse identify as being at risk? a) A worker who is 7-week postoperative following rotator cuff surgery and is labelling boxes b) A worker standing with a wide base of support when pulling a cart toward himself. c) A worker who is wearing a back brace and bends at the waist when picking up a pallet. d) A worker who is standing in place for extended periods and rests one foot on a box

d) A worker who is standing in place for extended periods and rests one foot on a box

29. A nurse is participating in a qualify improvement committee for home health client. Which of the following topics should the nurse recommend for the committee to review? a) An increase in clients reviewing annual flu vaccines. b) An increase in client admissions for home health care c) An increase in levels of local air pollution d) An increase in client falls at home

d) An increase in client falls at home

28. A nurse is providing teaching to a newly licensed nurse about secondary prevention strategies related to violence and abuse. Which of the following strategies should the nurse include in the teaching? a) Teach a parenting skills class at a child development center. b) Refer clients to the appropriate community agency if signs of abuse are evident c) Coordinate a personal defense program at a local agency. d) Assess clients for withdrawal and passivity during home health visits

d) Assess clients for withdrawal and passivity during home health visits

2. A nurse at a community clinic is preparing an educational guide about cultural variance in expression of pain. which of the following information should the nurse include? a) Native American cultural practices include being outspoken about pain. b) Middle Eastern cultural practices include hiding pain from close family members. c) Puerto Rican cultural practice include the view that outspoken expression of pain is shameful. d) Chinese cultural practices include enduring pain to prevent family dishonor

d) Chinese cultural practices include enduring pain to prevent family dishonor

6. A nurse is caring for a client who has hepatitis A virus. Which of the following reservoirs should the nurse identify for this infection? a) Blood b) Genitourinary tract c) Skin d) Feces

d) Feces