Community Final Exam

A nurse is performing a home visit for a client who has tuberculosis (TB). As the nurse is leaving the client's house, a neighbor asks, "Is it true that my neighbor has TB?" Which of the following responses should the nurse make?

"Do you have questions about tuberculosis?"

A public health nurse is conducting an educational session about Lyme disease for a group of older adult clients at a senior center. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

"I can take penicillin for 10 to 14 days to manage Lyme disease."*******

A community health nurse is conducting vision screenings at a health fair for an older adult client who has age-related macular degeneration. Which of the following statements should the nurse identify as an indication that the client is adapting to the changes?

"I have a prescription bottle magnifier to help me read my pill bottle labels."

A school nurse is educating a group of high school students about recommended dietary guidelines. Which of the following statements by a student indicates an understanding of the teaching?

"I should consume less than 300 milligrams per day of dietary cholesterol."

A nurse is providing education regarding lead exposure to a group of clients who live in a housing development built in 1968. Which of the following client statements indicates an understanding of the teaching?

"I will increase the amount of red meat and milk in my child's diet."

A faith community nurse is teaching the daughter of a client who has a terminal illness about her role as a member of the client's health care team. Which of the following statements by the daughter indicates an understanding of the teaching?

"You will coordinate with volunteers who will come to help my mother."

A nurse in an emergency department is triaging clients following an explosion at a local factory. Which of the following clients should the nurse identify as the priority?

A client who has tracheal deviation and shortness of breath

A nurse is collecting data to identify health needs in the local community. Which of the following examples should the nurse identify as secondary data? (Select all that apply.) A. Birth statistics B. Previous health survey results C. Windshield survey D. Community forum E. Health records

A. Birth statistics B. Previous health survey results E. Health records

A nurse at an urban community health agency is developing an education program for city leaders about homelessness. Which of the following groups should the nurse include as the fastest-growing segment of the homeless population? A. Families with children B. Adolescent runaways C. Individuals who have experienced spouse or partner violence D. Older adults

A. Families with children

A nurse is conducting a community assessment. Which of the following data collection methods is the nurse using when having direct conversations with individual members of the community? A. Key informant interviews B. Participant observation C. Focus groups D. Health surveys

A. Key informant interviews

A community health nurse is participating in a group session for clients who have alcohol and substance use disorders. Which of the following information should the nurse provide regarding support programs for these individuals?

Alcoholics Anonymous (AA) assists a client who has an addiction to alcohol with developing a daily recovery program.

A nurse in a community health clinic is preparing to administer an immunization to a 5-year-old child. Which of the following actions should the nurse take?

Ask the child to pretend to blow up a balloon during the injection.

A nurse is developing a community education program about risk factors for family violence. The nurse should include which of the following circumstances as a risk factor for intimate partner abuse?

Attempting to end the relationship

A nurse is giving a presentation about family violence at a local community center. Which of the following information should the nurse include? A. Intimate partner abuse occurs more frequently in lower socioeconomic households B. Child abuse is more common in homes where intimate partner abuse is present C. Children who are abused are less likely to become abusers D. Minority populations may b a greater risk for abuse

B. Child abuse is more common in homes where intimate partner abuse is present

A nurse is completing an ecomap as part of a family assessment. Which of the following questions should the nurse plan to ask to gather appropriate data? A. "Do you have a family history of heart disease?" B. "What kinds of foods does your family eat?" C. "Is your family involved in any community organizations?" D. "How does your family cultural beliefs influence your health values?"

C. "Is your family involved in any community organizations?"

A community health nurse is planning an in-service about STIs for a group of adolescents. Which of the following clinical findings should the nurse include as a manifestation of primary syphilis?

Chancre

A nurse is developing a community health education program for a group of clients who have a new diagnosis of diabetes mellitus. Which of the following learning strategies should the nurse include for clients who are auditory learning? A. Showing photographs of sites for injection B. Providing equipment to practice hands-on skills C. Supplying outlines for note-taking D. Facilitating small group discussions

D. Facilitating small group discussions

A home health nurse is planning care for a client following a stroke. The nurse plans to interview each member of the family to see how they might help the client progress towards recovery. The nurse is using which of the following approaches to family health? A. Family as a component of society B. Family as a system C. Family as a client D. Family as context

D. Family as context

A community health nurse is providing care to a client who has stopped taking his prescribed blood pressure medication. Which of the following actions should the nurse take first?

Determine the client's reason for discontinuing the medication.

A community health nurse identifies an increase in the occurrence of osteoporosis-related fractures in women experiencing menopause. Which of the following primary prevention strategies should the nurse implement?

Encourage the women to participate in weight-bearing activities.

A nurse is caring for a client who has recently emigrated from another country and states, "The health care system in my country was better and should be used everywhere." The nurse should recognize that the client is demonstrating which of the following behaviors?

Ethnocentrism

A community health nurse is participating in a quality improvement plan for a local health department. Which of the following techniques should the nurse use for process evaluation of the facility? (Select all that apply.)

Focus groups Written audits Satisfaction survey Interviews

A community health nurse is planning a presentation for adults who have a family history of Alzheimer's disease. Which of the following behaviors should the nurse include as an early manifestation of Alzheimer's disease?

Forgetting the location of common objects

An occupational health nurse is assessing a client who reports taking ibuprofen daily. The nurse should counsel the client about the risk for which of the following adverse effects?

Gastric ulcerations

A community health nurse is caring for an adolescent who is seeking help for an unplanned pregnancy. Which of the following actions should the nurse take first?

Help the client obtain a provider for prenatal care.

A PHN is providing information to a client who has alcohol use disorder and is asking about treatment. Which statement indicates the client understands?

I can expect to get help with other aspects of my life as well

A nurse at a country health clinic is caring for a client who has recently assumed the role of a primary caregiver for her mother. Which of the following statements by the client indicates that she experiencing role conflict?

I feel overwhelmed with not having enough time for my mom as well as my children

A nurse manager is presenting an in service for nurses about assessing clients for abuse. Which of the following statements by a nurse indicates an understanding of the teaching?

I should refer the client for a rape kit within 24 hours

A PHN is teaching a client who is overweight about steps to take to begin an exercise program. The nurse should identify that which of the following statements is an indication that the client understands the teaching?

I will see my doctor before starting

A community health nurse is planning to establish a community garden to address the lack of nutritious food options in the area. Which of the following actions should the nurse take first to initiate the plan?

Identify community members who demonstrate an interest in the project.

A nurse is assessing a new client at a public health clinic. Which of the following areas should the nurse address as part of the cultural assessment?

Illness practices

A public health nurse is planning a community health promotion program for hypertension prevention. Which of the following interventions should the nurse include as a tertiary prevention strategy?

Implement an exercise program for clients who have hypertension.

A public health nurse is planning an educational program for a group of nurses at a community health department about pertussis infection. Which of the following information should the nurse include?

Individuals transmit the pertussis bacteria through airborne droplets.

A community health nurse is conducting a needs assessment of a community. The nurse should identify that which of the following methods will yield direct data?

Informant interviews

A nurse in an emergency department is caring for client who is homeless and has hypothermia. Which of the following actions should the nurse take?

Initiate a referral to the facility's social worker.

An occupational health nurse in a factory is performing a routine tuberculosis screening and identifies an employee who has a positive Mantoux tuberculin test. Which of the following actions should the nurse take?

Instruct the employee to prepare a list of close personal contacts.

A school nurse is notified that a school-age child has been newly diagnosed with pertussis. Which of the following actions should the school nurse take? (Select all that apply.)

Instruct the parent to keep the child at home until the coughing stage has passed. Encourage family members to obtain prophylactic treatment. Check the immunization status of the child's classmates is correct.

A nurse is caring for a client who has stage IV pancreatic cancer and has received information regarding available treatment options. Which of the following is the responsibility of the nurse if the client chooses to forgo treatment and enter hospice care?

Make the hospice referral in accordance with the client's decision

A PHN is monitoring medication compliance for a group of migrant workers who are being treated for TB. the nurse should use information from which resource?

Migrants clinicians network

A community health nurse is reviewing plans for a health education program. The nurse should identify that which of the following components of the plan needs to be changed?

Pamphlets are written at a 12th-grade level.

A home health nurse is planning care for a client who reports practicing traditional Asian health beliefs. The nurse should recognize that the client participates in which of the following actions?

Places a cup of steam against the skin to draw out toxins from the body

A school nurse is reviewing the records of four students who are returning to school after being diagnosed with methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take?

Provide education about MRSA throughout the school system.

A community health nurse is creating a program to reduce domestic violence in the community. Which of the following interventions should the nurse identify as secondary prevention?

Recognizing and reporting suspected abuse to the appropriate protective services

A PHN is developing a presentation for local day care providers about infectious childhood diseases. Which of the following statements should the nurse include?

Resp. syncytial virus is spread through resp. secretions from an infected person

A community health nurse is providing teaching about health promotion to a group of adolescents. Which of the following topics is the most important for the nurse to include in an attempt to lower adolescent mortality rates?

Safety belt use

A nurse is caring for a 16-year-old client who has a new diagnosis of human papillomavirus. Which of the following actions should the nurse take?

Teach the client how to apply imiquimod 5% cream to the lesions.

A nurse is planning health promotion activities for the local community. Which of the following activities should the nurse include as an example of primary prevention

Teaching meal planning classes to older adults

A home health nurse is conducting a follow-up visit for a client who was recently discharged from an acute rehabilitation program for alcohol use disorder. Which of the following actions should the nurse take?

Tell the client to take naltrexone daily.

A nurse is preparing a community education program about health care needs during pregnancy. The nurse should include that which of the following vaccines is safe to administer to a client who is pregnant?

Tetanus, diphtheria, pertussis (Tdap)

A community health nurse is discussing the role of a faith community nurse with a chaplain. Which of the following information should the nurse include in the discussion?

The faith community nurse can facilitate substance abuse support groups.

A nurse is preparing to administer medication to a client who has active tuberculosis. Which of the following precautionary measures should the nurse take?

Use an N95 respirator.

A home health nurse is providing nutritional instructions to a client who has COPD and is malnourished. Which of the following instructions should the nurse include?

Use milk instead of water when making canned soup.

A nurse in a pediatric clinic is providing care to several clients. The nurse should recognize that which of the following conditions is included on the Nationally Notifiable Infectious Conditions list?

Varicella

A clinic nurse is caring for a client who reports taking ginkgo biloba for several weeks since seeing a naturopathic healer. The nurse should instruct the client that ginkgo biloba may alter the effects of which of the following medications?

Warfarin

A PHN is assessing a group of clients for risk factors of abusive behaviors. Which of the following findings should the nurse identify as a risk factor for developing violent behavior?

a client states he witnessed his mother physically mistreat his father

A nurse in an emergency dept is triaging clients following an explosion at a local factory. Which of the following clients should the nurse ID as the priority?

a client who has tracheal deviation and shortness of breath

A PHN is scheduling client visits for the day. Which of the following clients should the nurse plan to visit first?

a client with DM who has new erythema to the left foot

A hospice nurse is teaching about expected grief reactions with the family of a client who has end stage pancreatic cancer. Which of the following info should the nurse include?

a component of healthy grieving is the ability to openly express your anger

A PHN is participating in a community planning committee for disaster preparedness for local community that is at risk for hurricanes. Which of the following information should the nurse contribute?

a list of area where residents speak english and a second language

A PHN has been contacted regarding a client diagnosis of flu type A. Which actions should the nurse take?

administer antiviral medications

A nurse is preparing an educational program about the flu for a group of nurses. Which interventions are tertiary prevention.

administer antiviral medications within 48 hrs of pts manifesting flu like symptoms

A PHN is planning care for four clients. Which of the following interventions should the nurse see as tertiary prevention?

administering antibiotics to a client who has AIDS and was diagnosed with pneumocystis jiroveci

A nurse is providing BP screenings for older adult clients. Which of the following should the nurse identify as increasing a clients risk for HTN?

african american race

A school nurse is conducting hearing screening procedures in an elementary school. Which of the following instructions should the nurse provide when performing the Rinne test?

after I place this tuning fork behind your ear tell me when you no longer hear the sound

A school nurse is conducting visual acuity testing for school age child. Which of the following actions should the nurse take?

allow child to keep glasses on

A nurse is assessing risks and benefits of meal delivery services for an older adult client who lives alone. Which ethical principle is the nurse demonstrating?

beneficience

A nurse in a county health department is caring for a client who states "I have been drinking too much in the evenings since my mom died." Which of the following responses should the nurse make?

can I give you some info about AA

A nurse in a rural health clinic is caring for a client who has heart failure. The client states "I am not going to take any more heart medication." Which response should the nurse make?

can you tell me more about your decision to stop your medication

A nurse is teaching a client who has a new diagnosis of Hep. A how to prevent the spread of the virus. Which instructions should the nurse include?

clean your bathroom fixtures with chlorine bleach solution

A nurse is planning to teach a community group about the meningoccocal vaccine. The nurse should identify which of the following clients should receive the vaccine?

client moving into a college dorm

A PHN is working in a mobile client. Which of the following clients should be assessed first?

client with new onset of confusion and slurred speech

A PHN is developing a visual health program by using a community oriented approach. Which of the following interventions should the nurse include?

consult with the local school nurse to schedule yearly vision screenings

A school nurse is discussing levels of prevention with a teacher. Which of the following activities should the nurse include as primary prevention?

demonstrate proper hand washing techniques

A PHN suspects an outbreak of scabies in the local area. Which action should the nurse take?

determine incidence rate

A case manager is developing a D/C plan for a client who has a spinal cord injury and is in a rehab facility. Which of the following actions should the nurse take?

determine the clients ability to perform self care

A home health nurse is assessing an older adult client who is taking captopril to treat HF. Which finding is an AE?

dry cough

A nurse is caring for a client who has AIDS and is experiencing rapid weight loss. What is the priority nursing action?

examine the clients mucous membranes

A PHN is developing an education program about bioterrorism and smallpox. The nurse should include in the teaching that smallpox rash is expected to first appear in which location?

face

A school nurse is teaching health promotion to a group of staff members who sit at a desk and use a computer for 8 hours at a time. Which of the following info is the priority for the nurse to take?

flex and point your toes periodically

A nurse is assessing a new client. Which of the following information should the nurse include in the cultural portion of the assessment?

food preferences

The daughter of a client who is terminally ill and at the end of life approaches a hospice nurse and asks what she can do to relieve her fathers pain. Which intervention should the nurse suggest?

give the client brief hand massages

A nurse at a county health department is caring for a client who is at 28 weeks of gestation. The nurse should identify which of the following characteristics as a risk for potential future abuse of the newborn?

he client has changed providers three times during her pregnancy.

A community health nurse is teaching a client who was newly diagnosed with active TB about disease transmission. What should the nurse include?

household members should take INH for 6-12 months

A nurse is conducting an educational session at an assisted living facility for a group of clients who have osteoporosis. Which of the following statements should the nurse include in the teaching?

increase intake of green leafy veggies

A nurse in a community center is prepping to administer a TB skin test. Which action should the nurse take?

inject 0.1 ml of purified protein derivative

AN occupational health nurse is planning to use an interpreter during an educational session. Which actions should the nurse take?

instruct them to guide the nurse in providing information in a culturally sensitive manner choose one that speaks the workers dialect evaluate the interpreters approach to clients prior to the educational session

A home health nurse is caring for a client who has breast cancer. Which of the following assmnt findings should the nurse identify as an indication that the client is coping effectively?

makes eye contact

A case manager is planning an educational program for a client who has DM. Which activity is psychomotor domain of learning?

observe the client drawing up insulin

A PHN is working in a community that has a population of 24,096. There are 2,096 cases of heart disease. The nurse can determine what from this information?

prevalence proportion

A nurse in a rural community is planning education for a young adult client who is a migrant farm worker. Which of the following actions should the nurse include?

provide environmental health information refer for TB screening provide info on skin cancer recommend a dental health screening

A nurse is collecting demographic data as part of a community assessment. Which of the following information should the nurse include?

racial distribution

A PHN is planning an educational program for farmers about occupational health risks. Which risks should the nurse include?

resp. disorders

A PHN is assigned to lead a county level environmental task force. Which activity should be done first?

review community specific data

A PHN is discussing epidemiology with a coworker. Which of the following interventions should the nurse provide as an example?

reviewing county health records for data on cases of chickenpox

A home health nurse is planning care for the day. Which of the following clients should the nurse visit first?

school age child who was in the ED for status asthmaticus

A nurse is conducting a home visit with a female client who reports a Hx of intimate partner abuse. The nurse should identify that which of the following findings places the client at greatest risk for DM?

the client is leaving her partner

A palliative care nurse is teaching a client who has cancer about the services that are available. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

this can help with pain control

A nurse is at a mass casualty explosion triaging clients. A client has a large open wound, RR 6, agonal pattern, Cap refill 4.5 seconds, non responsive to painful stimuli. Which actions should the nurse take?

turn the client to left semi fowlers and begin assessing next client

A PHN is working to meet the health care needs of residents in a rural community. Which of the following characteristics should the nurse identify as a barrier to health care resources?

unavailability of outreach services

A PHN is developing a plan for a client who is Hispanic. Which of the following actions should the nurse include in the plan?

use therapeutic touch