Community health

A nurse in a rural health clinic is caring for a client who has heart failure. The client states, "I'm not going to take any more heart medicine." Which of the following responses should the nurse make? A) why did you decide to stop your heart medicine? B) can you tell me more about your decision to stop your medicine? C) don't you know what stopping your medicine will do to your heart? D) don't you think your doctor knows what's best for your heart?

B) can you tell me more about your decision to stop your medicine?

A community health nurse is developing a plan of care for a client who is Hispanic. Which of the following actions should the nurse include in the plan? A) avoid using hand gestures when working with the client B) use therapeutic touch during conversation C) discourage the client from using a faith healer D) maintain direct eye contact when speaking with the client

B) use therapeutic touch during conversation

A nurse in a community center is preparing to administer a tuberculin skin test to multiple clients to screen for tuberculosis. Which of the following actions should the nurse take? A) prepare the outer aspect of the upper arm for the injection B) insert the needle at a 45 degree angle C) inject 0.1ml of purified protein derivative D) create a wheal that measures about 15mm in diameter

C) inject 0.1ml of purified protein derivative

A case manager is planning an educational program for a client who has diabetes mellitus. Which of the following activities should the nurse include when using the psychomotor domain of learning? A) review a color diagram of the food pyramid with the client B) show the client a video about how to monitor blood glucose levels C) observe the client's technique for drawing up insulin D) give the client a pamphlet about foot care

C) observe the client's technique for drawing up insulin

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? A. underage smoking B. safer sex practices C. safety belt usage D. heart-healthy diet

C. Safety belt use

A nurse is assessing the risks and benefits of meal delivery services for an older adult client who lives alone and has no transportation. Which of the following ethical principles is the nurse demonstrating? A) distributive justice B) respect for autonomy C) fidelity D) beneficence

D) beneficence

A home health nurse is assessing an older adult client who is taking captopril to treat heart failure. Which of the following findings should the nurse identify as an adverse effect of tis medication? A) weight gain B) ataxia C) photophobia D) dry cough

D) dry cough

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? A. coordinate an immunization clinic at the school B. recommend polylactic treatment for classmates C. report the cases of MRSA to child protective services D. provide education about MRSA throughout the school system

D. Provide education about MRSA throughout the school system.

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? A. report the infection to the state health department B. instruct the client to return for a blood test in 1 month C. administer ceftriaxone 250mg IM D. teach the client how to apply imiquimod 5% cream to lesions

D. 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? A. teaching foot care to adults who have diabetes mellitus B. testing school-age children for lead exposure C. providing TB screenings for day care providers D. teaching meal planning classes to older adults

D. Teaching meal planning classes to older adults

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? A. the faith community nurse can provide pharmacologic pain management for clients who have a terminal illness B. the faith community nurse can plan workforce safety training for employees in a local factory C. the faith community nurse can provide wound care for clients in their homes D. the faith community nurse can facilitate substance abuse support groups

D. 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? A. wear gloves B. wear a gown C. use disposable equipment D. use an N95 respirator

D. 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? A. drink at least 480ml of liquid with each meal B. avoid foods that contain eggs C. lie flat for 15-30 min after eating D. use milk instead of water when making canned soup

D. Use milk instead of water when making canned soup.

Community leaders have requested a meeting with a community health nurse to discuss creating a mobile meals program. Which of the following should the community health nurse assess first? A. the leadership support of the community B. the accessibility of residences C. the availability of volunteers D. the need for the program

D. the need for the program

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

Determine the client's ability to perform self-care. Reasoning: The first action the nurse should take when using the nursing process is to assess the client's needs. Determining a client's needs is the first step of the case management process which allows the case manager to plan client-centered care.

A community health nurse is planning to develop a community health program. Which of the following actions should the nurse take first

Determine the need. Reasoning: when using the nursing process, the first step the nurse should take is to assess or determine the need for a community program.

A home health nurse is reviewing several client requests regarding complementary strategies. The nurse should ID that which of the following alternative therapies is contraindicated for the client?

Kava for a client who has cirrhosis. Reasoning: although kava has been used to promote sleep, it can cause severe liver damage, which can lead to the need for a liver transplant. using kava could worsen the condition of a client who has cirrhosis. Therefore, the nurse should plan to discuss safer alternatives with the client.

A public health nurse is monitoring medication compliance for a group of migrant workers who are being treated for TB.

MCN

A community health nurse is working with community where the incidence of violence has increased

Provide victims of violence with referral info to crisis lines

A community health nurse is planning an educational program for farmers about occupation health risk. Which risk should the nurse include

Respiratory disorders. Reasoning: farmers are at an increased risk for respiratory disorders due to exposure to agricultural chemicals, such as herbicides and pesticides. Other health risks for farmers include accidents with vehicles and machinery, dermatitis, dental problems, and stress and anxiety disorders.

A home health nurse is planning care for the day. Which client should the nurse visit first

School age child tx in ED last night for status asthmatics. Reasoning: when using A,B,C approach to client care, the nurse should determine that the client who recently experienced status asthmatics is the priority. Status can change rapidly, and at times, intensive care monitoring is required.

A nurse is preparing community edu program bout health care needs during pregnancy. The nurse should include that which vaccine is safe to admin to a client who is pregnant

Tdap

A public health nurse is lobbying Congress to increase funding for healht screenings provided to migrant farm workers. Which concepts is the nurse demonstrating?

Advocacy

preventing C diff

contact precautions

A nurse is caring for a client who has terminal lung cancer and is receiving hospice care. Which of the following statements should the nurse ID as an indication that the client is in the denial stage of the grief process?

"I'm looking forward to my daughter's wedding next year". Reasoning: during the denial stage of the grief process, the client rejects the reality of the impending loss.

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

- Provide envi health information .- Refer the client for a TB screening - Provide skin cancer info - Recommend a dental health screening

A community health nurse is participating in a quality improvement plan for a local health department

1)focus groups 2)written audits 3)satisfaction 4)interviews

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? A. make the hospice referral in accordance with the client's decision B. verify that the client's health insurance pays for hospice services C. recommend a second opinion from another provider D. assess whether or not the family agrees with the client's decision

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

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? A. tell the client to take naltrexone daily B. instruct the client to take buprenorphine for the next 9-12 months C. teach the client to avoid foods containing tyramine D. schedule transcranial magnetic stimulation biweekly

A. Tell the client to take naltrexone daily.

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? A. varicella B. erythema infectiosum C. scarlet fever D. molluscum contagiosum

A. 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? A. warfarin B. metoprolol C. digoxin D. diltiazem

A. Warfarin

A nurse is developing a genogram for a client to determine education needs. Which of the following health risk information should the nurse expect to obtain with this tool? A. biological B. behavioral C. social D. economic

A. biological

A public health nurse is participating in a disaster preparedness planning committee for a local community that is at risk for hurricanes. Which info should the nurse contribute to the plan

A list of areas w/in the community where residents speak multiple languages

An occupational health nurse is planning to use an interpreter during an educational session with a group of migrant workers who do not speak the same language as the nurse. Which of the following actions should the nurse take? Select all that apply A) instruct the interpreter to guide the nurse in providing information in a culturally-sensitive manner B) ask the interpreter to add information she feels may be necessary C) choose an interpreter who speaks the workers' language and dialect D) evaluate the interpreter's approach to clients prior to the educational session E) encourage the interpreter to paraphrase the workers' questions and responses

A) instruct the interpreter to guide the nurse in providing information in a culturally-sensitive manner C) choose an interpreter who speaks the workers' language and dialect D) evaluate the interpreter's approach to clients prior to the educational session

A nurse is collecting demographic data as a part of a community assessment. Which of the following information should the nurse include? A) racial distribution B) family genograms C) number of open water sources D) presence of condemned buildings

A) racial distribution

A nurse in a clinic is planning teaching for a client who was newly diagnosed with Hepatitis C. Which of the following instructions should the nurse include in the teaching?

Abstain from sexual intercourse until antibody tests are negative. Reasoning: Hep C is transmitted through sexual intercourse. Therefore, the nurse should instruct the client to abstain from sexual intercourse until antibody tests are negative.

A community health nurse has been contacted regarding a client dx of influenza type A in adult day care. Which action should the nurse take to assist in the prevention of an outbreak

Administer antiviral medication to clients at the facility. Reasoning: antiviral medication are administered to individuals who have been exposed to influenza type A to provide immediate protection and to help prevent an outbreak.

A public health nurse is planning care for four clients. Which intervention should the nurse recognize as tertiary prevention?

Administering abx to a client who has AIDS and was dx with Pneumocystis jirovecii

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. Reasoning: food preferences are a part of cultural assessment.

A nurse is teaching a client who has a new diagnosis of hepatitis A about how to prevent the spread of the virus. Which of the following instruction should the nurse include?

Clean your bathroom fixtures with a chlorine bleach solution. Reasoning: the client should clean bathroom fixtures with a 10:1 chlorine bleach solution. The hepatitis A virus spreads via feces and survives on human hangs since it is resistant to soap and detergents.

A nurse is planning to teach a community group about the meningococcal vaccine. The nurse should identify that which of the following clients should receive the vaccine? A) a client who is traveling to Europe B) an infant who has bronchiolitis C) an infant who is 4 weeks old D) a client who is moving into a college dormitory

D) a client who is moving into a college dormitory

A nurse in a community health clinic is preparing to administer an immunization to a 5yr old. Which action should the nurse take

Ask the child to pretend to blow up a balloon during the injection. Reasoning: the nurse should ask the child to pretend to blow up a balloon during the injection. This serves as a distraction for the child, which decreases pain perception.

A nurse is providing blood pressure screenings for older adults at a local community center. Which of the following should the nurse identify as increasing a client's risk for developing hypertension? A) BMI of less then 30 B) daily walking routine C) African American race D) HDL level greater then 70mg/dl

C) African American race

A community health nurse 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? A) I will need to purchase exercise equipment before I can start B) I should try to perform aerobic exercise for an hour a day, 5 days a week C) I will see my doctor before beginning an exercise program D) I should avoid participating in weight-lifting exercises

C) I will see my doctor before beginning an exercise program

A nurse is preparing an educational program about influenza for a group of community health nurses. Which of the following activities should the nurse include as an example of tertiary prevention? A) offer classes to elementary school teachers about handwashing B) provide information to occupational nurses about the reasons for employees to not come to work C) administer antiviral medications within 48hr to clients who have manifestations of influenza D) provide immunizations at long-term care facilities

C) administer antiviral medications within 48hr to clients who have manifestations of influenza

a chn is teaching a client who is overweight about steps to take to begin an exercise program

I will see my doctor before beginning an exercise program

a chn is planning a presentation for adults who have a fam hx of Alzheimer's disease. Which behavior should the nurse include as an early manifestation of Alzheimer's

Forgetting the location of common objects

A home health nurse is caring for a client who is immunocompromised due to chemotherapy. Which of the following statements should the nurse make regarding food safety

Frozen food should be cooked immediately after it is thawed. Reasoning: the nurse should inform the client that frozen food should be thawed in a bowl in the refrigerator and should be cooked as soon as it is thawed.

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

ID community members who demonstrate an interest in the project. Reasoning: the first action the nurse should take when using the nursing process is to assess the community. By identifying those community members who demonstrate an interest in the project, the nurse can establish a local support group who will assist in engaging other community residents with establishing the garden.

A public health nurse is planning an edu program for a group of nurses at a community health department about pertussis

Individuals transmit the pertussis bacteria through airborne droplets

A community health nurse (chn) is conducting a needs assessment of a community. the nurse should ID that which method will yield direct data

Informant interviews

A nurse in an ED is caring for a client who is homeless and has hypothermia. Which action should the nurse take

Initiate referral to facility's social worker. Reasoning: the nurse should refer the client to the facility's social worker or to an agency that can assist the client with finding housing.

A nurse in a community center is preparing to administer a tuberculin skin test to multiple clients to screen for TB. Which action should the nurse take

Inject 0.1mL of purified protein derivative

a nurse is preparing to administer medication to a client who has active TB

N95

A case manager is planning an educational program for a client who has diabetes mellitus. Which of the following activities should the nurse include when using the psychomotor domain of learning?

Observe the client's technique for drawing up insulin

a school nurse is serving on a community disaster planning committee looking at school shooting scenarios. action during response phase

Perform triage and provide hands-on care as needed to victims

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

Tell the client to take naltrexone daily. Reasoning: the nurse should instruct the client to take naltrexone daily to decrease cravings for alcohol. Naltresone is prescribed to assist the client with alcohol withdrawal and prevent relapse.

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

This type of care can help me with pain control. Reasoning: Clients who have cancer might require complicated treatments that can cause pain, disfigurement, and emotional and psychological distress. Palliative care provides support and management of the disease process regardless of the prognosis, including pain management.

A nurse on the scene following a mass casualty explosion is triaging a client who has a large, open occipital wound and the following findings

Turn the client to left semi-Fowler's position and beign assessing the next client

A nurse in a pediatric clinic is providing care to several clients. The nurse should recognize that which condition is included on the Nationally Notifiable Infectious Condition list

Varicella. Reasoning: the nurse should recognize that varicella is included on the Nationally Notifiable Infections Conditions list. States voluntarily conduct surveillance and report instances of certain diseases to the CDC so the data can be compiled and released each year.

A community health nurse is working with a group of clients in a rural community who are unable to afford health insurance. Which action is the best for the nurse to take tot advocate for these clients

Work with local health care practitioners. Reasoning: According to EBP, the nurse should work with local health care practitioners to establish a free clinic in the rural community. Advocate for comprehensive care for this client population to address the need for an affordable health care option, which will allow clients who do not have health insurance to access a variety of primary, secondary, and tertiary services in one location.

A school nurse is conducting visual acuity testing for a school-age child using a Snellen letter chart

allow the child to keep her glasses on during the test

A nurse in a county health department is caring for a client who states,"I've been drinking too much in the evenings since my friend died last year."

can i give you some info about AA

a chn is assigned to lead a county-level envi task force

review community-specific epidemiological data

a chn is providing teaching about health promotion to a group of adolescents. Which topic is the most important for the nurse to include in an attempt to lower adolescent mortality rates

safety belt use

A nurse in a clinic is caring for a client who reports taking gingko biloba ... The nurse should instruct the client that ginkgo biloba can alter the effects of which of the following medications

warfarin. Reasoning: ginkgo biloba can hinder coagulation. Therefore, the nurse should instruct the client that it can alter the effects of warfarin.

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? A. withdrawal from social activities B. forgetting the location of common objects C. experiencing incontinence D. neglecting personal hygiene

B. Forgetting the location of common objects

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? A. Herpes zoster B. Tdap C. Varcella D. MMR

B. Tetanus, diphtheria, pertussis (Tdap)

A public health nurse is monitoring medication compliance for a group of migrant workers who are being treated for tuberculosis. The nurse should use information form which of the following resources to assist with this process? A) agency for healthcare quality and research (AHRQ) B) migrant clinicians network (MCN) C) centers for disease control and prevention (CDC) D) U.S. preventive services task force (USPSTF)

B) migrant clinicians network (MCN)

An occupational health nurse is planning to use an interpreter during an educational session with a group of workers who speak a different language than the nurse. Which of the following actions should the nurse take?

1) Instruct the interpreter to guide the nurse in providing info in a culturally-sensitive manner 2) Choose an interpreter who speaks the workers' language and dialect 3)Evaluate the interpreter's approach to clients prior to the edu session

A school nurse is notified that a school-age child has pertussis. Action should nurse take

1) Instruct the parent to keep child at home for 2wks after initial symptoms first present 2) Encourage family members to obtain prophylactic tx 3) Check the immunization status of the child's classmates

A nurse at a county health clinic is caring for a client who has recently assumed the role of primary caregiver for her mother. Which of the following statements by the client indicates that she is experiencing role conflict? A) I feel overwhelmed with not having enough time for my mom as well as my children B) I hope my siblings will be able to visit and help care for mom for a few days C) I am glad that my job is flexible, so I can accommodate my mom's needs D) I don't think my partner likes having to help more with the household chores

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

A community health nurse 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 abusive behavior? A) a client states he witnessed his mother physically mistreat his father B) a client states that her mother-in-law provides childcare while she is working C) a client participates in volunteer activities in the community D) a client lives in the same neighborhood where he spent his childhood years

A) a client states he witnessed his mother physically mistreat his father

A community health nurse has been contacted regarding a client diagnosis of influenza type A in an adult daycare. Which of the following actions should the nurse take to assist in the prevention of an outbreak? A) administer antiviral medication to the clients at the facility B) schedule immunizations for clients at the facility C) recommend that the daycare center close for 2 weeks D) give immune globulin to clients at the facility who have early manifestations of influenza

A) administer antiviral medication to the clients at the facility

A school nurse is conducting visual acuity testing for a school-age child. Which of the following actions should the nurse take? A) allow the child to keep her glasses on during the testing B) have the child stand 5ft away from the Snellen chart C) progress to the next line once the child reads two symbols correctly D) begin the test by instructing the child to use both eyes to read the chart

A) allow the child to keep her glasses on during the testing

A nurse is caring for a client who has AIDS and is experiencing rapid weight loss. Which of the following actions should the nurse take first? A) examine the client's oral mucous membranes B) encourage the client to consume 1.2 to 2.0g/kg of protein daily C) recommend the client increase her daily calorie intake by 25% D) teach the client about findings that should be reported to the provider

A) examine the client's oral mucous membranes

A nurse is developing an educational program about bioterrorism and smallpox. The nurse should include in the teaching that the smallpox rash is expected to first appear in which of the following locations? A) face B) posterior shoulders C) abdomen D) lower extremities

A) face

A nurse is assessing a new client. Which of the following information should the nurse include in the cultural portion of the assessment? A) food preferences B) employment status C) history of illness D) sexual orientation

A) 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 help relieve her father's pain. Which of the following interventions should the nurse suggest? A) give the client brief hand massages B) increase the illumination in the room C) place a warm cloth on the client's forehead D) administer citalopram when the client is agitated

A) give the client brief hand massages

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? Select all that apply A) provide environmental information B) refer the client for a tuberculosis screening C) provide skin cancer information D) recommend a dental health screening E) provide forms to apply for Medicare

A) provide environmental information B) refer the client for a tuberculosis screening C) provide skin cancer information D) recommend a dental health screening

A community health nurse is planning for farmers about occupational health risks. Which of the following risks should the nurse include? A) respiratory disorders B) diabetes mellitus C) sickle cell anemia D) hypertension

A) respiratory disorders

A public health nurse is developing a presentation for local day care providers about infectious childhood diseases. Which of the following statements should the nurse include? A) respiratory syncytial virus is spread through contact with respiratory secretions from an infected person B) rotavirus infections in children peak during the summer months C) children who have fifth disease will exhibit bloody diarrhea D) antiviral medications shorten the duration of a shigella infection

A) respiratory syncytial virus is spread through contact with respiratory secretions from an infected person

A community health nurse is assigned to lead a county-level environmental task force. Which of the following activities should the nurse direct the task force to complete first? A) review community-specific epidemiological data B) recommend updates to local environmental policies C) create program goals that align with Healthy People 2020 objectives D) distribute environmental health education materials to community members

A) review community-specific epidemiological data

A school nurse is teaching health promotion to a group of staff members who sit at a desk and use a computer for 8hr at a time. Which of the following information is the priority of the nurse to include? A) take a walk after work B) point and flex your toes periodically C) have your visual acuity assessed regularly D) adjust your chair so that your elbows are at desk height

B) point and flex your toes periodically

A nurse on the scene following a mass casualty explosion is triaging a client who has a large, open occipital wound and the following findings: respiratory rate 6/min, capillary refill 4.5 seconds, nonresponsive to painful stimuli. Which of the following actions should the nurse take? A) turn the client to left-semi fowler's position and begin assessing the next client B) place a firm pressure dressing to the occiput and open the airway C) apply a cervical spine collar and perform a focuses neurological exam D) request that the client be assessed immediately by the next available provider

A) turn the client to left-semi fowler's position and begin assessing the next client

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? A. ask the child to pretend to blow up a balloon during the injection B. reassure the child that the injection is not going to hurt C. ask the child's parent to leave the room during the injection D. request that the child count backwards form the number 10 during the injection

A. 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? A. attempting to leave the relationship B. lacking supportive friends outside of the relationship C. having health issues that limit independence D. taking antianxiety or sedative meds

A. Attempting to end the relationship

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.) A. focus groups B. written audits C. satisfaction survey D. interviews E. values self-study

A. Focus groups B. Written audits C. Satisfaction survey D. Interviews

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? A. gastric ulcerations B. orthostatic hypotension C. hyperglycemia D. urinary retention

A. Gastric ulcerations

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? A. I have a prescription bottle magnifier to help me read my pill bottle labels B. I canceled all of my magazine prescriptions since I can't read them C. I purchased green towels to use in my bathroom D. I have learned that I cannot go outside when the sun is bright

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

A nurse is caring for a client who has terminal lung cancer and is receiving hospice care. Which of the following statements should the nurse identify as an indication that the client is in the denial stage of the grief process? A. I'm looking forward to my daughter's wedding next year B. I don't deserve to die. This just isn't fair C. if I could just make it through this, I's never smoke again D. I'm going to plan my memorial service next week

A. I'm looking forward to my daughters wedding next year

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? A. identify community members who demonstrate an interest in the project B. hold a community information session to inform the residents of the plan C. select residents to take on leadership roles in the project D. monitor the progress of the project to keep the project on course

A. Identify community members who demonstrate an interest in the project.

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? A. instruct the employee to prepare a list of close personal contacts B. initiate an employee immunization program C. instruct the employee to wear an N95 respiratory mask D. administer prophylactic penicillin to other employees

A. 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.) A. instruct the parent to keep the child at home until the coughing stage has passed B. encourage family members to obtain prophylactic treatment C. quarantine the children in the child's class D. recommend that the child receive a pneumococcal vaccine in 28 days E. check the immunization status of the child's classmates

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

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? A. places a cup of steam against the skin to draw out toxins from the body B. applies cool compresses across the body to reduce fever C. avoids eating dairy and meat products during the same meal D. visits a shaman to seek healing from illness

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

A home health nurse is teaching a client's family about preventing the transmission of Clostridium difficile. Which of the following transmission-based precautions should the nurse include in the teaching? A. contact precautions B. droplet precautions C. airborne precautions D. protective environment

A. contact precautions

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

AA assists a client who has an addiction to alcohol with developing a daily recovery program. Reasoning: AA is a support group that will assist a client who has an addiction to alcohol and other substances with developing a daily recovery program using a 12 step approach. AA's primary purpose is to help the client obtain and maintain sobriety.

A home health nurse is planning care for the day. Which of the following clients should the nurse visit first? A) an older adult client who was treated in the emergency department last night for stage III pressure ulcer B) A school age child who was treated in the emergency department last night with status asthmaticus C) an older adult client who has a newly prescribed antihypertensive medication and needs a BP check D) a school age child whose percutaneous endoscopic gastrostomy tube needs changing

B) A school age child who was treated in the emergency department last night with status asthmaticus

A home health nurse is scheduling client visits for the day. Which of the following clients should the nurse plan to visit first? A) a client who is 10 days postop following a mastectomy and needs to have surgical staples removed B) a client who has diabetes mellitus and reports new erythema to the left foot C) a client who has COPD and needs a follow-up visit related to home oxygen therapy D) a client in a hip spica cast who reports pruritus under the cast

B) a client who has diabetes mellitus and reports new erythema to the left foot

A public health nurse is participating in a community planning committee for disaster preparedness for a local community that is at risk for hurricanes. Which of the following information should the nurse contribute t the plan? A) a list of residents who have experienced a hurricane in the past and will not need evacuation B) a list of areas within the community where residents speak English as a second language C) how to activate the local medical facility's emergency-management plan D)the name of the individual who is necessary to implement the plan

B) a list of areas within the community where residents speak English as a second language

A nurse is teaching a client who has a new diagnosis of hepatitis A how to prevent the spread of the virus. Which of the following instructions should the nurse include? A) rinse your toothbrush with hydrogen peroxide after each use B) clean your bathroom fixtures with a chlorine bleach solution C) use shared hand towels to dry your hands after D) use condoms during sexual contact for 2 weeks

B) clean your bathroom fixtures with a chlorine bleach solution

A community health nurse suspects an outbreak of scabies in the local area. Which of the following actions should the nurse take first? A) educate the community about disease transmission B) determine the incidence rate C) institute prophylactic treatment D) discuss treatment plans with the client's family

B) determine the incidence rate

A home health nurse is caring for a client who has breast cancer. Which of the following assessment findings should the nurse identify as an indication that the client is coping effectively? A) inability to concentrate B) makes eye contact C) excessive sweating D) lack of interest in food

B) makes eye contact

A community health nurse is discussing the concept of epidemiology with a coworker. Which of the following interventions should the nurse provide as an example of the use of the principles of epidemiology? A) conducting screenings for dental caries in the local school system B) reviewing county health records for data on cases of chickenpox C) providing a client with information about preventing STIs D) documenting medication compliance for clients who have tuberculosis

B) reviewing county health records for data on cases of chickenpox

A nurse is conducting a home visit with a female client who reports a history of intimate partner abuse. The nurse should identify that which of the following findings places the client at greatest risk for domestic violence? A) the client is at 13 weeks of gestation B) the client states she is leaving her partner C) the client recently started a new job D) the client visits friends without her partner's knowledge

B) the client states she is leaving her partner

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 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? A. inform the provider of the client's decision B. determine the client's reason for discontinuing the medication C. discuss the consequences of discontinuing the medication with the client D. provide the client with an educational pamphlet about the medication

B. Determine the client's reason for discontinuing the medication.

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? A. you should ask the public health department B. do you have questions about TB? C. have you ever been tested for TB? D. you should take precautions against this infection

B. Do you have questions about tuberculosis?

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? A. advise the women to keep their immunizations updated B. encourage the women to participate in weight-bearing activities C. educate the women about the importance of limiting sun exposure D. instruct at-risk women to increase their intake of foods high in Vitamin E

B. Encourage the women to participate in weight-bearing activities.

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? A. I should get an annual immunization to prevent Lyme disease B. I can take penicillin for 10-14 days to manage Lyme disease C. I can get Lyme disease from s mosquito bite D. I will have abdominal pain and diarrhea if I get Lyme disease

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

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? A. I can consume up to 25% of my daily calories from saturated fatty acids B. I should consume less than 300mg/day of dietary cholesterol C. I can increase my daily consumption of foods that contain refined grains D. I should consume 800mg/day of dietary calcium

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

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? A. notify the local law enforcement agency of the client's situation B. initiate a referral to the facility's social worker C. ask the client why he did not seek shelter sooner D. tell the client everything will work out now that he is in the hospital

B. Initiate a referral to the facility's social worker.

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? A. program content is organized topically B. pamphlets are written at a 12th grade level C. the presentation is delivered via a computer slide presentation D. attendance at the program is voluntary

B. Pamphlets are written at a 12th-grade level.

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? A. creating a public service announcement about the warning signs of intimate partner abuse B. recognizing and reporting suspected abuse to the appropriate protective services C. collaborating with support agencies to ensure the ongoing treatment for abuse D. educating individuals and groups about preventing domestic and community abuse

B. Recognizing and reporting suspected abuse to the appropriate protective services

A nurse in an emergency department is triaging clients following an explosion at a local factory. Which of the following clients should the nurse ID as the priority? A. a client who has superficial burns to 10% of the abdomen B. a client who has tracheal deviation and shortness of breath C. a client who has agonal respirations and an open head injury D. a client who has a fracture of the humerus and a bleeding foot laceration

B. a client who has tracheal deviation and shortness of breath

A nurse is conducting a home visit for an older adult client. The nurse should identify which of the following findings as an indicator of possible neglect? A. lives alone B. taking outdated prescriptions C. BMI of 25 D. presence of alcohol in the home

B. taking outdated prescriptions

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 A) after I place the tuning fork on your scalp, tell me if you hear the sound better in one ear or the same in both ears B) use your finger to close one ear while I whisper some numbers into your other ear C) after I place this tuning fork behind your ear, tell me when you no longer hear the sound D) you'll wear headphones and press the button when you hear a sound

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

A nurse in a county health department is caring for a client who states, "I've been drinking too much in the evenings since my mom died last year." Which of the following responses should the nurse make? A) it sounds like you are probably an alcoholic B) don't you think your family is being affected by your drinking C) can I give you some information about Alcoholics Anonymous? D) I don't think your mom would have approved of your drinking

C) can I give you some information about Alcoholics Anonymous?

A public health nurse is developing a visual health program by using a community-oriented approach. Which of the following interventions should the nurse include? A) teach a client who has a vision loss about safety in the home environment B) provide genetic counseling to the family of a newborn who has congenital cataracts C) consult with the local school nurse to schedule yearly vision screenings for students D) develop a plan of care for a client who was newly diagnosed with glaucoma

C) consult with the local school nurse to schedule yearly vision screenings for students

A case manager is developing a discharge 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 first? A) hold a care conference with the client and his family to discuss treatment options B) contact service providers to determine the availability of services offered C) determine the client's ability to perform self-care D) evaluate the client's satisfaction with the case manager's services

C) determine the client's ability to perform self-care

A community health nurse is teaching a client who was newly diagnosed with active pulmonary tuberculosis about disease transmission. Which of the following information should the nurse include? A) household members should be placed in respiratory isolation B) the client should use disposable utensils during meals C) household members should take isoniazid for 6-12 months D) the client should have a repeat purified protein derivative test in 3 months

C) household members should take isoniazid 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? A) it is important to avoid weight-bearing exercises B) decrease your dietary intake of folate C) increase your daily intake of leafy green vegetables D) it is important to spend 30 minutes each day exposed to sunlight

C) increase your daily intake of leafy green vegetables

A public health nurse is working in a community that has a population of 24,096. There are 2,096 existing cases of heart disease within the population. The nurse can determine which of the following from this information? A) mortality rate B) attack rate C) prevalence proportion D) incidence proportion

C) prevalence proportion

A palliative care nurse is teaching a client who has cancer about the services that are available for this client. Which of the following statements should the nurse identify as an indication that the client understands the teaching? A) If I begin palliative care, I will have to stop chemotherapy B) I can begin palliative care when I have less than 6 months to live C) this type of care can help me with pain control D) my family will not be involved with this type of care program

C) this type of care can help me with pain control

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? A. alcoholics anonymous is a support group that requires disclosure of attendance to employers B. narcotics anonymous is a one-on-one program that assists clients C. alcoholics anonymous assists a client who has an addiction to alcohol with developing a daily recovery program D. narcotics anonymous will cure a client from her substance use disorder if she stays involved with the program

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

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? A. malaise B. maculopapular rash on palms C. chancre D. lymphadenopathy

C. Chancre

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? A. social organization B. cultural imposition C. ethnocentrism D. stereotyping

C. Ethnocentrism

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? A. recommend that the adolescent meet with the school guidance counselor to discuss educational options B. request permission to interview the father of the child to obtain a medical history C. help the client obtain a provider for prenatal care D. provide information on parenting classes so the client can learn about caring for a newborn

C. Help the client obtain a provider for prenatal care.

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? A. I will use a dry-sanding technique when preparing to repaint my front door B. I will vacuum over wood floors every week C. I will increase the amount of red meat and milk in my child's diet D. I will use hot tap water to prepare my baby's formula

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

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? A. immunization status B. sexual activity C. illness practices D. food allergies

C. Illness practices

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? A. health surveys B. medical records C. informant interviews D. morbidity/mortality statistics

C. Informant interviews

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? A. the client recently married the father of her unborn baby B. the client works part-time at a local restaurant C. the client has changed providers 3 times during her pregnancy D. the client has recurring nightmares about her unborn baby

C. The client has changed providers three times during her pregnancy.

A nurse in a clinic is planning teaching for a client who was newly diagnosed with hepatitis C. Which of the following instructions should the nurse include in the teaching? A. consume a low carb diet until symptoms resolve B. schedule an appointment for an immunoglobulin injection C. abstain from sexual intercourse until antibody tests are negative D. wear a mask in public places while receiving treatment

C. abstain form sexual intercourse until antibody tests are negative

A home care nurse is visiting an older adult client and nots that unwashed dishes are piled up and newspapers cover the front steps. Which of the following questions should the nurse ask the client to determine if he is socially isolated? A. why haven't you brought in your newspapers? B. do you need help completing your housework? C. how often do you have visitors come to see you? D. have you considered moving to an assisted living facility?

C. how often do you have visitors come to see you?

a nurse in a rural health clinic is caring for a client who has HF. The client states "I'm not going to take any more heart medicine"

Can you tell me more. Reasoning: the nurse is asking an open ended question, which encourages continued communication and allows the nurse to investigate the reasons why the client has decided to stop taking the medicine.

a nurse is giving a presentation about family violence at a local community center.

Child maltreatment is more common in homes where partner violence is present

A nurse is conducting a home visit with a client who reports a history of partner violence. The nurse should ID that which of the following findings places the client at greatest risk for partner violence

Client states they are leaving their partner. Reasoning: a client's decision to leave their partner places them at greatest risk for partner violence because the perpetrator can view the client as a possession and fear loss of control. Whether the client actually leaves the relationship or just threatens to leave, the client is at greatest risk for violence during this time.

A public health nurse 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 for students. Reasoning: consulting with the local school nurse to schedule yearly vision screenings for students focuses on the health care of population rather than illness care for individuals. Therefor, this intervention is using a community-oriented approach.

A public health nurse is providing information to a client who has alcohol use disorder and is asking about treatment. Which of the following statements should the nurse identify as an indication that the client understands the information? A) I will not have to completely stop drinking alcohol if I go into an inpatient treatment program B) once I make it through detox, I will be free of my addiction C) I am not eligible for an outpatient program until I have completed an inpatient program first D) I can expect to get help with other aspects of my life while in treatment

D) I can expect to get help with other aspects of my life while in treatment

A nurse manager at a community health clinic 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? A) once I determine that a client is not at risk for abuse, I do not need to ask about it at future visits B) I should not document the name of the person the client's medical record C) I should wait until I see signs of physical abuse before I help the client develop a safety plan D) I should refer a client for a rape kit examination if she reports sexual assault within the previous 24hr

D) I should refer a client for a rape kit examination if she reports sexual assault within the previous 24hr

A community health nurse is working in a mobile health care clinic. Which of the following clients should the nurse assess first? A) a client who requires removal of sutures from a laceration B) a client who has a temperature of 100.1 C) a client who has COPD and an oxygen saturation of 92% D) a client who has a new onset of confusion and slurred speech

D) a client who has a new onset of confusion and slurred speech

A hospice nurse is teaching about grief reactions with the family of a client who has end-stage pancreatic cancer. Which of the following information should the nurse include? A) it is common to experience a persistent state of sadness while grieving B) disturbances in your self-esteem is an expected grief reaction C) you will feel a sense of hopelessness throughout the grieving process D) a component of healthy grieving is the ability to openly express your anger

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

A public health nurse is planning care for clients. Which of the following interventions should the nurse recognize as tertiary prevention? A) providing chemoprophylaxis for malaria to a client who is traveling to mosquito infested countries B) performing a serological screening for HIV for a client who is pregnant C) participating in partner notification for a client who has an STI D) administering antibiotics to a client who has AIDS and was diagnosed with Pneumocystis jiroveci

D) administering antibiotics to a client who has AIDS and was diagnosed with Pneumocystis jiroveci

A school nurse is discussing levels of prevention with a teacher. Which of the following activities should the nurse identify as a primary prevention strategy? A) provide nutritional counseling for students who have diabetes B) report suspected child neglect to eh proper authorities C) conduct vision and hearing screening for kindergarten enrollment D) demonstrate proper handwashing techniques

D) demonstrate proper handwashing techniques

A community health nurse is working to meet the healthcare needs of residents in a rural community. Which of the following characteristics should the nurse identify as a barrier to health care resources for this population? A) less autonomy in providing client care B) disinterest by means of the population in providing input for community health programs C) lack of cohesiveness among community members D) unavailability of outreach services

D) unavailability of outreach services

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? A. provide education about risk factors for hypertension B. conduct a hypertension screening clinic for the community C. teach clients who have a family history of hypertension how to monitor blood pressure D. implement an exercise program for clients who have hypertension

D. 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? A. individuals should receive an annual influenza vaccine to minimize the risk of infection with pertussis B. newborns should receive the first dose of DTaP prior to discharge from the hospital C. individuals who have had pertussis do not require immunization D. individuals transmit the pertussis bacteria through airborne droplets

D. Individuals transmit the pertussis bacteria through airborne droplets.

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? A. you will be able to access my mother's hospital medical records for us to review B. you will be able to give my mother pain medication C. you can submit invoices to Medicare to reimburse you for your services D. you will coordinate with volunteers who will come to help my mother

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

A nurse is performing a home visit for a client who has TB. As the nurse is leaving the clients house a neighbor asks "is it true that my neighbor has TB?", which response should the nurse make

Do you have questions about TB? Reasoning: the response addresses the neighbor's concerns while protecting the client's confidentiality.

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. Reasoning: daily use of NSAIDs such as ibuprofen, increase the risk for gastric ulceration, perforation, and hemorrhage.

An adult child of a client who is terminally ill and at the end of life approaches a hospice nurse and asks,"What can I do to help relieve my father's pain?"

Give your father brief hand massages

A chn is caring for an adolescent who is seeking help for an unplanned pregnancy. Which action should the nurse take first

Help the client obtain a provider for prenatal care

A community health nurse is teaching a client who was newly diagnosed with active pulmonary tuberculosis about disease transmission. Which of the following info should the nurse include?

Household members should take isoniazid for at least 6mo. Reasoning: house hold memebers are at risk for developing the disease. Taking isoniazid prophylactically for atleast 6 months is recommended.

A home health nurse is visiting an older adult client and notes that unwashed dishes are piled up ...

How often do you have visitors come to see you

A public health nurse is providing info to a client who has alcohol use disorder and is asking about tx. Which statement should the nurse ID as an indication that the client understands the info

I can expect to get help with other aspects of my life while in treatment. Reasoning: successful treatment of alcohol use disorder is more likely if the client receives help in other areas of their life, such as their physical health, psychological well-being, and family interactions.

A public health nurse is conducting an edu session about Lyme disease for a group of older adult clients at a senior center. Which statement should the nurse ID as an indication that the clients understand the teaching

I can take penicillin for 10 to 14 days to manage Lyme disease. Reasoning: A client who receives a diagnosis of Lyme disease in the early stages should respond to 10 to 14 days of penicillin or tetracycline therapy.

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

I have a prescription bottle magnifier to help me read. Reasoning- the client can obtain a prescription bottle magnifier, or other low vision optical devices, to assist with reading the labels on prescriptions, which helps the client to remain independent.

a nurse manager at a community health clinic is presenting an in-service for nurses about assessing clients who have experienced violence.

I should determine whether a client who has been sexually assaulted requires a rape kit examination

a chn is conducting a program regarding crime reduction strategies for older adult clients at the senior center

I should remove the ID tag that is on my key ring

A nurse is providing edu regarding lead exposure to a group of clients who live in a housing development built in 1968. Which statements

I will increase the amt of red meat and milk in my child's diet

A home health nurse is evaluating a parnter's understanding of postop care of a client who had a total hip arthroplasty. Which of statement by the partner indicates an understanding of the prescribed care

I will remind my partner to use a walker when moving around in the house. Reasoning: the client should use a walker when ambulating. The walker provides stability and support for the client, decreasing the risk for falls.

A home health nurse (hhn) is evaluating a caregiver's technique for providing care to a client who has a chronic tracheostomy.

I will use tap water to clean the inner cannula

a nurse is caring for a client who has a positive gonorrhea culture.

Instruct the client that recent sexual partners will need to be treated

An occupational health nurse in a factory is performing a routine TB screening and ID an employee who has a positive Mantoux tuberculin test. Which action should the nurse plan to take

Instruct the employee that they will need to obtain a chest x-ray

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

Point and flex your toes periodically. Reasoning: the greatest risk to staff members who are immobile for long periods of time is a venous thromboemobolism. Therefore, the nurse should encourage the staff members to frequently change the position of their feet and legs.

A school nurse is reviewing the records of four students who are returning to school after being dx with MRSA. Which of the following actions should the nurse take

Provide edu about MRSA. Reasoning: the nurse should provide education about hand hygiene and self-care to help prevent the spread of MRSA throughout the school and community.

A community health nurse is planning a health edu program for adults. The nurse should plan to take which of the following actions during the program?

Provide take-home materials written at 6th grade level. Reasoning: The AMA and the NIH recommend that take home documents are written at a 6-8 grade level or lower to promote client understanding of the provided material.

a chn is made aware that several children, who are from the same family and did not receive immunizations, have contracted measles.

Report this information to the state health department

A public health nurse is developing a presentation for local day care providers about infectious childhood diseases. Which statements should the nurse include

Respiratory syncytial virus is spreading through contact with respiratory secretions from an infected person. Reasoning: the nurse should include the statement in the presentation because respiratory syncytial virus (RSV) is spread by direct contact with respiratory secretions while within 3 feet of a person who is infected. Manifestations of RSV include dyspnea, tachypnea, coughing and wheezing.

A home health nurse is visiting with an older adult client. Which of the following observations indicate the need for home modification?

There are two rocking chairs in the living room. Reasoning: rocking chairs and swivel chairs will require a modification. The nurse should block the motion of the chairs to keep them stable so that the client can easily get in and out.

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

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

A nurse is preparing an edu program about influenza for a group of community health nurses. Teriary prevention

admin antiviral med w/in 48hr to clients who have manifestations

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 ...

a nurse is assessing the risks and benefits of a meal delivery services for an older adult client who lives alone and has no transportation. Which ethical principle

beneficence

A nurse is developing a genogram for a client to determine edu needs. Which of the following health risk info should the nurse expect to obtain with this tool

biological. Reasoning: a family genogram tracks the incidence of disease over multiple generations of a family and will identify biological risk factors.

A nurse is developing an edu program about bioterrorism and smallpox.

face

a chn is discussing the role of a faith community nurse with a chaplain

facilitate susbstance abuse support groups

a nurse at a county health department is caring for a client who is at 28 wks of gestation. Factor for future child maltreatment

changed providers 3 times

A nurse is planning to teach a community group about the meningococcal vaccine. the nurse should ID that which client should receive the vaccine?

client who is moving into a college dorm

A school nurse is discussing levels of prevention with a teacher. Primary prevention

demonstrate proper handwashing

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

determine incidence rate

a chn is providing care to a client who has stopped taking their prescribed bp med.

determine reason for discontinuing the med

A community health nurse ID an increase in the occurence of osteoporosis-related fractures in female clients who are experiencing menopause. Which primary prevention strategy should the nurse implement

encourage the clients to participate in weight-bearing activities

a public health nurse is planning a community health promotion program for HTN prevention. Tertiary prevention strategy

exercise program

A community healht nurse is teaching a group of clients about environmental health hazards. Which of the following examples should the nurse include as a possible source of carbon monoxide exposure

gas ranges. Reasoning: carbon monoxide is an odorless, colorless, tasteless gas that is emitted into the air. Gas ranges, motor vehicles, and fire places are potential sources for carbon monoxide esposure

A nurse at a county health clinic is caring for a client who has recently assumed the role of primary caregiver for their parent. Role conflict

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

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 case manager at a home health agency is obtaining equipment for a client's home use. Which action is a violation of confidentiality

left a clipboard with prescription info face up on office desk

A nurse is caring for a client who has stage IV pancreatic cancer and has received info regarding available treatment options. Which 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 home health nurse is caring for a client who has breast cancer. Which of the following assessment findings should the nurse ID as an indication that the client is coping effectively

makes eye contact

A chn is working in a mobile health care clinic. which of the following clients should the nurse assess first

new onset of confusion

A public health nurse is working in a community that has a population of 24,096

prevalence proportion

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

racial distribution. Reasoning: racial distribution is part of demographic data. Other types of demographic data include marital information, population density, and death and birth rates.

a community health nurse is creating a program to reduce violence in the community. which of the following interventions should the nurse ID as secondary prevention

recognize and report. Reasoning: Secondary prevention is an intervention that focuses on early detection of a health problem to facilitate early diagnosis and treatement. Recognizing and reporting suspected abuse facilitates diagnosis and intervention, helping to prevent further abuse.

A community health nurse is assessing a group of clients for risk factors of violent behavior. Which finding should the nurse ID as a risk factor for developing violent behavior

spanked as a child. Reasoning: clients who have prior exposure to violence have a greater potential for continuing the violent and abusive behavior.

a nurse is conducting a home visit for an older adult client.

taking outdated prescriptions

Community leaders have requested a meeting with a chn to discuss creating a mobile meals program.

the need for the program

A nurse in an ED is triaging clients following an explosion at a local factory. Which client should the nurse ID as the priority

tracheal deviation and SOB. Reasoning: a client who has tracheal deviation and shortness of breath most likely have a pneumothorax and requires immediate intervention for survival. Therefore, when using the survival approach to client care, the nurse should give priotirty to this client.

a chn is working to meet health care needs of residents in a rural community

unavailability of outreach services

A hospice nurse is caring for a client who is at the end of his life and has developed dyspnea and noisy breathing

use a fan