Community Health Final Ati
A clinical 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. Digoxin C. Metorolol D. Diltiazem
A
A community health nurse has been contacted regarding a client diagnosis of influenza type A in an adult day care. Which of the following actions should the nurse take to assist in the prevention of outbreak? A. Administer antiviral medications to clients at the facility B. Give immune globulin to clients at the facility who have early manifestations of influenza C. Recommend that the day care center close for 2 weeks D. Schedule immunizations for clients at the facility
A
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 violent behavior? A. A client states he witnessed his mother physically mistreat his father B. A client lives in the same neighborhood where he spent his childhood years C. A client participates in volunteer activities in the community D. A client states that her mother in law provides childcare while she is working
A
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. Monitor the progress of the project to keep the project on course D. Select residents to take on leadership roles in the project
A
A community health nurse is teaching a client who his overweight about steps to take to begin an exercise program. Which of the following statements is an indication that the client understands the teaching? A. I will see my doctor before beginning an exercise program B. I should avoid participating in weight lifting exercises C. I will need to purchase exercise equipment before I can start D. I should try to perform aerobic exercise for an hour a day 5 days a week
A
A community health nurse is working to meet the heath care 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. unavailability of outreach services B. Lack of cohesiveness among community members C. Less autonomy in providing client care D. Disinterest by members of the population in providing input for community health programs
A
A community health nurse suspects an outbreak of scabies in the local area. Which of the following actions should then nurse take first? A. Determine the incidence rate B. Institute prophylactic treatment C. Educate the community about disease transmission D. Discuss treatment plans with the clients families
A
A faith community nurse is teaching a daughter of a client who has a terminal illness about her role as a member of the clients health care team. Which of the following statements by the daughter indicates an understanding of the teaching? A. You will coordinate with volunteers who will come to help my mother B. You will be able to access my mothers hospital medical records for us to review C. You will be able to give my mother pain medications D. You can submit invoices to medicare to reimburse you for your services
A
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 childs parent to leave the room during the injection D. Request that the child count backwards from the number 10 during the injection
A
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 notionally notifiable infectious conditions list? A. Varicella B. Molluscum contagiosum C. Scarlet fever D. Erythema infectiosum
A
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. History of illness C. Sexual orientation D. Employment status
A
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 clients decision B. Assess whether or not the family agrees with the clients decision C. Verify that the clients health insurance pays for hospice services D. Recommend a second opinion from another provider
A
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 end the relationship B. Having health issues that limit independence C. Taking anti anxiety drugs D. Lacking supportive friends outside of the relationship
A
A nurse is planning to teach a community group about meningococcal vaccine. The nurse should identify that which of the following clients should receive the vaccine? A. A client who is moving into a college dormitory B. A client who is traveling to northern europe C. An infant who is 4 weeks old D. An infant who has bronchiolitis
A
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 thru contact with respiratory secretions from an infected person B. Rotovirus 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
A public health nurse is developing a visual program by using a community oriented approach. Which of the following interventions should the nurse include? A. Consult with the local school nurse to schedule yearly vision screenings for students B. Develop a plan of care for a client who has newly diagnosed with glaucoma C. Teach the client who has a vision loss about safety in the home environment D. Provide genetic counseling to the family of a newborn who has congenital cataracts
A
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. Implement an exercise program for clients who have hypertension B. Teach clients who have a family history of hypertension how to monitor blood pressure C. Provide education about risk factors for hypertension D. Conduct a hypertension screening clinic for the community
A
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. Demonstrate proper hand washing techniques B. Report suspected child neglect to the proper authorities C. Provide nutritional counseling for students who have DM D. Conduct a vision and hearing screening for kindergarten enrollment
A
A school nurse is educating a group of high school students about recommended dietary guidelines. which of the following statements by a student indicates understanding of the teaching? A. I should consume less than 300 milligrams per day of dietary cholesterol B. I should consume 800 milligrams per day of dietary calcium C. I can consume up to 25% of my daily calories from saturated fatty acids D. I can increase my daily consumption of foods that contain refined grains
A
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 information is the priority for the nurse to include? A. Point and flex your toes periodically B. Have your visual acuity assessed regularly C. take a walk after work D. Adjust your chair so that your elbows are at desk height
A
An occupational health nurse in a factory is performing a routine TB 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. Instruct the employee to wear an N95 respiratory mask C. Initiate an employee immunization program D. Administer prophylactic penicillin to other employees
A
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? (SA) A. Encourage family members to obtain prophylactic treatment B. Recommend that the child receive a pneumococcal vaccine in 28 days C. Instruct the parent to keep the child at home until the coughing stage has passed D. Quarantine the children in the child's class E. Check the immunization status of the child's classmates
A C E
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
A community health nurse is developing a plan for a client who is hispanic. Which of the following actions should the nurse include in the plan? A. Maintain direct eye contact when speaking with the client B. Use therapeutic touch during conversation C. Discourage the client fro using a father healer D. Avoid using hand gestures when working with the client
B
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 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. Documenting medication compliance for clients who have TB D. Providing a client with information about preventing STIs
B
A community health nurse is planning a presentation for adults who have a family history of Alzheimers disease. Which of the following behaviors should the nurse include as an early manifestation of Alzheimers disease? A. Experiencing incontinence B. Forgetting the location of common objects c. Withdrawal from the social activites D. Neglecting personal hygiene
B
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 rate? A. Heart-healthy diet B. Safety belt use C. Safer sex practices D. Underage smoking
B
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. The presentation is delivered via a computer slide presentation B. Pamphlets are written at a 12th grade level C. Program content is organized topically D. Attendance at the program is voluntary
B
A home health nurse is assessing an older adult client who is taking captopril for heart failure. Which of the following findings should the nurse identify as an adverse effect of this medication? A. Ataxia B. Dry cough C. Photophobia D. Weight gain
B
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. Avoids eating dairy and meat products during the same meal B. Places a cup of steam against the skin to draw out toxins from the body C. Applies cool compresses across the body to reduce fever D. Visits a shaman to seek healing from illness
B
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 room last night for stage III pressure ulcers 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 home health nurse is teaching a client's family about preventing the transmission of C-Diff. Which of the following transmission based precautions should the nurse include in the teaching? A. Protective environment B. Contact precautions C. Droplet precautions D. Airborne Precautions
B
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. A client who has a fracture of the humerus and bleeding foot lacerations B. A client who has tracheal deviation and SOB C. A client who has agonal respirations and an open head injury D. A client who has superficial burns to 10% of the abdomen
B
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. Teach the client about findings that should be reported to the provider B. Examine the clients oral mucous membranes C. Encourage the client to consume 1.2 to 2.0 g/kg of protein daily D. Recommend the client increase her daily calorie intake by 25%
B
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. Cultural imposition B. Ethnocentrism C Social organization D. Stereotyping
B
A nurse is collecting demographic data as a part of a community assessment. Which of the following information should the nurse include? A. Number of open water sources B. Racial distribution C. Family genograms D. Presence of condemned buildings
B
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. Has a BMI of 25 B. Taking outdated prescriptions C. Presence of alcohol in the home D. Lives alone
B
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
A nurse is providing blood pressure screenings for older adult clients at a local community center. Which of the following should the nurse identify as increasing clients risk for developing hypertension A. daily walking routine B. African american race C. BMI of less than 30 D. HDL level greater than 70 mg/dl
B
A nurse is providing education regarding lead exposure to a group of clients who live in a housing developmental built in 1968. Which of the following client statements indicates an understanding of the teaching? A. I will vacuum our wood floors every week B. I will increase the amount of red meat and milk in my child's diet C. I will use hot tap water to prepare my baby's formula D. I will use a dry sanding technique when preparing the repaint my front door
B
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 can get lyme disease form a mosquito bite B. I can take penicillin for 10-14 days to manage lyme disease C. I should get an annual immunization to prevent lyme disease D. I will have abdominal pain and diarrhea if I get lyme disease
B
A public health nurse is planing on educational programs for a group of nurses at a community health department about pertussis infection. Which of the following information should the nurse include? A. Newborns should receive the first dose of DTaP vaccine prior to discharge from the hospital B. Individuals transmit the pertussis bacteria through airborne droplets C. Individuals should receive an annual influenza vaccine to minimize the risk of infection with pertussis D. Individuals who have had pertussis do not require immunization
B
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. Attack rate B. Prevalence proportion C Incidence proportion D. Mortality rate
B
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. Orthostatic hypotension B. Gastric ulcerations D. Hyperglycemia E. Urinary retention
B
Community leaders have requested a meeting with a community health nurse to discuss creating a mobile meals program. Which of the following should the nurse assess first? A. The leadership support of the community B. The need for the program C. The availability of volunteers D. The accessibility of residence
B
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 (SA) A. Values self study B. Written audits C. Interviews D. Satisfaction survey E. Focus groups
B C D E
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? (SA) A. Provide forms to apply for medicare B.Recommend a dental health screening C. Provide environmental health information D. Refer the client for a TB screening E. Provide skin cancer information
B C D E
A community health nurse is caring for an adolescent who is seeking help fro an unplanned pregnancy. Which of the following actions should the nurse take first? A. Request permission to interview the father of the child to obtain a medical history B. Recommend that the adolescent meet with the school guidance counselor to discuss educational options 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
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. Morbidity/Mortality B. Medical records C. Information interviews D. Health surveys
C
A community health nurse is conducting vision screenings at a health fair for an older adult client who has age realted macular degeneration. Which of the following statements should the nurse identify as an indication that the client is adapting the change? A. I purchased greeen towels to use in my bathroom B. I cancelled all my magazine prescriptions since I can't read them C. I have a prescription bottle magnifier to help me read my pill bottle lables D. I have learned that I cannot go outside when the sun is bright
C
A community health nurse is discussing the role of a faith community nurse with the chaplain. Which of the following information should the nurse include in the discussion? A. The faith nurse can provide pharmacologic pain management for clients who have a terminal illness. B. The faith community nurse can provide wound care for clients in their homes C. The faith community nurse can plan workplace safety training for employees in a local factory
C
A community health nurse is participating in a group session for clients who have alcohol and substance abuse disorders. Which of the following information should the nurse provide regarding support programs for these individuals? A. Narcotics anonymous will cure a client from her substance use disorder if she stays involved with the program 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 plan D. Alcoholics anonymous is a support group that requires disclosure of attendance to employers
C
A community health nurse is teaching a client who was newly diagnosed with active TB about disease transmission. Which of the following information should the nurse include? A. The client should have a repeat purified protein derivative test in 3 months B. The client should use disposable utensils during meals C. Household members should take isoniazide for 6-12 months D. Household members should be placed in respiratory isolation
C
A home care nurse is visiting an older adult client and notes 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 newspaper B. Have you considered moving to an assisted living facility C. How often do you have visitors come to see you D. Do you need help completing your housework
C
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. Instruct the client to take buprenorphrine for the next 9-12 months B. Teach the client to avid foods that contain tyramine C. Tell the client to take naltrexone daily D. Schedule transcranil magnetic stimulation biweekly
C
A nurse in a community center is preparing to administer a TB skin test to multiple clients. Which of the following actions should the nurse take? A. Insert the needle at a 45 degree angle B. Prepare the outer aspect of the upper arm for the injection C. Inject 0.1 ml of purified protein derivative D. Create a wheal that measures about 15mm in diameter
C
A nurse in an emergency department is caring for a client who is homeless and has hypothermia.Which of the following actions should the nurse take? A. Ask the client why he did not seek shelter sooner B. Notify the local law enforcement agency of the clients situation C. Initiate a referral to the facility's social worker D. Tell the client everything will work out now that he is in the hospital
C
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. Respect for autonomy B. Fidelity C. Beneficence D. Distributive justice
C
A nurse is caring for a client who has 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. Lack of interest in foods C. Makes eye contact D. Excessive sleeping
C
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. Im going to plan my memorial service next week B. I don't deserve to die. This just is not fair C. Im looking forward to my daughters wedding next year D. If I could just make it through this, I'd never smoke again
C
A nurse is caring for a client who 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. Im glad that my job is flexible, so I can accommodate my mom's needs B. I don't think my partner likes having to help more with the household chores C. I feel overwhelmed with not having enough time for my mo as well as my children D. I hope my siblings will be able to visit and help care for mom or a few days
C
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. Social B. Economic C. Biological D. Behavioral
C
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 DM B. Testing school age children fro lead exposure C. Teaching meal planning classes to older adults D. Providing TB screenings for day care providers
C
A nurse is preparing a community education program about health care needs during pregnancy. The nurse should include that which of the following vaccines are safe to administer to a client who is pregnant? A. Herpes Zoster B. Varicella C. Tdap D. Measles, mumps, rubella
C
A nurse is preparing to administer medication to a client who has active TB. Which of the following precautionary measures should the nurse take? A. Use disposable equipment B. Wear a gown C. Use an N95 Respirator D. Wear gloves
C
A nurse is teaching a clint who has a new diagnosis of Hep A how to prevent the spread of the virus. Which of the following instructions should the nurse include? A. Use shared hand towels to dry your hands after washing B. Rinse your toothbrush with hydrogen peroxide after each use C. Clean your bathroom fixtures with a chlorine bleach solution D. Use condoms during sexual contact for 2 weeks
C
A public health nurse is planning care for four 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. Participating in partner notification for a client who has an STI C. Administering antibiotics to a client who has AIDS and was diagnosed with Pneumocystis Jiroveci D. Performing a serological screening for HIV for a client who is pregnant
C
A school nurse is revewing the records of four students who are returning to school after being diagnosed with methicillin resistant staphylococcus aureus. Which of the following actions should the nurse take? A. Report the case of MRSA to child protective services B. Recommend prophylactic treatment for the classmates C. Provide education about MRSA throughout the school system D. Coordinate an immunization clinic at school
C
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? (SA) A. Encourage the interpreter to paraphrase the workers questions and responses B. Ask the interpreter to add information she feels may be necessary C. Choose in interpreter who speaks the workers language and dialect D. Evaluate the interpreters approach to clients prior to the educational session E. Instruct the interpreter to guide the nurse in providing information in a culturally sensitive manner
C D E
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? A. Evaluate the clients satisfaction with the case managers services B. Contact service providers to determine the availability of services offered C. Hold a care conference with the client and his family to discuss treatment options D. Determine the clients ability to perform self care
D
A case manager is planning an educational program for a client who has DM. Which of the following activites should then nurse include when using the psychomotor domain of learning? A. Show the client a video about how to monitor blood glucose levels B. Give the client a pamphlet about foot care C. Review a color diagram of the food pyramid with the client D. Observe the clients technique for drawing up insulin
D
A community health nurse is assigned to a lead a county level environmental task force. which of the following activities should the nurse direct the task force to implement first? A.Distribute environmental health education materials to community members B. Create a program goals that align with healthy people 2020 C. Recommend updates to local environmental policies D. Review community specific epidemiological data
D
A community health nurse is creating a program to reduce domestic violence in the community. Which of the following interventions should the nurse identify secondary prevention? A. Educating individuals and groups about preventing domestic violance B. Collaborating with support agencies to ensure the ongoing treatment for abuse C. Creating a public service announcement about the warning signs of intimate partner abuse D. Recognizing and reporting suspected abuse to the appropriate protective services
D
A community health nurse is planning an educational program for farmers about occupational health risks. which of the following risks should the nurse include? A. Sickle cell anemia B. DM C. Hypertension D. Respiratory disorders
D
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. Lymphadenopathy B. Malaise C. Maculopapular rash on palms D. Chancre
D
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. Discuss the consequences of discontinuing the medication with the client B. Inform the provider of the clients decision C. Provide the client with an educational pamphlet about the medication D. Determine the clients reasons for discontinuing the medication
D
A community healthcare 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 COPD and an oxygen saturation of 92% C. A client who has a temperature of 37.8 C D. A client who has a new onset of confusion and slurred speech
D
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. Lie flat for 15 to 30 min after eating B. Avoid foods that contain eggs C. Drink at least 480 ml (16oz) of liquid with each meal D. Use milk instead of water when making canned soup
D
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 information should the nurse include? A. Disturbances in your self esteem is an expected grief reaction B. You will feel a sense of hopelessness throughout the grieving process C. It is common to experience a persistent state of sadness while grieving D. A component of healthy grieving is the ability to openly express your anger
D
A nurse at a community health department is caring or 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 has recurring nightmares about her unborn baby B. The client works part time at a local resturant C. The client recently married the father of her unborn baby D. The client has changed providers three times during her pregnancy
D
A nurse in a clinic is planning teaching for a client who was newly diagnosed with Hep C. Which of the following instructions should the nurse include in the teaching? A. Wear a mask in public places while receiving treatment B. Schedule an appointment for an immunoglobulin injection C. Consume a low carbohydrate diet until symptoms resolve D. Abstain from sexual intercourse until antibody tests are negative
D
A nurse in a county health department is caring for a client who states " Ive been drinking too much in the evening since my mom died last year. Which of the following responses should the nurse make? A. I don't think your mom would have approved of your drinking B. Don't you think your family is being affected by your drinking? C. It sounds like you are probably an alcoholic D. Can I give you some information about alcoholics anonymous
D
A nurse in a rural health clinic is caring for a client who has heart failure. The client states " Im 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. Don't you think your doctor knows what's best for your heart C. Don't you know what stopping your medicine will do to your heart D. Can you tell me more about your decision to stop you r medicine
D
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. Food allergies D. Illness practices
D
A nurse is caring for a 16 year old client who has a new diagnosis of HPV. Which of the following actions should the nurse take? A. Instruct the client to return for blood tests in one month B. Report the infection to the state health department C. Administer ceftriaxone 250 mg IM D. Teach the client how to apply imiquimod 5% cream to the lesions
D
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 spend 30 minutes each day exposed to sunlight B. It is important to avoid weight bearing exercise C. Decrease your dietary intake of folate D. Increase your daily intake of leafy green vegetables
D
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. Abdomen B. Lower extremities C. Posterior shoulders D. Face
D
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 of the following responses should the nurse make? A. You should take precautions against this infection B. You should ask the public health department C. Have you ever been tested for TB D. Do you have questions about TB
D
A nurse is planning client visits for the day. Who should nurse plan to visit first? A. A client in a hip spica cast who reports pruritus under the cast B. A client who is 10 days postoperative following a mastectomy and needs to have surgical staples removed C. A client who has COPD and needs a followup visit related to home oxygen therapy D. A client who has DM and reports new erythema to the left foot
D
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 hand washing B. Provide immunization at long-term care facilites C. Provide information to occupational nurses about the reasons for employees to not come to work D. Administer antiviral medications within 48 hours to clients who have manifestations of influenza
D
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 to the plan? A. A list of residents who have experienced a hurricane in the past and will not need evacuation B. How to activate the local medical facility emergency management plan C. The name of the individual who is necessary to implement the plan D. A list of areas within the community where residents speak english as a second language
D
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 am not eligible for an out patient program until I have completed an inpatient program first B. Once I make it through detoxification, I will be free of my addiction C. I will not have to completely stop drinking alcohol if I go into an inpatient treatment program D. I can expect to get help with other aspects of my life while in treatment
D
A school nurse is conducting visual acuity testing for a school age cild. Which of the following actions should the nurse take? A. Begin the test by instructing the child to use both eyes to read the chart B. Have the child stand 5 feet away from the snellen letter chart C. Progress to the next line once the child reads two symbols correctly D. Allow the child to keep her glasses on during the testing
D
Palliative care helps with what?
Pain control