Community Health Online Practice 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 the prevention of an outbreak? A. Administer several medication to clients at the facility. B. Schedule immunizations for clients at the facility. C. Recommend that the day care center close for 2 weeks. D. Give immune globulin to clients at the facility who have early manifestations of influenza.
A
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 objectives D. Distribute environmental health education materials to community members
A
A community health nurse is made aware that several children, who are from the same family and did not receive immunizations, have contracted measles. Which of the following actions should the nurse take? A. Report this information to the state health department B. Encourage the family to keep the children isolated during the incubation period. C. Speak to the guardians about getting the children immunized after they are disease-free. D. Provide the infected children's names to the parents and guardians of children who might have been exposed.
A
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 to 12 months C. Teach the client to avoid foods that contain tyramine D. Schedule Transcranial Magnetic Stimulation (TMS) biweekly.
A
A nurse at a county health clinic is caring for a client who has recently assumed the role of primary caregiver for their parent. 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
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 parents to leave the room during the injection. D. Request that the child count backwards from the number 10 during the injection.
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 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
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
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
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: respiration rate 6/min, agonal pattern; capillary refill time 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 focused neurological exam. D. Request that the client be assessed immediately by the next available provider.
A
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?" Which of the following interventions should the nurse suggest? A. "Give your father brief hand massages." B. "Increase the illumination in your father's room." C. "Avoid using analgesics unless your father exhibits nonverbal signs of pain." D. "Administer citalopram when your father is agitated."
A
A community health nurse is participating in a quality improvement plan for a local health department. Which of the following should the nurse use for process evaluation of the facility? (SATA) A. Focus Groups B. Written Audits C. Satisfaction Survey D. Interviews E. Values Self-Study
A, B, C, D
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? (SATA) A. Provide environmental health information B. Refer the client for a TB screening C. Provide skin cancer information D. Recommend a dental health screening E. Provide forms to apply for Medicare
A, B, C, D
Select the 4 nursing interventions for a client who has a Varicella Virus Testing Pending (Varicella): A. Designate a stethoscope to be used only on the client. B. Wear an N-95 mask while caring for the client. C. Request a prescription for an antipyretic. D. Keep the client's room door open. E. Place the client in a negative-pressure airflow room. F. Place a disposable container outside the client's room.
A, B, C, E
Which of the following assessment findings should indicate the nurse needs a referral for an occupational therapist? (SATA) A. How the client holds eating utensils B. Hand findings C. Gait D. Oral secretions E. How the client chews food F. How the client dresses self
A, B, C, F
A community health nurse is creating a program to reduce violence in the community. Which of the following interventions should the nurse identify as a secondary prevention? A. Creating a public service announcement about the warning signs of partner violence. B. Recognizing and reporting suspected maltreatment to the appropriate protective services C. Collaborating with support agencies to ensure the ongoing treatment for maltreatment D. Educating individuals and groups about preventing partner violence.
B
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
A home health nurse is evaluating a caregiver's technique for providing care to a client who has a chronic tracheostomy. Which of the following statements by the caregiver indicates an understanding of the procedure? A. "I should remove the soiled ties before replacing them with clean ones." B. " I will use tap water to clean the inner cannula." C." I should use a slip knot to secure the tracheostomy ties." D. " I will cut a 4 inch by 4 inch gauze to use as a dressing."
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 who was treated in the ER last night for a stage 3 pressure injury. B. A school-aged child who was treated in the ER for 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 gastronomy (PEG) tube needs changing.
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 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 nurse is caring for a client who has a positive gonorrhea culture. Which of the following actions should the nurse take? A. Instruct the client to return for a blood test in about a month. B. Instruct the client that recent sexual partners will need to be treated. C. Administer penicillin G 2.4 million units IM once. D. Teach the client how to apply imiquimod 5% cream to the lesions.
B
A nurse is conducting a home visit for an older adult client. The nurse should identify that which of the following findings as an indicator of possible neglect? A. Lives alone B. Taking outdated prescriptions C. Has a BMI of 25 D. Presence of alcohol in the home
B
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 instructions should the nurse include? A. "Double-bag tissues used for coughing or blowing the nose." B. "Clean your bathroom fixtures with a chlorine bleach solution." C. "Used shared hand towels to dry your hands after washing." D. "Use barrier contraceptives during sexual contact for 2 weeks after beginning treatment."
B
A public health agency has assigned a newly licensed nurse to assist with the task force that is responsible for the core function of assessment. Which of the following is a task that the public health agency could assign to the nurse that would be consistent with the focus of the task force? A. Updating local policies to support community health efforts B. Investigating local health hazards C. Collaborating with community agencies to improve availability of services D. Ensuring competence of health care workforce
B
A public health nurse is participating in a disaster preparedness planning committee 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. A list of areas within the community where residents speak multiple languages C. How to activate the local medical facilities' emergency-management plans D. The name of the individual who is necessary to implement the plan
B
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
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. AA is a support group that requires disclosure of attendance to employers. B. Narcotics Anonymous (NA) is a one-on-one program that assists clients. C. Alcoholics Anonymous (AA) assists a client who has an addiction to alcohol with developing a daily recovery program. D. Narcotics Anonymous (NA) will cure a client from their substance use disorder if they stay involved with the program.
C
A community health nurse is providing teaching about health promotion to a group of adolescents. Which of the following topics is 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 use D. Heart-Healthy diet
C
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
A home health nurse is reviewing several client requests regarding complementary strategies. For which of the following situations should the nurse plan to discuss alternative strategies with the client to prevent harm? A. A school-aged child who has cerebral palsy requests information on hippotherapy. B. A client who is at 37 weeks of gestation requests to use acupressure therapy. C. A client who has cirrhosis and reports using kava to promote muscle relaxation. D. A client who has anxiety and asks about taking Valerian to relieve insomnia.
C
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 factor for future child maltreatment? A. The client refers to the unborn fetus by name. B. The client works part-time at a local restaurant C. The client has changed providers 3 times during their pregnancy. D. The client has recurring nightmares about the unborn fetus.
C
A nurse is giving a presentation about family violence at a local community center. Which of the following information should the nurse include? A. Socially active parents and guardians are at greater risk for becoming violent. B. Partner violence occurs more frequently in lower socioeconomic households. C. Child maltreatment is more common in homes where partner violence is present. D. Children who have been maltreated are less likely to maltreat others.
C
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 of 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 48 hours to clients who have medications of influenza. D. Provide immunizations at long-term care facilities.
C
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
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
A school nurse is serving on a community disaster planning committee looking at school shooting scenarios. Which of the following actions should the nurse plan to take during the response phase? A. Conduct ongoing assessments to identify potential hazards. B. Provide disaster training to school personnel. C. Perform triage and provide hands-on care as needed to victims. D. Serve as a liaison between available community resources and those in need.
C
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. Hypertension B. Diabetes Mellitus C. Cardiomyopathy D. Respiratory Disorders
D
A community health nurse is teaching a client who was newly diagnosed with active pulmonary TB about disease transmission. Which of the following information should the nurse include? A. Household members should be placed in respiratory isolation B. Wear a mask in the home C. Have a repeat Mantoux test in 3 months D. Household members should take isoniazid for at least 6 months.
D
A community health nurse is working to meet the health care needs of residents in a rural community. Which of the following characteristics should the nurse identify as a barrier to health care resources for this population? A. Less autonomy in providing client care B. Disinterest by members of the population in providing input for community health programs. C. Lack of cohesiveness among community members D. Unavailability of outreach services
D
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? A. "Eat any leftovers within one week of preparation." B. "Keep the inside of your refrigerator at 47 degrees Fahrenheit or below." C. "Beef is the only meat that is acceptable to eat with a pink center." D. "Frozen food should be cooked immediately after it is thawed."
D
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. Rotavirus B. Erythema Infectiosum C. Scarlet Fever D. Varicella
D
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 northern Europe B. An infant who has bronchitis C. An infant who is 4 weeks old D. A client who is moving into a college dormitory
D
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 should the nurse include? A. Individuals should receive an annual influenza vaccine to minimize the risk for infection with pertussis. B. Newborns should receive the first dose of diphtheria, tetanus, and acellular pertussis (DTaP) vaccine 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
A public health nurse is planning care for 4 clients. Which of the following interventions should the nurse recognize as tertiary prevention? A. Providing chemoprophylaxis for malaria to a client who traveling to mosquito-infested countries B. Performing a serological screening for HIV for a client who has 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 jirovecii
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 will not have to completely stop drinking alcohol if I go into an impatient treatment program." B. "Once I make it through detoxification, 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
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 the proper authorities C. Conduct vision and hearing screening for kindergarten enrollment D. Demonstrate proper handwashing techniques
D
Community leaders have requested a meeting with a community health nurse to discuss creating a mobile meals program. Which of the following information 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
