Community Health Proctored

A school nurse is implementing health screenings. which of the following assessment findings? should the nurse recognize as the highest priority?

A child who has nits

A home health nurse is visiting a client who has right sided weakness following a recent stroke. the client states I'm not sure how I will buy my groceries since I can't go back to work. Which of the following action should the nurse take?

Initiate a referral for the client to a local social worker.

A nurse in an antepartum clinic is reviewing the medical records for 4 clients. Which of the following infectious conditions should the nurse report to the CDC? a. Gonorrhea b. Bactria vaginosis c. Genital herpes simplex virus d. HPV

a. Gonorrhea

A home health nurse is preparing to teach the family of a client who has a new diagnosis of HIV about infection control. which of the following factors should the nurse identify as an educator related barrier to learning?

Reliance on written notes during the teaching session

A nurse manager is reviewing the disaster plan at a long-term care facility. which of the following is the most comprehensive method for the nurse to use to determine the effectiveness of the plan?

Review how the staff implements the plan during a hands-on practice drill

A school nurse is assessing a child and discovers Koplik spots on the child's buccal mucosa. which of the following actions should the nurse take?

Review the immunization records of the client's classmates

A school nurse is discussing stress management techniques with a group of adolescents. which of the following activities reported by an adolescent should the nurse identify as the priority.

Scratching or piercing the skin

A hospice nurse is concerned that the partner of a client is experiencing caregiver burden. which of the following actions should the nurse take first?

Suggest assistive personnel visit daily to provide client care

A nurse is working to reduce individual and family violence in the local community. Which of the following action by the nurse demonstrates a primary prevention strategy to achieve this goal?

Teaching parenting techniques to new parents

A nurse manager in a community health clinic is reviewing secondary prevention activities with a group of nurses during orientation. which of the following activities should the nurse manager include as an example of secondary prevention?

Test a client who has a family history for DM

A community health clinic is planning annual goals. which of the following outcomes addresses the ethical principle of distributive justice?

Clients receive Medicare benefits when eligible

A community health nurse is planning an educational program for a group of women who are postmenopausal. which of the following outcomes is appropriate for this program?

Clients will schedule bone density screenings

A nurse is developing a health screening program for clients who are at risk for hypertension. which of the following actions should the nurse take first?

Conduct a survey to identify the community need for hypertension screening.

A home health nurse is performing a home safety evaluation for a newly admitted client. which of the following findings requires action by the nurse? (SATA)

An extension cord extends across the floor of the living room. The water heater is set at 54.

A case manager is planning home health care for a client who has a major burn injury. which of the following interventions should the case manager plan to make?

Assess the client's need for wound care supplies.

A nurse is planning a program about healthy eating at an elementary school where most students select French fries and pizza at lunch every day. Which of the following actions should the nurse plan to take first?

Determine student's motivation to learn about healthy food choice

A hospice nurse is planning care for a client who follows traditional American Indian practices. Which of the following actions should the nurse take?

Discuss safe use of herbal medications

A home health nurse is caring for a client who has MRSA. which of the following actions should the nurse take?

Double bag soiled dressings in polyethylene bags

A case manager is performing discharge planning for a client who experienced a traumatic leg amputation and has a new prosthesis. which of the following assessments should the nurse identify as the priority?

Evaluate the client's home environment.

A home health nurse is educating a client who has COPD and is to start using home oxygen via nasal cannula. which of the following statements should the nurse identify as an indication that the client understands the teaching?

I should check the flow rate of my oxygen each day

A nurse is developing health promotion strategies for older adult client at an assist living facility. which of the following strategies is the priority for the nurse to include?

Immunizing the clients against influenza

A group of technicians from a local automotive repair shop presents to an urgent care clinic with reports of dizziness, headaches, and nausea. after providing needed care to the clients, which of the following government agencies should the nurse notify to follow up on these reports?

Occupational safety and health administration

A nurse is teaching a client who is to undergo enzyme linked immunosorbent assay testing for HIV. which of the following information should the nurse include?

The test measures serum levels of HIV antibodies.

A nurse working in a community health center is providing teaching to a client who has alcohol use disorder. which of the following treatment methods should the nurse include in the teaching?

Treatment with naloxone

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

a. I know that everything will be better soon

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

a. Monitor the immunization status of students

A nurse working in an infectious disease clinic is caring for a client who has a new diagnosis of Lyme disease. Which of the following agencies is responsible for voluntarily reporting cases of this disease to CDC? a. State health department b. Local red cross chapter c. Hospital infection control department d. Office of the surgeon general

a. State health department

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

b c e

A nurse is teaching a client who has terminal illness about hospice care. Which of the following statements by the client indicates an understanding of the teaching? (SATA) a. My provider will recommend that I enter hospice care when I have 1 year left to live b. I will receive care from a variety of inter-professional team members c. I can discontinue hospice care whenever I want d. I will need to have a private insurance because Medicare does not cover hospice care e. I can receive care in the hospital or at home

b c e

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

b. Assess client for withdrawal and passivity during home health visits

A public health nurse is developing protocols to use in emergency shelters following a disaster. Which of the following should the nurse include as a secondary prevention strategy for clients who survive a disaster? a. Providing age-appropriate activities for shelter residents b. Compiling resources available to transition individuals from shelters to a home c. Interviewing shelter residents to determine the effectiveness of coping behaviors d. Publishing a listing of shelter locations in local media source.

b. Compiling resources available to transition individuals from shelters to a home

A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires special beds at home. Which of the following statements should the nurse make first? a. A social worker can help you with the cost of supplies b. Describe the place where you are currently living c. Apply moisture barrier ointment 3 times a day d. Eat a balanced diet with high protein snack

b. Describe the place where you are currently living

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

b. Developing resources for victims of abuse

A school nurse is planning a safety education for a group of adolescents. The nurse should give priority to which of the following topics as the leading cause of death in this age group? a. Gun safety b. Motor vehicle safety c. Substance abuse prevention d. Sports injury prevention

b. Motor vehicle safety

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

b. Perform a needs assessment

A nurse manager at a clinic is reviewing the preventive services offered to clients. Which of the following activities should the nurse identify as a secondary prevention activity? a. Encourage a pregnant woman to participate in a prenatal care class b. Provide smoking cessation class c. Advocate for laws that prohibit texting while driving

b. Provide smoking cessation class

A nurse is working with a case manager for a client who participates in a health maintenance organization. The nurse should identify that a health maintenance organization provides which of the following payment structures? a. The client pays the insurer a percentage of the total cost for each service rendered by the provider b. The provider is paid a fixed sum for the client on a monthly or yearly bases c. The client is participating in a fee-for service health care insurance program d. The provider bills the client directly predetermined percentage for the cost of services.

b. The provider is paid a fixed sum for the client on a monthly or yearly bases

A nurse working in an assisted living care facility is developing a disaster plan. Which of the following is the first action the nurse should take? a. Develop response strategies specific to older adults b. Verify dates of the annual community-wide mass causality drill c. Determine potential environmental health hazards d. Identify materials needed for staff and resident education.

c. Determine potential environmental health hazards

A nurse is developing health promotion strategies for older adult clients at an assisted living facility. Which of the following strategies is the priority for the nurse to include? a. Schedule annual dental examinations for the clients b. Encouraging the clients to exercise regularly c. Immunizing the clients against influenza d. Providing the clients with low-fat diet

c. Immunizing the clients against influenza

A home health nurse is discussing electrical hazards with a client. Which of the following statements should the nurse include? a. You should cover electrical cords with an area rug b. You should pull on the cord when unplugging items c. You should limit your use of extension cords d. You should secure extension cords with clear packaging tape.

c. You should limit your use of extension cords

A nurse is triaging victims of a commuter train crash. Which of the following clients should be transported to theEmergency Department first? a. An ambulatory client whose nose is bleeding and who reports feeling dizzy b. A client who has a fracture of the humerus with a 2+ radial pulse in the effected arm c. A client who is exhibiting agonal respirations with fixed pupils d. A client who has full-thickness burn injuries over 30% of his total body surface area

d. A client who has full-thickness burn injuries over 30% of his total body surface area

A first response team is working at the location of a bombing incident. A nurse triaging a group of clients should give treatment priority to which of the following clients? a. Client who has a finger fracture with a 2+ pedal pulse b. A client who has superficial partial thickness burns injuries over 5% of his body c. A client who is ambulatory in exhibits manic behavior d. A client who has rigid abdomen with manifestations of shock

d. A client who has rigid abdomen with manifestations of shock

A nurse care manager is providing discharge planning for a client. The nurse is functioning in which of the following roles when arranging delivery of medical equipment to the client home? a. Advocate b. System allocator c. Consultant d. Coordinator

d. Coordinator

A nurse caring for a client who is homeless. Which of the following actions should the nurse take first? a. Assist the client to develop goals for obtaining shelter. b. Discuss the risks of being homeless with the client c. Develop client teaching using a variety strategies d. Determine the client's understanding of her living situation

d. Determine the client's understanding of her living situation

A community health nurse encounters a client who has suspected bioterrorism- related illness. Which of the following actions should the nurse take? a. Report the client's condition to the FBI b. Disinfect contaminated areas of the skin with isopropyl alcohol c. Move the client to a quarantine area d. Don personal protective equipment

d. Don personal protective equipment

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

d. Organizing a mass causality drill for community members

A nurse is assessing an outbreak of mumps among school aged children. Using the epidemiological triangle, the nurse should recognize that which of the following is the host? a. The vaccine b. The school c. The virus d. The children

d. The children

A nurse at a community clinic is assessing a client who reports injecting heroin an 1hr ago. Which of the following should the nurse expect?

dilated pupils or euphoria