EAQs for Community Exam 3

Which rationale would explain the reason a client abuses alcohol? A) To blunt reality B) To precipitate euphoria C) To promote social interaction D) To stimulate the central nervous system

A)

A 16-year-old female client in the family planning clinic has been diagnosed with a sexually transmitted infection (STI). The adolescent is concerned that her parents will discover that she has been sexually active and asks the nurse whether her parents will be contacted. Which explanation would the nurse give to the client about her concern? A) They need to know about and sign a consent form for testing and treatment. B) They will not be contacted because treatment at the clinie is confidential. C) They will be notified when the insurance company is billed for testing and treatment. D) They will remain uninformed if the adolescent ensures that her sexual contacts will come for testing.

B

D Which approach would be most effective when the nurse on the adolescent unit is plannin to discuss smoking prevention? • Sharing personal experiences with a smoking-cessation program • Showing pictures of the effects of smoking on the cardiopulmonary system • Presenting information on how smoking affects appearance and odor of the breath • Citing statistics about the relationship between smoking and cardiopulmonary diseases

C

Salpingitis

inflammation of a fallopian tube

Which sexually transmitted infection is caused by Chlamydia trachomatis? A) Cervicitis B) Gonorrhea C) Genital warts D) Genital herpes

A

Which topic is most important for the nurse to teach in a community health promotion class for middle-aged adults? O Tobacco cessation O Infection prevention O Alcohol abstinence • Pain management

A

A client presents with a sore throat and a generalized rash. The client reports that a cha that had been present healed approximately 3 months ago. Serological test findings indicate a diagnosis of syphilis. Which stage of syphilis is the client in at this time? • Primary • Secondary • Latent • Tertiary

B

When a client with emphysema who smokes 2 packs of cigarettes per day is attempting to quit smoking, which action would the nurse take first? • Suggest that the client cut back to 1 pack per day. • Refer the client to a tobacco-cessation program. • Ask the client about previous attempts at tobacco cessation. • Suggest that the client use medication to assist with quitting.

C

Which sexually transmitted infection is caused by a virus? A) Syphilis B) Gonorrhea C) Genital warts D) Chlamydial infection

C

Which information would the nurse include as the main reason for drinking alcohol i people with alcohol use disorder? A) They are dependent on it. B) They lack the motivation to stop. C) They use it for coping. D) They enjoy the associated socialization.

A

A client is diagnosed as having the hepatitis B virus (HBV). The nurse reviews the dient's health history for situations in which exposure may have occurred. Which event does the nurse determine is most likely the source of this infection? • The client received a small tattoo on the arm 3 months ago. • The client assisted in the emergency birth of a baby 2 weeks ago. • The client worked for a month in an undeveloped area in a foreign country 4 months ago. • The client attended an ecological conference in a large urban center 2 months ago.

A Any situation in which a needle is inserted under the skin is a potential source of hepatitis

Which client activity warrants the highest priority for education about health promotion to prevent head and neck cancer? Select all that apply. One, some, or all responses may be correct. Chews tobacco Multiple sex partners Uses condoms when having sex History of alcohol abuse for 5 years Brushes with a soft-bristle toothbrush

A, B, D

After noting 12 mm of induration at the site of a tuberculosis skin test (TST) in a cli no tuberculosis risk factors, which information would the nurse give the client? A) The result is negative, and follow-up is not needed. B) The disease is active, and medication is required. C) Additional tests, such as a chest x-ray, are needed. D) The outcome is inconclusive and further testing is needed.

A) And a client, with no risk factors for tuberculosis, and induration of 15 mm or more as a positive result, indicating of being infected with Mycobacterium tuberculosis organism

Which are presumptive signs of pregnancy that the nurse would expect when assessing a client at 10 weeks' gestation? Select all that apply. One, some, or all responses may be correct. A) Amenorrhea B) Breast changes C) Urinary frequency D) Abdominal enlargement E) Positive urine pregnancy test

A, B, C

Which question would be asked by the nurse of an adolescent client before a pregnancy test is performed? Select all that apply. One, some, or all responses may be correct. "Are you sexually active?" "When was your last period?" "Are you having any nausea?" "Do you have a history of pregnancy?" "How will you tell your parents if the test result is positive?"

A, B, C

Which information regarding risks that may result from an untreated chlamydia infection would the nurse include when providing education for a female client? Select all that apply. One, some, or all responses may be correct. A) Sterility B) Ectopic pregnancy C) Blocked Fallopian tubes D) Pelvic inflammatory disease E) Increased likelihood of HIV infection

A, B, C, D, E

While assessing an older adult client before noon, the nurse smells alcohol on t breath. Which additional signs and symptoms would the nurse then monitor fo that apply. One, some, or all responses may be correct. A) Irritability B) Poor Hygiene C) Family Conflict D) Good nutritional habits E) Excessive mood swings F) Strong Cognitive skills

A, B, C, E

Which action would the school nurse take after identifying an adolescent at risk for smoking due to peer pressure? Select all that apply. One, some, or all responses may be correct. A) Discuss alternatives to smoking. B) Punish the peer group influencing the adolescent. C) Mention immediate physiological consequences. D) Suggest effective arguments to deal with peer pressure. E) Recommend that the adolescent transfer to a different school.

A, C, D

Which explanations would the nurse provide to the students in a sex education course regarding the etiology for an increase in gonorrhea prevalence? Select all that apply. One, some, or all responses may be correct. A) Symptoms of the disease are vague. B) Screening blood tests are expensive. C) The incubation period is relatively short. D) Causative organisms have become resistant to treatment. E) Diagnostic tests for the causative organism are not yet available.

A, C, D

Which statement correctly characterizes pregnancy in the adolescent population? Select all that apply. One, some, or all responses may be correct. A) Pregnant adolescents often seek out less prenatal care. B) Infants of teen mothers are at risk of delivering babies late. C) Adolescent mothers need competent daycare for their infants. D) Infants of adolescent mothers are at increased risk for prematurity. E) Fetuses of adolescent mothers are at higher risk for chromosomal defects.

A, C, D

A client who is addicted to heroin has major surgery. Afterward, the client receives methadone. Which purpose does the methadone serve? • Allows symptom-free termination of opioid addiction • Switches the user from illicit opioid use to use of a legal drug • Provides postoperative pain control without causing opioid dependence • Counteracts the depressive effects of long-term opioid use on thoracic muscles

B

After the nurse teaches a client about self-management techniques for smoking cessation, which client statement indicates the need for further teaching? • "I should list the reasons why I should stop smoking" • "I should visit all the places where I started smoking." • "I should remove all ashtrays and lighters from my home." • "I should try replacing tobacco with sugarless mints and gum."

B

I pregnant client tells the nurse that her husband is a chain smoker. Which information vould the nurse's teaching include? Secondhand smoke is related to an increased blood level of alpha-fetoprotein. • Continued exposure to secondhand smoke is related to fetal growth restriction. • If the mother does not smoke, the fetus will not be affected by secondhand smoke. • If the mother is not in the same room where there is smoking, the fetus is not affected.

B

Which complication would the nurse suspect in a client with genital herpes disease? • Infertility • Cold sores • Reactive arthritis • Bartholin abscess

B

Which response would a nurse give when a client asks what to expect when beginning treatment for tuberculosis? A) "Therapy will last a few weeks." B) "Therapy will occur over two phases." C) "Therapy will involve one medication." D) "Therapy will require monitoring kidney function."

B

Which response would the nurse give to a client with tuberculosis who asks about the communicability of the disease? A) "Tuberculosis is not communicable at this time." B) "Untreated active tuberculosis is communicable." C) "Tuberculosis is communicable during the primary stage." D) "With the newer long-term therapies, tuberculosis is not communicable."

B

Which sexually transmitted infection (STI) is most commonly reported? • Syphilis • Chlamydia • Gonorrhea • Human immunodeficiency virus

B

Which stage of syphilis would the nurse associate with a sexually active client who reports a sore throat, generalized rash, and history of a healed chancre from 3 months ago? A) Primary B) Secondary C) Latent D) Tertiary

B

Which type of hepatitis develops into a chronic form of the disease? Select all that apply. One, some, or all responses may be correct. Hepatitis A Hepatitis B Hepatitis C Hepatitis D Hepatitis E

B, C, D

Which clinical manifestation is associated with a diagnosis of tuberculosis? Select all that apply. One, some, or all responses may be correct. A) Diarrhea B) Anorexia C) Weight gain D) Hemoptysis E) Night sweats

B, D, E

Which basic principle of Alcoholics Anonymous (A) would be a guideline for a client with alcohol use disorder to follow? A) Spouses should attend Al-Anon meetings. B) It is a commitment to focus on long-term goals. C) Amends must be made to each person who has been harmed. D) People have the power to overcome alcoholism if they truly want to stop drinking.

C

Which nursing action would be the priority to implement primary prevention of sexually transmitted infections (STIs) when counseling an adolescent? A) Help the adolescent recognize the risk. B) Provide complete information about STIs. C) Assess the adolescent's sexual risk behaviors. D) Educate the adolescent about proper preventive measures.

C

Which practical response would the nurse provide a sexually active female client who is upset with her diagnosis of gonorrhea and asks the nurse, "What can I do to prevent getting another infection like this?" A) "Douche after every sexual intercourse." B) "Avoid engaging in sexual behaviors." C) "Insist that your partner uses a condom." D) "Use a spermicidal cream with sexual intercourse."

C

Which sexually transmitted infection is managed with antiviral medications as the treatment of choice? A) Syphilis B) Gonorrhea C) Genital herpes D) Chlamydial infection

C

When preparing to assess a client with active tuberculosis, which piece of personal protective equipment would the nurse put on before entering the client's room? A) Isolation gown B) Surgical mask C) Shoe covers D) N95 respiratory mask

D

Which statement by the female client with a diagnosis of gonorrhea indicates she has understood the teaching by the nurse on how to avoid future infection? A) "I'll douche after each time I have sex." B) "Having sex is a thing of the past for me." C) "My partner has to use a condom all the time." D) "I'll be using a spermicidal cream from now on.

C

Which topic would the nurse include when teaching a client who is being treated for a tuberculosis and has a produêtive cough? A) Reasons to avoid going outside B) Need for continued hospitalization C) Use of disposable tissues when coughing D) Benefits of attending community events

C

Which vaccine would the nurse administer to provide protection from precancerous lesions and cancers of the vulva, cervix, and vagina in young girls and women? • Rotavirus vaccine • Varicella virus vaccine • HPV vaccine • Meningococcal conjugate vaccine

C

Which response would the nurse make to the family of a client with hepatitis A who experiences anorexia, fatigue, and jaundice when the client's spouse and adult children living at home ask whether they should receive gamma globulin? A) "Gamma globulin is unnecessary, as long as you follow droplet precautions until the client is asymptomatic." B) "Gamma globulin injections provide passive immunity for hepatitis B, not hepatitis A.* C) "You should call your primary health care provider immediately about obtaining gamma globulin injections. D) "Your family member's type of hepatitis is no longer communicable, and gamma globulin is not required."

C Rationale Gamma globulin provides passive immunity to hepatitis type Aif administered to the household or sexual contacts within 2 weeks of exposure. Gamma globulin may provide some protection for those exposed to hepatitis A

Which assessment findings correlate with a diagnosis of unruptured tubal pregnancy? Select all that apply. One, some, os all responses may be correct. A) Rigid abdomen B) Referred shoulder pain C) Unilateral abdominal pain D) History of untreated chlamydia E) Ecchymotic blueness around the umbilicus

C, D

Which sexually transmitted infection causes condylomata acuminate? A) Chlamydia B) Gonorrhea C) Herpes simplex D) Human papillomavirus (HPV)

D

Which sexually transmitted infection is caused by human papillomavirus? • Gonorrhea • Genital herpes • Chlamydia infection • Condylomata acuminata

D

After teaching a male client about measures to maintain sexual health and prevent transmission of sexually transmitted infections (STIs), which client statement indicates effective learning? A) "I will use condoms when having sex with an infected partner." B) "I will perform a self-examination of my genitals every month before bathing." C) " will refrain from getting the human papilloma virus vaccine (HPV) before the age of 27 years." D) "I will consult with my primary health care provider when there is a rash or ulcer on my genitalia."

D

Which response would the nurse give to the parents of a child diagnosed with hepatitis A who express concern that other family members may contract hepatitis because they only have one bathroom? A) "I suggest you buy an individual commode seat to use exclusively for your child's bathroom needs." B) "Your child may use the bathroom, but you need to use disposable toilet seat covers." C) "You will need to clean the bathroom from top to bottom every time a family member uses it." D) "All family members, including your child, need to wash their hands after using the bathroom."

D Hepatitis A is spread via the fecal-oral route; transmission is prevented by proper hand washing. Hand washing by all family members must be part of the plan to prevent the spread of hepatitis to other family members

Which action would the occupational health nurse take after a tuberculin skin test (TST) on a nurse working in the emergency department revealed an 11-mm induration? • Plan for a repeat TST in 1 year. • Schedule the nurse for a chest x-ray. • Ask the nurse to provide sputum specimens. • Teach about the multiple drug treatment regimen.

B

The nurse is caring for a client who is positive for hepatitis A. Which precautions would the nurse take? A) Wear a gown when entering the client's room. B) Use gloves when removing the client's bedpan. C) Clean eating utensils with bleach after use. D) Wear a high-efficiency particulate air (HEPA) respirator when entering the client's room.

B

Which mechanism of action explains why naloxone is administered for a heroin overdose? A) Competition with opioids for occupancy of opioid receptors B) Blunts severity of withdrawal symptoms as heroin wears off C) Accelerated metabolism of heroin and stimulation of respiratory centers D) Stimulation of cortical sites that control consciousness and cardiovascular function

A

Which rationale best explains how an addiction to alcohol occurs? Person eventually requires alcohol for functioning A) person eventually requires alcohol for functioning B) Person lacks the motivation or will to stop drinking C) Person has developed very few coping mechanisngs D) Person enjoys the social aspects of drinking alcohol

A

Which action would the nurse implement regarding the public health implications of a 16-year-old adolescent diagnosed with gonorrhea? • Interviewing the adolescent's parents • Identifying and locating the client's sexual contacts • Instructing the client about birth control measures • Determining the reasons for the client's promiscuity

B

A client with jaundice reports fatigue, abdominal pain, loss of appetite, dark urine, nausea, and vomiting. Which pathogen would the nurse associate with this client's clinical manifestations? O Hepatitis C virus O Candida albicans O Varicella- zoster virus O Coptosporidium muris

A

The community health nurse is educating a client who is interested in discontinuing elgarette smoking. Which would the teaching plan Include? • Helping the client set a date to stop smoking O Referring the elient to the American Red Cross (Canadat Canadian Red Cross) • Encouraging the elient to eat when the desire to smoke oceurs • Setting a follow up phone call for several weeks after the preset target date

A

The nurse obtains a health history for a 50-year-old client with an 80 pack-year history of cigarette smoking and daily alcohol use. Which finding would be most important to report to the health care provider? A) Vocal hoarseness for several months B) Ankle swelling after eating salty foods C) Shortness of breath when walking quickly uphill D) Early morning cough productive of yellow mucus

A

When a client in the emergency department presents with signs and symptoms indicative of an opioid overdose, which medication would the nurse anticipate administering? A) Naloxone B) Methadone C) Epinephrine D) Amphetamine

A

Which action would the local health department nurse take to enhance local response when the local health department has been receiving reports of a recent increase in symptoms including headaches, dizziness, weakness, and nausea among local migrants in the region to help harvest tomato crops? A) Provide education to local providers and health centers regarding signs and symptoms of pesticide exposure. B) Ensure that resources are available during work hours to support adequate hydration. C) Initiate an epidemiologic study to identify the potential cause of the current symptoms. D) Conduct an assessment of the entire population (workers and their families) to determine possible causes of the current symptoms.

A

Which sexually transmitted infection is caused by bacteria? Select all that apply. One, some, or all responses may be correct. Syphilis Hepatitis Gonorrhea Herpes simplex Trichomoniasis

A, C

Which statements are true regarding ectopic pregnancy? Select all that apply. One, some, responses may be correct. A) Smoking is one of the risk factors for ectopic pregnancy. B) Ectopic pregnancy is directly related to fetopelvic incompatibility. C) Ectopic pregnancy occurs when the fertilized egg implants in the fallopian tubes. D) When a young woman exhibits abdominal pain, ectopic pregnancy is confirmed. E) If the adolescent exhibits abdominal pain and hypotension, the ectopic pregnancy may have ruptured.

A, C, E

Which topic will the school nurse include in adolescent education on sexually transmitted infections (STls)? Select all that apply. One, some, or all responses may be correct. Condom use Sexual identity Types of contraception Number of sexual partners Alcohol and drug consumption

A, C,D

Which statements are true regarding adolescent sexual health and wellness? Select all that apply. One, some, or all responses may be correct. A) Papanicolaou (Pap) testing should start at age 21. B) Females should have Papanicolaou (Pap) tests when they become sexually active. C) A sexually active teen who does not use contraception has a 50% chance of pregnancy within 1 year. D) Pregnant teenagers don't often know to avoid teratogens. E) The human papiloma virus vaccine is often the point of entry to care for adolescent sexual health and wellness.

A, D, E

Which term does "smokeless tobacco" refer to? Select all that apply. One, some, or all responses may be correct. A)A substitute for cigarettes B) Tobacco products that are safe for adolescents C) Tobacco products that produce less smoke D) Tobacco products with carcinogenic chemicals E)Tobacco products placed in the mouth but not ignited

A, D, E

A nursing instructor asks a student to explain the characteristics of substance abuse in adolescents. Which statements by the student indicate inadequate learning? Select all that apply. One, some, or all responses may be correct. A) "Fifty percent of adolescents have used alcohol by the end of high school." B) "Adolescents believe that substance abuse imparts a feeling of well-being." C) "Adolescents in dysfunctional families have a higher risk of substance abuse." D) "Adolescents believe that sabstance abuse will make them feel more mature." E) "Twenty-five percent of adolescents have tried smoking by the end of high school."

A, E