RN Community Health Online Practice 2023B

An occupational health nurse is planning to use an interpreter during an educational session with a group of workers who speak a different language than the nurse. Which of the following actions should the nurse take? Select all that apply. - Instruct the interpreter to guide the nurse in providing information in a culturally-sensitive manner. - Ask the interpreter to add information they feel might be necessary. - Choose an interpreter who speaks the workers' language and dialect. - Evaluate the interpreter's approach to clients prior to the educational session. - Encourage the interpreter to paraphrase the workers' questions and responses.

Instruct the interpreter to guide the nurse in providing information in a culturally sensitive manner is correct. The nurse should instruct the interpreter to give feedback to the nurse regarding the delivery of information that workers might find culturally sensitive to prevent insensitivity. Ask the interpreter to add information they feel might be necessary is incorrect. The nurse should ask the interpreter to not add or omit any information because it can interfere with the accuracy of the content. Choose an interpreter who speaks the workers' language and dialect is correct. The nurse should choose an interpreter who can speak the workers' preferred language, including the specific dialect, in order to facilitate accurate communication. Evaluate the interpreter's approach to clients prior to the educational session is correct. The nurse should evaluate the style of the interpreter prior to the educational session to determine their ability to develop a trusting relationship with the workers in order to promote effective communication. Encourage the interpreter to paraphrase the workers' questions and responses is incorrect. The nurse should ask the interpreter to translate the workers' comments and questions using their own words to increase the accuracy of the communication.

A school nurse is notified that a school-age child has pertussis. Which of the following actions should the school nurse take? Select all that apply. - Instruct the parent to keep the child at home for 2 weeks after the initial symptoms first present. - Encourage family members to obtain prophylactic treatment. - Quarantine the children in the child's class. - Recommend that the child receive a pneumococcal vaccine in 28 days. - Check the immunization status of the child's classmates.

Instruct the parent to keep the child at home for 2 weeks after the initial symptoms first present is correct. The child should be kept at home until the coughing stage has passed because the disease is most communicable in this stage. Encourage family members to obtain prophylactic treatment is correct. Individuals who have been exposed to pertussis should be treated prophylactically with erythromycin, clarithromycin, or azithromycin. Quarantine the children in the child's class is incorrect. While the nurse should place the client on droplet precautions, it is not necessary to quarantine the children in the child's class. Recommend that the child receive a pneumococcal vaccine in 28 days is incorrect. A pneumococcal vaccine is not effective against pertussis. Check the immunization status of the child's classmates is correct. The immunization status of the child's classmates should be checked to identify the children who are at risk for acquiring the infection.

A nurse in a community center is preparing to administer a tuberculin skin test to multiple clients to screen for tuberculosis. Which of the following actions should the nurse take? a. Prepare the outer aspect of the upper arm for the injection. b. Insert the needle at a 45° angle. c. Inject 0.1 mL of purified protein derivative. d. Create a wheal that measures about 15 mm in diameter.

c. Inject 0.1 mL of purified protein derivative. The nurse should inject 0.1 mL of purified protein derivative to form the wheal.

A school nurse is caring for a school aged child. Which of the following findings in the school environment should the nurse identify as potential triggers for the school-aged child's diagnosis?Select all that apply. -Air filtration system -Air freshener -Cooking odors -Bus loading zone location -Construction

When recognizing cues, the nurse should identify cooking odors, air fresheners, construction with woodworking, and exhaust fumes from bus loading zone as asthma triggers. Additional triggers include air pollution, scented perfumes and body products, mold, and secondhand smoke. When caring for a child who has asthma, the school nurse should identify potential triggers and implement a plan for removal of triggers to improve outcomes for the child.

An occupational health nurse is caring for a client. After reviewing the employee's health record, which of the following host findings increased the likelihood of the client experiencing a work-related injury? Select 3 host factors that increases the client's likelihood of experiencing a work-related injury. -Temperature of work environment -Presence of chemicals -Length of work experience -Age -Occupation

When analyzing cues the nurse should identify age, occupation, and length of work experience as host factors that increase the client's likelihood of experiencing a work-related injury. Host factors refer to characteristics of the individual. In the occupational setting new workers are at increased risk of experiencing a work-related injury. Older adult workers are at increased risk of injury due to age related changes such as sensory alterations and delayed reaction times. The client's occupation increases the risk of injury due to requirements of their role.

A community health nurse is caring for clients who have difficulty adhering to their plan of care because of lack of access to providers. The nurse and providers in the community implement a telehealth program to improve the clients' access to care. The nurse follows up with each client 3 months after the implementation of the telehealth service. For which clients does the nurse recognize the need to revise the plan of care? Select all that apply. -Client 1 -Client 2 -Client 3 -Client 4 -Client 5

When evaluating outcomes, the nurse should recognize that increased costs for medical care, an unreliable internet connection, lack of an interpreter, and a low literacy level are barriers for Clients 1, 2, 3, and 4 and indicate the need to revise their plans of care.

A nurse in a community clinic is caring for a client. Which of the following isolation precautions should the nurse plan on implementing? Select all that apply. -Ensure that the doors to the client's room remain closed. -Place the client in a room with another client who also has tuberculosis. -Place the client in a room with positive airflow. -Ensure that the client's visitors wear gowns prior to entering the room. -Place a box of N95 respirators by the entrance to the client's room.

When generating solutions, the nurse should identify that the client should be placed in airborne precautions. Airborne precautions include placing the client in a private room with negative airflow, wearing an N95 mask when caring for the client, and keeping the client's room doors closed to decrease the risk of transmission.

A home health nurse is reviewing a client's electronic medical record. The home health nurse is providing client teaching. Which of the following information should the home health nurse include in the client's discharge instructions? Select all that apply. -Avoid wearing tight clothing over the generator site. -Record your heart rate daily. -Participate in strenuous exercise weekly. -Call 911 immediately if the ICD discharges. -Avoid exposure with handheld wand metal detectors.

When taking actions, the home health nurse should instruct the client to avoid wearing tight clothing over the generator site, to record their pulse daily, and to avoid handheld wand metal detectors. Wearing tight clothing over the generator may cause irritation to it. The client should record their pulse daily to ensure that the pacemaker is functioning properly. Handheld wand metal detectors are a potential direct source of electromagnetic interference, which can cause malfunction of the ICD.

A community health nurse is conducting a vision screening at a health fair for an older adult client who has age-related macular degeneration. Which of the following statements should the nurse identify as an indication that the client is adapting to the changes? a. "I have a prescription bottle magnifier to help me read my pill bottle labels." b. "I canceled all of my magazine subscriptions since I can't read them." c. "I purchased green towels to use in my bathroom." d. "I have learned that I cannot go outside when the sun is bright."

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

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

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

A nurse in a clinic is planning teaching for a client who was newly diagnosed with hepatitis C. Which of the following instructions should the nurse include in the teaching? a. Consume a low-carbohydrate diet until symptoms resolve. b. Schedule an appointment for an immunoglobulin injection. c. Abstain from sexual intercourse until antibody tests are negative. d. Wear a mask in public places while receiving treatment.

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

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

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

A community health nurse is assessing a group of clients for risk factors of violent behavior. Which of the following findings should the nurse identify as a risk factor for developing violent behavior? a. A client says they were spanked as a child. b. A client reports getting a new job. c. A client has a history of participating in volunteer activities. d. A client lives in the rural community where they grew up.

a. A client says they were spanked as a child. Clients who have prior exposure to violence have a greater potential for continuing the violent and abusive behavior.

A school nurse is conducting visual acuity testing for a school-age child using a Snellen letter chart. Which of the following actions should the nurse take? a. Allow the child to keep their glasses on during the testing. 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. Begin the test by instructing the child to use both eyes to read the chart.

a. Allow the child to keep their glasses on during the testing. When using the Snellen letter chart to assess a school-age child's visual acuity, the nurse should allow the child to keep their glasses on during the test.

A nurse is developing an educational program about bioterrorism and smallpox. The nurse should include in the teaching that the smallpox rash is expected to first appear in which of the following locations? a. Face b. Posterior shoulders c. Abdomen d. Lower extremities

a. Face The nurse should teach that the smallpox rash is expected to first appear on the face.

A nurse is assessing a new client. Which of the following information should the nurse include in the cultural portion of the assessment? a. Food preferences b. Employment status c. History of illnesses d. Sexual orientation

a. Food preferences Food preferences are a part of cultural assessment.

A community health nurse is planning to establish a community garden to introduce new nutritious food options in the area. Which of the following actions should the nurse take first to initiate the plan? a. Identify community members who demonstrate an interest in the project. b. Hold a community information session to inform the residents of the plan. c. Select residents to take on leadership roles in the project. d. Monitor the progress of the project to keep the project on course.

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

A nurse is assessing a new client at a public health clinic. Which of the following areas should the nurse address as part of the cultural assessment? a. Immunization status b. Sexual activity c. Illness practices d. Food allergies

c. Illness practices A cultural assessment focuses on beliefs, values, meanings, and behavior of people within a client's cultural, ethnic, or religious group. This includes culturally based practices that relate to health and illness.

A home health nurse is caring for a client who is using acupuncture as a complementary therapy to manage manifestations of menopause. Which of the following findings indicates that acupuncture has been effective? a. The client reports a reduction in hot flashes. b. The client experiences an increase in blood pressure. c. The client does not experience a fracture. d. The client reports an increase in stress incontinence.

a. The client reports a reduction in hot flashes. Acupuncture is a complementary therapy commonly used to manage vasomotor manifestations of menopause, such as hot flashes. Research studies have indicated that this complementary therapy is effective as a treatment for management of vasomotor manifestations.

A school nurse is teaching health promotion to a group of staff members who sit at a desk and use a computer for 8 hr at a time. Which of the following information is the priority for the nurse to include? a. "Take a walk after work." b. "Point and flex your toes periodically." c."Have your visual acuity assessed regularly." d. "Adjust your chair so that your elbows are at desk height."

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

A community health nurse suspects an outbreak of scabies in the local area. Which of the following actions should the nurse take first? a. Educate the community about disease transmission. b. Determine the incidence rate. c. Institute prophylactic treatment. d. Discuss treatment plans with the clients' families.

b. Determine the incidence rate. The first action the nurse should take when using the nursing process is to perform an assessment. The nurse should determine the number of new cases of scabies in the community for comparison to prior incidence data in order to monitor for an increase.

A community health nurse identifies an increase in the occurrence of osteoporosis-related fractures in female clients who are experiencing menopause. Which of the following primary prevention strategies should the nurse implement? a. Advise the clients to avoid live-virus vaccines. b. Encourage the clients to participate in weight-bearing activities. c. Educate the clients about the importance of avoiding sun exposure. d. Instruct at-risk clients to increase their intake of foods high in vitamin E.

b. Encourage the clients to participate in weight-bearing activities. Weight-bearing exercises (weightlifting, walking, running) have been found to be beneficial in preventing osteoporosis.

A community health nurse is teaching a group of clients about environmental health hazards. Which of the following examples should the nurse include as a possible source of carbon monoxide exposure? a. Washing machines b. Gas ranges c. Air conditioners d. Electric space heaters

b. Gas ranges Carbon monoxide is an odorless, colorless, tasteless gas that is emitted into the air. Gas ranges, motor vehicles, and fireplaces are potential sources for carbon monoxide exposure.

A community health nurse is caring for an adolescent who is seeking help for an unplanned pregnancy. Which of the following actions should the nurse take first? a. Recommend that the adolescent meet with the school guidance counselor to discuss educational options. b Help the adolescent obtain a provider for prenatal care. c. Educate the adolescent about contraceptives to prevent future unplanned pregnancies. d. Provide information on parenting classes so the adolescent can learn about caring for a newborn.

b. Help the adolescent obtain a provider for prenatal care. The client is an adolescent and experiencing an unplanned pregnancy, which are factors that place the adolescent and fetus at risk for complications. Therefore, when using the safety/risk reduction approach to client care, the first action the nurse should take is to assist the client in obtaining prenatal care.

A public health nurse is monitoring medication compliance for a group of migrant workers who are being treated for tuberculosis (TB). The nurse should use information from which of the following resources to assist with this process? a. Agency for Healthcare Quality and Research (AHRQ) b. Migrant Clinicians Network (MCN) c. Centers for Disease Control and Prevention (CDC) d. U. S. Preventive Services Task Force (USPSTF)

b. Migrant Clinicians Network (MCN) Migrant workers frequently change locations and move from job to job. This can interfere with the client adhering to the 6 to 12 month TB treatment plan. The MCN is a tracking program developed so that health care providers can access prior provider information and maintain TB treatment continuity for these clients.

A community health nurse is working with a community where the incidence of violence has increased. Which of the following actions should the nurse take as a tertiary prevention strategy? a. Provide open education sessions to teach parenting skills. b. Provide clients who experience violence with referral information to crisis lines. c. Identify potential community risk factors for violence. d. Assess for evidence of violence during routine encounters.

b. Provide clients who experience violence with referral information to crisis lines. Referring clients who experience violence to available community resources is a tertiary prevention strategy. The community health nurse should be aware of all available community resources.

A nurse is preparing a community education program about health care needs during pregnancy. The nurse should include which of the following vaccines is safe to administer to a client who is pregnant? a. Herpes zoster b. Tetanus, diphtheria, pertussis (Tdap) c. Varicella d. Measles, mumps, and rubella

b. Tetanus, diphtheria, pertussis (Tdap) The nurse should include that a client who is pregnant should receive the Tdap vaccine between 27 and 36 weeks of gestation.

A case manager at a home health agency is obtaining equipment for a client's home use. Which of the following actions is a violation of client confidentiality? a. The case manager used a computer at the agency with an automatic sign-off mechanism. b. The case manager left a clipboard with the client's prescription information face up on the office desk. c. The case manager sent a fax to the equipment company on a machine using programmed speed dial. d. The case manager shared the client's name with the equipment company.

b. The case manager left a clipboard with the client's prescription information face up on the office desk. When using a clipboard, the case manager should place the clipboard on the desk face down so that a client's personal health information is not visible to other individuals.

A nurse is conducting a home visit with a client who reports a history of partner violence. The nurse should identify which of the following findings places the client at greatest risk for partner violence? a. The client is at 13 weeks of gestation. b. The client states they are leaving their partner. c. The client is starting a new job. d. The client visits friends without the partner's knowledge.

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

A home health 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 the client is socially isolated? a. "Why haven't you brought in your newspapers?" b. "Do you need help completing your housework?" c. "How often do you have visitors come to see you?" d. "Have you considered moving to an assisted living facility?"

c. "How often do you have visitors come to see you?" The nurse should ask this question because it addresses the issue of social isolation by determining the frequency of contact between the client and others.

A nurse is providing education regarding lead exposure to a group of clients who live in a housing development built in 1968. Which of the following client statements indicates an understanding of the teaching? a. "I will use a dry-sanding technique when preparing to repaint my front door." b. "I will vacuum our wood floors every week." c. "I will increase the amount of red meat and milk in my child's diet." d. "I will use hot tap water to prepare my baby's formula."

c. "I will increase the amount of red meat and milk in my child's diet." Children should receive adequate amounts of iron and calcium in their diets to prevent lead absorption from their environment.

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

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

A home health nurse is reviewing several client requests regarding complementary strategies. The nurse should identify which of the following alternative therapies is contraindicated for a client? a. Hippotherapy for a school-age child who has cerebral palsy b. Acupressure therapy for a client who has back pain c. Kava for a client who has cirrhosis d. Valerian for a client who has anxiety and insomnia

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

Which of the following data should a community health nurse collect to determine the distribution of an illness in a community? a. Incidence rate b. Age-specific death rate c. Prevalence rate d. Cause-specific death rate

c. Prevalence rate The prevalence rate is the number of old and new cases of a specified disease or condition existing at a particular time within a given population.

A home health nurse is visiting with an older adult client. Which of the following observations indicates the need for a home modification? a. The home has power strips that have breakers. b. The client uses an electric toaster oven for cooking. c. There are 2 rocking chairs in the living room. d. The bathtub has a seat and a hand-held shower head.

c. There are 2 rocking chairs in the living room. Rocking chairs and swivel chairs will require a modification. The nurse should block the motion of the chairs to keep them stable so that the client can easily get in and out.

A hospice nurse is caring for a client who is at the end of life and has developed dyspnea and noisy breathing. Which of the following actions should the nurse take? a. Suction the client's oropharynx. b. Administer the client's pain medication intramuscularly. c. Use a fan in the client's room. d. Place the client in the Trendelenburg position.

c. Use a fan in the client's room. The movement of air from the fan stimulates the client's trigeminal nerve and can minimize the sensation of dyspnea.

A community health nurse is working with a group of clients in a rural community who are unable to afford health insurance. Which of the following actions is the best for the nurse to take to advocate for these clients? a. Encourage the clients to form various exercise groups based on community interest. b. Perform weekly blood pressure screenings at the community center. c. Work with local health care practitioners to establish a free clinic. d. Provide for guaiac stool testing for clients who have a family history of colon cancer.

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

A 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. "It is common to experience a persistent state of sadness while grieving." b. "Disturbances in your self-esteem is an expected grief reaction." c. "You will feel a sense of hopelessness throughout the grieving process." d. "A component of healthy grieving is the ability to openly express your anger."

d. "A component of healthy grieving is the ability to openly express your anger." The nurse should teach the family that they will experience feelings of anger, guilt, shame, and doubt while grieving. The ability to openly express their feelings of anger is an expected grief reaction.

A nurse is performing a home visit for a client who has tuberculosis (TB). As the nurse is leaving the client's house, a neighbor asks, "Is it true that my neighbor has TB?" Which of the following responses should the nurse make? a. "You should ask the public health department." b. "You should take precautions against this infection." c. "Have you ever been tested for tuberculosis?" d. "Do you have questions about tuberculosis?"

d. "Do you have questions about tuberculosis?" This response addresses the neighbor's concerns while protecting the client's confidentiality.

A nurse manager at a community health clinic is presenting an in-service for nurses about assessing clients who have experienced violence. Which of the following statements by a nurse indicates an understanding of the teaching? a. "I do not need to ask about violence at future visits once I determine that a client is not at risk." b. "I should not document the name of the person the client accuses of the violence in the client's medical record." c. "I should wait until I see signs of physical violence before I help the client develop a safety plan." d. "I should determine whether a client who has been sexually assaulted requires a rape kit examination."

d. "I should determine whether a client who has been sexually assaulted requires a rape kit examination." Clients who report sexual assault within a certain time frame should undergo a rape kit examination. In some cases, collection must be obtained within 24 hr of the occurrence. However, the time frame can vary based on the type of assault. The nurse should also provide information regarding support groups and resources for clients who have been sexually assaulted.

A home health nurse is evaluating a partner's understanding of postoperative care of a client who had a total hip arthroplasty. Which of the following statements by the partner indicates an understanding of the prescribed care? a. "I will let my partner skip exercises on days when the pain is increased." b. "I will inspect the incision site every other day." c. "I will place a heating pad at the incision site to help manage pain." d. "I will remind my partner to use a walker when moving around in the house."

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

A community health nurse is approached by a member of the community who voices concerns about air pollution. Which of the following statements by the nurse indicates the nurse needs further education regarding confidentiality? a. "Records indicate that several pesticides have been entering the local streams, causing significant water pollution." b. "According to the latest research, the infant mortality ratio is 6.7 per 1,000 live births in this community." c. "Residents near Cherry Street Substation have a mortality rate of 29.6% from brain tumors compared to the citywide rate of 9.2%." d. "The circulation supervisor at the library is concerned about the amount of air pollution coming from the town's industrial corridor."

d. "The circulation supervisor at the library is concerned about the amount of air pollution coming from the town's industrial corridor." The nurse has a responsibility to protect community members who share concerns or provide controversial information.

A nurse is assessing the risks and benefits of meal delivery services for a client who lives alone and has no transportation. Which of the following ethical principles is the nurse demonstrating? a. Distributive justice b. Respect for autonomy c. Fidelity d. Beneficence

d. Beneficence The nurse is demonstrating the ethical principle of beneficence by determining if the client needs this service to maintain their health.

A public health nurse is developing a visual health program by using a community-oriented approach. Which of the following interventions should the nurse include? a. Teach a client who has vision loss about safety in the home environment. b. Provide genetic counseling to the family of a newborn who has congenital cataracts. c. Develop a plan of care for a client who was newly diagnosed with glaucoma. d. Consult with the local school nurse to schedule yearly vision screenings for students.

d. Consult with the local school nurse to schedule yearly vision screenings for students. Consulting with the local school nurse to schedule yearly vision screenings for students focuses on the health care of a population rather than illness care for individuals. Therefore, this intervention is using a community-oriented approach.

An occupational health nurse in a factory is performing a routine tuberculosis screening and identifies an employee who has a positive Mantoux tuberculin test. Which of the following actions should the nurse plan to take? a. Administer prophylactic penicillin to other employees. b. Initiate an employee immunization program. c. Instruct the employee to wear an N95 respiratory mask. d. Instruct the employee that they will need to obtain a chest x-ray.

d. Instruct the employee that they will need to obtain a chest x-ray. The presence of a positive Mantoux skin test can indicate the client has been exposed to the tuberculosis organism. A chest x-ray will determine if the disease is active or dormant.

A case manager is planning an educational program for a client who has diabetes mellitus. Which of the following activities should the nurse include when using the psychomotor domain of learning? a. Review a color diagram of the food pyramid with the client. b. Show the client a video about how to monitor blood glucose levels. c. Encourage the client to discuss their feelings of self-worth. d. Observe the client's technique for drawing up insulin.

d. Observe the client's technique for drawing up insulin. The nurse should include this activity in order to use the psychomotor domain of learning because it requires coordination and the use of motor skills.

A school nurse is reviewing the records of four students who are returning to school after being diagnosed with methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take? a. Coordinate an immunization clinic at the school. b. Recommend prophylactic treatment for classmates. c. Report the cases of MRSA to child protective services. d. Provide education about MRSA throughout the school system.

d. Provide education about MRSA throughout the school system. The nurse should provide education about hand hygiene and self-care to help prevent the spread of MRSA throughout the school and community.

A community health nurse is planning a health education program for adults. The nurse should plan to take which of the following actions during the program? a. Use medical terminology throughout the presentation. b. Avoid the use of technology to display images and videos. c. Extend the presentation to include as much information as possible. d. Provide take-home materials written at a 6th-grade level.

d. Provide take-home materials written at a 6th-grade level. The American Medical Association and the National Institutes of Health recommend that take-home documents are written at a 6th- to 8th-grade level or lower to promote client understanding of the provided material.

A community health nurse is discussing the role of a faith community nurse with a chaplain. Which of the following information should the nurse include in the discussion? a. The faith community nurse can provide pharmacological pain management for clients who have a terminal illness. b. The faith community nurse can plan workplace safety training for employees in a local factory. c. The faith community nurse can provide wound care for clients in their homes. d. The faith community nurse can facilitate substance use disorder support groups.

d. The faith community nurse can facilitate substance use disorder support groups. This is one of the roles of a faith community nurse.

A nurse in a clinic is caring for a client who reports taking ginkgo biloba for several weeks after seeing a naturopathic healer. The nurse should instruct the client that ginkgo biloba can alter the effects of which of the following medications? a. Diltiazem b. Metoprolol c. Digoxin d. Warfarin

d. Warfarin Ginkgo biloba can hinder coagulation. Therefore, the nurse should instruct the client that ginkgo biloba can alter the effects of warfarin.