Community

15. Which of the following is an example of the responsibilities of public health nursing

informing state health officials of a potential meningitis outbreak

1. A nurse is planning a primary prevention strategy for reducing obesity in a community . Which of the following strategies should the nurse use ?

educate children about nutrition and exercise at a daycare center

Scheduling home visits, which is best for the home health charge nurse to assign to the

A bed fast client who needs daily irrigation of a stage 4 pressure ulcer

18. After presenting several teaching sessions to a group of high school students about the harmful effects of tobacco use, a nurse valuates the teaching to be effective when a student states which of the following

"As long as I stop smoking while I am young, none of those diseases will affect me"

16. A nurse is providing a staff development program on HIPPA regulations to the staff at a community health clinic. Which of the following comments by one of the attendees would indicate a need for further teaching?

"Demographic data that identify a client can be released without consent"

42. A school nurse is caring for a child who has Muscular Dystrophy and is having difficulty swallowing at lunch. Which of the following referrals should the nurse initiate? A. Occupational therapist B. Respiratory therapist C. Dietitian D. Speech language therapist

D. Speech language therapist

31. A parish nurse is visiting an older adult client who was recently widowed. The client tells the nurse that he no longer has a way to get to the grocery store or the doctor. Which of the following responses by the nurse is appropriate

"How would you feel about me contacting a local service that helps older adults with transportation?"

19. A home health nurse is educating a client diagnosed with COPD about home oxygen use. Which of the following statements by the client indicates a need for additional teaching

"I should use wool blankets on my bed when oxygen in use"

22. A community health nurse is teaching a client who has tuberculosis about modes of disease transmission. The nurse recognizes that the client understands the concept when the client makes which of the following statements

"I will wear a mask when I'm in an enclosed area with other people"

20. A nurse is providing teaching to the wife of a client who has had a stroke regarding health-related services that will be provided in the home. Which of the following statements by the wife indicates that the teaching has been effective?

"The physical therapist will teach my husband exercises to increase hand dexterity"

35. A nurse working for a home hospice organization recognizes that clients must meet which of the following criteria to qualify for hospice care

*Documented need for palliative care

29. A community health nurse notes that 6 new cases of diabetes mellitus have been reported in the past 3 months. In the previous year, 5 cases are reported. The population of the community is 15000 people. Which of the following is the prevalence proportion for the community? A. 73.3/100,000 B. 0.9/100,000 C. 40.0/100,000 D. 33.3/100,000

A. 73.3/100,000

43. A home health nurse is reviewing messages from a group of clients. Which of the following clients should the nurse contact first? A. A client reports that her new colostomy stoma appears purple B. A mother who reports that her son vomited after a dose of Methylphenidate C. A client who has COPD and reports oxygen saturation of 90% D. A client who reports feeling a vibration in his new internal arteriovenous graft for dialysis

A. A client reports that her new colostomy stoma appears purple

16. The partner of an older adult client who has Alzheimer's disease reports that he is not eating. The home health aide tells the nurse that the client's partner refuses to assist the client with feeding. The partner insists that the client feeds himself without help. Which of the following is the priority action the nurse should take? A. Determine the client's ability to self-feed B. Refer the client's partner to an Alzheimer's support group C. Arrange for meals-on-wheels assistance D. Direct the home health aide to assist with meals

A. Determine the client's ability to self-feed

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

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

58. A community health nurse is in the initial phase of planning a smoking cessation program. Which of the following is the first action the nurse should take? A. Determine the prevalence of smoking in the community B. Formulate objectives for the smoking cessation program C. Gain community support for the program D. Evaluate the methods of successful smoking cessation programs

A. Determine the prevalence of smoking in the community

7. A hospice nurse is planning care for a client who follows traditional American Indian practices. Which of the following actions should the nurse take? A. Discuss safe use of herbal medications B. Provide direct eye contact when communicating with the client's family C. Face the client's bed towards the east D. Develop a list of appropriate hot and cold food choices

A. Discuss safe use of herbal medications

41. During a routine school visit to physical education class, a nurse receives multiple reports of shortness of breath, coughing, and nausea. Which of the following actions should the nurse take first? A. Establish a triage area B. Notify the parents of the students C. Contact the local Health Department D. Administer oxygen therapy

A. Establish a triage area

24. A public health nurse addresses community leaders at a forum about Community Improvement. The nurse should identify that which of the following groups is being the fastest growing segment of the homeless population? A. Families who have children B. Men who are unemployed C. People who have substance use disorders D. Adolescent Runaways

A. Families who have children

13. An occupational health nurse is discussing health promotion with a client who has a history of obesity. Which of the following comment indicates the client is using rationalization as a coping mechanism? A. I am obese because it is in my genes B. I know you don't like me because I'm obese C. I have lots of health problems from being obese D. I have difficulty resisting the items in vending machine

A. I am obese because it is in my genes

56. A home health nurse is providing teaching to a client who has diabetes mellitus about proper disposal of insulin syringes. Which of the following statements by the client indicates an understanding of the teaching? A. I will discard the syringes in a metal container B. I will store use syringes in a biohazard bag before discarding C. I will take containers of used syringes to the local recycling center D. I will wear gloves when I discard the syringes

A. I will discard the syringes in a metal container

5. A school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? (Select all that apply) A. Lobbying for funding for health promotion efforts B. Recommending a seating arrangement for a child in a body cast C. Teaching a class about the risks of cigarette smoking D. Create a plan of care for children who have a diagnosis of diabetes mellitus E. Organizing a program to promote skateboard safety

A. Lobbying for funding for health promotion efforts C. Teaching a class about the risks of cigarette smoking E. Organizing a program to promote skateboard safety

9. 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 need to care for the clients which of the following government agencies should the nurse notify to follow up on these reports? A. OSHA B. Center for Disease Control C. Environmental Protection Agency D. Department of Health and Human Services

A. OSHA

31. A Community Health nurse is working with a migrant population. The nurse should recognize that which of the following interventions is necessary to provide care to the population? A. Providing health services at work sites B. Treating clients on a fee-for-service basis C. Requiring clients to show a work visa before they receive care D. Offering health screenings at a community center

A. Providing health services at work sites

59. 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? A. Teach the partner about getting enough rest B. Suggest an assistive personnel visits daily to provide client care C. Encourage the partner to invite family members to assist with client care D. Explore possible solutions with the partner

A. Teach the partner about getting enough rest

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

A. The provider is paid a fixed sum for the client on a monthly or yearly basis

25. A home health nurse is teaching a client about the safe use of crutches. Which of the following information should the nurse include in the teaching? A. Wipe the rubber crutch tips to remove moisture B. Wear leather soled shoes when walking with crutches C. Lean forward while walking with crutches D. Support body weight on the axillae

A. Wipe the rubber crutch tips to remove moisture

33. What patient would the Home Health Nurse send to the doctor first

Abdominal pain

37. A nurse is providing education to a troop of local Boy Scouts regarding first aid for venomous snake bites in the event that transport to the hospital is delayed. Which of the following would be appropriate information to include in teaching about bites to an extremity

Apply a constricting band above the bite while maintaining circulation below the bite

23. A nurse is caring for a client who asks "can I decide not to continue with chemotherapy?" The nurse responds, "This is your choice and I'lI support whatever decision you make." The nurse's response is an example of which of the following ethical principles

Autonomy

1. A home health nurse is providing teaching to the guardian of a child who has leukemia about methods to prevent complications. Which of the following statements by the guardian indicates an understanding of the teaching? a. I'm sure my child will feel better now that he can ride his bike b. I should inspect my child's mouth for sores c. I should take my child's rectal temperature daily d. I will make sure my child gets his MMR vaccination this week

B. I should inspect my child's mouth for sores

17. The first response team is working at the location of a bombing incident. A nurse triaging in the group of clients should give treatment priority through which of the following clients? A. A client who is ambulatory and exhibits manic behavior B. A client who has a rigid abdomen and manifestations of shock C. A client who has a femur fracture and a 2 + pedal pulse D. A client who has superficial partial thickness burn injuries over 5% of his body

B. A client who has a rigid abdomen and manifestations of shock

22. A home health nurse is making a home safety evaluation visit for an older client who was recently discharged from the facility after receiving a diagnosis of diabetes mellitus. Which of the following findings indicate a need for corrective intervention? SATA A. A red light is kept on in the bedroom at night B. An extension cord extends across the floor from an outlet to the floor lamp C. The water heater is set at 130 degrees Fahrenheit D. A rubber backed bathmat is on the floor outside the shower E. The floors of the house are made of wood.

B. An extension cord extends across the floor from an outlet to the floor lamp C. The water heater is set at 130 degrees Fahrenheit

1. A community health nurse is providing teaching about nutrition guidelines to a group of adolescents. Which of the following information should the nurse include in teaching? A. Adolescents have a decrease need for calcium due to high milk intake B. Appetite naturally increases during the adolescent years C. 75% of adult bone mass is developed during the adolescent years D. Empty calories provide 70% of the total calories consumed by adolescents

B. Appetite naturally increases during the adolescent years

37. During a home health visit, a school-age child who has muscular dystrophy confides in the nurse that he was struck by his parent. Which of the following actions should the nurse take first? A. Report the incident to local authorities B. Check the client for injuries C. Refer the parent to Social Service Agency D. Enroll the parent in anger management classes

B. Check the client for injuries

20. A nurse case manager is providing discharge planning for a client. The nurse is functioning in which of the following roles when arranging for the delivery of medical equipment to the client's home? A. Systems allocator B. Coordinator C. Consultant D. Advocate

B. Coordinator

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

B. Determine potential environmental health hazards

2. An occupational health nurse is caring for a client who does not speak the same language as the nurse. Which of the following actions should the nurse take first? A. Validate the clients understanding of communicated information B. Determine the client's primary language C. Use common words and phrases when speaking to the client D. Obtain a translator that is the same gender

B. Determine the client's primary language

28. A community health nurse is planning a program for young adults about STI prevention. Which of the following actions should the nurse take preparing for this program? A. Identify topics with Health Department nurses B. Develop content appropriate to learner needs C. Arrange for computer-assisted learning D. Collect data to identify learner current knowledge base

B. Develop content appropriate to learner needs

35. Which of the following federal agencies should a community health nurse seek guidance from regarding a public building that has asbestos leaking from rips in the heating duct insulation? A. National Institutes of Health B. Environmental Protection Agency C. Centers for Disease Control and prevention D. Department of Health and Human Resources

B. Environmental Protection Agency

46. A public health nurse is assisting a client who is a recent immigrant. The client refuses assistance from community resources. Which of the following actions should the nurse take to provide culturally appropriate care? A. Explain that the client must use the available resources B. Learn more about the client Ethnic values C. Review the client's current health practices D. Use a family member as an interpreter when discussing services E. Use relevant nonverbal communication techniques

B. Learn more about the client Ethnic values C. Review the client's current health practices

47. A community health nurse is teaching a group of older clients about hypertension. The nurse should identify that which of the following clients has a barrier to learning? A. Fear of public speaking B. Low literacy C. Limited experience D. Lack of credibility

B. Low literacy

6. A recently hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect physical hazards? A. Identify industrial toxins that are present in the environment B. Measure noise levels at various locations in the facility C. Track rates of illness caused by infection among employees D. Survey workers about job-related emotional stress

B. Measure noise levels at various locations in the facility

19. A community health nurse is teaching a group of adolescent clients about substance use disorders. Which of the following statements by a client indicates an understanding of the teaching? A. Barbiturates cause an increase in heart rate B. Opioids cause a decrease in respiratory rate C. Anabolic steroids stimulate the immune system D. Amphetamines alleviate symptoms of depression

B. Opioids cause a decrease in respiratory rate

The PHN bag is an important tool in providing nursing care during a home visit. The most important principle of bag technique states that it A. Should save time and effort. B. Should minimize if not totally prevent the spread of infection. C. Should not overshadow concern for the patient and his family. D. May be done in a variety of ways depending on the home situation, etc.

B. Should minimize if not totally prevent the spread of infection Bag technique is performed before and after handling a client in the home to prevent transmission of infection to and from the client.

34. A nurse is assessing an outbreak of mumps among school-age children. Using the epidemiological triangle, the nurse should recognize that which of the following is the host? A. The virus B. The children C. The vaccine D. The school

B. The children

14. A home health nurse is evaluating an older client. Which of the following assessment findings should the nurse report as a possible indicator of elder abuse? A. The client attends Alcoholics Anonymous meetings B. The client exhibits extreme thirst C. The client receives in home meal delivery D. The client reports that his son no longer visits

B. The client exhibits extreme thirst

27. A community health clinic is planning annual goals. Which of the following outcomes addresses the ethical principle of distributive justice? A. Clients verbalize their right to refuse treatment B. Clients understand the right to confidentiality C. Clients receive Medicare benefits when eligible D. Clients demonstrate completion of advance directives

C. Clients receive Medicare benefits when eligible

3. A case manager is caring for a client who is being discharged following a total hip arthroplasty. Which of the following actions is an example of the nurse functioning in the negotiator role? A. Providing social service with the list of needed referrals B. Reporting safety concerns to the Home Health agency C. Discuss payment options with various pharmacies D. Schedule appointments for physical therapy services

C. Discuss payment options with various pharmacies

21. A nurse is providing teaching to a newly licensed nurse about case management. The nurse should include that which of the following tasks is the responsibility of the case manager? A. Teach smoking cessation support group B. Perform employee risk assessments C. Evaluate the cost effectiveness of client's treatments D. Enforce OSHA standards in the workplace

C. Evaluate the cost effectiveness of client's treatments

51. A nurse is discussing short and long-term goals with a client who has alcohol use disorder and has been admitted to a treatment facility. Which of the following statements is appropriate for the nurse to include in the discussion? A. Remaining physically active will help to minimize drowsiness and chills associated with initial alcohol withdrawal B. He will be taking a once weekly dose of disulfiram to help control withdrawal symptoms during treatment C. He will begin learning functional skills to replace his defense mechanisms and behaviors while in treatment D. Attending AA meetings will help you identify a role model to assist you with making needed changes

C. He will begin learning functional skills to replace his defense mechanisms and behaviors while in treatment

40. A nurse is conducting a community assessment. Which of the following information should the nurse include as part of the windshield survey? A. Demographic data B. Informant interviews C. Housing quality D. Mortality rate

C. Housing quality

57. A nurse is providing teaching to a client who has a confirmed case of tuberculosis. Which of the following statements by the client indicates teaching has been effective? A. I will have a repeat tuberculin skin test every 6 weeks B. I will be contagious until I have completed the full medication regimen C. I will be taking medication daily for least 6 months D. I will need to have a special HEPA filter installed in my home

C. I will be taking medication daily for least 6 months

33. A home health nurse is visiting a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first? A. Teach the client about appropriate food choices B. Refer the client to diabetes mellitus support group C. Identify the client's dietary preferences D. Develop a nutritional program

C. Identify the client's dietary preferences

54. A community health nurse is educating a parent about the importance of hepatitis B immunization. Which of the following explanations should the nurse give to the parent about the disease? A. One dose of the immunization gives children life-long protection from hepatitis B B. Hepatitis B spreads easily among children through casual contact C. Many people who acquire acute hepatitis B develop chronic hepatitis D. People who have had a Hepatitis B infection still need the immunization

C. Many people who acquire acute hepatitis B develop chronic hepatitis

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

C. Motor vehicle safety

26. A community health nurse is caring for a client who has a new diagnosis of gonorrhea. Which of the following actions should the nurse take? A. Obtain a blood culture B. Change the client about application of imiquimod cream C. Notify the State Health Department D. Administer metronidazole 500 mg PO

C. Notify the State Health Department

60. A nurse volunteering at a local community center is addressing a variety of health needs with a group of older adult clients. Which of the following interventions should the nurse identify as a tertiary prevention strategy? A. Holding a cooking class that focuses on low sodium meals B. Calculating the BMI of all clients C. Providing a class on living with arthritis D. Distributing literature regarding signs and manifestations of a stroke

C. Providing a class on living with arthritis

30. A community health nurse is teaching a group of parents about manifestations of alcohol withdrawal. Which of the following manifestations should the nurse include in teaching? A. Hypotension B. Hyperglycemia C. Seizures D. Somnolence

C. Seizures

53. A parish nurse is planning activities for a faith-based community. Which of the following activities should the nurse include? A. Offer primary care to uninsured members B. Change a negative pressure wound therapy dressing C. Teach stress management strategies D. Provide case management

C. Teach stress management strategies

8. A community health nurse is working with a group of homeless veterans who have post- traumatic stress disorder. Which of the following interventions should the nurse implement? A. Provide coffee and snacks during the meetings B. Avoid discussing the traumatic event experienced by the veterans C. Teach the clients to practice deep breathing exercises D. Change the meeting sites frequently

C. Teach the clients to practice deep breathing exercises

45. A nurse in a community health center is counseling a group of clients who are currently experiencing intimate partner abuse. Which of the following strategies is a priority for the nurse to include in the counseling? A. Providing referrals for legal counseling B. Identifying a primary support person C. Using stress management techniques D. Developing an escape plan

C. Using stress management techniques

10. A nurse is providing teaching to a 50-year-old female client. Which of the following statement should the nurse include in teaching? A. You should have your fasting blood glucose level checked every 6 years B. You should have your hearing screen every 5 years C. You should have complete eye examination every two years until the age of 64 D. You should have your stool tested for blood every other year until the age of 74

C. You should have complete eye examination every two years until the age of 64

55. A client presents to the emergency department after being exposed to anthrax. The nurse should recognize that the

Chances of recovery are good if improvement is seen in 3 to 5 days.

47. A school nurse is planning an educational for parents about head lice. The nurse should include which of the following in the program?

Combs should be placed in boiling water for 10 min.

46. A nurse planning and education program for new inmates in a correctional facility. Which of the following topic is most important for the nurse to include in the teaching?

Communicable disease prevention

30. A nurse is working in an occupational health setting. Which of the following is a primary prevention activity for the nurse

Conducting smoking cessation classes

12. A nurse manager at a clinic is reviewing the preventive services offered to clients. Which of the following activities should the nurse identify as secondary prevention activity? A. Advocate for laws that prohibit texting while driving B. Provide a smoking cessation class C. Refer a client who is recovering from substance abuse disorder to a social service program D. Encourage a pregnant client to participate in prenatal care

D. Encourage a pregnant client to participate in prenatal care

Training of potential leaders in the community

Core group formation

15. A nurse in a health department is participating in an immunization clinic. The nurse should identify that which of the following children requires an alteration in the standard immunization schedule? A. An 18-month-old toddler who has failure to thrive B. A three-year-old toddler has leukemia C. A four-month-old infant who has Down syndrome D. A 12-month-old infant who has sickle cell disease

D. A 12-month-old infant who has sickle cell disease

48. A nurse is reviewing data for communicable diseases in a rural health region. Which of the following data should the nurse identify as factor affecting the spread of communicable diseases? A. An increase in migrant farm workers living in the community B. An antigenic shift in the composition of strain of influenza C. A decrease in the number of ambulatory clinics in the area D. A change in the prevalence of older adults obtaining the pneumococcal vaccine

D. A change in the prevalence of older adults obtaining the pneumococcal vaccine

4. A nurse manager is providing teaching to a newly licensed nurse about Mantoux testing. Which of the following clients should the nurse manager include as an example of a client who might manifest a false positive reading? A. A client who has lived in a country where tuberculosis is endemic B. A client who has undergone radiation therapy within last 3 years C. A client who has acquired immune deficiency syndrome D. A client who has received the Bacille Calmette-Guerin vaccine within the last 10 years

D. A client who has received the Bacille Calmette-Guerin vaccine within the last 10 years

11. A nurse is caring for a client who asks, "Can I decide not to continue with chemotherapy?" The nurse response is, "This is your choice, and I'll support whatever decision you make." The nurse's response is an example of which of the following ethical principles? A. Beneficence B. Nonmaleficence C. Veracity D. Autonomy

D. Autonomy

36. A nurse educator is teaching a group of newly licensed nurses about maintaining client confidentiality according to HIPAA regulations. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? A. We should share our computer passwords with our manager B. A client's diagnosis can be posted on the communication board inside the client's room C. HIPAA rules vary from state to state D. HIPAA rules allow clients to receive a copy of their medical records

D. HIPAA rules allow clients to receive a copy of their medical records

18. A client arrives at a mental health clinic and tell the nurse that she has no purpose in life. Which of the following is the nurse's priority response? A. How long have you been feeling this way? B. Do you really think your life has no purpose? C. Tell me what is going on with you right now? D. Have you been thinking about harming yourself?

D. Have you been thinking about harming yourself?

39. A nurse in a clinic is reviewing home safety precautions with a client who is to begin radioactive iodine therapy. Which of the following statements of the client indicates an understanding of the teaching? A. I will wait one week after treatment to use a laxative B. I will allow my granddaughter to visit for 4 hours daily C. I will use cloth handkerchiefs instead of tissues D. I will use a toilet that is not used by others in my family

D. I will use a toilet that is not used by others in my family

32. A nurse is working with parent suspected of child abuse recognizes that the social factor most predictive of abusive behavior is which of the following? A. Inadequate living conditions B. Social isolation C. Relationship difficulties D. Prior exposure to violence

D. Prior exposure to violence

52. 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 determine the effectiveness of the plan? A. Use in-services to have the staff discussed various disaster scenarios B. Test staff to determine their knowledge of the principles of the plan C. Analyze findings from a facility tabletop disaster simulation D. Review how the staff implements the plan during a hands-on practice drill

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

49. 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 are responsible for voluntarily reporting cases of this disease to the Centers for Disease Control and prevention? A. Office of the Surgeon General B. Local Red Cross chapter C. Hospital infection control Department D. State Health Department

D. State Health Department

23. A community health nurse is planning to use web-based information resources in the care of a client who is undergoing dialysis. Which of the following criteria should the nurse consider selecting an appropriate resource for the client? A. The website is sponsored by Health Care political action committee B. The website provides a peer review process for publishing information C. The website is hosted by a dialysis equipment Marketing Group D. The website is updated every 5 years

D. The website is updated every 5 years

28. An occupational health nurse is planning a program on early detection of breast cancer for female employees at a local business. Which of the following is the first action the nurse should take

Determine employee knowledge level of breast self-examination

32. A case manager nurse is caring for a client being discharged post total hip arthroplasty. Which of the following activities is an example of the nurse functioning in the negotiator role

Discussing payment options with various pharmacies

21. A nurse is assisting with the development of a disaster management plan for a local community. During which of the following times should an evacuation plan be disclosed to the public

During disaster preparedness activities

58. Primary Goal of Community Health Nursing

Enhance the individuals, families and communities

29. While addressing community leaders at a forum for establishing community improvement initiatives, a public health nurse identifies which of the following groups as the fastest growing segment of the homeless population

Families with children

26. Which of the following activities is the responsibility of a case manager?

Evaluate cost effectiveness of client treatments

Prenatal consult asked HHN if she can have her delivery at home, HHN advised her against a home delivery because

Her OB score is G5P3

34. A community health nurse is evaluating an outbreak of hepatitis A among adult clients in his community. Which of the following should the nurse do to identify the cause of the disease

Identify restaurants where the clients have recently eaten

17. A nurse administers a tuberculin skin test to a client who is HIV positive. Which of the following indicates a positive reaction to the test?

Induration at infection site of 8 mm

Type of water supply facility composed of system with piped distribution network and household taps

Level III

52. Several nurses affiliated with a church are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. Which of the following is appropriate to include in regard to care they could provide?

Organize a flu immunization clinic with the American Red Cross.

25. A community health nurse working with a migrant population recognizes that which of the following is necessary to provide care to this population

Offering health screenings at a community center

27. A nurse uses a secondary prevention intervention when doing which of the following

Performing hypertension screening in a community center

53. A public health nurse is tracking reports of flu-like illness in the local school system. This is an example of which of the following approaches?

Prevalence rate

44. A community health nurse is teaching a client who has active tuberculosis about disease management. Which of the following information should be included in the teaching

Provide sputum cultures until three come back negative

50. A community health nurse is providing instruction about infection control to the family of 5-years-old child who has impetigo contagious. The child has siblings living in the home. Which of the following recommendations is appropriate?

Provide the child with separate towels and lines

45. A public health nurse has received a report of several infants who attend the same daycare being diagnosed with respiratory syncytial virus (RSV). Which of the following actions should the nurse take first

Provide the staff with information regarding measures to minimize disease transmission

A 6 months' pregnant and comes to the center for consult and what med is contraindicated

Retinol 2000,000 IU

59. Nurse is working with interdisciplinary group to write procedures for assessment of clients from multiracial inner city population. "Remember that all Hispanic clients may not wish to give personal med information to a stranger"

Recommend changing the language that stereotypes one ethnic group

54. Which of he following activities would the school nurse perform in the role a consultant?

Recommend policy chances to minimizes the spread of influenza

49. A nurse is educating a community about disaster planning for an upcoming hurricane season. Which of the following is an example of personal preparedness?

Recommending that each family has batteries, a radio and a flashlight

40. A community health nurse is conducting a community assessment. Which of the following data should be included as a component of the assessment

Resources available to address health care issues

56. 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 conditions?

Rigid abdomen with symptoms of shock

41. A school nurse is creating a plan to address an increase in violence among high school students. Which of the following is a secondary prevention strategy that the schools nurse can implement

Surveying students to identify risk factors for bullying

24. A community health nurse is working with a family in which only the children speak English. The nurse should select a translator who is

Skilled in health-related interpretation

48. A home health nurse is assessing a client who was diagnosed with congestive heart failure. Which of the following assessment finding should be reported to the provider?

Sodium level of 119

Severe dehydration symptoms

Sunken eyes Skin pinch goes back slowly Abnormally sleepy or difficult to awaken

Nurse is performing an intake interview at a prenatal clinic on a patient who is at 6 weeks gestation

Supervision of the renovation of an old house the family just purchased due to possible teratogen effects

Primary prevention of Asthma

Take bronchodilator first

36. A nurse is working with a case manager for a client who participates in a health maintenance organization. Which of the following is characteristic of the payment structure provided under this system

The client pays the insurer a percentage of the total costs for each service rendered by the provider

39. A nurse is providing teaching to a community group regarding smallpox. Which of the following is an appropriate response in relation to why people who received a single vaccination prior to 1980 are no longer considered protected

The vaccine does not confer life-long immunity

43. A nurse is preparing to provide postmortem care for a client who is Chinese American. Which of the following should the nurse consider when providing care

The family will remain with the body until burial

57. A home health nurse is making a home safety evaluation visit with an older adult client recently discharged from the hospital after being diagnosed with diabetes mellitus. Which of the following findings indicates a need for a corrective intervention? Select all that apply)

The hot water heater is set at 130 F An extension cord extends across the floor from the electrical outlet to floor lamp.

42. A school nurse is assessing the spinal alignment of students at a grade school. Which of the following findings indicates a child should be assessed further for scoliosis

Unilateral scapular hump when the child bends at the waist

38. In reviewing goals of "healthy people" nurse determines the community has a significant problem preventing dental caries in children. To bring about change

WIC program intake offices

51. A client tells a nurse that she is planning a hiking trip. Which of the following measures should the nurse recommend minimizing the client's risk for contracting Rocky Mountain spotted fever?

Wear protective clothing

5. A community health nurse is reviewing laboratory results for his case load of clients . Which of the following is the highest priority finding ?

a sputum specimen that is positive for tuberculosis

51.A nurse is triaging clients who were involved in a commuter train care. Which of the following should the nurse choose for transport to the ER first? a. A client who is exhibiting agonal respirations with fixed or dilated pupils b. An ambulatory client who has a nosebleed and reports feeling dizzy c. A client who has a fracture of the humorous with a 2+ radial pulse in the affected arm d. A client who has full-thickness burns injuries over 30% of his total body surface area

a. A client who is exhibiting agonal respirations with fixed or dilated pupils

7. A nurse is teaching a group of clients about ways to prevent skin cancer. Which of the following statements by the nurse demonstrates a primary prevention strategy? a. Avoid direct sunlight b/t 10am-4pm b. Apply cool tap water soaks for 20 mins to relieve sunburn c. Use acetaminophen as needed for sunburn d. Ensure you have a yearly skin examination with your provider

a. Avoid direct sunlight b/t 10am-4pm

41.A school nurse is caring for a child who has muscular dystrophy and is having difficulty swallowing at lunch. Which of the following referrals should the nurse initiate? a. Dietician b. Speech-language therapist c. Respiratory therapist d. Occupational therapist

b. Speech-language therapist

53.A nurse at a rural clinic is interviewing a family who has different cultural beliefs than the nurse. The family reports seeing a folk healer. Which of the following statements should the nurse make? a. Describe how you hope the treatments will affect your health b. Alternative health practices could be dangerous and should be avoided c. Many folk medicine treatments work by providing a placebo effect d. I can refer you to a medical practioner for your health care needs

a. Describe how you hope the treatments will affect your health

20. A nurse is planning a primary prevention strategy for reducing obesity in a community. Which of the following strategies should the nurse use? a. Educate children at a day care center about nutrition and exercise b. Measure the BMI of older adults at a community center c. Encourager enrollment and attendance at a weight0-reduction program d. Distribute health risk appraisal questionnaires at community functions

a. Educate children at a day care center about nutrition and exercise

59.A nurse in a 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

32.A nurse is planning an in-service about isolation precautions for her co- workers. For which of the following infections should the nurse identify the need for contact precautions. a. Herpes simplex b. Pertussis c. Diphtheria d. Pulmonary tuberculosis

a. Herpes simplex

6. 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

58.A nurse is in a clinic is reviewing home safety precautions with a client who is to begin radioactive iodine therapy. Which of the following statements by the client indicates an understanding of the teaching? a. I will use a toilet that is not used by others in my family b. I will wait one week after treatment to use a laxative c. I will allow my granddaughter to visit for 4 hours daily d. I will use cloth handkerchiefs instead of tissues

a. I will use a toilet that is not used by others in my family

47.A school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? (SATA) a. Lobbying for funding for health promotion effects b. Recommending a seating arrangements for a child in a body cast c. Creating a plan of care for children who have a diagnosis of DM d. Organizing a program to promote skateboard safety e. Teaching a class about the risks of cigarette smoking

a. Lobbying for funding for health promotion effects d. Organizing a program to promote skateboard safety e. Teaching a class about the risks of cigarette smoking

31.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

38.A nurse in an extended facility enters the room of a client and notices a fire in the trash can. Which of the following is the nurse's priority? a. Move the client to another location b. Activate the alarm c. Shut the windows and doors d. Attempt to extinguish the fire.

a. Move the client to another location

46.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? a. Nystagmus b. Tachypnea c. Euphoria d. Dilatated pupils

a. Nystagmus

43.A community nurse health nurse is working with a task force to decrease community violence. Which of the following planned interventions should the nurse identify as a primary prevention strategy? a. Providing parenting classes for local patients b. Arranging for a local clinic to provide methadone treatments c. Providing sexual assaultnurse examiner training for nurses in the local clinic d. Developing protocols for managing victims of violence

a. Providing parenting classes for local patients

23. A home health nurse is caring for a client who has terminal cancer and no longer wants to receive enteral feeding tube feeding. Which of the following actions should the nurse take? a. Request the facility Chaplin to visit the client b. Ask the client to sign an informed consent c. Complete an against medical advice form d. Explain the process for completing a living will.

a. Request the facility Chaplin to visit the client

55. A nurse working in a 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

21. A parish nurse is planning activities for a faith-based community. Which of the activities should the nurse include? a. Teach stress management strategies b. Provide case management c. Offer primary care to uninsured members d. Change the negative pressure wound therapy dressing

a. Teach stress management strategies

30.A nurse is providing teaching to a client about directives regarding end-of- life care. Which of the following information should the nurse include in the teaching? a. The client can chose a non-family member as the designated power of attorney b. The living will binding contract between the client and the provider c. The client family has the authority to revoke the do-not-resuscitate order at any time d. The client can verbally choose a health care proxy it two nurses witness the designation.

a. The client can chose a non-family member as the designated power of attorney

14.A nurse is teaching a to a 50-year old female client. Which of the following statement should the nurse include in the teaching? a. You should have a complete eye exam every 2 years until the age of 64. b. You should have your stool tested for blood every other year until the age of 74 c: You should have your hearing screened every 5 years d. You should have your fasting Blood glucose level checked every 6 years

a. You should have a complete eye exam every 2 years until the age of 64.

6. A nurse is triaging victims of a commuter train crash . Which of the following clients should be transported to the Emergency Department first ?

an ambulatory client whose nose is bleeding and who reports feeling dizzy

4. A state public health nurse is asked to determine which country has the most people living in it with a diagnosis of Alzheimer's disease . Which of the following measures will determine this information ?

analytic epidemiology

26.A nurse is participating in a quality improvement committee for home health clients. Which of the following topics should the nurse recommend for the committee to review? a. An increase in levels of local air pollution b. An increase in client falls at home c. An increase in clients receiving annual flu vaccines d. An increase in client admission for home health care

b. An increase in client falls at home

50.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 approiate 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 comping behaviors d. Publishing a listing of shelter locations in local media source

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

29.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 snacks

b. Describe the place where you are currently living

15.A nurse is working with community health care team to devise strategiesfor 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

44. An occupational health nurse is assessing agricultural workers for acute effects of pesticide exposure. Which of the following findings should the nurse expect? a. Oliguria b. Dizziness c. Hypoglycemia d. Diplopia

b. Dizziness

17. A mental health nurse is scheduling a home health appointment with a client who has recently lost his partner to a motor vehicle crash. Which of the following statements by the client indicates a need for immediate nursing intervention? a. I just feel so angry right now b. Everything is going to be fine soon' c. There's no need for anyone to come see me, including you d. I'm not going to talk to you about my problems

b. Everything is going to be fine soon'

36.A home health nurse is performing and eye assessment for an older adult client. Which of the following is the priority for the nurse to report to the provider? a. Conjunctivitis b. Hemianopia c. Decreased near vision d. Increased sensitivity to glare

b. Hemianopia

25.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 interprofessional 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. I will receive care from a variety of interprofessional team members c. I can discontinue hospice care whenever I want e. I can receive care in the hospital or at home

24. 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. Maintain the head of the bed in an elevated position after eating c. Provide sips of room-temperature ginger ale between meals e. Assist the client in using guided imagery

2. A school nurse is planning a safety education for a group of adolescent's. 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

5. 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

3. A case manager is completing discharge planning for a client who has ETOH use disorder and cirrhosis of the liver. Which of the following actions should the case manager take first? a. Contact a social worker to assist the client with managing finances. b. Provide client information on self-help groups for ETOH use disorder c. Determine which home safety measure the client will need to implement d. Arrange for a home health nurse to visit the client following discharge.

b. Provide client information on self-help groups for ETOH use disorder

54.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

12.A parish nurse is counseling a family following a client's recent dx with heart diseases. Which of the following actions should the nurse take first? a. Assist the client and the client partner finding an affordable exercise program b. Discuss the benefits of eating a well-balanced diet with the client's family c. Ask family about the impact of the disease on relationships within the family d. Offer to accompany the client and the client's partner during health care provider visits

c. Ask family about the impact of the disease on relationships within the family

33.A nurse is caring for a client who asks "Can I decide not to continue with chemotherapy?" the nurse responds "This is your choice, and I'll support whatever decision you make." The nurse response is an example of which of the following? a. Nonmalefiecence b. Veracity c. Autonomy d. Beneficence

c. Autonomy

52.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

18. A nurse is providing teaching to a newly licensed nurse about case management. The nurse should include which of the following tasks is the responsibility of a case manager? a. Enforce OSHA standards in the workplace b. Teach a smoking cessation support group c. Evaluate the cost effectiveness of client treatments d. Perform employee risk assessment

c. Evaluate the cost effectiveness of client treatments

27.A community nurse is teaching a group of parents about manifestations of ETOH withdrawal. Which of the following manifestations should the nurse include in the teaching? a. Hyperglycemia b. Hypotension c. Seizures d. Somnolence

c. Seizures

11.A nurse educator is teaching a group of newly licensed nurses about maintaining client confidentially according to HIPAA regulations. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? a. HIPAA rules vary from state to state b. We should share our computer password with our managers c. HIPAA rules allows clients to receive a copy of the medical records d. A client dx can be posted on the communication board inside the clients room

c. HIPAA rules allows clients to receive a copy of the medical records

45.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

22. 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 passively during home health visits c. Refer clients to the appropriate community agency if signs of abuse is evident d. Coordinate a personal defense program at a local agency

c. Refer clients to the appropriate community agency if signs of abuse is evident

10.A nurse is reviewing levels of prevention with a newly licensed nurse. Which of the following is an example of tertiary prevention. a. Promoting the use of helmets with children who ride bikes b. Providing STI testing for students on a college campus c. Teaching about inhaler use in a client who has asthma d. Educating adults about breast cancer screening guidelines

c. Teaching about inhaler use in a client who has asthma

56.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

10. A nurse is providing education to a group of adolescents who are pregnant and attending high school . Which of the following information should the nurse include in this teaching ?

caffeinated beverages should be replaced with caffeine - free

3. A home health nurse is scheduling client visits for the day . Which of the following clients should the nurse plan to visit first ?

clients a 79 - year - old client with an exacerbation of COPD

57.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

39. An occupational health nurse is completing a walk-through of a factory to identify workers at risk for injury. Wshich of the following workers should the nurse identify at being at risk? a. A worker who is standing in place in extended period and rests one foot on a box b. A worker standing with a wide base support when pulling a cart towards himself c. A worker who is 7 weeks postoperative following a rotator cuff surgery and is labeling boxes. d. A worker who is wearing a back brace and bends at the waist when picking up a pallet

d. A worker who is wearing a back brace and bends at the waist when picking up a pallet

4. A nurse in a community clinic is preparing and educational guide about cultural variances in expression of pain. Which of the following information should the nurse include? a. Puerto Rican cultural practices include the view that outspoken expression of pain is shameful. b. Middle eastern cultural practices include hiding pain from close family members c. Native Americans cultural practices include being outspoken about pain. d. Chinese cultural practices include enduring pain to prevent family dishonor.

d. Chinese cultural practices include enduring pain to prevent family dishonor.

40.A home health nurse is caring for a client that has C. diff infection. Which of the following actions should the nurse take? a. Instruct the client to avoid use of probiotics b. Us and ETOH-based hand sanitizer following care c. Obtain a surgical mask for the client to wear when away from home d. Clean the client's bathroom with diluted bleach solution

d. Clean the client's bathroom with diluted bleach solution

16. 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

34.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

37. 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

9. A home health nurse is planning the initial home visit for a client who has dementia and lives with his adult son's family. Which of the following actions should the nurse take first during the visit? a. Encourage the family to join a support group b. Provide the family about respite care c. Engage the family in informal conversation d. Educate the family regarding the progression of dementia

d. Educate the family regarding the progression of dementia

8. A nurse is conducting home visits to postpartum adolescents who participated in prenatal parenting classes. Which of the following statements indicates an understanding of the teaching? a. I warm my baby bottle in the microwave 30 seconds at a time b. I limit the time her grandparents cuddle my baby to prevent spoiling c. I carry my baby with me as I move around the house d. I use baby talk when talking to my baby

d. I use baby talk when talking to my baby

42.A nurse in a mobile clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. The client does not speak the same language as the nurse. Which of the following actions should the nurse take? a. Arrange the member of the client's community to interpret the teaching b. Use a professional terminology when providing education prior to the procedure c. Have the client's daughter communicate information about the procedure d. Identify the client's dialect prior to contacting an interpreter

d. Identify the client's dialect prior to contacting an interpreter

19. A nurse in a community health clinic is assessing a client who has 2 preschoolers, was recently divorced, and is seeking help for managing depression. Which of the following statements should the nurse ask first? a. Are you having any thoughts of hurting yourself b. Who is available to help you c. Could you describe how you are feeling today d. Is there anything that makes you feel less depressed

d. Is there anything that makes you feel less depressed

28.A community health nurse is working with a migrant population. The nurse should recognizewhich of the following interventions is necessary to provide care to this population? a. Requiring the clients to show a work visa before they receive care b. Treating clients on a fee-for-service basis c. Providing health services at work sites d. Offer health screenings at a community center

d. Offer health screenings at a community center

35.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

49.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 d. Refer a client who is recovering from a substance use disorder to social service program.

d. Refer a client who is recovering from a substance use disorder to social service program.

13.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

48.A nurse is working for a hospice organization. The nurse should identify that which of the following criteria must be met for a client to qualify for hospice care? a. The client has declined additional life-prolonging treatments b. The client requires inpatient care due to lack of a caregiver c. The client has documentation that states he has less than 12 months to live d. The clients insurance provides coverage for palliative care

d. The clients insurance provides coverage for palliative care

11. A community health nurse is writing an emergency response plan for a day care . Which of the following should be included in the plan ?

immunization protocol for various biological agents

7. A community health nurse is caring for clients in a culturally diverse community . Which of the following actions demonstrates accurate cultural knowledge about a specific cultural group

include both hot and cold food items on a Hispanic client's menu

13. A child is brought to the school nurse by her teacher who thinks the child may have contracted rubeola . Which of the following findings supports this diagnosis ?

koplik spots in the oral mucosa

2. A community health nurse is developing health promotion activities for a community . Which of the following is the highest priority action ?

participate in community assessment to identify community health problems

8. A nurse is caring for a client who has questions about his treatment plan . Which of the following should the nurse perform as a client advocate ( select all that apply ) ?

provide education to the client about the diagnosis inform the client about the provider's responsibility to provide information assist the client in preparing questions for the provider

9. A nurse is working with a client who is homeless . Which of the following is the first step that the nurse should take to advocate for this client ?

refer the client to a public homeless shelter

14. A home health nurse is performing an eye assessment and vision screening on an older adult client recently assigned to her care . Which of the following findings indicates a need for an intervention ?

slightly yellow sclera

12. A community health nurse is preparing to teach accident and injury prevention . Which of the following would be the priority topic for a family with a 10 - year - old child ?

use if seat belts in automobiles