Community Exam 2

Which guideline is useful for reducing disparity when caring for transgender clients? a) Learning about health care needs of homosexual clients b) Always referring to transgender clients using pronouns of the sex to which they transition c) Always referring to transgender clients using pronouns of the sex with which they were born d) Learning about the treatment options for transgender clients and requirements of follow-up care

d) Learning about the treatment options for transgender clients and requirements of follow-up care

The nurse has instructed the client about effective ways of reducing burn injury. Which statement made by the client shows ineffective learning? a) "I will refrain from smoking when lying in bed." b) "I will set the bathing water temperature below 160°F (71°C)." c) "I will use a potholder when taking the food from an oven." d) "I will keep the screens and doors closed on the front of any fireplace."

b) "I will set the bathing water temperature below 160°F (71°C)."

The community nurse is assessing an older adult client who lives alone at home. The nurse finds that the client refrains from physical activity for fear of falling when walking. Which intervention(s) by the nurse are beneficial to promote a healthy lifestyle? Select all that apply. One, some, or all responses may be correct. a) Instruct the client to apply bedside rails. b) Encourage the client to wear nonskid shoes. c) Suggest that the client use an assistive device. d) Ask the client to install handrails in the bathroom. e) Help the client rearrange furniture in the house

b) Encourage the client to wear nonskid shoes. c) Suggest that the client use an assistive device. e) Help the client rearrange furniture in the house

The nurse is teaching campfire safety to a group of community members and includes information about what to do if a person catches on fire. The nurse teaches the most effective method for putting out the flames. Which information from the group members indicates successful learning? a)Wrap hand with towel and slap at the flames. b) Instruct the victim to roll on the ground. c) Pour cold liquid over the flames. d) Remove the victim's burning clothes.

b) Instruct the victim to roll on the ground.

The nurse is instructing a group of clients in the community about food preparation. Which statement indicates that a client is at an increased risk for contracting botulism? a) "I do not usually brush my teeth after I finish eating a meal." b) "Sometimes I eat grapes before I have a chance to wash them." c) "Utensils that I use to cut up chicken are put into the dishwasher." d) "I save money when I buy the slightly damaged cans of vegetables."

d) "I save money when I buy the slightly damaged cans of vegetables."

Which risk of adolescent pregnancy would the community nurse teach? a) Risk for premature birth b) Risk for having a large baby c) Risk for chromosomal defects d) Risk for increased weight gain

a) Risk for premature birth

The nurse speaking in support of the best interest of a vulnerable client reflects which nursing duty? a) Caring b) Veracity c) Advocacy d) Confidentiality

c) Advocacy

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

a) Tobacco cessation

Which role is the nurse expected to have in a community-based nursing practice if there is a sudden spread of malaria? a) Educator b) Collaborator c) Epidemiologist d) Client advocate

c) Epidemiologist

Which population would the nurse include in a community education session on sexually transmitted infections (STIs)? Select all that apply. One, some, or all responses may be correct. a) Adolescents b)Homosexual men c) Transgender clients d) Multiple sex partners e) Intravenous drug users

1. Adolescents 2. Homosexual men 3. Transgender clients 4. Multiple sex partners 5. Intravenous drug users

Which activity by the community nurse is an illness prevention strategy? a) Encouraging the client to exercise daily b) Arranging an immunization program for chicken pox c) Teaching the community about stress management d) Teaching the client about maintaining a nutritious diet

b) Arranging an immunization program for chicken pox

A 16-year-old high school student comes to a community health center because of the fear of having contracted herpes. The teenager is upset and shares this information with the community health center nurse. Which response would the nurse provide? a) "Let me get a brief health history now." b) "Try not to worry until you know whether you have herpes." c) "You sound worried. Let me make arrangements to have you examined." d) "Herpes has received too much attention in the media; let's be realistic."

c) "You sound worried. Let me make arrangements to have you examined."

The nurse is instructing a community group regarding risk factors for coronary artery disease. Which risk factor cannot be modified? a) Heredity b) Hypertension c) Cigarette smoking d) Diabetes mellitus

a) Heredity

Which risk factor increases a client's risk for infection in the community? Select all that apply. One, some, or all responses may be correct. a) Lifestyle b) Occupation c) Chronic diseases d) Frequent traveling e) Diagnostic procedures

a) Lifestyle b) Occupation d) Frequent traveling

Which instruction would the nurse provide to a group of parents with small children to promote safety and prevent injury? Select all that apply. One, some, or all responses may be correct. a) Turn pot handles away from edges. b) Install smoke detectors in the house. c) Lock medication away in a safe place. d) Place child safety latches on cabinets. e) Verify water temperature before baths.

a) Turn pot handles away from edges. b) Install smoke detectors in the house. c) Lock medication away in a safe place. d) Place child safety latches on cabinets. e) Verify water temperature before baths.

The nurse is working with parents in the community to decrease the incidence of poisonings in children younger than 5 years of age. Which information would the nurse include to meet this goal? Select all that apply. One, some, or all responses may be correct. a) Clean fruits and vegetables. b) Place locks on medicine cabinets. c) Use child-resistant medication caps. d) Keep the poison control center number near the phone. e) Store cleaning products in a locked cabinet.

1. Clean fruits and vegetables. 2. Place locks on medicine cabinets. 3. Use child-resistant medication caps. 4. Keep the poison control center number near the phone. 5. Store cleaning products in a locked cabinet.

A couple asks a community health nurse about using condoms as a method of contraception. Arrange the steps of using a condom in sequential order. 1. Throw the condom away. 2. The condom is unrolled on the erected penis. 3. Leave 0.5 inch of space at the tip of the condom. 4. Hold the rim of the condom in place when withdrawing. 5. Contraceptive jelly is squeezed onto the tip of the condom. 6. Open the package to remove the condom and check for breaks or holes.

1. Open the package to remove the condom and check for breaks or holes. 2. Contraceptive jelly is squeezed onto the tip of the condom. 3. The condom is unrolled on the erected penis. 4. Leave 0.5 inch of space at the tip of the condom. 5. Hold the rim of the condom in place when withdrawing. 6. Throw the condom away.

The nurse is asking a client with arthritis questions to collect information. Which questions asked by the nurse are closed-ended questions? Select all that apply. One, some, or all responses may be correct. a) "Are you having pain?" b) "Tell me how your pain has been." c) "Describe how your husband is helping you at home." d) "Do you think the medication is helping you get pain relief?" e) "Give me an example of a method that helps you get pain relief at home."

a) "Are you having pain?" d) "Do you think the medication is helping you get pain relief?"

Which statement by the nurse reflects understanding of therapeutic communication with a client experiencing domestic violence? Select all that apply. One, some, or all responses may be correct a) "Tell me about your struggles." b) "Everything is going to be okay." c) "Get out of the house right away." d) "You'll feel better after you leave." e) "Why do you stay when he hits you?" f) "Why did you return to him after the abuse?"

a) "Tell me about your struggles."

Which nurse statement reflects positive cultural sensitivity to help reduce potential health disparities? a) "Which type of food do you usually eat at home?" b) "You need to ask your family to bring food of your choice." c) "The hospital staff will not be able cook food with your requirements." d) "You need to eat the food that the hospital provides."

a) "Which type of food do you usually eat at home?"

Which factor that influences the spread of sexually transmitted infections (STIs) would the nurse include in a teaching session? Select all that apply. One, some, or all responses may be correct. a) Age b) Drug abuse c) Lack of education d) Multiple sex partners e) Absent or subtle symptoms f) Limited access to health care

a) Age b) Drug abuse c) Lack of education d) Multiple sex partners e) Absent or subtle symptoms f) Limited access to health care

Which information would the nurse obtain in a health history for a sexually active 16-year-old to determine the client's risk for sexually transmitted infections (STIs)? Select all that apply. One, some, or all responses may be correct. a) Sexual practices b) Barrier protection use c) Gender of sexual partners d) Number of sexual partners e) Use of illicit drugs before sex

a) Sexual practices b) Barrier protection use c) Gender of sexual partners d) Number of sexual partners e) Use of illicit drugs before sex

Which characteristic can be observed in abusive parents? Select all that apply. One, some, or all responses may be correct. a) Social isolation b) Poor coping skills c) Family authoritarianism d) Feeling of no control over life e) Inability to seek help from others f) Expects child to satisfy needs for love

a) Social isolation b) Poor coping skills c) Family authoritarianism d) Feeling of no control over life e) Inability to seek help from others f) Expects child to satisfy needs for love

The nurse is teaching first aid to a group of community members. A participant asks which first aid should be administered, after calling 911, to a person who suffers extensive burns. Which response by the nurse is appropriate? a) "Apply ice to burned areas because this decreases pain." b) "Cover the burned areas with a bed sheet because this provides protection." c) "Do nothing because attempting to treat the burned areas may cause further damage." d) "Use first aid cream to burned areas because this prevents infection and decreases pain."

b) "Cover the burned areas with a bed sheet because this provides protection."

Which environmental emergency requires the nurse to administer priority emergency abdominal and chest thrusts to clear a client's airway obstruction? a) Frostbite b) Drowning c) Hypothermia d) Lightening injury

b) Drowning

Which is the most highly sensitive time within the developing embryo for the risk of malformation related to environmental teratogens? a) Heart at 32 weeks' gestation b) Cleft lip at 18 weeks' gestation c) Cleft palate at 8 weeks' gestation d) Upper limbs at 24 weeks' gestation

c) Cleft palate at 8 weeks' gestation

Which clients are ideal candidates for interpreter service to prevent contributing health disparities? Select all that apply. One, some, or all responses may be correct. a) An English-speaking client with a speech disorder b) An African American client with a hearing impairment c) A non-English-speaking client in the emergency department d) A Spanish-speaking client ready to be discharged from the facility e) An Indian American who does not speak the language used at the facility

c) A non-English-speaking client in the emergency department d) A Spanish-speaking client ready to be discharged from the facility e) An Indian American who does not speak the language used at the facility

The nurse in an emergency department is assessing a young child with a head injury. The child is accompanied by a parent. Which observation would prompt the nurse to assess the child for abuse? a) The child has Mongolian spots on the back. b) The child belongs to a single-parent family. c) The child has received care for injuries twice earlier. d) The child and parent narrate the same story about the injury.

c) The child has received care for injuries twice earlier.

Which statement describes the step followed to provide competent care for vulnerable populations? a) "Refrain from giving priority to cultural practices and values of the vulnerable populations." b) "Provide financial and legal advice to the vulnerable people as this may be more important to them." c) "Evaluate the clients' beliefs and values about health in terms of the nurse's own culture, beliefs, and values." d) "Understand the clients' cultural beliefs, values, and practices to determine their specific needs and interventions."

d) "Understand the clients' cultural beliefs, values, and practices to determine their specific needs and interventions."

Which question will the nurse ask to assess a client's potential exposure to inhaled environmental irritants or toxic gases? a) "Do you garden?" b) "Are there ashtrays in your home?" c) "How much water or fluids do you drink daily?" d) "What type of work have you done in the past?"

d) "What type of work have you done in the past?"

Which scenario would contribute to health disparities? a) An English-speaking critical care nurse assesses a Hispanic client in a coma. b) An English-speaking nurse plans the nursing procedures for a black Latino client. c) An English-speaking nurse provides discharge instructions to an English-speaking client who is hard of hearing. d) An English-speaking nurse conducts the admission interview of a Puerto Rican immigrant with limited knowledge of English.

d) An English-speaking nurse conducts the admission interview of a Puerto Rican immigrant with limited knowledge of English.

A client with a history of chemical exposure and environmental toxins is diagnosed with mycosis fungoides (MF), which led to the development of Sézary syndrome. The primary health care provider advised extracorporeal photopheresis. Which would the nurse expect as the diagnosis of the client? a) Actinic keratosis b) Basal cell carcinoma c) Malignant melanoma d) Cutaneous T-cell lymphoma

d) Cutaneous T-cell lymphoma

Which factor increases an adolescent's risk for injury in the community? a) Employment b) Eating disorders c) Sleep deprivation d) Distracted driving

d) Distracted driving

The registered nurse (RN) is organizing a community health care program for administering tetanus vaccinations. Which member of the health care team is most suitable for being delegated the task of administering vaccinations? a) Nursing aide b) Certified technician c) Patient care associate (PCA) d) Licensed practical nurse (LPN)

d) Licensed practical nurse (LPN)

While organizing a community health care program for polio vaccinations, the registered nurse (RN) delegates the task of administering vaccines to members of the health care team. Which health care team member is most suitable to carry out the task? a) Technician b) Patient care associate (PCA) c) Certified nursing aide d) Licensed practical nurse (LPN)

d) Licensed practical nurse (LPN)

A client who does not understand English requires an interpreter. Which action by the student nurse may exacerbate health disparities? a) The student expects the interpreter to act as the client's advocate. b) The student expects the interpreter to have a health care background. c) The student maintains steady eye contact with the client. d) The student talks only to the interpreter about the client

d) The student talks only to the interpreter about the client

Which education would the nurse provide the parents of preschool-aged children regarding injury prevention? a) "Preschool-aged children are more prone to falls than are toddlers." b) "Preschool-aged children are at risk for injury because of their poor gross motor skills." c) "Preschool-aged children are less likely to follow rules, which increases the risk for injury." e) "Preschool-aged children are at risk for head injuries from riding a tricycle or balance bike."

e) "Preschool-aged children are at risk for head injuries from riding a tricycle or balance bike."

A community health care nurse is conducting a survey about homeless children in the community. Which finding helps the nurse distinguish absolute homelessness from relative homelessness? a) The children are under-immunized and at risk for childhood illnesses. c) The children are more likely to drop out of school and become unemployable. d) The children have access to health care only through the emergency department. e) The children do not have a physical shelter and may sleep outdoors or in vehicles.

e) The children do not have a physical shelter and may sleep outdoors or in vehicles.