Community Health HESI

A nursing student is listing factors that may improve the quality of life of clients in the community with chronic leg ulcers. Which factor listed by the nursing student needs correction?

"Inform clients that the cost of care may be expensive and that the level of pain may increase."

The nurse administers a pneumococcal vaccine to a 70 year old client. The client asks, "Will I have to get this every year like I do with the flu shot?

"It is unnecessary to have any follow-up injections of the pneumococcal vaccine after this dose."

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"

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

A community health nurse visits an infant who was born at home 24 hours ago. While assessing the infant the nurse identifies slight jaundice of the face and trunk. Which would the nurse do next?

Obtain a stat order for a bilirubin level

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 intervention?

slightly yellow sclera

Which point about community health nursing made by the student nurse needs correction?

"Community health nursing does not provide direct or indirect care services to subpopulations in a community."

For families raised in a culture of poverty, which behavior is most likely?

Powerlessness relative to changing their situation

Which is the most appropriate communication strategy for the nurse working with adolescents in a clinic in a large city health center?

Establishing a relationship over time

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

a 79 year old client with exacerbation of COPD

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

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"

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?

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

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"

Which suggestion by the nurse is an example of primary prevention?

"Engage in daily physical exercise"

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"

The nurse instructs a client who eats a lot of candy to stop eating sweets to avoid high blood sugar levels. Which reaction might the nurse expect if the client is in the contemplation stage?

"I understand that candy isn't good for my health, but I can't stay away from it."

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"

The nurse is caring for a client who has been sleeping for 12 to 14 hours on weekend nights. The nurse instructs the client to sleep for no longer than 9 hours because excessive sleeping can lead to health issues. Which reaction might the nurse expect if the client is in the maintenance stage?

"I've been following a proper sleep pattern for more than a year."

The nurse in the family planning clinic reviews the health history of a sexually active 16 year old girl whose chief concern is a thick, burning vaginal discharge accompanied by low abdominal pain. After her examination, the girl is informed that she may have a sexually transmitted infection (STI) that requires treatment. The adolescent is concerned that her parents will discover that she is sexually active. She asks the nurse whether her parents will be contacted. How would the nurse respond?

"Your parents will not be contacted because treatment at the clinic is confidential."

The nurse notes that a client is in the habit of skipping breakfast and lunch and educates the client on the harmful effects of not getting enough nutrition. Which responses are signs that the client has reached the action stage of health behavior change? Select all that apply.

- "I still tend to skip breakfast when I'm in a hurry to get to work." - "I follow a proper eating schedule, but sometimes it gets in the way of my work."

The nurse instructs a client who avoids bathing to take a bath or shower each day as a means of maintaining hygiene and preventing infection. Which of these reactions would the nurse expect if the client is in the action stage? Select all that apply.

- "I try to take a shower everyday, but I skip it sometimes because of my tight work schedule." - "I understand that bathing regularly is a good habit, but my bathroom is very cold in the mornings." - "I want to take a bath regularly, but I don't have time because I need to look after my kids and my parents."

Which points would the nurse remember when caring for a client who has a history of suicide attempts? Select all that apply.

- Document the measures taken to prevent suicides - If the client makes a suicide attempt in the hospital, the action may lead to a lawsuit - The primary health care facility will be responsible for failing to provide adequate supervision

Which activities would the nurse be prepared to perform as a member of a disaster preparedness team if a disaster were to occur? Select all that apply.

- Triage - Decontamination procedures - Evaluation of the disaster plan

The nurse is teaching a group of adults about the signs and symptoms of colorectal cancer. Which common clinical manifestations would the nurse include in the teaching program? Select all that apply

-Anemia -Rectal bleeding -Change in bowel habits

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 -affirm the client's decision about the treatment plan

The nurse advises the client who drinks large amounts of coffee to avoid coffee because caffeine can have adverse effects on health. Arrange the responses in the order that the client might demonstrate while passing through the stages of health behavior change.

1. "I've been drinking coffee for the past 10 years and haven't had any health problems." 2. "I know that too much coffee can cause problems, but it helps me stay alert and focused on my work." 3. "I'm planning to quit drinking coffee, but it'll take some time." 4. "I'm trying to trade coffee for green tea, but the tea doesn't taste good, so I still want coffee." 5. "I've been drinking just a cup a day for the past several months."

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's response is an example of which of the following ethical principles?

Autonomy

The nurse is conducting a health class for adolescents. Which modifiable risk factor is most closely associated with the development of coronary heart disease (CHD) in both men and women?

Cigarette smoking

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

A client with dementia is discharged home with a percutaneous endoscopic gastrostomy (PEG) tube in place. A family member receives instructions about how to care for the tube. Which action observed by the home health nurse indicates that the family member is effectively managing the client's care?

Elevates the head of the bed after the feeding

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 8mm

An older adult client who is accustomed to taking enemas periodically to avoid constipation is admitted to a long-term care facility and is bedbound. Which nursing action would be included in the initial plan of care to prevent the client from developing constipation?

Offer a large glass of prune juice with warm water each morning

A senior high school student asks the school nurse which immunizations will be included in the precollege physical. Which vaccine would the nurse tell the student to expect to receive?

Measles, mumps, rubella (MMR)

A home health nurse teaches a family member to cleanse a client's wound and apply a sterile dressing. Which action by the family member during a return demonstration indicates the need for additional teaching?

Using a back and forth motion with the same gauze while cleaning the wound Rationale: After each swipe, sterile gauze should be discarded, and a new sterile gauze should be used for the next swipe

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

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

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

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

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

Which of the following is an example of the responsibilities of public health nursing?

informing state health officials of a potential meningitis outbreak

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

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

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

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 of seat belts in automobiles