Form C

28. A community health nurse is planning an educational program for a group of women who arepost menopausal. which of the following outcomes is appropriate for this program? 1. Clients will schedule bone density screens 2. clients will start hormone replacement therapy 3. clients will arrange for a mammogram every 3 years 4. clients will significantly decrease caloric intake

1. Clients will schedule bone density screens

12. A nurse is providing education to the family of a school-age child who has pertussis. Which of the following information should the nurse include in the teaching? 1. Household contacts will receive prophylactic antibiotics 2. transmission will be limited because of the herd immunity 3. the child is most contagious after the rash develops 4. a dehumidifier should be placed beside the child's bed

1. Household contacts will receive prophylactic antibiotics

23. In the last month, three cases of tuberculosis have been referred to the health department. Which of the following is a priority information for the community health nurse to obtain from each client? 1. Household members 2. health history 3. Demographics 4. Occupation

1. Household members

30. A nurse is counseling a client who has a new diagnosis of chlamydia. Which of the following information should the nurse include in teaching? 1. Notify anyone with whom you had sexual contact over the past 2 months 2. you might experience painful urination until the infection has resolved 3. once you complete treatment, you'll have an acquired immunity against chlamydia 4. you will need to take an antiviral medication for 30 days 5. you should avoid sexual contact until therapy is complete

1. Notify anyone with whom you had sexual contact over the past 2 months 2. you might experience painful urination until the infection has resolved 5. you should avoid sexual contact until therapy is complete

14. A nurse is planning a program about healthy eating at an elementary school where most students select French fries and pizza at lunch every day. Which of the following actions should the nurse plan to take first? 1. Provide students with resources about making wise choices independently 2. help students recognize the value of making healthy food choices 3. give positive feedback to students who make appropriate choices 4. determine student's motivation to learn about healthy food choices

1. Provide students with resources about making wise choices independently

33. A government official reports to the health department that an employee was possibly exposed to Anthrax. Which of the following actions should the public health nurse take? 1. Refer co-workers who might have been exposed to a provider for prophylactic antibiotics 2. Alert all of the family members of co-workers about their possible exposure to anthrax 3. instruct the client to wear a mask at work 4. place the employee under quarantine for 14 days

1. Refer co-workers who might have been exposed to a provider for prophylactic antibiotics

22. A Community Health Clinic nurse manager is reviewing the incidence rate of chlamydia in the state. In a given year 3144 new cases were reported and the population was estimated at 325986. Which of the following is the incidence rate in the state for the year? 1. about 10 reported cases per 1000 population 2. about three reported cases per 10,000 population 3. about 300 reported cases per 100,000 population 4. about one reported case per 10,000 population

1. about 10 reported cases per 1000 population

32. A nurse at a shelter assisting with client triage after tornado destroyed a community. Which of the following clients should receive Priority Care? 1. A school-age client who has a head abrasion 2. an adult client who is short of breath 3. an infant client who is crying 4. an older adult client who has a fractured arm

2. an adult client who is short of breath

29. A home health nurse manager is caring for a client who has methicillin-resistant staphylococcus aureus. Which of the following actions should the nurse take? 1. remove fresh flowers from the clients room 2. double bag soil dressing in polyethylene bags 3. wear a mask when within 3 feet of the client 4. Advise the client to use a HEPA filter in the house

2. double bag soil dressing in polyethylene bags

26. A community health nurse is providing screening for lipid disorders. Which of the following is the primary goal of this activity? 1. Client enrollment and prevention programs 2. early detection of disease 3. identification of family history of medical problems 4. promotion of appropriate Lifestyle Changes

2. early detection of disease

19. A nurse in a mobile Health 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? 1. Arrange for the member of the client's community to interpret the teaching 2. identify the clients spoken dialect prior to contacting an interpreter 3. have the clients daughter communicate information about the procedure 4. use professional terminology when providing education prior to the procedure

2. identify the clients spoken dialect prior to contacting an interpreter

15. 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? 1. Maintaining eye contact when interviewing a Native American client 2. including both hot and cold food items on a Hispanic client menu 3. touching the hair of an African American client during an assessment 4. offering to shake hands when meeting an Asian client of the opposite gender

2. including both hot and cold food items on a Hispanic client menu

16. A nurse manager in a local community health agency is creating job description for a new nurse who will practice community-oriented nursing. Which of the following should the nurse include in the job description? Select all that apply 1. provide wound care for clients in their homes 2. participate in local Health surveillance activities 3. initiate support groups for parents of autistic children 4. provide health-related education to community groups 5. Investigate potential health and environmental issues

2. participate in local Health surveillance activities 4. provide health-related education to community groups 5. Investigate potential health and environmental issues

21. A nurse is preparing an educational program about breastfeeding for a group of new parents. The nurse should use which of the following is structural strategies to promote psychomotor learning? 1. facilitated Discussion Group about the benefits of breastfeeding 2. provide dolls for the participants to demonstrate positioning 3. show the group of video on breastfeeding techniques 4. review flashcards identify holding techniques with the group

2. provide dolls for the participants to demonstrate positioning

20. A parish nurse is counseling a family following a client's recent diagnosis for heart disease. Which of the following actions should the nurse take first? 1. Discuss the benefits of eating a well-balanced diet with the client's family 2. assist the client and the clients partner with finding an affordable exercise program 3. Ask family members about the impact of the disease and relationships within the family 4. offer to accompany the client and the client partner during healthcare provider visits

3. Ask family members about the impact of the disease and relationships within the family

24. 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 the teaching? 1. The incidence of higher birth weight infants is higher in adolescent pregnancy 2. pregnant adolescents need to gain less weight than adult mothers 3. Caffeinated beverages should be replaced with caffeine-free beverages 4. the need for supplemental folic acid is greatest during the third trimester

3. Caffeinated beverages should be replaced with caffeine-free beverages

18. A nurse is caring for a client who is having difficulty performing activities of daily living. The nurse is functioning in which of the following rules when arranging for an occupational therapist to visit the client? 1. Administrator 2. nurse consultant 3. case manager 4. Clinician

3. case manager

7. A client who has diabetes mellitus asks a home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. Which of the following is the first action the nurse should take when assisting this client? 1. Explain the diabetes exchange list 2. use cookbooks to include traditional foods and meal plans 3. observe the client during preparation of traditional foods 4. provide the client with printed recipes

3. observe the client during preparation of traditional foods 8. A school nurse is implementing Health screenings. Which of the following assessment findings should the nurse recognize as the highest priority? 1. A child who has nits 2. An Adolescent who has scoliosis 3. and Adolescent who has psoriasis 4. a child who has a BMI of 18 1. A child who has nits

25. A nurse is working to reduce individual and family violence in the local community. Which of the following actions by the nurse demonstrates a primary prevention strategy to achieve this goal? 1. Assessing a family for marital Discord 2. providing treatment for a young adult who has substance use disorder 3. teaching parenting techniques to new parents 4. conducting counseling for at-risk parents

3. teaching parenting techniques to new parents

34. A home health nurse is visiting a client who has had a stroke 2 months ago. Which of the following findings should the nurse report to the interprofessional care team? 1. the client Bears weight on her arms when using the crutches 2. the clients caregiver bills a pill organizer weekly 3. the client coughs when swallowing her medications 4. the client dresses her affected side first

3. the client coughs when swallowing her medications

11. A nurse is working in a shelter following a disaster. Which of the following is the priority action for the nurse to take? 1. Explore feelings the clients are experiencing 2. create diversionary activities for children 3. help clients gather needed supplies 4. address the physical needs of

4. address the physical needs of clients

13. A community nurse is planning a smoking cessation class. Which of the following factors will have the greatest effect on the success of the class? 1. Client education level 2. presenters teaching strategies 3. presenters credibility 4. clients motivation

4. clients motivation

27. A community health nurse is planning a program for adolescents about preventing STIs. Which of the following actions should the nurse take first? 1.Establish methods to evaluate program outcomes 2. obtain visual aids that feature adolescence 3. provide computer-based education 4. collect data to identify barriers to learning

4. collect data to identify barriers to learning

9. A 35 year old client who has a diagnosis of tuberculosis informs the provider's office that she is unable to pay for the treatment. Which of the following actions by the nurse will facilitate obtaining appropriate treatment? 1. Explore options for alternative Therapies 2. arrange for medication through local agencies 3. send the clients to the nearest facility for further evaluation 4. help the client apply for Medicare

4. help the client apply for Medicare 10. A home health nurses scheduled for first-time visit to a client. Which of the following should the nurse perform first? 1. Mental status examination 2. review of the neighborhood 3. family history 4. blood pressure screening 1. Mental status examination

31. A clinic nurse is assessing a client who has the measles. Which of the following findings should the nurse expect? 1. Muscle aches and tenderness 2. persistent low-grade temperature 3. rash confined to the trunk of the body 4. koplik spots inside the mouth

4. koplik spots inside the mouth

6. Several nurses are developing a parish nurse group to help adjust the primary and secondary health care needs of a congregation. Which of the following Services should the nurses plan to provide to the congregation? 1. provide end-of-life care for members who are terminal 2. perform wound care in the home of members 3. facilitate discharge from the facility to the home 4. organize an influenza immunization clinic with American Red Cross

4. organize an influenza immunization clinic with American Red Cross

17. The community health nurse is interviewing a client who reports intimate partner abuse. Which of the following actions should the nurse take? 1. Assist the client to create a plan of Escape 2. ask 3 nurses of the same gender as the client to participate in the interview 3. communicate disapproval of the partners actions 4.. record a summary of the clients description of the event

4.. record a summary of the clients description of the event

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

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

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

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

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

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 thefollowing 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

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 ofthe 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

2. A 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 during the visit? A. Educate the family regarding the progression of dementia B. Engage the family in informal conversation C. Provide the family with info about respite care D. Encourage the family to join a support group

B. Engage the family in informal conversation 3. Manifestation of alcohol withdrawal: A. Bradycardia B. Hypothermia C. Insomnia D. Increased appetite C. Insomnia 4. Enzyme-linked immunosorbent assay testing for HIV. What info should the nurse include? A. The test measures serum antibodies to the virus B. Test results are accurate 24 hr after exposure to the virus C. Positive result requires initiating immunoglobulins D. Test monitors progression of the disease A. The test measures serum antibodies to the virus

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

1. A community health nurse observes the accumulation of garbage at a neighborhood playground. Which of the following actions should the nurse take to promote a clean and safe environment? A. Work with local businesses to sponsor more trash receptacles in the playground B. Meet with community members to discuss methods of playground maintenance C. Partner city officials with community members to improve playgrounds condition D. Engage neighborhood families to monitor the playground for further trash buildup

B. Meet with community members to discuss methods of playground maintenance

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

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

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

C. Encourage the partner to invite family members to assist with client care

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

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 Some of another version of the test:

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 posttraumatic 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

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

5. A nurse is working with a community healthcare team to devise strategies for preventing violence in the community. Example of tertiary prevention? A. Assess risk factors of intimate partner abuse during health exams B. Present education programs about stress management C. Urge community leaders to make nonviolence a priority D. Develop resources for victims of abuse

D. Develop resources for victims of abuse

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

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

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

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