Community Exam 3

A public health nurse wants to implement a local prevention program to help with mental health disorders among adolescents. Which of the following primary prevention strategies is effective in addressing mental health disorders in adolescents? (Select all that apply.) - Educating parents of children who have depression about recognizing concerning behaviors - Adolescent programs for safe dating and healthy relationship skills - Programs for treatment and support of alcohol and drug use disorder

- Adolescent programs for safe dating and healthy relationship skills - Programs to strengthen household financial security - Programs for early childhood home visitation

A nurse is reinforcing teaching with the family of a client who has a terminal illness. Which health care management options should the nurse include for discussion? (Select all that apply.) - Hospice care in an acute care facility - Hospice care in a rehabilitation center - Hospice care in the home - Hospice care in an inpatient hospice center - Hospice care arranged through the physician's office - Hospice care at an outpatient center

- Hospice care in an acute care facility - Hospice care in the home - Hospice care in an inpatient hospice center - Hospice care arranged through the physician's office

A home health nurse is conducting a home visit for a client and their caregiver. Which of the following statements by the caregiver indicates stress? (select that apply.) - "I've been depressed lately." - "I'm tired most of the day." - "I'm very detailed oriented." - "I often blame myself for things." - "I am hopeful about the future." - "I've been keeping to myself lately."

- "I've been depressed lately." - "I'm tired most of the day." - "I often blame myself for things." - "I've been keeping to myself lately."

A nurse is caring for an older adult client and is reviewing the health record. Which of the following findings should the nurse identify as a risk factor for chronic heart disease?- Ethnicity: Black American - Smoker - 1 pack per day - Occupation: Retired - BMI 30 - Residence: Rural - Lifestyle: Denies participating in aerobic activity

- Ethnicity: Black American - Smoker - 1 pack per day - BMI 30 - Lifestyle: Denies participating in aerobic activity

Which of the following are examples of natural disasters? (select all that apply) a. Earthquakes b. Acts of terrorism c. Hurricanes d. Sinkholes e. Blizzards

a. Earthquakes c. Hurricanes d. Sinkholes e. Blizzards

A nurse is educating a nursing student about the leading causes of death from unintentional injuries in toddlers. The nurse knows teaching has been effective when the student correctly identifies which of the following as the leading cause of death from unintentional injuries in toddlers? a. Poisoning b. Suffocation c. Drowning d. Motor-vehicle crashes

c. Drowning

A nurse is caring for a 36-year-old client in a health clinic and notices that the client's genogram shows their mother had a history of breast cancer. Which of the following actions should the nurse take? (Select all that apply.) - Ask the client if they smoke. - Explain to the client that their 12-year-old daughter will not be at an increased risk of breast cancer. - Discuss with the client that they are at an increased risk for developing breast cancer. - Show the client a video of how to per

- Ask the client if they smoke. - Discuss with the client that they are at an increased risk for developing breast cancer. - Show the client a video of how to perform a breast self-examination.

A nurse notices on a client's intake form that there is a history of heart disease in their family. Which of the following risk factors should the nurse identify this information as? a. Behavioral b. Environmental c. Biological d. Cultural

c. Biological

A nurse is reviewing a client' s health record. Which of the following findings should the nurse identify as a risk factor for breast cancer?a. Family history of heart disease b. Receiving yearly mammograms c. Use of hormonal therapy d. Participation in aerobic activities three times weekly

c. Use of hormonal therapy

A nurse is working with a family in which a few members have a chronic disease. Which of the following tools should the nurse use to gain insight into the strengths and vulnerabilities of a family who has chronic disease? a. Family APGAR b. Family genogram c. Family ecomap d. Family SCREEM

d. Family SCREEM

A nurse is working at a local school when a possible gas leak occurs in the building during lunch. Which of the following actions should the nurse take? a. Evacuate everyone from the building b. Shelter everyone in place c. Lock everyone down in the building d. Dismiss students immediately after lunch

a. Evacuate everyone from the building

A nurse is working with a client who was recently diagnosed with type 1 diabetes mellitus. The nurse recommends that the client and their family attend diabetes education classes. Which of the following theories will assist the nurse in determining whether the client and their family will be receptive to this recommendation? a. Family life cycle theory b. Family systems theory c. Biological ecosystems theory d. Modeling and role modeling theory

a. Family life cycle theory

A nurse is reinforcing the importance of adhering to their medication regimen with a client who has been diagnosed with a mental illness. The nurse should identify that this is an example of which of the following types of prevention? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Quaternary prevention

c. Tertiary prevention

A nurse is caring for a client following a suicide attempt. The client has a history of depression, substance use disorder, and anorexia nervosa. Which of the following actions should the nurse take first? a. Administer a depression assessment tool. b. Review the client's laboratory report. c. Make a contract with the client regarding their eating behavior. d. Initiate suicide precautions

d. Initiate suicide precautions

A community health nurse is reviewing disaster preparedness. Which of the following actions should the nurse plan to take when providing care during a disaster? (SATA) a. Perform ongoing data collection as the disaster situation evolves b. Practice the principle of utilitarianism when responding to a disaster c. Intervene as needed to provide care to others, even if the action is outside the nurses scope of practice d. Report potential risks concerning safety and security to disaster response su

a. Perform ongoing data collection as the disaster situation evolves b. Practice the principle of utilitarianism when responding to a disaster d. Report potential risks concerning safety and security to disaster response supervisors e. Consider the need for their own physical and psychological support

A public health nurse is educating nursing students about pediatric lead exposure. The teaching has been effective when the nursing students identify which of the following interventions as the most effective method of preventing children from environmental lead exposure? a. Home visits to identify sources of lead exposure when a child has elevated lead levels b. Administration of lead exposure questionnaires at well-child health care exams c. Lead blood screening for children at high risk for l

d. Removal of lead from the environment before the child can be exposed

A nurse is educating a group of parents and guardians about promoting health body weight during childhood. Which of the following statements by a parent indicates that the teaching has been effective? a. "Family activities such as trail walking and bike riding can help encourage my child to be active." b. "I should encourage my child to look for food they like to eat when eating lunch at school." c. "My child should visit their primary care pediatric health provider when ill." d. "If my child lo

a. "Family activities such as trail walking and bike riding can help encourage my child to be active."

A nurse is caring for a child who was resuscitated following a near drowning in a home swimming pool. The child's parents ask what they can do to prevent another incident. Which of the following recommendations should the nurse make? (Select all that apply.) - Avoid drinking alcohol while supervising children who are swimming, unless multiple adults are present. - Avoid distracting activities like listening to music, using a cell phone, or reading books when supervising children who are near swi

- Avoid distracting activities like listening to music, using a cell phone, or reading books when supervising children who are near swimming pools or other bodies of water. - Gated isolation fences should separate any play area from the pool to keep children away from the water when not swimming. - All parents and caregivers should have certification in cardiopulmonary resuscitation (CPR).

A nurse at a clinic is assessing a client who is apart of a vulnerable population. Which of the following actions should the nurse take? (Select all that apply.) - Ensure the environment is comfortable and nonthreatening. - Provide the client with financial advice. - Discuss client care with other members of the interprofessional team. - Provide culturally appropriate health care. - Offer the client personal medical advice.

- Ensure the environment is comfortable and nonthreatening. - Discuss client care with other members of the interprofessional team. - Provide culturally appropriate health care.

A nurse is working with a family to develop a family care plan that has four steps. Identify the correct order of steps when creating a family care plan. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) - Identify the problem. - Plan interventions with goals and objectives. - Develop family-centered interventions. - Evaluate the progress toward outcome measures.

- Identify the problem. - Plan interventions with goals and objectives. - Develop family-centered interventions. - Evaluate the progress toward outcome measures.

A nurse is admitting a 60-year-old client who has a history of chronic hypertension and hypercholesterolemia. The client reports that they live alone in a rural area, have been unemployed for six months, and have not been taking their medications as prescribed. Which factors should the nurse identify as placing the client at high risk for health care disparities? (Select all that apply.) - Male gender identity - Employment status - Having free time - Medical history - Residence - Socioeconomic s

- Male gender identity - Employment status - Medical history - Residence - Socioeconomic status

A family has set goals and action steps for meeting an identified problem. Which of the following steps should the nurse take? (Select all that apply.) - Refer the family to community resources and agencies. - Develop a family-nurse contract. - Review the goals and action steps and change those that do not seem realistic. - Add additional goals and objectives based on what the provider thinks the family needs .- Schedule the family's next visit.

- Refer the family to community resources and agencies - Develop a family-nurse contract. .- Schedule the family's next visit.

A nurse is caring for a 2-year-old child who has been diagnosed with autism spectrum disorder (ASD). The parents ask the nurse what treatments are available to cure the disorder. Which of the following responses should the nurse make? a. "Autism spectrum disorder is a chronic condition with no known cure at this time. However, early intervention offers the best chance to help your child achieve optimal functioning." b. "Autism cannot be cured; however, a combination of diet and medication can he

a. "Autism spectrum disorder is a chronic condition with no known cure at this time. However, early intervention offers the best chance to help your child achieve optimal functioning."

A nurse is completing a genogram on a client. Which of the following should the nurse expect to learn about the client from the genogram? a. Family structures, major family events, conflicts, and family patterns b. The strength of family relationships in the community c. The primary language of the client d. The ability of the family to respond to challenges and crisis

a. Family structures, major family events, conflicts, and family patterns

A nurse in a public health clinic is leading a discussion about decreasing the risk for depression among older adult clients. Which of the following interventions should the nurse recommend? a. Organize an exercise program at the local community center. b. Encourage clients to move to a nursing facility to be around others their age. c. Watch for signs of depression. d. Encourage clients to focus on their strengths rather than their weaknesses.

a. Organize an exercise program at the local community center.

A nurse is discussing disaster preparedness and response with a newly licensed nurse. Which of the following information should the nurse include when discussing schools and places of worship? (SATA) a. Public schools provide disaster preparedness education to students b. Places of worship receive state funding to provide disaster preparedness community education c. Places of worship can be used as sites for shelter during a disaster d. Private schools do not provide disaster drills for students

a. Public schools provide disaster preparedness education to students c. Places of worship can be used as sites for shelter during a disaster e. Places of worship often provide food and supplies following a disaster

A community health nurse is at the site of a mass casualty incident and is triaging victims. The nurse is evaluating an adult victim who is unconscious and not breathing spontaneously. Which of the following actions should the nurse take first? a. Reposition the victim's airway b. Tag the victim with the color black c. Check the victim's radial pulse d. Place the victim in a side-lying position

a. Reposition the victim's airway

A community health nurse is discussing disasters with a group of new nurses. Which of the following statements by one of the new nurses indicates an understanding of the information? a. "Human-made disasters are always intentional" b. "Disasters often overwhelm the availability of local resources" c. "Mass casualty incidents are always the results of human-made events" d. "Disasters affect everyone equally"

b. "Disasters often overwhelm the availability of local resources"

A nurse is assessing a 5-year-old child who reports tooth pain and has an elevated temperature. The nurse asks the child's guardian about the child's diet. Which of the following statements by the guardian indicates the child has an increased risk of dental caries? a. "I only allow him to drink water between meals." b. "He snacks on gummy fruit snacks every day between meals when he gets hungry." c. "I help him brush his teeth at night since he doesn't do a good job on his own." d."I don't like

b. "He snacks on gummy fruit snacks every day between meals when he gets hungry."

A public health nurse is educating nursing students about pediatric obesity in rural areas. Which of the following statements made by a nursing student indicates that the teaching has been effective? a. "Rural areas have lower rates of pediatric obesity due to decreased physical activity and manual labor." b. "Rural areas have higher rates of pediatric obesity due to lack of healthy and nutritional food choices." c. "Rural areas have lower rates of pediatric obesity due to a lack of recreational

b. "Rural areas have higher rates of pediatric obesity due to lack of healthy and nutritional food choices."

A nurse is reviewing Medicare Part B with a client. Which of the following statements by the client indicates understanding? a. "This covers admission to a long-term care facility." b. "This covers diagnostic testing and preventative treatment." c. "This will reduce my out- of-pocket costs." d. "This covers my prescription medications."

b. "This covers diagnostic testing and preventative treatment."

A nurse is assisting with the care of multiple clients at a community health center. For which of the following clients should the nurse anticipate a referral for a social worker? a. A client who has asthma and reports increased need for inhaler use b. A client who has diabetes mellitus and reports inadequate medical supplies at home c. A client who has depression and reports inability to sleep at night d. A client who has hypertension and reports recent weight gain

b. A client who has diabetes mellitus and reports inadequate medical supplies at home

A community health nurse is reviewing the acts and initiatives that have been adopted to improve disaster preparedness and response. The nurse should identify that which of the following describes the National Health Security Strategy (NHSS)? a. It is an initiative that keeps disaster preparedness efforts separated by state to reduce confusion b. It is a collective effort of governments and includes national, state, territorial and local agencies c. Its focus is on naturally occurring disasters,

b. It is a collective effort of governments and includes national, state, territorial and local agencies

A nurse is preparing to discuss palliative care with nurses caring for a minority population group. Which of the following information should the nurse include? a. Minority groups are more likely to utilize palliative care services. b. Minority groups are less likely to access palliative care services. c. Minority groups are less likely to experience death in a hospital setting. d. Minority groups do not have disparities in palliative care services

b. Minority groups are less likely to access palliative care services.

A nurse is working with the state health department to ensure children in the community have health insurance. The nurse should recognize that the caregivers of children who do not have health insurance are more likely to do which of the following? a. Attend regular well-child visits b. Over-use emergency care services c. Obtain treatment for chronic health conditions d. Experience lower rates of hospitalization for treatable conditions

b. Over-use emergency care services

A public health nurse is working with a health coalition to address the high rates of preterm birth in their area. The coalition is discussing possible primary prevention techniques that could be implemented. Which of the following interventions is considered a primary prevention strategy to address preterm birth? a. Pregnancy nutrition programs aimed at pregnant clients who have gestational diabetes b. Public health campaigns that clearly show the public the risks to pregnant clients and the fe

b. Public health campaigns that clearly show the public the risks to pregnant clients and the fetus from smoking during pregnancy

A nurse is reinforcing the importance of screening for colorectal cancer with a group of older adult clients. The nurse should identify that this is an example of which of the following types of prevention?a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Quaternary prevention

b. Secondary prevention

A nurse is caring for a non-Hispanic Black client who is experiencing preterm labor. When assessing the client for pregnancy complications, the nurse recognizes that pregnant clients who are non-Hispanic Black have an increased risk for which of the following? a. Cesarean delivery b. Hysterectomy c. Admission to the ICU d. Having a child with a congenital birth defect

c. Admission to the ICU

A nurse is caring for several clients who all have caregivers. Which of the following client should the nurse identify as most likely to have their caregiver experience caregiver stress? a .A middle-aged client whose caregiver is their parent who utilizes adult day care during the week b. An older adult client whose grandchild is the paid caregiver several days per week c. An older adult client whose caregiver is their middle-aged adult child who works full time and has a school aged child d. An

c. An older adult client whose caregiver is their middle-aged adult child who works full time and has a school aged child

A nurse should understand that which of the following is an example of the socialization family function and structure? a. Family members learning how to budget and spend wisely b. Family members learning about relationship boundaries c. Family members learning how to interact with other members of society d. Family members learning how to take care of their health

c. Family members learning how to interact with other members of society

A community health nurse identifies clients who have potentially been exposed to a communicable disease during a disaster. Which of the following actions should the nurse take first? a. Have a discussion with the clients about their exposure to the communicable disease b. Schedule the clients for laboratory and diagnostic testing c. Isolate the clients away from others who have not been exposed d. Refer the clients to an infectious disease specialist

c. Isolate the clients away from others who have not been exposed

A nurse is discussing care options with the family of an older adult client who has dementia. The family states they will provide care for the client by using available family members. Which of the following family members should the nurse identify as most likely to be the client's full-time caregiver? a. The client's grandchild who is a young adult part-time college student b. The client's son who who is of middle-age and is currently employed c. The client's daughter who who is of middle age a

c. The client's daughter who who is of middle age and is currently employed

A nurse is planning care for a client who was admitted one week ago for alcohol misuse disorder. The nurse asks the client if they live alone or with family or friends. The nurse asks this question for which of the following purposes? a. To plan an exercise program for the client b. To build rapport with the client by finding common interests c. To identify the client's potential support systems d. To determine the client's history of depression

c. To identify the client's potential support systems

A nurse at an urgent care clinic is discharging a child who was diagnosed with pediculosis. The child's guardian asks how their child could have developed this condition. Which of the following responses should the nurse make? a. "Pediculosis is transmitted through direct contact with saliva or feces from an infected person or indirect contact with contaminated surfaces." b. "Pediculosis is transmitted through direct contact with feces from an infected person or through ingesting contaminated fo

d. "Pediculosis is transmitted through direct hair-to-hair contact or indirect contact with the personal belongings of an infected person."

A community health nurse is assisting with disaster preparedness and is following the eight domains of Core Competencies in Disaster Nursing by the International Council of Nurses. Which of the following actions should the nurse identify as part of the domain of intervention? a. Obtaining a translator when caring for clients who speak a different language than the nurse b. Participating in drills with other community members c. Updating a community's disaster plans and policies d. Collaborating

d. Collaborating with disaster response team members to provide surge capacity care

A nurse is educating a group of students about calculating body mass index (BMI) related to age when determining obesity in children. The nurse should include that obesity in children is defined as having a BMI for age that is greater than which of the following percentiles? a. 95th percentile b. 85th percentile c. 90th percentile d. 97th percentile

a. 95th percentile

A community health nurse is helping community members with their disaster planning. Which of the following are objectives of Healthy People 2030 regarding disaster preparedness? (SATA) a. Increase awareness of local evacuation plans b. Decrease the number of human-made disasters that occur each year c. Increase the number of evacuation routes and shelters d. Increase the number of individuals who have a disaster plan e. Increase the number of individuals who are prepared for a disease outbreak

a. Increase awareness of local evacuation plans d. Increase the number of individuals who have a disaster plan e. Increase the number of individuals who are prepared for a disease outbreak

A nurse is providing discharge instructions to a family of a client who is postoperative from knee surgery. A family member informs the nurse that they are concerned that they will not be able to care for client because of employment. Which of the following responses should the nurse make? a. "Maybe we can ask the doctor to let the client stay in the hospital longer." b. "You can use FMLA that is available through your job." c. "You can hire someone to help care for them while you work." d. "I'm

b. "You can use FMLA that is available through your job."

A nurse is conducting an assessment on a 7-year-old child. The guardian reports the child frequently displays trouble with organization, is easily distracted, has difficulty paying attention, and is overly active. The nurse should recognize that these symptoms are commonly associated with which of the following pediatric health problems? a. Autism spectrum disorder (ASD) b. Attention deficit hyperactivity disorder (ADHD) c. Depression d. Anxiety

b. Attention deficit hyperactivity disorder (ADHD)

A nurse is working in a community clinic and observes that numerous clients have come to the clinic reporting nausea, vomiting, and blisters on their skin. Which of the following conditions should the nurse suspect? a. Smallpox b. Tuberculosis c. Radiation exposure d. Sarin exposure

c. Radiation exposure

A public health nurse is conducting a home visit with new clients and completing a primary family assessment. Which of the following statements by a parent indicates the parent is experiencing caregiver role strain? a. "I frequently ask a family member to come over and help me take care of the children so I can get some rest." b. "My partner and I argue about money, and they don't think we need to be paying someone to help when I am capable of taking care of the children." c. "We don't have a lo

d. "We don't really have a routine; I feel sick and drained most of the time, so we can't keep up with a schedule."

A nurse understands a family operates as a unit and that what impacts one family member can impact all members. Which of the following findings should the nurse identify as significant in relation to the family systems theory? a. A family member in the household was recently diagnosed with cancer. b. The client has an elevated blood pressure reading today. c. The client has recently quit smoking. d. The family has recently obtained a pet.

a. A family member in the household was recently diagnosed with cancer.

A nurse is assisting with a presentation about the importance of stress reduction techniques with a group of veterans. The nurse should identify this as an example of which of the following types of prevention?a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Quaternary prevention

a. Primary prevention

A nurse is reinforcing dietary teaching iwth a 45-year-old client whose sibling died from colon cancer. Which of the following statements by the client indicates an understanding of the teaching? a. "I can eat grilled steak and a baked potato for dinner." b. "I can eat broiled chicken breast and a cup of blueberries for dinner." c. "I can eat beef stew and a cup of boiled rice for dinner." d. "I can eat a salami sandwich and a cup of yogurt for dinner."

b. "I can eat broiled chicken breast and a cup of blueberries for dinner."

A nurse understands that social determinants contribute to poor health, health disparities, and inequities. Which of the following is an example of a social determinant of health? a. Gender b. Socio-economic status c. Age d. Genetic disorder

b. Socio-economic status

A nurse is caring for a 17-year-old adolescent who is being treated for depression. Which of the following statements by the adolescent should the nurse report to the provider immediately? a. "I am tired of feeling sad all the time." b. "I don't think anyone would miss me." c. "Sometimes I think I should just drive my car off a cliff." d. "Sometimes I think everyone would be better off without me."

c. "Sometimes I think I should just drive my car off a cliff."

A nurse notices that the age and gender of each family member has been recorded in a client's chart. This information is a characteristic of which of the following? a. Family function b. Family dysfunction c. Family structure d. Family characteristics

c. Family structure

A nurse who works in a low socioeconomic status neighborhood where most families live below the poverty line finds that many of the children suffer from malnutrition. The nurse should identify that which of the following aspects of poverty increases a child's risk for malnutrition? a. Access to health care b. Inability to pay for medications c. Environmental exposures d. Housing insecurity

d. Housing insecurity

A community health nurse is teaching a group of new nurses about their role in the recovery phase of the disaster management cycle. Which of the following activities should the nurse include in the teaching? a. Identify vulnerabilities in the community b. Educate community members on stockpiling food, water, and medication c. Mobilize first responders to a disaster site d. Refer community members to mental health services

d. Refer community members to mental health services

A nurse is educating a group of new parents and guardians about safe sleep practices for infants. Which of the following statements by a guardian indicates an understanding? a. "My baby should sleep on a soft mattress." b. "My baby should sleep in my bed with me until they are at least 6 months old." c. "My baby can sleep on their stomach for naps." d. "There should not be any pillows or toys in the bed with my baby."

d. "There should not be any pillows or toys in the bed with my baby."

A nurse is discussing the domains within the Core Competencies in Disaster Nursing by the Council of Nurses with a group of nurses. In which of the following domains should the nurse include the action of reporting an event that might indicate an emergency? a. Assessment b. Intervention c. Recovery d. Communication

a. Assessment

A public health nurse is educating community leaders about the causes of adverse childhood experiences (ACEs). Which of the following should the nurse include as potential types of adverse childhood experiences? - Child maltreatment - Intimate Partner violence - Chronic health problems - A parent who is incarcerated - Divorce - Developmental delay

- Child maltreatment - Intimate Partner violence - A parent who is incarcerated - Divorce

A nurse is caring for several clients in a community health clinic. Which of the following clients should the nurse identify as at risk for transmitting HIV? a. A client who uses contraceptives b. A client who has unprotected intercourse c. A client who lives with an adult who has HIV d. A client who participates in oral intercourse

b. A client who has unprotected intercourse

A nurse is caring for a client who has a terminal illness. Which of the following actions would be priority for the nurse? a. Ensure the client gets adequate rest. b. Encourage the client to make their own decisions about their care. c. Involve the client's family in all aspects of decision-making. d. Arrange for a chaplain visit if desired.

b. Encourage the client to make their own decisions about their care.

A nurse in the emergency department is assisting with the care for an older adult client who lives with a family member. The client's family member reports the client has blood in their urine. Which action should the nurse suggest taking first? a. Determine the cause of the bleeding while asking about other social family concerns. b. Plan to refer the client to an outpatient urologist to address blood in the client's urine. c. Send the client home with their family member and inform the client t

a. Determine the cause of the bleeding while asking about other social family concerns.

A community health nurse is triaging victims of a mass casualty incident. Which of the following victims should the nurse tag with the color red? (SATA) a. A victim who has multiple facial lacerations and is able to walk b. A child victim who is unconscious and breathing spontaneously c. A victim who has a broken wrist and states that they are ok d. A victim who is conscious, has a sucking chest wound, and is breathing spontaneously e. A victim who has an open head injury and agonal breathing

b. A child victim who is unconscious and breathing spontaneously d. A victim who is conscious, has a sucking chest wound, and is breathing spontaneously

A nurse is caring for a client who is receiving inpatient hospice services and requests additional pain medication. Which of the following actions should the nurse take? a. Provide distraction measures. b. Obtain a prescription to administer more analgesics. c. Inform the client that more medication is not indicated. d. Administer a prescribed sedative for the client.

b. Obtain a prescription to administer more analgesics.

A nurse is reviewing community partnerships to help identify resources for families in the community. Which of the following is an example of a community partnership the nurse should expect? a. Working with the local news media b. Working with elected officials c. Creating a blog for community members d. Creating a health newsletter for community members

b. Working with elected officials

A nurse is discussing care options with the family of an older adult client who is currently living with them. The family is concerned that the client will fall at home while they are at work. Which resource should the nurse recommend for the family? a. Long term care facility placement b. Home health care c. Adult daycare d. Senior health center

c. Adult daycare

A school nurse is educating parents and students regarding effective strategies for reducing adolescent motor-vehicle crashes. Which of the following statements by a student indicates that the teaching has been effective?a. "Newly licensed drivers are at a decreased risk of being involved in a motor-vehicle crash." b. "Driving late at night or when I am tired can decrease my risk of being in a motor-vehicle crash." c. "Many states have a zero-tolerance law for anyone under the age of 21 driving

c. "Many states have a zero-tolerance law for anyone under the age of 21 driving under the influence of drugs or alcohol."

A public health nurse is educating community members about the incidence of child maltreatment in the area at a local health fair. Which of the following should the nurse include as the most commonly reported type of child maltreatment? a. Sexual maltreatment b. Physical maltreatment c. Child neglect d. Emotional maltreatment

c. Child neglect

A nurse is collecting data from an adolescent who is pregnant. Which of the following findings represents the greatest risk factor for the client? a. The client had their first prenatal visit in the third trimester. b. The client has an elevated blood pressure. c. The client reports being without housing. d. The client has a sexually transmitted infection.

c. The client reports being without housing

A nurse is communicating the definition of a genogram to a client. Which of the following statements should the nurse make to define a genogram? a. "A genogram is a tool for assessing the resources a family possesses to deal with challenges or a crisis." b. "A genogram is a visual illustration of the family in relation to other systems within the community, such as school, health care entities, work, and other social communities." c. "A genogram is a tool that is useful for assessing the ability

d. "A genogram contains all the information in a typical family tree, and also has details about family structure, timelines of major family events, conflicts, and documentation of family patterns."

A nurse is reviewing discharge planning for several older adult clients. Which of the following clients should the nurse identify as most likely to require additional health care services? a. A client who has severe arthritis and lives alone. b. A client who has diabetes mellitus and lives alone. c. A client who has a cognitive disorder and lives with their family. d. A client who is scheduled for discharge to an acute rehab facility.

a. A client who has severe arthritis and lives alone.

A nurse is preparing an in-service about methods to remove barriers to health care. Which of the following information should the nurse include? a. Attend an antidiscrimination rally held in the local community. b. Provide free food at a food bank. c. Support an initiative to add more homeless shelters to the community. d. Establish a mobile clinic to provide services for clients in rural communities.

d. Establish a mobile clinic to provide services for clients in rural communities.

A nurse is assisting with a community group presentation about the needs of vulnerable groups. Which of the following statements by the nurse indicates an understanding of the unique needs of vulnerable groups? a. "I always address the problem that the client believes is the most significant." b. "I avoid asking clients for income or financial information, because this is an invasion of privacy." c. "I include the client's cultural traditions as I complete my assessment." d. "I make sure to do a

c. "I include the client's cultural traditions as I complete my assessment."

A nurse is preparing t instill 840 mL of enteral nutrition via a gastrostomy tube over 24 hours using an infusion pump. The nurse should set the infusion pump to deliver how many mL/hr? (Round to the nearest whole number)

35 mL

A nurse is teaching about palliative care with a client who has recently developed Parkinson's disease. Which of the following statements by the client indicates understanding? a. "Palliative care services should begin at the beginning of my treatment." b. "I should start palliative care services if I have side effects of therapy." c. "I should start palliative care services if my treatment is not effective." d. "Palliative care services should begin 6 months following my treatment."

a. "Palliative care services should begin at the beginning of my treatment."

A nurse is caring for a group of clients. The nurse should identify that which of the following clients is a member of a vulnerable population? (Select all that apply.) - A client who has substance use disorder and tests positive for HIV - A client who smokes and uses chewing tobacco daily - A client who recently had a baby and requests information about child care - A client who has limited access to health care because they live in a rural area - A veteran who just returned from an overseas to

- A client who has substance use disorder and tests positive for HIV - A client who smokes and uses chewing tobacco daily - A client who has limited access to health care because they live in a rural area - A veteran who just returned from an overseas tour of duty after being injured

A public health nurse is discussing the principle of utilitarianism when responding to a disaster with a group of nurses. Which of the following actions is an example of utilitarianism? a. Reusing personal protective equipment (PPE) to increase its availability b. Providing care to the youngest victims first c. Providing treatment to victims in the order of their arrival to the emergency department (ED) d. Using resources on victims who are more likely to survive

d. Using resources on victims who are more likely to survive

A home health nurse is assessing a patient who has heart failure and notes the patient has had a weight gain of 1.8 kg (4 lb), as well as generalized edema, since the last visit 3 days ago. Which of the following actions should the nurse take next. A. Call the health care provider for further instructions B. Document the findings and continue with the visit C. Ensure the client has been taking their prescribed diuretic D. Reinforce the importance of daily weights

C. Ensure the client has been taking their prescribed diuretic

A nurse is reviewing a client's chart. Which of the following tools would assist the nurse in identifying family relationships and patterns? a. Ecomap b. Genogram c. Family APGAR d. Family SCREEM

b. Genogram

A public health nurse is discussing wellness initiatives to assist with wellness promotion by the Department of Health and Human Services with a newly hired nurse. Which of the information should the nurse discuss? a. Medicare b. Healthy People 2030 c. Medicaid d. National Institute on Aging

b. Healthy People 2030

A nurse case manager is caring for a client who is a member of a vulnerable population. Which of the following actions should the nurse take? a. Set a time limit for the client to become self-sufficient. b. Take control of the client's care decisions. c. Attempt to develop a long-term relationship with the client. d. Rotate client caseloads frequently.

c. Attempt to develop a long-term relationship with the client.

A community health nurse is working with adolescents living in a shelter for people without housing. The nurse should recognize that frequent moving leaves these adolescents at an increased risk for which of the following? a. Developmental delays b. Asthma c. Diabetes d. Alcohol and drug use disorder

d. Alcohol and drug use disorder

A nurse manager is preparing an in-service about vulnerable populations for nursing staff. Which of the following information should the nurse include? a. Population-based community health nursing interventions are focused only on those individuals who seek health care services. b. Childhood poverty does not increase the risk for poorer health across the lifespan. c. Pre-existing illness and age are social factors that can lead to vulnerability. d. Vulnerable populations experience more adverse

d. Vulnerable populations experience more adverse health outcomes than the general population

A public health nurse is working in a low-income neighborhood composed primarily of non-Hispanic Black families. The nurse is developing a teaching plan for parents about common pediatric health concerns. When compared to non-Hispanic Whites, for which of the following health concerns are low-income, non-Hispanic Black children at a greater risk? (Select all that apply.) - Obesity - Autism - Asthma - Diabetes - Asthma - Diabetes

- Obesity - Asthma - Diabetes - Asthma - Diabetes

A nurse is admitting a client whose adult child provides full-time care for them. Which of the following tasks should the nurse anticipate the adult child provides for the client? (Select all that apply.) - Preparing meals - Maintaining safety - Performing procedures - Providing companionship - Bathing and dressing - Making health care decisions

- Preparing meals - Maintaining safety - Providing companionship - Bathing and dressing

A group of community health nursing students is preparing a presentation about lead toxicity in children. Which of the following characteristics of children should the students include as factors that increase a child's susceptibility to environmental lead exposure? (Select all that apply.) - Children eat less food and drink more water per pound of bodyweight than adults. - Children's organ systems grow at a slower rate than adults. - Children breathe at a faster rate and inhale less air than ad

- Young children frequently place objects in their mouths. - Children spend a greater amount of time close to the ground and soil. - Children have more years of life ahead of them than adults.

A community health nurse is teaching a group of newly licensed nurses about emotional phases experienced during a disaster. Place the emotional phases of a disaster in the correct order. (Move the phases into the box on the right, placing them in the order they are experienced. Use all the phases) 1. Heroic phase 2. Honeymoon phase 3. Reconstruction phase 4. Disillusionment phase

1. Heroic phase 2. Honeymoon phase 3. Disillusionment phase 4. Reconstruction phase

A nurse is caring for an infant who weighs 12 lb and is prescribed cefuroxime sodium 15mg/kg PO every 12 hour. Available is cefuroxime sodium oral solution 125 mg/5mL. How many mL should the nurse administer. (Round to the nearest tenth)

3.3 mL

A nurse is preparing to administering vancomycin 15 mg/kg/day divided equally every 12 hour. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round to the nearest whole number)

675 mg

A nurse is teaching the caregivers of an infant born at 30 weeks gestation regarding potential health complications of prematurity later in life. Which of the following statements by the caregivers indicates teaching has been effective? A. Our child is at an increased risk for developing asthma B. Our child is less likely to suffer from hearing or vision loss C. Our child is at a decreased risk for digestive problems D. Our child is less likely to develop neurodevelopmental problems like attent

A. Our child is at an increased risk for developing asthma

Some elderly people with health issues in a more establish neighborhood are on a fixed incomes and have trouble getting around. Which of the following could the community health nurse do to assist them? A. Teach residents about the dangers of lead-based paint B. Advocate for more transport to health care facilities C. Partner with a nonprofit organization for the local farmers' market to sell fresh produce twice a week D. Partner with local churches and write grants for childcare funding towa

B. Advocate for more transport to health care facilities

A public health nurse is screening families for risks of child maltreatment at a local community clinic. Which of the following should the nurse consider a community-level risk factor for child maltreatment? A. Caregiver role strain B. Few recreational activities for young people C. Prior history of maltreatment or trauma D. Lack of financial resources

B. Few recreational activities for young people

A nurse has been asked to identify interventions targeting the prevention of child poverty among those most at risk. Which of the following pediatric populations should the nurse identify as having the highest rate of child poverty? A. Non-hispanic white children B. Non-hispanic black children C. Hispanic children D. Asian American children

B. Non-hispanic black children

A public health nurse wants to implement interventions to help reduce the incidence of the leading cause of death among children aged 5 to 9 years. Which of the following prevention programs should the nurse choose to implement? A. School-based education programs about the dangers of drug and alcohol abuse B. A program at the local recreation center offering free swim and water safety courses C. A program at the local community center offering free CPR classes for parents and caregivers D. A p

D. A program providing free car seats for families that have young children

A nurse is reviewing data on the countries in the district. The data shows that one rural county is listed among the areas with persistent child poverty. Which of the following characteristics accurately describe persistent child poverty? A. Having a district with a child poverty rate exceeding 20% for the past 20 years B. Having a child poverty rate exceeding 20% for the past 10 years C. Having a child poverty rate exceeding 20% for the past year D. Having a child poverty rate exceeding 20% f

D. Having a child poverty rate exceeding 20% for the past 30 years

A nurse is collecting data on a 19-year-old client and notices that the client is up-to-date on immunizations. Which of the following family functions does this meet? a. Physical function b. Health promotion and self-care function c. Affective nurturance function d. Socialization function

b. Health promotion and self-care function

A clinic nurse is assessing a 6-year-old child during a well-child examination. The child's guardian asks the nurse how much longer the child will need to ride in a booster seat. Which of the following responses should the nurse make? a. "Children should ride in the back seat with a belt-positioning booster until they are at least 12 years old." b. "Children should ride in the back seat with a belt-positioning booster until they reach the maximum height and weight listed by the seat manufacturer

d. "Children should ride in the back seat with a belt-positioning booster until they are at least 4 feet 9 inches tall and are 8 to 12 years of age."