Community Health

A community health nurse is working to meet the health care needs of residents in a rural community. Which of the following characteristics should the nurse identify as a barrier to health care resources for this population?

Unavailability of outreach services

A nurse manager at a community health clinic is prescribing an in service for nurses about assessing clients for abuse. Which of the following statements by a nurse indicated an understanding of the teaching?

I should refer a client for a rape kit examination if she reports sexual assault within the previous 24 hours

A community health nurse is developing a plan of care for a client who is Hispanic. Which of the following actions should the nurse include in the plan?

Use therapeutic touch during conversation

A community health nurse is working in a mobile health care clinic. Which of the following clients would the nurse assess first?

A client who has a new onset of confusion and slurred speech.

A nurse in an ED is triaging clients following an explosion at a local factory. Which of the following clients should the nurse identify as priority?

A client who has a tracheal deviation and SOB

A community health nurse is assessing a group of clients for risk factors of abusive behaviors. which of the following finding should the nurse identify as a risk factor for developing violent behaviors?

A client who states he witnessed his mother physically mistreat his father

A nurse is developing a genogram for a client to determine education needs. Which of the following health risk information should the nurse expect to obtain with this tool?

Biological

A school nurse is conducting hearing screening procedures in an elementary school. Which of the following instructions should the nurse provide when performing the Rinne test?

After I place the tuning fork behind your ear, tell me when you no longer hear the sound

A school nurse is conducting visual acuity testing for a school age child. Which of the following actions should the nurse take?

Allow the child to keep her glasses on during the testing

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

A client who has diabetes and reports new erythema to the left foot. A nurse is conducting a home visit with a female client who reports a history of intimate partner

A community health nurse is participating in a group session for clients who have alcohol and substance use disorders. Which of the following information should the nurse provide regarding support programs for these individuals?

AA assists a client who has an addiction to alcohol with developing a daily recovery program

A nurse in a clinic is planning teaching for a client who has newly diagnosed with hep c. which of the following instructions should the nurse include in the teaching?

Abstain from sexual intercourse until antibody test are negative

A community health nurse has been regarding a client diagnosed of influenza type a in an adult day care. Which of the following actions should the nurse take to assist in the prevention of an outbreak

Administer antiviral medications to clients at the facility

A nurse is preparing an educational program about influenza for a group of community health nurses. Which of the following activities should the nurses include as an example of tertiary prevention?

Administer antiviral medications within 48 hours to clients who have manifestations of influenza.

A public health nurse is planning care for four clients. Which of the following interventions should the nurse recognize as tertiary prevention?

Administering antibiotics to a client who has AIDS and was diagnosed with pneumocystis jiroveci

A nurse is providing bp screenings for an older adult client at a local community center. Which of the following should the nisei identify as increasing the client's risk for developing hypertension?

African American race

A nurse is assessing the risk and benefits of meal delivery services for an older adult who lives alone and has no transportation. Which of the following principles is the nurse demonstrating?

Beneficence

A nurse in a county health department is caring for a client who states "I've been drinking too much in the evenings since my mom died last year" which of the following responses should the nurse include?

Can I give you some information about AA?

A nurse in a rural health clinic is caring for a client who has heart failure. The client states "I'm not going to take any more heart medicine" which of the following responses should the nurse make?

Can you tell me more about your decision to stop taking your medication?

A community health nurse is planning an in service about STI for a group of adolescents. Which of the following finding should the nurse include a manifestation of primary syphilis?

Chancre

A nurse is giving a presentation about family violence at a local community center. Which of the following should the nurse include?

Child abuse is more common in homes where intimate partner abuse is present

A nurse is teaching a client who has a new diagnosis of hep a how to prevent the spread of the virus. which of the following instructions should the nurse include?

Clean your bathroom fixtures with chlorine bleach solution

A public health nurse is developing a visual health program by using a community-oriented approach. Which of the following interventions should the nurse include?

Consult with the local school nurse to schedule yearly vision screenings for students

A home health nurse is teaching a client's family about preventing the transmission of c diff. which of the following transmission-based precautions should the nurse include in the teaching?

Contact precautions

A school nurse is discussing levels of prevention with a teacher. Which of the following activities should the nurse identify as a primary prevention strategy?

Demonstrate proper handwashing techniques

A case manager is developing a discharge plan for a client who has a spinal cord injury and is in rehabilitation facility. Which of the following actions should the nurse take first?

Determine the client's ability to perform self-care activities

A community health nurse is providing care to a client who has stopped takin his prescribed BP meds. Which of the following actions should the nurse take first?

Determine the client's reason for discontinuing the medication

A community health nurse suspects an outbreak of scabies in the local area. Which of the following should the nurse take first?

Determine the incidence rate

A nurse is performing a home visit for a client who has TB. As the nurse is leaning the clients house a neighbor ask "is it true that my neighbor has TB" which of the following responses should the nurse make?

Do you have questions about TB?

A community health nurse identifies an increase in the occurrence of osteoporosis related fractures in women experiencing menopause. Which of the following primary prevention strategies should the nurse implement?

Encourage the women to participate in weight bearing activities

A community health nurse is creating a program to reduce domestic violence in the community. Which of the following interventions should the nurse identify as secondary prevention?

Recognize and reporting suspected abuse to the appropriate protective services

A community health nurse is planning an educational program about occupational health risks. Which of the following risk should the nurse include?

Respiratory disorders

A community health nurse is discussing the role of a faith community nurse as a Chaplin. Which of the following information should the nurse include in the discussion?

The faith community nurse can facilitate substance abuse support groups

A community health nurse is providing teaching about health promotion to a group of adolescents. Which of the following topics is the most important for the nurse to include to lower adolescent mortality rate?

safety belt use

Community leaders have requested a meeting with a community health nurse to discuss a mobile meals program. Which of the following should the community health nurse assess first?

The need for the program

A nurse is planning to teach a community group about the meningococcal vaccine. The nurse should identity that which of the following clients should receive the vaccine?

A client who is moving into a college dorm

A hospice nurse is teaching about expected grief reactions with the family of a client who has end stage pancreatic cancer. Which of the following information should the nurse include?

A component of healthy grieving is the ability to openly express your anger

A nurse is assessing a new client at a public health clinic. Which of the following should the nurse address as part of the cultural assessment?

Illness practices

A nurse is preparing to ad mister medication to a client who has active TB. Which of the following precautionary measures should the nurse take?

Use an N95 respirator

A nurse is caring for a 16-year-old client who has a new diagnosis of HPV. Which of the following action should the nurse take?

Teach the client how to apply imiquimod 5% cream to the lesions.

A nurse is caring for a client who has stage IV pancreatic cancer and has received information regarding available treatment options. Which of the following is the responsibility of the nurse if the client chooses to forgo Tx and enter hospice care?

Make the hospice referral accordance with the client's decision

A home health nurse is caring for a client who has breast cancer. Which of the following assessment finding should the nurse identity as an indication that the client is coping effectively?

Makes eye contact

A public health nurse is monitoring medication compliance for a group of migrant workers who are being treated for TB. The nurse should use information from which of the following resources to asset with this process?

Migrant clinicians' network

A public health nurse is participating in a community planning committee for disaster preparedness for a local community that is at risk for hurricanes. Which of the following information should the nurse contribute of the plan?

A list of areas within the community where residents speak English as a second world language

A home health nurse is planning care for the day. Which of the following clients should the nurse visit first?

A school age child who was treated in the ED last night with status asthmaticus

A community health nurse is planning a presentation for adults who have a family history of Alzheimer's disease. Which of the following behaviors should the nurse include as an early manifestation of Alzheimer disease?

Forgetting the location of common objects

An occupational health nurse is assessing a client who reports taking ibuprofen daily. The nurse should counsel the client about the risk for which of the following adverse effects?

Gastric ulceration

A home health nurse is assessing an older adult client who is taking captopril to treat heart failure. Which of the following finding should the nurse identify as an adverse effect on this medication?

Dry Cough

A nurse is caring for a client who has recently emigrated from another country and states" the health care system in my country was better and should be used everywhere" the nurse should recognize the client is demonstrating which of the following behaviors?

Ethnocentrism

A nurse is caring for a client who has AIDS and is experiencing rapid weight loss. Which of the following actions should the nurse take first?

Examine the client's oral mucous membranes

A nurse is developing an educational program about bioterrorism and smallpox. The nurse should include in the teaching that the smallpox rash is expected to first appear in which of the following locations

Face

A community health nurse is participating in a quantity improvement plan for a local health department. Which of the following techniques should the nurse use for process evaluation of the facility? Select all that apply.

Focus group, written audits, satisfaction survey, and interviews

A nurse is assessing a new client. Which of the following information should the nurse include in the cultural portion of the assessment?

Food preferences

The daughter of a client who is terminally ill and at the end of life approaches a hospice nurse and ask what she can do to help relieve her fathers' pain. Which of the following interventions should the nurse suggest?

Give the client brief hand massages

A community health nurse is caring for an adolescent who is seeking help for an unplanned pregnancy. Which of the following actions should the nurse take first?

Help the client to obtain a provider for prenatal care

A community health nurse is teaching a client who was newly diagnosed with active pulmonary TB about disease transmission. Which of the following should the nurse include?

Household members should take isoniazid for 6 to 12 months

A home care nurse is visiting an older client and notes that unwashed dished are pilled up and newspaper cover the front steps. Which of the following questions should the nurse ask to the client to determine if he is socially isolated?

How often do you have visitors come to see you?

A public health nurse is providing information to a client wo has alcohol use disorder an dis asking about treatment. Which of the following statements should the nurse identify as an indication that the client understands the information?

I can expect to get help with other aspects of my life in treatment

A community health nurse is teaching a client who is overweight about steps to take to begin an exercise program. The nurse should identify that which of the following statements is an indication that the client understands the teaching?

I will see my doctor before beginning an exercise program

A community health nurse is planning to establish a community garden to address the lack of nutritious foods options in the area. Which of the following actions should the nurse take first to initiate the palm?

Identify community members who demonstrate an interest in the project

A case manager is planning an educational program for a client who has diabetes. Which of the following activities should the nurse include when using the psychomotor domain of learning?

Observe the client's technique for drawing up insulin

A community health nurse is reviewing plants for a health education program. the nurse should identify which of the following components of the plan needs to be changed?

Pamphlet is written at a 12th grade level

A home health nurse is planning care for a client who reports practicing traditional Asian health believe. The nurse should recognize that the client participated in which of the following actions?

Places a cup of steam against the skin to draw out toxins from the body.

A nurse is collecting demographic data as a part of community assessment. Which of the following information should the nurse include?

Racial distribution

A public health nurse is developing a presentation for local day care providers about infectious childhood disease. Which of the following statements should the nurse include?

Respiratory syncytial virus is spread through contact with respiratory secretions from an infected person

A nurse is conducting a home visit for an older client. The nurse should identify which of the following as an indicator of possible neglect?

Taking outdated prescriptions

A nurse is planning health promotion activities for the local community. Which of the following activities should the nurse include as an example of primary prevention?

Teaching meal planning classes to older adults

A home heath nurse is conducting a follow up visit for a client who has recently discharged from an acute rehabilitation program for alcohol use disorder. Which of the following actions should the nurse take?

Tell the client to take naltrexone daily

A nurse is preparing a community education program about health care need during pregnancy. The nose should include that which oft the following vaccines is safe to administer to a client who is pregnant?

Tetanus, diphtheria, pertussis (Tdap)

A nurse is conducting a home visit with a female client who reports a history of intimate partner abuse. The nurse should identify that which of the following findings places the clients at greatest risk for domestic violence?

The client states she is leaving her partner

A nurse at a county health department is caring for a client who is at 28 weeks gestation. The nurse hold identifies which of the following characteristics as a risk for potential future abuse of the newborn.

The clients have changed providers three times during her pregnancy

A palliative care nurse is teaching a client who has cancer about the services that are available for the client. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

This type of care can help me with pain control

A nurse on the science following a mass casualty explosion is triaging a client who has a large open occipital wound and the following finding: RR 6/min, agonal pattern, cap refill 4.5 secs, nonresponsive to painful stimuli, which of the following action shroud the nurse take?

Turn the client to the left semi fowler position and begin assessing the next client

A home health nurse is providing nutritional instructions to client who has COPD and is malnourished. Which of the following instructions should the nurse include?

Use milk instead of water when making canned soup

A nurse in a pediatric clinic is providing care to several clients. The nurse should recognize that which of the following conditions is included in the nationally notifiable infectious condition list?

Varicella

A clinic nurse is caring for a client who reports taking ginkgo biloba for several weeks since seeing a naturopathic healer. The nurse should instruct the client that it will alter the effects of which medication?

Warfarin

A faith community nurse is teaching the daughter of a lucent who has terminal illness bout her role as a member of the client's care. Which of the following statements by the daughter indicated an understanding of the teaching?

You will coordinate with volunteers who will come up to help my mother

A nurse is caring for a client wo has terminal lung cancer and is receiving hospice care. Which of the following statements should the nurse identify as an indication that the client is in the denial state of the grief process?

I look forward to my daughter's wedding next year

A student nurse is educating a group of high school students about recommended dietary guidelines. Which of the following statements by a student indicated an understanding of the teaching

I should consume less than 300 mg per day of dietary cholesterol

A public health nurse is planning a community health promotion program for hypertension prevention. Which of the following interventions should the nurse include as a tertiary prevention strategy?

Implement an exercise program for clients who have hypertension

A nurse is conducting an educational session at an assisted living facility for a group of clients who have osteoporosis. Which of the following statements who'd the nurse include in the teaching?

Increase your daily intake of leafy green vegetables.

A public health nurse is planning an educational program for a group of nurses at a community health department about pertussis infection. Which of the following information should the nurse include?

Individuals transmit the pertussis bacteria through airborne droplets

A community health nurse is conducting a needs assessment of a community. The nurse should identify that which of the following methods will yield direct date?

Informant interviews

A nurse in an ED is caring for a client who is homeless and has hypothermia. Which of the following actions should the nurse take?

Initiate a referral to the facility's social worker

A nurse in a community center is preparing to administer a tb skin test to multiple clients to screen for tb. Which of the following actions should the nurse take?

Inject 0.1 ml of purified protein derivative

An occupational health nurse in a factory is performing a routine TB screening and identifies an employee who has a positive Mantoux TB skin test. Which of the following actions should the nurse take?

Instruct he employee to prepare a list of close personal contact

An occupational health nurse is planning to use an interpreter during an educational session with a group of migrant workers who does not speak the same language as the nurse, which of the following action should the nurse take (select all that apply)

Instruct the interpreter to guide the nurse in providing information in a culturally sensitive manner, choose an interpreter who speaks the workers language an dialect, evaluate the interpreters approach to clients prior to the educational session

A school nurse is notified that a school age child has been diagnosed with pertussis. Which of the following actions should the school nurse take (select all that apply)?

Instruct the parent to keep the child at home until the coughing stage has passed, encourage family members to obtain prophylactic treatment, check the immunization status of the child's classmates.

A public health nurse is working in a community that has a population of 24, 096. There are 2096 cases existing of heart disease within the population. The nurse can determine which of the following from this information

Prevalence population

A school nurse is reviewing the records of four students who are returning to school after being diagnosed with MRSA. Which of the following actions should the nurse take?

Provide education about MRSA throughout the school system

A nurse in a rural community is planning education for a young client who is a migrant farm worker. Which of the following actions should the nurse include? Select all that apply.

Provide environmental health information, refer the client for a TB screening, provide skin cancer information, recommend a dental health screening.

A nurse in a community health clinic is preparing to administer immunizations to 5 years old. Which of the following action should the nurse take?

Ask the client to pretend to blow up a balloon during injection

A nurse is developing a community education program about risk factors for family violence. The nurse should include which of the following circumstances as a risk factor for intimate partner abuse?

Attempting to end the relationship

A public health nurse is conducting an educational session about Lyme disease for a group of older adults. Which of the following statements should the nurse identify as an indication of client understanding?

I can take penicillin for 10 to 14 days to manage Lyme disease.

A nurse at a county health clinic is caring for a client who has recently assumed the role of primary caregiver for her mother, which of the following statements by the client indicated that she is experiencing role conflict?

I feel overwhelmed with not having enough time for my mother and my children

A community health nurse is conducting vision screenings at a health fair for an older adult client who has age related macular degeneration. Which of the following statements should the nurse identify as an indication that the client is adapting to the changes?

I have a prescription bottle magnifier to help me read my pill bottle labels.

A nurse is providing education regarding lead exposure to a group of clients who live in a housing department built in the 1968. Which of the following client's statements indicated an understanding of teaching?

I will increase the amount of red meat and milk in my child diet

A school nurse is teaching health promotion to a group of staff members who sit at a desk and use a computer for 8 hrs. at a time. Which of the following information is the priority for the nurse to include?

Point and flex you toes periodically

A community health nurse is assigned to lead a county level environmental task force. Which of the following activities should the nurse direct this task force to complete first?

Review community specific epidemiological data

A community health nurse is discussing the concept of epidemiology with a coworker. Which of the following interventions should the nurse provide as an example of the use of the principles of epidemiology?

Reviewing county health records for data on cases of chickenpox