Community practice
18. After presenting several teaching sessions to a group of high school students about the harmful effects of tobacco use, a nurse valuates the teaching to be effective when a student states which of the following
"As long as I stop smoking while I am young, none of those diseases will affect me"
25. A community health nurse working with a migrant population recognizes that which of the following is necessary to provide care to this population
Offering health screenings at a community center
27. A nurse uses a secondary prevention intervention when doing which of the following
Performing hypertension screening in a community center
Rheumatoid Arthritis Resources
The arthritis association
Plans formulated for solving community problems
community organization
31. A parish nurse is visiting an older adult client who was recently widowed. The client tells the nurse that he no longer has a way to get to the grocery store or the doctor. Which of the following responses by the nurse is appropriate
"How would you feel about me contacting a local service that helps older adults with transportation?"
19. A home health nurse is educating a client diagnosed with COPD about home oxygen use. Which of the following statements by the client indicates a need for additional teaching
"I should use wool blankets on my bed when oxygen in use"
22. A community health nurse is teaching a client who has tuberculosis about modes of disease transmission. The nurse recognizes that the client understands the concept when the client makes which of the following statements
"I will wear a mask when I'm in an enclosed area with other people"
5 year old child given Retinol capsule every 6 months to prevent xerophthalmia- preschooler dose
200,000 IU
If there were 250 deaths and 36,114 live births registered in Region III, with a total population of 200,000, the fetal death rate would be
6.9 per 1000 live births
41. A school nurse is creating a plan to address an increase in violence among high school students. Which of the following is a secondary prevention strategy that the schools nurse can implement
Surveying students to identify risk factors for bullying
16. A nurse is providing a staff development program on HIPPA regulations to the staff at a community health clinic. Which of the following comments by one of the attendees would indicate a need for further teaching?
"Demographic data that identify a client can be released without consent"
20. A nurse is providing teaching to the wife of a client who has had a stroke regarding health-related services that will be provided in the home. Which of the following statements by the wife indicates that the teaching has been effective?
"The physical therapist will teach my husband exercises to increase hand dexterity"
57. A home health nurse is making a home safety evaluation visit with an older adult client recently discharged from the hospital after being diagnosed with diabetes mellitus. Which of the following findings indicates a need for a corrective intervention? Select all that apply)
-The hot water heater is set at 130 F. -An extension cord extends across the floor from the electrical outlet to floor lamp.
5. A community health nurse is reviewing laboratory results for his case load of clients. Which of the following is the highest priority finding?
a sputum specimen that is positive for tuberculosis
Scheduling home visits, which is best for the home health charge nurse to assign to the LPN
A bedfast client who needs daily irrigation of stage 4 pressure ulcer
33. What patient would the Home Health Nurse send to the doctor first
Abdominal pain
37. A nurse is providing education to a troop of local Boy Scouts regarding first aid for venomous snake bites in the event that transport to the hospital is delayed. Which of the following would be appropriate information to include in teaching about bites to an extremity
Apply a constricting band above the bite while maintaining circulation below the bite
23. A nurse is caring for a client who asks "can I decide not to continue with chemotherapy?" The nurse responds, "This is your choice and I'll support whatever decision you make." The nurse's response is an example of which of the following ethical principles
Autonomy
55. A client presents to the emergency department after being exposed to anthrax. The nurse should recognize that the
Chances of recovery are good if improvement is seen in 3 to 5 days.
Method of family planning not immediately used by a breastfeeding mother
Combined OCP
47. A school nurse is planning an educational for parents about head lice. The nurse should include which of the following in the program?
Combs should be placed in boiling water for 10 min
46. A nurse planning and education program for new inmates in a correctional facility. Which of the following topic is most important for the nurse to include in the teaching?
Communicable disease prevention
Population-focused nursing practice
Community diagnosis
Nurse has to conduct community Dx to determine nursing needs and problems
Community-based practice
Dependency ratio
Compares the number of economically dependent with the economically productive group in population
30. A nurse is working in an occupational health setting. Which of the following is a primary prevention activity for the nurse
Conducting smoking cessation classes
Training of potential leaders in the community
Core group formation
21. A nurse is assisting with the development of a disaster management plan for a local community. During which of the following times should an evacuation plan be disclosed to the public
During disaster preparedness activities
In conducting a census, the method of population assignment based on the usual place of residence of the people
De Facto
28. An occupational health nurse is planning a program on early detection of breast cancer for female employees at a local business. Which of the following is the first action the nurse should take
Determine employee knowledge level of breast self-examination
32. A case manager nurse is caring for a client being discharged post total hip arthroplasty. Which of the following activities is an example of the nurse functioning in the negotiator role
Discussing payment options with various pharmacies
Core business of public health
Disease control, health protection, helath public policy, injury prevention
35. A nurse working for a home hospice organization recognizes that clients must meet which of the following criteria to qualify for hospice care
Documented need for palliative care
When is Rabies awareness month celebrated
March
58. Primary Goal of Community Health Nursing
Enhance the individuals, families and communities
26. Which of the following activities is the responsibility of a case manager?
Evaluate cost effectiveness of client treatments
Very important part of the community health nursing planning process
Evaluation of structures and qualifications of health care team
29. While addressing community leaders at a forum for establishing community improvement initiatives, a public health nurse identifies which of the following groups as the fastest growing segment of the homeless population
Families with children
3 year old boy with severe pneumonia or very severe disease
Fast breathing
6 year old boy entering school for the first time
Foreseeable crisis
Element of FOURmula one aims to ensure quality and affordability of health services
Health regulation
Prenatal consult asked HHN if she can have her delivery at home advised her against a home delivery
Her OB score is G5P3
The community health nurse attempting to address the issue of child abuse in a large metropolitan area primary prevention program
High school child development and parenting classes
34. A community health nurse is evaluating an outbreak of hepatitis A among adult clients in his community. Which of the following should the nurse do to identify the cause of the disease
Identify restaurants where the clients have recently eaten
The different clients of the community health nurse
Individual Family Population group Community
17. A nurse administers a tuberculin skin test to a client who is HIV positive. Which of the following indicates a positive reaction to the test?
Induration at infection site of 8 mm
Necessary when a person is in need of psychiatric treatment, presents a danger to self or others, or is unable to meet his or her own basic needs
Involuntary admission criteria
Type of water supply facility composed of system with piped distribution network and household taps
Level III
In the Philippines, condition most frequent cause of death associated with schistosomiasis
Liver cirrhosis
Occupational Health Act
Location of the workplace as relates to health facilities
52. Several nurses affiliated with a church are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. Which of the following is appropriate to include in regard to care they could provide?
Organize a flu immunization clinic with the American Red Cross.
53. A public health nurse is tracking reports of flu-like illness in the local school system. This is an example of which of the following approaches?
Prevalence rate
Operation Timbang is which level of prevention of health problem
Primary
Woman brought her 2 month old baby to the health center for immunization - infant's temperature registered 38 degrees C
Proceed with the infant's immunizations
4. A community health nurse is teaching a client who has active tuberculosis about disease management. Which of the following information should be included in the teaching
Provide sputum cultures until three come back negative
50. A community health nurse is providing instruction about infection control to the family of 5-years-old child who has impetigo contagious. The child has siblings living in the home. Which of the following recommendations is appropriate?
Provide the child with separate towels and lines
45. A public health nurse has received a report of several infants who attend the same daycare being diagnosed with respiratory syncytial virus (RSV). Which of the following actions should the nurse take first
Provide the staff with information regarding measures to minimize disease transmission
An advantage of a home visit
Provides an opportunity to do first hand appraisal of the home situation
Pillars of primary health care
Provision of medical care and emergency treatment
Nurse is performing an intake interview at a prenatal clinic on a patient who is at 6 weeks gestation
Supervision of the renovation of an old house the family just purchased due to teratogen defect
Newborn Screening act is
R.A 9288
59. Nurse is working with interdisciplinary group to write procedures for assessment of clients from multiracial inner city population. "Remember that all Hispanic clients may not wish to give personal med information to a stranger"
Recommend changing the language that stereotypes one ethnic group
54. Which of he following activities would the school nurse perform in the role a consultant?
Recommend policy chances to minimizes the spread of influenza
49. A nurse is educating a community about disaster planning for an upcoming hurricane season. Which of the following is an example of personal preparedness?
Recommending that each family has batteries, a radio and a flashlight
40. A community health nurse is conducting a community assessment. Which of the following data should be included as a component of the assessment
Resources available to address health care issues
6 months pregnant, comes to the center for consult and what med is contraindicated
Retinol 2000,000 IU
56. A first-response team is working at the location of a bombing incident. A nurse triaging a group of clients should give treatment priority to which of the following conditions?
Rigid abdomen with symptoms of shock
According to Maslow's hierarchy of needs, developing one's potential is
Self-actualization
24. A community health nurse is working with a family in which only the children speak English. The nurse should select a translator who is
Skilled in health-related interpretation
48. A home health nurse is assessing a client who was diagnosed with congestive heart failure. Which of the following assessment finding should be reported to the provider?
Sodium level of 119
Primary prevention of Asthma
Take bronchodilator first
36. A nurse is working with a case manager for a client who participates in a health maintenance organization. Which of the following is characteristic of the payment structure provided under this system
The client pays the insurer a percentage of the total costs for each service rendered by the provider
43. A nurse is preparing to provide postmortem care for a client who is Chinese American. Which of the following should the nurse consider when providing care
The family will remain with the body until burial
Vietnamese child during a HH visit and nurse notices round swellings on child's back. Mom says she rubbed a coin on his oiled skin
The purpose is to rid the body of disease.
Pandemic occurrence of a disease
The simultaneous occurrence of epidemic of the same disease in several countries
39. A nurse is providing teaching to a community group regarding smallpox. Which of the following is an appropriate response in relation to why people who received a single vaccination prior to 1980 are no longer considered protected
The vaccine does not confer life-long immunity
70-year-old male client at nursing home after a hip replacement and at risk for decubitus ulcers because
Thinning of the skin with loss elasticity
. A school nurse is assessing the spinal alignment of students at a grade school. Which of the following findings indicates a child should be assessed further for scoliosis
Unilateral scapular hump when the child bends at the waist
38. In reviewing goals of "healthy people" nurse determines the community has a significant problem preventing dental caries in children. To bring about change
WIC program intake offices
51. A client tells a nurse that she is planning a hiking trip. Which of the following measures should the nurse recommend minimizing the client's risk for contracting Rocky Mountain spotted fever?
Wear protective clothing
He defined public health as the science and art of preventing disease, prolonging life, promoting health and efficiency through organized community effort
Winslow
3. A home health nurse is scheduling client visits for the day. Which of the following clients should the nurse plan to visit first?
a 79-year-old client with an exacerbation of COPD
Child injury v/s abuse
abuse
Risk for constipation - immobility, older
adults, dehydration, narcotics or BP medications
abuse
advise mother to call the police if violent behavior occurs again.
A nurse is triaging victims of a commuter train crash. Which of the following clients should be transported to the Emergency Department first?
an ambulatory client whose nose is bleeding and who reports feeling dizzy
4. A state public health nurse is asked to determine which country has the most people living in it with a diagnosis of Alzheimer's disease. Which of the following measures will determine this information?
analytic epidemiology
10. A nurse is providing education to a group of adolescents who are pregnant and attending high school. Which of the following information should the nurse include in this teaching?
caffeinated beverages should be replaced with caffeine-free
A nurse is planning a primary prevention strategy for reducing obesity in a community. Which of the following strategies should the nurse use
educate children about nutrition and exercise at a daycare center
Pregnant woman not getting enough what vitamin may cause neural tube defects
folic acid
Type of family-nurse contact offers with the best opportunity to observe family dynamics
home visit
A community health nurse is writing an emergency response plan for a day care. Which of the following should be included in the plan?
immunization protocol for various biological agents
7. A community health nurse is caring for clients in a culturally diverse community. Which of the following actions demonstrates accurate cultural knowledge about a specific cultural group?
include both hot and cold food items on a Hispanic client's menu
15. Which of the following is an example of the responsibilities of public health nursing
informing state health officials of a potential meningitis outbreak
13. A child is brought to the school nurse by her teacher who thinks the child may have contracted rubeola. Which of the following findings supports this diagnosis?
koplik spots in the oral mucosa
Herbal plant given for fever, headache and cough
langundi
Patient having trouble with peripheral vision-what best for nurse to do
orient patient to surroundings (something about the environment
2. A community health nurse is developing health promotion activities for a community. Which of the following is the highest priority action?
participate in community assessment to identify community health problems
PHN bag is an important tool for care during a home visit
prevent the spread of infection
8. A nurse is caring for a client who has questions about his treatment plan. Which of the following should the nurse perform as a client advocate (select all that apply)?
provide education to the client about the diagnosisinform the client about the provider's responsibility to provide information assist the client in preparing questions for the provider affirm the client's decision about the treatment plan
9. A nurse is working with a client who is homeless. Which of the following is the first step that the nurse should take to advocate for this client?
refer the client to a public homeless shelter
14. A home health nurse is performing an eye assessment and vision screening on an older adult client recently assigned to her care. Which of the following findings indicates a need for an intervention?
slightly yellow sclera
Severe dehydration
sunken eyes Skin pinch goes back slowly Abnormally sleepy or difficult to awaken
SIDS-prevention
supine position, sleep on back
12. A community health nurse is preparing to teach accident and injury prevention. Which of the following would be the priority topic for a family with a 10-year-old child?
use if seat belts in automobiles
philosophy of public health nursing
worth and dignity of man
