Community PrepU Module 1 Exam Prep
A new employee asks the occupational health nurse about measures to prevent inhalation exposure to toxic substances. What should the nurse recommend?
"Wear protective attire and devices when working with a toxic substance."
Which is a role of a school nurse?
Monitoring immunization status
A nurse is comparing some of the similarities and differences between the care that is provided in community- and hospital-based settings. What type of care is provided in both of these settings?
Ambulatory health care
A school nurse is caring for a child who appears to be having an allergic response. What should be the initial action of the school nurse?
Assess for signs and symptoms of anaphylaxis.
A community health nurse is educating a group of community stakeholders on the importance of increased outpatient resources in the community. Which factors will the nurse explain directly impact the shift in care from inpatient to outpatient services? Select all that apply.
Changes in population trends Changes to federal legislation
The nurse is caring for a client who is interested in learning about hospice care. Which of the eligibility criteria would the nurse stress?
Choice of palliative care over cure focused
The home health nurse and the parish nurse have separate roles in health care. What best describes the common factor all community-based nurses share?
Community health nurses focus on community needs as well as the needs of individual patients.
A nurse is working in a rural nurse-managed agency that provides immunizations, health assessments, and screening services. The nurse is most likely working in which of the following?
Community nursing center
You are an occupational health nurse in a large ceramic manufacturing company. How would you intervene to prevent occupational lung disease in the employees of the company?
Fit all employees with protective masks.
A patient with a "Do Not Resuscitate" (DNR) order requires large doses of a narcotic for pain that rates a 10 on a 0-10 scale. After the patient requests pain medication, the nurse assesses a respiratory rate of 12 breaths per minute. What intervention by the nurse would be considered ethical?
Give the pain medication without fear of respiratory depression.
In what area of nursing practice does the nurse provide palliative care in the patient's home?
Hospice
A client has end-stage chronic obstructive pulmonary disease (COPD) and is terminally ill. The family wants the client to spend her last days in a facility that will be able to keep the patient comfortable and control her severe dyspnea. What facility will meet the needs of the client and family?
Hospice care
Which type of care is used for clients with terminal illness who have a life expectancy of less than 6 months?
Hospice care
What should the school nurse working in the elementary school setting be aware is one of the most frequent health care problems to affect this population?
Infections
children. The nurse would focus teaching on which area as being most problematic?
Injuries
A nurse employed in a school suspects an outbreak of pediculosis. Which of the following nursing actions should be taken to prevent and control the outbreak?
Insist that everyone who is infested with lice follows the prescribed treatment.
What is the primary basis for growth in home care nursing?
The discharge of patients who are more critically ill
At the beginning of a day that will involve several home visits, the nurse has ensured that the health care agency has a copy of the nurse's daily schedule. What is the rationale for this action?
It supports safety precautions for the nurse when making a home care visit
A client with long-term breast cancer who was recently enrolled in a hospice program demonstrates signs and symptoms of clinical depression. Which action by the hospice nurse is appropriate?
Perform a thorough pain assessment.
The community health nurse is preparing to conduct a home visit on a client without an active infection. When performing the home visit, how should the nurse best implement the principles of infection control?
Perform hand hygiene before and after giving direct client care.
The nurse is working in an ambulatory health clinic. What is the focus of community-based nursing practice?
Promoting and maintaining population health and preventing and minimizing disease progress
Which occupational nursing action supports the primary goal of the Occupational Safety & Health Administration (OSHA)?
Providing CPR certification to shift supervisors
A nurse is working as an occupational health nurse at a local factory. With which activity would the nurse least likely be involved?
Providing case management services for the employees
Which order of activities is accurate when making a home visit?
Review agency policies regarding visits, ask permission to enter home, perform hand hygiene, and document care provided.
The nurse is making an initial home visit for a client requiring wound care. What statement is true regarding safety during a home visit by a nurse?
The nurse should never walk into a patient's home uninvited.
A nursing student has taught a colleague that nursing practice is not limited to hospital settings, explaining that nurses are now working in ambulatory health clinics, hospice settings, and homeless shelters and clinics. What factor has most influenced this increased diversity in practice settings for nurses?
Shift of health care delivery into the community
The school nurse is preparing to work with an incoming kindergarten student who has a diagnosis of cerebral palsy. What is the reason the nurse will start a planning meeting at school with parents and teachers before school starts?
To provide anticipatory guidance to the family
The nurse is transitioning to a home health setting. What factor has resulted in a shift in the health care delivery setting?
growing number of elderly clients
A client who is in end-stage renal failure has been moved to an inpatient hospice facility. The rationale for this move is that the client:
is terminally ill and needs symptom control.
The goal of OSHA is
to ensure safe work conditions.