nu 426 module 1 exam prep
A community health nurse has scheduled a hypertension clinic in a local shopping mall in which shoppers have the opportunity to have their blood pressure measured and learn about hypertension. This nursing activity would be an example of which type of prevention activity?
secondary
a nurse is using I PREPARE to assess a client's potential environmental exposures. which of the following questions should the nurse ask when assessing for "A" in the mnemonic?
what do you like to do for fun? A represents activities
Which of the following statements would most lead a nurse to suspect that a patient is experiencing food poisoning?
"My brother got sick like me after eating the same food."
The World Health Organization defines health as:
"a state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity."
a nurse is conducting health screenings at a statewide health fair and identifies several clients who require referral to a provider. which of the following statements by a client indicates a barrier to accessing health care?
"i cant take off during the day and the local after hours clinic is no longer in operation." inconvenient hours make scheduling a followup appointment challenging, which indicates a barrier to accessing health care.
A public health nurse has reviewed local data about the incidence and prevalence of burn injuries in the community. These data are likely to support what health promotion effort?
education about home safety
When providing education to the patient with a chronic illness, what is a priority intervention for the nurse to perform?
Adapt teaching strategies and materials to the individual patient.
A team of community health nurses are planning to draft a proposal for a program that will increase the community's alignment with the principles of the Healthy People 2020 report. What activity would best demonstrate the priorities identified in this report?
Addressing determinants of health such as clean environments and safety in the community Explanation: Healthy People 2020 addresses social determinants of health such as safety and the state of the environment. This report does not specifically address matters such as hospital funding, nursing education, or resource allocation.
A nurse provides community-based care and acts as the case manager for a small town about 60 miles (100 km) from a major health care center. When planning care in the community, what is the most important variable in community-based nursing that the nurse should integrate into planning?
Community resources available to clients Explanation: A community-based nurse must first be knowledgeable about community resources available to clients as well as services provided by local agencies, eligibility requirements, and any possible charges for the services. The other answers are incorrect because they are not the most important factors about which a community-based nurse must be knowledgeable, even though each must be considered.
A nurse is aware that an increasing emphasis is being placed on health, health promotion, wellness, and self-care. Which of the following activities would best demonstrate the principles of health promotion?
Creation of a smoking prevention program undertaken in a middle school Explanation: Smoking prevention is a clear example of health promotion. Each of the other listed activities has the potential to be beneficial, but none is considered health promotion.
A group of nursing students have been asked to break into groups of four and complete a health-promotion teaching project and present a report to their fellow students. What project most clearly demonstrates the principles of health promotion teaching?
Discussing the importance of preventing sexually transmitted infections (STI) to a group of high school students
To address the needs of a chronically ill patient and promote the concept of wellness, a nursing care plan should outline steps to:
Encourage positive health characteristics within the limits of the disease.
Using the concept of the wellness-illness continuum, what would the nurse include in the development of a nursing care plan for a chronically ill patient?
Encourage positive health characteristics within the limits of the specific illness
A nurse is leading a community health clinic. What should the nurse emphasize in order to promote disease prevention?
It is best achieved by exhibiting behaviors that promote health.
In which situation is the nurse providing tertiary prevention?
Teaching rehabilitation exercises to a client after a mastectomy
An elderly client, while being seen in an urgent care facility for a possible respiratory infection, asks the nurse if Medicare is going to cover the cost of the visit. What information can the nurse give the client?
Medicare has a copayment for many of the services it covers. This requires the client to pay a part of the bill.
Students are reviewing information about community health nursing. The students demonstrate understanding of the term "community-oriented nursing practice" by describing it as which of the following?
Nursing interventions that can promote wellness, reduce illness spread, and improve the health status of groups
A nurse is caring for a client with type 1 diabetes who is being discharged home tomorrow. What is the best way to assess the client's ability to prepare and self-administer insulin?
Observe the client drawing up and administering the insulin.
Which of the following is accurate regarding wellness? Select all that apply.
One tries to maximize one's own health. It requires a conscious commitment. It is the result of adopting lifestyle behaviors for the attainment of one's highest potential.
A 54-year-old client on a fixed income has had an electrocardiogram (ECG) as part of an annual physical examination. What legislation supports the focus on chronic disease prevention, health promotion, and quality, affordable health care for everyone
Patient Protection and Affordable Care Act
According to the ANA's Code of Ethics, a nurse is responsible for promoting community health. Toward this end, registered nurses should focus on:
Placing emphasis on wellness and health promotion to prevent acute illness and decrease the rise in chronic diseases seen with increased longevity.
A client who has no health insurance asks if there is any chance that they will benefit from healthcare reform. What should the nurse tell the client about the goal of the Patient Protection and Affordable Care Act?
The goal of the Patient Protection and Affordable Care Act is to provide affordable healthcare to U.S. citizens who previously had no access to health insurance.
a nurse is caring for a client who is from a different culture than himself. when beginning the cultural assessment, which of the following actions should the nurse take first?
gather data about the client's cultural beliefs
A public health nurse administers influenza vaccines to a group of individuals during a community vaccination clinic. The nurse understands that this action is considered primary prevention due to which statement?
The vaccination focuses on health promotion and prevention of illness.
Which of the following are risk factors for the development of chronic obstructive pulmonary disease (COPD)? Select all that apply.
Tobacco smoke Occupational dust Air pollution Infection Second-hand smoke
when discussing the differences between community-based and community-oriented nursing, the nurse should include which of the following situations as an example of community-based nursing? (select all)
a home health nurse performing wound care for a client who is immobile a school nurse teaching a student who has asthma about medications
Which of the following best reflects the rationale for evidence-based practice?
a means to ensure quality care
An elderly client is being discharged home. The client lives alone and has atrophy of his olfactory organs. The nurse tells the client's family that it is essential that the client have what installed in the home?
a smoke detector
A client who works construction and has been demolishing an older building is diagnosed with pneumoconiosis. This lung inflammation is most likely caused by exposure to:
asbestos
A nurse working in the community is involved in secondary prevention. Which activity would most likely apply?
health screen for diabetes risk
The National Center for Health Statistics uses data from healthcare agencies to issue quarterly and annual reports on performance related to goals for improving the health of the U.S. population. Which initiative is targeted with improving the health of all Americans?
healthy people 2020
An unresponsive Caucasian client has been brought to the emergency room by EMS. While assessing this client, the nurse notes that the client's face is a cherry-red color. What should the nurse suspect?
carbon monoxide poisoning
a nurse is advocating for local leaders to place a newly a[[roved community health clinic in an area that has fewer resources than other areas. the nurse is advocating for the leaders to uphold which of the follwoing ethical principles?
distributive justice
Health education of a client by the nurse
is an independent function of nursing practice. Explanation:
state department of nursing?
managing the WIC and CHIP reporting communicable diseases to the CDC licensing of registered nurses
The nurse is to administer a potassium supplement to the client. The nurse does not check the potassium level prior to administering the medication and later finds that the potassium level was at a critical high. What principle has this nurse violated?
nonmaleficence
The nurse is assisting with the development of a program to administer flu shots to a group of senior citizens. What type of prevention does this program reflect?
primary preventoin
Which level of prevention focuses on minimizing deterioration and improving quality of life?
tertiary
the nurse should include which of the following factors as agents of the epidemiological triangle
toxins bacteria (both infectious agents)
The physician has recommended an amniocentesis for an 18-year-old primiparous woman. The client is 34 weeks' gestation and does not want this procedure but the physician arranges for the amniocentesis to be performed. The nurse should recognize that the physician is in violation of what ethical principle?
autonomy The principle of autonomy specifies that individuals have the ability to make a choice free from external constraints. The physician's actions in this case violate this principle. This action may or may not violate the principle of beneficence. Veracity centers on truth-telling and nonmaleficence is avoiding the infliction of harm.
auditory leanrers?
facilitating small group discussions NOT showing informational video (visual learners)
Which health promotion model does the nurse identify is the reason some people choose actions to foster health and others refuse to participate?
health belief model
a nurse is preparing an educational program on cultural perspectives in nursing. the nursing should include that which of the following factors are influenced by an individual's culture? (select all that apply)
nutritional practices family structure health care interactions view about illness
The nurse is developing a health-promotion program at a company in which many employees are women in their 20s and 30s. For this population, the nurse plans to include information about
parenting issues Young adults in their reproductive years want information about parenting issues. Values training is geared more for adolescents. Information about bone-density screening and mammography are for older women.
a nurse is reviewing information about the local health department to prepare for an interview. which of the following services should the nurse expect the local health department to provide? (select all)
providing education to achieve community health goals coordinating directives from state personnel
Which of the following delineates actions that are legally permitted for a particular profession based on specific educational qualifications
scope of practice
