NUR426 Exam P1
Which of the following steps of the nursing process includes gathering information from a client who requires medical treatment?
Evaluation
A nurse working in a community health clinic is planning care for a client who recently lost their job and is unable to afford their medications to treat diabetes mellitus. Which of the following actions should the nurse take? Provide suggestions on employment opportunities. Provide suggestions on budgeting. Offer nonpharmacological strategies for diabetes management. Request a referral to the social worker.
4
A nurse is reviewing gun violence prevention approaches with a group of civic leaders. Which of the following should the nurse identify as being population-focused approaches to gun violence prevention? Addressing mental health disorders Researching root causes for gun violence Enforcing gun laws Providing funding for violence-prevention education programs Limiting the number of guns a person can own
1 2 4
A nurse assisting in a workshop at the local community clinic to address accessibility of health care resources for the people who do not have a home. Which role is the nurse acting as in this situation? Educator A professional collaborator Nursing entrepreneur Political advocate
1
A nurse is discussing the services of the Henry Street Settlement in New York City with a group of public health nurses. The nurse should include in the discussion that the Henry Street Settlement offered which of the following services? (Select all that apply.) Place for children to play Classes in childcare Banking Classes in birth control methods Care for the sick
1 2 5
nurse in palliative care is preparing to review the various types of palliative conditions with a newly licensed nurse. Which of the following conditions should the nurse plan to review with the newly licensed nurse? Parkinson's disease Alzheimer's disease Arthritis Cancer Chronic obstructive pulmonary disease (COPD) Pneumonia
1 2 5 6
A nurse is preparing a presentation for an HIV taskforce regarding strategies to help decrease the number of newly diagnosed cases. Which of the following major health care organizations should the nurse utilize to find strategies to include in the presentation? Centers for Disease Control and Prevention (CDC) Centers for Medicare and Medicaid Services (CMS) National Institutes of Health (NIH) Occupational Safety and Health Administration (OSHA)
1
A nurse working at a community health center is caring for a client who has diabetes mellitus. The client says, "I don't want to lose my vision." Which of the following responses should the nurse make?
"It sounds like you are worried about the complications of diabetes."
A nurse is teaching a newly licensed nurse about the needs of clients who are a part of a vulnerable population. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? "I will address the problem that the client believes is the most significant." "I will not include the client's cultural traditions as I complete my assessment." "I will avoid asking clients for income or financial information, because this is an invasion of privacy." "I will make sure to do a limited assessment that focuses on the client's stated reason for the visit."
1
A nurse is providing information with a newly licensed nurse about evidence that supports that 25% of the population will be elderly by 2060. Which of the following variables should the nurse identify as influencing this evidence? Ability of a community to provide adequate resources Family function Increased number of clients with chronic disorders Changes in the retirement age Decrease in the birth rate
1 2 3 4
ccording to the Ecological Model, which of the following factor(s) affect healthy behavior for multiple levels of society? Health beliefs Interaction with others Laws and local ordinances that relate to health Medical funding Assurance of services
123
A correctional nurse is caring for a client who was recently injured in the facility. The client is complaining of pain but is not due to receive any more pain medication for a while. Which of the following interventions could the nurse include to achieve the goal of pain relief? Apply heat therapy to the pain area Using distractions like watching TV to keep the client's mind off the pain Use of acupuncture Give the medication even though it is not due yet
2
A nurse in an emergency department is caring for a client who was brought in by their family. The nurse suspects the client has uncontrolled type 2 diabetes mellitus. Which of the following actions should the nurse take? Treat the symptoms and give the client medication to take at home. Begin tests to determine the cause of the client's symptoms while asking about other social concerns. Refer the client to an endocrinologist to address the suspected manifestations. Suggest the client go home and return if the client gets worse.
2
A school nurse in a rural area is preparing an in-service about STIs for a group of adolescents. The nurse should include which of the following information as a secondary prevention strategy? Reinforce the importance of medication compliance. Recommend screening for STIs. Reinforce the importance of practicing safe sex. Provide pamphlets on signs and symptoms of STIs.
2
Some elderly people with health issues in a more established neighborhood are on fixed incomes and have trouble getting around. Which of the following could the community health nurse do to assist them? Teach residents about the dangers of lead-based paint. Advocate for more transportation to health care facilities. Partner with a nonprofit organization for the local farmers' market to sell fresh produce twice a week. Partner with local churches and write grants for childcare funding towards affordable daycares in the area.
2
nurse is creating a community wellness program for a group of community members who have been identified as having an increased risk of developing hypertension. Which of the following actions should the nurse include as secondary prevention? Eating a low fat diet Obtain blood cholesterol levels Blood pressure follow-up visits every 6 months Provider prescribing antihypertensive medication
2
A nurse is collecting data from an older adult client who has chronic obstructive pulmonary disease (COPD), arthritis, cataracts, and a BMI of 18.5. Which of the following findings should the nurse identify as a potential barrier to the client's nutritional goal? Diet restrictions to manage the client's condition The client relies on the public transit system for transportation The client's adult child visits once a week The client receives supplemental nutrition assistance The client potential mobility impairment because of arthritis.
2 4 5
A community health nurse is providing education to a group of nurses about the functions of various government agencies. The nurse should include in the teaching that which of the following government agencies addresses food security by directly providing food to select populations? U.S. Department of Health Resources and Services Administration (HRSA) Office of Disease Prevention and Health Promotion (ODPHP) U.S. Department of Agriculture (USDA) U.S. Food and Drug Administration (FDA)
3
A nurse is caring for a seriously ill newborn at a client's home and is working with the parents to discuss the option of having a critical surgery. Which of the following questions should the nurse ask themselves during the first step of gathering data? "Which ethical principles are pertinent?" "Is the dilemma resolved?" "What is the ethical issue?" "Are there other health care team members that need to take action?"
3
A nurse is caring for an older adult client whom the nurse suspects has experienced abuse by a nonpartner. Which of the following principles does the nurse demonstrate by reporting their concern to a supervisor? Accountability Social justice Ethical decision-making Trusting relationships
3
A community health nurse is researching information related to the Healthy People 2030 goals. The nurse should identify that which of the following agencies sets and supports the Healthy People objectives? World Health Organization (WHO) Centers for Disease Control and Prevention (CDC) National Institutes of Health (NIH) Office of Disease Prevention and Health Promotion (ODPHP)
4
A home health nurse is providing care for client and observes during the visit that the client's caregiver appears tired and tearful. Which of the following activities should the nurse suggest to the client's caregiver? Limit visits from other family members during the week Insist that other members give them days off from providing care. Keep a detailed log of the client's activities Schedule a time each day to get out and exercise
4
A nurse working in a community health clinic is reinforcing education to a group of nurses about communication skills for improving client outcomes. Which of the following qualities should nurses demonstrate when communicating with clients? Indirect communication Judgement Ambiguity Compassion
4
FLAG A nurse is examining their own personal attitudes about vulnerable populations. Which of the following statements reflects an attempt by the nurse to minimize judgment and bias when caring for clients? "I will review my actions at the end of the day in the team huddle." "I will watch for evidence of bias by members of the health care team." "I will make all comments in a private setting away from clients." "I will reflect on my responses and thoughts when meeting new clients."
4
A nurse is providing education to a newly licensed nurse about nursing organizations. The nurse should include that which of the following organizations is responsible for mitigating nursing staff shortages?
American Organization for Nursing Leadership (AONL)
A community health nurse has been tasked with providing a daily expense report of clients that have utilized the community health center for assistance with basic needs. Which of the eight domains of public health nursing practice includes providing data for the health center?
Domain 7
Which of the following refers to international collaboration to improve health outcomes and decrease health inequities using a multimodal approach?
Global health
Which of the following theories or models looks only at the internal factors that motivate a person to adopt healthier lifestyle habits?
Health Belief Model
A nurse in a community health clinic is administering immunizations. The nurse tells a client, "The protection from serious illness outweighs the temporary discomfort, but ultimately it is your choice if you decide to get the immunization." Which ethical principle is the nurse explaining in this situation? Autonomy Nonmaleficence Beneficence Justice
Nonmaleficence
An occupational health nurse is implementing some tertiary levels of prevention in the workplace. Which of the following interventions are tertiary interventions?
Recovering from a broken ankle
Which of the following is a function of a population health nurse? Giving health education to congregants of a place of worship Overseeing the health promotion of the pediatric population in an academic setting Disseminating assessment findings to the community that was assessed Supporting clients in managing their own health conditions
Supporting clients in managing their own health conditions
A nurse is discussing ethical issues associated with telehealth with a group of newly licensed nurses. Which of the following statements should the nurse include in the discussion as an ethical concern related to telehealth?
Telehealth can compromise client confidentiality
A nurse has been found guilty of medication mismanagement at the community clinic. The nurse was fired and the nurse manager was obligated to report the event. Which organization has the legal obligation to enforce the laws and rules found in a Nurse Practice Act?
The State Board of Nursing
A nurse is providing education about immunizations to a group of newly licensed nurses. The nurse should identify that which of the following statements by one of the newly licensed nurses indicates an understanding of the teaching?
"Each state determines which school immunizations are required and who may be exempt
A community health nurse is reinforcing an additional educational training on diabetes mellitus due to the increased number of diabetic clients within the community. Which of the following elements of Nursing's Social Contract is the nurse demonstrating?
Workforce sustainability
A nurse preparing a presentation about ways promote social justice policies and practices in the local community. Which of the following should the nurse include? Advocate for policies to promote equitable environmental conditions in the community. Volunteer at homeless shelters once a week. Serve on a local coalition to prevent homelessness. Contact lawmakers about health concerns for people without housing. Work with the school district health fair and back-to-school vaccine clinic
Advocate for policies to promote equitable environmental conditions in the community. Serve on a local coalition to prevent homelessness. Contact lawmakers about health concerns for people without housing.
A nurse at a community clinic is reinforcing education for a newly licensed nurse about nursing advocacy. Which of the following actions should the nurse include as an example of nursing advocacy? Discussing the client's medical treatment with a friend of the family to help make decisions Ensuring the client has given informed consent for care Recommending surgical and treatment options for care Influencing the client to make health care decisions based on the nurse's previous experiences
Ensuring the client has given informed consent for care
A nurse is providing a presentation to a group of nurses about early public health efforts to improve the health of families. Which of the following nurses should be included in the presentation as working specifically to improve the health of Black families? Mary Breckinridge Florence Nightingale Lillian Wald Jessie Sleet Scales
Jessie Sleet Scales
A nurse asks the nurse manager of the community clinic which steps should be taken to start a career in political advocacy. Which of the following statements by the nurse manager encourages the nurse towards a career in political advocacy? "You can become a preceptor for all the new community nurses." "You should work with your nursing organizations to see which federal issues they are working on." "Maybe you can start leading classes for advocating basic nursing care in clients' homes." "It might be a good idea for you to take more courses on nursing care in the community."
"You should work with your nursing organizations to see which federal issues they are working on."
A home health nurse is caring for an elderly client who has heart failure. Which of the following interventions on the tertiary level of prevention could be included in the care? Reinforce past teachings on how to read food labels. Review the daily weights the client has collected since the last home visit. Auscultate the lungs and assess for edema. Remind the client to ask for the pneumococcal vaccine during their next provider appointment.
1
A nurse is reviewing factors that determine a client's health risk with a newly licensed nurse. Which of the following factors should the nurse include? Resilience of clients to risk factors Increased sensitivity of older adult clients to risk factors Increased susceptibility among vulnerable groups Variability in the effects of stressors based on socioeconomic status
1
A nurse is teaching a group of newly licensed nurses about developments in other areas of study that led to improvements in public health. The nurse should include that the Shattuck Report brought about changes in which of the following areas? Public sanitation Working conditions Prison health care reform Care of the mentally ill
1
A nurse is reviewing gun violence prevention approaches with a group of civic leaders. Which of the following should the nurse identify as being population-focused approaches to gun violence prevention? (Select all that apply.) Addressing mental health disorders Researching root causes for gun violence Enforcing gun laws Providing funding for violence-prevention education programs Limiting the number of guns a person can own
1 2 4
A community health nurse has just been newly assigned to a small rural community. Which of the following are some steps that the nurse can take to address the community's needs? Assess the community. Analyze the findings and identify the needs. Decide on educational theories to use. Collaborate with the residents of the community on what interventions will work for that community and prioritize them. Use measurable indicators to evaluate the plan.
1 2 4 5
A palliative care nurse is preparing to participate in interprofessional rounds. Which of the following members of the interprofessional team should the nurse plan to collaborate with? Health care provider Chaplain Registrar Nutritionist Social worker
1 2 4 5
A nurse is discussing the benefits of population-focused health care strategies with a group of newly licensed nurses. Which of the following statements by one of the newly licensed nurses indicates an understanding of population-focused health care strategies? "Population-focused health care strategies are thought to decrease the cost of care." "Population-focused care is likely to improve health literacy." "Access to care should improve with the use of population-focused health care strategies." "Population-focused health strategies will likely decrease the demands currently placed on the health care workforce." "Population-focused care is expected to improve the quality of care provided."
1 3 5
A nurse at a community center is preparing to provide wellness education for a community group that is 70% Black, 20% Hispanic, and 10% White. Which of the following outcomes should the nurse include in the class? By the end of the class the participants will have a blood glucose levels between 70-100 mg/dL at least 3 times per week. By the end of the teaching session participants will be able to list three ways to reduce cholesterol levels in their current diet. By the end of the class the participants will eliminate consumption of alcoholic beverages. By the end of the class participants will verbalize the importance of colon cancer screening between the ages of 45-75 years.
2
A nurse is admitting a client who requests not to be intubated or have any other life saving measures initiated. Which of the following actions should the nurse take? Inform the client that the provider must agree with this decision Ask the client if they have a copy of their advance directive Inform the client that their family can override their decision Ask the client family if they're in agreement with the client's request
2
A nurse is caring for a client who has substance use disorder who has expressed interest in receiving treatment to stop using. Which of the following interventions is an example of a tertiary intervention strategy for this client? Inform the client about needle exchange programs. Provide information on drug rehabilitation facilities since the client has expressed readiness to change. Reinforce the importance of eating a well-balanced diet. Recommend the client be screened for Hepatitis B.
2
A nurse is caring for a client who is receiving hospice care services and observes that the client's health is improving, and the client is becoming more active. What information should the nurse discuss with the client and their family? Discharge from hospice services Other therapies that are like hospice services Admission to long term care facility Obligations for continuing hospice services for a least one year
2
A nurse is leading a presentation about the role of self-awareness when providing client-centered care. Which of the following questions should the nurse include? "How can community resources assist those that are vulnerable?" "How have my experiences with vulnerable groups shaped my image of them?" "Should I volunteer to work in a homeless shelter on my days off?" "How can we improve access to health care?"
2
A nurse is planning care for clients who are members of vulnerable populations. Which of the following core function assurance actions should the nurse take first? Advise elected officials on the issues that vulnerable populations face. Reinforce teaching with vulnerable clients about strategies to prevent illness and promote health. Set up multiple clinics in a wide geographic area. Support laws to protect client's without housing.
2
A nursing director in a community health setting is providing education to a group of nurses about the skills needed to meet the challenges associated with providing population-focused care. Which of the following skills should the nursing director include in the teaching as core competencies for public health professionals? Bilingual skills Policy development skills Keyboarding skills Financial planning skills Management and leadership skills
2 4 5
A nurse is admitting a client who requests not to be intubated or have any other life saving measures initiated. Which of the following actions should the nurse take? Ask the client family if they're in agreement with the client's request Inform the client that their family can override their decision Ask the client if they have a copy of their advance directive Inform the client that the provider must agree with this decision
3
A community-based nurse in a pulmonary clinic is developing a care plan for a client who smokes. Which of the following might the nurse include in the plan if the client is in the preparation phase of the Transtheoretical Model? Give literature to the client who has expressed wanting to quit but is not yet ready to do so. Console the client for smoking a cigarette after having quit smoking 4 months ago. Teach the client who refuses to quit smoking about fire safety and cigarette smoking. Identify a support system to prevent the client from giving into the urge to smoke.
4
A nurse is caring for a client who has substance use disorder who has expressed interest in receiving treatment to stop using. Which of the following interventions is an example of a tertiary intervention strategy for this client? Recommend the client be screened for Hepatitis B. Reinforce the importance of eating a well-balanced diet. Inform the client about needle exchange programs. Provide information on drug rehabilitation facilities since the client has expressed readiness to change.
4
A nurse is preparing a presentation for a group of community stakeholders who are calling for a plan to decrease violence within the community. Which of the following actions should the nurse include as the first step to the CDC's population-based model for violence prevention? Develop and Test Prevention Strategies Identify Risk and Protective Factors Assure Widespread Adoption Define and Monitor the Problem
4
A nurse working in a community health center is speaking with a client who expresses their difficulty in finding employment. Which of the following responses should the nurse give? "Don't worry. There are plenty of jobs out there." "You need to apply for more jobs." "I'm sure someone will call you next week." "It sounds like it has been very challenging to find a job."
4
A nurse is obtaining a health history from a client. The client states, "I am not taking my medications because of their costs." Which of the following statements should the nurse make?
I can provide you with resources to assist with your concern
A public health nurse will be administering immunizations at a clinic. Which of the following will the nurse want to ask each client before administering the vaccine to ensure safety?
If they have had any past issues or allergies to the vaccine
A nurse is reviewing the CDC's list of top ten public health achievements of the 21st century with a group of newly hired nurses. Which of the following accomplishments should the nurse identify as being included on the list?
Motor vehicle safety
A nurse is caring for a client who has a new onset of diabetes mellitus and is experiencing uncontrolled blood glucose levels. The client informs the nurse about their strict dietary compliance. Which secondary prevention actions should the nurse anticipate the provider prescribing? Insulin injections daily Fluid restrictions Peritoneal dialysis therapy Oral hypoglycemic medications
Oral hypoglycemic medications
A nurse is speaking to a group of newly licensed nurses about how the QSEN competencies were integrated into their nursing school curriculum. Which of the following competencies should the nurse expect the newly licensed nurses to identify as the competency they were most prepared to address as students? Teamwork and collaboration Evidence-based practice Patient-centered care Quality improvement
Patient-centered care
A public health nurse has been working with other staff at the health department to complete a community health assessment for their city. As part of their core function of assessment, which of the following should be done with the information? Conduct focus groups with local residents to discuss their usage of public health services. Prepare a plan to address a health issue in a specific area of the city. Post the analyzed findings on the health department section of the city's website. Educate members of a vulnerable population identified in the assessment about available public health services.
Post the analyzed findings on the health department section of the city's website.
A nurse is presenting information about the prevention of sexually transmitted infections to a group of high school students. The nurse should identify that this is an example of which of the following types of prevention?
Primary prevention
A client who was recently diagnosed with diabetes mellitus arrives for follow-up appointment at the community health clinic. The client appears distressed and has disclosed that they have recently separated from their partner. Which of the following actions should the nurse take first? Review the client's medications. Encourage the client to check their blood glucose. Discuss a referral to another provider on the multidisciplinary team for support. Provide an opportunity to listen to and comfort the client.
Provide an opportunity to listen to and comfort the client.
A nurse in a clinic is providing care for a client who has a chronic health condition. Which of the following actions should the nurse identify as a primary prevention activity to prevent the progression of the client's chronic condition? Providing a brochure with information about community resources Refer the client to a provider that can provide management of the condition with medication. Assist the client's family with memory care placement. Refer the client for hospice services.
Providing a brochure with information about community resources
A nurse is preparing a presentation for a planning board on strategies that would help older adults remain in their homes as they age. Which of the following strategies should the nurse include in the presentation? Providing assistance with minor home repairs and modifications Expanding the number of communities designed for older adults Focusing care and resources on morbidity and mortality Increasing the number of advanced practice nurses
Providing assistance with minor home repairs and modifications
A nurse is caring for a client that has recently been diagnosed with terminal cancer. Which of the following actions exemplifies compassion? Providing nursing care that demonstrates caring service Providing nursing care that affirms and upholds a code of ethics. Providing nursing care that is collaborative with other health professions and disciplines Providing nursing care that incorporates knowledge development from scientific advances.
Providing nursing care that demonstrates caring service
A nurse is collecting data from a client and their full-time caregiver who is their adult child. The caregiver appears to be disheveled and irritable. Which of the following should the nurse identify as a caregiver concern to address? Roles Injury Self-care Deficient knowledge
Self-care
A school nurse is partnering with the local hospital system's tobacco cessation program to give a presentation focused on discouraging tobacco use in high school students. According to the Health Belief Model, which of the following might be included in the presentation?
The benefits to not smoking when engaging in sports and other activities
A nurse is reviewing the record of a client who has a new diagnosis of diabetes mellitus and an A1C of 9. The client has attended multiple workshops about diabetes management but reports not using the meal plan to assist with nutrition and feels unmotivated to start an exercise regimen. According to the Theory of Reasoned Action/Planned behavior, which of the following explains the likelihood of this client having good outcomes in follow-up clinic visits?
There is a higher chance of complications due to poor adherence of the plan
A community health nurse is speaking to a group of nursing students about various major health organizations. Which of the following agencies should the community health nurse identify as the agency that works with children around the world to provide emergency relief?
United Nations International Children's Emergency Fund (UNICEF)
A nurse is caring for several migrant farmworkers. Which of the following barriers to care should the nurse identify as specific to this population? Absence of culturally competent care High health care costs Distance of health care facilities from the client's place of residence Availability of healthcare specialists
Absence of culturally competent care
A nurse is discussing major health organizations with a group of newly hired nurses. Which of the following organizations should the nurse describe as widely recognized for managing the U.S. blood supply? U.S. Public Health Service (USPHS) Commissioned Corps Occupational Health and Safety Administration (OSHA) American Red Cross Agency for Healthcare Research and Quality (AHRQ)
ARC
A nurse is caring for a client who has end-stage liver disease and states, "I am aware of the dangers of continuing to drink, but I am choosing not to stop." Which of the following actions should the nurse take to act as a client advocate?
Accept the client's decision and offer to be a resource if the client changes their mind.
