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A nurse who is facilitating a support group in a community center noticies that one member of the group expresses anger repeatedly. which of the following strategies should the nurse use to facilitat... e the group process with this member? A. remind the group that everyone should have a chance to participate D. divide the group into pairs and give each pair a topic for discussion C. give the member extra time to compose her thought before expressing them D. focus more on the group members who have a positive outlook - ✔✔D. the nurse should ask them in private to uncover the source of her ongoing anger a community health nurse is providing education to a group of children who have asthma. which of the following statements indicates an understanding of the teaching? A. i shouldn't play sports because it will make me too tired B. i will stay indoors during cold weather C. i will use my rescue medication every day D. I shouldn't get the flu shot because it might make me sick - ✔✔B. cold air can be a trigger for asthma. this response indicates the student reconizes this risk a community health nurse is planning an in-service about STI to a group of adolescents. which of the following clinical findings should the nurse include as a manifestation of primary syphilis? A. malaise B. maculopapular rash on palms C. chancre D. lymphadenopathy - ✔✔Ca public health nurse is working in a community that ha a population of 24, 096. There are 2,096 existing cases of heart disease within the populaiton. The nurse can determine which of the following from this information? A. mortality rate B. attack rate C. prevalence proportion D. incidence proportion - ✔✔C a nurse is preparing a community education program about heatlh care needs during pregnancy. The nurse should include that which of the following vaccines is safe to administer to a client who is pregnant? A. herpes zoster B. tetanus, diphtheria, pertussis C. varicella D. measles, mumps, rubella - ✔✔B a school nurse is notified that an elementary school child is newly diagnosed with pertussis. Which of the following actions should the school nurse take? (select all that apply) A. instruct the parent to keep the child home until the coughing stage has passed B. encourage family members to obtain prophylactic treatment C. quarantine the children in the child's class D. recommend the child receive a pneumococcal vaccine in 28 days E. check the immunizations of the child's classmates - ✔✔A B E a nurse is caring for a 50-year-old client who has DM, recently lost his job, and has no health insurance. The nurse should advise the client to do which of the following? A. contact medicare to determine eligibility B. contact medicaid to determine eligibility C. go to the ER when services are neededD. go to the public health department when services are needed - ✔✔B. low income, no insurance a home health nurse is orienting a newly licensed nurse who is drawing blood from a client for laboratory testing and gets stuck by a used needle. Which of the following statements by the newly licensed nurse indicates a need for further teaching? A. the client will be tested for HIV B. the client will be tested for hepatitis B virus C. the client will be tested for hepatitis C virus D. the client will be tested for hepatitis A virus - ✔✔D oral-fecal route a clinic nurse manager is developing an education program on TB skin testing. The nurse should include that which of the following can cause a false-negative result? A. advanced HIV or AIDS B. Bacilli CAlmette-Gue'rin (BCG) vaccination C. time between exposure and screening D. age of the client E. recent abuse of IV substances - ✔✔A C D a nurse is collecting demographic data as a part of a community assessment. which of the following should be included? A. racial distribution B. family genograms C. number of open water sources D. presence of condemned buildings - ✔✔Aa community health nurse is visiting a family that has newborn twims and two school-aged children. The parents tell the nurse they are emotionally and financially overwhelmed. which of the following referrals are apporpriate? A. postpartum support group B. WIC program C. CPS D. medicare part B E. free school lunch program - ✔✔A B E a community health nurse is teaching a group of older adults about environmental health hazards. A need for additional teaching is indicated when a group member lists which of the following as a possible source of carbon monoxide exposure? A. motor vehicles B. gas ranges C. vented gas heaters D. electric space heaters - ✔✔D a community health nurse is caring for a client who has a new diagnosis of Lyme disease. the requirements for reporting Lymes disease are mandated by which of the following? A. local county health departments B. individual state law C. federal law D. centers for disease control an prevention - ✔✔B a nurse is a community health center is talking with a client who is receiving treatment for an opioid addiction. which of the following statements by the nurse is apporpriate for encouraging the client to attend his 12 step meetings? A. you'll find Na will help you regain power over you addiction B. Na will help you take responsibility for the symptoms of your diseaseC. at Na, your willingness to change will be crucial for your sobriety D. at Na, you'll nearn to maintain control by never admitting to defeat - ✔✔C a newly licensed nurse in a public health agency is assigned to assist with the task force that is responsible for the core function of asesment. which of the following is a task that the nurse could be assigned that would be consistent with the focus of the task force? A. investigating local health hazards B. updating local policies to support community health efforts C. collaborating with community agencies to improve availbility of services D. ensuring competence of health care workforce - ✔✔A a home health nurse is assessing a client who has a prescription for captopril to treat heart failure. which of the following findings is an adverse effect of this medicaiton? A. weight gain B. ataxia C. photophobia D. dry cough - ✔✔D a nurse is working for a non-profit organization with limited resources is asked to develop an education program that will benefit a supporting agency's employees. the nurse was planning another program to benefit more people in the community. which of the following is an ethical tenet the nurse should ofllowin in deciding which program to implement? A. allow members of the community to voice their shared ideas B. develop public policy in concert with the interests and needs of the community C. gibe precedence to community support provided by public servants over entrepreneurs D. place the needs of the community above those of special interest groups - ✔✔D a nurse is developing an educational program about intestinal parasitic disease for a child day care staff. which of the following should the nurse emphasize to prevent transmission? A. spray snack tables with a baking soda solution weekly B. store children's personal items in separate lockersC. clean food preparation areas with soap and water daily D. wipe changing tables with a dilute bleach solution between children - ✔✔D a nurse is providing immunizations for an infant in a clinic. which of the following statements made by the infant's parent indicates a need for further teaching? A. i can give my child acetaminiphen for fever after her immunizations B. i should reschedule my child's immunization if she has a cold C. my child will need an MMR vaccine at 12 months D. my child should not receive an influenza vaccine because she has an anaphulactic egg allergy - ✔✔B a parish nurses's role include which of the following? A. providing pharmacologic pain management for clients with terminal illness B. planning safety services for employees in a clocal workplace C. performing wound care for clients in their homes D. facilitating substance abuse support groups - ✔✔D a nurse has been granted funding to develop an education program that is specific to the local community. in what order shoujld the nurse perform the following steps? A. provide education within the context of environmental parameters B. develop objectives that must be achieved with the education C. select educational strategies that are apporpriate for the audience D. identify the health educatin needs of the community - ✔✔D B C A a community health nurse is discussing responsible behaviors with a client who has HPV. which of the following methods of transmission of HPV? A. oral contact B. dropletC. airborne D. sexual contact E. bloodborne - ✔✔A D a community health nurse suspects an outbreak of scabies which of the following actions should the nurse take first? A. educate the community about disease transmission B. determine the incidence rate C. institute prophylactic treatment D. discuss treatment plans with client's families - ✔✔B a nurse is teaching a client who is newly diagnosed with active pulmonary tb about disease transmission. which of the following should the nurse include in the teaching? A. household members should be placed in respiratory isolation B. the client should use disposable utensils during meals C. household members should take isoniazid (INH) for 6-12 months D. The client should have a repeat purified protein derivative PPD test in 3 months - ✔✔C a nurse at a local pediatric communiry clinic is prioritizing care for a group of clients. which of the following clients should the nurse see first? A. a child who is vomiting, febrile, and has developed a petechial rash B. an infant who has itching eyes with stringy discharge and red conjunctiva C. a child who has diarrhea, abdominal pain, and a fever of 37.4 (99.4) D. an infant who is irritable, pulling at her left ear, and has a fever of 38.2 (100.7) - ✔✔A where does smallpox first develop? A. face B. posterior shoulders C. abdomenD. lower extremities - ✔✔A a client started taking captopril 2 weeks ago. report what? A. angioedema B. bradycardia C. weight gain D. insomnia - ✔✔A lifethreatening a community health nurse is reviewing plans for a health education [Show More]

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