Keiser University - NURSING 220community B

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. A community health nurse observes the accumulation of garbage at a neighborhood playground. Which of the following actions should the nurse take to promote a clean and safe environment? 2. Work w... ith local businesses to sponsor more trash receptacles in the playground 3. Meet with community members to discuss methods of playground maintenance 4. Partner City officials with community members to improve the playgrounds condition 5. Engage neighborhood families to monitor the playground for further trash build up 2.Nurse is planning the initial home visit for a client who has dementia and lives with his adult Sons family. Which of the following actions should the nurse take first during the visit? 1. Educate the family regarding the progression of dementia 2. engage the family in informal conversation 3. provide the family with information about respite care 4. encourage the family to join a support group 3.A community health nurse is providing teaching to a group of clients who have alcohol use disorder. Which of the following findings should the nurse include in the teaching as a manifestation of alcohol withdrawal? 1. Bradycardia 2. Hypothermia 3. Insomnia 4. increased appetite 4.A nurse is counseling a client who is to undergo enzyme-linked immunosorbent assay testing for HIV. Which of the following information should the nurse include? 1. The test measures antibodies to the virus 2. the test results are accurate 24 hours after exposure to the virus 3. a positive result requires initiating immunoglobulin Administration 4. the test monitors progression of the disease 5.A nurse is working with a Community Health Care team to devise strategies for preventing violence in the community. Which of the following interventions is example of tertiary prevention? 1. Assessing for risk factors of intimate partner abuse during Health examinations 2. presenting Community Education programs about Stress Management 3. Urging community leaders to make nonviolence a priority 4. Developing resources for victims of abuse 6.A faith-based organization ask a community health nurse to develop on mobile meal program for older adults who are no longer driving. Which of the following actions should the nurse plan to take first? 1. perform a needs assessment 2. inquire about the availability of volunteers 3. identify alternative solutions to address concerns 4. determine potential funding sources for the program 7.A nurse is planning a primary prevention strategy for reducing obesity in the community. Which of the following strategies should the nurse use? 1. Educate children at a daycare about nutrition and exercise 2. measure the BMI of older adults at a community Senior Center 3. encourage enrollment and attendance at weight reduction programs 4. distribute health risk appraisal questionnaires at Community functions 8.Several nurses are developing a parish nurse group to help adjust the primary and secondary health care needs of a congregation. Which of the following Services should the nurses plan to provide to the congregation? 1. provide end-of-life care for members who are terminal 2. perform wound care in the home of members 3. facilitate discharge from the facility to the home 4. organize an influenza immunization clinic with American Red Cross 9. A nurse is conducting a community assessment. Which of the following information should the nurse include as part of the windshield survey? 1. Demographic data 2. housing quality 3. informant interviews 4. mortality rates 10.A client who has diabetes mellitus asks a home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. Which of the following is the first action the nurse should take when assisting this client? 1. Explain the diabetes exchange list 2. use cookbooks to include traditional foods and meal plans 3. observe the client during preparation of traditional foods 4. provide the client with printed recipes 11. A school nurse is implementing Health screenings. Which of the following assessment findings should the nurse recognize as the highest priority? 1. A child who has nits 2. An Adolescent who has scoliosis 3. and Adolescent who has psoriasis 4. a child who has a BMI of 18 12. The first response team is working at the location of a bombing incident. The nurse triaging a group of clients should give treatment priority to which of the following clients? 1. A client who has a femur fracture with a 2 + pedal pulse 2. a client who has a rigid abdomen With manifestations of shock 3. a client who has superficial partial thickness burn injuries over 5% of his body 4. a client who is ambulatory and Exhibits manic behavior 13. A 35 year old client who has a diagnosis of tuberculosis informs the provider's office that she is unable to pay for the treatment. Which of the following actions by the nurse will facilitate obtaining appropriate treatment? 1. Explore options for alternative Therapies 2. arrange for medication through local agencies 3. send the clients to the nearest facility for further evaluation 4. help the client apply for Medicare 14 A home health nurses scheduled for first-time visit to a client. Which of the following should the nurse perform first? 1. Mental status examination 2. review of the neighborhood 3. family history 4. blood pressure screening 15. A nurse is working in a shelter following a disaster. Which of the following is the priority action for the nurse to take? 1. Explore feelings the clients are experiencing 2. create diversionary activities for children 3. help clients gather needed supplies 4. address the physical needs of clients 16 A community health nurse is educating up here in about the importance of hepatitis B immunization. Which of the following explanations should the nurse give to a parent about the disease? 1. People who have had hepatitis B infection still need the immunization 2. Hepatitis B spreads easily among children through casual contact 3. many people who acquire acute hepatitis B develop chronic hepatitis 4. One dose of the immunization gives children life-long protection from hepatitis B 17.A nurse at a community clinic is preparing an educational guide about cultural variances and expression of pain. Which of the following information should the nurse include? 1. Native American Cultural practices include being outspoken about pain 2. Chinese Cultural practice include and during pain to prevent family dishonor 3.. Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful 4. Middle Eastern cultural practices include hiding pain from close family members 18. A nurse is providing education to the family of a school-age child who has pertussis. Which of the following information should the nurse include in the teaching? 1. Household contacts will receive prophylactic antibiotics 2. transmission will be limited because of the herd immunity 3. the child is most contagious after the rash develops 4. a dehumidifier should be placed beside the child's bed 19 A partner of an older client who has Alzheimer's disease reports that he is not eating. The home health aide tells the nurse that the clients partner refuses to assist a client with feeding. The partner and sister client feed himself without help. Which of the following is the priority action the nurse should take? 1. refer the clients partner to an Alzheimer's support group 2. direct the home health aide to assist with meals 3. determine the client's ability to self-feed 4. arrange for meals-on-wheels assistance 20. A community nurse is planning a smoking cessation class. Which of the following factors will have the greatest effect on the success of the class? 1. Client education level 2. presenters teaching strategies 3. presenters credibility 4. clients motivation 21 A nurse is planning a program about healthy eating at an elementary school where most students select French fries and pizza at lunch every day. Which of the following actions should the nurse plan to take first? 1. Provide students with resources about making wise choices independently 2. help students recognize the value of making healthy food choices 3. give positive feedback to students who make appropriate choices 4. determined students motivation to learn about healthy food choices 22. 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? 1. Maintaining eye contact when interviewing a Native American client 2. including both hot and cold food items on a Hispanic client menu 3. touching the hair of an African American client during an assessment 4. offering to shake hands when meeting an Asian client of the opposite gender 23 A nurse is discussing short and long-term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. Which of the following statements is appropriate for the nurse to include in the discussion? 1. Attending Al-Anon meetings will help you identify role model to assist you with making needed [Show More]

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