RN Community Health Online Practice 2019 B. (50 Q&A): (ANSWERS VERIFIED 100% CORRECT)

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Community Health Online Practice B 1. A nurse is providing safety information to the parents of an infant. Which of the following statements by a parent indicates the need for further teaching? ... Answer: “I will make sure the water heater setting is no higher than 140 degrees F 2. A nurse is planning to teach a community group about the meningococcal vaccine. For which of the following individuals is this vaccination recommended? Answer: An individual moving into a dormitory setting 3. A nurse is caring for a client who has AIDS and is experiencing rapid weight loss. Which of the following actions should the nurse take first? Answer: Examine the client’s oral mucous membranes 4. A nurse is caring for a 50-year-old client who has diabetes mellitus, recently lost his job, and has no health insurance. The nurse should advise the client to do which of the following? a. Answer: Contact Medicaid to determine eligibility 5. A nurse manager is providing orientation to a nurse who is new to hospice care. Which of the following statements indicates that the new nurse needs additional orientation? a. Answer: “I will provide care and education to clients in order to promote recovery.” 6. A nurse in a rural community is planning education for a young-adult client who is a migrant farm worker. Which of the following should the nurse include in the plan of care? (select all that apply) Answer: Provide environmental health information, provide skin cancer information, conduct TB screening, Conduct dental health screening, 7. A school nurse sees four students in 1 week who have a return-to-school release after being diagnosed with MRSA. Which of the following actions should the nurse take? Answer: Provide education about MRSA throughout the school system 8. A nurse who is facilitating a support group in a community center notices that one member of the group expresses anger repeatedly. Which of the following strategies should the nurse use to facilitate the group process with this member? Answer: Focus more on the group members who have a positive outlook 9. 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 medication? Answer: Dry Cough 10. A home health nurse is talking with a client whose partner died 3 months ago. The client states, “I still can’t believe my partner is gone sometimes.” Which of the following is an appropriate nursing response? Answer: “Tell me more about how you’re feeling.” 11. A clinic nurse manager is developing an education program on tuberculin skin testing. The nurse should include that which of the following can cause a false-negative result? (select all that apply.) Answer: Advanced HIV or AIDS is correct, Time between exposure and screening, age of the client, 12. Community leaders have requested a meeting with a community health nurse to discuss creating a mobile meals program. Which of the following should the community health nurse assess first? Answer: The need for the program 13. The daughter of a client who is terminally ill and at the end of life approaches the hospice nurse and asks what she can do to help relieve her father’s anxiety. Which of the following interventions should the nurse suggest? Answer: Give the client brief hand messages 14. A public health nurse is working in a community that has a population of 24,096. There are 2.096 existing cases of heart disease within the population. The nurse can determine which of the following from this information? Answer: Prevalence proportion 15. A nurse 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 follow in deciding which program to implement? Answer: Place the needs of the community above those of special interest groups 16. A community health nurse is asked to give a health education program to a group of African- American men age 40-75. Considering the health concerns of this group, which of the following topics is most important to include in the program? Answer: Prostate cancer screening 17. 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 assessment. Which of the following is a task that the nurse could be assigned that would be consistent with the focus of the task force? Answer: investigating local health hazards 18. A newly licensed nurse is performing a community assessment. While collecting secondary data at the library, the nurse is approached by a community member who is concerned about air pollution. Which of the following statements by the nurse indicates a need for further education regarding confidentially? Answer: “The circulation supervisor at the library is concerned about the amount of air pollution coming from the town’s industrial corridor.” 19. A nurse is providing education regarding lead exposure to a group of clients who live in a subsidized housing development built in 1968. Which of the following client statements indicates an understanding of the teaching? Answer: “I will increase the amount of red meat and milk in my child’s diet.” 20. A nurse in 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 appropriate for encouraging the client to attend his 12 step meetings? Answer: “At Narcotics Anonymous, your willingness to change will be crucial for your sobriety.” 21. 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? Answer: “I will stay indoors during cold weather.” 22. A school health nurse is caring for an adolescent newly diagnosed with type 1 diabetes mellitus. Which of the following actions is appropriate to include in the client’s plan of care? Answer: Consult with a dietitian to determine an appropriate school lunch for the client 23. A nurse is planning health promotion activities for the local community. Which of the following is an example of primary prevention? Answer: Teaching meal planning classes to older adults. 24. A community health nurse is providing care to a client who has stopped taking his prescribed blood pressure medication. Which of the following actions should the nurse take first to promote adherence to treatment? Answer: Determine the client’s reason for discontinuing the medication 25. A clinic nurse is caring for a client who reports taking ginkgo biloba for several weeks since seeing a naturopathic healer. The nurse should instruct the client that ginkgo biloba may alter the effects of which of the following medications? Answer: Warfarin 26. A community health nurse is providing anticipatory guidance to a group of adolescents. To reduce premature deaths in this age group, which of the following topics would be most important to discuss? Answer: safety belt use 27. A nurse in community health center is talking with the parent of an adolescent who is concerned that her son seems depressed and is giving away his favorite belongings. Which of the following actions should the nurse take? Answer: is D 28. A community health nurse is caring for a client who has a new diagnosis of Lyme Disease. The requirements for a reporting Lyme disease are mandated by which of the following? Answer: Individual state law 29. A community health nurse has conducted a teaching session about breast self-examination. Which of the following best indicates whether or not the teaching was effective? Answer: Demonstration on a breast model 30. A school nurse is helping a student schedule speech therapy and physical therapy appointments that do not interfere with the student’s academic schedule. This is an example of which of the following roles of the school nurse? Answer: Case manager 31. 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) Answer: Instruct the parent to keep the child home until the coughing stage has passed, encourage family members to seek treatment, check immunization status of the child’s classmates 32. A client asks a home health infusion nurse the difference between a peripheral IV line and a peripherally inserted central catheter (PICC) for long-term venous access. Which of the following responses is appropriate? Answer: “The central catheter does not require replacement as often as a peripheral IV.” 33. A nurse is collecting demographic data as a part of a community assessment. Which of the following should be included? Answer: Racial distribution 34. A community health nurse is planning an in-service about sexually transmitted infections to a group of adolescents. Which of the following clinical findings should the nurse include as a manifestation of primary syphilis? Answer: Chancre 35. A nurse is developing a community education program about risk factors for family violence. The nurse should include which of the following circumstances as a risk factor for becoming a victim of intimate partner abuse? Answer: attempting to end the relationship with their partner 36. A nurse in a clinic is planning teaching for a client who is newly diagnosed with hep C. which of the following instructions should the nurse include in the teaching? Answer: abstain from sexual intercourse until antibody tests are negative 37. A community health nurse is preparing a community presentation about the epidemiological triangle. Which of the following elements is a host? Answer: a raccoon with rabies 38. A public health nurse is providing an educational program about inhalation anthrax to a group of first responders in the community. Which of the following statements by a member of the group indicates an understanding of the teaching? Answer: a person exposed to inhalation anthrax may develop a dry cough 39. A community health nurse is conducting an educational program for parents about the effects of pollution on preschool-age children. Which of the following statements by a parent indicates an understanding of the teaching? Answer: children breathe more rapidly than adults, which increases their exposure to air pollutants. 40. A home health nurse is caring for an older adult client who has diabetes mellitus complicated by severe peripheral neuropathy. Which of the following instructions should the nurse provide the client to avoid injury to the feet and lower legs? (select all that apply) Answer: test bath water with a thermometer before entering, inspect feet for areas of redness daily, monitor temperature of feet and lower extremities for changes. 41. Which of the following activities done by a nurse is considered public health nursing? Answer: reviewing morbidity and mortality data for the community 42. A community health nurse is visiting a family that has newborn twins and two school-age children. The parents tell the nurse they are emotionally and financially overwhelmed. Which of the following referrals are appropriate? (Select all that apply.) Answer: postpartum support group, women, infants, and children (wic) program, free school lunch program 43. A hospice nurse is caring for a client who is at the end of life and has developed dyspnea and noisy breathing. Which of the following actions should the nurse take? Answer: use a fan in the client’s room 44. A nurse is preparing a community education program about health care needs during pregnancy. The nurse should include that which of the following vaccines is safe to administer to a client who is pregnant? Answer: Tetanus, diphtheria, pertussis 45. A nurse at a rehabilitation facility is providing discharge teaching for a client who is recovering from a stroke. Which of the following statements should the nurse include? Answer: you should use a hand-held mirror to improve your ability to see objects around you. 46. 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? Answer: Electric space heaters 47. A home health nurse is planning care for the day. Which of the following clients should the nurse visit first? Answer: a school-aged child who was treated in the ED last night with status asthmaticus. 48. 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? Answer is D. 49. A community health nurse is planning a presentation to aging adults who have a family history of Alzheimer’s disease. The nurse should include that which of the following behaviors is an early manifestations of the disease? Answer: difficulty learning new things 50. An occupational health nurse is assessing a client who reports taking ibuprofen daily for several years. The nurse should counsel the client on the risk for which of the following conditions? Answer: gastric ulcerations [Show More]

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