(Answered) RN Community Health 2019 A,B | COMMUNITY 403 Final EXAM ATI | ATI Communication: 63Q adaptive quizzes | ATI Midterm AM 2020| NURSE 403 FINAL EXAM | Otros quizzes

Document Content and Description Below

WORD COMMUNITY 403 Final EXAM ATI RN Community Health Online Practice 2019 A A home health nurse is visiting with an older adult client. Which of the following observations indicate the need for hom... e modification? a. The home has power strips that have breakers. b. The client uses an electric toaster oven for cooking. c. There are two rocking chairs in the living room. d. The bathtub has a seat and a hand-held shower head A case manager is planning an educational program for a client who has diabetes mellitus. Which of the following activities should the nurse include when using the psychomotor domain of learning? a. show the client a video about how to monitor blood glucose levels b. give the client a pamphlet about foot care c. observe the client's technique for drawing up insulin d. review the color diagram of the food pyramid with the client A case manager is developing a discharge plan for a client who has spinal cord injury and is in a rehab facility. Which of the following actions should the nurse take first? a. contact service providers to determine the availability of services offered b. determine the client's ability to perform self-care c. hold a care conference with the client and his family to discuss treatment options d. evaluate the client's satisfaction with the case managers services A school nurse is teaching health promotion to a group of staff members who sit at a desk and use a computer for 8hr at a time. Which of the following information is the priority for the nurse to include a. take a walk after work b. have your visual acuity assessed regularly c. adjust your chair so your elbows are at desk height d. point and flex your toes periodically A nurse is assessing a new client. Which of the following information should the nurse include in the cultural portion of the assessment? a. employment status b. history of illness c. sexual orientation d. food preferences A nurse is collecting demographic data as part of a community assessment. Which of the following information should the nurse include? a. presence of condemned buildings b. racial distribution c. family genograms d. number of open water sources A nurse is caring for a client who has terminal lung cancer and is receiving hospice care. Which of the following statements should the nurse ID as an indication that the client is in the denial stage of the grief process? a. I'm going to plan my memorial service next week b. I don't deserve to die. this just isn't fair c. If I could just make it through this, I'd never smoke again d. I'm looking forward to my daughter's wedding next year An occupational health nurse is planning to use an interpreter during an educational session with a group of workers who speak a different language than the nurse. Which of the following actions should the nurse take? a. evaluate the interpreter's approach to clients prior to the educational session b. instruct the interpreter to guide the nurse in providing info in a culturally sensitive manner c. ask the interpreter to add info she feels may be necessary d. encourage the interpreter to paraphrase the workers' questions and responses d. choose an interpreter who speaks the workers language and dialect A nurse in a clinic is planning teaching for a client who was newly diagnosed with Hepatitis C. Which of the following instructions should the nurse include in the teaching? a. schedule an appointment for an immunoglobulin injection b. wear a mask in public places while receiving treatment c. abstain from sexual intercourse until antibody tests are negative d. consume a low-carbohydrate diet until symptoms resolve A home health nurse is reviewing several client requests regarding complementary strategies. The nurse should ID that which of the following alternative therapies is contraindicated for the client? Kava for a client who has cirrhosis A community health nurse is teaching a client who was newly diagnosed with active pulmonary tuberculosis about disease transmission. Which of the following info should the nurse include? a. household members should be placed in respiratory isolation b. the client should have a repeat purified protein derivative test in 3 months c. the client should use disposable utensils during meals d. household members should take isoniazid for 6-12 months Household members should take isoniazid for at least 6mo A nurse in a rural community is planning education for a young adult client who is a migrant farm worker. Which of the following actions should the nurse include? a. recommend a dental health screening b. provide skin cancer information c. provide forms to apply for Medicare d. provide environmental health information e. refer the client for a tuberculosis screening A nurse is teaching a client who has a new diagnosis of hepatitis A about how to prevent the spread of the virus. Which of the following instruction should the nurse include? a. clean your bathroom fixtures with a chlorine bleach solution b. rinse your toothbrush with hydrogen peroxide after each use A community health nurse is planning to establish a community garden to introduce new nutritious food options in the area. Which of the following actions should the nurse take first to initiate the plan? a. monitor the progress of the project to keep the project on course b. select residents to take on leadership roles in the project c. identify community members who demonstrate an interest in the project d. hold a community information session to inform the residents of the plan A palliative care nurse is teaching a client who has cancer about the services that are available for the client. Which of the following statements should the nurse ID as an indication that the client understands the teaching? a. I can begin palliative care when i have less than 6 months to live b. this type of care can help me with pain control c. my family will not be involved with this type of care program d. if I begin palliative care, i will have to stop my chemotherap A community healht nurse is teaching a group of clients about environmental health hazards. Which of the following examples should the nurse include as a possible source of carbon monoxide exposure A. motor vehicles B. gas ranges C. vented gas heaters D. electric space heaters A community health nurse is planning a health education program for adults. The nurse should plan to take which of the following actions during the program? A. program content is organized topicall B. pamphlets are written at a 12th grade level C. the presentation is delivered via powerpoint slides D. attendance at the program is voluntary Provide take-home materials written at 6th grade level An occupational health nurse is assessing a client who reports taking ibuprofen daily. The nurse should counsel the client about the risk for which of the following adverse effects? Gastric ulcerations Orthostatic hypertension Hyperglycemia Urinary retention A public health nurse is developing a presentation for local day care providers about infectious childhood diseases. Which statements should the nurse include “Respiratory syncytial virus is spread through contact with respiratory secretions from an infected person.” “Rotavirus infections in children peak during the summer months.” “Children who have fifth disease will exhibit bloody diarrhea.” “Antiviral medications shorten the duration of a shigella infection.” A home health nurse is planning care for the day. Which client should the nurse visit first a. an older adult client who has a newly prescribed antihypertensive medication and needs a BP check b. an older adult client who was treated in the ED last night for a stage III pressure ulcer c. a school-age child who was treated in the ED last night with status asthmaticus d. a school-age child whose percutaneous endoscopic gastrostomy (PEG) tube needs changing A nurse in a pediatric clinic is providing care to several clients. The nurse should recognize that which condition is included on the Nationally Notifiable Infectious Condition list a. varicella b. scarlet fever c. erythema infectious d. molluscum contagiosa A nurse is performing a home visit for a client who has TB. As the nurse is leaving the clients house a neighbor asks "is it true that my neighbor has TB?", which response should the nurse make a. you should take precautions against this infection b. have you ever been tested for TB? c. you should ask the public health department d. do you have questions about TB A community health nurse is planning an educational program for farmers about occupation health risk. Which risk should the nurse include a. respiratory disorders b. hypertension c. sickle cell anemia d. diabetes mellitus A public health nurse is developing a visual health program by using a community-oriented approach. Which of the following interventions should the nurse include a. provide genetic counseling to the family of a newborn who has congenital cataracts b. develop a plan of care for a client who is newly diagnosed with glaucoma c. teach a client who has a vision loss about safety in the home environment d. consult the local school nurse to schedule yearly vision screenings for students A community health nurse is participating in a group session for clients who have alcohol and substance use disorders. Which of the following information should the nurse provide regarding support programs for these individuals a. alcoholics anonymous is a support group that requires disclosure of attendance to employers b. AA assists a client who has an addiction to alcohol with developing a daily recovery program c. narcotics anonymous will cure a client from her substance use disorder if she stays involved with the program d. NA is one-on-one program that assists clients A nurse is conducting a home visit with a client who reports a history of partner violence. The nurse should ID that which of the following findings places the client at greatest risk for partner violence Client states they are leaving their partner A nurse is developing a genogram for a client to determine education needs. Which of the following health risk info should the nurse expect to obtain with this tool a. economic b. social c. behavioral d. biologicalA home health nurse is caring for a client who has breast cancer. Which of the following assessment findings should the nurse ID as an indication that the client is coping effectively a. excessive sleeping b. makes eye contact c. inability to concentrate d. lack of interest in food A nurse in a clinic is caring for a client who reports taking gingko biloba ... The nurse should instruct the client that ginkgo biloba can alter the effects of which of the following medications a. diltiazem b. warfarin c. digoxin d. metoprolol A nurse is caring for a client who has stage IV pancreatic cancer and has received info regarding available treatment options. Which is the responsibility of the nurse if the client chooses to forgo treatment and enter hospice care a. assess whether or not the family agree with the clients decision b. verify that the clients health insurance pays for hospice services c. make the hospice referral in accordance with the clients decision d. recommend a second opinion for another provider A community health nurse ID an increase in the occurence of osteoporosis-related fractures in female clients who are experiencing menopause. Which primary prevention strategy should the nurse implement a. encourage the women to participate in weight-bearing activities b. advise the women to keep their immunization updated c. educate the women about the importance of limiting sun exposure d. instruct at-risk women to increase there intake for foods high in vitamin E A home health nurse is caring for a client who is immunocompromised due to chemotherapy. Which of the following statements should the nurse make regarding food safety Frozen food should be cooked immediately after it is thawed A community health nurse is conducting a vision screening at a health fair for an older adult client who has age-related macular degeneration. Which of the following statements should the nurse ID as an indication that the client is adapting to the changes a. i have learned that i cannot go outside when the sun is bright b. i canceled all my magazine prescriptions since I can't read them c. i purchased green towels to use in my bathroom d. i have a prescription bottle magnifier to help me read my pill bottle labels A school nurse is reviewing the records of four students who are returning to school after being dx with MRSA. Which of the following actions should the nurse take a. recommend prophylactic treatment of classmates b. provide education about MRSA throughout the school system c. report the cases of MRSA to child protective services d. coordinate an immunization clinic at the school A school nurse is conducting hearing screening procedures in an elementary school. Which of the following instructions should the nurse provide when performing the Rinne test a. after i place the tuning fork on your scalp, tell me if you hear the sound better in one ear or the same in both ears b. you'll wear headphones and press the button when you hear a sound c. after i place this tuning fork behind your ear, tell me when you no longer hear the sound d. use your finger to close one ear while i whisper some numbers into your other ear a community health nurse is creating a program to reduce violence in the community. which of the following interventions should the nurse ID as secondary prevention recognize and report A home health nurse is conducting a follow-up visit for a client who was recently discharged from an acute rehab program for alcohol use disorder. Which of the following actions should the nurse take a. schedule transcranial magnetic stimulation (TMS) biweekly b. tell the client to take naltrexone daily c. teach the client to avoid foods that contain tyramine d. instruct the client to take buprenophine for the next 9 to 12 months A nurse in an ED is triaging clients following an explosion at a local factory. Which client should the nurse ID as the priority a. a client who has agonal respirations and an open head injury b. a client who has tracheal deviation and shortness of breath c. a client who has a fracture of the humerus and a bleeding foot laceration d. a client who has superficial burns to 10% of the abdomen A public health nurse is providing info to a client who has alcohol use disorder and is asking about tx. Which statement should the nurse ID as an indication that the client understands the info a. i am not eligible for an outpatient program until i have completed an inpatient program first b. i can expect to get help with other aspects of my life while in treatment c. once i make it through detoxification, i will be free of my addiction d. i will not have to completely stop drinking alcohol if i go into an inpatient treatment program A community health nurse is working with a group of clients in a rural community who are unable to afford health insurance. Which action is the best for the nurse to take tot advocate for these clients Work with local health care practitioners A public health nurse is planning care for four clients. Which intervention should the nurse recognize as tertiary prevention? a. providing chemoprophylaxis for malaria to a client who is traveling to mosquito-infested countries b. administering antibiotics to a client who has AIDS and was diagnosed with pneumocystis jiroveci c. performing a serological screening for HIV for a client who is pregnant d. participating in partner notification for a client who has an STI A community health nurse has been contacted regarding a client dx of influenza type A in adult day care. Which action should the nurse take to assist in the prevention of an outbreak a. administer antiviral medication to clients at the facility b. recommend that the day care center close for 2 weeks c. schedule immunizations for clients at the facility d. give immune globulin to clients at the facility who have early manifestations of influenza A home health nurse is evaluating a parnter's understanding of postop care of a client who had a total hip arthroplasty. Which of statement by the partner indicates an understanding of the prescribed care I will remind my partner to use a walker when moving around in the house A community health nurse is planning to develop a community health program. Which of the following actions should the nurse take first Determine the need A community health nurse is assessing a group of clients for risk factors of violent behavior. Which finding should the nurse ID as a risk factor for developing violent behavior spanked as a child A public health nurse is conducting an edu session about Lyme disease for a group of older adult clients at a senior center. Which statement should the nurse ID as an indication that the clients understand the teaching a. i can get lyme disease from a mosquito bite b. i will have abdominal pain and diarrhea if i get lyme disease c. i should get an annual immunization to prevent lyme disease. d. i can take penicillin for 10-14 days to manage lyme disease A nurse in an ED is caring for a client who is homeless and has hypothermia. Which action should the nurse take Initiate referral to facility's social worker A nurse in a community health clinic is preparing to administer an immunization to a 5yr old. Which action should the nurse take a. request that the child count backwards from the number 10 during the injection b. ask the child to pretend to blow up a balloon during the injection c. reassure the child that the injection is not going to hurt d. ask the child's parent to leave the room during the injection A public health nurse is planning an edu program for a group of nurses at a community health department about pertussis a. individuals who have had pertussis do not require immunization b. newborns should receive the first dose of the diphtheria, tetanus, and acellular pertussis (DTaP) vaccine prior to discharge from the hospital c. individuals should receive an annual influenza vaccine to minimize the risk fo infection with pertussis d. individuals transmit the pertussis bacteria through airborne droplets ?????????????????? a nurse in a rural health clinic is caring for a client who has HF. The client states "I'm not going to take any more heart medicine" a. why did you decide to stop your heart medicine? b. don't you know what stopping your medicine will do to your heart? c. don't you think your doctor knows what's best for your heart? d. can you tell me more about your decision to stop your medicine? Community Practice B RN Community Health Online Practice 2019 B A public health nurse is planning a community health promotion program for hypertension prevention. Which of the following interventions should the nurse include as a tertiary prevention strategy? Provide education about risk factors for hypertension. Conduct a hypertension screening clinic for the community. Teach clients who have a family history of hypertension how to monitor blood pressure. Implement an exercise program for clients who have hypertension. A school nurse is serving on a community disaster planning committee looking at school shooting scenarios. Which of the following actions should the nurse plan to take during the response phase? Conduct ongoing assessments to identify potential hazards. Provide disaster training to school personnel. Perform triage and provide hands-on care as needed to victims. Serve as a liaison between available community resources and those in need. A school nurse is discussing levels of prevention with a teacher. Which of the following activities should the nurse identify as a primary prevention strategy? Provide nutritional counseling for students who have diabetes. Report suspected child neglect to the proper authorities. Conduct vision and hearing screening for kindergarten enrollment. Demonstrate proper handwashing techniques. A nurse is planning to teach a community group about the meningococcal vaccine. The nurse should identity that which of the following clients should receive the vaccine? A client who is traveling to northern Europe An infant who has bronchiolitis An infant who is 4 weeks old A client who is moving into a college dormitory A home health nurse is visiting an older adult client and notes that unwashed dishes are piled up and newspapers cover the front steps. Which of the following questions should the nurse ask the client to determine if the client is socially isolated? "Why haven't you brought in your newspapers?" "Do you need help completing your housework?" "How often do you have visitors come to see you?" "Have you considered moving to an assisted living facility?" A community health nurse is working with a community where the incidence of violence has increased. Which of the following actions should the nurse take as a tertiary prevention strategy? Provide open education sessions to teach parenting skills. Provide victims of violence with referral information to crisis lines. Identify potential community risk factors for violence. Assess for evidence of violence during routine encounters. A community health nurse is discussing the role of a faith community nurse with a chaplain. Which of the following information should the nurse include in the discussion? The faith community nurse can provide pharmacological pain management for clients who have a terminal illness. The faith community nurse can plan workplace safety training for employees in a local factory. The faith community nurse can provide wound care for clients in their homes. The faith community nurse can facilitate substance abuse support groups A nurse on the scene following a mass casualty explosion is triaging a client who has a large, open occipital wound and the following findings: respiratory rate 6/min, agonal pattern; capillary refill time 4.5 seconds; nonresponsive to painful stimuli. Which of the following actions should the nurse take? Turn the client to left semi-Fowler's position and begin assessing the next client. Place a rm pressure dressing to the occiput and open the airway. Apply a cervical spine collar and perform a focused neurological exam. Request that the client be assessed immediately by the next available provider A nurse at a county health clinic is caring for a client who has recently assumed the role of primary caregiver for their parent. Which of the following client statements indicates that they are experiencing role conflict? "I feel overwhelmed with not having enough time for my mom as well as my children." "I hope my siblings will be able to visit and help care for mom for a few days." "I am glad that my job is flexible, so I can accommodate my mom's needs." "I don't think my partner likes having to help more with the household chores." A case manager at a home health agency is obtaining equipment for a client's home use. Which of the following actions is a violation of client confidentiality? The case manager used a computer at the agency with an automatic sign-o mechanism. The case manager left a clipboard with the client's prescription information face up on the office desk. • The case manager sent a fax to the equipment company on a machine using programmed speed dial. The case manager shared the client's name with the equipment company. A nurse is giving a presentation about family violence at a local community center. Which of the following information should the nurse include? Socially active parents and guardians are at greater risk for becoming violent. Partner violence occurs more frequently in lower socioeconomic households. Child maltreatment is more common in homes where partner violence is present. Children who are abused are less likely to become abusers. A nurse in a county health department is caring for a client who states, "I've been drinking too much in the evenings since my friend died last year." Which of the following responses should the nurse make? "It sounds like you are probably an alcoholic." "Don't you think your family is being affected by your drinking?" "Can I give you some information about Alcoholics Anonymous?" "I don't think your friend would have approved of your drinking." Community leaders have requested a meeting with a community health nurse to discuss creating a mobile meals program. Which of the following information should the community health nurse assess first? The leadership support of the community The accessibility of residences The availability of volunteers The need for the program A nurse is preparing an educational program about influenza for a group of community health nurses. Which of the following activities should the nurse include as an example of tertiary prevention? Offer classes to elementary school teachers about handwashing. Provide information to occupational nurses about the reasons for employees to not come to work. Administer antiviral medications within 48 hr to clients who have manifestations of influenza. Provide immunizations at long-term care facilities. A community health nurse is conducting a program regarding crime reduction strategies for older adult clients at the senior center. Which of the following statements indicates an understanding of the information? "When I am in my car, I will keep my personal items on the seat beside me." "When I open my front door, I will ask for identification if the person is someone I do not know." "I should store my purchases in the back seat when I am out shopping." "I should remove the identification tag that is on my key ring." A nurse is developing an educational program about bioterrorism and smallpox. The nurse should include in the teaching that the smallpox rash is expected to rst appear in which of the following locations? Face Posterior shoulders Abdomen Lower extremities A community health nurse is providing care to a client who has stopped taking their prescribed blood pressure medication. Which of the following actions should the nurse take first? Advise the client that adherence to the medication regimen will promote healthy outcomes. Determine the client's reason for discontinuing the medication. Discuss the consequences of discontinuing the medication with the client. Educate the client about the benefits of the medication. A nurse is assessing the risks and benefits of meal delivery services for an older adult client who lives alone and has no transportation. Which of the following ethical principles is the nurse demonstrating? Distributive justice Respect for autonomy Fidelity Beneficence A community health nurse is caring for an adolescent who is seeking help for an unplanned pregnancy. Which of the following actions should the nurse take first? Recommend that the adolescent meet with the school guidance counselor to discuss educational options. Help the client obtain a provider for prenatal care. Educate the client about contraceptives to prevent future unplanned pregnancies. Provide information on parenting classes so the client can learn about caring for a newborn A community health nurse is conducting a needs assessment of a community. The nurse should identify that which of the following methods will yield direct data? Health surveys Medical records Informant interviews Morbidity/mortality statistics A hospice nurse is teaching about expected grief reactions with the family of a client who has end- stage pancreatic cancer. Which of the following information should the nurse include? "It is common to experience a persistent state of sadness while grieving." "Disturbances in your self-esteem is an expected grief reaction." "You will feel a sense of hopelessness throughout the grieving process." "A component of healthy grieving is the ability to openly express your anger." A nurse manager at a community health clinic is presenting an in-service for nurses about assessing clients who have experienced violence. Which of the following statements by a nurse indicates an understanding of the teaching? "I do not need to ask about violence at future visits once I determine that a client is not at risk." "I should not document the name of the person the client accuses of the violence in the client's medical record." "I should wait until I see signs of physical violence before I help the client develop a safety plan." "I should determine whether a client who has been sexually assaulted requires a rape kit examination." A nurse at a county health department is caring for a client who is at 28 weeks of gestation. The nurse should identify which of the following characteristics as a risk factor for future child maltreatment? The client refers to the unborn fetus by name. The client works part-time at a local restaurant. The client has changed providers three times during their pregnancy. The client has recurring nightmares about the unborn fetus. A school nurse is conducting visual acuity testing for a school-age child using a Snellen letter chart. Which of the following actions should the nurse take? Allow the child to keep her glasses on during the testing. Have the child stand 5 feet away from the Snellen letter chart. Progress to the next line once the child reads two symbols correctly. Begin the test by instructing the child to use both eyes to read the chart. A home health care nurse is teaching a client's family about preventing the transmission of Clostridium diffcille. Which of the following transmission-based precautions should the nurse include in the teaching? Contact precautions • Droplet precautions Airborne precautions Protective environment 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? Herpes zoster Tetanus, diphtheria, pertussis (Tdap) Varicella Measles, mumps, and rubella An adult child of a client who is terminally ill and at the end of life approaches a hospice nurse and asks, "What can I do to help relieve my father's pain?" Which of the following interventions should the nurse suggest? "Give your father brief hand massages." "Increase the illumination in your father's room." "Avoid using analgesics unless your father exhibits nonverbal signs of pain." "Administer citalopram when your father is agitated." A school nurse is notified that a school-age child has pertussis. Which of the following actions should the school nurse take? (Select all that apply.) Instruct the parent to keep the child at home for 2 weeks after the initial symptoms first present. Encourage family members to obtain prophylactic treatment. Quarantine the children in the child's class. Recommend that the child receive a pneumococcal vaccine in 28 days. Check the immunization status of the child's classmates 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? Mortality rate Attack rate • Prevalence proportion Incidence proportion A nurse is conducting a home visit for an older adult client. The nurse should identify which of the following findings as an indicator of possible neglect? Lives alone Taking outdated prescriptions Has a BMI of 25 Presence of alcohol in the home A community health nurse suspects an outbreak of scabies in the local area. Which of the following actions should the nurse take first? Educate the community about disease transmission. Determine the incidence rate. Institute prophylactic treatment. Discuss treatment plans with the clients' families. A community health nurse is providing teaching about health promotion to a group of adolescents. Which of the following topics is the most important for the nurse to include in an attempt to lower adolescent mortality rates? Underage smoking Safer sex practices Safety belt use Heart-healthy diet A nurse is assessing a new client at a public health clinic. Which of the following areas should the nurse address as part of the cultural assessment? Immunization status Sexual activity Illness practices Food allergies An occupational health nurse in a factory is performing a routine tuberculosis screening and identifies an employee who has a positive Mantoux tuberculin test. Which of the following actions should the nurse plan to take? Instruct the employee that they will need to obtain a chest x-ray. Initiate an employee immunization program. Instruct the employee to wear an N95 respiratory mask. Administer prophylactic penicillin to other employees. A nurse is caring for a client who has a positive gonorrhea culture. Which of the following actions should the nurse take? Instruct the client that recent sexual partners will need to be treated. Instruct the client to return for a blood test in 1 month. Administer penicillin G 2.4 million units IM once. Teach the client how to apply imiquimod 5% cream to the lesions. A public health nurse is lobbying Congress to increase funding for health screenings provided to migrant farm workers. Which of the following concepts is the nurse demonstrating? Advocacy Principlism Deontology Communitarianism A nurse in a community center is preparing to administer a tuberculin skin test to multiple clients to screen for tuberculosis. Which of the following actions should the nurse take? Prepare the outer aspect of the upper arm for the injection. Insert the needle at a 45° angle. Inject 0.1 mL of purified protein derivative. Create a wheal that measures about 15 mm in diameter A home health nurse is evaluating a caregiver's technique for providing care to a client who has a chronic tracheostomy. Which of the following statements by the caregiver indicates an understanding of the procedure? "I should remove the soiled ties before replacing them with clean ones." "I will use tap water to clean the inner cannula." "I should use a slip knot to secure the tracheostomy ties." "I will cut a four inch by four-inch gauze to use as a dressing." A public health nurse is participating in a disaster preparedness planning committee for a local community that is at risk for hurricanes. Which of the following information should the nurse contribute to the plan? A list of residents who have experienced a hurricane in the past and will not need evacuation A list of areas within the community where residents speak multiple languages How to activate the local medical facilities' emergency-management plans The name of the individual who is necessary to implement the plan A community health nurse is participating in a quality improvement plan for a local health department. Which of the following techniques should the nurse use for process evaluation of the facility? (Select all that apply.) ✓ Focus groups ✓ Written audits ✓ Satisfaction survey ✓ Interviews Values self-study 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? Suction the client's oropharynx. Administer the client's pain medication intramuscularly. Use a fan in the client's room. Place the client in Trendelenburg position. A nurse is providing education regarding lead exposure to a group of clients who live in a housing development built in 1968. Which of the following client statements indicates an understanding of the teaching? "I will use a dry-sanding technique when preparing to repaint my front door." "I will vacuum our wood floors every week." "I will increase the amount of red meat and milk in my child's diet." "I will use hot tap water to prepare my baby's formula A community health nurse is working to meet the health care needs of residents in a rural community. Which of the following characteristics should the nurse identify as a barrier to health care resources for this population? Less autonomy in providing client care Disinterest by members of the population in providing input for community health programs Lack of cohesiveness among community members Unavailability of outreach services A community health nurse is teaching a client who is overweight about steps to take to begin an exercise program. The nurse should identify that which of the following statements is an indication that the client understands the teaching? "I will need to purchase exercise equipment before I can start." "I should try to perform aerobic exercise for an hour a day, 5 days a week." "I will see my doctor before beginning an exercise program." "I should avoid participating in weight-lifting exercises." A public health nurse is monitoring medication compliance for a group of migrant workers who are being treated for tuberculosis (TB). The nurse should use information from which of the following resources to assist with this process? Agency for Healthcare Quality and Research (AHRQ) Migrant Clinicians Network (MCN) Centers for Disease Control and Prevention (CDC) U. S. Preventive Services Task Force (USPSTF) A community health nurse is planning a presentation for adults who have a family history of Alzheimer's disease. Which of the following behaviors should the nurse include as an early manifestation of Alzheimer's disease? Withdrawal from social activities Forgetting the location of common objects Experiencing incontinence Neglecting personal hygiene A community health nurse is assigned to lead a county-level environmental task force. Which of the following activities should the nurse direct the task force to complete first? Review community-specific epidemiological data. Recommend updates to local environmental policies. Create program goals that align with Healthy People objectives. Distribute environmental health education materials to community members. A nurse is preparing to administer medication to a client who has active tuberculosis. Which of the following precautionary measures should the nurse take? Wear gloves. Wear protective eyewear. Use disposable equipment. Use an N95 respirator. A community health nurse is made aware that several children, who are from the same family and did not receive immunizations, have contracted measles. Which of the following actions should the nurse take? Report this information to the state health department. Encourage the family to keep the children isolated during the incubation period. Speak to the guardians about getting the children immunized after they are disease free. Provide the infected children's names to the parents and guardians of children who might have been exposed. A community health nurse is working in a mobile health care clinic. Which of the following clients should the nurse assess first? A client who has a superficial partial thickness burn to the hand A client who has a temperature of 38.3° C (101° F) A client who has COPD and an oxygen saturation of 90% A client who has a new onset of confusion and slurred speech 1-A community health nurse is teaching a group of adult clients about factors that influence health behaviors. Which of the following is a modifiable risk factor that the nurse should include in the teaching? A. Family history of diabetes B. Immunization status C. Mental illness D. Air pollution 2-A nurse on a bioterrorism committee is developing a brochure to increase public awareness about the threat of inhalation anthrax. Which of the following pieces of information should the nurse plan to include in the brochure? A. An immunization for inhalation anthrax is recommended for administration to children. B. Clients who have manifestations of inhalation anthrax will need antibiotic treatment for 60 days. C. The initial manifestations of inhalation anthrax include an itchy skin lesion that blisters and scabs. D. Clients exposed to housemates who have 3-A community health nurse who works in a refugee center is evaluating children who are new arrivals to the United States. An assessment of a listless 20-month-old toddler indicates that the child is in the 6th percentile for weight and the 40th percentile for height. The toddler has thin limbs, a protuberant abdomen, and dull, dry hair. This assessment should raise suspicion for which of the following conditions? A. Chronic hypoxemia B. Anemia C. Protein decit D. Fluid overload 4-A home health nurse is providing teaching about respite care to the primary caregiver of a client with Alzheimer’s disease. Which of the following pieces of information should the nurse include in this teaching? A. "Respite care refers to a community support group for family caregivers." B. "Respite care requires placing the client in an assisted living facility." C. "Respite care provides family members with temporary relief from caregiving." D. "Respite care involves daily assistance from a home health aide." 5-A charge nurse in an emergency department is informed that a tornado touched down in a nearby town, and mass casualties are on the way. Which of the following actions should the nurse take first? A. Follow facility policy to activate the disaster plan. B. Prepare the triage rooms. C. Obtain additional supplies. D. Call in off-duty staff members 6-A home health nurse is prioritizing visits for four clients. Which of the following clients should the nurse plan to visit first? A. A client who has heart failure and reports a weight loss of 2.2 kg (1 lb) over the past week B. A client who has osteoarthritis of the knees and reports joint pain when ambulating C. A client who has Alzheimer’s disease and is not able to remember the current year D. A client who has type 2 diabetes mellitus and reports a new fissure between her toes 7-A nurse is responding to a communitywide request for health care providers to assist at the scene of an explosion. When using the North Atlantic Treaty Organization triage system, the nurse should put which of the following tags on a client who is unresponsive and has third-degree burns over 75% of her body? A. Red B. Yellow C. Green D. Black 8-Charge nurse in an emergency department receives notication of a massive explosion at a local industrial plant. More than 30 casualties from the explosion will begin arriving shortly. Which of the following actions should the nurse take first? A. Activate the emergency response plan. B. Call in available personnel. C. Obtain additional supplies. D. Move current clients to hospital rooms. 9-A community health nurse at a familyplanning clinic is developing a program about adolescent sexuality. Which of the following is a developmental task of adolescence according to Erikson’s theory of psychosocial development? A. Adjusting to dramatic changes in body image B. Developing hypothetical reasoning skills C. Establishing the capacity for an intimate love relationship D. Learning to make good choices and avoid risk-taking behaviors 10-A nurse is providing teaching to a client about healthy lifestyle changes. The client states,"I work long hours. I never have time for exercising or eating anything besides fast food." Which of the following goals should the nurse include in the client’s nursing plan of care? A. The client will improve overall health by the next visit. B. The client will introduce two green vegetables into her diet by the end of the month. C. The client will reduce daily stress and increase activity by exercising. D. The client will reduce her weight by 4.5 kg (10 lb) within 2 weeks. 11-A nurse is caring for a client who has a positive Mantoux skin test following screening for tuberculosis (TB). The nurse should inform the client that this positive reaction indicates which of the following findings? A. The client has never been exposed to TB. B. The client had infectious TB in the past, but the infection is not active. C. The client has active TB. D. Further evaluation is required. 12-A nurse is caring for several clients who have become ill after a company picnic. After extensive interviews and a review of the event’s food-handling practices, the nurse determines the most likely cause of the illnesses was a poultry dish that had been allowed to cool for several hours before being served. Which of the following steps in the epidemiological process is this nurse performing? A. Planning B. Assessing C. Implementing D. Evaluating 13-A public health nurse is responsible for several activities in the local community. Through which of the following actions is the nurse is implementing tertiary prevention? A. Teaching stress-reduction techniques to parents of children who have developmental delays B. Advocating for the expansion of mental health rehabilitation facilities with community leaders C. Performing screenings for depression for older adult clients D. Coordinating a drive through clinic for influenza immunizations 14-A community health nurse is preparing a disaster preparedness plan for smallpox. Which of the following groups of people should the nurse include for inoculation in the plan? A. Newborns B. Mortuary workers C. Immunosuppressed clients D. Clients who have eczema 15-A nurse is conducting a screening class for hypertension. Which of the following should be the nurse's goal for secondary prevention? A. Prevent the onset of the condition B. Identify the severity of the condition C. Identify the condition early D. Deter condition-related complications 16-A community health nurse is caring for a client who was exposed to human immunodeciency virus (HIV) 2 days ago. The client asks the nurse what she should do. Which of the following responses should the nurse provide? A. "I will administer an HIV vaccine today, and it will need to be repeated in 3 months." B. "I will administer an HIV test today, and you will need to return in 48 hours to have me read the results." C. "You will need to have an HIV test every other week for 6 months." D. "You will need to take prophylactic medications for 4 weeks." 17-A home hospice nurse is caring for a client who is dying. A family member of the client is talking to the nurse. Which of the following statements by the family member requires clarification by the nurse? A. "Although my father can’t get around very much, at least he is alert." B. "My siblings and I have a schedule of when we are available to provide care for our father." C. "My biggest concern is that I don’t want my father to be in any pain." D. "I’m glad that professionals will be here in case my father stops breathing." 18-A nurse is teaching a group of older adult clients about complementary and alternative therapies. Which of the following interventions should the nurse recommend to improve balance? A. Naturopathic medicine B. Magnet therapy C. Tai chi D. Progressive relaxation therapy 19-A triage nurse is in the emergency department when several hundred clients who were injured in a train collision arrive at the facility for treatment. Which of the following clients requires immediate treatment? A. A client who has neck pain and was transported to the facility on a backboard B. A client who has epigastric and lef t arm pain and is diaphoretic C. A client who has nasal and orbital ecchymosis and a respiratory rate of 16/min D. A client who has abdominal pain and is 2 months pregnant 20-A nurse is planning to participate in a public education program about preventing West Nile virus. Which of the following instructions should the nurse include in the presentation? A. "Eliminate sources of standing water." B. "Make sure your immunizations are up to date." C. "Keep all of your pets indoors." D. "Spray insect nests with a repellant that contains DEET." 21-A nurse is providing psychological counseling at a community center for families whose loved ones died in a re. After learning that both of their children died in the fire, 2 parents express disbelief at the loss of their children. One parent states,"How will I make it through this?" Which of the following is an appropriate response by the nurse? A. "Are you feeling overwhelmed right now?" B. "Don’t worry. You will have plenty of help." C. "Can I call someone to sit here with you?" D. "Anyone who has experienced a loss like this would feel the same way. 22-A nurse is working in the triage area of an emergency department. Which of the following activities is unlikely to be the nurse’s responsibility in this setting? A. Fostering positive public relations for the facility B. Performing a comprehensive client assessment C. Preventing cross contamination of infectious clients D. Educating a client and his family members 23-A school nurse is called to the scene of a large fight that just ended. The school security officers have called the police to the scene. Which of the following actions should the nurse take first? A. Teach coping skills to the children who witnessed the fight. B. Triage the injured students. C. Provide support to help staff members deal with the traumatic situation. D. Compare the response to the incident with school policies 24-A nurse is performing a community assessment in a rural setting. Which of the following types of health care is most likely to be absent in this setting? A. Tertiary care B. Primary prevention C. Chronic care D. Secondary prevention 25-A nurse is planning a smoking cessation program for women of childbearing age. Which of the following risks is associated with smoking during pregnancy? A. Infant developmental delays B. Maternal osteoporosis C. Maternal ulcers D. Infant lung cancer 26-An industrial health nurse is caring for a client who states,"I have been under a lot of stress lately." When the nurse suggests stress-management techniques, the client calmly states that he has a pistol in his car and intends to take his life in the parking lot after work that day. Which of the following actions should the nurse take? A. Have the industrial facility's security ofcers search the client’s car and remove the pistol B. Call emergency medical services to transport the client to a proper treatment facility C. Contact the client’s family member to pick him up from work and take him for treatment D. Explore the client’s reasons for suicide 27-A charge nurse in an emergency department is notified by the county’s emergency medical services of a multiple casualty crash involving a truck carrying radioactive waste. Which of the following actions should the nurse take first? A. Designate a decontamination area to accommodate clients who are irradiated. B. Notify the admissions office to clear as many critical care beds as possible. C. Clear the department of all non-urgent clients and move those awaiting admission to a holding area. D. Determine the number of casualties the emergency department can 28-A public health nurse is caring for an older adult client who has chronic airflow limitation disease and is a former cigarette smoker. The client’s medications include ipratropium bromide and albuterol inhalers, and she has a new prescription for home oxygen to use as needed. Primary prevention for this client should include which of the following? A. Periodic pulmonary function tests B. Review of appropriate use of oxygen in the home C. Yearly mammography examinations D. Annual influenza immunizations 29-A nurse is providing teaching to a client who has a prescription for ciprofloxacin following exposure to anthrax. Which of the following statements by the client indicates that further teaching is required? A. "I will limit my intake of coffee, tea, and carbonated beverages." B. "I will wear a large-brim hat and long sleeves if I am out in the sun." C. "I will take the ciprofloxacin with an antacid if I get an upset stomach." D. "I will avoid taking ciprofloxacin along with dairy products." 30-A public health nurse is assisting community leaders to develop a disaster response plan in the event of an outbreak of a serious communicable disease. When teaching the community leaders about infectious disease, the nurse should explain that a vector is which of the following? A. A mode of transmission for the disease B. A microorganism that causes the infection C. An environment where the pathogen can survive D. A client who is susceptible to the infection 31-An occupational health nurse is teaching a group of clients about work environment risks. Which of the following actions is the nurse performing? A. Case management B. Secondary prevention C. Tertiary prevention D. Primary prevention 32-A home health nurse and an assistive personnel (AP) are discussing the care needs of a client. Which of the following statements by the AP requires intervention by the nurse? A. "I will change the client’s PICC line dressing on my next visit." B. "Bathing the client is something that I can do without assistance." C. "I will assist the client in ambulating outdoors each time I visit." D. "Next time I visit, I plan to clean up the clutter in the client’s bedroom." 33-A nurse manager at a clinic for the homeless notes that many of the clients have a history of mental illness and substance use disorder. While compiling figures for a regulatory agency about individuals who visit the clinic, the nurse should classify these clients as having which of the following conditions? A. Codependency B. Bipolar disorder C. Comorbidity D. Somatization disorder 34-A charge nurse is assembling a list of clients who can be safely discharged home to accommodate incoming casualties following an earthquake. The nurse should recognize that discharging which of the following clients would be unsafe? A. A client who has osteomyelitis and will require 6 weeks of IV antibiotic therapy B. A client who has Crohn’s disease and is 1 day preoperative for an ileostomy C. A client who has Alzheimer’s disease and is awaiting placement in a long term care facility D. A client who has an ileus following spinal surgery 5 days ago and is ambulatory in a brace 35-A home health nurse is caring for a client who is living in a mental health group home. During a visit, the nurse discovers that the client has been hoarding psychotropic medications. Which of the following actions should the nurse take first? A. Have the client transported to an acute care facility B. Determine the reason for the client’s hoarding behavior C. Alert the staff members who have been administering the client’s medications D. Require the client to return any hoarded medications 36-A home health nurse is performing an assessment of an older adult client’s home. Which of the following findings should the nurse recognize as a potential hazard? A. Hot water temperature set at 46°C (115°F) 120 B. A night light in each room of the house C. A secured large area rug in the living room D. Wires to the television tunneled under the carpet 37-A nurse is planning a teaching session at a community center about preventing suicide. Which of the following groups should the nurse recognize is most at risk for suicide? A. Older adult male clients ages 75 to 90 years old B. School-age children ages 6 to 12 years old C. Adolescent female clients ages 12 to 20 years old D. Middle-aged adult clients ages 25 to 44 years old 38-A nurse is teaching a community group about smallpox. When discussing the possible means of transmission, which of the following statements by a member of the group indicates that further teaching is required? A. "Smallpox can be transmitted through bodily uids, such as blood or vomit." B. "Smallpox can be transmitted through contaminated objects, such as bedding and clothing." C. "Smallpox can be transmitted through bites from insects, such as mosquitoes." D. "Smallpox can be transmitted through inhalation of droplets, such as 39-A nurse is planning a health fair for a local community. Which of the following should be the nurse's priority when deciding which screening programs will benefit this population the most? A. Identify prevalent health problems in the community B. Identify health care resources available to clients in the community C. Identify the cost of the screening programs D. Identify the availability of transportation to the health fair 40-A nurse is teaching a community group who lives near a nuclear power plant about safety precautions related to radiation exposure. A client asks,"Isn’t there something we should have on hand in case of a nuclear disaster?" The nurse should recognize that the client is referring to which of the following substances? A. Potassium iodide B. Potassium cyanide C. Ciprooxacin D. Atropine 41-A public health nurse is responsible for several activities in the local community. Through which of Communication: 63Q adaptive quizzes 1-A nurse is caring for a client who has a reputation for being demanding with the nursing staff. The nurse says to the charge nurse,"I can't believe I have to care for this client again today!" Which of the following responses should the charge nurse make A. "Someone has to care for him." B. "If you don't like your assignment, call the nurse manager." C. "You are upset about having this client assigned to you today." D. "Why don't you want to take care of this client?" 2- A nurse is caring for an adolescent client who was recently diagnosed with testicular cancer. When the nurse asks the client a question, he angrily spits in the nurse's face. Which of the following responses should the nurse provide? A. "I will come back to change your linens when you are feeling better." B. "Who do you think you are to treat me like that?" C. "Why did you spit in my face?" D. "You seem to be very upset." 3- The adult child of a client arrives to take his parent home from the facility following a colon resection. The client's son tells the nurse,"I don't know how I am going to take care of my mom now.” Which of the following responses should the nurse make? A. "A home health nurse will be stopping by tomorrow. If you have any questions, you can ask the nurse." B. "Your mother has been taught to care for the colostomy independently." C. "What part of your mother's care are you concerned about?" D. "Your job is quite simple. I’ll make sure that the colostomy bag is clean before your mother leaves." 4- A nurse is caring for an older adult client who dies during the night while his partner is at his side. The next morning, the partner says,"I can't believe he's gone." Which of the following responses should the nurse make? A. "It must be hard to accept that this has happened." B. "His suffering is over now, and he is in a better place." C. "Would you like to take his personal items home with you?" D. "He lived a long and full life." 5-A nurse is teaching a client how to perform personal ileostomy care prior to discharge. The client says,"I don’t think that I am going to be able to take care of this myself." Which of the following responses should the nurse make? A. "In time, you will become better at this than I am." B. "Don’t worry about it. Most clients feel like that at first." C. "What part of the ileostomy care are you having trouble with?" D. "I agree. This is a difficult process." A nurse is caring for a 13-year-old female client who is admitted for an emergency appendectomy. While the nurse is providing the preoperative teaching, the client asks,"Will I have a large scar from the surgery?" Which of the following responses should the nurse make? A. "It will be small enough that it won’t show when you're wearing a bathing suit." B. "That isn’t our biggest concern right now. You will be ne." C. "You should be happy. You won't be in pain for much longer." D. "What is your favorite class in school?" A nurse is admitting a client who is scheduled for a biopsy of a testicular mass. The client asks,"Do you think the doctor will nd cancer?" Which of the following responses should the nurse make? A. "Most tumors in the testicles are benign." B. "It must be difficult for you not to know what the doctor will find." C. "I think that you should discuss this with your doctor." D. "Why are you worried about cancer? A client who has recently undergone a prostatectomy refuses to eat breakfast and tells the nurse,"Just leave me alone. I don't want food, and I don't want to see anyone right now." Which of the following responses should the nurse make? A. "It sounds like you need to be alone right now. I'll be glad to listen if you want to talk later." B. "I'll go, but I'll be back in a little while when you have calmed down." C. "I'm going to have to ask you to lower your voice because there are other clients on this unit." D. "Why are you yelling at me when I'm just trying to help you? A nurse is caring for a client in a homecare setting. The client asks for the nurse's phone number and requests to take the nurse out for coffee. Which of the following responses should the nurse make? A. "I have a partner, and I am not interested in dating anyone else." B. "It's against the agency's policy for me to date clients." C. "We must maintain a professional relationship for me to address your health care needs effectively." D. "I don't want to get coffee with you." A client in a clinic setting tells the nurse,"I haven't seen my son for 2 weeks." The nurse replies,"Your son has not come to see you for 2 weeks?" This is an example of the nurse using which of the following therapeutic communication techniques? A. Reflecting B. Questioning C. Focusing D. Restating A nurse is talking with a client who states, "The nurses around here are incompetent." Which of the following responses should the nurse make? A. "Could you tell me about a specic example of a nurse being incompetent?" B. "Let's talk about the progress you have made today and not about the nurses." C. "The nurses and doctors at this facility are highly experienced and do an excellent job." D. "I am doing the best I can to take care of these very ill clients." A nurse on a medical-surgical unit is talking with a client who pauses while discussing his feelings about being in the facility. The nurse replies,"Please go on." Which of the following communication techniques is the nurse using? A. Reecting B. Providing a general lead C. Focusing D. Seeking clarification A nurse is admitting a client who has major depressive disorder. The client states,"This has been the worst day of my life." Which of the following responses should the nurse offer? A. "You should focus on positive things rather than negative things." B. "We all have a bad day from time to time." C. "Why would someone with so much to live for say that?" D. "Please take a seat and talk to me about your feelings." A nurse is caring for an adolescent client who is overweight. The adolescent tells the nurse that classmates tease him about his weight. Which of the following responses should the nurse make? A. "You shouldn't worry about what other people say." B. "Tell me how you feel when your classmates tease you." C. "Your friends will learn to like you for who you are inside, not what you look like." D. "It is important to begin to eat healthier so you can look the way you want to look." A nurse is caring for a client who has major depressive disorder. The client tells the nurse,"Don't bother me. Find someone else to talk with. I don't have anything to say that’s worth sharing." Which of the following statements should the nurse make? A. "Surely you can’t think I don't want to talk to you." B. "I would like to sit quietly with you for a while." C. "I’m assigned to take care of you, so I intend to spend time with you." D. "Let’s talk about what you would like for lunch today." A nurse is caring for a client who is a sexual assault survivor. The client says,"I feel so humiliated. I don't want anyone to know what happened to me." Which of the following responses should the nurse make? A. "You will be just fine. You’ll see." B. "Are you saying that you are fearful of what others will think?" C. "This is a normal feeling after what happened to you." D. "The best thing for you to do is to put this event out of your mind and think positive thoughts." A nurse is caring for a client who had a spontaneous miscarriage at 9 weeks gestation. The nurse walks into the client's room and nds her crying uncontrollably. Which of the following statements should the nurse make? A. "It is hard to deal with the loss of a pregnancy. Here is the number of a local support group that you can attend." B. "When a pregnancy ends spontaneously, there is often something wrong with the fetus." C. "You are young and will have other children." D. "The best thing for you to do is to go home and relax. A nurse is caring for a client following a fetal demise. The client is crying and says, "I tried to get pregnant for so long. My partner and I wanted this baby so much. Now, what will we do?" Which of the following responses should the nurse provide? A. "Why do you think this happened to you?" B. "You can have another baby soon." C. "I think you should look into adoption." D. "Are you feeling overwhelmed?" A nurse is making morning rounds when a client says,"I almost died last night." Which of the following responses should the nurse make? A. "If I were you, I would tell your provider about this." B. "I am sure many people get those dreams when they are away from home." C. "That must have been frightening. Tell me more about it." D. "Why would you dream about something like that? A nurse is caring for a client who has type 1 diabetes mellitus and is scheduled to receive hemodialysis. The client says,"I don't even know why I'm doing this. There is no cure." Which of the following statements should the nurse make? A. "It sounds as though you have given up." B. "Dialysis will help you live longer." C. "You shouldn’t complain. You are fortunate to have this option available to you." D. "Let’s talk about what you are going to do after dialysis today." A nurse is caring for a client who recently found out that she is pregnant. The client says,"I don't think I should tell my partner about the pregnancy." Which of the following responses should the nurse provide? A. "Why wouldn’t you want to tell your partner?" B. "You seem uncertain about telling your partner." C. "I am sure he will be happy when you tell him about the pregnancy." D. "You are in disbelief. You should be thrilled. A nurse is caring for a client who has a suspected brain tumor and is scheduled for a computerized axial tomography (CAT) scan. After the procedure is explained, the client expresses fear about entering the enclosed space of the scanner. Which of the following statements should the nurse offer? A. "I think you should request a magnetic resonance image instead." B. "Let me review some breathing exercises with you." C. "It is scary to go into an enclosed space." D. "This is a routine test, so there is no reason to worry. A nurse is caring for a client who is preparing to perform a return demonstration of a subcutaneous injection of medication for the second time. The client hesitates and says,"I'm not sure I can do this." Which of the following responses should the nurse make? A. "Why are you so nervous? Do you need help?" B. "You need to talk to your doctor about prescribing an oral medication." C. "I know it's new. You’ll get the hang of it soon." D. "You did great last time. Give it a try." A nurse is caring for a client who has a new diagnosis of terminal cancer. When the nurse enters the room to set up the bath equipment, the client says,"I'm not an invalid, you know. I can take care of myself. Get out and leave me alone." Which of the following is an appropriate response by the nurse? A. "Did somebody do something to make you angry?" B. "You seem upset. Let's talk about your concerns." C. "I know that you are not an invalid. I was just trying to help." D. "I’ll arrange this equipment for you to bathe and will return later." A nurse is caring for a client when the client’s son enters the room and states, “You people can't do anything right. Ever since my father was admitted, we’ve seen one mistake after another. I’m taking him out of here." Which of the following responses should the nurse make? A. "Your father hasn't complained about his care. Why do you feel this way?" B. "We have the best intentions for all of the clients." C. "Let’s not discuss this now. Tell me more about the rest of your family." D. "You feel that your father is not receiving appropriate care?" A nurse is caring for a client who states, "No one in the world actually cares about me." Which of the following responses should the nurse offer? A. "Your family visits you often, so they must care." B. "I don't really believe that no one cares about you." C. "You are feeling totally alone and without support?" D. "Why do you feel this way?" A nurse is admitting a client who is scheduled to undergo a cardiac catheterization. The client says,"My coworker died last week from a heart attack." Which of the following responses should the nurse offer? A. "Your provider will not let that happen because she knows how to treat your condition." B. "Do you think the same thing might happen to you?" C. "You appear to be feeling anxious." D. "Has anyone in your family had a heart attack? A nurse is admitting an older adult client with pneumonia. The client's daughter, who cares for the client at home, says to the nurse,"I'm so glad he is here. You can take much better care of him than I can." Which of the following responses should the nurse make? A. "I am sure you have been taking good care of your father." B. "We have the equipment to take care of sick clients." C. "Caring for an older parent isn’t easy." D. "Are you feeling guilty because your father has pneumonia?" A nurse at a skilled nursing facility is admitting a client who has Alzheimer’s disease. While speaking with the nurse, the client's partner begins to cry and says, "I never thought it would come to this. I feel so guilty about bringing my husband here." Which of the following responses should the nurse offer? A. "If he understood what was happening, I’m sure he would forgive you." B. "We will take good care of your husband here." C. "Admitting your husband was the right decision." D. "This has been a difficult time for you. A nurse informs the mother of a premature newborn that the provider will not be discharging them today as discussed. The mother states,"I know that I shouldn't let this get me down." Which of the following responses should the nurse offer? A. "Think positive. Maybe you’ll be able to go home tomorrow." B. "I know just how you feel." C. "This happens very often." D. "You seem upset." A nurse is caring for a client who has a new diagnosis of breast cancer. The client becomes quiet and withdrawn and says to the nurse,"What do you think people will say about me when I'm gone?" Which of the following responses should the nurse make? A. "What are you worried they will say about you?" B. "The thought of having breast cancer may seem hopeless." C. "Maintaining a positive attitude can influence your recovery." D. "You will be remembered as a kind person. A nurse is caring for a client who is undergoing a diagnostic evaluation following an episode of chest pain. The client tells the nurse,"I am not sick, and I want to go home!" Which of the following responses should the nurse make? A. "Am I correct in understanding that you feel well?" B. "People aren't admitted to hospitals unless they are sick." C. "Why do you feel that way?" D. "If you're ne, then why is your heart beating irregularly? A nurse is admitting an older client who has chronic obstructive pulmonary disease. The client's daughter is present and states that her father will become uncooperative if he is not able to follow his usual routines. Which of the following actions should the nurse take? A. Assure the client that his usual routines will be followed B. Ask the daughter what routines her father follows at home C. Inform the daughter that facility policies must be followed D. Ask the daughter to tell the provider how she wants her father’s care organized A nurse is caring for a child who has leukemia and is receiving chemotherapy. The child's parent is upset and says,"I just can't believe my child is going to lose her beautiful hair!" Which of the following responses should the nurse make? A. "You are feeling a sense of loss right now." B. "Sometimes the hair thins, but it will grow back." C. "This hair loss means the chemotherapy is working." D. "Kids love to wear the special baseball caps we have." A nurse is caring for a client who just received news that his grandparent died. The client is crying and has buried his face in a pillow. Which of the following actions should the nurse take? A. Sit quietly with the client for a short time B. Return in 15 min to see how the client is feeling C. Reassure the client that he will feel better in the morning D. Offer the client sympathy because of a similar loss A nurse is caring for a client following a myocardial infarction. The client tells the nurse that she doubts her ability to remain on a low-cholesterol diet. Which of the following responses should the nurse make? A. "What about the low cholesterol diet concerns you?" B. "If you don't follow the diet, you will probably have another heart attack." C. "I’ve been on this diet for the last 5 years. You will learn to change your eating habits after a while." D. "I will have the dietitian talk to you to provide some guidance." A nurse is teaching a client who has a new ileostomy. The client states,"I'd rather be dead than have to live with this all my life." Which of the following responses should the nurse make? A. "You appear upset. Would you like to talk?" B. "I’ll ask the provider to prescribe a medication to help you relax." C. "There's no reason to feel like that. Things will get better." D. "I am sorry that you are going through this. I would feel the same way. A nurse is caring for a client who has borderline personality disorder and is expressing a concern about needing prolonged hospitalization. Which of the following responses should the nurse make? A. "You should focus on getting better right now." B. "Why do you think you’ll be hospitalized for a long time?" C. "All of your needs will be taken care of while you are in the hospital." D. "Tell me what concerns you the most about being hospitalized." A nurse is developing a therapeutic relationship with a client who reports depression. Which of the following activities should the nurse initiate during the orientation phase of the therapeutic relationship? A. Encouraging the client to state the problems she is having B. Talking about alternative behavioral approaches the client could try C. Identifying assumptions that keep the client from reaching her potential D. Planning the incorporation of new strategies into the client's daily life A nurse in an employee assistance program is counseling a client who states, "I just feel completely lost at work these days." The nurse replies,"You must feel like you are not getting things done." Which of the following therapeutic communication techniques is the nurse using? A. Presenting reality B. Encouraging comparison C. Offering general leads D. Attempting to translate words into feelings A nurse is beginning a therapeutic relationship with a client. Which of the following actions should the nurse take to convey empathy when using the therapeutic communication technique of active listening? A. Assume an open position (The nurse should sit with arms and legs uncrossed. Crossing them suggests a defensive posture.) B. Sit upright and lean back into the chair (interaction) C. Avoid direct eye contact until the client initiates it (involvement and willingness to listen) D. Sit next to the client A nurse is caring for a client who has schizophrenia. The client tells the nurse that he’s hearing voices in his head telling him to purchase a knife today. He states that he knows purchasing the knife will make him "do something bad." Which of the following responses should the nurse make? A. "Why do you think the voices want you to buy a knife?" B. "Do you already own any knives?" C. "When the voices speak, do you always do what they say?" D. "I don't hear any voices, just yours and mine. But, I understand that you are fearful." A nurse is caring for a client who has just learned that he has a terminal illness. He states,"I'll deal with this after my wife and I take that cruise we've always dreamed about." The nurse should identify that the client is demonstrating which of the following defense mechanisms? A. Displacement B. Sublimation C. Conversion D. Suppression A nurse is caring for a client who states that she is sure her partner is about to leave her because they missed some house payments and their house will soon be in foreclosure. Which of the following responses should the nurse offer? A. "I think you should come up with a creative solution for making those payments." B. "Please explain how you think your nancial situation will result in separation." C. "I don't believe that your long-term partner would walk out at a time like this." D. "Why do you think your partner is getting ready to leave you? At the start of a counseling session with the nurse, the client states,"We’re wasting time with these meetings. I can't trust anyone with what’s really bothering me about things I've done." Which of the following responses should the nurse provide? A. "What makes you think that?" B. "These sessions are for your own good. We need to continue them." C. "Is it because you feel like no one would understand what you are experiencing?" D. "Perhaps you'd rather talk about that visit you had with your sister." A nurse is speaking with the family of a child who just died following a lengthy terminal illness. Which of the following statements should the nurse make? A. "I am sorry for your loss." B. "I can imagine how you must feel right now." C. "You will start to feel better soon." D. "Your child isn't suffering anymore A home health nurse is assessing a toddler who is scheduled to begin receiving hospice care for a terminal illness. The child's parent tells the nurse, "This is all my fault, and I wish I could trade places with my child." Which of the following responses should the nurse make? A. "Tell me more about what you are feeling." B. "I understand how you are feeling." C. "Let's talk about hospice care for your child." D. "Try to focus more on positive things. A nurse is obtaining a weekly weight for a client who has obesity and osteoarthritis and is on a weight- management program. The nurse determines that the client gained 1.36 kg (3 lb) in the past week. Which of the following statements should the nurse make? A. "You should try a little harder to stick to your diet." B. "Why do you think you’ve gained 3 lb this week?" C. "Were there any issues last week that kept you from focusing on your diet?" D. "You should put this week behind you and adhere to your diet from now on." A nurse is caring for a client who has hearing loss. The nurse should plan which of the following interventions when communicating with the client? A. Attract the client's attention before speaking B. Accentuate vowels of words while speaking C. Touch the client at intervals while communicating D. Sit at a 90-degree angle to the client when speaking A nurse is caring for a client who has osteoarthritis. The client states she does not want to perform her prescribed exercises because of the pain. Which of the following responses should the nurse make A. "The exercises are important. The quicker we do them, the sooner they will be done." B. "The pain will go away once you start doing the exercises regularly." C. "Think of something pleasant while exercising, and you will not have pain." D. "Tell me more about the pain you experience during exercise." Others on Community quiz A client is scheduled for a lumbar puncture to rule out bacterial meningitis. She tells the nurse that she is fearful of becoming paralyzed from the needle being placed into her spinal column. Which of the following responses should the nurse make? "Let's not focus on the negative. Let's focus on getting better." "Why are you feeling so anxious about this procedure?" "The needle is inserted below the third lumbar vertebrae, well below the point at which the spinal cord ends." "Your doctor is very skilled in this procedure. Everything will be all right. A nurse is caring for an adolescent client who has a positive human chorionic gonadotropin (HCG) test. She tells the nurse, "I don't think I can tell my parents that I am pregnant." Which of the following responses should the nurse make? "Do you think you might terminate the pregnancy?" "Give them a chance. Your parents will understand." "You must tell your parents as soon as possible." "You seem frightened to tell your parents." A nurse is caring for a client who has been recently diagnosed with cancer. The client says, "I would rather be dead than go through the treatment for cancer." Which of the following responses should the nurse make? "That wouldn't be fair to your family, would it?" "How can you feel that way when you have so much to live for?" "Why don't we talk about the success you have in your life?" "What is it that concerns you about the cancer treatment?" An assistive personnel is bathing a client who is unconscious and is talking to him about current events and the weather. The client's partner says to the nurse, "Why does the assistive personnel talk to my husband? He's unconscious." Which of the following responses should the nurse make "I'll speak to the assistive personnel about it. Your husband should not be stimulated like that." "Why do you care if the assistive personnel talks with your husband?" "Your husband is unconscious but might still be able to hear." "The assistive personnel must not realize that your husband cannot hear." An emergency department nurse takes a telephone call from a client who states, "I have just taken 100 amitriptyline tablets to kill myself." The client is crying and says, "I want to die. I have no reason to live." Which of the following responses should the nurse make? "Please stay on the phone with me so we can talk about your feelings." "Why do you think you have no reason to live?" "How do you feel about what you have just done?" "I'm sure things are not as bad as they seem to you now." A nurse is caring for an older adult client who is to undergo surgery for a hip fracture. The client says, "I guess I've lived long enough, and it's my time." Which of the following responses should the nurse make? "The doctors and nurses will take good care of you. There's nothing to worry about." "This is just a minor setback. You will be on your feet in no time." "You are in really good shape for your age." "You feel that your life is ending?" A nurse is caring for a client who has leukemia. The client says, "The doctor told me that my condition is too severe to be treated successfully. I guess I don't have long to live." Which of the following responses should the nurse make? "Having a positive attitude can help you." "Let's talk about how you are feeling about this information." "Have you considered getting a second opinion?" "Things get worse before they get better." A nurse is caring for a client in premature labor who is not responding to tocolytic therapy. The client says to the nurse, "I am so worried about my baby." Which of the following responses should the nurse make? "The hospital has a newborn intensive care unit." "Do you want me to call someone to talk with you?" "This happens all the time and the baby is born healthy." "You are very frightened for your baby." A nurse is caring for a client and asks, "How are you?" The client responds, "My leg still hurts." Which of the following communication techniques should the nurse use first? Offer information Share hope Seek clarification Summarize A nurse is caring for a client who has no family present and is upset by recent news that a current treatment has not been effective. The nurse states, "I'm going to stay with you until your family is able to get here." Which of the following communication techniques is the nurse using? Presenting reality Offering self Seeking clarification Planning A nurse is caring for a client who has borderline personality disorder and is expressing a concern about needing prolonged hospitalization. Which of the following responses should the nurse make? A. "You should focus on getting better right now." B. "Why do you think you’ll be hospitalized for a long time?" C. "All of your needs will be taken care of while you are in the hospital." D. "Tell me what concerns you the most about being hospitalized." A nurse is caring for an older adult client who is scheduled to undergo surgery for a hip fracture. The client says,"I guess I've lived long enough, and it’s now my time." Which of the following responses should the nurse make? A. "The doctors and nurses will take good care of you. There’s nothing to worry about." B. "This is just a minor setback. You will be on your feet in no time." C. "You are in really good shape for your age." D. "Do you feel that your life is ending?" A nurse is caring for an adolescent client who gave birth to a stillborn preterm baby. The client is crying and asks the nurse,"Why did this happen to me?" Which of the following responses should the nurse provide? A. "I understand how you feel." B. "You are young and can have healthy babies when you are older." C. "Sometimes, this is just nature’s way." D. "This must be so difficult for you." A nurse is caring for a client who has leukemia. The client says,"The doctor told me that my condition is too severe to be treated successfully. I guess I don't have long to live." Which of the following responses should the nurse offer? A. "Having a positive attitude can help you." B. "Let's talk about how you are feeling about this information." C. "Have you considered getting a second opinion?" D. "Things get worse before they get better." A nurse is caring for a client who has been recently diagnosed with cancer. The client says,"I would rather be dead than go through the treatment for cancer." Which of the following responses should the nurse make? A. "That wouldn’t be fair to your family, would it?" B. "How can you feel that way when you have so much to live for?" C. "Why don’t we talk about the successes you have in your life?" D. "What concerns you about the cancer treatment?" A nurse is caring for a client who has hearing loss. Which of the following actions should the nurse take when communicating with the client? A. Speak in a loud voice B. Avoid the use of nonverbal communication C. Adjust the client's hearing aid to a high volume D. Face the client when speaking A nurse in a mental health clinic is beginning a counseling session with a client who is having difficulties in a personal relationship. The client states that she does not want to talk at all today. Which of the following responses should the nurse make? A. "Why don't you want to talk today? We have talked several times before." B. "I think you should take a moment to collect your thoughts. Then, you need to talk." C. "How about I just spend some time with you instead? We don't have to talk." D. "I don't believe that you don't want to talk to me. You know it can be helpful." Midterm AM 2020 Midterm de community 1. Which of the following best describe the Public Health? The disordered physiological processes associated with disease or injury. The study of the development, structure, and functioning of human society. Includes the study of incidence, distribution, possible control of the diseases, statistics, assessment of the cultural and behavioral factors of the society as a collective. The scientific study of the human mind and its functions, especially those affecting behavior in a given context. 2. Community Health Nursing is a community-based practice. Which best explains this statement? The service is provided in the natural environment of people The nurse has to conduct community diagnosis research to determine nursing needs and problems The service is based on the available resources within the community Priority setting is based on the magnitude of the health problems identified 3. One of the major reasons for the increasing of care provided in a community-based setting include: The continuous increasing of the population in the countryside Increasing community-based nursing jobs. The high cost of community urgent care. The growing cost of hospital care. 4. Memory, understanding, and reasoning as part of the psychomotor domain in education. True False 5. A community health nurse visits a homeless shelter to provide directly observed therapy (DOT) to several clients who have been diagnosed with TB. Which of the following best describes the rationale for this nursing intervention? Homeless clients do not care about their health Poor adherence can result in drug resistance Homeless clients do not have access to medications These medications are so powerful, clients must be observed for reactions 6. Which of the following describes the consequence of the successful implementation of the Affordable Care Act? Americans will pay closer attention to their health status Most of the population will be covered by insurance Public health departments will need to increase the number of nursing positions The prevalence of obesity will decrease 7. The development of the group includes the adjourning phase. True False 8. A client is receiving PHC services. Which of the following expectations would the client have? The care would be provided by a physician Private insurance would be necessary to receive care The emphasis of care provided would be on prevention A referral would be made to a specialist after receiving services 9. A nurse who is working in a community setting applies evidence-based practice when planning community health education. Which of the following should the nurse use in order to enrich the application of this evidence? Qualitative studies Randomized clinical trials Multiple research methods Quantitative studies 10. Which statement about feminist ethics is correct? Feminists include only women in their worldview. Women’s thinking and moral experiences are important and should be considered. Persons who ascribe to feminist ethics are passive and wish to pursue their ideas through the legislative process. Feminists believe that men should not be nurses. 11. One of the defining characteristics of Public Health Nursing is its emphasis on practice. It’s based on: strategies for treat patients in rehabilitation stages. strategies for health promotion and disease prevention strategies for prescribe screening to the maintenance of health. none of the above 12. The National Prevention Strategy targets interventions in multiple settings to move the health of the population from sickness to prevention of health and illness promotion. True False 13. Which of the following is an example of a public health agency? Federal Bureau of Investigation (FBI) Drug Enforcement Administration. (DEA) Women, Infants, and Children (WIC) Medical Center Clinics (MCC) 14. A PHN is implementing interventions at the systems level of practice. Which of the following interventions would be used by the nurse? Identify health problems in the community Involve the entire community in solving the health problem Provide outreach services to populations at risk Change laws, policies, and practices that influence population-based issues 15. PHNs utilize registries to identify children with delayed or missing immunizations. They subsequently follow up with families by phone calls or home visits. Which of the following levels of practice is being implemented? Individual Community Systems Policy 16. A nurse uses Health People 2020 as a guide when planning health education in the community. Which of the following actions would be taken by the nurse? focus on avoiding cigarette smoking and using alcohol in moderation educates clients using primary and secondary levels of prevention use Bloom’s taxonomy when planning educational objectives design health fairs aimed at individuals 17. Community Nurses who provided care to people in their homes were called nurses. visiting private duty hospitalist duty critical home 18. In an educational process to the community, the nurse should know that the easiest thing to change is the knowledge. True False 19. A nurse plans to contact a multilateral organization. Which of the following would the nurse most likely contact? United Nations (UN) Project Hope Catholic Relief Services Baptist Charity Group 20. A nurse is involved in identifying individuals with unrecognized health risk factors or asymptomatic disease. Which of the following public health interventions is being applied? Referral and follow-up Health teaching Surveillance Screening 21. The practice focus of a Public Health Nursing practice is: The family as a group The person as a unitary individual The group as a part of the society The community as a whole 22. Which step, when working with the community organization to make changes, involves training of potential leaders in the community? Core group formation Integration Community organization Community study Core group formation 23. A social marketing campaign urging community members to avoid driving motorized vehicles after consuming alcohol is implemented in a local community. Which of the following levels of practice is being demonstrated? Individual Systems Community Government 24. The factors, exposures, characteristics, and behaviors that determine patterns of disease are described using: descriptive epidemiology. analytic epidemiology. distribution determinants 25. A nurse is examining the income levels and social networks of individuals in a community. Which of the following is the nurse investigating? Culture Determinants Development Hobbies 26. A PHN uses Assumption 2, “Public health nursing practice focuses on populations,” to guide practice. Which of the following would be considered a population of interest? Healthy school children Homeless individuals A person recently diagnosed with diabetes Teenage parents 27. Florence Nightingale’s contributions to public health included: caring for the sick, poor, and neglected in institutions and at home using a population-based approach that led to improved environmental conditions writing the Elizabethan Poor Law to guarantee medical care for all founding of the district nursing association to provide health care to needy people 28. A nurse is teaching a client diagnosed with gonorrhea how to prevent reinfection and further spread. Which of the following describes the action taken by the nurse? Primary prevention Secondary prevention Tertiary prevention Secondary promotion 29. The interaction between an agent, a host, and the environment is called: natural history of the disease. risk web of causality. the epidemiologic triangle. 30. Which is the primary goal of community health nursing? To support and supplement the efforts of the medical profession in the promotion of health and prevention of illness. To enhance the capacity of individuals, families, and communities to cope with their health needs To increase the productivity of the people by providing them with services that will increase their level of health To contribute to national development through promotion of family welfare, focusing particularly on mothers and children 31. Which ethical principle requires “doing no harm?” Maleficence Beneficence Distributive justice Non-maleficence 32. When a Community Nurse is performing a teaching section to a group; the cognitive domain includes: the performance of skills changes in attitudes and the development of values memory, recognition, understanding, reasoning, and problem-solving memorization of one set of skills before moving on to the next 33. A nurse is teaching a group of clients newly diagnosed with diabetes how to give themselves injections. Which of the following formats would be most appropriate for the nurse to use? Health fair Lecture Non-native language session Demonstration 34. The Public Health core functions are directly linked to the healthcare promotion and prevention levels. The tertiary levels is characterized by: meets the basic needs of healthy people. the services are designed to limit the progression of the disease or disability. the function is to detect and treat diseases in an early stage. the services are designed to treat diseases in the acute stage. 35. A nurse discusses services with a federal congressman. Which of the following services would the nurse most likely be discussing? Family planning Counseling Policy making Prevention of diseases 36. A nurse offers screening for hearing defects at a local community center. Which of the following best describes the action of the nurse? Health promotion Secondary promotion Secondary prevention Primary prevention 37. One of the primaries focuses on improving the health of the American people in the twenty-first century is to address: bioterrorism and global health threats delivery of individual care and hygiene the need for increased hospital and acute care chronic disease and disability management 38. In community health nursing the model that focuses on the individual’s attitudes and beliefs toward the health is the Social Cognitive Theory. True False 39. An occupational health nurse works with an employer to develop a workplace wellness program for its employees. Which of the following levels of practice is being implemented? Individual Systems Community Government 40. The levels of practice encompassed by the Intervention Wheel are: primary, secondary, and tertiary communities, individuals and families, and systems assessment, diagnosis, and evaluation communities, populations, and aggregates 41. To understand the causes of health and disease, epidemiology studies: individuals families groups populations 42. The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory function of the public health nurse? Providing technical guidance to the midwife Providing nursing care to cases referred by the midwife 43. Which statement is true about the origins of the Intervention Wheel? It was a result of a qualitative analysis carried out by the State Boards of Nursing A panel of nurses from Iowa, Minnesota, North Dakota, South Dakota, and Wisconsin developed and refined the Intervention Wheel. It resulted from a grounded theory process carried out by public health consultants at the Minnesota Department of Health It was conceived by a group of international nurses from Norway, Kazakhstan, and Japan. 44. In 1850, the American Health Department was impacted and transformed with new policies, innovations, and collection of vital statistics. That transformation was included in . Report Lindsey Report Wald Report Public Health Report Shattuck Report 45. Current threats to health in the United States that community health nurses are faced include: diphtheria, cholera, and hepatitis HIV, H1N1 influenza, and bioterrorism avian flu, tuberculosis (TB), and radiation polluted water and air 46. A nurse who was working in the 1960s used the code of ethics to guide making an ethical decision. Which code of ethics would have been used? Code for Professional Nurses Nightingale Pledge International Council of Nurses (ICN)Code of Ethics for Nurses Code of Ethics for Health Professionals with Interpretive Statements 47. The major goal of health care reform is to make a community-oriented government. Answers: True False 48. Pelvic inflammatory disease (PID) is a common complication of: Chlamydia Herpes Syphilis Gonorrhea 49. Public health professionals refer to three levels of prevention as tied to specific stages in the: surveillance process web of causation natural history of disease epidemiologic triangle 50.A person diagnosed with syphilis presents with signs and symptoms of rash, sore throat, and muscle and joint pain. Which of the following stages of syphilis is the client most likely experiencing? Secondary Primary Congenital Tertiary 51. Teaching specific patient groups requires a lot more than delivering data; the educator have to understand where your patient population is coming from. True False 52. Which of the following IS NOT a benefit of the Publich Health? The dramatic increase in number of immigrants from hispanic communities. Increase in life expenctancy Decreased number of deaths from stroke, coronary heart diseases and cancer. The use of health care budget for prevention programs. 53. Which is true of primary facilities? They are usually government-run. Their services are provided on an outpatient basis. They are training facilities for health professionals. A community hospital is an example of this level of health facilities. 54. The easiest thing to change when a public health or community health nurse develop an educational program to a person; a group or community is . behavior. knowledge. attitud. temperament. 55. In the United States, the majority of health care dollars are spent on: prescription drugs physician services hospital care public health services 56. The educational issues; barrier to learning; or environmental conditions, are not determinants to consider when develop an educational community process. True False 57. The public health nurse (PHN) must participate in the essential services of public health. Which of the following most accurately describes one of the essential services of public health? Monitoring health status by completing a community assessment Diagnosing and investigating health problems in the world Informing, educating, and empowering people about health issues Working in law enforcement to regulate health and ensure safety 58. A nurse is exploring a job opportunity at a community health center. Which of the following expectations would the nurse have about the center? Offers comprehensive primary care services and supportive services Would be located in a large metropolitan area Provides care only to the economically disadvantaged Is used for preventive services such as flu shots 59. Which statement regarding poverty and health insurance is true? The poor in the United States are as healthy as persons with higher incomes. Millions of people in the United States are without health insurance. Persons with money or health insurance are less likely to seek health care. The poor are more likely to receive health care through private agencies. 60. Public health administrators in a community provide a health department to serve an indigent population of immigrants providing translators on certain days of the week. Which of the following best describes what is being done? Quality Libertarian philosophy Assurance Policy development 61. Which of the following best illustrates this statement? The community health nurse continuously develops himself personally and professionally. Health education and community organizing are necessary in providing community health services. Community health nursing is intended primarily for health promotion and acute treatment of diseases. The goal of community health nursing is to provide nursing services to people in their own places of residence 62. Attitudes can be change with an adequate education program and pleasant teaching-learning experience. True False NURSE 403 FINAL EXAM 1. A nurse is reinforcing teaching with a group of adolescent females who are pregnant about expected changes related to pregnancy. Which of the following client statements indicates understanding of the teaching? a. It is normal to have a white vaginal discharge. 2. A nurse is preparing to administer ciprofloxacin to a client. The nurse identify that the medication is treated for exposure to which of the following agents? d. Antrax nota: esta pregunta no se si será exactamente así o es al revés, (cuáles son los medicamentos de elección y que la respuesta sea la ciprofloxacin con la doxycycline) 3. A nurse is caring for a client who suspects recent exposure to inhalation anthrax. Which of the following findings indicate possible exposure? a. Flu-like symptoms. ( Headache, fever and chills, weakness) 4. A community health nurse is providing a community education program about disaster preparedness. which of the following should the nurse recommend that clients include in their family's disaster readiness supply kit or 'go bag'? - Pencil and paper - Whistle: Can be use as a form of communication to alert rescuers to the individual’s location - Copies of Insurance Cards - Household bleach: To provide effective means of disinfection 5. A charge nurse is discussing the phases of community response to disaster with nursing staff. Which of the following statements indicates an understanding of the heroic phase of disaster response? a. Personnel are willing to work in dangerous conditions to provide assistance 6. A nurse is planning a staff education session regarding biological weapons of mass destruction. Which of the following should he plan to include in the session? (Select all that apply) Smallpox Anthrax Botulism 7. A nurse is establishing health promotion goals for a female client who smokes cigarettes, has htn, and has a bmi of 26. which of the following goals should the nurse include? - the client will walk for 30 min 5 days a week 8. A public health nurse is assessing an older adult client who lives with a family member. the nurse identifies several bruises in various stages of healing. the client and family member explain that the bruises are a result of clumsiness. however, based on the distribution of the bruises, the nurse suspects abuse. which of the following actions should the nurse take first? -report the findings to a supervisor. 9. A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local health fair. which of the following instructions should the nurse include? breasts can be examined in the shower with soapy hands 10. A community health nurse in a pediatric clinic is reviewing the history of a 12-year-old client. Which of the following immunizations should the nurse expect to administer? a. Meningococcal conjugate 11. A community health nurse is conducting an educational program on various environmental pollutants. The nurse should emphasize that clients who have which of the following disorders are especially vulnerable to ozone effects? Asthma 12. A nurse working for a home health agency is assessing an older adult male client. which of the following findings is the priority for the nurse to address? - Dysphagia 13. Nurse is preparing a community health program for adults at risk for cardiovascular disease. Which of the following should the nurse include as a modifiable risk factor? d. Cigarette smoking 14. A nurse is leading a therapeutic group for clients at an outpatient mental health clinic. Which of the following client statements indicates a problem with role transition? I just can't seem to find any energy to take care of my children since my husband divorced me 15. A school nurse is teaching a group of nurses newly hired to work in the school system about pediculosis capitis (head lice). Which of the following information is appropriate to include in the learning? - Nits that are shed into the environment are capable of hatching for up to 10 days 16. An older adult client who lives alone tells a clinic nurse that he is unable to drive himself to the store and is afraid to cook on the stove. which of the following community resources should the nurse recommend for this client? - Meals on wheels 17. A nurse is working with an interdisciplinary disaster committee to develop a communitywide emergency response plan in the event of a nonbiological or chemical incident. the nurse should include which of the following agencies to be notified immediately after calling 911? - Office of emergency management (OEM) 18. An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy? c. Help plant workers identify signs of carpal tunnel syndrome 19. A public health nurse is teaching a group of nurses about smallpox. Which of the following statements by one of the nurses indicates understanding of the teaching? - Unlike chickenpox, the vesicles of smallpox are more abundant on the face 20. A school nurse receives a call that some children and teachers report being exposed to an undetermined noxious gas odor presenting in the classrooms and are experiencing dizziness. Which of the following actions should the nurse take? a. Have students evacuated from the school and establish a triage area in the school parking lot. 21. A nurse is working with an emergency response team in caring for a group of people who may have been exposed to anthrax while doing farm work but are not exhibiting manifestation of illness. Which of the following is the appropriate action for the nurse to take? - Administer antibiotic therapy 22. The nurse is participating in a biological disaster simulation where citizens are exposed to pneumonic plague. Which of the following interventions should the nurse plan to use while caring for these clients? c. Initiate droplet precautions 23. A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client? d. A private room. 24. A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which of the following clients should the nurse plan to care for first? a. A client experiencing a tension pneumothorax 25. A nurse is helping to triage a group of clients at a mass casualty incident who were involved in an explosion at a local factory. Which of the following clients should the nurse tag to be the priority for care? c. A client who has a piece of wood punctured into the chest wall and has an audible hissing sound coming from the wound site. 26. A nurse is assisting with field triage following a motor-vehicle crash involving a bus with multiple victims. The nurse assesses a child who has an open fracture of the femur. Which of the following actions should the nurse take? - Place a yellow tag on the child 27. A nurse is triaging victims of a multiple motor-vehicle crash. The nurse assesses a client trapped under a car who is apneic and has a weak pulse at 120/min. After repositioning his upper airway, the client remains apneic. Which of the following actions should the nurse take? c. Place a black tag on the client’s upper body and attempt to help the next client in need. 28. A nurse is triaging clients injured during a tornado. The nurse assesses a client who has an open fracture of his arm. Which of the following actions should the nurse take? - Place a yellow tag on the client's upper body 29. A nurse is assisting with triaging clients following an explosion. Which of the following clients should the nurse identify as the highest priority? - A conscious adult client who has second-degree burns on both lower legs; respiratory rate is >30/min 30. A charge nurse is discussing staff nurses’ responsibilities in preplanning for response to a disaster. Which of the following responsibilities should the nurse include in the discussion? a. Identify community resources that are available. 31. A nurse is the triage officer in the emergency department when four clients arrive following a factory explosion. which of the following clients should the nurse care for first? - An unconscious adult client who has a sucking chest wound, respirations of 38/min, and capillary refill of <2 seconds 32. A nurse is reviewing the guidelines for reporting nationally notifiable infectious diseases. Which of the following diseases should the nurse plan to report to the Centers for Disease Control and Prevention (CDC)? a. Lyme disease 33. A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention? a. Providing treatment for clients who have chronic obstructive pulmonary disease. 34. A nurse is educating community members about how to prepare for disaster. Which of the following supplies should the nurse instruct the clients to include in a disaster preparedness kit? (Select all that apply) -3.7 litters (1 gallon) of water per person per day. A three day supply is recommended. -Clean clothing -Personal Identification -Matches -Prescription medications 35. A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administer a vaccine following exposure? d. Smallpox 36. A nurse is providing staff education about smallpox as a bioterrorism threat. Which of the following statements indicates an understanding of this agent? (Select all that apply) a. Smallpox is transmitted person to person d. Naturally occurring smallpox has been eradicated from the world. E. Smallpox is often confused with varicella. 37. A nurse is preparing a response protocol for botulism as a bioterrorism agent. The nurse should prepare the protocol based on which of the following information? (Select all that apply) -Botulism can produce paralysis within 12-72 hr following exposure -Vomiting and diarrhea are expected findings following exposure 38. A nurse is preparing to care for a client who has suspected exposure to plague as a result of bites from infected fleas. Which of the following actions should the nurse plan to take first? b. Initiate contact precautions. 39. A nurse is caring for a client who has an indwelling unitary catheter and notes blood-tinged urine in the catheter bag. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations? D.- Bladder infection 40. A nurse is assessing a client`s cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III? - checking the pupillary response to light. 41. A nurse is caring for a client who has had an allogeneic hematopoietic stem-cell transplant. Which of the following infection-control precautions should the nurse use while caring for this client? B.- Protective. 42. An assistive personnel (AP) reports a client`s vital signs as tympanic Temperature 37.1º C (98.8º F), pulse 92/min, respiratory rate 18/min, and BP 98/58 mm Hg. Which of the following vital signs should the nurse re-measure? A.- BP 43. A nurse accidentally administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client’s hospitalization. The client could rightfully sue the nurse for which of the following? c. Malpractice. 44. A nurse is caring for an older adult client who states, “I am afraid that I may fall white walking to the bathroom during the night.” Which of the following actions should the nurse take? c. Leave a nightlight on the client’s room. 45. A nurse is working with a licensed practical nurse (LPN) to care for a client who is receiving a continuous IV infusion. Which of the following findings reported by the LPN indicated to the nurse the client has phlebitis at the IV insertion side? B.- The area surrounding the insertion site feels warm to the touch. 46. A nurse in the emergency department is caring for a client who collapsed after playing football on a hot day. After reviewing the admission laboratory findings, the nurse recognizes are consistent with which of the following conditions? Sodium 152 mEq/L (Normal 135 to 145 mEq/L) Potassium 3.6 mEq/L (Normal 3.5 to 5 mEq/L) Chloride 105 mEq/L (Normal 96 to 106 mEq/L) Glucose 102 mg/dL ( Good is Les tan 100 mg/dl) BUN 18 mg/dL (Blood Urea Nitrogen) (Normal between 7 to 20 mg/dl) Creatinine 0.7mg/dL (Normal 0.6 to 1.2mg/dl) C.- Dehydration. 47. A nurse at an extended- care facility is instructing a class assistive personnel (AP) about client use of assistive devises during ambulation. Which of the following instruction should the nurse give the AP about the clients` use of a cane? A.- When the client moves, he should move the cane forward first. 48. The nurse is caring for a client who has active pulmonary tuberculosis (TB). The client requires airborne precautions and is receiving multidrug therapy. Which of the following precautions should the nurse take to transport the client safety to the radiology department for a chest x-ray? b. Have the client wear a mask 49. A nurse is assisting with transferring a client from the bed to wheelchair. Which of the following actions should the nurse take? b. Lock the wheels of the bed and the wheelchair. 50. Older Adults/ (65 Years and Older) Expected Physiologic Changes? - Increased susceptibility to glare, greater difficult in seeing at low levels of illumination, and alterations in color perceptions - Decreased cough reflex, increased airway resistance, fewer alveoli, and greater risk for respiratory infections - Decreased bladder capacity and a reduction in renal blood flow - Dehydration of intervertebral discs, decreased muscle strength and mass, and decalcification of bones 51. Check placement nasogastric tube - Aspirate gently to collect gastric contents, testing pH (4 or less is expected), 52. Qué paciente se pone cerca de la estación de enfermería. R/ Paciente con lesión cerebral. 53. Paciente que se atora. - HEIMLICH MANEUVER 54. The Posterior Tibial - Located on the inner ankle, one-third of the way along a line between the tip of the medial malleolus (end of the tibia) and the point of the heel. it is most easily palpated about 2.5 cm higher, where it runs behind the medial malleolus 55. Diaphragmatic breathing for a client who is going to have a surgery: - Teach the client to Inhale slowly and evenly through the nose until chest expansion is maximized 56. stool specimen collected - mandarlo rapidamente para el labarotorio 57. When a nurse is taking care of a client that who is increasingly restless and intermittently confused - she should move the client to a room closer to the nurses' station. This will make it easier for the staff to observe the client, should the client behave in an unsafe manner. 58. When a nurse is caring for a client who has peripheral vascular disease and reports difficulty sleeping because of cold feet - the nurse should obtain a pair of slipper-socks for the client. In cold weather or when the client's feet are cold, he/ she should wear extra socks or slipper socks to help provide warmth and increase his/her level of comfort. 59. precauciones para la tuberculosis r/ A, B, D, E 60. A client who has a decreased level of consciousness and an inability to swallow is at risk for aspiration. Lying flat also increases this risk. The priority action by the nurse - by the nurse is to keep the head of the bed elevated 30o to 45o to promote gastric emptying and reduce the risk of aspiration. 61. A client who has an elevated sodium level and is NPO requires a hypotonic IV solution - hypotonic IV solution, such as 0.45% sodium chloride or 0.225% sodium chloride 62. Nursing Process: The assessment phase includes asking the client about her health history, physical concerns and health care expectations. - A review of possible allergies is included in the assessment phase. 63. Is an appropriate nursing intervention when a client displays sudden confusion. Sensory alterations can occur when a client is experiencing multiple sensory stimuli and can result in inappropriate sensory responses. Tolerance to stimuli may be affected by fatigue and emotional and physical well- being. - Neurological assessment 64. Isometric exercises involves static (no movement) contraction of a muscle without any movement of the joint. Isometrics promote increased muscle mass, strength, and tone for clients who are on bedrest - Nurse has to instruct the client to tighten muscle groups for a short period, and then relax 65. The priority assessment the nurse should perform when a client arrives to ER with any cut in his/her body is to determine whether the client will require a tetanus immunization by identifying the date the client last received one. Client is at risk for Clostridium tetani; - An adult should have a tetanus booster immunization every 10 years and after any severe or dirty wound. 66. The nurse should use a gait belt to help support the client during ambulation. A gait belt helps keep the client’s center of gravity stable and helps maintain balance and prevent falls. 67. calculo 68. calculo 69. calculo 70. Hay una pregunta que es una imagen del corazón para localizar los puntos Aortic: Just right of the sternum at the second ICS Pulmonic: Just left of the sternum at the second ICS Erb’s point: Just left of the sternum at the third ICS Tricuspid: Just left of the sternum at the fourth ICS Apical/mitral: Left midclavicular line at the fifth ICS, below the left nipple line 7.6 cm (about 3 in) to the left of the sternum. Right LEFT Aortic: Just right of the sternum at the second ICS Pulmonic: Just left of the sternum at the second ICS Erb’s point: Just left of the sternum at the third ICS Tricuspid: Just left of the sternum at the fourth ICS Apical/mitral: Left midclavicular line at the fifth ICS, below the left nipple line 7.6 cm (about 3 in) to the left of the sternum Otros quizzes 1. A nurse is using basic educational principles when conducting an effective educational program. Which of the following IS NOT a principle that the nurse should use? Use a clear, succinct style Use an active voice Refer to Internet sources Use aids to highlight key points 2. A nurse is teaching a client about how to complete a wound dressing change. Which of the following conditions must be met before learning will occur? Must be able to memorize the instructions, relay this information to a partner, and demonstrate the dressing change Must master the dressing change at the time it is taught, repeat the demonstration for the nurse, and teach another person Must be able to speak the language of the nurse, have time to practice the dressing change, and master the dressing change in a short time Must have the necessary ability, a sensory image of how to carry out the dressing change, and an opportunity to practice the dressing change 3. A health educator is trying to change a client’s attitudes about smoking. Which of the following domains would be used? Cognitive Affective Psychomotor Developmental 4. A nurse uses Healthy People 2020 as a guide when planning health education in the community. Which of the following actions would be taken by the nurse? Focus on avoiding cigarette smoking and using alcohol in moderation Educate clients using primary and secondary levels of prevention Use Bloom’s taxonomy when planning educational objectives Design health fairs aimed at individuals 5. A nurse is using the educational process of selecting appropriate educational methods when planning a community health program. Which of the following steps of the nursing process does this action most resemble? Assessment Evaluation Implementation Planning 6. A nurse is teaching a group of clients newly diagnosed with diabetes how to give themselves injections.Which of the following formats would be most appropriate for the nurse to use? Lecture Demonstration Health fair Non-native language session 7. A nurse has evaluated the learning needs of a community support group. Which of following steps should the nurse take when developing an educational program for them? Consider any potential barriers to be transported. Establish goals and objectives for the program Select appropriate materials for the program Assess the dynamics of the group 8. The cognitive domain includes: changes in attitudes and the development of values the performance of skills memory, recognition, understanding, reasoning, and problem solving memorization of one set of skills before moving on to the next 9. Evidence-based public health (EBPH) is: an integration of the best available nursing expertise derived from community principles to fit the area where it is practiced a health endeavor that makes informed use of evidence comprised of only public health records 10. A nurse who is working in a community setting applies evidence-based practice when planning community health education. Which of the following should the nurse use in order to enrich the application of this evidence? Randomized clinical trials Qualitative studies Quantitative studies Multiple research methods Otros 1. A community has residents who provide information to the city council so that decisions can be made about the health of the community. Which of the following characteristics is being displayed? Active partnerships Passive partnerships Gatekeeping Focal groups 2. A community health nurse is conducting informant interviews in a small community. Which of the following would the nurse most likely contact? The state department of health for death records Surrounding communities for crime comparison A local priest for congregation information The Centers for Disease Control and Prevention (CDC) for illnesses in the area 3. A nurse has collected data about the services available in the community and is using the seven “A” s to evaluate these services. Which of the following questions will the nurse most likely ask? Can the community members allocate resources to support the service? Can the community members afford the service? Will the community members allow strategies to be implemented to improve the service? Will the community members approve of the services provided? 4. A nurse has identified the boundaries of the community. Which of the following steps should the nurse take next when completing a community assessment? Plan interventions that benefit the entire community Formulate nursing diagnoses Gather relevant existing data and generating missing data Evaluate the interventions that were used 5. A nurse interviews the school nurses in a community to determine their roles in schools because this data is not available. Which of the following processes is the nurse using? Primary data Secondary data Spatial data Photovoice 6. A nurse is caring for the community as the client. Which of the following is most likely the focus of the nurse’s care? Providing care for aggregates living in the community The collective good of the population The provision of care for families in the home setting Providing health education in the community 7. A nurse is completing a community assessment. Which of the following actions would be most likely for the nurse to complete? Determine the weaknesses of a community Assess individual needs within a community Perform the core functions of public health nursing Identify community needs and clarify problems 8. A nurse schedules an appointment with a physician who has a practice in the community to learn more about the community’s beliefs regarding childhood immunizations. Which of the following is being demonstrated? Participant observation Informant interview Active participation Windshield survey 9. What are the critical attributes in the definition of community? Families, groups, and health organizations Health needs, geographical boundaries, and target population People, place, and functions Populations and health resources 10. Which data source provides information about the function of the community? Local restaurant Elected officials County health department Civic groups Otro 1. A community health center conducts blood lead screenings on a regular basis for children under 6 years old. Which of the following best describes the level of prevention that is being used? Tertiary prevention Primary prevention Secondary prevention Health education 2. Which one of the following services are not offered by Nurse-Led Medical Centers? immunization home visits critical care rehabilitation care 3. A nurse interviews the school nurses in a community to determine their roles in schools because this data is not available. Which of the following processes is the nurse using? Primary data Secondary data Spatial data Photovoice 4. A nurse is completing a community assessment. Which of the following actions would be most likely for the nurse to complete? Determine the weaknesses of a community Assess individual needs within a community Perform the core functions of public health nursing Identify community needs and clarify problems 5. Which levels of intervention are nurse-led centers designed to provide? Local, state, and national needs Individual, family, community needs Primary, secondary, and tertiary prevention Uninsured, under-insured, and insured populations 6. Which data source provides information about the function of the community? Local restaurant Elected officials County health department Civic groups 7. A nurse is caring for the community as the client. Which of the following is most likely the focus of the nurse’s care? Providing care for aggregates living in the community The collective good of the population The provision of care for families in the home setting Providing health education in the community 8. What are the critical attributes in the definition of community? Families, groups, and health organizations Health needs, geographical boundaries, and target population People, place, and functions Populations and health resources 9. A nurse schedules an appointment with a physician who has a practice in the community to learn more about the community’s beliefs regarding childhood immunizations. Which of the following is being demonstrated? Participant observation Informant interview Active participation Windshield survey 10. Which levels of intervention are nurse-led centers designed to provide? Local, state, and national needs Individual, family, community needs Primary, secondary, and tertiary prevention Uninsured, under-insured, and insured populations OTRO 1. A nurse is participating in the preparedness stage of disaster management. Which of the following describes what is happening? Heightened inspection and increased security in the community Incorporation of provision of pets into local disaster plans Purchase of personal protective equipment for all citizens Assembly of disaster kits for the home, workplace, and car 2. A nurse is working in a community that is experiencing the Honeymoon Phase after a disaster. Which of the following is characteristic of this phase? First responders work tirelessly to save others. Survivors share their stories. Medical personnel experience exhaustion. Community organizations rebuild the community 3. Acts of bioterrorism or natural disasters, such as earthquakes, will often have more casualties because: they cause the most widespread destruction victims have little time to make evacuation preparations those with chronic conditions cannot escape in time the early warning systems are not effective 4. What is the purpose of the National Incident Management System (NIMS)? Create a new branch of government that deals with bioterrorism Establish a way for the Red Cross to carry out its mission Extend presidential power to act quickly upon acts of bioterrorism Develop a nationwide all-hazards approach to domestic incident management 5. A riverfront community builds a retaining wall to divert flood water away from the town. Which term describes what has happened? Community resilience Rapid needs assessment Mitigation A natural disaster 6. A nurse responds to a natural disaster. Which of the following is the nurse most likely responding to? Transportation accident Pollution Communicable disease epidemic Fire 7. Which statement about disasters is true? They can be natural or human-made They can be relieved without assistance There is always injury and death when a disaster occurs The timing of a disaster does not influence the types of injuries that will occur 8. A nurse is working in a temporary shelter for victims following a natural disaster. Which condition is the nurse most likely to encounter? Stress Communicable disease Educational conferences Injuries requiring hospitalization 9. A nurse is assessing persons arriving at an alternate care center following a disaster. Which of the following actions should the nurse take first? Assess the amount of equipment and medications needed for each client Determine if the client has a psychological condition requiring special attention Assess whether this type of facility is appropriate for the client Determine if the client has a support system to assist with additional care needs 10. A nurse is working with an older person following a disaster. Which of the following emotions of the client should be anticipated by the nurse? Anger Fear of loss of independence Violence Happiness FINAL AM 2020 BB [Show More]

Last updated: 1 year ago

Preview 1 out of 86 pages