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ATI RN COMMUNITY HEALTH QUESTION AND ANSWER LATEST
UPDATE
A home health nurse is visiting with an older adult client. Which of the following observations indicate the need for home 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 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 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. 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. 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?
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
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?
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.
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.
