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NUR MISCCommunity ATI latest updated, Exams of Health sciences

A list of 51 multiple-choice questions and scenarios related to community health nursing. The questions cover a range of topics, including primary prevention strategies, health promotion activities, client visits, epidemiology, cultural knowledge, client advocacy, emergency response plans, outbreak evaluation, hospice care, payment structures, and disease management. The scenarios involve situations such as triaging victims of a commuter train crash, providing education to homeless clients, assessing spinal alignment of students, and planning for disaster preparedness. The questions and scenarios are useful for students studying community health nursing or for nurses seeking to refresh their knowledge.

Typology: Exams

2021/2022

Available from 01/23/2022

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Community ATI
Community ATI
1. A nurse is planning a primary prevention strategy for reducing obesity in
a community. Which of the following strategies should the nurse use?
educate children about nutrition and exercise at a daycare center
2. A community health nurse is developing health promotion activities for a
community. Which of the following is the highest priority action?
participate in community assessment to identify community health problems
3. A home health nurse is scheduling client visits for the day. Which of the
following clients should the nurse plan to visit first?
a 79-year-old client with an exacerbation of COPD
4. A state public health nurse is asked to determine which country has the most
people living in it with a diagnosis of Alzheimer’s disease. Which of the following
measures will determine this information?
analytic epidemiology
5. A community health nurse is reviewing laboratory results for his case load of
clients. Which of the following is the highest priority finding?
a sputum specimen that is positive for tuberculosis
6. A nurse is triaging victims of a commuter train crash. Which of the following
clients should be transported to the Emergency Department first?
an ambulatory client whose nose is bleeding and who reports feeling dizzy
7. A community health nurse is caring for clients in a culturally diverse community.
Which of the following actions demonstrates accurate cultural knowledge about
a specific cultural group?
include both hot and cold food items on a Hispanic client’s menu
8. A nurse is caring for a client who has questions about his treatment plan. Which
of the following should the nurse perform as a client advocate (select all that
apply)?
provide education to the client about the diagnosis
inform the client about the provider’s responsibility to provide information
assist the client in preparing questions for the provider
affirm the client’s decision about the treatment plan
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Community ATI

  1. A nurse is planning a primary prevention strategy for reducing obesity in a community. Which of the following strategies should the nurse use? educate children about nutrition and exercise at a daycare center
  2. A community health nurse is developing health promotion activities for a community. Which of the following is the highest priority action? participate in community assessment to identify community health problems
  3. A home health nurse is scheduling client visits for the day. Which of the following clients should the nurse plan to visit first? a 79-year-old client with an exacerbation of COPD
  4. A state public health nurse is asked to determine which country has the most people living in it with a diagnosis of Alzheimer’s disease. Which of the following measures will determine this information? analytic epidemiology
  5. A community health nurse is reviewing laboratory results for his case load of clients. Which of the following is the highest priority finding? a sputum specimen that is positive for tuberculosis
  6. A nurse is triaging victims of a commuter train crash. Which of the following clients should be transported to the Emergency Department first? an ambulatory client whose nose is bleeding and who reports feeling dizzy
  7. A community health nurse is caring for clients in a culturally diverse community. Which of the following actions demonstrates accurate cultural knowledge about a specific cultural group? include both hot and cold food items on a Hispanic client’s menu
  8. A nurse is caring for a client who has questions about his treatment plan. Which of the following should the nurse perform as a client advocate (select all that apply)? provide education to the client about the diagnosis inform the client about the provider’s responsibility to provide information assist the client in preparing questions for the provider affirm the client’s decision about the treatment plan
  1. A nurse is working with a client who is homeless. Which of the following is the first step that the nurse should take to advocate for this client? refer the client to a public homeless shelter
  2. A nurse is providing education to a group of adolescents who are pregnant and attending high school. Which of the following information should the nurse include in this teaching? caffeinated beverages should be replaced with caffeine-free
  3. A community health nurse is writing an emergency response plan for a day care. Which of the following should be included in the plan? immunization protocol for various biological agents
  4. A community health nurse is preparing to teach accident and injury prevention. Which of the following would be the priority topic for a family with a 10-year- old child? use if seat belts in automobiles
  5. A child is brought to the school nurse by her teacher who thinks the child may have contracted rubeola. Which of the following findings supports this diagnosis? koplik spots in the oral mucosa
  6. A home health nurse is performing an eye assessment and vision screening on an older adult client recently assigned to her care. Which of the following findings indicates a need for an intervention? slightly yellow sclera
  7. Which of the following is an example of the responsibilities of public health nursing informing state health officials of a potential meningitis outbreak
  8. A nurse is providing a staff development program on HIPPA regulations to the staff at a community health clinic. Which of the following comments by one of the attendees would indicate a need for further teaching? “Demographic data that identify a client can be released without consent”

Autonomy

  1. A community health nurse is working with a family in which only the children speak English. The nurse should select a translator who is Skilled in health-related interpretation
  2. A community health nurse working with a migrant population recognizes that which of the following is necessary to provide care to this population Offering health screenings at a community center
  3. Which of the following activities is the responsibility of a case manager? Evaluate cost effectiveness of client treatments
  4. A nurse uses a secondary prevention intervention when doing which of the following Performing hypertension screening in a community center
  5. An occupational health nurse is planning a program on early detection of breast cancer for female employees at a local business. Which of the following is the first action the nurse should take Determine employee knowledge level of breast self-examination
  6. While addressing community leaders at a forum for establishing community improvement initiatives, a public health nurse identifies which of the following groups as the fastest growing segment of the homeless population Families with children
  7. A nurse is working in an occupational health setting. Which of the following is a primary prevention activity for the nurse Conducting smoking cessation classes
  8. A parish nurse is visiting an older adult client who was recently widowed. The client tells the nurse that he no longer has a way to get to the grocery store or the doctor. Which of the following responses by the nurse is appropriate

“How would you feel about me contacting a local service that helps older adults with transportation?”

  1. A case manager nurse is caring for a client being discharged post total hip arthroplasty. Which of the following activities is an example of the nurse functioning in the negotiator role Discussing payment options with various pharmacies
  2. What patient would the Home Health Nurse send to the doctor first Abdominal pain
  3. A community health nurse is evaluating an outbreak of hepatitis A among adult clients in his community. Which of the following should the nurse do to identify the cause of the disease Identify restaurants where the clients have recently eaten
  4. A nurse working for a home hospice organization recognizes that clients must meet which of the following criteria to qualify for hospice care Documented need for palliative care
  5. A nurse is working with a case manager for a client who participates in a health maintenance organization. Which of the following is characteristic of the payment structure provided under this system The client pays the insurer a percentage of the total costs for each service rendered by the provider
  6. A nurse is providing education to a troop of local Boy Scouts regarding first aid for venomous snake bites in the event that transport to the hospital is delayed. Which of the following would be appropriate information to include in teaching about bites to an extremity Apply a constricting band above the bite while maintaining circulation below the bite
  1. A public health nurse has received a report of several infants who attend the same daycare being diagnosed with respiratory syncytial virus (RSV). Which of the following actions should the nurse take first Provide the staff with information regarding measures to minimize disease transmission
  2. A nurse planning and education program for new inmates in a correctional facility. Which of the following topic is most important for the nurse to include in the teaching? Communicable disease prevention
  3. A school nurse is planning an educational for parents about head lice. The nurse should include which of the following in the program? Combs should be placed in boiling water for 10 min.
  4. A home health nurse is assessing a client who was diagnosed with congestive heart failure. Which of the following assessment finding should be reported to the provider? Sodium level of 119
  5. A nurse is educating a community about disaster planning for an upcoming hurricane season. Which of the following is an example of personal preparedness? Recommending that each family has batteries, a radio and a flashlight
  6. A community health nurse is providing instruction about infection control to the family of 5-years-old child who has impetigo contagious. The child has siblings living in the home. Which of the following recommendations is appropriate? Provide the child with separate towels and lines
  7. A client tells a nurse that she is planning a hiking trip. Which of the following measures should the nurse recommend minimizing the client’s risk for contracting Rocky Mountain spotted fever? Wear protective clothing
  1. Several nurses affiliated with a church are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. Which of the following is appropriate to include in regard to care they could provide? Organize a flu immunization clinic with the American Red Cross.
  2. A public health nurse is tracking reports of flu-like illness in the local school system. This is an example of which of the following approaches? Prevalence rate
  3. Which of he following activities would the school nurse perform in the role a consultant? Recommend policy chances to minimizes the spread of influenza
  4. A client presents to the emergency department after being exposed to anthrax. The nurse should recognize that the Chances of recovery are good if improvement is seen in 3 to 5 days.
  5. A first-response team is working at the location of a bombing incident. A nurse triaging a group of clients should give treatment priority to which of the following conditions? Rigid abdomen with symptoms of shock
  6. A home health nurse is making a home safety evaluation visit with an older adult client recently discharged from the hospital after being diagnosed with diabetes mellitus. Which of the following findings indicates a need for a corrective intervention? Select all that apply) The hot water heater is set at 130 F. An extension cord extends across the floor from the electrical outlet to floor lamp.
  7. Primary Goal of Community Health Nursing Enhance the individuals, families and communities

Supervision of the renovation of an old house the family just purchased due to teratogen defect The community health nurse attempting to address the issue of child abuse in a large metropolitan area primary prevention program High school child development and parenting classes Scheduling home visits, which is best for the home health charge nurse to assign to the LPN A bedfast client who needs daily irrigation of stage 4 pressure ulcer Occupational Health Act Location of the workplace as relates to health facilities Nurse has to conduct community Dx to determine nursing needs and problems Community -based practive. Pregnant woman not getting enough what vitamin may cause neural tube defects Folic acid Plans formulated for solving community problems Community organization Training of potential leaders in the community Core group formation PHN bag is an important tool for care during a home visit prevent the spread of infection Prenatal consult asked HHN if she can have her delivery at home advised her against a home delivery Her OB score is G5P

6 months pregnant, comes to the center for consult and what med is contraindicated Retinol 2000,000 IU Type of family-nurse contact offers with the best opportunity to observe family dynamics Home visit Philosophy of public health nursing worth and dignity of man Abuse Advise the mother to call the police if violent behavior occurs again 70-year-old male client at nursing home after a hip replacement and at risk for decubitus ulcers because Thinning of the skin with loss of elasticity Vietnamese child during a HH visit and nurse notices round swellings on child's back. Mom says she rubbed a coin on his oiled skin The purpose is to rid the body of disease Core business of public health Disease control, health protection, helath public policy, injury prevention Herbal plant given for fever, headache and cough Langundi Pillars of primary health care Provision of medical care and emergency treatment If there were 250 deaths and 36,114 live births registered in Region III, with a total population of 200,000, the fetal death rate would be 6.9 per 1000 live births

Individual Family Population group Community Dependency ratio Compares the number of economically dependent with the economically productive group in population According to Maslow’s hierarchy of needs, developing one’s potential is Self-actualization Newborn Screening act is R.A 9288 He defined public health as the science and art of preventing disease, prolonging life, promoting health and efficiency through organized community effort Winslow Woman brought her 2 month old baby to the health center for immunization - infant’s temperature registered 38 degrees C Proceed with the infant’s immunizations When is Rabies awareness month celebrated March 6 year old boy entering school for the first time Foreseeable crisis Severe dehydration Sunken eyes

Skin pinch goes back slowly Abnormally sleepy or difficult to awaken Element of FOURmula one aims to ensure quality and affordability of health services Health regulation