a nurse who is facilitating a support group in a community center notices that one member of the group expresses anger repeatedly. which of the following strategies should the nurse use to facilitate the group process with this member?
A. remind the group that everyone should have a chance to participate
D. divide the group into pairs and give each pair a topic for discussion
C. give the member extra time to compose her thought before expressing them
D. focus more on the group members who have a positive outlook
focus more on the group members who have a positive outlook
a community health nurse is providing education to a group of children who have asthma. which of the following statements indicates an understanding of the teaching?
A. i shouldn’t play sports because it will make me too tired
B. i will stay indoors during cold weather
C. i will use my rescue medication every day
D. I shouldn’t get the flu shot because it might make me sick
i will stay indoors during cold weather
a community health nurse is planning an in-service about STI to a group of adolescents. which of the following clinical findings should the nurse include as a manifestation of primary syphilis?
A. malaise
B. maculopapular rash on palms
C. chancre
D. lymphadenopathy
chancre
a public health nurse is working in a community that ha 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?
A. mortality rate
B. attack rate
C. prevalence proportion
D. incidence proportion
prevalence proportion
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?
A. herpes zoster
B. tetanus, diphtheria, pertussis
C. varicella
D. measles, mumps, rubella
tetanus, diphtheria, pertussis
a school nurse is notified that an elementary school child is newly diagnosed with pertussis. Which of the following actions should the school nurse take? (select all that apply)
A. instruct the parent to keep the child home until the coughing stage has passed
B. encourage family members to obtain prophylactic treatment
C. quarantine the children in the child’s class
D. recommend the child receive a pneumococcal vaccine in 28 days
E. check the immunizations of the child’s classmates
-instruct the parent to keep the child home until the coughing stage has passed
-encourage family members to obtain prophylactic treatment
-check the immunizations of the child’s classmates
a nurse is caring for a 50-year-old client who has DM, recently lost his job, and has no health insurance. The nurse should advise the client to do which of the following?
A. contact medicare to determine eligibility
B. contact medicaid to determine eligibility
C. go to the ER when services are needed
D. go to the public health department when services are needed
contact medicaid to determine eligibility
a home health nurse is orienting a newly licensed nurse who is drawing blood from a client for laboratory testing and gets stuck by a used needle. Which of the following statements by the newly licensed nurse indicates a need for further teaching?
A. the client will be tested for HIV
B. the client will be tested for hepatitis B virus
C. the client will be tested for hepatitis C virus
D. the client will be tested for hepatitis A virus
the client will be tested for hepatitis A virus
a clinic nurse manager is developing an education program on TB skin testing. The nurse should include that which of the following can cause a false-negative result?
A. advanced HIV or AIDS
B. Bacilli CAlmette-Gue’rin (BCG) vaccination
C. time between exposure and screening
D. age of the client
E. recent abuse of IV substances
-advanced HIV or AIDS
-time between exposure and screening
-age of the client
a nurse is collecting demographic data as a part of a community assessment. which of the following should be included?
A. racial distribution
B. family genograms
C. number of open water sources
D. presence of condemned buildings
racial distribution
a community health nurse is visiting a family that has newborn twins and two school-aged children. The parents tell the nurse they are emotionally and financially overwhelmed. which of the following referrals are appropriate?
A. postpartum support group
B. WIC program
C. CPS
D. medicare part B
E. free school lunch program
-postpartum support group
-WIC program
-free school lunch program
a community health nurse is teaching a group of older adults about environmental health hazards. A need for additional teaching is indicated when a group member lists which of the following as a possible source of carbon monoxide exposure?
A. motor vehicles
B. gas ranges
C. vented gas heaters
D. electric space heaters
gas ranges
a community health nurse is caring for a client who has a new diagnosis of Lyme disease. the requirements for reporting Lymes disease are mandated by which of the following?
A. local county health departments
B. individual state law
C. federal law
D. centers for disease control an prevention
individual state law
a nurse is a community health center is talking with a client who is receiving treatment for an opioid addiction. which of the following statements by the nurse is appropriate for encouraging the client to attend his 12 step meetings?
A. you’ll find Na will help you regain power over you addiction
B. Na will help you take responsibility for the symptoms of your disease
C. at Na, your willingness to change will be crucial for your sobriety
D. at Na, you’ll learn to maintain control by never admitting to defeat
at NA, your willingness to change will be crucial for your sobriety
a newly licensed nurse in a public health agency is assigned to assist with the task force that is responsible for the core function of assessment. which of the following is a task that the nurse could be assigned that would be consistent with the focus of the task force?
A. investigating local health hazards
B. updating local policies to support community health efforts
C. collaborating with community agencies to improve availability of services
D. ensuring competence of health care workforce
investigating local health hazards
a home health nurse is assessing a client who has a prescription for captopril to treat heart failure. which of the following findings is an adverse effect of this medicaiton?
A. weight gain
B. ataxia
C. photophobia
D. dry cough
dry cough
a nurse is working for a non-profit organization with limited resources is asked to develop an education program that will benefit a supporting agency’s employees. the nurse was planning another program to benefit more people in the community. which of the following is an ethical tenet the nurse should follow in deciding which program to implement?
A. allow members of the community to voice their shared ideas
B. develop public policy in concert with the interests and needs of the community
C. give precedence to community support provided by public servants over entrepreneurs
D. place the needs of the community above those of special interest groups
place the needs of the community above those of special interest groups
a nurse is developing an educational program about intestinal parasitic disease for a child day care staff. which of the following should the nurse emphasize to prevent transmission?
A. spray snack tables with a baking soda solution weekly
B. store children’s personal items in separate lockers
C. clean food preparation areas with soap and water daily
D. wipe changing tables with a dilute bleach solution between children
wipe changing tables with a dilute bleach solution between children
a nurse is providing immunizations for an infant in a clinic. which of the following statements made by the infant’s parent indicates a need for further teaching?
A. i can give my child Acetaminophen for fever after her immunizations
B. i should reschedule my child’s immunization if she has a cold
C. my child will need an MMR vaccine at 12 months
D. my child should not receive an influenza vaccine because she has an anaphylactic egg allergy
i should reschedule my child’s immunization if she has a cold
a parish nurses’s role include which of the following?
A. providing pharmacologic pain management for clients with terminal illness
B. planning safety services for employees in a clocal workplace
C. performing wound care for clients in their homes
D. facilitating substance abuse support groups
facilitating substance abuse support groups
a nurse has been granted funding to develop an education program that is specific to the local community. in what order should the nurse perform the following steps?
A. provide education within the context of environmental parameters
B. develop objectives that must be achieved with the education
C. select educational strategies that are appropriate for the audience
D. identify the health education needs of the community
-identify the health education needs of the community
-develop objectives that must be achieved with the education
-select educational strategies that are appropriate for the audience
-provide education within the context of environmental parameters
a community health nurse is discussing responsible behaviors with a client who has HPV. which of the following methods of transmission of HPV?
A. oral contact
B. droplet
C. airborne
D. sexual contact
E. bloodborne
-oral contact
-sexual contact
a community health nurse suspects an outbreak of scabies which of the following actions should the nurse take first?
A. educate the community about disease transmission
B. determine the incidence rate
C. institute prophylactic treatment
D. discuss treatment plans with client’s families
determine the incidence rate
a nurse is teaching a client who is newly diagnosed with active pulmonary tb about disease transmission. which of the following should the nurse include in the teaching?
A. household members should be placed in respiratory isolation
B. the client should use disposable utensils during meals
C. household members should take isoniazid (INH) for 6-12 months
D. The client should have a repeat purified protein derivative PPD test in 3 months
household members should take isoniazid (INH) for 6-12 months
a nurse at a local pediatric community clinic is prioritizing care for a group of clients. which of the following clients should the nurse see first?
A. a child who is vomiting, febrile, and has developed a petechial rash
B. an infant who has itching eyes with stringy discharge and red conjunctiva
C. a child who has diarrhea, abdominal pain, and a fever of 37.4 (99.4)
D. an infant who is irritable, pulling at her left ear, and has a fever of 38.2 (100.7)
a child who is vomiting, febrile, and has developed a petechial rash
where does smallpox first develop?
A. face
B. posterior shoulders
C. abdomen
D. lower extremities
face
a client started taking captopril 2 weeks ago. report what?
A. angioedema
B. bradycardia
C. weight gain
D. insomnia
angioedema
a community health nurse is reviewing plans for a health education program. which of the following components should be a cause for concern?
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
pamphlets are written at a 12th grade level
a home health nurse is reviewing lab values from a group of clients. which of the following findings should be reported to the provider for evaluation?
A. WBC 9000
B. T3 90
C. HbA1c 5
D. PT 15 seconds
T3 90
a female who has MS is taking mitoxantrone IV every 3 months. What should be reported for adverse effects immediately to the provider?
A. vomiting
B. sore throat
C. hair loss
D. amenorrhea
sore throat
a nurse is giving a presentation on domestic abuse at a local community center. which of the following should the nurse include in the teaching?
A. minority populations may be at greater risk for abuse
B. intimate partner abuse occurs more frequently in lower socioeconomic households
C. child abuse is more common in homes where intimate partner abuse is present
D. children who are abused are less likely to become abusers
child abuse is more common in homes where intimate partner abuse is present
a hospice nurse is assessing a family’s ability to care for a relative who has terminal cancer. which of the following findings indicates a potential barrier to the family’s ability to provide necessary care?
A. the family uses a wood stove as a primary source of heat
B. the primary wage earner in the family recently became unemployed
C. the family shares one vehicle among three adults
D. members of the family have declined a mental health consult
the primary wage earner in the family recently became unemployed
a public health nurse is providing education on how to prepare for an outbreak of avian influenza. which of the following should the nurse include in the teaching?
A. individual’s should receive the seasonal flu vaccine to minimize the risk of infection
B. individual’s should receive a single injection of the H5N1 vaccine
C. individual’s should take antiviral medication to prevent transmission
D. individual’s should have a 2 week supply of food and water at home
individual’s should have a 2 week supply of food and water at home
a nurse is working in the ED when several hundred clients injured in a train collision arrive at the hospital for treatment. the triage nurse should determine that which of the following clients is in need of immediate treatment?
A. a client who has neck pain and was transported to the hospital on a backboard
B. a client who has epigastric and left arm pain and is diaphoretic
C. a client who has nasal and orbital ecchymosis and epistaxis
D. a client who has abdominal pain and is 2 months pregnant
a client who has epigastric and left arm pain and is diaphoretic
a community health nurse should know that, in the event of a smallpox bioterrorism threat, a mass inoculation plan would first target which of the following groups of people?
A. newborns
B. mortuary workers
C. immunosuppressed clients
D. clients who have eczema
mortuary workers
who cannot carry the smallpox virus?
A. bodily fluids, such as blood or vomit
B. contaminated objects, such as bedding and clothing
C. bites from insects, such as mosquitoes
D. inhalation of droplets, such as from coughing
bites from insects, such as mosquitoes
a nurse is working in a triage area. which of the following activities is unlikely to be the responsibility o the nurse in this setting?
A. fostering positive public relations for the hospital
B. performing a complete and comprehensive client assessment
C. preventing cross contamination of infectious clients
D. educating the client and family
educating the client and family
in the aftermath of a large earthquake, a hospital’s disaster plan is put into effect. the charge nurse must assemble a list of clients that can be safely discharge home to accommodate the anticipated admission of many victims. the charge nurse knows that it is unsafe to discharge which of the following clients?
A. a client who has osteomyelitis and will require 6 weeks of IV antibiotics
B. a client who has Crohn’s disease and is 1 day preoperative for an ileostomy
C. a client who has AD 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
a client who has an ileus following spinal surgery 5 days ago and is ambulatory in a brace
what is the presence of more than one disease or health condition in an individual at a given time?
comorbidity
a nurse is caring for employees and their family members who have become ill after a company picnic. after extensive interviews and a review of the food handling practices, the nurse determines that the most likely caue of the illness was a poultry dish that had been allowed to coo to room temperature for several hours before being served. The step in the epidemiological process is called which of the following?
A. planning
B. assessing
C. implementing
D. evaluating
assessing
a public health nurse is visiting an older adult client who has chronic airflow limitation disease and is a former cigarette smoker. the client’s medications include ipratropium (Atrovent) and albuterol (Proventil) inhalers, and the client has just been prescribed home oxygen to use as needed. The nurse should recognize that the client’s primary prevention needs 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
annual influenza immunizations
a mother loses both of her children in a fire. upon learning about this the mother states “i can’t believe they are gone, how will i make it through this?” what should the nurse respond with
A. “Are you feeling overwhelmed right now?”
B. “Don’t worry, you will have plenty of help.”
C. “Can i call someone to be here with you?”
D. “Anyone who has had a loss like this would feel that way.”
“Are you feeling overwhelmed right now?”
a nurse is planning to participate in a public education program related to prevention of West Nile Virus. Which of the following instructions should the nurse include in the presentation?
A. eliminate sources of standing water
B. make sure immunizations are up to date
C. keep all pets indoors
D. spray nests with DEET
eliminate sources of standing water
a family lives near a nuclear power plant and asks if there is anything they should havve on hand in case of a nuclear diaster, what would they be referring to?
A. potassium iodide (Pima)
B. potassium cyanide
C. ciproflocxacin (Cipro)
D. atropine (atropine sulfate)
potassium iodide (Pima)
a nurse is caring for a client who has a positive Mantoux skin test following screening for TB. The nurse should inform the client that the positive reaction indicates which of the following?
A. the client has never been exposed to the terbercle bacillus
B. the client had infectious TB at one time but it is not inactive
C. the client has active TB
D. further evaluation is required
further evaluation is required
a community health nurse should be aware that demographic modifying factors influencing healthy behaviors include which of the following?
A. family health patterns
B. income and educational levels
C. self-esteem
D. perceived health status
income and educational levels
the study of health-related trend in populations for the purposes of disease prevention, health maintenance, and heath protection
epidemiology
the number of new cases in the populaiton at a specific time
incidence
the number of existing cases in the population at a specific time
prevalence
what is the process of the epidemiological process?
put it in order.
A. make the plan
B. using the gathered data, formulate a possible theory
C. determine the nature, extent, and possible significance of the problem
D. report and follow up
E. evaluate the plan
F put the plan into action
G gather information from a variety of sources in order to narrow down the possibilities
-determine the nature, extent, and possible significance of the problem
-using the gathered data, formulate a possible theory
-gather information from a variety of sources in order to narrow down the possibilities
-make the plan
-put the plan into action
-evaluate the plan
-report and follow up
a nurse manager at a community agency is developing an orientation program for newly hired nurses. when discussing the differences between community‑based and community‑oriented nursing, the
nurse should include which of the following situations as an example of community‑based nursing? (select all that apply.)
a. a home health nurse performing wound care for a client who is immobile
B. an occupational health nurse providing classes on body mechanics at a local industrial plant
C. a school nurse teaching a student who has asthma about medications
D. a parish nurse teaching a class on low‑sodium cooking techniques.
E. a mental health nurse discussing stress management techniques with a support group
-a home health nurse performing wound care for a client who is immobile
- school nurse teaching a student who has asthma about medications
what does I PREPARE stand for in determining current and past environmental exposures?
I-investigate potential exposures
P- present work
R-residence
E-environmental concerns
P-past work
A-activities
R-referrals
E-educate
medicare or medicaid?
individuals must be older than 65 years old and receiving social security, have been receiving disability benefits for 2 years, have amyotrophic lateral sclerosis and receive disability benefits, or have kidney failure and be on maintenace dialysis or had a kidney transplant to qulify
medicare
medicare has how many parts?
4
what part of medicare?
hospital care, home care, limited skilled nursing care
part A
what part of medicare?
medical care, diagnostic services, physiotherapy
part B
what part me medicare?
medicare advantage plan, a combination of A and B provided through private insurance
part C
what part of medicare?
prescription drug coverage
part D
medicare or medicaid?
provide health care coverage for individuals of low socioeconomic status and children, through the combined efforts of federal and state governments. eligibility is based on household size and income, with priority given to children, pregnant women, and those who have a disability
medicaid
medicare or medicaid?
provides inpatient and outpatient hospital care, lab and radiology services, home health care, vaccines for children, family planning, pregnancy-related care, and early and periodic screening, diagnosis, and treatment services for those younger than 21 year old
medicaid
a nurse is preparing an educational progran on cultural perspectives in nursing. the nurse should include which of the following are influenced by an individual’s culture?
A. nutritional practices
B. family structure
C. healthcare interactions
D. biological variations
E. views about illness
-nutritional practices
-family structure
-healthcare interactions
-views about illness
a nurse is caring for a client who is from a different culture than himself. when beginning the cultural assessment, which of the following actions should the nurse take first?
A. determine the client’s perception of his current health status
B. gather data about the client’s cultural beliefs
C. determie how the client’s culture can affect the effectiveness of nursing actions
D. gather information about previous client interaction with the health care system
gather data about the client’s cultural beliefs
a nurse is conducting health screenings at a statewide health fair and identifies severe clients who require referral to a provider. which of the following statements by a client indicates a barrier to accessing health care?
A. i don’t drive, and my son is only available to take me places in the mornings
B. i can’t take off during the day and the local after-hours clinic is no longer in operation
C. only one doctor in my town is a designated provider by my health maintenance organization
D. i would like to schedule an appointment with the local doctor in my town who speaks spanish and english
i can’t take off during the day and the local after-hours clinic is no longer in operation
a nurse is reviewing informaiton about the local health department to prepare for an interview. which of the following services should the nurse expect the local health department to provide?
A. managing WIC
B. providing education to achieve community health goals
C. coordinating directives from state personnel
D. reporting communicable disease to the CDC
E. licensing of RNs
-providing education to achieve community health goals
-coordinating directives from state personnel
what is the job of the state board of nursing?
A. development and overight of the state’s nurse practice act
B. establishing public health policies
C. licensure of RN and licensed practical nurses
D. overight of the stats school of nursing
E management of WIC
-establishing public health policies
-licensure of RN and licensed practical nurses
-overight of the stats school of nursing
a nurse is preparing to conduct a windshield survey. which of the following data should the nurse collect as a component of this assessment? select all that apply
A. ethnicity of community members
B. individual’s who hold power within the community
C. natural community boundaries
D. prevalence of disease
E. presence of public protection
-ethnicity of community members
-natural community boundaries
-presence of public protection
a nurse is completing a needs assessment and beginning analysis of data. Which of the following actions should the nurse take first?
A. Determine health patterns within collected data.
B. Compile collected data into a database.
C. ensure data collection is complete.
D. identify health needs of the local community
compile collected data into a database
A nurse is planning a community health program. Which of the
following actions should the nurse include as part of the evaluation plan?
A. determine availability of resources to initiate the plan.
B. gain approval for the program from local leaders.
C. establish a timeline for implementation
of interventions.
D. compare program impact to similar programs
compare program impact to similar programs
a nurse is conducting a community assessment. Which of the following data collection methods is the nurse using when having direct conversations with individual members of the community?
A. Key informant interviews
B. Participant observation
C. Focus groups
D. Health surveys
key informant interviews
a nurse is collecting data to identify health needs in the local community. Which of the following examples should the nurse identify as secondary data? (Select all that apply.)
A. Birth statistics
B. Previous health survey results
C. Windshield survey
D. Community forum
E. Health records
Birth statistics
Previous health survey results
Health records
an occupational health nurse is consulting with senior management of a local industrial facility. when discussing work-related illnesses in injury, the nurse should include which of the following factors as physical agents?
A. noise
B. age
C. lighting
D. viruses
E. stress
noise
lighting
a newly hired occupational health nurse at an industrial facility is performing an initial workplace assessment. which of the following information should the nurse determine when conducting a work site survey?
A. work practices of employees
B. past exposure to specific agents
C. past jobs of individual employees
D. length of time working in current role
work practices of employees
a nurse at a community clinic is conducting a well-child visit with a preschool-age child. the nurse should identify which of the following a a manifestation of child neglect?
A. underweight
B. healing spiral fracture of the arm
C. genital irritation
D. burns on the palms of the hands
E. poor hygiene
-underweight
-poor hygiene
a community health nurse is developing an education program on substance use disorders for a group of adolescents. which of the following should the nurse include when discussing nicotine and smoking?
A. smoking is the fifth-most preventable cause of death in the US
B. nicotine is a CNS depressant
C. withdrawal effects from smoking are minimal
D. tolerance to nicotine develops quickly
tolerance to nicotine develops quickly
a nurse at an urban community health agency is developing an education program for city leaders about homelessness. which of the following should the nurse include as the fastest-growing segment of the homless population?
A. families with children
B. adolescent runaways
C. intimate partner abuse victims
D. older adults
families with children
a nurse is preparing a community health program on communicable diseases. when discussing modes of transmission, the nurse should include which of the following as an airborne illness?
A. cholera
B. malaria
C. influenza
D. salmonellosis
influenza
a nurse is reviewing the various roles of a community health nurse. which of the following is an example of a nurse functioning as a consultant?
A. advocating for federal funding of local health screening programs
B. updating state officials about health needs of the local community
C. facilitating discussion of a client’s ongoing needs with an interprofessional team
D. performing health screenings for high blood pressure at a local health fair
updating state officials about health needs of the local community
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