A community health nurse is teaching a group of clients about environmental health hazards

A nurse is providing safety information to the parents of an infant. Which statement by a parent indicates the need for further teaching. a. It is important to keep out bedroom doors closed. b. The slats on our child's crib are 2 inches apart. c. I will make sure the water heater setting is no higher than 140º F. d. I will clip a pacifier onto my child's clothing during naps.

c. I will make sure the water heater setting is no higher than 140º F. 

A nurse is planning to teach a community group about the meningococcal vaccine. For which individuals is this vaccination recommended? a. An individual traveling to northern Europe b. An infant who has bronchitis c. An infant who is 4 weeks old D.  An individual moving into a dormitory setting

D.  An individual moving into a dormitory setting

A nurse is caring for a client who has AIDS and is experiencing rapid weight loss. Which actions should the nurse take first? a. Examine the client's oral mucous membranes. b. Encourage the client to consume 1.2 to 2.o g/kg of protein daily. c. Recommend the client increase daily calorie intake by 25%. d. Teach the client about findings that should be reported to the provider.

a. Examine the client's oral mucous membranes. 

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 emergency department when services are needed d. Go to the public health department when services are needed.

b. Contact Medicaid to determine eligibility 

A nurse manager is providing orientation to a nurse who is new to hospice care. Which statement indicate that the new nurse needs additional orientation? a. I will link clients with services that will assist them to continue living at home. b. I will modify a client's treatment plan as needed to maximize his independence level. c. I will provide care and education to clients in order to promote recovery. d. I will work as a member of a team to alleviate symptoms and meet the client's special needs.

c. I will provide care and education to clients in order to promote recovery.

A nurse in a rural community is planning education for a young adult client who is a migrant farm worker. Which should the nurse include in the plan of care? (Select all that apply). a. Provide environmental health information b. Conduct TB screening c. Provide skin cancer information d. Conduct dental health screening e. Provide forms to apply for Medicare

a. Provide environmental health information b. Conduct TB screening c. Provide skin cancer information d. Conduct dental health screening

A school nurse sees four students in 1 week who have to a return-to-school release after being diagnosed with MRSA. Which of the following actions should the nurse take? a. Coordinate an immunization clinic at the school b. Recommend prophylactic treatment for classmates c. Report the cases of MRSA to child protective services d. Provide education about MRSA throughout the school system.

d. Provide education about MRSA throughout the school system.

A nurse who is facilitating a support group in a community center notices that one member of the group expresses anger repeatedly. What strategy should the nurse use to facilitate the group process with this member? a. Remind the group that everyone should have a chance to participate. b. Divide the group into pairs and give each pair a topic for discussion. c. Give the member extra time to compose her thoughts before expressing them. d. Focus more on the group members who have a positive outlook.

d. Focus more on the group members who have a positive outlook.

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 med? a. Weight gain b. Ataxia c. Photophobia d. Dry cough

A home health nurse is talking with a client whose partner died 3 months ago. The client states, "I still can't believe my partner is gone sometimes." Which is an appropriate nursing response? a. Many people experience these feelings while grieving for a lost loved one. b. Just give yourself some more time, and you'll feel better. c. Tell me more about how you're feeling. d. I will schedule an appointment for you with the leader of your church.

c. Tell me more about how you're feeling.

A clinic nurse manager is developing an education program on tuberculin skin testing. The nurse should include that which of the following can cause a false-negative result. (Select all that apply). 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 substance

a. Advanced HIV or AIDS c. Time between exposure and screening d. Age of the client

Community leaders have requested a meeting with a community health nurse to discuss creating a mobile meals program. What should the nurse assess first? a. The need for the program b. The accessibility of residences c. The availability of volunteers d. The leadership of the community

a. The need for the program 

The daughter of a client who is terminally ill and at the end of life approaches the hospice nurse and asks what she can do help relieve her father's anxiety. Which of the following interventions should the nurse suggest. a. Give the client hand massages b. Increase the illumination in the room c. Place a warm cloth on the client's forehead d. Administer citalopram when the client is agitated

a. Give the client hand massages 

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? a. Mortality rate b. Attack rate c. Prevalence proportion d. Incidence proportion

A nurse working for a non-profit organization with limited resources is asked to develop an education program that will benefit a supporting agency's employees. The nurse was planning another program to benefit more people in the community. Which of the following is an ethical tenet the nurse should follow in deciding which program to implement? a. Allow members of the community to voice their shared ideas. b. Develop public policy in concert with the interests and needs if 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 group.

d. Place the needs of the community above those of special interest group.

A community health nurse is asked ti give a health education program to a group of African American men age 40 to 75. Considering the health concerns of this group, which of the following topics is most important to include in the program? a. Prostate cancer screening b. Diabetes screening c. Depression screening d. Skin cancer screening

a. Prostate cancer screening 

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.

a. Investigating local health hazards 

A newly licensed nurse is performing a community assessment. While collecting secondary data at the library, the nurse is approached by a community member who is concerned about air pollution. Which of these statements by the nurse indicates a need for further education regarding confidentiality? a. Records indicate that several pesticides have been entering the local streams causing significant water pollution. b. According to the latest research, there is an infant mortality ratio of 6.7 per 1,000 live births in this community. c. The circulation supervisor at the library is concerned about the amount of air pollution coming from the town's industrial corridor. d. Residents near Cherry St. Substation have a mortality rate of 29.6% from brain tumors compared to the citywide rate of 9.2%.

c. The circulation supervisor at the library is concerned about the amount of air pollution coming from the town's industrial corridor. 

A nurse is providing education regarding lead exposure to a group of clients who live in a subsidizes housing development built in 1968. Which of the following client statement

A nurse in a community health center is talking with a client who is receiving treatment for an opioid addiction. Which of the following statements by the nurse is appropriate for encouraging the client to attend 12-step meetings? a. You'll find that Narcotics Anonymous will help you regain power over your addiction. b. Narcotics Anonymous will help you take responsibility for the symptoms of your disease. c. At Narcotics Anonymous, your willingness to change will be crucial for your sobriety. d. At Narcotics Anonymous, you'll learn to maintain control by never admitting to defeat.

c. At Narcotics Anonymous, your willingness to change will be crucial for your sobriety. 

A community health nurse is providing education to a group of children who have asthma. Which of these 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.

b. I will stay indoors during cold weather

A school health nurse is caring for an adolescent newly diagnosed with type 1 DM. Which of these actions are appropriate to include in the client's plan of care? a. Consult with a dietician to determine an appropriate school lunch for the client. b. Encourage the client to have a snack 3 hr prior to physical activities. c. Provide weekly updates on the client's condition to the insurance provider. d. Obtain specimen to test for ketonuria daily.

a. Consult with a dietician to determine an appropriate school lunch for the client. 

A nurse is planning health promotion activities for the local community. Which of the following is an example of primary prevention? a. Teaching foot care to adults who have DM. b. Testing school-age children for lead exposure. c. Providing TB screenings for day care providers. d. Teaching meal planning classes to older adults.

d. Teaching meal planning classes to older adults.

A community health nurse is providing care to a client who has stopped taking his prescribed BP medication. Which of these actions should the nurse take first to promote adherence to treatment? a. Inform the provider of the client's decision. b. Determine the client's reason for discontinuing the medication. c. Discuss the consequences of discontinuing the medications with the client. d. Provide the client with an educational pamphlet about the medication.

b. Determine the client's reason for discontinuing the medication. 

A clinic nurse is caring for a client who reports taking ginkgo biloba for several weeks since seeing a naturopathic healer. The nurse should instruct the client that ginkgo biloba may alter the effects of which of these medications? a. Warfarin b. Metoprolol c. Digoxin d. Diltiazem

A community health nurse is providing anticipatory guidance to a group of adolescents. To reduce premature deaths in this age group, which of these topics would be most important to discuss? a. Underage smoking b. safe sex practices c. Safety belt use d. Heart healthy diet

A nurse in a community health center is talking with the parents of an adolescent who is concerned that her son seems depressed and is giving away his favorite belongings. Which of these actions should the nurse take? a. Tell the parents that it is common for adolescents to lose interest in their belongings. b. Explain that what might seem like depression is probably typical teenage boredom.

c. Talk with the adolescent about trying to be more cooperative and appreciative. d. Determine if the adolescent has considered harming himself.

A community health nurse is caring for a client who has a new diagnosis for Lyme disease. The requirements for reporting Lyme 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 and Prevention

A community health nurse has conducted a teaching session about breast self-examination. Which of these best indicates whether or not the teaching was effective? a. Completion of a written quiz b. Verbalization of the steps in the process c. Demonstration on an breast model d. Self-evaluation of the teaching session

c. Demonstration on an breast model 

A school nurse is helping a student schedule speech therapy and physical therapy appointments that do not interfere with the student's academic schedule. This is an example of which of the following roles of the school nurse? a. Health educator b. Case manager c. Counselor d. Consultant

A school nurse is notified that an elementary school child is newly diagnosed with pertussis. Which of these actions should the 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 immunization status of the classmates

a. Instruct the parent to keep the child home until the coughing stage has passed. b. Encourage family members to obtain prophylactic treatment. e. Check the immunization status of the classmates

A client asks a home health infusion nurse the difference between a peripheral IV line and a peripherally inserted center catheter (PICC) for long-term venous access. Which of these responses is appropriate? a. Blockages do not form in the central catheters like they do in peripheral catheters. b. There won't be any infections in your arm from the central catheter. c. The central catheter does not require flossing like the peripheral catheter does. d. The central catheter does not require replacement as often as the peripheral IV.

d. The central catheter does not require replacement as often as the peripheral IV. 

A nurse is collecting demographic data as 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.

A community health nurse is planning an in-service about sexually transmitted infections to a group of adolescents. Which of the following clinical findings should the nurse include as manifestations of primary syphilis? a. Malaise b. Maculopapular rash on palms c. Chancre d. Lymphadenopathy

A nurse is developing a community education program about risk factors for family violence. The nurse should include which of the following circumstances as a risk factor for becoming a victim of intimate partner abuse. a. Attempting to end the relationship with their partner b. Lacking supportive friends outside the relationship c. Having health issues that limit independence d. Taking anti-anxiety or sedative medications

a. Attempting to end the relationship with their partner 

A nurse in a clinic is planning teaching for a client who is newly diagnosed with hepatitis C. Which of these instructions should the nurse include in the teaching? a. Consume a low carb diet until symptoms resolve. b. Schedule an appointment for an immunoglobulin injection. c. Abstain from sexual intercourse until antibody tests are negative. d. Wear a mask in public places while receiving treatment.

c. Abstain from sexual intercourse until antibody tests are negative. 

A community health nurse is preparing a community presentation about the epidemiological triangle. Which of the following elements is a host? a. Salmonella on a wood cutting board b. A raccoon with rabies c. A farm containing pesticides d. A factory with high noise levels

A public health nurse is providing an educational program about inhalation anthrax to a group of first responders in the community. Which of the following statements by a member of the group indicates an understanding of the teaching? a. Inhalation anthrax is highly contagious b. A person exposed to inhalation anthrax my develop a dry cough c. The drug of choice to treat inhalation anthrax os Ciprofloxacin (Cipro). d. The fatality rate for untreated inhalation anthrax is about 65%.

b. A person exposed to inhalation anthrax my develop a dry cough 

A community health nurse is conducting an educational program for parents about the effects of pollution on preschool age children. Which of these statements by a parent indicates an understanding of the teaching? a. Children drink fewer fluids for their body weight than adults, so they take in fewer toxins. b. The kidneys filter toxins at a greater rate in children than in adults. c. Children breathe more rapidly than adults, which increases their exposure to air pollutants. d. Outdoor air pollutants are more likely to trigger asthma attacks than indoor air pollutants.

c. Children breathe more rapidly than adults, which increases their exposure to air pollutants.

A home health nurse is caring for an older adult client who has DM complicated by severe peripheral neuropathy. Which of these instructions should the nurse provide the client to avoid injury to the feet and lower legs? (Select all that apply) a. Test bath water with a thermometer before entering. b. Wear shoes that extend 0.64 cm (1/4 in past the longest toe. c. Use a dry heating pad to enhance circulation in feet. d. Inspect feet for areas of redness daily. e. Monitor temperature of feet and lower extremities for changes.

a. Test bath water with a thermometer before entering. d. Inspect feet for areas of redness daily. e. Monitor temperature of feet and lower extremities for changes.

Which of the following activities done by a nurse is considered public health nursing? a. Reviewing morbidity and mortality data for the community b. Caring for new mothers and infants c. Reviewing the medications prescribed for an older adult couple d. Providing allergy shots to school-age children

a. Reviewing morbidity and mortality data for the community

A community health nurse is visiting a family that has newborn twins and two school-age children. The parents tell the nurse they are emotionally and financially overwhelmed. Which of these referrals are appropriate? (Select all that apply) a. Postpartum support group b. Women, Infants, and Children (WIC) program c. Child Protective Services (CPS) d. Medicare Part B e. Free school lunch program

a. Postpartum support group b. Women, Infants, and Children (WIC) program e. Free school lunch program

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? a. Suction the client's oropharynx. b. Encourage the client to take sips of water frequently. c. Use a fan in the client's room. d. Offer small portions of the client's favorite foods.

c. Use a fan in the client's room

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, and rubella

b. Tetanus, diphtheria, pertussis 

A nurse at a Rehab facility is providing discharge teaching for a client who is recovering from a stroke. Which of these statements should the nurse include? a. Your family should provide the majority of your care to ensure that your needs are met. b. You should contact outpatient therapy to schedule an admission assessment within two weeks. c. You should use a hand-held mirror to improve your ability to see objects around you. d. You should focus on dressing and caring for the unaffected side of your body first.

c. You should use a hand-held mirror to improve your ability to see objects around you. 

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 range c. Vented gas heaters d. Electric spare heaters

d. Electric spare heaters

A home health nurse is planning care for the day. Which of these clients should the nurse visit first? a. An older adult client who was treated int he ER last night with a Stage III pressure ulcer b. A school-age child who was treated in the emergency department last night with status asthmatics. c. An older adult client on a newly prescribed anti-hypertensive who needs a blood pressure check d. A school-age child whose percutaneous endoscopic gastrostomy (PEG) tube needs changing.

b. A school-age child who was treated in the emergency department last night with status asthmatics. 

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 these 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

d. The client will be tested for Hepatitis A virus

A community health nurse is planning a presentation to aging adults who have a family history of Alzheimer's disease. The nurse should include that which of the following behaviors is an early manifestation of the disease? a. Withdrawal from social activities b. Difficulty learning new things c. Loss of language skills d. Neglecting personal hygiene

b. Difficulty learning new things 

An occupational health nurse is assessing a client who reports taking ibuprofen daily for several years. The nurse should counsel the client on the risk for which of these conditions? a. Gastric ulcerations b. Orthostatic hypotension c. Hyperglycemia d. Urinary retention

What is the role of the community health nurse quizlet?

What is the role of the community health nurse in partnership with community stakeholders?

What will the nurse do to address the client's hydration needs?