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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?
a. provide nutritional counseling for students who have diabetes (3)
b. report suspected child neglect to the proper authorities (2)
c. conduct vision and hearing screening for kindergarten enrollment (2)
d. demonstrate proper handwashing techniques
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." (Weber)
b. "Use your finger to close one ear while I whisper some numbers into your other ear." (Whisper voice test)
c. "After I place this tuning fork behind your ear, tell me when you no longer hear the sound."
d. "You'll wear headphones and press the button when you hear a sound." (audiometry)
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 identify as an indication that the client understands the teaching?
a. "If I begin palliative care, I will have to stop my chemotherapy."
b. "I can begin palliative care when I have less than 6 months to live."
c. "This type of care can help me with pain control."
d. "My family will not be involved with this type of care program."
A nurse is assessing a new client. Which of the following info should the nurse include in the cultural portion of the assessment?
a. food preferences
b. employment status
c. hx of illness
d. sexual orientation
A nurse collecting demographic data as a part of a community assessment. Which of the following info should the nurse include?
a. racial distribution
b. family genograms
c. number of open water sources
d. presence of condemned buildings
A nurse is caring for a client who has AIDS and is experiencing rapid weight loss. Which of the following actions should the nurse take first?
a. examine the client's oral mucous membranes
b. encourage the client to consume 1.2-2.0 g/kg of protein daily
c. recommend the client increase her daily calorie intake by 25%
d. teach the client about findings that should be reported to the provider
A home health nurse is caring for a client who has breast cancer. Which of the following assessment findings should the nurse identify as an indication that the client is coping effectively?
a. inability to concentrate
b. makes eye contact
c. excessive sleeping
d. lack of interest in food
A home health nurse is scheduling client visits for the day. Which of the following clients should the nurse plan to visit first?
a. a client who is 10 days postop following a mastectomy and needs to have surgical staples removed
b. a client who has DM and reports new erythema to the left foot
c. a client who has COPD and needs a follow-up visit r/t home oxygen therapy
d. a client in a hip spica cast who reports pruritus under the cast
A community health nurse is assessing a group of clients for risk factors of abusive behaviors. Which of the following findings should the nurse identify as a risk factor for developing violent behavior?
a. a client states he witnessed his mother physically mistreat his father
b. a client states that her mother-in-law provides childcare while she is working
c. a client participates in volunteer activities in the community
d. a client lives in the same neighborhood where he spent his childhood years
A school nurse is teaching health promotion to a group of staff members who sit at a desk and use a comp for 8 hr at a time. Which of the following info is the priority for the nurse to include?
a. "Take a walk after work."
b. "Point and flex your toes periodically."
c. "Have your visual acuity assessed regularly."
d. "Adjust your chair so that your elbows are at desk height."
A case manager is planning an educational program for a client who has DM. Which of the following activities should the nurse include when using the psychomotor domain of learning?
a. review a color diagram of the food pyramid with the client
b. show the client a video about how to monitor blood glucose levels
c. observe the client's technique for drawing up insulin
d. give the client a pamphlet about foot care
A nurse manager at a community health clinic is presenting an in-service for nurses about assessing client for abuse. Which of the following statements by a nurse indicates an understanding of the teaching?
a. "Once I determine that a client is not at risk for abuse, I do not need to ask about it at future visits."
b. "I should not document the name of the person the client accuses of the abuse in the client's medical record."
c. "I should wait until I see signs of physical abuse before I help the client develop a safety plan."
d. "I should refer a client for a rape kit examination if she reports sexual assault within the previous 24 hours."
A nurse is teaching a client who has a new dx of hep A how to prevent the spread of the virus. Which of the following instructions should the nurse include?
a. "Rinse your toothbrush with hydrogen peroxide after each use."
b. "Clean your bathroom fixtures with a chlorine bleach solution."
c. "Used shared hand towels to dry your hands after washing."
d. "Use condoms during sexual contact for 2 weeks."
A community health nurse is developing a plan of care for a client who is Hispanic. Which of the following actions should the nurse include in the plan?
a. avoid using hand gestures when working with the client
b. use therapeutic touch during conversation
c. discourage the client from using a faith healer
d. maintain direct eye contact when speaking with the client
A nurse is conducting an educational session at an assisted living facility for a group of clients who have osteoporosis. Which of the following statements should the nurse include in the teaching?
a. "It is important to avoid weight-bearing exercises."
b. "Decrease your dietary intake of folate."
c. "Increase your daily intake of leafy green vegetables."
d. "It is important to spend 30 mins each day exposed to sunlight."
A hospice nurse is teaching about expected grief reactions with the fam of a client who has end-stage pancreatic cancer. Which of the following info should the nurse include?
a. "It is common to experience a persistent state of sadness while grieving."
b. "Disturbances in your self-esteem is an expected grief reaction."
c. "You will feel a sense of hopelessness throughout the grieving process."
d. "A component of healthy grieving is the ability to openly express your anger."
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?
a. offer classes to elementary school teachers about handwashing (2)
b. provide info to occupational nurses about the reasons for employees to not come to work (2)
c. administer antiviral meds within 48 hours to clients who have manifestations of influenza
d. provide immunizations at long-term care facilities (1)
An occupational health nurse is planning to use an interpreter during an educational session with a group of migrant workers who do not speak the same language as the nurse. Which of the following actions should the nurse take? SATA
a. instruct the interpreter to guide the nurse in providing info in a culturally-sensitive manner
b. ask the interpreter to add info she feels may be necessary
c. choose an interpreter who speaks the workers' language and dialect
d. evaluate the interpreter's approach to clients prior to the educational session
e. encourage the interpreter to paraphrase the workers' questions and responses
A nurse in a rural health clinic is caring for a client who has heart failure. The client states, "I'm not going to take any more heart medicine." Which of the following responses should the nurse make?
a. "Why did you decide to stop your heart medicine?"
b. "Can you tell me more about your decision to stop your medicine?"
c. "Don't you know what stopping your medicine will do to your heart?"
d. "Don't you think your doc knows what's best for your heart?"
A community health nurse is planning an educational program for farmers about occupational health risks. Which of the following risks should the nurse include?
a. resp disorders
c. sickle cell anemia
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?
a. less autonomy in providing client care
b. disinterest by members of the population in providing input for community health programs
c. lack of cohesiveness among community members
d. 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?
a. "I will need to purchase exercise equipment before I can start."
b. "I should try to perform aerobic exercises for 1 hr/day, 5 days a week."
c. "I will see my doc before beginning an exercise program."
d. "I should avoid participating in weight-lighting exercises."
A public health nurse is participating in a community planning committee for disaster preparedness for a local community that is at risk for hurricanes. Which of the following info should the nurse contribute to the plan?
a. a list of residents who have experienced a hurricane in the past and will not need evacuation
b. a list of areas within the community where residents speak English as a second language
c. how to activate the local medical facility's emergency-management plan
d. the name of the individual who is necessary to implement the plan
A nurse is providing BP screenings for older adult clients at a local community center. Which of the following should the nurse identify as increasing a client's risk for developing HTN?
a. BMI of less than 30
b. daily walking routine
c. African American race
d. HDL level greater than 70 mg/dL
A home health nurse is planning care for the day. Which of the following clients should the nurse visit first?
a. an older adult client who was treated in the ED last night for a stage III pressure ulcer
b. a school-age child who was treated in the ED last night with status asthmaticus
c. an older adult client who has a newly prescribed antihypertensive med and needs a BP check
d. a school-age child whose percutaneous endoscopic gastrostomy (PEG) tube needs changing
A community health nurse is working in a mobile health care clinic. Which of the following clients should the nurse assess first?
a. a client who requires removal of sutures from a laceration
b. a client who has a temp of 37.8 C (100.1 F)
c. a client who has COPD and an oxygen saturation of 92%
d. a client who has a new onset of confusion and slurred speech
A nurse in a community center is preparing to administer a tuberculin skin test to multiple clients to screen for TB. Which of the following actions should the nurse take?
a. prepare the outer aspect of the upper arm for the injection
b. insert the needle at a 45 degree angle
c. inject 0.1 mL of purified protein derivative
d. create a wheal that measures about 15 mm in diameter
A public health nurse is monitoring med compliance for a group of migrant workers who are being treated for TB. The nurse should use info from which of the following resources to assist with this process?
a. Agency for Healthcare Quality and Research (AHRQ)
b. Migrant Clinicians Network (MCN)
c. Centers for Disease Control and Prevention (CDC)
d. U.S. Preventive Services Task Force (USPSTF)
A school nurse is conducting visual acuity testing for a school-age child. Which of the following actions should the nurse take?
a. allow the child to keep her glasses on during the test
b. have the child stand 5 ft away from the Snellen letter chart
c. progress to the next line once the child reads 2 symbols correctly
d. begin the test by instructing the child to use both eyes to read the chart
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. teach a client who has a vision loss about safety in the home environment
b. provide genetic counseling to the fam of a newborn who has congenital cataracts
c. consult with the local school nurse to schedule yearly vision screenings for students
d. develop a plan of care for a client who was newly dx with glaucoma
A public health nurse is planning care for 4 clients. Which of the following interventions should the nurse recognize as tertiary prevention?
a. providing chemoprophylaxis for malaria to a client who is traveling to mosquito-infested countries (1)
b. performing a serological screening for HIV for a client who is pregnant (2)
c. participating in partner notification for a client who has an STI (2)
d. administering antibiotics to a client who has AIDS and was diagnosed with Pneumocystis jiroveci
A nurse in a county health dept is caring for a client who states, "I've been drinking too much in the evenings since my mom died last year." Which of the following responses should the nurse make?
a. "It sounds like you are probably an alcoholic."
b. "Don't you think your fam is being affected by your drinking?"
c. "Can I give you some info about AA?"
d. "I don't think your mom would have approved of your drinking."
A public health nurse is developing a presentation for local day care providers about infectious childhood diseases. Which of the following statements should the nurse include?
a. "Resp syncytial virus is spread through contact with resp secretions from an infected person."
b. "Rotavirus infections in children peak during the summer months."
c. "Children who have fifth disease will exhibit bloody diarrhea."
d. "Antiviral meds shorten the duration of a shigella infection."
A community health nurse suspects an outbreak of scabies in the local area. 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 tx
d. discuss tx plans with the clients' families
A community health nurse is discussing the concept of epidemiology with a coworker. Which of the following interventions should the nurse provide as an example of the use of the principles of epidemiology?
a. conducting screenings for dental caries in the local school system
b. reviewing county health records for data on cases of chickenpox
c. providing a client with info about preventing STIs
d. documenting med compliance for clients who have TB
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?
a. review community-specific epidemiological data
b. recommend updates to local environmental policies
c. create program goals that align with Healthy People 2020 objectives
d. distribute environmental health edu materials to community members
A community health nurse is teaching a client who was newly dx with active pulmonary TB about disease transmission. Which of the following info should the nurse include?
a. household members should be placed in resp isolation
b. the client should use disposable utensils during meals
c. household members should take isoniazid for 6-12 months
d. the client should have a repeat purified protein derivative test in 3 months
The daughter of a client who is terminally ill and at the end of life approaches a hospice nurse and asks what she can do to help relieve her father's pain. Which of the following interventions should the nurse suggest?
a. give the client brief 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 community health nurse has been contacted regarding a client dx of influenza type A in an adult day care. Which of the following actions should the nurse take to assist in the prevention of an outbreak?
a. administer antiviral med to clients at the facility -to provide immediate protection and to help prevent an outbreak
b. schedule immunizations for clients at the facility
c. recommend that the day care center close for 2 weeks
d. give immune globulin to client at the facility who have early manifestations of influenza
A nurse in a rural community is planning edu for a young adult client who is a migrant farm worker. Which of the following actions should the nurse include? SATA
a. provide environmental health info
b. refer the client for a TB screening
c. provide skin cancer info
d. recommend a dental health screening
e. provide forms to apply for Medicare
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 info?
a. mortality rate
b. attack rate
c. prevalence proportion
d. incidence proportion
A home health nurse is assessing an older adult client who is taking captopril to treat heart failure. Which of the following findings should the nurse identify as an adverse effect of this med?
a. weight gain
d. dry cough
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 first appear in which of the following locations?
b. posterior shoulders
d. lower extremities
A nurse is assessing the risk 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?
a. distributive justice
b. respect for autonomy
d. beneficence - by determining if the client needs this service to maintain his health
A nurse is conducting a home visit with a female client who reports a hx of intimate partner abuse. The nurse should identify that which of the following findings places the client at greatest risk for domestic violence?
a. the client is at 13 weeks of gestation
b. the client states she is leaving her partner
c. the client recently started a new job
d. the client visits friends without her partner's knowledge
A case manager is developing a discharge plan for a client who has a spinal cord injury and is in a rehab facility. Which of the following actions should the nurse take first?
a. hold a care conference with the client and his fam to discuss tx options
b. contact service providers to determine the availability of services offered
c. determine the client's ability to perform self-care
d. evaluate the client's satisfaction with the case manager's services
A nurse at a county health clinic is caring for a client who has recently assumed the role of primary caregiver for her mother. Which of the following statements by the client indicates that she is experiencing role conflict?
a. "I feel overwhelmed with not having enough time for my mom as well as my children."
b. "I hope my siblings will be able to visit and help care for mom for a few days."
c. "I am glad that my job is flexible, so I can accommodate my mom's needs."
d. "I don't think my partner likes having to help more with the household chores."
A nurse is planning to teach a community group about the meningococcal vaccine. The nurse should identify that which of the following clients should receive the vaccine?
a. a client who is traveling to northern Europe
b. an infant who has bronchiolitis
c. an infant who is 4 weeks old
d. a client who is moving into a college dormitory
A public health nurse is providing info to a client who has alcohol use disorder and is asking about tx. Which of the following statements should the nurse identify as an indication that the client understands the info?
a. "I will not have to completely stop drinking alcohol if I go into an inpatient tx program."
b. "Once I make it through detox, I will be free of my addiction."
c. "I am not eligible for an outpatient program until I have completed an inpatient program first."
d. "I can expect to get help with other aspects of my life while in tx."
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: resp rate 6/min, agonal pattern; cap refill time 4.5 secs; nonresponsive to painful stimuli. Which of the following actions should the nurse take?
a. turn the client to left semi-Fowler's position and begin assessing the next client
b. place a firm pressure dressing to the occiput and open the airway
c. apply a cervical spine collar and perform a focused neurological exam
d. request that the client be assessed immediately by the next available provider
[Solved] ATI Community Health Practice Assessment B1
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- Submitted On 19 Aug, 2020 12:36:27
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