Description

NR 442 RN Community Health Practice Assessment B (50 Items)

1. A nurse is assessing a new client. Which of the following information should the nurse include in the cultural portion of the assessment?
2. 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 for tertiary prevention?
3. Anurse is collecting demographic data as a part of a community assessment. Which of the following info should the nurse include?
4. A community health nurse suspects an outbreak of scabies in the local area. which of the following actions should the nurse take first?
5. A public health nurse is planning care for four clients. Which of the following interventions should the nurse recognize as tertiary prevention?
6. 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 medication?
7. 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?
8. A public health nurse is providing information to a client who has an alcohol use disorder and is asking about treatment. Which of the following statements should the nurse identify as an indication that the client understands the information?
9. 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?
10. 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?
11. 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?
12. 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?
13. 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?
14. A public health nurse is developing a presentation for local daycare providers about infectious childhood diseases. which of the following statements should the nurse include?
15. 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?
16. 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?
17. A case manager is delivering a discharge plan for a client who has a spinal cord injury and is in a rehabilitation facility. Which of the following actions should the nurse take first
18. A home health nurse is scheduling client visits for the day. which of the following clients should the nurse plan to visit first?
19. A home health nurse is scheduling client visits for the day. Which of the following clients should the nurse plan to visit first?
20. A community health nurse is teaching a client who was newly diagnosed with active pulmonary tuberculosis about disease transmission. Which of the following information should the nurse include?
21. Monitoring medication 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?
22. A school nurse is teaching health promotion to a group of staff members who sit at a desk and use a computer for 8 hrs at a time. Which of the following information is a priority for the nurse to include?
23. “Once I determine that a client is not at risk for abuse, I do not need to ask about it at
24. 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: respiratory rate 6/min, atonal pattern; capillary refill time 4.5 seconds; non responsive to painful stimuli. Which of the following actions should the nurse take?
25. 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?
26. 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?
27. 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?
28. Instruct the interpreter to guide the nurse in providing information in a culturally-sensitive manner. Ask the interpreter to add information she feels may be necessary.
29. Choose an interpreter who speaks the workers’ language and dialect. Evaluate the interpreter’s approach to clients prior to the educational session. Encourage the interpreter to paraphrase the workers’ questions and responses.
30. 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.
31. Which of the following actions should then use take? (Select All That Apply)
32. The nurse is giving information to the client, which conveys a sense of caring.
33. The individuals living in crowded areas, such as dormitories, should receive the meningococcal vaccine.
34. A nurse is conducting a home visit with a female client who reports a history of intimate partner abuse. The nurse should identify that which of the following findings places the client at greatest risk for domestic violence?
35. A nurse is assessing the risks and benefits of meal delivery services for older an older adult who lives alone and has no transportation. Which of the following ethical principles is the nurse demonstrating?
36. A school nurse is conducting visual acuity testing for a school-age child. Which of the following actions should the nurse take?
37. A PHN 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?
38. 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?
39. A nurse is providing blood pressure screenings for older adults as a local community center. Which of the following should the nurse identify as increasing a client’s risk for developing HTN? African American
40. A PHN is participating in a community planning committee for disaster preparedness for a local community that is at risk for hurricanes. Which of the following information should the nurse contribute to the plan?
41. A CHN 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?
42. 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?
43. A CHN has been contacted regarding a client diagnosis of influenza type A in an adult day care. Which action should the nurse take to assist in the prevention of an outbreak?
44. Administer antiviral medication to clients at the facility:
45. 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? (SATA) Provide environmental health information. Refer the client for a TB screening. Provide skin cancer information. Recommend a dental health screening.
46. 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? Face Posterior shoulders Abdomen Lower extremities
47. A CHN 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?
48. A nurse in a rural community is planning education for a young adult clean (particularly for ACT/SAT planning. Which of the following actions should the nurse take?