RN Community Health Online Practice 2023B

A nurse in a community clinic is caring for a client. Which isolation precautions should the nurse implement?

Implement airborne precautions: place the client in a private room with negative airflow, wear an N95 mask, and keep the room doors closed to reduce transmission risk.

A community health nurse suspects an outbreak of scabies. What action should the nurse take first?

Determine the incidence rate to assess the number of new cases in the community.

A nurse caring for a client with terminal lung cancer notes denial behavior. What statement indicates denial?

Client stating, 'I'm looking forward to my daughter's wedding next year.'

A public health nurse monitors medication compliance for migrant workers with TB. Which resource should the nurse use?

Use the Migrant Clinicians Network (MCN) to maintain treatment continuity for migrant workers.

A nurse is educating on pregnancy health care. Which vaccine is safe during pregnancy?

Tetanus, diphtheria, pertussis (Tdap) vaccine is safe during pregnancy.

A nurse is administering a tuberculin skin test. What action should the nurse take?

Inject 0.1 mL of purified protein derivative to form the wheal.

A case manager is ensuring client confidentiality. What action violates confidentiality?

Leaving a clipboard with client information face up on the desk.

A community health nurse assists an adolescent with unplanned pregnancy. What action should the nurse take first?

Help the adolescent obtain a provider for prenatal care.

An occupational health nurse is using an interpreter. What actions should the nurse take?

Instruct the interpreter to provide information culturally sensitively. Choose an interpreter who speaks the workers' language and dialect. Evaluate the interpreter's approach prior to the session.

A nurse manager at a community health clinic is presenting an in-service for nurses about assessing clients who have experienced violence. Which statement indicates an understanding of the teaching?

I should determine whether a client who has been sexually assaulted requires a rape kit examination.

A community health nurse is teaching clients about environmental health hazards. What is a possible source of carbon monoxide exposure?

Gas ranges

A home health nurse is evaluating a partner's understanding of postoperative care for a client who had a total hip arthroplasty. What statement indicates an understanding of the prescribed care?

I will remind my partner to use a walker when moving around in the house.

An occupational health nurse identifies an employee with a positive Mantoux tuberculin test. What action should the nurse plan to take?

Instruct the employee that they will need to obtain a chest x-ray.

A school nurse is teaching staff members who sit for long periods. What information is a priority to include?

Point and flex your toes periodically.

A community health nurse is approached by a community member concerned about air pollution. What statement indicates a need for further education regarding confidentiality?

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

A hospice nurse is teaching about expected grief reactions with a client's family. What information should the nurse include?

A component of healthy grieving is the ability to openly express your anger.

A nurse is conducting a home visit with a client who reports partner violence. What finding places the client at greatest risk for partner violence?

The client states they are leaving their partner.

A community health nurse is planning a health education program for adults. What action should the nurse take during the program?

Provide take-home materials written at a 6th-grade level.

A community health nurse is conducting a vision screening for an older adult with macular degeneration. What statement indicates the client is adapting to changes?

I have a prescription bottle magnifier to help me read my pill bottle labels.

A school nurse is notified that a school-age child has pertussis. Which of the following actions should the school nurse take? Select all that apply.

Instruct the parent to keep the child at home for 2 weeks after the initial symptoms first present is correct. Encourage family members to obtain prophylactic treatment is correct. Quarantine the children in the child's class is incorrect. Recommend that the child receive a pneumococcal vaccine in 28 days is incorrect. Check the immunization status of the child's classmates is correct.

A school nurse is reviewing the records of four students who are returning to school after being diagnosed with methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take?

Provide education about MRSA throughout the school system.

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?

Include: 'Respiratory syncytial virus is spread through contact with respiratory secretions from an infected person.'

A nurse is assessing the risks and benefits of meal delivery services for a client who lives alone and has no transportation. Which of the following ethical principles is the nurse demonstrating?

Beneficence

A home health nurse is visiting with an older adult client. Which of the following observations indicates the need for a home modification?

There are 2 rocking chairs in the living room.

A home health nurse is caring for a client who is using acupuncture as a complementary therapy to manage manifestations of menopause. Which of the following findings indicates that acupuncture has been effective?

The client reports a reduction in hot flashes.

A case manager is planning an educational program for a client who has diabetes mellitus. Which of the following activities should the nurse include when using the psychomotor domain of learning?

Observe the client's technique for drawing up insulin.

A community health nurse is discussing the role of a faith community nurse with a chaplain. Which of the following information should the nurse include in the discussion?

The faith community nurse can facilitate substance use disorder support groups.

A nurse is assessing a new client at a public health clinic. Which of the following areas should the nurse address as part of the cultural assessment?

Illness practices

A community health nurse is working with a community where the incidence of violence has increased. Which of the following actions should the nurse take as a tertiary prevention strategy?

Provide clients who experience violence with referral information to crisis lines.

A community health nurse assessing risk factors for violent behavior should identify which finding as a risk factor?

a. A client says they were spanked as a child.

What should a nurse include in the cultural portion of an assessment?

a. Food preferences

What instruction should a nurse provide to a client newly diagnosed with hepatitis C?

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

Which alternative therapy is contraindicated for a client?

c. Kava for a client who has cirrhosis

To assess social isolation, what question should a nurse ask a client?

c. 'How often do you have visitors come to see you?'

Which client statement indicates understanding of lead exposure teaching?

c. 'I will increase the amount of red meat and milk in my child's diet.'

What is the first action a nurse should take to establish a community garden?

a. Identify community members who demonstrate an interest in the project.

What intervention should a public health nurse include in a visual health program using a community-oriented approach?

d. Consult with the local school nurse to schedule yearly vision screenings for students.

How can a community health nurse best advocate for clients unable to afford health insurance?

c. Work with local health care practitioners to establish a free clinic.

What action should a nurse take when conducting visual acuity testing for a school-age child?

a. Allow the child to keep their glasses on during the testing.

A nurse developing an educational program about bioterrorism and smallpox. Where is the smallpox rash expected to first appear?

a. Face

A community health nurse identifies an increase in osteoporosis-related fractures in menopausal female clients. What primary prevention strategy should the nurse implement?

b. Encourage the clients to participate in weight-bearing activities.

A nurse performing a home visit for a client with tuberculosis. How should the nurse respond to a neighbor's question about TB?

d. 'Do you have questions about tuberculosis?'

A nurse caring for a client taking ginkgo biloba. Which medication can ginkgo biloba alter the effects of?

d. Warfarin

A palliative care nurse teaching a client with cancer about available services. What statement indicates the client understands the teaching?

c. 'This type of care can help me with pain control.'

A hospice nurse caring for a client with dyspnea. What action should the nurse take?

c. Use a fan in the client's room.

A school nurse caring for a school-aged child. What findings in the school environment can trigger the child's diagnosis?

When recognizing cues, the nurse should identify cooking odors, air fresheners, construction with woodworking, and exhaust fumes from bus loading zone as asthma triggers.

A community health nurse implementing a telehealth program. For which clients should the nurse revise the plan of care?

When evaluating outcomes, the nurse should recognize increased costs for medical care, an unreliable internet connection, lack of an interpreter, and a low literacy level as barriers for Clients 1, 2, 3, and 4.

An occupational health nurse caring for a client. What host factors increase the likelihood of a work-related injury?

When analyzing cues, the nurse should identify age, occupation, and length of work experience as host factors.

A home health nurse reviewing a client's electronic medical record. What information should be included in the client's discharge instructions?

When taking actions, the home health nurse should instruct the client to avoid wearing tight clothing over the generator site, to record their pulse daily, and to avoid handheld wand metal detectors.

A Community Health Nurse is conducting a health promotion program for older adults. Which of the following interventions should the nurse include?

Encourage participation in regular exercise classes to improve strength and balance.

A Public Health Nurse is developing a program to address childhood obesity in the community. What should the nurse prioritize in the intervention?

Promote healthy eating habits and provide education on portion control.

An Occupational Health Nurse is assessing workplace safety for employees in a manufacturing plant. What should the nurse focus on to prevent injuries?

Implement ergonomic assessments and provide training on proper lifting techniques.

A School Nurse is conducting a vision screening for elementary school children. What should the nurse emphasize during the screening?

Ensure proper lighting for the vision test to obtain accurate results.

A Home Health Nurse is caring for a client with diabetes. What should the nurse educate the client about regarding foot care?

Encourage daily inspection of feet for any cuts or sores and emphasize the importance of wearing comfortable shoes.