ATI Capstone Leadership/Community Health Assessment

An occupational health nurse is preparing to teach a health promotion class for workers at a warehouse. Which of the following statements should the nurse include?

"Keep your abdominal muscles tightened when lifting objects."

A nurse is preparing an in-service about family violence for a group of newly licensed nurses. Which of the following statements should the nurse include in the teaching?

"The victim's risk for homicide is greatest when they decide to leave the relationship."

A community health nurse is reviewing primary prevention strategies for West Nile virus with a group of clients in a rural health clinic. Which of the following instructions should the nurse include?

Eliminate areas of standing water.

A school nurse is providing care for students in an elementary education facility. Which of the following interventions by the nurse addresses the primary level of prevention?

Teach students about healthy food choices.

A nurse is conducting a home visit with an older adult client. Which of the following observations should the nurse address to promote a safe environment?

Low chairs without armrests

A case manager completes a history and physical assessment for a client who has COPD. Which of the following actions should the case manager take next?

Identify the pt's/client's current health needs

A nurse manager is implementing a quality improvement project to reduce the number of methicillin resistant Staphylococcus aureus (MRSA) infections at the facility. Which of the following actions should the nurse manager take first

Conduct a chart review to evaluate precipitating factors of clients who develop MRSA.

A nurse manager is teaching a group of employees about standards for Quality and Safety Education for Nurses (QSEN). Which of the following statements by an employee should the nurse manager identify as an example of the QSEN concept of quality improvement?

We should start tracking how soon clients are discharged after laparoscopic versus open surgery."

A hospice nurse is providing teaching to a client who has a new diagnosis of a terminal illness and her family. Which of the following statements should the nurse include in the teaching?

"Hospice care continues to help families with grief after a death occurs."

A nurse manager is discussing electronic medical records with a newly licensed nurse. Which of the following actions should the nurse take to maintain client confidentiality? (Select all that apply.)

-Log out of the computer terminal before leaving.

-Change computer access passwords on a regular basis.

-Avoid accessing information about clients admitted to other units.

-Shred computer-generated client worksheets after use.

A nurse is completing an assessment of a recently widowed older adult client. He states he is unable to drive and is afraid to cook on the stove. Which of the following community resources should the nurse recommend?

Meals on Wheels

A charge nurse is discussing HIPAA with a newly licensed nurse. Which of the following actions should the charge nurse include in the teaching as an example of a HIPAA violation?

Emailing the client's positive hepatitis results from an unencrypted serve

A nurse manager is preparing to complete staff performance appraisals. Which of the following principles should the nurse manager consider when completing the appraisals?

Performance appraisals should be written in measurable terms.

A nurse is caring for a client and realizes they have administered the wrong medication. Which of the following actions should the nurse take first?

Check the condition of the client.

A nurse is caring for a newborn in the nursery following a circumcision. The newborn's grandparent, who does not have an identification bracelet, requests to take the newborn to his parent's room. Which of the following actions should the nurse take?

Respectfully deny the grandparent's request.

A nurse enters a client's room and finds the client pulseless. The client's living will request no resuscitation be performed, but the provider has not written the prescription. Which of the following actions should the nurse take?

Begin CPR.

A staff nurse is challenging a shift assignment with the charge nurse. Which of the following statements made by the charge nurse is an example of smoothing as a strategy to resolve conflict?

"You have a lot of experience, so I'm sure you're capable of these tasks."

A community nurse is instructing a group of newly licensed nurses about diseases that require airborne precautions. Which of the following diseases should the nurse include?

Varicella

A nurse is receiving change-of-shift report on a group of clients. Which of the following clients should the nurse assess first?

A client who has a fractured femur and reports sudden sharp chest pain

An occupational health nurse in a factory is planning interventions to reduce environmental stressors for employees. Which of the following interventions should the nurse use to affect physical agents in the environment? (Select all that apply.)

Limit the amount of time workers spend in temperatures over 43.3° C (110° F)., Provide ear plugs for use at workstations throughout the factory., Obtain dosimeters for employees to wear when using new machinery that emits radiation.

A nurse is using the ecologic model for population health to develop interventions to address HIV in a community. Which of the following interventions should the nurse include to address financial factors affecting community health?

Distribute condoms through remote community clinics.

A nurse is planning a staff education program to review nursing interventions for clients who have kidney failure. Which of the following sources should the nurse identify as the best resource for obtaining evidence-based information?

A recent peer-reviewed nursing research article

A newly licensed nurse tells a charge nurse that he is unsure about accepting telephone medication prescriptions. Which of the following providers should the charge nurse identify as having the legal ability to give telephone medication prescriptions? (Select all that apply.)

-Anesthesiologists

-Physician assistants

-Nurse practitioners

A newly licensed nurse is giving a change-of-shift report using I-SBAR to an oncoming nurse. Which of the following statements by the newly licensed nurse should be included in the "Background" portion of the report?

"The client has no living family members."

A nurse is preparing to administer the initial dose of ceftriaxone to a client who has endometritis. Which of the following statements by the client should cause the nurse to hold the medication and consult the provider?

"I have a severe allergy to amoxicillin."

A charge nurse on a medical-surgical unit is preparing to delegate tasks to a licensed practical nurse (LPN). Which of the following tasks should the charge nurse delegate to the LPN?

Administering an oral antibiotic to a client

A nurse on a rehabilitation unit is creating a plan of care for a newly admitted client who has difficulty swallowing following a stroke. Which of the following interprofessional team members should the nurse anticipate consulting regarding the client's condition? (Select all that apply.)

-Speech-language pathologist

-Occupational therapist

-Dietitian

A forensic nurse is using the epidemiological triangle to explain factors that contribute to violent behavior. Which of the following factors should the nurse identify as an environmental factor in the epidemiological triangle

Crowded living conditions

After signing an informed consent form, a client states, "I have changed my mind and do not want to have the procedure." Which of the following actions should the nurse take?

Notify the surgeon that the client wishes to withdraw informed consent for the procedure.

A home health nurse is teaching about chest physiotherapy (CPT) treatments with a client who has COPD. Which of the following client statements should the nurse identify as an indication that the teaching has been understood?

"CPT treatments will decrease my respiratory infections."

A public health nurse is developing guidelines for management of a botulism outbreak. Which of the following information should the nurse include?

Rinse skin with soap and water following exposure to the botulism toxin.

A county public health nurse is developing a list of interventions to address the three core functions of public health. Which of the following interventions should the nurse include as part of the assurance function?

Organize an immunization clinic for at-risk members of the community

A nurse is discussing organ donation with a newly licensed nurse. Which of the following statements should the nurse include in the teaching? (Select all that apply.)

-"During admission, all clients over the age of 18 should be asked about their organ donor status."

-"The National Organ Transplant Act prohibits the sale and purchase of organs."

-Documentation about the client's organ donor preference is placed in the electronic medical

A case manager at an assisted living facility is reviewing the use of complementary health practices by several clients. Which of the following actions should the case manager plan to take?

Plan to schedule time for a new client to continue tai chi practice as a stress reduction technique.

A nurse manager is teaching a group of sta members about proper body mechanics. Which of the following statements by a sta member indicates an understanding of the teaching?

"I should get assistance when lifting more than 35 pounds."

A nurse in a clinic is caring for a client who has a urinary tract infection (UTI). Which of the following prescriptions should the nurse verify with a provider?

Oxybutynin

A nurse is caring for a client who is requesting to leave the facility against medical advice (AMA). The client states, "I am ready to go immediately." Which of the following actions should the nurse take first?

Teach the client about the potential health risks of leaving early.

A nurse manager of a rural clinic is orienting a new employee. Which of the following information should the nurse include as a characteristic of rural health?

Increased rates of chronic illness

A nurse at a local health department is caring for a client who is newly diagnosed with listeriosis. Which of the following actions should the nurse plan to take?

Determine whether the condition is reportable under state requirements.

A nurse working in a mobile health clinic is assessing a migrant farm worker. Which of the following findings should the nurse identify as the priority?

Report of muscle twitching and skin rash

A school nurse is developing a teaching plan about testicular cancer for a group of clients. Which of the following information should the nurse include in the teaching?

Expect testicles to be uniform in consistency when performing a testicular self-examination.

A parent of a child who is terminally ill tells a nurse that she wants to take her child home. Which of the following responses should the nurse make?

"I can give you information on what that would involve."

During an initial visit, a home health nurse is assessing a client who has cultural beliefs different than their own. Which of the following questions should the nurse ask to determine the client's beliefs about environmental control?

"What do you think you can do to affect your health status?"

A nurse is caring for a client who has an ethical conflict about the care she is receiving. Which of the following resources should the nurse consult about resolving the dilemma?

Hospital ethics committee

A charge nurse is planning care for a group of clients on a medical-surgical unit. Which of the following tasks should the nurse delegate to assistive personnel (AP)?

Measuring hourly urinary output for a client who is postoperative

A nurse manager is asked to select clients for early discharge from the unit following a mass casualty event. Which of the following clients should the nurse manager recommend?

A client awaiting a screening colonoscopy later that day

A nurse manager on an acute care unit is preparing a staff presentation about promoting cost effective care. Which of the following strategies should the nurse plan to include in the presentation?

Educate staff about the correct use of personal protective equipment (PPE) for isolation precautions.

A nurse is providing a report to an occupational therapist about a client who weighs 210 lb and has a prescription for one-third weight bearing on the right leg to prevent injury and falls. How many kg of weight should the client bear on the right leg? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

32

A nurse in an emergency department is preparing change-of-shift report for an adult client who is transferring to a medical-surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the report? (Select all that apply.)

-The client has a do-not-resuscitate order.

-The client has a continuous IV of lactated Ringer's.

-The client was straight catheterized for 350 mL 2 hr ago.

A nurse is reviewing the medical record of a client who has a new prescription for cimetidine. Which of the following laboratory findings should the nurse identify as the priority to report to the provider?

Aspartate aminotransferase (AST) 50 units/L

A home health nurse is providing teaching to a family of a client who has seizure manifestations as a result of an inoperable brain tumor. what interventions should the nurse include in the teaching?

Pad the side rails of the bed

A nurse is planning care for a pt who follows the mormon belief system, what modifications should the nurse include to meet mormon dietary practices?

Offer noncaffeinated beverage options

A nurse is discussing organ donation with a newly license nurse, should the nurse include in the teaching? (Select all that apply)

-A donor needs to use his signature to agree to the gift of donation.

-Upon admission to the hospital it is required that all clients over 18 be questioned about organ donation.

-Documentation about giving permission or refusing to donate is placed in the EMR

A nurse manager is teaching a class about proper body mechanics during a facility's annual competency event. which of the following statements by one staff member in attendance indicates the use of proper body mechanics?

I should bend my knees when lifting objects off the floor

A nurse is planning discharge teaching for a pt who has multiple sclerosis, what action should the nurse plan to include?

Teach the pt to avoid extremes in hot and cold temps

A parent of a child who is terminally ill tells a nurse that she wants to take her child home, what response should the nurse make?

Tell me more about your desires

A community nurse is instructing a group of high school students about the transmission of hep A, what following modes of transmission should the nurse include in the teaching?

Fecal oral

A nurse is caring for a pt who has been in a motor vehicle crash and has a minor TBI, what findings should the nurse recognize as a complication and report to the provider? (Select all that apply)

-Bradycardia

-Vomiting

-Drainage from the ear

-Unequal pupils

A home health nurse is providing teaching to a pt who has a new diagnosis of a gastric ulcer and a new prescription for sucralfate oral suspension, what statements by the pt should the nurse identify as a understanding of the teaching?

I will take this medicine 1 hour before meals and at bedtime

A charge nurse working in a mental health unit is concerned that a nurse is experiencing countertransference when caring for a pt, the charge nurse should identify which of the following behaviors as an indication of countertransference?

The nurse is inattentive when spending time with the pt

A newly licensed nurse is giving a change of shift report using ISBAR to an oncoming nurse. which of the following statements by the newly licensed nurse should be included in the intro portion of the report?

The pt is a 45 year old male admitted 8 hours ago