Community Health Exam 3 (Revised)

social and emotional school climate

The school nurse is evaluating the health program for possible updates in the school district. Which component should the nurse address to ensure safe and supportive learning environment for the student?

health professional shortage area

The nurse visits a community health clinic in a remote rural area, at which emergency care is not provided because the facility lacks the medical staff necessary to offer such services. Which category will be MOST appropriate for this clinic?

monitor the son for signs of stress and frustration

The community health nurse is meeting with a client and caregiver, the eldest son. The nurse notes the son is spending approximately 15 hours a week at the parent's home to take care of various tasks. The son lives about 12 blocks away and has two older adolescent children. Which action should the nurse prioritize in this situation?

physical activity

Childhood obesity rates are highest among low income populations, racial minorities, and rural youth. What is an ecologic health promotion strategy that would be most appropriate for the obesity problem in these populations?

gather additional data by taking a health history and measuring vital signs

A 12 year old female is seen by the school nurse after recently experiencing increasing difficulty sitting still and paying attention in class, and increasingly illegible handwriting. The nurse observes that the child has protruding eyeballs and a staring expression.

What action should the nurse take next?

(1) Access to quality healthcare,

○ (2) Heart disease,

○ (3) Diabetes,

○ (4) Mental health and mental disorders

The nursing student is creating a poster which will depict the top rural health providers to meet the goals of Healthy People 2020. Which order (from 1 to 4) should the student list

the goals on this poster?

autonomous practice and independent decision making

A student nurse is considering a carer as a school nurse. Which skills are required that combine practice type and decision making that this student must learn?

true

Approximately 25% of the population lives in rural areas of America, and 10 % of physicians are available to care for this population

set goals that are focused on developing healthier lifestyles

when asked to develop interventions to combat obesity in children in school, the nurse should stress the importance of:

An area with a lack of medical care services due to too few healthcare providers,

high poverty, and poor health outcomes

The public health nurse is relocating to an area that is currently classified as a medically underserved region. Which situation will the nurse MOST likely encounter in this new position?

an area with a lack of medical services as determined by the number of primary

care medical physicians per 1,000 population, infant mortality rate, percentage of

the population with incomes below the poverty level, and percentage of the

population 65 years in age and older

Which most accurately defines a medically under served area?

○ Grimacing or strained facial expression;

○ Diaphoresis;

○ Moaning or groaning at rest or with movement

new 2025...Pain control is crucial to the delivery of end of life care. What are some signs of pain that the nurse should carefully assess? Select all that apply

all the above (physical services, nursing care, hospice aide services, social

worker services)

The collaborative care team at Pine Pointe Hospice includes:

Schedule a conference with the client's parents to discuss how to collaboratively

manage her blood glucose level and encourage her to select appropriate foods in

the cafeteria for lunch.

The school nurse has a student who is 12 years old and has Type 2 diabetes. As a client advocate, which is the most appropriate nursing action?

don gloves

A client has just been pronounced dead. Which action should be prioritized?

living room and bedroom

The home health nurse has to ensure that a safety plan is in place to address falls. Based on statistics that 55% of fall- related injuries occur inside the home which two areas should the nurse prioritize for safety concerns?

create an individual health plan

new 2025 school- A child attending elementary school is newly diagnosed with type 1 diabetes and the child has been in the hospital for a week. The child's parent calls the school nurse to discuss how to integrate the child back into school. What should the

nurse do first?

road traffic accidents

According to the World Health Organization (WHO) data, the leading cause of death in adolescents is:

Administer well child checks and give immunizations

According to the national Association of School Nurses, school nurses do all of the following except:

true

new.....The purpose of a healthcare proxy or durable power of attorney for healthcare is a person designated to make medical decisions for the client if they are unable to

Where it hurts on the child's head;

○ Whether the pain is constant, throbbing, or intermittent;

○ How bad the pain is on a scale of 1-10

An elementary school student comes to the school nurse's office reporting a headache. Which subjective data should the nurse prioritize in the nursing assessment? (select all that apply)

Encourage the parent to continue the appropriate care

The nurse is meeting with a parent who is learning how to manage the care of the 8 year old child who has been diagnosed with muscular dystrophy. Which action by the nurse will best portray the parent's ability to provide the best care for this family?

○ ( ALL THE ABOVE )

○ Track the spread of influenza throughout the school year;

○ Provide counseling for students with mental health concerns;

○ Assist children with diabetes with insulin pumps;

○ Screen for scoliosis;

○ Respond to traumatic injury in the playground

New ...The school nurse role includes (select all that apply)

3

order=Synthroid 0.3 mg po daily: on hand =Synthroid 100 mcg. per tab (0.1 mg.)

● how many tabs will you give?

false

The medical and nursing care client outcomes and care goals at Pine Pointe Hospice include giving compassionate care, giving comfort care, and using all measures to extend life

Individuals with higher education tend to live longer, healthier lives

school new 2025...The head nurse of a school district is discussing the importance of increasing the rate of high school graduates among students. What should the head nurse give as a rationale for this goal?

assessment of a playground injury

the school nurse is kept busy at school with a large student population. Which individual health assessment would a school nurse most likely perform throughout the year?

true

nearly one fourth of our population live in rural areas, yet only about 10% of physicians practice in rural areas

true

new....A living will describes the client's wishes regarding treatment intended to sustain life

Defining the area as medically underserved

Health Resources and Services Administration (HRSA) impacts a neighborhood need by:

○ Sexual behaviors related to unintended pregnancy;

○ Alcohol and drug use;

○ Inadequate physical activity

The nurse is reviewing the Youth Risk Behavior Surveillance Survey (YRBSS). Which risk factors can the nurse find data about in the survey? Select all that apply

awareness

When speaking with an older person in a rural community about their life long smoking habit, the nurse is alarmed to learn that they never heard cigarette smoking is a major cause of lung cancer. This scenario exemplifies which of the seven As of challenges to

elders in rural areas?

○ Providing the client with a foot massage;

○ Administering ordered analgesics;

○ Clearing secretions from the client's airway

The nurse provides palliative care to a client with end stage renal disease and a chronic upper respiratory infection. Which interventions should the nurse ensure are included in this type of care? (select all that apply)

○ Listen actively as the family members speak;

○ Construct an ecomap of the family;

○ Ask family members to prioritize their needs and to express their expectations

regarding nursing care;

○ Point out the strong relationships they enjoy in their family and explain how they

will help them cope with the health issue of concern

The nurse is conducting a 15 minute interview with a family. Which actions should the nurse prioritize during this interview? (select all that apply)

Drug possession and trafficking

A nurse is assessing a client who was recently released from prison. Which crime would the nurse most suspect that the client may have committed?

○ Unintentional injury;

○ Sexual behaviors;

○ Alcohol use

○ inadequate physical activity

The Youth Risk Behavior Surveillance Survey (YRBSS) outlines common risk behaviors influencing the health of the nation's youth. Which factors should the nurse anticipate noting in this survey? (select all that apply)

true

The homeless populations often include the disabled, those with substance abuse, and the mentally ill

diabetes

According to the WHO website on adolescents: Health Risks and Solutions, the main

health issues facing the 10-19 year old population worldwide include all of the following

EXCEPT:

false

common themes of underserved populations include making poor choices and having the wrong priorities on the part of individuals, families, and populations

false

In the state of Georgia, it is legal for a school nurse to administer a "breathing treatment" (albuterol) to a child who is wheezing, and that child has not been diagnosed with asthma

Determining how well the family functions

the community health nurse meets with families of all types. With each family, the nurse takes the time to discover each member's place and function within the family structure.

Which concept is the nurse utilizing with this action?

Thinning of the skin with loss of elasticity

A home health nurse knows that a 70 year old male client who is convalescing at home following a hip replacement is at risk for developing decubitus ulcers. What physical characteristic of aging contributes to such a risk?

0.5

Amoxicillin tab 500 mg. po times one dose at 0800. On hand- Amoxicillin tab 1 GM.

Give ___ tabs

morphine for pain management

new 2025 The chart of a client with brain cancer notes "CMO" (comfort measures only). Which intervention should the nurse MOST expect this client to receive?

○ Assess medications;

○ Assist with positioning;

○ Use relaxation therapies such as music

new- 2025 A client who is dying of cancer has severe nausea and vomiting for the past 24 hours. The client has an anti-emetic prescribed. What actions by the nurse are appropriate? Select all that apply.

Impaired physical mobility related to muscle rigidity and weakness

The home health nurse is admitting a client with Parkinson's disease to the home health care service. In planning care for this client, which nursing diagnosis has priority?

Conduct a windshield survey of the geographic areas served by the school

After accepting the position of school nurse in a public elementary school, what is a first step that would help the nurse to obtain an overview of the community and help the nurse to understand the student body as a whole?

Explore current programs to prevent bullying

The community health nurse addresses cyber or electronic bullying in the local middle schools. The most appropriate first step in establishing a policy is to:

true

A school nurse would be in a good position to recognize both children being victimized and children perpetrating violence

true

abuse of alcohol and use of smokeless tobacco is a significant problem among rural youth. Rural 8th graders are twice as likely to smoke cigarettes (26.1% vs. 12.7% in large metro areas.

physical therapy

The nurse is preparing to discharge an elderly widowed female client who lives alone, following a mild stroke. At this time, she is able to walk with the aid of a walker. As part of the discharge planning, what referral is most important for the nurse to make?

Pastoral care, grief support, physical therapy, or meals on wheels