RN Community Health Online Practice 2019 B (2) (50 Questions and Answers With Rationale

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RN Community Health Online Practice 2019 B (2) (50 Questions and Answers With Rationale A community health nurse (chn) is conducting a needs assessment of a community. the nurse should ID that whic... h method will yield direct data {{Answer:- Informant interviews Rationale: The nurse should identify that informant interviews with community members or leaders will provide direct data. This information can help the nurse identify services needed by the community. Other: Secondary data - medical records, health surveys, vital statistics A home health nurse (hhn) is evaluating a caregiver's technique for providing care to a client who has a chronic tracheostomy. {{Answer:- I will use tap water to clean the inner cannula Other: - leave the old ties in place until the new ones are secured to prevent accidental displacement of the tracheostomy tube. - use a square knot when securing the ties to avoid accidental displacement of the tracheostomy tube. - The caregiver should fold the 4 inch x 4 inch (10 cm x 10 cm) gauze dressing before placing it at the tracheostomy site. Cutting the gauze can result in fine fibers being aspirated. A nurse is assessing the risks and benefits of a meal delivery services for an older adult client who lives alone and has no transportation. Which ethical principle? {{Answer:- beneficence Rationale: determining if the client needs this service to maintain their health Other: - Distributive justice - by fairly determining which clients should receive meal delivery when there are a limited amount of services available for clients. - Respect - for autonomy by asking the client if they want this service and respecting the client's choice. - Fidelity - following through with initiating a referral, if it is determined that the client needs the service. A chn suspects an outbreak of scabies in the local area. Which action should the nurse take first {{Answer:- Determine incidence rate Rationale: The first action the nurse should take when using the nursing process is to perform an assessment. The nurse should determine the number of new cases of scabies in the community for comparison to prior incidence data in order to monitor for an increase. Other: - educate the community about disease transmission to prevent further cases - important to institute prophylactic treatment to prevent infestation - discuss treatment plans with the clients' families to promote adherence to treatment A case manager at a home health agency is obtaining equipment for a client's home use. Which action is a violation of confidentiality {{Answer:- left a clipboard with prescription info face up on office desk Rationale: When using a clipboard, the case manager should place the clipboard on the desk face down so that a client's personal health information is not visible to other individuals. Other: - The automatic sign-off is a safety mechanism that helps to safeguard client information. The computer will automatically sign off a user's account after a predetermined length of time so personal health information is not left visible to the public. - Fax machines with programmed speed dial keys can help eliminate a misdial, preventing the misdirecting of personal health information to the wrong location. - The case manager can share the client's name with the equipment company because they will be a part of this client's health care team. Only those who will have direct involvement in the client's care can have access to a client's personal health information. [Show More]

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