COMMUNITY HEALTH PROCTORED EXAM-STUDY GUIDE(LATEST)

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A Community health nurse is providing teaching about nutrition guidelines to a group adolescents. Which of the following Information should the nurse include in teaching ? A. Adolescents have a decre... ase need for calcium due to high milk intake B appetite naturally increases during the Adolescent years C 75% of adult bone mass is developed during the Adolescent years D empty calories provide 70% of the total calories consumed by adolescents 2. An occupational health nurse is caring for a client who does not speak the same language as the nurse. Which of the following actions should the nurse take first? 1. Validate the clients Understanding of communicated information 2. determine the client's primary language 3. Use common words and phrases when speaking to the client 4. Obtain a translator that is the same gender 3. A case manager is caring for a client who is being discharged following total hip arthroplasty. Which of the following actions is an example of the nurse functioning in The Negotiator role. 1. providing social service with the list of needed referrals 2. reporting safety concerns to the Home Health agency 3. discuss payment options with various pharmacies 4. schedule appointments for physical therapy services 4. A nurse manager is providing teaching to a newly licensed nurse about Mantoux testing. Which of the following clients should the nurse manager include as an example of a client who might manifest a false positive reading. A client who has lived in a country where tuberculosis is endemic B a client who has undergone radiation therapy within last 3 years C a client who has acquired immune deficiency syndrome D. a client who has received the Bacille Calmette-Guerin vaccine within the last 10 years 5.A school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include ? Select all that apply 1. Lobbying 4 funding for health promotion efforts 2. recommending a seating arrangement for a child in a body cast 3.teaching a class about the risks of cigarette smoking 4.Create a plan of care for children who have a diagnosis of diabetes mellitus 5. Organizing a program to promote skateboard safety 6 A recently hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect physical hazards? 1. Identify industrial toxins that are present in the environment 2. measure noise levels at various locations in the facility 3. track rates of illness caused by infection among employees 4. survey workers about job-related emotional stress 7.Hospice nurse is planning care for a client who follows traditional American Indian practices. Which of the following actions should the nurse take? 1. Discuss safe use of herbal medications 2. provide direct eye contact when communicating with the client's family 3. face the clients bed towards the east 4. develop a list of appropriate hot and cold food choices 8.A community health nurse is working with a group of homeless veterans who have post- traumatic stress disorder. Which of the following interventions should the nurse implement? 1. provide coffee and snacks during the meetings 2. avoid discussing the traumatic event experienced by the veterans 3. teach the clients to practice deep breathing exercises 4. change the meeting sites frequently 9.A group of technicians from a local automotive repair shop presents to an urgent care clinic with reports of dizziness, headaches, and nausea. After Providing need to care for the clients which of the following government agencies should the nurse notified to follow up on these report ? 1. OSHA 2. Center for Disease Control 3. Environmental Protection Agency 4 Department of Health and Human Services 10A nurse is providing teaching to a 50 year old female client. Which of the following statement should the nurse include in teaching? 1. You should have your fasting blood glucose level checked every 6 years 2. You should have your hearing screen every 5 years 3. you should have complete eye examination every two years until the age of 64 4. you should have your stool tested for blood every other year until the age of 74 11.A nurse is caring for a client who asks, “can I decide not to continue with chemotherapy?” The nurse responses, this is your choice, and I'll support whatever decision you make. The nurses response is example of which of the following ethical principles? 1. beneficence 2. Nonmaleficence 3.Veracity 4.autonomy 12.A nurse manager that clinic is reviewing the preventive services offered to clients. Which of the following activities should the nurse identify as secondary prevention activity? 1. Advocate 4 laws that prohibit texting while driving 2. provide a smoking cessation class 3. refer a client who is recovering from substance abuse disorder to a social service program 4. and hers are pregnant client to participate in prenatal care 13.An occupational health nurse is discussing how promotion with a client who has a history of obesity. Which of the following comment indicates the client is using rationalization as a coping mechanism? 1. I am obese because it is in my genes 2. I know you don't like me because I'm obese 3. I have lots of health problems from being obese 4. I have difficulty resisting the items in vending machine 14.A home health nurse is evaluating an older client. Which of the following assessment findings should the nurse report as a possible indicator of elder abuse? 1. The client attends Alcoholics Anonymous meetings 2. the client exhibits extreme thirst 3. the client receives in home meal delivery 4. The client reports that his son no longer visits 15. A nurse in a Health Department is participating in immunization clinic. The nurse should identify that which of the following children requires an alteration in the standard immunization schedule? 1. An 18 month old toddler who has failure to thrive 2. a three year old toddler has leukemia 3. a four-month-old infant who has Down syndrome 4. a 12 month old infant who has sickle cell disease 16.The partner of an older adult client who has Alzheimer's disease reports that he is not eating. The home health aide tells the nurse that the client partner refuses to assist the client with feeding. The partner insist that the client feed himself without help. Which of the following is the priority action of the nurse should take? 1. Determine the client's ability to self feed 2. Refer the clients partner to an Alzheimer's support group 3. arrange for meals-on-wheels assistance 4. Direct the home health aide to assist with meals 17The first response team is working at the location of a bombing incident. A nurse triaging in the group of clients should give treatment priority through which of the following clients? 1. A client who has ambulatory and Exhibits manic behavior 2. a client who has rigid abdomen and manifestations of shock 3. A client who has a femur fracture and a 2 + pedal pulse 4. A client who has a superficial partial thickness burn injuries over 5% of his body 18.a client arrives at a mental health clinic and tell the nurse that there she has no purpose in life. Which of the following is the nurses priority response? 1. How long have you been feeling this way? 2. Do you really think your life has no purpose? 3. Tell me what is going on with you right now? 4. Have you been thinking about harming yourself? 19A community health nurse is teaching a group of adolescent clients about substance use disorders. Which of the following statements by a client indicates an understanding of the teaching? 1. Barbiturates cause an increase in heart rate 2. Opiods cause a decrease in respiratory rate 3. anabolic steroids stimulate the immune system 4. Amphetamines alleviate symptoms of depression 20 A nurse case manager is providing discharge planning for a client. The nurse is functioning and which of the following roles when arranging for the delivery of medical equipment to the client's home? 1. Systems allocator 2. Coordinator 3. Consultant 4. Advocate 21A nurse is providing teaching to a newly licensed nurse about case management. The nurse should include that which of the following tasks is the responsibility of the case manager? 1. Teach Smoking cessation support group 2. Perform employee risk assessments 3. evaluate the cost effectiveness of clients treatments 4. Enforce OSHA standards in the workplace 22A home health nurse is making home safety evaluation visit for an older client who was recently discharged from the facility after receiving a diagnosis of diabetes mellitus. Which of the following findings indicate a need for corrective intervention? 1. A red light is kept on in the bedroom at night 2. an extension cord extends across the floor from the electrical outlet to a floor lamp 3. the water heater is set at 130 degrees Fahrenheit 4. A rubber backed bath mat is on the floor outside the shower 5. the floors of the house are made of wood. 23A community health nurse is planning to use web-based information resources in the care of a client who is undergoing dialysis. Which of the following criteria should the nurse consider and select an appropriate resources for the client? 1. The website is sponsored by Health Care political action committee 2. the website provides a peer review process for publishing information 3. the website is hosted by a dialysis equipment Marketing Group 4. the website is updated every 5 years 24Public Health nurses address in community leaders at a forum about Community Improvement. The nurse should identify that which of the following groups is being the fastest growing segment of the homeless population? 1. Families who have children 2. men who are unemployed 3. people who have substance use disorders 4. adolescent Runaways 25.A home health nurse is teaching a client about the safe use of crutches. Which of the following information should the nurse include in the teaching? 1. Wipe the rubber crutch tips to remove moisture 2. wear leather soled shoes when walking with crutches 3. Lean Forward while walking with crutches 4. support body weight on the axillae 26A community health nurse is caring for a client who has a new diagnosis of Gonorrhea. Which of the following actions should the nurse take? 1. Obtain a blood culture 2. change the client about application of imiquimod cream 3. notify the State Health Department 4. administer metronidazole 500 mg PO 27.Community Health Clinic is planting annual goals. Which of the following outcomes addresses the ethical principle of distributive justice? 1. Clients verbalize their right to refuse treatment 2. Clients understand the right to confidentiality 3. clients receive Medicare benefits When eligible 4. clients demonstrate completion of advance directives 28.A community health nurse is planning a program for young adults about STI prevention. Which of the following actions should the nurse take preparing for this program? 1. identify topics with Health Department nurses 2. develop content appropriate to learner needs 3. arrange for computer-assisted learning 4. collect data to identify learner current knowledge base 29 A community health nurse notes that 6 new cases of diabetes mellitus have been reported in the past 3 months. In the previous year, 5 cases are reported. The population of the community is 15000 people. Which of the following is the prevalence proportion for the community? 1.73.3/100,000 2.0.9/100,000 3.40.0/100,000 4 33.3/100,000 30A community health nurse is teaching a group of parents about manifestations of alcohol withdrawal. Which of the following manifestations should the nurse include in teaching? 1. Hypotension 2. Hyperglycemia 3. Seizures 4. Somnolence 31. Community Health nurses working with a migrant population. The nurse should recognize that which of the following interventions is necessary to provide care to the population? 1. Providing health services at work sites 2. treating clients on a fee-for-service basis 3. Requiring clients to show a work visa before they receive care 4. offering Health screenings at a community center 32.A nurse is working with parent suspected of child abuse recognizes that the social factor most predictive of abusive behavior is 1. inadequate living conditions 2. social isolation 3. relationship difficulties 4. prior exposure to violence 33. A home health nurse is visiting a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first? 1. Teach the client about appropriate food choices 2. Refer the client to diabetes mellitus support group 3. Identify the clients dietary preferences 4. develop a nutritional program 34 A nurse is assessing an outbreak of mumps among school-age children. Use the epidemiological triangle, the nurse should recognize that which of the following is the host? 1. the virus 2. the children 3. the vaccine 4. the school 35. Which of the following federal agencies should a community health nurse seek guidance from regarding a public building that has asbestos leaking from Rip's in the heating duct insulation ? 1. National Institutes of Health 2. Environmental Protection Agency 3. Centers for Disease Control and prevention 4. Department of Health and Human Resources 36 A nurse educated is teaching a group of newly licensed nurses about maintaining client confidentiality according to HIPAA regulations. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? 1. We should share our computer passwords with our manager 2. A client's diagnosis can be posted on the communication board inside the clients room 3. HIPAA rules vary from state to state 4. HIPAA rules allow clients to receive a copy of their medical records 37. During a home health visit, a school-age child who has muscular dystrophy confides in the nurse that he was struck by his parent. Which of the following actions should the nurse take first? 1. Report the incident to local authorities 2. check the client for injuries 3. Refer the parent to Social Service Agency 4.Enroll the parent and anger management classes 38. A nurse is caring for a client who is homeless. Which of the following actions should the nurse take first? 1. Determine the client's understanding of her living situation 2. discuss the risks of being homeless with the client 3. assist a client to develop goals for obtaining shelter 4 develop client teaching using a variety of strategies 39. A nurse in a clinic is reviewing home safety precautions with a client who is to begin radioactive iodine therapy. Which of the following statements of the client indicates an understanding of the teaching? 1. I will wait one week after treatment to use a laxative 2. I will all my granddaughter to visit for 4 hours daily 3. I will use cloth handkerchiefs instead of tissues 4. I will use a toilet that is not used by others in my family 40 A nurse is conducting a community assessment. Which of the following information should the nurse include as part of the windshield survey? 1. Demographic data 2. informant interviews 3. housing quality 4. mortality rate 41.During a routine School visit to physical education class, A Nurse receives multiple reports of shortness of breath, coughing, and nausea. Which of the following actions should the nurse First Take? 1. establish a triage area 2. notify the parents of the students 3. contact the local Health Department 4. administer oxygen therapy 42. A school nurse is caring for a child who has Muscular Dystrophy and is having difficulty swallowing at lunch. Which of the following referral should the nurse initiate? 1. occupational therapist 2. respiratory therapist 3. Dietitian 4. speech language therapist 43. A home health nurse is reviewing messages from a group of clients. Which of the following clients should the nurse contact First? 1. A client reports that her new colostomy stoma appears purple 2. A mother who reports that her son vomited after a dose of Methylphenidate 3. a client who has COPD and reports oxygen saturation of 90% 4. a client who reports feeling a vibration and his new internal arteriovenous graft for dialysis 44. A school nurse is planning safety education for a group of adolescents. The nurse should give priority to which of the following topics as leading cause of death for this age group? 1. Gun safety 2. Sports Injury prevention 3. Motor Vehicle Safety 4. Substance Abuse Prevention 45.A nurse in a community health center is counseling a group of clients or currently experiencing intimate partner abuse. Which of the following strategies is a priority for the nurse to include in the counseling? 1. Providing referrals for legal counseling 2. identifying a primary support person 3. using stress management techniques 4. developing an es CONTINUED......... DOWNLOAD FOR THE BEST SCORES [Show More]

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