Community Health Proctor (2020/2021) QUESTIONS WITH ANSWERS GRADED 100%Community Health Proctor

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1. A public health nurse is assisting a client who is a recent immigrant. The client refuses assistance from community resources. Which of the following actions should the nurse take to provide cultur... ally appropriate? SATA Learn more about the client’s ethnic values Uses relevant nonverbal communication techniques Review the client’s current health practices 2. A community health nurse has recognized an outbreak of influenza at a local school. Which of the following actions is a secondary level of prevention? Check for possible exposure to influenza. 3. A community health nurse is providing teaching about nutrition guidelines to a group of adolescents. Which of the following information should the nurse including in the teaching? Appetite naturally increases during the adolescent years 4. A public health nurse learns that a client in an agricultural community is being treated for active TB. Which of the following actions should the nurse take to prevent the spread of TB within the community? Ensure the client adherence to the medication regimen 5. A community health nurse is caring for a 20 year old college student who has a new diagnosis of herpes. The client reports having unprotected sex with multiple individuals. Which of the following actions should the nurse take? Ask the client for the contact information of recent sexual partners 6. A school nurse realizes that a student who has asthma visits the health office two to three times every day to use his rescue inhaler. Which of the following interventions should the nurse plan to implement first? Encourage the student’s parent to identify and reduce environmental triggers 7. A newly hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect potential physical hazards? Measures noise levels at various locations in the facility 8. A home health nurse is educating a client diagnosed with COPD about home oxygen use. Which of the following statements by the client indicates a need for addition teaching? I should notify the local fire department that oxygen is being used in my home 9. A community health nurse observes the continual accumulation of garbage at a neighborhood playground. Which of the following actions should the nurse take first to promote a clean and safe environment? Meet with community members to discuss methods of playground maintenance 10. A nurse manager in a local community health agency is creating a job description for a new nurse who will practice community oriented nursing. Which of the following should the nurse include in the job description? SATA Investigate potential health and environmental issues Initiate support groups for parents of autistic children Provide health related education to community groups Participate in local health surveillance activities. 11. A home health nurse is conducting an initial intake assessment for a client who has hypothyroidism. Which of the following assessment findings is associated with this disease? Muscle weakness 12. A 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 in selecting appropriate resources for the client? The website provides a peer review process for publishing information 13. A home health nurse is schedule for a first time visit to a client. Which of the following should the nurse perform first? Mental status exam 14. Which of the following federal agencies should a community health nurse seek guidance from regarding a public building that has asbestos leaking from rips in the heating duct insulation? Environmental protection agency 15. Upon performing routine screenings, a school nurse identifies three classrooms with students who have pediculosis. Using principles of epidemiology, which of the following is the next action the nurse should take? Review class rosters to determine whether a common host exists in the three classrooms 16. A first response team is working at the location of a bombing incident. A nurse triaging a group of clients should give treatment priority to which of the following clients? A client who has a rigid abdomen with manifestations of shock 17. A community health nurse notes that six new cases of DM have been reported in the past 3 months. In the previous year, five cases were reported. The population of the community is 15,000 people. What is the prevalence proportion for the community? 0.9/100,000 18. A nurse at a shelter is assisting with client triage after a tornado destroyed a community. Which of the following clients should receive priority care? An adult who is short of breath 19. Several nurses affiliated with a church are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. Which of the following is appropriate to include in regard to care they could provide? Organize an influenza immunization clinic with the American Red Cross. 20. A nurse in a clinic is caring for a client who has DM and states, “I don’t think I am using my blood sugar machine correctly.” Which of the following actions should the nurse take first? Ask the client to perform the procedure 21. A home health nurse is providing teaching to a client who has chronic obstructive pulmonary disease and is experiencing weight loss. Which of the following should the nurse include in the teaching? Begin meals with high calorie foods 22. A home health nurse is providing teaching to a client who is prescribed dopidogrel bisulfate. The nurse should include that which of the following over the counter meds can casue a medication interaction while taking dopidogrel bisulfate? Aspirin 23. A community health nurse is providing teaching to a client who has a new diagnosis of hepatitis C. Which of the following information should the nurse include? Consume a high carbohydrate, moderate fat diet 24. A hospice nurse is caring for a client who is experiencing acute air hunger. Which of the following actions should the nurse take? Obtain ABG’s 25. A nurse is assessing an outbreak of mumps among school age children. Using the epidemiological triangle, the nurse should recognize that which of the following is the host? The children 26. A nurse at a local health department s caring for several clients. Which of the following infections should the nurse report to the state health department? Group B streptococcus B- hemolytic 27. A home health nurse is teaching a client who has a new diagnosis of heart failure about digoxin. For which of the following adverse effects should the nurse instruct the client to monitor and report to the provider? Halo vision 28. A nurse is caring for a client who is having difficulty performing activities of daily living. The nurse is functioning roles when arranging for an occupational therapist to visit the client? Case manager 29. A 35 year old client who has a diagnosis of tuberculosis informs the provider’s office that she is unable to pay for the treatment. Which of the following actions by the nurse will facilitate obtaining appropriate treatment? • Help the client apply for Medicare • Explore options for alternative therapies • Send the client to the nearest facility for further evaluation • Arrange for the medication through local agencies 30. A community health nurse is teaching a group of parents about home safety of newborns. Which of the following statements by a parent indicates an understanding of the teaching? • “I will change the batteries in our smoke detectors once a year.” • “I will place my baby’s crib on the side of the room opposite of the heat vent.” • “I will make sure that the slats on the baby’s crib are no more than 4 inches apart.” 31. A nurse is instructing a child who has asthma how to use a metered dose inhaler (MDI). After depressing the canister, in which order should the client continue to use the MDI? 1. Breathe out slowly 2. Inhale slowly 3. Hold your breathe 4. Remove inhaler 32. A home health nurse is conducting an initial assessment for a client who is prescribed warfarin. Which of the following clinical findings is associated with thrombocytopenia? Black tarry stools 33. A nurse is discussing short and long-term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. Which of the following statements is appropriate for the nurse to include in the discussion? “You will begin learning functional skills to replace defense mechanisms and behaviors while in treatment.” 34. Which of the following should the nurse include in a cultural assessment? Family relationships 35. A home health nurse is teaching a client who is newly diagnosed with diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching? “I will use a mirror to inspect my feet daily.” 36. A home health nurse is developing a protocol for providing care to clients who have a central venous access device. Which of the following instructions should the nurse include? Scrub the catheter port for 15 seconds prior to access. 37. A nurse is providing teaching to a 50-year-old female client. Which of the following statements should the nurse include in the teaching? “You should have your vision screened every 2 years until age of 64.” 38. A community health nurse is planning a smoking cessation class. Which of the following factors will have the greatest effect on the class’s success? Clients’ motivation 39. A nurse working in an assisted care facility is developing a disaster plan. Which of the following is the first action the nurse should take? Determine potential environmental health hazards. 40. A school nurse is caring for a child who has muscular dystrophy and is having difficulty swallowing at lunch. Which of the following referrals should the nurse intake? Speech-language therapist 41. A nurse has provided a training session about disease prevention for staff at a community summer camp. When asked to provide an example of vector-borne illness, which of the following responses indicates the teaching has been effective? Lyme disease 42. A nurse is caring for a client who is homeless. Which of the following actions should the nurse take first? Determine the client’s understanding of her living situation. 43. A nurse in a pediatric clinic is evaluating a child who has Fifth disease. Which of the following findings is associated with this diagnosis? Facial rash 44. A nurse is preparing a presentation about disease management for a group of older adults who have osteoarthritis. Which of the following guidelines should the nurse include? Remove hot dishes from oven with both hands. 45. A nurse is teaching a client who has a new prescription for home oxygen therapy. Which of the following statements by the client indicates an understanding of the teaching? “I will disconnect the humidifier when using portable oxygen.” 46. A nurse volunteering at a local community center is addressing a variety of health needs with a group of older adult clients. Which of the following interventions is considered a tertiary prevention strategy? Providing a class on living with arthritis 47. A home health nurse is reviewing messages from a group of clients. Which of the following clients should the nurse contact first? A client who reports that her new colostomy stoma appears purple 48. A nurse is planning an education program for new inmates in a correctional facility. Which of the following topics is most important for the nurse to include in the teaching? Communicable disease prevention 49. 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.) Teaching a class about the risks of cigarette smoking Organizing a program to promote skateboard safety Lobbying for fusing for health promotion efforts [Show More]

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