CAPSTONE NUR2944 community proctored Questions and Answers (GRADED A)

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CAPSTONE NUR2944 community proctored Questions and Answers ▪ A case management nurse at an acute care facility is conducting an initial visit with a client to identify needs prior to discharg... e home. After developing a working relationship with the client, the nurse is engaging in the referral process. Which of the following actions should the nurse take first? Identify referrals that the client needs. ▪ A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. which of the following statements should the nurse make first? A school worker can help you with the cost of supplies. ▪ A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. which of the following statements should the nurse make first? A school worker can help you with the cost of supplies. ▪ 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? Discuss payment options with various pharmacies ▪ A case manager is performing discharge planning for a client who experienced a traumatic leg amputation and has a new prosthesis. which of the following assessments should the nurse identify as the priority? Evaluate the client's home environment. ▪ A case manager is performing discharge planning for a client who experienced a traumatic leg amputation and has a new prosthesis. which of the following assessments should the nurse identify as the priority? Evaluate the client's home environment. ▪ A case manager is planning home health care for a client who has a major burn injury. which of the following interventions should the case manager plan to make? Assess the client's need for wound care supplies. ▪ A case manager is planning home health care for a client who has a major burn injury. which of the following interventions should the case manager plan to make? Assess the client's need for wound care supplies. ▪ A community health clinic is planning annual goals. which of the following outcomes addresses the ethical principle of distributive justice? Clients receive Medicare benefits when eligible. ▪ A community health clinic is planning annual goals. which of the following outcomes addresses the ethical principle of distributive justice? Clients receive Medicare benefits when eligible. ▪ A community health nurse encounters a cline who has a suspected bioterrorism related illness. which of the following actions should the nurse take? Don personal protective equipment. ▪ A community health nurse is assigned to implement a disaster plan for the area. which of the following actions should the nurse include as part of the response phase? Conduct community disaster drills. ▪ A community health nurse is determining available and needed supplies in the event of a bioterrorism attack. The nurse should be aware that community members exposed to anthrax will need access to which of the following medications? Ciprofloxacin. ▪ A community health nurse is developing an education program on substance use disorders for a group of adolescents. Which of the following information should the nurse include when discussing nicotine and smoking? Tolerance to nicotine does develop quickly. ▪ A community health nurse is developing strategies to prevent or improve mental health issues in the local area. In which of the following situations is the nurse implementing a tertiary prevention strategy? Teaching a client who has schizophrenia about medication interactions is a tertiary prevention strategy. ▪ A community health nurse is educating the public on the agents of bioterrorism. Which of the following agents should the nurse include as Category A biological agents? (SATA) Plague. Tularemia. Botulism. ▪ A community health nurse is implementing health programs with several populations in the local area. In which of the following situations is the nurse using primary prevention? Providing influenza immunizations to employees at a local preschool. ▪ A community health nurse is planning an educational program for a group of women who are postmenopausal. which of the following outcomes is appropriate for this program? Clients will schedule bone density screenings. ▪ A community health nurse is planning an educational program for a group of women who are postmenopausal. which of the following outcomes is appropriate for this program? Clients will schedule bone density screenings. ▪ A community health nurse is planning strategies to address childhood obesity in the area. which of the following actions should the nurse take first? Provide nutrition education to children and their families. ▪ A community health nurse is planning strategies to address childhood obesity in the area. which of the following actions should the nurse take first? Provide nutrition education to children and their families. ▪ 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? Appetite naturally increases during the Adolescent years. ▪ A community health nurse is teaching a group of clients about available resources to assist with recovery following a stroke. which of the following resources should the nurse recommend for clients who are experiencing dysphagia? Speech language pathologist. ▪ A community health nurse is teaching a group of clients about available resources to assist with recovery following a stroke. which of the following resources should the nurse recommend for clients who are experiencing dysphagia? Speech language pathologist ▪ A community health nurse is teaching a group of older adult clients about hypertension. The nurse should identify which the following as a client related barrier to learning? Low literacy. ▪ A faith community nurse is planning care for a client who has been diagnosed with end stage breast cancer. which of the following interventions should the nurse include in the plan? Provide quiet time during visits for prayer and meditation. ▪ A faith community nurse is preparing to meet with the family of an adolescent who has leukemia. which of the following actions should the nurse plan to take? Determine how the adolescent’s health has affected family roles. ▪ A faith community nurse is preparing to meet with the family of an adolescent who has leukemia. which of the following actions should the nurse plan to take? Determine how the adolescents health has affected family roles. ▪ A faith-based organization asks a community health nurse to develop a mobile meal program for older adults who are no longer driving. which of the following actions should the nurse plan to take first? Perform a needs assessment. ▪ A faith-based organization asks a community health nurse to develop a mobile meal program for older adults who are no longer driving. which of the following actions should the nurse plan to take first? Perform a needs assessment. ▪ 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. ▪ 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. ▪ 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 needed care to the clients, which of the following government agencies should the nurse notify to follow up on these reports? Occupational safety and health administration. ▪ 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 needed care to the clients, which of the following government agencies should the nurse notify to follow up on these reports? Occupational safety and health administration ▪ A home health nurse is assessing a client who has aids. which of the following responses by the client indicates a risk for suicide? I know that everything will be better soon. ▪ A home health nurse is caring for a client who has chemotherapy induced nausea that has been resistant to relief from pharmacological measures. which of the following interventions should the nurse initiate? (SATA) Assist the client in using guided imagery. Provide sips of room temperature ginger ale between meals. Maintain the head of the client's bed in an elevated position after eating. ▪ A home health nurse is caring for a client who has MRSA. which of the following actions should the nurse take? Double bag soiled dressings in polyethylene bags. ▪ A home health nurse is discussing electrical hazards with a client. which of the following statements should the nurse include? You should secure extension cords with clear packing tape. ▪ A home health nurse is discussing portals of entry with a group of newly hired assistive personnel. Which of the following locations should the nurse include as a portal of entry? (SATA) Skin. Genitourinary tract. Mucous membranes. ▪ A home health nurse is educating a client who has copd and is to start using home oxygen via nasal cannula. which of the following statements should the nurse identify as an indication that the client understands the teaching? I should check the flow rate of my oxygen each day. ▪ A home health nurse is performing a home safety evaluation for a newly admitted client. which of the following findings requires action by the nurse? (SATA) An extension cord extends across the floor of the living room. The water heater is set at 54.4. ▪ A home health nurse is preparing to teach the family of a client who has a new diagnosis of HIV about infection control. which of the following factors should the nurse identify as an educator related barrier to learning? Reliance on written notes during the teaching session. ▪ A home health nurse is visiting a client who has right sided weakness following a recent stroke. the client states I’m not sure how I will buy my groceries since I can’t go back to work. Which of the following action should the nurse take? Initiate a referral for the client to a local social worker. ▪ A hospice nurse is concerned that the partner of a client is experiencing caregiver burden. which of the following actions should the nurse take first? Suggest assistive personnel visit daily to provide client care. ▪ A hospice nurse is planning care for a client who follows traditional American Indian practices. Which of the following actions should the nurse take? Discuss safe use of herbal medications. ▪ A hospice nurse is planning care for a client who follows traditional American Indian practices. which of the following actions housed the nurse plan to take? Discuss safe use of herbal medications. ▪ A newly hired occupational health nurse at an industrial facility is performing an initial workplace assessment. Which of the following information should the nurse determine when conducting a work site survey? Work practices of employees. ▪ A newly hired public health nurse is familiarizing himself with the levels of disaster management. Which of the following actions is a component of disaster prevention? Identifying community vulnerabilities. ▪ A nurse at a community clinic is conducting a well-child visit with a preschool-age child. The nurse should identify which of the following manifestations as a possible indication of child neglect? (SATA) Underweight. Poor hygiene. ▪ A nurse at a community mental health center is caring for a client who has antisocial personality disorder. which of the following actions should the nurse include in the plan of care? Assist the client to identify acceptable outlets of anger. ▪ A nurse at a local health department is caring for several clients. which of the following infections should the nurse report to the state health department? Chlamydia. ▪ 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 client who is short of breath. ▪ A nurse at an urban community health agency is developing an education program for city leaders about homelessness. Which of the following groups should the nurse include as the fastest-growing segment of the homeless population? Families with children are the fasting-growing segment of the homeless population. ▪ A nurse case manager is providing discharge planning for a client. the nurse is functioning in which of the following roles when delivery of medical equipment to the client's home? Coordinator. ▪ A nurse developing a community health program is determining barriers to community resource referrals. Which of the following factors should the nurse include as an example of a resource barrier? Costs associated with services. ▪ A nurse in a community clinic Is assessing a client who reports injecting heroin 1 hr Ago. which of the following findings should the nurse expect? Euphoria. ▪ A nurse is advocating for local leaders to place a newly approved community health clinic in an area of the city that has fewer resources than other areas. The nurse is advocating for the leaders to uphold which of the following ethical principles? Distributive justice. ▪ A nurse is assessing an outbreak of mumps among school age children. Using the epidemiological triangle, the nurse should recognize of the following is the host? The children. ▪ A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following findings should the nurse identify as a manifestation of withdrawal? Diaphoresis. ▪ A nurse is caring for a client who is from a different culture than himself. When beginning the cultural assessment, which of the following actions should the nurse take first? Gather data about the client's cultural beliefs. ▪ 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. ▪ A nurse is collecting data to identify health needs in the local community. Which of the following examples should the nurse identify as secondary data? (SATA) Birth statistics. Previous health survey results. Health records. ▪ A nurse is completing a needs assessment and beginning analysis of data. Which of the following actions should the nurse take first? Compile collected data into a database. ▪ A nurse is conducting a community assessment. Which of the following data collection methods is the nurse using when having direct conversations with individual members of the community? Key informant interviews. ▪ A nurse is conducting health screenings at a statewide health fair and identifies several clients who require referral to a provider. Which of the following statements by a client indicates a barrier to accessing health care? "I can't take off during the day, and the local after-hours clinic is no longer in operation." ▪ A nurse is creating partnerships to address health needs within the community. The nurse should be aware that which of the following characteristics must exist for partnerships to be successful? (SATA) Flexibility among partners when considering new ideas. Adherence of partners to ethical principles. Willingness of partners to negotiate roles. ▪ A nurse is developing a community health education program for a group of clients who have a new diagnosis of diabetes mellitus. Which of the following learning strategies should the nurse include for clients who are auditory learners? Facilitating small group discussions ▪ A nurse is developing a health screening program for clients who are at risk for hypertension. which of the following actions should the nurse take first? Conduct a survey to identify the community need for hypertension screening. ▪ A nurse is developing health promotion strategies for older adult client at an assist living facility. which of the following strategies is the priority for the nurse to include? Immunizing the clients against influenza. ▪ A nurse is participating in an outreach program to combat the rise of encephalitis in the community due to an increased population of mosquitos. which of the following activities should the nurse perform to implement mosquito control strategies? Release a media announcement asking residents to remove areas of standing water. ▪ A nurse is planning a community health program. Which of the following actions should the nurse include as part of the evaluation plan? Compare program impact to similar programs. ▪ A nurse is planning a program about healthy eating at an elementary school where most students select French fries and pizza at lunch every day. Which of the following actions should the nurse plan to take first? Determine student’s motivation to learn about healthy food choices. ▪ A nurse is preparing a community health program on communicable diseases. When discussing modes of transmission, the nurse should include which of the following illnesses as airborne? Influenza. ▪ A nurse is preparing an education program on disease transmission for employees at a local day care facility. When discussing the epidemiological triangle, the nurse should include which of the following factors as agents? (SATA) Toxins. Bacteria. ▪ A nurse is preparing an educational program on cultural perspectives in nursing. The nurse should include that which of the following factors are influenced by an individual's culture? (SATA) Nutritional practices. Family structure. Health care interactions. Views about illness. ▪ A nurse is preparing to conduct a windshield survey. Which of the following data should the nurse collect as a component of this assessment? (SATA) Ethnicity of community members. Natural community boundaries. Presence of public protection. ▪ A nurse is providing education to the family of a school age child who has pertussis. which of the following information should the nurse include in the teaching? Household contacts will receive prophylactic antibiotics. ▪ 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 a complete eye examination every 2 Years until the age of 64. ▪ A nurse Is providing teaching to a client who has confirmed case of tuberculosis. which of the following statements by the client indicates the teaching has been effective? I will be contagious until I have completed the full medication regimen. ▪ A nurse is providing teaching to a newly licensed nurse about secondary prevention strategies related to violence and abuse. which of the following strategies should the nurse include in the teaching? Assess clients for withdrawal and passivity during home health visits. ▪ A nurse is reviewing information about the local health department to prepare for an interview. Which of the following services should the nurse expect the local health department to provide? (SATA) Providing education to achieve community health goals. Coordinating directives from state personnel. ▪ A nurse is reviewing the various roles of a community health nurse. Which of the following actions is an example of a nurse functioning as a consultant? Updating state officials about health needs of the local community. ▪ A nurse is speaking with several clients at a health fair. Which of the following statements should the nurse assess further? I have to turn my head completely to see things that are beside me. ▪ A nurse is talking to a client who asks for additional information about hospice. Which of the following statements should the nurse make? "A component of hospice care is to control the client's manifestations." ▪ A nurse is teaching a client who has a terminal illness about hospice care. which of the following statements by the client indicates an understanding of the teaching? (SATA) I can discontinue hospice care whenever I want. I will receive care from a variety of interprofessional team members. I can receive care in the hospital or at home. ▪ A nurse is teaching a client who is to undergo enzyme linked immunosorbent assay testing for HIV. which of the following information should the nurse include? The test measures serum levels of HIV antibodies. ▪ A nurse is using the I PREPARE mnemonic to assess a client's potential environmental exposures. Which of the following questions should the nurse ask when assessing for "A" in the mnemonic? "What do you like to do for fun?" ▪ A nurse is working to reduce individual and family violence in the local community. Which of the following actions by the nurse demonstrates a primary prevention strategy to achieve this goal? Teaching parenting techniques to new parents. ▪ A nurse is working with a case manager for a client who participates in a health maintenance organization. The nurse should identify that a health maintenance organization provides which of the following payment structures? The provider pays a fixed sum for the client on a monthly or yearly basis. ▪ A nurse is working with a client who has systemic lupus erythematosus and recently lost her health insurance. Which of the following actions should the nurse take in the implementation phase of the case management process? Coordinating services to meet the client's needs. ▪ A nurse manager at a clinic is reviewing the preventative services offered to clients. which of the following activities should the nurse identify as a secondary prevention activity? Advocate for laws that prohibit texting while driving. ▪ A nurse manager at a community agency is developing an orientation program for newly hired nurses. When discussing the differences between community-based and community-oriented nursing, the nurse should include which of the following situations as an example of community-based nursing? (SATA) A home health nurse performing wound care for a client who is immobile. A school nurse teaching a student who has asthma about medications. ▪ A nurse manager in a community health clinic is reviewing secondary prevention activities with a group of nurses during orientation. which of the following activities should the nurse manager include as an example of secondary prevention? Test a client who has a family history for DM. ▪ 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 received the Bacille Calmette-Guerin vaccine within the last 10 years ▪ A nurse manager is reviewing the disaster plan at a long-term care facility. which of the following is the most comprehensive method for the nurse to use to determine the effectiveness of the plan? Review how the staff implements the plan during a hands-on practice drill. ▪ A nurse working in a community health center is providing teaching to a client who has alcohol use disorder. which of the following treatment methods should the nurse include in the teaching? Treatment with naloxone. ▪ A nurse working in an infectious disease clinic is caring for a client who has a new diagnosis of Lyme disease. which of the following agencies is responsible for voluntarily reporting cases of this disease to the CDC? State health department. ▪ 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? Measure noise levels at various locations in the facility ▪ A school nurse is assessing a child and discovers Koplik spots on the child's buccal mucosa. which of the following actions should the nurse take? Review the immunization records of the client's classmates. ▪ A school nurse is discussing stress management techniques with a group of adolescents. which of the following activities reported by an adolescent should the nurse identify as the priority? Scratching or piercing the skin. ▪ A school nurse is implementing health screenings. which of the following assessment findings should the nurse recognize as the highest priority? A child who has nits. ▪ A school nurse is planning health promotion and disease prevention activities for the upcoming school year. In which of the following situations is the nurse planning a secondary prevention strategy? Routinely checking students for pediculosis throughout the school year. ▪ A school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? (SATA) Lobbying for funding for health promotion efforts. Teaching a class about the risks of cigarette smoking. Organizing a program to promote skateboard safety. ▪ A school nurse is planning safety education for a group of adolescents. the nurse should give priority to which of the following topics as the leading cause of death for this age group? Motor vehicle safety. ▪ A school nurse is scheduling visits with a physical therapist for a child who has cerebral palsy. In which of the following roles is the nurse functioning? Case manager. ▪ 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? Determine the client's primary language. ▪ An occupational health nurse is consulting with senior management of a local industrial facility. When discussing work-related illness and injury, the nurse should include which of the following factors as physical agents? (SATA) Noise. Lighting. ▪ An occupational health nurse is discussing health promotion with a client who has a history of obesity. which of the following comments indicates the client Is using rationalization as a coping mechanism? I have lots of health problems from being obese. ▪ An occupational health nurse Is preparing for an initial meeting with a committee that is planning a health fair for an industrial work site. the nurse should instruct the committee members to take which of the following actions first? Determine the health concerns of the employees. ▪ Several nurses are developing a parish nurse group to help address the primary and secondary health care needs for the congregation. which of the following services should the nurses plan to provide to the congregation? Organize an influenza immunization clinic with the American Red Cross. [Show More]

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