1. A home health nurse is teaching the parents of a toddler about complication of influenza. Which of the following complication is the priority for the nurse to discuss? a. Pneumonia b. Sinusitis c. Dehydration d. Otiti
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1. A home health nurse is teaching the parents of a toddler about complication of influenza. Which of the following complication is the priority for the nurse to discuss? a. Pneumonia b. Sinusitis c. Dehydration d. Otitis Media 2. A nurse working with parents suspected of child abuse recognizes that the social most predictive of abusive behaviour is a. Inadequate living conditions b. Relationship difficulties c. Social isolation d. Prior exposure to violence 3. In the last month, three cases of tuberculosis have been referred to the health department. Which of the following would be the priority information for the community health nurse to obtain from each client? a. Demographics b. Health history c. Occupation d. Household members 4. The wife of an adult client who has Alzheimer’s disease reports that he is not eating. The home health aide later tells the nurse that the wife is refusing to feed him, insisting that he do it himself. Which of the following is the priority action the nurse should take? a. Refer the client’s wife to an Alzheimer’s support group. b. Direct the home health aide to assist with meals. c. Arrange for Meals on Wheel assistance. d. Determine the clients’ ability to self-feed 5. A nurse is working with a community health care team to devise strategies for preventing violence in the community. Which of the following interventions is an example of tertiary prevention a. Presenting community education programs on stress management b. Urging community leaders to make nonviolence a priority c. Assessing for risk factors of intimate partner abuse during health examination d. Developing resources for victims abuse 6. A home health nursing is conducting an initial assessment for a client who is prescribed warfarin sodium (Coumadin). Which of the following clinical findings is associated with thrombocytopenia? a. Distended jugular veins b. Polyuria c. Akathisia d. Black tarry stools 7. A nurse is reviewing data for communicable disease in his rural public health region. Which of the following data should the nurse identify as an agent factors affecting the spread of communicable disease? a. A change in the prevalence of older adults obtaining the pneumococcal vaccine b. An increase in the migrant farm workers living in the community c. A decrease in the number of ambulatory clinics in the area d. An antigenic shift in the composition of the strain of influenza 8. A community health nurse in the initial phase of planning a smoke cessation program. Which of the following is the following is the first action the nurse should take? a. Determine the prevalence of smoking in the community b. Formulate objectives for the smoking cessation program c. Gain community support for the program d. Evaluate the methods of successful smoke cessation programs 9. 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? a. Department of Health and Human Resources b. National Institute of Health c. Centers of Disease Control and Prevention d. Environmental Protection Agency 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 would be appropriate to include in the job description? (Select all that apply) a. Initiate support groups for parents of autistic children. b. Provide health-related education to community groups c. Investigate potential health and environmental issues d. Provide wound care for client in their homes e. Participate in local health surveillance activities 11. A home health nurse is providing education for a client who has esophageal cancer and reports dysphagia. Which of the following instructions should the nurse include in the teaching? a. “You should include thin soups and liquids in you meal plan?” b. “You should weigh yourself once each week” c. “You should place you food on the front of your tongue when eating” d. “You should maintain a chin tuck position when swallowing” 12. A nurse is providing education to a group of adolescents who are pregnant and attending high school. Which of the following information should the nurse include in the teaching? a. Pregnant adolescents need to gain less weight than adult mothers b. The need for supplemental folic acid is greatest during the 3rd trimester c. Caffeinated beverages should be replaced with caffeine-free d. The incidence of high birth weight infants is higher adolescent pregnancy 13. A client comes to a mental health clinic and tells the nurse that he has no purpose in life. Which of the following is the nurse’s priority response? a. Tell what is going on with you right now? b. Do you really think your life has no purpose? c. Have you been thinking about harming yourself? d. How long have you been feeling this way? 14. A nurse in a pediatric clinic is evaluating a child who has fifth disease. Which of the following finding is associated with this diagnosis? a. Facial rash b. Epistaxis c. Raised blisters d. Conjunctivitis 15. A nurse is working with a client who presents with whooping cough. Based on the epidemiological triangle, which of the following is considered the environment for this situation? a. Human population distribution b. Immunization status c. Pertussis virus d. Decreased disease resistance 16. A community health nurse is planning to use a 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? a. The website provides a peer review process for publishing information b. The website is hosted by a dialysis equipment marketing group. c. The website is sponsored by a health care political action committee d. The website is updated every 5 years 17. A home health nurse is conducting an initial intake assessment with a client who has hypothyroidism. Which of the following assessment findings is associated with this disease? a. Bradycardia b. Profuse sweating c. Bulging eyes d. Muscle weakness 18. A client with Diabetes Mellitus asks the home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. Which of the following is the first action the nurse should take when assisting this client? a. Provide the client with printed recipes b. Observe the client during preparation of traditional foods c. Use cookbooks to include traditional foods in meal plans d. Explain the diabetes exchange list 19. 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 response indicated the teaching has been effective? a. E. Coli b. Lyme disease c. Chicken pox d. Pediculosis 20. 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? a. Perform wound care in the home of members b. Organize flu immunization clinic with the American Red Cross c. Facilitate discharge from the hospital to the home d. Provide end-of-life care for terminal members 21. The wife and son of a client with a terminal illness have just received information regarding hospice care from a nurse. Which of the following statement indicated a need for further teaching? A or B a. My husbands physician will no long be involved in his care b. My father’s care will be provided by a variety of health care specialists c. Hospice can be discontinued if my husband decides to start treatment again d. My father can be cared for either in the hospital or at home 22. A home health nurse is educating a client diagnosed with COPD about home oxygen use. Which of the following statements by the client indicated a need for additional teaching?
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