Community health ATI proctored Exam QA

1. During a home health visit a school age child who has muscular dystrophy confides in the nurse that he was struck by his parents. which of the following actions should the nurse take first? 1. report the incident t ...

1. During a home health visit a school age child who has muscular dystrophy confides in the nurse that he was struck by his parents. which of the following actions should the nurse take first? 1. report the incident to local authorities 2. check the child for injuries 3. refer the parent to a social service agency 4. enroll the parent in anger management classes. - ANSWER 2. check the child for injuries 2. 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? 1. give positive feedback to students who make appropriate choices. 2. help students recognize the value of making healthy food choices 3. provide students with resources about making wise choices independently 4. determine student's motivation to learn about healthy food choices. - ANSWER 4. determine student's motivation to learn about healthy food choices. 3. a nurse manger in 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? (select all that apply) 1. investigate potential health and environmental issues 2. initiate support groups for parents of autistic children 3. provide wound care for clients in their homes 4. participate in local health surveillance activities 5. provide health related education to community groups - ANSWER 1. investigate potential health and environmental issues 2. initiate support groups for parents of autistic children 4. participate in local health surveillance activities 5. provide health related education to community groups 4. 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? 1. clients will schedule bone density screening 2. clients will arrange for mammograms every 3 years 3. clients will start hormone replacement therapy 4. clients will significantly decrease caloric intake - ANSWER 1. clients will schedule bone density screening 5. a nurse is working with a care 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. 1. the client is participating in a fee for service health care insurance program 2. the provider is paid a fixed sum for the client on a monthly or yearly basis 3. the client pays the insurer a percentage of the total costs for each service rendered by the provider 4. the provider bills the client directly for a predetermined percentage of the cost of services - ANSWER 2. the provider is paid a fixed sum for the client on a monthly or yearly basis 6. a client who has diabetes mellitus asks a 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? 1. provide the client with a printed recipe 2. observe the client during preparation of traditional foods 3. use cookbooks to include traditional foods in meal plans 4. explain diabetes exchange list - ANSWER 2. observe the client during preparation of traditional foods 7. a home health nurse manager is caring for a client who has methicillin resistant staphylococcus aureus. which of the following actions should the nurse take? 1. remove fresh flowers from the client's home 2. wear a mask when within 3 feet of the client 3. encourage the client to use a hepa filter in the house 4. double bag soiled dressing in polyethylene bags. - ANSWER 4. double bag soiled dressing in polyethylene bags. 8. 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? 1. i have lots of health problems from being obese 2. I am obese it's in my genes 3. i have difficulty resisting the items in vending machines 4. i know you don't like me because i am obese - ANSWER 2. I am obese it's in my genes 9. 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. mortality rate 3. informant interviews 4. housing quality - ANSWER 4. housing quality 10. a community health nurse is educating a parent about the importance of hepatitis B immunization. which of the following explanations should the nurse give the parent about the disease? 1. one dose of the immunization gives children lifelong protection from hepatitis B 2. hepatitis B spreads easily among children through casual contact 3. many people who acquire acute hepatitis B develop chronic hepatitis 4. people who have had a hepatitis B infection still need the immunization - ANSWER 3. many people who acquire acute hepatitis B develop chronic hepatitis 11. 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. 1. a client who has superficial partial thickness burn injuries over 5% of his body 2. a client who has a femur fracture with a 2+ pedal pulse 3. a client who is ambulatory and exhibits manic behavior 4. a client who has a rigid abdomen with manifestations of shock. - ANSWER 4. a client who has a rigid abdomen with manifestations of shock. 12. 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? 1. presenting community education programs about stress management 2. developing resources for victims of abuse 3. urging community leaders to make nonviolence a priority 4. assessing for risk factors of intimate partner abuse during health examinations - ANSWER 2. developing resources for victims of abuse 13. public health nurse take 1. alert the family members of coworkers about possible exposure to anthrax 2. place the employee under quarantine for 14 days 3. refer coworkers who might have been exposed to a provider for prophylactic antibiotics 4. instruct the client to wear a mask at work - ANSWER 3. refer coworkers who might have been exposed to a provider for prophylactic antibiotics 14. a community health nurse is providing teaching to a group of clients who have alcohol use disorder. which of the following findings should the nurse include in the teaching as a manifestation of alcohol withdrawal? 1. bradycardia 2. hypothermia 3. increased appetite 4. insomnia - ANSWER 4. insomnia 15. a nurse is caring for a client who is homeless. which of the following actions should the nurse take first? 1. determine the clients understanding of her living situation 2. assist the client to develop goals for obtaining shelter 3. discuss the risks of being homeless with the client 4. develop client teaching using a variety of strategies - ANSWER 1. determine the clients understanding of her living situation 16. a community health nurse observes the accumulation of garbage at a neighborhood playground. which of the following actions should the nurse take first to promote a clean and safe environment? 1. meet with community members to discuss methods of playground maintenance 2. partner city officials with community members to improve the playground condition 3. work with local businesses to sponsor more trash receptacles in the playground 4. engage neighborhood families to monitor the playground for further trash buildup - ANSWER 1. meet with community members to discuss methods of playground maintenance 17. a nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. the client does not speak the same language as the nurse. which of the following actions should the nurse take? 1. have the client's daughter communicate information about the procedure 2. arrange for a member of the client's community to interpret the teaching 3. identify the clients spoken dialect prior to contacting an interpreter 4. use professional terminology when providing education prior to the procedure - ANSWER 3. identify the clients spoken dialect prior to contacting an interpreter 18. 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? 1. chlamydia 2. herpes simplex virus 3. group B Streptococcus B hemolytic 4. human papillornavirus - ANSWER 1. chlamydia 19. a clinic nurse is assessing a client who has measles. which of the following findings should the nurse expect? 1. koplik spots inside the mouth 2. persistent low grade temperature 3. muscle aches and tenderness 4. rash confined to the trunk of the body - ANSWER 1. koplik spots inside the mouth 20. a community health nurse is planning a program for adolescents about preventing STIs. which of the following actions should the nurse take first? 1. collect data to identify barriers to learning 2. establish methods to evaluate program outcomes 3. obtain visual aids that feature adolescents 4. provide computer based education - ANSWER 1. collect data to identify barriers to learning 21. a nurse is counseling a client who has a new diagnosis of chlamydia. which of the following information should the nurse include in the teaching? (select all that apply) 1. you should avoid sexual contact until therapy is complete 2. notify anyone with whom you have had sexual contact over the past 2 months 3. you will need to take an antiviral medication for 30 days 4. once your complete treatment you will have an acquired immunity against chlamydia 5. you might experience painful urination until the infection has resolved - ANSWER 1. you should avoid sexual contact until therapy is complete 2. notify anyone with whom you have had sexual contact over the past 2 months 5. you might experience painful urination until the infection has resolved 22. a home health nurse is planning the initial home visit for a client who has dementia and lives with his adult son's family. which of the following actions should the nurse take first during the visit? 1. encourage the family to join a support group 2. provide the family with information about respite care 3. educate the family regarding the progression of dementia 4. engage the family in informal conversation - ANSWER 4. engage the family in informal conversation 23. a parrish nurse is counseling a family following a client's recent diagnosis of heart disease. which of the following actions should the nurse takefirst? 1. discuss the benefits of eating a well-balanced diet with the client's family 2. assist the client and the clients partner with finding an affordable exercise program 3. offer to accompany the client and the clients partner during health care provider visits 4. ask family members about the impact of the disease on relationships within the family - ANSWER 4. ask family members about the impact of the disease on relationships within the family 24. a nurse is caring for a client who is having difficulty performing activities of daily living. the nurse is functioning in which of the following roles when arranging for an occupational therapist to visit the client. 1. Administrator 2. nurse consultant 3. case manager 4. clinician - ANSWER 3. case manager 25. a nurse is working in a shelter following a disaster. which of the following is the priority action for the nurse to take? 1. create diversionary activities for children 2. address the physical needs of clients 3. help clients gather needed supplies 4. explore feelings the clients are experiencing - ANSWER 2. address the physical needs of clients 26. a community health nurse is planning a smoking cessation class. which of the following factors will have the greatest effect on the success of the class? 1. presenters teaching strategies 2.. presenter's credibility 3. client's motivation 4.. client's education level - ANSWER 3. client's motivation 27. a home health nurse is caring for a client who has chemotherapy induced nausea that has been resistant to relief form pharmacological measures. which of the following interventions should the nurse initiate (select all that apply)? 1. use seasonings to enhance the flavor of foods 2. provide sips of room temperature ginger ale between meals 3. maintain the head of the clients bed in an elevated position after eating 4. offer 120 ml (4 oz.) of cold 2% milk as a meal replacement 5. assist the client in using guided imagery - ANSWER 2. provide sips of room temperature ginger ale between meals 3. maintain the head of the clients bed in an elevated position after eating 28. a nurse is preparing an educational program about breastfeeding for a group of new parents. the nurse should use which of the following instructional strategies to promote psychomotor learning 1. review flashcards that identify holding technique with the group 2. show the group a video on breastfeeding techniques 3. facilitate a discussion group about the benefits of breastfeeding 4. provide dolls for the participants to demonstrate positioning - ANSWER 4. provide dolls for the participants to demonstrate positioning 29. a nurse is serving on a state task force for disaster planning. the nurse is engaging in disaster preparedness efforts when performing which of the following actions 1. implementing a disaster triage plan with a local medical facility 2. functioning as a manager at a temporary shelter 3. assisting with the identification of a biological agent 4. organizing a mass casualty drill for community members - ANSWER 4. organizing a mass casualty drill for community members 30. a 35-year-old client who has a diagnosis of tuberculosis informs the providers office that she is unable to pay for the treatment. which of the following actions by the nurse will facilitate obtaining appropriate treatment? 1. help the client apply for Medicare 2. explore options for alternative therapies 3. arrange for medication through local agencies 4. send the client to the nearest facility for further evaluation - ANSWER 3. arrange for medication through local agencies 31. a public health nurse is addressing community leaders at a forum about community improvement. the nurse should identify which of the following groups as being the fastest growing segment of the homeless population. 1. people who have substance use disorders 2. families who have children 3. adolescent runaways 4. men who are unemployed - ANSWER 2. families who have children 32. a nurse is counseling a client who is to undergo enzyme linked immunosorbent assay testing for hiv. which of the following information should the nurse include? 1. the test monitors progression of the disease 2. the test measures antibodies to the virus 3. the test results are accurate 24 hr. after exposure to the virus 4. a positive result requires initiating immunoglobulin administration - ANSWER 2. the test measures antibodies to the virus 33. a nurse case manager is providing discharge planning for a client. the nurse is functioning in which of the following roles when arranging for the delivery of medical equipment to the client's home 1. consultant 2. systems allocator 3. advocate 4. coordinator - ANSWER 3. advocate 34. a faith based organization asks a community health nurse to develop a mobile meal program for older................................... the following actions should the nurse plan to take first. 1. determine potential funding sources for the program 2. inquire about the availability of volunteers 3. identify alternative solutions to address concerns 4