NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100%, Exams of Nursing

Download NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% and more Exams Nursing in PDF only on Docsity! NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - Community Health Practice Exam A (50 Items) 1.A A community health nurse is planning a presentation for adults who have a family history of Alzheimer's disease. Which of the following behaviors should the nurse include as an early manifestation of Alzheimer's disease a. Withdrawal from social activities b. Forgetting the location of common object c. Experiencing incontinence d. Neglecting personal hygiene Rationale: Forgetting the location of common objects is an early manifestation of Alzheimer's disease. 2.A A community health nurse identifies an increase in the occurrence of osteoporosis- related fractures in women experiencing menopause. Which of the NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ c. "How often do you have visitors come to see you?" d. "Have you considered moving to an assisted living facility?" Rationale: "How often do you have visitors come to see you?" MY ANSWER The nurse should NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ ask this question because it addresses the issue of social isolation by determining the frequency of contact between the client and others. 5.A A community health nurse is discussing the role of a faith community nurse with a chaplain. Which of the following information should the nurse include in the discussion? a. The faith community nurse can provide pharmacologic pain management for clients who have a terminal illness. b. The faith community nurse can plan safety training for employees in a local factory. c. The faith community nurse can provide wound care for clients in their homes. d. The faith community nurse can facilitate substance abuse support groups. Rationale: This is one of the roles of a faith community nurse. 6.A A nurse is conducting a home visit for an older adult NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ client. The nurse should identify which of the following findings as an indicator of possible neglect? a. Lives alone b. Taking outdated prescriptions c. Has a BMI of 25 d. Presence of alcohol in the home Rationale: Taking outdated prescriptions is an example of inadequate medical care and is an indicator of possible neglect. The client taking outdated prescriptions is an example of inadequate medical care and is an indicator of possible neglect. 7. A community health nurse is conducting a needs assessment of a community. The nurse should identify that which of the following methods will yield direct data? b. Health surveys c. Medical records NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ Rationale: Focus groups is correct. The nurse should include focus groups, which are small groups of individuals who use the health department services, for process evaluation of the facility. This information allows for review of the facility's strengths and weaknesses in the quality of client care delivery. Written audits is correct. The nurse should include written audits, which are written evaluations of the quality of care provided by the health department, for process evaluation of the facility. This information allows for review of the facility's strengths and weaknesses in the quality of client care delivery. Satisfaction survey is correct. The nurse should include satisfaction surveys, which are assessments of clients' perception of their care made via telephone or written questionnaires, for process evaluation of the facility. Interviews is correct. The nurse should include interviews of clients who use the health department's services for NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ process evaluation of the facility. Values self-study is incorrect. A values self-study is performed as the first step in quality assurance when the health department determines the needs of the community, the services to offer, and develops a philosophy and overall objectives for the facility. 10. A community health nurse is planning an in- service about STIs for a group of adolescents. Which of the following clinical findings should the nurse include as a manifestation of primary syphilis? g. Malaise h. Maculopapular rash on palms c. Chancre d. Lymphadenopathy Rationale: Chancre is a clinical manifestation of primary syphilis. All the others are symptoms are clinical manifestations of secondary syphilis. NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ 11. A community health nurse is caring for an adolescent who is seeking help for unplanned pregnancy. Which of the following actions should the nurse take first? i.Recommend that the adolescent meet with the school guidance counselor to discuss educational options. j.Request permission to interview the father of the child to obtain a medical history c. Help the client obtain a provider for prenatal care d. Provide information on parenting classes so the client can learn about caring for a newborn Rationale: The client is an adolescent and experiencing an unplanned pregnancy, which are factors that place the client at risk for complications. Therefore, the first action the nurse should take is to assist the client in obtaining prenatal care. NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ 13. A nurse is caring for a 16-year-old client who has a new diagnosis of human papillomavirus. Which of the following actions should the nurse take? o. Report the infection to the state health department p. Instruct the client to return for a blood test in 1 month. q. Administer ceftriaxone 250mg IM. d. Teach the client how to apply imiquimod 5% cream to the lesions. Rationale: The client can self-treat the lesions using topical imiquimod 5% cream to the lesions at bedtime for up to 16 weeks. 14. A school nurse is reviewing the records of four NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ students who are returning to school after being diagnosed with methicillin-resistant staphylococcus aureus (MRSA). Which of the following actions should the nurse take? r. Coordinate an immunization clinic at the school s. Recommend prophylactic treatment for classmates t. Report the cases of MRSA to child protective services u. Provide education about MRSA throughout the school system Rationale: Appropriate hand hygiene and self-care will help prevent the spread of MRSA NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ 15. A home health care nurse is teaching a client's family about preventing the transmission of Clostridium difficile. Which of the following transmission-based precautions should the nurse include in the teaching? v. Contact precautions w. Droplet precautions x. Airborne precautions y. Protective environment Rationale: Contact precautions. The nurse should instruct the family to implement contact precautions while providing care for a client who has C. difficile. Contact precautions eliminate the exposure to contaminated body fluids and items. Droplet precautions. The nurse should implement droplet precautions when providing care for a client who has diphtheria or mumps. Droplet precautions NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ the client understands the teaching? z. "I should get an annual immunization to prevent Lyme disease." b. "I can take penicillin for 10 to 14 days to manage Lyme disease." c. "I can get Lyme disease from a mosquito bite." d. "I will have abdominal pain and diarrhea if I get Lyme disease." Rationale: A client who receives a diagnosis of Lyme disease in the early stages should respond to 10 to 14 days of penicillin or tetracycline therapy. The nurse should instruct the students to consume less than 300 mg/day of dietary cholesterol. High levels of dietary cholesterol in a diet can be a risk factor for cardiovascular disease. 17. A school nurse is educating a group of high school student about recommended dietary guidelines. Which NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ of the following statements by a student indicates an understanding of the teaching? aa. "I can consume up to 25 percent of my daily calories from saturated fatty acids." bb. "I should consume less than 300 milligrams per day of dietary cholesterol." cc. "I can increase my daily consumption of foods that contain refined grains." dd. "I should consume 800 milligrams per day of dietary calcium." Rationale: "I should consume less than 300 milligrams per day of dietary cholesterol." The nurse should instruct the students to consume less than 300 mg/day of dietary cholesterol. High levels of dietary cholesterol in a diet can be a risk factor for cardiovascular disease. 18. A community health nurse is creating a program to reduce domestic violence in the community. NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ Which of the following interventions should the nurse identify as secondary prevention? a. Creating a public service announcement about the warning signs of intimate partner abuse b. Recognizing and reporting suspected abuse to the appropriate protective services c. Collaborating with support agencies to ensure the ongoing treatment for abuse e. Educating individuals and groups about preventing domestic and community abuse Rationale: Secondary prevention is an intervention that focuses on early detection of a health problem to facilitate early diagnosis and treatment. Recognizing and reporting suspected abuse facilitates diagnosis and intervention, helping to prevent further abuse. 19. A nurse in a clinic is planning teaching for a client who NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ Rationale: Frequently changing health care providers is a warning sign for potential future child abuse because it can indicate that the client is in an abusive relationship and is attempting to hide it from her provider. Clients who experience abuse are at a higher risk for abusing their own children. 21. A public health nurse is planning an educational program for a group of nurses at a community health department about pertussis infection. which of the following information should the nurse include? gg. Individuals should receive an annual influenza vaccine to minimize the risk of infection with pertussis. hh. Newborns should receive the first dose of the diphtheria, tetanus, and acellular pertussis (DTaP) vaccine prior to discharge from the hospital. NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - Community Health Practice Exam A (50 Items) 1.A A community health nurse is planning a presentation for adults who have a family history of Alzheimer's disease. Which of the following behaviors should the nurse include as an early manifestation of Alzheimer's disease a. Withdrawal from social activities b. Forgetting the location of common object c. Experiencing incontinence d. Neglecting personal hygiene Rationale: Forgetting the location of common objects is an early manifestation of Alzheimer's disease. 2.A A community health nurse identifies an increase in the occurrence of osteoporosis- related fractures in women experiencing menopause. Which of the NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ c. "How often do you have visitors come to see you?" d. "Have you considered moving to an assisted living facility?" Rationale: "How often do you have visitors come to see you?" MY ANSWER The nurse should NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ ask this question because it addresses the issue of social isolation by determining the frequency of contact between the client and others. 5.A A community health nurse is discussing the role of a faith community nurse with a chaplain. Which of the following information should the nurse include in the discussion? a. The faith community nurse can provide pharmacologic pain management for clients who have a terminal illness. b. The faith community nurse can plan safety training for employees in a local factory. c. The faith community nurse can provide wound care for clients in their homes. d. The faith community nurse can facilitate substance abuse support groups. Rationale: This is one of the roles of a faith community nurse. 6.A A nurse is conducting a home visit for an older adult NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ client. The nurse should identify which of the following findings as an indicator of possible neglect? a. Lives alone b. Taking outdated prescriptions c. Has a BMI of 25 d. Presence of alcohol in the home Rationale: Taking outdated prescriptions is an example of inadequate medical care and is an indicator of possible neglect. The client taking outdated prescriptions is an example of inadequate medical care and is an indicator of possible neglect. 7. A community health nurse is conducting a needs assessment of a community. The nurse should identify that which of the following methods will yield direct data? b. Health surveys c. Medical records NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ Rationale: Focus groups is correct. The nurse should include focus groups, which are small groups of individuals who use the health department services, for process evaluation of the facility. This information allows for review of the facility's strengths and weaknesses in the quality of client care delivery. Written audits is correct. The nurse should include written audits, which are written evaluations of the quality of care provided by the health department, for process evaluation of the facility. This information allows for review of the facility's strengths and weaknesses in the quality of client care delivery. Satisfaction survey is correct. The nurse should include satisfaction surveys, which are assessments of clients' perception of their care made via telephone or written questionnaires, for process evaluation of the facility. Interviews is correct. The nurse should include interviews of clients who use the health department's services for NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ process evaluation of the facility. Values self-study is incorrect. A values self-study is performed as the first step in quality assurance when the health department determines the needs of the community, the services to offer, and develops a philosophy and overall objectives for the facility. 10. A community health nurse is planning an in- service about STIs for a group of adolescents. Which of the following clinical findings should the nurse include as a manifestation of primary syphilis? g. Malaise h. Maculopapular rash on palms c. Chancre d. Lymphadenopathy Rationale: Chancre is a clinical manifestation of primary syphilis. All the others are symptoms are clinical manifestations of secondary syphilis. NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ 11. A community health nurse is caring for an adolescent who is seeking help for unplanned pregnancy. Which of the following actions should the nurse take first? i.Recommend that the adolescent meet with the school guidance counselor to discuss educational options. j.Request permission to interview the father of the child to obtain a medical history c. Help the client obtain a provider for prenatal care d. Provide information on parenting classes so the client can learn about caring for a newborn Rationale: The client is an adolescent and experiencing an unplanned pregnancy, which are factors that place the client at risk for complications. Therefore, the first action the nurse should take is to assist the client in obtaining prenatal care. NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ 13. A nurse is caring for a 16-year-old client who has a new diagnosis of human papillomavirus. Which of the following actions should the nurse take? o. Report the infection to the state health department p. Instruct the client to return for a blood test in 1 month. q. Administer ceftriaxone 250mg IM. d. Teach the client how to apply imiquimod 5% cream to the lesions. Rationale: The client can self-treat the lesions using topical imiquimod 5% cream to the lesions at bedtime for up to 16 weeks. 14. A school nurse is reviewing the records of four NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ students who are returning to school after being diagnosed with methicillin-resistant staphylococcus aureus (MRSA). Which of the following actions should the nurse take? r. Coordinate an immunization clinic at the school s. Recommend prophylactic treatment for classmates t. Report the cases of MRSA to child protective services u. Provide education about MRSA throughout the school system Rationale: Appropriate hand hygiene and self-care will help prevent the spread of MRSA NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ 15. A home health care nurse is teaching a client's family about preventing the transmission of Clostridium difficile. Which of the following transmission-based precautions should the nurse include in the teaching? v. Contact precautions w. Droplet precautions x. Airborne precautions y. Protective environment Rationale: Contact precautions. The nurse should instruct the family to implement contact precautions while providing care for a client who has C. difficile. Contact precautions eliminate the exposure to contaminated body fluids and items. Droplet precautions. The nurse should implement droplet precautions when providing care for a client who has diphtheria or mumps. Droplet precautions NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ the client understands the teaching? z. "I should get an annual immunization to prevent Lyme disease." b. "I can take penicillin for 10 to 14 days to manage Lyme disease." c. "I can get Lyme disease from a mosquito bite." d. "I will have abdominal pain and diarrhea if I get Lyme disease." Rationale: A client who receives a diagnosis of Lyme disease in the early stages should respond to 10 to 14 days of penicillin or tetracycline therapy. The nurse should instruct the students to consume less than 300 mg/day of dietary cholesterol. High levels of dietary cholesterol in a diet can be a risk factor for cardiovascular disease. 17. A school nurse is educating a group of high school student about recommended dietary guidelines. Which NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ of the following statements by a student indicates an understanding of the teaching? aa. "I can consume up to 25 percent of my daily calories from saturated fatty acids." bb. "I should consume less than 300 milligrams per day of dietary cholesterol." cc. "I can increase my daily consumption of foods that contain refined grains." dd. "I should consume 800 milligrams per day of dietary calcium." Rationale: "I should consume less than 300 milligrams per day of dietary cholesterol." The nurse should instruct the students to consume less than 300 mg/day of dietary cholesterol. High levels of dietary cholesterol in a diet can be a risk factor for cardiovascular disease. 18. A community health nurse is creating a program to reduce domestic violence in the community. NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ Which of the following interventions should the nurse identify as secondary prevention? a. Creating a public service announcement about the warning signs of intimate partner abuse b. Recognizing and reporting suspected abuse to the appropriate protective services c. Collaborating with support agencies to ensure the ongoing treatment for abuse e. Educating individuals and groups about preventing domestic and community abuse Rationale: Secondary prevention is an intervention that focuses on early detection of a health problem to facilitate early diagnosis and treatment. Recognizing and reporting suspected abuse facilitates diagnosis and intervention, helping to prevent further abuse. 19. A nurse in a clinic is planning teaching for a client who NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ Rationale: Frequently changing health care providers is a warning sign for potential future child abuse because it can indicate that the client is in an abusive relationship and is attempting to hide it from her provider. Clients who experience abuse are at a higher risk for abusing their own children. 21. A public health nurse is planning an educational program for a group of nurses at a community health department about pertussis infection. which of the following information should the nurse include? gg. Individuals should receive an annual influenza vaccine to minimize the risk of infection with pertussis. hh. Newborns should receive the first dose of the diphtheria, tetanus, and acellular pertussis (DTaP) vaccine prior to discharge from the hospital. NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ ii. Individuals who have had pertussis do not require immunization. d. Individuals transmit the pertussis bacteria through airborne droplets. Rationale: Transmission occurs when an individual who has an infection with Bordetella pertussis coughs and expels droplets smaller than 5 microns 22. A clinic nurse is caring for a client who reports taking ginkgo biloba for several weeks since seeing a naturopathic healer. The nurse should instruct the client that ginkgo biloba may alter the effects of which of the following medications? jj. Warfarin b. Metoprolol c. Digoxin d. Diltiazem Rationale: Ginkgo biloba can hinder coagulation. Therefore, the nurse should instruct the client that ginkgo NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ biloba may alter the effects of warfarin. 23. A home health care nurse is teaching a client's family about preventing the transmission of Clostridium difficile. Which of the following transmission-based precautions should the nurse include in the teaching? kk. "You will be able to access my mother's hospital medical records for us to review." ll. "You will be able to give my mother's pain medication." NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ Rationale: Biological. A family genogram tracks the incidence of disease over multiple generations of a family and will identify biological risk factors. 26. An occupational health nurse is assessing a client who reports taking ibuprofen daily. The nurse should counsel the client about the risk for which of the following adverse effects? ss. Gastric ulceration tt. Orthostatic hypotension uu. Hyperglycemia vv. Urinary retention Rationale: Daily use of NSAIDs, such as ibuprofen, increases the risk of gastric ulceration, perforation, and hemorrhage. 27. A nurse is giving a presentation about family violence NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ at a local community center. Which of the following information should the nurse include? ww. Minority populations may be at greater risk for abuse. xx. Intimate partner abuse occurs more frequently in lower socioeconomic households. yy. Child abuse is more common in homes where intimate partner abuse is present. zz. Children who are abused are less likely to become abusers. Rationale: Child abuse is very common in homes where intimate partner abuse is present. 28. A nurse in an emergency department is triaging clients following an explosion at a local factory. Which of the following clients should the nurse identify as the priority? aaa. A client who has superficial burns to 10% of NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ the abdomen bbb. A client who has tracheal deviation and shortness of breath ccc. A client who has agonal respirations and an open head injury ddd. A client who has a fracture of the humerus and a bleeding foot laceration Rationale: A client who has tracheal deviation and shortness of breath most likely has a pneumothorax and requires immediate intervention for survival. Therefore, when using the survival approach to client care, the nurse should give priority to this client. 29. A public health nurse is planning a community health promotion program for hypertension prevention. Which of the following interventions should the nurse include as a tertiary prevention strategy? eee. Provide education about risk factors for NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ Naltrexone is prescribed to assist the client with alcohol withdrawal and prevent relapse. 31. A nurse is assessing a new client at a public health clinic. Which of the following areas should the nurse address as part of the cultural assessment? lll. Immunization status mmm. Sexual activity c. Illness practices d. Food allergies Rationale: A cultural assessment focuses on beliefs, values, meanings, and behavior of people within a client's cultural, ethnic, or religious group. This includes culturally-based practices that relate to health and illness. 32. A school nurse is notified that a school-age child has been newly diagnosed with pertussis. Which of the NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ following actions should the nurse take? (Select all that apply.) nnn. Instruct the parent to keep the child at home until the coughing stage has passed. ooo. Encourage family members to obtain prophylactic treatment. ppp. Quarantine the children in the child's class. qqq. Recommend that the child receive a pneumococcal vaccine in 28 days. e. Check the immunization status of the child's classmates. 33. A nurse is caring for a client who has stage IV pancreatic cancer and has received information regarding available treatment options. Which of the following is the responsibility of the nurse if the client chooses to forgo treatment and enter hospice care? rrr. Make the hospice referral in accordance with the client's decision NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ sss. Verify that the client's health insurance pays for hospice services ttt. Recommend a second opinion from another provider uuu. Assess whether or not the family agrees with the client's decision Rationale: The nurse should follow the ethical principle or respect for client autonomy and NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ dddd. Inform the provider of the client's decision eeee. Determine the client's reason for discontinuing the medication ffff. Discuss the consequences of discontinuing the medication with the client gggg. Provide the client with an educational pamphlet about the medication Rationale: When using the nursing process, the first step the nurse should take is to assess the client. By determining the client's reason for discontinuing the medication, the nurse can promote adherence to treatment. 37. Community leaders have requested a meeting with a community health nurse to discuss creating a mobile meals program. Which of the following should the community health nurse assess first? a.The leadership support of the community NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ b. The availability of volunteers c. The availability of volunteers d. The need for the program Rationale: Using the urgent vs. nonurgent approach to client care, the nurse should first assess the need for the mobile meals program. This action allows the nurse to collect data on the client, which is the community, and meets the first step of program planning. The needs of the community will determine all other steps of the planning process. 38. A nurse is preparing to administer medication to a client who has active tuberculosis. Which of the following precautionary measures should the nurse take? hhhh. Wear gloves. iiii. Wear a gown. jjjj. Use disposable equipment. d. Use an N95 respirator. NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ Rationale: A client who has active TB require airborne precautions to prevent the spread of droplet nuclei smaller than 5 microns. The nurse should wear an N95 respiratory when administering medication to prevent transmission of the infection. 39. A community health nurse is reviewing plans for a health education program. The nurse should identify that which of the following components of the plan needs to be changed? kkkk. Program content is organized topically. llll. Pamphlets are written at a 12th- grade level. mmmm. The presentation is delivered via a computer slide presentation. nnnn. Attendance at the program is voluntary Rationale: The nurse should identify that the pamphlets written at a 12th-grade reading level requires a change. The American Medical Association and the National NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ Rationale: The nurse should recognize that varicella is included on the Nationally Notifiable Infectious Conditions list. States voluntarily conduct surveillance and report instances of certain NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ diseases to the Centers for Disease Control and Prevention so the data can be compiled and released each year. 43. A nurse is caring for a client who has recently emigrated from another country and states, "The health care system in my country was better and should be used everywhere." The nurse should recognize that the client is demonstrating which of the following behaviors? aaaaa. Social organization NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ bbbbb. Cultural imposition c. Ethnocentrism d. Stereotyping Rationale: Ethnocentrism occurs when people view the world from the perspective of their own cultural background and viewpoint 44. A community health nurse is providing teaching about health promotion to a group of adolescents. Which of the following topics is most important for the nurse to include in an attempt to lower adolescent mortality rates? ccccc. Underage smoking ddddd. Safer sex practices eeeee. Safety belt use fffff. Heart-healthy diet NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ 47. A nurse is developing a community education program about risk factors for family violence. The nurse should include which of the following circumstances as a risk factor for? kkkkk. Attempting to end the relationship lllll. Lacking supportive friends outside the relationship. mmmmm. Having health issues that limit independence NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ nnnnn. Taking antianxiety or sedative medications Rationale: Clients who are in a relationship with a potential or actual abuser heighten their risk for intimate partner abuse when they attempt to leave the relationship. 48. A home health nurse is planning care for a client who reports practicing traditional Asian health beliefs. The nurse should recognize that the client participates in which of the following actions? ooooo. Place a cup of steam against the skin to draw out toxins from the body ppppp. Applies cool compresses across the body to reduce fever qqqqq. Avoids eating dairy and meat products during the same meal rrrrr. Visits a shaman to seek healing from illness NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+ Rationale: The nurse should recognize that a health- related practice for clients who practice traditional Asian health beliefs includes cupping, which involves placing the open end of a cup of steam against the skin. A vacuum seal is created as the steam cools. When the cup is removed, it is believed that toxins are drawn out from the body. 49. A community health nurse is participating in a group session for clients who have alcohol and substance use disorders. Which of the following information should the nurse provide regarding support programs for these individuals? sssss. Alcoholics Anonymous (AA) is a support group that requires disclosure of attendance to employ]ers. ttttt. Narcotics Anonymous (NA) is a one-on- one NR442 - RN Community Health Practice Assessment A RATIONALE LATEST UPDATE 2021/2022 ,100% CORRECT RATED A+