Nursing: Prevention Strategies and Healthcare Scenarios, Exams of Nursing

Download Nursing: Prevention Strategies and Healthcare Scenarios and more Exams Nursing in PDF only on Docsity! 403 REVIEW FINAL EXAM NURS 403/2020 PRIMERA PARTE 100% GUARANTEED PASS WITH CORRECT/ VERIFIED SOLUTIONS NURS 403/2020 1.A community health nurse in a pediatric clinic is reviewing the history of a 12-year-old client . Which of the following immunizations should the nurse expect to administer? A. Meningococcal conjugate B. Herpes Zoster C. Rotavirus D. Pneumococcal polysaccharide 2. Nurse is preparing a community health program for adults at risk for cardiovascular disease. Which of the following should the nurse include as a modifiable risk factor? A. Diagnosis of diabetes Miletus B. Family history of cardiac disease C. Increase age D. Cigarette smoking 3. An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy? A. Teach plant workers about proper lifting techniques B. Set up an influenza immunization campaign C. Help plant workers identify signs of carpal tunnel syndrome D. Collaborate with physical therapists to develop program for injured employees to return to work 4. A school nurse receives a call that some children and teachers report being exposed to an undetermined noxious gas odor presenting in the classrooms and are experiencing dizziness. Which of the following actions should the nurse take? A. Have students evacuated from the school and establish a triage area in the school parking lot. B. Move individual who are reporting symptoms to one of the affected classrooms and create a triage area inside C. Arrange for children transportation to the nearest emergency department and the group triage will occur there. D. Transport all children and school personnel to the nearest medical facility school busses 5. The nurse is participating in a biological disaster simulation where citizens are exposed to pneumonic plague . Which of the following interventions should the nurse plan to use while caring for these clients? A. Initiate airborne precaution B. Administer an antitoxin C. Initiate droplet precautions D. Destroy the lines after use pg. 1 6. A nurse is among the first responders to a mass-casualty incident and does not know what type of personal protection equipment (PPE) is needed. Which of the following actions should the nurse take? A. Wait until the type of equipment needed is known B. Decontaminate victims before intervening C. Choose the highest level of protection equipment available. D. Use a dosimeter to measure the level of radiation in the area before intervening 7. A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client? A. A negative pressure isolation room B. A semiprivate room with a client who has pediculosis capitis C. A positive pressure isolation room D. A private room. 8. A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which of the following clients should the nurse plan to care for first? A. A client experiencing a tension pneumothorax B. A client who has a closed upper extremity fracture C. A client who has full thickness burns over 80% of this body D. A client who has agonal respirations 9. a nurse is helping to triage a group of clients at a mass casualty incident who were involved in an explosion at a local factory. Which of the following clients should the nurse tag to be the priority for care? A. A client who has severe head injury respiratory rate 6/min and unresponsive B. A client who has a simple fracture of the femur, multiple scratches on both legs, and crying hysterically C. A client who has a piece of wood punctured into the chest wall and has an audible hissing sound coming from the wound site. D. A female who is pregnant at 20 weeks of gestation has multiple cuts and abrasions and is walking around 10. A nurse is triaging victims of a multiple motor-vehicle crash. The nurse assesses a client trapped under a car who is apneic and has a weak pulse at 120/min. After repositioning his upper airway, the client remains apneic. Which of the following actions should the nurse take? A. Start CPR B. Place a red tag on the client’s upper body and attempt to help the next client in need C. Place a black tag on the client’s upper body and attempt to help the next client in need. D. Reposition the client upper airway a second time before assessing his respirations 11. A nurse is reviewing the guidelines for reporting nationally notifiable infectious diseases. Which of the following diseases should the nurse plan to report to the Centers for Disease Control and Prevention (CDC)? pg. 2 D. My nipples and areolae will become pale as my breast enlarge 18. A nurse is preparing to administer ciprofloxacin to a client. The nurse identify that the medication is treated for exposure to which of the following agents? A. Smallpox B. Sarin gas C. Ebola virus D. Antrax 19. A nurse is caring for a client who suspects recent exposure to inhalation anthrax. Which of the following findings indicate possible exposure? A. Flu-like symptoms. B. Sloughing of skin C. Vesicles on the skin D. Respiratory failure 20. A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching ? A. Information about a client can be disclosed to family members at any time. B. HIPAA established regulations of individually identifiable health information in verbal electronic or written form C. A client address would be an example of personally identifiable information D. HIPAA is a federal law not a state low 21. A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take? A. Adjust the water temperature to feel hot B. Apply 4 to 5 ml of liquid soap to the hands. C. Hold the hands higher than to the elbows D. Rub hands and arm to dry 22. A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feeding. Which of the following actions should the nurse take? A. Mix the three medications together prior to administering B. Dilute each medication with 10 ML of tap water C. Maintain the head of the bed in a flat position for 30 min following medications administration D. Flush the NG feeding tube with 30 ml of water immediately following medication administration. 23.- a nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take? A. Tell the client to blow her nose gently before the instillation. B. Assistant the client to a side lying position C. Hold the dropper 2 cm (1in) above the naris D. Instruct the client to say in the same position for 2 min 24.- A nurse is performing tracheostomy care for a client and suctioning to remove copious secretions. Which of the following actions should the nurse take? pg. 5 A. Suction two to three times with a 60-second pause between passes. B. Perform chest physiotherapy prior to suctioning C. Lubricate the suction catheter tip with sterile saline D. Hyperventilate the client on 100% oxygen prior to suctioning 25.- The newly licensed nurse is applying prescribed wrist restraints on a client. Which of the following action should the nurse take? A. Secure the restraints using a quick-release tie. B. Ensure four fingers fit under the restraints to prevent constriction C. Secure the restraints to the lowest bar of the side rail D. Anticipate removing the restraints every 4 hours 26.- A nurse is preparing a client for outpatient surgery. After the nurse inserts the IV catheter, the client reports pain in the insertion area. Which of the following actions should the nurse take? A. Remove the catheter and insert another into a different site. B. Administer an analgesic PO C. Request a prescription for placement of a central venous access device D. Administer local anesthetic 27.- A client smoking in his bathroom has dropped a cigarette butt into a wastepaper basket, which begins to smolder. Which of the following actions is the nurse`s priority? A. Close the fire doors on the unit B. Activate the alarm C. Remove any client in the immediate vicinity D. Use the fire extinguisher to put out the fire 28. A nurse is caring for a client who refuses treatment and asks to be discharged from the hospital against medical advice. The nurse notifies the client’s provider, who tells the nurse to restrain the client. If necessary, to keep her from leaving the hospital. The nurse understands that restraining this client would be considered which type of civil action by the nurse? A. Invasion of privacy B. Assault C. Battery D. False imprisonment 29.- A nurse is inserting an IV catheter for an older client in preparation for an outpatient procedure. Which of the following veins should the nurse select? A. Dorsal metacarpal vein B. Radial vein in the wrist C. Antecubital vein D. Median vein in the forearm. 30. A nurse is providing oral care for a client who is immobile. Which of the following actions should the nurse take? A. Use a stiff toothbrush to clean the client teeth B. Use the thumb and index to keep the client mouth open C. Turn the client on his side before starting oral care pg. 6 D. Apply petroleum jelly to the client lips after oral care 31. A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse understands the purpose of the test is to check the stool for which of the following substances? A. Steatorrhea B. Blood C. Bacteria D. Parasites 32.- A nurse is instructing a client who has a new diagnosis of Raynaud`s disease about preventing the onset of manifestations. Which of the following client statements should indicate to the nurse the need for additional teaching? A. I will wear gloves when removing food from the freezer B. I will try anticipating and avoid stressful situation when possible C. I will complete the smoking cessation program I started D. I will take my medications at the first sign of an attack. 33.- A nurse is caring for a client who experienced a lacerated spleen and has been on bedrest for several days. The nurse auscultates decreased breath sounds in the lower lobes of both lungs. The nurse should realize that this finding is most likely an indication of which of the following conditions. A. An upper respiratory infection B. Pulmonary edema C. Atelectasis. D. Hypertension and crackles 34. The nurse is assessing a client and discovers the infusion pump with the client’s total parenteral nutrition (TPN) solution is infusing. The nurse should monitor the client for which of the following conditions? A. Excessive thirst and urination B. Shakiness and diaphoresis C. Fever and chills D. Hypertension and crackles 35. A nurse is caring for four clients who have drainage tubes. Which of the following clients should the nurse recognize as being at risk for hypokalemia? A. The client who has a tracheostomy tube attached to humidified oxygen B. The client who has an indwelling urinary catheter to gravity drainage C. The client who has a chest tube to water seal D. The client who has a nasogastric (NG) tube to suction. 36.- A nurse is caring for a client who has an indwelling unitary catheter and notes blood-tinged urine in the catheter bag. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations? A. Pernicious anemia B. Dehydration C. Prostate enlargement D. Bladder infection pg. 7 b. Families c. Groups d. Populations a nurse is teaching a client diagnosed with gonorrhea how to prevent reinfection and further spread. Which of the following describes the action taken by the nurse? Primary prevention Secondary promotion Tertiary prevention Secondary prevention Secondary prevention focuses on early detection and prompt treatment of disease, injury, or disability. Primary prevention refers to those interventions aimed at focuses on chronic care and rehabilitation, Primary health care refers to the first line of care provided to patients typically by a physician or other health care provider. PHNs utilize registries to identify children with delayed or missing immunizations. They subsequently follow up with families by phone calls or home visits. Which of the following levels of practice is being implemented? Policy Systems Individual Community A nurse who is involved in identifying individuals with unrecognized health risk factors or asymptomatic disease is using which intervention? a. Screening b. Referral and follow-up c. Surveillance d. Health teaching The factors, exposures, characteristics, and behaviors that determine patterns of disease are described using: a. descriptive epidemiology. b. analytic epidemiology. c. distribution. d. determinants. Determinants are the factors, exposures, characteristics, and behaviors that determine patterns of disease, which may be individual, relational, social, communal, or environmental. Descriptive epidemiology seeks to describe the occurrence of a disease in terms of person, place, and time. Analytic epidemiology focuses on the investigation of causes and associations. Distribution describes who has the disease and where and when the disease occurs. A client is receiving PHC services. Which of the following expectations would the client have? a. The care would be provided by a physician. b. Private insurance would be necessary to receive care. c. The emphasis of care provided would be on prevention. d. A referral would be made to a specialist after receiving services. The focus of PHC is a broad range of services that are designed to be affordable for the recipients of the care and the governments who provide them. The emphasis of care is on prevention and the means of providing the care is based on practical, scientifically sound, culturally ap-propriate, and socially acceptable methods. All clients can receive PHC services regardless of insurance status. Those receiving primary care services may or may not need referral to a specialist. which of the following is an example of public health agency. Federal Bureau of Investigation (FBI) Drug enforcement administration (DEA) Women, Infants and children (WIC) pg. 10 Medical Center clinics (MCC) the public health care functions are directly linked to the healthcare promotion and prevention levels. The tertiary levels is characterized by The services are designed to treat disease in acute stage The service are designed to limit the progression of the disease or disability The function is to detect and treat disease is early stage Meets the basic needs of health people A school nurse is teaching a group of nurses newly hired to work in the school system about pedi information is appropriate to include in the teaching? Nits that are shed into the environment are capable of hatching for up to 10 days Infestation often appears as grayish brown threadlike burrow along the skin behind the ears Family pets can contribute to the transmission of lice Children from lower socioeconomic areas are more likely to have lice. 1.A community health nurse in a pediatric clinic is reviewing the history of a 12-year-old client. Which of the following immunizations should the nurse expect to administer? a.Meningococcal conjugate 2. Nurse is preparing a community health program for adults at risk for cardiovascular disease. Which of the following should the nurse include as a modifiable risk factor? d. Cigarette smoking 3. An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy? c. Help plant workers identify signs of carpal tunnel syndrome 4. A school nurse receives a call that some children and teachers report being exposed to an undetermined noxious gas odor presenting in the classrooms and are experiencing dizziness. Which of the following actions should the nurse take? a. Have students evacuated from the school and establish a triage area in the school parking lot. 5. The nurse is participating in a biological disaster simulation where citizens are exposed to pneumonic plague. Which of the following interventions should the nurse plan to use while caring for these clients? c. Initiate droplet precautions 6. A nurse is among the first responders to a mass-casualty incident and does not know what type of personal protection equipment (PPE) is needed. Which of the following actions should the nurse take? c. Choose the highest level of protection equipment available. 7. A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client? d. A private room. 8. A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which of the following clients should the nurse plan to care for first? pg. 11 a. A client experiencing a tension pneumothorax pg. 12 d.- Median vein in the forearm. 30. A nurse is providing oral care for a client who is immobile. Which of the following actions should the nurse take? c. Turn the client on his side before starting oral care. 31. A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse understands the purpose of the test is to check the stool for which of the following substances? b. Blood 32.- A nurse is instructing a client who has a new diagnosis of Raynaud`s disease about preventing the onset of manifestations. Which of the following client statements should indicate to the nurse the need for additional teaching? D.- I will take my medications at the first sign of an attack. 33.- A nurse is caring for a client who experienced a lacerated spleen and has been on bedrest for several days. The nurse auscultates decreased breath sounds in the lower lobes of both lungs. The nurse should realice that this finding is most likely an indication of which of the following conditions? C.- Atelectasis. 34. The nurse is assessing a client and discovers the infusion pump with the client’s total parenteral nutrition (TPN) solution is infusing. The nurse should monitor the client for which of the following conditions? b. Shakiness and diaphoresis 35. A nurse is caring for four clients who have drainage tubes. Which of the following clients should the nurse recognize as being at risk for hypokalemia? d. The client who has a nasogastric (NG) tube to suction. 36.- A nurse is caring for a client who has an indwelling unitary catheter and notes blood-tinged urine in the catheter bag. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations? D.- Bladder infection 37.- A nurse is assessing a client`s cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III? D.- checking the pupillary response to light. 38.- A nurse is caring for a client who has had an allogeneic hematopoietic stem-cell transplant. Which of the following infection-control precautions should the nurse use while caring for this client? B.- Protective. 39.- An assistive personnel (AP) reports a client`s vital signs as tympanic Temperature 37.1º C (98.8º F), pulse 92/min, respiratory rate 18/min, and BP 98/58 mm Hg. Which of the following vital signs should the nurse re-measure? A.- BP pg. 15 40. A nurse accidentally administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client’s hospitalization. The client could rightfully sue the nurse for which of the following? c. Malpractice. 41. A nurse is caring for an older adult client who states, “I am afraid that I may fall white walking to the bathroom during the night.” Which of the following actions should the nurse take? c. Leave a nightlight on the client’s room. 42.- A nurse is working with a licensed practical nurse (LPN) to care for a client who is receiving a continuous IV infusion. Which of the following findings reported by the LPN indicated to the nurse the client has phlebitis at the IV insertion side? B.- The area surrounding the insertion site feels warm to the touch. 43.- A nurse in the emergency department is caring for a client who collapsed after playing football on a hot day. After reviewing the admission laboratory findings, the nurse recognizes are consistent with which of the following conditions? Sodium 152 mEq/L Potassium 3.6 mEq/L Chloride 105 mEq/L Glucose 102 mg/dL BUN 18 mg/dL Creatinine 0.7mg/dL C.- Dehydration. 44.- A nurse at an extended- care facility is instructing a class assistive personnel (AP) about client use of assistive devises during ambulation. Which of the following instruction should the nurse give the AP about the clients` use of a cane? A.- When the client moves, he should move the cane forward first. 45. The nurse is caring for a client who has active pulmonary tuberculosis (TB). The client requires airborne precautions and is receiving multidrug therapy. Which of the following precautions should the nurse take to transport the client safety to the radiology department for a chest x-ray? b. Have the client wear a mask 46. A nurse is assisting with transferring a client from the bed to wheelchair. Which of the following actions should the nurse take? b. Lock the wheels of the bed and the wheelchair. 47. Prueba de Mantoux positiva R/ Poner al paciente con presión negativa. 48. Paciente alterado pg. 16 R/ Poner al paciente cerca de la estación de enfermería pg. 17 17. A charge nurse is making a room assignment for a client who has scabies. in which of the following rooms should the nurse place the client? a private room 18. A nurse is performing triage for a group of clients following a mass casualty incident (MCI). which of the following clients should the nurse plan to care for first? a client experiencing a tension pneumothorax 19. A nurse is helping to triage a group of clients at a mass casualty incident who were involved in an explosion at a local factory. which of the following clients should the nurse tag to be the priority for care? A. A client who has severe head injuries, respiratory rate 6/min, and is unresponsive B. A client who has a simple fracture of the femur, multiple scratches on both legs, and is crying hysterically C. A client who has a piece of wood punctured into the chest wall and has an audible hissing sound coming from the wound site D. A female who is pregnant at 20 weeks of gestation, has multiple cuts and abrasions, and is walking around E. a client who has a piece of wood punctured into the chest wall and has an audible hissing sound coming from the wound site 20. A nurse is assisting with field triage following a motor-vehicle crash involving a bus with multiple victims. the nurse assesses a child who has an open fracture of the femur. which of the following actions should the nurse take? A. Locate the child's parents to obtain consent for treatment. B. Place a yellow triage tag on the child. C. Notify the emergency department of the child's imminent arrival. D. Perform a complete head-to-toe assessment. 21. A nurse is triaging victims of a multiple motor-vehicle crash. the nurse assesses a client trapped under a car who is apneic and has a weak pulse at 120/min. after repositioning his upper airway, the client remains apneic. which of the following actions should the nurse take? place a black tag on the client upper body and attempt to help the next client in need 22. A nurse is triaging clients injured during a tornado. the nurse assesses a client who has an open fracture of his arm. which of the following actions should the nurse take? place a yellow tag on the client's upper body 23. A nurse is the triage officer in the emergency department when 4 clients arrive following a factory explosion. which of the following clients should the nurse care for first? an unconscious adult client who has a sucking chest wound, respirations of 38/min, and capillary refill of <2 seconds pg. 20 24. A nurse is education community members about how to prepare for a disaster. which of the following supplies should the nurse instruct the clients to include in a disaster preparedness kit? SATA clean clothing, personal identification, matches, prescription meds 25. A nurse is assisting with triaging clients following an explosion. which of the following clients should the nurse identify as the highest priority? a conscious adult client who has second-degree burns on both lower legs; resp rate is >30/mi 26. A nurse is reviewing the guidelines for reporting nationally notifiable infectious diseases. which of the following diseases should the nurse plan to report to the centers for disease control and prevention (CDC)? lyme disease 27. A community health nurse is reviewing the levels of disease prevention. which of the following activities is an example of tertiary prevention? providing treatment for clients who have COPD 28. A charge nurse is discussing staff nurses' responsibilities in preplanning for response to a disaster. which of the following responsibilities should the nurse include in the discussion? identify community resources that are available 29. A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. for which of the following agents should the nurse plan to administer a vaccine following exposure? smallpox 30. A nurse is providing staff education about smallpox as a bioterrorism threat. which of the following statements indicates an understanding of this agent? SATA smallpox is transmitted person to person naturally occurring smallpox has been eradicated from the world smallpox is often confused with varicella 31. A nurse is preparing a response protocol for botulism as a bioterrorism agent. the nurse should prepare the protocol based on which of the following information? SATA botulism can produce paralysis within 12 to 72 hrs following exposure vomiting and diarrhea are expected findings follwoing 32. A nurse is preparing to care for a client who has suspected exposure to plague as a result of bioterrorism. which of the following actions should the nurse plan to take first? initiate contact precautions pg. 21 33. A nurse is planning a staff education session regarding biological weapons of mass destruction. which of the following should he plan to include in the session? SATA smallpox anthrax botulism 34. A charge nurse is discussing the phases of community response to disaster with nursing staff. which of the following statements indicates an understanding of the heroic phase of disaster response? A. "Personnel are willing to work in dangerous conditions to provide assistance." (During the heroic phase, responders are willing to work in dangerous conditions for long periods of time to provide assistance.) B. "Survivors come together and share stories of survival." C. "Responders experience exhaustion due to extended relief eorts." D. "Normalcy begins to return to the community." E. personnel are willing to work in dangerous conditons to provide assistance 35. A community health nurse is providing a community education program about disaster preparedness. which of the following should the nurse recommend that clients include in their family's disaster readiness supply kit or 'go bag'? pencil and paper whistle(pito para silvar) copies of insurance cards household bleach 36. A nurse is reinforcing teaching with a group of adolescent females who are pregnant about expected changes related to pregnancy. which of the following client statements indicates understanding of the teaching? it is normal to have a white vaginal discharge 37. A nurse is leading a therapeutic group for clients at an output mental health clinic. which of the following statements indicates a problem with role transition? i just can’t seem to find any energy to take care of my children since my husband divorced me 38. A nurse is preparing to administer cipro to a client. the nurse should identify that the medication is treatment for exposure to which of the following agents anthrax 39. A nurse is caring for a client who suspects recent exposure to inhalation anthrax. which of the following findings indicates possible exposure? flu-like symptoms pg. 22 A. A client experiencing a tension pneumothorax B. A client who has a closed upper extremity fracture C. A client who has full-thickness burns over 80% of his body D. A client who has agonal respirations A client experiencing a tension pneumothorax. 19.A nurse is helping to triage a group of clients at a mass casualty incident who were involved in an explosion at a local factory. Which of the following clients should the nurse tag to be the priority for care? A client who has a piece of wood punctured into the chest wall and has an audible hissing sound coming from the wound site 20.A nurse is assisting with field triage following a motor-vehicle crash involving a bus with multiple victims. The nurse assesses a child who has an open fracture of the femur. Which of the following actions should the nurse take? Place a yellow tag on the child 21.A nurse is triaging victims of a multiple motor-vehicle crash. The nurse assesses a client trapped under a car who is apneic and has a weak pulse at 120/min. After repositioning his upper airway the client remains apneic. Which of the following actions should the nurse take? Place a black tag on the client's upper body and attempt to help the next client in need 22.A nurse is triaging clients injured during a tornado. The nurse assesses a client who has an open fracture of his arm. Which of the following actions should the nurse take? Place a yellow tag on the client's upper body 23.A nurse is the triage officer in the emergency department when four clients arrive following a factory explosion. which of the following clients should the nurse care for first? An unconscious adult client who has a sucking chest wound, respirations of 38/min, and capillary refill of <2 seconds 24.A nurse is educating community members about how to prepare for disaster. Which of the following supplies should the nurse instruct the clients to include in a disaster preparedness kit? (Select all that apply) Clean clothing Personal identification Matches Prescription medications 25.A nurse is assisting with triaging clients following an explosion. Which of the following clients should the nurse identify as the highest priority? A conscious adult client who has second-degree burns on both lower legs; respiratory rate is >30/min 26.A nurse is reviewing the guidelines for reporting nationally notifiable infectious diseases. Which of the following diseases should the nurse plan to report to the Centers for Disease Control and Prevention (CDC)? Lyme disease pg. 25 27.A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention? Providing treatment for clients who have chronic obstructive pulmonary disease 28.A charge nurse is discussing staff nurses' responsibilities in preplanning for response to a disaster. Which of the following responsibilities should the nurse include in the discussion? Identify community resources that are available 29.A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administer a vaccine following exposure? Smallpox 30.A nurse is providing staff education about smallpox as a bioterrorism threat. Which of the following statements indicates an understanding of this agent? (Select all that apply) "Smallpox is transmitted person to person" "Naturally occurring smallpox has been eradicated from the world" "Smallpox is often confused with varicella" 31.A nurse is preparing a response protocol for botulism as a bioterrorism agent. The nurse should prepare the protocol based on which of the following information? (Select all that apply) -Botulism can produce paralysis within 12-72 hr following exposure -Vomiting and diarrhea are expected findings following exposure 32.A nurse is preparing to care for a client who has suspected exposure to plague as a result of bioterrorism. Which of the following actions should the nurse plan to take first? Initiate contact precautions 33.A nurse is planning a staff education session regarding biological weapons of mass destruction. Which of the following should he plan to include in the session? (Select all that apply) Smallpox Anthrax Botulism 34.A charge nurse is discussing the phases of community response to disaster with nursing staff. Which of the following statements indicates an understanding of the heroic phase of disaster response? Personnel are willing to work in dangerous conditions to provide assistance. 35.A community health nurse is providing a community education program about disaster preparedness. Which of the following should the nurse recommend that clients include in their family's disaster readiness supply kit or "go bag"? (Select all that apply) Pencil and paper Whistle Antibiotics Copies of insurance cards 36.A nurse is reinforcing teaching with a group of adolescent females who are pregnant about expected changes related to pregnancy. Which of the following client statements indicates understanding of the teaching? pg. 26 It is normal to have white vaginal discharge 37.A nurse is leading a therapeutic group for clients at an outpatient mental health clinic. Which of the following client statements indicates a problem with role transition? I just can't seem to find any energy to take care of my children since my husband divorced me 38.A nurse is preparing to administer ciprofloxacin to a client. The nurse should identify that the medication is treatment for exposure to which of the following agents? Anthrax 39.A nurse is caring for a client who suspects recent exposure to inhalation anthrax. Which of the following findings indicate possible exposure? Flu-like symptoms 40. The Nurse-Led Wellness Center is a type of nursing center that focuses on: A. Health-promotion, disease-prevention, and disease-management programs B. Programs aliated with major for-prot health corporations C. Programs for special populations and specic health conditions D. Public health programs E. 41.A newly graduated nurse is looking into applying for community-related jobs. Among all the possibilities are the following, EXCEPT: A. School Nursing B. Occupational Nursing C. Trauma care Nursing D. Home care nursing 42.A riverfront community builds a retaining wall to divert floodwater away from the town. Which term describes what has happened (related to disaster)? Mitigation 43. Which levels of intervention are nurse-led centers designed to provide? Primary, Secondary, and Tertiary prevention 44. The new community nurse is interested in serving rural communication. After exploring different possibilities, which one do you think the nurse chose? Telehealth 45. A nurse is caring for the community as the client. Which of the following is most likely the focus of the nurse’s care? A. Providing care for aggregates living in the community B. The collective good of the population C. The provision of care for families in the home setting D. Providing health education in the community pg. 27 NURS 403/2020 CUARTA PARTE pg. 30 1. A nurse is providing staff education about smallpox as a bioterrorism threat. Which of the following statements indicates an understanding of this agent (SATA) A. "Smallpox is transmitted person to person." B. "Infection is characterized by severe respiratory distress." C. "Smallpox vaccination ensures lifelong immunity." D. "Naturally occurring smallpox has been eradicated from the world." E. "Smallpox is often confused with varicella." 2. A nurse is caring for a client following exposure to inhalational anthrax due to bioterrorism. Which of the following medications should the nurse prepare to administer? (SATA) A. Ciprofloxacin (Cipro) B. Doxycycline (Vibramycin) C. Amoxicillin (Amoxil) D. Penicillin G (Bicillin) E. Cefotaxime (Claforan) 3. A nurse is preparing a response protocol for botulism as a bioterrorism agent. The nurse should prepare protocol based on which of the following? (SATA) A. Botulism can produce paralysis B. The Centers for Disease Control and Prevention (CDC) should be notified when more than three cases are suspected C. Botulism is acquired through contact D. Vomiting and diarrhea are expected findings E. Botulism is a toxin found in castor beans 4. A public health nurse has just completed an educational program community who may have been exposed to agents of bioterrorism one of the nurses who attended the program regarding the clinical indicates a need for further education? A. "Smallpox has been considered eradicated worldwide." B. "People who were immunized against smallpox before to be protected." C. "It is easy for providers to distinguish smallpox from present early with the disease." D. "Unlike chickenpox, the vesicles of smallpox are m 5. A nurse is preparing to care for a client who has suspected exposure to plague as a result of bioterrorism. Which of the following actions should the nurse plan to take first? A. Prepare for drainage of lesions B. Initiate contact precautions C. Notify the CDC D. Decontaminate the client 6. A nurse in an emergency department is caring for a victim of a suspected...exposure to cutaneous anthrax. Which of the following is an expected...? A. Immediate onset of respiratory distress B. Flu-like symptoms 48 hr after exposure C. Itching of the skin progressing to ulceration over 1 to 7 D. Immediate onset of vascular lesions of the skin pg. 31 7. A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administer a vaccine following exposure? pg. 32 C. Educating the client and family D. Maintaining calm amidst the chaos 14. A nurse is discussing community responses to disaster with nursing staff. Which of the following statements indicates an understanding of the heroic phase? A. "Personnel are willing to work in dangerous conditions to provide assistance." B. "Survivors come together and share stories of survival." C. "Responders experience exhaustion due to extended relief efforts." D. "Normally begins to return to the community." 15. A nurse is participating in a biological disaster situation where citizens are exposed to pneumonic plague. Which of the following isolation precautions should the nurse plan to use while caring for these clients? A. Airborne B. Contact C. Droplet D. Protective 16. A nurse is discussing emergency response with a newly licensed nurse. The nurse should identify which of the following is a triage officer during the time of a disaster? A. Members of the Federal Emergency Management Agency (FEMA) B. Responding law enforcement officers C Representatives from the American Red Cross D. Nurses and other emergency medical personnel 17. A nurse is assisting with disaster triage following a bomb explosion in a bus station. Which of the following clients should the nurse identify as being the highest priority? A. An unconscious adult who has a large head wound with gray matter exposed; absent respirations; capillary refill > 2 seconds B. A conscious adult with second degree burns on both lower legs; respiratory rate is > 30/min; capillary refill is < 2 seconds C. An unconscious 6-month-old infant with no respirations; no visible injuries; no pulse D. A conscious adult wearing a medic-alert diabetic bracelet; respirations are < 30/min; capillary refill is < 2 seconds, and client reports feeling clammy and shaky 18. A community health nurse is providing a community education program about disaster preparedness. Which of the following should the nurse recommend to include in an individual personal readiness supply kit or "go bag"? (SATA) A. Pocket knife B. Whistle C. Antibiotics D. Bank account information E. Household bleach 19. A nurse is working at a health care facility in which there is a threat of flooding, and an pg. 35 internal disaster plan has been activated. Which of the following clients should the nurse evacuate first? A. A client receiving platelets for late-stage leukemia pg. 36 B. A client who has a saline lock device admitted with chest pain C. A client receiving antibiotic IV therapy and wound vacuum care D. A client who has a casted arm and balanced suspension traction on a lower extremity 20. A nurse is discussing with nursing staff the nurses' responsibility in preplanning for a response to a bioterrorism disaster. Which of the following should be included in the discussion? A. Identify community medical and social services that will be available B. Evaluate the impact of a disaster on the community C. Assess survivors of a disaster for levels of psychological stress D. Link victims with support agencies to help with food, clothing, shelter, and counseling needs 21. A charge nurse is discussing disaster response with the nursing staff. Which of the following statements indicates staff understanding of the Hospital Incident Command System (HCIS)? A. "HCIS ensures that necessary antibiotics and antidotes are available." B. "HCIS is focused on having multi-disciplinary responders available." C. "HCIS identifies facility responsibilities and channels for reporting." D. "HCIS provides additional responders when needs exceed the ability of local or state agencies." 22. A nurse is discussing the requirements of the Joint Commission for accreditation regarding disaster planning. Which of the following statements indicates a need for further teaching? A. "A disaster drill needs to be held at least once a year." B. "An actual disaster can take the place of a disaster drill." C. "Simulated patients need to be used for a disaster drill." D. "The hospital should use community resources for a disaster drill." 23. A bomb exploded at a local business office building. Patients are starting to arrive at the hospital. Which patient would you categorize in the red (emergent) category? A. A patient that comes walking in to the ER with a head contusion B. A patient that is not breathing and has multiple traumatic amputations C. A patient who has rapid respirations, a delayed capillary refill, can follow a simple command and with interventions could survive D. A patient that is having an anxiety attack 24. The START triage tool was developed to be able to triage adult patients within 30 seconds and is the most commonly used tool in the United States. What are the 5 basic parameters to this tool? (select all that apply) A. The ability to walk B. The presence or absence of spontaneous respirations C. The respiratory rate D. An assessment of perfusion E. The ability to obey commands 25. An internal disaster is classified as an event that occurs within an organization or facility (it poses a threat to disrupt the environment of care). Which of the following are examples of internal disasters? (Select all that apply) pg. 37 C. Green D. Black 33. The nurse is aware that all of the following can contribute to a mentally ill patient in the aftermath of a disaster except? A. Exacerbations of pre-existing chronic mental disorders B. Severe stress C. Most vulnerable people D. PTSD 34. The student is discussing the differences associated with grief, mourning, bereavement, and depression to a patient. Which of the following statements should the charge nurse intervene in when the student states what to the patient? A. Grief is an internal, emotional response to loss, affliction, or regret. B. Bereavement is an external expression of grief as seen in traditional or creative rituals, especially for the dead. C. Depression is a state of feeling sad or, more specifically, is an emotion and concentrating, and feelings of dejection. D. The charge nurse doesn't have to intervene because the student conducted proper teaching to the patient. 35. An environmental disaster, such as a oil spill, can result in what? (SATA) A. Rioting and Looting B. A increase in demand for oil C. Sense of mistrust toward the government and businesses D. Leads to sense of hopelessness and helplessness in citizens affected C, D 36. A few weeks after a tornado, a nurse is assessing a survivor and he tells the nurse he has accepted that a tornado did occur and has recently joined a new CrossFit group, and started volunteering at the Red Cross. According to his responses the nurse can place him in what phase of emotional recovery outlined by the American Red Cross? A. Honeymoon Phase B. Disillusionment phase C. Reconstruction Phase D. Heroic Phase 37. What is one of the leading causes of morbidity and mortality in displaced pediatric population? A. Upper respiratory Infection B. Car accidents C. Ingestion of various medication D. Uncontrolled Diabetes 38. A worried mother, is talking to a nurse about her son's condition after being exposed to nuclear radiation. The mother begs the nurse to see her son. Select the appropriate response by the Nurse. pg. 40 A. Sure, it is your right as a mother. B. I Cant imagine what you are going through. pg. 41 C. You can see your son when he is stabilized and decontaminated. D. You can see your son after he is bathed, and in new clothes. 39. Which of the following is considered a Natural Disaster? A. Bombing B. Earthquake C. Influenza D. Harmful Chemicals 40. Wildfires can quickly spread out of control, causing extensive damage to personal property and human life. Which of the following are classified as wildfires? (Select all that apply) A. Crown Fires B. Air Fires C. Surface Fires D. Ground Fires 41. Air pollutants can cause health damages, what are the types of health damages? Select all that apply. A. Immune B. Neurological C. Cardiovascular D. Respiratory 42. What organization is responsible for research and setting national standards for a variety of environmental programs? A. The CIA B. Environmental Protection Agency C. Agency for Healthcare Research and Quality D. Health Resources and Services Administration 43. Which of the following Category A agents require BSL-4 laboratory facilities? A. Smallpox and plague B. Anthrax and tularemia C. VHF and smallpox D. Botulism and plague E. Smallpox and anthrax 44. Which of the following is the natural reservoir for Ebola virus? A. Small rodent B. Mosquito C. Green monkey D.Tick E. The natural reservoir is unknown 45. Nerve agents are well absorbed through the skin. A. True pg. 42 4.Chickenpox lesions are centripetal with lesions more frequently found on the trunk of the body. pg. 45 5. Plague: Pneumonic plague: Droplet precaution Sx: Fever, HA, weakness, pneumonia w/ SOB, CP, cough, bloody or watery sputum. Dropper precaution till 72 hrs. after antibiotics 6.Plague: Contact precaution should be initiated prior to care for a patient suspected exposure to a plague as a result of bites from infected fleas due to a risk of transmission. 7. Tularemia toxicity: No vaccine able. TTo Streptomycn & gentamicin. Aminoglycoside Ototoxic and nephrotoxic. Tinnitus 8.Situtional role change: Problem in role transition can result from a change in personal, occupational or social status. Ex: A person lack of energy while dealing with a problem. Temporary: resume the role when the illness end Permanent: previous role are no longer able. 9.Disaster preparedness occurs at the national, state, and local levels. Personal and family preparedness are crucial components of disaster preparedness, as is professional preparedness for individuals employed in civil service and health care. 10. Family disaster readiness supply kit or go bag: Pencil and paper, whistle, copies of ins cards, household bleach 8.During the heroic phase responders are willing to work in dangerous conditions for long periods of time to provide assistance. 11.A nurse who works with an interdisciplinary disaster committee to develop a community-wide emergency responsive plan in the event of a non-biological or chemical incident should include the agency OEM ( Office of Emergency Management) in the community communication plan to be contacted following the call to the emergency communication center (911). This agency is responsible for determining if additional resources to the initial first responders are needed. 12. How to prepare for a disaster: Basic supplies. 3.7 littlers (1 gallon) of water per person per day, a three day supply is recommended, clean clothing, personal identification, matches, prescription med 13. Primary prevention addresses the needs of healthy clients to promote health and prevent disease with specific protections. It decreases the risk of exposure individual/ community to disease. Immunization programs Child car seat education Nutrition, fitness activities Health education in schools 14. Secondary prevention focuses on identifying illness, providing treatment, and conducting activities that help prevent a worsening health status Communicable disease screening, case finding Early detection, treatment of diabetes mellitus pg. 46 Exercise programs for older adults who are frail pg. 47 Increased systolic blood pressure, thickening of blood-vessel walls, and decreased peripheral circulation Dehydration of intervertebral discs decreased muscle strength and mass, and decalcification of bones . 24. When an older adult live alone, he/she is unable to drive him/herself to the store and is afraid to cook on the stove the nurse should recommend Meals and Wheels services that is a service that delivers meals daily to older adults who need them either at seniors centers or directly to their homes. ¨Esta pregunta está en el quiz segunda parte y no la puso en el midterm¨. 25. Injury prevention: ensure adequate lighting (pt durmiendo en la noche poner luz para caminar en la noche) and wear eyeglasses and hearing aids 24.Determine 4 levels: 1) Emergent/Class I/Red 2) Urgent/Class II/ Yellow 3) Non-urgent/ Class III/ Green 4) Expectant/ Class IV/Black 26. Emergent, Class I: Red Immediate threat to life. Do not delay care. Urgent, Class II: Yellow, Major injuries that require treatment. Can delay treatment for 30 min - 2 hours. Non-Urgent, Class III: Green, Minor injuries that do not require immediate treatment. Can delay treatment for 2 -4 hours. Expectant, Class IV: Black, Expected and allowed to die. Transfer to morgue. 27. Any adult who has RR over 30/min as well as if the patient is unconscious, which constitutes AMS requires immediate attention 28. Malpractice: wrong medication, a nurse administer large doses due to calculation error. Client has cardiac arrest and die. 29. compression tube due hemorrhage SENGSTAKEN BLAKEMORE internal ballon 30. Check placement : Aspirate gently to collect gastric contents. Testing pH (4 or less is expected), and assess odor, color, and consistency 31. after placement verification. Confirmation placement with X ray if the tube is not in the stomach, advance it 5cm (2in) and repeat the placement check 32. THE POSTERIOR TIBIAL IS LOCATED ON THE INNER ANKLE, ONE-THIRD OF THE WAY ALONG A LINE BETWEEN THE TIP OF THE MEDIAL MALLEOLUS (END OF THE TIBIA) AND THE POINT OF THE HEEL. IT IS MOST EASILY PALPATED ABOUT 2.5 CM HIGHER, WHERE IT RUNS BEHIND THE MEDIAL MALLEOLUS. 33. Diaphragmatic breathing for a client who is going to have a surgery: Teach the client to Inhale slowly and evenly through the nose until chest expansion is maximized. DO NOT LET THE PT KNOW YOU ARE CHECKING RESPIRATION if you are checking RR pg. 50 34.IMPORTAN T NOTE Aortic: Just right of the sternum at the second ICS pg. 51 Pulmonic: Just left of the sternum at the second ICS Erb’s point: Just left of the sternum at the third ICS Tricuspid: Just left of the sternum at the fourth ICS Apical/mitral: Left midclavicular line at the fifth ICS, below the left nipple line 7.6 cm (about 3 in) to the left of the sternum. 35. When a nurse is taking care of a patient who need stool specimen collected the nurse should label the specimen container and place it in a clean, plastic biohazard bag which is also labeled. This ensures proper identification and prevents contamination and spillage during transport. 36. When a nurse is taking care of a client that who is increasingly restless and intermittently confused, she should move the client to a room closer to the nurses' station. This will make it easier for the staff to observe the client, should the client behave in an unsafe manner. 37. When a nurse is caring for a client who has peripheral vascular disease and reports difficulty sleeping because of cold feet the nurse should obtain a pair of slipper-socks for the client. In cold weather or when the client's feet are cold, he/ she should wear extra socks or slipper socks to help provide warmth and increase his/her level of comfort. 38. Contact precaution required a private room or a room with other client who have the same infection, gloves and gowns worn by the caregivers and visitors, disposal of infection dressing materials into a single, nonporous bag without touching the outside of the bag 39. AIRBONE Precaution: <5mcg, mask N95 or HEPA if TB, negative pressure, if splashing wear full face. Laryngeal TB and Pulmonary TB • Measle, Varicella: Private room, Mask, respiratory protection device for CAREGIVER and visitors. • Everyone entering or leaving the room should close the door behind them. • Nurse must always disposal of needles and sharp instruments in puncture proof sharps containers 40-Very important: ICF and ECF = Homeostasis Fluid can move between compartments diffusion, active, transport, filtration, osmosis. 41. Fluid Imbalance: ICF and ECF (intravascular-plasma, interstitial-around cel, pericardial, lymph, pleural, pancreatic, intraocular, biliary, peritoneal, synovial Fluid Volume Deficit: 42. Isotonic FVD loss water and electrolytes from ECF= hypovolemia because intravascular fluid is loss 43. Dehydration: loss water without electrolytes then increase Hct, serum e- and urine specific gravity 44. FVD can lead shock hypovolemic 45. Older adults have increase the risk decrease in total body mass, total body water, decrease in the ability to detect THISTY. Hypovolemia=Isotonic pg. 52 Tru e 4. Memory, understanding, and reasoning as part of the psychomotor domain in education. False 5. A community health nurse visits a homeless shelter to provide directly observed therapy (DOT) to several clients who have been diagnosed with TB. Which of the following best describes the rationale for this nursing intervention? Homeless clients do not care about their health Poor adherence can result in drug resistance Homeless clients do not have access to medications These medications are so powerful, clients must be observed for reactions 6. Which of the following describes the consequence of the successful implementation of the Affordable Care Act? Americans will pay closer attention to their health status Most of the population will be covered by insurance Public health departments will need to increase the number of nursing positions The prevalence of obesity will decrease 7. The development of the group includes the adjourning phase. True False 8. A client is receiving PHC services. Which of the following expectations would the client have? The care would be provided by a physician Private insurance would be necessary to receive care The emphasis of care provided would be on prevention A referral would be made to a specialist after receiving services 9. A nurse who is working in a community setting applies evidence-based practice when planning community health education. Which of the following should the nurse use in order to enrich the application of this evidence? Qualitative studies Randomized clinical trials Multiple research methods pg. 55 Quantitative studies 10. Which statement about feminist ethics is correct? Feminists include only women in their worldview. Women’s thinking and moral experiences are important and should be considered. Persons who ascribe to feminist ethics are passive and wish to pursue their ideas through the legislative process. Feminists believe that men should not be nurses. 11. One of the defining characteristics of Public Health Nursing is its emphasis on practice. It’s based on: strategies for treat patients in rehabilitation stages. strategies for health promotion and disease prevention strategies for prescribe screening to the maintenance of health. none of the above 12. The National Prevention Strategy targets interventions in multiple settings to move the health of the population from sickness to prevention of health and illness promotion. True False 13. Which of the following is an example of a public health agency? Federal Bureau of Investigation (FBI) Drug Enforcement Administration. (DEA) Women, Infants, and Children (WIC) Medical Center Clinics (MCC) 14. A PHN is implementing interventions at the systems level of practice. Which of the following interventions would be used by the nurse? Identify health problems in the community Involve the entire community in solving the health problem Provide outreach services to populations at risk Change laws, policies, and practices that influence population-based issues 15. PHNs utilize registries to identify children with delayed or missing immunizations. They subsequently follow up with families by phone calls or home visits. Which of the following levels of practice is being implemented? Individual pg. 56 Community Systems Policy 16. A nurse uses Health People 2020 as a guide when planning health education in the community. Which of the following actions would be taken by the nurse? focus on avoiding cigarette smoking and using alcohol in moderation educates clients using primary and secondary levels of prevention use Bloom’s taxonomy when planning educational objectives design health fairs aimed at individuals 17. Community Nurses who provided care to people in their homes were called nurses. visiting private duty hospitalist duty critical home 18. In an educational process to the community, the nurse should know that the easiest thing to change is the knowledge. True False 19. A nurse plans to contact a multilateral organization. Which of the following would the nurse most likely contact? United Nations (UN) Project Hope Catholic Relief Services Baptist Charity Group 20. A nurse is involved in identifying individuals with unrecognized health risk factors or asymptomatic disease. Which of the following public health interventions is being applied? Referral and follow-up Health teaching Surveillance Screening pg. 57 Distributive justice Non-maleficence 32. When a Community Nurse is performing a teaching section to a group; the cognitive domain includes: the performance of skills changes in attitudes and the development of values memory, recognition, understanding, reasoning, and problem- solving memorization of one set of skills before moving on to the next 33. A nurse is teaching a group of clients newly diagnosed with diabetes how to give themselves injections. Which of the following formats would be most appropriate for the nurse to use? Health fair Lecture Non-native language session Demonstration 34. The Public Health core functions are directly linked to the healthcare promotion and prevention levels. The tertiary levels is characterized by: meets the basic needs of healthy people. the services are designed to limit the progression of the disease or disability. the function is to detect and treat diseases in an early stage. the services are designed to treat diseases in the acute stage. 35. A nurse discusses services with a federal congressman. Which of the following services would the nurse most likely be discussing? Family planning Counseling Policy making Prevention of diseases 36. A nurse offers screening for hearing defects at a local community center. Which of the following best describes the action of the nurse? Health promotion Secondary promotion pg. 60 Secondary prevention pg. 61 Primary prevention 37. One of the primaries focuses on improving the health of the American people in the twenty-first century is to address: bioterrorism and global health threats delivery of individual care and hygiene the need for increased hospital and acute care chronic disease and disability management 38. In community health nursing the model that focuses on the individual’s attitudes and beliefs toward the health is the Social Cognitive Theory. True False 39. An occupational health nurse works with an employer to develop a workplace wellness program for its employees. Which of the following levels of practice is being implemented? Individual Systems Community Government 40. The levels of practice encompassed by the Intervention Wheel are: primary, secondary, and tertiary communities, individuals and families, and systems assessment, diagnosis, and evaluation communities, populations, and aggregates 41. To understand the causes of health and disease, epidemiology studies: individuals families groups populations 42. The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory function of the public health nurse? Providing technical guidance to the midwife pg. 62 prescription drugs physician services hospital care public health services 56.The educational issues; barrier to learning; or environmental conditions, are not determinants to consider when develop an educational community process. True False 57. The public health nurse (PHN) must participate in the essential services of public health. Which of the following most accurately describes one of the essential services of public health? Monitoring health status by completing a community assessment Diagnosing and investigating health problems in the world Informing, educating, and empowering people about health issues Working in law enforcement to regulate health and ensure safety 58. A nurse is exploring a job opportunity at a community health center. Which of the following expectations would the nurse have about the center? Offers comprehensive primary care services and supportive services Would be located in a large metropolitan area Provides care only to the economically disadvantaged Is used for preventive services such as flu shots 59.Which statement regarding poverty and health insurance is true? The poor in the United States are as healthy as persons with higher incomes. Millions of people in the United States are without health insurance. Persons with money or health insurance are less likely to seek health care. The poor are more likely to receive health care through private agencies. 60. Public health administrators in a community provide a health department to serve an indigent population of immigrants providing translators on certain days of the week. Which of the following best describes what is being done? Quality Libertarian philosophy Assurance Policy development pg. 65 61.Which of the following best illustrates this statement? The community health nurse continuously develops himself personally and professionally. Health education and community organizing are necessary in providing community health services. Community health nursing is intended primarily for health promotion and acute treatment of diseases. The goal of community health nursing is to provide nursing services to people in their own places of residence 62.Attitudes can be change with an adequate education program and pleasant teaching- learning experience. True False Otros quizzes 1. A nurse is using basic educational principles when conducting an effective educational program. Which of the following IS NOT a principle that the nurse should use? Use a clear, succinct style Use an active voice Refer to Internet sources Use aids to highlight key points 2. A nurse is teaching a client about how to complete a wound dressing change. Which of the following conditions must be met before learning will occur? Must be able to memorize the instructions, relay this information to a partner, and demonstrate the dressing change Must master the dressing change at the time it is taught, repeat the demonstration for the nurse, and teach another person Must be able to speak the language of the nurse, have time to practice the dressing change, and master the dressing change in a short time Must have the necessary ability, a sensory image of how to carry out the dressing change, and an opportunity to practice the dressing change 3. A health educator is trying to change a client’s attitudes about smoking. Which of the following domains would be used? Cognitive Affective Psychomotor Developmental pg. 66 4. A nurse uses Healthy People 2020 as a guide when planning health education in the community. Which of the following actions would be taken by the nurse? Focus on avoiding cigarette smoking and using alcohol in moderation Educate clients using primary and secondary levels of prevention Use Bloom’s taxonomy when planning educational objectives Design health fairs aimed at individuals 5. A nurse is using the educational process of selecting appropriate educational methods when planning a community health program. Which of the following steps of the nursing process does this action most resemble? Assessment Evaluation Implementation Planning 6. A nurse is teaching a group of clients newly diagnosed with diabetes how to give themselves injections.Which of the following formats would be most appropriate for the nurse to use? Lecture Demonstration Health fair Non-native language session 7. A nurse has evaluated the learning needs of a community support group. Which of following steps should the nurse take when developing an educational program for them? Consider any potential barriers to be transported. Establish goals and objectives for the program Select appropriate materials for the program Assess the dynamics of the group 8. The cognitive domain includes: changes in attitudes and the development of values the performance of skills memory, recognition, understanding, reasoning, and problem solving memorization of one set of skills before moving on to the next 9. Evidence-based public health (EBPH) is: pg. 67 Families, groups, and health organizations Health needs, geographical boundaries, and target population People, place, and functions Populations and health resources 10. Which data source provides information about the function of the community? Local restaurant Elected officials County health department Civic groups Otro 1. A community health center conducts blood lead screenings on a regular basis for children under 6 years old. Which of the following best describes the level of prevention that is being used? Tertiary prevention Primary prevention Secondary prevention Health education 2. Which one of the following services are not offered by Nurse-Led Medical Centers? immunization home visits critical care rehabilitation care 3. A nurse interviews the school nurses in a community to determine their roles in schools because this data is not available. Which of the following processes is the nurse using? Primary data Secondary data Spatial data Photovoice 4. A nurse is completing a community assessment. Which of the following actions would be most likely for the nurse to complete? Determine the weaknesses of a community pg. 70 Assess individual needs within a community Perform the core functions of public health nursing Identify community needs and clarify problems 5. Which levels of intervention are nurse-led centers designed to provide? Local, state, and national needs Individual, family, community needs Primary, secondary, and tertiary prevention Uninsured, under-insured, and insured populations 6. Which data source provides information about the function of the community? Local restaurant Elected officials County health department Civic groups 7. A nurse is caring for the community as the client. Which of the following is most likely the focus of the nurse’s care? Providing care for aggregates living in the community The collective good of the population The provision of care for families in the home setting Providing health education in the community 8. What are the critical attributes in the definition of community? Families, groups, and health organizations Health needs, geographical boundaries, and target population People, place, and functions Populations and health resources 9. A nurse schedules an appointment with a physician who has a practice in the community to learn more about the community’s beliefs regarding childhood immunizations. Which of the following is being demonstrated? Participant observation Informant interview Active participation pg. 71 Windshield survey pg. 72 Violence Happiness Community Final quizlet 136Q a school nurse is discussing levels of prevention with a teacher. which of the following activities should the nurse identify as a primary prevention strategy? a. provide nutritional counseling for students who have diabetes b. conduct vision and hearing screening for kindergarten enrollment c. demonstrate proper hand washing techniques d. report suspected child neglect to the proper authorities a school nurse is conducting hearing screening procedures in an elementary school. which of the following instructions should the nurse provide when preforming the Rinne test? a. after i place the tuning fork on your scalp, tell me if you hear the sound better in one ear or the same in both ears b. you'll wear headphones and press the button when you hear a sound c. after i place this tuning fork behind your ear, tell me when you no longer hear the sound d. use your finger to close one ear while i whisper some numbers into your other ear a school nurse is discussing levels of prevention with a teacher. which of the following activities should the nurse identify as a primary prevention strategy? a. provide nutritional counseling for students who have diabetes b. conduct vision and hearing screening for kindergarten enrollment c. demonstrate proper hand washing techniques d. report suspected child neglect to the proper authorities a school nurse is conducting hearing screening procedures in an elementary school. which of the following instructions should the nurse provide when preforming the Rinne test? a. after i place the tuning fork on your scalp, tell me if you hear the sound better in one ear or the same in both ears b. you'll wear headphones and press the button when you hear a sound c. after i place this tuning fork behind your ear, tell me when you no longer hear the sound d. use your finger to close one ear while i whisper some numbers into your other ear a palliative care nurse is teaching a client who has cancer about the services that are available for the client. which of the following statements should the nurse identify as an indication that the client understands the teaching? pg. 75 a. I can begin palliative care when i have less than 6 months to live b. this type of care can help me with pain control c. my family will not be involved with this type of care program d. if I begin palliative care, i will have to stop my chemotherapy a nurse is assessing a new client. which of the following information should the nurse include in the cultural portion of the assessment? a. employment status b. history of illness c. sexual orientation d. food preferences a nurse is collecting demographic data as a part of a community assessment. which of the following info should the nurse include? a. presence of condemned buildings b. racial distribution c. family genograms d. number of open water sources a nurse is caring for a client who has AIDS and is experiencing rapid weight loss. which of the following actions should the nurse take first? a. recommend the client increase her daily calorie intake by 25% b. teach the client about findings that should be reported to the provider c. encourage the client to consume 1.2-2.0g/kg of protein daily d. examine the client's oral mucous membranes a home health nurse is caring for a client who has breast cancer. which of the following assessment findings should the nurse identify as an indication that the client is coping effectively? a. excessive sleeping b. makes eye contact c. inability to concentrate d. lack of interest in food a home health nurse is scheduling client visits for the day. which of the following clients should the nurse plan to visit first? pg. 76 a. a client who is 10 days postoperative following a mastectomy and needs to have surgical staples removed b. a client in a hip spica cast who reports pruritus under the cast c. a client who has diabetes mellitus and reports new erythema to the left foot d. a client who has COPD and needs a follow-up visit related to home oxygen therapy a community health nurse is assessing a group of clients for risk factors of abusive behaviors. which of the following findings should the nurse identify as a risk factor for developing violent behavior? a. a client lives in the same neighborhood where he spent his childhood years b. a client states he witnessed his mother physically mistreat his father c. a client states that her mother-in-law provides childcare while she is working d. a client participates in volunteer activities in the community a school nurse is teaching health promotion to a group of staff members who sit at a desk and use a computer for 8 hr at a time. which of the following information is the priority for the nurse to include? a. take a walk after work b. have your visual acuity assessed regularly c. adjust your chair so your elbows are at desk height d. point and flex your toes periodically a case manager is planning an educational program for a client who has DM. which of the following activities should the nurse include when using the psychomotor domain of learning? a. show the client a video about how to monitor blood glucose levels b. give the client a pamphlet about foot care c. observe the client's technique for drawing up insulin d. review the color diagram of the food pyramid with the client a nurse manager at a community health clinic is presenting an in-service for nurses about assessing clients for abuse. which of the following statements by a nurse indicates an understanding of the teaching? a. I should not document the name of the person the client accuses of the abuse in the client's medical record b. i should wait until I see signs of physical abuse before I help the client develop a safety plan c. once I determine that a client is not at risk for abuse, I do not need to ask about it at future visits pg. 77 d. administer antiviral meds within 48 hr to client who have manifestations fo influenza an occupational health nurse is planning to use an interpreter during an educational session with a group of migrant workers who do not speak the same language as the nurse. which of the following actions should then use take? (select all that apply) a. evaluate the interpreter's approach to clients prior to the educational session b. instruct the interpreter to guide the nurse in providing info in a culturally sensitive manner c. ask the interpreter to add info she feels may be necessary d. encourage the interpreter to paraphrase the workers' questions and responses e. choose an interpreter who speaks the workers language and dialect a nurse in a rural health clinic is caring for a client who has heart failure. the client states "I'm not going to take any more heart medicine." which of the following responses should the nurse make? a. why did you decide to stop your heart medicine? b. don't you know what stopping your medicine will do to your heart? c. don't you think your doctor knows what's best for your heart? d. can you tell me more about your decision to stop your medicine? a community health nurse is planning an educational program for farmers about occupational health risks. which of the following risks should the nurse include? a. respiratory disorders b. hypertension c. sickle cell anemia d. diabetes mellitus a community health nurse is working to meet the health care needs of residents in a rural community. which of the following characteristics should the nurse identify as a barrier to health care resources for this population? a. unavailability of outreach services b. less autonomy in providing client care c. lack of cohesiveness among community members d. disinterest by members of population in providing input for community health programs a community health nurse is teaching a client who is overweight about steps to take to begin an exercise program. the nurse should identify that which of the following statements is an indication that the client understands the teaching? a. I will need to purchase exercise equipment before I can start" pg. 80 b. I will see my doctor before beginning an exercise program c. i should try to perform aerobic exercise for an hour a day, 5 days a week d. I should avoid participating in weight-lifting exercises a public health nurse is participating in a community planning committee for disaster preparedness for a local community that is at risk for hurricanes. which of the following information should the nurse contribute to the plan? a. how to activate the local medical facility's emergency-management plan b. a list of residents who have experienced a hurricane in the past and will not need evacuation c. the name of the individual who is necessary to implement the plan d. a list of areas within the community where residents speak english as a second language a nurse s providing blood pressure screenings for older adult clients at a local community center. which of the following should the nurse identify as increasing a client's risk for developing hypertension a. HDL level greater than 70 mg/dL b. african american race c. daily walking routine d. BMI of less than 30 a home health nurse is planning care for the day. which of the following clients should the nurse visit first? a. an older adult client who has a newly prescribed antihypertensive medication and needs a BP check b. an older adult client who was treated in the ED last night for a stage III pressure ulcer c. a school-age child who was treated in the ED last night with status asthmaticus d. a school-age child whose percutaneous endoscopic gastrostomy (PEG) tube needs changing a community health nurse is working in a mobile health care clinic. which of the following clients should the nurse assess first? a. a client who has a new onset of confusion and slurred speech b. a client who has a temperature of 37.8C (100.1 F) c. a client who has COPD and an oxygen saturation of 92% d. a client who requires removal of sutures from a laceration a nurse in a community center is preparing to administer a tuberculin skin test to multiple clients to screen for TB. which of the following actions should the nurse take? a. insert the needle at a 45 degree angle pg. 81 b. create a wheal that measures about 15 mm in diameter c. preparing the outer aspect of the upper arm for the injection d. inject 0.1 mL of purified protein derivative a public health nurse is monitoring medication compliance for a group of migrant workers who are being treated for TB. the nurse should use info from which of the following resources to assist with this process? a. migrant clinicians network (MCN) b. U.S. preventive services task force (USPSTF) c. agency for healthcare quality and research (AHRQ) d. centers for disease control and prevent a school nurse is conducting visual acuity testing for a school-age child. which of the following actions should the nurse take? a. progress to the next line once the child reads two symbols correctly b. have the child stand 5 feet away from the snellen letter chart c. allow the child to keep her glasses on during the testing d. begin the test by instructing the child to use both eyes to read the chart a public health nurse is developing a visual health program by using a community-oriented approach. which of the following interventions should the nurse include? a. provide genetic counseling to the family of a newborn who has congenital cataracts b. develop a plan of care for a client who is newly diagnosed with glaucoma c. teach a client who has a vision loss about safety in the home environment d. consult the local school nurse to schedule yearly vision screenings for students a public health nurse is planning care for four clients. which of the following interventions should the nurse recognize as tertiary prevention? a. providing chemoprophylaxis for malaria to a client who is traveling to mosquito- infested countries b. administering antibiotics to a client who has AIDS and was diagnosed with pneumocystis jiroveci c. performing a serological screening for HIV for a client who is pregnant d. participating in partner notification for a client who has an STI a nurse in a county health department is caring for a client who states, "I've been drinking too much in the evenings since my mom died last year." which of the following responses should the nurse make? pg. 82 d. prevalence proportion a home health nurse is assessing an older adult client who is taking captopril to treat heart failure. which of the following findings should the nurse identify as an adverse effect of this medication? a. dry cough b. weight gain c. ataxia d. photophobia a nurse is developing an educational program about bioterrorism and smallpox. the nurse should include in the teaching that the smallpox rash is expected to first appear in which of the following locations? a. lower extremities b. posterior shoulders c. face d. abdomen a nurse is assessing the risks and benefits of meal delivery services for an older adult client who lives alone and has no transportation. which of the following ethical principles is the nurse demonstrating? a. distributive justice b. fidelity c. beneficence d. respect for autonomy a nurse is conducting a home visit with a female client who reports a history of intimate partner abuse. the nurse should identify that which of the following findings places the client at greatest risk for domestic violence? a. the client visits friends without her partner's knowledge b. the client states she is leaving her partner c. the client is at 13 weeks of gestation d. the client recently started a new job a case manager is delivering a discharge plan for a client who has a spinal cord injury and is in a rehabilitation facility. which of the following actions should the nurse take first? a. contact service providers to determine the availability of services offered b. determine the client's ability to perform self-care c. hold a care conference with the client and his family to discuss treatment options pg. 85 d. evaluate the client's satisfaction with the case managers services a nurse at a county health clinic is caring for a client who has recently assumed the role of primary caregiver for her mother. which of the following statements by the client indicates that she is experiencing role conflict? a. i feel overwhelmed with not having enough time for my mom as well as my children b. i hope my siblings will be able to visit and help care form y mom for a few days c. i don't think my partner likes having to help more with the household chores d. i am glad that my job is flexible, so i can accommodate to my moms needs a nurse is planning to teach a community group about the meningococcal vaccine. the nurse should identify that which of the following clients should receive the vaccine? a. an infant who has bronchiolitis b. an infant who is 4 weeks old c. a client who is traveling to northern Europe d. a client who is moving into a college dormitory a public health nurse is providing information to a client who has alcohol use disorder and is asking about treatment. which of the following statements should the nurse identify as an indication that the client understands the information? a. i am not eligible for an outpatient program until i have completed an inpatient program first b. i can expect to get help with other aspects of my life while in treatment c. once i make it through detoxification, i will be free of my addiction d. i will not have to completely stop drinking alcohol if i go into an inpatient treatment program a nurse on the scene following a mass casualty explosion is triaging a client who has a large, open occipital wound and the following findings: respiratory rate 6/min, atonal pattern; capillary refill time 4.5 seconds; non responsive to painful stimuli. which of the following actions should the nurse take? a. apply a cervical spine collar and perform a focus neurological exam b. turn the client to left semi-fowler's position and begin assessing the next client c. place a firm pressure dressing on the occiput and open the airway d. request that the client be assessed immediately by the next available provider 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 alzheimers disease? a. experiencing incontinence pg. 86 b. withdrawal from social activities c. forgetting the location of common objects d. neglecting personal hygiene a community health nurse identifies an increase in the occurrence of osteoporosis related fractures in women experiencing menopause. which of the following primary prevention strategies should the nurse implement? a. encourage the women to participate in weight-bearing activities b. advise the women to keep their immunization updated c. educate the women about the importance of limiting sun exposure d. instruct at-risk women to increase there intake fo foods high in vitamin E a nurse is caring for a client who has terminal lung cancer and is receiving hospice care. which of the following statements should the nurse identify as an indication that the client is in the denial stage of the grief process? a. I'm going to plan my memorial service next week b. I don't deserve to die. this just isn't fair c. If I could just make it through this, I'd never smoke again d. I'm looking forward to my daughter's wedding next year a home care nurse is visiting an older adult client and notes that unwashed dishes are piled up and newspapers cover the front steps. which of the following questions should the nurse ask the client to determine if he is socially isolated? a. have you considered moving to an assisted living facility? b. do you need help completing you're housework? c. how often do you have visitors come to see you? d. why haven't you brought in your newspapers? 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 facilitate substance abuse support groups b. the faith community nurse can provide pharmacological pain management for clients who have a terminal illness c. the faith community nurse can plan workplace safety training for employees in a local factory d. the faith community nurse can provide wound care for clients in their home a community health nurse is conducting a needs assessment of a community. the nurse should pg. 87 a community health nurse is planning to establish a community garden to address the lack of nutritious food options in the area. which of the following actions should the nurse take first to initiate the plan? a. monitor the progress of the project to keep the project on course b. select residents to take on leadership roles in the project c. identify community members who demonstrate an interest in the project d. hold a community information session to inform the residents of the plan a nurse is conducting a home visit for an older adult 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 a nurse is caring for a 16 year old client who has a new diagnosis of human papilloma virus. which of the following actions should the nurse take? a. instruct the client to return for a blood test in 1 month b. report the infection to the state health department c. teach the client how to apply imiquimod 5% cream to the lesions d. administer ceftriaxone 250 mg IM a school nurse is reviewing the records of four students who are returning to school after being diagnosed with methicillin-resistant staphylococcus aureus (MRSA). which of the following actions should the nurse take? a. recommend prophylactic treatment of classmates b. provide education about MRSA throughout the school system c. report the cases of MRSA to child protective services d. coordinate an immunization clinic at the school a public health nurse is conducting an educational session about lyme disease for a group of older adult clients at a senior center. which of the following statements should the nurse identify as an indication that the client understands the teaching? a. i can get lyme disease from a mosquito bite b. i will have abdominal pain and diarrhea if i get lyme disease c. i should get an annual immunization to prevent lyme disease. d. i can take penicillin for 10-14 days to manage lyme pg. 90 disease pg. 91 a school nurse is educating a group of high school students about recommended dietary guidelines. which of the following statements by a student indicates an understanding of the teaching? a. i should consume less than 300 mg per day of dietary cholesterol b. i should consume 800 mg per day of dietary calcium c. i can increase my daily consumption of foods that contain refined grains d. i can consume up to 25% of my daily calories from saturated fatty acids a community health nurse is creating a program to reduce domestic violence in the community. which of the following interventions should the nurse identify as secondary prevention? a. collaborating with support agencies to ensure the ongoing treatment for abuse b. recognizing and reporting suspected abuse to the appropriate protective services c. educating individuals and groups about preventing domestic and community abuse d. creating a public service announcement about the warning signs of intimate partner abuse a nurse in a clinic is planning teaching for a client who is newly diagnosed with hepatitis C. which of the following instructions should the nurse include in the teaching? a. schedule an appointment for an immunoglobulin injection b. wear a mask in public places while receiving treatment c. abstain from sexual intercourse until antibody tests are negative d. consume a low-carbohydrate diet until symptoms resolve a nurse at a country health department is caring for a client who is at 28 weeks of gestation. the nurse should identify which of the following characteristics as a risk for potential future abuse of the newborn? a. the client recently married the father of her unborn baby b. the client has changed providers three times during her pregnancy c. the client works part-time at a local resturant d. the client has recurring nightmares about her unborn baby a public health nurse is planning and educational program for a group of nurses at a community health department about pertussis infection. which of the following information should the nurse include? a. individuals who have had pertussis do not require immunization b. newborns should receive the first dose of the diphtheria, tetanus, and acellular pertussis (DTaP) vaccine prior to discharge from the hospital pg. 92 a. schedule transcranial magnetic stimulation (TMS) biweekly b. tell the client to take naltrexone daily c. teach the client to avoid foods that contain tyramine d. instruct the client to take buprenophine for the next 9 to 12 months 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? a. food allergies b. illness practices c. sexual activity d. immunization status a school nurse is notified that a school-age child has been newly diagnosed with pertussis. which of the following actions should the nurse take? (select all that apply) a. instruct the parent to keep the client at home until the coughing stage has passed b. encourage the family members to obtain prophylactic treatment c. check the immunization status of the child's classmates d. recommend that the child receive a pneumococcal vaccine in 28 days e. quarantine the children in the child's class 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? a. assess whether or not the family agree with the clients decision b. verify that the clients health insurance pays for hospice services c. make the hospice referral in accordance with the clients decision d. recommend a second opinion for another provider a nurse is preparing a community education program about health care needs during pregnancy. the nurse should include that which of the following vaccines is safe to administer to client who is pregnant? a. tetanus, diphtheria, pertussis (TDaP) b. measles, mumps, rubella c. varicella d. herpes zoster pg. 95 a community health nurse is providing care to a client who has stopped taking his prescribed blood pressure medication. which of the following actions should the nurse take first? a. inform the provider of the client's decision b. provide the client with an educational pamphlet about the medication c. determine the client's reason for discontinuing the medication d. discuss the consequences of discontinuing the medication with the client 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 need for the program b. the availability of volunteers c. the leadership support of the community d. the accessibility of residences a nurse is preparing to administer medication to a client who has active tuberculosis. which of the following precautionary measures should the nurse take? a. use an N95 respiratory b. wear gloves c. use disposable equipment d. wear a gown 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? a. the presentation is delivered via a computer slide presentation b. pamphlets are written at a 12th grade level c. program content is organized topically d. attendance at the program is voluntary a nurse is planning health promotion activities for the local community. which of the following activities should the nurse include as an example of primary prevention? a. teaching foot care to adults who have diabetes mellitus b. providing tuberculosis screenings for day care providers c. testing school-age children for lead exposure d. teaching meal planning classes to older adults a home health nurse is providing nutritional instructions to a client who has COPD and is malnourished. which of the following instructions should the nurse include? pg. 96 a. avoid foods that contain eggs b. lie flat for 15 to 30 min after eating c. use milk instead of water when making canned soup d. drink at least 480 mL (16 oz) of liquid with each meal a nurse in a pediatric clinic is providing care to several clients. the nurse should recognize that which of the following conditions is included in the Nationally Notifiable Infectious Conditions list? a. varicella b. scarlet fever c. erythema infectious d. molluscum contagiosa 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? a. ethnocentrism b. social organization c. stereotyping d. cultural imposition a community health nurse is providing teaching about health promotion to a group of adolescents. which of the following topics is the most important for the nurse to include in an attempt to lower adolescent mortality rates? a. safer sex practices b. heart-healthy diet c. underage smoking d. safety belt use A nurse in an emergency department is planning care for a client who has a flail chest on the right side following a motor vehicle crash which of the following actions should the nurse plan to take? a. ask the client why he did not seek shelter sooner b. initiate a referral to the facility's social worker c. notify the local law enforcement agency of the client's situation d. tell the client everything will work out now that he is in the hospital pg. 97