Nursing Interventions and Preventive Strategies - Prof. Star, Exams of Nursing

Download Nursing Interventions and Preventive Strategies - Prof. Star and more Exams Nursing in PDF only on Docsity! QUESTIONS AND ANSWERS NURS 406 Assessment_Leadership & Community_Health TESTED AND CONFIRMED A+ ANSWERS ASSESSMENT LEADERSHIP AND COMMUNITY HEALTH 1. An occupational health nurse is preparing to teach a health promotion class for workers at a warehouse. Which of the following statements should the nurse include? "Rub your hands together for at least 10 seconds when washing them." "Keep your abdominal muscles tightened when lifting objects." "Ensure that 20 percent or less of calories are from saturated fats." "Engage in aerobic exercise 2 to 4 days per week for 20 min." 2. A nurse is preparing an in-service about family violence for a group of newly licensed nurses. Which of the following statements should the nurse include in the teaching? "Perpetrators of family-directed violence recognize their behavior as abnormal." "Female clients who experience partner violence are at greater risk for acute diseases." "The victim's risk for homicide is greatest when they decide to leave the relationship." "The level of violence of the events decreases over time." 3. A community health nurse is reviewing primary prevention strategies for West Nile virus with a group of clients in a rural health clinic. Which of the following instructions should the nurse include? Avoid exposure to deer ticks. Eliminate areas of standing water. Use a respiratory mask when cleaning bird coops. Plan outdoor activities after dusk "We should start tracking how soon clients are discharged after laparoscopic versus open surgery." "We should be sure to log out of the computers immediately following documentation." "We should involve our clients' partners in care planning as much as possible." "We should provide change-of-shift report as a team, including the assistive personnel who assisted with care. 9. A hospice nurse is providing teaching to a client who has a new diagnosis of a terminal illness and her family. Which of the following statements should the nurse include in the teaching? "Hospice care focuses on disease treatment and rehabilitation." "The provider will coordinate your health care needs while in hospice." "You must choose a family caregiver before being admitted into a hospice facility." "Hospice care continues to help families with grief after a death occurs." 10. A nurse manager is discussing electronic medical records with a newly licensed nurse. Which of the following actions should the nurse take to maintain client confidentiality? (Select all that apply.) Log out of the computer terminal before leaving. Share passwords for computer access with colleagues. Change computer access passwords on a regular basis. Avoid accessing information about clients admitted to other units. Shred computer-generated client worksheets after use. 11. A nurse is completing an assessment of a recently widowed older adult client. He states he is unable to drive and is afraid to cook on the stove. Which of the following community resources should the nurse recommend? Hospice care Meals on Wheels Home health services American Association of Retired Persons 12. A charge nurse is discussing HIPAA with a newly licensed nurse. Which of the following actions should the charge nurse include in the teaching as an example of a HIPAA violation? Administer emergency medications without performing CPR. Begin CPR. Call the provider for a do-not-resuscitate (DNR) order. Respect the client's wishes, and do not attempt CPR. 17. A staff nurse is challenging a shift assignment with the charge nurse. Which of the following statements made by the charge nurse is an example of smoothing as a strategy to resolve conflict? "If you accept this assignment today, I will let you choose your assignment tomorrow." "If you don't agree with the assignment, I will have to report your decision to the nursing supervisor." “Let’s just focus on giving our client medications on time.” "You have a lot of experience, so I'm sure you're capable of these tasks." 18. A community nurse is instructing a group of newly licensed nurses about diseases that require airborne precautions. Which of the following diseases should the nurse include? Rubella Pertussi s Influenz a Varicell a 19. A nurse is receiving change-of-shift report on a group of clients. Which of the following clients should the nurse assess first? A client who has urolithiasis and reports severe ankle pain extending toward the abdomen A client who has acute cholecystitis and reports abdominal pain radiating to the right shoulder A client who has had a total knee arthroplasty, is 1 day postoperative, and reports a pain level of 8 on a 0 to 10 pain scale A client who has a fractured femur and reports sudden sharp chest pain 20. An occupational health nurse in a factory is planning interventions to reduce environmental stressors for employees. Which of the following interventions should the nurse use to aect physical agents in the environment? (Select all that apply.) Teach workers to choose personal strategies to cope with work stress. Limit the amount of time workers spend in temperatures over 43.3° C (110° F). Provide ear plugs for use at workstations throughout the factory. Obtain dosimeters for employees to wear when using new machinery that emits radiation. Require more frequent disinfection of work surfaces during inuenza season. 21. A nurse is using the ecologic model for population health to develop interventions to address HIV in a community. Which of the following interventions should the nurse include to address financial factors affecting community health? Have adolescents lead peer discussions in schools about safe sexual practices. Distribute condoms through remote community clinics. Create commercial advertisements describing the long-term eects of HIV. Include information about perinatal HIV transmission at prenatal education classes. 22. A nurse is planning a staff education program to review nursing interventions for clients who have kidney failure. Which of the following sources should the nurse identify as the best resource for obtaining evidence-based information? The advice of an expert nephrology nurse Retrospective chart reviews Facility critical pathway A recent peer-reviewed nursing research article sedation to a client 27. A nurse on a rehabilitation unit is creating a plan of care for a newly admitted client who has difficulty swallowing following a stroke. Which of the following interprofessional team members should the nurse anticipate consulting regarding the client's condition? (Select all that apply.) ??? Speech-language pathologist Occupational therapist Dietitian Psychologist Pharmacy technician 28. A forensic nurse is using the epidemiological triangle to explain factors that contribute to violent behavior. Which of the following factors should the nurse identify as an environmental factor in the epidemiological triangle? Crowded living conditions Traumatic brain injury Alzheimer's disease Impaired coping abilities 29. After signing an informed consent form, a client states, "I have changed my mind and do not want to have the procedure." Which of the following actions should the nurse take? Suggest that family members discuss the importance of the surgery with the client. Notify the surgeon that the client wishes to withdraw informed consent for the procedure. Document the risks of refusing the procedure in the client's medical record. Discuss the benets of the procedure with the client 30. A home health nurse is teaching about chest physiotherapy (CPT) treatments with a client who has COPD. Which of the following client statements should the nurse identify as an indication that the teaching has been understood? "My coughing will decrease during CPT treatments." "CPT treatments will decrease my respiratory infections." "I will perform postural drainage after eating meals." "CPT treatments will help cure my COPD." Tell a client who drinks cranberry juice daily that it can help treat existing urinary tract infections. 35. A nurse manager is teaching a group of sta members about proper body mechanics. Which of the following statements by a sta member indicates an understanding of the teaching? "I should get assistance when lifting more than 35 pounds." "I will twist at my waist when moving an object." "I should hold objects 1 ft away from my body when I walk." "I will roll my shoulders forward to reduce strain on my back." 36. A nurse in a clinic is caring for a client who has a urinary tract infection (UTI). Which of the following prescriptions should the nurse verify with a provider? ??? Trimethoprim- sulfamethoxazole Hyoscyamine Oxybutynin Phenazopyridi ne 37. A nurse is caring for a client who is requesting to leave the facility against medical advice (AMA). The client states, "I am ready to go immediately." Which of the following actions should the nurse take first? Teach the client about the potential health risks of leaving early. Ask the client to sign a document stating they are leaving AMA. Document the client's statement in direct quotes in the medical record. Complete an incident report detailing the client scenario. 38. A nurse manager of a rural clinic is orienting a new employee. Which of the following information should the nurse include as a characteristic of rural health? Lower maternal morbidity rates Reduced incidence of death from motor-vehicle crashes Increased rates of chronic illness More frequent dental preventative care visits 39. A nurse at a local health department is caring for a client who is newly diagnosed with listeriosis. Which of the following actions should the nurse plan to take? Provide the Centers for Disease Control (CDC) and Prevention with the client's information. Inform the client that they are required to have health department sta directly observe their treatment. Determine whether the condition is reportable under state requirements. Find out whether the condition is endemic in the client's neighborhood 40. A nurse working in a mobile health clinic is assessing a migrant farm worker. Which of the following findings should the nurse identify as the priority? Report of back pain associated with twisting at the waist Absence of a dental health provider Lives in a home with 25 other migrant workers Report of muscle twitching and skin rash 41. A school nurse is developing a teaching plan about testicular cancer for a group of clients. Which of the following information should the nurse include in the teaching? Perform a testicular self-examination weekly. Do not palpate the epididymis when performing a testicular self-examination. Expect testicles to be uniform in consistency when performing a testicular self- examination. Perform a testicular self-examination after a cool shower. following a mass casualty event. Which of the following clients should the nurse manager recommend? A client awaiting a screening colonoscopy later that day A client whose discharge was cancelled the prior day because they developed respiratory distress A client who is 6 hr postoperative following an open cholecystectomy A client who is prescribed gastric lavage treatments to treat acute aspirin toxicity 47. A nurse manager on an acute care unit is preparing a staff presentation about promoting cost effective care. Which of the following strategies should the nurse plan to include in the presentation? Change IV solution bags every 36 hr. Avoid the delegation of hygiene care to assistive personnel (AP). Wear sterile gloves when removing urinary retention catheters. Educate staff about the correct use of personal protective equipment (PPE) for isolation precautions. 48. A nurse is providing a report to an occupational therapist about a client who weighs 210 lb and has a prescription for one-third weight bearing on the right leg to prevent injury and falls. How many kg of weight should the client bear on the right leg? (Round the answer to the nearest whole number. Use aleading zero if it applies. Do not use a trailing zero.) 49. 32kg -----------------kg 50. A nurse in an emergency department is preparing change-of-shift report for an adult client who is transferring to a medical-surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the report? (Select all that apply.) The client has a do-not-resuscitate order. The client has a continuous IV of lactated Ringer's. The client was straight catheterized for 350 mL 2 hr ago. The client has Medicare insurance. The client lives in a one-story home