UNIT 3 TEST Flashcards
A client who is receiving palliative care would not be eligible to have this care provided by home health agency ?
True or false
False
School nursing , public health nursing , and correctional nursing are all examples of “primary” community nursing interventions ?
True or False
False
A nurse is counseling several clients. Which client statement would the nurse identify as expected for fictitious disorder (previously known as Münchausen syndrome) imposed on another ?
A. “ i had to pretend i was injured in order to get disability benefits”
B. “ i know that my abdominal pain is caused by a malignant tumor’
C. “ i need to make my child sick so that someone else would take care of them for a while”
D.” I became deaf when i heard that my partner was having an affair with my best friend”
C. “ i need to make my child sick so that someone else would take care of them for a while”
A community health nurse is determining available and needed supplies in the event of a bioterrorism attack.if exposed to anthrax, which medication will community member’s need?
A. Metrodianzole (Flagyl)
B. Ciprofloxacin (Ciproxin)
C. Zanavmir (Relenza)
D. Fluconazole ( Diflucan)
B. Ciprofloxacin (Ciproxin)
A community health nurse is developing strategies to prevent or improve mental health issues in the local area.which situation is an example of the nurse implementing a tertiary prevention strategy?
A. Providing support programs for the new parents
B. Screening a client whose partner recently died for suicide risk
C. Teaching a client who has schizophrenia about medication interactions
D. Discussing stress reduction techniques with employment at an industrial site
C. Teaching a client who has schizophrenia about medication interactions
A nurse is caring for a child she suspects is a victim of emotional abuse. Which assessment finding would the nurse anticipate in the child
A. Poor hygiene
B. Fear of parents
C. Speech disorders
D. Poor peer relations
C. Speech disorders
A home health nurse is planning care for a client following a stroke. The nurse Plans to interview each member of the family to see how they might help the client progress towards recovery. Which approach to family health is the nurse using ?
A. Family as a component of society
B. Family as a system
C. Family as a client
D. Family as a context
D. Family as a context
A newly hired occupational health nurse at an industrial facility is performing an initial workplace assessment. Which information would the nurse determine when conducting a work site survey?
Work practices of employees
A newly hired public health nurse is reviewing the disaster management cycle. Which of the following actions is a component of a disaster prevention?
A. Outlining specific roles of community agencies
B. Identifying community vulnerabilities
C. Prioritizing care of individuals
D. Providing stress counseling
B. Identifying community vulnerabilities
A nurse is developing a community health program is determining barriers to community resource referrals. Which factor would the nurse include as an example of a resource barrier ?
A. Cost associated with service
B. Decreased motivation
C. Inadequate knowledge of resources
D. Lack of transportation
A. Cost associated with service
A nurse is advocating for local leaders to place a newly-approved community health clinic in an area of the city that has fewer resources than other areas. Which ethical principle is the nurse exhibiting when advocating for the leaders ?
A. Distributive Justice
B. Fidelity
C. Respect for autonomy
D. Veracity
A. Distributive Justice
A nurse is caring for a client who has de-realization disorder. Which finding would the nurse identify as an indication of de-realization ?
A. The client describes a feeling of floating above the ground
B. The client has suspicions of being targeted in order to be killing and robbed
C. The client states that the furniture in the room seems to be small and far away
D. The client cannot recall anything that happened during the past 2 weeks
C. The client states that the furniture in the room seems to be small and far away
A nurse is caring for a client who has stage IV lung cancer and is 3 days postoperative, following a wedge resection. The client states “ i told myself that i would go through with the surgery and quit smoking if i could just live long enough to attend my child’s wedding” based on the kübler-Ross model, which stage of grief is the client experiencing ?
A. Anger
B. Denial
C. Bargaining
D. Acceptance
C. Bargaining
A nurse is caring for a client who states “i plan to commit suicide “ which assessment would the nurse identify as the priority ?
A. Clients educational and economic background
B. Lethality of the method and availability of means
C. Quality of the clients social support
D. Clients insight into the reasons for the decision
B. Lethality of the method and availability of means
A nurse is collecting admission history for a client who has acute stress disorder (ASD). Which client behavior would the nurse expect ?
A. The client remembers many details about the traumatic incident
B. The client expresses heightened elation about what is happening
C. The client remembers first noticing manifestations of the disorder 6 weeks
D. The client expresses a senses of unreality about the traumatic incident
D. The client expresses a senses of unreality about the traumatic incident
A nurse is completing a needs Assessment and beginning analysis of data. Which action would the nurse take first?
A. Determine health patterns within collected data
B. Compile collected data into a database
C. Ensure data collection is complete
D. Identify health needs of the local community
B. Compile collected data into a database
A nurse is conducting a class for a group of newly licensed nurses on caring for clients who are at risk for suicide. Which information would the nurse include in the teaching?
A. A clients verbal threat of suicide is attention-seeking behavior
B. Interventions are ineffective for clients who really want to commit suicide
C. Using the term suicide increases the clients risk for suicide attempt
D. A no suicide contract decreases the clients risk for suicide
D. A no suicide contract decreases the clients risk for suicide
A nurse is planning interventions for migrant farm workers in a rural area. Which would the nurse include as part of a primary prevention?
A. Establish food banks at locations throughout the community
B. Provide employees handouts on recognizing pesticide toxicity
C. Partner with clinics to provide onsite care for acute injuries
D. Create handouts on identifying skin cancer in multiple languages
A. Establish food banks at locations throughout the community
A nurse is reviewing the various roles of a community health nurse . Which action is an example of the nurse functioning as a consultant?
A. Advocating for federal funding of local health screening programs
B. Updating state officials about health needs of the local community
C. Facilitating discussion of a clients ongoing needs with an inter professional team
D. Performing health screenings for high blood pressure at a local health fair
C. Facilitating discussion of a clients ongoing needs with an inter professional team
A nurse is using the IPREPARE mnemonic to assess a clients potential enviormental exposures. Which question would the nurse ask when assessing for “A” in the mnemonic ?
A. “What do you like to do for fun”
B. “What year was your residence built”
C.” What jobs have you had in the past”
D. “ What industries are nears where you Live”
A. “What do you like to do for fun”
A female victim of a sexual assault is being seen in the crisis center. The client states that she still feels ‘as though the rape just happened yesterday” even though it has been a few months since the incident. Which would be most appropriate nursing response?
A. “ tell me more about the incident that a causes you to feel like the rape just occurred”
B. “ you need to try to be realistic. The rape did not just occur”
C. “ it will take some time to get over these feelings about your rape”
D. “ what do you think that you can do to alleviate some of your fears about being raped again”
A. “ tell me more about the incident that a causes you to feel like the rape just occurred”
A clients husband died on year ago. She has recently started dating a gentleman from her grief support group. Which of the grief tasks described by worden is this behavior indicative of ?
A. Task 1: accepting the reality of the loss
B. task 2 : processing the pain of grief
C. Task 3: adjusting to a world without the loss entity
D. task 4: finding an enduring connection with the lost entity in the midst of embarking on a new life
D. task 4: finding an enduring connection with the lost entity in the midst of embarking on a new life
A public health nurse is planning an in service on older health. Which information would the nurse include?
a. The percentage of older adults in the population is decreasing
B. The proportion of older adults who live alone is increasing
C. Older adults take one-half of all prescription medications
D. Older adults have a decreased recovery time following injury
B. The proportion of older adults who live alone is increasing
A school nurse is planning health promotion and disease prevention activities for the upcoming school year. Which situation is an example of the nurse planning a secondary prevention strategy ?
A. Placing posters with images of appropriate hand hygiene near restrooms
B. Routinely checking students for pediculosis throughout the school year
C. Implementing age-appropriate injury prevention programs for each grade level
D. Working with a dietitian to determine carbohydrates counts for students who have diabetes mellitus
B. Routinely checking students for pediculosis throughout the school year
