UNIT 3 TEST

Question 1

A client who is receiving palliative care would not be eligible to have this care provided by home health agency ?
True or false

Answer 1

False

Question 2

School nursing , public health nursing , and correctional nursing are all examples of “primary” community nursing interventions ?
True or False

Answer 2

False

Question 3

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”

Answer 3

C. “ i need to make my child sick so that someone else would take care of them for a while”

Question 4

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)

Answer 4

B. Ciprofloxacin (Ciproxin)

Question 5

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

Answer 5

C. Teaching a client who has schizophrenia about medication interactions

Question 6

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

Answer 6

C. Speech disorders

Question 7

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

Answer 7

D. Family as a context

Question 8

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?

Answer 8

Work practices of employees

Question 9

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

Answer 9

B. Identifying community vulnerabilities

Question 10

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

Answer 10

A. Cost associated with service

Question 11

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

Answer 11

A. Distributive Justice

Question 12

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

Answer 12

C. The client states that the furniture in the room seems to be small and far away

Question 13

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

Answer 13

C. Bargaining

Question 14

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

Answer 14

B. Lethality of the method and availability of means

Question 15

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

Answer 15

D. The client expresses a senses of unreality about the traumatic incident

Question 16

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

Answer 16

B. Compile collected data into a database

Question 17

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

Answer 17

D. A no suicide contract decreases the clients risk for suicide

Question 18

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

Answer 18

A. Establish food banks at locations throughout the community

Question 19

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

Answer 19

C. Facilitating discussion of a clients ongoing needs with an inter professional team

Question 20

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”

Answer 20

A. “What do you like to do for fun”

Question 21

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”

Answer 21

A. “ tell me more about the incident that a causes you to feel like the rape just occurred”

Question 22

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

Answer 22

D. task 4: finding an enduring connection with the lost entity in the midst of embarking on a new life

Question 23

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

Answer 23

B. The proportion of older adults who live alone is increasing

Question 24

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

Answer 24

B. Routinely checking students for pediculosis throughout the school year

Question 25

An individual experienced the death of a parent two years ago. This individual has not been able to work since the death cannot look at any of the parents belongings, and cries daily for hours at a time. Which nursing diagnosis most accurately describes this individual’s problem?
A. Post-trauma syndrome related to parents death
B. Anxiety (severe) related to parents death
C. Coping, ineffective related to parents death
D. Grieving, complicated related to parents death

Answer 25

D. Grieving, complicated related to parents death

Question 26

Elderly individuals often experience a convergence of losses, the timing of which makes it impossible for the aging individual to complete the grief process in response to one loss before another occurs. Which terms describes this situation?
A. Prolonged grieving
B. Distorted grief response
C. Bereavement overload
D. Delayed grief response

Answer 26

C. Bereavement overload

Question 27

Which would the community health nurse need to be proficient in to be most effective in this community health nurse role?
A. Developing surveillance tools
B. Tracking incidence of disease
C. Assessing the health of family groups
D. Identifying unhealthy workplaces

Answer 27

C. Assessing the health of family groups

Question 28

The community health nurse is planning to present a class about hypertension to a group of seniors who routinely come to the local senior citizen center by definition. Which term best describes this group?
A. Population
B. Community
C. Census track
D. Aggregate

Answer 28

D. Aggregate

Question 29

A client is receiving home healthcare. Which request from the family would alert the nurse that the family needs further education about the service
A. A request to teach the client how to administer his own insulin
B. A request to change the clients pICC line dressing
C. A request to take the clients shopping to buy high -protein foods
D. A request to call the social worker to obtain information

Answer 29

C. A request to take the clients shopping to buy high -protein foods

Question 30

When teaching a client about tricyclic antidepressants medications, which information would the nurse include?
A. Strong or aged cheese would not be eaten while taking this group of medications
B. The full therapeutic potential of tricyclics may not be reached for 4 weeks
C. Long term use may result in physical dependence
D. Tricyclics would not be given with anti-anxiety agents

Answer 30

B. The full therapeutic potential of tricyclics may not be reached for 4 weeks

Question 31

The nurse is conducting an initial home care visit for a client with multiple sclerosis who lives alone. Which nursing diagnosis would be the priority?
A. Self care deficit
B. Caregiver role strain
C. Impaired mobility
D. Knowledge deficit

Answer 31

C. Impaired mobility

Question 32

Which action at a health care facility would help the most facilitate a smooth response to a disaster such as a tornado?
A. Preparedness due to frequent practice
B. Quickly moving clients in darkened hallways
C. Quickly moving clients in available transportation
D. Volunteerism from the community

Answer 32

A. Preparedness due to frequent practice

Question 33

Which statement would indicate to the nurse that a widow is nearing the end of the grief process?
A. “my husband left me so quickly, im furious that he is not here for me!”
B. “ my husband was often grumpy , but i know he loved me unconditionally “
C.” I feel so guilty that i was out with my girlfriend when he had his heart attack”
D.” My husband was the best husband in the world “

Answer 33

B. “ my husband was often grumpy , but i know he loved me unconditionally “

Question 34

Which would the nurse identify as a maladaptive grieving response?
A. An individual thought she saw her dead husband when she was out shopping
B. A client is experiencing marked feelings of worthlessness and low self esteem
C. A women has not cried since the death of her husband
D. A year after his death , a wife maintain all of her husbands belongings

Answer 34

B. A client is experiencing marked feelings of worthlessness and low self esteem

Question 35

A nurse is about to perform postmortem care. The family wishes to view the body. Which action would the nurse take (select one or more, SATA)
A. Remove the dentures from the body
B. Make sure the body is lying completely flat
C. Apply fresh linens and place as a clean gown on the body
D. Remove all equipment form the bedside
E. Remove all equipment from the bedside

Answer 35

C. Apply fresh linens and place as a clean gown on the body
D. Remove all equipment form the bedside
E. Remove all equipment from the bedside

Question 36

A nurse is assisting with the development of protocols to address the increasing number of suicide attempts in the community. Which intervention would the nurse include as a primary interventions ( select one or more, SATA)
A. Conducting a suicide risk screening on all new clients
B. Creating a support group for a family members of clients who completed suicide
C. Educating high school teens about suicide prevention
D. Initiating one-on one observation for a client who has current Sucidal ideation
E. Teaching middle school educators about warning indicators of suicide

Answer 36

A. Conducting a suicide risk screening on all new
C. Educating high school teens about suicide prevention
E. Teaching middle school educators about warning indicators of suicide

Question 37

A nurse is involved in a serious and prolonged mass casualty incident in the emergency department. Which strategy would the nurse use to help prevent development of a trauma- related disorder (SATA)
A. Avoid thinking about the incident when its over
B. Take a breaks during the incident for food and water
C. Debrief with others following the incident
D. Avoid displays of emotion in the days following the incident
E. Take advantage of offered counseling

Answer 37

B. Take a breaks during the incident for food and water
C. Debrief with others following the incident
E. Take advantage of offered counseling

Question 38

A nurse is preparing an educational program on cultural perspectives in nursing, which factor influenced by an individuals culture would the nurse include ( SATA )
A. Nutritional practices
B. Family structure
C. Health Care interactions
D. Biological variations
E. Views about illness

Answer 38

A. Nutritional practices
B. Family structure
C. Health Care interactions
E. Views about illness

Question 39

A nurse working on a mental health unit is caring for a client who has post traumatic stress disorder (PTSD). Which of the following findings would the nurse expect? (SATA)
A. Difficulty concentrating on task
B. Obsessive need to talk about the traumatic event
C. Negate self image
D. Recurring nightmares
E. Diminished reflexes

Answer 39

A. Difficulty concentrating on task
C. Negate self image
D. Recurring nightmares

Question 40

As a home health nurse, you suspect signs of elder abuse or neglect during your visit in the home or an in elder care facility. Which is a sign of abuse in older adults (SATA)
A. Becomes withdrawn or acts agitated or violent
B. Stops taking part in activities hero she enjoys
C. Develops bed sore
D. Has broken eyeglasses or frames

Answer 40

A. Becomes withdrawn or acts agitated or violent
B. Stops taking part in activities hero she enjoys
C. Develops bed sore
D. Has broken eyeglasses or frames

Question 41

Match the term with the correct description
A. Neglect
B. Abandonment
C. Emotional Abuse

! Care giver does not try to respond to the older adults need ?

Answer 41

A. neglect

Question 42

Match the term with the correct description
A. Neglect
B. Abandonment
C. Emotional Abuse

Leaving an older adult who needs help alone without planning for his or her care

Answer 42

B.Abandonment

Question 43

Match the term with the correct description
A. Neglect
B. Abandonment
C. Emotional Abuse

keeping that person from seeing close friends and relatives is another form of??

Answer 43

C. Emotional Abuse