30. a 35-year-old client who has a diagnosis of tuberculosis informs the providers office that she is unable to pay for the treatment. which of the
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[Show More] followi ng actions by the nurse will facilitate obtaining appropriate treatment? 1. help the client apply for Medicare 2. explore options for alternative therapies 3. arrange for medication through local agencies 4. send the client to the nearest facility for further evaluation 31. a public health nurse is addressing community leaders at a forum about community improvement. the nurse should identify which of the following groups as being the fastest growing segment of the homeless population. 1. people who have substance use disorders 2. families who have children 3. adolescent runaways 4. men who are unemployed 32. a nurse is counseling a client who is to undergo enzyme linked immunosorbent assay testing for hiv. which of the following information should the nurse include? 1. the test monitors progression of the disease 2. the test measures antibodies to the virus 3. the test results are accurate 24 hr. after exposure to the virus 4. a positive result requires initiating immunoglobulin administration 33. a nurse case manager is providing discharge planning for a client. the nurse is functioning in which of the following roles when arranging for the delivery of medical equipment to the client’s home 1. consultant 2. systems allocator 3. advocate 4. coordinator 34. a faith based organization asks a community health nurse to develop a mobile meal program for older. the following actions should the nurse plan to take first. 1. determine potential funding sources for the program 2. inquire about the availability of volunteers 3. identify alternative solutions to address concerns 4. perform a needs assessment 35. several nurses are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. which of the following services should the nurses plan to provide to the congregation? 1. organize an influenza immunization clinic with the American red cross 2. perform wound care in the home of members 3. provide end of life care for members who are terminal 4. facilitate discharge from the facility to the home 36. a community health nurse is caring for client in a culturally diverse community. which of the following actions demonstrates accurate cultural knowledge about a specific cultural group? 1. touching the hair of an AfricanAmerican client during an assessment 2. offering to shake hands when meeting anAsian client of the opposite gender 3. maintaining eye contact when interviewing a native American client 4. including both hot and cold food items on a Hispanicclient’s menu 37. a community health nurse is providing screening for lipid disorders. which of the following is the primary goal of this activity? 1. early detection of disease 2. client enrollment in prevention programs 3. promotion of appropriate lifestyle changes 4. identification of family history of medical problems 38. a school nurse is implementing health screening. which of the following assessment finding should the nurse recognize as the highest priority? 1. a child who has a BMI of 18 2. an adolescent who has scoliosis 3. an adolescent who has psoriasis 4. a child who has nits 39. which of the following should the nurse include 1. should be placed beside the child’s bed 2. house hold contacts will receive prophylactic antibiotics 3. transmission will be emitted because of herd immunity 4. the child is most contagious after the rash develops 40. a home health nurse is scheduled for a first time visit to a client. which of the following should the nurse perform first? 1. blood pressure screening 2. mental status examination 3. review of the neighborhood 4. family history 41. in the last month three cases of tuberculosis have been referred to the health department. which of the following is the priority information for the community health nurse to obtain from each client? 1. demographics 2. house hold members 3. occupation 4. health history 42 a nurse is working to reduce individual and family violence in the local community. which of the following actions by the nurse demonstrates a primary prevention strategy to achieve this goal? 1. conducting counseling for at risk parents 2.. assessing a family for marital discord 3.. teaching parenting techniques to new parents 4. providing treatment for a young adult who has a substance use disorder 43. a newly hired occupational health nurse is assessing hazards in the work environment. which of the following actions will help the nurse detect potential physical hazards? 1. track rates of illness caused by infection among employees 2. survey workers about job related emotional stress 3. identify industrial toxins that are present in the environment 4. measure noise levels at various locations in the facility 44. a school nurse is planning safety education for a group of adolescents. the nurse should give priority to which of the following topics as the leading cause of death for this age group 1. motor vehicle safety 2. sports injury prevention 3. substance abuse prevention 4. gun safety 45. a nurse of a community clinic is preparing an educational guide about cultural variances in expression of pain. which of the following information should the nurse include? 1. middle eastern cultural practices include hiding pain from close family members 2. native American cultural practices include being outspoken about pain 3. PuertoRican cultural practices include the view that outspoken expressions of pain are shameful 4. Chinese cultural practices include enduring pain to prevent family dishonor 46. the partner of an older adult client who has Alzheimer’s disease reports that he is not eating. the nurse........client partner refuses to assist the client with feeding. the partner insists the client feed himself without help. which of the priority action the nurse should take? 1. arrange for meals on wheels’ assistance 2. determine the client’sability to self-feed 3. direct the home health aide to assist with meals 4. refer the clients partner to an Alzheimer’s support group 47. a nurse is planning priority 1. encourage enrollment and attendance at weight reduction programs 2. educate children at a day care center about nutrition and exercise 3. distribute health risk appraisal questionnaires at community functions 4. measure the BMI of older adults at a community senior center 48. a nurse working in an infectious disease clinic is caring for a client has a new diagnosis of Lyme disease. which of the following agencies is responsible for voluntarily reporting cases of this disease to the centers for disease control and prevention 1. office of the surgeon general 2. state health department 3. hospital infection control department 4. local red cross chapter 49. a nurse is providing teaching to a 50-year-old female client. which of the following statements should the nurse include in the teaching? 1. you should have a complete eye examination every 2 years until the age of 64 2. you should have your hearing screened every 5 years 3. you should have your stool tested for blood every other year until the age of 74 4. you should have your fasting blood glucose level checked every 6 years 50. a nurse is discussing short and long term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. which of the following statements is appropriate for the nurse to include in the discussion? 1. you will be taking a once weekly dose of disulfiram to help control withdrawal symptoms during treatment 2. remaining physically active will help to minimize drowsiness and chills associated with initial alcohol withdrawal. 3. attending Al anon meetings will help you identify a role model to assist you with making needed changes 4. you will begin learning functional skills to replace defense mechanisms and behaviors while in treatment 51. a nurse is assessing an outbreak of mumps among school age children. using the epidemiological triangle. the nurse should recognize that which of the following is the host. 1. the vaccine 2. the virus 3. the school 4. the children 52. a community health nurse is working with a group of homeless veterans who have posttraumatic stress disorder. which of the following interventions should the nurse implement? 1. provide coffee and snacks during the meetings 2. avoid discussing the traumatic events experienced by the veterans 3. change the meetings sites frequently 4. teach the clients to practice deep breathing exercises 53. client states my life has no meaning right now. 1. have you been thinking about harming yourself 2. how long have you been feeling this way 3. tell me what is going on with you right now 4. do you really think your life has no purpose 54. a nurse is providing education to a group of adolescents who are pregnant and attending high school. which of the following information should the nurse include in theirteaching? 1. the need for supplemental folic acid is greatest during the third trimester 2. the incidence of high birth weight infants is higher in adolescent pregnancy 3. pregnant adolescent need to gain less weight than adult mothers 4. caffeinated beverages should be replaced with caffeine-free beverages 55. nurse expect 1. oliguria 2. diplopia 3. hypoglycemia 4. dizziness 56. a community health clinic nurse manager is reviewing the incidence rate of chlamydia in the state. in a given year, 3144 new cases were reported and the population was estimated at 325,986. which of the following is the incidence rate in the state for the year? 1. about 300 reported cases per 100,000 population 2. about 1 reported case per 10,000 population 3. about 10 reported cases per 1000 population 4. about 3 reported cases per 10,000 population 57. a home health nurse is visiting a client who had a stroke 2 months ago. which of the following findings should the nurse report to the interprofessional care team? 1. the client dresses her affected side first. 2. the client bears weight on their arms when using crutches 3. the client coughs when swallowing her medications 4. the client’s caregiver fills a pill organizer weekly [Show Less]