ATI Community Health Proctored Exam-(24 Versions, 1700QA)/Community Health Proctored Exam
1. A public health nurse is developing a visual health
... [Show More] program by using a
community-oriented approach. Which of the following interventions should the
nurse include?
Teach a client who has vision loss about safety in the home environment.
Provide genetic counseling to the family of a newborn who has congenital
cataracts.
Consult with the local school nurse to schedule yearly vision screenings for
students-
Develop a plan of care for a client who was newly diagnosed with glaucoma.
Consulting with the local school nurse to schedule yearly vision screenings for
students focuses on the health care of a population rather than illness care for
individuals. Therefore, this intervention Is using a community-oriented approach.
The other answers options are community based approach.
2. A home health nurse is caring for a client who has a breast cancer. Which of the
following assessment findings should the nurse identify as an indication that the
client is coping effectively?
Inability to concentrate
Makes eye contact
Excessive sleeping
Lack of interest in food
3. A community health nurse is teaching a client who was newly diagnosed with
active pulmonary tuberculosis about disease transmission. Which of the following
information should the nurse include?
Household members should be places in respiratory isolation.
The client should use disposable utensils during meals.
Household members should take isoniazid for 6-12 months
The client should have a repeat purified protein derivative test in 3 months.
Resp. isolation is not necessary for household memebers of a client who has active
pulmonary tuberculosis.
IT is not necessary for a client who has active pulmonary TB to use disposable
utensils during meals in the home setting.
Household memebers of a client who has active pulmonary TB are at risk for
developing the disease. Therefore, taking isoniazid prophylactically for 6-12
months is recommended.
A client who has active pulmonary tuberculosis should receive a chest x ray for
future screenings.
4. A case manager is developing a discharge plan for a client who has a spinal cord
injury and is in rehabilitation facility. Which of the following actions should the
nurse take first?
Hold a care conference w/ the client and his family to discuss tx options.
Contact service providers to determine the availability of services offered.
Determine the client's ability to perform self-care
Evaluate the client satisfaction with the case managers services.
First two options are implementation step of the nursing process. The 3rd options is
to assess the client needs. Evaluate option is the evaluation step of the nursing
process.
5. A community health nurse is working in a mobile health care clinic. Which of the
following clients should the nurse assess first?
A client who has a new onset of confusion and slurred speech
6. A public health nurse is developing a presentation for local day care providers
about infectious childhood diseases. Which of the following statements should the
nurse include?
"RSV is spread through contact with respiratory secretions from an infected
person."
“rotavirus infections in children peal during the summer months.”
“Children who have 5th disease will exhibit bloody diarrhea.”
Antiviral medications shorten the duration of a shigella infection.”
The nurse should include this statement in the presentation, as RSV is spread
by direct contact w/ respiratory secretions while within 3 feet of a person who
is infected. Manifestations of RSV include dyspnea, tachypnea, coughing, and
wheezing.
Rotavirus infection in children peak during winter months of the year.
Manifestations of rotavirus include fever and vomiting followed by watery
diarrhea.
The clinical manifestation of 5th disease (erythema infectiosum) do not inclue
bloody diarrhea. Clinical manifestations include rash that gives the client a
slapped-faced appearance that progresses from the face down to the body.
Other manifestations include fever, myalgia, N/V, and lethargy.
Antibiotics shorten the length of a shigella infection and decrease mortality
rates. Manifestation of shigella include fever and anorexia followed by watery
or bloody diarrhea.
7. A nurse in a rural community is planning education for a young adult client who is
a migrant farm worker. Which of the following actions should the nurse include?
(Select all that apply)
- Provide environmental health
- Refer client for TB screening
- Provide skin cancer information
- Recommend a dental health screening
-Provide forms to apply for medicare
Medicare are individuals must meet age requirement or be permanently
disabled.
Migrant FW are at risk exposure to pesticides and other hazardous materials
that could be harmful. Thereofre should include environmental health
information in the client’s education.
Rate of TB are estimated higher amoing migrant workers due to crowded
living conditions and substandard housing. Therefore, the nurse should
include a tuberculosis screening in the clients education.
Dental problems are primary health risk for migrant FW.
8. A public health nurse is working in a community that has a population of 24,096.
There are 2,096 existing cases of heart disease within the population. The nurse
can determine which of the following from this information?
Mortality rate
attack rate
Prevalence proportion
Incidence proportion
The mortality rate cannot be determined because the # of affected people who died is
unknown.
The attack rate cannot be calculated because the population has not been exposed to a
specific agent.
The prevalence proportion can be calculated by using the # of people who were affected
at a given time and the total population.
The incidence proportion cannot be calculated because the # of people newly diagnosed
w/ heart disease over a period is time is not known.
9. A nurse is assessing the risks and benefits of meal delivery services for older an older
adult who lives alone and has no transportation. Which of the following ethical
principles is the nurse demonstrating?
Benefience
Distributive justice
Respect for autonomy
Fidelity
The nurse would demonstrate the ethical principle of distributive justice by fairly
determining which clients should receive meal delivery when there are a limited amount
of services available for clients. The nurse would demonstrate the ethical principle of
respect for autonomy by asking the client if he wants this service and respecting his
choice. The nurse would demonstrate the ethical principle of fidelity by determining that
the client needs the meal service and following through with initiating a referral.
10. 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, agonal pattern; cap refill time 4.5 seconds; nonresponsive to painful
stimuli. Which of the following actions should the nurse take?
Turn the client to left semi-Fowler's position and begin assessing the next client
Place a frim pressure dressing to the occiput and open the airway
Apply a cervical spine collar and perform a focused neurological exam
Request that the client be assess immediately by the next available provider.
Principles of triage indicate that clients who have extensive injuries and a lowprobability
of survival do not receive tx. Therefore, the nurse should provide only
comfort measure before moving on to assess the next client.
11. A community health nurse is assigned to lead a county-level environmental
task force. Which of the following activities should the nurse direct the task
force to complete first?
Review community-specific epidemiological dataRecommend
updates to local environment policies.
Create program goals that align with Healthy People 2020 objectives.
Distribute health education material to community members.
-The 1st action the nurse should direct the task to take when using the nursing
process is to conduct a community assessment, which includes a review of
specific edimioligical data. Tge community assessment will assist the task force
in identifying environmental health concerns within the county.
-The nurse should direct the task force to recommend update to local policies if
neede to ensure environmental standards are bing met and to advocate for health
promotion withing the communitu. Hoevere another action is t complete first.
-The nurse should direct task force to create program goals that align with
Healthy People 202 to assist in achieving national level objectives by ionizing
health issues cause by intereaction of community memebers with the
environment. However another action task firt.
-Task force distributice environmental health education materials to community
members in order to promotoe health and prevent diseases related to
environemntla concerns.
12. A case manager is planning an educational program for a client who has
diabetes mellitus. Which of the following activities should the nurse include
when using the psychomotor domain of learning?
Review a color diagram of the food pyramid with the client.
Show the client a video about how to monitor blood glucose levels.
Observe the client's technique for drawing up insulin
Give the client a pamphlet about foot care.
The nurse should include this activity in order to use the psychomotor domain of
learning because it requires coordination and the use of motor skills.
The other options are cognitive domain of learning because it involves the client
understanding and applying information; learning new information and applying it
in a different way; reading and learning new information.
13. A home health nurse is planning care for the day. Which of the following
clients should the nurse visit first?
An older adult who has treated in the ED last night for a stage 3 pressure ulcer
A school-age child who was treated in the emergency department last night for status
asthmaticus
An older adult client who has newly prescribed antihypertensive medication and needs a
BP check
A school age child whose percutaneous endoscopic gastrostomy (PEG) tube needs
changing.
14. 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?
“Why did you decide to stop your heart medicine?”
"Can you tell me more about your decision to stop your medicine?"
“Don’t you know what stopping your medicine will do to your heart?”
“Don’t you think your doctor knows what’s best for your heart?”
15.A public health nurse is planning care for four clients. Which of the following
interventions should the nurse recognize as tertiary prevention?
Providing chemoprophylaxis for malaria to a client who is traveling to mosquitoinfested
countries- primary
Administering antibiotics to a clients who has AIDS and was diagnoses with
Pneumocystis jiroveci
Participating in partner notification for a client who has an STI- 2ndary
Performing a serological screening for HIV for a client who is pregnant.- 2ndary
16. 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 the nurse take? (Select all that apply)
- Instruct the interpreter to guide the nurse in providing information in a culturallysensitive
manner
- ask the interpreter to add information she feels may be necessary
- Choose an interpreter who speaks the workers' language and dialect
- Evaluate the interpreter's approach to clients
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