Community Health Final (Learning
System RN) 2022 (A+)
A community health nurse is caring for a client exposed to HIV 2 days ago. The client
asks the
... [Show More] nurse what she should do. Which response should the nurse make?
a. "I will administer an HIV vaccine today, and it will need to be repeated in 3 months."
b. "I will administer an HIV test today, and you will need to return in 48hrs for me to read
the results."
c. "You will need to have an HIV test every other week for 6 months."
d. "You will need to take prophylactic medications for 4 weeks." - ANS-d. "You will need
to take prophylactic medications for 4 weeks."
RATIONALE: The client will need to take prophylactic medications for 4 weeks to
prevent the virus from replicating within the body.
A home health nurse and an assistive personnel are discussing care for a client. Which
statement by the AP requires intervention by the nurse?
a. "I will change the PICC line dressing on my next visit."
b. "Bathing the client is something I can do without assistance."
c. "I assist the client in ambulating outdoors every time I visit."
d. "The next time I visit, I plan to clean up the clutter in the client's room." - ANS-a. "I will
change the PICC line dressing on my next visit."
RATIONALE: Changing IV dressings is not within the AP's scope of practice. The nurse
should investigate this statement.
An occupational health nurse is providing teaching to a group of clients about the risks
of the work environment. Which of the following actions is the nurse performing?
a. Case Management
b. Secondary Prevention
c. Tertiary Prevention
d. Primary Prevention - ANS-d. Primary Prevention
RATIONALE: This nursing action is an example of primary prevention of accidents in
the workplace. The goal of tertiary prevention is to limit disability caused by disease in a
population. An example of tertiary prevention is working with members of the population
who have diabetes to decrease the number of work days lost due to complications. The
goal of secondary prevention is to detect levels of disease in a population and refer
people for treatment. An example of secondary prevention is a hearing screening
program that is indicated due to the excessive noise in the work environment. Case
management is the coordination of care in order to improve client outcomes.
A home health nurse is providing teaching to the primary caregiver of a client with
Alzheimer's about respite care. Which of the following information should be included?
a. "It's a community support group for family caregivers."
b. "It requires placing the client in an assisted living facility."
c. "It provides family caregivers with temporary relief from caregiving."
d. "It supplies daily assistance from a home health aid." - ANS-c. "It provides family
caregivers with temporary relief from caregiving."
RATIONALE: Respite care services provide family caregivers with temporary relief from
the tasks associated with caregiving for chronically ill family members, such as adults
who have Alzheimer's disease or children who have complex medical or developmental
needs. Caring for a client who has complex care needs in the home is a difficult and
draining task. Respite care allows overwhelmed caregivers to shop, have some time
away, or get an uninterrupted night of sleep.
A nurse is conducting a screening class for hypertension. Which of the following should
be the nurses goal for secondary prevention?
a. Prevent onset of the condition
b. Identify severity of the condition
c. Identify the condition early
d. Deter condition-related complications - ANS-c. Identify the condition early
RATIONALE: Secondary prevention measures are those that identify and treat
asymptomatic people who have already developed risk factors or preclinical disease,
but in whom the condition is not clinically apparent. The goal of secondary prevention is
early identification of the target condition.
A nurse is providing teaching to a client about healthy lifestyle changes. The client
states, "I work long hours, and I never have time for exercise or anything but fast food."
Which of the following goals should be included in the plan of care?
a. Client will improve overall health by next visit
b. Client will introduce 2 green vegetables into her diet by the end of the month
c. Client will reduce daily stress and increase activity by exercising
d. Client will reduce weight by 4.5kg (10lb) within 2 weeks - ANS-b. Client will introduce
2 green vegetables into her diet by the end of the month
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