NGN ATI RN Community Health Exam 2023 B Version 1| Questions and Verified Answers| 100% Correct| A Grade
QUESTION
An occupational health nurse in a
... [Show More] factory is performing a routine tuber- culosis screening and identifies an employee who has a positive Mantoux tuberculin test. Which of the following actions should the nurse plan to take?
- Administer prophylactic penicillin to other employees
- Initiate an employee immunization program
- Instruct the employee weak an N95 respirator mask
- Instruct the employee that they will need to obtain a chest x-ray
Answer:
-Correct: Instruct the employee that they will need to obtain a chest x-ray
-Rationale: The presence of a positive Mantoux skin test can indicate the client has been exposed to the tuberculosis organism. A chest x-ray will determine if the disease is active or dormant.
QUESTION
A community health nurse is planning to establish a community garden to introduce new nutritious food options in the area. Which of the following actions should the nurse take first to initiate the program?
- Identify community members who demonstrate an interest in the project
- Hold a community information session to inform the residents of the plan
- Select residents to take on leadership roles in the project
- Monitor the progress of the project to keep the project on course
Answer:
-Correct: Identify community members who demonstrate an interest in the project
-Rationale: The first action the nurse should take when using the nursing process
is to assess the community. By identifying those community members who demon- strate an interest in the project, the nurse can establish a local support group who will assist in engaging other community residents with establishing the garden.
QUESTION
***A public health nurse is monitoring medication compliance for a group of migrant workers who are being treated for TB. The nurse should use infor- mation from which of the following resources to assist with this process?
- Agency for Healthcare Quality and Research (AHRQ)
- Migrant Clinics Network (MCN)
- Centers for Disease Control and Prevention (CDC)
- US Preventative Services Task Force (USPSTF)
Answer:
-Correct: Migrant Clinics Net- work (MCN)
-Rationale: Migrant workers frequently change locations and move from job to job. This can interfere with the client adhering to the 6 to 12 month TB treatment plan. The MCN is a tracking program developed so that health care providers can access prior provider information and maintain TB treatment continuity for these clients.
QUESTION
A nurse is performing a home visit for a client who has tuberculosis (TB). As the nurse is leaving the client's house, a neighbor asks, "Is it true my neighbor has TB?" Which of the following responses should the nurse make?
- "You should ask the public health department."
- "You should take precautions against this infection."
- "Have you ever been tested for tuberculosis?"
- "Do you have questions about tuberculosis?"
Answer:
-Correct: "Do you have ques- tions about tuberculosis?"
-Rationale: This response addresses the neighbor's concerns while protecting the client's confidentiality.
QUESTION
A case manager at a home health agency is obtaining equipment for
a client's home use. Which of the following actions is a violation of client confidentiality?
- The case manager used a computer at the agency with an automatic sign-off mechanism
- The case manager left a clipboard with the client's prescription information face up on the office desk
- The case manager sent a fax to the equipment company on a machine using programmed speed dial
- The case manager shared the client's name with the equipment company
Answer:
-
-Correct: The case manager left a clipboard with the client's prescription information face up on the office desk
-Rationale: When using a clipboard, the case manager should place the clipboard on the desk face down so that a client's personal health information is not visible to other individuals.
QUESTION
A community health nurse is caring for an adolescent who is seeking help for an unplanned pregnancy. Which of the following actions should the nurse first take?
- Recommend the adolescent meet with the school guidance counselor to discuss educational options
- Help the adolescent obtain a provider for prenatal care
- Educate the adolescent about contraceptive to prevent future unplanned pregnancies
- Provide information on parenting classes so the adolescent can learn about caring for a newborn
Answer:
-Correct: Help the adolescent obtain a provider for prenatal care
-Rationale: The client is an adolescent and experiencing an unplanned pregnancy, which are factors that place the adolescent and fetus at risk for complications. Therefore, when using the safety/risk reduction approach to client care, the first action the nurse should take is to assist the client in obtaining prenatal care.
QUESTION
A nurse is assessing the risks and benefits of meal delivery services for a client who lives alone and has no transportation. Which of the following ethical principles is the nurse demonstrating?
- Distributive justice
- Respect for autonomy
- Fidelity
- Beneficence
Answer:
-Correct: Benefice [Show Less]