NURS 406 ASSESSMENT LEADERSHIP AND COMMUNITY HEALTH EXAM
11. A nurse is completing an assessment of a recently widowed older adult client. He states he
... [Show More] is unable to drive and is afraid to cook on the stove. Which of the following community resources should the nurse recommend?
Hospice care
Meals on Wheels
Home health services
American Association of Retired Persons
12. A charge nurse is discussing HIPAA with a newly licensed nurse. Which of the following actions should the charge nurse include in the teaching as an example of a HIPAA violation?
Posting the name of the nurse providing care on a client's communication board
Discussing the client's new medication with a hospital pharmacist
Faxing requested medical information for a client who is transferring to another facility
Emailing the client's positive hepatitis results from an unencrypted serve
13. A nurse manager is preparing to complete staff performance appraisals. Which of the following principles should the nurse manager consider when completing the appraisals?
Performance appraisals should be written in measurable terms.
Appraisal objectives should be applicable to staff at every level.
Performance appraisals should be based on the nurse manager's preferences.
Completed appraisals should be approved by a provider.
14. A nurse is caring for a client and realizes they have administered the wrong medication. Which of the following actions should the nurse take first?
Notify the provider.
Check the condition of the client.
Document the occurrence in the electronic medical record.
Complete an incident report.
15. A nurse is caring for a newborn in the nursery following a circumcision. The newborn's grandparent, who does not have an identication bracelet, requests to take the newborn to his parent's room. Which of the following actions should the nurse take?
Check the newborn's identication bracelet with the chart.
Obtain permission from the newborn's mother.
Respectfully deny the grandparent's request.
Review the newborn's footprint record
16. A nurse enters a client's room and finds the client pulseless. The client's living will requests no resuscitation be performed, but the provider has not written the prescription. Which of the following actions should the nurse take?
Administer emergency medications without performing CPR.
Begin CPR.
Call the provider for a do-not-resuscitate (DNR) order.
Respect the client's wishes, and do not attempt CPR.
17. A staff nurse is challenging a shift assignment with the charge nurse. Which of the following statements made by the charge nurse is an example of smoothing as a strategy to resolve conflict?
"If you accept this assignment today, I will let you choose your assignment tomorrow." "If you don't agree with the assignment, I will have to report your decision to the nursing supervisor."
“Let’s just focus on giving our client medications on time.”
"You have a lot of experience, so I'm sure you're capable of these tasks."
18. A community nurse is instructing a group of newly licensed nurses about diseases that require airborne precautions. Which of the following diseases should the nurse include?
Rubella
Pertussis
Influenza
Varicella
19. A nurse is receiving change-of-shift report on a group of clients. Which of the following clients should the nurse assess first?
A client who has urolithiasis and reports severe ankle pain extending toward the abdomen
A client who has acute cholecystitis and reports abdominal pain radiating to the right shoulder
A client who has had a total knee arthroplasty, is 1 day postoperative, and reports a pain level of8 on a 0 to 10 pain scale
A client who has a fractured femur and reports sudden sharp chest pain
20. An occupational health nurse in a factory is planning interventions to reduce environmental stressors for employees. Which of the following interventions should the nurse use to aect physical agents in the environment? (Select all that apply.)
Teach workers to choose personal strategies to cope with work stress.
Limit the amount of time workers spend in temperatures over 43.3° C (110° F).
Provide ear plugs for use at workstations throughout the factory.
Obtain dosimeters for employees to wear when using new machinery that emits radiation.
Require more frequent disinfection of work surfaces during influenza season.
1. An occupational health nurse is preparing to teach a health promotion class for workers at a warehouse. Which of the following statements should the nurse include?
"Rub your hands together for at least 10 seconds when washing them."
"Keep your abdominal muscles tightened when lifting objects."
"Ensure that 20 percent or less of calories are from saturated fats."
"Engage in aerobic exercise 2 to 4 days per week for 20 min."
2. A nurse is preparing an in-service about family violence for a group of newly licensed nurses. Which of the following statements should the nurse include in the teaching?
"Perpetrators of family-directed violence recognize their behavior as abnormal." "Female clients who experience partner violence are at greater risk for acute diseases."
"The victim's risk for homicide is greatest when they decide to leave the relationship."
"The level of violence of the events decreases over time."
3. A community health nurse is reviewing primary prevention strategies for West Nile virus with a group of clients in a rural health clinic. Which of the following instructions should the nurse include?
Avoid exposure to deer ticks.
Eliminate areas of standing water.
Use a respiratory mask when cleaning bird coops.
Plan outdoor activities after dusk
4. A school nurse is providing care for students in an elementary education facility. Which of the following interventions by the nurse addresses the primary level of prevention?
Design interventions for a student's individual education plan (IEP).
Teach students about healthy food choices.
Perform first aid for minor injuries.
Perform scoliosis screenings for students.
5. A nurse is conducting a home visit with an older adult client. Which of the following observations should the nurse address to promote a safe environment?
Loud volume of the television set
Wall-to-wall carpet in the living room
Low chairs without armrests
Use of indirect lighting
6. A case manager completes a history and physical assessment for a client who has COPD. Which of the following actions should the case manager take next?
Identify the client's current health needs.
Call the provider with a list of client concerns.
Compile a list of community resources for the client.
Refer the client to a COPD support group
7. A nurse manager is implementing a quality improvement project to reduce the number of methicillin resistant Staphylococcus aureus (MRSA) infections at the facility. Which of the following actions should the nurse manager take first?
Develop a MRSA protocol for implementation.
Provide educational in- service for staff.
Evaluate outcomes resulting from interventions.
Conduct a chart review to evaluate precipitating factors of clients who develop MRSA.
8. A nurse manager is teaching a group of employees about standards for Quality and Safety Education for Nurses (QSEN). Which of the following statements by an employee should the nurse manager identify as an example of the QSEN concept of quality improvement?
"We should start tracking how soon clients are discharged after laparoscopic versus open surgery."
"We should be sure to log out of the computers immediately following documentation."
"We should involve our clients' partners in care planning as much as possible."
"We should provide change-of-shift report as a team, including the assistive personnel who assisted with care.
9. A hospice nurse is providing teaching to a client who has a new diagnosis of a terminal illness and her family. Which of the following statements should the nurse include in the teaching?
"Hospice care focuses on disease treatment and rehabilitation."
"The provider will coordinate your health care needs while in hospice."
"You must choose a family caregiver before being admitted into a hospice facility."
"Hospice care continues to help families with grief after a death occurs."
10. A nurse manager is discussing electronic medical records with a newly licensed nurse. Which of the following actions should the nurse take to maintain client confidentiality? (Select all that apply.)
Log out of the computer terminal before leaving.
Share passwords for computer access with colleagues.
Change computer access passwords on a regular basis.
Avoid accessing information about clients admitted to other units.
Shred computer-generated client worksheets after use.
21. A nurse is using the ecologic model for population health to develop interventions to address HIV in a community. Which of the following interventions should the nurse include to address financial factors affecting community health?
Have adolescents lead peer discussions in schools about safe sexual practices.
Distribute condoms through remote community clinics.
Create commercial advertisements describing the long-term effects of HIV.
Include information about perinatal HIV transmission at prenatal education classes.
22. A nurse is planning a staff education program to review nursing interventions for clients who have kidney failure. Which of the following sources should the nurse identify as the best resource for obtaining evidence-based information?
The advice of an expert nephrology nurse
Retrospective chart reviews Facility critical pathway
A recent peer-reviewed nursing research article
23. A newly licensed nurse tells a charge nurse that he is unsure about accepting telephone medication prescriptions. Which of the following providers should the charge nurse identify as having the legal ability to give telephone medication prescriptions? (Select all that apply.) ???
Anesthesiologists
Physician assistants
Hospital pharmacists
Mental health technicians
Nurse practitioners
24. A newly licensed nurse is giving a change-of-shift report using I-SBAR to an oncoming nurse. Which of the following statements by the newly licensed nurse should be included in the "Background" portion of the report?
"The client has a new prescription for incentive spirometry."
"The client's partner plans to return later today."
"The client has no living family members."
"I initiated a consultation by a nutritionist." [Show Less]