ATI RN Community Health Online Practice 2019 B

1. A public health nurse is developing a visual health 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 studentsDevelop 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.