COMMUNITY HEALTH

Proctored Test Bank

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ATI RN Community Health Online Practice 2021 A

An industrial health nurse is caring for a client who states,"I have been under a lot of stress lately."

When the nurse suggests stress-management techniques, the client calmly states that he has a pistol in

his car and intends to take his life in the parking lot after work that day. Which of the following actions

should the nurse take?

A. Have the industrial facility's security ofcerssearch the client’s car and remove the pistol

B. Call emergency medicalservices to transport the client to a proper treatment facility

C. Contact the client’sfamily member to pick him up from work and take him for treatment

D. Explore the client’sreasons forsuicide

A charge nurse in an emergency department is notified by the county’s emergency medical services of

a multiple casualty crash involving a truck carrying radioactive waste. Which of the following actions

should the nurse take first?

A. Designate a decontamination area to accommodate clients who are irradiated.

B. Notify the admissions office to clear as many critical care beds as possible.

C. Clear the department of all non-urgent clients and move those awaiting admission to a holding area.

D. Determine the number of casualties the emergency department can

A public health nurse is caring for an older adult client who has chronic airflow limitation disease andis a

former cigarette smoker. The client’s medications include ipratropium bromide and albuterol inhalers,

and she has a new prescription for home oxygen to use as needed. Primary prevention for this client

should include which of the following?

A. Periodic pulmonary function tests

B. Review of appropriate use of oxygen in the home

C. Yearly mammography examinations

D. Annual influenza immunizations

A nurse is providing teaching to a client who has a prescription for ciprofloxacin following exposure to

anthrax. Which of the following statements by the client indicates that further teaching isrequired?

A. "I will limit my intake of coffee, tea, and carbonated beverages."

B. "I will wear a large-brim hat and long sleevesif I am out in the sun."

C. "I will take the ciprofloxacin with an antacid if I get an upsetstomach."

D. "I will avoid taking ciprofloxacin along with dairy products."

A public health nurse is assisting community leaders to develop a disaster response plan in the eventof

an outbreak of a serious communicable disease. When teaching the community leaders about infectious

disease, the nurse should explain that a vector is which of the following?

A. A mode of transmission for the disease

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B. A microorganism that causesthe infection

C. An environment where the pathogen can survive

D. A client who issusceptible to the infection

An occupational health nurse isteaching a group of clients about work environment risks. Which ofthe

following actions is the nurse performing?

A. Casemanagement

B. Secondary prevention

C. Tertiary prevention

D. Primary prevention

A home health nurse and an assistive personnel (AP) are discussing the care needs of a client. Whichof

the following statements by the AP requires intervention by the nurse?

A. "I will change the client’s PICC line dressing on my next visit."

B. "Bathing the client issomething that I can do without assistance."

C. "I will assist the client in ambulating outdoors each time I visit."

D. "Next time I visit, I plan to clean up the clutter in the client’s bedroom."

A nurse manager at a clinic for the homeless notes that many of the clients have a history of mental illness

and substance use disorder. While compiling figures for a regulatory agency about individuals whovisit the

clinic, the nurse should classify these clients as having which of the following conditions?

A. Codependency

B. Bipolar disorder

C. Comorbidity

D. Somatization disorder

A charge nurse is assembling a list of clients who can be safely discharged home to accommodate incoming

casualtiesfollowing an earthquake. The nurse should recognize that discharging which of thefollowing

clients would be unsafe?

A. A client who has osteomyelitis and will require 6 weeks of IV antibiotic therapy

B. A client who has Crohn’s disease and is 1 day preoperative for an ileostomy

C. A client who has Alzheimer’s disease and is awaiting placement in a long term care facility

D. A client who has an ileus following spinal surgery 5 days ago and is ambulatory in a brace

A home health nurse is caring for a client who is living in a mental health group home. During a visit,the

nurse discovers that the client has been hoarding psychotropic medications. Which of the following

actionsshould the nurse take first?

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A. Have the client transported to an acute care facility

B. Determine the reason for the client’s hoarding behavior

C. Alert the staff members who have been administering the client’s medications

D. Require the client to return any hoarded medications

A home health nurse is performing an assessment of an older adult client’s home. Which of thefollowing

findings should the nurse recognize as a potential hazard?

A. Hot water temperature set at 46°C (115°F) 120

B. A night light in each room of the house

C. A secured large area rug in the living room

D. Wiresto the television tunneled under the carpet

A nurse is planning a teaching session at a community center about preventing suicide. Which of the

following groups should the nurse recognize is most at risk for suicide?

A. Older adult male clients ages 75 to 90 years old

B. School-age children ages 6 to 12 years old

C. Adolescentfemale clients ages 12 to 20 years old

D. Middle-aged adult clients ages 25 to 44 years old

A client in a clinic setting tellsthe nurse, “I haven'tseen my son for 2 weeks." The nurse replies, “Your

son has not come to see you for 2 weeks?" This is an example of the nurse using which of the

followingtherapeutic communication techniques?

A. Reflecting

B. Questioning

C. Focusing

D. Restating

A nurse istalking with a client who states, "The nurses around here are incompetent." Which of the

following responses should the nurse make?

E. "Could you tell me about a specic example of a nurse being incompetent?"

F. "Let'stalk about the progress you have made today and not about the nurses."

G. "The nurses and doctors at thisfacility are highly experienced and do an excellent job."

H. "I am doing the best I can to take care of these very ill clients."

A nurse on a medical-surgical unit is talking with a client who pauses while discussing his feelings

about being in the facility. The nurse replies,"Please go on." Which of the following communication

techniquesis the nurse using?

I. Reecting

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