COMMUNITY HEALH EXAM
1. a nurse is working with a care manager for a client who participates in a
health maintenance organization. the nurse should identify that a health
maintenance organization provides which of the following payment
structures.
1. the client is participating in a fee for service health care insurance program
2. the provider is paid a fixed sum for the client on a monthly or yearly basis
3. the client pays the insurer a percentage of the total costs for each service
rendered by the provider
4. the provider bills the client directly for a predetermined percentage of the
cost of services
2. a client who has diabetes mellitus asks a home health nurse to help her
adapt some of her traditional cultural foods to fit her meal plan. which of
the following is the first action the nurse should take when assisting this
client?
1. provide the client with a printed recipe
2. observe the client during preparation of traditional foods
3. use cookbooks to include traditional foods in meal plans
4. explain diabetes exchange list
3. a home health nurse manager is caring for a client who has methicillin
resistant staphylococcus aureus. which of the following actions should the
nurse take?
1. remove fresh flowers from the client’s home
2. wear a mask when within 3 feet of the client
3. encourage the client to use a hepa filter in the house
4. double bag soiled dressing in polyethylene bags.
4. an occupational health nurse is discussing health promotion with a client
who has a history of obesity. which of the following comments indicates the
client is using rationalization as a coping mechanism?
1. i have lots of health problems from being obese
2. I am obese it’s in my genes
3. i have difficulty resisting the items in vending machines
4. i know you don’t like me because i am obese
, 5. During a home health visit a school age child who has muscular
dystrophy confides in the nurse that he was struck by his parents. which of
the following actions should the nurse take first?
1. report the incident to local authorities
2. check the child for injuries
3. refer the parent to a social service agency
4. enroll the parent in anger management classes.
6. a nurse is planning a program about healthy eating at an elementary
school where most students select French fries and pizza at lunch every
day. which of the following actions should the nurse plan to take first?
1. give positive feedback to students who make appropriate choices.
2. help students recognize the value of making healthy food choices
3. provide students with resources about making wise choices independently
4. determine student’s motivation to learn about healthy food choices.
7. a nurse manger in local community health agency is creating a job
description for a new nurse who will practice community oriented nursing.
which of the following should the nurse include in the job description?
(select all that apply)
1. investigate potential health and environmental issues
2. initiate support groups for parents of autistic children
3. provide wound care for clients in their homes
4. participate in local health surveillance activities
5. provide health related education to community groups
8. a community health nurse is planning an educational program for a
group of women who are postmenopausal. which of the following outcomes
is appropriate for this program?
1. clients will schedule bone density screening
2. clients will arrange for mammograms every 3 years
3. clients will start hormone replacement therapy
4. clients will significantly decrease caloric intake
1. a nurse is working with a care manager for a client who participates in a
health maintenance organization. the nurse should identify that a health
maintenance organization provides which of the following payment
structures.
1. the client is participating in a fee for service health care insurance program
2. the provider is paid a fixed sum for the client on a monthly or yearly basis
3. the client pays the insurer a percentage of the total costs for each service
rendered by the provider
4. the provider bills the client directly for a predetermined percentage of the
cost of services
2. a client who has diabetes mellitus asks a home health nurse to help her
adapt some of her traditional cultural foods to fit her meal plan. which of
the following is the first action the nurse should take when assisting this
client?
1. provide the client with a printed recipe
2. observe the client during preparation of traditional foods
3. use cookbooks to include traditional foods in meal plans
4. explain diabetes exchange list
3. a home health nurse manager is caring for a client who has methicillin
resistant staphylococcus aureus. which of the following actions should the
nurse take?
1. remove fresh flowers from the client’s home
2. wear a mask when within 3 feet of the client
3. encourage the client to use a hepa filter in the house
4. double bag soiled dressing in polyethylene bags.
4. an occupational health nurse is discussing health promotion with a client
who has a history of obesity. which of the following comments indicates the
client is using rationalization as a coping mechanism?
1. i have lots of health problems from being obese
2. I am obese it’s in my genes
3. i have difficulty resisting the items in vending machines
4. i know you don’t like me because i am obese
, 5. During a home health visit a school age child who has muscular
dystrophy confides in the nurse that he was struck by his parents. which of
the following actions should the nurse take first?
1. report the incident to local authorities
2. check the child for injuries
3. refer the parent to a social service agency
4. enroll the parent in anger management classes.
6. a nurse is planning a program about healthy eating at an elementary
school where most students select French fries and pizza at lunch every
day. which of the following actions should the nurse plan to take first?
1. give positive feedback to students who make appropriate choices.
2. help students recognize the value of making healthy food choices
3. provide students with resources about making wise choices independently
4. determine student’s motivation to learn about healthy food choices.
7. a nurse manger in local community health agency is creating a job
description for a new nurse who will practice community oriented nursing.
which of the following should the nurse include in the job description?
(select all that apply)
1. investigate potential health and environmental issues
2. initiate support groups for parents of autistic children
3. provide wound care for clients in their homes
4. participate in local health surveillance activities
5. provide health related education to community groups
8. a community health nurse is planning an educational program for a
group of women who are postmenopausal. which of the following outcomes
is appropriate for this program?
1. clients will schedule bone density screening
2. clients will arrange for mammograms every 3 years
3. clients will start hormone replacement therapy
4. clients will significantly decrease caloric intake
