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ATI RN Community Health Online Practice 2016 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 students- Develop 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
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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.
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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.
5. A community health nurse is working in a mobile health care clinic.
Which of the following clients should the nurse assess first?
A client who has a new onset of confusion and slurred speech
6. A public health nurse is developing a presentation for local day care
providers about infectious childhood diseases. Which of the following
statements should the nurse include?
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"RSV is spread through contact with respiratory secretions from
an infected person." “rotavirus infections in children peal during
the summer months.”
“Children who have 5th disease will exhibit
bloody diarrhea.” Antiviral medications shorten
the duration of a shigella infection.”
The nurse should include this statement in the
presentation, as RSV is spread by direct contact w/
respiratory secretions while within 3 feet of a person who is
infected. Manifestations of RSV include dyspnea,
tachypnea, coughing, and wheezing.
Rotavirus infection in children peak during winter months
of the year. Manifestations of rotavirus include fever and
vomiting followed by watery diarrhea.
The clinical manifestation of 5 th disease (erythema
infectiosum) do not inclue bloody diarrhea. Clinical
manifestations include rash that gives the client a
slapped-faced appearance that progresses from the face
down to the body.
Other manifestations include fever, myalgia, N/V, and
lethargy.
Antibiotics shorten the length of a shigella infection and
decrease mortality rates. Manifestation of shigella include
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