QUESTIONS AND SOLUTIONS
◉A case manager at a home health agency is obtaining equipment
for a client's home use. Which of the following actions is a violation
of client confidentiality?
A. The case manager used a computer at the agency with an
automatic sign-off mechanism.
B. The case manager left a clipboard with the client's prescription
information face up on the office desk.
C. The case manager sent a fax to the equipment company on a
machine using programmed speed dial.
D. The case manager shared the client's name with the equipment
company. Answer: B. The case manager left a clipboard with the
client's prescription information face up on the office desk.
When using a clipboard, the case manager should place the
clipboard on the desk face down so that a client's personal health
information is not visible to other individuals.
◉A public health nurse is planning a community health promotion
program for hypertension prevention. Which of the following
,interventions should the nurse include as a tertiary prevention
strategy?
A. Provide education about risk factors for hypertension.
B. Conduct a hypertension screening clinic for the community.
C. Teach clients who have a family history of hypertension how to
monitor blood pressure.
D. Implement an exercise program for clients who have
hypertension. Answer: D. Implement an exercise program for clients
who have hypertension.
The nurse should implement tertiary prevention strategies for
clients who have hypertension to promote the highest level of
functioning possible, which can include regular exercise to maintain
an active lifestyle.
◉A school nurse is serving on a community disaster planning
committee looking at school shooting scenarios. Which of the
following actions should the nurse plan to take during the response
phase?
A. Conduct ongoing assessments to identify potential hazards.
B. Provide disaster training to school personnel.
D. Serve as a liaison between available community resources and
those in need. Answer: C. Perform triage and provide hands-on care
as needed to victims.
, During the response phase of disaster planning, the school nurse's
role can include triage, providing hands-on care, coordinating the
first-aid response team, and serving as a counselor to those in need.
◉A school nurse is discussing levels of prevention with a teacher.
Which of the following activities should the nurse identify as a
primary prevention strategy?
A. Provide nutritional counseling for students who have diabetes.
B. Report suspected child neglect to the proper authorities.
C. Conduct vision and hearing screening for kindergarten
enrollment.
D. Demonstrate proper handwashing techniques. Answer: D.
Demonstrate proper handwashing techniques.
This is an example of primary prevention, the goal of which is to
promote health and prevent diseases from developing.
◉A nurse is planning to teach a community group about the
meningococcal vaccine. The nurse should identity that which of the
following clients should receive the vaccine?
A. A client who is traveling to northern Europe
B. An infant who has bronchiolitis
C. An infant who is 4 weeks old
D. A client who is moving into a college dormitory Answer: D. A
client who is moving into a college dormitory.