Question and Answer 2026 | Complete
Question Bank with Rationales | Grade A+
• Primary Prevention for Rural or Migrant Health care: -✓✓-educate on measures to
reduce exposure to pesticides
-teach on accident prevention
-prenatal care
-mobilize preventative services (dental, immunizations)
• Secondary Prevention measures for Rural/Migrant Health care: -✓✓SCREENING!
screen for:
-pesticide exposure
-skin cancer
-chronic preventable diseases
-communicable diseases
• Tertiary Prevention measures for Rural/Migrant Health care: -✓✓-treat for symptoms
of pesticide exposure
-mobilize primary care and emergency services
• Client's rights include... -✓✓-right to info disclosure
-privacy
-informed consent
-info confidentiality
-participation in treatment decisions
• Autonomy -✓✓respecting a client's right to choose (i.e. refusing chemo)
• Nonmaleficence -✓✓doing no harm
• Beneficence -✓✓maximize benefits and minimize possible harms
• Justice situation: -✓✓determining eligibility for health care services based on income
and fiscal resources
• HIPAA rules about information security: -✓✓-only staff assigned to the patient may
view/read client's health record (no other nurses or doctors)
-client's have the right to read or obtain a copy of their health record
-nurses may not photocopy any part of med record except for authorized exchange of
docs between facilities & providers
-staff must keep records/names of client in secured place
,-electronic records are password protected
-no sharing info to family members w/out code in person, email, or phone call
-talking about a client must be in a private setting so no one can overhear
• HIPAA info security protocols include: -✓✓-log off computer before leaving
workstation
-never share ID or password
-never leave med records where ppl can see it
-shred any printed info about client after use
-don't use or view social media in clinical settings
-no posting about clinical stuff
• Caring for a client with gonorrhea: -✓✓-nationally notifiable disease
-women are frequently asymptomatic
-CDC recommends yearly screening for all sexually active women 25 yrs or older or
w/risk factors
-at risk pregnant women must be screened at first prenatal visit
-identify & treat all partners
-admin erythromycin to all infants following delivery
-ceftriaxone IM or azithromycin PO
-it is the responsibility of the provider to report gonorrhea to local health dept
-state notification to CDC is voluntary
-if left untreated in women it can lead to PID which can cause infertility
• Referrals: Client barriers include: -✓✓-lack of motivation
-inadequate info about community resources
-inadequate understanding of the need for referral
-accessibility needs
-priorites
-finances
-cultural factors
• Referrals: Resource barriers include: -✓✓-attitudes of health care personnel
-costs of services
-physical accessibility of resources
-time limitations
-limited expertise working w/culturally diverse populations
• Just because someone is exposed to asbestos once doesn't mean they will develop
health problems... -✓✓long term exposure can lead to mesothelioma and lung
conditions. Risk factors include workers (office buildings with it when they work there
everyday).
• Priority action(s) in developing a disaster plan: -✓✓-set up communication alternatives
-highlight possible evac routes
-identify local & distant meeting places
, -create disaster kit
AS A NURSE:
-identify at risk populations in community
-identify community disaster warning system & how to access
-identify 1st responders
-make list of agencies for all levels of disaster
-triage
-gather equipment, check often
• Hyperthyroidism: Radioactive iodine therapy home safety: -✓✓Client is radioactive!
-no pregnant people
-no breastfeeding
-keep distance from others, limit visits to 30 min at a 6 ft distance
-drink lots of fluid
-maintain good hygiene to prevent infection
• Teaching safe disposal of insulin syringes: -✓✓-put in strong plastic container i.e. old
detergent container (no soda bottles)
-DO NOT recycle old needles, throw container in trash
-seal the container when 3/4 full with duct tape
-facilities throw it in sharps red container
• Teaching about use of crutches: -✓✓-don't alter crutches after fitting
-follow prescribed crutch gait
-support body weight at the hand grips w/elbows flexed at 30 degrees
-position crutches on unaffected side when sitting or rising from a chair
• Demographics of homeless population: -✓✓-families w/children are the fastest
growing segment
-people with mental illness (large segment)
-veterans
-substance abuse disorders
-youth and runaways
-intimate partner abuse victims
-people with HIV or AIDS
-older adults
• Planning Primary Prevention Activities -✓✓-determine solutions
-establish goals
-give responsibilities to individuals
-determine resources
-screening and education
-determine funding, develop budget
-plan for evaluation