[ALL ANSWERED] COMMUNITY HESI JULY 2020/2021

[ALL ANSWERED] COMMUNITY HESI JULY 2020/2021 ...1. 1. The public health nurse is creating a plan to increase state funding for a local health clinic. Which strategy is likely to be most effective in obtaining funding for the clinic? Organize concerned citizens to write letters and telephone state representatives 2. The nurse is caring for 4 clients in a women’s health clinic. Which client should the nurse assess for risk of pelvic inflammatory disease? 20 year old with gonnorhea 3. A government office worker is seen in the EDafter opening an envelope containing a powder like substance which is similar to anthrax. Which discharge instruction should the nurse provide the client concerning inhalation anthrax? Return to emergency room if flu like symptoms develop within 42 hours 4. During home visit, the daughter of older adult tells nurse that she believes her mother should move in a retirement community. The mother states that though she needs assistance with meal prep, she is more comfortable in her own home. Before interviewing, which client assessment is most important for the nurse to complete? Functional ability 5. Which one is vertical transmission? The mother is breastfeeding the infant 6. On a day when temp is expected to drop below freezing during night, the nurse is asked to determine which homeless adults are in most needed of the limited spaces. Which one is more important? An older male who is malnourished 7. Client with history of COPD, being treated for pneumonia and is currently taken care of by husband. Requires assistance when ambulating short distances, including bathroom. Which suggestion should be given? Suggest obtaining a bedside commode 8. A community group proposes building a new well-child clinic because this year’s demographics reflect that a large percentage of the population is less than 19 years of age. Which question indicates that the nurse understands the potential gaps in these data? What percentage of the population was under 19 years of age in each of the 5 previous years? 9. The community health nurse believes that immunixation rates in a lower- socioeconomic section of the city are probably belowthe target set by state health department. What action should the nurse first take to intervent with this health problem? Review current epidemiological population data that might document a low immunixation rate 10. While screening all children in the 3rd grade for head lice, the school nurse observes that one girl has a brownish thickening on her neck. Which action should the nurse take in response to this finding? Advise the child’s parents to obtain medical evaluation of the child 11. Female student with ADHD report to school nurse that the student is having a difficult time each morning until it is time for afternoon dose of medication. Which action should the nurse implement? Determine if child is taking morning dose 12. Nurse is working in an area with a large Muslim community. It is important that the nurse understands and observes which belief of the islamic faith? Nurse of same gender should provide care for the client 13. The nurse is documenting the medical history of a young adult male client who was recently diagnosed with Type 1 diabetes mellitus (DM). He smokes 2 packs of cigarettes daily and his father died of a heart attack at the age of 45. Which annual screening is most important for the nurse include? Hyperlipidemia 14. A nurse is planning a nutrition class for a group of senior citizens at a community center and wants to emphasize the amount and types of fat in some foods versus others. What is the best teaching method for the nurse to use? Determine foods most often eaten by this group and discuss the nutritional panel of each product 15. A prescription for discharge is written for an elderly female client who has asked to be discharged to her home. The client lives alone and is able to walk 10 to 15 feet with assistance. What action should the nurse implement first? Meet with the case manager to plan a home safety evaluation 16. . A teenage boy with a history of recurring atopic dermatitis (eczema) tells the school nurse that he wants to play high school football. Which action should the nurse take? Tell the teenager to shower with a non-perfumed soaps immediately after practice 17. The home health nurse visits a young male client with AIDS who has Kaposi’s sarcoma and peripheral neuropathies. His parents, who are the care-takers, tell the nurse that their son sleeps most of the times. The nurse assess that the client is semi-conscious with stable vital signs, cries out in pain when turned or moved, has a Duragesic pain patch in place, and skin lesions that are closed and dried. Which intervention should the nurse implement? Discuss end-of-life decisions with the client’s parents 18. The nurse is planning a series of health screening programs for elderly African-Americans. Which health problem should the nurse target for this population? High blood pressure 19. The nurse is serving on a medical center committee to update goals and protocols based on current national standards. Which goal most directly addresses the Healthy People 2020 initiative? Decrease number of fire arms in school 20. After assessing the health care needs of an elementary school, the nurse determines that an increased prevalence of pediculosis capitis is a priority problem. The nurse develops a 2-month program with the goal to eradicate the condition in the school. The program includes educational pamphlets sent home to parents and regular assessment of children by the school nurse. What action should the nurse implement to evaluate the effectiveness of the program? Measure the prevalence of pediculosis capitis among the children after four months 21. The local health department needs to prioritize the distribution of influenza vaccinations due to a limited supply. In determining which individuals should receive the limited available vaccine, which person should the public health nurse ask to return to the clinic later when more vaccine is available? A 60-year-old with diabetes and agoraphobia 22. A nurse designs a series of four weekly classes for client with Type 2 diabetes. Which information should the nurse use as an outcome evaluation for the classes? Fasting blood glucose average readings were 20% lower at the end of the classes 23. On a repeat home visit to see an 84-year-old widow, the nurse discovers that the client is unkempt, smells of stale urine, and does not recognize her neighbors or the nurse. What action should the nurse take first?Complete a physical and mental exam of the client 24. A male migrant farm worker who lives in a mobile home with several other workers visits the Migrant Health Care Center. He reports increasing episodes of dizziness, headaches, abdominal cramps, and difficulty breathing. What nursing action has the highest priority? Gather information about the client’s recent exposure to pesticides 25. A 93-year-old client with a number of co-morbidities is assessed by the home health nurse. What problem is most important for the nurse to investigate further? Medication interactions 26. Which interventions should the nurse implement to help prevent a client from getting a vector-born infectious disease? Discuss the importance of wearing insect repellent when camping 27. A public health nurse is evlautiong resources in a rural community. Which healthcare resource is most important to the community? Accessibility to trauma care 28. A homeless client with alcohol dependency will be dismissed from the emergency department in 24 hours. The nurse notes that a tuberculin skin test was prescribed by the healthcare provider. What intervention is most important for the nurse to implement prior to discharge? Identify how the client will follow-up to have the results read. 29. A Hispanic mother insists on using special candles to treat her child’s ear infection. The nurse should demonstrate cultural accommodation by making which request? Give the prescribed antibiotics in addition to using the candles. 30. After assessing the health care needs of an elementary school, the nurse determines that an increased prevalence of pediculosis capitis is a priority problem. The nurse develops a 2-month program with the goal to eradicate the condition in the school. The program includes educational pamphlets sent home to parents and regular assessment of children by the school nurse. What action should the nurse implement to evaluate the effectiveness of the program? Measure the prevalence of pediculosis capitis among the children after four months 31. The nurse is conducting routine assessments of clients at an ambulatory clinic. Which assessment warrants immediate interventions by the nurse? Hepatovax B was prescribed for a client who is allergic to yeast 32. The parish nurse notes that an elderly male client has had a 5 pound weight loss since his check-up one month ago. The client has good hygiene, still drives a car, and lives alone. To which agency should the nurse refer this client? The Senior Citizen Center 33. A nurse designs a series of four weekly classes for client with Type 2 diabetes. Which information should the nurse use as an outcome evaluation for the classes? Fasting blood glucose average readings were 20% lower at the end of the classes 34. On a repeat home visit to see an 84-year-old widow, the nurse discovers that the client is unkempt, smells of stale urine, and does not recognize her neighbors or the nurse. What action should the nurse take first? Complete a physical and mental exam of the client 35. The community health nurse believes that immunization rates in a lower-socioeconomic section of the city are probably below the target set by the state health department. What action should the nurse take first to intervene with this health problem? Review current epidemiological population data that might document a low immunization rate 36. A male migrant farm worker who lives in a mobile home with several other workers visits the Migrant Health Care Center. He reports increasing episodes of dizziness, headaches, abdominal cramps, and difficulty breathing. What nursing action has the highest priority? Gather information about the client’s recent exposure to pesticides 37. A nurse has started a group for senior citizens in a church setting. The group decides that their first project will be to begin a program for home-bound members. Which program outcome is the best measure of the project’s effectiveness? Number of home-bound seniors who are visited 38. The community health nurse who works in a town that has a large chemical plant is concerned about the occurrence of a natural disaster related to chemical exposure. Which action is most important for the nurse to take? Elicit the company’s participation in a disaster preparedness program. 39. School nurse designing a program to prevent injury in Highschool students/adolescents. What is an important topic to address? wearing seatbelts 40. Older pt w pain and swelling ask if discharge on eye 41. How safe sex role play 42. After numerous patient teachings, a man with Parkinsons disease still cant instill his eye drops, what should the nurse do? Ask a family member to help. 43. SATA: what can be reported to the CDC anthrax, TB, Diptheria 44. What population is Scoliosis most likely? early adolescent girls 45. MMR only one dose but needs two dose, how should the school nurse let the parents know? contact kindergarten parents that child needs to get MMR before school 46. SATA: Htn teaching all EXCEPT keep doing what u are doing/continue doing what r are doing (4 right answers) 47. Rn working near water w/ business/family what will the rn plan w this community plan hurricane preparedness 48. Older lady has nursing diagnosis of social isolation and low nutrition status. what would be the best outcome fir the patient? eat nutritious food at a senior nutrition center 49. A nurse is generating a list of voluntary agencies in the community. Which agency should be included in this listing? American Diabetes Association ......CONTINUED**