NURS 406 - ASSESSMENT LEADERSHIP AND COMMUNITY HEALTH (GRADED A) Questions and Answer Solutions | 100% Correct

NURS 406 ASSESSMENT LEADERSHIP AND COMMUNITY HEALTH 1. An occupational health nurse is preparing to teach a health promotion class for workers at a warehouse. Which of the following statements should the nurse include? 2. A nurse is preparing an in-service about family violence for a group of newly licensed nurses. Which of the following statements should the nurse include in the teaching? 3. A community health nurse is reviewing primary prevention strategies for West Nile virus with a group of clients in a rural health clinic. Which of the following instructions should the nurse include? 4. A school nurse is providing care for students in an elementary education facility. Which of the following interventions by the nurse addresses the primary level of prevention? 5. A nurse is conducting a home visit with an older adult client. Which of the following observations should the nurse address to promote a safe environment? 6. A case manager completes a history and physical assessment for a client who has COPD. Which of the following actions should the case manager take next? 7. A nurse manager is implementing a quality improvement project to reduce the number of methicillinresistant Staphylococcus aureus (MRSA) infections at the facility. Which of the following actions should the nurse manager take first? 8. A nurse manager is teaching a group of employees about standards for Quality and Safety Education for Nurses (QSEN). Which of the following statements by an employee should the nurse manager identify as an example of the QSEN concept of quality improvement? 9. A hospice nurse is providing teaching to a client who has a new diagnosis of a terminal illness and her family. Which of the following statements should the nurse include in the teaching? 10. A nurse manager is discussing electronic medical records with a newly licensed nurse. Which of the following actions should the nurse take to maintain client confidentiality? (Select all that apply.) 11. A nurse is completing an assessment of a recently widowed older adult client. He states he is unable to drive and is afraid to cook on the stove. Which of the following community resources should the nurse recommend? 12. A charge nurse is discussing HIPAA with a newly licensed nurse. Which of the following actions should the charge nurse include in the teaching as an example of a HIPAA violation? 13. A nurse manager is preparing to complete staff performance appraisals. Which of the following principles should the nurse manager consider when completing the appraisals? 14. A nurse is caring for a client and realizes they have administered the wrong medication. Which of the following actions should the nurse take first? 15. A nurse is caring for a newborn in the nursery following a circumcision. The newborn's grandparent, who does not have an identication bracelet, requests to take the newborn to his parent's room. Which of the following actions should the nurse take? 16. A nurse enters a client's room and finds the client pulseless. The client's living will requests no resuscitation be performed, but the provider has not written the prescription. Which of the following actions should the nurse take? 17. A staff nurse is challenging a shift assignment with the charge nurse. Which of the following statements made by the charge nurse is an example of smoothing as a strategy to resolve conflict? 18. A community nurse is instructing a group of newly licensed nurses about diseases that require airborne precautions. Which of the following diseases should the nurse include? 19. A nurse is receiving change-of-shift report on a group of clients. Which of the following clients should the nurse assess first? 20. An occupational health nurse in a factory is planning interventions to reduce environmental stressors for employees. Which of the following interventions should the nurse use to aect physical agents in the environment? (Select all that apply.) 21. A nurse is using the ecologic model for population health to develop interventions to address HIV in a community. Which of the following interventions should the nurse include to address financial factors affecting community health? 22. A nurse is planning a staff education program to review nursing interventions for clients who have kidney failure. Which of the following sources should the nurse identify as the best resource for obtaining evidence-based information? 23. A newly licensed nurse tells a charge nurse that he is unsure about accepting telephone medication prescriptions. Which of the following providers should the charge nurse identify as having the legal ability to give telephone medication prescriptions? (Select all that apply.) ??? 24. A newly licensed nurse is giving a change-of-shift report using I-SBAR to an oncoming nurse. Which of the following statements by the newly licensed nurse should be included in the "Background" portion of the report? 25. A nurse is preparing to administer the initial dose of ceftriaxone to a client who has endometritis. Which of the following statements by the client should cause the nurse to hold the medication and consult the provider? 26. A charge nurse on a medical-surgical unit is preparing to delegate tasks to a licensed practical nurse (LPN). Which of the following tasks should the charge nurse delegate to the LPN? 27. A nurse on a rehabilitation unit is creating a plan of care for a newly admitted client who has difficulty swallowing following a stroke. Which of the following interprofessional team members should the nurse anticipate consulting regarding the client's condition? (Select all that apply.) ??? 28. A forensic nurse is using the epidemiological triangle to explain factors that contribute to violent behavior. Which of the following factors should the nurse identify as an environmental factor in the epidemiological triangle? 29. After signing an informed consent form, a client states, "I have changed my mind and do not want to have the procedure." Which of the following actions should the nurse take? 30. A home health nurse is teaching about chest physiotherapy (CPT) treatments with a client who has COPD. Which of the following client statements should the nurse identify as an indication that the teaching has been understood? 31. A public health nurse is developing guidelines for management of a botulism outbreak. Which of the following information should the nurse include? 32. A county public health nurse is developing a list of interventions to address the three core functions of public health. Which of the following interventions should the nurse include as part of the assurance function? 33. A nurse is discussing organ donation with a newly licensed nurse. Which of the following statements should the nurse include in the teaching? (Select all that apply.) 34. A case manager at an assisted living facility is reviewing the use of complementary health practices by several clients. Which of the following actions should the case manager plan to take? 35. A nurse manager is teaching a group of sta members about proper body mechanics. Which of the following statements by a sta member indicates an understanding of the teaching? 36. A nurse in a clinic is caring for a client who has a urinary tract infection (UTI). Which of the following prescriptions should the nurse verify with a provider? ??? 37. A nurse is caring for a client who is requesting to leave the facility against medical advice (AMA). The client states, "I am ready to go immediately." Which of the following actions should the nurse take first? 38. A nurse manager of a rural clinic is orienting a new employee. Which of the following information should the nurse include as a characteristic of rural health? 39. A nurse at a local health department is caring for a client who is newly diagnosed with listeriosis. Which of the following actions should the nurse plan to take? 40. A nurse working in a mobile health clinic is assessing a migrant farm worker. Which of the following findings should the nurse identify as the priority? 41. A school nurse is developing a teaching plan about testicular cancer for a group of clients. Which of the following information should the nurse include in the teaching? 42. A parent of a child who is terminally ill tells a nurse that she wants to take her child home. Which of the following responses should the nurse make? 43. During an initial visit, a home health nurse is assessing a client who has cultural beliefs different than their own. Which of the following questions should the nurse ask to determine the client's beliefs about environmental control? 44. A nurse is caring for a client who has an ethical conflict about the care she is receiving. Which of the following resources should the nurse consult about resolving the dilemma? 45. A charge nurse is planning care for a group of clients on a medical-surgical unit. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? 46. A nurse manager is asked to select clients for early discharge from the unit following a mass casualty event. Which of the following clients should the nurse manager recommend? 47. A nurse manager on an acute care unit is preparing a staff presentation about promoting cost effective care. Which of the following strategies should the nurse plan to include in the presentation? 48. A nurse is providing a report to an occupational therapist about a client who weighs 210 lb and has a prescription for one-third weight bearing on the right leg to prevent injury and falls. How many kg of weight should the client bear on the right leg? (Round the answer to the nearest whole number. Use aleading zero if it applies. Do not use a trailing zero.) A nurse in an emergency department is preparing change-of-shift report for an adult client who is transferring to a medical-surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the report? (Select all that apply.) 49. A nurse is reviewing the medical record of a client who has a new prescription for cimetidine. Which of the following laboratory findings should the nurse identify as the priority to report to the provider? Show Less