, ATI Community Health 2019 Version 1
6) A home health nurse is caring for a client who has Clostridium
1) A nurse working in an infectious disease clinic is caring for a client difficile infection. Which of the following actions should the nurse
who has a new diagnosis of Lyme disease. Which of the following take?
agencies is responsible for voluntarily reporting cases of this a. Obtain a surgical mask for the client to wear when away
disease to the Centers for Disease Control and Prevention? from home.
a. State health department b. Instruct the client to avoid the use of probiotics.
b. Office of the Surgeon General c. Use an alcohol-based hand sanitizer following care.
c. Local Red Cross chapter d. Clean the client’s bathroom with a diluted bleach solution.
d. Hospital infection control department
7) A nurse in a mobile health clinic is caring for a client who requires a
2) A case manager is completing discharge planning for a client who tetanus immunization and is accompanied by his daughter. The
has alcohol use disorder and cirrhosis of the liver. Which of the client does not speak the same language as the nurse. Which of the
following actions should the case manager take first? following actions should the nurse take?
a. Contact a social worker to assist the client with managing a. Arrange for a member of the client’s community to interpret
finances. the teaching.
b. Provide the client with information on self-help groups for b. Have the client's daughter communicate information about
alcohol use disorder. the procedure.
c. Arrange for a home health nurse to visit the client following c. Identify the client’s spoken dialect prior to contacting an
discharge. interpreter.
d. Determine which home safety measures the client needs to d. Use professional terminology when providing education
implement. prior to the procedure.
3) A nurse is providing teaching to a client about directives regarding 8) A parish nurse is counseling a family following a client's recent
end-of-life care. Which of the following information should the nurse diagnosis of heart disease. Which of the following actions should
include in the teaching? the nurse take first?
a. The client can verbally choose a health care proxy if two a. Assist the client and the client’s partner with finding an
nurses witness the designation. affordable exercise program.
b. The client’s family has the authority to revoke the do-not- b. Discuss the benefits of eating a well-balanced diet with the
resuscitate order at any time. client’s family.
c. The living will is a legally binding contract between the c. Ask family members about the impact of the disease on
client and the provider. relationships within the family.
d. The client can choose a non-family member as the d. Offer to accompany the client and the client’s partner during
designated power of attorney. health care provider visits.
4) A nurse in an antepartum clinic is reviewing the medical records of 9) A school nurse is planning primary prevention activities for the
four clients. Which of the following infectious conditions should the school year. Which of the following actions should the nurse plan to
nurse report to the Centers for Disease Control and Prevention? take?
a. Human papillomavirus a. Monitor the immunizations status of students.
b. Bacterial vaginosis b. Schedule hearing screenings for each grade level.
c. Gonorrhea c. Provide referrals for students who have asthma.
d. Genital herpes simplex virus d. Provide first aid for injured students.
5) A home health nurse is performing an eye assessment for an older 10) A home health nurse is planning the initial home visit for a client
adult client. Which of the following findings is the priority for the who has dementia and lives with his adult son’s family. Which of the
nurse to report to the provider? following actions should the nurse take first during the visit?
a. Decreased near vision a. Engage the family in informal conversation.
b. Conjunctivitis b. Provide the family with information about respite care.
c. Hemianopsia c. Educate the family regarding the progression of dementia.
d. Increased sensitivity to glare d. Encourage the family to join a support group.