ATI Public Health Proctor Exam 2021 with complete solution

A nurse is working in a shelter following a disaster. Which of the following is the priority action for the nurse to take? Answer- Address the physical needs of clients A client who has diabetes mellitus asks a home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. Which of the following Is the first action the nurse should take when assisting this client? Answer- Explain the diabetes exchange list A school nurse is implementing health screenings. Which of the following assessment findings should the nurse recognize as the highest priority? Answer- A child who has nits A 35-year-old client who has a diagnosis of tuberculosis informs the providers office that she Is unable to pay for the treatment. Which of the following actions by the nurse will facilitate obtaining appropriate treatment? Answer- Help the client apply for Medicare A nurse Is providing education to a group of adolescents who are pregnant and attending high school. Which of the following Information should the nurse Include In the teaching? Answer- Caffeinated beverages should be replaced with caffeine-free beverages. A nurse is caring for a client who is having difficulty performing activities of daily living. The nurse is functioning in which of the following roles when arranging for an occupational therapist to visit the client? Answer- Case manager A home health nurse is scheduled for a first-time visit to a client. Which of the following should the nurse perform first? Answer- blood pressure screening A nurse at a community clinic is preparing an educational guide about cultural variances in expression of pain. Which of the following Information should the nurse include? Answer- Chinese cultural practices Include enduring pain to prevent family dishonor A nurse is counseling a client who is to undergo enzyme linked Immunosorbent assay testing for HIV. Which of the following information should the nurse Include? Answer- The test measures antibodies to the virus A community health nurse is providing teaching to a group of clients who have alcohol use disorder. Which of the following findings should the nurse include In the teaching as a manifestation of alcohol withdrawal? Answer- Insomnia A home health nurse is caring for a client who has chemotherapy-induced nausea that has been resistant to relief from pharmacological measures. which of the following interventions should the nurse Initiate? (Select all that apply.) Answer- Maintain the head of the client's bed in an elevated position after eating, Assist the client in using guided imagery, using seasonings to enhance the flavor of foods A community health clinic nurse manager is reviewing the Incidence rate of chlamydia in the state. In a given year. 3,144 new cases were reported and the population was estimated at 325.986. Which of the following Is the Incidence rate in the state for the year? Answer- About 10 reported case per 1000 population A school nurse is planning safety education for a group of adolescents. The nurse should give priority to which of the following topics as the leading cause of death for this age group? Answer- Motor Vehicle Safety A nurse at a local health department is caring for several clients. Which of the following Infections should the nurse report to the state health department? Answer- Chlamydia The partner of an older adult client who has Alzheimer's disease reports that he is not eating. The home health aide tells the nurse that the client's partner refuses to assist the client with feeding. The partner Insists the client feed himself without help. Which of the following is the priority action the nurse should take? Answer- determine the client's ability to self-feed A clinic nurse is assessing a client who has measles. Which of the following findings should the nurse expect? Answer- Muscle aches, tenderness Kloptik spots inside the mouth, rash confined to the trunk of the body, persistent low grade temperature A community health nurse Is Interviewing a client who reports Intimate partner abuse. which of the following actions should the nurse take? Answer- Record a summary of the client's description of the event A nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. The client does not speak the same language as the nurse. Which of the following actions should the nurse take? Answer- identify the clients spoken dialect prior to contacting an interpreter A nurse is working with a community health care team to devise strategies for preventing violence in the community. Which of the following interventions is an example of tertiary prevention? Answer- Teaching parenting techniques to new parents A nurse is discussing short- and long-term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. Which of the following statements is appropriate for the nurse to include in the discussion? Answer- you will begin learning functional skills to replace defense mechanisms and behaviors while in treatment A home health nurse is planning the Initial home visit for a client who has dementia and lives with his adult son's family. Which of the following actions should the nurse take first during the visit? Answer- Engage the family in informal conversation A nurse Is planning a program about healthy eating at an elementary school where most students select French fries and pizza at lunch every day. Which of the following actions should the nurse plan to take first? Answer- Help students recognize the value of making healthy food choices Several nurses are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. Which of the following services should the nurses plan to provide to the congregation? Answer- Provide end-of-life care for members who are terminal A nurse is counseling a client who has a new diagnosis of chlamydia. Which of the following information should the nurse Include in the teaching? (Select all that apply.) Answer- You might experience painful urination until the infection has resolved, (D):"Notify anyone with whom you have had sexual contact over the past 2 months, You should avoid Sexual contact until therapy is complete A nurse case manager Is providing discharge planning for a client. The nurse is functioning in which of the following roles when arranging for the delivery of medical equipment to the client's home? Answer- Systems allocator A nurse is working with a case manager for a client who participates In a health maintenance organization. The nurse should identify that a health maintenance organization provides which of the following payment structures? Answer- The client pays the insurer a percentage of the total costs for each service rendered by the provider A community health nurse is providing screening for lipid disorders. Which of the following is the primary goal of this activity? Answer- Early detection of disease A community health nurse as planning a smoking cessation class. Which of the following factors will have the greatest effect on the success of the class? Answer- Clients' motivation A home health nurse manager is caring for a client who has methicillin-resistant Staphylococcus aureus. Which of the following actions should the nurse take? Answer- Double bag soiled dressings in polyethylene bags, wear a mask when within 3 feet of the client, Encourage the client to use a HEPA filter In the house A community health nurse is planning an educational program for a group of women who are postmenopausal. Which of the following outcomes is appropriate for this program? Answer- Clients will schedule bone density screenings A community health nurse is caring for clients in a culturally diverse community. Which of the following actions demonstrates accurate cultural knowledge about a specific cultural group? Answer- Including both hot and cold food Items on a Hispanic client's menu A community health nurse is planning a program for adolescents about preventing STIs. Which of the following actions should the nurse take first? Answer- Obtain visual aids that feature adolescents A nurse is serving on a state task force for disaster planning. The nurse is engaging in disaster preparedness efforts when performing which of the following actions? Answer- Organizing a mass casualty drill for community members A nurse is conducting a community assessment. Which of the following Information should the nurse include as part of a windshield survey? Answer- housing quality A nurse at a shelter is assisting with client triage after a tornado destroyed a community. Which of the following clients should receive priority care? Answer- an adult client who is short of breath A parish nurse is counseling a family following a client's recent diagnosis of heart disease. Which of the following actions should the nurse take first? Answer- Ask family members about the impact of the disease on relationships within the family A nurse is planning a primary prevention strategy for reducing obesity In a community. Which of the following strategies should the nurse use' Answer- Educate children at a day care center about nutrition A nurse working in an Infectious disease clinic is caring for a client who has a new diagnosis of Lyme disease. Which of the following agencies is responsible for voluntarily reporting cases of this disease to the Centers for Disease Control and Prevention? Answer- State health department An occupational health nurse Is discussing health promotion with a client who has a history of obesity. Which of the following comments Indicates the client Is using rationalization as a coping mechanism? Answer- I am obese because it's in my genes A nurse is caring for a client who is homeless. Which of the following actions should the nurse take first? Answer- Discuss the risks of being homeless with the client In the last month. three cases of tuberculosis have been referred to the Health Department. Which of the following is the priority Information for the community health nurse to obtain from each client? Answer- Household members A government official reports to the health department that an employee was possibly exposed to anthrax. Which of the following actions should a public health nurse take? Answer- Alert all of the family members of co-workers about their possible exposure to anthrax A client arrives at a mental health clinic and tells the nurse that she has no purpose in life. Which of the following is the nurse's priority response? Answer- Have you been thinking about harming yourself? A community health nurse is educating a parent about the Importance of hepatitis B immunization. Which of the following explanations should the nurse give the parent about the disease? Answer- Many people who acquire acute hepatitis B develop chronic hepatitis A home health nurse is visiting a client who had a stroke 2 months ago. Which of the following findings should the nurse report to the interprofessional care team? Answer- The client dresses her affected side first A nurse manager in a local community health agency is creating a Job description for a new nurse who will practice community-oriented nursing. Which of the following should the nurse Include in the Job description? (Select all that apply.) Answer- Provide health related education to community groups, Participate in local health surveillance activates, Provide wound care for clients in their homes During a home health visit. a school age child who has muscular dystrophy confides In the nurse that he was struck by his parent. Which of the following actions should the nurse take first? Answer- Check the child for injuries A faith based organization asks a community health nurse to develop a mobile meal program for older adults who are no longer driving. Which of the following actions should the nurse plan to take first? Answer- Perform a needs assessment A first response team is working at the location of a bombing Incident. A nurse triaging a group of clients should give treatment priority to which of the following clients? Answer- A client who has a rigid abdomen with manifestations of shock A newly hired occupational health nurse is assessing hazards In the work environment. Which of the following actions will help the nurse detect potential physical hazards? Answer- identify industrial toxins that are present in the environment A nurse is providing teaching to a 50-year-old female client. Which of the following statements should the nurse Include In the teaching? Answer- You should have your stool tested for blood every other year until the age of 74. A nurse is preparing an educational program about breastfeeding for a group of new parents- The nurse should use which of the following instructional strategies to promote psychomotor learning? Answer- A community health nurse observes the accumulation of garbage at a neighborhood playground. Which of the following actions should the nurse take first to promote a clean and safe environment? Answer- A nurse is working to reduce Individual and family violence in the local community. which of the following actions by the nurse demonstrates a primary prevention strategy to achieve this goal? Answer- A nurse Is triaging clients who were Involved In a commuter train crash. Which of the following clients should the nurse choose for transport to the emergency department first? Answer- A community health nurse is working with a group of homeless veterans who have posttraumatic stress disorder. Which of the following interventions should the nurse implement? Answer- A nurse is providing education to the family of a school-age child who has pertussis. Which of the following information should the nurse include in the teaching? Answer- A nurse Is assessing an outbreak of mumps among school- age children. Using the epidemiological triangle. the nurse should recognize that which of the following is the host? Answer- The children An occupational health nurse is assessing agricultural workers for acute effects of pesticide exposure. Which of the following findings should the nurse expect? Answer- A public health nurse is addressing community leaders at a forum about community improvement. The nurse should identify which of the following groups as being the fastest growing segment of the homeless population? Answer- Families who have children