ATI Community Health 2019 Version 1 ATI Community Health 2019 Version 2 (Each Verified and Correct 60 Q & A) Already best graded Document

ATI Community Health 2019 Version 1 ATI Community Health 2019 Version 2 (Each Verified and Correct 60 Q & A) Already best graded Document ATI Community Health 2019 Version 1 1) 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? b. Office of the Surgeon General c. Local Red Cross chapter d. Hospital infection control department 2) A case manager is completing discharge planning for a client who has alcohol use disorder and cirrhosis of the liver. Which of the following actions should the case manager take first? a. Contact a social worker to assist the client with managing finances. b. Provide the client with information on self-help groups for alcohol use disorder. c. Arrange for a home health nurse to visit the client following discharge. 3) A nurse is providing teaching to a client about directives regarding end-of-life care. Which of the following information should the nurse include in the teaching? a. The client can verbally choose a health care proxy if two nurses witness the designation. b. The client’s family has the authority to revoke the do-not- resuscitate order at any time. d. The client can choose a non-family member as the designated power of attorney. 4) A nurse in an antepartum clinic is reviewing the medical records of four clients. Which of the following infectious conditions should the nurse report to the Centers for Disease Control and Prevention? a. Human papillomavirus b. Bacterial vaginosis c. Gonorrhea d. Genital herpes simplex virus 5) A home health nurse is performing an eye assessment for an older adult client. Which of the following findings is the priority for the nurse to report to the provider? a. Decreased near vision b. Conjunctivitis c. Hemianopsia d. Increased sensitivity to glare 6) A home health nurse is caring for a client who has Clostridium difficile infection. Which of the following actions should the nurse take? a. Obtain a surgical mask for the client to wear when away from home. b. Instruct the client to avoid the use of probiotics. c. Use an alcohol-based hand sanitizer following care. 7) 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? a. Arrange for a member of the client’s community to interpret the teaching. b. Have the client's daughter communicate information about the procedure. d. Use professional terminology when providing education prior to the procedure. 8) 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? a. Assist the client and the client’s partner with finding an affordable exercise program. b. Discuss the benefits of eating a well-balanced diet with the client’s family. d. Offer to accompany the client and the client’s partner during health care provider visits. 9) A school nurse is planning primary prevention activities for the school year. Which of the following actions should the nurse plan to take? b. Schedule hearing screenings for each grade level. c. Provide referrals for students who have asthma. d. Provide first aid for injured students. 10) 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? b. Provide the family with information about respite care. c. Educate the family regarding the progression of dementia. d. Encourage the family to join a support group. 11) A nurse is working with a case manager for a client who participates in a health maintenance organization. The nurse should identify that HMO provides which of the following payment structures? a. The client pays the insurer a percentage of the total costs for each service rendered by the provider. c. The provider bills the client directly for a predetermined percentage of the cost of services. d. The client is participating in a fee-for-service health care insurance program. 12) A nurse manager at a clinic is reviewing the preventative services offered to clients. Which of the following activities should the nurse identify as a secondary prevention activity? a. Advocate for laws that prohibit texting while driving. b. Refer a client who is recovering from a substance use disorder to a social service program. c. Provide a smoking cessation class. 13) 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? a. Substance abuse prevention b. Sports injury prevention c. Gun safety 14) 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? (SATA) a. Use seasonings to enhance the flavor of foods. e. Offer 120 mL (4oz) of cold 2% milk as a meal replacement. 15) 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? a. Urging community leaders to make nonviolence a priority b. Presenting community education programs about stress management c. Assessing for risk factors of intimate partner abuse during health examinations 16) A nurse is developing health promotion strategies for older adult clients at an assisted living facility. Which of the following strategies is the priority for the nurse to include? a. Scheduling annual dental examinations for the clients c. Encouraging the clients to exercise regularly d. Providing the clients with a low-fat diet 17) 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 departments first? a. A client who has a fracture of the humerus with a 2+ radial pulse in the affected arm b. A client who is exhibiting agonal respirations with fixed and dilated pupils d. An ambulatory client who has a nosebleed and reports feeling dizzy 18) A nurse is assessing an outbreak of mumps among school-age children. Using the epidemiological triangle, the nurse should recognize which of the following is the host? b. The virus c. The vaccine d. The school 19) A home health nurse is discussing electrical hazards with a client. Which of the following statements should the nurse include? a. “You should cover electrical cords with an area rug.” c. “You should secure extension cords with clear packing tape.” d. “You should pull on the cord when unplugging items.” 20) A nurse in a clinic is reviewing home safety precautions with a client who is to begin radioactive iodine therapy. Which of the following statements by the client indicates an understanding of the teaching? a. “I will wait 1 week after treatment to use a laxative.” b. “I will allow my granddaughter to visit for 4 hours daily.” c. “I will use cloth handkerchiefs instead of tissues.” d. “I will use a toilet that is not used by others in my family.” 21) A community health nurse is teaching a group of parents about manifestations of alcohol withdrawal. Which of the following manifestations should the nurse include in the teaching? a. Somnolence c. Hypotension d. Hyperglycemia 22) A nurse is reviewing levels of prevention with a newly licensed nurse. Which of the following is an example of tertiary prevention? a. Providing STI testing for students on a college campus c. Educating adults about breast cancer screening guidelines d. Promoting the use of helmets with children who ride bicycles 23) 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? a. Functioning as a manager at a temporary shelter b. Assisting with the identification of a biological agent c. Implementing a disaster triage plan with a local medical facility 24) A parish nurse is planning activities for a faith-based community. Which of the following activities should the nurse include? b. Offer primary care to uninsured members c. Provide case management d. Change a negative pressure wound therapy dressing 25) A nurse in a community health clinic is assessing a client who has two preschoolers, was recently divorced, and is seeking help for managing depression. Which of the following questions should the nurse ask first? b. “Could you describe how you are feeling today?” c. “Is there anything that makes you feel less depressed?” d. “Who is available to help you?” 26) A community health nurse encounters a client who has a suspected bioterrorism-related illness. Which of the following actions should the nurse take? a. Report the client’s condition to the Federal Bureau of Investigation. b. Move the client to a quarantine area. d. Disinfect contaminated areas of skin with isopropyl alcohol. 27) A nurse is teaching a group of clients about ways to prevent skin cancer. Which of the following statements by the nurse demonstrates a primary prevention strategy? a. “Avoid direct sunlight between 10 am and 4 pm.” b. “Apply cool tap water soaks for 20 minutes to relieve sunburn.” c. “Use acetaminophen as needed for sunburn.” d. “Ensure you have a yearly skin examination with your provider.” 28) A home health nurse is caring for a client who has terminal cancer and no longer wants to receive enteral tube feedings. Which of the following actions should the nurse take? a. Complete an against medical advice form. b. Request the facility chaplain to visit the client. c. Ask the client to sign an informed consent form. 29) 7) A nurse working in an assisted care facility is developing a disaster plan. Which of the following is the first action the nurse should take? a. Verify dates of the annual community-wide mass casualty drill. c. Identify materials needed for staff and resident education. d. Develop response strategies specific to older adults. 30) A nurse is providing teaching to a 50-year-old female client. Which of the following statements should the nurse include in the teaching? b. “You should have your fasting blood glucose level checked every 6 years.” c. “You should have your stool tested for blood every other year until the age of 74.” d. “You should have your hearing screened every 5 years.” 31) A nurse is providing teaching to a newly licensed nurse about case management. The nurse should include which of the following tasks is the responsibility of a case manager? a. Perform employee risk assessment. b. Enforce OSHA standards in the workplace. c. Teach a smoking cessation support group. 32) A community health nurse is working with a task force to decrease community violence. Which of the following planned interventions should the nurse identify as a primary prevention strategy? a. Providing sexual assault nurse examiner training for nurses in the local clinic b. Developing a protocol for managing victims of violence d. Arranging for a local clinic to provide methadone treatment 33) A nurse educator is teaching a group of newly licensed nurses about maintaining client confidentiality according to HIPAA regulations. Which of the following statements by a licensed nurse indicates an understanding of the teaching? b. “We should share our computer passwords with our manager.” c. “HIPAA rules vary from state to state.” d. “A client's diagnosis can be posted on the communication board inside the client's room.” 34) A nurse is working for a hospice organization. The nurse should identify which of the following criteria must be met for a client to qualify for hospice care? a. The client has documentation stating he has less than 12 months live. b. The client’s insurance provides coverage for palliative care. d. The client requires inpatient care due to lack of a caregiver. 35) A nurse is conducting home visits to postpartum adolescents who participated in prenatal parenting classes. Which of the following statements indicates an understanding of the teaching? a. “I use baby talk when talking to my baby.” b. “I limit the time her grandparents cuddle my baby to prevent spoiling her.” c. “I warm my baby’s bottle in the microwave for 30 seconds at a time.” 36) A community health nurse is working with a migrant population. The nurse should recognize which of the following interventions is necessary to provide care to this population? a. Treating clients on a fee-for-service basis b. Offering health screenings at a community center d. Requiring clients to show a work visa before they receive care 37) A nurse at a rural clinic is interviewing a family who has different cultural beliefs than the nurse. The family reports seeing a folk healer. Which of the following statements should the nurse make? a. “Many folk medicine treatments work by providing a placebo effect.” b. “I can refer you to a medical practitioner for your health care needs.” c. “Alternative medicine practices can be dangerous and should be avoided.” 38) A nurse in a community clinic is assessing a client who reports injecting heroin 1 hr ago. Which of the following findings should the nurse expect? b. Dilated pupils c. Tachypnea d. Nystagmus 39) 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? b. Systems allocator c. Advocate d. Consultant 40) A mental health nurse is scheduling a home health appointment with a client who has recently lost his partner in a motor-vehicle crash. Which of the following statements by the client indicates the need for immediate nursing intervention? a. “I just feel so angry right now.” b. “Everything is going to be fine soon.” c. “I’m not going to talk to you about my problems.” d. “There’s no need for anyone to come see me, including you.” 41) A nurse is providing teaching to a newly licensed nurse about secondary prevention strategies related to violence and abuse. Which of the following strategies should the nurse include in the teaching? a. Coordinate a personal defense program at a local agency. b. Refer clients to the appropriate community agency if signs of abuse are evident. c. Teach a parenting skills class at a child development center. 42) A nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? (SATA) a. Recommending a seating arrangement for a child in a body cast b. Teaching a class about the risks of cigarette smoking c. Lobbying for funding for health promotion efforts d. Creating a plan of care for children who have a diagnosis of diabetes mellitus e. Organizing a program to promote skateboard safety 43) A nurse at a community clinic is preparing an education guide about cultural variances in expression of pain. Which of the following information should the nurse include? a. Middle Eastern cultural practices include hiding pain from close family members b. Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful c. Native American cultural practices include being outspoken about pain 44) A home health nurse is providing teaching to the guardian of a child who has leukemia about methods to prevent complications. Which of the following statements by the guardian indicates an understanding of the teaching? a. “I’m sure my child will feel better now that he can ride his bicycle.” b. “I will make sure my child gets a measles, mumps, and rubella vaccine this week.” d. “I should take my child's rectal temperature daily.” 45) A public health nurse is developing protocols to use in emergency shelters following a disaster. Which of the following interventions should the nurse include as a secondary prevention strategy for clients who survive a disaster? a. Providing age-appropriate activities for shelter residents b. Publishing a listing of shelter locations in a local media sources d. Compiling resources available to transition individuals from shelters to a home 46) A nurse is caring for a client who asks, “Can I decide not to continue with chemotherapy?” The nurse responds, “This is your choice, and I’ll support whatever decision you make.” The nurse’s response is an example of which of the following ethical principles? a. Beneficence c. Veracity d. Nonmaleficence 47) A school nurse is caring for a child who has muscular dystrophy and is having difficulty swallowing at lunch. Which of the following referrals should the nurse initiate? a. Respiratory therapist b. Occupational therapist c. Dietitian 48) A nurse is planning a primary prevention strategy for reducing obesity in a community. Which of the following strategies should the nurse use? a. Encourage enrollment and attendance at weight-reduction programs. c. Measure the BMI of older adults at a community senior center. d. Distribute health-risk appraisal questionnaires at community functions. 49) A nurse is caring for a client who has hepatitis A virus. Which of the following reservoirs should the nurse identify for this infection? a. Skin b. Genitourinary tract c. Blood 50) A nurse in an extended care facility enters the room of a client and notices a fire in the trash can. Which of the following actions is the nurse's priority? a. Activate the alarm. c. Attempt to extinguish the fire. d. Shut the doors and windows of the room. 51) A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the nurse make first? a. “Eat a balanced diet with high-protein snacks.” b. “A social worker can help you with the cost of supplies.” c. “Apply moisture barrier ointment three times a day.” 52) An occupational health nurse is assessing agricultural workers for acute effects of pesticide exposure. Which of the following findings should the nurse expect? a. Hypoglycemia b. Diplopia d. Oliguria 53) A home health nurse is assessing a client who has AIDS. Which of the following responses by the client indicates a risk for suicide? a. “I am afraid of experiencing pain near the end.” c. “I don't want to lose control of my ability to make decisions.” d. “I am relying more and more on my partner for support.” 54) 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? a. Identify alternative solutions to address concerns. c. Inquire about the availability of volunteers. d. Determine potential funding resources for the program. 55) An occupational health nurse is completing a walk-through of a factory to identify workers at risk for injury. Which of the following workers should the nurse identify as being at risk? a. A worker who is standing in place for extending periods and rests one foot on a box c. Develop teaching using a variety of strategies. 60) 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? b. A client who has superficial partial-thickness burn injuries over 5% of his body c. A client who has a femur fracture with a 2+ pedal pulse d. A client who is ambulatory and exhibits manic behavior c. A working who is wearing a back brace and bends at the waist when picking up a pallet d. A worker who is 7-weeks postoperative following rotator cuff surgery and is labeling boxes 56) A nurse is teaching a client who has a terminal illness about hospice care. Which of the following statements by the client indicates an understanding of the teaching? (SATA) a. “I will need to have private insurance because Medicare does not cover hospice services.” c. “My provider will recommend that I enter hospice care when I have 1 year left to live.” 57) A nurse is participating in a quality improvement committee for home health clients. Which of the following topics should the nurse recommend for the committee to review? a. An increase in clients receiving annual flu vaccines b. An increase in client admissions for home health care d. An increase in levels of local air pollution 58) A nurse is planning an in-service about isolation precautions for her coworkers. For which of the following infections should the nurse identify the need for contact precautions? a. Pertussis b. Diphtheria d. Pulmonary tuberculosis 59) A nurse is caring for a client who is homeless. Which of the following actions should the nurse take first? a. Assist the client to develop goals for obtaining shelter. b. Discuss the risks of being homeless with the client. ATI Community Health 2019 Version 2 (Verified and Correct 60 Q & A) Already best graded Document ATI Community Health 2019 Version 2 1. A home health nurse is visiting a client who has right-sided weakness following a recent stroke. The client states, “I’m not sure how I will buy my groceries since I can’t go back to work.” Which of the following actions should the nurse take? a. Provide the client information about respite care. b. Initiate a referral for the client to a social worker. c. Contact friends and neighbors to ship for the client. d. Offer to bring groceries to the client on a regular basis. 2. A case manager is performing discharge planning for a client who experienced a traumatic leg amputation and has a new prosthesis. Which of the following assessments should the nurse identify as the priority? a. Determine whether the client is eligible to go to a skilled nursing facility. b. Collaborate with a prosthetist to teach the client about care of the prosthesis. d. Ask whether the client’s insurance will cover home health services. 3. A hospice nurse is concerned that the partner of a client is experiencing caregiver burden. Which of the following actions should the nurse take first? a. Suggest an assistive personnel visit daily to provide client care. b. Encourage the partner to invite family members to assist with client care. c. Teach the partner about getting enough rest. d. Explore possible solutions with the partner. 4. A home health nurse is performing a home safety evaluation for a newly admitted client. Which of the following findings requires action by the nurse? (SATA) a. The floors of the house are carpeted. c. A red light is kept on in the bedroom at night. e. A rubber-backed bath mat is on the floor outside the shower. 5. A nurse at a health department is discussing regulations regarding STIs during a staff education session. Which of the following statements by a staff member indicates an understanding of the information? a. “Congress mandates the requirements for STI reporting.” b. “Clients who have STIs are legally required to provide a list of sexual partners.” c. “Nurses should withhold the name of the client who has an STI during partner notification.” d. “State health departments report selected STIs to the National Institutes of Health. 6. A school nurse is implementing health screenings. Which of the following assessment findings should the nurse recognize as the highest priority? a. An Adolescent who has psoriasis c. A child who has a BMI of 18 d. An adolescent who has scoliosis 7. A faith community nurse is preparing to meet with the family of an adolescent who has leukemia. Which of the following actions should the nurse plan to take? a. Focus the discussion on the adolescent’s future career plans. b. Direct communication to the parents to avoid embarrassing the adolescent. d. Ask another family from the same faith congregation to attend the meeting for support. 8. A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the nurse make first? a. “Apply moisture barrier ointment three times a day.” b. “Eat a balanced diet with high-protein snacks.” c. “A social worker can help you with the cost of supplies.” 9. A community health nurse encounters a client who has a suspected bioterrorism-related illness. Which of the following actions should the nurse take? a. Report the client’s condition to the Federal Bureau of Investigation. b. Move the client to a quarantine area. d. Disinfect contaminated areas of skin with isopropyl alcohol. 10. A case manager is planning home health care for a client who has a major burn injury. Which of the following interventions should the case manager plan to make? a. Deliver family counseling to members of the client’s household. b. Administer personal care with bathing, dressing, and meal preparation for the client. d. Provide physical and occupational therapy for the client in her home. 11. A community health nurse is teaching a group of older adult clients about hypertension. The nurse should identify which of the following as a client-related barrier to learning? a. Low literacy b. Fear of public speaking c. Limited experience d. Lack of credibility 12. A home health nurse is educating a client who has COPD and is to start using home oxygen via nasal cannula. Which of the following statements should the nurse identify as an indication that the client understands the teaching? a. “I should apply petroleum jelly to the nasal cannula prongs to prevent irritation.” b. “I should keep the oxygen delivery system at least 3 feet from a hearing vent.” c. “I should use wool blankets on my bed when I’m using the oxygen.” 13. A community health nurses planning an educational program for a group of women who are postmenopausal. Which of the following outcomes is appropriate for this program? a. Clients will significantly decrease caloric intake. b. Clients will arrange for mammograms every 3 years. d. Clients will start hormone replacement therapy. 14. A home health nurse is preparing to teach the family of a client who has a new diagnosis of HIV about infection control. Which of the following factors should the nurse identify as an educator-related barrier to learning? a. Reliance on written notes during the teaching session b. Previous experience teaching HIV management courses c. Use of educational materials in written and video format d. Use of humor to deal with disruptive behavior 15. A home health nurse is caring for a client who has methicillin-resistant Staphylococcus aureus. Which of the following actions should the nurse take? a. Encourage the client to use a HEPA filter in the house. b. Wear a mask when within 3 feet of the client. d. Remove fresh flowers from the client’s home. 16. A nurse is providing teaching to a newly licensed the nurse about secondary prevention strategies related to violence and abuse. Which of the following strategies should the nurse include in the teaching? b. Teach a parenting skills class at a child development center. c. Coordinate a personal defense program at a local agency. d. Refer clients to the appropriate community agency if signs of abuse are evident. 17. A school nurse is discussing stress management techniques with a group adolescents. Which of the following activities by an adolescent should the nurse identify as the priority? b. Scratching or piercing the skin c. Talking about others on social media d. Listening to loud music for several hours 18. A public health nurse is developing protocols to use in emergency shelters following a disaster. Which of the following interventions should the nurse include as a secondary prevention strategy for clients who survive a disaster? a. Publishing a listing of shelter locations in local media sources b. Providing age-appropriate activities for shelter residents c. Compiling resources available to transition individuals from shelters to a home 19. A home health nurse is discussing electrical hazards with a client. Which of the following statements should the nurse include? a. “You should limit your use of extension cords.” b. “You should secure extension cords with clear packing tape.” c. “You should pull on the cord when unplugging items.” d. “You should cover electrical cords with an area rug.” 20. 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.? a. Assessing a family for marital discord b. Conducting counseling for at-risk parents d. Providing treatment for young adult who has a substance use disorder 21. A community health nurse is teaching a group of clients about available resources to assist with recovery following a stroke. Which of the following resources should the nurse recommend for clients who are experiencing dysphagia? a. Restorative aide b. Occupational therapist c. Speech-language pathologist d. Physical therapist 22. 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? b. Office of the Surgeon General c. Local Red Cross chapter d. Hospital infection control department 23. A community health nurse is assigned to implement a disaster plan for the area. Which of the following actions should the nurse include as part of the response phase? b. Develop an evacuation for the community. c. Conduct community disaster drills. d. Create a checklist needed supplies for each type of disaster. 24. A nurse manager is reviewing the disaster plan at a long-term care facility. Which of the following is the most comprehensive method for the nurse to use to determine the effectiveness of the plan? a. Use inservices to have the staff discuss various disaster scenarios. b. Analyze findings from a faculty tabletop disaster simulation. c. Review how the staff implements the plan during a hands-on- practice drill. d. Test staff to determine their knowledge of the principles of the plan. 25. A nurse is providing teaching to a client who has a confirmed case of tuberculosis. Which of the following statements by the client indicates the teaching has been different? a. “I will need to have a special HEPA filter installed in my home.” b. “I will be contagious until I have completed the full medication regimen.” c. “I will be taking medication daily for at least 6 months.” d. “I will have a repeat tuberculin skin test in 6 weeks.” 26. A nurse is working in a community health center is providing teaching to a client who has alcohol use disorder. Which of the following treatment methods should the nurse include in the teaching? a. Treatment with methadone b. Cognitive behavioral therapy d. Chelation therapy 27. 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? a. Sports injury prevention b. Substance abuse prevention d. Gun safety 28. A nurse is caring for a client who is homeless. Which of the following actions should the nurse take first? a. Assist the client to develop goals for obtaining shelter. b. Discuss the risks of being homeless with the client. c. Develop teaching using a variety of strategies. 29. A nurse at a shelter is assessing with client triage after a tornado destroyed a community. Which of the following clients should receive priority care? a. An older adult client who has a fractured arm c. An infant client who is crying d. A school-age client who has a head abrasion 30. 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? a. A client who has a rigid abdomen with manifestations of shock b. A client who has superficial partial-thickness burn injuries over 5% of his body c. A client who has a femur fracture with a 2+ pedal pulse d. A client who is ambulatory and exhibits manic behavior 31. A nurse is working with a case manager for a client who participates in a health maintenance organization. The nurse should identify that health maintenance organization provides which of the following payment structures? a. The client pays the insurer a percentage of the total costs for each service rendered by the provider. b. c. The provider bills the client directly for a predetermined percentage of the cost of services. d. The client is participating in a fee-for-service health care insurance program. 32. A nurse is teaching a client who has a terminal illness about hospice care. Which of the following statements by the client indicates an understanding of the teaching? (SATA) a. “I will need to have private insurance because Medicare does not cover hospice services.” b. “I can receive care in the hospital or at home.” c. “My provider will recommend that I enter hospice care when I have 1 year left to live.” d. “I will receive care from a variety of interprofessional team members.” e. “I can discontinue hospice care whenever I want.” 33. 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? b. Herpes simplex virus c. Human papillomavirus d. Group B streptococcus B-hemolytic 34. 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 planned to take for? a. Determining student’s motivation to learn about healthy food choices b. Give positive feedback to students who make appropriate choices c. Help students recognize the value of making healthy food choices d. Provide students with the resources about making wise choices independently 35. 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? b. Systems allocator c. Advocate d. Consultant 36. 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? a. “I have difficulty resisting the items in vending machines.” b. “I have lots of health problems from being obese.” c. “I know you don’t like me because I am obese.” d. “I am an obese because it’s in my genes.” 37. An occupational health nurse is preparing for an initial meeting with a committee that is planning a health fair for an industrial work site. The nurse should instruct the committee members to take which of the following actions first? a. Obtain necessary supplies and equipment. b. Make a list of expected outcomes for the health fair. d. Market the health fair to the employees. 38. A nurse is speaking with several clients at a health fair. Which of the following statements should the nurse assess further? a. “I prepare my medications for the week on Sundays.” b. “I have to change my hearing aid battery weekly.” c. “I prepare all of my own meals.” d. “I have to turn my head completely to see things that are beside me.” 39. A nurse is who is to undergo enzyme-linked immunosorbent assay testing for HIV. Which of the following information should the nurse include? a. The test measures serum levels of HIV antibodies. b. The test monitors the progression of HIV. c. A positive result indicates initiation of immunoglobulin administration. d. The test results area accurate 24 hr after HIV exposure. 40. A community health nurse is planning strategies to address childhood obesity in the area. Which of the following actions should the nurse take first? a. Promote the placement of healthy food choices in the community. b. Examine the prevalence of childhood obesity in the community. c. Establish goals for the community to decrease childhood obesity. d. Provide nutritional education to children and their families. 41. A nurse is developing a health-screening program for clients who are at risk for hypertension. Which of the following actions should the nurse take first? a. Apply for funding to conduct hypertension screening. b. Determine the number of clients referred for treatment of hypertension. c. Conduct a survey to identify the community’s need for hypertension screening. d. Research best practices for treatment of hypertension. 42. A home health nurse is reviewing messages from a group of clients. Which of the following clients should the nurse contact first? a. A client who reports that her new colostomy appears purple b. A mother who reports that her son vomited after a dose of methylphenidate c. A client who has COPD and reports an oxygen saturation of 90% d. A client who reports feeling a vibration in his new internal arteriovenous graft for dialysis 43. A nurse is assessing an outbreak of mumps among school-age children. Using the epidemiological triangle, the nurse should recognize which of the following is the host? a. The children b. The virus c. The vaccine d. The school 44. 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? (SATA) a. Use seasonings to enhance the flavor of foods. e. Offer 120 mL (4oz) of cold 2% milk as a meal replacement. 45. 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? a. A dehumidifier should be placed beside the child’s bed. b. Transmission will be limited because of herd immunity. c. The child is most contagious after the rash develops. 46. A hospice nurse is planning care for a client who follows traditional Indian practices. Which of the following actions should the nurse plan to take? b. Develop a lost of appropriate hot and cold food choices. c. Offer to face the client’s bed toward the east. d. Provide direct eye contact when communicating with the client’s family. 47. 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? a. Identify alternative solutions to address concerns. c. Inquire about the availability of volunteers. d. Determine potential funding resources for the program. 48. A nurse is providing teaching to a 50-year-old female client. Which of the following statements should the nurse include in the teaching? b. “You should have your fasting blood glucose level checked every 6 years.” c. “You should have your stool tested for blood every other year until the age of 74.” d. “You should have your hearing screened every 5 years.” 49. A faith community nurse is planning care for a client who has been diagnosed with end-stage breast cancer. Which of the following interventions should the nurse in the plan? a. Recommend the client seek out hospice services rather than seek treatment. b. Initiate topics of conversation that avoid the client’s health status. c. Place the client’s name and medical condition on an online prayer chain. d. Provide quiet time during visits for prayer or meditation. 50. A nurse in a community clinic is assessing a client who reports injecting heroin 1 hr ago. Which of the following findings should the nurse expect? b. Dilated pupils c. Tachypnea d. Nystagmus 51. A nurse is developing health promotion strategies for older adult clients at an assisted living facility. Which of the following strategies is the priority for the nurse to include? a. Scheduling annual dental examinations for the clients b. Immunizing the clients against influenza c. Encouraging the clients to exercise regularly d. Providing the clients with a low-fat diet 52. A nurse is participating in an outreach program to combat the rise of encephalitis in the community due to an increase population of mosquitos. Which of the following activities should the nurse perform to implement mosquito control strategies? a. Release a media announcement asking residents to remove areas of standing water. b. Identify the number of cases resulting in disability from encephalitis. c. Review morbidity rates of encephalitis within the last 6 months. d. Research the species of mosquito responsible for the outbreak. 53. A nurse manager in a community health clinic is reviewing secondary prevention activities with a group of nurses during orientation. Which of the following activities should the nurse manager include as an example of secondary prevention? b. Teach a group of school-age children about hand hygiene. c. Educate a client who has hypertension about exercises to reduce blood pressure. d. Provide nutrition counseling for an adolescent who is underweight. 54. A nurse at a community mental health center is caring for a client who has antisocial personality disorder. Which of the following actions should the nurse include in the plan of care? a. Teach the client how to minimize feelings of guilt. b. Have the client participate in assertiveness training. c. Bargain with the client about behavioral consequences. 55. A group of technicians from a local automotive repair shop present to an urgent care clinic with reports of dizziness, headaches, and nausea. After providing needed care to the clients, which of the following government agencies should the nurse notify to follow up on these reports? a. Environmental protection agency b. Department of health and human services c. Centers of disease control and prevention a. Clients demonstrate completion of advance directives. b. Clients understand their right to confidentiality. c. Clients verbalize their right to refuse treatment. d. Clients receive Medicare benefits when eligible. 56. A nurse manager at a clinic is reviewing the preventative services offered to clients. Which of the following activities should the nurse identify as a secondary prevention activity? a. Advocate for laws that prohibit texting while driving. b. Refer a client who is recovering from a substance use disorder to a social service program. c. Provide a smoking cessation class. d. Encourage a pregnant client to participate in prenatal care. 57. A home health nurse is assessing a client who has AIDS. Which of the following responses by the client indicates a risk for suicide? a. “I am afraid of experiencing pain near the end.” c. “I don't want to lose control of my ability to make decisions.” d. “I am relying more and more on my partner for support.” 58. 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? a. Provide end-of-life care for members who are terminal. c. Perform wound care in the home of members. d. Facilitate discharge from the facility to the home. 59. A school nurse is assessing a child and discovers Koplik spots on the child’s buccal mucosa. Which of the following actions should the nurse take? a. Check the child’s classmates for parotid gland enlargement. b. Instruct the caregivers to increase the client’s Vitamin B12 intake. c. Ask the caregivers if the child recently used alcohol-based mouthwash. d. Review the immunization records of the child’s classmates. 60. A community health clinic is planning annual goals. Which of the following outcomes addresses the ethical principle of distributive justice?