ATI RN Community Health Online Test B|NR 443 ATI RN Community Health Online Test B(Questions & answersRationales (latest 2022)

1. A public health nurse is developing a visual health program by using a community-oriented approach. Which of the following interventions should the nurse include? Teach a client who has vision loss about safety in the home environment. Provide genetic counseling to the family of a newborn who has congenital cataracts. Consult with the local school nurse to schedule yearly vision screenings for studentsDevelop a plan of care for a client who was newly diagnosed with glaucoma. Consulting with the local school nurse to schedule yearly vision screenings for students focuses on the health care of a population rather than illness care for individuals. Therefore, this intervention Is using a community-oriented approach. The other answers options are community based approach. 2. A home health nurse is caring for a client who has a breast cancer. Which of the following assessment findings should the nurse identify as an indication that the client is coping effectively? Inability to concentrate Makes eye contact Excessive sleeping Lack of interest in food 3. A community health nurse is teaching a client who was newly diagnosed with active pulmonary tuberculosis about disease transmission. Which of the following information should the nurse include? Household members should be places in respiratory isolation. The client should use disposable utensils during meals. Household members should take isoniazid for 6-12 months The client should have a repeat purified protein derivative test in 3 months. Resp. isolation is not necessary for household memebers of a client who has active pulmonary tuberculosis. IT is not necessary for a client who has active pulmonary TB to use disposable utensils during meals in the home setting. Household memebers of a client who has active pulmonary TB are at risk for developing the disease. Therefore, taking isoniazid prophylactically for 6-12 months is recommended. A client who has active pulmonary tuberculosis should receive a chest x ray for future screenings. 4. A case manager is developing a discharge plan for a client who has a spinal cord injury and is in rehabilitation facility. Which of the following actions should the nurse take first? Hold a care conference w/ the client and his family to discuss tx options. Contact service providers to determine the availability of services offered. Determine the client's ability to perform self-care Evaluate the client satisfaction with the case managers services. First two options are implementation step of the nursing process. The 3 rd options is to assess the client needs. Evaluate option is the evaluation step of the nursing process. 5. A community health nurse is working in a mobile health care clinic. Which of the following clients should the nurse assess first? A client who has a new onset of confusion and slurred speech 6. A public health nurse is developing a presentation for local day care providers about infectious childhood diseases. Which of the following statements should the nurse include? "RSV is spread through contact with respiratory secretions from an infected person." “rotavirus infections in children peal during the summer months.” “Children who have 5th disease will exhibit bloody diarrhea.” Antiviral medications shorten the duration of a shigella infection.” The nurse should include this statement in the presentation, as RSV is spread by direct contact w/ respiratory secretions while within 3 feet of a person who is infected. Manifestations of RSV include dyspnea, tachypnea, coughing, and wheezing. Rotavirus infection in children peak during winter months of the year. Manifestations of rotavirus include fever and vomiting followed by watery diarrhea. The clinical manifestation of 5th disease (erythema infectiosum) do not inclue bloody diarrhea. Clinical manifestations include rash that gives the client a slapped-faced appearance that progresses from the face down to the body. Other manifestations include fever, myalgia, N/V, and lethargy. Antibiotics shorten the length of a shigella infection and decrease mortality rates. Manifestation of shigella include fever and anorexia followed by watery or bloody diarrhea. 7. A nurse in a rural community is planning education for a young adult client who is a migrant farm worker. Which of the following actions should the nurse include? (Select all that apply) - Provide environmental health - Refer client for TB screening - Provide skin cancer information - Recommend a dental health screening -Provide forms to apply for medicare Medicare are individuals must meet age requirement or be permanently disabled. Migrant FW are at risk exposure to pesticides and other hazardous materials that could be harmful. Thereofre should include environmental health information in the client’s education. Rate of TB are estimated higher amoing migrant workers due to crowded living conditions and substandard housing. Therefore, the nurse should include a tuberculosis screening in the clients education. Dental problems are primary health risk for migrant FW