WORD COMMUNITY 403 Final EXAM ATI
RN Community Health Online Practice 2022
A home health nurse is visiting with an older adult client. Which of the following observations
indicate the need for home modification?
a. The home has power strips that have breakers.
b. The client uses an electric toaster oven for cooking.
c. There are two rocking chairs in the living room.
d. The bathtub has a seat and a hand-held shower head.
There are two rocking chairs in the living room. Reasoning: rocking chairs and swivel chairs will require
a modification. The nurse should block the motion of the chairs to keep them stable so that the client can
easily get in and out.
A case manager is planning an educational program for a client who has diabetes mellitus. Which
of the following activities should the nurse include when using the psychomotor domain of
learning?
a. Review a color diagram of the food pyramid with the client.
b. Show the client a video about how to monitor blood glucose levels.
c. Observe the client's technique for drawing up insulin.
d. Encourage the client to discuss their feelings of self-worth.
Observe the client's technique for drawing up insulin
A case manager is developing a discharge plan for a client who has spinal cord injury and is in a
rehab facility. Which of the following actions should the nurse take first?
a. Hold a care conference with the client to discuss treatment options.
b. Contact service providers to determine the availability of services offered.
c. Determine the client's ability to perform self-care.
d. Evaluate the client's satisfaction with the case manager's services.
Determine the client's ability to perform self-care. Reasoning: The first action the nurse should
take when using the nursing process is to assess the client's needs. Determining a client's needs is the
first step of the case management process which allows the case manager to plan client-centered
care.
A school nurse is teaching health promotion to a group of staff members who sit at a desk and use a
computer for 8hr at a time. Which of the following information is the priority for the nurse to
include
a. "Take a walk after work."
,b. "Point and flex your toes periodically."
c. "Have your visual acuity assessed regularly."
d. "Adjust your chair so that your elbows are at desk height."
Point and flex your toes periodically. Reasoning: the greatest risk to staff members who are
immobile for long periods of time is a venous thromboemobolism. Therefore, the nurse should
encourage the staff members to frequently change the position of their feet and legs.
A nurse is assessing a new client. Which of the following information should the nurse include in the
cultural portion of the assessment?
a. Food preferences
b. Employment status
c. History of illnesses
d. Sexual orientation
food preferences. Reasoning: food preferences are a part of cultural assessment.
A nurse is collecting demographic data as part of a community assessment. Which of the following
information should the nurse include?
a. Racial distribution
b. Family genograms
c. Number of open water sources
d. Presence of condemned buildings
racial distribution. Reasoning: racial distribution is part of demographic data. Other types of
demographic data include marital information, population density, and death and birth rates.
A nurse is caring for a client who has terminal lung cancer and is receiving hospice care. Which of
the following statements should the nurse ID as an indication that the client is in the denial stage of
the grief process?
a. "I'm looking forward to my daughter's wedding next year."
b. "I don't deserve to die. This just isn't fair."
c. "If I could just make it through this, I'd never smoke again."
d. "I'm going to plan my memorial service next week."
, "I'm looking forward to my daughter's wedding next year". Reasoning: during the denial stage of the grief
process, the client rejects the reality of the impending loss.
An occupational health nurse is planning to use an interpreter during an educational session with a
group of workers who speak a different language than the nurse. Which of the following actions
should the nurse take?
.Instruct the interpreter to guide the nurse in providing information in a culturally-sensitive manner.
-Ask the interpreter to add information she feels might be necessary.
-Choose an interpreter who speaks the workers' language and dialect.
-Evaluate the interpreter's approach to clients prior to the educational session.
-Encourage the interpreter to paraphrase the workers' questions and responses.
1) Instruct the interpreter to guide the nurse in providing info in a culturally-sensitive manner
2) Choose an interpreter who speaks the workers' language and dialect
3)Evaluate the interpreter's approach to clients prior to the edu session
A nurse in a clinic is planning teaching for a client who was newly diagnosed with Hepatitis C.
Which of the following instructions should the nurse include in the teaching?
a. Consume a low-carbohydrate diet until symptoms resolve.
b. Schedule an appointment for an immunoglobulin injection.
c. Abstain from sexual intercourse until antibody tests are negative.
d. Wear a mask in public places while receiving treatment.
Abstain from sexual intercourse until antibody tests are negative. Reasoning: Hep C is transmitted
through sexual intercourse. Therefore, the nurse should instruct the client to abstain from sexual
intercourse until antibody tests are negative.
A home health nurse is reviewing several client requests regarding complementary strategies. The
nurse should ID that which of the following alternative therapies is contraindicated for the client?
a. Hippotherapy for a school-age child who has cerebral palsy
b. Acupressure therapy for a client who has back pain
c. Kava for a client who has cirrhosis
d. Valerian for a client who has anxiety and insomnia
RN Community Health Online Practice 2022
A home health nurse is visiting with an older adult client. Which of the following observations
indicate the need for home modification?
a. The home has power strips that have breakers.
b. The client uses an electric toaster oven for cooking.
c. There are two rocking chairs in the living room.
d. The bathtub has a seat and a hand-held shower head.
There are two rocking chairs in the living room. Reasoning: rocking chairs and swivel chairs will require
a modification. The nurse should block the motion of the chairs to keep them stable so that the client can
easily get in and out.
A case manager is planning an educational program for a client who has diabetes mellitus. Which
of the following activities should the nurse include when using the psychomotor domain of
learning?
a. Review a color diagram of the food pyramid with the client.
b. Show the client a video about how to monitor blood glucose levels.
c. Observe the client's technique for drawing up insulin.
d. Encourage the client to discuss their feelings of self-worth.
Observe the client's technique for drawing up insulin
A case manager is developing a discharge plan for a client who has spinal cord injury and is in a
rehab facility. Which of the following actions should the nurse take first?
a. Hold a care conference with the client to discuss treatment options.
b. Contact service providers to determine the availability of services offered.
c. Determine the client's ability to perform self-care.
d. Evaluate the client's satisfaction with the case manager's services.
Determine the client's ability to perform self-care. Reasoning: The first action the nurse should
take when using the nursing process is to assess the client's needs. Determining a client's needs is the
first step of the case management process which allows the case manager to plan client-centered
care.
A school nurse is teaching health promotion to a group of staff members who sit at a desk and use a
computer for 8hr at a time. Which of the following information is the priority for the nurse to
include
a. "Take a walk after work."
,b. "Point and flex your toes periodically."
c. "Have your visual acuity assessed regularly."
d. "Adjust your chair so that your elbows are at desk height."
Point and flex your toes periodically. Reasoning: the greatest risk to staff members who are
immobile for long periods of time is a venous thromboemobolism. Therefore, the nurse should
encourage the staff members to frequently change the position of their feet and legs.
A nurse is assessing a new client. Which of the following information should the nurse include in the
cultural portion of the assessment?
a. Food preferences
b. Employment status
c. History of illnesses
d. Sexual orientation
food preferences. Reasoning: food preferences are a part of cultural assessment.
A nurse is collecting demographic data as part of a community assessment. Which of the following
information should the nurse include?
a. Racial distribution
b. Family genograms
c. Number of open water sources
d. Presence of condemned buildings
racial distribution. Reasoning: racial distribution is part of demographic data. Other types of
demographic data include marital information, population density, and death and birth rates.
A nurse is caring for a client who has terminal lung cancer and is receiving hospice care. Which of
the following statements should the nurse ID as an indication that the client is in the denial stage of
the grief process?
a. "I'm looking forward to my daughter's wedding next year."
b. "I don't deserve to die. This just isn't fair."
c. "If I could just make it through this, I'd never smoke again."
d. "I'm going to plan my memorial service next week."
, "I'm looking forward to my daughter's wedding next year". Reasoning: during the denial stage of the grief
process, the client rejects the reality of the impending loss.
An occupational health nurse is planning to use an interpreter during an educational session with a
group of workers who speak a different language than the nurse. Which of the following actions
should the nurse take?
.Instruct the interpreter to guide the nurse in providing information in a culturally-sensitive manner.
-Ask the interpreter to add information she feels might be necessary.
-Choose an interpreter who speaks the workers' language and dialect.
-Evaluate the interpreter's approach to clients prior to the educational session.
-Encourage the interpreter to paraphrase the workers' questions and responses.
1) Instruct the interpreter to guide the nurse in providing info in a culturally-sensitive manner
2) Choose an interpreter who speaks the workers' language and dialect
3)Evaluate the interpreter's approach to clients prior to the edu session
A nurse in a clinic is planning teaching for a client who was newly diagnosed with Hepatitis C.
Which of the following instructions should the nurse include in the teaching?
a. Consume a low-carbohydrate diet until symptoms resolve.
b. Schedule an appointment for an immunoglobulin injection.
c. Abstain from sexual intercourse until antibody tests are negative.
d. Wear a mask in public places while receiving treatment.
Abstain from sexual intercourse until antibody tests are negative. Reasoning: Hep C is transmitted
through sexual intercourse. Therefore, the nurse should instruct the client to abstain from sexual
intercourse until antibody tests are negative.
A home health nurse is reviewing several client requests regarding complementary strategies. The
nurse should ID that which of the following alternative therapies is contraindicated for the client?
a. Hippotherapy for a school-age child who has cerebral palsy
b. Acupressure therapy for a client who has back pain
c. Kava for a client who has cirrhosis
d. Valerian for a client who has anxiety and insomnia
