RN Community Health Online Practice A(Top QUALITY 2024/2025 EXAM REVIEW) FALL TO SPRING SEMESTER//

RN Community Health Online Practice A A home health nurse is visiting with an older adult client. Which of the following observations indicate the need for home modification? - 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? - 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? - 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 - 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? - 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? - 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? - "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? - 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? - 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? - Kava for a client who has cirrhosis. Reasoning: although kava has been used to promote sleep, it can cause severe liver damage, which can lead to the need for a liver transplant. using kava could worsen the condition of a client who has cirrhosis. Therefore, the nurse should plan to discuss safer alternatives with the client. A community health nurse is teaching a client who was newly diagnosed with active pulmonary tuberculosis about disease transmission. Which of the following info should the nurse include? - Household members should take isoniazid for at least 6mo. Reasoning: house hold memebers are at risk for developing the disease. Taking isoniazid prophylactically for atleast 6 months is recommended. A nurse in a rural community is planning edu for a young adult client who is a migrant farm worker. Which of the following actions should the nurse include? - - Provide envi health information .- Refer the client for a TB screening - Provide skin cancer info - Recommend a dental health screening A nurse is teaching a client who has a new diagnosis of hepatitis A about how to prevent the spread of the virus. Which of the following instruction should the nurse include? - Clean your bathroom fixtures with a chlorine bleach solution. Reasoning: the client should clean bathroom fixtures with a 10:1 chlorine bleach solution. The hepatitis A virus spreads via feces and survives on human hangs since it is resistant to soap and