NR 442 EXAM
(CHAMBERLAIN UNIV)
QNS & ANS
2023/2024
, 1. A community health nurse identifies an increase in the occurrence of osteoporosis-related fractures
in women experiencing menopause. Which of the following primary prevention strategies should
the nurse implement Encourage the women to participate in weight-bearing activities
2. A home care nurse is visiting an older adult and notes that unwashed dishes are piled up and
newspapers cover the front steps. Which of the following questions should the nurse to ask the
client to determine if he is socially isolated? "How often do you have visitors come to see you?"
3. Identify age-related risk factors and education for Senior Health
Nutrition status and exercise Falls Dental, hearing, & vision problems Abuse/maltreatment
Medication safety o When applicable, anti-inflammatory medications may be administered before
physical activity to address accompanying pain Cold and heat stress: o Hypothermia (very
serious)- keep the patient warm; watch for the signs: confusion or sleepiness, slowed slurred speech,
weak pulse, shivering, poor control of body movements o Heatstroke (life-threatening) - wrap a wet
sheet, move to a cooler area; watch for hot dry skin that’s usually red, mottled, or cyanotic, loss of
consciousness, or convulsions
4. What does ADA accommodations mean and do they refer to The Americans with Disabilities Act
(ADA) (PL 101-336) became a law in July 1990. This landmark civil rights–styled legislation
prohibits discrimination against people with disabilities by guaranteeing equal opportunities for
people with disabilities in relation to employment, transportation, public accommodations, public
services, and telecommunications A qualified individual with a disability must meet legitimate
skill, experience, education, or other requirements of an employment position. The person must be
able to perform the essential job functions, such as those contained within a job description, with or
without reasonable accommodation(s). Reasonable accommodations should make it easier to be
successful in job duties and may either involve altering the duties or the tasks of the job performed.
Qualifying organizations must provide reasonable accommodations unless they can demonstrate that
the accommodation will cause significant difficulty or expense, producing an undue hardship.
5. Describe the Migrant Health Centers (MHCs) under the Migrant Health Program The MHC
program provides comprehensive nursing and medical care and support services to MSFWs
(migrant and seasonal farmworkers) and their families. The centers provide culturally sensitive care
to a racially and culturally diverse farm labor force from many countries in Latin America and the
Caribbean. Bilingual, bicultural health personnel, including lay outreach workers, use culturally
appropriate protocols to provide primary care, preventive health care, transportation, dental care,
(CHAMBERLAIN UNIV)
QNS & ANS
2023/2024
, 1. A community health nurse identifies an increase in the occurrence of osteoporosis-related fractures
in women experiencing menopause. Which of the following primary prevention strategies should
the nurse implement Encourage the women to participate in weight-bearing activities
2. A home care nurse is visiting an older adult and notes that unwashed dishes are piled up and
newspapers cover the front steps. Which of the following questions should the nurse to ask the
client to determine if he is socially isolated? "How often do you have visitors come to see you?"
3. Identify age-related risk factors and education for Senior Health
Nutrition status and exercise Falls Dental, hearing, & vision problems Abuse/maltreatment
Medication safety o When applicable, anti-inflammatory medications may be administered before
physical activity to address accompanying pain Cold and heat stress: o Hypothermia (very
serious)- keep the patient warm; watch for the signs: confusion or sleepiness, slowed slurred speech,
weak pulse, shivering, poor control of body movements o Heatstroke (life-threatening) - wrap a wet
sheet, move to a cooler area; watch for hot dry skin that’s usually red, mottled, or cyanotic, loss of
consciousness, or convulsions
4. What does ADA accommodations mean and do they refer to The Americans with Disabilities Act
(ADA) (PL 101-336) became a law in July 1990. This landmark civil rights–styled legislation
prohibits discrimination against people with disabilities by guaranteeing equal opportunities for
people with disabilities in relation to employment, transportation, public accommodations, public
services, and telecommunications A qualified individual with a disability must meet legitimate
skill, experience, education, or other requirements of an employment position. The person must be
able to perform the essential job functions, such as those contained within a job description, with or
without reasonable accommodation(s). Reasonable accommodations should make it easier to be
successful in job duties and may either involve altering the duties or the tasks of the job performed.
Qualifying organizations must provide reasonable accommodations unless they can demonstrate that
the accommodation will cause significant difficulty or expense, producing an undue hardship.
5. Describe the Migrant Health Centers (MHCs) under the Migrant Health Program The MHC
program provides comprehensive nursing and medical care and support services to MSFWs
(migrant and seasonal farmworkers) and their families. The centers provide culturally sensitive care
to a racially and culturally diverse farm labor force from many countries in Latin America and the
Caribbean. Bilingual, bicultural health personnel, including lay outreach workers, use culturally
appropriate protocols to provide primary care, preventive health care, transportation, dental care,
