A home health nurse and an assistive personnel (AP) are discussing the care
needs of a client. Which of the following statements by the AP requires
intervention by the nurse?
a. "I will change the client's PICC line dressing on my next visit."
b. "Bathing the client is something that I can do without assistance."
c. "I assist the client in ambulating outdoors each time i visit."
d. "Next time I visit, I plan to clean up the clutter in the client's bedroom."
a. "I will change the client's PICC line dressing on my next visit."
A home health nurse is prioritizing visits for four clients. Which of the following
clients should the nurse plan to visit first?
a. A client who has heart failure and reports a weight loss of 2.2kg (1 lb) over the
past week.
b. A client who has osteoarthritis of the knees and reports joint pain when
ambulating.
c. A client who has Alzheimer's disease and is not able to remember the current
year.
d. A client who has type 2 diabetes mellitus and reports a new fissure between
her toes.
d. A client who has type 2 diabetes mellitus and reports a new fissure between her toes.
A community health nurse who works in a refugee center is evaluating children
who are new arrivals that the client is in the 6th percentile for weight and the 40th
percentile for height. The toddler has thin limbs, a protuberant abdomen, and
dull, dry hair. This assessment should lead the nurse to suspect the child might
have which of the following conditions?
a. Chronic hypoxemia
b. Anemia
c. Protein deficit
d. Fluid overload
c. Protein deficit
A school nurse is called to the scene of a large fight that just ended. The school
security officers have called the police to the scene. Which of the following
actions should the nurse take first?
a. Teach coping skills to the children who witnessed the fight.
b. Triage the injured students.
c. Provide support to help staff deal with the traumatic situation.
d. Compare the response to the incident with school policies.
b. Triage the injured students.
A community health nurse at a family planning clinic is developing a program
about adolescent sexuality. Which of the following is a developmental task of
adolescence according to Erikson's theory of psychosocial development?
, a. Adjusting to dramatic changes in body image.
b. Developing hypothetical reasoning skills
c. Establishing the capacity for an intimate love relationship
d. Learning to make good choices and avoid risk-taking behaviors.
a. Adjusting to dramatic changes in body image.
A nurse is planning a health fair for a local community. Which of the following
should be the nurse's priority consideration when deciding what screening
programs will benefit the population the most?
a. Identify prevalent health programs in the community.
b. Identify health care resources available to clients in the community.
c. Identify the cost of the screening programs.
d. Identify the availability of transportation to the health fair.
a. Identify prevalent health programs in the community.
A nurse is teaching a group of older adult clients about complementary and
alternative therapies. Which of the following interventions should the nurse
recommend to improve balance?
a. Naturopathic medicine
b. Magnet therapy
c. Tai chi
d. Progressive relaxation therapy
c. Tai chi
An occupational health nurse is providing teaching to a group of clients about the
risks of the work environment. Which of the following actions is the nurse
performing?
a. Case management
b. Secondary prevention
c. Tertiary prevention
d. Primary prevention
d. Primary prevention
A community health nurse is teaching a group of adult clients about factors that
influence health behaviors. Which of the following is a modifiable risk factor that
the nurse should include in the teaching?
a. Family history of diabetes
b. Immunization status
c. Mental illness
d. Air pollution
b. Immunization status
A community health nurse is caring for a client who was exposed to the human
immunodeficiency virus (HIV) 2 days ago. The client asks the nurse what she
should do. Which of the following responses should the nurse make?
a. "I will administer an HIV vaccine today, and it will need to be repeated in 3