Answers
1. A community health nurse d. "You will need to take prophylactic medica-
is caring for a client ex- tions for 4 weeks."
posed to HIV 2 days ago.
The client asks the nurse
what she should do. Which RATIONALE: The client will need to take pro-
response should the nurse phylactic medications for 4 weeks to prevent
make? the virus from replicating within the body.
a. "I will administer an HIV
vaccine today, and it will
need to be repeated in 3
months."
b. "I will administer an HIV
test today, and you will
need to return in 48hrs for
me to read the results."
c. "You will need to have an
HIV test every other week
for 6 months."
d. "You will need to take
prophylactic medications
for 4 weeks."
2. A home health nurse and a. "I will change the PICC line dressing on my
an assistive personnel are next visit."
discussing care for a client.
Which statement by the AP
requires intervention by the RATIONALE: Changing IV dressings is not
nurse? within the AP's scope of practice. The nurse
should investigate this statement.
a. "I will change the PICC
line dressing on my next
visit."
b. "Bathing the client is
something I can do without
assistance."
c. "I assist the client in
ambulating outdoors every
time I visit."
, Community Health Final (Learning System RN) Test with Verified
Answers
d. "The next time I visit, I
plan to clean up the clutter
in the client's room."
3. An occupational health d. Primary Prevention
nurse is providing teaching
to a group of clients about
the risks of the work envi- RATIONALE: This nursing action is an example
ronment. Which of the fol- of primary prevention of accidents in the work-
lowing actions is the nurse place. The goal of tertiary prevention is to limit
performing? disability caused by disease in a population.
An example of tertiary prevention is working
a. Case Management with members of the population who have dia-
b. Secondary Prevention betes to decrease the number of work days lost
c. Tertiary Prevention due to complications. The goal of secondary
d. Primary Prevention prevention is to detect levels of disease in a
population and refer people for treatment. An
example of secondary prevention is a hearing
screening program that is indicated due to the
excessive noise in the work environment. Case
management is the coordination of care in or-
der to improve client outcomes.
4. A home health nurse c. "It provides family caregivers with temporary
is providing teaching to relief from caregiving."
the primary caregiver of
a client with Alzheimer's
about respite care. Which RATIONALE: Respite care services provide
of the following information family caregivers with temporary relief from the
should be included? tasks associated with caregiving for chronically
ill family members, such as adults who have
a. "It's a community sup- Alzheimer's disease or children who have com-
port group for family care- plex medical or developmental needs. Caring
givers." for a client who has complex care needs in the
b. "It requires placing the home is a difficult and draining task. Respite
client in an assisted living care allows overwhelmed caregivers to shop,
facility." have some time away, or get an uninterrupted
c. "It provides family care- night of sleep.
givers with temporary relief