ATI Community Health Version 1 exam

ATI Community Health Version 1 exam A nurse working in an infectious disease clinic is caring for a client who has a new diagnosis of Lyme disease. Which of the following agencies is responsible for voluntarily reporting causes of diseases in our Centers for Disease control and prevention? ANSWER state health department A case manager is completing discharge planning for client who has alcohol use disorder and cirrhosis of the liver which of the following actions should the nurse case manager take first? ANSWER determine a home safety measures the client needs to implement A nurse is providing teaching to a client about directives regarding end of life care period which of the following information should the nurse include in teaching? ANSWER the client can choose a non family member as the designator power of attorney. A nurse is an antepartum clinic is reviewing the medical records of four clients. Which of the following infectious conditions should the nurse report to the Center for Disease Control and prevention? ANSWER gonorrhea A home health nurse is performing an eye assessment for an older adult client. Which of the following findings is the priority for the nursery to report to the provider? ANSWER conjunctivitis A nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. The client does not speak the same language as a nurse. Which of the following actions should the nurse take? ANSWER identify the clients spoken dialect prior to contacting interpreter. A parish nurse is counseling a family following a client's recent diagnosis of heart disease. Which of the following actions should the nurse take first? ANSWER ask family members about the impact of the disease on relationships within the family A school nurse is planning primary prevention activities for the school year. Which of the following actions should the nurse plan to take? ANSWER monitor for immunizations status of students. A home health nurse is planning the initial home visit for a client who has dementia and lives with his adult son's family. Which of the following actions should the nurse take first during the visit? ANSWER engage the family in informal conversation A nurse is working with the case manager for a client who participates in a health maintenance organization. The nurse identified that HMO provides which of the following payment structures? ANSWER the provider is paid a fixed sum for the client on a monthly or yearly basis A nurse manager at the clinic is reviewing the preventative services offered to clients. Which of the following activities should the nurse identify as a secondary prevention activity in? ANSWER encourage a pregnant client to participate in prenatal care A school nurse is planning safety education for a group of adolescence. The nurse should give priority to which of the following topics as the leading cause of death for this age group? ANSWER motor vehicle accidents A home health nurse is caring for a client who has chemotherapy induced nausea that has been resistant to relief from pharmacological measures. Which of the following interventions should the nurse initiate? ANSWER assist the client in using guided imagery provide sips of room temperature ginger ale between meals maintain the head of the clients bed in an elevated position after eating. A nurse is working with the community health care team to devise strategies for preventing violence in the community. Which of the following interventions is an example of tertiary prevention? ANSWER developing resources for victims of abuse. A nurse is developing health promotion strategies for older adult clients at an assisted living facility. Which of the following strategies is the priority for the nurse to include? ANSWER immunizing the clients against influenza. A nurse is triaging clients who were involved in a commuter train crash. Which of the following clients should the nurse choose for transport to the emergency department first? ANSWER a client who has full thickness burns injuries over 30% of their total body surface airline A nurse is assessing an outbreak of mumps among school aged children. Using epidemiological triangle nurse should recognize which of the following is the host? ANSWER the children A home health nurse is discussing electrical hazards with a client. Which of the following statements should the nurse include? You should limit use of extension cords A nurse in the clinic is reviewing home safety precautions with the client who is to begin radioactive iodine therapy period which of the following statements by the client indicates understanding of the teaching? ANSWER I’ll use a toilet that is not used by other family members A community health nurse is teaching a group of parents about manifestations of alcohol withdrawal period which of the following manifestations should the nurse include in the teaching? ANSWER seizures A nurse is reviewing levels of prevention with a newly licensed nurse. Which of the following is an example of tertiary prevention? ANSWER teaching about inhaler use to a client who has asthma A nurse is serving on a state task force for disaster planning. The nurse is engaging in disaster preparedness efforts when performing which of the following actions? ANSWER organizing a mass casualty drill for community members A parish nurse is planning activities for a faith-based community. Which of the following activities should the nurse include? ANSWER teach stress management strategies A nurse in a community health clinic is assessing a client who has two preschoolers was recently divorce and is seeking help for managing depression. Which of the following questions should a nurse ask first ANSWER are you having any thoughts about hurting yourself? A community health nurse encounters a client who has a suspected bioterrorism related illness. Which of the following actions should the nurse take? ANSWER move the client to a quarantined area A nurse is teaching a group of clients about ways to prevent skin cancer. Which of the following statements by the nurse demonstrates a primary prevention strategy? ANSWER avoid direct sunlight between 10:00 AM and 4:00 PM. A home health nurse is caring for client who has terminal cancer and no longer wants to receive enteral tube feedings. Which of the following actions should the nurse take? ANSWER complete and against medical advice form. A nurse working in assisted care facility is developing a disaster plan. Which of the following is the first action the nurse should take? ANSWER determine potential environmental health hazards A nurse is providing teaching to a 50 year old female client. Which of the following statements should the nurse include in the teaching? ANSWER you should have a complete eye examination every two years until the age of 64. A nurse inviting teaching to a newly licensed nurse about case management the nurse should include which of the following tasks is the responsibility of a case manager? ANSWER evaluate the cost effectiveness of client treatments. A community health nurse is working with the task force determined community violence. Which of the following planned interventions should the nurse identify as a primary prevention strategy? ANSWER providing parenting classes for local parents. A nurse educator is teaching a group of newly licensed nurses about maintaining client confidentiality according to HIPAA regulations. Which of the following statements by a licensed nurse indicates understanding of the teaching? ANSWER HIPAA rules allow clients to receive a copy of their medical records. A nurse is working for a Hospice organization. The nurse should identify which of the following criteria must be met for a client to qualify for Hospice care? ANSWER the client has declined additional life prolonging treatments. A nurse is conducting home visits to postpartum adolescents who participated in prenatal parenting classes. Which of the following statements indicates an understanding of the teaching? ANSWER I use baby talk when talking to my baby. A community health nurse is working with a migrant population the nurse should recognize which of the following interventions is necessary to provide care to his population? ANSWER provide health services at worksites. A nurse at a rural clinic is interviewing a family who has different culture beliefs than the nurse. The family reports seeing a folk healer. Which of the following statements should the nurse make? ANSWER I can refer you to a medical practitioner for your health care needs. A nurse in a community clinic is assessing a client who reports injecting heroin one hour ago. Which of the following findings should the nurse expect? ANSWER euphoria. A nurse case manager is providing discharge planning for a client. The nurse is functioning in which the following rules when arranging for delivery of medical equipment to this client’s home? ANSWER coordinator. A mental health nurse is scheduling a home health appointment with a client who has recently lost his partner in a motor vehicle crash. Which of the following statements by the client indicates the need for immediate nursing intervention? ANSWER everything is going to be fine soon. A nurse is providing teaching to a newly licensed nurse about secondary prevention strategies related to violence and abuse. Which of the following strategies should the nurse include in the teaching? ANSWER assess clients for withdrawal and passivity during home health visits. A nurse is planning primary prevention activities for this new school year. Which of the following should the nurse include? ANSWER teaching class about the risk of cigarette smoking. Lobbying for funding for health promotion efforts. Organizing a program to promote skateboard safety. A nurse at a community clinic is preparing an education guide about cultural variance is an expression of pain. Which of the following information should the nurse include? ANSWER Chinese cultural practices include in during pain prevent family dishonor. A home health nurse is providing teaching to the guardian of a child who has leukemia about methods to prevent complications. Which of the following statements by the guardian indicates an understanding of the teaching? ANSWER I should inspect my child's mouth for sores. A public health nurse is developing protocols to use in emergency shelters following disaster. Which of the following interventions should the nurse include as a secondary prevention strategy for clients who survive a disaster? ANSWER interviewing shelter residents to determine the effectiveness of coping behaviors. A nurse is caring for a client who asks can I decide not to continue my chemotherapy? The nurse responds this is your choice and I'll support whatever decision you make. The nurse’s response is an example of which of the following ethical principles? ANSWER autonomy. A school nurse is caring for a child who has muscular dystrophy and is having difficulty swallowing at lunch period which of the fire furls should the nurse make? ANSWER speech language therapist. A nurse is planning a primary prevention strategy for reducing obesity in a community. Which of the following strategies should the nurse use? ANSWER educate children at a daycare center about nutrition and exercise. A nurse is caring for a client who has hepatitis a virus. Which of the following reservoirs should nurse identify for this infection? ANSWER GI tract. A nurse in an extended care facility enters the room of a client and notices a fire in the trash can. Which of the following actions is the nurse’s priority? ANSWER move the client to another location. A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. which of the following statements should the nurse make first? ANSWER describe the place where you are currently living. And occupational health nurse is assessing agricultural workers for acute effects of pesticide exposure. Which of the following findings should the nurse expect? ANSWER business and report to state Department of Health services. A home health nurse is assessing a client who has AIDS. Which of the following responses by the client indicates a risk for suicide? ANSWER I know that everything will be better soon. A faith-based organization as a community health nurse to develop a mobile meal program for older adults who are no longer driving. Which of the following actions should the nurse plan to take first? ANSWER perform a needs assessment. An occupational health nurse is completing a walk through a factory to identify workers at risk for injury. Which of the following workers should the nurse identify as being at risk? ANSWER a worker who is 7 weeks postoperative following rotator cuff surgery and is labeling boxes. A nurse is teaching a client who has terminal illness about Hospice care period which of the following statements by the client indicates an understanding of the teaching? ANSWER I can receive care in the hospital or at home. My provider will recommend that enter Hospice care when I have one year left to live. I will receive care from a variety of interprofessional team members. I can discontinue Hospice care at whenever I want. A nurse is participating in a quality improvement committee for home health clients. Which of the following topics should the nurse recommend for the community to review? ANSWER an increase in clients falls at home. A nurse is planning an end service about isolation precautions for her coworkers. For which of the following infections should the nurse identify the needs for contact precautions? ANSWER herpes simplex. A nurse is caring for a client who is homeless. Which of the following actions should the nurse take first? ANSWER determine the client's understanding of her living situations. A first response team is working at the location of a bombing incident. A nurse triage Ng a group of clients should give treatment priority to which of the following clients? ANSWER a client who has a rigid abdomen with manifestations of shock. A home health nurse is caring for a client who has Clostridium difficile infection. Which of the following actions should the nurse take? ANSWER clean the clients bathroom with a diluted bleach solution