1. A public health nurse is assisting a client who is a recent immigrant. The client refuses assistance from community resources. Which of the following actions should the nurse take to provide culturally appropriate?SATA Learn more about the client’s ethnic values Uses relevant nonverbal communication techniques Review the client’s current health practices 2. A community health nurse has recognized an outbreak of influenza at a local school. Which of the following actions is a secondary level of prevention? Check for possible exposure to influenza. 3. A community health nurse is providing teaching about nutrition guidelines to a group of adolescents. Which of the following information should the nurse including in the teaching? Appetite naturally increases during the adolescent years 4. A public health nurse learns that a client in an agricultural communityis being treated for active TB. Which of the following actions should the nurse take to prevent the spread of TB within the community? Ensure the client adherence to the medication regimen 5. A community health nurse is caring for a 20 year old college student who has a new diagnosis of herpes. The client reports having unprotectedsex with multiple individuals. Which of the following actions should the nurse take? Ask the client for the contact information of recent sexual partners 6. A school nurse realizes that a student who has asthma visits the health office two to three times every day to use his rescue inhaler. Which of the following interventions should the nurse plan to implement first? Encourage the student’s parent to identify and reduce environmental triggers 7. A newly hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect potential physical hazards? Measures noise levels at various locations in the facility 8. A home health nurse is educating a client diagnosed with COPD about home oxygen use. Which of the following statements by the client indicates a need for addition teaching? I should notify the local fire department that oxygen is being used in my home 9. A community health nurse observes the continual accumulation of garbage at a neighborhood playground. Which of the following actions should the nurse take first to promote a clean and safe environment? Meet with community members to discuss methods of playground maintenance 10. A nurse manager in a local community health agency is creating a job description for a new nurse who will practice community oriented nursing. Which of the following should the nurse include in the job description? SATA Investigate potential health and environmental issues Initiate support groups for parents of autistic children Provide health related education to community groups Participate in local health surveillance activities. 11. A home health nurse is conducting an initial intake assessment for a client who has hypothyroidism. Which of the following assessment findings is associated with this disease? Muscle weakness 12. A community health nurse is planning to use web based information resources in the care of a client who is undergoing dialysis. Which of the following criteria should the nurse consider in selecting appropriate resources for the client? The website provides a peer review process for publishing information 13. A home health nurse is schedule for a first time visit to a client. Whichof the following should the nurse perform first? Mental status exam 14. Which of the following federal agencies should a community health nurse seek guidance from regarding a public building that has asbestos leaking from rips in the heating duct insulation? Environmental protection agency 15. Upon performing routine screenings, a school nurse identifies three classrooms with students who have pediculosis. Using principles of epidemiology, which of the following is the next action the nurse should take? Review class rosters to determine whether a common host exists in the three classrooms 16. A first response team is working at the location of a bombing incident.A nurse triaging a group of clients should give treatment priority to which of the following clients? A client who has a rigid abdomen with manifestations of shock 17. A community health nurse notes that six new cases of DM have been reported in the past 3 months. In the previous year, five cases were reported. The population of the community is 15,000 people. What is the prevalence proportion for the community? 0.9/100,000 18. A nurse at a shelter is assisting with client triage after a tornado destroyed a community. Which of the following clients should receive priority care? An adult who is short of breath 19. Several nurses affiliated with a church are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. Which of the following is appropriate to include in regard to care they could provide? Organize an influenza immunization clinic with the American Red Cross. 20. A nurse in a clinic is caring for a client who has DM and states, “I don’t think I am using my blood sugar machine correctly.” Which of the following actions should the nurse take first? Ask the client to perform the procedure 21. A home health nurse is providing teaching to a client who has chronic obstructive pulmonary disease and is experiencing weight loss. Which of the following should the nurse include in the teaching? Begin meals with high calorie foods 22. A home health nurse is providing teaching to a client who is prescribed dopidogrel bisulfate. The nurse should include that which of the following over the counter meds can casue a medication interaction while taking dopidogrel bisulfate? Aspirin 23. A community health nurse is providing teaching to a client who has a new diagnosis of hepatitis C. Which of the following information should the nurse include? Consume a high carbohydrate, moderate fat diet

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