NR 442 - Community Health Practice Exam 100 Questions With Answers And Rationale. Latest 2022
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NR 442
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Chamberlain College Of Nursing
NR 442 - Community Health Practice Exam 100 Questions With Answers And Rationale. Latest 2022.
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 nur...
nr 442 community health practice exam 100 questions with answers and rationale latest 2022
1 a community health nurse identifies an increase in the occurrence of osteoporosis related fractures in
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NR 442 - Community Health Practice Exam 100 Questions
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?
a. Advise the women to keep their immunizations updated.
b. Encourage the women to participate in weight-bearing activities.
c. Educate the women about the importance of limiting sun exposure.
d. Instruct at-risk women to increase their intake of foods high in vitamin E.
Rationale: Weight-bearing exercises, such as weight lifting, walking, and running, have been
found to be beneficial in preventing osteoporosis.
2. A nurse is caring for a client who has terminal lung cancer and is receiving hospice care.
Which of the following statements should the nurse identify as an indication that the client is in
the denial stage of the grief process?
a."I'm looking forward to my daughter's wedding next year."
b. "I don't deserve to die. This just isn't fair."
c. "If I could just make it through this, I'd never smoke again."
d. "I'm going to plan my memorial service next week."
Rationale: During the denial stage of the grief process, the client rejects the reality of the
impending loss.
3. A community health nurse is planning a presentation for adults who have a family history of
Alzheimer's disease. Which of the following behaviors should the nurse include as an early
manifestation of Alzheimer's disease
a. Withdrawal from social activities
b. Forgetting the location of common object
c. Experiencing incontinence
d. Neglecting personal hygiene
Rationale: Forgetting the location of common objects is an early manifestation of Alzheimer's
disease.
4. 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?
a. "Why haven't you brought in your newspapers?"
b. "Do you need help completing your housework?”
c. "How often do you have visitors come to see you?"
d. "Have you considered moving to an assisted living facility?"
Rationale: "How often do you have visitors come to see you?" MY ANSWER The nurse should
,ask this question because it addresses the issue of social isolation by determining the frequency
of contact between the client and others.
5. A community health nurse is discussing the role of a faith community nurse with a chaplain.
Which of the following information should the nurse include in the discussion?
a. The faith community nurse can provide pharmacologic pain management for clients
who have a terminal illness.
b. The faith community nurse can plan safety training for employees in a local factory.
c. The faith community nurse can provide wound care for clients in their homes.
d. The faith community nurse can facilitate substance abuse support groups.
Rationale: This is one of the roles of a faith community nurse.
6. A community health nurse is conducting a needs assessment of a community. The nurse
should identify that which of the following methods will yield direct data?
a. Health surveys
b. Medical records
c. Informant interviews
d. Morbidity/mortality statistics
Rationale: The nurse should identify that informant interviews of the community's leaders will
provide direct data. This information can help the nurse identify services needed by the
community.
7. A nurse is providing education regarding lead exposure to a group of clients who live in
a housing development built in 1968. Which of the following client statements indicates an
understanding of the teaching?
a. "I will use a dry-sanding technique when preparing to repaint my front door."
b. "I will vacuum our wood floors every week."
c. "I will increase the amount of red meat and milk in my child's diet."
d. "I will use hot tap water to prepare my baby's formula."
Rationale: Children should receive adequate amounts of iron and calcium in their diets to
prevent lead absorption from their environment.
8. A community health nurse is participating in a quality improvement plan for a local health
department. Which of the following techniques should the nurse use for process evaluation of
the facility? (Select all that apply).
a.Focus groups
b. Written audits
c. Satisfaction survey
d. Interviews
e. Values self-study
,Rationale:
Focus groups is correct. The nurse should include focus groups, which are small groups of
individuals who use the health department services, for process evaluation of the facility. This
information allows for review of the facility's strengths and weaknesses in the quality of client
care delivery.
Written audits is correct. The nurse should include written audits, which are written
evaluations of the quality of care provided by the health department, for process evaluation of
the facility. This information allows for review of the facility's strengths and weaknesses in the
quality of client care delivery.
Satisfaction survey is correct. The nurse should include satisfaction surveys, which are
assessments of clients' perception of their care made via telephone or written questionnaires,
for process evaluation of the facility.
Interviews is correct. The nurse should include interviews of clients who use the health
department's services for process evaluation of the facility.
Values self-study is incorrect. A values self-study is performed as the first step in quality
assurance when the health department determines the needs of the community, the services to
offer, and develops a philosophy and overall objectives for the facility.
9. A community health nurse is planning an in-service about STIs for a group of adolescents.
Which of the following clinical findings should the nurse include as a manifestation of primary
syphilis?
a. Malaise
b. Maculopapular rash on palms
c. Chancre
d. Lymphadenopathy
Rationale: Chancre is a clinical manifestation of primary syphilis. All the others are symptoms
are clinical manifestations of secondary syphilis.
10. A community health nurse is caring for an adolescent who is seeking help for unplanned
pregnancy. Which of the following actions should the nurse take first?
a. Recommend that the adolescent meet with the school guidance counselor to discuss
educational options.
b. Request permission to interview the father of the child to obtain a medical history
c. Help the client obtain a provider for prenatal care
d. Provide information on parenting classes so the client can learn about caring for a
newborn
Rationale: The client is an adolescent and experiencing an unplanned pregnancy, which are
factors that place the client at risk for complications. Therefore, the first action the nurse should
take is to assist the client in obtaining prenatal care.
11. 1. A community health nurse is planning to establish a community garden to address the
lack of nutritious food options in the area. Which of the following actions should the nurse take
, first to initiate the plan?
a.Identify community members who demonstrate an interest in the project.
b. Hold a community information session to inform the residents of the plan
c. Select residents to take on leadership roles in the project
d. Monitor the progress of the project to keep the project on course
Rationale: Identify community members who demonstrate an interest in the project. The first
action the nurse should take when using the nursing process is to assess the community. By
identifying those community members who demonstrate an interest in the project, the nurse can
establish a local support group who will assist in engaging other community residents with
establishing the garden.
12. A nurse is conducting a home visit for an older adult client. The nurse should identify which
of the following findings as an indicator of possible neglect?
a. Lives alone
b. Taking outdated prescriptions
c. Has a BMI of 25
d. Presence of alcohol in the home
Rationale: Taking outdated prescriptions is an example of inadequate medical care and is an
indicator of possible neglect. The client taking outdated prescriptions is an example of
inadequate medical care and is an indicator of possible neglect.
13. A nurse is caring for a 16-year-old client who has a new diagnosis of human papillomavirus.
Which of the following actions should the nurse take?
a. Report the infection to the state health department
b. Instruct the client to return for a blood test in 1 month.
c. Administer ceftriaxone 250mg IM.
d. Teach the client how to apply imiquimod 5% cream to the lesions.
Rationale: The client can self-treat the lesions using topical imiquimod 5% cream to the lesions
at bedtime for up to 16 weeks.
14. A school nurse is reviewing the records of four students who are returning to school after
being diagnosed with methicillin-resistant staphylococcus aureus (MRSA). Which of the
following actions should the nurse take?
a. Coordinate an immunization clinic at the school
b. Recommend prophylactic treatment for classmates
c. Report the cases of MRSA to child protective services
d. Provide education about MRSA throughout the school system
Rationale: Appropriate hand hygiene and self-care will help prevent the spread of MRSA
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