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744068 nr 443 community health test acomplete solutions removed

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nr 443 community health test acomplete solutions removed. A nurse is preparing a community education program about health care needs during pregnancy. The nurse should include that which of the following vaccines is safe to administer to a client who is pregnant? A.) Herpes zoster B.) Tdap C....

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  • December 2, 2022
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  • 2022/2023
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NR 443 Community Health Test A
1. A nurse is preparing a community education program about health care needs
during pregnancy. The nurse should include that which of the following vaccines
is safe to administer to a client who is pregnant?

A.) Herpes zoster
B.) Tdap
C.) Varicella
D.) MMR

The nurse should include that a client who is pregnant should receive the Tdap
vaccine between 27 and 36 weeks gestation.
Herpes zoster, varicella, measles, mumps, rubella vaccine CTRD during
pregnancy.

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."

During the denial stage of the grief process, the client rejects the reality of the
impending loss
b. is anger stage of the grief process, client exhibits increased anxiety
and may project anger toward herself and others.
c. bargaining stage, client acknowledges the impending loss while
remaining hopeful.
d. during the acceptance stage, client establishes coping strategies and
accepts the impending loss.

3. A nurse is developing a community education program about risk factors for
family violence. The nurse should include which of the following circumstances as
a risk factor for?

A.) Attempting to end the relationship
B.) Lacking supportive friends outside the relationship
C.) Having health issues that limit independence
D.) Taking antianxiety or sedative medications




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Clients who are in a relationship with a potential or actual abuser heighten their risk
for intimate partner abuse when they attempt to leave the relationship.
A lack of support outside of the intimate relationship can heighten an
abuser’s potential for violence. For the vulnerable person, social isolation
is more likely a result of the abuser than a cause of it..
Physical problems and cognitive decline typically heighten the risk for
elder abuse, rather than abuse in an intimate partner relationship.
Abusers typically thrive on dependence of and codependence with the
vulnerable person.
Substance use disorder, particularly of alcohol and drugs, can heighten
an abusers potential for violence. However, taking prescribed antianxiety
or sedative medications is not typically a risk for the vulnerable person.

4. 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 pharmacological pain management for
clients who have a terminal illness. -role of a home health/ hospice nurse
B.) The faith community nurse can plan workplace safety training for employees in
a local factory – occupational health nurse
C.) The faith community nurse can provide wound care for clients in their homes-
role of home health/ wound care nurse
D.) The faith community nurse can facilitate substance abuse support groups
This is one of the roles of a faith community nurse.

5. A community health nurse is caring for an adolescent who is seeking help for an
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
The client is 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.
The other statement are encourage but are not the priority.

6. A nurse is assessing a new client at a public health clinic. Which of the following
areas should the nurse address as part of the culutral assessment?

A.) Immunization status




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B.) Sexual activity
C.) Illness practices
D.) Food allergies
A cultural assessment focuses on beliefs, values, meanings, and behavior of people
within a client's cultural, ethnic, or religious group. This includes culturally-based
practices that relate to health and illness.
Immunizations and sexual activity is not part of cultural assessment. Allergies
particular to client hypersensitivity to a substance not of cultural beliefs or
practices.
7. A community health nurse is creating a program to reduce domestic violence in
the community. Which of the following interventions should the nurse identify as
secondary prevention?

A.) Creating a public service announcement about the warning signs of intimate
partner abuse
B.) Recognizing and reporting suspected abuse to the appropriate protective
services
C.) Collaborating with support agencies to ensure the ongoing treatment for
abuse
D.) Educating individuals and groups about preventing domestic and community
abuse
Secondary prevention is an intervention that focuses on early detection of a health
problem to facilitate early diagnosis and treatment. Recognizing and reporting
suspected abuse facilitates diagnosis and intervention, helping to prevent further
abuse.
a. Primary prevention, which includes intervention that are aimed at promoting
health and preventing injury or illness. C. tertiary prevention which includes
intervention that are aimed at interrupting the course of a known disorder,
reducing ensuing disability and promoting rehabilitation. D. primary prevention.

8. A nurse in an emergency department is caring for a client who is homeless and
has hypothermia. Which of the following actions should the nurse take?

A.) Notify the local law enforcement agency of the client's situation. Only got legal
issues..
B.) initiate a referral to the facility's social worker.
C.) Ask the client why he did not seek shelter sooner.
D.) Tell the client everything will work out now that he is in the hospital.

The social worker can assist him with finding housing.


9. A home health nurse is conducting a follow-up visit for a client who was recently
discharged from an acute rehabilitation program for. Which of the following
actions should the nurse take?




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