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1. A community health nurse is caring for a A. Airborne precautions
client who has laryngeal tuberculosis. Which
of the following isolation precautions should Rationale: Airborne pre-
the nurse recommend for this client? cautions.Explanation: Tu-
A. Airborne precautions berculosis is primarily
B. Contact precautions transmitted through the
C. Protective environment airborne route when an
D. Droplet infected person coughs,
sneezes, or talks, releas-
ing droplets containing the
bacteria into the air. Air-
borne precautions are de-
signed to prevent the
transmission of infectious
agents that remain sus-
pended in the air for long
periods. This includes the
use of specialized respi-
ratory protection (such as
N95 respirators) and plac-
ing the client in a negative
pressure room.
2. A home health nurse is assessing a client who C. "I know that everything
has AIDS. Which of the' following responses will be better soon."Ra-
by the client indicates a risk for suicide? (RE- tionale: This statement is
PEAT) generally positive and sug-
A. "I don't want to lose control of my ability to gests hope for the future,
make decisions." which is contrary to sui-
B. "I am afraid of experiencing pain near the cidal ideation. It indicates
end." a belief in improvement or
C. "I know that everything will be better soon." resolution of the situation.
D. "I am relying more and more on my partner
for support."
3. A faith community nurse is preparing to B. Determine how the ado-
meet with the family of an adolescent who lescent's health has affect-
has leukemia. Which of the following actions ed family roles.
should the nurse plan to take?
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A. Focus the discussion on the adolescent's Rationale: Determine how
future career plans. the adolescent's health
B. Determine how the adolescent's health has has affected family roles.
affected family roles. Explanation: When deal-
C. Ask another family from the same faith con- ing with a serious illness
gregation to attend the meeting for support. such as leukemia, under-
D. Direct conversation to the parents to avoid standing how the adoles-
embarrassing the adolescent. cent's health has affect-
ed family roles is crucial.
Serious illnesses can im-
pact various aspects of
family life, including roles,
responsibilities, and dy-
namics. Assessing these
changes can help the
nurse provide holistic sup-
port to the entire family
4. A newly hired occupational health nurse is D. Measure noise levels at
assessing hazards in the work environment. various locations in the fa-
Which of the following actions will help the cility
nurse detect potential physical hazards? (RE-
PEAT) Rationale: Measuring
A. Track rates of illness caused by infection noise levels at various lo-
among employees cations in the facility is
B. Survey workers about job-related emotional an action that will help
stress the nurse detect poten-
C. Identify industrial toxins that are present in tial physical hazards, as
the environment noise is a common and
D. Measure noise levels at various locations in harmful physical hazard.
the facility Physical hazards are fac-
tors that can harm the
body or damage the equip-
ment or materials, such as
noise, vibration, tempera-
ture, radiation, or electric-
ity. The nurse should mea-
sure noise levels at vari-
ous locations in the facility
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to determine the intensity
and duration of noise ex-
posure, and to implement
noise reduction measures,
such as engineering con-
trols, administrative con-
trols, or hearing protection
devices.
5. A nurse is teaching a client who has a termi- A. I will receive care from a
nal illness about hospice care. Which of the variety of interprofessional
following statements by the client indicates an team members."
understanding of the teaching? (Select all that D. I can receive care in the
apply.) hospital or at home."
A. "I will receive care from a variety of interpro- E. "I can discontinue hos-
fessional team members." pice care whenever I
B. "I will need to have private insurance be- want."
cause Medicare does not cover hospice ser-
vices." Rationale: Choice A: Hos-
C. "My provider will recommend that I enter pice care typically involves
hospice care when I have 1 year left to live." a team of healthcare pro-
D. I can receive care in the hospital or at fessionals, including nurs-
home." es, doctors, social work-
E. "I can discontinue hospice care whenever I ers, and other speicalit-
want." si, working together to ad-
dress the physical, emo-
tional, and spiritual needs
of the patient.
Choice D: Hospice care
can be provided in vari-
ous settings, including the
patient's home, nursing
homes, or hospice facili-
ties. The goal is to provide
comfort and support wher-
ever the patient feels most
comfortable.
Choice E: Hospice care
is based on the patient's
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