COMMUNITY HEALTH NURSING FINAL QUIZ
1. A nurse is providing psychological counseling at a community center for families whose loved ones died in a fire. After learning that both of her children perished in the fire, a mother says to the nurse, "I can't believe they are gone. How will I make it t...
community health nursing final quiz 1 a nurse is providing psychological counseling at a community center for families whose loved ones died in a fir
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COMMUNITY HEALTH
NURSING FINAL QUIZ
1. A nurse is providing psychological counseling at a community center for families whose loved
ones died in a fire. After learning that both of her children perished in the fire, a mother says to the
nurse, "I can't believe they are gone. How will I make it through this?" Which of the following is an
appropriate response by the nurse?
A. "You are feeling overwhelmed right now"
B. "Don't worry. You will have plenty of help"
C. "Can I call someone to be here with you?"
D. "Anyone who has had a loss like this would feel that way"
In this response, the nurse uses the therapeutic communication skill of restatement to encourage further
expression of feelings by the client.
2. An industrial health nurse is caring for a female employee who is requesting some medication for
a headache. The nurse asks if the client knows what could be causing the headache, and the client states,
"I have been under a lot of stress lately." When the nurse suggests stress management techniques, the
client calmly states that she intends to take her life after work that day. She further reports that she has a
pistol in the car, and that she intends to kill herself in the parking lot of the plant. Which of the following
actions should the nurse take first?
A. Have the company's security officers search the client's car and remove the pistol
B. Call emergency medical services to transport the client to a proper treatment
facility
C. Contact the client's family member to pick her up from work and take her for treatment
D. Explore with the client the reasons she feels that she has no options except suicide
Client safety is the nurse's primary concern. The client must be transported, safely, to a treatment facility
as soon as possible. In addition, the nurse should not leave the client alone until the client is safely
evaluated by or admitted to a proper care facility.
3. A home health nurse is doing an assessment of an older adult client's home. Which of the
following findings should the nurse realize may be the greatest potential hazard?
A. a walk-in shower
B. a straight staircase with arm rails
C. a large area rug in the living room
D. a small rug in front of the kitchen sink
Small rugs that are not attached to the floor are the greatest potential hazard to the client, due to risk for
falling
4. A nurse is educating a community group who lives near a nuclear power plant. The nurse is
providing information about safety related to radiation exposure when a client asks "Isn't there something
we should have on hand in case of a nuclear disaster?" The nurse should recognize that the client is
referring to which of the following?
A. potassium iodide (Pima)
B. potassium cyanide
C. ciproflaxcin (Cipro)
D. atropine (Atropine sulfate)
Potassium iodide, if taken in time and at the appropriate dosage, blocks the thyroid gland's uptake of
radioactive iodine and thus could reduce the risk of thyroid cancers and other diseases that might
otherwise be caused by exposure to radioactive iodine that could be dispersed in a severe nuclear accident.
5. A nurse is planning to participate in a public education program related tp prevention of West Nile
virus. Which of the following instructions should the nurse include in the presentation?
A. eliminate sources of standing water
, B. make sure immunizations are up to date
C. keep all pets indoors
D. Spray nests with N,N-Diethyl-m-toluamide (DEET)
At least once or twice a week, clients should empty water from flower pots, pet food and water dishes,
birdbaths, swimming pool covers, buckets, barrels, and cans. Discarded tires and other items that could
collect water should also be removed.
6. A nurse is performing a community assessment in a rural setting. The nurse is aware that the
type of health care that is most likely to be absent in this setting is which of the following?
A. Tertiary care
B. Primary prevention
C. Chronic care
D. Secondary prevention
Tertiary care, or specialized consultative care, is usually obtained following a referral from a primary care
provider. Specialists, typically working in a center that has personnel and facilities for special procedures,
such as large medical centers, provide tertiary care. This level of care is not readily available in most rural
settings.
7. A nurse manager at a clinic for homeless people notes that many of the clients have a history of
mental illness and also have difficulty with abuse of drugs or alcohol. Many of the clients require
treatment for both mental illness and substance addiction. While compiling figures for a regulatory
agency about the clients who visit the clinic, the nurse classifies these clients as having which of the
following?
A. Codependency
B. Bipolar disorder
C. Co-morbidity
D. Somatization disorder
Comorbidity is the presence of more than one disease or health condition in an individual at a given time.
It may also be called a concomitant disorder or dual diagnoses
8. A nurse is conducting teaching for a client who has been prescribed Ciprofloxacin (Cipro)
following exposure to anthrax. The nurse understands that the client needs additional teaching when
the client states which of the following?
A. "I will limit my intake of coffee, tea, or cola beverages"
B. "I will wear a large-brim hat and long sleeves if I am out in the sun"
C. "I will take the ciprofloxacin with an antacid if I get an upset
stomach"
D. "I will avoid taking cirpofloxacin along with dairy products"
Ciprofloxacin is an antibiotic prescribed for a wide range of serious skin infections and is also effective
against inhalation anthrax. Taking ciproloxacin with antacids can impair the absorption of the medication,
reducing its effectiveness.
9. A nurse is educating a community group on smallpox. When discussing the possible means for the
transmission of smallpox, which of the following statements by a member of the community group
indicates a need for further teaching? "Smallpox can be transmitted through...
A. bodily fluids, such as blood or vomit"
B. contaminated objects, such as bedding and
clothing" C. bites from insects, such as mosquitoes"
D. inhalation of droplets, such as from coughing"
Animals and insects have not been shown to be vectors for the smallpox virus
10. A nurse is caring for employees and their family members who have become ill after a
company picnic. After extensive interviews and a review of the food handling practices, the nurse
determines that
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