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NR 341 NCLEX COMMUNITY HEALTH PROCTORED EXAM LATEST STUDY GUIDE 2021 CHAPTER 1

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A nurse manager at a community agency is developing an orientation program for newly hired nurses, when discussing the differences between community based and community oriented nursing the nurse should include which of the following situations as examples of community based. Select all that apply : A nurse is advocating for local leaders to place a newly community health clinic in the area of the city which has fewer resources than others. The nurse is advocating for the leaders for which ethical principle ? The nurse is preparing an education program for disease transmission for employers of a local day care center, when discussing the epidemiological triangle, the nurse should include which of the following factors as agents? 1. Which of the following situations is considered as the use of primary prevention? 2. A community health nurse is conducting an education program on various environmental pollutants; the nurse should emphasize that patients who have which of the following disorders are especially vulnerable to high ozone effects? 3. An older adult client who lives alone tells the nurse that he is unable to drive himself to the store and is afraid to cook on the stove, which community resources should the nurse recommend? • 4. The nurse is educating community members about preparing for disaster, which of the following supplies should the nurse instruct the members to include in their kits? 5. A school nurse is assessing a child for pediculosis capitis (lice), which of the following manifestations should the nurse reorganize as indication of this condition? 6. The nurse is teaching about the risk factors for developing stroke with a group of older adults, which of the following non-modifiable risk factors should the nurse include in the teaching? 7. A nurse is preparing an educational program on cultural perspectives in nursing, the nurse should include which of the following factors are influenced by an individual’s culture (SATA) ? 8. The public health nurse is using the IPREPARE mnemonic to assess a client's potential environmental exposure, which of the following questions should the nurse ask when assessing for A in the pneumonic? 9. The nurse is conducting health screening at a statewide health fair and identifies several clients who required referral to the healthcare provider. Which of the statements by the client indicates a barrier to accessing care? • 10. A school nurse is scheduling visits with a physical therapist for students who have cerebral palsy, in which of the following roles is the nurse functioning. 11. The school nurse is planning health promotion and disease prevention activities for the upcoming school year in which following situation is the nurse planning a secondary prevention strategy? 12. A nurse at the community clinic is conducting a well child visit with a pre-school age child the nurse should identify which of the following manifestations as a possible indication of child neglect? (SATA) 13. A community health nurse is developing an education program on substance use disorder for a group of adolescents, which of the following information should the nurse include when discussing nicotine and smoking ? 14. A nurse at an urban community health agency is speaking to city leaders about the homeless population, which of the following groups should the nurse include as the fastest growing segment of the homeless population? 15. When discussing modes of disease transmission, the public health nurse should include which of the following illnesses as airborne? 16. A newly hired public health nurse is becoming familiar with the levels of disaster management, which of the following actions is a component of disaster prevention? 17. A nurse case manager at an acute care facility is conducting an initial visit with a patient to identify the need to prioritize discharge, after developing a working relationship with the patient the nurse engaged in the referral process, which of the following actions should the nurse take first? 18. A nurse is planning a presentation about HIV for a church base group, which of the following info about HIV transmission should the nurse include? 19. While everyone exposed to the environmental hazards is at risk for developing adverse health effects and diseases, those most at risk are? 20. A nurse is teaching a community Education course about the physical complications related to substance use disorder, which of the following findings should the nurse identify as the primary cause of liver cirrhosis? 21. A nurse in a community Clinic is assessing an older adult client for manifestations of dehydration, which of the following findings should the nurse expect? 22. A community. a health nurse is reviewing the levels of disease prevention, which of the following activities is an example of tertiary prevention? • 23. A nurse is preparing to teach about communicable disease, during which of the following stages is the period in which the disease is contagious? 24. A nurse working in a community health center preparing a flow sheet detailing essential screenings according to age group, at which developmental stage on the chart should the nurse add scoliosis screening? 25. A nurse is preparing an in-service for an annual skill fair at a local community medical facility about fire safety, placing the steps in order in which they should be performed in case of fire emergency. (SATA) 26. A home health nurse is assessing an older adult client, who reports falling a couple of times over the past weeks, which of the findings should the nurse suspect contributing to the fall ? • 27. A home health nurse is conducting a home safety assessment for an older adult client, which of the following findings should the nurse identify as a safety risk for the client. (SATA)

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