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NURSing COMMUNITY/MENTAL HEALTH/60 QUESTIONS WITH 100% ACCURATE ANSWERS
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NURSing COMMUNITY/MENTAL HEALTH/60 QUESTIONS WITH 100% ACCURATE ANSWERS
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NURSing COMMUNITY/MENTAL HEALTH/60QUESTIONS WITH 100% ACCURATE ANSWERS
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" - -A
In this response, the nurse uses the therapeutic communication skill of
restatement to encourage further expression of feelings by the client.
-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 - -B
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.
-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 - -D
,Small rugs that are not attached to the floor are the greatest potential
hazard to the client, due to risk for falling
-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) - -A
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.
-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) - -A
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.
-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 - -A
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.
, -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 - -C
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
-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" - -C
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.
-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" - -C
Animals and insects have not been shown to be vectors for the smallpox
virus
-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 the most likely cause
of the illnesses was a poultry dish that had been allowed to cool to room
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