Community Health A- Exam questions and answers

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 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 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? A.) Tell the client to take naltrexone daily B.) Instruct the client to take buprenophine for the next 9 to 12 months C.) Teach the client to avoid foods the contain tyramine D.) Schedule transcranial magnetic stimulation (TMS) biweekly The nurse should instruct the client to take naltrexone daily to decrease her cravings for alcohol. Naltrexone is prescribed to assist the client with alcohol withdrawal and prevent relapse. Buprenorphine prescribed for withdrawing from opiates. Tyramine (MAOIs) monoamine oxidase inhibitors are to avoid food contain tyramine. MAIO prescribed for depression. TMS used to tx of depression who don’t respond to other tx interventions. 10. A clinic nurse is caring for a client who reports taking ginkgo biloba for several weeks since seeing a naturopathic healer. The nurse should instruct the client that ginkgo biloba may alter the effects of which of the following medications? A.) Warfarin B.) Metoprolol C.) Digoxin D.) Diltiazem Ginkgo biloba can hinder coagulation. Therefore, the nurse should instruct the client that ginkgo biloba may alter the effects of warfarin.