A home health nurse is visiting a client who has right-sided weakness
following a recent stroke. The client states, “I’m not sure how I will buy
my groceries since I can’t go back to work.” Which of the following
actions should the nurse take?
a. Provide the client information about res...
ati community health 2019 version 2 revision guide
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Cypress College
ATI Community Health 2019 Version 2
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ATI Community Health 2019 Version 2 Revision Guide
1. A home health nurse is visiting a client who has right-sided weakness
following a recent stroke. The client states, “I’m not sure how I will buy 6. A school nurse is implementing health screenings. Which of the
my groceries since I can’t go back to work.” Which of the following following assessment findings should the nurse recognize as the highest
actions should the nurse take? priority?
a. Provide the client information about respite care. a. An Adolescent who has psoriasis
b. Initiate a referral for the client to a social worker. b. A child who has nits
c. Contact friends and neighbors to ship for the client. c. A child who has a BMI of 18
d. Offer to bring groceries to the client on a regular basis. d. An adolescent who has scoliosis
2. A case manager is performing discharge planning for a client who 7. A faith community nurse is preparing to meet with the family of an
experienced a traumatic leg amputation and has a new prosthesis. adolescent who has leukemia. Which of the following actions should the
Which of the following assessments should the nurse identify as the nurse plan to take?
priority? a. Focus the discussion on the adolescent’s future career plans.
a. Determine whether the client is eligible to go to a skilled nursing b. Direct communication to the parents to avoid embarrassing the
facility. adolescent.
b. Collaborate with a prosthetist to teach the client about care of the c. Determine how the adolescent’s health has affected family roles.
prosthesis. d. Ask another family from the same faith congregation to attend the
c. Evaluate the client’s home environment. meeting for support.
d. Ask whether the client’s insurance will cover home health services.
8. A case manager in a rehabilitation facility is discussing discharge plans
3. A hospice nurse is concerned that the partner of a client is experiencing with a client who has a pressure injury and requires a special bed at
caregiver burden. Which of the following actions should the nurse take home. Which of the following statements should the nurse make first?
first? a. “Apply moisture barrier ointment three times a day.”
a. Suggest an assistive personnel visit daily to provide client care. b. “Eat a balanced diet with high-protein snacks.”
b. Encourage the partner to invite family members to assist with client c. “A social worker can help you with the cost of supplies.”
care. d. “Describe the place where you are currently living.”
c. Teach the partner about getting enough rest.
d. Explore possible solutions with the partner. 9. A community health nurse encounters a client who has a suspected
bioterrorism-related illness. Which of the following actions should the
4. A home health nurse is performing a home safety evaluation for a newly nurse take?
admitted client. Which of the following findings requires action by the a. Report the client’s condition to the Federal Bureau of Investigation.
nurse? (SATA) b. Move the client to a quarantine area.
a. The floors of the house are carpeted. c. Don personal protective equipment.
b. The water heater is set at 54.4ºC (130ºF). d. Disinfect contaminated areas of skin with isopropyl alcohol.
c. A red light is kept on in the bedroom at night.
d. An extension cord extends across the floor of the living room. 10. A case manager is planning home health care for a client who has a
e. A rubber-backed bath mat is on the floor outside the shower. major burn injury. Which of the following interventions should the case
manager plan to make?
5. A nurse at a health department is discussing regulations regarding STIs a. Deliver family counseling to members of the client’s household.
during a staff education session. Which of the following statements by a b. Administer personal care with bathing, dressing, and meal
staff member indicates an understanding of the information? preparation for the client.
a. “Congress mandates the requirements for STI reporting.” c. Assess the client’s need for wound care supplies.
b. “Clients who have STIs are legally required to provide a list of sexual d. Provide physical and occupational therapy for the client in her home.
partners.”
c. “Nurses should withhold the name of the client who has an STI 11. A community health nurse is teaching a group of older adult clients
during partner notification.” about hypertension. The nurse should identify which of the following as
d. “State health departments report selected STIs to the National a client-related barrier to learning?
Institutes of Health. a. Low literacy
, b. Fear of public speaking
c. Limited experience 17. A school nurse is discussing stress management techniques with a
d. Lack of credibility group adolescents. Which of the following activities by an adolescent
should the nurse identify as the priority?
12. A home health nurse is educating a client who has COPD and is to start a. Staying up all night partying online video games
using home oxygen via nasal cannula. Which of the following statements b. Scratching or piercing the skin
should the nurse identify as an indication that the client understands the c. Talking about others on social media
teaching? d. Listening to loud music for several hours
a. “I should apply petroleum jelly to the nasal cannula prongs to
prevent irritation.” 18. A public health nurse is developing protocols to use in emergency
b. “I should keep the oxygen delivery system at least 3 feet from a shelters following a disaster. Which of the following interventions should
hearing vent.” the nurse include as a secondary prevention strategy for clients who
c. “I should use wool blankets on my bed when I’m using the oxygen.” survive a disaster?
d. “I should check the flow rate of my oxygen each day.” a. Publishing a listing of shelter locations in local media sources
b. Providing age-appropriate activities for shelter residents
13. A community health nurses planning an educational program for a group c. Compiling resources available to transition individuals from shelters
of women who are postmenopausal. Which of the following outcomes is to a home
appropriate for this program? d. Interviewing shelter residents to determine the effectiveness of
a. Clients will significantly decrease caloric intake. coping behaviors
b. Clients will arrange for mammograms every 3 years.
c. Clients will schedule bone density screenings. 19. A home health nurse is discussing electrical hazards with a client. Which
d. Clients will start hormone replacement therapy. of the following statements should the nurse include?
a. “You should limit your use of extension cords.”
14. A home health nurse is preparing to teach the family of a client who has b. “You should secure extension cords with clear packing tape.”
a new diagnosis of HIV about infection control. Which of the following c. “You should pull on the cord when unplugging items.”
factors should the nurse identify as an educator-related barrier to d. “You should cover electrical cords with an area rug.”
learning?
a. Reliance on written notes during the teaching session 20. A nurse is working to reduce individual and family violence in the local
b. Previous experience teaching HIV management courses community. Which of the following actions by the nurse demonstrates a
c. Use of educational materials in written and video format primary prevention strategy to achieve this goal.?
d. Use of humor to deal with disruptive behavior a. Assessing a family for marital discord
b. Conducting counseling for at-risk parents
15. A home health nurse is caring for a client who has methicillin-resistant c. Teaching parenting techniques to new parents
Staphylococcus aureus. Which of the following actions should the nurse d. Providing treatment for young adult who has a substance use
take? disorder
a. Encourage the client to use a HEPA filter in the house.
b. Wear a mask when within 3 feet of the client. 21. A community health nurse is teaching a group of clients about available
c. Double-bag soiled dressings in polyethylene bags. resources to assist with recovery following a stroke. Which of the
d. Remove fresh flowers from the client’s home. following resources should the nurse recommend for clients who are
experiencing dysphagia?
16. A nurse is providing teaching to a newly licensed the nurse about a. Restorative aide
secondary prevention strategies related to violence and abuse. Which of b. Occupational therapist
the following strategies should the nurse include in the teaching? c. Speech-language pathologist
a. Assess clients for withdrawal and passivity during home health visits. d. Physical therapist
b. Teach a parenting skills class at a child development center.
c. Coordinate a personal defense program at a local agency. 22. A nurse working in an infectious disease clinic is caring for a client who
d. Refer clients to the appropriate community agency if signs of abuse has a new diagnosis of Lyme disease. Which of the following agencies is
are evident. responsible for voluntarily reporting cases of this disease to the Centers
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