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Community Health Nursing Exam: Questions and Answers, Exams of Medicine

United States University (USU)Medicine

A review of key community health nursing concepts, focusing on client rights, HIPAA, care for migrants, and disaster planning. It includes questions and answers on primary, secondary, and tertiary prevention, cultural competence, and occupational health. The question-and-answer format aids exam preparation and quick review of essential topics. It covers health issues like gonorrhea, TB, and hyperthyroidism, with interventions and safety measures. A valuable resource for nursing students and professionals to enhance their understanding of community health nursing principles and practices. It offers insights into addressing health disparities, promoting wellness, and ensuring culturally appropriate care. The content facilitates critical thinking and knowledge application in real-world scenarios.

Typology: Exams

2024/2025

Available from 07/19/2025

Samuel-Tutor 🇺🇸

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ATI COMMUNITY HEALTH NURSING

PROCTORED FOCUS FINAL LATEST

EXAM WITH DETAILED QUESTIONS

AND COMPLETE VERIFIED

ANSWERS

Question-Autonomy - Answer-respecting a client's right to choose (i.e. refusing chemo)

Question-Nonmaleficence - Answer-doing no harm

Question-Beneficence - Answer-maximize benefits and minimize possible harms

Question-Justice situation: - Answer-determining eligibility for health care services based on

income and fiscal resources

Question-Care of specific populations: Migrants

Migrant workers health problems include: - Answer-1. Dental disease

2. TB

3. Chronic conditions

4. Stress, anxiety, & other mental health conditions

5. Leukemia

6. Iron deficiency anemia

7. Stomach, uterine, & cervical cancers

8. Lack of prenatal care

9. Higher infant mortality rates

Question-Primary Prevention for Rural or Migrant Health care: - Answer--educate on measures

to reduce exposure to pesticides

Discover Exams of Medicine United States University (USU)

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ATI COMMUNITY HEALTH NURSING

PROCTORED FOCUS FINAL LATEST

EXAM WITH DETAILED QUESTIONS

AND COMPLETE VERIFIED

ANSWERS

Question-Autonomy - Answer-respecting a client's right to choose (i.e. refusing chemo) Question-Nonmaleficence - Answer-doing no harm Question-Beneficence - Answer-maximize benefits and minimize possible harms Question-Justice situation: - Answer-determining eligibility for health care services based on income and fiscal resources Question-Care of specific populations: Migrants Migrant workers health problems include: - Answer-1. Dental disease

TB
Chronic conditions
Stress, anxiety, & other mental health conditions
Leukemia
Iron deficiency anemia
Stomach, uterine, & cervical cancers
Lack of prenatal care
Higher infant mortality rates Question-Primary Prevention for Rural or Migrant Health care: - Answer--educate on measures to reduce exposure to pesticides

teach on accident prevention
prenatal care
mobilize preventative services (dental, immunizations) Question-Secondary Prevention measures for Rural/Migrant Health care: - Answer- SCREENING! screen for:
pesticide exposure
skin cancer
chronic preventable diseases
communicable diseases Question-Tertiary Prevention measures for Rural/Migrant Health care: - Answer--treat for symptoms of pesticide exposure
mobilize primary care and emergency services Question-Client's rights include... - Answer--right to info disclosure
privacy
informed consent
info confidentiality
participation in treatment decisions Question-HIPAA rules about information security: - Answer--only staff assigned to the patient may view/read client's health record (no other nurses or doctors)
client's have the right to read or obtain a copy of their health record
nurses may not photocopy any part of med record except for authorized exchange of docs between facilities & providers
staff must keep records/names of client in secured place
electronic records are password protected
no sharing info to family members w/out code in person, email, or phone call
talking about a client must be in a private setting so no one can overhear

Question-Referrals: Resource barriers include: - Answer--attitudes of health care personnel

costs of services
physical accessibility of resources
time limitations
limited expertise working w/culturally diverse populations Question-Just because someone is exposed to asbestos once doesn't mean they will develop health problems... - Answer-long term exposure can lead to mesothelioma and lung conditions. Risk factors include workers (office buildings with it when they work there everyday). Question-Priority action(s) in developing a disaster plan: - Answer--set up communication alternatives
highlight possible evac routes
identify local & distant meeting places
create disaster kit AS A NURSE:
identify at risk populations in community
identify community disaster warning system & how to access
identify 1st responders
make list of agencies for all levels of disaster
triage
gather equipment, check often Question-Hyperthyroidism: Radioactive iodine therapy home safety: - Answer-Client is radioactive!
no pregnant people
no breastfeeding
keep distance from others, limit visits to 30 min at a 6 ft distance
drink lots of fluid
maintain good hygiene to prevent infection

Question-Teaching safe disposal of insulin syringes: - Answer--put in strong plastic container i.e. old detergent container (no soda bottles)

DO NOT recycle old needles, throw container in trash
seal the container when 3/4 full with duct tape
facilities throw it in sharps red container Question-Teaching about use of crutches: - Answer--don't alter crutches after fitting
follow prescribed crutch gait
support body weight at the hand grips w/elbows flexed at 30 degrees
position crutches on unaffected side when sitting or rising from a chair Question-Demographics of homeless population: - Answer--families w/children are the fastest growing segment
people with mental illness (large segment)
veterans
substance abuse disorders
youth and runaways
intimate partner abuse victims
people with HIV or AIDS
older adults Question-Planning Primary Prevention Activities - Answer--determine solutions
establish goals
give responsibilities to individuals
determine resources
screening and education
determine funding, develop budget
plan for evaluation

Question-Positive Mantoux test indicates that... - Answer-the client has developed an immune response to TB it does not confirm active TB Question-Mantoux test: an induration of 5 mm may be considered - Answer-positive mantoux test in immunocompromised clients Question-Recognizing signs of abuse: - Answer-Child:

unexplained injury
unusual fear of nurses or others
injuries/wounds not mentioned in hx
fractures, including other healed fractures
presence of wounds/fractures/injuries in various stages of healing
subdural hematomas
trauma to genitalia
malnourishment or dehydration
general poor hygiene or inappropriate dress for weather conditions
considered to be a "bad child" Adult:
unexplained or repeated physical injuries
physical neglect & unmet basic needs
rejection of assistance by caregiver
financial mismanagement
withdrawal & passivity
depression Question-Manifestations of alcohol withdrawal: - Answer--abd cramping
vomiting

tremors
restlessness
irritability
increased HR
transient hallucinations or illusions
anxiety
increased BP and RR
increased temp
tonic-clonic seizures
alcohol withdrawal delirium (2-3 days after stopping) Question-Provide culturally appropriate care by: - Answer--addressing clients by last name until told otherwise
introduce thyself and explain position
be authentic and honest about what you don't know about a culture
use culturally sensitive language
don't make assumptions about the client
encourage the client to ask questions
find out what the client knows about condition and treatments
respect beliefs, practices, and values
show respect for client's support systems Question-Identifying hazards in occupational environments: - Answer--exposure to chemicals
worker inexperience/age/pregnancy
lifting heavy loads
constant sitting
stress and burnout and violence
temp extremes
noise extremes

population total= _____per 1000 Question-Caregiver burden responses: - Answer-fatigue difficulty sleeping illness Question-PTSD interventions - Answer--therapeutic relationship w/client

assess for suicide idealization & use precautions if necessary
use multiple strategies to reduce anxiety
allow time to express feelings Question-rationalization - Answer-coming up with reasons that avoid the true reason (i.e. I got cancer of the liver because its in my genes not because I drink to excess every day) Question-Providing teaching to a patient who speaks a different language than the nurse: - Answer--interpreters should not be family members
interpreters should have knowledge of health care terminology
client preferences should be considered when choosing the age and sex of interpreters
interpreters should not be from the same community as the client
health teaching materials should be available in the client's primary language Question-Exposure to anthrax: - Answer--IV cipro prophylactically
abx to stop disease progression s/s:
headache
fever
muscle aches
chest discomfort

severe dyspnea
shock Question-Pertussis education: - Answer--droplet precautions
whooping cough
incubation 7-10 days
common cold s/s
antibiotics Question-Women's health after menopause: - Answer--increase iron
vitamin B
lots of fluids
mammogram every year to 2 years
colon cancer screening
regular dr visits
skin assessment
immunizations
vision checks Question-HIV/AIDs targets CD4+ T-lymphocytes, decreased count... - Answer-determines stage of disease, lower the count the worse the disease. Question-Tests for HIV/AIDS - Answer-ELISA Western blot indirect immunofluorescence assay test Question-Determining disease incidence rate: - Answer-# of new cases in the population at a specific time divided by

Question-Rheumatoid Arthritis: Teaching About Hydroxychloroquine - Answer--advise client to have a baseline eye exam & follow-up eye exams every 6 months w/ophthalmologist

stop med & notify provider if blurred vision occurs Question-Manifestations of measles: - Answer--mild to moderate fever
conjunctivitis
fatigue
cough, runny nose, red eyes, sore throat
rash
koplik spots (tiny white spots) appear in mouth in 2 days before rash
red/reddish brown rash on face then spreading downward
spike in fever with rash Question-Hepatitis and Cirrhosis: Client Education - Answer--contact precautions as needed
high carb, high cal, low-mod fat & protein diet
small frequent meals
no alcohol
limit physical activity
avoid sex until hep antibody test is neg
proper hand hygiene Question-Communicable Diseases, Disasters, and Bioterrorism: Caring for a Client Who Has Ringworm - Answer-clean all surfaces: furniture, counters, stuffed animals, etc. Question-Infection Control: Caring for a Client Who Has MRSA - Answer--complete full course of antimicrobial therapy
avoid overuse of antimicrobials Question-Endocrine Disorders: Teaching About Somatropin - Answer--monitor growth patterns

rotate injection sites
mix gently do not shake prior to admin
obtain baseline weight and height Question-Cardiac Glycosides and Heart Failure: Indications of Digoxin Toxicity - Answer-- hypokalemia
fatigue
weakness
vision changes
GI affects Question-Fastest growing homeless population= - Answer-families with kids Question-Calculate disease Prevalence - Answer-existing cases divided by population total X 1000 Question-Calculate disease incidence - Answer-new cases / population total X 1000 Question-Reportable diseases to the CDC include: - Answer--gonnorhea
varicella
syphillis Question-Windshield survey measures - Answer--population: ethnicity
housing
social: public resources/protection
natural environment
place Question-secondary data - Answer-use of existing data (statistics)-prevalence of disease

Question-meds for alcohol withdrawal - Answer--diazepam

carbamazepine
clonidine
chloridiazepoxide
phenobarbital
naltrexone Question-alcohol withdrawal delirium symtoms - Answer--appear 2-3 days after stopping
hallucinations
severe HTN
cardiac dysrhythmias
delirium
can progress to death Question-alcohol abstinence meds: - Answer--disulfuram
naltrexone
acamprostate Question-immunizations to not give preggos - Answer--MMR
rubella b/c infection can develop
herpes zoster
varicella Question-immunization to give preggo - Answer-TDaP Question-Epidemiological triangle Agents: - Answer-1. Chemical: drugs, toxins

Physical: noise, temp
Infections: viruses, bacteria Question-Epidemiological triangle Hosts: - Answer--age

gender
genetics
ethnicity
immunological status
physiological state
occupation Question-Epidemiological triangle Environment: - Answer-1. Physical: geography, water/food supply, presence of reservoirs/vectors

Social: access to health care, increase work environment, poverty Question-If you see education or immunizations think: - Answer-PRIMARY PREVENTION Question-If you see screenings (lice, TB, HTN, cancer) or safety checks (home safety, outbreak control) think: - Answer-SECONDARY PREVENTION Question-If you see rehab, support groups, counseling, therapy, disease management, etc, think: - Answer-TERTIARY PREVENTION Question-Web-based information, use... - Answer-EBP that is validated by peer-review

Acute (new injury or illness) before Chronic: - Answer-care of a pt w/a new injury/illness or acute exacerbation of previous comes before care of a pt w/long term illness Question-Prioritizing client care Actual problems before potential future problems: - Answer-admin of meds to a pt experiencing acute pain comes before ambulation of a pt at risk for thrombophlebitis Question-eastern chinese/asian medicine beliefs - Answer-an imbalance in nature is believed to cause disease Question-mexican culture medicine beliefs - Answer-hot-cold theory of balance in relation to health and illness that accompanies belief in framework Question-christian religions medicine/health beliefs - Answer-believe in faith healing Question-Caribbean nations health/medicine beliefs: - Answer-voodoo and witchcraft Question-Native American health/medicine beliefs - Answer--use of religion

avoiding eye contact
use of spiritual practices
use of healing practices Question-Hispanic health/medicine beliefs: - Answer--avoid direct eye contact
use therapeutic touch
use face, hand, and body gestures
respect them wanting to use traditional therapies Question-Cold or other illnesses are not contraindicated for getting... - Answer-immunizations

Question-infants get what vaccine at 12 months? first year of life? - Answer-MMR Rotavirus Question-vaccines 6 weeks to 6 years - Answer-5 vaccines of DTaP Question-vaccines 11-12 years - Answer-meningococcal conjugate Question-vaccines at 60 yrs - Answer-herpes zoster Question-case manager role - Answer--provide referral info

facilitates movement of pt through health care system
negotiation
collaboration Question-What is HMO? - Answer-insurance group that provides health services for a fixed annual fee there is an agreed upon payment level Question-anthrax exposure, need access to... it is used as... - Answer-ciprofloxacin, used as prophylactic tx Question-what are administered if manifestations of anthrax infection are present? - Answer- antitoxins and IV abx Question-early manifestations of anthrax - Answer--dry cough
mild chest pain
fever

Community Health Nursing Exam: Questions and Answers, Exams of Medicine

Related documents

Partial preview of the text

Download Community Health Nursing Exam: Questions and Answers and more Exams Medicine in PDF only on Docsity!

ATI COMMUNITY HEALTH NURSING

PROCTORED FOCUS FINAL LATEST

EXAM WITH DETAILED QUESTIONS

AND COMPLETE VERIFIED

ANSWERS