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NUR426 Final Exam P1 2025 ACTUAL EXAM 25 0
QUESTIONS AND CORRECT DETAILED ANSWERS|
AGRADE
A nurse is discussing ethical issues associated with telehealth with a group of newly licensed nurses. Which of the following statements should the nurse include in the discussion as an ethical concern related to telehealth? - CORRECT ANSWER >>> Telehealth can compromise client confidentiality A nurse is obtaining a health history from a client. The client states, "I am not taking my medications because of their costs." Which of the following statements should the nurse make?
- CORRECT ANSWER >>> I can provide you with resources to assist with your concern A nurse is reviewing the CDC's list of top ten public health achievements of the 21st century with a group of newly hired nurses. Which of the following accomplishments should the nurse identify as being included on the list? - CORRECT ANSWER >>> Motor vehicle safety A public health nurse will be administering immunizations at a clinic. Which of the following will the nurse want to ask each client before administering the vaccine to ensure safety? - CORRECT ANSWER >>> If they have had any past issues or allergies to the vaccine A nurse is reviewing the record of a client who has a new diagnosis of diabetes mellitus and an A1C of 9. The client has attended multiple workshops about diabetes management but reports not using the meal plan to assist with nutrition and feels unmotivated to start an exercise regimen. According to the Theory of Reasoned Action/Planned behavior, which of the following explains the likelihood of this client having good outcomes in follow-up clinic visits? - CORRECT ANSWER >>> There is a higher chance of complications due to poor adherence of the plan
A community health nurse is reinforcing an additional educational training on diabetes mellitus due to the increased number of diabetic clients within the community. Which of the following elements of Nursing's Social Contract is the nurse demonstrating? **- CORRECT ANSWER
** Workforce sustainability A community health nurse is speaking to a group of nursing students about various major health organizations. Which of the following agencies should the community health nurse identify as the agency that works with children around the world to provide emergency relief? - CORRECT ANSWER >>> United Nations International Children's Emergency Fund (UNICEF) A nurse is providing education about immunizations to a group of newly licensed nurses. The nurse should identify that which of the following statements by one of the newly licensed nurses indicates an understanding of the teaching? - CORRECT ANSWER >>> "Each state determines which school immunizations are required and who may be exempt A community health nurse has been tasked with providing a daily expense report of clients that have utilized the community health center for assistance with basic needs. Which of the eight domains of public health nursing practice includes providing data for the health center? - CORRECT ANSWER >>> Domain 7 A nurse working at a community health center is caring for a client who has diabetes mellitus. The client says, "I don't want to lose my vision." Which of the following responses should the nurse make? - CORRECT ANSWER >>> "It sounds like you are worried about the complications of diabetes." Which of the following refers to international collaboration to improve health outcomes and decrease health inequities using a multimodal approach? - CORRECT ANSWER >>> Global health An occupational health nurse is implementing some tertiary levels of prevention in the workplace. Which of the following interventions are tertiary interventions? - CORRECT ANSWER >>> Recovering from a broken ankle
integrated into their nursing school curriculum. Which of the following competencies should the nurse expect the newly licensed nurses to identify as the competency they were most prepared to address as students? Teamwork and collaboration Evidence-based practice Patient-centered care Quality improvement - CORRECT ANSWER >>> Patient-centered care A nurse is collecting data from a client and their full-time caregiver who is their adult child. The caregiver appears to be disheveled and irritable. Which of the following should the nurse identify as a caregiver concern to address? Roles Injury Self-care Deficient knowledge - CORRECT ANSWER >>> Self-care A nurse is caring for several migrant farmworkers. Which of the following barriers to care should the nurse identify as specific to this population? Absence of culturally competent care High health care costs Distance of health care facilities from the client's place of residence Availability of healthcare specialists - CORRECT ANSWER >>> Absence of culturally competent care
A nurse is providing a presentation to a group of nurses about early public health efforts to improve the health of families. Which of the following nurses should be included in the presentation as working specifically to improve the health of Black families? Mary Breckinridge Florence Nightingale Lillian Wald Jessie Sleet Scales - CORRECT ANSWER >>> Jessie Sleet Scales A nurse preparing a presentation about ways promote social justice policies and practices in the local community. Which of the following should the nurse include? Advocate for policies to promote equitable environmental conditions in the community. Volunteer at homeless shelters once a week. Serve on a local coalition to prevent homelessness. Contact lawmakers about health concerns for people without housing. Work with the school district health fair and back-to-school vaccine clinic **- CORRECT ANSWER
** Advocate for policies to promote equitable environmental conditions in the community. Serve on a local coalition to prevent homelessness. Contact lawmakers about health concerns for people without housing. A nurse is discussing major health organizations with a group of newly hired nurses. Which of the following organizations should the nurse describe as widely recognized for managing the U.S. blood supply?
A nurse is preparing a presentation for a planning board on strategies that would help older adults remain in their homes as they age. Which of the following strategies should the nurse include in the presentation? Providing assistance with minor home repairs and modifications Expanding the number of communities designed for older adults Focusing care and resources on morbidity and mortality Increasing the number of advanced practice nurses - CORRECT ANSWER >>> Providing assistance with minor home repairs and modifications A nurse in a clinic is providing care for a client who has a chronic health condition. Which of the following actions should the nurse identify as a primary prevention activity to prevent the progression of the client's chronic condition? Providing a brochure with information about community resources Refer the client to a provider that can provide management of the condition with medication. Assist the client's family with memory care placement. Refer the client for hospice services. - CORRECT ANSWER >>> Providing a brochure with information about community resources A nurse asks the nurse manager of the community clinic which steps should be taken to start a career in political advocacy. Which of the following statements by the nurse manager encourages the nurse towards a career in political advocacy? "You can become a preceptor for all the new community nurses." "You should work with your nursing organizations to see which federal issues they are working on."
"Maybe you can start leading classes for advocating basic nursing care in clients' homes." "It might be a good idea for you to take more courses on nursing care in the community." - CORRECT ANSWER >>> "You should work with your nursing organizations to see which federal issues they are working on." A client who was recently diagnosed with diabetes mellitus arrives for follow-up appointment at the community health clinic. The client appears distressed and has disclosed that they have recently separated from their partner. Which of the following actions should the nurse take first? Review the client's medications. Encourage the client to check their blood glucose. Discuss a referral to another provider on the multidisciplinary team for support. Provide an opportunity to listen to and comfort the client. - CORRECT ANSWER >>> Provide an opportunity to listen to and comfort the client. A nurse is reviewing gun violence prevention approaches with a group of civic leaders. Which of the following should the nurse identify as being population-focused approaches to gun violence prevention? Addressing mental health disorders Researching root causes for gun violence Enforcing gun laws Providing funding for violence-prevention education programs Limiting the number of guns a person can own - CORRECT ANSWER >>> 1 2 4 A nurse at a community clinic is reinforcing education for a newly licensed nurse about nursing advocacy. Which of the following actions should the nurse include as an example of nursing advocacy?
compliance. Which secondary prevention actions should the nurse anticipate the provider prescribing? Insulin injections daily Fluid restrictions Peritoneal dialysis therapy
Oral hypoglycemic medications - CORRECT ANSWER >>> Oral hypoglycemic medications A community health nurse is providing education to a group of nurses about the functions of various government agencies. The nurse should include in the teaching that which of the following government agencies addresses food security by directly providing food to select populations? U.S. Department of Health Resources and Services Administration (HRSA) Office of Disease Prevention and Health Promotion (ODPHP) U.S. Department of Agriculture (USDA) U.S. Food and Drug Administration (FDA) - CORRECT ANSWER >>> 3 FLAG A nurse is examining their own personal attitudes about vulnerable populations. Which of the following statements reflects an attempt by the nurse to minimize judgment and bias when caring for clients? "I will review my actions at the end of the day in the team huddle." "I will watch for evidence of bias by members of the health care team." "I will make all comments in a private setting away from clients." "I will reflect on my responses and thoughts when meeting new clients." **- CORRECT ANSWER
** 4 A nursing director in a community health setting is providing education to a group of nurses about the skills needed to meet the challenges associated with providing population-focused care. Which of the following skills should the nursing director include in the teaching as core competencies for public health professionals?
A nurse is admitting a client who requests not to be intubated or have any other life saving measures initiated. Which of the following actions should the nurse take? Inform the client that the provider must agree with this decision Ask the client if they have a copy of their advance directive Inform the client that their family can override their decision Ask the client family if they're in agreement with the client's request - CORRECT ANSWER >>> 2 A nurse is reviewing factors that determine a client's health risk with a newly licensed nurse. Which of the following factors should the nurse include? Resilience of clients to risk factors Increased sensitivity of older adult clients to risk factors Increased susceptibility among vulnerable groups Variability in the effects of stressors based on socioeconomic status - CORRECT ANSWER >>> 1 A community-based nurse in a pulmonary clinic is developing a care plan for a client who smokes. Which of the following might the nurse include in the plan if the client is in the preparation phase of the Transtheoretical Model? Give literature to the client who has expressed wanting to quit but is not yet ready to do so. Console the client for smoking a cigarette after having quit smoking 4 months ago. Teach the client who refuses to quit smoking about fire safety and cigarette smoking. Identify a support system to prevent the client from giving into the urge to smoke. - CORRECT ANSWER >>> 4 ccording to the Ecological Model, which of the following factor(s) affect healthy behavior for multiple levels of society?
Health beliefs Interaction with others Laws and local ordinances that relate to health Medical funding Assurance of services - CORRECT ANSWER >>> 123 A nurse assisting in a workshop at the local community clinic to address accessibility of health care resources for the people who do not have a home. Which role is the nurse acting as in this situation? Educator A professional collaborator Nursing entrepreneur Political advocate - CORRECT ANSWER >>> 1 A community health nurse has just been newly assigned to a small rural community. Which of the following are some steps that the nurse can take to address the community's needs? Assess the community. Analyze the findings and identify the needs. Decide on educational theories to use. Collaborate with the residents of the community on what interventions will work for that community and prioritize them. Use measurable indicators to evaluate the plan. - CORRECT ANSWER >>> 1 2 4 5
A nurse is preparing a presentation for an HIV taskforce regarding strategies to help decrease the number of newly diagnosed cases. Which of the following major health care organizations should the nurse utilize to find strategies to include in the presentation? Centers for Disease Control and Prevention (CDC) Centers for Medicare and Medicaid Services (CMS) National Institutes of Health (NIH) Occupational Safety and Health Administration (OSHA) - CORRECT ANSWER >>> 1 A nurse is preparing a presentation for a group of community stakeholders who are calling for a plan to decrease violence within the community. Which of the following actions should the nurse include as the first step to the CDC's population-based model for violence prevention? Develop and Test Prevention Strategies Identify Risk and Protective Factors Assure Widespread Adoption Define and Monitor the Problem - CORRECT ANSWER >>> 4 A nurse is leading a presentation about the role of self-awareness when providing clientcentered care. Which of the following questions should the nurse include? "How can community resources assist those that are vulnerable?" "How have my experiences with vulnerable groups shaped my image of them?" "Should I volunteer to work in a homeless shelter on my days off?" "How can we improve access to health care?" - CORRECT ANSWER >>> 2
A nurse is caring for a client who has substance use disorder who has expressed interest in receiving treatment to stop using. Which of the following interventions is an example of a tertiary intervention strategy for this client? Recommend the client be screened for Hepatitis B. Reinforce the importance of eating a well-balanced diet. Inform the client about needle exchange programs. Provide information on drug rehabilitation facilities since the client has expressed readiness to change. - CORRECT ANSWER >>> 4 A nurse is caring for a seriously ill newborn at a client's home and is working with the parents to discuss the option of having a critical surgery. Which of the following questions should the nurse ask themselves during the first step of gathering data? "Which ethical principles are pertinent?" "Is the dilemma resolved?" "What is the ethical issue?" "Are there other health care team members that need to take action?" **- CORRECT ANSWER
** 3 A nurse working in a community health center is speaking with a client who expresses their difficulty in finding employment. Which of the following responses should the nurse give? "Don't worry. There are plenty of jobs out there." "You need to apply for more jobs." "I'm sure someone will call you next week." "It sounds like it has been very challenging to find a job." - CORRECT ANSWER >>> 4
A nurse working in a community health clinic is reinforcing education to a group of nurses about communication skills for improving client outcomes. Which of the following qualities should nurses demonstrate when communicating with clients? Indirect communication Judgement Ambiguity Compassion - CORRECT ANSWER >>> 4 A correctional nurse is caring for a client who was recently injured in the facility. The client is complaining of pain but is not due to receive any more pain medication for a while. Which of the following interventions could the nurse include to achieve the goal of pain relief? Apply heat therapy to the pain area Using distractions like watching TV to keep the client's mind off the pain Use of acupuncture Give the medication even though it is not due yet - CORRECT ANSWER >>> 2 A nurse is teaching a newly licensed nurse about the needs of clients who are a part of a vulnerable population. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? "I will address the problem that the client believes is the most significant." "I will not include the client's cultural traditions as I complete my assessment." "I will avoid asking clients for income or financial information, because this is an invasion of privacy."
"I will make sure to do a limited assessment that focuses on the client's stated reason for the visit." - CORRECT ANSWER >>> 1 A home health nurse is providing care for client and observes during the visit that the client's caregiver appears tired and tearful. Which of the following activities should the nurse suggest to the client's caregiver? Limit visits from other family members during the week Insist that other members give them days off from providing care. Keep a detailed log of the client's activities Schedule a time each day to get out and exercise - CORRECT ANSWER >>> 4 A nurse is admitting a client who requests not to be intubated or have any other life saving measures initiated. Which of the following actions should the nurse take? Ask the client family if they're in agreement with the client's request Inform the client that their family can override their decision Ask the client if they have a copy of their advance directive Inform the client that the provider must agree with this decision - CORRECT ANSWER >>> 3 A nurse is caring for a client who has substance use disorder who has expressed interest in receiving treatment to stop using. Which of the following interventions is an example of a tertiary intervention strategy for this client? Inform the client about needle exchange programs. Provide information on drug rehabilitation facilities since the client has expressed readiness to change. Reinforce the importance of eating a well-balanced diet.
