Community Health Final Exam Learning

Community Health Final Exam (Learning System RN) A community health nurse is caring for a client exposed to HIV 2 days ago. The client asks the nurse what she should do. Which response should the nurse make?

• "I will administer an HIV vaccine today, and it will need to be repeated in 3

months."

• "I will administer an HIV test today, and you will need to return in 48hrs for me

to read the results."

• "You will need to have an HIV test every other week for 6 months."
• "You will need to take prophylactic medications for 4 weeks."

(ANS- d. "You will need to take prophylactic medications for 4 weeks."

RATIONALE: The client will need to take prophylactic medications for 4 weeks

to prevent the virus from replicating within the body.

A home health nurse and an assistive personnel are discussing care for a client.Which statement by the AP requires intervention by the nurse?

• "I will change the PICC line dressing on my next visit."
• "Bathing the client is something I can do without assistance."
• "I assist the client in ambulating outdoors every time I visit."
• "The next time I visit, I plan to clean up the clutter in the client's room.

" (ANS- a. "I will change the PICC line dressing on my next visit."

RATIONALE: Changing IV dressings is not within the AP's scope of practice. The

nurse should investigate this statement.

An occupational health nurse is providing teaching to a group of clients about the risks of the work environment. Which of the following actions is the nurse performing? 1 / 2

• Case Management
• Secondary Prevention
• Tertiary Prevention
• Primary Prevention

(ANS- d. Primary Prevention

RATIONALE: This nursing action is an example of primary prevention of

accidents in the workplace. The goal of tertiary prevention is to limit disability caused by disease in a population. An example of tertiary prevention is working with members of the population who have diabetes to decrease the number of work days lost due to complications. The goal of secondary prevention is to detect levels of disease in a population and refer people for treatment. An example of secondary prevention is a hearing screening program that is indicated due to the excessive noise in the work environment. Case management is the coordination of care in order to improve client outcomes.

A home health nurse is providing teaching to the primary caregiver of a client with Alzheimer's about respite care. Which of the following information should be included?

• "It's a community support group for family caregivers."
• "It requires placing the client in an assisted living facility."
• "It provides family caregivers with temporary relief from caregiving."
• "It supplies daily assistance from a home health aid."

(ANS- c. "It provides family caregivers with temporary relief from caregiving."

RATIONALE: Respite care services provide family caregivers with temporary

relief from the tasks associated with caregiving for chronically ill family members, such as adults who have Alzheimer's disease or children who have complex medical or developmental needs. Caring for a client who has complex care needs in the home is a difficult and draining task. Respite care allows overwhelmed caregivers to shop, have some time away, or get an uninterrupted night of sleep.

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