NUR426 Exam 1: Questions & Answers
Which statement regarding health disparities among LBGTQ population is incorrect?(Ans- Transgender youth are at the lowest risk for homelessness
Discharging an agricultural migrant worker hospitalized for a burn injury, what disparity puts the client at highest risk for readmission?(Ans- Nature of work
A pregnant incarcerated woman with type 1 diabetes experiencing hypoglycemia, what significant disparity does she face?(Ans- Access to care
What is the important health outcome to improve the quality of life of residents in an assisted living setting?(Ans- Mental well being
Assessing an older client's ability to return home after a fall due to alcohol consumption, what intervention should the nurse initiate?(Ans- Ask about current and prior alcohol use
During a well visit, what vaccine is recommended for a 65-year-old client who is current on tetanus and influenza vaccines?(Ans- Pneumococcal
Working with a family transitioning to palliative care, which statement is not part of palliative care treatment?(Ans- Palliative care means stopping all medical treatment
Which client would be the best candidate for hospice care?(Ans- 42-year-old with autoimmune disease no longer responding to treatment 1 / 4
Reviewing statistics on older adults in the community, what recommendation is not supported for wellness?(Ans- Recommend aerobic classes at nighttime
A hospice nurse is admitting a client to the facility. During the admission the family asks the nurse what a hospice nurse does. Which of the following statements is the best response?(Ans- Educates, advises, provides emotional support, and helps prepare clients and families for the dying process
An ambulatory clinic has noticed an increase in missed follow-up appointments in individuals in a rural community with limited access to primary care clinics. Which of the most effective approach to improve compliance?(Ans- Offer telehealth or communication through health applications for follow-up
The nurse manager reviews the following nursing note concerns and comments made by the primary nurse. After reviewing the information provided what is the best step the nurse manager should take?(Ans- Notify Adult Protective Services (APS)
Several families within a community are caregivers to loved ones suffering with dementia and are gathering at a support group session. What strategy are most helpful to review with families during this support group session regarding safety and supervision (Ans- Modify environments to limit potential harm, similar to childproofing
A local ambulatory health care agency provides telehealth and in-person care to Native Americans community at an outreach clinic. What is the best strategy the agency can implement to improve compliance with well visits and follow-ups?(Ans- Collaborate with local community leaders to understand cultural health needs and improve appointment compliance 2 / 4
A nurse is caring for a group of clients in the community. The nurse should know that which of the following is identified as the underlying concept of optimum health?(Ans- Equity
A nurse is caring for a group of clients in the community. Which of the following is considered social and environmental conditions in which people live and work?(Ans- Social determinants of health
A nurse reviews a chart prior to a home health visit to address primary prevention. Example of primary prevention?(Ans- Vaccines
Home health visit in a rural community, patient has a foul-smelling dressing. What is the most appropriate response by the nurse?(Ans- Ask about transportation to appointments
Home health for a client discharged from a hospital back home, what other service in the community is beneficial for this client?(Ans- Hospice service
A community health nurse is teaching at a university what is the first step to be taken towards globalization and the arm of the UN.(Ans- WHO- World Health Organization
What is the best example of upstream healthcare practice?(Ans- No cost preventative health services
A PHN is focusing on primary prevention, distributing vaccines in the hopes of making the population disease-free. What category of prevention is this?(Ans- Tertiary
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A nursing program is interested in integrating more opportunities for undergraduate and graduate students to address health equity and social determinants of health. Which of the following is NOT an example of a change in curriculum to support social determinants of health and health experiences (Ans- Clinical experiences primarily in acute care settings
A nurse is about to interview a client which of the following is most important for the nurse to consider before beginning the interview. 64-year- old Hispanic female admitted per chart from the ED for dehydration. A&O x3, vitals stable, IV patent in the right AC, normal saline infusing 100ml/hour. Client has traditional beliefs about health and illness.(Ans- Ask the client if cultural healer should be contacted
The school nurse works with a growing number of students and families from varying cultures. What is the best way to help the school nurse in providing culturally competent care for all students?(Ans- Increase knowledge and skills through web-based resources
The public health team is focused on implementing initiatives to reduce inequities associated with access to behavioral health. Which is the best example of a population level behavioral health intervention (Ans- Flexibility in treatment policies and payments
Results of a community health assessment indicate increasing obesity rates of residents a top priority. Using the ecological model (upstream) what is the least appropriate recommendation to focus on for the increasing obesity concern?(Ans- Avoid focusing on individual behavior change
The nurse provides annual education to elementary aged children what is the most effective primary prevention intervention that the nurse can focus on to reduce the risk for disease?(Ans- Emphasize proper hand hygiene
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