COMMUNITY FINAL QUIZ

1. A nurse is providing psychological counseling at a community center for families whose loved ones died in a fire. After learning that both of her children perished in the fire, a mother says to the nurse, "I can't believe they are gone. How will I make it through this?" Which of the following is an appropriate response by the nurse? A. "You are feeling overwhelmed right now" B. "Don't worry. You will have plenty of help" C. "Can I call someone to be here with you?" D. "Anyone who has had a loss like this would feel that way" In this response, the nurse uses the therapeutic communication skill of restatement to encourage further expression of feelings by the client. 2. An industrial health nurse is caring for a female employee who is requesting some medication for a headache. The nurse asks if the client knows what could be causing the headache, and the client states, "I have been under a lot of stress lately." When the nurse suggests stress management techniques, the client calmly states that she intends to take her life after work that day. She further reports that she has a pistol in the car, and that she intends to kill herself in the parking lot of the plant. Which of the following actions should the nurse take first? A. Have the company's security officers search the client's car and remove the pistol B. Call emergency medical services to transport the client to a proper treatment facility C. Contact the client's family member to pick her up from work and take her for treatment D. Explore with the client the reasons she feels that she has no options except suicide Client safety is the nurse's primary concern. The client must be transported, safely, to a treatment facility as soon as possible. In addition, the nurse should not leave the client alone until the client is safely evaluated by or admitted to a proper care facility. 3. A home health nurse is doing an assessment of an older adult client's home. Which of the following findings should the nurse realize may be the greatest potential hazard? A. a walk-in shower B. a straight staircase with arm rails C. a large area rug in the living room D. a small rug in front of the kitchen sink Small rugs that are not attached to the floor are the greatest potential hazard to the client, due to risk for falling 4. A nurse is educating a community group who lives near a nuclear power plant. The nurse is providing information about safety related to radiation exposure when a client asks "Isn't there something we should have on hand in case of a nuclear disaster?" The nurse should recognize that the client is referring to which of the following? A. potassium iodide (Pima) B. potassium cyanide C. ciproflaxcin (Cipro) D. atropine (Atropine sulfate) Potassium iodide, if taken in time and at the appropriate dosage, blocks the thyroid gland's uptake of radioactive iodine and thus could reduce the risk of thyroid cancers and other diseases that might otherwise be caused by exposure to radioactive iodine that could be dispersed in a severe nuclear accident. 5. A nurse is planning to participate in a public education program related tp prevention of West Nile virus. Which of the following instructions should the nurse include in the presentation? A. eliminate sources of standing water B. make sure immunizations are up to date C. keep all pets indoors D. Spray nests with N,N-Diethyl-m-toluamide (DEET) At least once or twice a week, clients should empty water from flower pots, pet food and water dishes, birdbaths, swimming pool covers, buckets, barrels, and cans. Discarded tires and other items that could collect water should also be removed. 6. A nurse is performing a community assessment in a rural setting. The nurse is aware that the type of health care that is most likely to be absent in this setting is which of the following? A. Tertiary care B. Primary prevention C. Chronic care D. Secondary prevention Tertiary care, or specialized consultative care, is usually obtained following a referral from a primary care provider. Specialists, typically working in a center that has personnel and facilities for special procedures, such as large medical centers, provide tertiary care. This level of care is not readily available in most rural settings. 7. A nurse manager at a clinic for homeless people notes that many of the clients have a history of mental illness and also have difficulty with abuse of drugs or alcohol. Many of the clients require treatment for both mental illness and substance addiction. While compiling figures for a regulatory agency about the clients who visit the clinic, the nurse classifies these clients as having which of the following? A. Codependency B. Bipolar disorder C. Co-morbidity D. Somatization disorder Comorbidity is the presence of more than one disease or health condition in an individual at a given time. It may also be called a concomitant disorder or dual diagnoses 8. A nurse is conducting teaching for a client who has been prescribed Ciprofloxacin (Cipro) following exposure to anthrax. The nurse understands that the client needs additional teaching when the client states which of the following? A. "I will limit my intake of coffee, tea, or cola beverages" B. "I will wear a large-brim hat and long sleeves if I am out in the sun" C. "I will take the ciprofloxacin with an antacid if I get an upset stomach" D. "I will avoid taking cirpofloxacin along with dairy products" Ciprofloxacin is an antibiotic prescribed for a wide range of serious skin infections and is also effective against inhalation anthrax. Taking ciproloxacin with antacids can impair the absorption of the medication, reducing its effectiveness.