A nurse works for a community health program and has been appointed to create a new policy to change health care delivery. Which of the following steps should the nurse take to achieve this? Select all that apply.

The nurse is performing an initial home visit on an elderly client in the community. Which observation of the client requires immediate attention?

A community nurse goes to visit an elderly client living alone. The client’s spouse passed away 6 months ago and since then the client has had a 20 lb weight gain and reports the inability to cook and eats out a lot. Further assessment reveals the client has not seen a provider in 2 years, is on a limited income, and does not participate in any social activities. The nurse understands that Mr. Thomas would benefit most from which of the following?

A nurse is performing a home visit for a client who lives alone with a history of being non-compliant for follow up visits and treatment in the community. During the visit what is the most important step the nurse should take?

The community nurse receives a call about a client who has been wandering the neighborhood alone and has been returned home by neighbors. On arrival the nurse observes pets in the home, cluttered floors, and the client is disheveled and confused. Which of the following is the nursing priority?

A home health nurse is working with an older adult client. The nurse assesses the client’s home environment to determine if lighting is appropriate for the client’s activities. Which best describes the rationale for this assessment?

A client is being evaluated by the visiting nurse and denies taking prescribed medications and explains it is because of a previous negative outcome. Which of the following statements by the client reflects this?

A home health nurse is working with an 88-year-old client who lives at home alone. The nurse is instructing the client about home safety and gives the client a checklist of items to increase home safety. Which information should be included as part of the checklist? Select all that apply.

The nurse visits a client’s home and observes the client is dressed inappropriately for the weather and appears to be hoarding. Environmental theory suggests that which concepts will have a direct effect on this client’s health? Select all that apply.

A client with dementia has forgotten how to perform basic tasks. The nurse knows that which theory is demonstrated by the loss of these abilities?

A home health nurse has started working with a new client who is 81-years-old and lives alone. The nurse wants to assess this client’s level of safety in the home. Which of the following questions should be included as part of this assessment? Select all that apply.

A nurse performs a home visit for a client and finds the client has been noncompliant with medications. Which statement by the client demonstrates a perceived barrier?

A nurse has established that a client has difficulty performing activities of daily living (ADLs). Which of the following elements is a fundamental principle in assisting a client with performing activities of daily living? Select all that apply.

A nurse is caring for a client with self-care deficit related to dressing and grooming. Which of the following nursing interventions is most appropriate? Select all that apply.

A visiting nurse has four elderly clients to visit in the community and knows that which of the following demonstrates a potential self-care deficit?

A nurse is speaking with a client who has talked about quitting smoking. The nurse assesses the client’s readiness to learn and determines that the client has little to no interest in making a permanent change. Which step of self-management would the nurse most likely employ after learning of this client’s level of readiness?

The nurse is performing an initial home visit for a client and is completing a needs assessment. Which of the following assessment findings require the most attention from the nurse? Select all that apply

Which best describes an example of psychomotor learning that a nursing student must learn?

A newly diagnosed diabetic client is learning how to give himself insulin injections. The nurse is reviewing the information and the steps of drawing up the insulin. Which statement from the client indicates that more teaching is needed?

A nurse is assessing an older adult’s family support system and community activities. With which of the following areas of psychosocial development is the nurse concerned?

A Spanish-speaking client is recovering from hip surgery in the hospital. Although the nurse has gotten by with caring for this client by using gestures and rudimentary Spanish, the nurse now needs to provide discharge teaching. What describes the best method of providing information to this client?

A nurse is performing a needs assessment for a client who is noncompliant with health appointment. The nurse knows that which of the following prevents the client from seeing the provider.

A nurse is working with a client who has been diagnosed with ovarian cancer. The nurse gives the client information materials about her treatment options. Which best describes plain language as used in teaching materials?

A nurse is demonstrating insulin administration to the mother of a young child with diabetes. Which statement by the mother indicates that a different learning style might be needed?

A client is struggling with the meaning of his own existence after learning that his father has died. The nurse assesses the client’s support and belief systems. Which best describes the rationale for this action?

A visiting nurse is assessing a client who reports feeling feverish and tired. The nurse knows that the client is which of the following for a disease?

A nurse is giving education about the flu at a health fair and knows that which of the following terms describes the number of people that have had it?

A nurse is visiting clients for the day and observes that most of the clients have had the flu in the last month. The nurse knows that which of the following indicates a possible outbreak?

The nurse is planning a lesson on infectious diseases for a health conference. The nurse knows that which is the most important concept to include in client education?

The nurse is working in a clinic and is completing an admission for a client who is new to the practice. Which of the following questions would align with the principles of the Health Promotion Model? Select all that apply.

During an assessment at a wellness clinic a client asks for information on smoking cessation. The nurse knows that the client is exhibiting traits of which health promotion strategy?

A client who has been diagnosed with chronic kidney disease is talking to the nurse about his overall health. Which best describes the difference between health promotion and disease management in this situation?

A healthcare provider is providing education about lung cancer at a health fair and knows that which of the following are important to include in the education? Select all that apply

A public health nurse is teaching a seminar about hygiene promotion. Which best describes the difference between health education and health promotion?

A nurse is teaching sex education to a group of teenagers. The nurse knows that which of the following terms refers to avoiding sexually transmitted diseases?

A nurse is planning health education for a group of middle aged clients. Which of the following should the nurse emphasize in education?

A nurse is taking a cultural diversity course. The nurse understands that which of the following is necessary to be culturally competent?

A nurse is visiting a client who does not take medication and complains of fever and chills. Which of the following is the most appropriate action for the nurse to take next?

A visiting nurse arrives to perform education and provide resources for a client that does not speak English. Which of the following actions by the nurse exhibits cultural competence?

A nurse is preparing diversity education for staff. Which of the following is the most appropriate to include in the teaching?

A visiting nurse is performing a cultural assessment on a Native American client. Which of the following is the most appropriate question to include in the assessment?

The nurse is conducting an assessment of the community to determine its environmental risks. Which of the following assessments is the nurse completing?

The nurse is assessing a client’s environmental health factors. The nurse knows which of the following is important to include in the assessment? Select all that apply.

A visiting nurse is conducting a community environmental assessment. The nurse understands that which of the following are physical hazards?

The nurse is assessing the home of a client with asthma. The nurse understands that which of the following is an environmental hazard that can exacerbate the client’s condition?

A client reports to the visiting nurse that there has been no visits with a healthcare provider in several years. Which of the following reasons does the nurse understand is a barrier to the client’s health? Select all that apply.

During a home visit, a caregiver asks a nurse to explain the difference between Medicare and Medicaid coverage. Which of the following responses is the most appropriate?

A nurse is completing a home visit and the client reports not taking medications because they cost too much even with insurance. Which of the following should the nurse discuss with the client?

The nurse is participating in a quality improvement process on the floor for straight catheterization. Which of the following would be helpful for the nurse to do? Select all that apply.

A disabled client reports to the visiting nurse that his/her medical bills cannot be afforded anymore because of living on a fixed income and no longer working. Which of the following should the nurse include in education?

A nurse is preparing education for a group of seniors regarding access to care. Which of the following should the nurse include in teaching that is considered important to accessing care t?

A home health nurse is interviewing a client with hypertension who reports wearing a fitness tracker device to keep track of daily steps. The nurse understands that which of the following has taken place?

A nurse is explaining the benefits of technology to a community group. Which of the following should the nurse include in this education?

A nurse has been providing education to a client who is homebound. Which of the following would be best for the nurse to use to complete the education?

The nurse is visiting a client and observes the client has not been taking medications appropriately. Which of the following technologies does the nurse understand may be most appropriate for the client?

A visiting nurse is completing a home visit for a client who was recently discharged from the hospital. Which of the following is the most appropriate action to prepare for the visit?

A public health nurse has been working in the local community to provide health care utilizing a population-based approach. Which of the following best describes this approach to health care service? Select all that apply.

A nurse is designing a new community program for older clients with diabetes using the precede-proceed model. Which of the following assessments should be considered in the precede portion by the nurse?

The planning council is discussing objectives for a new community program. Which of the following phases of the nursing process includes this discussion?

A nurse is participating in a community planning board to address obesity in the area. The nurse understands which of the following is a barrier to the planning process?

A public health nurse wants to start a program addressing an increase in cancer diagnoses in a community. The nurse knows that which of the following is the main goal of the program?

A planning council is creating a community health program for disabled adults. Which of the following is not included in the planning process?

A nurse that assesses potential hazards for staff members in a workplace would work in which of the following community settings?

A nurse is providing assistance to a client in the faith community setting. Which of the following is the nurse responsible for?

An occupational health nurse is teaching a group of workers about the health risks associated with their jobs. Which information is most appropriate to give this group about the dangers of lead exposure?

A client is being discharged with home care orders after heart surgery. The home care nurse will be responsible for which of the following?

A nurse is providing home care to a client with dementia. The nurse knows that which of the following is the primary goal for the client?

A 61-year-old client is being treated in the care clinic. The client has been a school bus driver for 40 years and is asking the nurse about work-related injuries. Which symptoms would most likely develop in a person who works in conditions in which continuous vibration are present?

A nurse is preparing to give an injection to a client in a behavioral health clinic when the client reports hearing voices. Which of the following is the most appropriate action for the nurse should take next?

A nurse is assessing a patient who is being admitted to a long-term care facility. The nurse utilizes the Katz Index of Independence in Activities of Daily Living. Which activities would the nurse assess when using the Katz Index? Select all that apply.

Which of the following is considered to be an instrumental activity of daily living?

The visiting nurse is aware that a client is having trouble remembering which medications to take in the morning. Which of the following is the best action for the visiting nurse to take?

A nurse is talking to an overweight client about weight loss strategies. Which describes an initial recommendation target for weight loss that would be implemented for most overweight or obese clients?

A nurse is giving education on completing a breast self-exam to a client who appears uneasy. Which of the following is the most appropriate action for the nurse to do next?

A nurse is preparing a lecture on mental health for teens. The nurse knows that which of the following is the most important to include?

A school nurse is reviewing files and observes some students are not up to date on vaccinations. The nurse understands that which of the following is the best action to take?

A disabled client states, “I would like to get a job to supplement my income.” Which of the following should the nurse provide the client?

A nurse suspects that a client in the healthcare clinic is struggling with prescription medication abuse. Which of the following is true regarding this condition? Select all that apply.

A veteran reports to the clinic nurse that he/she is having vivid nightmares and is no longer sleeping. The nurse understands that the veteran is experiencing symptoms of which of the following?

A nurse is preparing a lesson on substance abuse. The nurse should include that which of the following complications can result from substance abuse? Select all that apply.

A client living in a rural area reports having problems getting to the healthcare provider when needed to the nurse. The nurse understands that which of the following is an appropriate solution for the client?

The nurse is preparing a lesson on the homeless population. The nurse knows that which of the following should be excluded?

A nurse is performing a home assessment on a 78-year-old client who is recovering from lung surgery. Which of the following most likely indicates that the client needs help accessing medical equipment to use in the home?

A nurse caring for a 71-year-old widowed client is assessing psychosocial needs. Which of the following behaviors would suggest the client may be socially isolated? Select all that apply.

The nurse is instructing the client and the family about how to prevent transmission of varicella zoster while in the hospital. Which instructions should the nurse provide? Select all that apply.

The nurse pictured here is preparing to enter the room of a client on contact precautions. What additional PPE should the nurse wear?

A nurse is working in the emergency department when a client is brought in who has been suspected of being exposed to Ebola virus. What steps should the nurse take in response that are most appropriate for this situation? Select all that apply.

A client tells the visiting nurse that “I was just recently diagnosed with MRSA”. The nurse knows which of the following is the most appropriate action to take next?

A child who has been diagnosed with chickenpox is admitted to the hospital. The facility does not have a private room available, so the staff places the child in a room shared with another child who also has the chickenpox. This placement technique is known as which of the following?

The nurse is caring for a client with acute bacterial gastroenteritis. Which of the following nursing recommendations is appropriate to make? Select all that apply.

A visiting nurse is caring for a client who reports having tuberculosis. The nurse understands that which of the following is true about tuberculosis?

A nurse is caring for a client who has been diagnosed with hepatitis B. Which of the following is a mode of transmission for Hepatitis B? Select all that apply.

A nurse is caring for a client who has been diagnosed with tuberculosis. The nurse reports the condition to the local public health authority. Which of the following conditions must the nurse report to the U. S. Centers for Disease Control and Prevention? Select all that apply.

A nurse is caring for a child who has been diagnosed with pertussis. Which type of precautions should the nurse take when caring for this child?

The nurse is volunteering on a disaster preparedness team and knows to take which of the following responsibilities when preparing for a disaster?

The nurse just completed a series of practice drills with the local emergency team. Which of the following stages of emergency management is the nurse currently in?

A nurse is responding to an area damaged by a hurricane several hours ago. The nurse knows that which of the following actions is the priority?

The phone rings at the nurses station and the nurse answers the phone. The caller states there is a bomb on the unit. What strategies should the nurse use with this caller? Select all that apply.

The nurse is working a shift at the hospital. The national weather advisory registers an alert for a tornado to the area that includes the hospital. Which of the following should the nurse do to maintain safety for the clients? Select all that apply.

A nurse is attending a training on bioterrorism response. The nurse knows that which of the following is most important to complete during the training?

A nurse is preparing an educational session for community nurses about bioterrorism. How can nurses take action to prevent terrorism?

A community health nurse is helping a family with an emergency plan. Which of the following should be included?

A nurse visits a client that was referred from a ramp installment and observes the client has no food. The nurse understands the client would benefit from a referral for which of the following services?

A nurse visits the home of a client whose caregiver reports feeling stressed and not knowing what else to do. The nurse understands that which of the following should be recommended?

A nurse is visiting a client recently discharged home from rehab and knows that continuity of care has been disturbed when the client states which of the following?

A nurse receives a referral for an elderly client who is reportedly home alone during the day and has no social supports. The nurse is prepared to recommend which of the following services for the client?

A referral is received for an elderly client who is known to be noncompliant with treatment in the community. The nurse knows that which of the following factors may contribute to the client’s noncompliance? Select all that apply.

A nurse is assessing a client who has has difficulty sleeping at night while in the hospital. Which of the following elements would the nurse assess for that would contribute to poor sleep for the client? Select all that apply.