Question

A newly hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect potential physical hazards?

Answer 1

Correct Answers:

Measure noise levels at various locations in the facility

Rationale :

📏 Physical hazards in occupational health refer to environmental factors that can cause harm without necessarily touching the body, such as noise, temperature extremes, radiation, or vibration.

📏 Measuring noise levels throughout the facility is an effective way to detect excessive sound exposure, which can lead to noise-induced hearing loss, a common occupational condition.

📏 Regular environmental assessments like decibel monitoring allow the nurse to determine compliance with OSHA (Occupational Safety and Health Administration) standards and initiate corrective actions such as hearing protection programs.

📏 Identifying and addressing physical hazards is a primary responsibility of the occupational health nurse to ensure employee safety and regulatory compliance.

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Answer 2

Correct Answers:

Identify the client's dietary preferences-

Rationale :

🍽 The first step in client-centered care and education is conducting a thorough assessment, which includes identifying the client’s current habits, preferences, and lifestyle—particularly important in managing a chronic condition like diabetes mellitus.

🍽 Understanding the client’s dietary preferences helps the nurse develop a realistic, individualized care plan that the client is more likely to follow, increasing the chances of long-term adherence and glycemic control.

🍽 Without this information, teaching or creating a nutrition program may result in irrelevant or culturally inappropriate recommendations, which can reduce effectiveness and client engagement.

🍽 In nursing process terms, this step corresponds to “assessment,” which always comes before planning, implementation, or evaluation in order to guide the care approach properly.

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Answer 3

Correct Answers:

Elevate the head of the client's bed

Rationale :

🛏️ Elevating the head of the bed is a key comfort measure for clients who are near death, as it helps relieve dyspnea (shortness of breath) by enhancing lung expansion and reducing pressure on the diaphragm.

🛏️ It also helps manage secretions, reducing the risk of aspiration and the sensation of the "death rattle," which can be distressing for both the client and family.

🛏️ This position improves oxygen exchange even if supplemental oxygen is not being used, contributing to an overall sense of ease and comfort.

🛏️ It is a non-invasive, low-effort intervention that can significantly improve the client’s ability to rest and breathe peacefully during the final stage of life.

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Answer 4

Correct Answers:

Report the active case to the public health department.

Rationale :

📣 Tuberculosis (TB) is a reportable communicable disease, and public health authorities must be notified immediately to initiate contact tracing, surveillance, and community protection efforts.

📣 Reporting the case enables the public health department to monitor potential outbreaks, identify exposed individuals, and implement preventive treatment and education as necessary.

📣 This action is a legal and ethical duty for nurses and is essential for epidemiological tracking, especially in preventing wider community transmission of active TB, which is highly contagious via airborne particles.

📣 While education and treatment adherence are critical, reporting is the priority because it triggers system-wide public health interventions that extend beyond the individual client.

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Answer 5

Correct Answers:

Osteoarthritis.

Rationale :

🦴 Osteoarthritis affects the joints, causing pain, stiffness, limited mobility, and decreased range of motion, all of which significantly increase the risk for falls.

🦴 The condition can lead to muscle weakness and joint instability, especially in the hips, knees, or spine—major weight-bearing areas necessary for safe ambulation.

🦴 Clients with osteoarthritis may also use assistive devices like canes or walkers, which, if used improperly or inconsistently, may further raise fall risk.

🦴 Pain and stiffness, especially after periods of rest, can delay reaction times and compromise balance and coordination, making falls more likely during routine movements.

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Answer 6

Correct Answers:

The website provides a peer review process for publishing information.

Rationale :

🌐 Peer-reviewed information is critically evaluated by experts before being published, ensuring that the content is accurate, evidence-based, and reliable for clinical and patient use.

🌐 When selecting web-based resources for a client with a complex medical condition like dialysis, it's essential that the content is medically sound and reviewed by professionals, not just opinion-based or promotional.

🌐 Peer review adds a layer of quality assurance, ensuring that the health information aligns with current clinical guidelines and best practices, which is especially important in chronic disease management.

🌐 This standard supports safe and informed decision-making, both for the nurse providing education and the client managing their condition.

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Answer 7

Correct Answers:

The client demonstrates what they learned during the teaching

Rationale :

🎓 The most reliable indicator that a client understands health teaching is the ability to demonstrate or explain what was taught, often referred to as the “teach-back” method.

🎓 When there is a language barrier, non-verbal behaviors like nodding, smiling, or eye contact can be misleading—they may reflect politeness or cultural norms rather than genuine understanding.

🎓 A demonstration (e.g., correctly using an inhaler, preparing a diabetic meal, or repeating instructions accurately) provides the nurse with objective evidence that the client comprehends the material.

🎓 This approach is especially critical in community health, where language, literacy, and cultural barriers often impact the effectiveness of teaching and health outcomes.

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Answer 8

Correct Answers:

Sit on a shower chair while showering.

Rationale :

🚿 Shower chairs provide essential support and stability for clients with lower extremity weakness, significantly reducing the risk of falls in wet environments like bathrooms.

🚿 Sitting while showering allows the client to conserve energy, maintain balance, and reduce strain on weak leg muscles, which supports safe hygiene practices.

🚿 Bathrooms are high-risk areas for falls due to slippery surfaces, and clients who use walkers are especially vulnerable—shower chairs are a practical and low-cost solution.

🚿 This recommendation aligns with fall prevention guidelines from the CDC and home safety protocols for elderly or mobility-impaired clients.

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Answer 9

Correct Answers:

"Describe the place where you are currently living."

Rationale :

🏠 The first priority in discharge planning is assessment, especially of the client’s home environment, to determine if it can support the required care and equipment.

🏠 Asking the client to describe their living situation allows the nurse to assess space availability, safety, electrical access for the special bed, and the presence of caregivers or barriers like stairs.

🏠 This information is critical for coordinating services, arranging for durable medical equipment, and identifying the need for home modifications or community support.

🏠 Without this foundational assessment, it would be premature to suggest specific interventions like diet changes or skincare, which require environmental feasibility for implementation.

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Answer 10

Correct Answers:

Lobbying for funding for health promotion efforts.
Organizing a program to promote skateboard safety
Teaching a class about risks of smoking cigarettes

Rationale :

1. Lobbying for funding for health promotion efforts

🎯 This is an example of primary prevention because it involves proactively advocating for resources that support health education, disease prevention, and safety initiatives before problems arise.

🎯 By securing funding, the school nurse can implement programs that promote physical activity, nutrition, mental health awareness, and more, all of which help prevent the onset of illness or injury in the student population.

🎯 Primary prevention often requires policy-level or community-level engagement, and lobbying is a strategic action that extends the nurse’s influence beyond the clinical setting into public health infrastructure.

2. Organizing a program to promote skateboard safety

🎯 This is a clear example of primary prevention because it aims to prevent injuries before they occur by educating students on helmet use, safe riding practices, and traffic awareness.

🎯 Injury prevention programs are essential in school-aged children, who are often active and at risk for falls, fractures, and head trauma.

🎯 By organizing such a program, the nurse helps reduce emergency visits and long-term disabilities, fulfilling the goal of keeping children healthy and safe before an incident happens.

3. Teaching a class about risks of smoking cigarettes

🎯 This is also primary prevention, as it focuses on preventing the initiation of harmful behaviors—in this case, tobacco use—by educating students early about the associated health risks.

🎯 Early education about smoking helps reduce teen smoking rates, which in turn lowers the lifetime risk for lung cancer, cardiovascular disease, and respiratory illness.

🎯 This intervention empowers students with the knowledge and skills to make healthy choices, aligning with the nurse’s role in promoting long-term wellness.

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RN Community Health~2023 Exam 2

No.

1 :
A newly hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect potential physical hazards?

2 :
A home health nurse is visiting a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first?

3 :
A hospice nurse is planning care for a client who is near death. Which of the following actions should the nurse include in the client's plan of care to promote the client's comfort?

4 :
A public health nurse learns that a client is being treated for active tuberculosis. Which of the following actions should the nurse take to prevent the spread of tuberculosis within the community?

5 :
A home health nurse is assessing the health history of a new client. The nurse should identify which of the following conditions increases the client's risk for falls.

6 :
A community health nurse is planning to use web-based information resources in the care of a client who is undergoing dialysis. Which of the following criteria should the nurse consider when selecting appropriate resources for the client?

7 :
A community health nurse is providing teaching to a client who speaks a different language. Which of the following findings should the nurse document as an indication that the client understands the teaching?

8 :
A nurse is performing a home hazard appraisal for a client who is experiencing weakness in the lower extremities and uses a walker. Which of the following recommendations should the nurse make?

9 :
A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the nurse make first?

10 :
A school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? (select all that apply )

1. Lobbying for funding for health promotion efforts

2. Organizing a program to promote skateboard safety

3. Teaching a class about risks of smoking cigarettes

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RN Community Health~2023 Exam 2

No.

1 : A newly hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect potential physical hazards?

2 : A home health nurse is visiting a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first?

3 : A hospice nurse is planning care for a client who is near death. Which of the following actions should the nurse include in the client's plan of care to promote the client's comfort?

4 : A public health nurse learns that a client is being treated for active tuberculosis. Which of the following actions should the nurse take to prevent the spread of tuberculosis within the community?

5 : A home health nurse is assessing the health history of a new client. The nurse should identify which of the following conditions increases the client's risk for falls.

6 : A community health nurse is planning to use web-based information resources in the care of a client who is undergoing dialysis. Which of the following criteria should the nurse consider when selecting appropriate resources for the client?

7 : A community health nurse is providing teaching to a client who speaks a different language. Which of the following findings should the nurse document as an indication that the client understands the teaching?

8 : A nurse is performing a home hazard appraisal for a client who is experiencing weakness in the lower extremities and uses a walker. Which of the following recommendations should the nurse make?

9 : A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the nurse make first?

10 : A school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? (select all that apply )

1. Lobbying for funding for health promotion efforts

2. Organizing a program to promote skateboard safety

3. Teaching a class about risks of smoking cigarettes

1 :
A newly hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect potential physical hazards?

2 :
A home health nurse is visiting a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first?

3 :
A hospice nurse is planning care for a client who is near death. Which of the following actions should the nurse include in the client's plan of care to promote the client's comfort?

4 :
A public health nurse learns that a client is being treated for active tuberculosis. Which of the following actions should the nurse take to prevent the spread of tuberculosis within the community?

5 :
A home health nurse is assessing the health history of a new client. The nurse should identify which of the following conditions increases the client's risk for falls.

6 :
A community health nurse is planning to use web-based information resources in the care of a client who is undergoing dialysis. Which of the following criteria should the nurse consider when selecting appropriate resources for the client?

7 :
A community health nurse is providing teaching to a client who speaks a different language. Which of the following findings should the nurse document as an indication that the client understands the teaching?

8 :
A nurse is performing a home hazard appraisal for a client who is experiencing weakness in the lower extremities and uses a walker. Which of the following recommendations should the nurse make?

9 :
A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the nurse make first?

10 :
A school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? (select all that apply )