Family/comm Health Concept

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Sample questions from Family/comm Health Concept

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A public health nurse is coordinating care for a 78-year-old client with heart failure who lives alone and was discharged yesterday. The client reports increasing shortness of breath, has a respiratory rate of 26/min, oxygen saturation of 90% on room air, and has not filled the prescribed diuretic. What should the nurse do first?

   • A.Contact the client's primary care provider and arrange urgent evaluation.
   • B.Ask a volunteer to help the client fill the prescription.
   • C.Teach the client how to reduce dietary sodium.
   • D.Arrange a home health visit for later in the week.

   Rationale: The client's worsening dyspnea and low oxygen saturation indicate possible acute decompensation requiring prompt clinical evaluation. A later visit, dietary teaching, or help with the prescription does not address the immediate respiratory risk. Community follow-up is important, but urgent changes in condition take priority.

2. 2.A community health nurse is planning follow-up for a 52-year-old client with newly diagnosed type 2 diabetes, an A1C of 9.2%, and difficulty attending appointments because of work and transportation barriers. Which actions should the nurse take? Select all that apply.

   • A.Ask the client which appointment times are feasible.
   • B.Tell the client that missed appointments may result in discharge from the clinic.
   • C.Explore telehealth or evening clinic options.
   • D.Assess whether transportation assistance or community resources are available.
   • E.Refer the client to a diabetes self-management education program.

   Rationale: Asking about feasible times and exploring telehealth or evening visits helps make care accessible. Diabetes education supports self-management, and assessing transportation barriers can identify practical community resources. Threatening discharge does not address barriers and can disrupt needed chronic care.

3. 3.A home health nurse visits a 74-year-old client with chronic obstructive pulmonary disease. The client is alert, has an oxygen saturation of 93% on the prescribed 2 L/min nasal cannula, and asks the nurse to change the oxygen flow to 4 L/min because of mild exertional dyspnea. What is the best response?

   • A.Ask a family member to adjust the flow whenever the client feels short of breath.
   • B.Tell the client to remove the oxygen during activity.
   • C.Increase the flow to 4 L/min and reassess in 30 minutes.
   • D.Explain that the nurse must follow the prescription and assess the client's current respiratory status.

   Rationale: The nurse should assess the symptom and follow the prescribed oxygen parameters rather than independently changing the flow. Increasing oxygen without an order may be inappropriate, and removing oxygen or delegating adjustments to family is unsafe. New or worsening dyspnea warrants assessment and communication with the prescriber as indicated.

4. 4.A public health nurse is assigning tasks during a home visit for a 66-year-old client recovering from a stroke. The client has stable vital signs and needs help with bathing and dressing. Which task is appropriate to delegate to an unlicensed assistive personnel (UAP)?

   • A.Evaluate whether the client's transfer technique has improved.
   • B.Assist the client with bathing and dressing using the established safety plan.
   • C.Assess the client's ability to swallow thin liquids.
   • D.Teach the client how to perform prescribed range-of-motion exercises.

   Answer and rationale are in the full material.

5. 5.A nurse at a community clinic is coordinating services for a 33-year-old pregnant client at 24 weeks' gestation who has missed two prenatal visits. The client's blood pressure is 118/72 mm Hg and fetal movement is reported as usual. Which actions support effective care coordination? Select all that apply.

   • A.Document the missed visits as noncompliance without further assessment.
   • B.Help the client schedule the next visit at a time that fits the client's availability.
   • C.Offer to connect the client with transportation assistance.
   • D.Ask about barriers that have made attending visits difficult.
   • E.Share relevant information with the prenatal care team with the client's permission.

   Answer and rationale are in the full material.