Alcohol withdrawal treatment

seizure precautions, CIWA, benzos

stimulant/cocaine/meth withdrawal treatment

maintain safety, address troublesome symptoms

The parents of a 3 year old want to prevent harmful accidents. What is the priority intervention?

use car seats and pool safety measures

A 66 year old woman presents to the clinic, she states no hx of screening measures. What should she get scheduled for?

mammogram, bone mineral density test, colonoscopy

The nurse is trying to elicit a client's own motivation for change. Which of the following is appropriate for this?

Why do you want to make a change?

The nurse is screening a client for the first time. Which question is appropriate to ask?

Has your partner ever pushed, slapped or physically hurt you?

What is harm reduction when it comes to substance use disorder?

reduces health consequences in people that do drugs

Which of the following patients are most at risk for mental health disorders?

a teen with a family history of schizophrenia and depression

Which of the following clients is at high risk for SUD?

a college student with bipolar disorder

s/s of heroin/opioid OD

CNS depression, constricted pupils, euphoria, bradypnea, difficultto arouse

The nurse is doing a family assessment. Which of the following is a "strength-based" question?

When people say good things about you, what are they likely to say?

CNS depression, hypotension, seizure, difficult to arouse

The nurse should NOT include which of the following when doing safety planning with an abused client?

avoid spaces such as bedroom, living room

stimulant/cocaine/meth OD treatment

hydration, cooling, seizure precautions, maintain airway

Which of the following is NOT part of community mental health teams?

provide mental healthcare in client's home

The charge nurse is observing the new grad on a pediatric wellness visit. What action requires intervention?

allowing parents to complete a Denver II test for their child

Which client would be eligible for home health?

a client newly diagnosed with COPD who needs help with nebulizers

The nurse is doing a home visit for an older client. Which of the following is most concerning?

clutter on the ground and throw rugs present

s/s of stimulant/cocaine/meth withdrawal

hypersomnia/insomnia, depression, anxiety, psychosis

s/s of heroin/opioid withdrawal

insomnia, diarrhea, runny nose, sneezing, fever, chills, cramps, flu-like

Which of the following is true about the ASQ-3/ASQ-SE?

the test takes about 15 minutes

s/s of stimulant/cocaine/meth OD

dilated pupils, tachycardia, HTN, insomnia, hallucinations, fever, seizure

Which is a tertiary intervention for violence?

mental health and support groups

s/s of alcohol withdrawal

irritability, HA, N/V, tremors, hallucinations, diaphoresis

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Public Health Exam 3

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Questions 43

Answers

1
Which of the following is not a leading cause of death for infants?
birth defects
congenital anomalies
SIDS
unintentional injury
2
Alcohol withdrawal treatment
fluids
Narcan
seizure precautions, CIWA, benzos
cooling, hydration
3
stimulant/cocaine/meth withdrawal treatment
hydration, cooling, maintain airway
maintain safety, address troublesome symptoms
treat s/s, maintain low stimulus environment
fluids, seizure precautions
4
The parents of a 3 year old want to prevent harmful accidents. What is the priority intervention?
use car seats and pool safety measures
perform developmental screenings as indicated
ask directly about suicide
safe sleep strategies
5
A 66 year old woman presents to the clinic, she states no hx of screening measures. What should she get scheduled for?
PSA, AAA, dyslipidemia
autism screening, blood lead test
mammogram, bone mineral density test, colonoscopy
pap smear, Hep B, HIV testing
6
vision test and blood pressure test typical age
age 1
age 4
age 2
age 3
7
The nurse is trying to elicit a client's own motivation for change. Which of the following is appropriate for this?
Why do you want to make a change?
Is this why your daughter doesn't talk to you anymore?
Why did you start this bad habit anyways?
This habit is going to hurt you in the long-run you need to stop
8
Which of the following is a primary intervention for violence?
self-care
safety planning
decrease awareness of violence
parenting classes
9
A client states they wish to stop drinking. They have a hx of abuse in the church. The nurse should avoid suggesting...
support groups
crisis lifeline
AA
10
The nurse is screening a client for the first time. Which question is appropriate to ask?
Can you tell me the worst thing that has ever happened?
Is your partner using drugs or drinking excessively?
Are you in danger now?
Has your partner ever pushed, slapped or physically hurt you?
11
At what age does suicide become a leading cause of death for young people?
8
10
9
7
12
treatment of alcohol OD
Narcan
maintain airway and safety
methadone, treat s/s
fluids, seizure precautions
13
The nurse should recommend which of the following for reducing suicides?
treat prior to onset of hallucinations and delusions
HEEADSSS screenings
encourage alcohol use once of age
provide mass media about sensationalism of suicide
14
What is harm reduction when it comes to substance use disorder?
reduces health consequences in people that do drugs
meets basic needs for food and shelter for drug addicts
fellowship of people who mutually support each other to sustain sobriety
15
Which of the following patients are most at risk for mental health disorders?
a teen with a family history of schizophrenia and depression
an older woman who enjoys bingo with her friends
male with a stable job and apartment
a college student that has access to health services on campus
16
Which of the following clients is at high risk for SUD?
a college student with bipolar disorder
an adopted child
a father trying to provide for his kids
woman with no family or genetic hx
17
s/s of heroin/opioid OD
dilated pupils, tachycardia, hypertension, insomnia, stroke/MI
CNS depression, constricted pupils, euphoria, bradypnea, difficultto arouse
insomnia, diarrhea, flu-like s/s, diaphoresis, runny nose
hypersomnia/insomnia, hypotension
18
Which of the following is not assessed in the Denver II screening tool?
social skills
gross and fine motor skills
language and communication
signs of puberty
19
The nurse is doing a family assessment. Which of the following is a "strength-based" question?
How have you been since your diagnosis of cancer?
How has your family been negatively impacted by your drinking?
When people say good things about you, what are they likely to say?
Are you feeling burnt out most days due to family responsibilities?
20
s/s of alcohol OD
insomnia, diarrhea, diaphoresis, fever, chills
dilated pupils, tachycardia, paranoia, hallucinations
CNS depression, constricted pupils, euphoria, bradypnea
CNS depression, hypotension, seizure, difficult to arouse
21
The nurse should NOT include which of the following when doing safety planning with an abused client?
be aware of phone, keys, window/door locations
identify support system
emergency bag of identification, escape routes, coordination with friends
avoid spaces such as bedroom, living room
22
stimulant/cocaine/meth OD treatment
fluids, seizure precautions
maintain low stimulus environment
address troublesome symptoms
hydration, cooling, seizure precautions, maintain airway
23
autism screening age
18 and 24 months
1, 2, 6, 9, 12, 15, 18 months
annually after 12 months
age 1 and 2
24
A1C age and frequency
age 45 q10years
age 21 q3-5years
age 50 q1year
age 45 q3years
25
Which of the following is NOT part of community mental health teams?
provide mental healthcare in client's home
addressing housing, vocational rehab
med management programs
early intervention and interdisciplinary models
26
The charge nurse is observing the new grad on a pediatric wellness visit. What action requires intervention?
allowing parents to complete an ASQ-3 for their child
giving a PSC to a 14 y/o to complete
explaining the purpose of an M-CHAT-R
allowing parents to complete a Denver II test for their child
27
Which client would be eligible for home health?
a client whose caregiver needs some relief for a few weeks
a client newly diagnosed with COPD who needs help with nebulizers
a confused dementia patient who keeps wandering out of the house
a client that has sleep apnea at night and wants to be monitored at night
28
The nurse is doing a home visit for an older client. Which of the following is most concerning?
clutter on the ground and throw rugs present
double checking prescriptions labels when refilling
the client states their daughter pays their bills for them
ring doorbell on their front door for safety
29
s/s of stimulant/cocaine/meth withdrawal
hypersomnia/insomnia, depression, anxiety, psychosis
CNS depression, euphoria, seizure
light sensitivity, tachycardia, tremor, hallucinations
insomnia, diarrhea, diaphoresis, fever, chills, cramps, pain
30
s/s of heroin/opioid withdrawal
anxiety, depression, psychosis
irritability, light sensitivity, N/V, tremor
insomnia, diarrhea, runny nose, sneezing, fever, chills, cramps, flu-like
CNS depression, hypotension, seizure
31
Which of the following is true about the ASQ-3/ASQ-SE?
it's for ages 4-18
it assesses psychosocial functioning
only a trained person can administer this test
the test takes about 15 minutes
32
Heroin/opioid OD treatment
Narcan
methadone, treat s/s
CIWA, benzos
hydration, cooling, seizure precautions
33
The nurse is giving examples of harm reduction interventions to a client. Which should NOT be included?
AA
medication assisted therapy
syringe exchange
PrEP/PEP
34
developmental screening age
age 3
12 and 24 months
newborn and age 4
9, 18, 30 months
35
s/s of stimulant/cocaine/meth OD
constricted pupils, euphoria, bradypnea, difficult to arouse
CNS depression, hypotension, difficult to arouse
insomnia, diarrhea, sneezing, fever, chills
dilated pupils, tachycardia, HTN, insomnia, hallucinations, fever, seizure
36
Which is NOT a health consequence of survivors of violence?
reproductive coercion
HTN, chronic pain
decreased high risk behaviors
depression, anxiety
37
Which is a tertiary intervention for violence?
anger management
screening and detection
mental health and support groups
preventing abuse
38
Which of the following is NOT an evidence-based action for schizophrenia?
Mental Health First Aid
reduce duration of untreated psychosis
focus on minimizing the social disruptions
identify at-risk persons (prodromal)
39
The parents of a 2 year old child are looking for a tool that can screen for autism. Which should the nurse recommend?
ASQ-3
Denver II
M-CHAT-R
Pediatric Symptom Checklist
40
s/s of alcohol withdrawal
dilated pupils, halluciations, extreme fever
irritability, HA, N/V, tremors, hallucinations, diaphoresis
hypersomnia/insomnia, anxiety, depression
CNS depression, difficult to arouse, bradypnea
41
Which of the following is NOT a key component of motivational interviewing ?
nurse acts as expert
collaborative
goal oriented conversations
supports autonomy and strengths
42
genogram
includes external factors like religion, healthcare, friends etc.
family tree
43
The nurse knows that which of the following is NOT a primary prevention intervention for strokes?
anticoags when indicated
managing lipid levels
daily dose aspirin
managing conditions that increase risk of stroke

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