#1 Exam Community Exam #1
A public health nurse is assessing a client for determinants of health. Which of the following questions should the nurse include in their assessment? (SATA.)
"Do you have a family history of any medical conditions?" "Where do you work?" "What type of health insurance do you have?" "How old are you?"
A nurse in a community clinic is interviewing a client about their asthma diagnosis. Which of the following questions by the nurse represents point prevalence?
"Do you have asthma now?"
A community member is asking a community health nurse why evaluation of a program is important. Which of the following responses should the nurse make?
"Evaluation is done to appraise the outcomes of an initiative and to inform ongoing implementation of community initiatives"
A client who is in the maintenance phase of the Transtheoretical Model's Stages of Change admits to not following their diet plan after binging on salty and sugary snacks the past weekend. Which of the following questions should the nurse ask the client next?
"Have you had any stressful events in your life lately?"
A public health nurse is facing challenges with the local public health team while implementing evidence-based interventions in an immunization program. Which of the following statements by team members should the nurse identify as knowledge-related barriers to implementation of evidence-based practice? (SATA).
"I do not really know how to use the computer for anything other than checking email and updating the spreadsheets." "I took a statistics course in college, but I have not really used any of it since then." "I am not really sure where to look for new evidence."
A nurse and a community team are collaborating with the Healthy People 2030 initiative. Which of the following is the vision of Healthy People 2030?
A society in which all people can achieve their full potential for health and wellbeing across the lifespan
A public health nurse is reviewing laboratory results for a client who is being screened for HIV. The results yield low specificity. Which of the following statements by the client indicates an understanding of the laboratory results?
"I understand that the screening test may result in a false positive because it has low specificity."
A nurse is providing education to a pt. who recently became eligible to receive Medicare benefits. The nurse should ID that which of the following statements by the pt. indicates an understanding of the teaching?
"I will have to pay for Medicare coverage if I choose to enroll."
A nurse in a community health clinic is providing training to a group of newly hired nurses about partner violence. Which of the following statements made by one of the nurses indicates an understanding of partner violence?
"Partner violence is underreported."
A community health nurse is using the United States Preventive Services Task Force (USPSTF) guidelines to recommend health screenings for a client. The nurse should identify that which of the following descriptions applies to Grade A screenings?
"Research indicates this screening exam is beneficial. I would like to offer it to you."
A nurse is preparing a presentation about health care delivery in the U.S. for a group of newly licensed nurses. Which of the following statements should the nurse include in the presentation to describe the U.S. health care system?
"The U.S. spends more on health care than other developed countries."- Dang
A nurse and a community team are looking at the High 5 Initiative, as they are having similar issues in their community. Which of the following statements by the nurse indicates an understanding of the initiative and its applications?
"This is a local initiative that could be adapted to our community's needs"
A community health nurse is educating a newly licensed nurse about sensitivity and specificity using a two-by-two table. Which of the following statements by the newly licensed nurse indicates an understanding of the table related to true negatives?
"True negatives are represented in the table cell that indicates the person does not have the disease and the test does not indicate disease."
A county public health nurse is planning to implement evidence-based practice interventions for a communicable airborne disease. Which of the following statements by the nurse indicates understanding of the appropriate uses of the Intervention Wheel developed by the Minnesota Department of Health? (SATA).
"We can use the Intervention Wheel as a resource for implementing guidelines for screening and testing." "We can use the Intervention Wheel as a resource for implementing an outreach program to educate the public about where to obtain masks." "We can use the Intervention Wheel as a resource for collaborating with other health professionals in the county."
A nurse is providing a presentation about telehealth to a group of community health nurses who will soon be implementing telehealth practices within their community. Which of the following statements by one of the community health nurses indicates an understanding of the information?
"We can use video conferences as a method of telehealth to hold remote meetings with staff and clients."
A community health nurse is providing teaching to a client who is being enrolled in a case-control study. Which of the following statements by the client indicates an understanding of the teaching?
"You'll need to find other participants like me but who do not have this disease."
A nurse is part of a team at a public health department that is preparing for accreditation. Which resource should the nurse suggest that the team use for guidance about accreditation criteria?
CDC
A public health nurse is investigating a food-borne illness outbreak following a community picnic attended by 107 people. Of the 98 people who ate watermelon, 24 became ill. What attack rate should the nurse calculate for the watermelon?
25
A public health nurse is collaborating with a community team to identify key health needs through comprehensive, methodical collection and analysis of data. Which of the following assessment models should the nurse recommend?
A community health assessment
A nurse and a community team are working with the Strategic Prevention Framework. Which of the following describes the Strategic Prevention Framework?
A guiding principle of the framework is cultural competence
A public health nurse and community team are assessing the community using the Community Health Needs Assessment (CHNA) model. The nurse should identify that which of the following is true about this model?
A guiding principle of the model includes evidence-based interventions
A nurse at a state public health department is preparing for an upcoming accreditation. Which of the following should they identify as a benefit of accreditation for their public health department?
Accreditation allows public health nurses to base decisions, care, and processes on national standards.
A public health nurse is compiling infant mortality statistics for a state epidemiology report. Which mortality measure should the nurse use?
Age-specific mortality rate
A nurse is planning to provide a presentation to a group of community members on how early discoveries in science have influenced the practice of community health. Which of the following individuals should the nurse include in the presentation as being credited with discovering penicillin?
Alexander Fleming
A nurse is discussing government organizations with a newly licensed nurse who is interested in working with clients who have been impacted by natural disasters. Which of the following organizations should the nurse include in the discussion as the organization that provides domestic and international disaster relief?
American Red Cross
A nurse is asked to develop an impact report regarding a recent community health initiative program. Which of the following information is true regarding this type of report?
An impact report is a communication tool outlining the outcomes of a community project
A nurse is interacting with a client who has a new diagnosis of diabetes mellitus. The client has attended multiple workshops about. managing their condition but still has an A1C of 9 and admits to not using the meal plans to help with nutritional needs. Which of the following could t?
Ask the client to discuss what barriers they perceive that prevent compliance.
A nurse is working with a community planning board to address the challenge of systemic racism in their community. Which of the following criteria should the nurse identify as essential to the success of a community plan addressing systemic racism?
Budgeting financial resources fairly based on need
A community health nurse is collaborating with a community team and wants to use a data collection tool and planning resource to guide community partners in assessment and prioritization of community improvement initiatives. Which of the following tools should the nurse recommend?
CHANGE model
A newly licensed nurse is interested in finding information about health care benefits for clients who are disabled or have end-stage renal disease. The newly licensed nurse asks their preceptor where they can find this information. Which of the following organization websites should the preceptor encourage the newly licensed nurse to use to find the desired information?
Centers for Medicare and Medicaid Services (CMS)
A home health nurse is searching for evidence-based information about the benefits of caregiver support groups. Which of the following sources is the best source for systematic reviews and recommendations about this topic?
Cochrane
A team of home health nurses is searching for data about pressure injury protocols for use in the home setting. Which of the following resources should they use to find pressure injury protocols?
Cochrane
A population health nurse is researching evidence-based strategies for decreasing pollution caused by industrial waste. Which of the following does the nurse identify as a reason to use a Cochrane review as a resource to obtain information?
Cochrane contains systematic reviews of synthesized evidence.
A nurse is reviewing the need to include community gatekeepers in community partnerships. Which of the following statements describes the importance of this inclusion?
Community gatekeepers are people who have an impact on community members, and the support of community gatekeepers can be pivotal in moving initiatives forward
Which of the following terms describes a nurse who delivers care to the residents of a community in a local area focusing on disease and injury prevention?
Community health nurse
A nurse in a public health department is searching Healthy People 2030 for objectives with evidence-based interventions related to social determinants of health. Which of the following is a type of Healthy People objective that includes reliable baseline data and evidence-based interventions?
Core
A school nurse is developing a program for nutritional needs for school-aged children. Which of the following is a resource provided by Healthy People 2030 that includes evidence-based guidelines the nurse can use?
Core Objectives Rationale: The nurse should use the core objectives within Healthy People 2030. Core objectives have evidence-based interventions as resources that guide practice.
A nurse is conducting a presentation for a group of student nurses related to the goals and objectives of Healthy People 2030. Which of the following does the nurse discuss as overarching goals of Healthy People 2030? (SATA).
Create social, physical, and economic environments that promote attaining the full potential for health and well-being for all. Eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all. Engage leadership, key constituents, and the public across multiple sectors to take action and design policies that improve the health and well-being of all.
A Public health nurse is collaborating with a community team and considering which assessment tool looks at health as a broad, multifaceted concept and considers health as impacted by individual, community, social, political, and physical elements. Which of the following tools should the nurse recommend?
Ecological model
A public health nurse is administering an influenza immunization to a client who asks about the extent of influenza in the community. Which of the following levels should the nurse identify if the rate of influenza cases is at the expected level for the current time of year?
Endemic
A nurse is providing a presentation about individuals who made early contributions to public health nursing. Which of the following contributions should the nurse credit to Lillian Wald?
Establishment of the Henry Street Settlement.
In order to support and mobilize communities and partnerships to improve the overall health of the local area, which of the following interventions might a public health nurse employ?
Ex: Working with a local hospital to become an immunization station during an epidemic.
A public health nurse is discussing climate change with a group of nurses who are interested in learning about global health concerns. Which of the following should the nurse include in the discussion as an issue associated with climate change?
Exacerbations in respiratory conditions
A team of community health nurses has been formed to address the low immunization rate of the adult population in a rural community. Using a quality improvement process that mirrors the steps of evidence-based practice, in what order will the following steps be included in the nurses' process as they implement a program to increase immunization rates in this population?
Find a process to improve. Clarify current knowledge. Select changes aimed at performance improvement. Do it; execute the plan. Study new data and check results
A nurse educator is teaching a class on nursing history to a group of nursing students. Which of the following nurses should be identified as the first nurse who focused on environmental conditions?
Florence Nightingale
A nurse is working with a health care team to develop community partnerships. Which of the following actions should the nurse take to assist with this development?
Focus on developing partnerships built on a foundation of pre-existing, trust based relationships
A nurse and a community team are assessing their community using the CHANGE model. The team recognizes they should consider which of the following as a sector of their model?
Health care
A public health nurse is working with a team to plan a community initiative. The nurse looks to national initiatives to drive community action. Which of the following outlines national objectives for health improvement and can be used to help drive community-specific objectives?
Healthy People 2030
Which of the following health promotion initiatives were launched to implement interventions for better overall health in the U.S.?
Healthy People 2030.
A public health nurse is reviewing the Leading Health Indicators (LHIs) developed for the Healthy People 2030 national health goals with a group of nurses. Which of the following LHIs should the nurse identify as pertaining to all age groups? (SATA)
Homicides Drug overdoses Influenza Immunization
A nurse and a community team are examining the University of Kansas toolkit to see if it could inform their work. Which of the following steps should the nurse and the team focus on as their first action?
Identification of key stakeholders
A nurse and a community team are trying to increase interest within the community for the community program they are working to implement. Which of the following is a key strategy used to give community members a reason they should care about a community program goal?
Identify incentives
A nurse in a community health clinic is discussing the impact of current trends in health care costs and quality with the staff. Which of the following trends should the nurse identify as the trend that will likely lower health care costs?
Increased use of telehealth.
A community health nurse is caring for a client who tested positive for an infectious disease but is not yet exhibiting manifestations. Which of the following stages of illness in the natural history of disease model is the client in?
Incubation period
A community health nurse is partnering with the local library in a small town to hold workshops on filling out paperwork for student funding for trade schools and colleges. The nurse should recognize that this action is supported by which of the following statements about the lack of affordability in higher education???
It decreases the local residents' chances of gaining skills and knowledge for various job opportunities.
Which of the following is true about the National Notifiable Disease Surveillance System?
It is a legal requirement for states to report on national notifiable diseases
A nurse is creating an impact report on a community initiative that has been in progress for the past six months. Which of the following is true about an impact report?
It should be transparent and widely disseminated among community members
A nurse and a community team are using Strategic Prevention Framework. Which of the following is true about the Strategic Prevention Framework?
It uses a team approach
A public health nurse is providing care for a client who has a recent diagnosis of active tuberculosis. Which of the following actions should the nurse take to assist this client with managing their own health care?
Make a referral for the client to the Directly Observed Therapy (DOT) program in the community.
A nurse at a county public health department is developing a breast cancer screening program for a population of homeless individuals in the county. Which of the following resources should they use to find evidence-based information from government sources? (SATA).
National Institutes of Health (NIH) Office of Disease Prevention (ODP) The CDC
A team of public health nurses wants to implement a practice change related to use of surgical masks by nurses during community immunization clinics from September to January. When searching for scientific evidence about the use of effects of surgical masks on the incidence of influenza among nurses, in what order will the nurses format their PICOT question?
Nurses who administer immunizations during community events. Use of surgical masks. No use of masks. Incidence of influenza. September to January.
A nurse at a public health department is presenting information about Healthy People 2030 to a group of community health workers. In which of the following categories will the nurse discuss specific, evidence-based interventions of Healthy People 2030?
Objectives
An occupational nurse is reviewing recent incidence rates and notes an increase in back injuries. Which of the following would be a population health intervention the nurse could employ to address this issue?
Offer educational sessions to all workers regarding the prevention of back injuries.
Which of the following interventions might the occupational health nurse employ to promote health and safety in the workplace? (SATA)
Offer immunizations such as flu vaccines Do a walkthrough inspection to check for safety in the work areas Remind employees to use personal protective equipment (PPE) when handling harmful chemicals Arrange for the vendor to educate the employees on how to use new heavy-lifting equipment
school nurse is implementing a quality improvement process for medication adherence in adolescent children who have asthma. Using a quality improvement process that mirrors the steps of evidence-based practice, in what order will the following steps be included in the nurse's process as they implement a program to increase medication adherence in this population?
Organize an effort to work on increasing medication adherence in adolescent children who have asthma. Clarify current knowledge about medication adherence in adolescent children who have asthma. Select changes aimed at increasing medication adherence in adolescent children who have asthma. Plan the change for increasing medication adherence in adolescent children who have asthma. Do the change; execute the plan for increasing medication adherence in adolescent children who have asthma. Act to sustain the gains that increase medication adherence in adolescent children who have asthma.
A school nurse has identified a need for improved playground safety. Using a quality improvement process that mirrors the steps of evidence-based practice, which of the following steps should the nurse take before selecting changes aimed at improving playground safety? (SATA.)
Organizing an effort to work on improvement Planning the change Clarifying current knowledge of the process
Which of the following actions should a community health nurse take to promote economic stability in the community?
Partner with local churches and write grants for childcare funding towards affordable day cares in the area..
Which of the following are stages of change in the transtheoretical model?
Precontemplation Mainetnance Action Planning
Which of the following are stages of change in the transtheoretical model? (SATA).
Precontemplation Maintenance Action Planning
A nurse and team of community members are beginning to prioritize the data they have collected. Which of the following is true about prioritization of community-level data?
Prioritization at the community level must focus on needs impacting the community or subpopulations
A community health nurse is discussing the Nurse Training Act of 1943 with a group of nursing students. The community health nurse should include in the discussion that which of the following occurred as a direct result of the passage of this legislation?
Prohibition of racial discrimination in nursing organizations
A community health nurse is preparing an educational program about Healthy People 2030 that will be presented at a local community center. What goals should the nurse include as part of a presentation about Healthy People 2030? (SATA).
Promote healthy development and behaviors across all life stages. Achieve health equity and attain health literacy to improve health and well-being.
A nursing program director is discussing the integration of the Quality and Safety Education for Nurses (QSEN) competencies into the curriculum with faculty. Which of the following competencies should the director include in the discussion as the competency that most students are the least prepared to address?
Quality improvement
A school nurse assesses a couple of students for injuries after they have been fighting. The nurse finds bruises in various stages of healing on one of the students. Which of the following interventions on the secondary level of prevention should the nurse implement?
Report the findings to Child Protective Services (CPS).
A community health nurse is conducting research about emergency preparedness in a community. According to Wilder's community-engagement research model, which of the following activities indicate to the nurse that the community is engaged in the research in the leader role? (SATA).
Residents conduct door-to-door surveys. A group of residents begins to develop questions for a survey
A community health nurse is reporting their findings from research conducted about the need for primary care clinics in a community. According to Wilder's community-engagement research model, which of the following activities would the nurse report if the community was engaged in the research in the collaborator role? (SATA).
Residents filled out questionnaires on the survey tool. Residents volunteered to count the number of completed surveys returned each day. Residents donated the data collection supplies.
Which of the following Sustainable Development Goals would be achieved if nations implemented recycling programs in their major cities?
Responsible consumption and production
A public health nurse is discussing strategies to increase the # of nurses who are interested in working in public health with another nurse. Which of the following strategies should the nurse include in the discussion as an approach to increase the supply of public health nurses?
Restructuring pay and rewards for nurses who practice outside of acute care settings.
A public health nurse is discussing strategies to increase the number of nurses who are interested in working in public health with another nurse. Which of the following strategies should the nurse include in the discussion as an approach to increase the supply of public health nurses?
Restructuring pay and rewards for the nurses who practice outside of acute care settings.
A client reports that the initial exercise regimen in their weight loss program was ineffective, but that they have seen positive results since adopting a friend's regimen. Which of the following theories explains the client's change?
Social Cognitive Theory
A home health nurse is assessing a client who was recently hospitalized for pneumonia and no longer reports shortness of breath on ambulation. The nurse should identify that the client is in which of the following stages of the natural history of disease model?
Stage of recovery, disability, or death
The nurse educator for the county public health department is planning a course about building community partnerships for local community health nurses. Which of the following does the nurse educator recognize as a benefit of including information about evidence-based practice? (SATA).
Strengthened standards of care Increased job satisfaction of the nurse Increased efficiency with which nurses locate objective evidence Increased health care quality
A school nurse is researching information about the effects of homelessness on immunization rates in school-age children. In what order will the nurse examine each item, from most robust type of evidence to least robust?
Systematic reviews of all randomized controlled trials published within the last 5 years about the effects of homelessness on immunization rates in children. A randomized controlled trial about the effects of homelessness on immunization rates on one state's population of school-age children. Observational cohort studies about immunization rates performed with a population of homeless school-age children during the last 3 years. An expert opinion presented in a conference in the current year from a pediatric immunologist.
A nurse educator is presenting information to a group of community health nurses about using evidence-based practice sources when planning care for a community. In what order will the nurse discuss types of evidence, from most robust to least robust?
Systematic reviews of all randomized, controlled trials. Controlled trials without randomization. Case control and cohort studies. Expert opinion and expert committee reports.
A nurse working in a campus health center is developing a smoking cessation program for the student body. Which of the following federal agencies should the nurse include in the program as the agency that regulates tobacco products?
The FDA
A home health nurse instructs the caregiver to administer pain medication to a nonverbal client in their home. Which of the following evaluative findings would indicate that the goal of pain relief had been met?
The client's face relaxes and stops grimacing.
A community health nurse is involved in community-engaged research about employer-provided health benefits in a small, rural community. Which of the following are potential ethical concerns related to recruitment of participants or confidentiality of information? (SATA).
The leader of the data collection team recruits their family members for the research. A member of the data collection team volunteers to collect data from their family-owned restaurant employees. A local primary care provider offers to supply information about residents during the data collection process. The owner of a factory offers bonuses to employees who participate in the research.
A community health nurse is involved in community-engaged research about physical activity levels of families who attend local schools. Using the nursing process, which of the following activities of the nurse represents the evaluation phase of the research?
The nurse and community residents present the findings at a school board meeting.
A community health nurse is planning to create a partnership within a community for the advancement of community initiatives. The nurse should identify which of the following as an important aspect of this partnership?
The promotion of health within a community should involve collaborative community efforts from a diverse group of community partners
A community health nurse and a community team are prioritizing community-level data. They want to use a simple method of prioritization strategy that involves an open or secret vote. The nurse should use which of the following?
The quick and colorful approach
A community health nurse and a community team are using the simplex method. Which of the following statements is true about the simplex method?
The simplex method uses close-ended questions
A nurse and a community team are working on a situation statement. Which of the following describes the purpose of a situation statement?
To provide definition of issues in which community awareness and support are sought after
A client asks a nurse to help identify resources for a weight loss plan the client is developing. Which of the following theoretical frameworks might the nurse use in this situation?
Transtheoretical Model
A nurse is reviewing various roles within the community. The nurse should identify which of the following information is correct about the role of public health nurse?
a public health nurse uses evidence based care to promote health, prevent disease, and mitigate health risks within a community setting
A nurse is preparing to provide a presentation regarding population focused care to a group of community health nurses. Which of the following should the nurse plan to include in the presentation as a required competency for nurses who are providing population focused care?
The ability to analyze large data sets.
A nurse and community team are using the Strategic Prevention Framework. Which of the following is true about this framework?
Planning is an important step in the process
A nurse is discussing the impact that current community and public health trends have on health care delivery with a group of nursing students from UTRGV. Which of the following trends should the nurse ID as likely to decrease health care expenditures?
The implementation of population health strategies
A nurse is discussing the timing of public health acts with a group of nursing students. The nurse should inform the students that, if placed chronologically from oldest to newest, the following acts would be listed in what order?
The Sheppard-Towner Act is the first act The Social Security Act is the second act The Civil Rights Act is the third act The Medicare and Medicaid Act is the fourth act
