6100 Comminity ATI Questions.

A community health nurse is preparing an in-service for staff to define the conditions of causation in epidemiological studies. Which of the following descriptions should the nurse use to define a temporal relationship to establish causation?

temporal relationship is a condition in which the exposure must come before the disease develops to establish causation.

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 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? (Select all that apply.)

- Don't know how use the computer - I took statistic but haven really used it. - i am not really sure where to look for new evidence.

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? (Move the steps into the box on the right, placing them in the order of strength of evidence. Use all the steps.)

- Randomized controlled trials is the highest - Controlled trials without randomization - Case control and cohort studies - expert opinons and expert committee reports

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? (Select all that apply.)

- Strengthened standards of care - Increase job satisfaction -increased efficiency with which nurses locate objective evidence -Increased health care quality

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 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? (Move the steps into the box on the right, placing them in the order of strength of evidence. Use all the steps.)

- systemic reviews - RCTs - Observational cohort - Expert opinion

A nurse is taking part in a community-wide program evaluation. Which of the following is true of program evaluation?

. Evaluations can be used to reduce uncertainties, improve effectiveness, and make decisions.

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? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

24/98 = 25% ATTACK RATE

A public health nurse is investigating a food-borne illness outbreak following a community picnic attended by 107 people. Of the 72 people who ate ice cream, 34 became ill. What attack rate should the nurse calculate for the ice cream? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

47%

A nurse and a community health team are trying to define key members who should help lead implementation of a community program. Which of the following individuals would be considered a community influencer?

A program director of the local community health department

A community health nurse is preparing an in-service for staff to define the conditions of causation in epidemiological studies. Which of the following descriptions should the nurse use to define biological plausibility to establish causation?

A relationship is biologically possible, and it makes sense.

A public health nurse is involved in community-engaged research related to reasons for low immunization rates of children in county public schools. Which of the following situations does the nurse recognize as a potential ethical issue involving recruitment of research participants or confidentiality of information?

A school priniciple offers to provide immunization records of students

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 morality rate

A community health nurse is preparing a presentation on the cause of death among a group of adults aged 18 to 24 years in a specific county. Which of the following mortality measures should the nurse use to obtain this data?

Age-specific mortality rate

A public health nurse is calculating the attack rate following a food-borne illness outbreak after a community picnic. Which of the following groups of people should the nurse include in the denominator of the attack rate calculation

All people that ate that specific food item

A public health nurse and a community team are working on a community diagnosis. Which of the following would be considered a community diagnosis?

Alteration in family health management

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 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 Community Health Assessment and Group Evaluation (CHANGE) model uses a data collection tool and planning resource to guide community partners in assessment and prioritization of community improvement initiatives.

A team of home hospice nurses has observed high levels of engagement among caregivers and families in a rural community who attend a support group. When conducting a search for findings about caregiver and family engagement, the nurses should form PICOT questions with which of the following as the "P"?

Caregivers families

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 --> Recommendation for practices

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 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?

Cohrane

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.

A public health nurse is completing an institutional review board (IRB) application for an analytic study in a community hospital following an outbreak of Escherichia coli. Which of the following stages of the analytic study is the nurse engaged in?

Conduct and implementation

A public health nurse is teaching a newly licensed nurse how to determine the prevalence rate of the top diseases in the county. Which of the following information should the nurse provide to describe prevalence rate?

Considers new cases of disease

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

A community health nurse is searching for data about health behaviors related to smoking and exercise. Which of the following resources should the nurse use to find data about health behaviors in their local area?

County Health Rankings

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? (Select all that apply.

Create social, physical, and economic environments that promote attaining the full potential for health and well-being for all

A nurse is collecting and assessing primary and secondary data in the community. Which of the following is an example of secondary data?

Criminal statistics

A public health nurse is working with a statistician while conducting an analytic study of health disparities in the community. In which of the following stages of the analytic study is the nurse currently participating?

Data analysis

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? - Certain point in time.

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 --> Flu, expected presence of a disease.

A community health nurse is planning community initiatives collaboratively and working on assembling a community team. To help overcome barriers, which of the following should the nurse propose?

Establish one group that can focus on a shared vision

A public health nurse is educating a newly licensed nurse about sensitivity and specificity using a two-by-two table. Which statement by the newly licensed nurse indicates understanding of the table related to false positives?

False positives are represented in the table cell that indicates the person does not have the disease and the test indicates disease."

A public health nurse is assessing a client for determinants of health. Which of the following questions should the nurse include in their assessment? (Select all that apply.)

Fam Hx work insurance age

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 or goal?

Identify incentives.

A nurse in a community health clinic is preparing an in-service for staff to define the conditions of causation in epidemiology studies. Which of the following descriptions should the nurse use to define a dose-response relationship to establish causation?

Increased exposure increased the risk of developing the disease.

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 the Strategic Prevention Framework. Which of the following is true about the Strategic Prevention Framework?

It uses a team approach.

A public health nurse provides expert testimony to a city development board about the negative health consequences of living near a landfill. Which of the following ethical principles does the nurse uphold by advocating for a new landfill to be constructed in a different area of the city?

Justice

A community health nurse is teaching a group of school age children about proper handwashing technique. The nurse should identify that this intervention targets which of the following links in the chain of transmission?

Mode of Transmission

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? (Select all that apply.)

NIH ODP CDC

A nurse and a 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 public health nurse conducts an evaluation of a health promotion program. Which of the following ethical principles does the nurse uphold by ensuring that the program does not result in any harm to participants?

Nonmaleficience

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

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? (Select all that apply.)

Organize Plan Clarify

A nurse is collaborating with a community team on a community-wide project. Which of the following processes involves the coordination of related projects to achieve the overall goals of the program?

Program Management

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? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

P - Community I- surgical masks c-No surgical mask O- influenza T- September to January

A community health nurse is making recommendations for illness surveillance measures in public schools to a local school board. Which of the following core functions of epidemiology is the nurse engaged in?

Policy development --> illness surveillance

A school nurse is providing teaching to young students to cover their cough to prevent disease transmission. The nurse should identify that this intervention breaks which of the following links in the chain of transmission?

Portal of Exit

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? (Select all that apply.

Promote healthy development Achieve health equity and attain

A public health nurse is listing all causes of death in the county to determine the percentage each cause contributes to the overall death rate. Which of the following mortality measures should the nurse use to calculate this data?

Proportionate mortality -->illustrates what proportion of death in a population is attributable to a specific disease.

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? (Select all that apply.)

Questionnaires Volunteer to count the number of completed surveys return each day. residents donated the data collection supplies

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 D screenings?

Research indicates that screening is not warranted and may be harmful.

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 public health nurse is recruiting Black men for a research study on coronary artery disease. Which of the following reasons explains the importance for the nurse to have knowledge of the Tuskegee Syphilis Study?

Source of distrust and a barrier to black clients participating in research studies

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?

Specificity is a true negative Low specificity would result in a false positive.

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, diasability, or death

A community health nurse is creating a handout for clients on methods to naturally enhance their immunity against infectious diseases. The nurse should identify that this information will target which of the following links in the chain of infection?

Susceptible host --> inhancing natural immunity.

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 using the simplex method. Which of the following statements is true about the simplex method?

The simplex method uses close-ended questions.

A community health nurse is providing teaching to a client who is being enrolled in an epidemiological cohort study. Which of the following statements by the client indicates an understanding of the teaching?

The study will last for 10 years. You will contact me annually for an interview and blood work. Cohort --> Annually.

A nurse and a community team are prioritizing community-level data. Which of the following is true about data prioritization strategies?

The team should identify that any approach to data prioritization will have strengths and weaknesses.

A community health nurse is planning a program to educate parents and caregivers in the community about childhood immunizations. When incorporating evidence-based practice, the nurse should identify that which of the following is a focus of implementing the program?

The values and preferences of the community

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 community health nurse is providing teaching to a group of college students who are preparing for a cultural immersion trip to a country where malaria is endemic. The nurse recommends the students spray a mosquito insecticide in their sleeping quarters before bedtime each night. Which of the following parts of the epidemiologic triangle does the nurse's recommendation reflect?

Vector --> vehicle of transmission

A nurse and a community team are assessing their community using the built environment assessment tool. Which of the following is a core feature of the built environment assessment tool?

Walkability

A team of community health nurses is in the planning phase for community-engaged research. Which of the following describes a role the nurses should take during the planning phase using the nursing process?

Writing grants for funding of community-engaged research

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 school nurse is providing teaching to a group of students preparing for a study abroad trip to a country where malaria is endemic. The nurse reminds the students to take their antimalarial medication. Which of the following parts of the epidemiologic triangle does the nurse's recommendation reflect?

agent.

A community health nurse is working with a client who decides to forego United States Preventive Services Task Force (USPSTF) recommended screenings. Which of the following ethical principles does the nurse uphold by supporting the client's decision?

autonomy

A community health nurse is educating a client about the implications of a false negative result of a screening test. Which of the following statements by the client indicates an understanding of a false negative screening?

client indicates an understanding that missed opportunity for early treatment is associated with false negative screening

A nurse is reviewing various roles within the community. The nurse should identify which of the following statements best encompasses the description of a community health worker?

community health worker can be anyone in the community who is invested and active in promoting the health of the community.

A public health nurse and a community team are beginning to evaluate a community program. Which of the following describes when the evaluation of a community program should be done?

continual throughout the implementation process.

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? (Select all that apply.)

door to door surveys Groups develops questions for surveys

A public health nurse is investigating a food-borne illness outbreak following a community picnic. After calculating the attack rate, which of the following foods served at the picnic should the nurse determine is the most likely cause of the outbreak?

ham sandwich with an attack rate of 72% as the highest attack rate

A community health nurse is providing teaching to a group of adults preparing for a mission trip to a country where mosquito-borne illness is endemic. The nurse instructs the group members to wear long pants and long sleeve shirts. Which of the following parts of the epidemiologic triangle does this recommendation reflect

host --> exposed skin

The public health nurse is explaining to a newly licensed nurse how to investigate the incidence of breast cancer in the community. Which of the following information should the nurse provide about calculating the incidence rate?

includes only those people at risk for the disease.

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 providing teaching to a client who is being enrolled in a randomized controlled trial. Which of the following statements by the client indicates an understanding of the teaching?

individuals don't know the group

A public health nurse is participating in an interdisciplinary team to identify the origin of an outbreak of Legionnaires' disease. Which of the following essential public health services is the nurse performing?

investigate, diagnose, and address health problems and hazards affecting the population.

A community health nurse is explaining to a newly licensed nurse the difference between an observational and experimental study. Which of the following explanations should the nurse provide?

no variable manipulation in observational studies, only experimental.

A community health nurse is providing teaching to a client about primary prevention methods for sexually transmitted infections. The nurse should identify that the teaching reflects which of the following stages of the natural history of disease model?

stage of susceptibility is prior to exposure, and primary prevention efforts prevent exposure.

A community health nurse is training a newly licensed nurse on the use of case studies and case reports. Which of the following information should the nurse provide about when these tools are utilized?

They provide a starting point for further study

A public 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 positives

true positive means the person has the disease and the test correctly identified it.

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? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

-Process to improve -clarity current knowledge - select changes aimed at preformance improvement excute the plan study new data and check results.