chapter 4, 38, 32, 34, 45, 43, 6
Professional nursing organizations recommend that all women be routinely screened for domestic violence. When is the most appropriate time for this screening? a. When they are in the ED with physical trauma. b. When they come to any health care setting. c. When they report increased stress in the home. d. When they visit the provider repeatedly for anxiety.
B
The congregational wellness committee expresses the desire to establish a seasonal shelter for homeless women and children in the community as part of its health ministry. The faith community nurse prepares a resource assessment for the next committee meeting. This intervention reflects the parish nurse's responsibility for which type of practice issues? a. Ethical b. Financial c. Legal d. Professional
B
The nurse knows that which individual would be considered correctly defined? a. Agricultural day laborer: A migrant or seasonal farmworker with a second part time job b. Migrant farmworker: Travels to do farm work unable to return to a permanent home in the same day. c. MSFW: A foreign worker employed seasonally in agriculture who is also a migrant d. Seasonal worker: Individual who travels around the country working crops in season
B
The community health nurse can serve as an advocate for the vulnerable migrant population by engaging in which of the following actions? (Select all that apply.) a. Becoming culturally and linguistically competent b. Collecting necessary data on migrant workers' lifestyle and health status c. Educating communities about the migrant workers in their areas d. Educating policymakers about successful programs for migrant workers e. Using lay health workers to provide health education in migrant camps
B, C, D
The nurse case manager in a migrant farmworker clinic assesses this population for occupational and environmental risks related to which problems? (Select all that apply.) a. Contaminated water b. Fear of injury reporting c. Inadequate sewage d. Pesticide exposure e. Traffic accidents
A, B, C, D
Host factors associated with increased risk of an adverse response to hazardous workplace exposure include which of the following? (Select all that apply.) a. Age b. Experience c. Health status d. Male gender e. Work practices
A, B, C, D, E
The role of the nurse who wants to become more active in environmental health could include which of the following? (Select all that apply.) a. Assessing farmworkers for pesticide exposure and providing pesticide risk education b. Conducting epidemiologic investigations as a public health nurse (PHN) c. Developing corporate policy to protect workers from unsafe levels of toxic agents d. Organizing the local community to encourage landlords to remove lead-based paint e. Working as a skilled risk communicator for a local chemical manufacturer
A, B, C, D, E
A new nurse asks the mentor what an MSDS is for. What responses by the mentor are most accurate? (Select all that apply.) a. Contains information on chemical products. b. Describes any special precautions using chemicals requires. c. Details the health risks associated with the products. d. Explains the manufacturing precautions taken. e. Must be written by the product manufacturer.
A, B, C, E
During routine nursing assessments, the nurse should ask clients about their current and past jobs, exposures to any agents that potentially relate to their symptoms and activities at work, and which of the following? (Select all that apply.) a. Disabling conditions b. Immunization history c. Lifestyle history d. Previous injuries e. Underlying illnesses
A, C, D, E
When preparing a report on work-health interactions, the occupational health nurse should include which of the following information? (Select all that apply.) a. Accidental deaths and deaths associated with occupationally acquired illness b. Numbers of workers requiring vision correction while working c. Rates and types of injuries that occurred while workers were on the job d. Rates and causative factors for back injuries while working e. Worker illnesses potentially associated with workplace chemical agent exposure
A, C, D, E
A nurse in Mexico collaborates with the health committee that operates a village-based health post. They intended to discuss the planning for next year's health promotion initiative and evaluate the recent family planning program. This best demonstrates the aim of the Declaration of Alma-Alta to emphasize which of the following? (Select all that apply.) a. Availability of chemotherapeutic agents b. Development of maternal and child health programs c. Involvement and training of community health workers d. Organized approach to health education e. Promotion and acceptance of traditional medicine
B, C, D, E
When conducting a nursing assessment of a child, the nurse should be aware that indicators of potential or actual child abuse may include which of the following? (Select all that apply.) a. Cognitive impairment b. Evidence of general poor care c. Injuries not mentioned in history d. Seems to need to take care of the parent e. Unusual fear of the nurse and others
B, C, D, E
What does a community-oriented nurse newly assigned to a rural community learn about the characteristics of rural and small town life? a. Fractured family and social systems b. Informal social and professional relationships c. Openness to people new to the community d. Role of churches as socialization centers e. Work of many residents in high-risk occupations
B, D, E
A state health department nurse with budgetary responsibility for a population health framework would allocate priority funding to which activity? a. Chronic disease surveillance and treatment programs b. Pediatric and adolescent primary care and nutrition programs c. Promoting healthy lifestyles or improvement of social and physical environments d. Well and sick child clinics
C
A terrorist bombing at a local church has sent many victims to the local emergency department and resulted in several deaths. Following the event, an emergency department nurse seeks out other nurses who are having difficulty performing their jobs to speak about the event. The nurse is demonstrating the disaster response strategy of: a. allaying public concern and fear. b. assisting victims to think positively and to move to the future. c. identifying feelings that individuals may be experiencing. d. preparing personnel to be effective in a disaster.
C
An undocumented migrant farmworker has been diagnosed with TB. The local health department initiates treatment by dispensing the first month's supply of medication and educates the client on the need to continue treatment for 6 to 12 months. A major challenge that the client may face to ongoing treatment for TB is: a. affordable care. b. discrimination. c. fragmented services. d. language barriers.
C
Commitment to which of the following best demonstrates nursing's advocacy role in primary health care initiatives in developed countries? a. Equality of health care b. Higher education for nurses c. Provision of direct client care d. Quality of care
C
In caring for migrant workers and their families, the nurse should first assess the migrant workers' lifestyle and which of the following as the priority? a. Communicable diseases b. Educational level c. Housing arrangements d. Pesticide exposure
C
The United States is engaged in a formal agreement with Indonesia to provide economic incentives and assistance in national defense in return for the protection of U.S. private investments in that region. Which bilateral organization is most likely involved in this agreement? a. Carnegie Foundation b. United Nations c. U.S. Agency for International Development d. U.S. Department of Defense
C
The local hospital emergency department has recently noted an increase in gastroenteritis cases among migrant farmworkers. The local health department is informed of the rise in cases and schedules an assessment of which of the following? a. Bars frequented by migrant workers b. Farm fields employing migrant workers c. Housing for migrant workers d. Restaurants frequented by migrant workers
C
A clinic has received funds to pay for clinic visits for farm residents who live in frontier or rural, non-metropolitan statistical areas. Which of the following client(s) would qualify to receive this special funding? a. Apple grower who lives in a 100-square-mile county with a population of 19,900. b. Client who lives next to a ranch in a town of 1200 people. c. Soybean grower and spouse who live in a 400-square-mile county with a population of 39,200. d. 70-year-old client residing in an assisted living facility in a rural area.
D
A community health nurse is prioritizing health-promotion activities with the local rural community. An understanding of the health status and health risks of the rural community would lead the nurse to give priority to which activity? a. Aerobic exercise classes b. English as a second language program c. Mentoring program to increase adult literacy d. Motor vehicle and farm accident prevention
D
Campaigns to decrease the inequitable burden of environmental risks on the poor and people of color in the United States strive to apply which ethical principle? a. Societal justice b. Nonmaleficence c. Beneficence d. Environmental justice
D
Identifying occupational and safety hazards and determining recommended exposure limits for occupational hazards is the function of which organization? a. North American Industry Classification System (NAICS) b. National Institute for Occupational Safety and Health (NIOSH) c. National Occupational Research Agenda (NORA) d. Occupational Safety and Health Administration (OSHA)
D
Occupational and environmental health nursing can best be described as which of the following? a. Enforcement of Occupational Safety and Health Administration (OSHA) requirements b. Identification and management of health and safety cases in workplace settings c. Promotion of wellness in the workplace d. Promotion, prevention, and restoration of health in the workforce aggregate
D
The nurse analyzing data from reports of the global burden of disease would learn about which of the following topics? a. Costs to the world of treating communicable disease in less-developed countries. b. Economic cost of preventable early deaths. c. Impact of disability on the international economic forecast. d. Years in lost contribution to economic growth.
D
Depression among rural residents appears to be more persistent and endemic. Which of the following factors may contribute to this level of depression? (Select all that apply.) a. Elevated levels of poverty b. Geographic isolation c. Insufficient mental health services d. Lack of awareness e. Tolerance for destructive coping mechanisms
A, B, C
A nurse practicing in a faith community engages in behaviors that support this practice mission. What activities does this nurse participate in? (Select all that apply.) a. Attend a weekend retreat focusing on developing one's faith. b. Be intentional about taking care of him- or herself. c. Find a faith community nurse to serve as a support system. d. Take time away to refresh and rejuvenate occasionally. e. Teach classes on self-help for overcoming spiritual distress.
A, B, C, D
According to Ziebarth (2016), what are the five essential attributes of faith community nursing? (Select all that apply.) a. Accessing health care b. Coordinating c. Disease managing and health promoting d. Empowering e. Faith integrating
A, B, C, D, E
Community and public health nurses (PHNs) practicing in rural locales consistently note which of the following characteristic of their practice environments? a. Broad scope of practice b. Independence and autonomy c. Inter-generational practice d. Opportunity for community involvement e. Respect and visibility
A, B, C, D, E
What are recent trends in the characteristics of the U.S. workforce that will present new challenges to protecting worker safety and health? a. Better job security, more equitable work hours, and compressed work weeks b. Decrease in the retirement age and increase in the number of people with chronic illness c. Increase in people with chronic illness, women, older workers, and racial diversity d. Increased racial diversity, longer period of productivity, and longer life expectancy of workers
C
Which of the following are community-level factors that influence violence and human abuse? (Select all that apply.) a. Bullying b. Corporal punishment c. Diversity d. Population density e. Sense of cohesiveness
C, D, E
The WHO initiative Health for All in the 21st Century can best be described as which of the following? a. Social justice initiative b. Primary care initiative c. National initiative d. Environmental initiative
A
A faith community nurse has entered into a written contract to provide spiritual care at two local nursing homes and the community hospital. This best represents the implementation of which model of faith community nursing? a. Congregational model b. Health ministry model c. Holistic care model d. Institutional model
D
A home health nurse is assessing the parents of an infant. What information does the nurse consider most relevant when screening for child abuse? a. Lack of legal marital status b. Living in temporary housing c. Mother's history of adolescent depression d. Verbal aggressiveness toward spouse
D
A nurse wishes to become involved in outreach to migrant farmworkers. What activity by the nurse would be consistent with this service? a. Assisting migrant farmworkers to understand their rights b. Developing policies and assuring funding for services c. Reaching migrant communities for primary prevention d. Training lay health workers for health education
D
A public health nurse has been recruited to lead a community environmental lead exposure reduction program. What action by this nurse is best? a. Advocate for funding at the state and federal levels. b. Create a multidisciplinary team to work on different aspects of the problem. c. Determine how other cities and counties have managed this problem. d. Research the number of houses likely to contain lead-based paint.
D
What is a potential, unanticipated public health issue arising from international trade agreements? a. Decrease in illegal immigration across borders seeking health care. b. Decrease in contagious diseases a result of economic development. c. Improved nutrition as a result of increased amounts of healthy foods. d. Increase in foodborne disease when sanitary conditions differ between countries
D
A community health nurse seeks to enhance the health promotion and health-service-seeking behaviors of the migrant farmworkers in local apple orchards. What evidence-based action by the nurse would be best? a. Educating migrant lay health workers b. Establishing a farmworker advocacy group c. Fundraising for a mobile health unit d. Lobbying local politicians for more funding
A
A family with a small child lives in a home on a Brownfield site. What action does the public health nurse take when conducting a home visit? a. Assess the child for meeting developmental milestones. b. Have the parent complete a 3-day food diary. c. Request the child's immunization records. d. Watch the child during therapeutic play.
A
A nurse is caring for a rape victim/survivor who is initially displayed emotional withdrawal and silence, but now is repeatedly giving a description of the event. What action by the nurse is most beneficial? a. Assure the client that these reactions are normal for this event. b. Help the client process then move forward from the event. c. Offer the client short term anti-anxiety medications. d. Refer the client for posttraumatic stress disorder counseling.
A
A nurse is planning an activity for older congregants. After reading Healthy People 2020 goals for older adults, which activity does the nurse design? a. Exercise program integrating movements from a sitting or standing position b. Classes to promote a healthy self-image c. Cooking classes highlighting various cuisines d. Monthly onsite access to biotouch and massage therapists
A
A nurse will be starting a new job serving a rural, Native American reservation. What supplies or equipment does the nurse anticipate having the highest need for? a. Diabetic testing supplies b. Oximeter and sensors c. Suicide prevention pamphlets d. Water purifiers
A
As the nature of work has changed over time, the nature of work-related illness and injury has also changed. Which is the best example of a work-related illness/injury associated with the change from an agrarian economy to a highly technological workplace? a. Byssinosis (brown lung disease) b. Carpal tunnel syndrome c. Fatal work injuries in miners d. Pneumoconiosis (black lung disease)
A
Long-term consequences of victimization indicate that violence must be addressed as which of the following? a. Community and public health problem b. Legal and political concern c. Medical and health care concern d. Nursing concern
A
Physical agents associated with workplace hazards can best be addressed through engineering strategies and: a. practice of safe work habits. b. workplace redesign. c. blood-borne pathogen standards. d. material safety data sheets.
A
Several faith communities are jointly operating and staffing a food pantry for community members in need that coordinates assistance with the local health department's Women, Infants, and Children program. The faith community nurse in one of the faith communities coordinates the overall partnership and the care teams to staff the project. This best demonstrates which role of the parish nurse? a. Coordinator b. Integrator of faith and health c. Health educator d. Personal Health counselor
A
The transmission of tuberculosis (TB) in health care settings has reemerged as a major public health problem. In terms of the host-agent-environment epidemiologic triad, it can best be described as involving which type of workplace agent? a. Biological b. Chemical c. Enviromechanical d. Physical
A
What does the nurse understand when considering whether a geographic area is rural or urban? a. Rural and urban areas occur on a continuum. b. Rural regions have fewer than six persons per square mile. c. Rural residents feel isolated. d. Rural areas are recreational communities.
A
When working with battered women, the nurse needs to know that research suggests that the response to abuse is a process that moves from: a. commitment to the relationship to leaving. b. emotional degradation to dependence and dominance. c. heated arguments from hitting to battering. d. self-blame to fear then to terror.
A
Which statement is true regarding Holistic health care as an approach to nursing care? a. Critical to a successful faith community nursing health ministry b. Inconsistent with many congregations' theologies c. Provided in clinics staffed by complementary and alternative medicine providers d. Separate from but complementary to parish nursing
A
Monitoring and public reporting of air quality in a local community to assist individuals with asthma or other respiratory conditions best illustrates the application of: a. compliance and enforcement. b. environmental epidemiology. c. secondary prevention. d. toxicology.
B
Nurses working with victims of incest must be aware of the incidence of incest, its signs and symptoms, and the psychological and physical trauma it causes. Which statement is one fact about incest relevant to comprehensive nursing assessment? a. Hardly ever occurs in stepparent-child relationships. b. Occurs in all races, religious groups, and socioeconomic classes. c. Occurs only in father-daughter relationships. d. Often occurs in father-son relationships.
B
A college health nurse is working to improve environmental air quality on campus. Using the precautionary principal, what action does the nurse take? a. Develop a bike-rental program for students, staff, and faculty. b. Install "smart thermostats" and motion-generated lights in buildings. c. Make the entire campus a smoke-free zone. d. Raise the parking fees to discourage people from driving to campus.
B
A community health nurse manager has integrated exposure history elements into the assessment practices of the health department that are relevant to the urban industrial community served. This strategy indicates that the nurse manager is aware of the relationship between: a. community strengths and weaknesses. b. environment and human health/disease. c. toxicology studies and the environment. d. federal and state environmental regulations.
B
A district health nurse is assigned to two rural communities in the state. To achieve the best outcomes possible in reducing the health disparities for the large number of frail elderly clients in the two counties, the nurse should consider using what community-oriented nursing approach? a. Assessment b. Case management c. Geriatrics d. Tertiary prevention
B
A faith community nurse is planning a strategy to carrying out the health education role. What activity would be most appropriate? a. Conducting prayer circles b. Organizing health fairs c. Planning congregational meals d. Providing volunteer training
B
A migrant worker comes to the migrant health clinic holding the abdomen and complaining of empacho. The nurse may encounter this complaint when dealing with migrant workers who are natives of which country? a. Guatemala b. Haiti c. Mexico d. Panama
B
An occupational health nurse is conducting employee toxic exposure histories at a dog food manufacturing plant. Using the I PREPARE model, what question does the nurse ask? a. Do you eat your lunch inside or outside the building? b. Does your job include soldering any metals? c. Have you ever served in the military? d. What is the intensity of your exposure to chemicals?
B
Health problems exist throughout the world. In the United States, a current health concern is the appearance of new viral strains such as Hantavirus in the Southwest. This is an example of the difference in health care concerns between countries such as: a. United States and Canada. b. Sweden and Indonesia. c. Australia and Japan. d. Bangladesh and Zaire.
B
In addition an industrial disaster plan, what other factor helps improve the effectiveness of the community response to a potential industrial disaster? a. Addressing activities for work areas that are at greater risk b. Conducting a response agency worksite walk-through c. Conducting an all-responders disaster drill every 5 years d. Training specific employees in fire brigade procedures
B
In following the principles of nursing interventions with violent families, which action by the nurse takes priority? a. Avoid provoking the perpetrator by suggesting the victim leave. b. Indicate zero tolerance for any further violence, degradation, or exploitation. c. Provide assurances that the family's confidentiality will not be violated. d. Tell the family you will report child abuse to the authorities.
B
A nurse is leading an effort to get desperately needed medical supplies and equipment to an impoverished and war-torn country. Materiel is being gathered according to the recipient country's stated needs. Before shipping the equipment, what would the nurse do? a. Consult with the country's leaders on what they are able to sustain. b. Determine if any prohibitions exist on delivery of medical goods. c. Enlist the help of an NGO to provide security services for the delivery. d. Provide funding to keep the medical equipment in working order.
C
A rural health nurse who is planning programs to address the population's needs should recognize that, in general, rural populations: a. engage in physical activity during leisure time. b. engage in preventive health behaviors. c. perceive their overall health as less favorable. d. use seat belts.
C
The parish nurse works with a congregant with early stage Alzheimer's disease and with the individual's family to design a progressive quality-of-life plan that addresses the need for legal, financial, health care, and end-of-life decision-making strategies as the disease progresses. This approach to well-being for the individual can best be characterized as an example of the philosophy of faith community nursing that: a. considers the ongoing, dynamic nature of health, spiritual health, and healing. b. emphasizes strengths of individuals, families, and communities. c. emphasizes the spiritual dimension found in every person. d. focuses on the faith community and its ministry.
D
To provide the most effective primary prevention intervention to reduce the incidence of child abuse, the nurse would do which of the following? a. Allow adolescent role playing the realities of parenting. b. Creating parenting and conflict-management classes for survivors of child abuse. c. Educating grandparents on the indicators of child abuse. d. Providing parenting classes for college students.
D
What causes nurses practicing in rural communities to often observe that protecting client confidentiality is a unique challenge? a. Close-knit atmosphere among residents b. Difficulty keeping one's business private c. "Everyone knows everything already" d. Social informality and respect
D
When applying the nursing process to environmental health, which action would the nurse take? a. Conduct an assessment focused on a client's presenting problem. b. Coordinate interventions with the primary care provider of record. c. Examine criteria that are limited to the client's immediate responses. d. Include outcome measures to mitigate and eliminate the contributing factors.
D
Which of the following best describes faith community nurses? a. Advanced practice nurses working in churches to provide holistic nursing care and spiritual healing b. Baccalaureate-prepared nurses volunteering in faith communities to assist in their health ministries c. Nurses coordinating congregational health outreach programs within geographically delineated faith communities d. Professional nurses partnering with faith communities focusing on spiritual and holistic care, and illness prevention
D
The nurse working with migrant farmworkers and their families understands that which of the following are true statements regarding the health and well-being of the migrant children? (Select all that apply.) a. Are not eligible for Medicaid or state health insurance. b. Generally attend school despite moving frequently. c. Have a federal safety net of limited overtime until age 18. d. May be exposed to "take home" chemicals. e. Often suffer from anxiety-related problems.
D, E
