Community 21-15 Qs
Which data are tracked under epidemiologic workplace surveillance? (Select all that apply.) A) Injuries B) Illness C) Hazards D) Exposures E) Productivity
A) Injuries B) Illness C) Hazards D) Exposures
Which individual health assessment would a school nurse most likely perform? A) Immunization check B) Assessment of a playground injury C) Vision screening D) Height and weight measurements
B) Assessment of a playground injury
Which exemplifies a physical hazard? A) Infectious agents B) Hazardous drug and toxin exposures C) Electric and magnetic fields D) Sexual harassment
C) Electric and magnetic fields
A client has been prescribed opioid analgesics. The client asks the nurse how long before the sedation will subside. The nurse should tell the client what time frame? A) 24 to 48 hours B) 48 to72 hours C) 72 to 96 hour D) 1 week
A) 24 to 48 hours
According to the U.S. Bureau of Labor Statistics, how many workers in all industries, including state and local governments, had a reportable injury or illness in 2011? A) 3.8 of 100 B) 4.2 of 100 C) 5.8 of 100 D) 6.2 of 100
A) 3.8 of 100
he nurse works with a variety of clients at a general hospital in a rural area. For which clients would it be most appropriate to administer palliative care? (Select all that apply.) A) 92-year-old man who has just suffered a stroke B) 83-year-old woman with end-stage dementia C) 12-year-old girl with terminal lymphoma D) 74-year-old man with osteoarthritis E) 54-year-old woman with high blood pressure
A) 92-year-old man who has just suffered a stroke B) 83-year-old woman with end-stage dementia C) 12-year-old girl with terminal lymphoma
The occupational health nurse works in facility located in a region that is highly prone to tornadoes. Which intervention should the nurse make sure is included in the facility's emergency plan to address this potential threat? A) A shelter-in-place policy and procedure B) Personal protective equipment C) Evacuation drills D) Decontamination procedures
A) A shelter-in-place policy and procedure
The nurse cares for a client who has a laceration on her arm and reports moderate aching, throbbing pain from the injury. Which medication should the nurse expect to be ordered first for this client? A) Acetaminophen B) Ibuprofen C) Opioids D) Anticonvulsants
A) Acetaminophen
Principles of epidemiology can be used as a method to determine patterns of illness for the faith community, and risk factor assessment helps the nurse decide what programs to provide. Which demographic data about the faith community should the nurse gather for the purpose of assessment? (Select all that apply.) A) Age B) Sex C) Family structure D) Proximity of residence to church E) Proximity of residence to healthcare facilities
A) Age C) Family structure E) Proximity of residence to healthcare facilities
The occupational health nurse is a member of the emergency planning committee in the workplace. The nurse is helping to formulate an emergency plan for the facility. Which key components should the nurse include in the emergency plan? (Select all that apply.) A) Alarms B) Phones C) Reporting D) Communication E) Evacuation
A) Alarms C) Reporting D) Communication E) Evacuation
A parish nurse helps an older woman in the congregation who is taking multiple medications develop a system whereby the woman can more easily remember to take the right medications at the right time. Which is the primary ethical principle observed by the nurse in this situation? A) Autonomy B) Confidentiality C) Beneficence D) Nonmaleficence
A) Autonomy
The nurse cares for many clients who have serious illnesses. The best candidate for hospice care is the client with A) Brain cancer who is expected to live 3 months and who is not pursuing aggressive treatment B) Congestive heart failure who is expected to live 9 months and who is not pursuing aggressive treatment C) Lung cancer who is expected to live 1 month and who is pursuing radiation therapy D) Stroke who is expected to live only a few more hours unless emergency brain surgery can remove a clot
A) Brain cancer who is expected to live 3 months and who is not pursuing aggressive treatment
On the basis of the eight recommended components of a comprehensive school health program, which should be included in a K-12 health education curriculum? (Select all that apply.) A) Consumer health education B) Environmental health education C) Sexuality education D) Nutrition counseling E) Physical development activities
A) Consumer health education B) Environmental health education C) Sexuality education D) Nutrition counseling
Which exemplify biological hazards? (Select all that apply.) A) Contaminated body fluids B) Poisonous plants C) Diesel exhaust D) Venomous snakes E) Aerosols
A) Contaminated body fluids B) Poisonous plants D) Venomous snakes
The occupational health nurse for a hydroelectric plant uses root cause analysis to investigate a recent accidental electrocution of a plant worker. The nurse currently is defining the characteristics of the case. In which step of the root cause analysis is the nurse? A) Define the problem B) Collect data C) Identify possible causal factors D) Identify the root cause
A) Define the problem
A living will is a document that: A) Describes the client's wishes regarding treatment intended to sustain life B) Designates someone to make medical decisions for the client if he or she is unable to do so C) Permits someone access to the client's finances D) Ensures appropriate end-of-life care
A) Describes the client's wishes regarding treatment intended to sustain life
The occupational health nurse is a member of the emergency planning committee in the workplace. The nurse is helping to formulate an emergency plan for the facility. Which goals should the nurse keep in mind while developing the plan? (Select all that apply.) A) Establish clear reporting instructions for employees. B) Provide instructions on safe lifting techniques. C) Identify hazardous substances that workers are exposed to in their daily work. D) Name key personnel who will assume necessary tasks. E) Establish emergency escape routes.
A) Establish clear reporting instructions for employees. D) Name key personnel who will assume necessary tasks. E) Establish emergency escape routes
The community health nurse addresses cyber bullying in the local middle schools. Currently, there are no policies in place for this issue. The most appropriate first step is to: A) Explore current programs to prevent bullying and youth violence B) Develop rules for acceptable and safe use of all electronic media for all students C) Ban use of the Internet at all schools D) Actively monitor students' social media postings
A) Explore current programs to prevent bullying and youth violence
Pain and symptom control are crucial to the delivery of quality end-of-life care. For which signs of pain should the nurse carefully assess? (Select all that apply.) A) Grimacing or strained facial expression B) Slow heartbeat C) Diaphoresis D) Moaning or groaning at rest or movement E) Taking sips of water from a cup
A) Grimacing or strained facial expression C) Diaphoresis D) Moaning or groaning at rest or movement
The nurse assesses a 7-year-old girl who has had problems at school lately with her behavior and mood. On the basis of the description provided by the child's mother, the nurse suspects either attention-deficit/hyperactivity disorder (ADHD) or bipolar disorder may be involved. Which behaviors—when occurring in all spheres of the child's life—would most strongly suggest ADHD rather than bipolar disorder in this client? A) Hyperactivity and impulsivity B) Mood and anxiety symptoms C) Irritability and impulsivity D) Anxiety and hyperactivity
A) Hyperactivity and impulsivity
The Church Health Center, in developing its curriculum for the preparation of faith-based nurses, identifies seven specific functions that parish nurses perform in faith community work. Spiritual care would occur as part of which function? A) Integrator of faith and health B) Health educator C) Personal health counselor D) Accessing and developing support groups
A) Integrator of faith and health
A client has not been able to receive adequate pain control with several different medications that have been administered and is experiencing severe pain. What route of administration might be tried at this time? A) Intraspinal B) Intravenous C) Rectal D) Transdermal
A) Intraspinal
he nurse cares for a client whose husband of 50 years died a year ago. A behavior that indicates the client has reached the reorganization phase of grief is when she: A) Joins a book club to get out of the house and meet new people B) Expresses no emotions regarding the loss of her husband C) Begins crying on a daily basis D) Experiences panic attacks regularly
A) Joins a book club to get out of the house and meet new people
A line operator in a manufacturing facility comes in to the on-site clinic reporting numbness in his hands after excessive exposure to the toxin benzene. Applying the epidemiologic triad to this scenario, which is the host? A) Line operator B) Manufacturing facility C) Benzene D) Hands
A) Line operator
A woman mentions that her 6-month-old son has demonstrated some odd behavior. She thinks it might be related to autism. She asks what age would be best to have screening done on the child. The nurse should respond: A) Now, as an infant B) When the child begins to walk C) When the child is preschool-aged D) When the child starts school
A) Now, as an infant
The nurse cares for a client whose husband of 50 years died last week. The nurse arrives at her home to find her staring out of a window in a stupor, her face devoid of any emotion. When the nurse speaks with her, the client seems withdrawn and distant. Which phase of grief should the nurse most suspect this client to be in? A) Numb shock B) Emotional turmoil C) Reorganization D) Resolution
A) Numb shock
An advisory board is essential for solving problems and avoiding pitfalls in faith communities. How might the advisory board offer help to a faith community nurse? (Select all that apply.) A) Offer leadership B) Establish policy C) Develop guidelines D) Establish the budget for the program E) Provide recommendations on clinical best practices
A) Offer leadership B) Establish policy C) Develop guidelines
Characteristics of a congregation include: (Select all that apply.) A) Organized group of people B) Individuals in the group have diverse religious beliefs, customs, or practices C) External governance structure D) Independent or affiliated with a local or national denomination E) Community within the larger community
A) Organized group of people D) Independent or affiliated with a local or national denomination E) Community within the larger community
Hospice care includes services that are reasonable and necessary for the comfort and management of a terminal illness. Which services might be included? (Select all that apply.) A) Physician services B) Nursing care C) Long-term inclient pain control D) Hospice aide services E) Social worker services
A) Physician services B) Nursing care D) Hospice aide services
he nurse provides palliative care to a client with end-stage renal disease and a chronic upper respiratory infection. Which interventions should be included in this type of care? (Select all that apply.) A) Providing the client with a foot massage B) Administering ordered analgesics C) Assisting with a kidney transplantation D) Clearing secretions from the client's airway for easier breathing E) Gently stretching the client's arms and legs to preserve range of motion
A) Providing the client with a foot massage B) Administering ordered analgesics D) Clearing secretions from the client's airway for easier breathing E) Gently stretching the client's arms and legs to preserve range of motion
Which strategies have been shown successful for preventing adolescent pregnancy? (Select all that apply.) A) Responsible sexual behavior education B) Abstinence education C) Mandated religious education on sex practices D) Contraceptive counseling E) Confidential reproductive services
A) Responsible sexual behavior education B) Abstinence education D) Contraceptive counseling E) Confidential reproductive services
In an institution-based model of nursing, the nurse: (Select all that apply.) A) Serves a health system with assignment to particular congregational settings B) Serves as a liaison between a health system and a congregation C) Is part of the ministry staff of the congregation D) Serves a particular faith community by virtue of a contract or job description E) Provides care of the human spirit
A) Serves a health system with assignment to particular congregational settings B) Serves as a liaison between a health system and a congregation
A newly hired health promotion specialist works at a meat-processing facility. The specialist is in charge of developing a program that encourages a balance among work, family, personal, health, and psychosocial concerns. Which components are appropriate to include in this program? (Select all that apply.) A) Signage that demonstrates safe lifting techniques B) Free screening for HIV C) Diagnosis of potentially malignant skin lesions D) Clinic on proper use of safety goggles and other equipment E) Monitoring of noise levels within the facility
A) Signage that demonstrates safe lifting techniques D) Clinic on proper use of safety goggles and other equipment E) Monitoring of noise levels within the facility
Which services are reimbursable by Medicaid? (Select all that apply.) A) Speech/language therapy and evaluations B) Occupational therapy and evaluations C) Physical therapy and evaluations D) Nutrition screening and evaluations E) Allergy testing and evaluations
A) Speech/language therapy and evaluations B) Occupational therapy and evaluations C) Physical therapy and evaluations E) Allergy testing and evaluations
Which injury has the highest incidence rate among occupational injuries and illnesses that result in days away from work? A) Sprains B) Broken bones C) Cuts D) Carpal tunnel syndrome
A) Sprains
The school nurse at a public high school recently noticed an increase in students smoking before and after school. Using the community school model to reduce tobacco use among your students, which interventions are appropriate? (Select all that apply.) A) Starting an after-school tobacco cessation program with the assistance of local representatives of the American Cancer Society B) Having a local clinical oncologist speak at a PTA meeting about the hazards of tobacco use among children C) Confronting groups of students while they are smoking with information regarding the school's smoking policy and the dangers of smoking D) Promoting the community's "great smoke-out" smoking cessation event each year E) Encouraging the school's administration to designate a single smoking area outside to limit nonsmokers' exposure to the smoke
A) Starting an after-school tobacco cessation program with the assistance of local representatives of the American Cancer Society B) Having a local clinical oncologist speak at a PTA meeting about the hazards of tobacco use among children D) Promoting the community's "great smoke-out" smoking cessation event each year
The Youth Risk Behavior Surveillance Survey (YRBSS) outlines common risk behaviors influencing the health of the nation's youth. Which risk factors are included on this survey? (Select all that apply.) A) Unintentional injury B) Sports-related trauma C) Sleep deprivation D) Sexual behaviors E) Alcohol use
A) Unintentional injury D) Sexual behaviors E) Alcohol use
Which common problems should a school nurse be prepared to identify in students? (Select all that apply.) A) Vision impairment B) Malignant melanoma C) Attention deficit hyperactivity disorder (ADHD) D) Scoliosis E) Need for orthodontia
A) Vision impairment C) Attention deficit hyperactivity disorder (ADHD) D) Scoliosis
An elementary school student comes to school nurse's office reporting a headache. The nursing assessment begins by gathering which subjective data? (Select all that apply.) A) Where it hurts on the child's head B) Whether the pain is constant, throbbing, or intermittent C) What the child's temperature is on arrival D) How bad the pain is on a scale of 1 to 10 E) The presence of a bruise on the child's forehead
A) Where it hurts on the child's head B) Whether the pain is constant, throbbing, or intermittent D) How bad the pain is on a scale of 1 to 10
At what age are prodromal assessment symptoms of bipolar disorder typically evident? A) Younger than 3 years of age B) Younger than 6 years of age C) Younger than 9 years of age D) Younger than 12 years of age
A) Younger than 3 years of age
In researching the problem of homelessness in the city, the nurse discovers that the number of mentally ill homeless has steadily grown over the past couple of decades. The biggest reason for this trend is: A) Deinstitutionalization B) An increase in the prevalence of major mental illness C) Economic downturns D) Shortages of affordable housing
A) Deinstitutionalization
Primary, secondary, and tertiary levels of prevention help reduce risk, identify and limit disabilities, and reduce complications of mental health problems. Which exmplifies a primary prevention strategy for mental health problems? A) Educate families and community groups about mental health issues, symptoms of stress, and barriers to seeking help B) Screen for mental health disorders C) Promote support groups for people with mental health disorders D) Initiate health-promotion activities as a part of rehabilitation services
A) Educate families and community groups about mental health issues, symptoms of stress, and barriers to seeking help
The nurse assesses a 12-year-old boy who has been diagnosed with bipolar disorder. Which behaviors should the nurse most expect to observe in this child? (Select all that apply.) A) Irritability B) Distractibility C) Screaming D) Rage episodes E) Sleep disturbances
A) Irritability C) Screaming D) Rage episodes E) Sleep disturbances
The nurse examines a client who is taking haloperidol for schizophrenia and notices that she habitually twists her tongue and arms. This side effect of her medication is known as: A) Tardive dyskinesia B) Akathisia C) Dystonia D)Neuroleptic malignant syndrome
A) Tardive dyskinesia
The identification of parental age as a potential risk factor in autism raises the issue that lifetime exposure to environmental toxins might damage the sperm and the ovum. Research findings suggest that the risk of autism in relation to age of the parent at the time of the child's birth is increased by: A) 30% if the father is older than 40 years B) 30% if the mother is older than 35 years C) 40% if the father is older than 35 years D) 40% if the mother is older than 40 years
B) 30% if the mother is older than 35 years
Being a school nurse requires which combination of practice type and decision making? A) Collaborative practice and interdependent decision making B) Autonomous practice and independent decision making C) Collaborative practice and dependent decision making D) Autonomous practice and interdependent decision making
B) Autonomous practice and independent decision making
Supportive relationships with the spiritual head of the congregation are important for the success of a faith community nursing program. Unless the pastor has worked with a faith community nurse before, repeated explanations will most likely be necessary. The spiritual head of the congregation may need further education to clear up the common misconception that the nurse will: A) Provide confidential professional nursing care B) Be a private visiting nurse for the congregation C) Make referrals for appropriate healthcare in the faith community D) Work under the ANA's Faith Community Nursing Scope of Practice
B) Be a private visiting nurse for the congregation
Which is an advantage, from the perspective of a faith community nurse, of working in an unpaid congregation-based model? A) Is recognized as a member of the ministry team B) Can limit how much time he or she offers to the congregation C) Receives much assistance from other nurses D) Can serve as an ambassador and referral agent to a health system
B) Can limit how much time he or she offers to the congregation
The occupational health nurse for an electronics factory compiles an occupational health history for each worker. Which should be included? (Select all that apply.) A) Location of facility exits and entries B) Chronological record of all past work and potential exposures C) An occupational exposure inventory D) List of exposures in the home or community E) Availability of emergency equipment
B) Chronological record of all past work and potential exposures C) An occupational exposure inventory D) List of exposures in the home or community
The occupational and environmental health nurse faces many different practice issues every day and can function comfortably in roles as a clinician, coordinator, and case manager following company procedures, using assessment checklists and clinical protocols to provide treatment. At which American Association of Occupational Health Nurses (AAOHN) competency level in occupational and environmental health nursing is this nurse functioning? A) Advanced beginner B) Competent C) Proficient D) Expert
B) Competent
Which actions exemplify the school nurse's role as a child advocate? (Select all that apply.) A) Injecting a child with her EpiPen during an anaphylactic reaction to peanuts B) Convincing the cafeteria manager to include low-sugar options in the lunch menu for students with diabetes C) Taking the temperature of a child who is exhibiting signs of an upper respiratory infection D) Teaching a child who has recently been diagnosed with asthma how to use an inhaler E) Instructing a group of faculty members on the proper way to respond to a child having an epileptic seizure in class
B) Convincing the cafeteria manager to include low-sugar options in the lunch menu for students with diabetes D) Teaching a child who has recently been diagnosed with asthma how to use an inhaler E) Instructing a group of faculty members on the proper way to respond to a child having an epileptic seizure in class
The faith community nurse works in a hospital that serves several local congregations. Which tasks would the nurse likely perform in this role? (Select all that apply.) A) Administer flu shots B) Coordinate the discharge and transition of congregation members from the hospital to home C) Recommend services that the hospital provides D) Serve as a health advisor to members of the congregation E) Assess congregation members for possible upper respiratory illnesses
B) Coordinate the discharge and transition of congregation members from the hospital to home C) Recommend services that the hospital provides D) Serve as a health advisor to members of the congregation
A client is receiving adjuvant medications to increase the effectiveness to treat the pain associated with end-stage prostate cancer. Which exemplifies an adjuvant medication? A) Opioids B) Corticosteroids C) Antihistamines D) Antivirals
B) Corticosteroids
A client has just been pronounced dead. The first action the nurse should take is to: A) Remove all tubes B) Don gloves C) Grasp the eyelashes and gently pull the lids down D) Insert the dentures into the mouth
B) Don gloves
The occupational health nurse for a computer manufacturer is required to conduct a physical examination of each new hire. The rationale for this action is to: A) Screen for cardiac defects the worker may be unaware of. B) Ensure the worker's fitness for the job. C) Determine possible causes of the worker's chief complaint. D) Provide a baseline for future comparison. E) Determine the worker's eligibility for the company health insurance plan.
B) Ensure the worker's fitness for the job.
Which of the eight recommended components of a comprehensive school health program should include the physical, emotional, and social conditions that affect the well-being of students and staff? A) Family/community involvement B) Healthy and safe school environment C) Counseling and psychology services D) Health promotion for staff
B) Healthy and safe school environment
The occupational health nurse at a company has seen three different employees in one week who have all reported similar upper respiratory symptoms. Which rate should the nurse consider calculating to understand the severity of this problem and to determine whether a cluster or cohort is forming? A) Productivity rate B) Incidence rate C) Prevalence rate D) Ratio of affected to unaffected
B) Incidence rate
Which is a community nursing diagnosis? A) Impaired Home Maintenance B) Lack of Health-Seeking Behaviors C) Risk for Imbalanced Nutrition: More than Body Requirements D) Risk for Activity Intolerance
B) Lack of Health-Seeking Behaviors
The nurse assesses a client who recently attempted suicide by prescription drug overdose. Based on knowledge of a recent study of the findings of the Third National Health and Nutrition Survey, what is the most important risk factor to assess for in this client? A) Substance abuse B) Major depressive disorder C) Social isolation D) Chronic pain
B) Major depressive disorder
The occupational health nurse with a construction company is responsible for filling out a record of accidents and illnesses that occur on the company's work sites. Which source should the nurse consult to acquire the proper record-keeping form and guidelines? A) FMLA B) OSHA C) HIPAA D) NORA
B) OSHA
Which is one of the most important strategies recommended by the Centers for Disease Control and Prevention (CDC) for reducing the spread of HIV? A) Excluding students from school who have symptoms of sexually transmitted infections B) Routinely screening all adolescents and adults aged 13 to 64 C) Requiring parents to take their adolescent children who have sexually transmitted infections for treatment D) Keeping detailed records of all new cases of sexually transmitted infections in people aged 15 to 24 years
B) Routinely screening all adolescents and adults aged 13 to 64
The school nurse works with a 12-year-old girl who is obese and has type 2 diabetes. As client advocate, which would be most appropriate nursing action? A) Scold the client when she buys a soda from a vending machine at school. B) Schedule a conference with the client's parents to discuss how to collaboratively manage her blood glucose level and encourage her to select appropriate foods in the cafeteria for lunch. C) Perform a finger stick and check the client's blood glucose level when she reports feeling weak and dizzy one day. D) Weigh the client each week in the office to help track her weight and hold her accountable to her weight loss goals.
B) Schedule a conference with the client's parents to discuss how to collaboratively manage her blood glucose level and encourage her to select appropriate foods in the cafeteria for lunch.
The Centers for Disease Control and Prevention (CDC) recommends which methods for improving the food environments of school-aged children and adolescents? (Select all that apply.) A) Preserving social norms of adolescents B) School-based prevention C) Policy and regulatory strategies D) Strategic use of media E) Coordination of statewide and local activities
B) School-based prevention C) Policy and regulatory strategies D) Strategic use of media E) Coordination of statewide and local activities
Screening for cholesterol is an example of which prevention level? A) Primary B) Secondary C) Tertiary D) Quaternary
B) Secondary
Which health education interventions are appropriate for the school nurse to perform? (Select all that apply.) A) Teaching faculty members how to assess their students for upper respiratory illnesses B) Teaching a student how and when to use her EpiPen C) Teaching a 6th-grade class about the consequences of cyber bullying D) Counseling a student about tobacco use E) Teaching a group of students with eating disorders about a healthy view of food
B) Teaching a student how and when to use her EpiPen C) Teaching a 6th-grade class about the consequences of cyber bullying D) Counseling a student about tobacco use E) Teaching a group of students with eating disorders about a healthy view of food
The nurse performs an assessment of a client with schizophrenia. Which comorbid health conditions should the nurse most expect to find in this client? (Select all that apply.) A) Osteoarthritis B) Obesity C) Hypertension D) Breast cancer E) Cardiac complications
B) Obesity C) Hypertension E) Cardiac complications
The nurse works with a client who has just been diagnosed with schizophrenia. While discussing the various medication options for this disorder, the nurse explains that some have been associated with the development of type 2 diabetes. The client explains that she is already at risk for developing diabetes and would like to avoid any medications that might promote the disease. On the basis of this information, which medication should this client most avoid? A) Haloperidol B) Olanzapine C) Fluphenazine D) Ziprasidone
B) Olanzapine
The nurse teaches about medication to a client who has just been diagnosed with schizophrenia. The psychiatrist has prescribed clozapine to the client. The primary adverse effect that the nurse should mention is: A) Hypoglycemia B) The metabolic syndrome C) Weight loss D) Dystonia
B) The metabolic syndrome
The faith community nurse recently visited with a member of the congregation, Sandy, who is recovering from a hysterectomy. Following a church service one Sunday, another member of the congregation, Patricia, approaches you and says, "How is Sandy recovering from her surgery?" Which is the most appropriate response? A) "She still has some bleeding, but overall she's doing well." B) "You mean her hysterectomy? She's doing really well." C) "I'm afraid I can't share any details, but I'm sure she'd love a call or text from you." D) "I'm sorry, Patricia, but that's none of your business."
C) "I'm afraid I can't share any details, but I'm sure she'd love a call or text from you."
A client has been prescribed a nonopioid analgesic for mild-to-moderate pain. The client has normal liver function. What is the maximum recommended amount of acetaminophen for this client to take per day to avoid liver damage? A) 2 g B) 3 g C) 4 g D) 5 g
C) 4 g
Which are examples of primary prevention activities? (Select all that apply.) A) A program helping military veterans with amputations adapt to their new circumstances B) HIV screening open to the whole faith community C) A weight-lifting program for seniors to maintain strong bones D) A community vegetable garden to promote healthy eating E) Leg exercises to help people recovering from hip fractures to walk again
C) A weight-lifting program for seniors to maintain strong bones D) A community vegetable garden to promote healthy eating
Pain at the end of life is complex and multifactorial, and prevalence varies according to diagnosis and other factors. A client has somatic pain. How is this type of pain typically described? A) Burning, electrical, or tingling B) Gnawing, cramping, or aching C) Aching, throbbing, or stabbing D) Electrical, cramping, throbbing
C) Aching, throbbing, or stabbing
A dying client with inadequate fluid intake is experiencing constipation. What would be an appropriate nursing intervention for this client? A) Administer psyllium B) Tap water enema C) Administer lactulose D) Apricot juice
C) Administer lactulose
Which is an example of a tertiary prevention strategy that a nurse might implement or facilitate for members of a faith community? A) A program on radon detection in the home B) A class on cooking nutritious foods C) An occupational therapy program for patients recovering from strokes D) A water aerobics class for seniors
C) An occupational therapy program for patients recovering from strokes
Which occurred as a result of the passage of the Education for All Handicapped Children Act in 1975? A) Children with disabilities were provided tax-funded tutors for home education. B) Children with mental disabilities were entitled to a tax-funded education at a special education private school. C) Children with chronic or complex medical issues were entitled to a public education. D) Children with physical disabilities were provided grants to attend the college of their choice.
C) Children with chronic or complex medical issues were entitled to a public education.
In which phase of a school-based substance abuse program is information most likely to have meaning and applicability to students? A) Inoculation B) Primary C) Early relevance D) Tertiary
C) Early relevance
The occupational health nurse for a multinational corporation compares aggregate data on the occurrence of lung cancer in workers in a factory in Brazil with workers in a factory in Hong Kong. Which type of epidemiologic study is this nurse most likely conducting? A) Prospective, cohort B) Case-control C) Ecological D) Cohort case-control
C) Ecological
The Church Health Center, in developing its curriculum for the preparation of faith community nurses, identifies seven specific functions that parish nurses perform in faith community work. Which exemplifies the health advocate function of the faith community nurse? A) Individual health teaching B) Group health teaching C) Empowerment of members of the congregation D) Provider of health resources
C) Empowerment of members of the congregation
The history of school nursing can be traced back to 1902, when Lillian Wald was working in a New York City public school. She viewed school nursing services as a way to decrease which problem? A) Nutrition deficiencies B) Dental cavities C) Excessive absenteeism D) Seasonal allergies
C) Excessive absenteeism
In a parish nursing model, the nurse: A) Serves a health system with assignment to particular congregational settings B) Serves as a liaison between a health system and a congregation C) Is part of the ministry staff of the congregation D) Serves a particular faith community by virtue of a contract or job description
C) Is part of the ministry staff of the congregation
The chart of a client with brain cancer notes "CMO." Which intervention should the nurse most expect this client to receive? A) Chemotherapy for killing the cancer cells B) Radiotherapy for reducing the size of the tumor C) Morphine for pain management D) Antibiotic to fight off an infection
C) Morphine for pain management
The occupational and environmental health nurse quickly obtains the information needed for accurate assessment and zoom in on the critical aspects of a problem in response to a client situation. The nurse uses highly developed clinical and managerial skills in the work environment. At which American Association of Occupational Health Nurses (AAOHN) competency level in occupational and environmental health nursing is this nurse functioning? A) Advanced beginner B) Competent C) Proficient D) Expert
C) Proficient
The nurse is setting up a faith community nursing program at a local synagogue and would like a better understanding of how the overall congregation is structured and organized. Who would be best to ask about the structure of the congregation? (Select all that apply.) A) Lay members B) Physician in the congregation C) Rabbi D) Health system administrator
C) Rabbi
The nurse cares for a client who is near death. For which change, indicating that death is imminent, should the nurse observe? A) Deep breaths with periods of apnea B) Mottling of upper extremities C) Skin cool and dusky D) Signs of respiratory alkalosis
C) Skin cool and dusky D)
Which is an example of a family assessment? A) Blood pressure screening B) Home assessment for safety C) Stress assessment for the family with a new baby D) Assessment for normal grieving for the recently widowed
C) Stress assessment for the family with a new baby
The nurse is speaking with a 14-year-old client who has attempted suicide by cutting his wrists in the past. How would the nurse implement a means-restriction approach to suicide prevention in this case? A) Teach the client to block out all thoughts of self-harm as soon as they arise B) Encourage the client to seek out counseling C) Suggest to the client's parents that they lock up all sharp knives in the house D) Recommend to the client's parents that the client be under constant surveillance
C) Suggest to the client's parents that they lock up all sharp knives in the house
The nurse assesses a client who recently immigrated to the United States from Haiti. The client reports upset stomach and diarrhea. He explains that a witch doctor put a curse on him and that he sometimes sees evil spirits around him. The most accurate way to describe this type of illness would be as a: A) Mental illness B) Gastrointestinal disorder C) Culture-bound syndrome D) Hypochondria
C) Culture-bound syndrome
Which level of assessment occurs when assessing whether healthcare is accessible to members of the congregation? A) Individual B) Family C) Congregation D) Community
D) Community
Which is the most appropriate intervention to use in a school-based substance abuse program? A) Integrating students' goals with those of a prevention program B) Assessing the needs and interests of the group carefully after selecting a program C) Designing a program that is knowledge based D) Designing an interactive, behavior-focused program
D) Designing an interactive, behavior-focused program
There is substantial variation in the incidence of mood disorders and suicide across cultures worldwide. The two most consistent factors associated with the incidence of depression and anxiety are: A) Number of parents in the home and education level B) Degree of social support and employment status C) Number of parents in the home and degree of social support D) Education level and employment status
D) Education level and employment status
The occupational and environmental health nurse provides leadership in developing occupational safety and health policy within the organization and function in an upper management role. The nurse has served as a consultant to both business and government and has designed and conducted significant research. At which American Association of Occupational Health Nurses (AAOHN) competency level in occupational and environmental health nursing is this nurse functioning? A) Advanced beginner B) Competent C) Proficient D) Expert
D) Expert
The leading cause of death in 2010 was: A) Cerebrovascular disease B) Chronic lower respiratory disease C) Diabetes mellitus D) Heart disease
D) Heart disease
The nurse cares for a hospice client who reports pain from nerve damage related to diabetic neuropathy. She rates the pain at 9 out of 10. Which medication should she expect the physician to order for this client? A) Antidepressant B) Muscle relaxant C) Low doses of opioid D) High doses of opioid
D) High doses of opioid
According to current research findings, which group has the most experience with congregational health ministers? A) Mainline Protestant and African-American Protestant B) Conservative Protestant and Roman Catholic C) African-American Protestant and Conservative Protestant D) Mainline Protestant and Roman Catholic
D) Mainline Protestant and Roman Catholic
The school nurse is concerned about the lack of nutritional choices available in the food vending machines at the school. Which is the best tool to address this situation? A) Food-Safe Schools Action Guide B) Health Education Curriculum Analysis Tool C) Improving the Health of Adolescents and Young Adults: A Guide for States and Communities D) Making It Happen!
D) Making It Happen!
A Muslim client is receiving end-of-life care. As death approaches, what special considerations should the nurse take in the care of this client? A) Speak with the family about arrangements for cremation B) Schedule a visit from the chaplain for special rites C) Arrange for grief counseling for the client D) Place the client in a special position
D) Place the client in a special position
In a congregation-based model of nursing, the nurse: A) Serves a health system with assignment to particular congregational settings B) Serves as a liaison between a health system and a congregation C) Contributes to the health and wholeness of people in the context of a faith community D) Serves a particular faith community by virtue of a contract or job description
D) Serves a particular faith community by virtue of a contract or job description
Which industry has the highest number of fatal injuries? A) Agriculture B) Construction C) Mining D) Transportation
D) Transportation
A newly hired health and safety officer works for a large manufacturing facility. One of the officer's first jobs is to conduct a complete survey of the workplace to determine what hazards are present, the location of entries and exits, the availability of emergency equipment, and potential trouble spots. Which interventions should the officer implement to accomplish this goal? A) Ergonomics B) Occupational health history C) Root cause analysis D) Workplace walk-through
D) Workplace walk-through
On the basis of the understanding of demographic risk factors related to mental illness, which individual would be most likely to have an untreated psychiatric disorder? A) 50-year-old Caucasian man B) 35-year-old Korean woman C) 12-year-old Hispanic girl D) 18-year-old African-American man
D) 18-year-old African-American man
Which mental illness is most likely to go untreated? A) Anxiety B) Bipolar disorder C) Depression D) Alcoholism
D) Alcoholism
Primary, secondary, and tertiary levels of prevention help reduce risk, identify and limit disabilities, and reduce complications of mental health problems. Which exemplifies a tertiary prevention strategy for mental health problems? A) Screen for mental health disorders B) Refer high-risk people for diagnostic services C) Provide mental health services following stressful community events D) Promote support groups for people with mental health disorders
D) Promote support groups for people with mental health disorders
Epidemiologic studies are essential to target programs to populations in greatest need. To help measure progress toward improving mental health, which is a primary focus of epidemiologic studies? A) Physical costs B) Emotional costs C) Mental costs D) Social costs
D) Social costs
The school nurse follows up with a third grader who was recently diagnosed with attention-deficit/hyperactivity disorder (ADHD) to make sure that he takes his prescribed medication. What type of medication would the nurse most suspect this client is taking? A) First-generation antipsychotic B) Second-generation antipsychotic C) Mood stabilizer D) Stimulant
D) Stimulant
The nurse works with a client who was just diagnosed with major depression. Which would the nurse most suspect will be prescribed as the first line of treatment for this client? A) Tricyclic antidepressant (TCA) B) Electroconvulsive therapy (ECT) C) Stimulant D) Selective serotonin reuptake inhibitor (SSRI)
SSRI
