Community Exam 1

A community health nurse is asking a client about any potential lead exposure that could affect children in the community. Which of the following techniques is the nurse using?

Environmental Health Assessment

A nurse is discussing transcultural nursing with a newly licensed nurse. Which of the following statements should the nurse make when discussing the Religious and Philosophical dimension of Leininger's Sunrise Model?

"This dimension includes spiritual practices and beliefs."

A community health nurse is teaching a group of newly licensed nurses about the concept of culture. Which of the following statements should the nurse use to define culture?

"A culture is the beliefs, values, traditions, and customs that are shared by a group of people."

A faith community nurse is conducting blood pressure screenings at a place of worship. Which of the following levels of prevention does this fall under? A. Secondary B. Primordial C. Primary D. Tertiary

A. Secondary

A public health nurse is conducting research about the scope of practice for public health nurses. Which of the following is responsible for establishing the scope of practice for nurses?

Lawmakers

A public health nurse is collaborating with city officials to implement community sponsored programs to decrease health care costs for all. Which of the following types of health program services should the nurse recommend? (Select all that apply.)

Primary, Secondary, and Tertiary Prevention

A nurse is discussing cultural competence with a group of newly licensed nurses. Which of the following can occur when there is a lack of cultural understanding?

Ineffective communication

A community health nurse is leading a group of nurse volunteers to help with a mass casualty disaster. Which of the following actions is the priority for the volunteers to take?

Keep individuals safe and remove those in harm's way

A community health nurse is working in a clinic that treats many clients who do not have homes and have mental health needs, but follow-up care is inadequate. How can the nurse implement Provision 9 of the American Nurses Association (ANA) Code of Ethics? a. Take responsibility for improving the safety of mental health care at the community clinic. b. Allow mental health caregivers to address the issue to avoid crossing professional boundaries. c. Improve commitment to providing the best mental health care possible through continuing education. d. Write a letter to the head of the clinic to report the need for mental health follow-up care.

d. Write a letter to the head of the clinic to report the need for mental health follow-up care.

A team of public health nurses is discussing a new health care law. The nurses should identify that which of the following entities is responsible for passing laws related to health care?

legislative branch of government.

A nurse is discussing eligibility for Medicare coverage with a newly licensed nurse. Which of the following should the nurse identify as an example of a client who would be eligible for Medicare coverage? (Select all that apply.)

- A 60-year-old client who has a disability is correct. - A client who is 70 years of age is correct. - A young adult client who has chronic kidney disease is correct.

A nurse is discussing strategies for achieving optimal health in their community with a group of nurses. Which of the following interventions should the nurse include in the discussion? (Select all that apply.)

- Collaborate with community leaders. -Measure levels of radon in community buildings. - Promote immunization in the community.

A community health nurse is preparing an in-service about transcultural nursing for a group of staff nurses. The nurse should identify which of the following phases as part of Leininger's Sunrise Model? (Select all that apply.)

- Culture care maintenance/preservation - Culture care negotiation/accommodation - Culture care restructuring/repatterning

A home care nurse is visiting a client and conducting an environmental assessment of their home. Which of the following should lead the nurse to be concerned about lead poisoning?

Peeling or flaking paint in the residence

A nurse in a community clinic is teaching a parent about the Children's Health Insurance Program (CHIP). Which of the following client statements indicates an understanding of the teaching? (Select all that apply.)

- "My 18-year-old is eligible for CHIP" is correct. - "We can use CHIP for primary care and hospital care" is correct.

In a rural community setting, a health care organization is attempting to create an institutional framework in their approach to eliminate health disparities. Which of the following policies should the facility institute to reduce health disparities? (Select all that apply.)

- Demonstrate culturally competent practices and protocols - Maintain a diverse workforce - Cultivate cross-cultural communication and awareness

A nurse manager is discussing primary preventive measures to reduce infection rates with another nurse. Which of the following actions should the nurse identify as an example of a primary preventative measure? (Select all that apply.)

- Ensure that hand sanitizer is located throughout the facility is correct. - Promote social distancing during activities is correct. - Educate about the use of personal protective equipment (PPE) is correct

A nurse is reviewing the harmful effects the environment can have on human health. Which of the following health conditions should the nurse attribute to environmental factors? (Select all that apply.)

- Malaria - Asthma - Lead Poisoning

A nurse is reviewing the impact of U.S. Census Bureau data on health care funding. The nurse should identify that which of the following are affected by census data? (Select all that apply.)

- Medicaid is correct - Children Health Insurance Program (CHIP) is correct. - Medicare is correct

A community health nurse is giving a presentation to a group of students about collecting data on a community's environments. Which of the following environments should the nurse include? (Select all that apply.)

- Physical - Social - Occupational

A nurse manager of a public clinic is evaluating health disparities among diverse groups in the community. The nurse should identify that which of the following factors has an impact on health disparities? (Select all that apply.)

- Race - Ethnicity - Residential location - Income

Which of the following terms describes a nurse who delivers care to the residents of a community in a local area focusing on disease and injury prevention? A. Public health nurse B. Population health nurse C. Community health nurse D. Home health nurse

C. Community health nurse

A nurse is discussing the AACN's five Core Competencies of Cultural Competence with a newly licensed nurse. Which of the following should the nurse identify as one of these competencies?

Promote achievement of safe and quality outcomes

Which of the following are stages in the transtheoretical model? (Select all that Apply) A. Precontemplation B. Maintenance C. Interpersonal Relationships D. Action E. Planning

A. Precontemplation B. Maintenance D. Action E. Planning

A nurse is speaking with a client who wants to know the name of the chemical compound used to kill mice. Which of the following terms should the nurse provide?

Rodenicide

A nurse is arranging for flu vaccines to be administered to anyone who consents to it. Which of the following levels of prevention are guiding the nurse's actions? A. Primary B. Secondary C. Tertiary D. Primordial

A. Primary

A nurse manager at a public health clinic is working to expand the diversity of the clinic's nursing staff. Which of the following factors should the nurse identify as a barrier to creating a diverse workforce?

Nurses of color making up less than 28% of the national workforce.

A nurse is sharing information with a group of newly licensed nurses about public sector health programs. Which of the following should the nurse identify as the source of funding for Medicare?

Tax Payer Contributions

A nurse is working in a community health clinic that serves a culturally diverse population. The nurse should recognize that which of the following cultures is most likely to have a distrust of the health care system based on past abuses?

Black American

A nurse is caring for a client who frequently uses pesticides. The nurse should understand that which of the following is true about pesticides? (Select all that apply.)

- They can cause illness through genetic mutations or cancer development. -They can enter the air and cause lung irritation when inhaled. - Their residue seeps into the ground and can harm drinking water.

A nurse is preparing a cultural assessment for a client who is from a different racial and ethnic background than the nurse. In completing the cultural assessment, which of the following pieces of data should the nurse collect about the client's cultural practices? (Select all that apply.)

- Values - Beliefs - Lifestyle behaviors - Language

A nurse in a community clinic is assessing a client who is from a different culture than the nurse and reports having painful urination and a fever for 7 days. Which of the following comments should the nurse make when caring for the client? (Select all that apply.)

-"How can I help you today?" -"What seems to make your symptoms better?" -"What have you done about your problem?"

A nurse is reviewing private sector health insurance options. Which of the following should the nurse identify as an example of private sector health insurance?

An employer-sponsored health plan is an example of a private sector insurance program.

A charge nurse is teaching a group of newly licensed nurses about ways to increase quality of care for diverse populations based on the AACN's Core Competencies of Cultural Competence. Which of the following actions should the nurse include in the teaching?

Advocate for social justice on behalf of vulnerable populations

A case management nurse is using the Purnell Model for Cultural Competence as an assessment tool to evaluate variations of cultural practices. Which of the following cultural domains should the nurse include from this model?

Family roles and organization

A nurse is discussing cultural competence theories with another nurse. Which of the following models should the nurse identify as having a five-step process?

Campinha-Bucote's Model

A charge nurse changes nursing assignments to accommodate the request for a female nurse from a Muslim client who is female. Which of the following qualities does this action by the charge nurse demonstrate?

Cultural awareness

A nurse is discussing cultural competency with a newly licensed nurse. The nurse should include that nurses should have the ability to communicate with clients across which of the following sociocultural barriers to be culturally competent?

Different sexual orientation

A nurse in a community health clinic is reviewing statistics of recent population growth in the United States. Which of the following racial and ethnic populations should the nurse identify as having the largest recent growth rate?

Hispanic and Latino

A public health nurse discovers that a low-income community is lacking access to primary care and health insurance. Which of the following actions should the nurse take to address this concern?

Host an educational session in the community for health care registration and screenings

A nurse executive is incorporating the National Standards for Culturally and Linguistically Appropriate Services (CLAS) to achieve better outcomes for clients of the facility. The nurse executive should identify that which of the following is a function of CLAS?

Increasing awareness of diverse cultural identities

A nurse is documenting a cultural assessment of a client. Which of the following information should the nurse include?

Primary language

A nurse manager in a community clinic is using Healthy People 2030 to plan care for clients. Using the Healthy People 2030 guidelines, which of the following interventions should the nurse use to reduce health disparities?

Provide access to language services to clients

A nurse is speaking with a client who is preparing to go on vacation in Africa. The client wants to know the name of the disease that is passed from mosquitos to humans. Which of the following diseases should the nurse identify?

Malaria

A nurse is assigned to debrief a group of nursing students after a clinical rotation at a community center. One of the students asks how racism impacts public health. Which of the following responses should the nurse make?

Racism can negatively impact the mental and physical health of communities

A nurse manager is preparing a presentation on components of cultural competence. Which of the following definitions should the manager provide for the concept of cultural diversity?

Recognition of differences in race, color, ethnicity, or nationality that exist among individuals

A nurse manager in a community health clinic is teaching about the practice of cultural humility among staff members. Which of the following principles of cultural humility should the nurse include in the teaching? (Select all that apply.)

Self-awareness Openness

A nurse manager is preparing a presentation on components of cultural competence. Which of the following definitions should the manager provide for the concept of cultural safety?

Self-reflection and critique of power imbalances that allow health inequities

A nurse manager of a home health agency overhears an employee referring to some of the facility's clients by saying, "You know how all those people are, so noncompliant in their health care." The manager should identify the employee is exhibiting which of the following concepts of cultural competence?

Stereotyping

A nurse is discussing terms used to describe environmental influences with a client. The nurse should include that which of the following terms describes an environmental influence that occurs prior to an agent reaching a host?

Upstream

A public health nurse is working with a group of clients who are concerned about malaria in their town. They ask the nurse about effective ways to help prevent the spread of malaria. Which of the following strategies should the nurse suggest?

Use insecticide-treated mosquito nets.

A nurse is reviewing data from a group of clients. Which of the following clients is more likely to experience structural inequity? a. A Hispanic client with low income b. A client who has three children c. A female client with moderate income d. A client who is 18 years old

a. A Hispanic client with low income

A community health nurse is caring for a 19-year-old unemployed client who is pregnant and has an uncomplicated pregnancy. The client missed a prenatal appointment for the third time in a row related to the inability to obtain transportation to the visits. Which of the following interventions should the nurse prioritize for this client? a. Implementing an alternate prenatal schedule for clients who have low-risk pregnancies b. Setting up telemedicine visits c. Referring the client to a career counseling group d. Educating the client on the importance of prenatal care

a. Implementing an alternate prenatal schedule for clients who have low-risk pregnancies

A nurse is discussing an older adult client's care plan. The client mentions that both of their grandchildren currently live with them and, as a result, the client is frequently required to choose between paying bills and buying groceries for the household. Which of the following actions should the nurse take? a. Offer appropriate resources related to food insecurity. b. Question the current living arrangements. c. Make a referral to an assisted living facility. d. Offer home health aide services.

a. Offer appropriate resources related to food insecurity.

A nurse is reviewing the insurance coverage of an older adult client who lives in a nursing home that is paid for by a private insurance company, as well as a government-provided program. Which of the following statements should the nurse identify as describing the client's coverage? a. The client has Medicare with supplemental insurance provided by Medigap. b. The client has insurance that is solely under the Medicare program. c. The client has managed care insurance provided by both Medicare and Medicaid. d. The client has insurance from a private provider with a supplemental policy that the client pays for themselves.

a. The client has Medicare with supplemental insurance provided by Medigap.

A nurse is interviewing a client who has three small children and has a history of interventions with Child Protective Services. Which of the following client statements should the nurse identify as an indication that family relationships are positive and further interventions are unnecessary? a. "Since I started working, I have so many caregivers for my kids that I cannot remember them all." b. "My kids and I attend virtual therapy sessions twice each month." c. "My partner has unexpectedly moved out of our home." d. "I feel overwhelmed because my oldest son just got out of jail last week."

b. "My kids and I attend virtual therapy sessions twice each month."

A community health nurse is discussing the pathophysiology of disease with a newly licensed nurse. Which of the following conditions, according to a Yale University study published by the Center for Effective Government, should the nurse report are caused by environmental pollutants? a. Asthma and arthritis b. Cardiovascular disease and lung disease c. Dementia and chronic fatigue syndrome d. Pulmonary fibrosis and diabetes mellitus

b. Cardiovascular disease and lung disease

An occupational health nurse is assessing the risk for workplace hazards and injuries at a manufacturing center. Which of the following preventative actions is the priority for the nurse to implement? a. Limiting indoor smoking b. Improving access to and adherence of the use of personal protective equipment c. Planning an education program for employees on safety awareness d. Updating outdated policies

b. Improving access to and adherence of the use of personal protective equipment

A nurse is explaining health care barriers to a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of a client who is underinsured? a. "A client who is underinsured does not have health insurance but is able to pay for medical expenditures on their own." b. "A client who is underinsured is not covered by any form of health insurance and cannot pay for medical expenditures." c. "A client who is underinsured has health insurance but is likely to assume significant financial risk for medical expenditures." d. "A client who is underinsured has more than one form of health insurance, which leads to duplications or discrepancies in covering medical expenditures."

c. "A client who is underinsured has health insurance but is likely to assume significant financial risk for medical expenditures."

A nurse is performing an evaluation on an older adult couple who have been attending a caregiver support group for individuals taking care of loved ones who have Alzheimer's disease. Which of the following statements by the caregiver shows that the intervention has been successful? a. "I don't enjoy socializing with my friends anymore." b. "I am just so exhausted. I am always tired and sometimes cannot get my work complete." c. "Even though it is a lot of work, I sleep well at night." d. "Over the last 6 months I have gained 30 pounds, and now my doctor says I am prediabetic."

c. "Even though it is a lot of work, I sleep well at night."

A nurse is discussing client education with a newly licensed nurse. Which of the following statements regarding the Teach Back Method of client education should the nurse include in the discussion? a. "Teach Back identifies which expenses were not covered by the client's insurance." b. "Teach Back helps to determine which medications should be prescribed to continue the client's care." c. "This method makes sure the client understands all of the instructions given." d. "This method assesses the care the client has received and identifies possible areas for improvement."

c. "This method makes sure the client understands all of the instructions given."

A nurse is creating a poster with examples of health care disparities for a community health care conference. Which of the following statements should the nurse use as an example of a health care disparity? a. The implementation of a new treatment has reduced the diabetes mellitus rates among the Latino population of a community so that it is in line with other groups. b. Ovarian cancer rates across the various populations of a community are proportional according to the demographics of the area. c. African Americans have the highest rates of high blood pressure and hypertension compared to any other population worldwide. d. A new health care clinic has opened near a reservation to treat clients from the local indigenous community, which is traditionally an underserved community.

c. African Americans have the highest rates of high blood pressure and hypertension compared to any other population worldwide.

A nurse is counseling a client who is trying to get out of a gang situation. Which of the following referrals should the nurse make to client? a. Occupational Safety Hazard Administration (OSHA) b. The Healthy Teen Network c. Boys & Girls Club of America d. Nurse-Family Partnership

c. Boys & Girls Club of America

A public health nurse is providing a report to county legislators regarding health outcomes of children attending poorly performing schools. Which of the following conditions should the nurse include in the report? a. Congenital heart valve defects b. Type 1 diabetes mellitus c. Delayed brain development d. Epilepsy

c. Delayed brain development

A school nurse at a poorly performing high school is planning interventions to address a current outbreak of mononucleosis. Which of the following interventions should the nurse implement to improve the heath outcomes of the students? a. Set up a patient portal for virtual visits. b. Establish a lunch program for the school. c. Provide students with preventative tips. d. Provide access to Medigap policies.

c. Provide students with preventative tips.

A nurse is assessing a new parents and their newborn in a community health clinic. The parent reports that they have resumed smoking tobacco and eating fast food more frequently. Which of the following topics would be most important for the nurse to discuss with the patient? a. Healthy eating and weight management b. Postpartum depression and self-care c. Smoking cessation and the effects of secondhand smoke d. On-demand feeding and schedules

c. Smoking cessation and the effects of secondhand smoke

An occupational health nurse is presenting information to county government leaders. Which of the following occupations should the nurse include as having higher health hazards and exposures? a. Urban design architect b. Customer service phone operator c. Computer programmer d. Outdoor landscaper

d. Outdoor landscaper

A school nurse is recommending a referral to a mentorship program for an adolescent who reports facing pressure and violence in school and is feeling depressed. Which of the following statements should the nurse include when discussing the reason for the mentorship program? a. "A mentorship program will teach self-defense tactics." b. "A mentorship program can help with the selection of another school to attend." c. "A mentorship program will assess for any special academic needs." d. "A mentorship program can help you cope with challenges at school."

d. "A mentorship program can help you cope with challenges at school."

A nurse is providing teaching to a client who inquired about utilizing private managed care insurance to cover medical expenses. Which of the following statements should the nurse include in the teaching? a. "The government provides basic coverage and the client is required to pay for supplemental insurance." b. "The government pays for coverage, including insurance policies that typically are considered supplemental." c. "Clients pay for health care coverage partially in the form of income tax and partially as a monthly fee to an insurance provider." d. "Clients pay a monthly fee to an insurance provider to cover medical expenses, including supplemental policies."

d. "Clients pay a monthly fee to an insurance provider to cover medical expenses, including supplemental policies."

A nurse is caring for a client who has a history of socioeconomic issues. Which of the following client statements indicates that the client is experiencing very low food security? a. "Although I am home on disability leave and am not working at the moment, my mother-in-law makes dinner for our family every night." b. "I am able to pay most of my bills, but sometimes I do have to make payment plans with my creditors." c. "Although I do not have steady weekly income, I do budget my bills with the royalties I've earned from a book deal once every 3 months." d. "My job is inflexible without consideration for my personal needs. My budget is tight and I often skip meals to save money."

d. "My job is inflexible without consideration for my personal needs. My budget is tight and I often skip meals to save money."

A nurse is making recommendations to the school board regarding necessary improvements at a high school located in a low-income area in order to improve health outcomes. The nurse notes there is a lack of school lunch programs and audio-visual equipment, a gymnasium that cannot be used because it requires repairs, and there are a number of students who are experiencing mental and emotional health issues, such as eating disorders, anxiety, and depression. Which of the following interventions should the nurse recommend as the priority for the school board to address? a. Provide more audio-visual equipment for students. b. Write a letter to local school board members to address the need for a new snack bar. c.Implement repairs to the gymnasium. d. Add a counselor to the school faculty.

d. Add a counselor to the school faculty.

A public health nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse identify that the client is at high risk for adverse health outcomes? a. A family with a toddler who own a single-family home in which one of the partners works in construction for 10 months out of the year b. A single working mother who manages hypertension with diet and exercise and utilizes her aunt for childcare for her three children c. A client who lives in a rural area who walks 4 miles every day to and from work d. An older adult widow who has diabetes mellitus and has been unemployed for the past 6 months

d. An older adult widow who has diabetes mellitus and has been unemployed for the past 6 months

A nurse is assessing the needs of a school-age child. Which of the following risk factors should the nurse identify as placing the child at risk for social support issues? a. Neighborhood social cohesion b. Household with two guardians present c. Low-crime neighborhood d. Incarcerated family members

d. Incarcerated family members

A county health nurse is reviewing the morbidity and mortality reports for areas within the county. The nurse should recognize that which of the following findings in the report is an example of a client health outcome that can result from living in a cycle of poverty? a. Sickle cell anemia b. Schizophrenia c. Cystic fibrosis d. Sexually transmitted infections (STIs)

d. Sexually transmitted infections (STIs)

A nurse is planning a presentation for state legislators about the impact of depression on student health outcomes at a low-performing school. Which of the following information should the nurse include in the presentation? a. Students experiencing depression and attending a low-performing school are less likely to become infected with sexually transmitted infections (STIs). b. Students experiencing depression and attending a low-performing school are half as likely to become chronically truant. c. Students experiencing depression and attending a low-performing school are more likely to suffer congenital defects, such as spina bifida. d. Students experiencing depression and attending a low-performing school are more likely to develop a chronic illness.

d. Students experiencing depression and attending a low-performing school are more likely to develop a chronic illness.

A nurse proposes an evidence-based improvement project in partnership with the Workforce Innovation and Opportunity Act to mitigate the effects of the coronavirus (SARS-CoV-2) lockdown restrictions on physical and mental health. Which of the following factors should the nurse identify as the priority to address with the project? A. Constant fear-laden media reports led to an increased incidence of people being unwilling to cooperate with health officials. b. The threat of being infected with a deadly virus led to an inability to cope among various parts of the population. c. The educational challenges of distance learning contributed to students failing more classes. d. The lockdown led to an uncertainty of resources for several families within the community.

d. The lockdown led to an uncertainty of resources for several families within the community.

A nurse is researching an electronic database for the cost of taxpayer funded Medicare expenses. Which of the following should the nurse identify as the amount of taxpayer funded Medicare expenses in 2019? A. 799.4 Billion B. 1.9 Trillion C. 229 Million D. 500 Billion

A. 799.4 Billion

A nurse working in a community health clinic is caring for a client who reports they have not slept for several days. Which of the following responses should the nurse give? a. "Have you tried melatonin?" b. "I have issues falling asleep every night as well." c. "You need to stop drinking coffee." d. "What has made it difficult for you to sleep lately?"

d. "What has made it difficult for you to sleep lately?"

A nurse is preparing to discharge a client with a newborn who has a tracheostomy and will require apnea monitoring at home. Which of the following resources should the nurse recommend to the client to assist with tracheostomy care and apnea monitoring? a. Community center clinic b. Ambulatory care center c. Occupational health center d. Home health care

d. Home health care

A nurse is teaching a client about Medicare Part D. The nurse should include that this program covers which of the following?

D- For DRUGS!!!Medicare Part D provides coverage for prescription medications.

A public health nurse is delivering a presentation about health care resources. Which of the following organizations should the nurse include as an example of a health care resource in the private sector?

St. Jude Children's Network is a nongovernment organization. Therefore, the nurse should include St. Jude Children's Network as an example of a private sector health care resource

A public health nurse is reviewing newly approved vaccines for prevention of a communicable disease. The nurse should identify that which of the following entities is responsible for the approval of manufactured pharmaceuticals?

Food and Drug Administration

A nurse in a community health clinic is discussing the impact of current trends in health care costs and quality with the staff. Which of the following trends should the nurse identify as the trend that will likely lower health care costs? A. Aging of the population B. Increased used of telehealth C. Medicalization D. Decreases in the workforce

B. Increased used of telehealth

A nurse working in the family planning clinic is working with an adolescent client who has expressed interest in birth control options. Which of the following is an example of how the nurse can practice with compassion and value the inherent dignity, worth, and unique attributes of the client? a. Take responsibility for recommending that the client use hormonal contraception. b. Advocate for the right of the minor's parents to authorize prescribed birth control medication. c. Establish a rapport by respecting the client's interests and providing education on all birth control options. d. Promote the use of contraception among the client's peers at a community event.

c. Establish a rapport by respecting the client's interests and providing education on all birth control options.

Due to a rise in whooping cough cases among middle school-age students, the school board requires an additional dose of Tdap vaccine to attend the 7th grade. Which of the following community outreach actions should the school nurse use to promote this updated policy? a. Recruit teachers to help spread the word about the immunization requirement. b. Establish one-on-one counseling sessions for each of the students' families about immunizations. c. Organize virtual educational sessions on immunizations within the school district. d. Inform the students who will enter 7th grade of the required additional vaccine.

c. Organize virtual educational sessions on immunizations within the school district.

A nurse working at a community health clinic is reviewing the staff schedule and notices the clinic has been working short staffed for the past 3 months. Which of the following actions should the nurse take to address this issue? a. Cancel and reschedule client appointments to times when staff are available. b. Speak to clients and get feedback about the scheduling challenges. c. Speak to the manager and advocate for a strategy that ensures adequate staffing. d. Close the clinic early due to staffing concerns.

c. Speak to the manager and advocate for a strategy that ensures adequate staffing.

A nurse is discussing the timing of public health acts with a group of nursing students. Place in order (Oldest to newest)

The Sheppard-Towner Act Social Security Act Civil Rights Act Medicaid and Medicare HIPAA

Which of the following health promotion initiatives were launched to implement interventions for better overall health in the U.S.? A. Paris Agreement B. Healthy People 2030 C. Sustainable Development Goals D. Tennessee Valley Authority

B. Healthy People 2030

A nurse is caring for a client who is dying and wishes to discontinue taking their medications. Which of the following ethical principles is the nurse demonstrating by respecting the client's decision? a. Nonmaleficence b. Beneficence c. Autonomy d. Justice

C. Autonomy

A public health nurse is providing an explanation to newly hired public health nurses on the standards of care along with the policies and procedures that reflect Nurse Practice Acts. Which of the following is imperative that the new nurses know about Nurse Practice Acts?a. Nurse Practice Acts specify the scope and standards of practice for student nurses. b. Nurse Practice Acts are the laws governing nursing practice. c. Nurse Practice Acts specify the code of ethics to be used in hospital settings. d. Nurse Practice Acts are governed by the federal government, not state law.

b. Nurse Practice Acts are the laws governing nursing practice.

A nurse is speaking with the nursing supervisor about a staffing shortage and its implications for staff on their unit. Which of the following forms of advocacy is the nurse demonstrating? a. Political and legislative advocacy b. Professional advocacy c. Community advocacy d. Client advocacy

b. Professional advocacy

A nurse working at a community health center is caring for a client that reports disappointment and feeling ashamed of their weight. Which of the following responses should the nurse give? a. "How about if you start tracking your caloric intake?" b. "Many people struggle with weight loss." c. "What has been bothering you the most about your weight?" d. "Medications may be able to help you lose a lot of weight if you'd like to try that."

c. "What has been bothering you the most about your weight?"

A public health nurse is discussing climate change with a group of nurses who are interested in learning about global health concerns. Which of the following should the nurse include in the discussion as an issue associated with climate change? A. Decreases in the mosquito population B. Exacerbations in respiratory conditions C. Reduced risk of exposure for clients who live in poverty D. Improved access to clean water

B. Exacerbations in respiratory conditions

A nurse is reviewing the history of U.S. health care reforms. The nurse should identify that the following reforms were implemented in what order? (Move the options into the box on the right, placing them in the order of earliest to most recent. Use all the options.)

-Medicare -Substance Abuse and Mental Health Services Administration - Children's Health Insurance Program - Affordable Care Act

A public health nurse is preparing a presentation about health care resources. Which of the following organizations should the nurse include as an example of a health care resource in the public sector?

Department of Health and Human Services

A public health nurse is reviewing the Leading Health Indicators (LHIs) developed for the Healthy People 2030 national goals with a group of nurses. Which of the following LHIs should the nurse identify as pertaining to all age groups? (Select all that Apply) A. Homicides B. Obesity C. Colorectal Cancer Screening D. Drug overdoses E. Influenza immunization

A. Homicides D. Drug overdoses E. Influenza Immunizations

A community health nurse is researching health policy administration. The nurse should identify that which of the following is administered at the state government level?

Medicaid

An occupational health nurse is evaluating the cost-effectiveness of interventions that were implemented to decrease sick days during flu season. Which of the following actions should the nurse identify as a secondary prevention intervention?

Providing testing for influenza

A newly hired public health nurse is learning about the various duties of their role. Which of the following activities would the new nurse be involved with? A. Providing wound care for a burn victim in the hospital B. Educating the public about hand hygiene during an outbreak C. Administering insulin to a patient in their home D. Conducting an addiction therapy group at an outpatient center

B. Educating the public about hand hygiene during an outbreak

A public health nurse is planning to obtain a grant to implement a community-wide nutrition program. To which of the following organizations should the nurse apply? (Select all that apply.)

- National Institutes of Health (NIH) is correct. - United States Health Resources and Services Administration (HRSA) is correct.

A community health nurse is reporting to community leaders about the effects of health policies that have been implemented. Which statement should the nurse make when describing the purpose of health policies?

A health policy involves intentional actions to influence health outcomes in the community

A nurse is providing a presentation about telehealth to a group of community health nurses who will soon be implementing telehealth practices within their community. Which of the following statements by one of the community health nurses indicates an understanding of the information? A. "We can use video conferences as a method of telehealth to hold remote meetings with staff and clients" B. "Text messaging can be used as a method of telehealth" C. "Faxing prescriptions to the pharmacy is an example of telehealth" D. "Sending email messages through commonly used email services is one way to use telehealth"

A. "We can use video conferences as a method of telehealth to hold remote meetings with staff and clients"

A nurse is interacting with a client who has a new diagnosis of diabetes mellitus. The client has attended multiple workshops about managing their condition but still has an A1C of 9 and admits to not using the meal plans to help with nutritional needs. Which of the following could the nurse at the community-based clinic do first to assist the client in adhering to the medical regimen? A. Ask the client to discuss what barriers they perceive that prevent compliance B. Refer the client to the diabetic educator for more instructions C. Ask the case manager for community resources for programs like Meals on Wheels D. Assess the client's neighborhood to see if their is access to fresh fruits and vegetables

A. Ask the client to discuss what barriers they perceive that prevent compliance

A nurse is providing a presentation about individuals who made early contributions to public health nursing. Which of the following contributions should the nurse credit to Lillian Wald? A. Establishment of the Henry Street Settlement B. Establishment of the Stillman House C. Establishment of the Frontier Nursing Service (FNS) D. Establishment of the American Red Cross

A. Establishment of the Henry Street Settlement

Which of the following interventions might the occupational health nurse employ to promote health and safety in the workplace? (Select all that apply) A. Offer immunizations such as flu vaccines B. Do a walkthrough inspection to check for safety in work areas C. Remind employees to use personal protective equipment when handling harmful chemicals D. Arrange for the vendor to educate the employees on how to new heavy-lifting equipment E. Use I PREPARE to assess for environment health experiment

A. Offer immunizations such as flu vaccines B. Do a walkthrough inspection to check for safety in work areas C. Remind employees to use personal protective equipment when handling harmful chemicals D. Arrange for the vendor to educate the employees on how to new heavy-lifting equipment

Which of the following actions should a community health nurse take to promote economic stability in the community? A. Partner with local churches and write grants for childcare funding towards affordable daycares in the area B. Advocate for more transportation to health care facilities C. Work with a nonprofit organization for the local farmers' market to sell fresh produce twice a week D. Teach residents about the dangers of lead-based paint

A. Partner with local churches and write grants for childcare funding towards affordable daycares in the area

A nursing program director is discussing the integration of the Quality and Safety Education for Nurses (QSEN) competencies into the curriculum with faculty. Which of the follow competencies should the director include in the discussion as the competency that most students are least prepared to address? A. Quality Improvement B. Patient-Centered Care C. Informatics D. Teamwork and Collaboration

A. Quality Improvement

A nurse educator is teaching a class on nursing history to a group of nursing students. Which of the following nurses should be identified as the first nurse who focused on environmental conditions? A. Clara Barton B. Mary Breckinridge C. Jessie Sleet Scales D. Florence Nightingale

D. Florence Nightingale

A nurse is preparing a presentation about health care delivery in the U.S. for a group of newly licensed nurses. Which of the following statements should the nurse include in the presentation to describe the U.S. health care system? A. The U.S. spends more on health care than other developed countries B. The U.S. has better health outcomes than other developed countries C. The U.S. health care delivery system is population-focused D. The U.S. nursing workforce is expected to increase over the next decade

A. The U.S. spends more on health care than other developed countries

A home health nurse instructs the caregiver to administer pain medication to a nonverbal client in their home. Which of the following evaluative findings would indicate that the goal of of pain relief had been met? A. The client's face relaxes and stop grimacing B. The client becomes more restless C. The client's family says that enough medicine has been given D. The client is still guarded near the area of pain

A. The client's face relaxes and stop grimacing

A community health nurse is discussing the Nurse Training Act of 1943 with a group of nursing students. The community health nurse should include in the discussion that which of the following occurred as a direct result of the passage of this legislation? A. Funding for maternal child care programs B. Prohibition of racial discrimination in nursing organizations C. Formation of training programs for school nurses D. Establishment of the National Center for Nursing Research

B. Prohibition of racial discrimination in nursing organizations

A nurse case manager is teaching a client about Health Savings Accounts (HSA). Which of the following client statements indicates an understanding of the teaching?

An HSA is provided through an employer or health insurance plan to cover out-of-pocket health care expenses, such as co-pays and costs counted toward deductibles.

Which of the following Sustainable Development Goals would be achieved if nations implemented recycling programs in their major cities? A. Reduction of inequalities B. Responsible consumption and production C. Affordable and clean energy D. Clean water and sanitation

B. Responsible consumption and production

A public health nurse is discussing strategies to increase the number of nurses who are interested in working in public health with another nurse. Which of the following strategies should the nurse include in the discussion as an approach to increase the supply of public health nurses? A. Adding telehealth-related content to the nursing curricula B. Restructuring pay and rewards for nurses who practice outside of acute care settings C. Increasing nursing representations on community planning boards D. Providing incentives for nurses nearing retirement age to continue working

B. Restructuring pay and rewards for nurses who practice outside of acute care settings

A nurse is preparing to provide a presentation about population-focused care to a group of community health nurses. Which of the following should the plan to include in the presentation as required competency for nurses who are providing population-focused care? A. The ability to develop individualized care plans B. The ability to analyze large data sets C. The ability to work independently D. The ability to gather date about a client's personal support system

B. The ability to analyze large data sets

A nurse is preparing an orientation for newly licensed community health nurses on the standards of professional practice. Which of the following is a critical thinking model that describes a competent level of nursing care? a. Elements and Standards Model b. The nursing process c. The Minnesota Model for Public Health Nursing Practice d.Professional Nursing Model

B. The nursing process

A client asks a nurse to help identify resources for weight loss plan the client is developing. Which of the theoretical frameworks might the nurse use in this situation? A. Health Belief Model B. Transtheoretical Model C. Social Cognitive Theory D. Theory of Reasoned Action/Planned Behavior

B. Transtheoretical Model

A nurse is discussing government organizations with a newly licensed nurse who is interested in working with clients who have been impacted by natural disasters. Which of the following organizations should the nurse include in the discussion as the organization as the organization that provides domestic and international disaster relief? A. U.S. Public Health Service (USPHS) Commissioned Corps B. Centers for Disease Control and Prevention C. American Red Cross D. Health Resources and Services Administration

C. American Red Cross

A newly licensed nurse is interested in finding information about health care benefits for clients who are disabled or have end-stage renal disease. The newly licensed nurse asks their preceptor where they can find this information. Which of the following organization websites should the preceptor encourage the newly licensed nurse to used to find the desired information? A. National Institutes of Health (NIH) B. Centers for Disease Control and Prevention (CDC) C. Centers for Medicare and Medicaid Services (CMS) D. United State Public Health Services Commissioned Corps

C. Centers for Medicare and Medicaid Services (CMS)

A nurse working in a campus health center is developing a smoking cessation program for the student body. Which of the following federal agencies should the nurse include in the program as the agency that regulates tobacco products? A. Substance Abuse and Mental Health Services Administration B. Agency for Toxic Substances and Disease Registry C. Food and Drug Administration D. Occupational Safety and Health Administration

C. Food and Drug Administration

A community health nurse is partnering with the local library in a small town to hold workshops on filling out paperwork for student funding for trade school and colleges. The nurse should recognize that this action is supported by which of the following statements about lack of affordability in higher education? A. It decreases the residents' access to healthcare B. It decreases the residents' health literacy C. It decreases the local residents' chances of gaining skills and knowledge for various job opportunities D. It decreases the number of job opportunities in the local area

C. It decreases the local residents' chances of gaining skills and knowledge for various job opportunities

A nurse in a community health clinic is providing training to a group of newly hired nurses about partner violence. Which of the following statements made by one of the nurses indicates an understanding of partner violence? A. "Women and men experience partner violence equally" B. "Partner violence is the leading cause of death in women" C. Partner violence is underreported" D. Only physical abuse is considered partner violence"

C. Partner violence is underreported"

A school nurse assesses a few students for injuries after they have been fighting. The nurse finds bruises in various stages of healing on one of the students. Which of the following interventions on the secondary level of prevention should the nurse implement? A. Notify the parents that the student has been in a fight B. Apply bandages to the cuts found on assessments C. Report the findings to child protective services (CPS) D. Ask social services to arrange for extensive counseling for the student

C. Report the findings to child protective services (CPS)

A public health nurse is going to deliver a message to the residents in town about a primary preventative measure to stop the spread of a communicable disease during an outbreak. Which of the following could be included in the message? A. Getting lab work done to screen for the disease B. Completing the antibiotic regimen as prescribed C. Speaking about hand hygiene and what kinds of products to use D. Calling the physician if signs and symptoms should return

C. Speaking about hand hygiene and what kinds of products to use

A nurse is discussing the impact that current community and public health trends have on health care delivery with a group of nursing students. Which of the following trends should the nurse identify as likely to decrease health care expenditures? A. The medicalization of treatment for lifestyle-related conditions B. The decreasing of nursing work force C. The implementation of population health strategies D. The increasing age of the American population

C. The implementation of population health strategies

In order to support and mobilize communities and partnerships to improve the overall health of the local area, which of the following interventions might a public health nurse employ? A. Hiring diverse and highly trained staff for the state health department B. Posting information about domestic violence on the health department website C. Working with a local hospital to become an immunization station during an epidemic D. Sending a nurse epidemiologist to investigate a suspected outbreak

C. Working with a local hospital to become an immunization station during an epidemic

A nurse is planning to provide a presentation to a group of community members on how early discoveries in science have influenced the practice of community health. Which of the following individuals should the nurse include in the presentation as being credited with discovering penicillin? A. Dr. John Snow B. Dr. Edward Jenner C. Lemuel Shattuck D. Alexander Fleming

D. Alexander Fleming

A nurse is working with a community planning board to address the challenge of systemic racism in their community. Which of the following criteria should the nurse identify as essential to the success of a community plan addressing systemic racism? A. Focusing on the outcomes of racial inequities B. Placing those with power and resources in charge of the plan C. Creating a day of remembrance to raise awareness of racial inequities D. Budgeting financial resources fairly based on need

D. Budgeting financial resources fairly based on need

A client who is in the maintenance phase of the Transtheoretical Model's Stages of Change admits to not following their diet plan after binging on salty and sugary snacks this past weekend. Which of the following questions should the nurse ask the client next? A. How does that make you feel? B Why did you do that C. Did you call someone from your support group before eating the snacks D. Have you had any stressful events in your life lately

D. Have you had any stressful events in your life lately

A nurse is providing education to a client who recently became eligible to receive Medicare benefits. The nurse should identify that which of the following statements by the clients indicates an understanding of the teaching? A. "Medicare Part A will cover all of my prescription medications" B. I can add dependents to my Medicare plan if needed" C. Medicare will pay for me to be in a long-term care facility if needed D. I will have to pay for Medicare coverage if i choose to enroll

D. I will have to pay for Medicare coverage if i choose to enroll

A community health nurse is caring for a client who informs the nurse that they need a kidney transplant but their insurance has been discontinued. Which ethical principle should the nurse be aware of to provide resources for this client? A. Veracity B. Autonomy C. Accountability D. Justice

D. Justice

A public health nurse is providing care for a client who has a recent diagnosis of active tuberculosis. Which of the following actions should the nurse take to assist this client with managing their own health care? A. review the client's laboratory results before having the client take the medication B. Review precautions to decrease risk of infecting members of the client's household C. Reinforce the information concerning the medications' adverse effects D. Make a referral for the client to the Directly Observed Therapy (DOT) program in the community

D. Make a referral for the client to the Directly Observed Therapy (DOT) program in the community

An occupational nurse is reviewing recent incidence rates and notes an increase in back injuries. Which of the following would be a population health intervention the nurse could employ to address this issue? A. Require all employees to wear a back brace B. Provide workers with information on local pain clinics C. Meet individually with workers reporting a back injury to determine the cause D. Offer educational sessions to all workers regarding the prevention of back injuries

D. Offer educational sessions to all workers regarding the prevention of back injuries

A public health nurse is providing an explanation to newly hired public health nurses on the concept of community health nursing as a population-based service. Which of the following interventions should the nurse include in the explanation? A. Physical assessment prior to hospital admission B. Intake interviews for long-term care placement C. Develop policies for health benefits at a local factory D. Screening and surveillance of communicable diseases

D. Screening and surveillance of communicable diseases

A client reports that the initial exercise regimen in their weight loss program was ineffective, but that they have seen positive results since adopting a friend's regimen. Which of the following theories explains the client's change? A. Health Belief Model B. Theory of Reasoned Action/Planned Behavior C. Transtheoretical Model D. Social Cognitive Theory

D. Social Cognitive Theory

A nurse is teaching about health insurance options with a young adult client who has recently become disabled. The nurse should identify that the client's disability might make them eligible for which of the following health insurance programs?

Medicare

A public health nurse is reviewing characteristics common to health care organizations in both the public and private sector. Which of the following should the nurse identify as a similarity between public and private health care organizations?

Public and private sector health care organizations are subject to governmental regulation and oversight.

A home health nurse is preparing to make a referral to a diabetes educator for a client who has had several hospital readmissions regarding their diabetes and has developed a diabetic foot ulcer. The nurse should identify that this is an example of which of the following types of prevention?

Tertiary Prevention Intervention

A team of public health nurses is delivering a presentation to community leaders about funding for health care programs. Which of the following organization's data should the team include during the presentation as having a direct effect on funding?

The U.S. Census Bureau

A community health nurse is educating a community group about regulation of health care in the public sector. Which of the following entities should the nurse describe as making the majority of decisions about health care regulation in the public sector?

The nurse should describe the federal government as the entity that makes the majority of decisions about health care spending in the public sector.

A nurse is reviewing the history of government-funded health programs in the U.S. Which of the following should the nurse identify as the president who enacted law to create the Medicare program in 1965?

The nurse should identify Lyndon B. Johnson as the president who enacted law to create the Medicare program.

A nurse is reviewing health coverage programs with a newly licensed nurse. Which of the following should the nurse identify as a public sector health care program that provides coverage to clients over 65 years old?

The nurse should identify that Medicare is a public sector program established to provide health care coverage for individuals over 65 years old.

A public health nurse is researching information from governmental organizations to guide evidence-based practice. Which of the following should the nurse identify as a governmental organization?

The nurse should identify that the CDC is a governmental organization

A nurse is using an electronic database to research government funding of health care. What percentage of public health care in the United States should the nurse identify as being funded by the gross domestic product (GDP)?

The nurse should identify that the federal government spends approximately 17% of the annual GDP on public health.

An occupational health nurse is developing workplace wellness programs for which employees can use their health savings account as a form of payment. Which of the following programs should the nurse identify as an example of a secondary prevention intervention?

The nurse should include an online nutrition education to prevent complications for employees who have new onset of hypertension as a secondary prevention intervention. The employees can receive further guidance in order to manage their condition.

A nurse is reinforcing teaching to community nurses about the scope of nursing practice in the community. Which of the following statements by a nurse indicates understanding of the "what" part of the American Nursing Associations's (ANA) description of the scope of practice? a. "I will focus on being committed as I provide care to protect the health and well-being of my clients." b. "I understand that scope of practice refers to staff such as LPNs, RNs, and APNs." c. "It is important that I remember that nursing care is to be provided wherever it is needed." d. "My goal is to collaborate with my colleagues effectively to create positive client outcomes."

a. "I will focus on being committed as I provide care to protect the health and well-being of my clients."

A nurse is reinforcing teaching to a newly licensed nurse about client advocacy. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? a. "I will make sure clients understand treatment options before they sign a consent form." b. "I will make sure to speak to my client's adult children on deciding if a surgical procedure should be conducted." c. "I will inform clients they should research health information so they do not bother providers with questions." d. "I will not alert my client that they have access to their medical records via the patient portal."

a. "I will make sure clients understand treatment options before they sign a consent form."

A nurse is requesting a referral for a case manager for a client who requires financial assistance for their medications. Which of the following forms of advocacy is the nurse demonstrating? a. Client advocacy b. Professional advocacy c. Political advocacy d. Community advocacy

a. Client advocacy

A nurse is reviewing a client's medical record with a dietician who is part of the client's interdisciplinary team. Which of the following elements of Nursing's Social Contract is the nurse demonstrating? a. Collaboration b. Responsibility and accountability c. Progress and Development d. Ethical Practice

a. Collaboration

A nurse is teaching a client who has asthma on the use of an inhaler. Which of the following resources should the nurse include in the teaching? a. Give a demonstration of how to use the inhaler followed by the teach-back approach. b. Provide only a video teaching about asthma. c. Offer the phone number of the manufacturer of the inhaler. d. Provide the client with a brochure to learn more about asthma.

a. Give a demonstration of how to use the inhaler followed by the teach-back approach.

A community health nurse reports that some families are in desperate need of basic preventative health care services. Which of the following principles supports providing resources to families in the community that are in need? a. Justice b. Beneficence c. Autonomy d. Nonmaleficence

b. Beneficence

A nurse is caring for a client who does not have proper understanding of a surgical procedure that is scheduled for the next day. The nurse notifies the client's provider. Which of the following concepts is the nurse demonstrating? a. Client education b. Client advocacy c. Accountability d. Autonomy

b. Client advocacy

A nurse is caring for a client who asks how their food choices might affect their blood pressure. To which of the following members of the interprofessional team should the nurse refer this client? a. Kinesiologist b. Dietitian c. Social worker d. Pharmacist

b. Dietitian

A community health nurse is reinforcing education on insulin administration to a client who has diabetes mellitus. Which of the following elements of Nursing's Social Contract is the nurse demonstrating? a. Collaboration b. Ethical practice c. Autonomy of practice d. Promotion of the health of the public

c. Autonomy of practice

A public health nurse has been assigned to call a client who speaks a different language than the nurse. Which of the following actions by the nurse demonstrates cultural competency? a. Ask the client's family member to help with interpretation. b. Ask the office receptionist who can speak multiple languages to help with interpretation. c. Use the organization's interpretation or translation service for this call. d. Speak slowly and use simple terms.

c. Use the organization's interpretation or translation service for this call.

A public health nurse working in the community center asks the nurse manager where nurses can obtain information on the competencies that public health nurses should possess. Which document should the nurse manager recommend? a. The Minnesota Model for Public Health Nursing Practice b. Nurse Practice Act (NPA) c. American Nurses Association (ANA): Code of Ethics d. Public Health Nursing Competencies

d. Public Health Nursing Competencies

A community health nurse is reinforcing teaching to new nures on a scenario in which a nurse has forgotten to refer a client to a social worker, causing a delay in medication coverage for the client. Which of the following actions by the nurse demonstrates the element of responsibility and accountability under nursing's social contract? a. The nurse requests to speak to their supervisor to discuss workload. b. The nurse explains the reason why the delay occurred. c. The nurse makes excuses for the delay. d. The nurse accepts fault in the delay of the client's medication coverage.

d. The nurse accepts fault in the delay of the client's medication coverage.