Community Exam 3 Prep
A community health nurse develops a written teaching plan for a community education program about nutrition and salt-reduction. Which objective would reflect synthesis learning in the cognitive domain? A) The client will create an enjoyable meal using low-sodium foods. B) The client will compare the salt content in a variety of packaged foods. C) The client will practice eating meals that contain low-sodium foods. D) The client will list foods that are low in sodium.
A
A community health nurse implements the use of promotoras to promote health in migrant communities. Which of the following best describes a promotora? A) Nonprofessional community outreach worker B) Trained childbirth assistant C) Retired nurses knowledgeable of the area D) Language translators
A
A community health nurse is applying the normative-reductive strategy of change when working with clients. In doing so, the nurse engages them into changing their behavior in addition to providing education, based on which assumption? A) Information alone is not enough, and behaviors change through persuasion. B) Compliance by the client system will occur through the use of power to effect change. C) People are rational and will adopt a new practice because it is in their best interest. D) The clients can assume a high degree of responsibility for their own help.
A
A community health nurse is attempting to identify a target group for a program using geographic information system (GIS). Which type of information would the nurse be able to obtain? A) Family status B) Past interventions used C) Previous health problems D) Areas needing more study
A
A community health nurse is developing health promotion programs for a local community that consists predominantly of African Americans. Which of the following areas would be a priority for health promotion with this group? A) Cardiac health B) Respiratory care C) Mental health D) Skin care
A
A community health nurse is meeting with a group of individuals who have been diagnosed with a serious mental illness. The nurse interprets this to mean which of the following? A) The clients have impaired level of functioning and quality of life. B) The clients' disorder is chronic and persistent. C) The clients have issues of impaired control and dependency. D) The clients have a significant behavior syndrome with present distress.
A
A community health nurse is part of a group working with local and state legislators to expand health insurance coverage for those with inadequate or no insurance. Which outcome would the nurse hope to achieve if the group is successful? A) Increase use of early screenings B) Increase emergency room visits C) Increase episodic care D) Increase disparities in care
A
A community health nurse is preparing a presentation for a community group about tuberculosis (TB) and its current epidemic status. Which of the following would the nurse include in the presentation about this disease? A) TB kills about 1.7 million people each year. B) All persons who are infected by the causative organism become ill and can spread the causative organism to others throughout the remainder of their lifetime. C) Three fourths of the world's population is thought to be currently infected by the causative organism. D) The highest number of deaths is in Eastern Europe.
A
A community health nurse is working with a community that is involved with identifying risk factors for program development in case of a disaster. This community is in which phase of disaster management? A) Prevention B) Preparedness C) Response D) Recovery
A
As part of a community-wide program addressing the needs of seniors in the county, the nurse engages the seniors as well as their families in the program. The nurse is demonstrating which principle for effecting positive change? A) Participation B) Proper timing C) Resistance to change D) Interdependence
A
Several quality management models are helpful in measuring and improving the quality of care. They are designed differently but are developed to enhance care giving. Which of the following uniquely places the client within the model? A) Quality Health Outcomes model B) Donabedian model C) Omaha System model D) QSEN project
A
The nurse educator knows the nursing student understands the effect of homelessness on the health of children when the nursing student identifies which of the following? A) "Homeless children are four times more likely to become ill." B) "While approximately 87% of homeless children are enrolled in school, only about 77% attend regularly." C) "Fewer than 25% of homeless children graduate from high school." D) "Homeless children are twice as likely as their housed counterparts to repeat a grade in school."
A
When attempting to describe the characteristics of a typical rural population to a group of community health nurses, which of the following would the nurse include? A) Older, White, with a lower income and less formal education B) Young minorities with a lower income and less formal education C) Wealthier, more highly educated, older White Americans D) A reflection of the population as a whole
A
Which one of the following statements about assessment (one of the core public health functions) and how it can be applied to environmental health is most accurate? A) Assessment includes the investigation of health hazards, surveillance of health issues, examining causes, and assessing needs. B) Assessment is least valuable when related to where the person attends school. C) It is not necessary for nurses to have a background in the environmental health sciences. D) Assessment should be limited to the general population and should not include the increased vulnerability of certain groups.
A
While providing care to a community group, a community health nurse provides culturally sensitive care by avoiding which of the following? A) Ethnocentrism B) Ethnorelativism C) Enculturation D) Ethnicity
A
A community health nurse is assisting the local community in preparing a disaster plan. Which of the following would the nurse expect to be addressed? Select all that apply. A) Chain of command B) Routes for transportation C) Triage D) Basic equipment E) Copies of licenses
A, B, C
When assessing vulnerable populations, a community health nurse uses a popular model that contains three related concepts. Which of the following would the nurse include? Select all that apply. A) Resource availability B) Relative risk C) Health status D) Housing E) Education
A, B, C
When addressing homeless children and youth, which of the following situations are also considered homeless according to the education subtitle of the McKinney-Vento Homeless Assistance Act? Select all that apply. A) Children who share housing with others due to economic hardship or loss of housing B) Children who are abandoned in hospitals C) Children who are awaiting placement in foster care D) Children who are living in motels, trailer parks, or camping grounds E) Children who are living apart from one or more of their parents
A, B, C, D
Which of the following vulnerable populations have been subjected to perceived poor quality of care and access to care? Select all that apply. A) HIV-infected persons B) Persons who use illicit drugs C) People of non-White race/ethnicity D) People of White race/ethnicity E) Homeless persons
A, B, C, E
Which of the following groups of persons have increased vulnerability to environmental hazards to human health related to food? Select all that apply. A) Pregnant women are likely to transmit their exposure to chemicals, pesticides, and toxins to the unborn fetus. B) Persons who have altered immunity are more likely to be affected by food exposures. C) Middle-aged males D) Children are more susceptible to hazards due to their immature gastrointestinal systems and increased food intake per size. E) Adult women who are nonchildbearing
A, B, D
A nursing student is considering a career in international community health nursing. Which of the following statements are accurate regarding the context of international community health nursing? Select all that apply. A) Global community health care is complex and is affected by multiple factors relating to geography, history, politics, culture, religion, and economy. B) The types of services that can be provided include a range from providing clinical services to policy making at an international level. C) People's conception of health, wellness, and illness are static from culture to culture. D) By looking through a computer window, the student is able to see almost anyplace, connect to about any person, and access information about almost any concept. E) The ways in which people view nurses and other health care providers are affected by their attitudes toward women, their culture, and belief systems.
A, B, D, E
A community health nurse is working to develop programs to address the health status of migrant families. Which of the following would the nurse need to keep in mind when planning these programs? Select all that apply. A) A greater mortality from injuries, TB, respiratory diseases, and cerebrovascular diseases B) A dramatic increase in use of immunizations for migrant children C) An infant mortality rate that is 25% to 30% higher than for other infants in the United States D) Health needs compromised by limited access to health care and high mobility E) A much lower life expectancy than that of the general population
A, C, D, E
Which of the following are examples of a community health nurse providing health promotion teaching? Select all that apply. A) The community health nurse teaches a class of kindergartners how to properly wash their hands. B) The community health nurse is a guest on a radio talk show to provide information how to avoid an infection that is endemic. C) The community health nurse encourages an individual whose blood pressure screening was elevated to have his or her blood pressure rechecked in 1 week. D) The community health nurse teaches a group of preschoolers about different fruits and vegetables that they might like to try. E) The community health nurse teaches a mother and baby exercise group. F) The community health nurse leads a group of stroke survivors in soft exercise.
A, D, E
A community health nurse instructs a local community group on how to prepare homemade oral rehydration solution. Which of the following ingredients would the nurse include? A) Sea water B) Table salt C) Baking soda D) Crushed bananas
B
A community health nurse is dealing with a family in crisis. The nurse remains calm and firmly reassuring when communicating with them. This nurse is avoiding which barrier to communication? A) Filtering information B) Emotional influence C) Language barrier D) Selective perception
B
A community health nurse is providing care to a family in the community who are Muslim. Which of the following would be most important for the nurse to integrate when providing care for this family? A) Rules are stricter for boys than for girls. B) Modest dressing is key for both men and women. C) Most Arabic women work outside the home. D) Most adhere to the three tenets of Islam.
B
A community health nurse is working with a community that is involved with improving community and individual reaction and responses, so that the effects of a disaster are minimized. This community is in which phase of disaster management? A) Prevention B) Preparedness C) Response D) Recovery
B
A community health nurse is working with a community-based organization to develop programs to provide quality accessible health care to the homeless population. Which of the following would be the most appropriate source from which to seek funding for this program? A) Projects for Assistance in Transition from Homelessness (PATH) B) Health Care for the Homeless (HCH) C) The Interagency Council on Homelessness D) U.S. Department of Housing and Urban Development
B
A community health nurse is working with the local health departments to educate the citizens about the effects of radon exposure and its link to possible illness. Which of the following would the nurse identify as being a major health concern associated with radon? A) Skin cancer B) Lung cancer C) Diarrhea D) Cardiovascular disease
B
A community health nurse working a large metropolitan city has a large Asian American client base. Which of the following would the nurse be least likely to assess in this population? A) Belief that illness results from a body imbalance B) Reliance on Western medical practices C) Use of traditional self-care practices D) A focus on patriarchal family structures
B
A community health nurse working as a part of a disaster response team is told that the disaster is classified as a multiple-casualty incident. The nurse would interpret this to mean which of the following? A) There is more than 1 but less than 10 casualties. B) The number of casualties is between 2 and 100. C) Casualties number over 100. D) There are too many casualties to count.
B
A community health nurse working with a group of vulnerable clients is focusing on empowering them. Which of the following would be most effective? A) Keeping the clients to a firm schedule of visits B) Viewing the clients as active partners in the process C) Having the clients cut through bureaucratic red tape D) Focusing on the clients' limitations
B
In order to evaluate a health program, which of the following should the community health nurse focus on when planning the program? A) Measurement of goal attainment B) Creation of objectives that are specific, measurable, attainable, relevant, and timely. C) Patient satisfaction D) Measurement of consistency with standards
B
The community health nurse evaluates his or her own past personal habit of smoking as he or she prepares to talk to a group of people about the importance of smoking cessation. The nurse recalls that he or she had several unsuccessful attempts before quitting 1 year ago today. The nurse decides to share this information with the group and tells them that all the attempts he or she had made before stopping smoking were necessary steps for his or her eventual success. Which principle of change was the nurse enacting? A) Principle of flexibility B) Principle of self-understanding C) Principle of interdependence D) Principle of proper timing
B
The community health nurse is working in the health department of a major city that has a large Hispanic/Latino population. Which of the following would the nurse need to integrate into the plan of care for this population? A) View of the female as superior to the male B) Importance of an extended, cohesive family C) Males as the binding force of the family D) Adherence to strict time schedules
B
The population that community health nurses serve in the United States is changing. Because of population shifts, nurses must become sensitive to the cultural differences and language differences among new community members. Which minority group currently represents the largest group? A) African Americans B) Hispanic Americans C) Asian Americans D) American Indians
B
To ensure learning in the psychomotor domain, which of the following would be most important for the nurse to ensure about the learner? A) Has a sensory image of how to do the skill B) Has the ability to perform the necessary skill C) Is willing to listen to the information about the skill D) Can continue to practice the skill independently
B
When describing primary prevention activities that would occur in the preparedness phase of a terrorist attack involving biologic weapons like smallpox or anthrax to a local community group, which of the following would the nurse include? A) Investigating outbreaks to determine source B) Administering vaccines C) Screening suspected cases D) Treating persons who have been infected
B
When the community health nurse encourages the group members of a collaborative partnership of interdisciplinary teams to effectively share ideas and frustrations on an equal, reciprocal basis, the community health nurse is focusing on which of the five characteristics of collaboration in community health? A) Maximized use of resources B) Clear responsibilities C) Shared goals D) Mutual participation
B
When would the nurse expect the response phase of a disaster to occur? A) When no disaster is expected or anticipated B) Immediately after the onset of the disastrous event C) Long-term phase occurring after the disastrous event D) Prior to the disastrous event
B
Which of the following federal agencies would a community health nurse expect to be contacted to assist with a disaster in the United States? A) American Red Cross B) Federal Emergency Management Agency (FEMA) C) WHO's Emergency Relief Operations D) Pan American Health Organization
B
Which of the following statements about the National Alliance on Mental Illness (NAMI) is most accurate? A) NAMI focuses on the needs of the people who actually have mental illness. B) NAMI is committed to enhance the care of those with mental illness and improve the quality of life of those who are affected. C) The NAMI Web site contains some information that is intended to be used exclusively by care providers. D) All services of NAMI are provided at the main headquarters.
B
Which of the following would a community health nurse expect to assess in the population of homeless men? A) Marital status B) Substance abuse C) Permanent employment D) Frequent use of shelters
B
Which one of the following statements about immunization is true? A) The World Health Organization estimates that a billion more lives could be saved each year with immunizations. B) Vaccines are one of the most cost-effective interventions found in public health. C) Half of the world's children are being reached with essential vaccines. D) In the United States, toddlers are thoroughly vaccinated.
B
Which one of the following statements about mental health issues and homeless young people is most accurate? A) 87% of homeless children has suffered emotional disturbances due to the effects of traumatic stress and violence. B) Homeless youth suffer disproportionately from anxiety, depression, conduct disorders, posttraumatic stress, and low self-esteem. C) It is not common for homeless youths to be arrested for running away, breaking curfews, or being without supervision. D) Homeless youth are persons under age 18 who lack parental, foster, or institutional care.
B
Which one of the following statements about relative risk is most accurate? A) Lifestyle, behaviors, and choices do not relate to relative risk. B) Relative risk refers to exposure to risk factors identified from a substantial body of research. C) Relative risk means that if a risk exists, the illness or adverse event will occur. D) Any factor that is likely to cause increased risk is considered relative risk.
B
Which of the following are factors that influence populations' perceptions of health and health status and their receptivity to community health nursing programs? Select all that apply. A) Their perceptions of healthy food B) Their attitudes toward women C) Their culture D) Their belief systems E) Their geographic location
B, C, D
A collaborative community health group working with the teenage population to improve health draws on the expertise of school nurses and others working with adolescents to develop a plan. The group is demonstrating which characteristic of collaboration? A) Shared goals B) Mutual participation C) Maximized use of resources D) Clear responsibilities
C
A community health nurse has completed a community assessment. Which of the following would be next? A) Decide on an intervention B) Locate an appropriate the specific focus area in Healthy People 2020 C) Establish a community diagnosis D) Determine the level of prevention
C
A community health nurse is evaluating a population for socioeconomic resources. Which of the following would the nurse address? A) Quality of care provided B) Access to health care services C) Educational opportunities D) Adequacy of health care providers
C
A community health nurse is preparing a teaching program for a group of elementary school-aged children about substance abuse awareness. The nurse would implement strategies that address which cognitive phase of development? A) Preconceptual B) Intuitive thought C) Concrete operations D) Formal operations
C
A community health nurse is presenting an in-service for a group of other community health nurses about ecological perspective of environmental health. Which of the following would the nurse incorporate into the program when describing this concept? A) The study of governmental and private sector regulations of the environment B) A technological view of strategies for preventing illness and injury C) Identification of not only the physical environment but also the social and cultural factors that exist for populations D) The role of the community health nurse in preventing injury, disease, and illness
C
A community health nurse is working with a political group to lobby for changes in funding for a mental health promotion program. The nurse is functioning in which role? A) Educator B) Collaborator C) Advocate D) Case manager
C
A community health nurse is working with people who experienced a tornado and have been forced to leave their homes to escape the effects of a disaster. The nurse would identify these people as which of the following? A) Indirect victims B) Refugees C) Displaced persons D) Casualties
C
A community implements a plan to enforce the underage drinking law. The community health nurse interprets this action as reflecting which public health model? A) Primary prevention B) Behavioral prevention C) Environmental prevention D) Clinical prevention
C
When applying the ecological perspective to environmental health, a community health nurse integrates which of the following concepts as most essential? A) Primary prevention is limited in this area. B) The need for foresight in designing innovations C) No one factor can be viewed in isolation. D) Implications of scientific advances are fully understood.
C
When developing appropriate programs for adult mental health promotion, the nurse incorporates knowledge about the most prevalent mental disorders. Which of the following would the nurse identify as the most prevalent? A) Major depression B) Bipolar disorder C) Anxiety disorders D) Schizophrenia
C
When providing care for migrant workers, which of the following would be most appropriate for the community health nurse to do? A) Maintain existing services B) Use standard methods of health care delivery C) Employ information tracking systems D) Use professionals for community outreach
C
When reviewing statistics about illnesses worldwide, which of the following would the nurse identify as the most common and a leading cause of mortality? A) Tuberculosis B) Smallpox C) Acute respiratory tract infection D) Infectious diarrheal disease
C
Which of the following statements most accurately describes the nurse's role as an educator related to the social determinants of health? A) The nurse must focus on individual behavior and encourage people to take responsibility for their own behavior. B) The nurse must examine one or two factors that contribute to our state of health. C) The nurse must look at the root causes of disease and health inequities. D) The nurse must lecture people about what is right and wrong behavior.
C
Which of the following would a community health nurse use to define vulnerable populations? A) Those persons with higher mortality rates B) Individuals with lower life expectancy C) Those with increased risk for adverse health outcomes D) Individuals with chronic illness
C
Which one of the following statement about health literacy and health outcomes is most accurate for clients who have low literacy? A) It is important to make the message as basic and simple as possible because the client likely has low intelligence. B) It is best to use written materials for clients who have low literacy. C) It is very important for clients who have low literacy to have ample opportunity to provide feedback. D) Health literacy is not a very important factor in mortality and morbidity.
C
Which of the following change strategies would be most effective in maximizing the cooperation of the target population? Select all that apply. A) Use only one strategy that the nurse is most familiar with B) Knowing that as a nurse, the nurse knows more about the health topic than their audience C) Employ multiple strategies to promote health, prevent disease, and ensure a safe environment for populations D) Learning about the target population's beliefs regarding the health topic E) Focusing on health promotion and not disease prevention
C, D
A community health nurse has been teaching nutrition to a group of seniors in a local senior center. After attending the nurse's class on nutrition, the nurse determines the group's cognitive level of learning. Which of the following indicates knowing? A) Comparing the nutrient value in foods B) Eating well-balanced meals C) Planning recipes that are low in fat D) Naming three foods high in iron
D
A community health nurse has identified the target population and is determining an appropriate intervention. Which of the following would be most important for the nurse to do next? A) Develop an intervention based on the nurse's previous experiences B) Review the literature for research on previously attempted interventions C) Access the National Center for Health Statistics Web site for data D) Learn about the target population's beliefs and ideas
D
A community health nurse is reading a journal article about global health and communicable diseases. The article states that elimination is the goal. The nurse interprets this to mean which of the following? A) There are no further cases of the disease anywhere. B) No further preventive efforts are necessary. C) The disease is no longer a public health threat. D) The disease has been interrupted in a geographic area.
D
A community health nurse is working to improve the health children of migrant families. Which of the following issues would be of least importance for the nurse to address? A) Adolescent substance abuse B) Exposure to domestic violence C) Mental health problems D) Participation in chores
D
An instructor is reviewing the evolution of environmental health and the development of various agencies designed to protect health. As part of the review, the instructor includes the Environmental Protection Agency (EPA), describing its primary goal as which of the following? A) Identify and address world health issues B) Protect occupational safety and health C) Monitor food and drug production and availability D) Set standards and monitor and enforce environmental protection
D
During an interview with several clients, the community health nurse assumes responsibility for and strives to understand the feelings and thoughts of the client. The nurse is demonstrating which of the following? A) Reflection B) Respect C) Empathy D) Active listening
D
When assessing a vulnerable population's relative risk, which of the following would the community health nurse identify most likely as contributing to this risk? A) Well-balanced diet B) Up-to-date immunizations C) Enabling factors D) Exposure to abuse
D
When communicating with a group of clients, which of the following would the nurse identify as a barrier to the communication process? A) The nurse's sharing of complete and accurate information with the clients B) The clients' use of medical terminology in the discussion C) The clients' offering of feedback to allow the nurse to learn what the client understands D) The clients' interpretation of the message through their own perceptions
D
When describing the term "frontier area," which of the following would the nurse include as the most common description? A) A population density of fewer than 1,000 people per square mile B) Population density of 1,000 people or more per square mile C) Fewer than 10,000 residents in the community D) Fewer than six people per square mile
D
Which of the following statements about filtering messages is most accurate? A) Filtering is always intentional. B) Filtering is never intentional. C) Only clients use filtering. D) Filtering leads to miscommunication and misinterpretation.
D
Which of the following would likely provide the best estimate of the number of persons who are homeless? A) Counting the number of homeless people on a particular day B) Counting the persons who are homeless in a given week C) Counting the number of persons who are homeless at a specific time on a specific date D) The number of people who have been homeless over the course of a year
D
How is binge drinking defined? Give an example
Within a short period of time (i.e., 2 hours), which typically brings the average adult's blood alcohol concentration above 0.08 g/dL (also considered binge alcohol use) for the following is: Women (healthy ≥ 21 years): consuming more than 3 drinks within a 2-hour period Men (healthy ≥ 21 to 65 years): consuming more than 4 drinks within a 2-hour period Men (healthy > 65 years): consuming more than 3 drinks within a 2-hour period
