Community Health Final

•Who is a forensic nurse most likely to consult with a case? SATA • A. Social Workers B. Police Officers C. Dietitian D. Occupational therapist E. Psychologist F. Lawyers

A B E F

•Which of the following activities would not be carried out by a forensic nurse? SATA • A. Serve as a juror B. Conduct detailed physical assessments C. Provide insulin to a hyperglycemic patient D. Assisting a client in a malpractice lawsuit E. Provide STD swabbing for a rape victim

A C D

A home health nurse must be competent in the following (SATA): a.Educating clients and caregivers b. Mowing grass c. Wound care d. Nursing Process utilization e. Medicare payment f. Being bilingual

A C D E

Which patients qualify for hospice? a. Mrs. Smith has terminal cancer and wishes to stop her treatment. b. Mr. Sjoberg has end stage renal failure and is waiting on a kidney transplant. c. A patient on a Med Surg unit wishes to have a medically assisted suicide

A

The nurse is caring for a terminally ill patient who has opted for hospice care. When is the patient considered to be eligible for hospice care? A.When two primary health care providers certify that the patient has less than 6 months to live. B.When the patient wants C.If the patient has 9 months to live D.When a primary care provider guarantees that the patient cannot recover.

A

What is the nurse's role when called by a health-trained correctional officer conducting a receiving screening? a.Further assess any person identified as having a medical, mental health, or dental condition. b.Direct the correctional officer on the treatment that should be provided. c.Carry out the physician orders received by the correctional officer. d.Schedule the inmate-patient to be seen during the next nursing sick call.

A

Who is apart of the interprofessional team that cares for hospice patients? A.Nurse's, Physicians, Social Workers, Spiritual Counselor, Nursing assistant B.McDonalds chaser, Nurse, Pastor C.Physician, Nursing Assistant, Podiatrist D.Social Workers, Oncologist, Nurse

A

•A new graduate nurse wants to become a home health nurse, what criteria is required before becoming a home health nurse? (select all that apply) •A) Wound care •B) End of life care •C) History in pediatrics •D) Recent medical surgical experience •E) Minor in Public Health

A B D

Which of the following are cares provided to the Community by a Case manager? Select all that apply A. Assisting with medical appointments B. Family Counseling C. Home follow up services D. Transportation Services E. Medicare form Completion

A C D E Rationele: While a case manager can refer a family to counselling or support groups, the case manager does not directly provide this service

1.The nurse is educating a family enquiring about hospice. What should the nurse include in educating the family? Select all that apply. a.Hospice provides medical equipment b.Hospice requires the patient to have a Do Not Resuscitate (DNR) order c.Hospice provides bereavement counseling to the patient and family d.A patient can never be treated for an underlying condition on hospice e.A patient on hospice will have 24-hour access to a nurse every day of the week

A C E

•Which cases might a Forensic Nurse be involved in? SATA A. 4 year-old child suspected of abuse B. 18 year old with back pain from a car crash last month C. 34 year-old woman reporting rape D. 67 year-old with COPD who is short of breath E. 50 year-old victim of suspected homicide

A C E

1.You are a new-grad home health nurse. You have been given your first home to visit and are traveling there now. What kind of challenges would you need to be aware of before entering the home? Select all that apply •A- violence in the home •B- disabilities of the patient •C- hazardous conditions •D- confused patients •E- inadequate medical equipment •F- lack of provider support

A C E F

A nurse is pursuing certification as an occupational health nurse. Which organization will provide this certification? A. American Board for Occupational Health Nurses B. Clinical Nurse Specialist; Wellness through Acute Care C. HIV/AIDS Certified Registered Nurse D. Correctional Behavioral Health Certification

A. American Board for Occupational Health Nurses

Who is the leading authority for the professional practice of case management? A. Case Management Society of America B. Case Management Advocates of America C. Professional Case Management Society D. Case Management Leaders of America

A. Case Management Society of America

Why would a nurse conduct an occupational health assessment? A. To help to identify agent and host factors that place employees at risk B. To learn the employees names C. To see how to the day to day operations work D. To see if he/she would like to do another job instead

A. To help to identify agent and host factors that place employees at risk

At which time do care coordination services begin for a patient who is hospitalized? A. Upon the patient's admission B. Before the patient is admitted C. After the patient is discharged D. At least three days after hospitalization

A. Upon the patient's admission

What studies the health effects of exposure to various factors in the environment, analyzing incidence, prevalence, and health outcomes of various exposures? A.Environmental epidemiology B.Community C.Public Health

A.Environmental epidemiology

3. what are some groups in the model of healthy living? (SATA) A.friends and family B.faith life C.Education D.Health E.Nutrition F.all of the above

A.friends and family B.faith life C.Education E.Nutrition

The primary purpose of hospice is to: A.Cure the patient B.Provide better quality of care than the patient's family C.Provide comfort and support for dying patients and their families. D.Allow the patient to die at home

C

Which statement is true about the refusal of medication by an inmate? a.A hearing must be held before involuntary medical treatment is given. b.Involuntary medical treatment is considered when safety is a concern. c.All inmates can refuse medical treatments without consequence. d.Refusal of treatment eliminates the opportunity to receive any further treatment.

B

The nurse employed in a correctional setting recognizes the importance of addressing which critical healthcare issue among the incarcerated population? Select all that apply. a.Cancer. b.Hepatitis. c.Tuberculosis. d.Coronary artery disease. e.Human immunodeficiency virus (HIV)

B C E

What are the steps to become a Hospice Nurse? (select all that apply) A.Have 1 year of experience B.Become an RN (ADN or BSN) C.Obtain appropriate certificates D.Be a new grad RN E.Gain experience by working in the ED

B C E

As a nurse we are powerful change agents who promote environmental health though which of the following? (select all that apply, one, all, or some) a.Home visits b.Assessment c.Transportation d.Management e.Communication skills f.All of the above

B. Assessment D. Management E. Communication skills

The environmental health nurse faces challenges in water quality which can include...? (Select All That Apply) a.Rodent and insect infestation b.Contamination of drinking supply by human waste c.Drunk driving d.Oil spills in the world's waterways e.Urban crowding

B. Contamination of drinking supply by human waste D. Oil spills in the world's waterways

From the video, what is the disease spread by ticks, that is showing a lot more in recent years depending on the environment? A. Rocky mountain spotted fever B. Lyme Disease C. Arthritis D. Asthma

B. Lyme Disease

Secondary prevention in the occupational health arena may include: A. Administiring Influenza Vaccine to all employees B. Screening for hearing loss resulting from noise levels in the plants C. Educating about work related injuries D. Implementing a work out routine for a employess diagnosed with HTN

B. Screening for hearing loss resulting from noise levels in the plants

1.what model does faith community nursing utilize? A.health belief model B.model for healthy living C.community action model D.all of the above

B.model for healthy living

Which of the following is a type of secondary prevention provided by a Home Health Nurse? Choose one. A) Educates a patient regarding a healthy diet to manage Type 2 DM B) Provides wound care for a patient with extensive tissue damage C) Holds a class on "My plate" at the local community center open to all community members D) Completes an assessment on a patient after being discharged from the hospital

C

Which question asked by the correctional nurse during the examination of a newly incarcerated female reflects a trauma-informed care approach? a."I know this must be extremely difficult for you, but how can I make you more comfortable?" b."Who takes care of your children when you are in jail?" c."Many of the patients I see have been sexually abused. Has this happened to you?" d."Is it okay if I complete a gynecological examination to make sure you are healthy?"

C

Which of the following types of Home Health Nursing agencies can be based on a for-profit model? Select all that apply. A) Official Agencies (public) B) Nonprofit Agencies C) Proprietary Agencies D) Hospital Based Agencies

C D

•Which is the most effective nursing response for a forensic nurse to give a victim of rape who does not wish to complete a rape kit or pursue legal action at this time? A. "If you don't, then they cant prove you were raped." B. "You do not have a choice, it is protocol to complete the kit." C. "The kit can be done and stored with law enforcement to be reopened at a later time" D. "Completing the kit will allow you to move on."

C. "The kit can be done and stored with law enforcement to be reopened at a later time"

Which activity would be the primary role of an occupational health nurse? A. Assessing the mental well being of workers B. Promoting bonuses for non work related injuries C. Providing health promotion and emergency care D. Consulting with employees about their concerns in the workplace

C. Providing health promotion and emergency care

What are the three competencies an environmental nurse must follow? A.Assess, diagnose, evaluate B.Diagnose, evaluate, prevention C.Assess, management, communication D.Management, communication, evaluate

C.Assess, management, communication

•A nurse is teaching a group of students about the role of a forensic nurse. Which statement by the student indicates a need for further teaching? A.A forensic nurse merges principles and standards from both medicine and law. B.Forensic nurses can obtain evidence that may be used in trial and may be called to testify. C.Forensic nurses only provide care for patients that are dead.

C.Forensic nurses only provide care for patients that are dead.

4. what is an example of secondary prevention for a faith community nurse implement? A.educate the population on hypertension B.provide resources for support groups for cancer C.set up mobile mammography screening D.educate on importance of hand washing

C.set up mobile mammography screening

A home health nurse is teaching a new grad RN about the services provided by a home health nurse. Which of the following requires follow up by the nurse? Chose one. A) We follow up with patients after they have been discharged from the hospital B) We provide wound care for a multitude of wounds in the home setting C) We provide education regarding health promotion and disease prevention in addition to individual patient care D) We can delegate the assessment of a new patient to the AP if there is an emergency at another patients home.

D

For what reason would the nurse ask about the detainee's last drink of alcohol during receiving or intake screening? a.Determine how much sedative to give to prevent delirium tremens. b.See if the information matches objective data about the detainee's mental status and behavior. c.Help the police identify where the person was and what they were doing before the arrest. d.Assess the likelihood and potential severity of withdrawal.

D

Which statement by the nurse manager describes the role of a case manager correctly? A. "You will learn what you need to know on the Job as you go" B. "Masters degrees are always required to become a case manager." C. "Your bachelor's degree will be sufficient no matter where you work." D. "Case managers need flexibility, creativity, and good communication skills."

D. "Case managers need flexibility, creativity, and good communication skills."

An occupational health nurse has conducted a walk through assessment and has identified potential hazards in the workplace. The nurse recognizes that it will be easiest to modify exposure to which hazard? A. Aerosols B. Burnout C. Bacteria D. Noise

D. Noise

A Nurse has been working for 5 years in the Hospital and has decided to get their Case management Certification. They completed 30 hours of case management CE last year and have 1000 hours of clinical practice in case management. Which of the following certification options do they meet the requirements for? A. Certified Case Manager (CCM) B. CMGT-BC C. Accredited Case Manager (ACM) D. None of the Above

D. None of the Above Rationele: The Nurse would need 2000 hours of clinical practice to meet the criteria for the CMGT-BC

True or False you do not need to be a licensed nurse to practice as a Faith community nurse?

False

•Which role would the nurse expect to perform in the event of terrorism or the presence of an active shooter? •Parent liaison •Media communications •First responder & triage •Incident command manager

First responder & triage

•Which type of prevention is the nurse providing when the school nurse is assessing playground equipment for safety issues? •Primary •Tertiary •Secondary •Quaternary

Primary

•Which class of medication is MOST commonly administered in the school setting? •Antacids •Antibiotics •Bronchodilator inhalers •Stimulants for attention-deficit/hyperactivity disorder

Stimulants for attention-deficit/hyperactivity disorder

•Which topic should the nurse include when educating staff & teachers about standard first aid & cardiopulmonary resuscitation (CPR) at school? •Administration of insulin •Establishing a fire evacuation plan •Determine exposure to lead-based paint •Use of an automated external defibrillator

Use of an automated external defibrillator

A student nurse is learning about the role of forensic nursing. Which statement by the student indicates a need for further teaching? a. "The forensic nurse only cares for dead patients." b. "The forensic nurse provides expert testimony at trial." c. "Forensic nursing is recognized as a specialty by the American Nurses Association." d. "The forensic nurse integrates scientific principles from nursing, medicine, sociology, and psychology."

a. "The forensic nurse only cares for dead patients." •the forensic nurse cares for persons dead and alive. The forensic nurse provides expert testimony at trial and integrates scientific principles from nursing, medicine, sociology, and psychology. Forensic nursing is a specialty recognized by the American Nurses Association.

Which of the following areas can a forensic nurse be expected to practice within? (Select all that apply.) a. Correctional facilities b. Communities c. Hospitals d. Coroner's/Medical examiner's offices e. Anti-violence programs

a. Correctional facilities b. Communities c. Hospitals d. Coroner's/Medical examiner's offices e. Anti-violence programs •forensic nurses serve many communities and practice within many different areas including all of the following options

A school nurse notices that a students ADHD medication is not effective after lunch. The student is very distracted and cant complete end of day work. What action should the nurse take to help? SATA a. Team up with health care provider and parent to discuss adjustments. b. Instruct the student to pay attention c. Work with teachers to develop a course of action to best suit the students needs d. nothing, they will adjust

a. Team up with health care provider and parent to discuss adjustments. c. Work with teachers to develop a course of action to best suit the students needs

Which of the following is an appropriate intervention for promoting oral health in school-aged children? a. encourage daily flossing b. conducting vision screenings c. providing fluoride supplements d. promoting physical activity

a. encourage daily flossing

A nurse expects to find which requirement in the qualifications that are listed for a faith community nurse job position? a.Baccalaureate degree b.Certification in pastoral counseling c.Active participation with a religious affiliation d.Practical or registered nurse with an active license in the state of practice

a.Baccalaureate degree

An environmental health nurse may deal with what things in their everyday work life? Select All That Apply a.Chemical spills b.Food poisoning cases c.Water quality d.Vaccinations

a.Chemical spills b.Food poisoning cases c.Water quality d.Vaccinations

Which concept will the nurse include in the plan of care for a worker who is applying for a job transfer? a.Physical evaluation b.Psychological screening c.A preplacement assessment d.Enrollment of the worker in the transitional duty pool

a.Physical evaluation

Which group of employees is MOST likely to benefit from an educational session on sleep hygiene? a.Shift workers b.Manual labor workers c.Workers exposed to high levels of noise d.High levels of stress in workers

a.Shift workers

•When educating a group of teachers about adolescent suicide, which student does the nurse indicate is at HIGHEST risk for suicide? •adolescent who is gay and being bullied •Female athlete who binges and purges food •Female student with difficulty walking or sitting •Male student with unexplained bruises and fractures

adolescent who is gay and being bullied

Medicare approves payment for clients every 30 days with a re-approval occurring a. For a maximum of four re-approvals b. As much as is determined to be needed by the home health nurse c. As much as is determined to be needed by the Medicare nurse d. Until the client is sick of home health e. Medicare never re-approves

b. As much as is determined to be needed by the home health nurse

A primary role of the community health nurse in facilitating community participation and partnership is a. Solving environmental health problems. b. Educating about environmental health hazards. c. Altering individual behaviors. d. Implementing solutions to environmental racism.

b. Educating about environmental health hazards.

A forensic nurse is planning care for a client and seeks to collaborate with another professional. Which of the following professionals is the forensic nurse most likely to collaborate with? a. Dietician b. Law enforcement officer c. Pharmacist d. Massage therapist

b. Law enforcement officer •forensic nurses collaborate with other professionals including law enforcement officers, social workers, counselors, and psychiatric practitioners to provide client care

A school nurse has several sick students arrive at their office. Which student is priority? a. student w nose bleed b. student w asthma & is SOB c. student w stomach complaints d. student w ear ache

b. student w asthma & is SOB

Which organization established the first Scope and Standards of Parish Nurse Practice? a.Deaconess Foundation b.American Nurses Association c.Westberg Institute for Faith Community Nursing d.Department of Preventive Medicine at the University of Chicago College of Medicine

b.American Nurses Association

Who was the first nurse to bring attention to connection between health and environment? a.Lillian Wald b.Florence Nightingale c.Margaret Sanger

b.Florence Nightingale

1.The nurse visits the hospice patient to find that the patient has lost 10 pounds in two weeks and has increased confusion and lethargy from baseline. What is the correct action the nurse should take? a.Attempt to obtain a prescription for enteral nutrition from the provider. b.Reduce effects of dehydration by offering the patient ice chips and encouraging oral rehydration. c.Tell the patient that they have to eat because they are "too skinny." d.Instruct the CNA to assist the patient in feeding when they are alert.

b.Reduce effects of dehydration by offering the patient ice chips and encouraging oral rehydration.

Which level of prevention is exemplified when a faith community nurse prepares a program to screen individuals who are at risk for hypertension? a.Primary b.Secondary c.Tertiary d.Quaternary

b.Secondary

•Which occupational health science should the nurse utilize when assessing a worker for acute effects after chemical exposure? a.Safety b.Toxicology c.Ergonomics d.Industrial hygiene

b.Toxicology

Which organization recognized the speciality of forensic nursing in 1995? a. The American Institute of Health Care Professionals b. Academy of Forensic Nursing c. American Nurses Association d. International Association of Forensic Nurses

c. American Nurses Association •the specialty of forensic nursing was officially recognized by the American Nurses Association (ANA) in 1995

As the home health nurse is entering her client's home for her 10th visit, she hears yelling coming from the back of the house. She runs quickly to find her client sitting beside the bed unable to stand. The client explains she slid off of the side of the bed, did not hit her head, and c/o little to no pain in her back (which is her baseline). The home health nurse knows the best INITIAL course of action is to: a. Call 911 b. Call the client's family c. Do a head to toe assessment to assess for injuries d. Pick up client and have her walk around a little bit e. Ask client what she would like for lunch

c. Do a head to toe assessment to assess for injuries

As the home health nurse is gathering information about her new client who is s/p a left TKA, she learns the client lives alone, has declined greatly from his prior baseline unable to complete ADLs, and has no family or friends in the area. Her BEST course of action is to: a. Continue her role as home health nurse and plan for a visit to the home where she will complete a full assessment and begin home care on the client. b. Notify client she is unable to continue her referral and wish him well. c. Get in touch with social worker about finding more appropriate home care resources for the client who has financial assets d. Notify surgeon that they will need to arrange for client's home care needs.

c. Get in touch with social worker about finding more appropriate home care resources for the client who has financial assets

The environmental health nurse comes across a communicable disease that must be reported. Who would the nurse report this information to? a.CDC b.World Health Organization (WHO) c.DHEC d.Global Health Council

c.DHEC

A foodborne illness has occurred in the community and the environmental health nurse is trying to identify the origin of foodborne illness. The environmental health nurse would ask which professional to help identify the origin? a.Epidemiologist b.School Nurse c.Environmental Health Practitioner d.CDC

c.Environmental Health Practitioner

Which physical or mental impairment covered by the Americans with Disabilities Act should the employers make reasonable accommodations for in the occupational setting? a.Kleptomania b.Pyromania c.Impaired hearing d.Compulsive Gambling

c.Impaired hearing

1.The primary objective of hospice is to: a.Base care on what the family thinks is best b.Provide social services to the patient and family c.Improve quality at end-of-life by increasing comfort Take care of the patient and family emotionally

c.Improve quality at end-of-life by increasing comfort

Which action by faith-based communities helps in providing holistic care to distressed community members? a.Connect exclusively with poor community members b.Work particularly with older adult members facing health issues c.Integrate healthcare with spiritual and religious practices d.Provide socioeconomic benefits through active networking

c.Integrate healthcare with spiritual and religious practices

Which functional role is fulfilled by the faith community nurse? a.Public health advisor b.Health educator for support groups c.Volunteer coordinator d.Advocate for the health team

c.Volunteer coordinator

1.The nurse is caring for a patient in the terminal stage of pancreatic cancer that wishes to begin hospice care. When will the patient be deemed eligible for hospice care? a.When the patient's family members say that it has become too difficult to care for the patient. b.When the patient states "I feel I won't make it another 2 months." c.When two primary care providers deem that the patient has 6 months or less to live. d.When the primary care provider deems that the patient has 6 months or less to live.

c.When two primary care providers deem that the patient has 6 months or less to live.

What tertiary prevention measure will the nurse include for a worker entering rehabilitation after an injury? a.Job transfer evaluation b.Treatment interventions c.Assessment of risk reduction d.Negotiation of workplace accommodations

d.Negotiation of workplace accommodations

The main difference between a generalist home health nurse and an advanced home health nurse is that: a. The generalist does not coordinate care b. The advanced does not assist client with wound dressings c. The generalist does not provide tracheostomy care d. The advanced prescribes pharmacological and nonpharmacological treatment e. The advanced does not advocate for clients

d. The advanced prescribes pharmacological and nonpharmacological treatment

What interdisciplinary professionals may a school nurse work with? a. psychologists b. teachers c. healthcare providers d. all of the above

d. all of the above

5. which of the following should the community health nurse discuss with a chaplain regarding the role of the faith community nurse? a. planning a workplace safety training for employees in a local factory b. providing pharmacological pain management for terminal illness. c. providing wound care d. arranging support groups for substance abuse

d. arranging support groups for substance abuse

The nurse has noticed an increase in student absences for the month of November, due to an increase in flu cases. What actions can the nurse implement to prevent further outbreaks? a. provide education about hand hygiene b. give the student a flu shot c. provide teaching methods on prevention/transmission d. both a & c

d. both a & c

The forensic nurse expects to perform which role cases of organ donation? a. declaring brain death in the patient b. contacting the legal nurse consultant (LNC) c. harvesting the organs until after consent is obtained d. collecting evidence in the case of unexpected death

d. collecting evidence in the case of unexpected death •the forensic nurse collects evidence in the case of unexpected, sudden, or nonnatural death before the organs are harvested

1.Which medication would the nurse question the provider to prescribe a patient on hospice? a.Haloperidol b.Acetaminophen c.Lorazepam d.Atorvastatin

d.Atorvastatin