Community Health Final

A clinic nurse is assessing a 6-year-old child during a well-child examination. The child's guardian asks the nurse how much longer the child will need to ride in a booster seat. Which of the following responses should the nurse make?

"Children should ride in the back seat with a belt-positioning booster until they are at least 4 feet 9 inches tall and are 8 to 12 years of age."

A public health nurse is reviewing laboratory results for a client who is being screened for HIV. The results yield low specificity. Which of the following statements by the client indicates an understanding of the laboratory results?

"I understand that the screening test may result in a false positive because it has low specificity."

A nurse understands a family operates as a unit and that what impacts one family member can impact all members. Which of the following findings should the nurse identify as significant in relation to the family systems theory?

A family member in the household was recently diagnosed with cancer.

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

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 community health nurse is working with clients to make long-standing, health-related changes. The nurse should know that the health belief model is used to determine which of the following?

A client's motivation

A school nurse is educating parents and students regarding effective strategies for reducing adolescent motor-vehicle crashes. Which of the following statements by a student indicates that the teaching has been effective?

"Many states have a zero-tolerance law for anyone under the age of 21 driving under the influence of drugs or alcohol."

A community health nurse is explaining to a newly licensed nurse the difference between an observational and experimental study. Which of the following explanations should the nurse provide?

"No variable is manipulated in observational studies as occurs in experimental studies."

A nurse is caring for a 17-year-old adolescent who is being treated for depression. Which of the following statements by the adolescent should the nurse report to the provider immediately?

"Sometimes I think I should just drive my car off a cliff."

A public health nurse is teaching a newly licensed nurse how to determine the prevalence rate of the top diseases in the county. Which of the following information should the nurse provide to describe prevalence rate?

"The prevalence rate considers new cases of disease."

A community health nurse is educating a newly licensed nurse about sensitivity and specificity using a two-by-two table. Which of the following statements by the newly licensed nurse indicates an understanding of the table related to true negatives?

"True negatives are represented in the table cell that indicates the person does not have the disease and the test does not indicate disease."

A nurse is caring for a group of clients. The nurse should identify that which of the following clients is a member of a vulnerable population? (Select all that apply.)

- A client who has substance use disorder and tests positive for HIV - A client who smokes and uses chewing tobacco daily - A client who has limited access to health care because they live in a rural area - A veteran who just returned from an overseas tour of duty after being injured

A public health nurse wants to implement a local prevention program to help with mental health disorders among adolescents. Which of the following primary prevention strategies is effective in addressing mental health disorders in adolescents? (Select all that apply.)

- Adolescent programs for safe dating and healthy relationship skills - Programs to strengthen household financial security - Programs for early childhood home visitation

A nurse is caring for a 36-year-old client in a health clinic and notices that the client's genogram shows their mother had a history of breast cancer. Which of the following actions should the nurse take? (Select all that apply.)

- Ask the client if they smoke - Discuss with the client that they are at an increased risk for developing breast cancer - Show the client a video of how to perform a breast self-examination.

A public health nurse is educating community leaders about the causes of adverse childhood experiences (ACEs). Which of the following should the nurse include as potential types of adverse childhood experiences?

- Child maltreatment - intimate partner violence - a parent who is incarcerated - divorce

A community health nurse is gathering data to plan an event in the community. Which of the following activities are ways to collect primary data? (select all that apply.)

- Conducting a windshield survey - Observing and interacting with community members - Interviewing a local priest

A nurse is conducting a presentation for a group of student nurses related to the goals and objectives of Healthy People 2030. Which of the following does the nurse discuss as overarching goals of Healthy People 2030? (Select all that apply.)

- Create social, physical, and economic environments that promote attaining the full potential for health and well-being for all - Eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all - Engage leadership, key constituents, and the public across multiple sectors to take action and design policies that improve the health and well-being of all

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 at a clinic is assessing a client who is apart of a vulnerable population. Which of the following actions should the nurse take? (Select all that apply.)

- Ensure the environment is comfortable and nonthreatening - Discuss client care with other members of the interprofessional team - Provide culturally appropriate health care.

A nurse is completing a genogram on a client. Which of the following should the nurse expect to learn about the client from the genogram?

- Family structures - major family events - conflicts - family patterns

A nurse is working with a family to develop a family care plan that has four steps. Identify the correct order of steps when creating a family care plan. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

- Identify the problem. - Plan interventions with goals and objectives, - Develop family-centered interventions - Evaluate the progress toward outcome measures.

A community health nurse is preparing an educational program about Healthy People 2030 that will be presented at a local community center. What goals should the nurse include as part of a presentation about Healthy People 2030? (Select all that apply.)

- Promote healthy development and behaviors across all life stages - Achieve health equity and attain health literacy to improve health and well-being

A family has set goals and action steps for meeting an identified problem. Which of the following steps should the nurse take? (Select all that apply.)

- Refer the family to community resources and agencies - Develop a family-nurse contract - Schedule the family's next visit.

A nurse is assessing a young adult pt in the ED for abd pain. The pt is accompanied by an unrelated person. The nurse should identify which of the following signs as a risk for human trafficking?

- The accompanying person refuses to leave the room during the assessment and examination - pt appears fatigued and anxious - pt states they are traveling and are not sure of the name of the city are in.

A group of community health nursing students is preparing a presentation about lead toxicity in children. Which of the following characteristics of children should the students include as factors that increase a child's susceptibility to environmental lead exposure? (Select all that apply.)

- Young children frequently place objects in their mouths - Children spend a greater amount of time close to the ground and soil - Children have more years of life ahead of them than adults

A nurse is admitting a 60-year-old client who has a history of chronic hypertension and hypercholesterolemia. The client reports that they live alone in a rural area, have been unemployed for six months, and have not been taking their medications as prescribed. Which factors should the nurse identify as placing the client at high risk for health care disparities? (Select all that apply.)

- male - employment status - medical history, - residence - SES

A nurse is admitting a client whose adult child provides full-time care for them. Which of the following tasks should the nurse anticipate the adult child provides for the client? (Select all that apply.)

- preparing meals - maintaining safety - providing companionship - bathing and dressing

A nurse is caring for a pt in an ED who is being seen for treatment of injuries sustained from their partner. The nurse should take which of the following actions to provide care to this client

- provide a partner violence crisis number to the client - provide the client with information on healthy relationship - provide information on how people may experience abuse in relationships

A nurse at a county public health department is developing a breast cancer screening program for a population of homeless individuals in the county. Which of the following resources should they use to find evidence-based information from government sources

-NIH office of disease prevention - CDC

A public health nurse is investigating a food-borne illness outbreak following a community picnic attended by 107 people. Of the 98 people who ate watermelon, 24 became ill. What attack rate should the nurse calculate for the watermelon? (Round the answer to the nearest whole number.)

25% (24/98 = 0.245 = 25%)

A nurse is reviewing data from a group of clients. Which of the following clients is more likely to experience structural inequity?

A Hispanic with low income

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?

Add a counselor to the school faculty

A community health nurse is preparing a presentation on the cause of death among a group of adults aged 18 to 24 years in a specific country. Which of the following mortality measures should the nurse use to obtain this data?

Age specific mortality rate

A public health nurse is compiling infant mortality statistics for a state epidemiology report. Which mortality measure should the nurse use?

Age-specific mortality rate

A community health nurse is working with adolescents living in a shelter for people without housing. The nurse should recognize that frequent moving leaves these adolescents at an increased risk for which of the following?

Alcohol and drug use disorder

A public health nurse is calculating the attack rate following a food-borne illness outbreak after a community picnic. Which of the following groups of people should the nurse include in the denominator of the attack rate calculation?

All people who ate the specific food item

A nurse is caring for several clients who all have caregivers. Which of the following clients should the nurse identify as most likely to have their caregiver experience caregiver stress?

An older adult client whose caregiver is their middle-aged adult child who works full time and has a school aged child

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?

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

A nurse is discussing the domains within the Core Competencies in Disaster Nursing by the Council of Nurses with a group of nurses. In which of the following domains should the nurse include the action of reporting an event that might indicate an emergency?

Assessment

A nurse who works in a low socioeconomic status neighborhood where most families live below the poverty line finds that many of the children suffer from malnutrition. The nurse should identify that which of the following aspects of poverty increases a child's risk for malnutrition?

Housing insecurity

A nurse is part of a team at a public health department that is preparing for accreditation. Which resource should the nurse suggest that the team use for guidance about accreditation criteria?

CDC

A community health nurse is planning a health education initiative for clients who have type 2 diabetes mellitus. The nurse should identify which of the following as the goal of client education?

Behavioral Change

A community health nurse is planning a health education initiative for a client who responds well to incentives. Which of the following learning theories should the nurse use when planning education activities for the client?

Behavioral learning theory

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?

Boys & Girls Club of America

A community health nurse is participating on a task force working to decrease opioid overdoses in the county. Which of the following strategies should the nurse recognize as secondary prevention?

Offering naloxone distribution to first responders and people who use opioids

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?

Cardiovascular disease and lung disease

A public health nurse is educating community members about the incidence of child maltreatment in the area at a local health fair. Which of the following should the nurse include as the most commonly reported type of child maltreatment?

Child Neglect

A nurse is discussing immunizations with a group of new parents. The nurse encourages the parents to get their annual influenza immunization because infants cannot receive the vaccine until they are older than 6 months of age. Which of the following types of immunity is the nurse promoting?-

Community immunity

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 in the emergency department is assisting with the care for an older adult client who lives with a family member. The client's family member reports the client has blood in their urine. Which action should the nurse suggest taking first?

Determine the cause of the bleeding while asking about other social family concerns.

A nurse in a community clinic is interviewing a client about their asthma diagnosis. Which of the following questions by the nurse represents point prevalence?

Do you have asthma now?

A nurse is working with a client who was recently diagnosed with type 1 diabetes mellitus. The nurse recommends that the client and their family attend diabetes education classes. Which of the following theories will assist the nurse in determining whether the client and their family will be receptive to this recommendation?

Family life cycle theory

A nurse should understand that which of the following is an example of the socialization family function and structure?

Family members learning how to interact with other members of society

A nurse notices that the age and gender of each family member has been recorded in a client's chart. This information is a characteristic of which of the following?

Family structure

A nurse is reviewing public health problems in their community. Which of the following should the nurse recognize as communicable public health problems? (Select all that apply.)

Foodborne and zoonotic

A nurse is reviewing a client's chart. Which of the following tools would assist the nurse in identifying family relationships and patterns?

Genogram

A nurse is working in a primary care clinic. Which of the following is a way the nurse can identify clients wo have experienced abuse or violence?

Have all clients complete a partner violence screening

A nurse is working in a primary care clinic. Which of the following is a way the nurse can identify clients who have experienced abuse or violence?

Have all clients complete a partner violence screening.

A community health nurse is teaching a group of newly licensed nurses about emotional phases experienced during a disaster. Place the emotional phases of a disaster in the correct order. (Move the phases into the box on the right, placing them in the order they are experienced. Use all the phases)

Heroic, Honeymoon, Disillusionment, Reconstruction

A community health nurse is creating a handout for clients on methods to naturally enhance their immunity against infectious diseases. The nurse should identify that this information will target which of the following links in the chain of infection?

Host

A community health nurse is providing teaching to a group of adults preparing for a mission trip to a country where mosquito-borne illness is endemic. The nurse instructs the group members to wear long pants and long sleeve shirts. Which of the following parts of the epidemiologic triangle does this recommendation reflect?

Host

A nurse and a community team are trying to increase interest within the community for the community program they are working to implement. Which of the following is a key strategy used to give community members a reason they should care about a community program goal?

Identify incentives

A community health nurse is reviewing the acts and initiatives that have been adopted to improve disaster preparedness and response. The nurse should identify that which of the following describes the National Health Security Strategy (NHSS)?

It is a collective effort of governments and includes national, state, territorial and local agencies

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?

Offer appropriate resources related to food insecurity

A community health nurse is developing an education activity for a client who is a tactile-kinesthetic learner. Which of the following activities would support a tactile-kinesthetic learner?

Practicing taking their own blood pressure measurements

A community health nurse is working with clients to make long-standing, health-related changes using the transtheoretical model. Place the stages of the transtheoretical model in order from first to last. (Move the stages into the box on the right, placing them in order from first to last. Use all the stages.

Precontemplation, contemplation, preparation, action, maintenance

A nurse is assisting with a presentation about the importance of stress reduction techniques with a group of veterans. The nurse should identify this as an example of which of the following types of prevention? -

Primary Prevention

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.

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 community health nurse is at the site of a mass casualty incident and is triaging victims. The nurse is evaluating an adult victim who is unconscious and not breathing spontaneously. Which of the following actions should the nurse take first?

Reposition the victim's airway

A nurse is reinforcing the importance of screening for colorectal cancer with a group of older adult clients. The nurse should identify that this is an example of which of the following types of prevention?

Secondary Prevention

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?

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

A nurse is reinforcing the importance of adhering to their medication regimen with a client who has been diagnosed with a mental illness. The nurse should identify that this is an example of which of the following types of prevention?

Tertiary prevention

A nurse should recognize that which of the following factors contributes to the increasing burden of chronic diseases in public health?

The aging population

A school nurse is caring for an adolescent who has been the victim of cyberbullying. What concerns may the nurse have for the school community?

The child may also be a perpetrator of violence with peers.

A nurse is caring for a client in an acute pediatric unit. The nurse should identify which of the following most likely puts the child at risk for exposure to violence?

The child's caregiver reports an abusive partner.

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?

The client has Medicare with supplemental insurance provided by Medigap

A nurse is discussing care options with the family of an older adult client who has dementia. The family states they will provide care for the client by using available family members. Which of the following family members should the nurse identify as most likely to be the client's full-time caregiver?

The client's daughter who is of middle age and is currently employed

A nurse in a pediatric clinic is assessing an infant during a well-child visit. The nurse should identify which of the following as a possible sign of child abuse?

The infant has faded bruise marks on their upper arms.

A community health nurse is involved in community-engaged research about physical activity levels of families who attend local schools. Using the nursing process, which of the following activities of the nurse represents the evaluation phase of the research?

The nurse and community residents present the findings at a school board meeting.

A nurse at a public health department is presenting information about Healthy People 2030 to a group of community health workers. In which of the following categories will the nurse discuss specific, evidence-based interventions of Healthy People 2030?

The nurse should discuss evidence-based interventions with Healthy People 2030 objectives.

A community health nurse is helping community members with their disaster planning. Which of the following are objectives of Healthy People 2030 regarding disaster preparedness? (select all that apply)

a. Increase awareness of local evacuation plans d. Increase the number of individuals who have a disaster plan e. Increase the number of individuals who are prepared for a disease outbreak

A nurse is reviewing Medicare Part B with a client. Which of the following statements by the client indicates understanding?

This covers diagnostic testing and preventative treatment.

A nurse and a community team are working on a situation statement. Which of the following describes the purpose of a situation statement?

To provide definition of issues in which community awareness and support are sought after

A community health nurse is working with a client who has a chronic condition that requires management. The nurse should use which of the following to determine the client's readiness to change

Transtheoretical Model

A nurse in a community health clinic is planning a staff presentation about modes of transmission for infectious diseases. Which of the following modes of transmission should the nurse identify for malaria?

Vector borne

A community health nurse is planning a health education initiative and wants to incorporate the humanistic learning theory. Which of the following are principles of the humanistic learning theory? (Select all that apply.)

a. Learning a holistic process, c. The learner should feel physically, mentally, and emotionally safe

A nurse manager is preparing an in-service about vulnerable populations for nursing staff. Which of the following information should the nurse include?

Vulnerable populations experience more adverse health outcomes than the general population.

A team of community health nurses is in the planning phase for community-engaged research. Which of the following describes a role the nurses should take during the planning phase using the nursing process?

Writing grants for funding of community-engaged research

A nurse is reviewing various roles within the community. The nurse should identify which of the following information is correct about the role of public health nurse?

a public health nurse uses evidence based care to promote health, prevent disease, and mitigate health risks within a community setting

A community health nurse is reviewing disaster preparedness. Which of the following actions should the nurse plan to take when providing care during a disaster? (select all that apply.)

a. Perform ongoing data collection as the disaster situation evolves b. Practice the principle of utilitarianism when responding to a disaster d. Report potential risks concerning safety and security to disaster response supervisors e. Consider the need for their own physical and psychological support

A nurse is discussing disaster preparedness and response with a newly licensed nurse. Which of the following information should the nurse include when discussing schools and places of worship? (Select all that apply)

a. Public schools provide disaster preparedness education to students c. Places of worship can be used as sites for shelter during a disaster e. Places of worship often provide food and supplies following a disaster

A community health nurse is developing an educational activity for clients who have type 2 diabetes mellitus. Which of the following activities would support a visual leaner? (Select all that apply.)

a. Taking notes on when to check their blood glucose levels b. Watching a video presentation on healthy foods to prepare

A community health nurse is discussing how to draw up and inject insulin with a group of clients at a diabetes mellitus clinic. Which of the following is true regarding the teach-back method? (select all that apply.)

a. The teach back method is most effective as a short term evaluation method c. The teach back method might not be practical for long term evaluation d. Using the teach back method allows the nurse to clarify misconceptions by the client

A community health nurse is triaging victims of a mass casualty incident. Which of the following victims should the nurse tag with the color red? (select all that apply)

b. A child victim who is unconscious and breathing spontaneously d. A victim who is conscious, has a sucking chest wound, and is breathing spontaneously

A community health nurse is planning a public service campaign to decrease the transmission of influenza. Which of the following interventions should the nurse include as a primary prevention?

obtaining an immunization

A nurse manager is preparing a presentation on components of cultural competence. Which of 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 in a community health clinic is planning a staff presentation on modes of transmission for infectious diseases. The nurse should include that salmonella uses which of the following modes of transmission?

vehicle borne

A public health nurse is educating a newly licensed nurse about sensitivity and specificity using a two-by-two table. Which statement by the newly licensed nurse indicates understanding of the table related to false positives?

· "False positives are represented in the table cell that indicates the person does not have the disease and the test indicates disease."

A school nurse is developing a program for nutritional needs for school-aged children. Which of the following is a resource provided by Healthy People 2030 that includes evidence-based guidelines the nurse can use?

· The nurse should use the core objectives within Healthy People 2030. Core objectives have evidence-based interventions as resources that guide practice.

A community health nurse is working on an educational program focused on health promotion and disease prevention. Which of the following strategies should the nurse plan to implement? (Select all that apply)

· b. Provide literature that is translated in the language in which the client is proficient c. Keep written literature, such as brochures and flyers, at no more than a fifth grade level e. Limit the amount of content covered to prevent overwhelming the client