Community Health Nursing

A community health nurse is determining available and needed supplies in the event of a bioterrorism attack. The nurse should be aware that community members exposed to anthrax will need access to which of the following medications? a. Flagyl b. Cipro c. Relenza d. diflucan

b. Cipro

A community health nurse is developing strategies to prevent or improve mental health issues in the local area. In which of the following situations is the nurse implementing a tertiary prevention strategy? A. Provding support programs for new parents B. Screening a client whose spouse recently died for suicide risk C. Teaching a client who has schizophrenia about medication interactions D. Discussing stress reduction techniques with employees at an industrial site

C. Teaching a client who has schizophrenia about medication interactions

A community health nurse is implementing health programs with several populations in the local area.In which of the following situations is the nurse using primary prevention? A. Preforming a home safety check to a client's home B. Teaching healthy nutrition to clients who have hypertension C. Providing influenza immunizations to employees at a local preschool D. Implementing a program to notify individuals exposed to communicable disease

C. Providing influenza immunizations to employees at a local preschool

An identified outcome for the family of the client with a terminal illness is that they will be able to provide psychological support to the dying client. To assist the family to meet this outcome, the nurse plans to include in the teaching plan: A. Demonstration of bathing techniques. B. Application of oxygen devices. C. Recognition of client needs and fears. D. Information on when to contact the hospice nurse.

C. Recognition of client needs and fears.

G. When forensic nurses provide direct care to all victims injured following an alcohol-related auto accident, the forensic nurse is engaged in: A. A. Injury prevention B. B. Primary Prevention C. C. Secondary Prevention D. D. Tertiary Prevention

C. Secondary Prevention

A nurse is preparing an education program on disease transmission for employees at a local day care facility. When discussing the epidemiological triangle, the nurse should include which of the following as agents? A. Resource Availability B. Ethnicity C. Toxins D. Bacteria E.Altered Immunity

C. Toxins D. Bacteria

The nurse is aware that client care provided through hospice is: A. Designed to meet the client's individual wishes, as much as possible. B. Usually aimed at offering curative treatment for the client. C. Involved in teaching families to provide postmortem care. D. Offered primarily for hospitalized clients.

A. Designed to meet the client's individual wishes, as much as possible.

Since 1987, the Centers for Disease Control and Prevention (CDC) has funded the federal school health program, which today provides for: A. Development of a health education curriculum that includes parents and community. B. Development of school-linked programs. C. Establishment of school-based health centers. D. Hiring of school nurses to achieve a 1:750 nurse-to-student ratio.

A. Development of a health education curriculum that includes parents and community.

A nurse is advocating for local leaders to place a newly approved community health clinic in an area of the city that has fewer resources than other areas. The nurse is advocating for the leaders to uphold which of the following ethical principles? A. Distributive justice B. Fidelity C. Respect for autonomy D. Veracity

A. Distributive justice

A major trend in the health care environment that has implications for the roles and functions of the community nurse leader in ensuring high-quality care is: A. Evidence-based practice B. New nursing educational models C. Nursing certification programs D. Aging population

A. Evidence-based practice

An effective leadership competency for nurses to enhance client safety and reduce health care errors is: A. Delegating B. Balancing between people and tasks C. Communicating D. Organizing

A. Delegating

Public health nursing practice is guided by the community's priorities as identified by community: A) Assessment. B) Diagnosis. C) Interventions. D) Planning.

A) Assessment.

An APN is the most independently functioning of all professional nurses. All of the following are examples of a clinically focused APN except: A) Care provider B) Case manager C) Nurse specialist D) Nurse practitioner

A) Care provider

A nurse manager at a community agency is developing an orientation program for newly hired nurses. When discussing the differences between community-based and community-oriented nursing, the nurse should include which of the following as examples of community-based nursing? A. A home health nurse preforming wound care for a client who is immobile. B. An occupational health nurse providing classes on body mechanics at a local industrial plant. C. A school nurse teaching a student who has asthma

A. A home health nurse preforming wound care for a client who is immobile. C. A school nurse teaching a student who has asthma about medications.

In designing a tertiary prevention intervention to address the leading cause of school absences related to chronic illness, the school nurse should focus on: A. Asthma. B. Attention deficit-hyperactivity disorder. C. Diabetes mellitus. D. Digestive system problems.

A. Asthma.

A nurse is working with a client who has systemic lupus erythematosus (SLE) and recently lost her health insurance. Which of the following is an appropriate action by the nurse in the implementation phase of the the case management process? A. Coordinating services to meet the client's needs B. Comparing outcomes with original goals C. Determining the client's financial constraints D. Clarifying roles of interprofessional team members

A. Coordinating services to meet the client's needs

A nurse developing a community health program is determining barriers to community resource referrals. Which of the following is an example of a resource barrier? A. Costs associated with services B. Decreased motivation C. Inadequate knowledge of resourses D. Lack of transportation

A. Costs associated with services

3. Holistic health care is an approach to nursing care that is: A. Critical to a successful faith community nursing health ministry. B. Inconsistent with many congregations' theologies. C. Provided in clinics staffed by complementary and alternative medicine providers. D. Separate from but complementary to parish nursing.

A. Critical to a successful faith community nursing health ministry.

A nurse is preparing an educational program on cultural perspectives in nursing. The nurse should include that which of the following are influenced by an individual's culture? A. Nutritional practices B. Family structure C. Health care interactions D. Biological variations E. Views about illness

A. Nutritional practices B. Family structure C. Health care interactions E. Views about illness

A nurse is using the I PREPARE mnemonic to assess a client's potential environmental exposures. Which of the following is an appropriate question for the nurse to ask for the "A" in the mnemonic? A. What do you like to do for fun? B. What year was your residence built? C. What jobs have you had in the past? D. What industries do you live near?

A. What do you like to do for fun?

If the community is where nurses practice and apply the nursing process, and the community is the client in that practice, then nurses will want to analyze and synthesize information about: A.) Boundaries, parts, and dynamic processes of the client community. B.) Community health status and structure. C.)Community problems and problem correlates. D.) Role of the nurse and lay advisors in the community partnership.

A.) Boundaries, parts, and dynamic processes of the client community.

Advanced practice nurses (APNs) generally: A) Work in acute care settings B) Function independently C) Function as a unit D) Work in the university setting

B) Function independently

A nurse is conducting health screenings at a statewide health fair and identifies several clients who require refferal to a provider. Which of the following statements by a client indicates a barrier to accessing health care? A. "I don't drive and my son is only available to take me places in the mornings" B. "I can't take off during the day and the local after hours clinic is no longer in operation" C. "Only one doctor in my town is designated provider by my health maintenance organization" D.

B. "I can't take off during the day and the local after hours clinic is no longer in operation"

A middle school student approaches the school nurse and says, "Can I talk to you about something important?" The school nurse responds affirmatively but should clarify: A. "Anything you tell me will be kept private and confidential." B. "If anything you tell me indicates that you or someone else is in danger, I must tell the parents and school officials." C. "It may be best for me to set up an appointment with the school counselor." D. "You can always speak to me if you are in trouble or when y

B. "If anything you tell me indicates that you or someone else is in danger, I must tell the parents and school officials."

a community health nurse is educating the public on the agents of bioterrorism. Which of the following are Category A biological agents? a. Hantavirus b. Typhus c. Plague d. Tularemia e. Botulism

c. Plague d. Tularemia e. Botulism

Removing barrier to decision making and granting authority to make decisions in "real time" are features of which strategy? A. Consultation B. Empowerment C. Leadership D. Management

B. Empowerment

1. The congregational wellness committee expresses the desire to establish a seasonal shelter for homeless women and children in the community as part of its health ministry. The faith community nurse prepares a resource assessment for the next committee meeting. This intervention reflects the parish nurse's responsibility for which type of practice issues? A. Ethical B. Financial C. Legal D. Professional

B. Financial

A nurse is caring for a client who is from a different culture than himself. When beginning the cultural assessment, which of the following actions should the nurse take first? A. Determine the client's perception of his current health status B. Gather data about the client's cultural beliefs C. Determine how the client's culture may impact the effectiveness of nursing actions. D. Gather information about previous client interactions with the health care system

B. Gather data about the client's cultural beliefs

A nurse is interviewing for a position at the local health department. When preparing for the interview, the nurse should find that which of the following are responsibilities of this agency? A. Managing the women, infants, and children program. B. Providing education to achieve community health goals C. Coordinating directives from state personnel D. Reporting communicably diseases to the CDC E. Licensing of registered nurses

B. Providing education to achieve community health goals C. Coordinating directives from state personnel

A nurse is reviewing the various roles of a community health nurse. Which of the following is an example of a nurse functioning as a consultant? A. Advocating for federal funding of local health screening programs. B. Updating state officials about health needs of the local community C. Facilitating discussion of a client's ongoing needs with an interprofessional team D. Performing health screenings for high blood pressure at a local health fair

B. Updating state officials about health needs of the local community

Collaboration is a part of the intervention wheel. On which part of the intervention wheel would collaboration be located? A) Red wedge at the individual/family level of practice. B) Blue wedge at the community level of practice. C) Orange wedge at the community level of practice. D) Green wedge at the systems level of practice.

C) Orange wedge at the community level of practice.

The Intervention Wheel focuses on interventon types for different kinds of components. Three components of the Intervention Wheel are: A) Communities, systems, and individuals/families. B) Interventions, color wedges, and levels of practice. C) Population base, levels of practice, and public health interventions. D) Populations at risk, populations of interest, and levels of practice.

C) Population base, levels of practice, and public health interventions.

F. A forensic nurse who provides expert consultation regarding back injury disabilities and functional limitations on a workman's compensation case in a civil hearing but did not provide direct client care, is practicing as a: A. A. Forensic Nurse Advocate B. B. Forensic Nurse Examiner C. C. Legal Nurse Consultant D. D. Nurse Attorney

C. Legal Nurse Consultant

1. Which action by the community-oriented nurse best illustrates a partnership for health? A.) Assisting a school nurse in conducting vision screening of elementary school children. B.) Developing a volunteer program for teaching parenting skills. C.) Helping a group of citizens concerned about potential environmental hazards collect relevant health data and develop needed interventions. D.) Informing a neighborhood council that smoking is its major community health problem.

C.) Helping a group of citizens concerned about potential environmental hazards collect relevant health data and develop needed interventions.

An APN is pursuing a job change. Which of the following positions would the APN be unable to fill without meeting additional criteria? A) Case manager B) Nurse manager C) Nurse educator D) Certified registered nurse anesthetist

D) Certified registered nurse anesthetist

A nurse is talking to a client who asks for additional information about hospice. Which of the following is an appropriate statement by the nurse? A. "Client's who require skilled nursing care at home qualify for hospice care." B. "One function of hospice is to provide teaching to clients about life-sustaining measures." C. "Hospice assists clients to develop the skills needed to care for themselves independently." D. "A component of hospice care is to control the client's symptoms."

D. "A component of hospice care is to control the client's symptoms."

A nurse is developing a community health education program for a group of clients who have a new diagnosis of diabetes mellitus. Which of the following learning strategies should the nurse include for clients who are auditory learners? A. Showing informal videos B. Providing equipment to practice hands-on skills C. Supplying outlines for note-taking D. Facilitating small group discussions

D. Facilitating small group discussions

A case management nurse at an acute care facility is conducting an initial visit with a client to identify needs prior to discharge home. After developing a working relationship with the client, the nurse is engaging in the referral process. Which of the following should be the first action by the nurse? A. Monitor the client's satisfaction with the referral B. Provide client information to referral agencies C. Review available resources with the client D. Identify referrals that the client need

D. Identify referrals that the client needs

Faith community nurses can best be described as: A. Advanced practice nurses working in churches throughout the United States to provide holistic nursing care and spiritual healing. B. Nurses with baccalaureate-level preparation volunteering in faith communities to assist the congregations in their health ministries. C. Institutionally based nurses coordinating health fairs and other congregational health outreach programs within geographically delineated faith communities. D. Professional nurse

D. Professional nurses engaging in a specialized practice in which they partner with populations of faith communities focusing on spiritual and holistic care, as well as prevention of illness.

E. A unique competency of forensic nursing is the collection of trace evidence to be used in clinical investigations. This competency is related to which standard of practice for the specialty? A. A. Collaboration B. B. Ethics C. C. Leadership D. D. Scientific Process

D. Scientific Process

Which community attribute is an indicator of a community's health status? A.) Mean educational level. B.) Location of health facilities within the community. C.) Ratio of police to citizens. D.) Suicide rate.

D.) Suicide rate.

A nurse is collecting data to identify health needs in the local community. Which of the following examples of secondary data the nurse should review? a. Birth statistics b. Previous health survery results c. Windshield survey d. Community forum e. Health records

a. Birth statistics b. Previous health survery results e. Health records

A nurse is working with a client who has systemic lupus erythematosus and recently lost her health insurance. Which of the following is an appropriate action by the nurse in the implementation phase of the case management process? a. Coordinating services to meet the clients needs b. Comparing outcomes with original goals c. Determining the clients financial constraints d. Clarifying roles of interprofessional team members

a. Coordinating services to meet the clients needs

a nurse developing a community health program is determing barriers to community resource referrals. Which of the following is an example of a resource barrier? a. Costs associated with services b. Decreased motivation c. Inadequate knowledge of resources d. Lack of transportation

a. Costs associated with services

The nurse is preparing primary prevention activities for varied age groups. Which of the following are primary prevention activities? a. Educating about dental health b. Substance use prevention education c. Performing tuberculin skin tests d. Screening for lead exposure e. Discussing seat belt safety

a. Educating about dental health b. Substance use prevention education e. Discussing seat belt safety

A nurse is preparing to conduct a windshield survey. Which of the following data should the nurse collect as a component of this assessment? (Select all that apply) a. Ethnicity of community members b. Individuals who hold power within the community c. Natural community boundaries d. Prevalence of disease e. Presence of public protection

a. Ethnicity of community members c. Natural community boundaries e. Presence of public protection

A nurse at an urban community health agency is developing an education program for city leaders about homelessness. Which of the following should the nurse include as the fastest growing segment of the homeless population? a. Families with children b. Adolescent runaways c. Intimate partner abuse victims d. Older adults

a. Families with children

A nurse is conducting a community assessment. Which of the following data collection methods is the nurse using when having direct conversations with individual members of the community? a. Key informant interviews b. Participant observation c. Focus groups d. Health surveys

a. Key informant interviews

An occupational health nurse is consulting with senior management of a local industrial facility. When discussing work-related illness and injury the nurse should include which of the following as physical agents? a. Noise b. Age c. Lighting d. Viruses e. Stress

a. Noise c. Lighting

A nurse is preparing an educational program on cultural perspective in nursing. The nurse should include that which of the following are influenced by an individual's culture? (Select all that apply.) a. Nutritional practices b. Family structure c. Health care interactions d. Biological variations e. Views about illness

a. Nutritional practices b. Family structure c. Health care interactions e. Views about illness

Which of the following interventions would be included when educating a family on environmental health? (select all that apply) a. Some plentiful sources of lead include playground equipment, vinyl mini-blinds, pottery, water, battery casings, and metal jewelry. b. Teach older children to wash hands when coming in from outside and prior to playing with the newborn. c. It is okay to keep toxic agents in an unlocked cabinet. d. Be certain to cook meats completely and to wash hands and sanitize

a. Some plentiful sources of lead include playground equipment, vinyl mini-blinds, pottery, water, battery casings, and metal jewelry. b. Teach older children to wash hands when coming in from outside and prior to playing with the newborn. d. Be certain to cook meats completely and to wash hands and sanitize countertops after preparing raw meats.

A nurse at a community clinic is conducting a well-child visit with a preschool-age child. The nurse should identify which of the following as a manifestation of child neglect? (Select all that apply) a. Underweight b. Healing spiral fracture of the arm c. Genital irritation d. Burns on the palms of the hands e. Poor hygiene

a. Underweight e. Poor hygiene

A newly hired occupational health nurse at an industrial facility is performing an initial workplace assessment. Which of the following should the nurse determine when conducting a work site survey? a. Work practices of employees b. Past exposure to specific agents c. Past jobs of individual employees d. Length of time working in current role

a. Work practices of employees

A nurse is completing a needs assessment and beginning analysis of data. Which of the following actions should the nurse take first? a. Determine health patterns within collected data b. Compile collected data into a database c. Ensure data collection is complete d. Identify health needs of the local community

b. Compile collected data into a database

A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following findings is a manifestation of withdrawal? a. Decreased blood pressure b. Diaphoresis c. Pin-point pupils d. Bradycardia

b. Diaphoresis

A nurse is creating partnerships to address health needs within the community. The nurse should be aware that which of the following characteristics must exist for partnerships to be successful? (Select all that apply) a. A leading partner with decision-making authority b. Flexibility among partners when considering new ideas c. Adherence of partners to ethical principles d. Varying goals for the different partners e. Willingness of partners to negotiate roles

b. Flexibility among partners when considering new ideas c. Adherence of partners to ethical principles e. Willingness of partners to negotiate roles

A newly hired public health nurse is familiarizing himself with the levels of disaster management. Which of the following actions is a component of disaster prevention? a. Outlining specific roles of community agencies b. Identifying community vulnerabilities c. Prioritizing care of individuals d. Providing stress counseling

b. Identifying community vulnerabilities

a school nurse is planning health promotion and disease prevention activities for the upcoming school year. In which of the following situations is the nurse planning a secondary prevention strategy? a. Placing posters with images of appropriate hand hygiene near restrooms b. Routinely checking students for pediculosis throughout the school year c. Implementing age appropriate injry prevention programs for each grade level d. Working with a dietician to determine carb counts for students who hav

b. Routinely checking students for pediculosis throughout the school year

A home health nurse is discussing portals of entry with a group of newly hired assistive personnel. Which of the following are portals of entry the nurse should discuss? (select all that apply) a. Respiratory secretions b. Skin c. Genitourinary tract d. Saliva e. Mucous membranes

b. Skin c. Genitourinary tract e. Mucous membranes

A nurse is reviewing the various roles of a community health nurse. Which of the following is an example of a nurse functioning as a consultant? a. Advocating for federal funding of local health screening programs b. Updating state officials about health needs of the local community c. Facilitating discussion of a client's ongoing needs with an interprofessional team d. Performing health screenings for high blood pressure at a local health fair

b. Updating state officials about health needs of the local community

Upon completing a community assessment, which of the following data WOULD NOT be included: a. Crime rate b. Curbside garbage pick up c. National statistics on prevalence of diabetes d. Public transportation

c. National statistics on prevalence of diabetes

A school nurse is scheduling visits with a physical therapist for a child who has cerebral palsy. IN which of the following roles is the nurse functioning? a. Direct caregiver b. Consultant c. Case manager d. counselor

c. Case manager

A nurse is preparing a community health program on communicable diseases. When discussing modes of transmission, the nurse should include which of the following as an airborne illness? a. Cholera b. Malaria c. Influenza d. Salmonella

c. Influenza

The nurse has developed a program to provide group therapy for clients with depression, which of the following issues for the vulnerable population are being addressed? a. Violence b. Poverty c. Mental health issues d. Homelessness

c. Mental health issues

A nurse working in the ED of a small rural hospital, discusses treatment over a secure video/audio line with a physician in a large city 2 hours away. This is an example of the use of: a. Occupational health nursing b. Informatics c. Telehealth d. Parish nursing

c. Telehealth

Administering medications to treat the chronic condition of asthma is a: a. Primary prevention activity b. Secondary prevention activity c. Tertiary prevention activity d. Nursing only function

c. Tertiary prevention activity

A nurse is talking to a client who asks for additional information about hospice. Which of the following is an appropriate statement by the nurse? a. "Clients who require skilled nursing care at home qualify for hospice care." b. "One function of hospice is to provide teaching to clients about life sustaining measures." c. "Hospice assists clients to develop the skills needed to care for themselves independently." d. "A component of hospice care is to control the client's symptoms."

d. "A component of hospice care is to control the client's symptoms."

An intervention to improve access to health care for vulnerable populations would be: a. Create partnerships to provide free or reduced health care services b. Coordinate services at a central location c. Ensure the availability of translators with medical training d. All other options

d. All other options

A nurse is planning a community health program. Which of the following should the nurse include as a part of the evaluation program? a. Determine availability of resources to initiate the plan b. Gain approval for the program from local leaders c. Establish a timeline for implementation of interventions d. Compare program impact to similar programs

d. Compare program impact to similar programs

A case management nurse at an acute care facility is conducting an initial visit with a client to identify needs prior to discharge home. After developing a working relationship with the client, the nurse is engaging in the referral process. Which of the following should be the first action by the nurse? a. Monitor the client's satisfaction with the referral b. Provide client information to referral agencies c. Review available resources with the client d. Identify referrals that the client

d. Identify referrals that the client needs

A community health nurse is developing an education program on substance use disorders for a group of adolscents. Which of the following should the nurse include when discussing nicotine and smoking? a. Smoking is the fifth-most preventable cause of death in the US b. Nicotine is a CNS depressant c. Withdrawal effects from smoking are minimal d. Tolerance to nicotine develops quickly

d. Tolerance to nicotine develops quickly