Community HESI
which avoidance instruction would the public health clinic nurse use to teach prevention on toxoplasmosis a) contact with cat feces b) exposure to heavy metals c) ingestion of freshwater fish d) excessive radiation exposure
a) contact with cat feces
which activity by the community nurse is an illness prevention strategy a) encouraging the client to exercise daily b) arranging an immunization program for chickenpox c) teaching the community about stress management d) teaching the client about maintaining a nutritious diet
b) arranging an immunization program for chickenpox
which instruction is beneficial for aging black client with hypertension a) check the pulse daily b) have an annual urinalysis c) record blood pressure weekly d) visit an ophthalmologist monthly
b) have an annual urinalysis
frequency rate
how frequently the disease occurs
diagnosis phase
the nurse develops hypotheses related to the medication study
assessment phase
the nurse formulates the theoretical framework, reviews the literature, and identifies the study variables
causative factor
the term used for the cause of a given disease if it is known
pneumococcal vaccine
-age 65 years or older -single dose of the vaccine -revaccination should occur 5 years after initial
sequence to extinguish fire
Sop, drop, and roll
which suggestion by the nurse is an example of primary prevention a) engage in daily physical exercise b) get yearly physical examinations c) attend hypertension screening programs d) read about how to prevent diabetes complications
a) engage in daily physical exercise
the nurse is instructing a community group regarding risk factors for coronary artery disease. Which risk factor cannot be modified a) heredity b) hypertension c) cigarette smoking d) diabetes mellitus
a) heredity
which risk of adolescent pregnancy would the community nurse teach a) risk for premature birth b) risk for having a large baby c) risk for chromosomal defects d) risk for increased weight gain
a) risk for premature birth
primary prevention activities
are directed toward promoting a healthful lifestyle and increasing the level of well being
which competencies are important in the rural setting (SATA) a) spiritual values b) emergency care c) family dynamics d) physical assessment e) clinical decision making
b) emergency care d) physical assessment e) clinical decision making
the nurse is analyzing and explaining the demographics of a population under research. Which phase of the nurse process is the nurse exercising when analyzing and explaining the demographics of a population under research a) diagnosis phase b) evaluation phase c) assessment phase d) implementation phase
b) evaluation phase
which characteristic is most common to those living in poverty a) open expression of anger b) long term feeling of powerlessness c) willingness to postpone gratification d) compliance with health recommendations
b) long term feeling of powerlessness
the nurse is teaching a parenting class. Which suggestion would the nurse make about managing the behavior of a young school age child a) avoid answering questions b) give the child a list of expectations c) be consistent about established rules d) allow the child to plan the days activities
c) be consistent about established rules
which preventative and primary care service provided by a community health center is most expensive a) running errands b) health education c) disease management d) routine physical examinations
c) disease management
which characteristic makes a crisis access hospital different from an intensive care unit a) offers 24 hour emergency care b) offers health care to acutely ill people c) provides temporary care for 96 hours or less d) provides the most expensive health care delivery
c) provides temporary care for 96 hours or less
which type of crisis has occured when a sudden terrorist act causes the death of thousands of adults and children and negatively affects their families, friends, communities, and the nation a) situation-maturational b) situational c) maturational d) adventitious
d) adventitious
how does the nurse play the role of a change agent in a community based nursing practice a) by helping clients identify and clarify health problems b) by establishing relationships with community service organizations c) by establishing an appropriate plan of care, based on assessment of clients d) by identifying and implementing new and more effective approaches to problems
d) by identifying and implementing new and more effective approaches to problems
a community health care nurse is conducting a survey about homeless children in the community. Which finding helps the nurse distinguish absolute homelessness from relative homelessness a) the children are under-immunized and at risk for childhood illnesses b) the children are more likely to drop out of school c) the children have access to health care only through the emergency department d) the children do not have a physical shelter and may sleep outdoors or in vehicles
d) the children do not have a physical shelter and may sleep outdoors or in vehicles
relative homelessness
describes those who have a physical shelter but one that does not meet the standard of health and safety
main focus of community nursing
improve the quality of life and health of a population by preserving, protecting, promoting, or maintaining health
an adventitious crisis
is a crisis or a disaster that is unplanned and accidental
community health nursing
is a nursing practice focusing on the health care of individuals, families, and groups within a community
crisis access hospital
is a rural hospital that provides temporary care for 96 hours or less to stabilize clients before they are transferred to a larger hospital
a maturational crisis
occurs as an individual moves into a new stage of development and prior coping styles are no longer effective -usually predictable
situational crisis
results from an external source and loss is often unexpected
risk factor
term given to those factors that identify the target population
implementation phase
the nurse obtains the necessary approvals, recruits subjects, and implements the study protocol
absolute homelessness
to describe people who have no physical shelter
evaluation phase
when the nurse is analyzing and interpreting the demographics of a study population
which services do community health centers provide in preventive and primary care services
-health screenings -physical assessments -disease management
an adventitious crisis example
-natural disasters -national disasters -crimes of violence
example of secondary preventions
-performing a yearly physical exam -providing hypertension screening
which purpose does a community health center serve in preventive and primary care services a) outpatient clinics that provide primary care to a specific population b) aim to increase worker productivity, decrease absenteeism, and reduce the use of costly medical care c) emphasize program management, interdisciplinary collaboration, and community health principles d) include a complete program designed for health promotion and accident or illness prevention in the workplace
a) outpatient clinics that provide primary care to a specific population
an older adult client states "disease occurs when supernatural elements enter the body" Which variable influences the clients health beliefs in this scenario a) spiritual factors b) emotional factors c) intellectual background d) perception of functioning
a) spiritual factors
Which topic is most important for the nurse to teach in a community health promotion class for middle aged adults a) tobacco cessation b) infection prevention c) alcohol abstinence d) pain management
a) tobacco cessation
which goal is the main focus of community health nursing a) to meet the acute care needs for a population b) to improve the quality of health in a population c) to influence political processes affecting public policies d) to assess the health care needs of an individual or family
b) to improve the quality of health in a population
which resource or facility has enabled rural hospitals to have increased access to specialist consultations a) medicare b) medicaid c) telemedicine d) critical access hospital
c) telemedicine