Community Questions

A 19-year-old client is diagnosed as HIV positive. Which behaviors might be indicators of noncompliance with her drug regimen and require further assessment? (Select all that apply.) A) B) Depression C) Client's expression of concern regarding the ability to pay for her medications D) Indifference to self-advocacy in sexual relationships

B) Depression C) Client's expression of concern regarding the ability to pay for her medications D) Indifference to self-advocacy in sexual relationships

Public health nursing is distinguished from other specialties by adherence to eight principles. Which principle will a public health nurse prioritize in the community? A) B) Focuses efforts on primary prevention of illness in the community C) D)

B) Focuses efforts on primary prevention of illness in the community

The nurse is assessing a new client who was admitted for a serious assault. Which is the best response from the nurse when the client questions why the healthcare provider has indicated the assault is most likely gender-based violence? A) B) Gender-based violence is violence that targets specific people or groups of people on the basis of gender C) D)

B) Gender-based violence is violence that targets specific people or groups of people on the basis of gender

The school nurse is concerned when a student presents to the office with chickenpox. The nurse determines that some of this student's classmates are most likely in which part of the infectious cycle? A) Carrier B) Incubation Period C) D)

B) Incubation Period

The nurse helps a client who is a victim of intimate partner violence (IPV) with safety planning. The client worries about what to do if the partner becomes violent again. Which location should the nurse point out would be the most appropriate if the nurse is at home? A) B) Living room because there are windows C) D)

B) Living room because there are windows

A student nurse asks if an infectious disease is the same thing as a communicable disease. The nurse explains that an infectious disease is not necessarily a communicable disease. Which must a communicable disease have that an infectious disease does not have to have? (Select all that apply.) A) Pathogenic microorganism B) Portal of exit from the infected person C) Means of transmission D) Portal of entry to a susceptible host E) Organism that harbors the infectious agent

B) Portal of exit from the infected person C) Means of transmission D) Portal of entry to a susceptible host

Children may be more vulnerable to environmental exposures than adults. There are several factors that increase children's vulnerability. Which factors should the healthcare provider prioritize when children are involved? (Select all that apply.) A. B. Their behaviors can expose them to more contaminants C. Their body systems are still rapidly developing D. Their bodies may be less able to break down and excrete contaminants

B. Their behaviors can expose them to more contaminants C. Their body systems are still rapidly developing D. Their bodies may be less able to break down and excrete contaminants

Which best describes a multilateral agency? A) Is based in only one country but provides services to many other countries B) Is responsible for the health and welfare of citizens nationally C) Receives funding from both governmental and nongovernmental sources D) Acquires resources to help others from private rather than public sources

C) Receives funding from both governmental and nongovernmental sources

The school board is interested in learning how the local elementary school policies compare with other schools in the state. Which is the best tool for the school nurse to recommend to determine the school's position? A) B) C) School Health Index D)

C) School Health Index

The community health nurse has limited time for family assessments because of demanding caseloads or staffing shortages. Which activity should the nurse prioritize in order to acknowledge the family's strength? A) B) C) Share any genograms and ecomaps that illustrate relationships with family members D)

C) Share any genograms and ecomaps that illustrate relationships with family members

The public health nurse has noted an increase in intimate partner violence (IPV) in the community after several local factories have shut down. When evaluating the risks and results of IPV, which would be considered femicide? A) B) C) D) A homicide of a female that occurs in the context of IPV

D) A homicide of a female that occurs in the context of IPV

The school nurse works with a 12-year-old girl who has type 2 diabetes. As client advocate, which would be the most appropriate nursing action? A) B) C) D) Schedule a conference with the client's parents to discuss how to collaboratively manage her blood glucose level and to encourage her to select appropriate foods in the cafeteria

D) Schedule a conference with the client's parents to discuss how to collaboratively manage her blood glucose level and to encourage her to select appropriate foods in the cafeteria

In a 15-minute family interview, after asking a question, the nurse pauses and remains silent while the grandmother, whose English is limited, replies to the question. The nurse makes eye contact with her and nods while she talks. When she is finished, the nurse a few follow-up questions. Which principles is the nurse utilizing in this scenario? A) B) C) D) Theraputic conversation

D) Theraputic conversation

The school is preparing to start a school-based substance use disorder program. Which is the most appropriate intervention to include in the program? A) Designing an interactive, behavioral-focused program B) C) D)

A) Designing an interactive, behavioral-focused program

Which factors place an individual at high risk for acquiring a sexually transmitted infection (STI)? (Select all that apply.) A) Having multiple sexual partners B) Using a condom during sex C) Having no other STIs D) Having a sexual partner who has had an STI E) Receiving a blood transfusion

A) Having multiple sexual partners D) Having a sexual partner who has had an STI

The public health nurse notes an up-swing in the number of gun-related homicides in the community. Which risk factors would the nurse most likely find in the community in association with committing gun-related homicides? [Select all that apply] A) Low income B) Being a victim of discrimination C) Lack of education D) E) Lack of employment opportunities

A) Low income B) Being a victim of discrimination C) Lack of education E) Lack of employment opportunities

Preventing intimate partner violence (IPV) and recurrence of violence requires targeting efforts at all three levels of prevention. Which is an appropriate tertiary prevention strategy? A) Providing a client who is being abused by the spouse the number to an abuse hotline to get help leaving the spouse B) C) D)

A) Providing a client who is being abused by the spouse the number to an abuse hotline to get help leaving the spouse

The community health nurse is using a genogram to aid in the family assessment. What aspect of family connections and relationships should the nurse include in the genogram? A) Relationships across two or more generations B) C) D)

A) Relationships across two or more generations

Preventing intimate partner violence (IPV) and recurrence of violence requires targeting efforts at all levels of prevention. Which best represents a secondary prevention strategy? A) Screening a client for evidence of abuse who has several risk factors for IPV B) C) D)

A) Screening a client for evidence of abuse who has several risk factors for IPV

The home health nurse is meeting with a new older adult client whose primary caregiver has requested additional assistance due to family obligations. Which findings on the assessment should raise a red flag for the potential of elder abuse in the household? [Select all that apply] A) The client mentions she is always hungry B) C) Client appears dehydrated D) Caregiver appears impatient with the session

A) The client mentions she is always hungry C) Client appears dehydrated D) Caregiver appears impatient with the session

The new school nurse is excited to begin her career at the same school which she attended growing up. Which common problems should the school nurse be prepared to investigate in students? [Select all that apply] A) Vision impairment B) Scoliosis C) D) Attention Deficit Disorder (ADHD)

A) Vision impairment B) Scoliosis D) Attention Deficit Disorder (ADHD)

Which core functions of the government address the health of its citizens? (Select all that apply.) A. Ensuring delivery of healthcare services and achievement of desired outcomes B. Building state-of-the-art hospitals C. Assessing healthcare problems D. Developing healthcare policy that provides access to services E. Providing healthcare directly to its citizens

A. Ensuring delivery of healthcare services and achievement of desired outcomes C. Assessing healthcare problems D. Developing healthcare policy that provides access to services

The nurse visits the home of client in a low-income community and notices that paint is flaking off the walls and forming a dust in the corners of some rooms. The nurse asks the client when the house was built, and she responds that it was built in 1959. Which contaminant should the nurse expect to find in this home A. Lead B. C. D.

A. Lead

Which statements regarding the relationship between politics and healthcare are true? (Select all that apply.) A. Political solutions can be achieved at both the federal and state levels. B. Politics has a limited effect on healthcare. C. The government should be interested in health matters when a problem affects a specific group or a whole population. D. Republicans and Democrats generally agree on healthcare policies. E. Politics has only negative effects on healthcare.

A. Political solutions can be achieved at both the federal and state levels. C. The government should be interested in health matters when a problem affects a specific group or a whole population.

A class of nursing students are preparing to analyze the Healthy People 2020 to learn more about the goals related to decreasing intimate partner violence (IPV). Which injury prevention objective will this class discover? A) Decreased incidents of homicides, child maltreatment, and physical assaults B) C) D)

A) Decreased incidents of homicides, child maltreatment, and physical assaults

Chloroquine-resistant malaria occurs in most of Africa, the Middle East, and Asia and all of the South Pacific islands. This type of disease occurrence is known as: A) Endemic B) Epidemic C) Pandemic D) Outbreak

A) Endemic

Which data are tracked under epidemiologic workplace surveillance? (Select all that apply.) A) Injuries B) Illness C) Hazards D) Exposures E) Productivity

A) Injuries B) Illness C) Hazards D) Exposures

The community health nurse addresses cyber bullying in the local middle schools. Currently, there are no policies in place for this issue. Which is the most appropriate first step for the nurse to prioritize? A) B) C) Explore current programs to prevent bullying and youth violence D)

C) Explore current programs to prevent bullying and youth violence

You are responsible for the construction of an isolation unit during an H5N1 outbreak. The unit is designated for only those clients with a confirmed diagnosis of H5N1. Which of the following units would be easily adapted to your client needs? A) A 12-room unit with negative air pressure units. B) A 15-room unit with a portable supply of PPEs. C) An 8-room unit with four code carts. D) A 12-room unit with four to six air changes per hour.

A) A 12-room unit with negative air pressure units

The occupational health nurse works in facility located in a region that is highly prone to tornadoes. Which intervention should the nurse make sure is included in the facility's emergency plan to address this potential threat? A) A shelter-in-place policy and procedure B) Personal protective equipment C) Evacuation drills D) Decontamination

A) A shelter-in-place policy and procedure

A 34-year-old client is recovering from a below-the-knee amputation secondary to a motor vehicle accident. The nurse meets with the client to update his care plan, and client states that he knows that he will walk again. He asks for physical therapy schedules and timelines for prosthetics on the basis of his healing process. On the basis of knowledge of the theory of reasoned action, the client's behavior reflects: A) An enhanced ability to meet his goals on the basis of his intention and behaviors B) Goal setting that is unrealistic and irrational based on the client's diagnosis and behaviors C) A depression that will complicate the healing process D) Denial of the injury and part of the healing process

A) An enhanced ability to meet his goals on the basis of his intention and behaviors

In the United States, the state and federal government are actively involved in assisting with healthcare. Which actions are considered core functions of the government which address the health of its citizens? (Select all that apply.) A) Assessing healthcare problems B) Developing healthcare policy that provides access to services C) D) Ensuring delivery of healthcare services and achievement of desired outcomes

A) Assessing healthcare problems B) Developing healthcare policy that provides access to services D) Ensuring delivery of healthcare services and achievement of desired outcomes

The occupational health nurse for a hydroelectric plant uses root cause analysis to investigate a recent accidental electrocution of a plant worker. The nurse currently is defining the characteristics of the case. In which step of the root cause analysis is the nurse? A) Define the problem B) Collect data C) Identify possible causal factors D) Identify the root cause

A) Define the problem

A group of nursing students are examining the Patient Protection and Affordable Care Act (ACA) of 2010. Which goals should the students be able to point out were the main focus of this legislation? (Select all that apply.) A) Expanding health insurance coverage B) C) Expanding healthcare access to children D) Reducing the costs and improving the efficiency of healthcare

A) Expanding health insurance coverage C) Expanding healthcare access to children D) Reducing the costs and improving the efficiency of healthcare

The Department of Health and Human Services has identified several areas for which health disparities exist among various demographic groups and need to be addressed. Which are included among these areas? (Select all that apply.) A) Infant mortality B) Cancer screening C) Cardiovascular disease D) Diabetes E) End-stage renal disease

A) Infant mortality B) Cancer screening C) Cardiovascular disease D) Diabetes

The nurse asks the question "Has the exposure pathway been interrupted?" This question would be considered during what phase of the nursing process to examine the impact of the environment on human health? A) Assessment B) Planning C) Intervention D) Evaluation

D) Evaluation

The history of school nursing can be traced back to 1902, Lilian Wald was working in a New York City public school. Which problem was she predicting would decrease by providing school nursing services? A) B) C) D) Excessive absenteeism

D) Excessive absenteeism

The nurse has been provided information concerning a new family and notes they consist of a nuclear family. Which family structure will the nurse anticipate finding when arriving for the first visit? A) B) C) D) First-degree relatives who live together

D) First-degree relatives who live together

The nurse visits a community along a creek where residents have begun to report upper respiratory illnesses and asthma. After investigating, the nurse learns that several miles upstream is a hazardous material disposal site. In addition, chemicals have leached through the soil into the creek water and have been carried downstream to this community. Although children are not allowed into the creek, they do often play along the bank. Which represents the route of exposure in this situation? A) Creek water B) Chemicals C) Bank of the creek D) Inhalation

D) Inhalation

There are different methods for conducting risk assessment for environmental contaminants. What is the correct formula for determining the amount of risk? A) Hazard = exposure + risk B) Exposure = risk + hazard C) Risk = contaminant presence + exposure D) Risk = hazard + exposure

D) Risk = hazard + exposure

The school nurse is preparing a health session on the best methods to prevent the spread of HIV. Which is one of the most important strategies recommended by the CDC for the nurse to include in the presentation? A) B) C) D) Routinely screening all adolescents and adults aged 13 to 64

D) Routinely screening all adolescents and adults aged 13 to 64

The pubic health department is concerned there is an increase in violence among the children in the community. Which individual should the department involve in determining which children are mot likely to be a victim or a perpetrator A) B) C) D) School Nurse

D) School Nurse

A nurse is concerned there has been an increase in the number of influenza cases in the county over the past year when compared with last year. Which rate will best provide the answer to this nurse? A. B. C. D. Prevalence

D. Prevalence

The committee has established the need for a sick child clinic in an impoverished neighborhood. The demographic data have been collected, and the committee is ready to meet with a group of local businesspeople who are willing to support the project financially. The plan is for the committee and group to combine to facilitate the establishment of the clinic. Using a transtheoretical model, which level of readiness has the committee achieved? A. Relapse B. Preparation C. Contemplation D. Action

B. Preparation

The occupational health nurse with a construction company is responsible for filling out a record of accidents and illnesses that occur on the company's work sites. Which source should the nurse consult to acquire the proper record-keeping form and guidelines? A) FMLA B) OSHA C) HIPAA D) NORA

B) OSHA

The hospital board is in the process of developing a policy regarding the use of cell phones within the hospital. At the current meeting, the board has decided to allow use of cell phones only within certain waiting areas within the hospital, and nowhere else. Which stage of policy-making does this action represent? A) Policy formulation B) Policy adoption C) Policy implementation D) Policy assessment

B) Policy adoption

Several levels of public health surveillance are necessary to protect the nation's health. At what level are healthcare providers and health facilities required to report certain infectious diseases? A) Local B) State C) Federal D) International

B) State

Which is an example of a radiological contaminant? A) Lead B) Mercury C) Ricin D) Radon

D) Radon

The nurse assesses a 77-year-old woman who has been caring for her husband who has Alzheimer's disease in their home for the past 8 years. The client complains of exhaustion and depression. Which stressors should the nurse most suspect as the cause of this client's symptoms? A) B) Caregiver burden C) D)

B) Caregiver burden

In 1975 the Education for All Handicapped Children Act was passed by Congress. Which impact did the act have on children? A) B) Children with chronic or complex medical issues were entitled to public education C) D)

B) Children with chronic or complex medical issues were entitled to public education

The school nurse is evaluating a health program for possible updates in the school district. Which component should the nurse address to ensure safe and supportive learning environment for students? A) B) C) Social and emotional climate D)

C) Social and emotional climate

The public health nurse provides outpatient healthcare services to the members of the community. Which factor would alert the nurse to screen for potential intimate partner violence (IPV) based on societal risk factors? A) B) C) Transitional gender roles D)

C) Transitional gender roles

Which criteria must be met to define a water-associated disease outbreak? A) Two or more people with laboratory-confirmed primary amebic meningoencephalitis B) Two or more cases of chemical poisoning if water quality data indicate contamination by the chemical C) Two or more people having experienced a similar illness after exposure to water D) Epidemiologic evidence implicating drinking water as the probable source of the illness

C) Two or more people having experienced a similar illness after exposure to water

The nurse is appointed to be a member of the risk communication team during a disaster response situation. During an evacuation, the nurse is informed that an increasing number of individuals are reluctant to leave their homes. To complete an orderly evacuation, it is necessary to: A)Involve the armed forces B)Declare martial law C)Create an environment of trust and credibility D)Disseminate information regarding the necessity of the evacuation

C)Create an environment of trust and credibility

The public health nurse works in New England during the winter months. An ice storm cripples the city, and electrical outages affect the power grid. Trees and frozen power lines are down throughout the city, and the timeline for restoration of power is 7 to 10 days. Which classification should the team prioritize for this occurrence? A. B. C. A natural disaster D.

C. A natural disaster

The nurse notes a client arrives for an appointment who appears to have a severe upper respiratory infection. Which mechanism of transmission is the nurse most likely attempting to prevent by requesting this client to wear a mask while sitting in the waiting room? A. B. C. Airborne D.

C. Airborne

A nursing student is considering a career as a school nurse. Which skills are required which combines practice types and decision making that this student must learn? A) B) Autonomous practice and independent decision making C) D)

B) Autonomous practice and independent decision making

The nurse conducts bio-monitoring of residents of a community exposed to mercury vapor from a manufacturing facility nearby. Which form of bio-monitoring should the nurse prioritize to determine the exposure to this contaminant? A. B. C. Collecting blood or urine D.

C. Collecting blood or urine

The hospital board is in the process of developing a policy regarding the use of cell phones within the hospital. After 6 months of a policy being in place and weeks of ongoing evaluation of the policy by individual board members, the board decided to expand the areas where cell phone use is permitted to include all waiting rooms and some client rooms. Which stage of policy-making does this action represent? A) Policy modification B) Policy adoption C) Policy implementation D) Policy assessment

A) Policy modification

Tent communities are constructed in a rural community by the American Red Cross after a disaster. Because of overcrowding, surrounding states create accommodations for the displaced and homeless. The survivors are accommodated in the cities of four southern states. What factors may increase the possibility of disease emergence in the cities? (select all that apply) A) Poor hygiene B) Decreased socialization C) Poor sanitation D) Decreased viral load

A) Poor hygiene C) Poor sanitation

You are preparing a research study on the number of heart attacks in the community and the number of individuals who are actively involved in exercise programs following a heart attack. Using your knowledge about research study design, what is the gold standard for a research design that should be considered? A) Randomized, control group B) Quasi-experimental C) Experimental D) Descriptive epidemiologic

A) Randomized, control group

Which injury has the highest incidence rate among occupational injuries and illnesses that result in days away from work? A) Sprains B) Broken bones C) Cuts D) Carpal tunnel syndrome

A) Sprains

A nurse is coordinating an initiative in the community to make sure that the healthcare needs of local refugees and asylees are recognized and addressed. Which federal agency should this nurse contact, as it is directly involved with the health and healthcare of refugees and asylees in the United States? A) United States Department of Health and Human Services B) National Institutes of Health C) Agency for Healthcare Research and Quality D) Centers for Disease Control and Prevention

A) United States Department of Health and Human Services

Response to a disaster is in its final phase. Although still in the recovery phase of the response, an evaluation meeting is arranged. The purpose of the evaluation meeting is to: A)Analyze the strengths and weaknesses of the response and submit a plan to improve response in the future B)Create a report that emphasizes the cohesiveness of the departmental response to the disaster C)Analyze the effectiveness of the disaster relief teams from respondent states D)Create a post-disaster report for FEMA

A)Analyze the strengths and weaknesses of the response and submit a plan to improve response in the future

The occupational health nurse is a member of the emergency planning committee in the workplace. The nurse is helping to formulate an emergency plan for the facility. Which key components should the nurse include in the emergency plan? (Select all that apply.) A. Alarms B. Communication C. D. Evacuation E. Reporting

A. Alarms B. Communication D. Evacuation E. Reporting

Four employees at a local restaurant have positive purified protein derivative (PPD) tuberculin skin tests and have been diagnosed with latent tuberculosis (TB) infection. Which employee would the nurse predict to be at the greatest risk for contracting active TB disease A. Takes immunosuppressants B. C. D.

A. Takes immunosuppressants

You are reviewing published research studies on patients with developmental disabilities who receive music therapy once a week. Using your knowledge about research studies, what type of research study would entail an in-depth analysis of one group of developmentally disabled individuals and the effects of music therapy? A) Case control B) Case C) Clinical trial D) Cohort

B) Case

Which organization publishes and articulates the essentials of public health nursing, including the activities and accountabilities that are characteristics of practice at all levels and settings? A) Association of Community Health Nurse Educators (ACHNE) B) American Nurses Association (ANA) C) American Public Health Association (APHA) D) Association of State and Territorial Directors of Nursing (ASTDN)

B) American Nurses Association (ANA)

The nurse conducts bio-monitoring of residents of a community exposed to mercury vapor from a manufacturing facility nearby. Which form of bio-monitoring is the method for the purpose of determining exposure to this contaminant? A) Measuring heart rate B) Collecting blood or urine C) Assessing respiratory rate D) Obtaining body weight and composition measure

B) Collecting blood or urine

The nurse identifies the specific indicators and focal areas needed to establish immunization and well-child clinics in a low-income neighborhood. What actions are needed to meet the health outcomes of the project? A) Identify the need in the community for the clinic on the basis of subjective data. B) Develop a plan to meet the costs and promote the benefits of the project. C) Consider the identified neighborhood's need for healthcare compared with that of other low-income neighborhoods by interviewing the members of the neighborhood. D) Assume that the neighborhood will welcome the institution of a well-child and immunization clinic.

B) Develop a plan to meet the costs and promote the benefits of the project.

Environmental justice is an important consideration when working with tribal communities. Many tribal communities still continue to try and practice traditional tribal life ways. In what aspect are traditional practices often directly affected by contaminated land and water? A) Spiritual practices B) Dietary practices C) Work opportunities D) Exercise opportunities

B) Dietary practices

In a scenario where SARS is reintroduced into the environment, which of the following measures is imperative to prevent spread of the disease? A) Prophylactic antibiotics B) Enhanced infection control measures C) Use of alcohol cleansers D) Report clusters to CDC

B) Enhanced infection control measures

The public health nurse has determined that no one in the community receives adequate healthcare. Which belief is the nurse prioritizing to ensure environmental justice for everyone in the community? A. B. No group should suffer more from environmental health consequences than others C. D.

B. No group should suffer more from environmental health consequences than others

The nurse works in a facility that provides hospice care for clients with cancer diagnoses. The nurse recognizes that the care provided in this facility is tertiary in nature. The nurse develops a plan for the clients that would include the tenets of tertiary prevention. The plan would include: (Select all that apply.) A. Education B. Pain control C. Palliative care D. Supportive spiritual development

B. Pain control C. Palliative care D. Supportive spiritual development

The national weather service warns of an impending ice storm that may have crippling effects on the community. Widespread electrical outages are predicted as well as freezing temperatures. The community health nurses are mobilized to establish emergency living quarters and clinics for those without heat. In which phase of this disaster are the nurses' actions occurring? A. B. Pre-impact C. D.

B. Pre-impact

The local clinic is dedicated to the well adult and child. It has evening hours and offers varied programs for the community. The programs include immunizations and classes on fire safety, health education, and car safety, to name a few. How would the nurse explain the level of prevention used in this setting to your colleagues? A. Tertiary B. Primary C. Quaternary D. Secondary

B. Primary

A man who lives in a homeless shelter is diagnosed with active tuberculosis (TB). The shelter keeps a list of those who are assigned beds, and the majority of those sleeping there are regulars. Which finding would indicate a positive tuberculin skin test result using a two-step process? A) 4-mm induration B) 5-mm induration C) 6-mm induration D) 8-mm induration

C) 6-mm induration

A 16-year-old client visits the community health clinic with concerns that she may have a sexually transmitted infection (STI). She asks whether STIs are treatable. STIs that are easily treated and curable include: (Select all that apply.) A) Human papillomavirus B) Herpes simplex C) Chlamydia D) Gonorrhea E) Syphilis

C) Chlamydia D) Gonorrhea E) Syphilis

The public health nurse is preparing to lead a discussion at the local library centering on improving health in the local community. Which goal from the Healthy People 2020 should the nurse prioritize? A) B) C) Create social and physical environments that promote good health for all D)

C) Create social and physical environments that promote good health for all

A high school graduate is interested in pursuing public health nursing after shadowing the local public health nurse in the community. Which principles will this student be introduced to in preparing for this career path? (Select all that apply.) A) B) C) Developing cultural commence skills D) Actively reaching out to all who will benefit the most from a specific service

C) Developing cultural commence skills D) Actively reaching out to all who will benefit the most from a specific service

A 43-year-old African-American client is HIV positive. She has a personal history of abuse, which ended when her husband died 2 years ago. When counseling the client about adherence to her treatment plan, the nurse finds her intelligent and goal oriented. In addition to her need for education and follow-up regarding her HIV diagnosis and treatment, which associated condition should the nurse most consider when caring for this client? A) Cardiac tamponade B) Chronic obstructive pulmonary disease C) Post-traumatic stress disorder D) Cirrhosis of the liver

C) Post-traumatic stress disorder

An immigrant from Guatemala, age 47, is admitted to the coronary care unit with congestive heart failure. This is the fourth admission for this client, and the physician believes that the client's inability to adhere to his diet and medication regimen is the reason for his frequent admissions. The physician refers the client to the local community health nurse, on discharge from the hospital. Which would be most appropriate for the nurse to include in this client's plan of care? A. Teaching the family to adapt their cultural dietary plans to the client's diagnosis B. Insisting that the client adhere to his diet C. Developing culturally relevant and gender-sensitive interventions D. Assessing the client's financial needs and obtaining financial assistance as needed

C. Developing culturally relevant and gender-sensitive interventions

The occupational nurse is evaluating a work site. Which finding exemplifies a physical hazard at this location? A. B. C. Electric and magnetic fields D.

C. Electric and magnetic fields

The community health nurse works in a region where severe acute respiratory syndrome (SARS) has just been reintroduced into the environment. Which measure is imperative for the nurse to take to prevent spread of the disease? A. B. C. Enhanced infection control measures D.

C. Enhanced infection control measures

The occupational health nurse for a computer manufacturer is required to conduct a physical examination of each new hire. Which is the primary rationale for this action? A. B. C. Ensure the worker's fitness for the job D.

C. Ensure the worker's fitness for the job

The nurse wishes to calculate the probability of persons in the county developing chronic obstructive pulmonary disease over the course of a year. Which measure will be best for the nurse to utilize? A. B. C. Incidence rate D.

C. Incidence rate

The nurse is locating populations in her region who are exposed to lead-based paint and providing them with information regarding the dangers of lead poisoning. This is an example of which public health intervention? A. Screening B. Case management C. Outreach D. Surveillance

C. Outreach

The nurse asks a client, "Do you wear the clothes you wear at work at home?" Which subject on the exposure history is the nurse prioritizing with this questioning? A. B. C. Present work D.

C. Present work

The nurse is preparing to do a research study on the effects of tight insulin control for diabetes. Which study design should the nurse prepare to utilize to complete this project? A. B. C. Randomized, control group D.

C. Randomized, control group

Which represents the correct order of events in the policy-making process? A) 1) Policy formulation, 2) policy assessment, 3) policy adoption, 4) policy implementation, 5) policy modification, 6) setting an agenda B) 1) Setting an agenda, 2) policy formulation, 3) policy assessment, 4) policy modification, 5) policy adoption, 6) policy implementation C) 1) Policy formulation, 2) setting an agenda, 3) policy implementation, 4) policy modification, 5) policy assessment, 6) policy adoption D) 1) Setting an agenda, 2) policy formulation, 3) policy adoption, 4) policy implementation, 5) policy assessment, 6) policy modification

D) 1) Setting an agenda, 2) policy formulation, 3) policy adoption, 4) policy implementation, 5) policy assessment, 6) policy modification

You admit a client to your hospital with the diagnosis of E. coli O157:H7. He is dehydrated and febrile. During the history phase of the admission, the client states that he doesn't know how he could have gotten sick at the local county fair, the hamburger he bought was well done. Upon further discussion you suspect the transmission may have occurred because of A) Use of a gas barbecue. B) Improper cleaning of the cooking tools. C) Use of wood versus charcoal to cook the meat. D) Animals roaming in the fair grounds.

D) Animals roaming in the fair grounds.

The occupational and environmental health nurse provides leadership in developing occupational safety and health policy within the organization and function in an upper management role. The nurse has served as a consultant to both business and government and has designed and conducted significant research. At which American Association of Occupational Health Nurses (AAOHN) competency level in occupational and environmental health nursing is this nurse functioning? A) Advanced beginner B) Competent C) Proficient D) Expert

D) Expert

Four employees at a local restaurant have positive purified protein derivative (PPD) tuberculin skin tests and have been diagnosed with latent tuberculosis (TB) infection. Which employee would be at the greatest risk for contracting active TB disease? A) Works two jobs. B) Vacations in South America. C) Cooks the food. D) Takes immunosuppressants.

D) Takes immunosuppressants.

Which industry has the highest number of fatal injuries? A) Agriculture B) Construction C) Mining D) Transportation

D) Transportation

The student-nurse discusses transmission that involves contact of a susceptible host with a vehicle. Based on the chain of infection links, which exemplifies a vehicle? A) Animals B) Insects C) Reptiles D) Water

D) Water

The nurse works with a female client who recently developed an infection of Staphylococcus aureus while in the hospital. The nurse would determine that S. aureus is which component in the chain of infection? A. B. C. D. Agent

D. Agent

The nurse is a member of a disaster team responding to a chemical disaster. The nurse assesses clients in a systematic fashion, concentrating on their ability to breathe. Which action should the nurse prioritize before conducting the physical assessments? A. B. C. D. Don PPE

D. Don PPE

The nurse is participating in a study that considers the effect that use of netting around beds has on the incidence of malaria in a community of subjects in Africa. Which type of study should the nurse conclude will be the best for this project? A. B. C. D. Preventive

D. Preventive

The nurse meets with a group of fellow nurses. They discuss the number of children who have died in hot cars and how likely they are to gain support from their state legislators to address the problem. The nurses are currently in which step of the policy-making process? A. Policy assessment B. Policy formulation C. Policy adoption D. Setting an agenda

D. Setting an agenda

Each employee in a small community hospital is informed that he or she needs a tuberculin skin test and of the date that the test is due. The kitchen employees tell the nurse that they don't need the test and never had to have it before. Which is the best response by the nurse? A. B. C. D. Tuberculosis guidelines require testing of an entire healthcare setting.

D. Tuberculosis guidelines require testing of an entire healthcare setting.

A newly hired health and safety officer works for a large manufacturing facility. One of the officer's first jobs is to conduct a complete survey of the workplace to determine what hazards are present, the location of entries and exits, the availability of emergency equipment, and potential trouble spots. Which interventions should the officer implement to accomplish this goal? A. B. C. D. Workplace walk-through

D. Workplace walk-through

1. The occupational health nurse works in facility located in a region that is highly prone to tornadoes. Which intervention should the nurse make sure is included in the facility's emergency plan to address this potential threat? A. B. A shelter-in-place policy and procedure C. D.

B. A shelter-in-place policy and procedure

A client wants to know the best way to avoid STIs. Which actions should the nurse point out will help decrease the risk of becoming infected with a STI? A. B. Abstinence C. D.

B. Abstinence

In researching cases of West Nile virus in the community, the nurse explores how the interactions among people infected with this virus, mosquitoes, and the environment they share contribute to outbreaks of this disease. Which epidemiologic model is the nurse prioritizing in this case? A. B. Epidemiologic triad C. D.

B. Epidemiologic triad

The nurse has heard rumors in the hospital of an Ebola outbreak in the community and decides to investigate it further. Which steps should the nurse prioritize when beginning this investigation? A. B. Establish the existence of the outbreak C. D.

B. Establish the existence of the outbreak

A client presents with severe diarrhea. The client tells the nurse that she went to a chicken roast at church the previous weekend. The nurse suspects a food-borne illness. Which cause of bacterial food-borne illness should the nurse most suspect in this case? A) Campylobacter B) Listeria monocytogenes C) Salmonella D) Escherichia coli O157:H7

A) Campylobacter

Who achieved widespread recognition during the Civil War, distributing supplies to wounded soldiers and caring for the casualties with the help of a team of nurses? A) Clara Barton B) Dorothea Dix C) Lemuel Shattuck D) Lillian Wald

A) Clara Barton

You are comparing the current leading causes of death in the community to those at the beginning of the 20th century. Using your knowledge about the importance of looking at changing demographics, what was the leading cause of death in the United States in 1900? A) Major cardiovascular-renal disease B) Influenza and pneumonia C) Tuberculosis D) Gastritis, duodenitis, enteritis, and colitis

A) Major cardiovascular-renal disease

The client is a single mother of two who earns minimum wage at a part-time job and never graduated from high school. Which healthcare-related outcomes is the client at increased risk for, based on her circumstances? (Select all that apply.) A) Morbidity B) Mortality C) Genetic disorder D) Difficulty accessing care E) Negative outcomes when receiving care

A) Morbidity B) Mortality D) Difficulty accessing care E) Negative outcomes when receiving care

You have to prepare a short presentation on the history of vital statistics. Using your knowledge about the fact that the study of illness in groups of people developed gradually, who analyzed the weekly reports of births and deaths in London and as a result these analyses became the precursor of modern vital statistics? A) William Farr B) John Graunt C) Florence Nightingale D) John Snow

B) John Graunt

You are hired as an employee health nurse in a small community hospital. Each employee is informed that he or she needs a tuberculin skin test and the date that the test is due. The kitchen employees tell you that they don't need the test and never had to have it before. You respond that A) the test does not need to be given if you do not have client contact. B) TB guidelines require testing of an entire health care setting. C) the test will not hurt; we won't fire you if you test positive. D) the TB guidelines state kitchen workers are at risk.

B) TB guidelines require testing of an entire health care setting.

The public health nurse is a first responder in a community disaster, secondary to a flood. One section of the town has experienced a loss of water and electricity for 4 days. The nurse's first action to meet the needs of the community at this time should be to: A)Refer the members of the community to a spiritual outreach program B)Provide access to safe food and water C)Inform the fire department of potential risks within the community setting D)Provide an immunization program

B)Provide access to safe food and water

The nursing team cares for victims of a possible anthrax white powder investigation. Which information must be documented by the nurse scribe? (Select all that apply.) A)Victims' names B)Time and place C)Name of the Incident Commander D)General assessment of the field E)Victims' health histories

B)Time and place C)Name of the Incident Commander D)General assessment of the field