Community Review Questions Exam 2

a

Which term would best describe a person who is limited in independent living skills, economic self-sufficiency, and self-help ability? a. Developmentally disabled b. Dual-diagnosed c. Impaired d. Physically disabled

d

A faith community nurse has entered into a written contract to provide spiritual care at two local nursing homes and the community hospital. This best represents the implementation of which model of faith community nursing? a. Congregational model b. Health ministry model c. Holistic care model d. Institutional model

b

A faith community nurse is planning a strategy to carrying out the health education role. What activity would be most appropriate? a. Conducting prayer circles b. Organizing health fairs c. Planning congregational meals d. Providing volunteer training

d

A home health nurse is charged with identifying opportunities for health promotion and illness primary prevention. Which activity would the nurse do? a. Collaborate with the chaplain to address the spiritual needs of a hospice patient. b. Educate a school nurse on the care regime of a student newly diagnosed with asthma. c. Refer a newly diagnosed diabetic patient to the nutritionist for dietary teaching. d. Track the immunization status of the clients in his or her workload.

b

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 which topic? 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 you need someone to talk to."

b

A migrant worker comes to the migrant health clinic holding the abdomen and complaining of empacho. The nurse may encounter this complaint when dealing with migrant workers who are natives of which country? a. Guatemala b. Haiti c. Mexico d. Panama

c

A new primary health clinic is established in a predominantly African American neighborhood to address the top causes of mortality in the local adult population. The nurse at the clinic uses a community-focused nursing process to plan interventions aimed at reducing the incidence of: a. cardiovascular accident, lung cancer, and alcoholism. b. depression, alcohol abuse, and obesity. c. heart disease, stroke, and homicide. d. mental illness, drug and alcohol abuse, and heart disease.

a

A nurse case manager working with a 1 year old with special needs living in an impoverished neighborhood identifies a potential health outcomes concern. What assessment by the nurse takes priority? a. Developmental milestones b. Frequent colds and infections c. Mental health d. Nutritional status

b, c, d, e

A nurse conducting a home visit for a child with cerebral palsy observes the child gazing out of the window into the neighborhood. The nurse prepares to provide guidance to the parents regarding their child. What topics does the nurse include? (Select all that apply.) a. Adjusting the school schedule to keep the child occupied with studies b. Community attitudes about interacting with children with disabilities c. Opportunities and places for organized and spontaneous play d. Legislation regarding access rights for people with disabilities e. Physical activity needs to avoid obesity and its consequences

c

A nurse designing a program to improve the health of frail elderly. What does the nurse need to address in this program? a. Culture, religion, and race b. Media and marketing initiatives c. Racial/ethnic and sociological disparities d. Vital statistics on mortality causes

a

A nurse is designing a tertiary prevention intervention to address the leading cause of school absences related to chronic illness. Which illness does, the school nurse focus on? a. Asthma b. Attention-deficit hyperactivity disorder c. Diabetes mellitus d. Digestive system problems

a, b, c, d

A nurse is planning a training session for a new group of disability determination workers regarding the leading causes of severe disabilities in U.S. adults. What topics will the training address? (Select all that apply.) a. Arthritis b. Back problems c. Obesity d. Heart disease e. Lung disease f. Occupational injury

a, c, e

A nurse is planning a women's screening program to detect the presence of the leading causes of disease burden for women in the United States. What items would the nurse include in the program? (Select all that apply.) a. Blood pressure b. Depression c. Usual diet d. Sexually transmitted diseases e. Smoking

a

A nurse is planning an activity for older congregants. After reading Healthy People 2020 goals for older adults, which activity does the nurse design? a. Exercise program integrating movements from a sitting or standing position b. Classes to promote a healthy self-image c. Cooking classes highlighting various cuisines d. Monthly onsite access to biotouch and massage therapists

a, c, d, e

A nurse is the school district's single nurse overseeing 15 schools. Since the nurse cannot be at all schools on any given day, the district has asked for a cart with supplies for staff to use. What items does the nurse include in the cart? (Select all that apply.) a. Blunt scissors b. Casting material c. Disposable blankets d. Non-latex gloves e. Sharps container

b

A nurse is working at a school that participates in the federal school meal program. What activity does the nurse engage in related to this program? a. Assists in creating a school-based health clinic. b. Ensures the school wellness policy is current and reflects best practice. c. Provides meal accommodations for special needs children. d. Writes policies to ensure equal access to education for all students.

b

A PHN in the local health department assists the community in identifying the health need priorities and the services that can best meet these needs in a cost-effective manner. This is an example of which tertiary prevention public health nursing function? a. Case finding b. Case management c. Collaboration d. Provision of direct services

d

A clinic has received funds to pay for clinic visits for farm residents who live in frontier or rural, non-metropolitan statistical areas. Which of the following client(s) would qualify to receive this special funding? a. Apple grower who lives in a 100-square-mile county with a population of 19,900. b. Client who lives next to a ranch in a town of 1200 people. c. Soybean grower and spouse who live in a 400-square-mile county with a population of 39,200. d. 70-year-old client residing in an assisted living facility in a rural area.

d

A community health nurse is prioritizing health-promotion activities with the local rural community. An understanding of the health status and health risks of the rural community would lead the nurse to give priority to which activity? a. Aerobic exercise classes b. English as a second language program c. Mentoring program to increase adult literacy d. Motor vehicle and farm accident prevention

a

A community health nurse seeks to enhance the health promotion and health-service-seeking behaviors of the migrant farmworkers in local apple orchards. What evidence-based action by the nurse would be best? a. Educating migrant lay health workers b. Establishing a farmworker advocacy group c. Fundraising for a mobile health unit d. Lobbying local politicians for more funding

a

A community-level intervention designed to increase the sense of belonging among older community residents at risk for social isolation was implemented by opening a senior center every other Wednesday at a local church that provided lunch and social programs. At the end of 6 months, the attendees were surveyed to determine their experience with the program, barriers to attendance, expansion of their social networks, and involvement in other community activities. This survey allowed the community health nurse to _______ the program and design program improvements. a. evaluate the effectiveness of b. assess the expansion needs of c. identify problems with d. implement the expansion of

b, c, d, e

A community-oriented nurse is developing goals for a community health center's senior center. The goals should focus on which of the following? (Select all that apply.) a. Helping elders accept the inevitability of aging b. Implementing secondary prevention measures c. Maximizing functional status d. Meeting social needs e. Providing appropriate recreation

c

A community-oriented nurse wants to develop strategies to reduce the effects of toxic stress on children. What activity would the nurse make a priority? a. Creating a space for therapeutic play b. Employing a child psychologist c. Hiring a full-time lactation consultant d. Offering stress-reduction counseling

b

A district health nurse is assigned to two rural communities in the state. To achieve the best outcomes possible in reducing the health disparities for the large number of frail elderly clients in the two counties, the nurse should consider using what community-oriented nursing approach? a. Assessment b. Case management c. Geriatrics d. Tertiary prevention

a, b, c, d, e

A nurse manager for a community health agency is teaching the staff ways to promote effective interprofessional collaboration. What strategies does the manager teach? (Select all that apply.) a. Be on time. b. Communicate in lay terms. c. Feel confident in your abilities. d. Know what other professionals do. e. Understand role theory.

a, b, c, d

A nurse practicing in a faith community engages in behaviors that support this practice mission. What activities does this nurse participate in? (Select all that apply.) a. Attend a weekend retreat focusing on developing one's faith. b. Be intentional about taking care of him- or herself. c. Find a faith community nurse to serve as a support system. d. Take time away to refresh and rejuvenate occasionally. e. Teach classes on self-help for overcoming spiritual distress.

b

A nurse volunteering at a local homeless shelter notes that many of the clients have acute and chronic illnesses and are in need of primary health care services. Which strategy would the nurse consider most effective when working with these clients? a. Form a community partnership to establish a clinic for homeless persons. b. Create a trusting environment and establish a therapeutic relationship. c. Collaborate with the local united way to obtain funding for primary care services. d. Dialogue with local clergy to address the unmet primary care need for homeless persons.

a

A nurse will be starting a new job serving a rural, Native American reservation. What supplies or equipment does the nurse anticipate having the highest need for? a. Diabetic testing supplies b. Oximeter and sensors c. Suicide prevention pamphlets d. Water purifiers

d

A nurse wishes to become involved in outreach to migrant farmworkers. What activity by the nurse would be consistent with this service? a. Assisting migrant farmworkers to understand their rights b. Developing policies and assuring funding for services c. Reaching migrant communities for primary prevention d. Training lay health workers for health education

b

A nurse working in a clinic in an inner city with high poverty and unemployment rates recognizes the need for programs for women because impoverished women are at higher risk for: a. decreased access to social services. b. poorer health status. c. exposure to environmental toxins. d. poorer academic success.

d

A nursing diagnosis of increased risk for delayed development, injury, and disease because of inadequate parenting by a primary parent experiencing depression would most likely indicate that the nursing process is being applied at the _______ level of practice and the _______ level of prevention. a. individual/family; secondary b. community; primary c. community; secondary d. individual/family; primary

c

A rural health nurse who is planning programs to address the population's needs should recognize that, in general, rural populations: a. engage in physical activity during leisure time. b. engage in preventive health behaviors. c. perceive their overall health as less favorable. d. use seat belts.

a, b, c, d, e

According to Ziebarth (2016), what are the five essential attributes of faith community nursing? (Select all that apply.) a. Accessing health care b. Coordinating c. Disease managing and health promoting d. Empowering e. Faith integrating

a

According to the Home Health Care Scope and Standards, which should be the minimum requirements for entry into home care practice? a. Baccalaureate in nursing b. Baccalaureate in nursing and clinical nurse specialist (CNS) certification c. Master's in nursing d. Master's in nursing and CNS certification

c

After consulting with the health department director, a PHN collaborates with a housing advocate service and legal counsel on behalf of the nurse's clients who live in substandard housing under fear of eviction. The nurse is applying the _______ component of the nursing process to a _______ level of practice. a. evaluation; systems b. assessment; community c. implementation; systems d. diagnosis; community

d

After establishing trust with a homeless LGBTQ youth, what assessment by the nurse takes priority? a. Immunization status b. Nutrition c. STD screening d. Trauma screening

c

An undocumented migrant farmworker has been diagnosed with TB. The local health department initiates treatment by dispensing the first month's supply of medication and educates the client on the need to continue treatment for 6 to 12 months. A major challenge that the client may face to ongoing treatment for TB is: a. affordable care. b. discrimination. c. fragmented services. d. language barriers.

c

At the request of a local senior women's group, a nurse is developing an osteoporosis primary prevention program. Which of the following is an appropriate strategy the nurse would incorporate in the program? a. Design a nurse-directed program instead of a peer-directed program. b. Encourage exercise and consideration of HRT. c. Promote diets rich in calcium and vitamin D and daily weight-bearing exercise. d. Promote swimming and supplementation with calcium and vitamin D.

c

Because of the need for various knowledge, skills, and perspectives, successful functioning in the provision of services in home care requires which of the following? a. Certified advance practice home health nurses b. Integration of home health aide and homemaker roles c. Interprofessional teams d. Physician certification of the medical problem and plan of care

b

Children with chronic health problems face challenges in school because of which of the following issues? a. Difficulty gaining access to public school education b. Embarrassment and self-imposed social isolation c. Increased special education costs in public schools d. Psychological distress related to the severity of their disability

c

Collaboration is an intervention that would be located where in the Intervention Wheel? 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

Collaboration is essential for public health nursing practice, and collaboration with existing groups at the local level is encouraged for which of the following reasons? a. Public health departments do not have the resources to accomplish these goals independently. b. The federal government is ultimately responsible for the health status of the nation. c. The public demands that the government protect the people. d. State health agencies must take a universal approach to achieving objectives.

a, b, c, d, e

Community and public health nurses (PHNs) practicing in rural locales consistently note which of the following characteristic of their practice environments? a. Broad scope of practice b. Independence and autonomy c. Inter-generational practice d. Opportunity for community involvement e. Respect and visibility

b, d, e

Conditions that may lead to disability typically are the focus of primary prevention activities. However, all three levels of prevention apply to physically compromised clients, primarily because the focus should be on which of the following? (Select all that apply.) a. Addressing the client's perception of himself or herself in terms of the disability b. Establishing lifelong, health-promoting behaviors c. Integrating appropriate complementary and alternative medicine treatments d. Overcoming barriers to disease prevention activities e. Preventing complications from the effects of immobility and the disease process

b

In designing a substance abuse primary prevention education program for the secondary schools in the community, it would be most important for the school nurse to include content related to the latest trend in the use of which drug? a. Cocaine b. Ecstasy c. Heroin d. Marijuana

a, b, c

Depression among rural residents appears to be more persistent and endemic. Which of the following factors may contribute to this level of depression? (Select all that apply.) a. Elevated levels of poverty b. Geographic isolation c. Insufficient mental health services d. Lack of awareness e. Tolerance for destructive coping mechanisms

a, c, d

Diabetes mortality rates continue to rise for all ethnic and socioeconomic groups, but evidence shows that which of the following are true? (Select all that apply.) a. Addressing the diabetic epidemic involves more than a focus on individual factors b. Community-based education programs have done little to address the problem c. Complications and mortality rates are highest among low-income and minority groups d. Selection of healthy food options is both an availability issue and an education issue e. Standard of living does not affect decision making

a

During an Individuals with Disabilities Education Act (IDEA) screening to detect mental or psychological conditions in young school-age children, a child is identified as having a cognitive disability. The school nurse should now consider this child to be at greatest risk for which potential problem? a. Abuse or neglect b. Age-inappropriate friendships c. Embarrassment d. Physical inactivity

a, b, c, e

Effects of homelessness on health care outcomes can be devastating and may include which of the following? (Select all that apply.) a. Higher incidence of acute and chronic disease b. Higher risk of physical trauma c. Crisis-oriented health care, usually in emergency departments d. Reduced eligibility for entitlement/assistance programs e. Lack of awareness of care options

a, b, c, d, e

Factors related to the determinants of health identified in Healthy People 2020 include which of the following? (Select all that apply.) a. Education and literacy b. Genetic endowment c. Gender d. Culture e. Social status

c

From August through May, an inner city school district provides primary health care services, including mental health and dental care, to children and youth. This is a specific example of which of the following? a. Child health improvement program b. Primary care clinic c. School-based health center d. School health system

c

Hospice care would be an appropriate option to discuss with which of the following patients? a. Patient with stage II lung cancer who is undergoing chemotherapy. b. Patient with early Alzheimer's disease whose caregiver needs respite care. c. Patient with metastatic breast cancer who has discontinued chemotherapy. d. Patient with severe debilitating osteoporosis.

c

In caring for migrant workers and their families, the nurse should first assess the migrant workers' lifestyle and which of the following as the priority? a. Communicable diseases b. Educational level c. Housing arrangements d. Pesticide exposure

a

In comparison with women, men: a. incur more work-related injuries. b. experience lower survival rates in the first year after myocardial infarction. c. metabolize alcohol more efficiently. d. more actively initiate preventive health care interventions.

d

Promoting the creation of immunization registries that combine immunization information from different sources into a single electronic record to provide official immunization records for schools, daycare centers, health departments, and clinics is a goal of: a. community-level practice. b. family-level practice. c. individual-level practice. d. systems-level practice.

a, e

Public health nurses (PHNs) understand what information about health disparities? (Select all that apply.) a. Access to health care is a driver of unequal outcomes. b. Data comes only from government agencies. c. Economics does not influence disparities. d. Having good insurance decreased disparities. e. Minorities have poorer outcomes overall.

a, c, d, e

Public health nurses working from the principles of this specialty would engage in which activities? (Select all that apply.) a. Create interventions for a healthy environment. b. Emphasize the health of individuals and families. c. Plan primary prevention activities as the priority. d. Research and use all available resources. e. Work with clients as equal partners.

a

Public health nursing practice is guided by the community's priorities as identified by community: a. assessment. b. diagnosis. c. interventions. d. planning.

d

Rapid changes in public health resulted in revisions to the American Nurses Association (ANA)'s Scope and Standards of Public Health Nursing Practice that established which of the following? a. Core public health functions as the competency framework b. Minnesota Department of Health's Intervention Wheel as the practice competencies c. Quad Council principles as the primary framework for practice d. Standards for baccalaureate- and master's-prepared PHNs

a

Several faith communities are jointly operating and staffing a food pantry for community members in need that coordinates assistance with the local health department's Women, Infants, and Children program. The faith community nurse in one of the faith communities coordinates the overall partnership and the care teams to staff the project. This best demonstrates which role of the parish nurse? a. Coordinator b. Integrator of faith and health c. Health educator d. Personal Health counselor

a, b, c, d, e

Some major public health challenges for public health nursing include which of the following? (Select all that apply.) a. Drug-resistant organisms b. Emerging infections c. Health reform legislation d. Substance abuse e. Violence in society

c

State public health agency responsibilities include which of the following activities? a. Conducting community health assessments b. Enforcing public health codes c. Monitoring health status d. Providing expertise that facilitates evidence-based practice

a, b, c, e

The ANA Standards of Home Health Nursing Practice is composed of two parts: Standards of Care, which follow the six steps of the nursing process, and Standards of Professional Performance, which include which of the following? (Select all that apply.) a. Quality of care b. Performance appraisal c. Collegiality d. Outcome identification e. Resource use

a, b, e

The National Association of School Nurses (NASN) and standards of practice for school nurses set forth which of the following principles? (Select all that apply.) a. School nurses should have a bachelor's degree in nursing and a specialty certification. b. School nursing uses the nursing process. c. Credentialing is recommended but not required. d. American Academy of Pediatrics governs the school nurse's practice. e. School nurses must ensure the safety of the children, including when delegating care.

a, b, c

The Omaha System was initially designed to address the concerns of nurses practicing in the community in the following areas: (Select all that apply.) a. Documentation b. Information management c. Nursing practice d. Telehealth e. Specialty certification

b

The PHN ensures that a local community coalition for improving school lunches takes the time to listen to each stakeholder's view, develops a common validated language for discussing the initiative, and shares the credit for the success of the initiative. Which principle is the PHN is adhering to? a. Collaboration b. Partnership c. Public health care d. Public health nursing

b

The PHN serves as a bridge between at-risk populations and the community's health care resources. This role is based on the nurse's responsibility to: a. collect and analyze data on public health programs. b. ensure that all populations have access to affordable, quality health care. c. monitor and assess critical health status indicators. d. provide evidence-based use of resources.

a

The case manager role of the school nurse can best be described as which of the following? a. Coordinating health care for children with complex health problems b. Counseling students to choose workable solutions to their problems and conflicts c. Referring students to available resources d. Screening students for common health problems

b, c, d

The community health nurse can serve as an advocate for the vulnerable migrant population by engaging in which of the following actions? (Select all that apply.) a. Becoming culturally and linguistically competent b. Collecting necessary data on migrant workers' lifestyle and health status c. Educating communities about the migrant workers in their areas d. Educating policymakers about successful programs for migrant workers e. Using lay health workers to provide health education in migrant camps

b

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

d

The home care nurse assesses clients and services regularly for fiscally responsible use. What is a key driver of this activity? a. Increasing rate of insurance fraud b. Merit-based pay incentivization c. Need to maintain current funding d. Reduction of service time to 30 days

b

The impact of poverty on the onset of disability can best be expressed by which of the following statements? a. Being underinsured through the workplace limits options for health care services. b. Low income can increase the risk of preventable disability. c. Successful insurance settlements for injury claims limit the financial impact of disability. d. Transportation for persons with limited mobility affects access to health care services.

c

The incentives and pressures for cost control and improved health outcomes have promoted the development of technologies that are simpler, more reliable, and more: a. acceptable to the patient. b. complex. c. efficient. d. expensive.

d

The intervention used to influence the knowledge, attitudes, values, beliefs, behaviors, and practices of the population of interest is referred to as: a. advocacy. b. coalition building. c. consultation. d. social marketing.

c

The local hospital emergency department has recently noted an increase in gastroenteritis cases among migrant farmworkers. The local health department is informed of the rise in cases and schedules an assessment of which of the following? a. Bars frequented by migrant workers b. Farm fields employing migrant workers c. Housing for migrant workers d. Restaurants frequented by migrant workers

c

The nurse assesses a client with paraplegia and cataracts. The client holds a full-time job and engages in several hobbies. What does the nurse document about this client? a. Dual diagnoses b. Functional limitations and wheelchair bound c. Visual and physical limitations d. Visual impairment and physical disability

a, b, c, d

The nurse case manager in a migrant farmworker clinic assesses this population for occupational and environmental risks related to which problems? (Select all that apply.) a. Contaminated water b. Fear of injury reporting c. Inadequate sewage d. Pesticide exposure e. Traffic accidents

b

The nurse counseling women regarding hormone replacement therapy (HRT) would include which information? a. HRT is beneficial for vasomotor symptoms for a brief time. b. HRT should be considered for prevention of osteoporosis in all women. c. Menopause is a result of hormone deficiency and HRT is appropriate for all women. d. Research concludes that HRT does prevent heart disease in menopausal women.

b

The nurse knows that which individual would be considered correctly defined? a. Agricultural day laborer: A migrant or seasonal farmworker with a second part time job b. Migrant farmworker: Travels to do farm work unable to return to a permanent home in the same day. c. MSFW: A foreign worker employed seasonally in agriculture who is also a migrant d. Seasonal worker: Individual who travels around the country working crops in season

d, e

The nurse working with migrant farmworkers and their families understands that which of the following are true statements regarding the health and well-being of the migrant children? (Select all that apply.) a. Are not eligible for Medicaid or state health insurance. b. Generally attend school despite moving frequently. c. Have a federal safety net of limited overtime until age 18. d. May be exposed to "take home" chemicals. e. Often suffer from anxiety-related problems.

d

The parish nurse works with a congregant with early stage Alzheimer's disease and with the individual's family to design a progressive quality-of-life plan that addresses the need for legal, financial, health care, and end-of-life decision-making strategies as the disease progresses. This approach to well-being for the individual can best be characterized as an example of the philosophy of faith community nursing that: a. considers the ongoing, dynamic nature of health, spiritual health, and healing. b. emphasizes strengths of individuals, families, and communities. c. emphasizes the spiritual dimension found in every person. d. focuses on the faith community and its ministry.

a

The role of the community-oriented nurse working with the special needs population is largely influenced by which of the following? a. Community awareness of and commitment to meeting the needs of people with disabilities b. Educational opportunities for nurses to learn about this population c. Number of people with disabilities in the community and the magnitude of their needs d. Nurse's attitude toward people with physical challenges

a, b, e

The school nurse is present during an assault by an active shooter. After the crisis is over, what actions by the nurse are most appropriate? (Select all that apply.) a. Arrange for grief counseling services in the school. b. Conduct regular assessments for anxiety and post-traumatic stress. c. Evaluate the school's response to this emergency. d. Prescribe medication for anxiety or depression. e. Provide open routes of communications with all involved.

c

The school nurse wishes to provide community outreach. What activity does the nurse plan? a. Arrange transportation for appointments. b. Conduct research on immunization reluctance. c. Organize a multi-disciplinary health fair. d. Provide service opportunities for students.

c

The shift of home care away from its charitable and public health-oriented roots toward current models in use can be attributed to which event? a. Consolidation of voluntary and official home health agencies b. Expansion of home care to include community health needs c. Integration of home care into benefit programs d. Passage of the Medicare prospective payment system

c

The 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.

b

To develop a baseline for a presentation at the local women's club about the status of women's health in the community, a community-oriented nurse researches national vital statistics to establish the leading cause of women's deaths in the United States. In the United States, the leading cause of death for women is: a. cancer. b. heart disease. c. infectious disease. d. stroke.

a

To develop effective nursing interventions, the nurse should evaluate clients and populations in which context? a. Environment b. Improvement of status c. Human dignity d. Nursing theories

c

To provide effective care and advocacy for individuals, families, and populations living in poverty, nurses must first: a. apply epidemiologic principles for prevention. b. develop resource expertise in the community. c. examine their personal beliefs, values, and experiences. d. understand the federal criteria and guidelines for poverty.

d

What causes nurses practicing in rural communities to often observe that protecting client confidentiality is a unique challenge? a. Close-knit atmosphere among residents b. Difficulty keeping one's business private c. "Everyone knows everything already" d. Social informality and respect

d

What connection does the nurse make between the older adult and poverty? a. Medical expenses often lead to bankruptcy. b. Older men have a higher poverty rate than women. c. Poverty for elders has risen overall since the 1960s. d. Staying out of poverty is a near-daily challenge.

b, d, e

What does a community-oriented nurse newly assigned to a rural community learn about the characteristics of rural and small town life? a. Fractured family and social systems b. Informal social and professional relationships c. Openness to people new to the community d. Role of churches as socialization centers e. Work of many residents in high-risk occupations

a

What does the nurse understand when considering whether a geographic area is rural or urban? a. Rural and urban areas occur on a continuum. b. Rural regions have fewer than six persons per square mile. c. Rural residents feel isolated. d. Rural areas are recreational communities.

a

What is the rationale for the federal-state-local partnership teaming with other organizations to develop and implement responses to identified public health concerns? a. Community health is a shared responsibility. b. Health objectives are defined nationally. c. Population health is the responsibility of the government. d. Public health trends focus on bioterrorism.

a

When confirmed cases of the mumps, a vaccine-preventable disease, emerged on college campuses in fall 2006, public health nurses (PHNs) conducted outreach at campuses and collaborated with student health officials to increase the number of students with full immunization compliance. This is an example of: a. community-level practice. b. family-level practice. c. individual-level practice. d. systems-level practice.

c

Which man would have the highest risk for prostate cancer? a. Has erectile dysfunction. b. Has multiple sex partners. c. Is African American. d. Refuses to be screened.

d

Which of the following best describes faith community nurses? a. Advanced practice nurses working in churches to provide holistic nursing care and spiritual healing b. Baccalaureate-prepared nurses volunteering in faith communities to assist in their health ministries c. Nurses coordinating congregational health outreach programs within geographically delineated faith communities d. Professional nurses partnering with faith communities focusing on spiritual and holistic care, and illness prevention

b

Which of the following best represents the concept of homelessness as transitional? a. Man with chronic alcoholism and drug abuse living in a halfway house b. Recently unemployed man evicted from his apartment c. Teenager living on the streets and abusing drugs d. Woman with schizophrenia who is living in a shelter

a

Which statement is true regarding Holistic health care as an approach to nursing care? 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

b

Women with disabilities may be at higher risk for abuse because women with disabilities are: a. less exposed to multiple caretakers. b. less likely to have access to resources. c. more independent. d. socially unattractive.