Final - community
The public health workforce should demonstrate competency in which of the following competency categories? a.Financial planning and management b.Workforce needs assessment c.Acute care services d.Curriculum development
a.Financial planning and management
A nurse is caring for a client who has terminal lung cancer and is receiving hospice care. Which of the following statements should the nurse ID as an indication that the client is in the denial stage of the grief process?
"I'm looking forward to my daughter's wedding next year"
What type of abuse is occurring when a child does not receive the basic nurturing and caring needed for healthy development?
Emotional Neglect- is the omission of basic nurturing, acceptance, and caring of a child.
A PHN conducts an immunization clinic for measles. Which of the following is being implemented? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Health promotion
a. Primary prevention
The necessary basic preparation for public health nursing is a(n) _____ in nursing.
-Baccalaureate degree
A member of a community weight-loss group has maintained a healthy weight for 2 years through healthy eating and daily exercise. Which of the following steps of the affective domain is this participant demonstrating?
-Evaluation. Steps in the affective domain have the learner doing the following in this sequence: knowledge, comprehension, application, analysis, synthesis, and evaluation.
Which of the following best describes community-oriented nursing?
-Having the goal of health promotion and disease prevention
A nurse is providing education to a mother about the importance of having her infant immunized for measles, mumps, and rubella. Which of the following best describes the type of immunity that will be provided? a. Active b. Passive c. Natural d. Acquired
A
A nurse is triaging victims following a disaster. Which of the following describes the action the nurse would take? a. Allocation of treatment based on the victim's potential for survival b. Assignment of tasks to the appropriate disaster response personnel c. Determination of the level of disaster and agency involvement d. Participation in community preparedness for the disaster response
A
A nurse responds to a human-made disaster. Which of the following describes what the nurse is responding to? a. Structural collapse b. Communicable disease epidemics c. Mud slides d. Floods
A
A screening for diabetes revealed 20 previously diagnosed diabetics and 10 probable new cases, which were later confirmed, for a total of 30 cases. This is called: a. Prevalence b. Incidence c. Attack d. Morbidity
A
Which statement about disasters is true? a. They can be natural or human-made. b. They can be relieved without assistance. c. There is always injury and death when a disaster occurs. d. The timing of a disaster does not influence the types of injuries that will occur.
A
Which statement is true about mortality rates? Mortality rates: a. Are informative only for fatal diseases b. Provide information about existing disease in the population c. Are calculated using a population estimate at year-end d. Reveal the risk of getting a particular disease
A
A forensic nurse implements a program aimed at preventing domestic abuse. Which of the following levels of prevention is being used?
a. Primary prevention
A nurse manager at a community agency is developing an orientation program for a newly hired nurse. When discussing the differences between community-based and community-oriented nursing, the nurse should include which of the following situations as an example of community-based nursing? (Select all that apply) A. A home health nurse performing 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 about medications D. A parish nurse teaching class on low-sodium cooking techniques E. A mental health nurse discussing stress management techniques with a support group
A. A home health nurse performing wound care for a client who is immobile C. A school nurse teaching a student who has asthma about medication
Which is an example of an agent in the epidemiologic triangle? a. Human population distribution b. Salmonella c. Genetic susceptibility d. Climate
B
Making sure that essential community-oriented health services are available defines which of the core public health functions?
Assurance
A bioterrorism attack has occurred in the United States. Which of the following programs would be used to provide large quantities of medications to the American public? a. Cities Readiness Initiative b. Strategic National Stockpile (SNS) c. Public Health Information Network (PHIN) d. Project BioShield
B
A nurse is volunteering on a disaster medical assistant team as a first responder. Which of the following tasks would the nurse be prepared to perform? a. Set up immunization clinics b. Assist in triaging disaster victims c. Provide all the medical care for disaster victims d. Complete a needs assessment of the community
B
A state public health region reported 39 cases of meningitis in children 15 years of age and younger to date this year. Seven of those children died. The total population of the region is 780,000, of whom 84,000 are children age 15 years old and younger. Only four cases of meningitis were reported in the public health region during the previous year. No other public health region in the state has an incidence of meningitis that is higher than expected for that region. Based on the information given, the relative frequency of meningitis in the region at this time can best be described as: a. endemic. b. epidemic. c. pandemic. d. sporadic.
B
Acts of bioterrorism or natural disasters, such as earthquakes, will often have more casualties because: a. they cause the most widespread destruction. b. victims have little time to make evacuation preparations. c. those with chronic conditions cannot escape in time. d. the early warning systems are not effective.
B
What is immunity a characteristic of? a. An agent factor b. A host factor c. An environmental factor d. An epidemiologic triad
B
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. Metronidazole B. Ciprofloxacin C. Zanamivir D. Fluconazole
B. Ciprofloxacin
A forensic nurse has collected trace evidence. Which of the following best describes what has been collected?
Bloodstains
A nurse responds to a natural disaster. Which of the following is the nurse most likely responding to? a. Transportation accident b. Pollution c. Communicable disease epidemic d. Fire
C
A state public health region reported 39 cases of meningitis in children 15 years of age and younger to date this year. Seven of those children died. The total population of the region is 780,000, of whom 84,000 are children age 15 years old and younger. What is the prevalence proportion of meningitis in this region thus far in the current year? a. 4.1/100,000 b. 5/100,000 c. 46/100,000 d. 50/100,000
C
Which of the following article titles include(s) an example of epidemiologic distribution and determinants? a. Can Operating Room Nurses Measurably Reduce Patient Anxiety? b. Characteristics of Patients Newly Diagnosed with Tuberculosis c. Comparison of Postinsecticide Exposure Incidence of Atopic Dermatitis in Migrant Farmworkers and Land-Owning Farmers in Southwestern Utah d. Postpartum Nurses' Reaction to Rotating Shifts Compared with Assigned Stable Shift
C
A community health nurse is educating the public on the agents of bioterrorism. Which of the following agents should the nurse include as a Category A Biological Agents? (select all that apply) A. Hantavirus B. Typhus C. Plague D. Tularemia E. Botulism
C. Plague D. Tularemia E. Botulism
A primary 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. Performing a home safety check at 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 a communicable disease.
C. Providing influenza immunizations to employees at a local preschool
A nurse on a bioterrorism committee is developing a brochure to increase public awareness about the threat of inhalation anthrax. The nurse should plan to include which of the following information in the brochure?
Clients with symptoms of inhalation anthrax will need antibiotic treatment for 60 days
A nurse identifies a child who may be abused or receives information from a teacher that a child may have been abused. Which of the following actions must the nurse take?
Contact the legal authorities as well as the school's principal
Which is considered a forensic environment? (Select all that apply.)
Courtroom Prison
A nurse is among the first responders to a disaster. What action by the nurse takes priority? a. Arranging for shelter for disaster providers b. Beginning community assessment as soon as possible c. Beginning disease surveillance and planning health education d. Immediately developing plans for effective triage and client management.
D
A nurse takes the time to read and understand the community's disaster plans and participates in mock disaster drills as a leader of the triage team. The nurse obtained disaster management training through the local Red Cross chapter and registered with the state as a disaster management nurse. Which description of the nurse's activities is accurate? a. American Red Cross disaster training b. Community preparedness c. Personal preparedness d. Professional preparedness
D
Case fatality from breast cancer has decreased in recent years, although the incidence of breast cancer has increased. Descriptive epidemiology would use the component of time to explain this change in terms of: a. cyclical patterns. b. event-related clusters. c. point epidemic. d. secular trends.
D
The interaction between an agent, a host, and the environment is called: a. Natural history of disease b. Risk c. Web of causality d. The epidemiologic triangle
D
A home health nurse is planning care for a client following a stroke. The nurse plans to interview each member of the family to see how they might help the client progress towards recovery. The nurse is using which of the following approaches to family health? A) family as a component of society B) family as a system C) family as a client D) family as context
D) family as context
A nurse is talking to a client who asks for additional information about hospice. Which of the following statements should the nurse make? 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 manifestations."
D. "A component of hospice care is to control the client's manifestations."
A nurse is talking to a client who asks for additional information about hospice. which of the following statements should the nurse make 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 manifestations."
D. "A component of hospice care is to control the client's manifestations."
A nurse uses the scope and standards for forensic nursing practice to differentiate this practice from other nursing specialties. Which parameter best describes the practice of forensic nursing?
Evaluation of outcomes relates to program evaluation.
A child who lives in extreme poverty is at greatest risk for which type of abuse?
Physical neglect -failure to provide adequate food, proper clothing, shelter, hygiene, or necessary medical care.
Risk reduction is included in which level of prevention?
Primary
An occupational health nurse is providing teaching to a group of clients about the risks of the work environment. Which of the following actions is the nurse performing?
Primary Prevention
A forensic nurse is demonstrating the role of advocate. Which of the following best describes the intervention being performed by the nurse?
Promote programs that prevent injuries
A community health nurse visits a home and notices multiple bruises on a 4-year-old child. The mother reports that her husband is an alcoholic and is currently sleeping. What is the most appropriate action for the nurse to take?
Report the case of suspected child abuse to authorities.
A nurse collects evidence from a victim following a sexual assault. Which of the following levels of prevention is being used?
Secondary Prevention
A nurse is providing direct client care while working in a correctional setting. Which of the following levels of prevention is being used?
Tertiary Prevention
A home health nurse is visiting with an older adult client. Which of the following observations indicate the need for home modification?
There are two rocking chairs in the living room
A nurse promotes the use of universal precautions by all health care workers. Which of the following best describes the action that was taken by the nurse? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Health care-associated infection
a. Primary prevention
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 manifestations as possible indications of child neglect?
Underweight poor hygiene
In which situation is child abuse most likely to occur?
When the parents lack a social support network
A forensic nurse assesses a child who has injuries that indicate possible abuse. What is the best way to document the assessment findings?
Written documentation and photography
A home health nurse and an assistive personnel are discussing care for a client. Which statement by the AP requires intervention by the nurse? a. "I will change the PICC line dressing on my next visit." b. "Bathing the client is something I can do without assistance." c. "I assist the client in ambulating outdoors every time I visit." d. "The next time I visit, I plan to clean up the clutter in the client's room."
a. "I will change the PICC line dressing on my next visit."
Which of the following best describes community-based nursing? a. A philosophy that guides family-centered illness care b. Providing care with a focus on the groups needs c. Giving care with a focus on the aggregates needs d. A value system in which all clients receive optimal care:
a. A philosophy that guides family-centered illness care or -A practice in which care is provided for individuals and families
Which of the following actions best represents public health nursing? a. Assessing the effectiveness of the large high school health clinic b. Caring for clients in their home following their outpatient surgeries c. Providing care to children and their families at the school clinic d. Administering follow-up care for pediatric clients at an outpatient clinic.
a. Assessing the effectiveness of the large high school health clinic
As a result of an outbreak of influenza in a community, a nurse encourages members of the community to receive the influenza vaccine. Which of the following levels of prevention is being used? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Multifactorial prevention
a. Primary prevention
A nurse would like to obtain certification as a forensic nurse. Which specialty certifications are available for the forensic nurse? (Select all that apply.)
a. Legal Nurse Consultant b. Death Investigator c. Adolescent and adult SANE A
A nurse is conducting a community assessment in a healthy community. Which of the following findings should the nurse anticipate?
a. Low crime rates
A public health nurse is assisting community leaders to develop a disaster response plan in the event of an outbreak of a serious communicable disease. When teaching the leaders about infectious disease, the nurse should explain that a vector is which of the following? a. Mode of transmission for the disease b. Microorganism causing infection c. Environment where pathogen can survive d. Client who is susceptible to the infection
a. Mode of transmission for the disease
An intervention that focuses on the tertiary level of prevention is implemented by the nurse? Which of the following did the nurse most likely complete? a. Rehabilitative job training b. Parenting education c. Testicular self-examination d. Family counseling
a. Rehabilitative job training
What has been the focus of the majority of scientific research in forensic nursing?
a. Role of the forensic nurse and client population
A nurse is providing emergency care to an assault victim. Which of the following would be the most appropriate action for the nurse to take?
a. Support the privacy of the victim
A nurse is providing care to a child who has been abused. Which characteristics are most likely present in this childs family? Select all that apply.
a. The parents are unemployed. b. There is no support network willing to offer assistance. c. The parents are not knowledgeable about child development. d. The mother seems frightened of her partner.
A registered nurse was just employed as a public health nurse. Which question would be the most relevant for the nurse to ask? a. Which groups are at the greatest risk for problems? b. Which patients should I see first as I begin my day? c. With which physicians will I be most closelycollaborating? d. With which nursing assistants will I partner the most?
a. Which groups are at the greatest risk for problems?
A nurse is working in a community health nursing practice setting. Which of the following is the nurse most likely to implement? a.Administrating a flu shot to a client in a physician's office b.Conducting a flu shot clinic at a community center c.Performing a client assessment in a hospital d.Providing supervision of staff in a rehabilitation center
a.Administrating a flu shot to a client in a physician's office
The purpose of public health core functions is to: a.clarify the role of the government in fulfilling the mission of public health. b.ensure the safety of populations in receiving quality health care. c.provide community-based individualized care to every person in the United States. d.unite public and private providers of care in a comprehensive approach to providing health care.
a. clarify the role of the government in fulfilling the mission of public health.
The nurse is investigating environmental health problems caused by contaminated ground water. Which of the following types of nursing practice is being used? a.Community-oriented nursing b.Community-based nursing c.Policy development d.Tertiary care
a.Community-oriented nursing
Community health nursing practice focuses on the health of individuals, families, and groups and the effect of their health status on the health of the community as a whole. Which statement about community health nursing practice is correct? a.It focuses on the delivery of personal health services to individuals and families. b.It provides care to protect the health of the community as a whole. c.It emphasizes the setting where care is provided for clients and families. d.It requires a baccalaureate preparation for practice.
a.It focuses on the delivery of personal health services to individuals and families.
Public health nursing is a specialty because: a.It has a distinct focus and scope of practice. b.It must be done by a registered nurse with a master's degree. c.It is focused on disadvantaged citizens. d.It performs interventions at the acute care level.
a.It has a distinct focus and scope of practice.
What is the most essential difference between home health care and acute client care? a. Acute client care is individualized for the client and family. b. Home health care is provided in the client's environment. c. Reimbursement for home health care varies from that of care provided in institutions. d. The focus of acute client care is on community health.
b. Home health care is provided in the client's environment.
A nurse is examining the future of disaster management. Which of the following should the nurse anticipate? a. Vague and unorganized future due to constant emergence of new disasters b. Increasing sophistication in technology and surveillance c. Lack of involvement by national and state officials d. Decreasing need for public health workers to provide care
b. Increasing sophistication in technology and surveillance
A nurse is developing a plan to decrease the number of premature deaths in the community. Which of the following interventions would most likely be implemented by the nurse? a. Increase the community's knowledge about hospice care. b. Promote healthy lifestyle behavior choices among the community members. c. Encourage employers to have wellness centers at each industrial site. d. Ensure timely and effective medical intervention and treatment for community members.
b. Promote healthy lifestyle behavior choices among the community members.
A nurse administers a rabies immunization post-exposure to an animal bite. Considering the interventions used with infectious disease, which of the following levels of prevention is being used? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Assessment
b. Secondary prevention
bA nurse offers a screening for hearing defects at a local community center. Which of the following best describes the action of the nurse? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Multifactorial prevention
b. Secondary prevention
What is the primary focus of hospice care? a. Curing or controlling the client's chronic disease b. Decreasing the waste of acute care (hospital) resources c. Providing palliative care to maintain comfort until death d. Teaching the client and family how to care for themselves
c. Providing palliative care to maintain comfort until death
Which of the following public health nurses most clearly fulfills the responsibilities of this role? a. The nurse who met with several groups to discuss community recreation issues b. The nurse who spent the day attending meetings of various health agencies c. The nurse who talked to several people about their particular health concerns d. The nurse who watched the city council meeting on local cable television
b. The nurse who spent the day attending meetings of various health agencies
Which of the following public health nurses most clearly fulfills the responsibilities of this role? a. The nurse who met with several groups to discusscommunity recreation issues b. The nurse who spent the day attending meetings ofvarious health agencies c. The nurse who talked to several people about theirparticular health concerns d. The nurse who watched the city council meeting on localcable television
b. The nurse who spent the day attending meetings ofvarious health agencies
Population-focused practice focuses on defining the problems or needs of and implementing solutions for: a.Individuals b.Aggregates c.Communities d.Geographical regions
b.Aggregates
A nurse is implementing community-based nursing care. Which of the following nursing interventions is the nurse most likely to complete? a.Assessing the health needs of a defined community b.Providing care to families in a community c.Promoting the health of an entire community d.Investigating environmental health problems in a community
b.Providing care to families in a community
A home health nurse is providing teaching to the primary caregiver of a client with Alzheimer's about respite care. Which of the following information should be included? a. "It's a community support group for family caregivers." b. "It requires placing the client in an assisted living facility." c. "It provides family caregivers with temporary relief from caregiving." d. "It supplies daily assistance from a home health aid."
c. "It provides family caregivers with temporary relief from caregiving."
Which of the following best defines aggregate? a. A large group of persons b. A collection of individuals and families c. A group of persons who share one or morecharacteristics d. Another name for demographic group
c. A group of persons who share one or morecharacteristics
A nurse performs activities to meet the primary goals of public health. Which of the following is the nurse most likely to complete? a.Ensuring that a newly diagnosed 40-year-old hypertensive man takes his medication b.Finding home care for a 70-year-old client recuperating from a hip replacement. c. Conducting an infant car seat safety checks. d. Contacting a local hospice to admit a terminally ill 60-year-old woman
c. Conducting an infant car seat safety checks.
A PHN implements a primary prevention intervention in the community. Which of the following is most likely being implemented? a. Pap smear b. Blood pressure screening c. Diet and exercise d. Physical therapy
c. Diet and exercise
How would a registered nurse become a forensic nurse? (Select all that apply.)
c. Enroll in a certificate program for forensic nursing d. Select a graduate program that offers a track in forensic nursing
Which of the following statements about public health is accurate? a.Prevention of early deaths can be more effectively accomplished by medical treatment than by public health approaches. b.Expenditures and resources for public health have increased in recent years. c.Historically, gains in the health of populations have been related largely to changes in safety, sanitation, and personal behavior. d.Reform of the medical insurance system is the single change needed to improve the health of Americans.
c. Historically, gains in the health of populations have been related largely to changes in safety, sanitation, and personal behavior.
What would be the best approach for a home health nurse to help a client who has right-sided paresis secondary to a stroke? a. Arrange for private duty nurses to assist the client with daily needs. b. Assist the client with activities of daily living. c. Teach the client to participate in self-care activities. d. Teach the family how to care for the client.
c. Teach the client to participate in self-care activities.
The nurse provides footwear and gloves to leprosy clients to prevent trauma to their insensitive and deformed hands and feet. Which of the following best describes the intervention used by the nurse? a. Primary level of prevention b. Secondary level of prevention c. Tertiary level of prevention d. Primary health care
c. Tertiary level of prevention
A nurse refers a client with a neuromuscular disease to a vocational rehabilitation program. Which of the following best describes the action of the nurse? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Health promotion
c. Tertiary prevention
Which of the following is a basic assumption of public health efforts? a. Health disparities among any groups are morally and legally wrong. b. Health care is the most important priority in government planning and funding. c. The health of individuals cannot be separated from the health of the community. d. The government is responsible for lengthening the life span of Americans.
c. The health of individuals cannot be separated from the health of the community.
A nurse is using a population focus when providing public health nursing care. Which of the following statements best describes the care that is being provided? a.Priority is given to the highest risk population. b.Direct caregiving is limited to preventive measures, such as administration of immunizations. c.Attention is given to the population or community as a whole, regardless of whether they do or do not access the health care system. d.Only populations outside institutional settings are considered.
c.Attention is given to the population or community as a whole, regardless of whether they do or do not access the health care system.
The public health nurse (PHN) must participate in the essential services of public health. Which of the following most accurately describes one of the essential services of public health? a.Monitoring health status by completing a community assessment b.Diagnosing and investigating health problems in the world c.Informing, educating, and empowering people about health issues d.Working in law enforcement to regulate health and ensure safety
c.Informing, educating, and empowering people about health issues
A home hospice nurse is caring for a client who is dying. A family member of the client is talking to the nurse. Which of the following statements by the family member requires further clarification by the nurse? a. "Although my father can't get around much, at least he's alert." b. "My siblings and I have a schedule for when we can care for our father." c. "My biggest concern is that I don't want my father to be in any pain." d. "I'm glad professionals will be here incase my father stops breathing."
d. "I'm glad professionals will be here incase my father stops breathing."
A nurse is participating in the preparedness stage of disaster management. Which of the following describes what is happening? a. Heightened inspection and increased security in the community b. Incorporation of provision of pets into local disaster plans c. Purchase of personal protective equipment for all citizens d. Assembly of disaster kits for the home, workplace, and car
d. Assembly of disaster kits for the home, workplace, and car
A home health nurse is prioritizing visits for 4 clients. Which of the following clients should be seen first? a. Client with heart failure reporting a weight loss of 2.2kg (1lb) over the past week b. Client with osteoarthritis of the knees reporting joint pain when ambulating c. Client with Alzheimer's that's unable to remember the current year d. Client with Type II Diabetes Mellitus reporting a new fissure between her toes
d. Client with Type II Diabetes Mellitus reporting a new fissure between her toes
A nurse is conducting vision screenings on children in the school setting. Which type of nursing practice is the nurse performing? a.Community-oriented b.Public health c.Community health d. Community-based
d. Community-based
Which of the following is the primary focus of public health nursing? a. Families and groups b. Illness-oriented care c. Individuals within the family unit d. Health care of communities and populations
d. Health care of communities and populations
A nurse implements a program that focuses on secondary prevention. Which of the following is most likely the topic of this program? a. Rehabilitation b. Avoidance of high-risk behaviors c. Immunization d. Mammogram
d. Mammogram
A family member asks a home health nurse to explain the concept of hospice care. What would the nurse need to include as the fundamental underlying philosophy of hospice? a. Enabling the client to die at home b. Ensuring that the client's living will is upheld c. Placing experts in the position of power of attorney d. Providing comfort measures before death
d. Providing comfort measures before death
Which of the following actions would most likely be performed by a public health nurse? a. Asking community leaders what interventions should be chosen b. Assessing the community and deciding on appropriate interventions c. Using data from the main health care institutions in the community to determineneeded health services d. Working with community groups to create policies to improve the environment
d. Working with community groups to create policies to improve the environment
Which of the following actions would most likely be performed by a public health nurse? a. Asking community leaders what interventions should be chosen b. Assessing the community and deciding on appropriate interventions c. Using data from the main health care institutions in the community to determineneeded health servicesd. d. Working with community groups to create policies to improve the environment
d. Working with community groups to create policies to improve the environment