Module 5 Quiz: Social Influences

A nurse is performing an evaluation on an older adult couple who have been attending a caregiver support group for individuals taking care of loved ones who have Alzheimer's disease. Which of the following statements by the caregiver shows that the intervention has been successful? a. "I don't enjoy socializing with my friends anymore." b. "I am just so exhausted. I am always tired and sometimes cannot get my work complete." c. "Even though it is a lot of work, I sleep well at night." d. "Over the last 6 months I have gained 30 pounds, and now my doctor says I am prediabetic."

c. "Even though it is a lot of work, I sleep well at night."

A nurse is caring for a client who has a history of socioeconomic issues. Which of the following client statements indicates that the client is experiencing very low food security? a. "Although I am home on disability leave and am not working at the moment, my mother-in-law makes dinner for our family every night." b. "I am able to pay most of my bills, but sometimes I do have to make payment plans with my creditors." c. "Although I do not have steady weekly income, I do budget my bills with the royalties I've earned from a book deal once every 3 months." d. "My job is inflexible without consideration for my personal needs. My budget is tight and I often skip meals to save money."

d. "My job is inflexible without consideration for my personal needs. My budget is tight and I often skip meals to save money."

A nurse is creating a poster with examples of health care disparities for a community health care conference. Which of the following statements should the nurse use as an example of a health care disparity? a. The implementation of a new treatment has reduced the diabetes mellitus rates among the Latino population of a community so that it is in line with other groups. b. Ovarian cancer rates across the various populations of a community are proportional according to the demographics of the area. c. African Americans have the highest rates of high blood pressure and hypertension compared to any other population worldwide. d. A new health care clinic has opened near a reservation to treat clients from the local indigenous community, which is traditionally an underserved community.

c. African Americans have the highest rates of high blood pressure and hypertension compared to any other population worldwide.

A public health nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse identify that the client is at high risk for adverse health outcomes? a. A family with a toddler who own a single-family home in which one of the partners works in construction for 10 months out of the year b. A single working mother who manages hypertension with diet and exercise and utilizes her aunt for childcare for her three children c. A client who lives in a rural area who walks 4 miles every day to and from work d. An older adult widow who has diabetes mellitus and has been unemployed for the past 6 months

d. An older adult widow who has diabetes mellitus and has been unemployed for the past 6 months

A nurse is planning a presentation for state legislators about the impact of depression on student health outcomes at a low-performing school. Which of the following information should the nurse include in the presentation? a. Students experiencing depression and attending a low-performing school are less likely to become infected with sexually transmitted infections (STIs). b. Students experiencing depression and attending a low-performing school are half as likely to become chronically truant. c. Students experiencing depression and attending a low-performing school are more likely to suffer congenital defects, such as spina bifida. d. Students experiencing depression and attending a low-performing school are more likely to develop a chronic illness.

d. Students experiencing depression and attending a low-performing school are more likely to develop a chronic illness.

A nurse proposes an evidence-based improvement project in partnership with the Workforce Innovation and Opportunity Act to mitigate the effects of the coronavirus (SARS-CoV-2) lockdown restrictions on physical and mental health. Which of the following factors should the nurse identify as the priority to address with the project? a. Constant fear-laden media reports led to an increased incidence of people being unwilling to cooperate with health officials. b. The threat of being infected with a deadly virus led to an inability to cope among various parts of the population. c. The educational challenges of distance learning contributed to students failing more classes. d. The lockdown led to an uncertainty of resources for several families within the community.

d. The lockdown led to an uncertainty of resources for several families within the community.

A nurse is reviewing data from a group of clients. Which of the following clients is more likely to experience structural inequity? a. A Hispanic client with low income b. A client who has three children c. A female client with moderate income d. A client who is 18 years old

a. A Hispanic client with low income

A community health nurse is caring for a 19-year-old unemployed client who is pregnant and has an uncomplicated pregnancy. The client missed a prenatal appointment for the third time in a row related to the inability to obtain transportation to the visits. Which of the following interventions should the nurse prioritize for this client? a. Implementing an alternate prenatal schedule for clients who have low-risk pregnancies b. Setting up telemedicine visits c. Referring the client to a career counseling group d. Educating the client on the importance of prenatal care

a. Implementing an alternate prenatal schedule for clients who have low-risk pregnancies

A nurse is interviewing a client who has three small children and has a history of interventions with Child Protective Services. Which of the following client statements should the nurse identify as an indication that family relationships are positive and further interventions are unnecessary? a. "Since I started working, I have so many caregivers for my kids that I cannot remember them all." b. "My kids and I attend virtual therapy sessions twice each month." c. "My partner has unexpectedly moved out of our home." d. "I feel overwhelmed because my oldest son just got out of jail last week."

b. "My kids and I attend virtual therapy sessions twice each month."

A community health nurse is discussing the pathophysiology of disease with a newly licensed nurse. Which of the following conditions, according to a Yale University study published by the Center for Effective Government, should the nurse report are caused by environmental pollutants? a. Asthma and arthritis b. Cardiovascular disease and lung disease c. Dementia and chronic fatigue syndrome d. Pulmonary fibrosis and diabetes mellitus

b. Cardiovascular disease and lung disease

An occupational health nurse is assessing the risk for workplace hazards and injuries at a manufacturing center. Which of the following preventative actions is the priority for the nurse to implement? a. Limiting indoor smoking b. Improving access to and adherence of the use of personal protective equipment c. Planning an education program for employees on safety awareness d. Updating outdated policies

b. Improving access to and adherence of the use of personal protective equipment

A nurse is explaining health care barriers to a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of a client who is underinsured? a. "A client who is underinsured does not have health insurance but is able to pay for medical expenditures on their own." b. "A client who is underinsured is not covered by any form of health insurance and cannot pay for medical expenditures." c. "A client who is underinsured has health insurance but is likely to assume significant financial risk for medical expenditures." d. "A client who is underinsured has more than one form of health insurance, which leads to duplications or discrepancies in covering medical expenditures."

c. "A client who is underinsured has health insurance but is likely to assume significant financial risk for medical expenditures."

A nurse is counseling a client who is trying to get out of a gang situation. Which of the following referrals should the nurse make to client? a. Occupational Safety Hazard Administration (OSHA) b. The Healthy Teen Network c. Boys & Girls Club of America d. Nurse-Family Partnership

c. Boys & Girls Club of America

A public health nurse is providing a report to county legislators regarding health outcomes of children attending poorly performing schools. Which of the following conditions should the nurse include in the report? a. Congenital heart valve defects b. Type 1 diabetes mellitus c. Delayed brain development d. Epilepsy

c. Delayed brain development

A school nurse at a poorly performing high school is planning interventions to address a current outbreak of mononucleosis. Which of the following interventions should the nurse implement to improve the heath outcomes of the students? a. Set up a patient portal for virtual visits. b. Establish a lunch program for the school. c. Provide students with preventative tips. d. Provide access to Medigap policies.

c. Provide students with preventative tips.

A nurse is assessing a new parents and their newborn in a community health clinic. The parent reports that they have resumed smoking tobacco and eating fast food more frequently. Which of the following topics would be most important for the nurse to discuss with the patient? a. Healthy eating and weight management b. Postpartum depression and self-care c. Smoking cessation and the effects of secondhand smoke d. On-demand feeding and schedules

c. Smoking cessation and the effects of secondhand smoke

A school nurse is recommending a referral to a mentorship program for an adolescent who reports facing pressure and violence in school and is feeling depressed. Which of the following statements should the nurse include when discussing the reason for the mentorship program? a. "A mentorship program will teach self-defense tactics." b. "A mentorship program can help with the selection of another school to attend." c. "A mentorship program will assess for any special academic needs." d. "A mentorship program can help you cope with challenges at school."

d. "A mentorship program can help you cope with challenges at school."

A nurse is making recommendations to the school board regarding necessary improvements at a high school located in a low-income area in order to improve health outcomes. The nurse notes there is a lack of school lunch programs and audio-visual equipment, a gymnasium that cannot be used because it requires repairs, and there are a number of students who are experiencing mental and emotional health issues, such as eating disorders, anxiety, and depression. Which of the following interventions should the nurse recommend as the priority for the school board to address? a. Provide more audio-visual equipment for students. b. Write a letter to local school board members to address the need for a new snack bar. c.Implement repairs to the gymnasium. d. Add a counselor to the school faculty.

d. Add a counselor to the school faculty.

A nurse is assessing the needs of a school-age child. Which of the following risk factors should the nurse identify as placing the child at risk for social support issues? a. Neighborhood social cohesion b. Household with two guardians present c. Low-crime neighborhood d. Incarcerated family members

d. Incarcerated family members

A nurse is discussing an older adult client's care plan. The client mentions that both of their grandchildren currently live with them and, as a result, the client is frequently required to choose between paying bills and buying groceries for the household. Which of the following actions should the nurse take? a. Offer appropriate resources related to food insecurity. b. Question the current living arrangements. c. Make a referral to an assisted living facility. d. Offer home health aide services.

a. Offer appropriate resources related to food insecurity.

A nurse is reviewing the insurance coverage of an older adult client who lives in a nursing home that is paid for by a private insurance company, as well as a government-provided program. Which of the following statements should the nurse identify as describing the client's coverage? a. The client has Medicare with supplemental insurance provided by Medigap. b. The client has insurance that is solely under the Medicare program. c. The client has managed care insurance provided by both Medicare and Medicaid. d. The client has insurance from a private provider with a supplemental policy that the client pays for themselves.

a. The client has Medicare with supplemental insurance provided by Medigap.

A nurse is discussing client education with a newly licensed nurse. Which of the following statements regarding the Teach Back Method of client education should the nurse include in the discussion? a. "Teach Back identifies which expenses were not covered by the client's insurance." b. "Teach Back helps to determine which medications should be prescribed to continue the client's care." c. "This method makes sure the client understands all of the instructions given." d. "This method assesses the care the client has received and identifies possible areas for improvement."

c. "This method makes sure the client understands all of the instructions given."

A nurse is providing teaching to a client who inquired about utilizing private managed care insurance to cover medical expenses. Which of the following statements should the nurse include in the teaching? a. "The government provides basic coverage and the client is required to pay for supplemental insurance." b. "The government pays for coverage, including insurance policies that typically are considered supplemental." c. "Clients pay for health care coverage partially in the form of income tax and partially as a monthly fee to an insurance provider." d. "Clients pay a monthly fee to an insurance provider to cover medical expenses, including supplemental policies."

d. "Clients pay a monthly fee to an insurance provider to cover medical expenses, including supplemental policies."

An occupational health nurse is presenting information to county government leaders. Which of the following occupations should the nurse include as having higher health hazards and exposures? a. Urban design architect b. Customer service phone operator c. Computer programmer d. Outdoor landscaper

d. Outdoor landscaper

A county health nurse is reviewing the morbidity and mortality reports for areas within the county. The nurse should recognize that which of the following findings in the report is an example of a client health outcome that can result from living in a cycle of poverty? a. Sickle cell anemia b. Schizophrenia c. Cystic fibrosis d. Sexually transmitted infections (STIs)

d. Sexually transmitted infections (STIs)