Public Health Test 1
A community health nurse involved in assessing health needs will find the task easiest in a specific: A. geographic area B. age group C. ethnic community D. economic level
A
The nurse educator at a community clinic used rapid critical appraisal (RCA) for a project on obesity prevention. Which step of RCA did the nurse find most informative for seeing the larger perspective at a glance? A. creating an evaluation table of obesity prevention studies B. determining the implications of the research for obesity education C. removing studies without a conceptual framework D. refining the collection of articles by applicability to obesity prevention
A
The nurse is unsure which members of a local community have been affected by exposure to chemical poisoning. What strategy from the Public Health Interventions Wheel should the nurse employ? A. screening B. counseling C. surveillance D. advocacy
A
What is the definition of family in community health? A. two or more people who identify themselves as a family and rely on each other to some extent to meet basic needs B. a group of individuals who share a common place of living, have formal ties, and share responsibilities to provide for all members C. people living together who share the same values and beliefs D. several people who work together in their environment to meet their basic needs
A
What statement about children and adolescent populations is true? A. of all children who are poor, 1/3 are African American B. five percent of children younger than 6 are living in poverty C. children in single-parent homes are less likely to be poor than those in two-parent homes D. children and adolescents are considered less vulnerable than the elderly
A
Which health promotion activity is directed toward a community health issue that has not improved over the last decade? A. providing a workshop on healthy eating and increased physical activity for low-income families at the local daycare center B. applying for a grant to help pay for well-baby visits for newborns of newly immigrated families C. arranging for volunteers to staff a clinic that manages the health issues of homeless men D. having information concerning the importance of childhood immunizations printed in a variety of languages
A
Which nursing activity is specific to community health nursing? A. planning a public awareness seminar to focus on the effects of secondhand smoke B. attending a seminar on the specific health-related benefits of the Asian and Mid Eastern immigrate C. doing an in-home assessment of a motor impaired client in order to best identify safety needs D. organizing a prenatal care clinic in a Hispanic neighborhood that has staff that can communicate with clients in their native language
A
With the implementation of the Health Care Reform Act, more persons have insurance than ever before but health care cost continues to rise. What issues are contributing to the rising cost of health care? (select all that apply) A. uninsured clients use of resources B. increased unemployment rates C. a decrease in the number of preventative services D. the number of insurance plans available E. increase in available technological equipment
A, B
Which are characteristics of an effective community health nurse? Select all that apply. A. optimal use of resources is a primary concern B. views a population as client C. sees primary prevention as priority D. is particularly concerned with healthy environments E. focuses on select groups or populations
A, B, C, D
Which of the following are ways nurses can use government websites to provide care for their communities? (select all that apply) A. access screening tools to help identify at-risk patients B. research current best practice evidence C. locate services, such as housing, supportive care, and support groups D. find interventions for individual patients and communities
A, B, C, D
The PH nurse is performing a community assessment. What community specific factors will the nurse consider when performing this assessment? (select all that apply) A. Purpose of the community B. Boundaries of the community C. Physical characteristics D. Global influences such as foreign trade E. Internal influences such as the economy
A, B, C, E
Which are the components that provide direction for solving problems, managing nursing actions, and improving the health of communities? (select all that apply) A. Assessment B. Planning C. Implementation D. Rehabilitation E. Evaluation F. Diagnosis
A, B, C, E, F
What are the levels of focused practice as noted on the Public Health Intervention Wheel? (select all that apply) A. individual-focused practice B. community-focused practice C. nurse-focused practice D. system-focused practice E. provider-focused practice
A, B, D
Which group is more susceptible to health disparities and discrimination in health care systems? (select all that apply) A. ethnic or racial minorities B. unemployed persons C. individuals in drug treatment programs D. people who did not finish high school E. runaway teenage
A, B, E
While working in the free clinic, the public health nurse is assessing a migrant farm worker who has an infection of the right hand. The nurse cleans the wound, applies antibiotic cream, and wraps the area to keep it clean. The nurse is conducting an assessment to determine if the client has any contributing factors related to health disparities. Which of these are contributing factors to health disparities? (select all that apply) A. language barriers B. a diagnosis of schizophrenia C. educational obtainment D. part time employment E. no means of transportation
A, B, E
What are included in the ten essential services of public health? (select all that apply) A. inform B. collaborate C. mobilize D. enforce E. perform
A, C, D
What are strategies from the Public Health Intervention Wheel? (select all that apply) A. case management B. planning C. screening D. advocacy E. health teaching
A, C, D, E
The nurse understands that the Rapid Clinical Appraisal Process involves which step? (select all that apply) A. deciding which studies are "keepers" B. asking the research question in PICOT format C. determining applicability of the study to the clinical question D. integrating best evidence with clinical expertise E. creating an evaluation table F. searching for the most relevant best evidence
A, C, E
A home health nurse is creating a care plan for an individual who recently had surgery. Which tasks does the home health nurse understand as health responsibilities of the family? (select all that apply?) A. emotional support for the client and guidance during life cycle transitions B. socialization of members regarding a sense of duty toward optimal health C. providing education about cost containment and when to use health care system D. care provision and management for chronically ill, disabled, and aging family members E. development of member's sense of caring within the family as a unit
A, D
In preparing a health and wellness care plan for the local senior citizen center, the nurse ensures the consideration fo the three universal needs. What are the three universal human needs of the community? A. sense of belonging B. satisfaction in life transitions C. social relationships D. safety and security E. support for decisions
A, D
A community health nurse is working with the nearby American Indian reservation to develop a program to reduce health disparities. What is a know health disparity of the American Indian that the nurse will want to address? A. stroke B. diabetes C. heart disease D. hypertension
B
A community nurse is reviewing the disease stats of an assigned new area. What assessment framework is the nurse utilizing in assessing this community? A. general systems B. epidemiological C. developmental D. structural/functional
B
A nurse is presenting a workshop at an urban community center for women who have recently experienced a mastectomy. In which type of community is the nurse addressing health needs? A. gender specific B. common interest C. global D. urban
B
In completing a developmental family assessment, what question would the community health nurse include? A. are there any medical conditions, disabilities, or limitations of family members? B. how do family members cope with transitions and attachments within the family? C. what are the boundaries of roles in this family? D. who settles disputes among the family members?
B
Is it true that the role of community health nurse clinician would focus on: A. advocating for additional pediatric health care services at a local free clinic that serves homeless families in the community B. accessing the special health care needs unique to the homeless family with children C. managing the services provided to the homeless community by local government supported clinic system D. preparing written literature regarding childhood immunizations for distribution to homeless families with children
B
The nurse is caring for a pregnant homeless teenager new to the community. Which action is the best example of the advocate role of community health nursing? A. making an appointment for the client to visit low income housing B. informing the client of services and transportation available in the community C. taking the client to the social services office to apply for medical assistance D. making appointments and providing transportation for prenatal care
B
The nurse is providing education on the importance of medication compliance to individuals newly diagnosed with TB. This is an example of: A. core public health functions B. tertiary prevention C. primary prevention D. surveillance and assessment
B
The nurse is ready to holistically evaluate the evidence for a community health project on diabetes prevention. Which would best guide the creation of an evaluation table? A. including all information available in the evaluation table B. using nursing judgement to determine what articles to include C. reading all the articles until an impression forms D. including only articles that have a clearly stated hypothesis
B
What should the nurse consider when selecting health indicators in a community? A. if the indicators correspond to the nurses intuition B. if the indicators relate to standards published by national or state entities C. if the indicators are approved by the community stakeholders D. if the indicators correspond to the nurse's expectations
B
When gathering information for a public forum on the improvements of the quality of life for the older adult, the nurse initially refers to: A. Healthy People 2020's Leading Health Indicators B. Community Health Status Indicators Project C. Morbidity and Mortality Weekly Report D. CDC
B
Which statement made by a community health nurse best demonstrates the decision-making management role? A. "i've talked to the administrator at the local senior center about holding the depression screening there twice a year" B. "i'll get you the people hired who will be needed to staff the clinic sufficiently" C. " i'll see what I can do about the problem of getting volunteers to help with the flu vaccination day at the mall" D. "i've finished creating the flyers for the well baby clinic and i'll take the original to the printer tomorrow"
B
While taking a walk around the school at lunch, the school nurse notices the cafeteria dumpsters are next to the playground. The nurse goes over to the dumpster to investigate and finds the dumpsters leaking, which is attracting bees. Which of the ten essentials is the nurse demonstrating? A. developing B. diagnosing C. monitoring D. connecting
B
A comprehensive assessment must consider the entire community and various populations within the community. Which is a comprehensive assessment A. Adult male who live in the particular county under assessment B. Adults and children living within 1- miles of town center C. Individuals with heart disease D. Participants of the local YMCA
B key word: comprehensive!
During an assessment, the community health nurse is gathering data to determine what characteristics and possible health needs are similar for all community members. Which framework will the nurse choose in approaching this assessment analysis? A. problem-oriented B. comprehensive needs C. goal D. familiarization
B start with the info you already know, then gather more
A community nurse is preparing to develop a plan to work with families as the clients in a local community. What reasons would a family assessment need to be completed with the families prior to developing the plan? (select all that apply) A. members usually rally around families to ensure the health of the community B. community health nurses sometimes make visits to clients and their families C. families are a significant building block of the local community D. families often have unique values and needs E. community health nurses must first gauge the actual need of all members of the local community
B, C, D
A community nurse is working with clients in the communicable disease clinic. A client seeking treatment confides to the nurse that she has sex for money sometimes to pay her rent. The nurse provides the client with education on how to protect herself from further infection and offers her free condoms. Which of the elements of the ANA code of ethics is the nurse practicing while taking care of this client? (select all that apply) A. consideration, regardless of economic influence B. respect, regardless of social status C. dignity, regardless of personal attributes D. compassion, regardless of health problem E. encouragement, regardless of circumstance
B, C, D
What are the risk factors for susceptibility to disease in vulnerable populations? (select all that apply) A. character flaws B. income C. relative risk D. health status E. resource availability
B, C, D, E
Which question helps the nurse determine if a study is applicable? (select all that apply) A. why was the study done? B. will the results help clinicians care for clients? C. what is the demographic makeup of the control group? D. how was the data analyzed? E. does the treatment conform to client preferences?
B, C, E
In 1918, nursing care shifted from providing care in the home or community to providing client care in hospitals. What factors were instrumental in this shift to acute care? (select all that apply) A. the building of new hospitals and better roads B. technological advancements and improvements C. increased number of women in the workforce D. the continuation of WWI E. the economic boost from the war effort
B, D
A public health nurse is developing a program based on the goals of the government initiative Healthy People 2020. What is a health indicator the nurse may use as a part of the program? (select all that apply) A. environmental quality B. exercise frequency C. technology usage D. tobacco usage E. substance abuse
B, D, E
During a family assessment, the community health nurse must examine both the internal and external structure of the family. What factors will be assessed to determine the internal structure of that family? (select all that apply) A. where the family goes to exercise B. the family composition C. what religion the individuals observe D. where individuals work E. each member's gender
B, E
A nurse engaged in policy development at the local governmental level would: A. arrange to provide transportation for elderly to voting locations for county and city elections B. present annual CPR renewal workshops for the county and city fireman and police forces C. discuss with county officials the need to educate coastal residents regarding post-hurricane health issues D. provide information regarding health care screening provided by the local hospital and free clinic
C
Research is an important part of the ten essentials of public health services. When the nurse uses research for community problems, what purpose does this serve? A. supporting public health practices B. improvements in policy development C. identification of new solutions D. connections between practice and theory
C
The intervention on the Public Health Wheel relates to specific and direct care actions provided by community health nurses, under the direction of a health care practitioner, as allowed by law. This includes any task a nurse delegates to appropriate personnel. A. collaboration B. consultation C. delegated functions D. case management
C
What action does the nurse perform during the analysis stage of a community health assessment? A. identify the best way to conduct an assessment B. identify important survey questions C. identify causal factors for health indicators D. identify key community stakeholders
C
What intervention addresses the building of alliances among groups of people in the community, aligned toward a common purpose of well-being? A. community organizing B. consultation C. coalition building D. collaboration
C
What intervention can be used to prevent adverse health consequences and empower vulnerable populations through the sharing of knowledge, skills, and information? A. referral B. case management C. health teaching D. outreach
C
What is the final step in the nurse's health assessment of a community? A. collection B. validation C. analysis D. interpretation
C
Which action would community health nurse perform first, when functioning as a planner for a new free health care clinic to serve the towns older adult population? A. identify the specific services the clinic will provide B. notify the areas senior centers of the clinics opening C. set the goals of the clinic D. research funding sources for such a clinic
C
The nurse is addressing quality of life for a specific client. On which activities should the nurse function? Select all that apply. A. educational experiences B. ethnic background C. high-risk behaviors D. lifestyle choices E. communication skills
C, D
A community nurse who routinely works in the immunization clinic notes an influx of new patients from Russia. The nurse wants to improve self-awareness of this new population. What steps can the nurse take to cultivate sensitivity toward this new client population? (select all that apply) A. perform an internet search to improve knowledge on the new client population B. provide care to the new population based on broad cultural values of health C. demonstrate a genuine interest in the lives and culture of the new clients D. acknowledge that differences in culture occur even within common culture E. interview some of the new members and inquire about cultural values
C, E
Which nursing activity reflects a primary function of community health nursing? A. applying for grant money to address the cost of individual client health needs B. performing an in-home risk assessment for a client whose mobility is impaired C. conducting a health risk survey for the elderly in the community D. creating the plan of care for a client who is HIV positive and living with family
C: a community/group of people are the patient
A new client is scheduled at the clinic. During the assessment, the nurse notes a circular, dark-pink indentation on the client's abdomen. The nurse is aware the client is not from the US. What is the nurse's best action in assessing the client? A. apply pressure to see if it blanches, then proceed with the assessment B. assess the indentation and ask the client the origins of the circular mark on the abdomen C. assume the client performs the cultural practice of cupping and ask when the client last did this D. ask the client to describe usual health beliefs and practices when the client becomes sick
D
A new nurse wants to maximize the opportunities for employment following graduation. Which rationale best supports the nurse in examining employment opportunities in public health nursing? A. community agencies now offer more programs and have a need for more nurses B. the number of health care agencies providing care in the community has increased C. hospitals have had a decrease in the number of nurses needed to care for clients D. there has been a shift in providing care to clients in the community
D
A public health nurse is developing an educational brochure on diabetes for the community clinic. Which group has a higher propensity toward the health disparities of cancer and diabetes? A. alaskan natives B. algerian C. asian D. african american
D
During an intake assessment at the local health department, the nurse asks a Hispanic client where in Mexico they were born. The client becomes angry and reports being born in Colombia. What is the best action for the nurse to take? A. explain to the client most of the Hispanic individuals who come to the health department are from Mexico B. ask the client to provide education on the differences between Hispanics from Mexico versus Colombia C. express regret for the assumption and seek a Hispanic nurse to complete the interview process D. apologize for the cultural insensitivity and make a mental note to be more careful in the future
D
Lillian Wald is known as one of the first public health nurses. Her mission was to prevent illness where it started. What action did she take in 1900s that most specifically demonstrates this focus? A. founding a community diet and nutrition program B. examining sanitary waste disposal policy in a community C. advocating for the poor and homeless to lawmakers D. placing a nurse at school to reduce absenteeism
D
The community nurse is performing an assessment on a community related to an identified problem of obesity. Which approach is best to use for this type of community assessment? A. general systems B. familiarization C. comprehensive needs D. problem- oriented
D
The nurse is asked what is meant by "vulnerability" in the context of community health nursing. What is the best response? A. vulnerability is the state of mind the nurse possesses when treating the sick B. vulnerability is an emotional disposition towards one's environment C. vulnerability is the likelihood that a population will ignore health interventions D. vulnerability is any factor that increases the chances for poor health
D
The nurse is providing care to a client who is two days post-surgery on the right foot, however the health care provider has written orders for discharge to home tomorrow morning. The client is concerned about who will provide wound care to the foot in the home. What is the nurse's best response to this concern? A. "you will be able to perform the care yourself, once you feel better, so we will send home supplies with you at the time of discharge" B. "don't worry, we will train your mother to perform the wound care and gather supplies" C. "you should discuss any concerns you have about wound care with the surgeon before discharge" D. " we will determine the resources and services you will need at home and arrange those before you leave"
D
The nurse is reviewing a study using the Rapid Clinical Appraisal Process. Which statement would cause the nurse to question the validity of the study? A. unusual events occurred in the study B. the sample size is small C. variables were consistently applied D. the results contradict previous research
D
The public health nurse is offering nutrition classes and developing a walking program for the community residents. Which of the ten essential public services is the nurse demonstrating? A. competency B. monitor C. develop D. inform
D
What statement is true about community stakeholders? A. community stakeholders are exclusively informal leaders B. community stakeholders should represent the weakest members of the community only C. community stakeholders should not have anything to gain or lose in the community D. community stakeholders should represent all groups in the community
D
What statement is true about social justice? Social justice refers to: A. advocating health care as a privilege B. abandoning highly polluted areas C. relaxing environmental protection laws D. sharing common burdens and advantages
D
Which activity involving community health nurses supports the Healthy People 2020 directive to support a competent public healthcare workforce? A. providing annual depression screenings for members of the state police and fire departments B. organizing a fund drive to acquire the money necessary to purchase a portable defibrillator for the local volunteer fire department C. submitting an article for publication to the state's board of nursing licensure monthly magazine D. joining state board that sets standard for skill competencies of emergency health care personnel
D
Which group is most likely to meet the criteria of a common interest community? A. the members of a high school debate team B. the people living within an urban community 1 square mile in area C. young college-educated adults 20-35 years of age D. homosexual couples wanting to adopt a child
D
Which individual would most likely have the greatest degree of wellness? A. teenage football player diagnosed with acute depression after fracturing a femur and being told he can no longer play football B. a new mother who misses her recently delivered twins since developing pneumonia while recovering from a C section C. the 45 year old client who was diagnosed with cancer who states "it was inevitable; both my mom and twin sister developed this form of cancer" D. the 70 year old client who is being treated for cardiovascular disease and kidney failure and who self-describes as "happy to be alive"
D
While providing in-home wound care, the nurse notes the client is frequently vocal and screams at relatives when in pain. In performing a cultural assessment, in what area would the nurse document the frequent outburst and vocalizations? A. cultural identification B. family dynamics C. communication D. biological variations
D
If a nurse is looking online for reliable information on HIV and AIDS, he should go to aids.gov True False
True
When using a website as a source for best practice evidence, it is helpful to search using key words False True
True