Ch. 20, 22, 23, 29
A priority health education topic for school-age children is which of the following? Schoolyard safety Motor vehicle safety Sports safety Immunization schedules
A
The U.S. Department of Education defines a homeless child as: a child abandoned in a hospital. a child in foster care. a child in a group home. a child living with a grandparent.
A
Rural residents in the United States compose more than __% of the nation's poor. 50 35 20 18
A
CHAPTER 22
CHAPTER 22
A school nurse evaluates the implementation of health promotion in a high school staff. Which of the following indicates a need for more education? A flyer advertising an ice cream and pizza party for the student awards program Condoms being provided in all restrooms of the school A decrease in missed days at school The discontinuation of the availability of soft drinks and candy in vending machines during school instructional hours
A
The community health nurse assesses the family as a system within the context of their environments using which approach? Ecological framework Social network framework Transaction model General systems theory
A
The composition of the family is an example of which of the following? Internal structure External structure Subsystem Large system
A
The number one health concern identified by the majority of rural health care leaders is: lack of health insurance. limited access to health care. increase in communicable diseases. social isolation of rural dwellers.
A
Which model supports upstream thinking with the purpose to improve homelessness through reduction of structural conditions contributing to homelessness? Social justice Market justice Physical justice Mental justice
A
Which of the following statements best describes the demographics of rural America? Despite the shrinking number of family farms and full-time farmers, agriculture continues to be an important part of the rural and U.S. economy. There has been a shift in the economic base of rural America as more communities are dependent on income generated from mining and construction. There has been a decline in diversity in rural America, with more Hispanics and youth moving to urban areas rather than rural communities and small towns. There are more positive health behaviors (e.g., less smoking, obesity, and drug use) among residents of rural America when compared with urban America.
A
Which of these statements is true regarding income insufficiency in the United States? The poverty rate increased between 2007 and 2010. People who make minimum wage would not be categorized as impoverished. Alcoholism is the major reason for lack of employment. The median household income in 2011 was around $40,000.
A
A community health nurse is concerned about reducing the fatal injuries to America's rural children. To address this problem, the nurse organizes a community of solution (see Chapter 1). For this group, it would be important to have representatives from all of the following groups or organizations: Select all that apply. A. the Department of Public Highway and Safety. B. emergency department staff (both doctors and nurses) from local hospitals. C. teachers and coaches from area schools. D. area employers. E. city or county government.
A, B, C, E
A goal set by Healthy People 2020 includes education to middle, junior, and senior high school students in priority areas. These areas include: Select all that apply. A. lack of physical activity. B. poor nutrition. C. alcohol and drug use. D. poor organizational skills. E. injury and violence.
A, B, C, E
Which of the following characteristics is demonstrated by healthy or energized families? Select all that apply. A. Communication is appropriate and clear. B. Support and respect are evident and appreciated. C. Roles are static and change only in times of crisis. D. Common beliefs and values are shared. E. Members play and share leisure time appropriately.
A, B, D, E
Public health policy in the United States is influenced by two types of justice, market justice and social justice. Examples of market justice include which of the following? Select all that apply. A. All people are entitled to the status they create for themselves. B. All people are entitled to a livable minimum wage. C. All people are entitled to happiness if they put forth enough effort. D. All people are entitled to the income they work for. E. All people are entitled to access to health care.
A, C, D
A 6-year-old child fails a routine vision screening on a Snellen chart at a school-based health center. The appropriate action by the nurse is to do which of the following? Rescreen the child in the following year. Refer the child to an eye specialist. Use a Rosenbaum chart instead of a Snellen chart. Do an internal ophthalmologic examination.
B
A client provides information regarding medical and health history. This is an example of which of the following assessment tools? Genogram Family health tree Ecomap Ancestry mapping tool
B
A school nurse knows that under the Family Educational Rights and Privacy Act, a student's health record can be released: if the student is not a minor. in an emergency. to educators not involved in the student's education. without the student's or guardian's permission.
B
Agricultural workers are at high risk for occupational injuries and illnesses. To reduce the most common cause of fatalities among youth on farms, which of the following is the most important strategy for the community nurse to implement? Planning a community media campaign advocating the use of helmets Partnering with the county extension agent to offer tractor safety classes Working with local health care providers to encourage use of personal protective equipment, such as hearing and respiratory protection Offering a class for local health care providers addressing the signs and symptoms of pesticide toxicity
B
Based on the common illnesses and risky health behaviors among farmers, the community health nurse should implement which of the following health promotion activities? Partner with the local health department to offer smoking cessation classes for farmers and their spouses. Collaborate with health care providers and provide support and education for farmers with respiratory conditions and their families. Collaborate with health care providers to conduct skin assessments at a meeting of local farmers. Work with mental health consultations to outline a community-based program to address the high rate of suicide and depression among farmers. Plan, implement, and evaluate an outreach program designed to improve the cardiovascular status of farmers and their families.
B
Migrant and seasonal farm workers constitute a high-risk population due to their low income and migratory status. These workers lack adequate access to preventive services. The most important role of the rural community health nurse in meeting the health care needs of this vulnerable population is to: address the multiple communicable diseases of these farm workers. serve as an advocate working to gain health care access for these farm workers. participate in political activities with an emphasis on changing immigration laws. learn to speak Spanish to improve communication with this specific population.
B
The Brown family is being evicted from their home and will be moving into a homeless shelter in 3 days. Under the Department of Housing and Urban Development (HUD) definition, the Brown family is: literally homeless. in imminent risk of homelessness. homeless under other federal statutes. fleeing or attempting to flee domestic violence.
B
Two unrelated heterosexual adults that share a housing unit with their three children is an example of which of the following? Nuclear family Cohabitation Internal structure External structure
B
What is the purpose of the Homeless Information Management System (HIMS)? Provides means to feed homeless people Obtains national data on homeless individuals Serves as a screening tool to obtain any history of criminal activity Provides homeless individuals with educational materials
B
A comprehensive school health program should include all of the following except: health promotion for staff and health education. health services and health education. physical examinations and comprehensive health history. nutrition services and counseling.
C
A week before finals, a school nurse assesses a 15-year-old girl complaining of vague symptoms. All of the following symptoms or behaviors should result in an immediate request for parent or guardian conference and referral to a physician for further evaluation except: problems eating or sleeping. problems making decisions. frequent requests for a visit to the school nurse. inability to concentrate.
C
Family interviewing requires the community health nurse to understand or develop specific skills. All of the following demonstrate appropriate family interviewing skills or techniques except: introducing oneself by name and addressing the client appropriately, such as "Mr. Jones." planning the focus for the family visit in advance and engaging all family members present during the home visit. establishing the nursing goals based exclusively on the physician's orders. including time to identify family strengths and commend the family on these during the family assessment.
C
The greatest promise for improving health outcomes for rural residents is: the increase in health care providers migrating to rural areas. the expansion in Medicare services to rural hospitals and clinics. the increase in distribution of technology, providing more education and health services. the expansion of public transportation, allowing rural residents to travel to tertiary care hospitals for specialty services.
C
What group of homeless individuals is known for their involvement in survival sex? Young adult gay men Middle-aged women Adolescents Elderly men
C
Which statement regarding the impact of managed care on rural public health departments is true? Managed care has expanded the safety-net role of many local health departments by funding primary care services. Medicaid's importance for rural areas is likely to decrease. The role of rural public health departments may increasingly narrow into areas that are currently without any type of reimbursement. Medicaid programs will continue to serve the rural communities on a fee-for-service basis.
C
While verifying compliance with immunization requirements, a school nurse notices that three students from the same family have not completed their immunizations. How should the nurse address this problem? Discuss with the principal the lack of immunizations Expel the children from school. Contact the parents and educate them about the immunization requirements. Pull the students from class and immunize them.
C
CHAPTER 23
CHAPTER 23
CHAPTER 29
CHAPTER 29
A 10-year-old boy visits the nurse complaining of a headache and nausea. The nurse recognizes the boy from an earlier conference with a teacher about the boy's declining school performance. The nurse has been concerned because the boy's father and mother are recently divorced, and his mother works nights. An appropriate nursing intervention would be to investigate the boy's eligibility for which of the following? The Nutritional Education and Training Program (NET) Youth Risk Behavior Surveillance System Adult and Child Protective Services Federally funded breakfast and lunch program
D
A client is having difficulty performing his activities of daily living. This means he is having difficulty with which of the following? Expressive functioning Affective functioning Emotional functioning Instrumental functioning
D
A community health nurse needs to understand that most families in today's society can be described as which of the following? Blended Nuclear Extended Defined by its members
D
According to the vulnerability index, the individual at highest risk for death is: a 46-year-old person who has been homeless for 2 months and has HIV. a 22-year-old person who lives in a homeless shelter and is addicted to heroin. a 65-year-old person who is being evicted from his home after living there for 25 years. a 60-year-old person who has been homeless for 9 months.
D
Based on the Department of Housing and Urban Development (HUD) definitions of homelessness, which one of the following individuals would be considered homeless? An individual whose residence lacks access to public water and electricity An individual who has a permanent nighttime residence in the housing for mentally ill people An individual imprisoned or detained under an act of Congress or state law An individual who spends most nights at public or private places not designed for regular sleeping accommodations
D
Healthy People 2020 addresses all of the following goals for children and adolescents except: physical activity. sex education and HIV prevention. smoking prevention. cardiovascular accidents, stroke, and diabetes.
D
In contrast to people who live in urban areas, rural residents frequently describe their health by their ability to: avoid hospitalizations. maintain social connections. perform activities of daily living. work and be productive.
D
The community health nurse understands that events such as divorce, remarriage, or separation of parents have the potential to affect the family and individuals within the family. This demonstrates the nurse's understanding of which family theory? Structure-function family theory Family systems theory Family communication theory Developmental theory
D
What official national organization provides financial housing assistance to low-income families? World Health Organization (WHO) Federation of National Organizations Working with the Homeless (FEANTSA) Robert Wood Johnson Foundation Department of Housing and Urban Development (HUD)
D
Which of the following descriptions does NOT reflect a current definition of family? A social unit interacting with the larger society Individuals living together related by kinship, marriage, or choice Mother, father, and children interacting with extended family Two or more persons living together who share common interests
D
