community health exam 2 (CH. 2, 3, 4 , 6, 18, 19, 20)

A nurse is completing a tertiary prevention activity in a predominantly poor community, where eating clay (pica) is a common practice. Which of the following actions would the nurse most likely take? A. assist those who eat large amounts of clay to obtain food stamps after explaining that clay, although filling, does not provide necessary nutrients B. initiate early intervention in the school system through education programs designed to focus on healthy food choices C. provide laboratory testing and physical assessments to assess for nutritional deficits resulting from clay intake D. survey families in the community to determine whether they clay and how much clay they eat

A

A nurse is working with an Amish couple when the topic of contraceptive usage comes up. Which of the following is a culturally appropriate way to address the topic? A. "Here are some different forms of contraception. I would be happy to answer any questions you may have about them." B. "Contraceptive usage is the best way to practice family planning." C. "Why don't you want to use contraception?" D. "Using contraceptives to prevent pregnancy isn't wrong, I don't know why you think so."

A

Which of the following is the best way to ensure good nutrition in infants? A. breastfeeding only B. feed them only brand-name baby foods C. feed them only brand-name cereals D. feed them only brand-name formulas

A

a city has announced its plans to build a city dump near a community of poor and predominately African-American citizens. Which of the following principles would the nurse be using when vocalizing opposition for this plan? A. environmental justice B. equal rights C. primary prevention D. risk protection

A

a client explains to the nurse that it is just impossible for her and her husband to continue to have his mother in the home alone during the day while they work because the woman becomes confused and has fallen twice. Which of the following community resources should the nurse recommend? A. adult day health B. home health C. long-term D. senior center

A

a community citizen reports to the public health nurse that the city water in one neighborhood has had an unusual taste for the past few months. Which of the following actions should the nurse take first? A. check the most recent consumer confidence report B. consult the CDC C. notify the environmental protection agency (EPA) D. place a call to the poison control center

A

a community health nurse is planning to implement an intervention to reduce the prevalence of sexually transmitted diseases in the community. Which of the following actions would most likely be taken by the nurse? A. establish immunization clinics to prevent STDs B. educate people with HIV about the mode of transmission C. explain to women that HIV is transmitted to women usually by IV drug abuse D. develop a STD clinic to increase community access to services

A

a home health nurse who is visiting a family for the first time asks, "could we review your extended family and other persons or groups with whom you interact each week?" which of the following provides the best rationale for the nurse asking this question? A. to assess the family's environment and social resources and risks B. to communicate with relevant others as needed C. to determine financial assets available to the family in case of serious need D. to understand the extended family relationship

A

a new mother is a full-tie college student who lives with her parents, because the baby's father has been imprisoned related to theft and drug abuse. The infant's grandmother, although also employed, cares for the child while the young mother attends classes. Which of the following theoretical frameworks would be most helpful to the nurse when assessing this family's needs? A. developmental B. interactional C. structure-function D. systems

A

a nurse considers how the environment outside of the family influences the development of a child when planning care for a family. Which off the following theories is being used by the nurse? A. bioecological systems theory B. family systems approach C. family developmental theory . interactionist theory

A

a nurse has been successful in creating improvement in a family's health. Which of the following characteristics is most likely displayed by the nurse? A. skilled at recognizing and strengthening the family's competencies B. skilled at obtaining referrals and resources for the family C. skilled at communication and interpersonal relationships D. skilled at assessing and naming the family's main problems

A

a nurse has completed health risk appraisals with several different families. Which of the following families would be of most concern to the nurse? A. an older couple who has just retired and sold their house, who talk about their new condo in a retirement community B. newlyweds who have been saving their money, who want to discuss birth control and family planning in preparation for future pregnancies C. parents who come with their child for his pre-kindergarten physical exam and want to be sure all the child's immunizations are up to date D. A woman who is very pleased with her new position at the hospital and wants to have her pre-employment exam and drug screen

A

a nurse has just witnessed the signing of an agreement between two parents in which the parents pledge not to yell at each other in the presence of their children. Which of the following is being demonstrated through this action? A. contracting B. crisis intervention C. empowerment D. strategic planning

A

a nurse is appraising health risks. which of the following questions would most likely be asked by the nurse? A. "does your 4 yr-old have a booster seat in the car?" B. "have you noticed any physical problems as you go about your daily routine?" C. "what concerns do you have today?" D. "why did you decide to come in for a checkup?"

A

a nurse is implementing Wagner's Chronic Care Model. which of the following actions would the nurse most likely take? A. educate a community group about hypertension control B. create a budget for chronic disease management C. administer immunizations to community members D. conduct depression screenings in the community

A

a nurse is working with a family member to reduce his health risk. Which of the following recommendation would most likely be made by the nurse? A. "be sure to take a 30 minute walk each day" B. "call our office if you have any questions or concerns at all" C. "come back in 2 weeks for follow-up on your surgery D. "continue to take the drug until it is gone, even if you're feeling better earlier"

A

a nurse is working with incarcerated adults who are being released from prison. Which of the following nursing interventions would be most appropriate for the nurse to implement? A. connect offenders with community-based mental health programs B. provide community supervision for mentally ill offenders C. advocate for increased prison time to decrease recidivism rates D. educate about available state resources

A

a nurse notes that the community has an unusually high prevalence of sexually transmitted infections among teens. Which of the following best describes a secondary prevention action the nurse could take? A. conducting a sexual behavior survey with the adolescents B. establishing in-school education related to transmission of sexual infections C. providing free condoms at schools and universities D. providing follow-up educational programs for those diagnosed with an STI

A

a nurse wants to establish a program to decrease the death rate among children. which of the following health problems should be the target of this program? A. accidents and injuries B. AIDS C. childhood obesity D. vaccine-preventable diseases

A

a nurse wants to promote improved health for obese children in the community. which of the following best describes a tertiary prevention measure that the nurse would implement? A. establish lifestyle improvement programs through local youth organizations B. evaluate the food intake of a group of children for a 48-hour period C. Provide education programs to overweight expectant parents D. evaluate the body mass index of children at regularly scheduled well-child exams

A

a nurse would like to learn more about the overall health of a population. Which of the following indicators would the nurse most likely use? A. life expectancy B. mortality rate C. morbidity rate D. health status

A

the nurse learns that a family has decided not to accept medical intervention for a health care problem because paying for the care would drastically reduce the family's resources and ability to meet the needs of other family members. Ethically, which of the following actions should be taken by the nurse? A. appreciate that the family has made the decision that it feels is best and take no further action if it is clear the family has made an informed choice B. stress that each individual in society has a right to health care and the family will have to create some way to raise funds for the needed treatment C.talk to the media to see whether a campaign to raise funds for the family can be created D. try to convince the agency to give the care for free, even if it means economic stress for the agency, because the medical need is obvious

A

toward whom is the TLC model targeted? A. caregivers of older persons with health problems B. community organizations that offer services for the elderly C. elderly clients with health problems D. nurses who care for older clients

A

which of the following actions represents the use of secondary prevention to reduce environmental health risks? A. collecting blood specimens from preschool children to check for lead levels B. meeting with local government officials to request that the city clean up a hazardous vacant lot C. referring a child with toxic lead levels to a neurologist D. teaching parents of a e-yr-old about the dangers of lead-based paint in older homes

A

which of the following children is most at risk for being abused? A. a 1-yr-old B. A 6-yr-old C. a 9-yr-old D. a teenager

A

which of the following statements best explains why family functions and structures create unique challenges in family nursing? A. function and structure change over time B. function and structure do not apply to all family units C. some clients do not have families D. traditional families are rare in society

A

you are a nurse teaching a Swedish group about health promotion. which of the following is the highest priority for this culture? A. good nutrition and exercise B. smoking cessation C. decrease alcohol consumption D. oral health

A

From an ethical standpoint, what is the problem with the belief that everyone should receive his or her fair share, that life should always be fair, and that everyone should make his or her own decisions? A. with this belief, the needs of society as a whole are ignored B. insufficient resources exist to give everyone a fair share C. this belief leads to a propensity for some people to like to be taken care of D. some people think they deserve more than their fair share

A all principles of justice focus on the individual, which ignores the needs of society as a whole indeed, the rights of an individual may conflict with the rights of the community as a whole

Which of the following would have been the focus of a school nurse in the early 20th century? A. investigating causes of absenteeism B. teaching school as well as being a nurse C. promoting nursing as an autonomous practice D. providing medical treatment to enable children to return to school

A early school nursing focused on investigating causes of absenteeism, not providing medical treatment. that was the responsibility of physicians

A nurse is considering applying for a position as a public health nurse. Which of the following would be a reason this position would be appealing? A. its autonomy and independence B. Its focus on acute care and immediately visible outcomes C. its collaboration with other health care professionals D. Its flexibility and higher wages

A in-patient acute care nurses (not public health nurses) focus on acute care with outcomes known fairly quick unlink in-patient nursing, in which there are other HCP and staff with whom to interact, public health nursing is known for its autonomy and independence

when and by whom was nursing's first code of ethics written? A. 1893, by Lystra Gretter B. 1950, by the ANA House of Delegates C. 1953, by the international council of nurses (ICN) D. 2001, by the ANA house of delegates

A the Nightingale Pledge, considered nursing's first code of ethics, written by Lystra Gretter in 1893

A nurse is planning to conduct research on patient care outcomes. Which of the following agencies would the nurse use as a resource? A. agency for Health Care Research and Quality B. Federal Agency for Patient Care Outcomes C. National Center for Nursing Research D. U.S. agency for patient care effectiveness

A the agency for health care research and quality conducts research on health care systems, health care quality and cost issues, access to health care, and effectiveness of medical treatments. It provides evidence-based information on health care outcomes and quality of care

Why did American citizens become interested in establishing government boards of health? A. they were afraid of infectious diseases such as yellow fever B. the government could force the poverty-stricken to accept care C. such boards could tax and thereby ensure adequate funds to pay for care D. such a system would allow for accurate records of births and defects

A threat of disease, especially yellow fever, led to public interest in establishing government-sponsored, or official, boards of health

a public health agency is planning to implement the electronic health record. Which of the following is a benefit of this choice? A. facilitation of interprofessional care B. improved client compliance with medical regimens C. cost savings to the agency D. compliance with JCAHO standards

A facilitates interprofessional care in chronic disease management and coordination of referrals; 24hour availability of records with downloaded laboratory results and up-to-date assessments; incorporation of protocol reminders for prevention, screening, and management of chronic disease; improvement of quality measurement and monitoring; increased client safety; and decline in medication errors.

Which illnesses/disorders are associated with the earth element in Thai health culture? Select all that apply. A. Hemorrhoids B. Cardiovascular disease C. Skin cancer D. Pulmonary diseases

A, C

After seeing a public education program on the need for screening colonoscopy and the dangers of colorectal cancer, an older friend asks the nurse, "I'm really scared of getting cancer. What can I do to avoid that kind of cancer?" Which of the following recommendations should be made by the nurse? (Select all that apply.) A. avoid smoking or much alcohol B. choose poultry or fish rather than red or processed meat C. eat lots of fruits, vegetables, and fiver each day D. try to get at least 8 hours of sleep a night

A, B, C

which of the following adolescent(s) would receive care from the advanced practice nurse without parental consent? (select all that apply) A. a 16-yr-old who is living on his own (not with his parents) B. pregnant adolescent C. an adolescent in an emergency situation D. an adolescent whose diagnosis has a serious prognosis

A, B, C

A 46-year-old Hispanic female is concerned about her newly implemented nutrition and diet needs. The patient states that meals at home are cooked with large amounts of salt and spices. How can the nurse help the patient meet the appropriate nutrition and diet needs? (Select all that apply) A. The nurse can review and provide handouts with appropriate meals and snacks B. The nurse can provide teaching with the family regarding new diet requirements. C. The nurse can discuss common foods consumed by the patient and family. D. The nurse can place a consult for nutrition therapy. E. Have home health follow up on nutrition and diet restrictions during visits

A, B, C, D, E

What actions are inappropriate when interacting with Thais? Select all that apply. A. Touching their head B. Talking with your hands C. Making eye contact D. Pointing your feet at them

A, B, D

a nurse requests to meet a newly referred family in their home. Which of the following best explains the rationale for this request? (select all that apply.) A. the nurse can assess the family environment B. the family will feel more comfortable C. families typically welcome others into their home D. more family members can typically be involved

A, B, D

which of the following factor(s) may help determine how many home visits are made to a particular family? (select all that apply). A. agency's policies regarding eligibility for services B. family's feelings about the home visit and willingness to continue C. the nurse's perception of the amount of time needed to complete required tasks D. reimbursement policies of third-party payers

A, B, D

What do demographic figures suggest about the ways in which the population of the United States is changing? (select all that apply) A. approximately 12% of the U.S. population was born in a different country B. Hispanics are the largest minority group population C. households consisting primarily of intact families continue to grow D. mortality for both genders in all age groups declined

A, B, D demographic figures confirm that 12% of the current U.S. population is foreign-born, with most immigrants coming from Latin America and about half as many from Asia Families make up about 69% of all households, a decline from 81% in 1970. although African Americans used to be the largest minority group, as of 2003, Hispanics now have that distinction the population of the United States continues to increase, and mortality for both genders from all age groups has declined

Nurse Sally walks into the hospital room of an Italian Nonna age 92, ready to give her a bed bath. Nonna is surrounded by her immediate and extended family clutching a Rosary bead and being blessed with Holy water while praying. Nurse Sally excuses herself and gives the family their time and space. How do we know Nurse Sally is providing culturally sensitive care to this patient? (select all that apply) a. Nurse Sally remains sensitive to the client's spiritual beliefs. b. Nurse Sally is only worried about time management and moves onto the next patient. c. Nurse Sally is allowing the family to be involved in the client's care. d. Nurse Sally gets frustrated when the call bell in Nonna's room gets pressed two minutes later, and Nonna is ready to be washed up.

A, C

a family asks the nurse to please meet at their home rather than at the clinic. Which of the following best describes why the family prefers to meet in their home? (select all that apply.) A. the family won't have to travel B. it is cheaper for the family because of reimbursement requirements C. meeting at home is much more convenient for the family D. the nurse won't be distracted by other clients or responsibilities E. it would save money for the nurse and the clinic

A, C

how did nursing education change in the 1950s? (select all that apply) a. Baccalaureate nursing programs typically included public health nursing concepts. b. Diploma schools of nursing continued to expand their student numbers. c. Junior and community colleges began offering nursing programs. d. Nurses were strongly encouraged to have a scientific basis for their practice.

A, C

which of the following interventions would the nurse most likely implement when addressing the problem of asthma among school-aged children? (select all that apply.) A. assess schools and day care centers for environmental "friendliness" B. share nutritional information with all students in the school C. develop home and environmental assessment guides D. teach all school personnel how to use rescue inhalers

A, C

which of the following provides evidence that the U.S. health care system is in crisis? (select all that apply). A. full-time employees may not have health insurance as a benefit B. incompetent or negligent nurses are an ongoing source of medical errors C. long work hours and provider fatigue are a major factor in medical errors D. more punitive measures must be taken to decrease provider errors

A, C although 61% of the non-elderly population continues to obtain health insurance through their employer as a benefit, employment does not guarantee insurance

which of the following actions would a nurse take when serving as an advocate for the community? A. asking questions related to health implications at policy meetings B. calling the local health department to report problems at the hospital C. serving as a source of information at public meetings D. volunteering to serve on health-related committees

A, C, D

which of the following must be firmly established before beginning a family assessment? (select all that apply) A. why the data are needed B. how best to interview each individual in the family C. the most convenient time for you to visit the family D. the rationale or purpose of the visit

A, C, D

which of the following strategies would a nurse expect to be implemented by a typical state environmental agency? (select all that apply.) A. acting, through unannounced inspections, to ensure compliance B. writing permits that help limit toxic hazards C. monitoring hazardous substances to uphold established standards D. obtaining and analyzing samples to confirm compliance

A, C, D

which of the following statements are accurate descriptions of current social and economic trends in the United States? (select all that apply) A. citizens are appreciating the quality of life enjoyed in the United States B. enjoying life is not as important as the need to take care of oneself C. many families are seeing decreases in family income D. massive and unexpected social and economic changes have occurred

A, C, D one of the social trends influencing health care is a growing appreciation of the quality of life the first decade of the 21st century has added massive and unexpected changes to health, economic, and social conditions in the form of terrorist attacks, hurricanes, fires, floods, and infectious diseases

catholicism is the dominant religion in Costa Rica and their religious values are highly regarded. What topics, that are considered "taboo", should be avoided talked about in public? select all that apply A. premarital sex B. addiction C. abortion D. suicide E. gay marriage

A, C, E

a nurse calls a family to arrange for the first home visit. which of the following information should the nurse share with the family? (select all that apply.) A. the reason for the visit B. everything the nurse knows about the family C. how many visits will be planned D. the cost of the visit and how this may be paid

A, D

Three nurses disagree over the appropriate treatment for a woman who is an excellent candidate for hospice care. The first nurse believes that deciding on care rather than cure is the woman's decision and no one else can decide for her. The second nurse says that it is the responsibility of the health care team to do good for the woman, and if the physician thinks there is still a possibility of cure, then the nurses should do everything they can to implement the treatment plan. The third nurse states that it isn't fair for the family members to expend all their resources on the woman, who is probably going to die anyway. Which of the following conclusions can be drawn from this dispute? (Select all that apply.) A>ethical principles can conflict with one another B. the nurses are each using different ethical approaches C. the first nurse is correct because autonomy demands that the woman decide for herself D. there is no single accepted approach for resolving such disagreements

A, D one of the criticisms of using ethical principles is that they can conflict with one another in any given situation no rule exists for helping resolve such conflicts

a nurse is working at a state health department. Which of the following duties would most likely be completed in this setting? (select all that apply) A. administering the Medicaid program B. assessing the health needs of the state's citizens C. employing and supervising school health nurses D. establishing and maintaining free clinics for HIV-positive drug abusers

A,B state health departments try to prevent and respond to infectious disease outbreaks they also are responsible for health care financing and administering Medicaid, providing mental health and professional education, establishing health codes, licensing facilities and personnel, and regulating the insurance industry

which of the following are the major sources of air pollution in the United States? (select all that apply). A. burning of fossil fuels B. waste incineration C. industrial plants D. motor vehicles

A. B. D

. A nurse is caring for a dying Amish client. Which of the following is an important cultural consideration? A. The patient will prefer to face the window when they pass. B. The family will want to stay with the patient. C. The family will be very expressive in how they experience grief. D. The patient will want to be alone.

B

A child of Latino descent is brought to a community health clinic by his mother for an annual check up. Which nursing intervention is most important when gathering information about the child? A. Do not use eye contact. B. Use physical touch during the exam. C. Do not speak with the child during the exam. D. Use only body language for communication. E. Speak only with the mother out of respect.

B

The nurse conducts an admission interview of the hospitalized client. Which approach would best assess the client's cultural needs? (7) A. During introductions, address the cultural backgrounds of both client and nurse. B. Ask which specific culture the client identifies and if there are any cultural needs. C. Ask if the client need any of the available culture-specific services offered by the facility. D. Determine where the client lives and if the client has any social and religious affiliations.

B

What importance is given to the family in Italian culture? a. The family play a secondary role, this culture centers on the individual b. The family is important and plays a central part of life c. The family is somewhat important, and members gather every now and then d. The family is not a priority in Italian culture

B

Which of the following statements are true regarding the Thai culture? A. Kissing between men and women in public is deemed acceptable. B. Time is intangible and plentiful. C. Communication requires people to be direct and say exactly what they mean. D. Physical contact, like hugs, is considered acceptable in public.

B

a 76-yr-old hispanic male was recently diagnosed with pneumonia, which type of disease is this diagnosis considered? A. hot B. cold C. respiratory D. hospital acquired

B

a nurse ants to find information about environmental threats that are present in the community. Which of the following would be the best source of data for the nurse? A. CINAHL B. National Library of Medicine C. state health department D. closest local library

B

a nurse is assessing potential environmental health risks in the community. Which of the following would be the first step that the nurse should take? A. conduct health risk assessments of randomly selected individuals B. perform a windshield survey C. review facility permits and consumer confidence reports D. survey community members

B

a nurse is in the termination phase of the nurse-family relationship. Which of the following strategies would the nurse most likely implement? A. increasing sessions with the nurse B. making referrals when appropriate C. providing a formative evaluation of the relationship D. refusing additional communication with the family

B

a nurse is making an appointment with a family for a nursing visit. which of the following describes a potential barrier the nurse may encounter? A the assessment cannot be done unless the extended family is present B. it may be difficult to find a convenient time for all family members to be present C. nurses have limited time to do home visits D. families are often scattered over a large area, making access difficult

B

a nurse is providing contraceptive counseling to a female client. Which of the following is the cost appropriate outcome of this counseling? A. encourage the individual to choose abstinence B. ensure the individual is educated to make an informed choice about reproduction C. advocate for increased funding for reproductive services D. reduce the health risks of the individual

B

a nurse is working with a family who is confronting major challenges to their health. Which of the following approaches would be most helpful for the nurse to use? A. allowing the family to be noncompliant B. building on the family's strength and resilience C. labeling the family as resistant D. recognizing that the family is dysfunctional

B

a nurse was preparing for a home visit to a family where the mother had just been discharged from trauma care after being hit by a drunk driver. the nurse hoped the family was able to care for her. Which of the following comments from the husband would suggest an energized family? A. "I make the most of the decisions so the kids don't notice much difference" B. "my daughter is pretty independent; she's active in both sports and theater" C. "my son is old enough to get a job and help pay all these medical bills" D. "my wife taught our daughter how to cook simple meals

B

an occupational health nurse is developing an educational program to address the importance of healthy personal health habits. Which of the following topics would be most important for the nurse to address? A. avoidance of alcohol B. regular physical exercise C. daily consumption of calcium-rich foods D. monthly self-breast and testicular exams

B

the hospital-based nurse has worked with a client at some length regarding appropriate diet. based on the family systems theory, which of the following will most likely occur when the client returns home? A. the family member who prepares food will probably suggest the newly discharged member eat the meals everyone in the family enjoys B. the family member who prepares food will probably try to modify family meals without obvious change for the family as a whole C. the family member who prepares food will probably prepare meals based on the diet plan for all the family D, the family member who prepares food will probably prepare specials meals for the newly discharged member

B

the nurse is told that a healthy, functional family consisting of a 25-yr-old man and a 24-yr-old woman, who are expecting their first child, would appreciate a nurse coming to their apartment for anticipatory guidance in preparing themselves and their apartment for the baby. based on that statement, which of the following assumptions can the nurse safely make about the family? A. the family is lacking a strong support system B. the family's basic needs are being met C. the couple's in-laws are unavailable to share their expertise about child care D. the married couple is excited about their first baby

B

which of the following best describes the current research findings related to the use of hormone replacement therapy (HRT)? A. HRT does not prevent heart disease B. use of HRT is recommended to prevent osteoporosis C. primary prevention programs D. tertiary care through long-term follow-up

B

which of the following best describes the purpose of local health departments making unannounced inspections of local restaurants? A. to enforce local laws and regulations B. to ensure compliance C. to provide exposure to oversight D. to monitor employee safety

B

which of the following best describes the use of genomic health care? A. assists with understanding family relationships B. assists with determining familial health risks C. useful in learning about environment risk factors D. useful in detecting risk for developing cancer

B

which of the following factors must be considered before deciding on an appropriate plan of action? A. family agrees to the nurse's plan B. family is capable of the required actions C. family will learn better coping skills from the nurse's plan D. nurse has informed family how to complete the required actions

B

which of the following is of the greatest concern for the nurse who works with high school students? A. alcohol use B. motor vehicle accidents C. sports-related injuries D. UNprotected sex

B

which of the following should be the initial consideration made by a nurse who is working with lesbian, gay, bisexual, and transgendered (LGBT) families? A. understanding of same sex marriage laws within the state B. understanding personal feelings of working with members of this community C. assessment of the family structure within the LGBT family D. assessment of sexual orientation in a safe environment

B

which of the following statements about children and environmental hazards is correct? A. the prevalence of autism is directly related to the increase in environmental toxins B. children are more susceptible to environmental toxins because of their smaller size C. the prevalence of asthma among children has been decreasing D. children are more susceptible to cancer if they have a family history of the disease

B

you are a nurse on a med-surg floor treating a Swedish patient, which of the following demonstrates culturally competent care? A. do not make eye contact B. don not invade personal space until needed C. do not point your feet toward the patient D. do not touch the patient's head

B

you are going into a meeting with someone of the Costa Rican background. What is the appropriate distance to maintain amongst the two of you? A. one to two feet B. arm's length C. sitting at a table from one another D. twelve to fourteen feet

B

A community health nurse is trying to increase enrollment in SCHIP. Which of the following interventions would be most effective? A. explaining the program to children enrolled in public school systems B. handing out SCHIP applications to uninsured children seen in local hospital emergency departments C. having a newspaper campaign with information and applications printed in the newspaper D. sending literature about the SCHIP program home with schoolchildren each year

B SCHIP builds on Medicaid to provide insurance coverage to low-income, uninsured children who are not eligible for Medicaid. Thus, the population that needs to be targeted for SCHIP is those being seen for medical care who do not have insurance

Which of the following best describes why local, state, and federal governmental agencies have started to cooperate and collaborate more closely in the last few years? A. increased administrative pressures to demonstrate outcomes B. increased focus on emergency preparedness and response C. increased taxpayers' complaints and general unhappiness D. increased pressure to decrease overlap in services

B Since the tragedy of September 11, 2001, health departments have increasingly focused on emergency preparedness and response. In case of an emergency event, state and local health departments in the affected area will be expected to collect data and accurately report the situation, to respond appropriately to any type of emergency, and to ensure the safety of the residents of the immediate area, while protecting those just outside the danger zone

A new nurse states to a nursing colleague, "But why do I have to be involved in politics? I just want to be the very best clinical nurse I can." Which of the following would be the best response from the nursing colleague? a. "As long as you pay your membership fee to the American Nurses Association, you have participated in the profession's political endeavors." b. "Political action is the way you try to fulfill your ethical responsibilities to clients." c. "You're absolutely right; if you are good clinically, you have fulfilled your obligation." d. "When you've completed your clinical orientation, then you'll have time to be involved in politics."

B To be a good clinical nurse, the nurse needs resources and supportive policies that can be obtained only through political action to ensure those very resources and policies. Many clients are members of vulnerable groups who have often previously lacked access to quality care at an affordable cost. The American Nurses Association Code of Ethics for Nurses emphasizes political action as the mechanism to effect social justice and reform regarding homelessness, violence, and stigmatization.

how can nurses know whether they have been effective in assessing the community and planning and implementing appropriate interventions? A. ask community leaders for their opinion of the interventions B. examine the morbidity and mortality rate of the community C. reassess the community to determine whether obvious needs have been met D. systematically survey community residents regarding their perception

B although all these options may be useful, the end products of appropriate advocacy are decreased morbidity and mortality

African-American females have a higher mortality rate from breast cancer than White females. This is an example of: A. projection B. disparity C. racism D. a sentinel event

B disparities are racial or ethnic differences in the quality of health care, not based on access or clinical needs, preferences, or appropriateness of an intervention

with which of the following ethical approaches are Gilligan and Noddings associated? A. distributive justice approach B. feminine ethic C. principled approach D. virtue ethics

B focuses on the morality of responsibility in relationships that emphasize connection and caring as a moral imperative

a public health nurse is compiling information about how to promote early detection of breast cancer in women.. Which document would most likely provide useful information about this topic? A. The Future of Public Health B. Healthy People 2020 C. patient protection and affordable care act D. scope and standards of public health nursing practice

B healthy people documents propose a national strategy to improve significantly the health of americans by preventing or delaying the onset of major chronic illnesses, injuries, and infectious diseases.

how does managed care attempt to control costs of care? A. by encouraging families to use the point of service list of individual practice associates B. by requiring families to choose a care provider from the MC network and not allowing access to other services without their provider's permission C. by moving Medicaid-eligible families onto state Medicare enrollment D. by refusing permission for families to use urgent care or emergency department services

B managed care is a system in which care is delivered by a specific network of providers. Each provider serves as a gatekeeper who controls access to other providers and services cost is reduced because members cannot use specialists or seek hospital or other care without permission from their primary care providers thus, those enrolled in Medicaid managed care have restrictions that help keep costs down for government (and for taxpayers)

which of the following best describes ideal primary health care? A. based on a multidisciplinary group of health care providers that works as a team B. essential care available to all community members, which encourages self-management C. focused on health promotion and disease prevention for everyone enrolled in the health center D. local efforts to meet the Declaration of Alma Ata principles

B primary health care is generally defined as essential care made universally accessible to individuals and families in a community with their full participation and at a cost that the community can afford

which of the following is considered the most important goal in nursing today? A. adapting to technological advances such as electronic medical records B. demonstrating care as the basis of nursing practice C. distinguishing nursing care from medical care D. seeking evidence-based outcomes to demonstrate nursing's contribution to care

B since the mid-1980s, nurses have written about caring as the essence of nursing and as the ethical and moral ideal of nursing practice

A nurse is reviewing the original work of the National Organization for Public Health Nursing. Which of the following accomplishments of today was started within this organization? A. requiring that public health nurses have a baccalaureate degree in nursing B. standardizing public health nursing education C. developing nursing cooperatives D. opening the Henry Street Settlement

B the national organization for public health nursing sought to standardize public health nursing.

A nurse's mother leans forward and says, "My best friend fell the other day and now she's in the hospital. I'm really worried about getting osteoporosis. What do you think I should do?" What should the nurse recommend? (Select all that apply.) A. ask your doctor for hormone replacement therapy B. continue to abstain from alcohol and not use tobacco C. eat foods high in calcium such as fortified skim milk D. eat lots of green leafy vegetables

B, C

you are caring for a patient of Costa Rican descent on the medical surgical floor you actively work on, which of the following culturally sensitive practices will you include while caring for your patient at the bedside. Select all that apply. A. asking the family to translate the patient's needs B. providing discharge packets in Spanish for the patient for when they get discharged home C. spending extra time getting to know your patient and their preferences D. providing more modest hospital gowns for the patient E. treating the patient the same as your other culturally different patients

B, C, D

How did health care and its delivery change during the 1980s? (Select all that apply.) a. Funding to public health increased as funding for acute hospital care decreased. b. Laws began to be passed that discouraged the use of alcohol, drugs, and tobacco. c. Nurse practitioners were increasingly used to provide care. d. Public health programs suffered reduced political support, financing, and effectiveness.

B, C, D During the 1980s funding began to shift to meet the costs of acute hospital care, medical procedures, and institutional longterm care. The use of health maintenance organizations was encouraged, and the use of nurse practitioners increased. Consumer and professional advocacy groups urged the passage of laws to prohibit unhealthy practices such as smoking and driving under the influence of alcohol. By the late 1980s, public health had declined in political support, financing, and effectiveness.

a nurse enters a family's home for the first time. which of the following goals should the nurse have? (select all that apply). A. assessing each family member in detail both physically and psychologically B. collaborating with the family to establish goals and a plan for meeting them C. determining the exact relationship between each member of the family D. exploring the family's perception of their problems and needs

B, D

a nurse wants to use the principles of risk and outrage to improve an environmental hazard in the community. to accomplish this, which of the following actions would be taken by the nurse? (select all that apply.) A. advertise in the media throughout the entire surrounding area B. communicate the correct information in a timely fashion C. share all the data found on the community assessment D. talk to those affected or those worried about the situation

B, D

A nurse working with Mary breckinridge would have likely assisted with: (select all that apply) A. establishing the Henry Street Settlement B. developing health programs geared toward improving health care of the rural populations C. blazing a nursing trail through the Rockies, providing nursing care to miners and their families D. ensuring positive outcomes for pregnancies among women in the Appalachian region

B, D Mary Breckinridge developed health programs geared toward improving the health care of the rural and often inaccessible populations in the Appalachian regions of southern Kentucky. Breckinridge introduced the first nursemidwives into the United States when she deployed FNS nurses trained in nursing, public health, and midwifery. Their efforts led to reduced pregnancy complications and maternal mortality, and to onethird fewer stillbirths and infant deaths in an area of 700 square miles. Lillian Wald established the Henry Street Settlement.

How did Florence Nightingale help bring about community health nursing? (select all that apply) A. she convinced socially prominent wealthy women to volunteer to give care B. she focused on all soldier and their environment C. she interacted with each individual person, assessing his or her needs and acting to meet those needs D. she kept careful record on what was done and what were the results

B,D

A nurse has just met a family and is doing their family assessment. Which of the following actions should the nurse take before engaging in self-disclosure? A. confirm the reason for the assessment B. demonstrate culture awareness C. take time to build trust D. understand the family dynamics

C

A nurse is teaching an Amish patient how to lose weight. Which of the following demonstrates the client understand the nurse's recommendations? A. "I will go to the gym three days a week for 1 hour each time." B. "I will walk to town when needed rather than riding in the horse and buggy with my family." C. "I will modify my recipes to use less butter or sugar." D. "I will increase the amount of water I drink."

C

The client of Hispanic ethnicity is newly diagnosed with type 2 DM. When creating a teaching plan for the client, which objective demonstrates culturally sensitive education? (7) A. discuss glycemic control of Hispanics. B. Ensure that the client can perform his glucose testing. C. Discuss foods commonly eaten by Hispanics. D. Teach about the complications of type 2 DM

C

Which of the following characteristics indicates a man is at a higher risk for developing prostate cancer? A. being of caucasian descent B. has not had a PSA test C. has a father or brother who has had prostate cancer D. has benign prostatic hypertrophy (BPH)

C

a client has designated someone else to make health care decisions when he or she is unable to do so. Which of the following methods is the client using to make health care decisions? A. an advance directive B. a living will C. a durable medical power of attorney D. the patient self-determination act

C

a home health nurse is preparing to terminate the first home visit with teenage parents and their new baby. which of the following actions will the nurse take before leaving? A. determine the family's willingness for another home visit B. establish the purpose of the visit C. review the family's learning and other accomplishments of the visit D. review the family record and reason for referral

C

a mother says, "My son wants me to let him buy a car. I must admit, , I certainly get tired of driving him around to all his sports and other activities. Do you think I should let him have a car?" which of the following statements would be the best response by the nurse? A. "absolutely, it will help him recognize the cost of gas and maintenance" B. "certainly. Most young men want their own car, and peer pressure can be painful" C. "it depends on whether you trust your son to drive safely" D. no, adolescent males cannot be trusted with an automobile"

C

a nurse advises a client who has HIV not to donate blood, plasma, or organs. which of the following levels of prevention is being used? A. primary prevention B. secondary prevention C. tertiary prevention D. health promotion

C

a nurse arrives at a home at the appointment time established with the client over the phone. However, no one answers the door. Finally a child comes out and says, "my mom said she couldn't see you and you should go away." Which of the following actions should be taken by the nurse? A. demand the child let the nurse into the home to talk to the mother B. interview the child as to how the family is doing C. leave a card with information on how to get in touch with the nurse D. point out that legally once an appointment has been made the mother needs to be seen

C

a nurse asks a family member, "what has changed between you and your spouse since your child's head injury?" Which of the following focuses of the family is the nurse assessing? A. the context B. the client C. a system D. a component of society

C

a nurse focuses on the care of the individual while viewing the client's family as a background resource or possible stressor. Which of the following conceptualizations of family does this nurse's view represent? A. client B. component of society C. contact D. system

C

a nurse is caring for a 21-yr-old hispanic female. when speaking with the patient regarding her medical care, she is looking at her hands. The nurse leaves the room and consults with another nurse as to why the individual is looking away when the nurse speaks with her. A. The patient does not understand English B. She is upset and does not want to deal with her medical issues C. This is considered respectful when communicating with elders in her culture D. She cannot speak with you until her family is present

C

a nurse is completing a basic health assessment. which of the following questions should be asked by an environmentally aware nurse? A. "is anyone lese in your family having these symptoms" B. "can you tell me about your house or apartment?" C. "what jobs have you held longest?" D. "where do you live"

C

a nurse is completing a health risk appraisal with a client. which of the following comments would cause the nurse to probe further to determine if the family is in crisis? A. "I can't visit my husband when I'm at wotk all day. How can I be sure he's all right?" B. "my husband handled our finances. Now that he's gone, I'll have to learn how to do this" C. "I don't know what to do now that my husband is dead. There is no way I can go back to work and also take care of three children" D. "what am I supposed to do now that everything we own is gone? are there any agencies that can help me?"

C

a nurse is completing an initial home visit with a family. which of the following actions should be taken first by the nurse? A. assess the family and the home setting for both strengths and problems B. determine the family's expectations of a home visit C. establish rapport between the nurse and the family D. engage in extended social interaction as would be expected from any guest

C

a nurse is drawing a genogram. which of the following would the nurse use to demonstrate a marriage relationship between two individuals? A. a broken line B. a dashed line C. A solid line D. two parallel lines

C

a nurse is implementing a tertiary prevention program to promote health amon middle-aged women with diabetes. Which of the following best describes the intervention being implemented by the nurse? A. developing lifestyle improvement programs for women at risk for diabetes B. presenting lifestyle management presentations at women's conferences C. monitoring blood glucose levels closely and modifying diet accordingly D. screening glucose levels of women at risk for development of diabetes

C

a nurse is implementing risk reduction interventions with a family. Which of the following questions is most important for the nurse to ask? A. "did any of the hunters in your family kill a deer this year?" B. "how do you . keep your rifles safe from curious children?" C. "where do you shoot with your handguns?" D. "where do you keep your rifles locked when it is not hunting season?"

C

a nurse is new to the community but wants to begin planning immediately for health promotion programs. even though the nurse does not yet know the community, which of the following programs would be good to plan first? A. alcohol and tobacco cessation programs B> cancer screening programs C. cardiac health education programs D. exercise for life programs

C

a nurse is providing pre-conceptual counseling to a young woman. which of the following supplements would the nurse most likely recommend/. A. iron B. calcium C. folic acid D. vitamin C

C

a nurse organizes care for a family by focusing on the common tasks of family life and considering a longitudinal view of the family life cycle. which theory is being applied? A. family systems B. structural-functional C. family developmental D. interactionist

C

a nurse practitioner has established a mobile clinic to vaccinate non-institutionalized adults against influenza. which of the following phases of the nursing process is being implemented? A. assessment B. planning C. intervention D. evaluation

C

a nurse wants to establish a program to decrease the death rate among adolescents. which of the following programs should be developed? A. anti-alcohol program B. anti-smoking program C. careful driving program D. safe sex program

C

a nurse wants to help keep the community environment safe. Which of the following is the most appropriate action for the nurse to take? A. conserve water by bathing less often B. downsize to a smaller living space C. reduce, reuse, and recycle D. replace all his appliances with new energy-efficient ones

C

a school nurse wants to decrease the rate of obesity among children. Which of the following actions in the community would be most effective? A. lobby legislators to enact stronger legislation regarding school lunches and snack machines in schools B. increase nutrition programs in schools that teach children to make healthy food choices C. involve the entire family in the planning and managing of nutrition, especially when a child in the family is obese D. provide after-school and summer camps that focus on diet and exercise

C

an occupational health nurse at a local factory is using primary prevention strategies to reduce the environmental health risks among the employees. Which of the following activities would the nurse most likely implement? A. checking radiation detectors to monitor for unsafe levels of radiation exposure B. irrigating the eyes of an employee who has had a chemical splash to the face C. teaching new employees who will work outdoors about the signs and symptoms of heat-related illness D. using spirometry to rule out obstructive or restrictive lung disease for workers who will be wearing mask respirators

C

if underlying causes were listed on autopsy reports, which of the following would be the most common cause of unnecessary death in the United States? A. alcohol B. guns C. tobacco D. unprotected sex

C

in taking a family history, the nurse in community health finds that this is the second marriage for the previously divorced parents and that the male partner is the stepparent to the oldest child. For which of the following aspects of the family assessment is data being gathered? A. dynamics B. function C. structure D. system

C

using the Neuman Systems Model, which of the following questions would the nurse ask a client to assess physiological health? A. "what helps you to cope with situations involving your wife's cancer?" B "how has your child's illness affected the behavior of your other children?" C. "tell me about any illnesses your other family members have" D. "who do you turn to for support outside your immediate family?"

C

what is the relationship between ethics and a community health nursing practice? A. ethics and actual nursing practice are not related B. knowing ethics allows nurse to recognize the source of most problems C. ethics is constantly involved in nurses' clinical decisions D. Although ethics is important, political and legal responsibilities are more important in practice

C

which of the following best describes a normative life event that can increase the risk for illness? A. a family is involved in a motor vehicle crash B. a group of teens experiment with recreational drugs C. a woman is pregnant with her first child D. the family wage earner is laid off from his job

C

which of the following clients would cause the nurse most concern? A. the client who is currently unemployed but actively seeking a position ad frequently walking from one interview to another B. the client who is not employed but spending time at the gym keeping fit and studying the benefits of organic natural uncooked foods C. the client who is employed and often works 12 hours a day without moving from the computer desk D. the client who is employed but always leaves promptly at 5:00 to pick up the children from the day care center

C

which of the following families is at high risk for health problems? A. a man agrees that he needs to eat better and exercise more but also expresses how busy he is at his job B. a man knows that his grandfather, father, and older brother all died of cardiac disease C. a man is currently unemployed and despairs about finding a position D. a man expresses disappointment that, having been laid off as an executive, his new position pays only about two thirds of his original salary

C

which of the following situations would most likely indicate elder abuse? A. a daughter refuses to visit her mother due to work commitments B. a child runs around a grandparent's house breaking items C. a young man repeatedly steals money from his grandmother D. an elderly person demands that the family come for dinner

C

which statement about eating disorders is correct? A. individuals with anorexia frequently complain about weight loss B. purging is associated anorexia C. most women with bulimia are concerned with the shape and weight of their body D. bulimia is considered to have more medical complications than anorexia

C

you are a floor nurse and you have a Swedish patient, which form of communication is most effective for this population? A. long explanation B. multiple people talking at once C. direct and to the point D. on-verbal

C

a nurse is considering joining the American Public Health Association. What information about this organization should be considered when making this decision? A. APHA focuses on the public health concerns of the medical profession B. APHA represents concerns of nursing specialty practices C. APHA provides a forum for nurses to discuss their public health concerns D. APHA focuses on providing health promotion education to the public

C APHA was formed to facilitate interprofessional efforts and promote the "practical application of public hygiene" the public health section within APHA provides nurses with a forum to discuss their concerns and strategies

How did the Industrial Revolution result in previous caregiving approaches, such as care by families, friends, and neighbors, becoming inadequate? A. economic and political wars resulted in frequent death and injuries B. incredible plagues consistently and constantly swept the European continent C. migration and urbanization resulted in increased demand for care D. caregivers could easily find other employment, so they demanded to be paid

C care became inadequate because of the scoial changes in Europe, with great advances in transportation, communication, and other technologies the increased mobility led to migration and urbanization, which in turn led to increased need for care

A nurse didn't know what to do when faced with a particular ethical dilemma because an option that would have a good outcome didn't seem possible. The nurse decided to talk to the agency supervisor and decide what action to take. Which of the following best describes the nurse's actions? A. appropriate, because the supervisor is responsible for the nurse's choices B. Intelligent, because the supervisor has access to resource persones (clergy, physicians, administrators) who might know of options the nurse hasn't considered C. justified, because this provides an opportunity to discuss the issue but the nurse maintains responsibility for the decision D. wise, because the supervisor would be more knowledgable concerning agency priorities and traditional practices

C ethically, the nurse is responsible for his or her own decisions and cannot avoid ethical accountability by relying on obedience to a supervisor or any external rule or policy

A nurse is explaining the health care system in the United States to a group of physicians visiting from South America. How would the nurse best describe the current health care system? A. "It is a logical, rational approach to meeting expressed needs while still trying to control costs" B. "It is a system in the process of reform as problems have become increasingly apparent" C. "it is divided primarily into two component: private health care and public health care" D. "It is the best in the world with outstanding research and high-technology care available to all"

C health care in the united States consists of a personal care system and a public health system, with overlap between the two

what was the outcome of the Shattuck Report? A. efforts to control alcohol and drug abuse, as well as tobacco use, were initiated B. environmental sanitation efforts became an immediate priority C. guidelines for modern public health organizations were eventually developed D. local and state governments established boards of health after is publication

C it took 19 years for the first of Shattuck's recommendations to be implemented, but his report was the first effort to create a modern public health organization

The staff cannot reach an agreement on what is the right thing to do in relation to a specific patient. which of the following approaches should the nurse use in personally deciding what is right? A. do whatever will not get the nurse in trouble with employer B. do whatever is supported by an ethical expert, such as the hospital chaplain C. do whatever the nruse would recommend to anyone in a similar situation D. do whatever the nurse supervisor would feel comfortable reporting to administration

C one of the rules in deontological decision making is to determine whether the proposed actions can be generalized so that all persons in similar situations are treated similarly

which of the following nurses is famous for creating public health nursing in the United States? A. Florence Nightingale B. Frances Root C. Lillian Wald D. Mrs, Solomon Loeb

C she established the Henry Street Settlement and later emerged as the established leader of public health nursing during its early decades

the Elizabeth Poor Law of 1601 is similar to which current law? A. welfare B. food stamps C. Medicaid D. Medicare

C the poor law guaranteed medical care for poor, blind, and "lame" individuals, similar to medicaid

How does the department of agriculture promote the health of U.S. citizens? A. by collecting surplus food left after mechanical harvests and distributing it to the poor B. by inspecting food, so no foodborne illnesses can occur C. by collaborating with others to provide food or food stamps to needy persons D. by providing direct education and grants to dietitians and nutritionists

C the Department of Agriculture collaborates with state and local government welfare agencies to provide food stamps to needy persons to increase their food-purchasing power. Other programs include school breakfast and lunch programs; THe Supplemental Food Program for Women, Infants, and Children (WIC); and grants to states for nutrition education training . The Department of Agriculture also engages in plant, product, and animal inspections, but limited funding prevents absolute surety that food is safe to eat

a man entered the emergency department bleeding profusely and screaming. "I've got to see a doctor right now! I've got a right to see a doctor! I'm hurt. You have to take care of me!" which of the following premises would ethically justify such a demand for immediate attention? A. all hospitals receive federal money and all capable employed adults pay taxes, so all adults have a right to what their tax money has purchased B. saving an individual's life improves society and upholds tradition C. Our society believes that all persons should be treated equally and that basic needs, such as not dying if death can be avoided, should be met D. the man has a property right to his own body, and the government is responsible to ensure that property rights are protected

C the ethical theory of egalitarianism suggests that everyone is entitled to equal rights, equal treatment, and equal share of the goods of society - and that the government's role is to ensure this happens, at least on a basic level. Therefore, the man has a right to emergency care

Which of the following is the first and most crucial step in the ethical decision-making process? A. assess the context or environment in which the decision must be made B. consider the various ethical principles or theories C. identify the ethical concerns D. make a decision and act on it

C the first step in the ethical decision-making framework is to carefully identify the ethical issue or dilemma

which client would have been most likely to receive care from the Frontier Nursing Service? A. an injured soldier B. homebound, elderly male C. woman in labor D. child with measles

C the frontier nursing service nurses were trained in nursing public health and midwifery and provided care to rural and inaccessible areas, which led to reduced mortality

some nurses are debating about the appropriate action to take in relation to a particular family. The father is ill, and the other family members have chosen to continue working rather than take time off to care for the ill family member. One nurse states "it is a wife's responsibility to care for an ill husband" which of the following ethical approaches is being used by the nurse? A. consequentialism B. communitarianism C. deontological ethics D. principlism

C the nurse is focusing on duty, which is a deontological approach based on the moral obligation to engage in certain actions

some nurses are debating about the appropriate action to take in relation to a particular family. One member of the family is ill, and the other family members have chosen to continue working rather than take time off to care for the ill family member. One nurse states, "But it doesn't have to be an either/or situation. Perhaps each family member could take a turn calling in sick just 2 or 3 days. That way they could all take a turn at helping and yet not upset their employers. Wouldn't that be fair?" Which of the following ethical approaches is being used by this nurse? A. communitarianism B. deontological ethics C. principlism D. utilitarianism

C the nurse is focusing on ethical principles - in this case, beneficence (do good for the ill family member), nonmaleficence (do no harm, even to the employer), and justice (everyone takes a turn and shares equally)

Some nurses are debating about the appropriate action to take in relation to a particular family. One member of the family is ill, and the other family members have chosen to continue working rather than take time off to care for the ill family member. One nurse states, "It's not up to us; it's the family's decision. They know what is best for them." Which of the following ethical approaches is being used by this nurse? A. communitarianism B. deontological ethics C. principlism D. utilitarianism

C the nurse is using an ethical principle, namely autonomy, in which each person or group can choose those actions that fulfill its values and goals. Therefore, the nurse is using principlism - that is, basic principles are the basis of the nurse's actions

A colonist is working in the public health sector in early colonial America. Which of the following activities would have likely been completed? A. establishing schools of nursing B. developing vaccines to administer to large numbers of people C. collecting vital statistics and improving sanitation D. developing public housing and almshouses

C the other choices are events that happened after the colonial period

An 80-year-old woman comes to the community health care facility with a large bag of medications. She tells the nurse she can no longer afford these medications because her only income is social security. which statement is the best response by the nurse? A. "let's go through these medication and see which ones we can delete" B. "you can get these medicines at this clinic for free" C. "let's see if we can get some help from Medicare to help you pay for these medications" D. "these medications are important. do your best to pay for them?"

C this elderly patient probably is eligible for benefits through Medicare Part D medicare part D has been added to Medicare to help cover the cost of prescriptions

how are ethics and public policies similar? A. both are abstract principles that often differ in actual practice B. both are best achieved by persons in high political office who can effect change C. both strive for the public good D. both use general principles in making decisions

C an important goal of both policy and ethics is to achieve the public good and both are involved in good citizenship

A public health nurse is determining what type of programming should be developed for the community. Which of the following is the most crucial factor that will influence program development? A.comprehensive assessment and planning done in the community B. documented needs of the local community C. federal funding for priority diseases or groups D. nursing staff's expertise and skills

C programs are designed to fit funding priorities; thus, the areas supported by Congress determine the categories in which most effort is focused locally

A health care provider is working with elderly clients who have ongoing chronic disease. Which of the following strategies can best assist them with healing? (Select all that apply.) A. advocating for increased support for elderly persons B. eliminating signs and symptoms of disease C. managing any chronic diseases to prevent compilations and delay deterioration D. maximizing self-care capacity

C, D

a public health nurse is assisting the community in dealing with the effects of lead paint poisoning. Which of the following activities would the nurse most likely complete? (select all that apply.) A. administering medications to those with signs of lead poisoning B. assessing community members for any health problems C. setting up a blood screening program with the local health department D. encouraging local landlords to improve the condition of their housing

C, D

in comparison with traditional norms, which family functions have become increasingly important in modern American society? (select all that apply.) A. conferring appropriate social status B. educating the younger members C. ensuring physical and mental health D. fostering interpersonal relationships and support

C, D

the nurse and the family have agreed on an ambitious goal to improve family functioning, but as the family later expresses with some dismay, they have not been able to change their behavior as easily and quickly as they had hoped. which of the following must be remembered throughout this process? (select all that apply.) A. reassessment of resources should be done if the plan does not work B. individual family members must all be willing to make the plan their first priority C. goals must be realistic and feasible D. ongoing negotiation is ventral to the process

C, D

a home health nurse is about to visit a family at their home. however, the nurse is feeling uncomfortable about getting out of her care because a group of young adults across the street are drinking and fighting amongst themselves. Which of the following actions should be taken by the nurse? A. call the agency and ask what she should do B. call the family, explain the situation, and try to reschedule C. fulfill the nurse's commitment to the family and enter the home quickly D. drive away and notify the family from a safer location

D

a nurse is conducting a family assessment. Which of the following behaviors would the nurse recognize as suggestive of a family with problems? A. before eating, the family prayed, expressing gratitude for their blessings B. during family play, jokes and laughter were heard C. each person had a private room with a door for alone time D. most of the conversation was between the father and the eldest daughter

D

a nurse is conducting a health risk appraisal. WHich of the following activities is the nurse assessing when using this tool? A. health promotion activities B. illness prevention activities C. risk reduction activities D. unhealthy activities

D

The female nurse is to care for the male client who is an Iraqi immigrant. Which approach demonstrates culturally sensitive care? (7) A. Ask that the client inform the nurse when wishing to pray. B. Ask interview questions but avoid eye contact with the client. C. Ask the client if he would prefer to be cared for by the male nurse. D. Ask the client to identify any cultural preferences while hospitalized.

D

The nurse is giving diabetic diet education to a Hispanic man and his wife. When the nurse is discussing food options, the wife interrupts with remarks like, "Oh, he won't eat that," or, "All he eats is rice and beans." How should the nurse respond? A. Ask the wife to go to the waiting room so they can focus on the teaching. B. Explain how "rice and beans" are not part diabetic diet because of carbohydrate content. C. Create a diet plan with only food alternatives chosen by the patient. D. Make a referral for the patient to a nutritionist familiar with Spanish options. E. Tell the wife that her husband must adhere to a low carb diet.

D

Which of the following behaviors results in men being less healthy than women? A. concentration on sports, hunting, and other dangerous recreational choices B. employment in stressful positions more so than women C. preference to spend money on priorities other than health care D. reluctance to visit physicians

D

a high school student considering a job in the restaurant industry after graduation asks a nurse about workplace safety issues. Which of the following acts would the nurse most likely discuss with the student? A. chemical safety information, site security, and fuels regulatory act B. comprehensive environmental response, compensation, and liability act C. food quality protection act D. occupational safety and health act (OSHA)

D

a nurse is performing a health assessment on a young adult female. which of the following comments by the client would cause the nurse to be concerned? A. "I can't believe I didn't get that promotion. I thought I was the best candidate" B. "I can't believe they didn't admit me to that graduate program with my good undergraduate grades!" C. "I can't believe how lonely it is around the house since my spouse died" D. "I can't believe how little I care about anything anymore since that diagnosis"

D

a nurse is using the provisions of the Family Medical Leave legislation. Which of the following actions is the nurse most likely to take? A. resigning rom employment, but retaining health insurance B. sharing family information with colleagues C. providing Medicaid to a family who cannot afford health insurance D. taking a defined time off of work for family events without fear of job loss

D

a nurse wants to empower the family of a mother who has been newly diagnosed with breast cancer. which of the following actions would the nurse most likely take? A. apply for emergency financial assistance on the family's behalf B. arrange for community members to assist with child care C. invite the mother to join a cancer support group D. teach the family how to navigate the health care system

D

a woman needs to take some time off from work to care for her invalid mother. Which of the following health policies allows her to take an extended leave from work to care for a family member? A. personal responsibility and work opportunity reconciliation act B. women's health equity act (WHEA) C. Temporary Assistance for Needy Families (TANF) D. family and medical leave act (FMLA)

D

an elderly person is in the last stages dying. Which type of care would be the best for him? A. home health B. assisted living C. nursing home D. hospice

D

during which phase of the home visit does the nurse document what was accomplished? A. pre-visit phase B. in-home visit C. termination phase D. post-visit phase

D

the following people enter the health clinic together: an unmarried man and his year-old son, an unmarried woman with a year-old daughter, and the man's married brother, who is separated from his wife. During the assessment it is determined that both men work and contribute to the household, where all of them live. Which of the following best describes the "family"? A. the group consists of three families: the man and his son, the woman and her daughter, and the brother, who is married even though he and his wife are separated B. there are two families involved: first, the unmarried man and woman and their two children, and second, the brother, who is married even though he and his wife are separated C. there is no family here, only three adults sharing resources between themselves and two biologically related children D. the family includes whoever the adults state are family members

D

the nurse in community health needs to conduct a family assessment within a commune but is uncertain how to proceed because family lines appear blurred. The best way to determine the family of a mother and her child is to ask the woman which of the following questions? A. "how many children do you have, and who is the father of each?" B. "is there a register of families who are members of this commune?" C. "tell me about your significant other." D. "who are the members of your and your child's family?"

D

the nurse is examining blood lead levels in school-age children 1 year after a community-wide education intervention. Which of the following phases of the nursing process is being implemented? A. assessment B. diagnosis C. intervention D. evaluation

D

which of the following factors has the largest impact on health disparities among all populations? A. ethnicity B. education level C. lifestyle choices D. poverty

D

which of the following terms refers to government actions that have a direct or indirect effect on families? A. family funding B. family legislation C. family planning D. family policy

D

which of the following theories views the family as a whole with boundaries that are affected by the environment? A. family developmental theory B. structural-functional theory C. family role theory D. family systems theory

D

which of the following will provide the highest benefit to an older adult's well-being? A. eligibility for Medicare and Social Security B. Higher socioeconomic status, income, and education C. senior citizen privileges such as senior citizen centers and senior citizen discounts D. social networks that give support and meaning to life

D

Which of the following principles has been used by the American Nurses Association (ANA) when encouraging health care reform? A. high-technology interventions to reduce nursing time, effort, and medical errors must be expanded B. nurses must be recognized and rewarded for health promotion efforts C. nursing research into patient care outcomes must be expanded and funded D. universal access to essential health services should be available for all citizens

D ANA's position is based on the belief that health care is a basic human right. thus, a restructured health care system must ensure universal access to a standard package of essential health care services for all citizens and residents

why were nurses so unprepared for public health nursing in the early twentieth century? A. community health nursing had not yet been created as a field B. No one would teach the nurses how to engage in public health activities C. nightingale's textbook did not include content on public health nursing D. Nurses were educated in diploma schools, which focused on hospital nursing

D Nursing school courses taught in diploma schools of nursing emphasized hospital care of patients; thus, nurses were unprepared for home visiting

Which of the following would confirm that the nurse's advocacy has been truly successful or effective? A. audiences agree with the nurse who is serving as advocate B. legislators discuss appropriate legislation to better allocate resources C. people verbalize that the disenfranchised should be better treated D. systematic social changes are made to improve quality of life

D advocacy is the application of information and resources ro effect systematic changes that shape the way people in a community live to reduce death and disability and improve quality of life in the community

a nurse is asked to meet with a family who recently emigrated from Botswana (Africa). after the clinical doctor tells the husband the wife's diagnosis of breast cancer, the family thanks the physician and starts to leave. Ethically, which of the following is the nurse's most important action? A. emphasizing that the family must set up a surgical appointment for the wife immediately B. assessing the family's current living situation, including insurance and other assets C. educating the family concerning the usual treatment and the prognosis of breast cancer D. interviewing the family concerning their perspective of the threat to the family's well-being

D any of the actions might be taken However, the US is a multicultural nation with diverse ethnic groups and diverse values before any intervention can be made, the HCP must understand the family's cultural, psychological, social, communal, and environmental contexts, because these contexts affect the way issues are formulated and decisions are made

a nurse is determining which health care services must be offered at a local public health clinic. Which of the following factors is most important for the nurse to consider? A. data available from the most recent community assessment B. suggestions from community members about what is needed C. Recommendations of Healthy People 2020 D. services mandated by the state government

D at the local level, health departments provide care that is mandated by state and federal regulations

some nurses are debating about the appropriate action to take in relation to a particular family. One member of the family is ill, and the other family members have chosen to continue working rather than take time off to care for the ill family member. One nurse states, "the whole family is being affected and will fall apart if they don't focus on their family's needs first before anything else" which of the following ethical approaches is being used by this nurse? A. communitarianism B. deontological ethics C. Principlism D. utilitarianism

D by focusing on the whole family, not individual members, and the consequences or outcomes for the whole family during this time of stress, the nurse is taking a utilitarian approach

Which of the following is the dominant issue in ethical debate around an issue such as continuing or withdrawing treatment in acute health care? A. doing what is best for the community B. doing what is best for the family C. obeying the legal mandates D. upholding ethical principles

D in acute care settings with a single localized issue, the primary ethical principles are usually applied, with patient autonomy being the dominant or most crucial principle

Why did the Metropolitan Life Insurance Company establish and retain for several years the first community nursing health program for policyholders? A. creating such a service was the morally correct thing to do B. employing nurses directly was less expensive than paying taxes to the city for the same purpose C. having the company's nurses make home visits increased worker morale D. having public health nurses visit policyholders and their families led to a decline in policyholder deaths, thus lowering costs for the insurance company

D metropolitan life saw an average decline of 7% in the mortality rate of policyholders and almost a 20% decline in the deaths of children the insurance company attributed this improvement and the associated reduced costs to the visit nurses.

a nursing student during WWII would likely join which group? A. public health service of new york city B. the marine nurse corps C. the frontier nursing service D. the cadet nurse corps

D the bolton act of 1943 established the Cadet Nurse Corps during WWII, which increased enrollment in schools of nursing at undergraduate and graduate levels

a physician refuses to order pain medication for a drug addict who has been severely injured in a car accident. When reminded by nurses that pain medication has not been ordered, the physician merely replies that the patient's suffering from the pain of his injuries will build character and that the addicted patient needs to get off drugs. Which of the following ethical theories is the physician using (or misusing)? A. consequentialism B. communitarianism C. deontological ethics D. virtue ethics

D virtue ethics emphasizes practical reasoning applied to character development. Although such action by a care provider is paternalistic and unethical on many grounds, the physician may truly be concerned with enabling the injured addict to learn from his experience and possibly develop into a drug-free person

A nurse was employed by the Marine Hospital Service in 1800. Which of the following interventions would the nurse most likely have completed? A. setting policy on quarantine legislation for immigrants B. establishing hospital-based programs to care for the sick at home C. identifying and improving environmental conditions D. providing health care for merchant seamen

D was an early effort by the federal government to improve public health.the purpose was to secure its maritime trade and seacoast cities

A nurse wants to have a better understanding of the physiological effects of selected chemicals. Which of the following individuals would provide the most useful information to the nurse? A. chemist B. epidemiologist C. pharmacologist D. toxicologist

D - studies health effects associated with chemical exposures

A public health nurse is involved in health care reform. Which of the following best explains why the nurse is involved in these efforts? A. to promote the nursing profession B. to increase funding for public health nursing C. to address the concerns of nurses D. to help improvve health care access

D.

Which nursing diagnosis is best suited for a 40-year-old Hispanic client who does not speak or comprehend English? A. Deficient knowledge B. Ineffective coping C. Altered Sensory Perception D. Noncompliance E. Impaired verbal communication

E

Why should the nurse avoid using too many hand gestures while providing care to a patient with an Italian background? For example: bending your left arm at the wrist and having your palm face up with thumb extended or placing your right pointer and middle finger at the temple site with the rest of the fingers clenched.

Italians can be very demonstrative and like to gesture with their hands. Italians have many physical gestures that have very specific meanings. For example bending your left arm at the wrist and having your palm face up with thumb extended, translates into "Look at this idiot" or placing your right pointer and middle finger at the temple site with the rest of the fingers clenched translates to "You're crazy."

a nurse who works at the local hospital asks a public health nurse what might be causing her hands to become very sore and sensitive. Which of the following statements would be the most appropriate response by the public health nurse? A. "ask the staff in employee health if there have been any other complaints" B. "call the local health department about any recent problems at the hospital" C. "check the material safety data sheet on any chemicals you have used recently" D. "see the nurse's health care provider for a complete workup"

c