Community HESI

which avoidance instruction would the public health clinic nurse use to teach prevention on toxoplasmosis a) contact with cat feces b) exposure to heavy metals c) ingestion of freshwater fish d) excessive radiation exposure

a) contact with cat feces

which activity by the community nurse is an illness prevention strategy a) encouraging the client to exercise daily b) arranging an immunization program for chickenpox c) teaching the community about stress management d) teaching the client about maintaining a nutritious diet

b) arranging an immunization program for chickenpox

which instruction is beneficial for aging black client with hypertension a) check the pulse daily b) have an annual urinalysis c) record blood pressure weekly d) visit an ophthalmologist monthly

b) have an annual urinalysis

frequency rate

how frequently the disease occurs

diagnosis phase

the nurse develops hypotheses related to the medication study

assessment phase

the nurse formulates the theoretical framework, reviews the literature, and identifies the study variables

causative factor

the term used for the cause of a given disease if it is known

pneumococcal vaccine

-age 65 years or older -single dose of the vaccine -revaccination should occur 5 years after initial

sequence to extinguish fire

Sop, drop, and roll

which suggestion by the nurse is an example of primary prevention a) engage in daily physical exercise b) get yearly physical examinations c) attend hypertension screening programs d) read about how to prevent diabetes complications

a) engage in daily physical exercise

the nurse is instructing a community group regarding risk factors for coronary artery disease. Which risk factor cannot be modified a) heredity b) hypertension c) cigarette smoking d) diabetes mellitus

a) heredity

which risk of adolescent pregnancy would the community nurse teach a) risk for premature birth b) risk for having a large baby c) risk for chromosomal defects d) risk for increased weight gain

a) risk for premature birth

primary prevention activities

are directed toward promoting a healthful lifestyle and increasing the level of well being

which competencies are important in the rural setting (SATA) a) spiritual values b) emergency care c) family dynamics d) physical assessment e) clinical decision making

b) emergency care d) physical assessment e) clinical decision making

the nurse is analyzing and explaining the demographics of a population under research. Which phase of the nurse process is the nurse exercising when analyzing and explaining the demographics of a population under research a) diagnosis phase b) evaluation phase c) assessment phase d) implementation phase

b) evaluation phase

which characteristic is most common to those living in poverty a) open expression of anger b) long term feeling of powerlessness c) willingness to postpone gratification d) compliance with health recommendations

b) long term feeling of powerlessness

the nurse is teaching a parenting class. Which suggestion would the nurse make about managing the behavior of a young school age child a) avoid answering questions b) give the child a list of expectations c) be consistent about established rules d) allow the child to plan the days activities

c) be consistent about established rules

which preventative and primary care service provided by a community health center is most expensive a) running errands b) health education c) disease management d) routine physical examinations

c) disease management

which characteristic makes a crisis access hospital different from an intensive care unit a) offers 24 hour emergency care b) offers health care to acutely ill people c) provides temporary care for 96 hours or less d) provides the most expensive health care delivery

c) provides temporary care for 96 hours or less

which type of crisis has occured when a sudden terrorist act causes the death of thousands of adults and children and negatively affects their families, friends, communities, and the nation a) situation-maturational b) situational c) maturational d) adventitious

d) adventitious

how does the nurse play the role of a change agent in a community based nursing practice a) by helping clients identify and clarify health problems b) by establishing relationships with community service organizations c) by establishing an appropriate plan of care, based on assessment of clients d) by identifying and implementing new and more effective approaches to problems

d) by identifying and implementing new and more effective approaches to problems

a community health care nurse is conducting a survey about homeless children in the community. Which finding helps the nurse distinguish absolute homelessness from relative homelessness a) the children are under-immunized and at risk for childhood illnesses b) the children are more likely to drop out of school c) the children have access to health care only through the emergency department d) the children do not have a physical shelter and may sleep outdoors or in vehicles

d) the children do not have a physical shelter and may sleep outdoors or in vehicles

relative homelessness

describes those who have a physical shelter but one that does not meet the standard of health and safety

main focus of community nursing

improve the quality of life and health of a population by preserving, protecting, promoting, or maintaining health

an adventitious crisis

is a crisis or a disaster that is unplanned and accidental

community health nursing

is a nursing practice focusing on the health care of individuals, families, and groups within a community

crisis access hospital

is a rural hospital that provides temporary care for 96 hours or less to stabilize clients before they are transferred to a larger hospital

a maturational crisis

occurs as an individual moves into a new stage of development and prior coping styles are no longer effective -usually predictable

situational crisis

results from an external source and loss is often unexpected

risk factor

term given to those factors that identify the target population

implementation phase

the nurse obtains the necessary approvals, recruits subjects, and implements the study protocol

absolute homelessness

to describe people who have no physical shelter

evaluation phase

when the nurse is analyzing and interpreting the demographics of a study population

which services do community health centers provide in preventive and primary care services

-health screenings -physical assessments -disease management

an adventitious crisis example

-natural disasters -national disasters -crimes of violence

example of secondary preventions

-performing a yearly physical exam -providing hypertension screening

which purpose does a community health center serve in preventive and primary care services a) outpatient clinics that provide primary care to a specific population b) aim to increase worker productivity, decrease absenteeism, and reduce the use of costly medical care c) emphasize program management, interdisciplinary collaboration, and community health principles d) include a complete program designed for health promotion and accident or illness prevention in the workplace

a) outpatient clinics that provide primary care to a specific population

an older adult client states "disease occurs when supernatural elements enter the body" Which variable influences the clients health beliefs in this scenario a) spiritual factors b) emotional factors c) intellectual background d) perception of functioning

a) spiritual factors

Which topic is most important for the nurse to teach in a community health promotion class for middle aged adults a) tobacco cessation b) infection prevention c) alcohol abstinence d) pain management

a) tobacco cessation

which goal is the main focus of community health nursing a) to meet the acute care needs for a population b) to improve the quality of health in a population c) to influence political processes affecting public policies d) to assess the health care needs of an individual or family

b) to improve the quality of health in a population

which resource or facility has enabled rural hospitals to have increased access to specialist consultations a) medicare b) medicaid c) telemedicine d) critical access hospital

c) telemedicine