Exam 1 Community Health 2023

A community health nurse is discussing the Nurse Training Act of 1943 with a group of nursing students. The community health nurse should include in the discussion that which of the following occurred as a direct result of the passage of this legislation? Funding for maternal child care programs Prohibition of racial discrimination in nursing organizations Formation of training programs for school nurses Establishment of the National Center for Nursing Research

Prohibition of racial discrimination in nursing organizations

A nurse is discussing the AACN's five Core Competencies of Cultural Competence with a newly licensed nurse. Which of the following should the nurse identify as one of these competencies? Promote achievement of safe and quality outcomes. Participate in a variety of diverse activities. Acquire knowledge and skills about different cultures. Collect relevant cultural data.

Promote achievement of safe and quality outcomes.

A client who is in the maintenance phase of the Transtheoretical Model's Stages of Change admits to not following their diet plan after binging on salty and sugary snacks the past weekend. Which of the following questions should the nurse ask the client next? "How does that make you feel?" "Why did you do that?" "Did you call someone from your support group before eating the snacks?" "Have you had any stressful events in your life lately?"

"Have you had any stressful events in your life lately?"

A nurse is providing education to a client who recently became eligible to receive Medicare benefits. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? "Medicare Part A will cover all of my prescription medications." "I can add dependents to my Medicare plan if needed." "Medicare will pay for me to be in a long-term care facility if needed." "I will have to pay for Medicare coverage if I choose to enroll."

"I will have to pay for Medicare coverage if I choose to enroll."

In a rural community setting, a health care organization is attempting to create an institutional framework in their approach to eliminate health disparities. Which of the following policies should the facility institute to reduce health disparities? (Select all that apply.) 1. Demonstrate culturally competent practices and protocols. 2. Maintain a diverse workforce. 3. Cultivate cross-cultural communication and awareness. 4. Encourage holistic care that includes all cultures. 5. Develop rules and policies that are congruent with the community.

1. Demonstrate culturally competent practices and protocols. 2. Maintain a diverse workforce. 3. Cultivate cross-cultural communication and awareness.

Social Determinants of health

1. Economic stability 2. Education 3. Social and community context 4. Health and health care 5. Neighborhood and built environment

A nurse is working with a community planning board to address the challenge of systemic racism in their community. Which of the following criteria should the nurse identify as essential to the success of a community plan addressing systemic racism? Focusing on the outcomes of racial inequities Placing those with power and resources in charge of the plan Creating a day of remembrance to raise awareness of racial inequities Budgeting financial resources fairly based on need

Budgeting financial resources fairly based on need

A nurse is discussing cultural competency with a newly licensed nurse. The nurse should include that nurses should have the ability to communicate with clients across which of the following sociocultural barriers to be culturally competent? Different sexual orientation Different social statuses Different professional roles Different religious beliefs

Different sexual orientation

A newly hired public health nurse is learning about the various duties of their role. Which of the following activities would the new nurse be involved with? Providing wound care for a burn victim in the hospital Educating the public about hand hygiene during an outbreak Administering insulin to a patient in their home Conducting an addiction therapy group at an outpatient center

Educating the public about hand hygiene during an outbreak

A nurse executive is incorporating the National Standards for Culturally and Linguistically Appropriate Services (CLAS) to achieve better outcomes for clients of the facility. The nurse executive should identify that which of the following is a function of CLAS? Teaching leadership skills to promote culturally diverse nursing care Providing memberships to nursing associations that promote cultural competence Increasing awareness of diverse cultural identities Offering linguistic services to improve outcomes

Increasing awareness of diverse cultural identities

A community health nurse is partnering with the local library in a small town to hold workshops on filling out paperwork for student funding for trade schools and colleges. The nurse should recognize that this action is supported by which of the following statements about the lack of affordability in higher education? It decreases the residents' access to healthcare. It decreases the residents' health literacy. It decreases the local residents' chances of gaining skills and knowledge for various job opportunities. It decreases the number of job opportunities in the local area.

It decreases the local residents' chances of gaining skills and knowledge for various job opportunities.

A nurse manager at a public health clinic is working to expand the diversity of the clinic's nursing staff. Which of the following factors should the nurse identify as a barrier to creating a diverse workforce? Distrust of the health care system Nurses of color making up less than 28% of the national workforce Male nurses making up approximately 40% of the national workforce Decrease in diverse populations

Nurses of color making up less than 28% of the national workforce

Which of the following actions should a community health nurse take to promote economic stability in the community? Partner with local churches and write grants for childcare funding towards affordable daycares in the area. Advocate for more transportation to health care facilities. Work with a nonprofit organization for the local farmers' market to sell fresh produce twice a week. Teach residents about the dangers of lead-based paint.

Partner with local churches and write grants for childcare funding towards affordable daycares in the area.

A nurse manager of a public clinic is evaluating health disparities among diverse groups in the community. The nurse should identify that which of the following factors has an impact on health disparities? (Select all that apply Race Gender Ethnicity Residential location Income

Race Ethnicity Residential location Income

A nurse manager is preparing a presentation on components of cultural competence. Which of the following definitions should the manager provide for the concept of cultural diversity? 1. Knowledge of one's own thoughts and feelings about diversity 2. Knowledge that allows one to appreciate other cultures 3. Recognition of differences in race, color, ethnicity, or nationality that exist among individuals 4. Self-reflection and critique of power imbalances that allow health inequities

Recognition of differences in race, color, ethnicity, or nationality that exist among individuals

Which of the following Sustainable Development Goals would be achieved if nations implemented recycling programs in major cities? Reduction of inequalities Responsible consumption and production Affordable and clean energy Clean water and sanitation programs in their major cities?

Responsible consumption and production

A nurse manager in a community health clinic is teaching about the practice of cultural humility among staff members. Which of the following principles of cultural humility should the nurse include in the teaching? (Select all that apply.) Bias Reinforcement Self-awareness Openness Ego

Self-awareness Openness

A nurse manager is preparing a presentation on components of cultural competence. Which of the following definitions should the manager provide for the concept of cultural safety? Awareness of one's own thoughts and feelings about diversity Knowledge that allows one to appreciate other cultures Recognition of differences in race, color, ethnicity, or nationality that exist among individuals Self-reflection and critique of power imbalances that allow health inequities

Self-reflection and critique of power imbalances that allow health inequities

A nurse manager of a home health agency overhears an employee referring to some the facility's clients by saying, "You know how all those people are, so noncompliant in their health care." The manager should identify the employee is exhibiting which of the following concepts of cultural competence? Implicit bias Color discrimination Cultural humility Stereotyping

Stereotyping

A nurse is preparing to provide a presentation about population-focused care to a group of community health nurses. Which of the following should the nurse plan to include in the presentation as a required competency for nurses who are providing population-focused care? The ability to develop individualized care plans The ability to analyze large data sets The ability to work independently The ability to gather data about a client's personal support system

The ability to analyze large data sets

In order to support and mobilize communities and partnerships to improve the overall health of the local area, which of the following interventions might a public health nurse employ? Hiring diverse and highly trained staff for the state health department Posting information about domestic violence on the health department website Working with a local hospital to become an immunization station during an epidemic Sending a nurse epidemiologist to investigate a suspected outbreak

Working with a local hospital to become an immunization station during an epidemic

Cultural humility

a lifelong process of learning and self-reflection that allows the nurse to appreciate individuals from other cultures.

Implicit bias

a person being unaware of their own negative thoughts and feelings about other individuals

Cultural awareness

being knowledgeable about one's own thoughts and feelings and having an appreciation of the diversity of others for their culture.

Cultural diversity

differences in beliefs, values, customs, behaviors, and health practices among individuals.

A public health nurse is reviewing the Leading Health Indicators (LHIs) developed for the Healthy People 2030 national health goals with a group of nurses. Which of the following LHIs should the nurse identify as pertaining to all age groups? (Select all that apply.) Homicides Obesity Colorectal cancer screening Drug overdoses Influenza immunization

homicides drug overdoses influenza immunization

Cultural safety

requires self-reflection and a critique of power imbalances that lead to health inequities.