Helpful EAQs

Which response by a participant in a teaching session on primary, secondary, and tertiary prevention strategies needs correction?

"People with disabilities are already ill and are not amenable to prevention of disease."

Which response by a participant in a teaching session about disability worldwide needs correction?

"People with disabilities tend to have excellent access to public health services."

A nurse is discharging a 50-year-old patient who was admitted for uncontrolled hypertension. The patient states, "I have nowhere to go. I have no one to pick me up, and I do not have money for food." What response by the nurse is the most appropriate?

"I have a list of food banks and shelters for you. Here is a phone and a number to call."

Which statement indicates a need for further education about disaster preparedness and having an emergency supplies kit?

"I should update my kit every year and replace any expired items."

Which statement by the nurse demonstrates an understanding of the needs of the changing workforce?

"I am partnering with a community agency to help employees access elder care."

The community health nurse must consider several strategies when working with patients living in poverty. Which statement by the nurse demonstrates the strategy of creating a trusting environment when working with patients in poverty?

"I am unsure of the answer. I will make some calls and let you know in the next few days."

Which statement made by the nurse would help build a trusting relationship with a homeless individual who has been coming to the clinic due to ongoing feet issues?

"I can see that you are in severe pain. I will check with the health care provider about how we can help and come right back."

Which statement by a participant indicates the need for further education after a presentation about the origins of forensic nursing?

"Munchausen syndrome by proxy was identified by forensic nurses in the 1960s."

Which statement demonstrates the use of the virtue ethics decision process?

"My goal is to strive for a mutual agreement in which both the patient and the health care team find value."

Which statement made by a patient will the nurse interpret as an intrafamilial system factor associated with the potential for violence?

"No one thinks they have a problem."

Which statement regarding nursing practice in rural areas indicates a need for further education?

"Nursing care is limited to the older adults within the community.

Which response by the nurse describes a pandemic?

"Pandemics occur when an epidemic of infectious diseases spreads through populations across a large region."

Which participant statement regarding the Healthy People initiative requires further teaching by the public health nurse?

"Planning and designing objectives are completed every 20 years."

Which comment would the public health nurse provide when asked about the role of public health nursing over time?

"Public health nursing has remained committed to disease prevention since its inception."

Which comment would the public health nurse provide regarding the impact of World War II on public health?

"Responsibility of care often fell to families during World War II."

Which participant statement regarding Florence Nightingale's influence on public health nursing requires further teaching by the public health nurse?

"She advocated for nursing services in rural areas."

Which participant statement regarding Lillian Wald's influence on public health nursing requires further teaching by the public health nurse?

"She developed the framework for professional nurse training."

Which response by a participant in a teaching session on childhood disability in the United States needs correction?

"Special needs in children are caused by congenital anomalies."

Which comment would the public health nurse provide when asked about Yssabella Waters's 1909 publication of Visiting Nursing in the United States?

"Tuberculosis was a main focus of care of the visiting nurse."

Which statement made by a patient would the nurse interpret as being associated with a familial factor of violence?

"We have several guns in our house."

Which question will the nurse ask a butcher during a health assessment explicitly focused on occupational-related conditions?

"What types of animals are you exposed to at work?"

Which question would the nurse ask a victim of a sexual assault before collecting evidence?

"When did the assault take place?"

The nurse is reviewing the medical record of a patient who reports polysubstance abuse. Which question can the nurse ask during the assessment to address this issue?

"Which drugs do you use on a daily basis?"

Which question from the nurse would negatively affect the formation of trust with members of a rural community?

"Why can't you afford reliable transportation for health care services?"

Which statement recalling the laws protecting migrant and seasonal farmworkers (MSFWs) requires correction by the nurse?

"Workers' compensation applies to all work settings no matter the employer size."

Which information about malaria risk will the nurse provide to a patient who asks about receiving antimalarial drugs prior to travel?

"You can still get malaria even with prophylactic treatment."

A patient asks, "Will Medicare pay for my prescription drugs?" Which response by the nurse is appropriate?

"You have Medicare Part D, which pays for prescription drugs from a formulary."

When a patient with hepatitis A asks if it is possible to contract the infection again, which response by the nurse is correct?

"You have developed acquired immunity to hepatitis A that will protect you from the infection."

Which response will the public health nurse provide to the employee who refuses a vaccination for hepatitis B virus (HBV)?

"You have the right to refuse the vaccination."

Which explanation by the nurse correctly describes the treatment for Rocky Mountain spotted fever (RMSF)?

"You will need to take oral antibiotics."

When a large number of ill persons with similar symptoms present to the emergency room without an identifiable cause or pattern to the illness, the nurse suspects which event has occurred?

Covert Bioterrorism

Which is the goal of using an empowering approach when caring for a family?

Create a partnership between the nurse and the family.

Which nursing action reflects primary prevention?

Creating a needle exchange program in the community

Which is the nurse's priority goal when interacting with a potential victim of human trafficking?

Creating a safe space

Which action would be demonstrated by a community group converting an old rail line into a walking/riding trail as a way to enhance the community's ability to support health?

Creating supportive environments

Which legislation would the public health nurse identify as the first major government action related to health?

Creation of the Public Health Service

Which strategy will the nurse focus on when assessing the engineering practice controls in place for a laboratory employee?

Provision of adequate ventilation

Which health concern poses the greatest health risk for area homeless youth and children and should be the focus for enhanced services at a local clinic?

Psychological well-being

Which practice group would the public health nurse indicate as the focus of the Tier 2 Competencies for Public Health Nurses established by the Quad Council of Public Health Nursing Organizations?

Public health nurses with supervisory responsibilities

Which term would the public health nurse use when referring to governmental activities (direct or indirect) that influence the lives of all citizens?

Public policy

Which method of secondary prevention would the nurse provide for active coal miners?

Pulmonary screening tests

Which process of coping for a family in crisis is considered an external strategy? Select all that apply. One, some, or all responses may be correct.

Spiritual, Social support, Community links

The public health nurse is providing education about substance abuse to clinics in the area. Which information will be included regarding drug dependence?

Stopping the drug abruptly causes withdrawal symptoms.

Which is an element of the windshield survey conducted by the public health nurse to get a general overall sense of the community?

Stores

Which major health problem has been linked to obesity? Select all that apply. One, some, or all responses may be correct.

Stroke Dementia Dyslipidemia Hypertension Type 2 diabetes

Which chronic disease is most common and costly in the United States? Select all that apply. One, some, or all may be correct.

Stroke, Cancer, Arthritis, Diabetes, Heart disease

Which action would the nurse choose as a primary intervention strategy to prevent individual- and family-level violence?

Teach stress-reduction techniques.

Which description defines the affective function of a family?

Teaching about intimate reciprocal caring relationships

Which nursing action demonstrates tertiary prevention? Select all that apply. One, some, or all responses may be correct.

Teaching men with HIV not to donate blood, plasma, or organs, Developing a community-based exercise program for a group of women who have cardiovascular disease, Teaching men newly diagnosed with HIV to exercise regularly, eat a balanced nutritious diet, sleep at least eight hours a night, and stop or limit alcohol consumption

Which nursing action demonstrates tertiary prevention? Select all that apply. One, some, or all responses may be correct

Teaching men with HIV not to donate blood, plasma, or organs., Developing a community-based exercise program for a group of women who have cardiovascular disease., Teaching men newly diagnosed with HIV to exercise regularly, eat a balanced nutritious diet, sleep at least eight hours a night, and stop or limit alcohol consumption.

Which statement correctly describes the impact of disability on annual income?

The median salary for people with disabilities is lower than that of those who are not disabled.

Which organization would the public health nurse indicate increased the number of public health nurses in local health agencies by hiring nurse Pearl McIver to consult with state health departments?

United States Public Health Service

A group interested in global work to improve sanitation and hygiene in less developed countries must be aware of which factor that is characteristic of less developed countries? Select all that apply. One, some, or all may be correct.

Unstable economy, Higher child mortality, Lack of natural resources, Less industrial and technological development

Which human host and environmental factor has promoted the emergence of new viruses and bacteria? Select all that apply. One, some, or all responses may be correct.

Urbanization Deforestation Industrialization Microbial adaptation

Which factor does the public health nurse identify that increased incidence of disease in the American colonial period? Select all that apply. One, some, or all responses may be correct.

Urbanization, Industrialization

When using the counseling intervention with a patient, which measure would the nurse include? Select all that apply. One, some, or all may be correct.

Use a behavior change model., Maintain professional boundaries., Address any possible patient barriers to behavior change.

Which strategy would the nurse utilize to most effectively increase medication compliance for a client with tuberculosis?

Use a directly observed treatment program approach.

Which instruction will the nurse give for preventing tick bites?

Use a repellent with 20 to 30 percent diethyltoluamide (DEET).

Which strategy would the community health nurse implement when designing a plan of care for a patient?

Use a variety of teaching methods

Which action will the public health nurse take when performing a risk assessment as defined by the Environmental Protection Agency? Select all that apply. One, some, or all responses may be correct.

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Which action would the sexual assault nurse examiner (SANE) be expected to perform for a patient who reports being sexually assaulted? Select all that apply. One, some, or all responses may be correct.

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Which agent is a workplace hazard for maintenance workers at a correctional facility? Select all that apply. One, some, or all responses may be correct.

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Which aspect would the forensic nurse prepare to include when testifying in a sexual assault case? Select all that apply. One, some, or all responses may be correct.

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Which characteristic places a worker in a hypersusceptible group? Select all that apply. One, some, or all responses may be correct.

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Which characteristic would be found in a healthy family? Select all that apply. One, some, or all responses may be correct.

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Which community-based setting would be appropriate for interventions to promote health and wellness? Select all that apply. One, some, or all responses may be correct.

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Which component is an established basic tenet for the concept of the patient-centered medical home? Select all that apply. One, some, or all responses may be correct.

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Which condition would the nurse prioritize to meet standards related to liability concerns of case management of post-surgical patients? Select all that apply. One, some, or all responses may be correct.

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Which describes the benefits of creating a documentation system for parishioners receiving care from the nurse? Select all that apply. One, some, or all responses may be correct.

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Which disease is a leading cause of years lived with disability per the Global Burden of Disease Study? Select all that apply. One, some, or all responses may be correct.

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Which environmental factor places workers at risk of illness? Select all that apply. One, some, or all responses may be correct

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Which environmental factor places workers at risk of illness? Select all that apply. One, some, or all responses may be correct.

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Which knowledge base will the occupational health nurse use when planning and providing care? Select all that apply. One, some, or all responses may be correct

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Which mental health service would the nurse develop for an underserved rural community? Select all that apply. One, some, or all responses may be correct.

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Which ministry would be included in a program for a congregation who wishes to implement health ministries for members of the community? Select all that apply. One, some, or all responses may be correct.

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Which role regarding environmental safety does the public health nurse have a responsibility to perform? Select all that apply. One some, or all responses may be correct

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Which role regarding environmental safety does the public health nurse have a responsibility to perform? Select all that apply. One some, or all responses may be correct.

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Which social aspect of the environment increases an employee's risk of workplace injuries? Select all that apply. One, some, or all responses may be correct.

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Which symptom does the nurse identify as being associated with cardiac distress in a female patient? Select all that apply. One, some, or all may be correct.

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Which task would be included in the job description for a faith-based nursing position for a local church? Select all that apply. One, some, or all responses may be correct.

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Which topic would the nurse include in a presentation on the disability questions contained in the Survey of Income and Program Participation (SIPP)? Select all that apply. One, some, or all responses may be correct.

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Which type of criminal offense would utilize the skills of a forensic nurse? Select all that apply. One, some, or all responses may be correct.

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Which problem can arise in a community where people are using illicit drugs? Select all that apply. One, some, or all may be correct.

Crime, Prostitution, Homelessness, Communicable disease

Which action supports the "reduce, reuse, and recycle " adage of the environmentalist community?

Developing an educational program on how to reduce one's carbon footprint

Which step in the health policy process would the public health nurse take first when leading a potential health policy change?

Development of a statement that describes the health care issue

Which action in faith community nursing history led to improved communication, information, education, and collaboration among nurses within this specialty?

Development of the International Parish Nurse Resource Center (IPNRC)

Which health condition is experienced by Latinos in the United States at three to five times the rate of the general population?

Diabetes

Which has been established as a factor that influences social and community violence?

Economic conditions

Which is a foremost predictor of health when planning approaches for risk reduction and health promotion?

Economic risk

Which environmental risk can affect the health of a family? Select all that apply. One, some, or all responses may be correct.

Economics, Social factors, Physical aspects

The nurse is developing health promotion and illness prevention programs for adolescents. Which activity is an example of primary prevention?

Educating on barrier contraception

A community health nurse is working with the family of a child with an intellectual disability to promote appropriate use of asthma medication. The nurse discusses side effects and the purpose of the medication and demonstrates use of the inhaler to the patient and family. What role is the community health nurse fulfilling?

Educator

Which theory of distributive justice reflects the support of the welfare rights of all people?

Egalitarian

During which century did epidemiological research methods start using comparison groups?

Eighteenth

Which action is an example of administrative control to prevent exposure to ototoxicants?

Eliminate tasks that require additional exposure.

Which service is the priority for a rural community where the closest health care facility is 50 miles away?

Emergency medicine

The Ryan White HIV/AIDS Treatment Extension Act of 2009 provides funds to patients with HIV or AIDS for what service? Select all that apply. One, some, or all may be correct.

Emergency services, Drug reimbursement programs, Early intervention and care

The nurse is reviewing evidence concerning homeless LGBTQ youth. According to the evidence, which need should the nurse identify as the highest priority after primary housing needs are met?

Emotional support

Which term is used to describe the Mexican folk illness of indigestion?

Empacho

Which tertiary intervention would be implemented for child abuse? Select all that apply. One, some, or all responses may be correct.

Empowerment, Absolute honesty, Safety as a first priority

Which intervention would the public health nurse make for the underinsured client to ensure optimal communication and improve health outcomes?

Encourage family members to attend appointments with the client.

Which intervention would the nurse include when planning primary prevention activities to decrease substance abuse in the community? Select all that apply. One, some, or all may be correct.

Encouraging healthy lifestyles, Educating about the dangers of drugs

Which non-cancer health problem in children results from exposure to chemicals like the plasticizer bisphenol A (BPA) in personal care products?

Endocrine disruption

Which parental behavior decreases the likelihood of adolescents abusing substances? Select all that apply. One, some, or all responses may be correct.

Enforcing a nightly curfew, Not keeping alcohol in the home, Creating a family contract related to alcohol use

Which is the hierarchy of prevention and control measures? Place in order from least effective to most effective.

Engineering controls> Work practice controls> Administrative controls> Personal protective equipment

The public health nurse is preparing a community for a hurricane. According to the first preparedness objective, which action should the nurse perform first?

Ensure community notification by emergency broadcast system.

Which United Nations (UN) Millennium Development Goal has been established to relieve poor health conditions around the world? Select all that apply. One, some, or all may be correct.

Ensure environmental sustainability. Achieve primary universal education. Promote gender equality and the empowerment of women.

The nurse is working with teachers and administrators to identify students who are at an increased risk of harassment. Which group would the nurse include? Select all that apply. One, some, or all may be correct.

Gifted students, LGBTQ students, Students with disabilities

Which indicator would the nurse utilize to best describe the global outlook on health?

Global burden of disease

Which indicator will the international nurse use when conducting a survey of an international community to adequately describe the outlook of the health of the community?

Global burden of disease (GBD)

The public health nurse utilizes which phase of the nursing process to transform a plan for improved community health into achieving goals and objectives?

Goal development phase

During the awareness stage of a newly formed multidisciplinary group, which activity would the nurse focus on while collaborating to provide case management services?

Goals for convening together

Which intervention is appropriate for the nurse to implement during a home visit to a member of the congregation with a terminal illness? Select all that apply. One, some, or all responses may be correct.

Evaluate the level of pain., Offer to lead the family in prayer., Assess the patient's ability to perform self-care.

The nurse is developing substance abuse programs for individuals in the community. Which action reflects a tertiary prevention strategy?

Free clean needle exchange programs

Which program would the public health nurse develop to address secondary prevention in a group with an increased risk of developing diabetes mellitus?

Free clinic to test blood glucose levels

Which finding would lead the nurse to suspect a person is inhaling chemicals? Select all that apply. One, some, or all responses may be correct.

Frequent nose blowing Paint stains on the shirt Sores around the mouth

Which condition identified in pregnancy is characterized by carbohydrate intolerance?

Gestational diabetes

Which factor has influenced health care costs? Select all that apply. One, some, or all may be correct.

Inflation, Aging population, New health care technology, Increased population diversity

Which work-related equipment would a nurse include in an emergency preparedness kit? Select all that apply. One, some, or all may be correct

Mask Gloves Flashlight Stethoscope Blood pressure cuff

Which factor would the nurse include in a report regarding overall costs related to the financial impact of disasters in developing countries? Select all that apply. One, some, or all may be correct.

Material possessions Population increases Complex infrastructure

Which finding would the public health nurse conclude was the most likely cause of a Salmonella outbreak at a nursing home?

Meat and fruit being sliced on the same cutting board

Which is an example of a factor that influences societal violence and can have both positive and negative effects?

Media

Which government agency or program would provide health insurance for a client who is blind?

Medicaid

Which federal safety net program that provides health insurance options for children in poverty would the nurse include in a resource document for clinic staff? Select all that apply. One, some, or all responses may be correct.

Medicaid, Affordable Care Act (ACA), Children's Health Insurance Program (CHIP)

Which agency is common to all states that provide resources and support for homeless populations? Select all that apply. One, some, or all responses may be correct

Medicaid, United Way, Salvation Army

Which agency is common to all states that provide resources and support for homeless populations? Select all that apply. One, some, or all responses may be correct.

Medicaid, United Way, Salvation Army

Which statement regarding population areas indicates the need for further education by the nurse?

"A community with 2,500 in an agricultural area would be a large-fringe community."

Which statement made by the community health nurse best describes family nursing?

"A division of nursing that focuses on the idea that health care practices and decisions are made within the family"

The nurse is explaining the reliability of a measurement to a group of senior citizens. Which statement made by the nurse is accurate?

"It is the precision of how something is measured."

Which participant statement regarding the history of African American public health nurses would the public health nurse review for further correction?

"They were unable to have significant impact until after the Civil Rights Act."

Which response would the public health nurse provide when asked about the basis for the social action model of community practice?

"This approach focuses on correcting the imbalance of power and privilege of disadvantaged groups in the community as necessary to improve health."

An experienced nurse is mentoring a new nurse who was recently hired at the safety net provider practice. Which teaching will the experienced nurse provide?

"We serve many uninsured patients."

Which question reflects the Five Ps approach recommended by the Centers for Disease Control and Prevention (CDC) for the public health nurse to use when obtaining a client's sexual history?

"What are you doing to prevent pregnancy?"

Under the American Heart Association's new guidelines, a blood pressure reading above which measure would be considered hypertension?

130/80 mm Hg

Which percent of individuals in the United States are readmitted to the hospital within 30 days of discharge?

20

For a family of four, which income level is considered low income, according to the federal poverty-level (FPL) guidelines of the U.S. Department of Health and Human Services (HHS)?

200 percent of FPL

About what percent of rural Americans live below the federal poverty level?

25 percent

Which age at first marriage was the median for men in the United States in 2017?

29.5

Which patient is at highest risk for pertussis?

4-month-old infant

By which age would men who are at average risk of prostate cancer begin receiving information about screening?

50 years

Which nurse reflects the average demographics of faith community nurses in the United States?

60-year-old Lutheran female with a baccalaureate nursing degree

At which age would the nurse counsel a 58-year-old homeless unemployed middle-aged female patient that she would be eligible for social safety net programs, such as subsidized housing?

62

A patient has been pronounced dead at the scene of a crime, the victim of a homicide. According to statistics surrounding homicide, which person is most likely to be a victim of such an act?

A 25-year-old black male

Which patient is most at risk of abuse and neglect?

A 5-year-old female with Down syndrome

Which family exemplifies a single-parent family structure?

A divorced father who shares custody of his children

Which form of communication would the public health nurse find most effective in conveying his or her interest in discussing upcoming legislation with a state representative?

A face-to-face visit

Which definition best describes family as a component of society?

A nursing perspective that utilizes the idea that the family is a part of the larger system of society

The school nurse is providing immunizations for children who lack transportation and primary health care providers. Which level of education is required to perform this nursing role?

APN

Which is a characteristic of an empowered family seeking help to improve their nutrition?

Ability to communicate

When developing a vaccination program for a local refugee population, which factor is the public health nurse assessing by speaking with a member of the group regarding the program's alignment with local customs and culture?

Acceptability

Which nursing action is an example of primary prevention strategies?

Administering influenza immunizations

Which item is an example of a host within the epidemiological triangle? Select all that apply. One, some, or all responses may be correct.

Age and sex, Nutrition status, Genetic predisposition

Screening for which health problem would be important for the nurse to include to improve health services for the homeless population? Select all that apply. One, some, or all responses may be correct.

Anemia Diabetes Tuberculosis Foot problems

Which action would the public health nurse take first after several reports of sudden onset respiratory-related issues in a specific middle school?

Assess the school and local area for source of environmental toxins.

Which health care characteristic would be a barrier to care in rural areas? Select all that apply. One, some, or all responses may be correct.

Available, Accessible, Affordable

Which aspect of disaster planning accounts for the reality that the disaster will never be an exact fit for the plan?

Back-up contingencies

Public health nurses need to be aware that surgery for women with BRCA1 and BRCA2 gene mutations could reduce the risk of which type of cancer by 85 percent? Select all that apply. One, some, or all responses may be correct

Breast, Ovarian

Public health disease surveillance began in the 1200s during which disease outbreak in Europe?

Bubonic Plague

How does public health nursing incorporate the nursing process when identifying populations of interest at the community level?

By identifying the population at risk for the problem

The most successful community health change processes often arise from which practice models?

Collaborative

Which situation affecting the ethical decision-making process can create conflict? Select all that apply. One, some, or all may be correct.

Cultural standards conflict with professional standards. Community customs can cause mild offense but no major problems. Persons are at a remote risk of psychological or physiological harm. The values of a smaller culture jeopardize the values of the larger cultures.

Which factor can affect the ethical decision-making process?

Culture

Which need would the public health nurse examine when customizing a vaccination program for the local community? Select all that apply. One, some, or all may be correct.

Customs Resources Economies Cultural needs

Which action would the nurse avoid when putting research into practice when managing care in a rural setting? Select all that apply. One, some, or all responses may be correct.

Determine needs of individual families.

Which action would the public health nurse take to assess the feasibility of a proposed plan to improve health care access for recent immigrants?

Determine whether the local health care system can make such resources available.

Which action is involved in "means testing "?

Determining a lack of financial resources

Ideally, which individuals should participate in identifying health indicators that address their interests or concerns?

Diverse community stakeholders

Which outcome demonstrates a victim of an intoxicated driver accident has received justice? Select all that apply. One, some, or all responses may be correct.

Driver loses driver's license, Driver sentenced to jail time, Driver to pay all medical bills

Which clinical manifestation will the nurse assess for in a patient diagnosed with Clostridium botulinum? Select all that apply. One, some, or all responses may be correct.

Dry mouth, Difficulty swallowing, Progressive paralysis

The nurse has developed programs to meet federal laws related to education and health services in the high school. The chart below lists several programs. Which federal law do these programs reflect?

ESSA

Which agent accounts for the majority of injury and illness in the workplace?

Enviromechanical

Which type of decision making is reflected when the community health care team is trying to determine which community population will receive the experimental treatment for a virus?

Ethical dilemma

Which approach to family nursing views the family as an interactional system?

Family as a system

Which leading cause of death did not change from 1950 to 2016?

Heart disease

Which symptom is commonly the first sign of testicular cancer?

Painless testicular enlargement

Which information is used to define the boundaries of a disease to help investigate possible sources?

Patterns of occurrence

Which focus describes the emphasis of virtue ethics?

Practical reasoning

In which developmental era did epidemics of infectious diseases emerge?

Pre-industrial

Which phase includes determining the most convenient time for the family to schedule a home visit?

Pre-visit

Which action addresses a bioethical issue?

Providing health care to underserved patients

An older patient expresses concern about the number of prescription medications their primary health care provider has prescribed for them. Which information will the nurse obtain to determine the patient's safety? Select all that apply. One, some, or all may be correct.

Which drugs are prescribed, Pharmacokinetics of the drug, Dosage and route of administration

Which information would the nurse include concerning characteristics of the majority of the rural homeless in a presentation to the state legislature?

White, female-led families, higher numbers of children under 18

A quality surveillance system includes which component specific to information sharing? Select all that apply. One, some, or all responses may be correct.

Whom to contact, How to investigate, Who is responsible for appropriate actions, How and to whom information is to be disseminated

Which statement describes the worldwide epidemiology and treatment of HIV? Select all that apply. One, some, or all responses may be correct.

Women are at the highest risk of infection., The HIV epidemic is growing in Eastern Europe., The majority of the persons with HIV are in sub-Saharan Africa., Worldwide, the treatment of HIV infection is given a higher priority.

Which program would the public health nurse identify as being overseen by the Department of Agriculture? Select all that apply. One, some, or all responses may be correct.

Women, Infants, and Children (WIC) program, School breakfast and lunch programs, Grants to states for nutrition education and training, Food stamps (in collaboration with welfare agencies)

Which action made by the nurse would be related to the prevention category of disaster management?

Work with environmental engineers to design flood walls and levees.

As part of transitional management, what should nurses do to help reduce hospital readmission rates?

Work with multiple health care systems to improve communication.

The nurse notes a child is missing several immunizations required to attend school. Which means will the nurse use to notify the parents?

Written letter in envelope

Which would the nurse include to meet the spiritual needs of a congregation? Select all that apply. One, some, or all responses may be correct.

Yoga Prayer Meditation Healing touch

After noticing an increase in domestic violence and assaults, in which setting would a task force consider placing forensic nurse examiners to care for victims? Select all that apply. One, some, or all responses may be correct.

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For which behavior would the nurse monitor in a patient with an eating disorder? Select all that apply. One, some, or all may be correct.

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For which factor would the nurse assess in a patient with a family history of colorectal cancer? Select all that apply. One, some, or all may be correct.

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If beef is labeled "USDA Certified Organic, " which substance has the product been produced without? Select all that apply. One, some, or all responses may be correct.

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In Wagner's Chronic Care Model (CCM), which essential element of a health care system encourages high-quality chronic disease care? Select all that apply. One, some, or all may be correct.

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In addition to the patient's name, which information would be documented with pictures taken of injuries a patient sustained from domestic violence? Select all that apply. One, some, or all responses may be correct.

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When completing a family genogram, which information would the community health nurse include about each family member if relevant to the issues faced by the family? Select all that apply. One, some, or all responses may be correct.

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Which action is reflective of primary prevention when the nurse provides education to daycare workers? Select all that apply. One, some, or all may be correct.

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Which action would the public health nurse undertake when assessing and addressing lead-based paint poisoning? Select all that apply. One, some, or all responses may be correct.

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Which factor would the nurse consider when developing protocols for home visits in rural communities? Select all that apply. One, some, or all responses may be correct.

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Which health preventive strategy would the nurse plan to implement for adults living in rural areas? Select all that apply. One, some, or all responses may be correct.

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Which human health effect related to climate change is the public health nurse likely to observe? Select all that apply. One, some, or all responses may be correct.

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Which information will the nurse need to consider when scheduling a hospice visit with the family of a dying patient? Select all that apply. One, some, or all responses may be correct.

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Which information will the nurse obtain during assessment of an employee who states, "I am so stressed in my job and feel burned out?" Select all that apply. One, some, or all responses may be correct.

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Which information will the nurse provide when teaching about the importance of measles vaccination? Select all that apply. One, some, or all responses may be correct.

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Which information will the occupational nurse obtain from a patient when assessing their present and past work history? Select all that apply. One, some, or all responses may be correct.

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Which item is identified by the American Academy of Pediatrics as a common source of lead in the home? Select all that apply. One, some, or all may be correct.

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Which item will a faith community nurse include in a philosophy and policies position plan based on the American Nurses Association (ANA) Scope and Standards of Practice? Select all that apply. One, some, or all responses may be correct.

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Which service is provided through an occupational health and safety program? Select all that apply. One, some, or all responses may be correct.

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Which occupation is associated with death from pneumoconiosis?

Ceramic workers

Which statement correlates with the ethical tenet that is the underlying core function of assessment of a community population?

"I am going to review the evidence-based practice guidelines for vaccinations."

During a presentation to a group of emergency room nurses, which statement made by a participant correlates to a need for further education about managing different types of disasters?

"A worldwide influenza outbreak would be considered a man-made disaster."

Which statement indicates an understanding of health statistics in rural versus urban areas?

"Adults living in rural areas are more likely to self-report obesity."

Which client statement about the use of pesticides requires correction by the nurse?

"All 50 states participate in the Sentinel Event Notification System for Occupational Risk.

Which statement made by the nurse is an example of the ethical principle of distributive justice?

"All of the patients in the clinic will have access to the same treatments."

Which statement from the public health nurse describes the referral intervention of the public health Intervention Wheel?

"Assisting individuals, families, and/or communities with accessing resources to prevent or resolve problems."

Which response will the community health nurse give when asked to comment on Social Security and workers ' compensation benefits?

"Benefits are based on clinical evidence."

The public health nurse is training a group of nurses to work with families at or below the federal poverty level. Which question would the public health nurse ask to help the other nurses clarify their own values and beliefs concerning poverty?

"Can anything really be done to prevent poverty?"

Which statement about the impact of child labor laws on migrant and seasonal farmworker families with children requires correction by the nurse?

"Children in all agricultural settings are subject to inclusion in the federal child labor laws."

Which statement recalling common health problems in the migrant and seasonal farmworker (MSFW) requires correction by the nurse?

"Children in the MSFW population are under-vaccinated because of cultural beliefs."

Which participant statement regarding American public health during the early colonization period requires further teaching by the public health nurse?

"Colonial America saw a boom of hospital building for care of the sick."

Which response by a participant in a teaching session on defining developmental disability in children needs correction?

"Developmental disability applies to children until age 18."

The spouse of a 50-year-old patient with expressive aphasia after a stroke asks the nurse if the patient is now disabled. Which response would the nurse give?

"Disruption to language use is a major life activity per the Americans with Disabilities Act."

Which question would the nurse ask to determine whether a migrant farmworker is in a forced labor situation?

"Do you have a debt to your employer that you cannot pay back?"

When assessing an African American female patient, the nurse would ask which question to determine risk factors for common prevalent disease in this demographic?

"Do you have a history of hypertension or heart disease in your family?"

Which question will the nurse ask a dye worker during a health assessment focused on occupational-related conditions?

"Do you have any rashes, itching, or blistering on your skin?"

Which question will the nurse ask when assessing carcinogen etiology in an adult patient diagnosed with liver cancer? Select all that apply. One, some, or all responses may be correct.

"Do you have regular exposure to pesticides?"

Which statement accurately characterizes forced labor in the migrant and seasonal farmworker (MSFW) community?

"Forced labor can lead to mental and physical health issues."

Which response by a participant in an information session on functional limitations related to disability indicates understanding?

"Functional limitations relate to performing activities of daily living."

Which question will the public health nurse ask to determine the cause of an outbreak of giardiasis in the community?

"Has your family been camping recently?"

A male client is seen in the clinic after being exposed to chlamydia. Which question will the public health nurse plan to ask the client?

"Have you experienced any pain when urinating?"

Which question would the nurse include during the assessment of a client with non-specific complaints of general malaise, aching, and intermittent fever?

"Have you recently traveled outside of the United States?"

Which question or statement during an assessment shows respect and compassion for an individual new to the homeless shelter after recently losing a job?

"I understand it can be difficult to find a job. Would you be willing to look at ways we can help with that?"

The public health nurse is planning a counseling intervention. Which statement by the public health nurse indicates an understanding of the basic steps for the counseling intervention? Select all that apply. One, some, or all may be correct.

"I will avoid arguing with the patient.", "I will maintain professional boundaries.", "I will self-monitor the counseling relationship.", "I will establish a therapeutic relationship with patient."

Which response from a participant in a teaching session on caring for people with disabilities reflects understanding of the role of coordinator?

"I will organize and integrate the resources of multiple agencies contributing to care."

Which response from a participant in a teaching session on caring for people with disabilities reflects understanding of the role of counselor?

"I will provide guidance to the patient to assist with problem-solving."

Which statement made by a staff nurse would the manager correlate with the secondary prevention of violence?

"I will screen the pregnant patient for intimate partner violence during each visit."

Which response from a participant in a teaching session on caring for people with disabilities reflects understanding of the role of collaborator?

"I will work with agencies and groups participating in shared decision making."

Which statement made by the public health nurse accurately refers to the intervention of referral and follow-up?

"If the patient listens reflectively, he or she is more receptive to referrals."

Which statement by an employee demonstrates an understanding of exposure to biological agents in the health care workplace? Select all that apply. One, some, or all responses may be correct.

"Indirect contact with pathogens places health workers at risk.", "I will experience a tuberculosis skin conversion after being exposed to tuberculosis.", "The health care worker is at increased risk of direct contact with pathogens."

When using the FICA spiritual assessment tool with a member in the community, which question that reflects the "I" portion of the tool would the nurse ask to diagnose spiritual distress?

"Is your faith an essential part of your daily life?"

Which comment would the public health nurse provide regarding the focus of district nursing implemented by Florence Nightingale and William Rathbone?

"It allowed for care of the patient and the family in the home."

Which participant statement regarding action of the Quad Council of Public Health Nursing Organizations requires further teaching by the public health nurse?

"It established the scope and standards for the public health nurse."

Which statement made by the public health nurse regarding the case management intervention of the public health Intervention Wheel is correct?

"It is collaborating for options and services for individual and family health needs through connections with resources."

A patient states that he or she has chosen to stay in an abusive relationship. Based on the patient' s choice, which statement will the nurse include when developing a plan of care?

"It is important that you create a safety plan."

Which participant statement regarding the impact of the federal Emergency Maternity and Infant Care Act (EMIC) of 1943 requires further teaching by the public health nurse?

"It led to increased home birthing services in wartime."

Which statement addresses the importance of certification as a forensic nurse examiner?

"It provides credibility to testimony."

Which information would the nurse provide to clarify the term chronically homeless during a state planning meeting?

"It refers to someone who is homeless at least four times in three years, for a total minimum of 12 months."

Which comment would the public health nurse provide regarding categorical funding in the United States?

"It targets national priorities in health."

Which participant statement regarding the recommendations put forth by the American Medical Association (AMA) in the Shattuck Report requires further teaching by the public health nurse?

"It was quickly adopted and implemented in multiple states."

Which statement about the impact of Latino culture on the relationship between migrant farmworkers and the nurses providing care requires correction by the nurse?

"It's best to avoid humor and unnecessary touching."

Which response by the nurse is appropriate when a client asks what a diagnosis of multidrug-resistant tuberculosis (MDR-TB) means?

"MDR-TB refers to multidrug-resistant TB, which means your TB is resistant to some of the common drugs used for treatment."

Which statement characterizing payment and program assistance for migrant and seasonal farmworkers (MSFWs) requires correction by the nurse?

"MSFWs can qualify for program assistance regardless of citizenship status."

Which statement about a barrier that migrant and seasonal farmworkers face in health care coverage requires correction by the nurse?

"Medicaid is available to undocumented farmworkers but is difficult to obtain due to language barriers."

Which statement by a participant in a teaching session on the components of the Americans with Disabilities Act (ADA) requires correction?

"The ADA exempted all religious organizations from hiring or accommodating people with disabilities."

Which response by a participant in a teaching session on the Americans with Disabilities Act (ADA) needs correction?

"The ADA is implemented differently in each state."

Which response would the nurse give when asked to comment on the determination of disability and the Census?

"The Census in the year 2000 sought to define disability based on functional status."

The nurse manager is educating a group of novice nurses about different disaster relief agencies and their roles. Which statement made by a nurse indicates an understanding of the information provided?

"The Emergency Support Function 8 coordinates federal assistance to fill in the gaps from local and state services during disasters."

Which response by a participant in a teaching session about Healthy People 2020's objectives targeted at people with disabilities needs correction?

"The Healthy People 2020 goals for people with disabilities target a return to institutionalized care."

Which response by a participant in an information session on the Census determination of disability needs correction?

"The Survey of Income and Program Participation (SIPP) program was stopped because it did not gather enough detailed information."

Which participant statement regarding the creation of the Frontier Nursing Service (FNS) would the public health nurse review for further correction?

"The U.S. government funded the creation of the FNS."

Which statement made by a postpartum patient would the nurse relate to an increased risk of parental abuse?

"The baby's father does not want anything to do with me because I got pregnant."

Which statement made by a public health nurse best explains the interventions of the Intervention Wheel?

"The colors on the wheel are frequently performed in conjunction with one another."

Which statement reflects an understanding of social justice values associated with a framework of advocacy?

"The community will share the responsibility for providing the basic benefits."

Which statement characterizing the long-term effects of pesticide exposure requires correction by the nurse?

"The focus of the chronic effects of pesticide exposure lies in adult observation because only the adult population is exposed."

Which statement by the public health nurse reflects total health spending in general from year to year?

"The largest share of health spending is done by the federal government."

Which nursing statement addresses the impact of the loss of prenatal care for women working in agriculture?

"The loss of prenatal care led to increases in fetal abnormalities."

Which statement by the nurse recalling the characteristics of the majority of migrant and seasonal farmworkers (MSFWs) requires correction?

"The majority of MSFWs are female."

Which response by a participant in an information session on the impact of obesity in the United States needs correction?

"The majority of adults in the United States are obese."

Which statement by a participant in a teaching session on the medical model of disability indicates a need for further instruction?

"The medical model of disability focuses on civil rights and the need to change legislation."

Which comment would the public health nurse provide on the cessation of visiting nurse services by the Metropolitan and John Hancock Life Insurance Companies in the 1950s?

"The rise in chronic illness as the source of morbidity and mortality led to this change."

Which statement by a participant in a teaching session on the social model of disability indicates a need for further instruction?

"The social model of disability is used by the Social Security Administration to determine disability status."

Which explanation will the nurse give to a patient diagnosed with influenza A who asks why a flu vaccine has been prescribed?

"There are several strains of flu virus, and the vaccine protects against more than one."

Which statement explains the mortality rates?

"They give nurses information about fatal diseases."

Which participant statement regarding components of the Scope and Standards of Public Health Nursing Practice requires further teaching by the public health nurse?

"They were created by the Quad Council of Public Health Nursing Organizations."

Which response would the nurse provide to describe the locality development model of community practice?

"This model is process oriented and focuses on consensus and cooperation."

After an earthquake, which population would the nurse determine to have the most difficulty rebounding from this disaster?

New immigrants

After skin cancers, which cancer is the most common for American women?

Breast

The nurse is researching the number of children diagnosed with attention-deficit/hyperactivity disorder (ADHD) in a community school of 3427 students. Last year, 283 children were listed as having ADHD in their school record. What is the proportion of ADHD in this population? Record your answer using one decimal place

8.3

The origin of which percent of cancers is sporadic, meaning that there is no germline mutation or inherited gene that is causing the cancer?

80 percent

The National Coalition for Health Professional Education states that which is the primary genetic red flag that an individual or family might be at risk of the most common diseases?

A large number of affected relatives who are closely related

Which information would the nurse include in a presentation on family policy for a group of low-income families?

A person can take a defined amount of leave from their job if they have a birth in their family.

Which example demonstrates public health financing where the government controls the money, but the private sector decides how the money is spent?

A private company offers health screenings for employees

Which example reflects cyclical patterns of time in descriptive epidemiology?

A seasonal fluctuation in the diagnosis of a disease

Which description characterizes a bilateral organization that may help address high infant and maternal mortality rates in the regional clinic the public health nurse of a less developed country serves?

A single government agency that provides aid to less developed countries

Which parent would the community health nurse most expect to be economically disadvantaged?

A single mother

Which is the most valued in nurse-community partnerships where all partners are actively involved in and share the power in assessing, planning, and implementing needed community changes?

Active

When the nurse is addressing public health issues that are affected during disasters, which is most important to include according to the Healthy People 2020 initiative? Select all that apply. One, some, or all may be correct.

Access to health services Public health infrastructure

When two or more people get the same illness after ingesting the same contaminated food or drink, the Centers for Disease Control and Prevention (CDC) defines this as an example of which type of surveillance system?

Active

Which type of community member partnership approach is demonstrated between rural community members and academic researchers and ensures the development of an effective ongoing program to increase rates of colorectal cancer screening?

Active participation

Which health risk that can lead to disability would concern the nurse in a patient with arthritis?

Activity limitation

The nurse is caring for a patient at the outpatient clinic who reports using heroin twice a day. The patient states he has been stealing to obtain money to buy the drug and is unable to stop using the drug. Which term will the nurse use to document in the medical record?

Addiction

The public health nurse is developing a substance abuse program based on the harm reduction model. Which factor is appropriate to include in the program? Select all that apply. One, some, or all may be correct.

Addiction is a health problem., All psychoactive drugs can be abused., People who abuse can be successfully treated.

Which case management approach would the nurse identify as reflecting a systems focus?

Addresses structure and processes using population-based tools

Which is a distinguishable commonality between the Code of Ethics for Nurses with Interpretive Statements and the Public Code of Ethics?

Adherence to ethical nursing practice

Which family developmental task would be expected of a newly married husband and wife? Select all that apply. One, some, or all responses may be correct.

Adjusting to pregnancy, Fitting into the kin network, Establishing a mutually satisfying marriage

Which intervention would a female Muslim nurse prepare to implement as a primary prevention program for Muslim members of the congregation?

Administer flu shots.

The nurse is observing in a classroom in which a child with attention deficit/hyperactivity disorder (ADHD) who has an individualized educational plan (IEP) is present. Which action made by the teacher of the class illustrates a need for further education on IEPs?

Administers tests in the main classroom

Which level of nursing professional can provide genetic counseling and act as a case manager for an individual with or at risk of a disease that arises from genetic susceptibility?

Advance practice nurse

When a health team member jeopardizes the patient's best interest, which approach would the nurse implement with this patient?

Advocacy

Based on the community-oriented primary health care (COPHC) model, which role would the nurse be performing when speaking before state government officials to obtain better working conditions for coal miners?

Advocate

The nurse is addressing the school board to request additional funding and support for health promotion in the classroom setting. Which school nursing role is being performed?

Advocate

Which role is the forensic nurse demonstrating when providing information on the effects of victimization to a group of incest survivors preparing to testify for victims' rights?

Advocate

A community health nurse is implementing a project with a cardiology health care provider group at a local hospital. The nurse arranges for health care professionals in a van to drive through the community with a high poverty rate and conduct blood pressure readings, discuss hypertension risk factors, and educate patients about diet to prevent hypertension and heart disease. What strategy is the nurse demonstrating with this program in this community?

Advocating for accessible health care services and focusing on prevention

Which strategy included in the nurse's planning efforts is considered primary prevention for addressing homelessness?

Advocating for affordable housing

Although public health nurses cannot change patients' genes, which nursing action most impacts the health of humans?

Advocating for environmental changes

Which legislative act provided funding to expand health information technology in health center networks around the United States?

Affordable Care Act

Based on the trends of new HIV- and AIDS-related infections in the adult and adolescent populations, for which population will the public health nurse plan prevention programs? Select all that apply. One, some, or all responses may be correct.

African American males, Hispanic males, White population, African American population

At which point in the process of Congress' writing regulations for new health care legislation would the public health nurse be able to provide public comments on the regulations?

After regulations are drafted and published

Which U.S. federal agency's website would the nurse utilize to access the best information on evidence-based standards of health care and protocols of care for patients?

Agency for Healthcare Research and Quality (AHRQ)

Which term most often defines the community when an organization asks the public health nurse to perform a community assessment?

Aggregate population

Which health care policy will the nurse teach about that safeguards farmworkers from exposure to harmful pesticides?

Agricultural Worker Protection Standard

Which factor would the public health nurse include when assessing environmental health risks by medium? Select all that apply. One, some, or all may be correct.

Air Soil Food Water

Which substance most abused by adolescents would the nurse include when planning anti-drug educational activities for a neighborhood youth center?

Alcohol

Which personal risk factor would the nurse correlate with an increased likelihood of becoming a perpetrator of violence?

Alcohol abuse

Which step-by-step procedure outlines a plan to identify the appropriate event to be investigated?

Algorithm

The nurse recognizes that if a female client has mutations in the BRCA1 and the BRCA2 genes, there is an increased risk of which type of cancer?

Breast

Which community service would the nurse recommend to a cancer patient who lives alone?

American Cancer Society

Which group does the public health nurse identify that supported the writing of the Public Health Code of Ethics?

American Public Health Association

Which resource would the nurse utilize to assist displaced residents in a community that sustained damage due to flooding that led to transportation issues?

American Red Cross

Which would the nurse examine as environmental factors when applying Haddon's matrix to investigate school and mass shootings? Select all that apply. One, some, or all responses may be correct.

Amount of security, Location of occurrence

Which psychoactive drug would be beneficial for a patient with attention-deficit/hyperactivity disorder (ADHD)?

Amphetamines

While assessing clients with limited access to clean water, which individual would the nurse identify as suffering from diarrhea, according to the current definition?

An adult reporting four liquid stools in the past 24 hours

Which factor contributed to the decline in primary infections during the nineteenth and twentieth centuries? Select all that apply. One, some, or all may be correct.

Antibiotics Pasteurization Immunizations Germ theory refinement

Which behavior noted during a case management meeting would the nurse identify as avoidance?

Appears not to address concerns of their own or of others

Which action by an older adult patient in a rural community would indicate the need for follow-up with a primary health care provider (HCP)?

Applies self-made ointments to leg ulcers

The public health nurse is implementing a counseling intervention with a nursing student. Which action would cause the public health nurse to intervene?

Arguing with the patient

Which intervention is an example of creating a safe environment as part of a multiple system approach to preventing communicable disease? Select all that apply. One, some, or all responses may be correct.

Arrange for appropriate housing., Determine eligibility for food stamps.

Which skill would the nurse use when managing the common conditions that patients who are farmers experience? Select all that apply. One, some, or all responses may be correct

Auscultate lung sounds., Treat work-related accidents., Educate about equipment safety.

The nurse is developing a screening tool for determining whether a patient has an alcohol, tobacco, or other drug problem (ATOD). Which question would be included when using the five As? Select all that apply. One, some, or all may be correct.

Ask about use., Assess amount of use., Assist with finding resources

Which action will the nurse take after identifying an adult migrant worker involved in forced labor?

Ask the person for permission to contact authorities.

On an individual level, which action would the public health nurse take after observing fields being sprayed with pesticides from a truck with two young children riding in the back? Select all that apply. One some, or all responses may be correct.

Ask whether the person spraying the pesticides is state licensed to do so., Recommend that the driver not allow anyone to ride in the open portion of the vehicle., Advise that the driver leave the window closed and wear an appropriate mask to protect the nose and mouth., Remind the farm manager of the danger to those in the vicinity of the spraying because of the toxicity of pesticides.

In which order would the nurse complete the actions of the Case Management Society of America's (CMSA's) case management model to support the continuum of care?

Assess> Plan> Collaborate> Implement> Monitor> Evaluate

Which strategy does the Evaluation of Genomic Applications in Practice and Prevention Working Group utilize to effectively assess the available evidence regarding the validity and utility of rapidly emerging genetic tests used in clinical practice? Select all that apply. One, some, or all responses may be correct

Assesses knowledge gaps, Prioritizes and selects genetic tests, Reviews evidence reports commissioned by the Centers for Disease Control and Prevention, Provides guidance on the appropriate use of genetic tests in specific clinical scenarios

Which intervention made by the faith community nurse demonstrates tertiary health prevention for members who are frail and unable to leave home for services?

Assessing oxygen levels in members with chronic obstructive pulmonary disease (COPD)

Which activity is representative of primary prevention?

Assessment of risk factors for contracting hepatitis C virus (HCV)

Which function of public health is identified as a core function? Select all that apply. One, some, or all may be correct

Assurance, Assessment, Policy development

Which function of public health is identified as a core function? Select all that apply. One, some, or all may be correct.

Assurance, Assessment, Policy development

The experienced nurse explains to students that which disease is caused by gene and environmental interaction? Select all that apply. One, some, or all responses may be correct.

Asthma Alcoholism Breast cancer Type 2 diabetes

Which health problem does the nurse identify that is common in the migrant and seasonal farmworker population? Select all that apply. One, some, or all responses may be correct.

Asthma, Diabetes, Otitis media, Hypertension

Which goal would the public health nurse include when discussing the Centers for Disease Control and Prevention's (CDC's) Healthy Communities Program? Select all that apply. One, some, or all may be correct

Attain health equity., Prevent chronic diseases., Build community capacity., Reduce health risk factors.

The school district has hired a new nurse for an elementary school. Which activity can the nurse use to develop relationships with students and their families? Select all that apply. One, some, or all may be correct

Attending after-school events, Developing a monthly newsletter, Following up on children sent home

The school district has hired a new nurse for an elementary school. Which activity can the nurse use to develop relationships with students and their families? Select all that apply. One, some, or all may be correct.

Attending after-school events, Developing a monthly newsletter, Following up on children sent home

Which effect did the Affordable Care Act (ACA) have on coverage for people within the United States?

Available to those with pre-existing conditions

Which method can the nurse use to obtain the DNA sample without the patient's consent? Select all that apply. One, some, or all responses may be correct.

Bed linens Hair follicles Facial tissues Eating utensils

When discussing the origins of faith community nursing, which information about the first official program is accurate? Select all that apply. One, some, or all responses may be correct.

Began in Tucson Arizona, Based on holistic health centers, Originated in the Lutheran church

In contrast to the original Healthy People established in 1979, Healthy People 2030 focuses on which aspect of public health?

Behavior modification to develop practices that lead to better health across the life span

Which type of risk would be decreased in a patient who has cut excess sugar from his or her diet?

Behavioral

When developing a philosophy for the faith community nursing program within the congregation, which aspect would the nurse include when describing the commonalities within the group? Select all that apply. One, some, or all responses may be correct.

Beliefs Principles Religious practices

Knowing that older adults living in poverty report poorer health outcomes than those living with higher incomes, which program would be the most beneficial for the nurse to implement in this population?

Benefits assistance

Which woman would the public health nurse identify as the first recipient of scholarship money targeted for African American nurses to pursue university-level public health nursing education?

Bessie Hawes

Which model asserts that the strength of each part of the community and the synergy between these parts contribute to the ability of the residents to be healthy?

Betty Neuman's health care systems

The school nurse is planning an educational program for middle and high school students about the hazards of alcohol use. Which consequence is most important to address with this age group?

Binge drinking

Which program is a data-sharing program to facilitate surveillance of unusual patterns or clusters of disease in the United States?

BioSense

Under the Pandemic and All-Hazards Preparedness Reauthorization Act, what biodefense program was established to help public health professionals mount a proactive response to pandemics and biological disasters? Select all that apply. One, some, or all may be correct.

BioWatch BioSense Project BioShield Cities Readiness Initiative Strategic National Stockpile

Which family nursing theory would help the nurse understand how environments outside the family influence the development of a child?

Bioecological systems

Which component of ethics has been incorporated into nursing curricula to help prepare student nurses for the advances in science and technology?

Bioethics

Which critical public health concern involves environmental exposures that must be monitored?

Bioterrorism

Which statement reflects the incidence of family violence and abuse with regard to sexual orientation?

Bisexual women are more likely to experience intimate partner violence than women who are heterosexual.

Which health risk that can lead to disability would concern the nurse in a patient with diabetes? Select all that apply. One, some, or all responses may be correct.

Blindness Amputation Kidney failure

The nurse is focusing on tertiary prevention in the school. Which will the nurse include in the plan?

Blood glucose monitoring for a student with diabetes mellitus

Which assessment finding would the nurse correlate to an increased risk of disease in a patient experiencing menopause?

Blood pressure reading of 142/90 mm Hg

Which clinical manifestation would the nurse record that indicates a person dropped off at a neighborhood clinic had consumed high doses of cocaine? Select all that apply. One, some, or all responses may be correct.

Body temperature 102ºF, Blood pressure 180/100 mm Hg, Prolonged QRS and QT intervals

Which assumption applies to the family systems theory?

Boundaries can be open, closed, or random in the family system

Which agency would address immunizations and infectious disorders during a disaster?

CDC

Which agency would the nurse use as a resource when establishing policies regarding reporting and treating communicable and bioterrorism-related illnesses?

CDC

Which entity is currently responsible for publishing weekly mortality and morbidity statistics?

CDC

Which organization oversees the program that requires forensic nurses to report deaths of assault victims to the National Violent Death Reporting System (NVDRS)?

CDC

Which federally funded organization is responsible for developing a framework for school health programs?

CDC Healthy Schools

Which group, run by an international humanitarian agency in the United States, helps alleviate suffering and aids people who are affected by war, starvation, famine, drought, and natural disasters in more than 100 countries, without regard to race, religion, or nationality?

Catholic Relief Services

Which group is included in the history of the origins of faith community nursing? Select all that apply. One, some, or all responses may be correct

Catholic nuns, Protestant women

The nurse constructing a pedigree for a client will include which information next to each family member's name? Select all that apply. One, some, or all responses may be correct.

Cause of death, Age or date of birth, Age or date of death, Medical conditions and age at diagnosis, Geographic origin of each side of the family

Which resource clarifies the population density and the demographics of the population under study in a community assessment?

Census data

Which regulatory agency is responsible for monitoring Medicare and Medicaid spending?

Centers for Medicare and Medicaid Services (CMS)

Which term is used to describe the Mexican folk illness of fallen fontanel?

Caida de mollera

Which state is the entry port for western migratory streams of workers?

California

Which disease process will the nurse investigate in a migrant farmworker who has been working in a field treated with organophosphates for over 20 years? Select all that apply. One, some, or all responses may be correct.

Cancer Liver damage Parkinson's disease Infertility or sterility

Which broad category of disability-adjusted life years (DALYs) has been identified as a worldwide epidemiological problem? Select all that apply. One, some, or all may be correct.

Cancers Infectious disease Neonatal conditions Musculoskeletal diseases

The nurse is caring for a patient who presents with an increased appetite and constricted pupils and appears very relaxed despite a heart rate of 114 beats per minute. Which psychoactive drug would the nurse suspect the patient has used?

Cannabis

Which condition can clearly be connected to a specific chemical exposure based on a patient's signs and symptoms?

Carbon monoxide poisoning

Which program would the nurse develop when planning tertiary prevention activities to meet the needs of the older population within the congregation?

Cardiac rehabilitation exercise

Which intervention would the nurse include as a tertiary level of prevention to support HIV efforts in a less developed country experiencing high rates of HIV and AIDS?

Caregiver support groups for family members/friends

Which information would the nurse include in a presentation on family caregivers?

Caregiving fatigue needs to be assessed for family caretakers

In which aspect of the forensic psychiatric nurse role would it be most challenging to maintain objectivity?

Caring for both victims and mentally ill perpetrators

Which statement explains how the ethics of care affects the core values of public health nursing?

Caring is an essential part of public health nursing

Which number is used to measure the proportion of persons diagnosed with AIDS who have died during 2010 to 2015?

Case fatality rate

An example of which individual-level intervention of the public health Intervention Wheel includes the public health nurse using a sexually transmitted disease questionnaire to determine risk status and need for referral when working in middle schools?

Case finding

Which is a care management strategy? Select all that apply. One, some, or all responses may be correct

Case management Disease management Utilization management Medication management

Which is a care management strategy? Select all that apply. One, some, or all responses may be correct.

Case management, Disease management, Utilization management, Medication management

Which health care professional would the nurse contact to facilitate a smooth transition for a patient from an acute care setting to continued care in the home setting?

Case manager

Which statement describes how care management relates to nursing?

Case managers build on the basic functions of nurses' roles.

For which health issue will the nurse assess in migrant workers who work outside in the sun without eye protection?

Cataract formation

Which factor has contributed to the decline in perinatal HIV transmission? Select all that apply. One, some, or all responses may be correct.

Cesarean delivery, Prenatal HIV testing, Maternal antiretroviral treatment

Which example reflects secular trends of time in descriptive epidemiology?

Changes of patterns of morbidity or mortality in time

In 2016, Islamic State militants set fire to a sulfa mine, which produced widespread clouds of sulfur dioxide and resulted in two deaths and 1500 injuries. Which type of event is described?

Chemical Terrorism

Which is an example of the intentional release of hazardous inorganic materials into the environment for the purpose of harming or killing people?

Chemical Terrorism

Which are examples of intermediate goals to measure behavior change? Select all that apply. One, some, or all may be correct.

Child boards the bus on time three days in a row, Child's parent calls to make an appointment for a well-child checkup

Which are examples of outcome status indicators to measure the impact of interventions on population health? Select all that apply. One, some, or all may be correct.

Child regularly attends school, Well-child checkups are up to date, Child falls within the limits on developmental tests

For which subpopulation in an underserved rural community would the nurse prioritize care because of its susceptibility to environmental factors?

Children

Which health care system emphasizes the "common good for all people " and contributes to many public health accomplishments?

China's collective health care system

Which issue is the leading cause of preventable deaths, disability, and decreased quality of life in the United States?

Chronic disease

Which individuals would be the most appropriate for the nurse to utilize in facilitating an improvement in the health of members within a minority community?

Church leaders

Which piece of legislation authorizes the attorney general to investigate and prosecute findings on places of confinement?

Civil Rights of Institutionalized Persons Act of 1997

Which strategy would the nurse use if the older adult client seems confused about the process and options for possible settings of care?

Clarifying

Which intervention is the priority when treating a child who was bitten by a neighbor ' s dog?

Clean the wound with soap and water

Which family function refers to the relationship between family income and health insurance choices?

Economic

Which method of health care recognizes the client as the source of control and full partner in care based on the patient's preferences, values, and needs?

Client-centered

Which function is at the core of the case management model from the Case Management Society of America (CMSA)? Select all that apply. One, some, or all responses may be correct.

Client-centered Patient-centered Case management

Which surveillance tool determines geographical priority areas for health promotion and disease prevention interventions?

Cluster Detection

The public health nurse is promoting a relationship between the homeless shelter and the community food bank to assist with tracking the history of male teenagers in the area. Which intervention of the public health Intervention Wheel is the nurse working on?

Coalition building

When an alleged perpetrator refuses to cooperate in the obtaining of evidence, which action is the nurse demonstrating when stating he or she will speak with the warden about revoking privileges?

Coercion

Which type of disability is the most prevalent in the United States?

Cognitive

Which intervention by the nurse in a rural setting would address one of the five Healthy People 2020 initiatives?

Collaborating with health care providers to provide primary care

Which competency of the forensic nurse is demonstrated by discussing patient care and policies with other disciplines?

Collaboration

Which value and belief regarding community and public health is reflected in the Public Code of Ethics? Select all that apply. One, some, or all may be correct.

Collaboration is the key element of public health. Each person should have opportunities to contribute to public discourse. Identifying and promoting requirements for health is a primary public health concern.

During which stage of collaboration would the nurse define the responsibilities and tasks of each group member?

Collegiality

Which type of cancer is the second leading cause of cancer-related deaths in the United States?

Colorectal

Which example of communication provided by the nurse would be a demonstration of a Quality and Safety Education for Nursing (QSEN) competency related to patient-centered care?

Communicating patient preferences to other health care team members

Following the example of the New Castle Healthy City Initiative, which action would the public health nurse complete first as part of a task force attempting to address the issue of the increasing prevalence of chronic disease?

Complete a baseline survey of community members concerning health behaviors.

Which common challenge do public health nurses face when working with families? Select all that apply. One, some, or all responses may be correct.

Communication issues in transitions of care, The different social and political definitions of a family, Limited amount of time spent arranging services for the client

The public health nurse is preparing a public awareness campaign for the influenza vaccine. Which level of practice of the public health Intervention Wheel the nurse is focused on?

Community

Which describes a group of people who share a common culture, values, and norms and are arranged in a social structure according to relationships developed over a period of time?

Community

Which level of the public health nursing process would the public health nurse select when applying results to modify interventions on smoking cessation within a specific zip code?

Community

Which community systems model provides stability and protection from chronic or sudden stressors such as homelessness, health declines, disease outbreaks, or disasters?

Community as a partner

Which is a detailed stock of a group of people that share something in common, from the outside in and from the inside out, for the purpose of identifying and analyzing health conditions therein?

Community assessment

Which is reflected in the health behaviors and subsequent outcomes of its residents and by the ability of the community as a system to support healthy individuals?

Community health

Who are not professional or licensed individuals but are community members from diverse backgrounds who receive training to do health outreach work?

Community health workers

The public health nurse involves which group in all phases of the community assessment to ensure that the data collected are more accurate and more relevant to the concerns of the community?

Community members

Which premise would the public health nurse consider when developing a health promotion program based on the California Healthy Cities and Communities (CHCC) program?

Community members, local officials, and the private sector must share responsibility for efforts

Which principle of primary health care is best reflected by the public health nurse when including well-informed and motivated community members in the process of planning, implementing, and evaluating a program to address the issue of injury prevention for children in the community?

Community participation

Which type of conflict management behavior would the nurse identify if one member seemed to consistently promote his or her own agenda to the detriment of another team member?

Competing

Which will the nurse identify as a characteristic of an abuser that makes it challenging to maintain contact with family?

Condemnation for the actions

When working to integrate global health diplomacy in a less developed country, which activity would the nurse do first to support this approach?

Conduct a needs assessment to determine what a community has, what it wants, and what it can sustain

Which action will the nurse take first when an increase in worker injuries is reported?

Conduct a risk assessment

Which initial step will the occupational nurse take when developing a disaster plan for a chemical plant?

Conduct a risk assessment of the facility.

Which step would the nurse take first when working with other local groups and health care providers to develop a coordinated network to serve poor and homeless patients?

Conduct a thorough assessment of the service area to identify available local, state, and federal services.

Which specific skill do public health nurses bring to situations requiring an emergency response, such as the 2014 Ebola outbreak? Select all that apply. One, some, or all responses may be correct.

Conduct and evaluate disaster response drills. Collaborate with others to sustain emergency infrastructure. Act as first responders in emergency situations in the community. Lead and manage in the field as well as the incident command center

Which step would the nurse take when implementing preparedness steps in disaster training related to the care of the special-needs population?

Conduct disaster-training drills and exercises with the designated population.

Which environmental risk intervention would the public health nurse implement to improve children's health in the home? Select all that apply. One, some, or all responses may be correct

Conduct lead testing in the home. Send water sample for evaluation. Ask family members about the use of tobacco.

Which environmental risk intervention would the public health nurse implement to improve children's health in the home? Select all that apply. One, some, or all responses may be correct.

Conduct lead testing in the home., Send water sample for evaluation., Ask family members about the use of tobacco

Which activity does the nurse identify as an example of a primary health prevention intervention for migrant and seasonal farmworkers?

Conduct prenatal care

Which intervention would the nurse include to address factors contributing to high rates of mortality from cardiovascular disease (CVD) in the homeless population at a local homeless shelter? Select all that apply. One, some, or all responses may be correct

Conduct regular clinics at the shelter to assess and diagnose possible CVD., Provide accessible options to help shelter residents decrease alcohol, drug, and tobacco use., Use local data to tailor chronic disease management programs to the needs of shelter residents., Develop strategies to support engagement in treatment and decrease use of the emergency department for primary care needs.

Which intervention would the nurse include to address factors contributing to high rates of mortality from cardiovascular disease (CVD) in the homeless population at a local homeless shelter? Select all that apply. One, some, or all responses may be correct.

Conduct regular clinics at the shelter to assess and diagnose possible CVD., Provide accessible options to help shelter residents decrease alcohol, drug, and tobacco use., Use local data to tailor chronic disease management programs to the needs of shelter residents., Develop strategies to support engagement in treatment and decrease use of the emergency department for primary care needs.

For which complication will the public health nurse monitor the neonate who was born to a client with untreated chlamydia?

Conjunctivitis

Which factor is emphasized by locality development? Select all that apply. One, some, or all may be correct.

Consensus, Cooperation, Sense of community, Building group identity

Which term describes allocation of health care resources that will serve the most people possible during a flu epidemic in an underserved community?

Consequentialism

An example of which community-level intervention of the public health Intervention Wheel would include the public health nurse organizing a meeting at the public library to answer questions about risks of contracting the Zika virus?

Consultation

Which action will the nurse take after identifying a migrant worker who is a minor and involved in forced labor?

Contact child protective services and law enforcement

Which health issue would the public health nurse assess for in a seasonal worker who has frequent contact with plants?

Contact dermatitis

Which characteristic applies to a standard metropolitan statistical area (SMSA)? Select all that apply. One, some, or all responses may be correct.

Contains a central city, Consists of at least 50,000 residents

Which type of contract rewards the family with a gift card after completion of the agreement?

Contingency

Which factor has led to the near eradication of rubella in the United States? Select all that apply. One, some, or all responses may be correct.

Continued surveillance of outbreaks, Maintenance of high childhood vaccination rates, Immunization ensured among women of childbearing age

Which focus of health care debate would the public health nurse identify as dominating the 1990s?

Controlling cost

Which intervention would the nurse include in efforts to interrupt the trajectory toward homelessness? Select all that apply. One, some, or all responses may be correct.

Coordinate community services and resources., Identify at-risk individuals and families quickly., Complete needs assessments for those at risk as soon as possible

A nurse compiles a list of local food banks in the community to provide to patients living in poverty. What strategy is the nurse demonstrating most clearly when working with homeless individuals, families, and populations?

Coordinating a network of services

Which developmental era was focused on controlling health care costs and reorganizing care delivery?

Corporate

Which primary method is used by nurse managers to assess the economics of an intervention? Select all that apply. One, some, or all may be correct.

Cost-utility analysis (CUA), Cost-benefit analysis (CBA), Cost-effectiveness analysis (CEA)

Which assessment finding will the public health nurse anticipate for a client newly diagnosed with tuberculosis (TB)? Select all that apply. One, some, or all responses may be correct.

Cough Fatigue Hemoptysis Weight Loss

For which reason will the public health nurse increase investigation or monitoring when a disease outbreak is found to be confined to one age or gender group?

Could indicate targeted population or early signs Indicates sustained outbreak that may continue to grow

An example of which individual-level intervention of the public health Intervention Wheel would include the public health nurse facilitating a support group for families coping with the diagnosis of a terminal illness?

Counseling

Which would the nurse recommend to a former patient and victim of a sexual assault who reports an inability to sleep and does not feel safe?

Counseling

Which aspect of direct-to-consumer genetic tests is being recommended for regulation by the American Academy of Nursing? Select all that apply. One, some, or all responses may be correct.

Data storage, Testing standards, False-positive results

The nurse is performing tuberculosis (TB) screening for middle school students. Which information is most important for the nurse to consider when planning this activity?

Day of the week

Which category of complex ethical and legal questions is expected to increase as the population ages and technological advances continue to be developed?

Decision making

Gender equity has a positive impact on which health-related factor? Select all that apply. One, some, or all may be correct.

Decision making, Income generation and allocation, Application and observance of norms

When the public health nurse is collaborating with a local hospital to plan bioterrorism-related victim triage and treatment, which plan would be most appropriate to put in place? Select all that apply. One, some, or all may be correct.

Decontamination Mass vaccinations Antibiotic distribution

Which health-related change in society occurred during the twentieth century? Select all that apply. One, some, or all may be correct.

Decrease in birth rates, Longer life expectancy, Decline in child mortality rates, Increase in age-related diseases

A community health nurse is planning care for a community with a high poverty rate. Which factor contributes to the growing number of poor people in the United States? Select all that apply. One, some, or all responses may be correct.

Decreased earnings, Changes in the labor force, Increase in the number of children born to single women

Which step would the nurse perform when implementing the community-oriented primary health care (COPHC) model to improve health in a rural community? Select all that apply. One, some, or all responses may be correct.

Define the community., Evaluate program outcomes., Identify current health problems., Create programs to meet health needs.

A patient presents to the clinic feeling unwell. The patient reports chronic long-term alcohol abuse, but states they have not had a drink since midnight. Which will the nurse assess for when managing this patient's care?

Delirium tremens

Which type of nurse-community partnership requires hard work from all parties achieved only through a long-term commitment to the process, with diverse community members and health care professionals sharing all resources and work equitably?

Democratic

The family of a patient tells the nurse that the patient drinks a fifth of vodka every day, is frequently intoxicated, and can be verbally abusive. The patient responds by stating that they have control over their drinking and does not get drunk. Based on this response, which behavior is the patient displaying?

Denial

he family of a patient tells the nurse that the patient drinks a fifth of vodka every day, is frequently intoxicated, and can be verbally abusive. The patient responds by stating that they have control over their drinking and does not get drunk. Based on this response, which behavior is the patient displaying?

Denial

In addition to drug treatment programs, which provider referral would the nurse recommend for a patient who reports frequent methamphetamine abuse?

Dentist

Which data would the nurse use to supplement the count of homeless families in their area after determining that point-in-time counts do not include those doubling with relatives?

Department of Education (DOE) Data Express Survey

Which mental health issue is prevalent in rural communities? Select all that apply. One, some, or all responses may be correct.

Depression, Farm stress, Suicidal risk

Which term is used to describe the occurrence of a disease in terms of person, place, and time?

Descriptive epidemiology

The school district is implementing measures to decrease violence at school. Which action would be solely directed by the nurse? Select all that apply. One, some, or all may be correct.

Develop a crisis response plan., Create a system for post-incident triage., Educate students about firearms safety.

While working with a steering group to enhance health promotion efforts in the community, the public health nurse collaborates to develop and communicate a clear vision and mission for the programs to be developed. Using the Community Health Promotion Model as a guide, the nurse distinguishes this to be which phase of development?

Develop a structure in the community for health promotion.

Which tertiary prevention strategy would the nurse implement in patients with chronic arthritis? Select all that apply. One, some, or all responses may be correct.

Develop a water aerobics class, Implement a pharmaceutical bulk buying program for costly medications.

Which tertiary prevention strategy would the nurse implement in patients with chronic arthritis? Select all that apply. One, some, or all responses may be correct

Develop a water aerobics class., Implement a pharmaceutical bulk buying program for costly medications.

Which action would the nurse take next after researching contributing factors related to an increase in work-related fatalities?

Develop risk-reduction strategies

When addressing staff at a local homeless shelter, which strategy would the nurse suggest to enhance medication adherence among homeless individuals managing chronic diseases? Select all that apply. One, some, or all responses may be correct.

Develop safe, monitored storage areas for medications., Find resources to lower the cost or provide medications for free.

Which issue more prevalent in the African American population than in other U.S. populations would the nurse target when identifying service priorities for a local critical access hospital? Select all that apply. One, some, or all responses may be correct.

Diabetes Homicide Cardiovascular disease Human immunodeficiency virus (HIV)

Which program would most appropriately meet the needs of the American Indian population in a rural community?

Diabetes disease management

Which step in the scientific process would the nurse use to classify findings of subjective and objective data collected during the evaluation of an assault victim?

Diagnosis

Globally, what is the leading cause of malnutrition in children under five years of age?

Diarrheal diseases

The school nurse is educating a group of students on the dangers of abusing prescription medications. Which drug will the nurse include in the discussion? Select all that apply. One, some, or all may be correct.

Diazepam, Oxycodone, Methylphenidate

When using the epidemiological triangle model to identify causation, transmission, and risks related to infectious diseases, which factor represents the host?

Diet and exercise

Which factor contributes to continued exposure of the migrant and seasonal farmworker population to pesticides? Select all that apply. One, some, or all responses may be correct.

Differences in language, Lack of monitoring pesticide exposure, Fear of job loss related to reporting violations, Delivery of culturally inappropriate education material

After the nurse has identified and presented information concerning a new treatment option, which action would the nurse take next in the process of negotiating payment for coverage of a service that was previously denied?

Differentiate the payer's and patient's demands and positions related to the treatment.

The public health nurse expects that community systems will provide stability and protection from which chronic or sudden stressor? Select all that apply. One, some, or all responses may be correct

Disasters Homelessness Health declines Disease outbreaks

The public health nurse expects that community systems will provide stability and protection from which chronic or sudden stressor? Select all that apply. One, some, or all responses may be correct.

Disasters, Homelessness, Health declines, Disease outbreaks

Which goal applies to the Centers for Disease Control and Prevention's Environmental Hazards and Effects Program? Select all that apply. One, some, or all may be correct.

Disease or death is prevented and controlled., Quality of life and environmental health is promoted., Environmental health improvement progress is assessed and monitored.

For which reason does the nurse responsible for reporting notifiable disease to the health department use a passive surveillance system?

Diseases are summarized by a local agency and submitted to a state or government agency for monitoring

The nurse assisting a family to complete a health history explains to the family that the goal is to create a written or graphic record of which factors present in their biological family?

Diseases or health conditions

Which factor is a deterrent for members of a rural community in receiving preventive care? Select all that apply. One, some, or all responses may be correct

Distance from home to health services, Road conditions, Lack of transportation, Number of health care facilities

Which factor is a deterrent for members of a rural community in receiving preventive care? Select all that apply. One, some, or all responses may be correct.

Distance from home to health services, Road conditions, Lack of transportation, Number of health care facilities

Which ethical concept does the public health nurse, working with community as client, recognize as treating people fairly and distributing resources and burdens equitably among the members of a society?

Distributive justice

Which describes completion of the major task of the post-visit phase?

Documented visit and services provided

The nurse is working with a family in which the husband abuses illicit drugs. The nurse suspects the spouse is codependent. Which characteristic does the nurse expect to notice when interacting with the spouse? Select all that apply. One, some, or all may be correct.

Does not talk about the addiction, Does not trust others outside the family, Does not show feelings about the addiction

The nurse is initiating primary prevention strategies against drug abuse in schools. Which program would be appropriate to meet the needs of adolescents in this setting?

Drug-free events on weekends

Which is the most important concept that allows a nurse to effectively intervene in community and family violence?

Dynamics of violence on the family

A client living in a less developed country reports to the community based clinic with complaints of bloody diarrhea and severe pain when attempting to pass stool for the past two days. The nurse would identify these symptoms as characteristic of which health condition?

Dysentery

Which information would the nurse educator include when discussing current research on the relationship between viewing pornography and sexual assault?

Early exposure to pornography may be related to future sexual offense.

Nurses should carefully consider which ethical issue related to genetic science and the information used in decision making? Select all that apply. One, some, or all responses may be correct.

Ensuring the privacy of the genetic information obtained, Ensuring that all populations benefit from the advances of genomics research, Genetic discrimination against pre-existing conditions based on genetic profiling, Coverage and access to reimbursement for genetic tests through health insurance

Which factor plays a major role in adverse outcomes, such as infectious diseases or injuries, that a nurse would report?

Environmental

Which social issue identifies the disproportionate environmental exposures experienced by poor people and people of color in the United States?

Environmental justice

Which resource will the nurse investigate that has historically provided information about the association between learning disabilities and exposure to lead-based paint in children ages 5 to 15 years?

Epidemiological studies

Which model best describes the study of disease in relation to an agent, host, and environment?

Epidemiological triangle

Which type of diseases have a heritability that cannot be fully explained by genetic inheritance patterns and also influence imprinting due to environmental exposure that can contribute to the development of disease in offspring even into adulthood?

Epigenetic

Which is the study of heritable changes in gene activity that are not caused by changes in DNA sequence?

Epigenetics

Which characteristic describes the energized family ' s ability to meet health needs? Select all that apply. One, some, or all responses may be correct.

Equal power structure, Flexible role relationships, A high degree of family member autonomy

According to the Ottawa Charter for Health Promotion, which is a principle of primary health care? Select all that apply. One, some, or all may be correct.

Equity, Health promotion, Community participation, International cooperation

Which action describes the intention of the professional code of nursing?

Establish a foundation to meet moral obligations.

Which intervention would the faith-based nurse implement to reach a goal to improve the cardiovascular health of members of the community over the next year?

Establish exercise programs

Which family developmental task is most appropriate for the family life cycle stage of families with school-aged children?

Establish rules and new disciplinary actions.

On which task is a significant portion of a home visit spent? Select all that apply. One, some, or all responses may be correct.

Establishing a relationship, Implementing the nursing process

The nurse is working at a boarding school to meet the health care needs of the residents. Which activity could the nurse assist with to promote health? Select all that apply. One, some, or all may be correct.

Establishing bedtimes, Developing exercise programs, Working with the cafeteria for good nutrition

The nurse is developing programs for the community that reflect the Healthy People 2030 initiative. Which action best reflects these foundational principles?

Establishing free clinics in impoverished neighborhoods

Which nursing action takes place during the beginning phase of contracting?

Establishing the goals of the contract

In which principles are the core functions of public health nursing grounded?

Ethics

The nurse is participating in a regional effort to determine the number of people who are homeless. Which approach is considered a period prevalence count?

Examining the number of people who are homeless over a given period

Which system level of the bioecological systems theory refers to the external environments that have an indirect influence on the family?

Exosystems

Which is the key responsibility of the genetics nurse at the basic level of preparation? Select all that apply. One, some, or all responses may be correct.

Facilitate referrals., Identify genetic risk factors., Provide nursing interventions., Advocate for patients in ethical standard policy making.

Which nursing action reflects tertiary prevention regarding breast cancer? Nurses provide care for the patient diagnosed with breast cancer who undergoes surgery, chemotherapy, and radiation treatments aimed at limiting the disabling effects of the disease. These treatment approaches best represent which level of prevention strategies based on epidemiological data?

Facilitates appointments for chemotherapy

Which statement describes the role of mediator as related to the case management process?

Facilitates the decision-making process between clients and the payer

Which case management role would the nurse be demonstrating when ensuring that all parties can reach their mutual goals while delivering necessary services?

Facilitator

Which health care policy will the nurse teach about that impacts migrant and seasonal farmworkers through child labor standards?

Fair Labor Standards Act

Which information comparing the benefits versus the expenses is most important for the nurse to include when petitioning for a faith community nursing program?

Faith community nurses use wellness promotion activities to decrease health care costs.

Which approach to family nursing places the family first and the individual family members second?

Family as client

Which family nursing perspective places the individual first and the family members second?

Family as context

Which describes the motivational premise of contracting with a family?

Family control

Which factor has been established by epidemiological studies as increasing the risk of breast and ovarian cancer?

Family health history

Which action by the nurse would provide secondary preventive care for African American adults living in rural areas?

Fasting blood glucose testing

Which characteristic of a perpetrator can the nurse predict will increase the risk of the individual becoming violent?

Fear and distrust of others

For which primary reason are many health care patients reluctant to disclose their family history, despite the current health care laws that are in place to protect them?

Fear of affecting health insurance status

Which agency would the nurse work with on a national level to coordinate the emergency response in the event of a disaster?

Federal Emergency Management Agency (FEMA)

In which location would the public health nurse find proposed regulations in final draft form?

Federal Register

Which example demonstrates public health financing controlled solely by the government?

Federally mandated procedure for disaster management

A nurse learns that a former patient has been murdered by an intimate partner. According to statistics, the decedent is most likely to fall in which demographic?

Female

Which population would the nurse identify as experiencing the highest amount of sexual violence?

Females under the age of 25 years

For which symptom will the nurse assess in a patient with possible inhalation anthrax exposure? Select all that apply. One, some, or all responses may be correct

Fever Cough Malaise

For which symptom will the nurse assess in a patient with possible inhalation anthrax exposure? Select all that apply. One, some, or all responses may be correct.

Fever, Cough, Malaise

Which could be classified as a significant barrier if a nurse within a small congregation wanted to establish a faith community nursing program?

Financial constraints

Which topic will the nurse choose when discussing the leading cause of death of young children with a group of parents?

Firearm accidents

Which topic would the nurse include in safety education for adolescents in a rural community? Select all that apply. One, some, or all responses may be correct.

Firearms training, Use of all-terrain vehicles

Which describes the period that is most critical for the clinical development of tuberculosis (TB)?

First six to twelve months after infection

Which is an example of a population of interest?

First-time parents of newborns

Due to poorer overall health status and outcomes, the average life span of American men is shorter than women by which number of years?

Five

The nurse is developing a time line of nursing throughout the mid1800s to the early 1900s. Which is the order of events as they occurred?

Florence Nightingale established hospital-based nursing education> Frances Root visited sick and poor to provide religious and nursing care> Lillian Wald and Mary Brewster developed Henry Street Settlement.> Ada Mayo Stewart initiated free services for employees of Vermont Marble Company> Lillian Wald and MetLife developed the first insurance payment for nursing services.

Which state is the entry port for eastern migratory streams of workers?

Florida

Which action of the public health nurse is an underlying assumption of the public health Intervention Wheel?

Focuses on the greater good

Which historical aspect of faith community nursing compares to current medical practices?

Focusing on health promotion

Which federal agency has urged the medical community to focus on educating health care providers and clients about the benefits and limitations of genetic testing?

Food and Drug Administration

A patient is having difficulty reading, which is related to a history of an ischemic stroke. The community health nurse understands that difficulty reading is an example of what type of disability?

Functional Disability

Which explanation gives the reason for establishing regulations related to legislation?

Further defining the course of action to be taken to reach the intended legislative outcome

Which coping process is an example of a cognitive strategy that can be used by a family in crisis? Select all that apply. One, some, or all responses may be correct.

Gain useful knowledge, Collaborate in problem solving., Be accepting of the situation and others.

Which pharmacological preparation works to prevent human papillomavirus (HPV)?

Gardasil

Which health issue would the public health nurse assess for in a migrant worker found to be living in poor sanitation?

Gastroenteritis

What is an example of a social environment determinant of health?

Gender

Which causative factor triggers the development of familial cancer?

Gene-environment interaction

Which practice group would the public health nurse indicate as the focus of the Tier 1 Competencies for Public Health Nurses established by the Quad Council of Public Health Nursing Organizations?

Generalist public health nurses

The nurse recognizes which is the primary law prohibiting the improper use of DNA testing information in health insurance and employment?

Genetic Information Nondiscrimination Act

An approach to health care that includes which factor most effectively enables nurses and other health professionals to design highly customized care to match individual needs?

Genetic profile of each individual

Which is considered a determinant of health?

Genetics

Which study of the function and effects of single genes inherited by parents would the nurse need knowledge of when working in pediatrics?

Genetics

The nurse who practices from the approach and perspective of population health understands that the focus is on which factor? Select all that apply. One, some, or all may be correct

Genetics Stressors Environment

According to the Genetic Information Nondiscrimination Act, which description is classified as genetic information? Select all that apply. One, some, or all responses may be correct.

Genetics testing of any fetus from a pregnant woman who is a family member, The manifestation of a disease or disorder in an individual's family members, Genetic testing of individual family members up to and including fourth degree relatives, Any request for or receipt of genetic services by an individual or the individual's family members

Which tool is used to assess the basic patterns of health and illness in families?

Genogram

Which field of study deals with the functions and interactions of all genes in an organism and includes the total DNA structure?

Genomics

Which software and technology system was instrumental in helping a public health study demonstrate that children living near a major roadway were much more likely to experience hospital admissions for asthma?

Geographic information system

Which research tool provides a methodology for coding data to correlate spatially to a place on Earth?

Geographic information systems

Which surveillance factor will be included in a presentation on screening for biological agent outbreaks in the emergency room? Select all that apply. One, some, or all responses may be correct.

Geographical illness clusters, Unusual age distribution of a common illness

Which responsibility would be included in a job description for a faith community nurse coordinator meeting the needs of multiple congregations? Select all that apply. One, some, or all responses may be correct.

Guiding new nurses in the vocation, Connecting with other congregations, Collaborating for program development

Which initial testing will be done for a 16-month-old infant who was exposed to HIV during the perinatal period?

HIV DNA, RNA polymerase chain reaction (PCR) assay

The nurse should consider which global infectious disease when developing policies and procedures to support global vaccination efforts?

HPV

Which entity has legal authority to help investigate unusual clusters of illness?

Health Department

The public health nurse is collecting data about health behaviors and attitudes to support evaluation of an initiative led by a community coalition to improve the quality of life for residents. These data would support the nurse's evaluation of which aspect of the program?

Health Education

Where would the nurse find information concerning health facilities in the area that will provide care for the homeless population?

Health Resources and Services Administration (HRSA)

Which organization would the public health nurse identify as providing funding to support the development of programs to educate more nurses with graduate level degrees?

Health Resources and Services Administration (HRSA)

Which term describes a group of people assembled from within a congregation to provide leadership and establish goals for the parish?

Health cabinet

Which is the fastest growing sector of occupations?

Health care

When the nurse researcher is collaborating with peers in Uganda on health care system outcomes, which statement describes Uganda's national service approach to health care?

Health care is free and accessible to all.

Which are numerical measures of health outcomes, such as morbidity and mortality, as well as determinants of health and population characteristics?

Health indicators

Using the California Building Healthy Communities project as a reference, which statistic would the public health nurse identify as a primary indicator of the health of a community?

Health of the community's children

Which can the epidemiological triangle model be used for? Select all that apply. One, some, or all responses may be correct.

Health promotion, Promoting workplace safety, Understanding the interaction between health and work

Which tool can determine whether, and to what degree, a family risk factor is present?

Health risk appraisal

Which quantitative or qualitative measure is used to describe the level of well-being or illness present in a defined population using rates or proportions?

Health status indicators

An example of which system-level intervention of the public health Intervention Wheel would include the public health nurse presenting an in-service on the importance of hand hygiene to the employees at a local daycare?

Health teaching

Which domain in the Multidimensional Poverty Index (MPI) would the nurse use in discussing differing approaches and parameters in defining poverty with legislators? Select all that apply. One, some, or all responses may be correct.

Health, Education, Standard of living

Which resource would the public health nurse use to find recent data regarding health care problems in the United States?

Health, United States compiled by the U.S. Department of Health and Human Services

Which document would the public health nurse use to obtain the most relevant information regarding national health promotion and disease prevention goals for the United States?

Healthy People 2020 document

Which disease is the leading cause of death for men, women, African Americans, American Indians or Alaska Natives, Hispanics, and whites in the United States?

Heart disease

Which item represents an agent within the epidemiological triangle?

Hepatitis A virus

Which pathogen is considered waterborne? Select all that apply. One, some, or all responses may be correct.

Hepatitis A, Giardia lamblia, Campylobacter

Which are inherited in an autosomal dominant pattern with a variable expression and incomplete penetrance so that a gene pair member can exist as either the normal, unaltered form or as a mutation?

Hereditary cancer syndromes

Which characteristic would the public health nurse focus on when evaluating how well a community health group is functioning? Select all that apply. One, some, or all may be correct.

High levels of trust, Diminished need to protect own turf, Serious time commitment from partners

Which is a social risk to a family?

High-crime neighborhood

Which ethnic group has the highest uninsured rate in the United States?

Hispanics

Which U.S. population group has consistently faced higher rates of poverty over time when compared with other population groups? Select all that apply. One, some, or all responses may be correct.

Hispanics, African Americans, Single mothers with children, Individuals with lower levels of education

Which worker has the highest risk of a workplace injury?

History of depression and working in landscaping for one year

Which action by the nurse would facilitate the community's acceptance of the idea of community health?

Hold an informational forum about community health issues and promotion.

While working in a frontier community's health clinic, which program will the nurse establish to address the most difficult challenge in maintaining health?

Home health visits on designated days of the week

During which activity would the faith community nurse plan to address secondary prevention health strategies?

Home visits for newborns

Which program would the public health nurse develop to address tertiary prevention in a group with increased risk of developing diabetes mellitus? Select all that apply. One, some, or all responses may be correct.

Home visits to those who are homebound and need insulin evaluation and maintenance, Educational program on reducing the risk of renal impairment, Transportation program to take older adults to eye examinations for diabetic retinopathy

Which population is identified as a minority in rural areas? Select all that apply. One, some, or all responses may be correct.

Homeless Migrant workers American Indians

Which will the nurse choose to include when presenting information to a community group about the trend for the highest homicide rates in the United States? Select all that apply. One, some, or all responses may be correct.

Homicide is higher in males than females., The majority of homicides of children are perpetuated by parents., People between the ages of 20 and 24 have the most age-specific homicides.

Which area of health receives the highest distribution of health care expenditures in the United States?

Hospital Care

Which services make up the largest portion of health care expenditures in the United States?

Hospital care

Which terminology refers to a community with people of multiple ages, genders, ethnicities, diets, cultures, and disease states?

Host

Which is a major class of components that forms the classic epidemiological triangle? Select all that apply. One, some, or all may be correct.

Host Agent Environment

Which factor must be considered as a possible cause of a disease outbreak? Select all that apply. One, some, or all responses may be correct.

Host, Agent, Cultural Practices

Which term is included in the epidemiological triangle? Select all that apply. One, some, or all may be correct.

Host, Agent, Environment

According to the epidemiological triangle, what factor interacts to support transmission of disease? Select all that apply. One, some, or all response may be correct.

Host, agent, environment

Which information would the nurse include when discussing household gun ownership with a patient?

Household gun ownership is associated with an increased rate of nonstranger homicide

A patient should be directed to the Administration of Developmental Disabilities for what type of concern? Select all that apply. One, some, or all responses may be correct.

Housing Education Childcare Employment

Which statement describes public health economics?

How the health of a population is affected by economics

Which measure is used to gauge the overall health of a population? Select all that apply. One, some, or all may be correct.

Infant mortality, Life expectancy

Which person in a Mexican household is considered the major decision maker?

Husband

For which work-related disease or condition are all employees at risk? Select all that apply. One, some, or all responses may be correct.

Hypertension, Mood disorders, Cardiovascular disease

Which age-related chronic condition associated with increasing morbidity has resulted in disability-adjusted life-years (DALYs) in the United States? Select all that apply. One, some, or all may be correct.

Hypertension, Tobacco smoking, Physical inactivity, High body mass index, High fasting plasma glucose

What does the nurse consider during transitional planning for a patient? Select all that apply. One, some, or all responses may be correct

Ideal timing for the transition, Levels of care for the transition, The sequence in which the transition occurs

What does the nurse consider during transitional planning for a patient? Select all that apply. One, some, or all responses may be correct.

Ideal timing for the transition, Levels of care for the transition, The sequence in which the transition occurs

Which result can be determined by the HIV antibody test enzyme-linked immunosorbent assay (EIA)?

Identification of the presence of an antibody

On a systems level, which action would the public health nurse take after observing the fields being sprayed with pesticides from a truck with two young children riding in the back?

Identify areas where the farm workers congregate and provide an educational program on pesticide dangers.

Which primary prevention for elder abuse would the nurse implement for a family caring for an older family member with dementia?

Identify community support groups.

Which measure related to health care is difficult to assess using costbenefit analysis?

Identifying and estimating the indirect costs of a program

Which action would the public health nurse perform as a basic step in the counseling intervention of the public health Intervention Wheel?

Identifying patient barriers to behavior change

Which action is helpful to deal with the feelings of conflict that occur in moral distress?

Identifying types of situations

Which strategy can clarify the nurse's role when involving the family in the nursing process to promote self-care?

Implement contracting.

Which activity is performed during the in-home phase of conducting a home visit? Select all that apply. One, some, or all responses may be correct.

Implementing the nursing process, Interacting socially to establish a rapport, Introducing self and professional identity

When the nurse is working with local agencies in a community to improve disaster preparedness, which action made by the group demonstrates the Homeland Security Presidential Direction 21 (HSPD21) regarding community resilience?

Implements a system to restore communication

For which reason was Medicaid created?

Improve access to health care for the poor

Which benefit applies to telehomecare? Select all that apply. One, some, or all responses may be correct.

Improves patient self-care, Improves patient education, Improves patient satisfaction, Decreases the length of hospital stay

While working in the health department, the nurse has seen a large increase in the cases of chickenpox in local preschools. Which term would the nurse use to report this occurrence to the Centers of Disease Control and Prevention?

Incidence rate

The public health nurse is working with a local community organization to address high infant and maternal mortality rates in one area of the city. Which action by the nurse would support a consensus-based approach to community work?

Include diverse citizens from the affected area in solving the problem.

What socioeconomic factor identified by the public health nurse may affect pregnancy outcomes? Select all that apply. One, some, or all responses may be correct.

Income level, Education level, Use of prenatal services, Employment-unemployment patterns

Which resource would the nurse discuss with a local coalition as needed to address the primary causes of homelessness?

Increase in affordable housing and housing assistance programs

Which impact on the number of home health care agencies would the public health nurse associate with changes in the Social Security Act in 1965?

Increase in agencies providing home health services

A nurse in a community with a high poverty rate is conducting a needs assessment for health services. Which outcome is the community with a high poverty rate most likely to experience? Select all that apply. One, some, or all responses may be correct.

Increase in disability, Poorer birth outcomes

Which factor that occurs in a pandemic would cause a public health surge?

Increase in needs in a short time span

Which Healthy People 2020 goal reflects the systems objective for people with disabilities?

Increase the number of tribes with health promotion programs for people with disabilities.

Which Healthy People 2020 goal reflects the activities and participation objective for people with disabilities?

Increase the percent of time students with disabilities are in regular education classes to 80 percent.

Which Healthy People 2020 goal reflects the barriers to health care objective for people with disabilities?

Increase the proportion of youth with disabilities that have discussed transition to adult health care.

In the United States, which climate change prediction has materialized? Select all that apply. One, some, or all responses may be correct.

Increased fire activity, Long-term warming trends, Extreme weather conditions, Disruptions in coastal communities

A public health nurse is evaluating the effectiveness of initiatives in the community for people with disabilities. Which finding meets a Healthy People 2020 objective that pertains to people with disabilities?

Increased number of people with disabilities participating in community activities as they wish

What is a significant population-level impact of malnutrition?

Increased susceptibility to respiratory disease, tuberculosis, pertussis, and malaria

A nurse is beginning to implement a health promotion program for children living in poverty in the community. What potential effect of poverty on the health of children should the nurse consider when planning the health promotion program? Select all that apply. One, some, or all responses may be correct.

Increased traumatic death and injuries, Increased developmental delays

While working with the World Health Organization, which phenomenon would the nurse describe as contributing to an increased burden of care for those with noncommunicable and chronic diseases that are expensive to treat?

Increasing aging population

Which key element of the World Health Organization's primary care approach is best reflected by the nurse during planning to address unsafe water in a developing country?

Increasing stakeholder participation

With one of the longest histories of Healthy Communities and Cities programs, which state in the United States would the public health nurse use as a good source of case examples for healthy community initiatives?

Indiana

A public health nurse is providing influenza vaccinations to individuals at a clinic. At what level of practice is this nurse performing?

Individual

In which level of practice of the public health Intervention Wheel would the public health nurse be working when providing home visits to pregnant teenage mothers?

Individual

The public health nurse is conducting home visits to identify barriers to immunizations. Which level of practice of the public health Intervention Wheel the public health nurse is focused on?

Individual

Which level of the public health nursing process would the public health nurse select when identifying new patients at risk of diabetes within the age group 18 to 25 years old?

Individual

A student has been diagnosed with learning disabilities by the health care provider. The child's teacher and school nurse determine that the child needs accommodations in the classroom to meet standards. According to the federal government, which would be initiated to assist students with learning disabilities?

Individualized education plan (IEP)

Which youth population may be underrepresented in information from the Department of Education (DOE) Data Express Survey?

Individuals who may not be in the public-school system

Which piece of legislation established free public education for all people with disabilities between the ages of 3 and 21 to meet their needs?

Individuals with Disabilities Education Act (IDEA) of 1975

Nurses assist with managing which challenge regarding genetic testing for mutations associated with hereditary disease? Select all that apply. One, some, or all responses may be correct.

Individuals with a high health insurance deductible, Individuals without insurance carriers who reimburse for genetic testing, Fear that a positive test result leads to guilt about passing on a genetic mutation, Family members with cancer who do not agree to be tested for genetic mutations, Family members with cancer who are deceased or unavailable for testing

Which component is an advantage of an ecological epidemiological study design?

Inexpensive first study

For which client is the hepatitis B virus (HBV) vaccination recommended?

Infant

The nurse is taking photographs and obtaining specimens from a patient who reports being sexually assaulted. Which action would the nurse perform next related to the ethics of these actions?

Inform patient how evidence will be used.

Which Quality and Safety Education for Nurses (QSEN) competency would the public health nurse identify? Select all that apply. One, some, or all responses may be correct.

Informatics, Patient-centered care, Evidence-based practice, Teamwork and collaboration

Which intervention is included in the transitional care bundle? Select all that apply. One, some, or all responses may be correct.

Information transfer, Patient engagement, Medication management

Which action would the nurse implement when making a home visit to a member of a Protestant congregation who reports the death of a parent? Select all that apply. One, some, or all responses may be correct.

Initiate a family prayer., Offer Holy Communion., Give emotional support., Provide a scripture reading.

Which activity is conducted during the pre-visit phase of a home visit? Select all that apply. One, some, or all responses may be correct.

Initiate contact with the family., Establish a shared perception with the family., Determine the family's willingness for a home visit.

Which phase of a home visit requires the nurse to establish a foundation for an effective therapeutic visit?

Initiation

Which method of major preventable health states falls under the realm of forensic nursing?

Injury

Two schools in a small rural district share the services of one nurse. The nurse works at each school 20 hours per week. Which information does the nurse need to provide to each school? Select all that apply. One, some, or all responses may be correct.

Injury and illness log, Emergency manual of procedures, Hierarchy of who covers when nurse not present

Which primary prevention health strategy is important for the faith community nurse to include when teaching a group of young couples who are new parents?

Installing child car seats

Which agency is a reliable source of information related to global or international health? Select all that apply. One, some, or all may be correct

Institute of Medicine World Health Organization U.S. Department of Health and Human Services

Which factor that was reported by the Kerner Commission as the root cause of violence would the nurse include in a discussion about poverty from a historical standpoint? Select all that apply. One, some, or all responses may be correct.

Institutional racism, Untenable living conditions

Which nursing action demonstrates primary prevention? Select all that apply. One, some, or all responses may be correct.

Instructing men who have sex with other men to use a new latex condom during oral or anal sex, In HIV counseling sessions, telling patients that they should not share needles, syringes, razors, or toothbrushes, Collaborating with the American Heart Association to design and implement interventions to reduce women's risk of cardiovascular disease

Which information is considered secondary data? Select all that apply. One, some, or all may be correct.

Insurance records, School absenteeism reports, Vital records of birth certificates, U.S. Census for economic status

Which federal agency that coordinates and directs federal homeless activities would help the nurse looking for guidance when tasked with meeting the needs of the homeless across a state?

Interagency Council on Homelessness

Which should the public health nurse use to track behavior change that occurs in very small steps?

Intermediate goals

Which international health organization is classified as a bilateral organization?

International Red Cross

Which are the means whereby objectives are met and strategies are clarified about what must be done to achieve the objectives, the ways change will be affected, and the way the problem will be interpreted?

Intervention activities

The public health nurse is caring for a patient recently discharged from the hospital. The nurse assessed the patient having difficulty ambulating across the room. Which component of the Intervention Wheel would the public health nurse choose to promote health in this patient?

Interventions

Which describes the cause of the majority of homicides of women committed with guns?

Intimate partner

Which is the appropriate nursing intervention for a patient with sustained exposure to inhaled anthrax?

Intravenous ciprofloxacin

Which factor has been identified that contributes to the increase in health care-acquired infections (HCAIs)? Select all that apply. One, some, or all responses may be correct.

Invasive procedures, Overuse of antibiotics, Prescribed immunosuppressants

Which strategy does the Healthy People 2020 report ask public health departments to implement to reduce measles cases? Select all that apply. One, some, or all responses may be correct.

Investigate causes of outbreaks., Enforce the two-dose immunization schedule.

Which step would public health officials take first to address the high concentration of air pollution found in an industrial area of the community?

Investigate the point source to determine where pollution originates.

Which health program proposal targeted at increasing health care access for migrant and seasonal farmworkers will be rejected?

Investigating documentation status to expedite services for documented workers

Which study is an example of analytic epidemiology?

Investigating the cause of a hepatitis A outbreak in the homeless population in San Diego

Which action would the public health nurse implement to achieve multisectoral cooperation when leading a community coalition?

Invite various leaders from the community to an information session on the need for implementation of clean water systems.

Which statement reflects an understanding of microeconomic theory?

Is the study of behaviors of individuals and organizations and how behaviors affect prices, costs, and the allocation and distribution of resources

Which moral challenge does the nurse experience when there is a lack of collaboration between health care members that affects the community?

Issues

Which statement about the Americans with Disabilities Act (ADA) is accurate?

It emphasized the use of community care

Which would the nurse determine to be a disadvantage of using a prospective cohort epidemiological study design? Select all that apply. One, some, or all may be correct.

It is difficult to organize., It is not good for rare diseases, It takes a long time and is expensive., It may be difficult to examine several exposures.

Which worker has a high incidence of back pain and injury? Select all that apply. One, some, or all responses may be correct.

Janitors, Stock clerks, Registered nurses, Tractor-trailer truck drivers

For which condition will the public health nurse monitor in a client who is hepatitis A virus (HAV) positive and experiencing fever, nausea, and abdominal discomfort?

Jaundice

Which sign would the public health nurse assess for in a client with congenital syphilis?

Jaundice

Which branch of government interprets laws and their meanings?

Judicial

A nurse manager is working with community leaders to develop a community disaster preparedness plan. Which aspect should be addressed first?

Jurisdictional boundaries

Which ethical principle can be applied to the health care team that has ensured essential health services are available in the community?

Justice

Which federal department administers health services to federal prisoners?

Justice

Which factor would impact patient privacy in a rural environment? Select all that apply. One, some, or all responses may be correct.

Lack of anonymity in a rural area, Unexpected interactions with patients

Which would the nurse establish as a deterrent to people trying to evacuate before a disaster? Select all that apply. One, some, or all may be correct.

Lack of available transportation Shelters not accepting any pets Fear of possessions being stolen

Which factor has led to a global increase in malaria cases? Select all that apply. One, some, or all responses may be correct.

Lack of funding, Pesticide resistance, Antibiotic resistance

Which factor would affect access to medications and health care services for low-income families in rural communities?

Lack of health care insurance

Which factor would the nurse consider when planning programs to improve the health needs of rural families compared with urban families? Select all that apply. One, some, or all responses may be correct.

Lack of health insurance prevents rural families from seeking health care.

During a community coalition meeting in a county with a large and growing Hispanic population, which factor would the nurse identify as contributing to the experience of poverty for Hispanics? Select all that apply. One, some, or all responses may be correct.

Lack of insurance, Immigration status, Cultural and language barriers

Which obstacle would the nurse encounter when pursuing higher education while working in a rural setting? Select all that apply. One, some, or all responses may be correct.

Lack of internet access, Few nurses available to cover load, Limited higher education institutions

Which component is essential to surveillance and disease outbreak investigation? Select all that apply. One, some, or all responses may be correct.

Laws, Regulations, Data collection, Reporting mechanisms

According to the National Association of School Nurses (NASN), which task falls under the framework for twenty-first century school nursing? Select all that apply. One, some, or all may be correct.

Leadership Arranging care Community health Quality improvement

Which change in contributors to the global burden of disease that occurred in the 2000s is important for the nurse to consider when determining funding priorities?

Leading causes of the global burden of disease shifted to a greater percent of noncommunicable diseases globally

Which health care professional would be employed to review the health record of a patient who sustained injuries during an operative procedure where the health care provider is suspected of causing the injuries?

Legal nurse consultant

Aside from legislators, with which individuals would public health nurses become familiar due to their role in the legislative process?

Legislative staff

Which concept will be considered when evaluating a family's health risk? Select all that apply. One, some, or all responses may be correct.

Lifestyle, Life events, Risk appraisal, Family health

Which term describes a client who has insurance coverage but does not have any health care provider located near them?

Limited services

The nurse is reviewing past events in the history of nursing. Which event would the nurse characterize as having the highest impact on school nursing in the United States?

Lina Rogers making home visits to families in New York City

Which information would the public health nurse include in a presentation on the start of school nursing in America? Select all that apply. One, some, or all responses may be correct.

Lina Rogers was the first public health school nurse., Lillian Wald led the effort for a one-month pilot of a school nurse., Parents were educated by school nurses in follow-up care in the home of the child., School nurses found the social issues like lack of shoes prevented children from attending school.

Which population characteristic would the nurse address when planning for the health care needs of a community within a core metro area? Select all that apply. One, some, or all responses may be correct.

Located in urban areas, Close access to health care, More than 99 residents per square mile

The nurse is planning an educational seminar for older adults at a senior citizen center about the hazards of alcohol and illicit substance misuse. Which factor increases the risk of substance abuse in this age group? Select all that apply. One, some, or all may be correct.

Loneliness Death of friends Loss of independence

Which statement best defines macroeconomics in health care?

Looking at the "big-picture" behaviors of people and organizations that come from using a service or budget limits

The nurse is discussing the financial impact of alcohol abuse in the United States with community leaders. Which outcome would affect the community? Select all that apply. One, some, or all may be correct.

Lost wages, Medical expenses, Vehicular accidents

Which population is most at risk for chronic illnesses such as diabetes, hypertension, and HIV?

Low income

The nurse works at a local center that coordinates multiple safety net programs. Which population is helped by the earned income tax credit (EITC) program?

Low- to moderate-income working individuals

Place in order from highest to lowest the causes of death related to tobacco use according to the Centers for Disease Control and Prevention (CDC) data.

Lung cancer> COPD> Coronary heart disease> Other cancers> Cerebrovascular disease> Pneumonia

Which system level of the bioecological systems theory would apply to a devout Catholic family?

Macrosystems

Which intervention would the community health nurse implement when planning the termination of the nurse and family relationship?

Make referrals for the family when appropriate.

Which is a clinical manifestation of Rocky Mountain spotted fever (RMSF)? Select all that apply. One, some, or all responses may be correct.

Malaise, High fever, Deep muscle pain, Intense headache

Which mosquito-borne disease would the nurse discuss as the only one that can be prevented and cured by pharmacological means?

Malaria

Which societal risk factor for violence relates to cultural norms?

Male authority

Which description is most representative of the average migrant and seasonal farmworker (MSFW)?

Male, 38 years old, speaks English well, completed 8th grade

Which medical issue is commonly found in children of migrant and seasonal farmworkers? Select all that apply. One, some, or all responses may be correct

Malnutrition, Dental caries, Gastroenteritis, Upper respiratory infections

Which risk factor contributes to the connection between socioeconomic status and poor health? Select all that apply. One, some, or all may be correct.

Malnutrition, Hazardous occupations, Poor housing conditions

Which information will the public health nurse include when providing client education for the secondary prevention level of HIV infection?

Managing symptoms

Which is the most important reason for public health nurses to understand the relationship between genetics and environmental risks in community health promotion?

Many Americans live in areas that do not meet current national air quality standards.

What epidemiological data are monitored by global information system (GIS) technology?

Mapping water quality measures in sensitive ecosystems

Which type of family structure is exemplified by an adoptive family?

Married family

Which component will the nurse focus on when conducting an occupational health history? Select all that apply. One, some, or all responses may be correct.

Medical history, Psychosocial history, Exposure to agents, Current and past occupations

Experience in which area of nursing would be the most beneficial when making home visits in rural areas?

Medical-surgical

Which government agency or program provides health insurance to individuals over the age of 65?

Medicare

Which intervention would the nurse choose to meet the spiritual needs of a terminally ill patient who believes in a higher power but does not practice any specific religion?

Meditation

Which statement would the public health nurse use to best describe primary health care?

Meeting the needs of the community by providing readily accessible health services

Which process is characterized by decreasing levels of estrogen and progesterone resulting in cessation of menstruation (typically after middle age)?

Menopause

Which term describes a state of well-being in which every individual realizes his or her own potential and demonstrates an ability to cope with stress without affecting daily life?

Mental Health

Which grouping of activities is an example of secondary prevention strategies for immigrants to the United States?

Mental health screening and case management

During an assessment of local homeless youth, which factor would the nurse expect to find contributing to homelessness for this population group? Select all that apply. One, some, or all responses may be correct.

Mental illness, Substance abuse, Domestic violence, Gender identity and expression

A patient is discussing opioid addiction with the nurse and expresses a desire to quit abusing drugs. The nurse notes the patient has had several failed attempts at rehabilitation. Which treatment plan would be most beneficial for this patient?

Methadone-assisted program

Which organization would the public health nurse indicate hired nurses for home visits to improve morbidity and mortality outcomes of its members through care of the sick and health promotion?

Metropolitan Life Insurance Company

Which nationality makes up the majority of migrant and seasonal farmworkers?

Mexican

Which system level of the bioecological systems theory is composed of the individuals with whom the family interacts on a daily basis?

Microsystems

Which effect does socioeconomic status have on mortality rates?

Middle-class families have a lower mortality rate than low-income families.

Which health care policy does the nurse identify that provides funds for health care services for migrant workers and their families?

Migrant Health Act

Which health care policy does the nurse identify that impacts migrant and seasonal farmworkers through disclosure of employment terms and posting of worker protections?

Migrant and Seasonal Agricultural Worker Protection Act

Which population is at higher risk of substance abuse? Select all that apply. One, some, or all responses may be correct.

Migrant farmers, Coal miners, Alaskan Natives, American Indians

Which plan of action would be implemented by the nurse for an employee with a latex allergy who has been hired to work in an area where the employee may be exposed to latex?

Minimize exposure and screen and monitor the employee for an allergic response.

The nurse has noticed an increase in asthma attacks in students at the high school. Which would the nurse consider as a possible cause? Select all that apply. One, some, or all may be correct.

Mold, Chalk dust, Heating, ventilation, air conditioning (HVAC) systems

When using the Community Health Promotion Model, which step would the public health nurse implement to ensure health promotion efforts for pregnant women have been executed effectively?

Monitor and evaluate outcomes of routine laboratory testing as well as weight gain due to healthy lifestyle changes.

Which intervention would be included when developing a plan of care for a pregnant student? Select all that apply. One, some, or all may be correct.

Monitor blood pressure., Provide pregnancy education., Arrange post-delivery tutoring., Ensure proper nutrition at school.

Which action will the public health nurse take when planning a tertiary health prevention intervention for migrant and seasonal farmworkers?

Monitor tuberculosis drug treatment compliance.

The public health nurse is working with local and national weather forecasters to develop better weather systems to prepare for disasters. Which actions would the nurse distinguish best meet the community's needs and protect the citizens? Select all that apply. One, some, or all responses may be correct.

Monthly testing of early warning systems. Use of supercomputers for weather forecasting

The nurse voices frustration to the manager regarding a family's decision to continue to treat a patient who is terminally ill. Which term reflects the nurse's expression?

Moral distress

Which statistic is used to describe the number of cases of a disease in a population?

Morbidity

Which statistical data are used to describe the characteristics of the dying in a population and can be used to determine life expectancy?

Mortality

How would the public health nurse articulate the change in focus of nursing from the early 1800s to the mid-nineteenth century?

Moved away from moral improvement and toward addressing public health concerns and improving urban living conditions

Which type of family structure is exemplified by a cohabitating couple with two children?

Multi-adult household

Which index would the nurse recommend to an international group working across multiple regions and searching for a poverty index that looks at poverty across several domains (education, health) and can be used to compare poverty across regions?

Multidimensional Poverty Index

The genetics nurse providing care for a client diagnosed with type 2 diabetes, asthma, and gallstones recognizes that these represent which type of disorders?

Multifactorial

For which health issue will the nurse assess when treating migrant workers who spend long hours picking blackberries?

Musculoskeletal issues

Which requirement for Section 8 vouchers would the nurse share with staff working with homeless populations in a diverse community?

Must be a U.S. citizen or eligible for immigrant status

Which chemical or physical phenomenon promotes errors in DNA replication?

Mutagen

Which defines an activity occurring during the working phase of a contract?

Mutual setting of time limits

Which statement correctly characterizes National Agricultural Workers Survey (NAWS) data?

NAWS data include items like country of origin, age, sex, and languages spoken.

When several health care agencies are working with the public health department to develop policies for local natural and human-made disasters, which program would be chosen as the best resource to help establish a communication structure during a disaster?

National Incident Management System (NIMS)

Information from which organization would be the most helpful to the public health nurse searching for information about research and funding specific to nursing?

National Institute of Nursing Research (NINR)

To which national agency would the public health nurse look for possible funding of health research?

National Institutes of Health

Which piece of legislation requires the providing of voter registration forms and assistance with completing the form?

National Voter Registration Act of 1993

Which symptom in a migrant farmworker who works 12-hour days in a field treated with organophosphates alerts the nurse to acute pesticide exposure? Select all that apply. One, some, or all responses may be correct.

Nausea, Skin irritation, Twitching muscles, Shortness of breath

Which factor led to the Centers for Disease Control and Prevention's (CDC's) involvement in Healthy Communities?

Need to reduce prevalence of chronic disease

An older patient tells the nurse that their caregiver frequently forgets to give them their prescription medication. Which type of abuse does the nurse suspect is occurring?

Neglect

According to the National Center on Elder Abuse (NCEA), which behavior is considered abuse? Select all that apply. One, some, or all responses may be correct

Neglect, Abandonment, Sexual exploitation, Physical mishandling, Emotional maltreatment

According to the National Center on Elder Abuse (NCEA), which behavior is considered abuse? Select all that apply. One, some, or all responses may be correct.

Neglect, Abandonment, Sexual exploitation, Physical mishandling, Emotional maltreatment

Which intervention is important for the nurse to implement to increase access to meet the obstetrical needs of patients in rural areas?

Network with obstetricians to expand service in the areas

Which factor contributed to the improvement of health-related changes in society during the twentieth century? Select all that apply. One, some, or all may be correct.

New vaccines, Better sanitation, New chemotherapies

During which century did epidemiological research methods start using quantitative techniques?

Nineteenth

Which piece of legislation expanded parents' roles in their children's education?

No Child Left Behind Act of 2001

The public health nurse is evaluating nursing care in the early 1900s to current standards and practice. Which finding in early public health nursing is still a problem in the field today?

No public health education in nursing schools

Which race or ethnicity has a lower incidence of children with special health care needs compared with other racial or ethnic groups?

Non-Hispanic Asian

Which ethical issue would the nurse be addressing when incorporating outcomes measures, evidence-based practice, and monitoring processes in a plan of care to "do no harm "?

Nonmaleficence

Which information would the faith community nurse evaluate to determine successful outcomes of an implemented transitional care program for older adults with chronic obstructive pulmonary disease (COPD)?

Number of COPD exacerbations

To which specialist would the nurse refer a patient seeking legal advice due to an injury that occurred in a long-term care facility?

Nurse attorney

Which describes the model of a one-nurse unit commonly used in places of employment?

Nurses can consult with a health care provider by telephone

Which identifying information best correlates the advocate role with the nursing process?

Nurses engage in both roles by doing what is best for the client while also promoting autonomy.

The nurse is screening pre-adolescents at a middle school for substance abuse disorders and notices a student with irritability and a chemical odor to the breath. Which will the nurse include in a focused assessment of the child? Select all that apply. One, some, or all responses may be correct.

Nutrition Lung sounds Pupil reaction Level of orientation

Which agent presents a health and safety risk to a butcher? Select all that apply. One, some, or all responses may be correct.

Physical Biological Psychosocial Enviromechanical

Title III of the Older Americans Act authorizes funding for nonprofit area agencies on aging to coordinate what service or resource? Select all that apply. One, some, or all may be correct

Nutritional services, Family caregiver support, Supportive social services, Disease prevention and health promotion activities

Which represents the host factor of the epidemiological triad in a worker who fainted while cleaning a hot tub in a humid environment?

Nutritional status

Healthy People 2020 notes the increasing rate in U.S. children of which chronic health condition that contributes to cardiovascular disease? Select all that apply. One, some, or all may be correct.

Obesity, Diabetes

Which outcome of inadequate nutrition among homeless children would the nurse target in collaboration with a nutritional specialist? Select all that apply. One, some, or all responses may be correct

Obesity, Failure to thrive, Delayed growth and development

Which outcome of inadequate nutrition among homeless children would the nurse target in collaboration with a nutritional specialist? Select all that apply. One, some, or all responses may be correct.

Obesity, Failure to thrive, Delayed growth and development

Although the public health nurse's insider status may increase the community members' willingness to speak openly and partner with the nurse, it may also be a disadvantage if it compromises which aspect of the nurse?

Objectivity

The nurse is working with a patient who reports intravenous drug abuse several times per week. Based on this information, which will the nurse include in the patient's care?

Obtain blood work for hepatitis C.

The nurse is conducting a psychosocial assessment on a 15-year-old male patient. Which variable will the nurse correlate with the risk of violence?

Occasional use of drugs

Which health care policy does the nurse identify that ensures drinkable water for migrant and seasonal farmworkers?

Occupational Safety and Health Act's Field Sanitation Standards

Which statement describes AIDS? Select all that apply. One, some, or all responses may be correct.

Occurs as a result of damage caused by HIV, A disabling, life-threatening illness caused by HIV

Which activity would the nurse implement as primary prevention in the community?

Offering influenza vaccination to high-risk individuals

The nurse is leading regional efforts to design a comprehensive plan to prevent and address homelessness. Which intervention would the nurse include as a tertiary approach?

Offering supportive housing for the chronically homeless population with mental health issues

The parent of a child with a disability is looking for assistance with education and support services. The nurse should recommend information from which U.S. government agency?

Office of Special Education Programs

Which population group at risk of completed suicide will the nurse educator include in the discussion with the nursing staff? Select all that apply. One, some, or all responses may be correct.

Older adult males, Non-Hispanic whites, Alaska Natives/American Indians

The community health nurse is providing information on polypharmacy to groups at a local health fair. Which age group would benefit most from this information?

Older adults

Which population of employees is projected to continue to grow? Select all that apply. One, some, or all responses may be correct.

Older employees, Female employees, Employees with chronic illness

Which drug does the nurse recognize as contributing to the majority of drug-related deaths in the United States?

Opioids

Which disease is marked by reduced bone strength with an increased risk of fractures and is the most common bone disease in the United States?

Osteoporosis

In 1986, which worldwide action plan was the incentive to support the health of communities and cities?

Ottawa Charter for Health Promotion

Which type of health surveillance data is focused on changes in health status and uses the data analysis to improve public health response systems?

Outcome

Which indicator should the public health nurse use to measure the impact of interventions on population health?

Outcome health status indicators

Which professional would the public health nurse contact to actively reduce the lead-based paint risk in the home of a client with possible lead poisoning?

Paint remediation specialist

Which multilateral agency would the nurse use to access epidemiological information and technical assistance to address mosquito-borne diseases such as Zika in Central and South America?

Pan American Health Organization

Which organization would the public health nurse use as a resource when working with a team to support health community movements around the globe?

Pan American Health Organization

Which organization would the public health nurse indicate may be helpful in providing information and support regarding improving the health of women and children in Central America?

Pan American Health Organization (PAHO)

When the public health nurse is working with a health care facility to establish protocols for disaster planning, which federal program would be determined to best meet the needs of both agencies to fund vaccinations under the BioShield Project?

Pandemic and All-Hazards Preparedness Reauthorization Act (PAHPRA

Which testing will the public health nurse recommend to women to detect human papillomavirus (HPV) infection?

Pap smear

A high school student presents to the nurse's office reporting a headache. Which information would the nurse confirm before administering ibuprofen?

Parental consent

Which economic prevention strategy used by the community health nurse represents tertiary prevention?

Participating in home visits to mothers at risk of neglecting babies to reduce costs related to abuse

Which approach is considered a "bottom-up " approach to community practice?

Partnership

Which model of community practice is most frequently found in healthy community movements?

Partnership

The National Electronic Disease Surveillance System (NEDSS), a voluntary system monitored by the Centers for Disease Control and Prevention (CDC), is a component of which type of surveillance system?

Passive

Which community member is recognized as a leader who often possesses the credibility and skills that health professionals may lack? Select all that apply. One, some, or all responses may be correct.

Pastors, Interested citizens, Government officials, Business professionals

Which term classifies epidemiological agents in an attack by measuring the proportion of infected people who develop disease?

Pathogenicity

Which federal legislation requires providers receiving Medicare and Medicaid funds to give patients written information regarding their legal options for treatment choices if they become incapacitated?

Patient Self-Determination Act

Which is a major advantage of home health promotion services? Select all that apply. One, some, or all responses may be correct.

Patient convenience, Individualized service, Patient control of the setting, Relaxed environment for discussion

When caring for adults with chronic illness, which resource includes new approaches for organizing medical care and enhancing its responsiveness to individual patient needs while decreasing inpatient hospitalization and reducing health care utilization?

Patient-centered medical home

Which statement explains a moral consideration of public health ethics?

Patients have the right to have their privacy protected and information kept confidential.

Which patients are often referred to care coordination programs?

Patients with repetitive hospital readmissions

For which situation is the administration of the hepatitis A vaccine (HAV) after exposure recommended? Select all that apply. One, some, or all responses may be correct.

Patrons in unhygienic situations where food is not heated, Persons who have shared illicit drugs with someone with HAV, All household or sexual contacts of persons infected with HAV, Household members whose children attend daycare with a reported HAV

Which primary focus will the nurse choose for an abused child who is to be placed in a foster home?

Paying attention to the health and safety of the child

Which area of specialization would the faith community nurse possess to meet the spiritual and health needs of young members of a congregation who are starting families? Select all that apply. One, some, or all responses may be correct.

Pediatrics, Obstetrics

The nurse compiling which health resource for a family would talk to the client or family and ask questions and collect all information about biological parents, brothers, sisters, children, grandparents, aunts, uncles, cousins, nieces, and nephews?

Pedigree

What method does the National Institutes of Health (NIH) use to define overweight and obesity in individuals?

Percent of body fat

The nurse is assisting school administrators in developing disaster plans. Which task falls under the nurse's responsibility? Select all that apply. One, some, or all may be correct.

Perform triage., Assess for potential hazards., Offer counseling to those affected.

Which is a secondary prevention strategy to address family obesity?

Performing a health risk survey of the family

Which method can be used to decrease health care-associated infections (HCAIs)?

Performing hand hygiene

The nurse is evaluating variables that predispose a person to use drugs. Which represents the set within the patterns of drug use? Select all that apply. One, some, or all may be correct.

Person using the drug, Desired effect of the drug

Which occupational hazard is predominantly found in rural settings? Select all that apply. One, some, or all responses may be correct.

Pesticide use, Forestry activities, Farm equipment, Respiratory complications

Which is a powerful community assessment technique by which community members take pictures to represent a topic or theme about community health?

Photovoice

For which category of agent is a physical therapist providing home therapy at highest risk?

Physical

Which document is brightly colored and signed by both the primary health care provider and patient to specify medical orders to be carried out by health care workers if a patient is unable to speak but not in cardiopulmonary arrest?

Physician Orders for Life-Sustaining Treatment

On which agent will the nurse focus when investigating an increase of carpal tunnel syndrome in an office? Select all that apply. One, some, or all responses may be correct.

Placement of keyboards

Which nursing intervention does the nurse plan to implement that is most beneficial to the health and wellness of pediatric patients in a rural population?

Plan school-based health activities.

Which phase of the nursing process linked to preparedness will the public health nurse use to develop a plan to care for special needs populations during a disaster?

Planning

Which step of the nursing process includes environmental health personnel and involves reviewing the community policies and laws as methods to facilitate a patient' s care?

Planning

While planning a Zika virus prevention seminar for pregnant women, the public health nurse obtains information from the sentinel surveillance system. In which manner would the nurse use the information obtained?

Planning and implementing education materials and intervention modalities for vulnerable populations

Which is an example of environment within the epidemiological triangle?

Plant, animal, and human life

The public health nurse recognizes that which factor plays a large role in the health of the community? Select all that apply. One, some, or all responses may be correct.

Policies Economics Environment Public services

The public health nurse is encouraging the local legislator to mandate lice checks in elementary schools. Which intervention of the public health Intervention Wheel is the public health nurse working in?

Policy development

Which change emphasized by the Centers for Disease Control and Prevention's (CDC's) Healthy Communities Program would the public health nurse focus on when developing health promotion programs and strategies? Select all that apply. One, some, or all may be correct.

Policy, Systems, Environmental

Which factor contributes to a lack of personal protective equipment use when working with pesticides in the migrant and seasonal farmworker population? Select all that apply. One, some, or all responses may be correct.

Poor access to protective equipment, Lack of affordable protective equipment, Impact of protective equipment on productivity, Cultural belief that only weak workers would experience harm

Which component is considered a host-related factor related to developing a multiple system approach to communicable disease prevention? Select all that apply. One, some, or all responses may be correct.

Poor hygiene, Scarce nutrition

Which factor contributes to the resistance of tuberculosis (TB) to pharmacological treatment? Select all that apply. One, some, or all responses may be correct

Poor quality drugs, Unavailability of TB drugs, Provider prescription error, Non-adherence to treatment

Which factor contributes to the onset of parasitic infections? Select all that apply. One, some, or all responses may be correct.

Poor sanitation, Warmer climate, Inadequate funding

In which developmental era did specialty hospitals emerge?

Post-industrial

Which developmental era shifted the focus of health care from acute infections to chronic health problems?

Post-industrial

Using the public health model to prevent homelessness, which initiative would the nurse advocate for to support universal prevention of homelessness? Select all that apply. One, some, or all responses may be correct.

Poverty reduction strategies, Early childhood support services, Affordable and subsidized housing

The nurse is researching the origins of school nursing in the United States in the 1890s. During this time, medical inspection programs discovered which factor prevented a large number of students from attending school? Select all that apply. One, some, or all may be correct.

Poverty, Illiteracy, Typhoid and diphtheria

During which period of life are women at significant risk of homicide?

Pregnancy

The nurse is working with the Women, Infants, and Children (WIC) program to develop strategies to support homeless families headed by single, young women. Which characteristic prevalent in this population would the nurse consider when developing strategies? Select all that apply. One, some, or all responses may be correct.

Pregnancy, Substance use disorder, Intimate partner violence

Which patient would be given priority in the event of a shortage of annual influenza vaccine? Select all that apply. One, some, or all responses may be correct.

Pregnant female patient, Patient employed as an emergency room nurse, An elderly female patient living in a long-term care facility

Which strategy would the nurse use to obtain a client's sexual history?

Prepare to use multiple terms.

Which action by the health care provider (HCP) aligns with the Centers for Disease Control and Prevention (CDC) guidelines for prescribing opioids?

Prescribing one week of opioids at a time

According to the Health Insurance Portability and Accounting Act (HIPAA), which information must be kept confidential from all staff, including teachers?

Presence of HIV/AIDS

Once a bill is passed, which action would the public health nurse expect to occur next in the regulatory process?

President signs the bill into law.

Which aspect would the nurse include when enacting a community oriented primary health care (COPHC) approach to meet the needs of residents living in a rural community? Select all that apply. One, some, or all responses may be correct.

Prevention, Partnerships, Primary care, Public health

The nurse is preparing a presentation on the benefits of integrating a school-based health center (SBHC) into the school district. Which information would the nurse include in the presentation to demonstrate the benefits of the proposal to the administration?

Prevents parents missing work

Nurses have a responsibility to work with other health care professionals to ensure that patients receive genomic health care that meets which goal? Select all that apply. One, some, or all responses may be correct.

Private Accessible Confidential Nondiscriminatory

Which factor provides the foundation of all ethical frameworks for decision making?

Problem-solving process

Which type of health surveillance data focuses on what is done, such as services provided or protocols for health care delivery?

Process

Once interventions and evaluation measures are identified through the nursing diagnosis framework, the public health nurse arrives at which new step in the nursing process to identify intervention activities that will accomplish the objectives?

Program planning

Which suggestion would the nurse make to advocate for federal funding to help buffer the effects of toxic stress on a child's developing brain?

Programs to support positive parenting through reading to their children

Which mandate related to employment is given by the Genetic Information Nondiscrimination Act? Select all that apply. One, some, or all responses may be correct.

Prohibits discrimination by employers based on genetic information, Mandates confidentiality on genetic information employers lawfully collect, Prohibits retaliation against employees who complain about genetic discrimination, Places broad restrictions on employers' deliberate acquisition of genetic information

Which intervention would the public health nurse include when planning primary prevention strategies for obesity in children?

Promote diet, exercise, and weight education for school-age children.

Which is a core value of nurse care managers? Select all that apply. One, some, or all responses may be correct.

Promoting access to care, Reducing disparities in health, Increasing the span of healthy life

Which function describes the American Public Health Association's (APHA's) viewpoint for public health advocacy? Select all that apply. One, some, or all may be correct

Promoting the public's access to health care, Promoting population-based health services, Encouraging preventive and early intervention practices

Which function describes the American Public Health Association's (APHA's) viewpoint for public health advocacy? Select all that apply. One, some, or all may be correct.

Promoting the public's access to health care, Promoting population-based health services, Encouraging preventive and early intervention practices

Which aspect of a proposed education plan for dental health in migrant and seasonal farmworker families with children requires revision by the nurse?

Proper bottle propping

Which measure of morbidity is used to determine the proportion of all deaths from a specific cause?

Proportionate mortality ratio

In which manner would the public health nurse demonstrate the core competency of communication when soliciting input from a group of local leaders? Select all that apply. One, some, or all responses may be correct.

Provide clear and concise written reports and meeting notes. Send an email invitation with direct link to calendars for meetings. Present clear statistical and scientific information through visual presentation. Designate a portal in which all members can deposit documentation and input. Meet with all leaders as a group to disseminate critical information and gather input.

Which best practice would the public health nurse develop in the role of health promotion advocate within a community?

Provide information based on data to policy makers.

Which method of primary prevention would the nurse implement for the general public regarding the diabetic health challenge in the United States?

Provide nutritional education and an exercise regimen.

According to the American Nurses Association (ANA) Scope and Standards of Practice, which intervention would the nurse implement for a member of the congregation who approaches the faith community nurse about a new diagnosis of lung cancer and asks for help? Select all that apply. One, some, or all responses may be correct.

Provide prayer., Determine needs.

Which action by Lina Rogers in the early 1900s are reflected in the nursing role today? Select all that apply. One, some, or all may be correct.

Provided education, Obtained resources, Administered treatments, Assessed current students

For which reason are health care providers discouraged from providing services to patients on Medicaid?

Provider reimbursement from Medicaid is low.

What is the benefit of having a national public health infrastructure?

Provides a framework for addressing social determinants of health

Which program initiated by a school nurse reflects the framework of the Whole School, Community, and Child (WSCC) model?

Providing after school family exercise programs

Which example would the public health nurse apply to the secondary level of prevention in public health nursing?

Providing blood pressure screenings

Which action would the nurse perform as a primary prevention strategy in a rural community?

Providing education about barrier contraception

Which nursing intervention would the public health nurse apply to the tertiary level of prevention on public health nursing?

Providing follow-up care to a patient diagnosed with meningitis

Which primary prevention strategy would the public health nurse use to decrease the incidence of violence-related injuries within a community?

Providing free firearm locks

The nurse has started a program to organize and donate hygiene products for a women's shelter. According to the Standards of Professional Performance for School Nursing, which competency does this activity address?

Providing leadership in the community

Which instance may develop into an ethical dilemma for a forensic nurse?

Providing nursing care to the perpetrator

Which action is reflected when a school nurse implements a sexual health program for teenagers?

Providing primary prevention

Which program would the nurse in a synagogue provide on the Sabbath?

Providing worship and prayer

Which information will the nurse include in a presentation on foodborne illness prevention? Select all that apply. One, some, or all responses may be correct.

Put the food in the refrigerator as soon as possible after meals., Wash hands thoroughly with soap and water after using the bathroom., Utilize a meat thermometer to determine the internal temperature while cooking.

Which outcome would the public health nurse use to evaluate a recent initiative to enhance social support for older adults in the community?

Quality of life

The Centers for Disease Control and Prevention's (CDC's) Healthy Communities Program contained which program? Select all that apply. One, some, or all may be correct.

REACH U.S., Steps, Pioneering Healthier Communities, Strategic Alliance for Health

Which characteristic describes the U.S. workforce as the population increases? Select all that apply. One, some, or all responses may be correct

Racially diverse, Of older age, Working increased work hours, Working compressed work weeks

Which characteristic describes the U.S. workforce as the population increases? Select all that apply. One, some, or all responses may be correct.

Racially diverse, Of older age, Working increased work hours, Working compressed work weeks

Which information will the nurse include when providing community education about rape? Select all that apply. One, some, or all responses may be correct.

Rape is the most underreported violent crime., The vast majority of rapes on college campuses occur when the victim is incapacitated., Female undergraduate students have a high risk of victimization throughout their college career.

Arrange the tasks of the World Health Organization's Global Outbreak Alert and Response Center in the order in which they occur.

Rapid response> Immediate alert> Outbreak verification> Systematic disease intelligence and detection

When measuring the frequency of meningitis in adolescents 12 to 15 years old during the last seven years, which measurement would be the most accurate representation of this demographic?

Rate

Which statement describing housing for migrant and seasonal farmworkers requires correction?

Recent trends show more on-site housing provided by farms."

The nurse is working with a group of middle school children in the community to increase resiliency and deter drug abuse. Which action made by the nurse is an example of primary prevention?

Recognize a child's strengths.

When working with the public health department to develop a plan for managing disasters, which four stages would the nurse include in the plan? Select all that apply. One, some, or all responses may be correct.

Recovery Response Prevention Preparedness

Which statement explains the purpose of public health advocacy?

Reduce death or disability to those not confined to the clinical setting

Environmental health is one of the focuses of Healthy People 2020. Which is an example of an objective related to environmental health? Select all that apply. One, some, or all responses may be correct.

Reduce the amount of toxic pollutants released into the environment. Minimize the risks to human health and the environment posed by hazardous sites. Decrease the number of American homes with lead-based paint or related hazards.

Which Healthy People 2020 goal reflects the environment objective for people with disabilities?

Reduce the barriers that prevent adults with disabilities from participating in work outside the home.

Which Healthy People 2020 objective is relevant to cancer?

Reduce the overall cancer rate

Which benefit of a faith community nursing program would the health care provider (HCP) explain to the congregation after noticing declining health in many members? Select all that apply. One, some, or all responses may be correct.

Reduced health care costs, Improved self-health management, Decreased number of hospitalizations, Enhanced ability to navigate health care, Enriched spiritual relationship with higher power

The nurse wants to address built environment determinants of health in reducing asthma rate. What is an example of an initiative that would do this?

Reducing cockroach infestations in apartment buildings

Which factor would the public health nurse identify that economically benefitted the Metropolitan Life Insurance Company to pay for nursing care of its members?

Reduction of morbidity and mortality

Which action is the nurse's priority when caring for a patient who presents to the emergency department with headache, dizziness, and palpitations and states that increasing amounts of zolpidem were taken recently?

Reference threshold level

An example of which community-level intervention of the public health Intervention Wheel would include the public health nurse responding to requests from a community school administrator for supplies to use for lice detection?

Referral

After a bill is introduced in the Senate, which action would the public health nurse expect to occur next in the legislative process?

Referred to Senate committee

Which tertiary prevention would the nurse implement for a patient with multiple bruises and a new wrist fracture but who denies being abused?

Referring the patient to a local safe house

Which professional will the public health nurse collaborate with when assessing lead-associated health risks in a home involved in a leadbased paint poisoning case?

Registered environmental health specialist

Which function would the public health nurse identify as public protection?

Regulating air and water quality

Which piece of legislation was the first act to require all agencies receiving federal dollars to hire workers with disabilities?

Rehabilitation Act of 1973

Which characteristic is indicative of rural communities? Select all that apply. One, some, or all responses may be correct.

Related residents, Town as center of trade, Greater distance between houses

Which accurately describes telehomecare monitoring?

Requires less time per patient interaction

Which is an aspect of worldwide initiatives directed at overcoming nutritional deficits? Select all that apply. One, some, or all may be correct.

Research Food fortification Availability of nutritious foods

Which action would the nurse perform first when developing and implementing programs for members of the American Indian community?

Research the culture

While working at the state level of public health, which underlying assumption would the public health nurse correlate to the Intervention Wheel?

Resolves health inequities and determinants of health

Which physiological system will the nurse evaluate as the priority when assessing an employee who may have inhaled toxic levels of arsenical pesticides?

Respiratory

When working with the American Red Cross to provide information to other nurses and nursing students about joining a local disaster action team (DAT), which task could be executed by nursing students? Select all that apply. One, some, or all may be correct.

Restock medical supplies. Communicate with victims. Be a liaison between hospitals.

When discussing the use of cannabidiol (CBD) in the treatment of certain health conditions, which medical condition would the nurse include that may benefit from treatment with CBD?

Rheumatoid arthritis (RA)

Which period would the nurse select as posing the highest risk of intimate partner homicide?

Right after the female leaves the relationship

The public health nurse is analyzing the probability of influenza occurrence within the elderly/frail population. Which measurement would most accurately reflect the number who may be affected?

Risk

Which information would the nurse include when developing a suicide awareness program for the school? Select all that apply. One, some, or all may be correct.

Risk factors, Warning signs, Crisis hotline telephone number

Which activity occurs initially when the nurse is using the case management model to design a process to provide services through a new home health agency?

Risk identification and stratification

In which type of area would the nurse document the primary residence of a patient who lives 25 miles from health care facilities and stores?

Rural

Which term describes a population of fewer than 20,000 residents?

Rural

Understanding the effects of poverty on the health of children, which program does the nurse implement first for adolescents in the community?

Safe sex education

Which primary prevention topic would the nurse include in a program to address the needs of the homeless population? Select all that apply. One, some, or all responses may be correct.

Safer sex, Foot care, Immunizations, Sound nutrition

On which primary prevention programs would the public health nurse and the forensic nurse most likely focus?

Safety

Which Quality and Safety Education for Nursing (QSEN) competency is particularly important for the public health nurse to consider when creating a healthy community?

Safety

Which tertiary prevention would the nurse implement for a patient being discharged after treatment for an assault?

Scheduling follow-up testing

In which setting would the nurse address injury prevention related to use of farm equipment in a farming community?

Schools

Which program is an example of secondary prevention the nurse could implement in an elementary school?

Scoliosis screening

Which action will the public health nurse take after being asked to plan a secondary health prevention intervention for migrant and seasonal farmworkers?

Screen for diabetes

Which intervention would the public health nurse include when planning secondary prevention strategies for obesity in children?

Screen school-age children for body mass index (BMI).

Which action would the nurse identify as a secondary level of prevention to meet the needs of the local homeless population?

Screening for hypertension and tuberculosis

A patient presents to the clinic with multiple health problems. The nurse suspects the patient injects intravenous drugs. Which tool would be most appropriate for identifying the patient's health risk behaviors?

Screening, Brief Intervention, and Referral to Treatment (SBIRT)

The nurse helps a patient with gonorrhea come up with trace contacts to notify partners of the disease. Which level of prevention is the nurse using?

Secondary

Which level of prevention is used when providing health screenings in the community?

Secondary

Which type of prevention would the nurse be demonstrating when using finger-stick blood glucose tests or glucose tolerance tests to screen patients for diabetes?

Secondary

A child with insulin-dependent diabetes mellitus is transferring to a new school that has never before had a student with the condition. The nurse is educating all staff who will work with the child about the signs of hyperglycemia and hypoglycemia, as well as how to care for the child. Which federal legislation mandates that this process be followed?

Section 504 of the Rehabilitation Act

Which component is included in descriptive epidemiology? Select all that apply. One, some, or all may be correct.

Secular trends, Geographical place, Cyclical time patterns, Personal characteristics

Which action indicates a need for further instruction regarding a community ' s development of safety plans that reflect the national Quality and Safety Education for Nurses (QSEN) standards?

Selects a neighbor as the family contact person in a disaster

Which topic would be the educational focus of the nurse performing disease management services within the health care system's client population? Select all that apply. One, some, or all responses may be correct.

Self-care, Shared decision making, Knowledgeable use of medicines

Which factor contributes to a lack of health insurance in families living in rural areas? Select all that apply. One, some, or all responses may be correct.

Self-employed, Seasonal work

Which action will the nurse take when attempting to schedule a home visit with a patient who does not have a telephone?

Send a letter by mail.

The nurse notes that a student has needed to use a rescue inhaler every day for the past two weeks. Which action would the nurse perform in response to this observation?

Send a note home with the child recommending health care provider follow-up

Which practice group would the public health nurse indicate as the focus of Tier 3 Competencies for Public Health Nurses established by the Quad Council of Public Health Nursing Organizations?

Senior leadership positions in public health nursing

Which surveillance system asks health care providers or agencies to report the number of cases of disease during a given time period to determine projections for the current flu season?

Sentinel

Which components make up the health services delivery framework in the United States?

Service intensity, labor, technology, and facilities

An accrediting organization is visiting the school to evaluate the care the nurse provides to students. Which information must the school nurse prepare for the onsite visitors? Select all that apply. One, some, or all responses may be correct.

Services provided, Number of students, Nurse qualifications

Which term would the public health nurse use to describe neighborhood centers that became hubs for health care, education, and social welfare programs in the nineteenth century?

Settlement houses

The nurse is researching past modes of health care delivery and correlating them to current settings. Which setting is comparable? Select all that apply. One, some, or all responses may be correct.

Settlement houses and senior citizen centers

Which policy or procedure would the nurse implement as secondary prevention for managing assault victims requesting treatment?

Sexual assault examination

Which nursing action can be used to help a family identify community resources?

Sharing information

To which resource would the nurse refer a patient for potential landlord mediation services?

Shelter Plus Care

To which program would the nurse refer a single mother with young children for emergency rental assistance?

Shelter Plus Care Program

Which factor would the nurse relate to work-health interactions? Select all that apply. One, some, or all responses may be correct.

Shift work, Level of productivity, Scheduled break times, Average weekly work hours

Which interacting set of factors of the Neuman systems model defines a family's health? Select all that apply. One, some, or all responses may be correct.

Spiritual Physiological Psychological Developmental

The nurse is working with the family of a child who is terminally ill and wishes to attend school. The parents state there are to be no measures to revive the child if death occurs while at school. Which documentation must the nurse place in the child's record?

Signed do-not-resuscitate order

Which distinguishes chickenpox from smallpox?

Smallpox rash primarily affects the face, whereas chickenpox rash is mainly on the trunk.

Which behavior carries a strong dose-response relationship with ischemic stroke?

Smoking tobacco

In which community-level intervention of the public health Intervention Wheel would the public health nurse design a presentation to discourage smoking in school-age children?

Social Marketing

The public health nurse is working in a lower socioeconomic community to promote the importance of a healthy diet. Which intervention of the public health Intervention Wheel is the public health nurse implementing?

Social marketing

Which community health model views individuals as having dynamic interactions with social and environmental features of communities such as social networks, organizations, media, government policies, and environments?

Socio-ecological

The nurse provides counseling and education to a family taking care of a relative with AIDS. What does the nurse ask the family to consider when caring for the patient?

Soiled linens should be cleaned in a washing machine with bleach.

Which potentially toxic substance has the Centers for Disease Control and Prevention consistently found most Americans carry in their bodies? Select all that apply. One, some, or all may be correct.

Solvents Pesticides Heavy metals

As part of projected health policy reform, an option being considered is to increase the eligibility age for Medicare. Which effect would this have on the patient population?

Some people would have to wait longer to access health care services.

Multi-generational poverty is common among African Americans living in which region of the United States?

South

Which recommendation would be given to community members who want to reduce the tick population their neighborhoods? Select all that apply. One, some, or all responses may be correct.

Spray pesticide agents., Remove leaves, brush, and litter, Lay rock between yards and wooded areas.

Which recommendation would be given to community members who want to reduce the tick population their neighborhoods? Select all that apply. One, some, or all responses may be correct

Spray pesticide agents., Remove leaves, brush, and litter., Lay rock between yards and wooded areas.

Which information would the nurse mentor share with a new case manager concerning the core foundations for the development of case management plans? Select all that apply. One, some, or all responses may be correct.

Standards of client care, Standards of nursing practice, Clinical guidelines using evidence-based practice

Which intervention would the nurse implement to improve communication between primary health care providers (HCPs) in suburban and urban areas and patients in the rural community?

Start telehealth services.

Which item would be reviewed to determine which actions the nurse will be allowed to provide as part of a faith community nurse program? Select all that apply. One, some, or all responses may be correct.

State Nurse Practice Act, Code of Ethics for Nurses with Interpretive Statements, Faith Community Nursing: Scope and Standards of Practice

Which organization would the public health nurse identify as the best source of information concerning specific nursing practice guidelines for a given state?

State board of nursing

Which agency shares the responsibility for family health programs? Select all that apply. One, some, or all responses may be correct.

State government, Local government, Federal government

With which action would the public health nurse begin a meeting with a legislator?

State his or her expertise on the issue.

In which resource would the public health nurse find specific guidelines concerning the legal titles that nurses may use to identify themselves?

State nurse practice act

Which resource would the public health nurse use to research essential public health services that must be offered in a given state?

State public health laws

Which resource would the public health nurse utilize to find information on the legal foundation for claims of workers injured on the job?

State statutes

Which entity has oversight responsibilities for case management agencies?

States

Which action by the patient would the public health nurse recognize as indicating receptiveness toward a referral intervention?

States positive statements to the public health nurse

The nurse is assembling an emergency kit for an elementary school. Which item meets the medical needs of students? Select all that apply. One, some, or all may be correct.

Stethoscope, Oral glucose source, Bandages and dressings

Which qualification is needed for a public health nurse to pursue a faith-based nursing specialty? Select all that apply. One, some, or all responses may be correct.

Strong spiritual faith, Current nursing license, Community nursing skills, Faith-based education course

A teacher reports to the school nurse that they suspect a student is at risk of suicide. Which observation would have prompted the teacher's concern?

Student gave jewelry away to friends

Which provision is included in the 2010 Affordable Care Act?

Subsidized insurance premiums for qualified individuals

Which condition is the second diagnosis when assessing the disability of a person with depression and the status of dual diagnosis?

Substance abuse

Which activity, according to the Social Security Administration, is a person with a disability unable to conduct and therefore is eligible for benefits?

Substantial gainful activity

Which geographical area would the nurse include when focusing care on residents experiencing the doughnut effect of population shifts?

Suburban

The local area served by the community clinic has a high number of unaccompanied homeless youth. Which leading cause of death among this group would the nurse prioritize for intervention?

Suicide

To which program would the nurse refer a single mother and two older children for assistance affording healthy nutritious foods?

Supplemental Nutrition Assistance Program (SNAP)

When defining poverty, which measure would the nurse use to identify and address geographical differences in poverty and cost of living?

Supplemental Poverty Measure

Which activity would best address the psychosocial needs for members of all ages within the congregation?

Support groups

How has the World Health Organization (WHO) contributed to the population of health care workers globally?

Supporting multiple health training programs for professionals in developing nations

An example of which system-level intervention of the public health Intervention Wheel would include the public health nurse monitoring data from the local and state health departments to detect the presence of tuberculosis in the area?

Surveillance

Which strategy can the public health nurse use to monitor disease trends, reduce morbidity and mortality, and improve health?

Surveillance

Which Millennium Development Goals were updated by the United Nations in 2017?

Sustainable Development Goals

Which goals reflected in the updated Millennium Development Goals of 2017 were designed to be a more comprehensive and detailed guide for future progress in global health and can provide guidance for a nurse preparing to work in less developed countries?

Sustainable Development Goals

Which term is used to describe the Mexican folk illness of fright?

Susto

Which is an important consideration related to pesticide exposure that the nurse understands when caring for migrant populations? Select all that apply. One, some, or all responses may be correct.

Symptoms of pesticide exposure include headache and shortness of breath., Migrant workers may have preconceived notions that only weak people are harmed by pesticides., Some migrant workers may believe exposure to cool water is harmful when feeling hot and may therefore not shower after pesticide exposure.

The public health nurse is tracking an elementary school's hepatitis vaccination registry. Which level of practice of the public health Intervention Wheel would the public health nurse utilize to accurately collect data?

Systems

Using which type of approach can the public health nurse explore the organizing structures in place within the community that may serve the needs of the people?

Systems

A nurse working in the emergency department asks the sexual assault nurse examiner (SANE) about the requirements to become a forensic nurse. Which action would the SANE have the nurse complete first?

Take a continuing education (CE) course.

Which is the first step for the nurses constructing a pedigree for a client?

Talk to the client and family to collect all information.

Which factor enhances and improves access to health care services?

Technology

Which parameter of health global diplomacy is important for a nurse working in international communities to acknowledge? Select all that apply. One, some, or all may be correct.

Technology Public health Social justice Political system

The nurse for a rural school district wishes to provide health education services to all students who are home schooled and collaborate with other professionals. Which service would be beneficial for this purpose?

Telecommunication

Which work program mandates heads of household find employment to retain their benefits?

Temporary Assistance for Needy Families (TANF)

When delivering a presentation on disaster preparedness, which disaster would the nurse include as a man-made disaster? Select all that apply. One, some, or all may be correct.

Terrorism Radiation Pandemics

Which task would be important to include as a high- priority task when developing a job description for a forensic nurse in the emergency department? Select all that apply. One, some, or all responses may be correct

Testifying in court, Collecting evidence, Offering counseling

Which nursing action reflects a secondary level of prevention?

Testing a health care worker who is has had a needlestick incident for hepatitis B virus (HBV)

Which state is the entry port for midwestern migratory streams of workers?

Texas

Which program was designed to prevent and control disease or death while also promoting health and quality of life that result from interactions between people and their environment?

The Centers for Disease Control and Prevention's Environmental Hazards and Effects Program

Which source would the public health nurse use for guidance concerning preventive services for individuals living in the United States?

The Community Guide

What system monitors emergency department data to detect unusual patterns (or aberrations) so that quick epidemiological case confirmation and follow-up can be initiated?

The Enhanced Surveillance Project

Which agency would the nurse contact to report forced labor of migrant and seasonal farmworkers?

The National Human Trafficking Resource Center

Which standardized classification system accommodates community nursing diagnosis formation by providing a useful format for identification of the problem; its relation to factors, stressors, or health issues; and the supporting data that document the problem?

The North American Nursing Diagnosis Association (NANDA)

What agency ultimately determines an individual' s status for disability benefits?

The Social Security Administration

In which stage of the family life cycle would the family need to understand growth and development, including discipline?

The families with preschool children stage

Which factor is a primary determinant of family health?

The family health care policy of the family's nation

Which description defines the economic function of a family?

The family income related to their saving and spending

Which characteristic of final published regulations would the public health nurse and the affected organizations need to keep in mind as practice changes are implemented?

The final published regulations carry the force of law

Which statement best defines microeconomics in health care?

The behaviors of individuals and organizations that result from the tradeoffs of using a service or budget limits

A young couple is showing signs of stress and sleep deprivation. Their newborn has not slept well due to colic. The child is showing signs of diaper rash and a general lack of cleanliness. The mother seems disinterested in the child, and the father seems overwhelmed. What is the worst possible outcome this family faces without any intervention or support?

The child may be at increased risk of abuse or neglect.

Which statement is accurate regarding a client diagnosed with chlamydia? Select all that apply. One, some, or all responses may be correct.

The client should be instructed to use condoms., Partners over the past 60 days should be referred., The client should avoid sex for seven days after the start of therapy.

Which piece of information would the community health nurse include in a presentation on disability related to falling? Select all that apply. One, some, or all responses may be correct.

The elderly are at the highest risk of falls., Fall risk assessment can help prevent falls., About 20 to 30 percent of falls lead to injury., Loss of independence places burdens on family.

Which most affects the role of the nurse in less developed countries?

The health care provider

Which description regarding an ethical framework is accurate?

The issues and dilemmas a patient may be experiencing can be reformulated.

Which statement correctly describes mortality rates of lower respiratory infections in the pediatric population? Select all that apply. One, some, or all responses may be correct.

The major causative respiratory illness in children is pneumonia., Respiratory infections account for 900,000 child deaths annually., Antibiotic resistance contributes to the spread of respiratory infections.

Which characteristic of the nursing profession supports the idea that the public health nurse would have a strong advantage when advocating for issues and influencing policy?

The numbers of nurses in the health care profession

In a malpractice claim, which factor must a patient be able to prove to recover monetary damages from the public health nurse? Select all that apply. One, some, or all responses may be correct.

The nurse owed a duty to the patient or was responsible for the patient's care. ,The failure to act reasonably under the circumstances led to the alleged injuries., The injuries provide the basis for a monetary claim from the nurse as compensation for injury., The duty to act the way a reasonable, prudent nurse would act in the same circumstances was not fulfilled.

A nurse suspects a woman might be a victim of intimate partner violence. What response might be expected from the patient when questioned?

The patient may have been waiting for someone to ask about abuse

Which statement describes the current epidemiological state of gonorrhea in the United States?

The rates are rising in the male population.

Which statement correctly describes the difference between migrant farmworkers and seasonal farmworkers?

The seasonal farmworker returns to a permanent residence daily.

Which information would be included in an explanation about a faith community nurse to a congregation? Select all that apply. One, some, or all responses may be correct

The specialty centers on the faith community., The maintenance of health is a constant active process., The specialty balances nursing, spirituality, and compassion., The focus includes strengths of people, families, and populations.

Which information would be included in an explanation about a faith community nurse to a congregation? Select all that apply. One, some, or all responses may be correct.

The specialty centers on the faith community., The maintenance of health is a constant active process., The specialty balances nursing, spirituality, and compassion., The focus includes strengths of people, families, and populations.

According to the World Health Organization, which statement best describes health?

The state of complete physical, mental, and social well-being and not just the absence of disease or illness

Which statement reflects the definition of epidemiology?

The study of health and disease in members of a specific population

Which best defines the gross domestic product (GDP)?

The total market value of the output of labor and property located in the United States

Demographically, what is true of rural settings when compared with urban settings?

There are more residents under the age of 18 and over the age of 65.

Which is true of health care service models that employ the "transitions " concept?

They are ensuring higher quality care and health care savings.

Which is a primary reason for limited awareness about genetic services among the nurses? Select all that apply. One, some, or all responses may be correct.

They do not see it as important., They are not confident in applying it to their practice., They have little understanding of the relevance of genetics to nursing care., They are unlikely to have had adequate education about genetics during their training.

How are critical pathways used for care coordination?

They help specify activities that providers can use in a timely sequence to achieve care outcomes.

Which aspect is included within a health care system/model? Select all that apply. One, some, or all may be correct.

Third-party payers, Population to be served, Health care facilities and providers, Those who control the access to and usability of the system

The registered nurse effectively applying genetics and genomics knowledge into practice demonstrates the ability to elicit a minimum of which type of family health history from the client?

Three-generation

The public health nurse obtains health records of clinical symptoms, laboratory results, and exposure when investigating suspected cases of measles in a local school. For which reason would the nurse use the information collected?

To create a case definition that can be used for identifying and reporting cases of measles

A patient reports consuming six cans of beer per night every night of the week, but claims to be able to perform activities of daily living without impairment. Which phenomenon will the nurse document in the medical record?

Tolerance

Which factor describes why public health nurses are in a key position to participate and advocate for the development of health-related policies?

Training and skills

Which action made by a forensic nurse reflects the use of evidencebased practice?

Training certain nurses as sexual assault experts

Which model successfully implemented by advance practice registered nurse (APRN) providers for care coordination of patients with chronic diseases has been shown to result in positive outcomes?

Transitional Care Model

During a presentation about homelessness, which response would the nurse provide when asked which category of homelessness accounts for the majority of the homeless over time?

Transitional homeless

Which screening would the nurse teach community health workers (CHWs) to conduct due to commonality of the issue among all homeless youth?

Trauma

Which action would the nurse perform to build partnerships between patients, health care providers, and the rural community? Select all that apply. One, some, or all responses may be correct.

Travel throughout the area to meet residents., Visit government officials to talk about needs., Recruit community volunteers from local events.

Which activity performed by the school nurse reflects secondary prevention?

Treating scrapes from a fall on the playground

Which protocol is mandated by The Joint Commission (TJC) to be in place by hospitals?

Treatment of sexual assault victims

Which ethical tenet is incorporated into the 12 principles of ethical public practice? Select all that apply. One, some, or all may be correct.

Trustworthiness Respecting autonomy Ensuring professional competency Respecting individual and community rights

Which ethical tenet is incorporated into the 12 principles of ethical public practice? Select all that apply. One, some, or all may be correct

Trustworthiness, Respecting autonomy, Ensuring professional competency, Respecting individual and community rights

Which would be included when the nurse is discussing different types of natural disasters that can occur in a community? Select all that apply. One, some, or all may be correct.

Tsunamis Avalanches

Which would be included when the nurse is discussing different types of natural disasters that can occur in a community? Select all that apply. One, some, or all may be correct

Tsunamis, Avalanches

Which leading cause of death for people with HIV worldwide would the nurse consider when developing programs in less developed countries?

Tuberculosis

Which is an example of a secondary preventive measure? Select all that apply. One, some, or all responses may be correct.

Tuberculosis (TB) screening, Cholesterol testing

Which developmental era saw health care challenges related to acts of terrorism?

Twenty-first Century

The parents of a child with asthma ask the administrators about the availability of a nurse in the high school of 1500 students. The principal states there is a part-time school nurse who works three days a week. Based on the Healthy People 2020 objective, which number of nurses should the school have on staff?

Two

Which information will the public health nurse include in education about the prevention of human papillomavirus (HPV) through vaccination?

Two doses of vaccine are recommended before the age of 15 years.

When planning a disaster response for the community in the event of an actual incident, which factor enables the nurse to predict the numbers and types of injuries? Select all that apply. One, some, or all may be correct.

Type of disaster, Timing of incident

Which definition reflects the concept of proportion?

Type of ratio comparing something with the whole

Which has been established as having the highest association with the potential for violence against oneself?

Type of violence in the community

Which international health organization is a bilateral organization?

USAID

Which term describes a client who has minimal insurance coverage, often with a high deductible?

Underserved

At which level on the Air Quality Index would the public nurse advise that everyone, not just sensitive groups of people, may begin to experience some degree of health effects?

Unhealthy

Which action made by a parent reflects the "Just Say No " primary prevention strategy?

Uses ice and heat to treat back pain

The parents of a child with specialized physical needs wish to enroll their child into the public school system. The parents request the services of a private duty nurse to stay with the child throughout the day. Which assessment finding would warrant the need for one-on-one staffing?

Uses ventilator 24 hours/day

When considering community as client, the nurse recognizes that which ethical concept involves doing the greatest good for the greatest number of people?

Utilitarianism

Which theory is a consequentialist ethical theory?

Utilitarianism

While providing case management services for patients with Alzheimer's disease, the nurse notes many patients have indicated a lack of respite services in the area. Which case management action would the nurse take next to clearly identify the issue?

Validate the amount of care needed and prioritize the need as it relates to other identified issues for patients and their families.

During a discussion about disaster response and outcomes to a group of federal politicians, which factor would the nurse include to explain why the country's ability to provide adequate disaster relief has decreased?

Variations in policies between states

Which vaccination will be included in the plan of care for an HIV infected child who is not severely immunocompromised? Select all that apply. One, some, or all responses may be correct.

Varicella Hepatitis A Hepatitis B Meningococcal

Which ethical principle will the nurse understand is vital to building a trusting relationship with clients?

Veracity

Which group is overrepresented among the homeless?

Veterans

Which condition is an emergency department health care worker at higher risk of experiencing compared with the general workforce?

Violence

Which lifestyle and environmental component associated with the leading causes of morbidity and mortality has received increased attention as a result of major advances in public health and science? Select all that apply. One, some, or all responses may be correct.

Violence, Accidents, Chronic diseases

Which ethical decision process has the end focus on the evaluation or modification of the individual or community character traits impeding communal living?

Virtue

Which epidemiological agent term refers to the proportion of people with clinical disease who become severely ill or die?

Virulence

Which topic would the nurse include in a presentation on the American Community Survey supplement to the Census categories of disability? Select all that apply. One, some, or all responses may be correct.

Vision Hearing Self-care Cognition

Which issue would the nurse keep in mind when developing a monthly newsletter for older adult members of a congregation? Select all that apply. One, some, or all responses may be correct

Visual deficits, Language accessibility

Which issue would the nurse keep in mind when developing a monthly newsletter for older adult members of a congregation? Select all that apply. One, some, or all responses may be correct.

Visual deficits, Language accessibility

Which organization would the nurse utilize to obtain information about monitoring international disease outbreaks?

WHO

Which form of health care delivery reflects the preferences of patients living in small rural communities?

Well-known community nurse

Which effect has the Affordable Care Act (ACA) had on public health care in the United States?

Young adults can remain on a parent's insurance policy until 26 years of age.

Which individual would the nurse consider among the episodically homeless when planning appropriate services at a local shelter?

Young female, substance use disorder, unemployed, in and out of the shelter frequently

Which risk factor would the public health nurse recognize as associated with an increased risk of sexually transmitted infections (STIs)?

Younger than 25 years of age

At which period is an individual at the highest risk of victimization through violence?

Youth

Which nutritional deficiency would the nurse assess for in an area where clients have limited amounts of meats and fish?

Zinc

In which order would the nurse lead a newly formed group through the stages of collaboration development?

awareness> trust building> collegiality> consensus> commitment> collaboration