Population Health Exam 1: Units 1, 2, 3

State of deteriorating housing.

How is it that the risk for lead poisoning is increased for children living in poorer communities?

Fourth

If a mother is exposed to chemicals that lead to disease, to what generation can her offspring be affected?

Functional health patterns (FHPs) (Gordon).

Which model asks direct and probing questions to assess family health in 11 different areas?

Family systems (Anderson)

Which nursing model used to assess family health needs employs genograms and eco maps to identify relationships?

Governmental data sets. Town hall meetings. School nurse interviews. State health department statistics.

Which of the following are common data sources for a community assessment?

Conduct a windshield survey. Carry out focus group interviews. Mail community surveys to residents.

Which of the following are nursing actions that correlate with the assessment phase of the nursing process in community health settings?

Local jails.

Which of the following correctional settings sees the highest rates of suicide?

Food deserts. Discrimination. Poverty.

Which of the following factors contribute to health disparities?

Hypertension.

Which of the following is the most common chronic condition among the prison population?

The rate of HIV/AIDS is rising.

Which of the following regarding the health of the current prison population is not a statistical trend?

Planned activities are carried out by the nurse ti prevent family violence.

Which of the following statements about primary prevention for family violence is the most accurate?

Belief in male dominance.

Which of the following would the nurse expect to find in an assessment of a perpetrator of intimate partner violence?

Children

Which of these populations is most susceptible to the genetic influences of the environment?

Public health science

Which science focuses on the association between the environment and human health?

Environmental contaminates trigger illness in people who already are genetically susceptible to an illness.

Which statement best explains the current scientific hypothesis for the relationship between genetics, environmental contaminants, and illness?

Environmental factors can increase our propensity for disease.

Which statement is true?

The use of alcohol is categorized as a lifestyle choice.

Which statement is true?

It is very difficult to confirm a link between a person's illness and the environment in which he or she lives.

Which statement regarding the cause of poor health outcomes and exposure to environmental contaminates describes the challenge associated with minimizing the risk to an individual's health?

A group of distinct individuals. Are considered as a whole. Are loosely associated with each other.

Which variables are characteristics of an aggregate? (Select all that apply.)

Childhood education. Endocrine disruptors. Child abuse.

Which would be considered environmental factors that can cause genetic effects? (Select all that apply.)

Biological variations.

While providing in-home wound care, the nurse notes the client is frequently vocal and screams at relatives when in pain. In performing a cultural assessment, in what area would the nurse document the frequent outburst and vocalizations?

Community health nurses sometimes make visits to clients and their families. Families often have unique values and needs. Families are significant building block of the local community.

A community nurse is preparing to develop a plan to work with families as the clients in a local community. What reasons would a family assessment need to be completed with the families prior to developing the plan? (Select all that apply.)

Epidemiological

A community nurse is reviewing the disease statistics of an assigned new area. What assessment framework is the nurse utilizing in assessing this community?

Interview some of the new members and inquire about cultural values. Demonstrate a genuine interest in the lives and culture of the new clients.

A community nurse who routinely works in the immunization clinic notes an influx of new patients from Russia. The nurse wants to improve self-awareness of this new population. What steps can the nurse take to cultivate cultural sensitivity toward this new client population? (Select all that apply.)

Viewing the clients as active partners in the process.

A community/public health nurse working with a group of vulnerable clients is focusing on empowering them. Which of the following would be the most effective strategy?

Adults and children living within ten miles of the center of town.

A comprehensive assessment must consider thew entire community and the various populations living in the community. Which of these indicates a comprehensive assessment?

Providing drug education. Utilizing withdrawal protocols. Referring inmates to appropriate programs and agencies.

A correctional nurse frequently works with inmates who have addictions to alcohol and drugs. Which of the following activities are most appropriate for a correctional nurse to implement with these inmates? (Select all that apply.)

Inmates were viewed as not deserving of care paid for by public dollars.

A correctional nurse is a guest speaker at a gathering of community/public health nurses who are considering a career in correctional nursing. As part of her presentation, she discusses the history of correctional nursing. How would the nurse describe the historic view of correctional nursing?

Offer HIV testing to inmates who are experiencing symptoms. Administer an HIV test to all new inmates.

A correctional nurse is working at the secondary level of prevention to address HIV in the prison environment. Which activities are associated with secondary prevention of HIV? (Select all that apply.)

Provide the inmate with information about exercise. Monitor inmate's response to medication. Administer medications.

A correctional nurse is working with an is working with an inmate who has a chronic health condition. When providing care for this inmate, which interventions would the nurse most likely implement? (Select all that apply.)

Emotional support for the client and guidance during life cycle transitions. Care provision and management for the chronically ill, disabled, and aging family members.

A home health nurse is creating a care plan for an individual who recently had surgery. Which tasks does the home health nurse understand ad a health responsibilities of the family? (Select all that apply.)

Ask the client to describe usual health beliefs and practices when the client becomes sick.

A new client is scheduled at the clinic. During the assessment, the nurse notes a circular, dark-pink indention on the client's abdomen. The nurse is aware the client is not from the United States. What is the nurse's next best action in assessing this client?

It is not likely to protect themselves from contact with some form of environmental contaminate.

A patient requests information concerning how to isolate ourselves against the exposure to environmental contaminates. Which statement is the basis for the nurse's response?

Local school nurses in the community and the surrounding areas.

A public health nurse has been assigned to develop and coordinate a community of solution group on the issue of childhood obesity. Who should the nurse contact first?

Life span development (Rankin)

A social history is a vital assessment tool related to which nursing models?

Air quality. Quality of schools. Exposure to crime and violence. Access to affordable transportation.

According to healthy people 2020, social determinants of health should include which of the following?

Intimate partner violence is a leading cause of morbidity and mortality in women worldwide.

After teaching a group of students and families about intimate partner violence, the instructor determines that the students have a good understanding of this issue when they state which of the following?

The nurse must report any case of known or suspect ted abuse and neglect in children, vulnerable adults, and elders.

All nurses are designated as "mandated reporters." Which of the following best describes this designation?

May be considered cruel and unusual punishment, which is a violation of the Eighth Amendment to the U.S. Constitution.

Choose the option that correctly completes the following sentence: Depriving incarcerated individuals of appropriate medical attention:

Secondary

Despite local and state air quality policies, the local steel smelting mill has been emitting toxins at night into the air. The residents are concerned about the potential health ramifications; in particular, lung complications. The community nurse has developed an early detection process that includes a lung function screening test. What level of prevention has the nurse activated?

Each member's gender. The family composition.

During a family assessment, the community health nurse must examine both the internal and external structure of the family. What factors will be assessed to determine the internal structure of the family? (Select all that apply.)

Familiarization

During an assessment, the community health nurse is gathering date to determine what characteristics and possible health needs are similar for all community members. Which framework will the nurse choose in approaching this assessment analysis?

Apologize for the cultural insensitivity and make a mental note to be more careful in the future.

During an intake assessment at the local health department, the nurse asks a Hispanic client where in Mexico they were born. The client becomes angry and reports being born in Colombia. What is the best action for the nurse to take?

Blacks.

Health inequities often emerge among racial and ethnic groups. Which of the following races/ethnicities experience a higher prevalence of low birth weight babies?

How do family members cope with transitions and attachments within the family?

In completing a developmental family assessment, what question would the community health nurse include?

Safety and security. Sense of belonging.

In preparing a health and wellness care plan for the local senior citizen center, the nurse ensures the consideration of the three universal needs. What are the three universal human needs of the community?

Personal.

In regards to environmental health risks, how would the genetic predisposition for diabetes be classified?

Wider environment

In regards to the environmental health risks, which of these spheres affects everyone and includes general air or water pollution, exposure to natural, or man-made disasters, and/or outbreaks of disease?

Screening children for depression. Administering immunizations. Performing scoliosis measurements.

In the role of clinician, how can the nurse demonstrate levels of prevention in the field? (Select all that apply.)

Decreasing inequities that affect population health.

Public and community health nursing interventions focus on:

Empowerment, self-efficacy, and hope.

Strengths based nursing is focused on which of the following principles?

Outreach.

The community assessment process directly contributes data for development of community interventions that correlate best with which of the following interventions noted on the Public Health Interventions Wheel?

Primary

The community nurse is educating seniors at the local senior center on home safety to prevent falls. What level of prevention is the nurse practicing?

Problem-oriented

The community nurse is performing an assessment on a community related to an identified problem of obesity. Which approach is best to use for this type of community assessment?

Advocate

The community nurse is tending a booth at the county fair to provide informational brochures on how to apply insurance and subsidies related to the Affordable Care Act. What role is the community nurse demonstrating?

Education about working with older inmates with chronic diseases.

The lead correctional nurse in a facility is working to develop a continuing education program for the other correctional nurses who work in the facility. Which topic would be the most appropriate to include in the program?

Physical characteristics. Internal influences such as the local economy. Purpose of the community. Boundaries.

The public health nurse is perform ing a community assessment. What community-specific factors will the nurse consider when performing this assessment?

Air quality and number of pollutants. Access to fresh foods and groceries. Level of safety to walk or play outside. Size of health care facilities.

The public health nurse is preparing a care plan for a client in the community. What factors in the community environment should the nurse consider that can impact a client's potential for health and wellness? (Select all that apply.)

Nature vs. Nurture

The relationship between genetics and the environment has classically been viewed as which formulation?

False

The terms community, aggregate, and population are interchangeable.

Socioeconomic Environmental

Upstream focus addresses the root cause of the disease and manufacturers of illness by taking into account what factors? (Select all that apply.)

Collaboration with citizens and other professionals to develop protective and preventive environmental health strategies in the community. Apply environmentally related research findings in your practice and participate in nursing research. Take action to promote the development of policies and legislation that enhance consumer protection and promote a healthier environment. Take action to correct situations in which hazards exist.

What can help address and solve environmental health problems faced by populations and communities? (Elect all that apply.)

People may not interact with each other.

What characteristic will the nurse consider when developing interventions for an aggregate group?

A group that shares a common interest. Encompasses a sense of member belonging. Interaction among a group of people.

What characteristics define a community? (Select all that apply.)

Examination of cultural, spiritual, and developmental needs. Holistic appraisal of health care needs.

What does the term family assessment imply? (Select all that apply.)

Improvements in family planning and education. An increase in healthier mothers and babies. A decrease in the spread of infectious diseases.

What historical public health achievements have public health nurses contributed to? (Select all that apply.)

Contaminated drinking water.

What is an example of a biological health risk?

Identifying potential dangers before they occur or worsen.

What is the best way to help populations and communities avoid environmental health risks?

Two or more people who identify themselves as a family and rely on each other to some extent to meet basic needs.

What is the definition of family in community health?

Establishing an accepting environment.

What is the initial nursing intervention when conducting a cultural assessment regarding the health beliefs and values of a member of a non-white American culture?

Poor or low income. Minorities.

What populations are disproportionately affected by environmental hazards? (Select all that apply.)

The impact of individual health-related choices and practices on wellness.

What topic should the nurse stress when providing community education regarding the impact of the environment on one's individual health?

About one-half of federal prison inmates are incarcerated for drug offenses.

What would a correctional nurse expect to find when reviewing demographics of the incarcerated population?

Assess the nature of the crisis being experienced by the family.

When assessing a family in crisis, which of the following would the nurse do first?

Respect

When considering cultural influences, how would the nurse interpret a Chinese patient's lack of eye contact during a discussion about a newly prescribed medication as a sign of what?

Cultural world views are responsible for the different beliefs regarding the cause of illness.

When considering health views, which statement is the basis for discussions concerning the effect of culture?

Advocate

When considering the risk of environment contaminants in both the workplace and the community, what professional role is the nurse best positioned to perform?

People come into contact with an environment contaminant.

When considering the risks of environment presents to the human health, when does exposure to illness occur?

Acute battering occurs more often.

When describing the cycle of violence to a group of nursing students, the instructor includes which of the following as occurring as the cycle continues?

Types of elder abuse vary and include physical abuse, emotional abuse, neglect, and exploitation.

When discussing elder abuse with a senior citizen group, which of the following would the community and public health nurse include in the teaching?

Encouraging removal of guns from the home. Counseling to address marital conflicts.

When preparing a plan of care for a group of women who are at higher risk for intimate partner violence, the nurse develops interventions aimed at the primary level of prevention. Which of the following are considered primary prevention for women at risk for intimate partner violence?

Before the disease or injury occurs.

When would primary prevention be most effective?

Overpopulation. Insect and rodent control. Unhealthy and contaminated food. Deforestation, wetlands destruction, and desertification. Ozone depletion and global warming.

Which are examples of serious environmental hazards that affect populations and communities? (Select all that apply.)

Developing a post-mastectomy exercise program to preserve function. Encouraging a client with hypertension to continue a weight loss program.

Which are examples of tertiary levels of prevention? (Select all that apply.)

Self-care. Mental Health behaviors. Illness care. Safety and precaution.

Which area of questioning is explored when assessing family health routines? (Select all that apply.)

Air and water quality

Which aspect of industrialization has had the greatest impact on the general health of mankind?

Science of unitary beings.

Which grand nursing theory presents the goal of identifying family health patterns for the purpose of making positive changes?

Air pollution

Which is a major variable in the health of populations?

Teaching a client about the importance of wearing head protection when engaging in activities that may lead to head injury.

Which is an example of primary prevention or injury?

A group of individuals who are loosely connected with one another.

Which is the best description of an aggregate?

Tertiary prevention.

Which level of prevention has a focus on minimizing disability and restoring function?

Emotional abuse.

While visiting a family with young children in the home, the community and public health nurse hears a parent screaming: "Everything you do is wrong? Can't you do anything right, ever?" The nurse suspects which of the following types of abuse?

Volunteering as a nurse brings low-cost medical and nursing expertise to the at-risk community.

Why is volunteering as a nurse in an at-risk community an important activity?

Provide familiarity and context to the nurse who is new to a community and its members.

which of the following best describes the primary purpose of a windshield survey?