Public Health Community Quizzes

As a member of the disaster team, the nurse responds to a confirmed outbreak of the plague. The nurse understands that the pneumonic plague has a high mortality rate. The decision to meet the needs of the public on a wide scale includes:

Administration of antibiotics via PODs

The nurse works with a female client who recently developed an infection of Staphylococcus aureus while in the hospital. In this case, S. aureus is which component in the chain of infection?

Agent

A client with tuberculosis sneezes in the waiting room and infects several other clients who are sitting on the other side of the room. Which mechanism of transmission is involved in this case?

Airborne

Which organization publishes and articulates the essentials of public health nursing, including the activities and accountabilities that are characteristics of practice at all levels and settings?

American Nurses Association (ANA)

Public health nursing is distinguished from other specialities by adherence to eight principles. Which is one of the 8 domains of public health nursing practice?

Analytic assessment skills

The nurse admits a client to the hospital with the dx of E. coli O157:H7. The client is dehydrated and febrile. During the hx phase of the admission, the client states that he doesn't know how he could have gotten sick at the local county fair- the hamburger he bought was well done. Upon further discussion, the nurse suspects the transmission may have occurred because of:

Animals roaming in the fair grounds

Absenteeism due to illness has increased recently in the local middle school. The increase is noted to be r/t exacerbation of asthma symptoms in the student population. Which would be the most effective approach in decreasing absenteeism among this population?

Develop an asthma education and surveillance program that addresses students, families, and faculty members.

The nurse is a member of a disaster team responding to a chemical disaster. The nurse assesses clients in a systematic fashion, concentrating on their ability to breathe. When entering the evacuation site, before the physical assessments, the nurse should:

Don PPE

The nurse conducts a class on the basics of nutrition to a group of obese adults. The nurse counsels the audience, telling them that they need to change their behaviors. By the end of the class, the nurse has lost the audience. To enhance audience participation and learning in the next class, the nurse should:

Encourage the group to participate in the decision making

Chloroquine-resistant malaria occurs in most of Africa, the Middle East, and Asia and all of the South Pacific islands. This type of disease occurrence is known as:

Endemic

Several important pieces of legislation have helped highlight the importance of environmental health and environmental protection. Which best describes Superfund?

Environmental program established to address abandoned hazardous waste sites

During a conference after rounds, a nurse states, "They are in the United States now; you would think that they would act like us." This nurse is exhibiting:

Ethnocentrism

The nurse applies the nursing process to a case in which a client has been exposed to an environmental contaminant. The nurse considers the question, "Has the exposure pathway been interrupted?" This question would be considered during which phase of the nursing process to examine the impact of the environment on human health?

Evaluation

A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which task best exemplifies public health?

Facilitating a community-wide smoking cessation program one month out of the year

The clinic client responds negatively to the need for a yearly flu shot. They ask why the medical communities don't just create one shot that will last for several years. Which explanation should the nurse give?

Genetic changes make the flu virus resistant to the flu shot from year to year.

Which of the following is an example of an infectious disease that is not contagious?

Hanta virus

Multiple family units in an underserved neighborhood have children who have not been vaccinated per health guidelines. The nurse researches the problem and establishes a well-child clinic within walking distance to the neighborhood. The clinic is poorly attended. Which would be the nurse's best action to revise the program and improve the attendance to the clinic?

Interview members of the neighborhood to determine why they do not use the clinic.

Which method of data collection would be best to determine the health goals of a target population in a rural community?

Key informant interviews

All of the following exemplify environmental media and transport mechanisms with an exposure pathway EXCEPT?

Mercury

The nurse is preparing a research study on the number of heart attacks in the community and the number of individuals who are actively involved in exercise programs following a heart attach. Using knowledge of research study design, which goals standard for a research design should be considered?

Randomized, control group

The community health nurse is using a genogram to aid in the family assessment. What aspect of family connections and relationships is revealed in the genogram?

Relationships across two or more generations.

Which was a duty performed by district nurses in Liverpool, England, in 1865?

Report facts to and ask questions of physicians

The nurse works at a community clinic that provides various types of health screenings for members of the community. One day, the nurse provides TB tests for a group of new hospital employees. Which type of screening procedure is this?

Selective screening

Which ensures that a study's results are not due to chance alone?

Setting the p value to .05

When the community collaborates in a plan to create services and education to enhance their health and well-being, the plan is most likely to:

Shift the focus from dependency to empowerment

The nurse is responsible for triage in a setting where a natural disaster has occurred. The triage is expected to last for an extended period of time. Which triage model would be most effective in this scenario?

Start/Save triage

The community health nurse assesses the neighborhood in which the clients live. When observing the physical environment, the nurse notes that most of the homes in the neighborhood are well kept and the children playing in the yards are wearing clean clothing and appear well-nourished. The nurse determines that the neighborhood has little need for a well child clinic. This assessment is based on:

Subjective data

The new community health nurse introduce s herself to the local minister and attends various neighborhood meetings. The nurse learns about the ethics, values, and culture of the neighborhood. The community is vocal about the need for public safety and the care of the homelessness, especially in the winter. Which is the best rationale for considering all of the influences in the neighborhood affecting their health and well-being?

The info will help to conduct a more effective community assessment

Why would a population health nurse need to know about morbidity and mortality statistics on the local, state, and national level?

To be able to observe the community's statistics over time and compare the community with other communities

As an advocate for leukemia research, the nurse along with many others succeeded in urging the U.S. Congress to debate and vote on a bill that significantly increases federal funding for this research. Which system level would such an intervention address?

Upstream

The nurse conducts a community assessment. The community is large and the members range from affluent executives to poor migrant workers. To most accurately assess the community, the nurse should:

Use multiple methods of data collection (windshield survey, key informant interviews, statistical analysis, participatory observation)

The student-nurse discusses transmission that involves contact of a susceptible host with a vehicle. Based on the chain of infection links, which exemplifies a vehicle?

Water

Eli Sanchez, BSN, RN was just employed as a population health nurse at a county health department. Which of the following questions indicates an accurate understanding of the primary focus of this role?

Which groups of people are at greatest risk for illness or injury?

The community health nurse is reviewing the guidelines for the 15-minute family assessment. To gain insight into the underlying family dynamics the nurse will pay particular attention to which of the following when interacting with the family?

verbal and nonverbal interactions between family members

An example of an infectious disease that is spread via direct contact is:

Chlamydia

The public health nursing intervention which promotes and develops alliances among organizations or constituencies for a common purpose is:

Coalition building

Which is a Healthy People 2020 goal?

Create social and physical environments that promote good health for all

A group of teens develop their own method of texting in a language that they feel is all their own. The change is subtle, but the meanings and the feelings associated with the text are known only to a select few. This behavior is an example of:

Culture

A 16-year-old client visits the community health clinic with concerns that she may have a STI. She asks whether STIs are treatable. STIs that are easily treated and curable include:

-Chlamydia -Gonorrhea -Syphilis

There is an outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) in the community. The nurse is responsible for the dissemination of the education plan adopted by the public health department. Key components of the plan should include:

-Droplet precautions for visitors in contact with affected clients -Respiratory hygiene -Hand hygiene

The nurse works in a facility that provides hospice care for the clients with cancer diagnosis. The nurse recognizes that the care provided in this facility is tertiary in nature. The nurse develops a plan for the clients that would include the tenets of tertiary prevention. The plan would include:

-Palliative care -Pain control -Supportive spiritual development

The nurse reads a research article that reviews casualty. Using knowledge of research designs, which types of design examine casuality?

-Quasi-experimental -Experimental -Randomized, control group

The nurse is called to make an unscheduled visit to a new client in her home. The purpose of the visit is to admit the client and treat an abdominal wound. The nurse discovers that the client is from a culture unfamiliar to her. In this situation, the nurse should demonstrate cultural competence and awareness by doing which of the following?

-being open to the client's ideas and way of life -exhibiting respect and patience -being aware of his or her own cultural beliefs and values

The nurse is in the process of forming a coalition to support a community flu shot program. Which step should the nurse take as part of this process?

-consider how each member of the coalition and the organization or group represented will benefit from the work of the coalition -seek out people with similar opinions and roles in the community -form a group that is heterogeneous but able to show mutual respect -understand group dynamics and members motives for serving

The nurse reviews the job descriptions of the community health workers who work with community health nurses and other members of the program team. These workers are responsible for:

-serving as a cultural and language bridge to members of target population -providing health education and outreach to the community -offering assistance in accessing services

The nurse assesses a family in which the wife and mother has recently been diagnoses with breast cancer. Which factors will likely affect the family's response to the health risk that this diagnosis presents?

-what the husband and wife will learn about dealing with serious illness in their families of origin -whether the family is covered by health insurance -how the children tend to cope with stressful situations -the response of fellow members of the family's mosque

In the U.S., most citizens have access to clean water and sanitation services and often take these services for granted. Worldwide, however, clean water and sanitation are not standard. How many people worldwide in 2010 lacked access to improved water sources?

783 million

The nurse studies the association of lead poisoning with residence in a home that was built before 1970. Which needs to be established to show an association between these two variables?

A statistical relationship between lead poisoning and residence in a home built before 1970.

The nurse prepares community program objectives that are specific, measurable, achievable, relevant, and time bound (SMART) to help in planning interventions and establishing measurement systems to evaluate programs and the outcomes. Which is a measurable objective?

BP for children 12-18 years in Marks School will be reduced by 5% after petting the dog for 1 day in March 2019.

The local clinic is dedicated to the well adult and child. It has evening hours and offers varied programs for the community. The programs include immunizations and classes on fire safety, health education, and car safety, to name a few. How would the nurse explain the level of prevention used in this setting to your colleagues?

Primary

Which core functions of the government address the health of its citizens?

Assessing healthcare problems

The core functions of public health are:

Assessment, policy development, and assurance

Environmental justice is most accurately described as the belief that:

No group should suffer more from environmental health consequences than others.

The client is admitted to the hospital for new-onset hypertension and chest pain. During the admission interview, you ask the client if she takes OTC meds, and she states no. She adds that she routinely visits a folk healer. The nurse's response should include:

Obtaining a list of the herbs and folk meds that are taken and notifying the physician

Which exemplifies cultural diversity?

People from South Korea, Brazil, and Nigeria all living in the same apartment complex

Reasons blended families are becoming more widespread includes all of the following except:

People who remain single after being widowed

A nurse successfully persuades an obese client to perform a weekly weigh-in at home using a digital scale and record the weight in a log. This strategy is an example of:

Personal responsibility for health

The national weather service warns of an impending ice storm that may have crippling effects on the community. Widespread electrical outages are predicted as well as freezing temperatures. The community health nurses are mobilized to establish emergency living quarters and clinics for those without heat. The nurses' actions are occurring during which phase of the disaster?

Preimpact

A client is admitted to the hospital. On admission, it is noted that the client does not speak English. It will take 20 minutes for the hospital interpreter to arrive. The nurse decides to wait for the interpreter rather than relying on the client's husband. Raitionale for this decision includes an expectation that the interpreter is:

fluent in both languages and will have knowledge of technical healthcare terms

Which is the most accurate definition of an exposure pathway?

method by which people are exposed to an environmental contaminant