B1. CHN - Care of the Normal and At-Risk Families, Population Groups, and Communities (Pt 1)

18. Which of the following actions demonstrate(s) effective public health nursing practice in the community? (Select all that apply.) a. Epidemiologic investigations examine the environment for health hazards. b. New services are organized where particular vulnerable populations live. c. Partnerships are established with community coalitions. d. Staff members at the public health agency continue to increase in number

a,b,c

38. A community health or public health nurse has noticed an increase in youth tobacco use in her community. Which of the following aggregates would a nurse want to direct education about tobacco use towards? Select all that apply. a. School-aged children b. Parents of school aged children c. Older adults d. Administrators/educators e. Pediatric nursing staff

a,b,d,e

18. A nurse is planning to conduct a study to address the opioid crisis in a particular southern Indiana county. The nurse is examining the community's functions and subsystems to determine existing and potential health problems that may be related to the opioid crisis. Which of the following would be examples of community functions? a. Education opportunities b. Number of safe and clean parks c. High school graduation rate d. Accessible health services e. Prevalence of polypharmacy within the county

a,b,e

2. A community health nurse has noticed an increase in childhood obesity and a decrease in physical activity among the local students. She wants to perform a needs assessment regarding the local sidewalks and ability for kids to walk to school. Which forms of data collection would be useful in her assessment (select all that apply)? a. Interviewing parents on the condition of their neighborhoods, their feeling of safety, and if they would allow their child to walk to school b. Initiating a community forum in which members of the community are able to share their thoughts on the local sidewalks, physical activity, and walking to school c. Extracting data regarding the average family income of each neighborhood d. Creating a focus group to determine cafeteria workers feel about the lunches they serve e. Direct observation of the ways in which children get to school, and the usage of sidewalks in the community

a,b,e

19. A nurse is developing a community education program about the risk factors for childhood obesity. Which of the following aggregates of people should the nurse address in her teaching? Select all that apply. a. Parents of school-aged children b. Local construction workers c. A small group of 1st grade students d. P.E. teachers within the school corporation e. Nursing staff at the advanced dementia care facility

a,c,d

6. What terms are used to describe healthy families? Select all that apply. a. Families with strengths b. Dysfunctional c. Functional families d. Resilient families e. Resistant families

a,c,d

1. A community health nurse has conducted a needs assessment in a rural community and established a diagnosis of knowledge deficit related to IV drug use and HIV transmission. She wants to implement an educational program to reduce the fear and stigma surrounding IV drug use. Which of the following aggregates within the community would be the most appropriate targets for this program (select all that apply)? a. Police officers and first responders b. Certified nursing assistants at the local nursing home c. Parents of the local high school d. Kindergarten teachers within the school corporation e. The nursing staff at the local clinic

a,c,e

29. A community health nurse is trying to figure out why chronic diseases like breast cancer are more prevalent in women in rural areas. Which of the following do you think are the main reasons for this? Select all that apply. a. Distance for preventative screenings are more than 20 miles b. There is greater amount of carcinogens in rural areas c. There is a lack of health insurance for people in rural areas d. People in rural areas are more likely to drink and smoke e. Finances are usually limited for people in rural areas

a,c,e

19. Why are nurses increasingly providing care in clients' homes rather than in hospitals? (Select all that apply.) a. Home care is less expensive. b. It is much more efficient to give care in the home. c. Nurses prefer to give home care with individual attention. d. People prefer to receive care in their homes rather than in hospitals.

a,d

10. A registered nurse was just employed as a public health nurse. Which question would be the most relevant for the nurse to ask? a. "Which groups are at the greatest risk for problems?" b. "Which patients should I see first as I begin my day?" c. "With which physicians will I be most closely collaborating?" d. "With which nursing assistants will I partner the most?"

a. "Which groups are at the greatest risk for problems?"

1. Which of the following best describes community-based nursing? a. A philosophy that guides familycentered illness care b. Providing care with a focus on the group's needs c. Giving care with a focus on the aggregate's needs d. A value system in which all clients receive optimal care

a. A philosophy that guides familycentered illness care

27. A nurse is caring for a client of another culture. Which action is most appropriate? a. Adapt care to reflect the cultural needs of the client b. Rely on friendly gestures to show caring for the client c. Keep care cultural neutral to avoid misinterpretations d. Treat the client in the same way as any other client

a. Adapt care to reflect the cultural needs of the client

9. In applying the developmental theory, a family nurse determines the developmental stage of the family based on: a. Age of the eldest child. b. Family strengths. c. Individual growth patterns. d. Overall tasks of the family.

a. Age of the eldest child.

15. Which of the following actions best represents public health nursing? a. Assessing the effectiveness of the large high school health clinic b. Caring for clients in their home following their outpatient surgeries c. Providing care to children and their families at the school clinic d. Administering follow-up care for pediatric clients at an outpatient clinic

a. Assessing the effectiveness of the large high school health clinic

10. A family nurse is working with a married couple that has decided to remain child-free. The nurse recognizes this decision as a: a. Biological necessity. b. Contemporary family function. c. Religious belief decision. d. Threat to family survival.

a. Biological necessity.

25. A nurse is doing a windshield survey in a rural population that she is about to work in. What should she be looking for during this windshield survey? Select all that apply. a. Determine areas that need further investigations b. Tone of the community c. Communicating with politicians about available resources d. Available resources that the community has access to e. Discussing resources that need to be implemented

a. Determine areas that need further investigations b. Tone of the community d. Available resources that the community has access to

7. The nurse in community health uses information about family structure, household composition, marriage, divorce, birth, death, adoption, and other family life events to forecast and predict stresses and developmental changes experienced by families and identify possible solutions to family challenges. This best describes the study of: a. Family demographics. b. Family functions. c. Family health. d. Family resilience.

a. Family demographics.

3. The family nurse conducts the family nursing assessment with the family as a unit. Using a systematic process, family problems are identified and family strengths are emphasized as building blocks for interventions. Which of the following best completes the statement to demonstrate the importance of assessment to outcomes? Integrating the extended families: a. Fosters equal family and provider commitment to success. b. Facilitates outcomes-oriented family nursing research. c. Decreases the need for nurse contact and intervention. d. Removes barriers to needed services to achieve success

a. Fosters equal family and provider commitment to success.

10. A nurse is practicing community-based nursing in a mobile health clinic. What typically is the central focus of this type of nursing care? a. Individual & family health care needs b. Populations within the community c. Local health care facilities d. Families in crisis

a. Individual & family health care needs In contrast to community health nursing, which focuses on populations within a community, community-based nursing is centered on individual and family health care needs. Community-based nurses may help families in crisis and work in health care facilities, but these are not the focus of community-based nursing

9. A public health worker has completed a needs assessment and determined the lack of access to nearby grocery stores leading to inadequate nutrition to be a problem within her community, what would be her next step in the ADPIE process? a. Plan her goas relating to this problem diagnosis using evidence based practice b. Open up her own grocery store in the center of the community c. Nothing, she determined the problem now it's somebody else's responsibility to fix it d. Evaluate the effectiveness of her interventions

a. Plan her goas relating to this problem diagnosis using evidence based practice

12. There is a current community flu pandemic occurring in many places around the world. Fortunately, it has not impacted your community yet. In regards to community health, what is the community health nurse's top priority? a. Preventing an outbreak of the flu through community awareness efforts b. Treating the patient with the flu c. Researching the flu symptoms d. Diagnosing the patient with the flu

a. Preventing an outbreak of the flu through community awareness efforts

22. If a nurse researcher needed to know certain demographic variables such as the distribution of age, sex, etc. for the community in which they are performing their research, where would they look to find this information? a. The US census b. The local physician's office c. The American community survey d. Ask the first 50 people you see to fill out a survey for you

a. The US census

24. A nurse researcher surveyed a community and came up with a community diagnosis of the health problems affecting the community. Which components of her community diagnosis followed the correct format of a community diagnosis? (SATA) a. The identification of the health problem b. The affected aggregate or community c. The etiological or casual or statement d. The evidence or support for the diagnosis e. The nurses' recommendation on how to solve the identified health promotion

a. The identification of the health problem b. The affected aggregate or community c. The etiological or casual or statement d. The evidence or support for the diagnosis

16. Two nurses plan to walk under a huge downtown bridge where various homeless persons live. Why would the nurses go to such an unsafe area? a. To assess the needs of the homeless who live there b. To demonstrate their courage and commitment c. To distribute some of their own surplus clothes to those who can use them d. To share with various churches and other charities what is needed

a. To assess the needs of the homeless who live there

24. What is the primary purpose of Healthy People 2020? a. To serve as roadmap to improve holistic health care in the U.S. b. To minimize disparities in US urban and rural communities c. To link public and private healthcare initiatives d. To encourage all people to have health insurance

a. To serve as roadmap to improve holistic health care in the U.S.

6. A nurse performs an assessment of a family consisting of a single mother, a grandmother, and two children. Which interview questions directed to the single mother could the nurse use to assess the affective and coping family function? Select all that apply. a. Who is the person you depend on for emotional support? b. Who is the breadwinner in your family? c. Do you plan on having any more children? d. Who keeps your family together in times of stress? e. What family traditions do you pass on to your children? f. Do you live in an environment that you consider safe?

a. Who is the person you depend on for emotional support? d. Who keeps your family together in times of stress? The five major areas of family function are physical, economic, reproductive, affective and coping, and socialization. Asking who provides emotional support in times of stress assesses the affective and coping function. Assessing the breadwinner focuses on the economic function. Inquiring about having more children assesses the reproductive function, asking about family traditions assesses the socialization function, and checking the environment assesses the physical function

13. Factors related to the determinants of health identified in Healthy People 2020 include which of the following (select all that apply)? a. Education and literacy b. Genetic endowment c. Gender d. Culture e. Social status

abcde

10. The problem of the working poor and uninsured places a major burden on the current health care system that affects those families and the community in general. Nurses in community health see this as a major: (select all that apply) Select all that apply. a. Behavioral issue. b. Policy issue. c. Health risk issue. d. Social issue. e. Nursing issue.

b,c,d

17. Which of the following variables have led to a stronger commitment to population-focused services? (Select all that apply.) a. Economic turmoil and demand for high-technology care b. Emergence of new or drug-resistant infectious diseases c. Emphasis on overall health care needs rather than only on acute care treatment d. Threat of bioterrorism

b,c,d

8. A research team at a hospital are about to open up an online community forum to start their data collection --what are some disadvantages to this approach that they must keep in mind when analyzing their data? (select all that apply) a. Online forums decrease collaboration and engagement b. Online forums exclude some people such as those without access to a computer and those who can't write or read c. The lack of physical cues may lead to miscommunication d. Participants who may ordinarily feel embarrassed or nervous to participate in discussion feel freed by the anonymity of the forum e. Participants may accidentally go off topic within a particular discussion thread

b,c,e

2. The nurse is prioritizing nursing care for a patient in a long-term care facility. Which examples of nursing interventions help meet physiologic needs? Select all that apply. a. Preventing falls in the facility b. Changing a patient's oxygen tank c. Providing materials for a patient who likes to draw d. Helping a patient eat his dinner e. Facilitating a visit from a spouse f. Referring a patient to a cancer support group

b,d Physiologic needs—oxygen, water, food, elimination, temperature, sexuality, physical activity, and rest—must be met at least minimally to maintain life. Providing food and oxygen are examples of interventions to meet these needs. Preventing falls helps meet safety and security needs; providing art supplies may help meet self-actualization needs; facilitating visits from loved ones helps meet self-esteem needs; and referring a patient to a support group helps meet love and belonging needs.

8. Family health can be defined as a dynamic, changing, relative state of well-being that includes the biological, psychological, sociological, cultural, and spiritual factors of a family system. This family health approach would best include which of the following underlying principles? Select all that apply. a. Assessment of the individual's health does not determine the overall family system's health. b. Family functioning affects the health of individuals. c. Family system assessment specifically addresses the individual's health. d. The individual's health affects family functioning. e. Simultaneous assessment of individual family members and the family system as a whole is important to family health.

b,d,e

33. A student is working with a public health nurse to perform a community assessments on a local town. During the assessment phase of the process, the student nurse volunteers to carry out a windshield survey of the area. Which statement made by the student indicates a need for further teaching? a. "I will drive around the area and make organized observations of what I see" b. "I will interview locals to further clarify my observations" c. "I will take note of health resources being utilized and look for evidence of wellness care" d. "I will assess the conditions of the built environment"

b. "I will interview locals to further clarify my observations"

4. A parent with two school-age children has just finished a family health assessment questionnaire. The parent asks the nurse why one of the questions asks whether there is a neighborhood playground. The nurse's best response would be: a. "Don't worry about it. We are going to talk about all this anyway." b. "It's important to good health to have adequate recreation resources." c. "We want to be able to report any dangerous playground equipment to the city." d. "We want to know what kind of neighborhood you're in so we can assess income."

b. "It's important to good health to have adequate recreation resources."

8. During a family nursing assessment, a parent questions whether God is punishing the family, because one of the children has just been diagnosed with leukemia. The most facilitative response by the nurse would be: a. "God is loving and doesn't punish people." b. "Tell me more about your family's spiritual beliefs." c. "That is not part of my religious belief system, so I don't know." d. "Why do you think your family needed to be punished?"

b. "Tell me more about your family's spiritual beliefs."

21. Which of the following best defines aggregate? a. A large group of persons b. A group of persons who share one or more characteristics c. A collection of individuals and families d. Another name for demographic group

b. A group of persons who share one or more characteristics

7. A nurse doing a family assessment asks the client, "Have any of your blood relatives had mental illness?" The nurse is asking this question to: a. Determine whether the family is stable. b. Assess for biological risk factors. c. Decide whether this family member needs medication. d. Demonstrate open-mindedness about mental illness.

b. Assess for biological risk factors.

7. The nurse caring for families in a free health care clinic identifies psychosocial risk factors for altered family health. Which example describes one of these risk factors? a. The family does not have dental care insurance or resources to pay for it. b. Both parents work and leave a 12- year-old child to care for his younger brother. c. Both parents and their children are considerably overweight. d. The youngest member of the family has cerebral palsy and needs assistance from community services.

b. Both parents work and leave a 12- year-old child to care for his younger brother. Inadequate childcare resources is a psychosocial risk factor. Not having access to dental care and obese family members are lifestyle risk factors. Having a family member with birth defects is a biologic risk factor

35. A community nurse is interested in gathering data about a random community for a research project. What is the best first step in gathering this information? a. The nurse should conduct a windshield survey to make an observation of the community's businesses, schools, sidewalks, homes, and restaurants b. Checking the census should be the nurse's first step as it obtains information regarding sex, population, age, race, and ethnicity c. The nurse should check into vital statistics to check records of deaths, births, and marriages d. The national center for health statistics (NCHS) should be the first step as this would tell the nurse statistics on disability, illness, and other health variables

b. Checking the census should be the nurse's first step as it obtains information regarding sex, population, age, race, and ethnicity

1. A nurse uses Maslow's hierarchy of basic human needs to direct care for patients on an intensive care unit. For which nursing activities is this approach most useful? a. Making accurate nursing diagnoses b. Establishing priorities of care c. Communicating concerns more concisely d. Integrating science into nursing care.

b. Establishing priorities of care Maslow's hierarchy of basic human needs is useful for establishing priorities of care.

10. The nurse is precepting a new nurse on their current assignment of assessing the various communities surrounding their community. Which of the following comments made by the new nurse should be corrected by the precepting nurse? a. Increasing physical activity can improve the overall health in the community by helping people place an importance on their health. Leading to healthier food choices and lifestyle choices b. Having more sidewalks placed around the community could not increase physical activity c. The assessments a nurse makes about a community are important because they can then lead to a diagnosis, planning, intervention, and evaluation d. Community health is important for prevention of diseases

b. Having more sidewalks placed around the community could not increase physical activity

30. After visiting a rural town in her state, a community health nurse is trying to put together a community health diagnosis. Which of the following is the correct way to format this diagnosis? a. The town has an increased risk of diabetes due to nutrition problems b. Increased risk of hypertension among pregnant women related to poor nutrition as demonstrated in the lack of awareness of healthy choices c. Increased risk of cardiovascular disease in older white men due to lack of healthy food choices d. The community has a high risk of COPD which is related to their lack of education in smoking cessation

b. Increased risk of hypertension among pregnant women related to poor nutrition as demonstrated in the lack of awareness of healthy choices

4. A nurse wants to assess a community's perspective and concerns regarding health care needs in this community. What would be the best first approach for the nurse to take to gather data about the community? a. Hold a community forum to discuss concerns in the community b. Interview key informants in the community c. Mail surveys to members of the community who were not willing to talk in person d. Form focus groups to promote more interaction and expression of ideas

b. Interview key informants in the community

23. A nurse researcher is conducting a needs assessment in a community where there is an obesity problem. What would be the first approach to gather data for this needs assessment? a. Look at the US census for crime levels in the area b. Interview local doctors, school officials c. Interview the manager of the local restaurant d. Interview individuals who are overweight as you pass them on the street

b. Interview local doctors, school officials

25. How would the public health nurse best describe the health care system in the U.S.? a. Only essential needs are met, which primarily controls cost b. It is divided into two systems: public and private healthcare c. It is a system which focuses on primary prevention d. It is the best healthcare service in the world

b. It is divided into two systems: public and private healthcare

23. Which nurse is famous for creating public health nursing in the U.S.? a. Florence Nightingale b. Lillian Wald c. Frances Root d. Jean Watson

b. Lillian Wald

2. One member of an older couple has just retired. This is considered a: a. Developmental stage that will help the family with stress reduction b. Nonnormative event that will have psychological impact on the family c. Normative event and can increase the family's risk for illness d. Normative event and will have little effect on the family' well-being

b. Nonnormative event that will have psychological impact on the family

20. A community health nurse has been assigned to care for a group of clients in Indianapolis, IN where cardiovascular disease is a major health concern. Which of the following is the BEST way for the nurse to gain an understanding of the community and its environmental features? a. Conduct an interview with the local homeless shelter supervisor b. Perform a windshield survey c. Analyze and interpret local census data d. Organize an education program for the students at IUPUI

b. Perform a windshield survey

15. A nurse teaches an asthmatic client to recognize and avoid exposure to asthma triggers and assists the client's family in implementing specific protection strategies in the home, such as removing carpets and avoiding pets. the nurse's activities can be described as: a. Comprehensive assessment b. Primary prevention c. Secondary prevention d. Treatment intervention

b. Primary prevention

5. A nurse is developing a plan to decrease the number of premature deaths in the community. Which of the following interventions would most likely be implemented by the nurse? a. Increase the community's knowledge about hospice care. b. Promote healthy lifestyle behavior choices among the community members. c. Encourage employers to have wellness centers at each industrial site. d. Ensure timely and effective medical intervention and treatment for community members.

b. Promote healthy lifestyle behavior choices among the community members.

2. A nurse in community health is working with a single parent of three children, ages 4, 6, and 8. The 6-year-old has cerebral palsy. The 4-yearold has asthma. The maternal grandmother lives with the family and has diabetes. The nurse understands the importance of working within the context of the existing family structure and community resources because families are: a. Resistive to outside intervention or involvement. b. Responsible for providing/managing the care of their members. c. Unable to manage the stress of complex health needs. d. Restricted in their ability to identify interventions.

b. Responsible for providing/managing the care of their members.

3. The nurse caring for patients postoperatively uses careful hand hygiene and sterile techniques when handling patients. Which of Maslow's basic human needs is being met by this nurse? a. Physiologic b. Safety and security c. Self-esteem d. Love and belonging

b. Safety and security By carrying out careful hand hygiene and using sterile technique, nurses provide safety from infection. An example of a physiologic need is clearing a patient's airway. Self-esteem needs may be met by allowing an older adult to talk about a past career. An example of helping meet a love and belonging need is contacting a hospitalized patient's family to arrange a visit.

21. A public health nurse is providing education to a client who was recently diagnosed with type 2 diabetes. During the teaching, the nurse emphasized the importance of inspecting the skin daily for dryness, cuts, or redness. this can be described as an example of: a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Comprehensive assessment

b. Secondary prevention

39. A public health nurse has noted an increase in HIV and hepatitis C cases in her county over the past two years. She has begun an initiative to screen at-risk populations in her community. Which level of prevention would this be considered? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. General prevention

b. Secondary prevention

8. Which of the following public health nurses most clearly fulfills the responsibilities of this role? a. The nurse who met with several groups to discuss community recreation issues b. The nurse who spent the day attending meetings of various health agencies c. The nurse who talked to several people about their particular health concerns d. The nurse who watched the city council meeting on local cable television

b. The nurse who spent the day attending meetings of various health agencies

4. A nurse caring for patients in a long-term care facility uses available resources to help patients achieve Maslow's highest level of needs: self actualization needs. Which statements accurately describe these needs? Select all that apply. a. Humans are born with a fully developed sense of self-actualization. b. Self-actualization needs are met by depending on others for help. c. The self-actualization process continues throughout life. d. Loneliness and isolation occur when self-actualization needs are unmet. e. A person achieves self-actualization by focusing on problems outside self. f. Self-actualization needs may be met by creatively solving problems.

c,e,f Self-actualization, or reaching one's full potential, is a process that continues throughout life. A person achieves selfactualization by focusing on problems outside oneself and using creativity as a guideline for solving problems and pursuing interests. Humans are not born with a fully developed sense of self-actualization, and selfactualization needs are not met specifically by depending on others for help. Loneliness and isolation are not always the result of unmet self-actualization needs.

36. A new community nurse wants to do a needs assessment for her community. Which statement made by the nurse is incorrect? a. "Before I can identify required information needed, I must engage the community. Otherwise, it will not work out" b. "My very first step should be identifying where the community is lacking in access so that I do not repeat what does not work" c. "Key informants are helpful for data collection, but not needed" d. "A few examples of data collection instruments that I may use are surveys or interviews"

c. "Key informants are helpful for data collection, but not needed"

17. A new nurse is educating a group of nursing students on the purpose of a windshield survey. Which of the following statements made by the new nurse would require intervention by the experienced nurse? a. "A windshield survey offers the nurse an opportunity to observe people and their role in the community" b. "a windshield survey helps gain an understanding of environmental and geographic features" c. "a windshield survey can help gather subjective information from members of a particular population" d. "a windshield survey is one way a researcher gathers information on the location of agencies, services, businesses, and industries in a particular area through sight, sense, and sound"

c. "a windshield survey can help gather subjective information from members of a particular population"

27. In order to best control the spread of diseases in rural communities, what should the nurse communicate to her community and patients? 1. Implementing a needle exchange 2. Providing education about the spread of diseases 3. Present patients with the statistics about the spread of diseases 4. Identify risk factors that the patients could come across a. 1, 2, 3, 4 b. 3, 1, 2 c. 2, 4, 1 d. 4, 3, 1

c. 2, 4, 1

1. A nurse in community health is conducting an assessment on a family of four. During the course of the assessment, the nurse collects information about previous generations of the family and siblings. The results are used to create a diagram for the family that displays the family unit across generations. Further discussions occur regarding the patterns of health and illness that relate to biological health risks. The diagram is called: a. An ecomap b. A family plan c. A genogram d. A risk plot

c. A genogram

9. Which of the following best defines aggregate? a. A large group of persons b. A collection of individuals and families c. A group of persons who share one or more characteristics d. Another name for demographic group

c. A group of persons who share one or more characteristics

11. Making sure that essential community oriented health services are available defines which of the core public health functions? a. Policy development b. Assessment c. Assurance d. Scientific knowledge-based care

c. Assurance

32. A nurse has noticed increasing numbers of childhood obesity in her area of practice. She has decided that she wants to address this problem from a community standpoint. What is the first step the nurse needs to take moving forward? a. Use demographic and epidemiological data to assess the aggregate b. Perform a windshield survey of the area c. Define the community d. Interview key informants in the community

c. Define the community

26. Which of the following depicts the core nursing ethic? a. Adapting to technologies such as electronic medical records b. Distinguishing nursing care from medical care c. Demonstrating caring as the basis of nursing practice d. Seeking evidence based outcomes to provide nursing care

c. Demonstrating caring as the basis of nursing practice

5. A high school nurse is collaborating with the sexual education instructor to educate young women on ways to prevent breast cancer. Which of the following is an example of primary prevention? a. Perform a breast self-exam every month b. Education on when to start getting routine mammograms c. Educate young girls on how to care for their own body d. Contact your primary health care provider if you notice an abnormal lump during a self-breast exam

c. Educate young girls on how to care for their own bod

16. A community health nurse is planning to conduct a study to address health disparities in Paoli, IN. to set the focus for the study, the nurse is conducting a needs assessment. Which of the following would be the most important first intervention to begin the needs assessment? a. Compile local, regional, and state government reports to identify certain trends in the population over time b. Determine if the sample will be representative of the whole population c. Gather subjective information from community members to identify the specific gaps in services and community access d. Collect samples from local water way to compare water quality in Paoli, IN to surrounding aggregates

c. Gather subjective information from community members to identify the specific gaps in services and community access

34. The nurse is educating the patient on disease prevention regarding a recent outbreak of influenza within the community. Which statement below is the most correct? a. Getting the flu vaccine is a great example of tertiary prevention as it reduces your chances of getting the flu significantly b. Be sure to stay clear from anyone who may cough or sneeze, even if they cover their face c. Going for a checkup when you exhibit muscle aches and a cough is a good practice of secondary prevention for the flu d. Primary prevention is used for early detection and treatment of the flu

c. Going for a checkup when you exhibit muscle aches and a cough is a good practice of secondary prevention for the flu

37. A community health nurse must perform a needs assessment before implementing any intervention so as to identify gaps in access and not waste resources. Which is the first step of a needs assessment? a. Identify required information b. Select data collection method c. Identify aggregate d. Engage community

c. Identify aggregate

11. A nurse is performing a full assessment on a patient who came in reporting uncomfortable and difficult breathing. The nurse discovers through assessment that the patient works in a factory and suspects this could be the cause of difficulty breathing. What is this community nurse's first priority? a. Make a public service announcement to the community to prevent further cases b. Inform the factory of this finding so they can make improvements to prevent further cases c. Inform the physician of your assessment findings d. Call the insurance so they can start a lawsuit for the employees against the company

c. Inform the physician of your assessment findings

40. A community health nurse is trying to obtain data about diabetes and sugar intake rates in an elderly population in Bloomington, IN. Which of the following intervention should the nurse take first? a. Identifying gaps in service/access b. Collecting health data from a local hospital c. Interviewing key informants d. Starting a diabetes prevention program for the elderly population

c. Interviewing key informants

9. A visiting nurse working in a new community performs a community assessment. What assessment finding is indicative of a healthy community? a. It meets all the needs of its inhabitants b. It has mixed residential and industrial areas c. It offers access to health care services d. It consists of modern housing and condominiums

c. It offers access to health care services A healthy community offers access to health care services to treat illness and to promote health. A healthy community does not usually meet all the needs of its residents, but should be able to help with health issues such as nutrition, education, recreation, safety, and zoning regulations to separate residential sections from industrial ones. The age of housing is irrelevant as long as residences are maintained properly according to code.

28. Which of the following is most closely correlated with poor health outcomes? a. Age and gender b. Minority race status c. Low SES d. High-risk lifestyle behaviors

c. Low SES

4. The current-day definition of family refers to two or more individuals who depend on one another for emotional, physical, and/or financial support. Which of the following is the most important principle to support this broader definition? a. Families are defined by genetic ties. b. Family names are needed to confer status. c. Members of a family are self-defined. d. Traditional family functions have been redefined.

c. Members of a family are self-defined.

4. Which of the following is responsible for the dramatic increase in life expectancy during the twentieth century? a. Technology increases in the field of medical laboratory research b. Advances in surgical techniques and procedures c. Sanitation and other public health activities d. Use of antibiotics to fight infections

c. Sanitation and other public health activities

31. You have decided to carry out a needs assessment focusing on sexual assault victims. You have reviewed several existing data sources and are now ready to collect new data. Which method would likely yield the most results given the chosen aggregate? a. In-person interviews b. A public forum c. Surveys d. Focus groups

c. Surveys

6. Which of the following is a basic assumption of public health efforts? a. Health disparities among any groups are morally and legally wrong. b. Health care is the most important priority in government planning and funding. c. The health of individuals cannot be separated from the health of the community. d. The government is responsible for lengthening the life span of Americans

c. The health of individuals cannot be separated from the health of the community.

28. A community health nurse is trying to gain an understanding of the environmental layout to locate any concern through the idea of "sight, sense, and sound." Which of the following ways is the best way for the nurse to observe the community and their roles? a. The nurse should take a look at the social system of the community to understand the relationships b. The nurse should analyze the geographic community to define landmarks in each neighborhood c. The nurse should conduct a windshield survey in order to learn about the community d. The nurse should assess the important determinants of a healthy community

c. The nurse should conduct a windshield survey in order to learn about the community

7. A student nurse is interested in how Indiana's tobacco use compares to the national average tobacco use --what is the best source to gather this data from? a. Conduct a windshield survey to collect first hand observation of tobacco use among the community b. Twitter c. Use a reliable and up to date source such as CDC --National Center for Health statistics to compare Indiana's tobacco prevalence among the US d. Use MMWR (morbidity and mortality weekly report)

c. Use a reliable and up to date source such as CDC --National Center for Health statistics to compare Indiana's tobacco prevalence among the US

5. A nurse works with families in crisis at a community mental health care facility. What is the BEST broad definition of a family? a. A father, a mother, and children b. A group whose members are biologically related c. A unit that includes aunts, uncles, and cousins d. A group of people who live together and depend on each other for support

d. A group of people who live together and depend on each other for support Although all the responses may be true, the best definition is a group of people who live together and depend on each other for physical, emotional, or financial support.

8. A nurse working in an "Aging in Place" facility interviews a married couple in their late seventies. Based on Duvall's Developmental Tasks of Families, which developmental task would the nurse assess for this couple? a. Maintenance of a supportive home base b. Strength of the marital relationship c. Ability to cope with loss of energy and privacy d. Adjustment to retirement years

d. Adjustment to retirement years The developmental tasks of the family with older adults are to adjust to retirement and possibly to adjust to the loss of a spouse and loss of independent living. Maintaining a supportive home base and strengthening marital relationships are tasks of the family with adolescents and young adults. Coping with loss of energy and privacy is a task of the family with children.

6. A community health nurse in paoli, IN has recently launched a diabetes prevention program. The nurse wants to begin nutrition classes for the elementary schools in Orange County. She plans to assess the progress of the program in 1 year. Which of the following would a nurse NOT use to evaluate the progress the community has made toward the goal of the program? a. Construct benchmarks to gauge achievement of the program goal b. Compare data from the entire us to the data in orange county c. Compare the current data to the baseline data d. Ask the parents to evaluate the progress of their children

d. Ask the parents to evaluate the progress of their children

5. Which of the following social science theories is used by public health nursing to describe how environments and systems outside of the family influence the development of a child over time? a. Life cycle theory b. Family developmental theory c. Family systems theory d. Bioecological systems theory

d. Bioecological systems theory

1. The family systems theory encourages nurses to view both the individual clients as participating members of a whole family. What is the major weakness of the systems framework? a. Views families from both a subsystem and a suprasystem approach b. Defines the direction of interactions c. Views the family as an agent of change d. Focuses on the interaction of the family with other systems

d. Focuses on the interaction of the family with other systems

2. Which of the following best describes community-oriented nursing? a. Focusing on the provision of care to individuals and families b. Providing care to manage acute or chronic conditions c. Giving direct care to ill individuals within their family setting d. Having the goal of health promotion and disease prevention

d. Having the goal of health promotion and disease prevention

12. When talking to a women's group at the senior citizens' center, the nurse reminded them that the only way the center would be able to afford to provide transportation services for them would be for them to continue to write letters to their local city council representatives requesting funding for such a service. What was the nurse trying to accomplish through this action? a. Ensure that the women did not expect the nurse to solve their problem b. Demonstrate that the nurse understood the women's concerns and needs c. Express empathy, support, and concern d. Help the women engage in political action

d. Help the women engage in political action

14. When applying the nursing process to environmental health, the nurse would: a. Conduct an assessment focused on the client's presenting problem b. Coordinate interventions with the primary care provider of record c. Examine criteria that are limited to the client's immediate response d. Include outcome measures that involve mitigation and elimination of the contributing factors

d. Include outcome measures that involve mitigation and elimination of the contributing factors

5. Nursing interventions and approaches for helping individuals and families to assume an active role in their care should focus on empowerment rather than on enabling. The underlying principle to empowerment is: a. Client dominance. b. Decreased competence. c. Professional dominance. d. Professional-client partnership.

d. Professional-client partnership.

3. Which of the following is the primary focus of public health nursing? a. Families and groups b. Illness-oriented care c. Individuals within the family unit d. Promotion of quality of life

d. Promotion of quality of life

3. A nurse is hoping to implement a Syringe Access Program into her community due to the recent increase in individual's newly diagnosed with hepatitis C. She is experiencing pushback from local officials. Which of the following is the best response to the effectiveness of SAPs. a. Once we have made contact with users, it will be easy to convince them to enter a treatment program b. The addicts will find needles on their own, we might as well give them clean ones c. Saps will increase the number of syringes in the community d. SAPs are an example of harm reduction which proves to be effective in preventing disease transmission and linking individuals to social services and health care they might require

d. SAPs are an example of harm reduction which proves to be effective in preventing disease transmission and linking individuals to social services and health care they might require

9. A nurse in community health decides to form a contract with a family. The contract states that the family will designate one night as a family night. The nurse is most likely using the contract to: a. Make sure the family does what is expected. b. Encourage the family to put plans in writing. c. Let the family know that this is a legal agreement. d. Shift the responsibility so that it becomes a shared effort.

d. Shift the responsibility so that it becomes a shared effort.

14. The nurse often has to make resource allocation decisions. Which of the following best describes the criterion the nurse should use in such cases? a. The specific moral or ethical principle related to the situation b. The cheapest, most economical approach c. The most rational probable outcome d. The needs of the aggregate rather than a few individuals

d. The needs of the aggregate rather than a few individuals

22. What is the best explanation for public health nurses to be involved in health care reform? a. To promote the nursing profession b. To share the concerns of the community c. To increase funding for public health nursing d. To help improve access to health care

d. To help improve access to health care

13. The public health nurse has a clear vision of what needs to be done and where to begin to improve the health of the community. Why would the nurse spend time meeting with community groups to discuss the most important task to be addressed first? a. To increase the group's self-esteem b. To maintain communication links with the groups c. To make the groups feel good about their contribution d. To work with the groups, not for the groups

d. To work with the groups, not for the groups

6. A nurse in community health is conducting a parenting class for prospective parents that will focus on the development of new skills, identification of needed resources, planning, and other preparations for the arrival of a newborn. This intervention is addressing a potential risk associated with: a. Biology. b. Behavior. c. Environment. d. Transitions.

d. Transitions.

26. A patient wants to know what are some resources that are available to her since she lives in a food desert. The nurse is concerned that this patient will not be able to get the proper food that she needs to better her health and decrease her blood sugar. What should the nurse communicate in this situation? a. There are resources further away that you could take advantage of b. Here are some pamphlets that discuss growing groceries in your backyard c. Could there be someone else that could get groceries for you and your family? d. What type of resources would you like to learn about and are there resources that you have already tried?

d. What type of resources would you like to learn about and are there resources that you have already tried?

3. Many families have financial resources that allow them to maintain themselves but limit the quality of their purchasing power. Food high in fat and calories may be affordable, whereas fresh fruits and vegetables may not be affordable. A federal program that attempts to promote healthier diets for vulnerable populations is: a. Medicaid b. Medicare c. Supplemental Security Income (SSI) d. Women, Infants, and Children (WIC)

d. Women, Infants, and Children (WIC)

20. Which of the following actions to promote health would the public health nurse choose? a. Asking community leaders what interventions should be chosen b. Asking hospital administrators what interventions are needed c. Assessing the community and planning interventions d. Working with community groups to create health policies

d. Working with community groups to create health policies

7. Which of the following actions would most likely be performed by a public health nurse? a. Asking community leaders what interventions should be chosen b. Assessing the community and deciding on appropriate interventions c. Using data from the main health care institutions in the community to determine needed health services d. Working with community groups to create policies to improve the environment

d. Working with community groups to create policies to improve the environment