CM HEALTH: Practice Questions

When is the term mass casualty incident used in a disaster or crisis?

100+ individuals involved: overwhelms resources

There was 20 cases of Covid-19 in Missouri as of yesterday. 5 new cases were reported this morning. What is the prevalence rate?

25

When does disaster management begin?

Before the disaster occurs

A patient comes into the ER for suicide risk. He has cutting scars on his wrist and his thighs. The patient states that he broke up with his gf because he was afraid she'll leave him but then wanted her back but she said "no thanks". The ER nurse will suspect which personality disorder with this patient

Borderline

___________ involves acute, usually reversible, impairment of brain function, with a fairly rapid onset of symptoms.

Delirium

A 13 year old patient is screaming and throwing chairs at the nurse who said he couldn't have a piece of paper. This is the 4th time this week that he's had this tantrum. The nurse recognizes the patient has been here before 15 months ago with the same behavior. What disorder does the nurse expect to see in his charts?

Disruptive mood dysregulation disorder

After a disaster, one citizen was most impressed with how much his neighbors went out of their way to help rescue him and take him to the emergency shelter. What is the most likely reason why his neighbors helped him?

Such help is part of the pattern of behavior during the heroic phase of reaction to a disaster.

The community/public health nurse leads a support group for patients and their families who have been affected by stroke. Which of the following best describe this intervention?

Tertiary

Which speech pattern is observed in autistic children?

Echolalia

What are the two types of man-made disasters?

floods & mudslides

Which health problem is the most serious complication associated with intractable anorexia nervosa?

Electrolyte imbalance causing cardiac dysrhythmias

A public health agency had enough funds to provide one more health-promotion program during the calendar year. In relation to nutrition and exercise, which of the following would be the best choice?

Elementary school program for children to which parents are invited: -easier to maintain when healthful patterns of behavior are learned early in life

During the aftermath of a disaster, the nurse is assigned to triage incoming injured people. A man shows all the symptoms of a myocardial infarction. What should the nurse do first?

Give him a red tag so that he is the next person for the physician to treat.

Which prognosis for a normal, productive life would be appropriate for a child with autism spectrum disorder?

Guarded because of interference with so many parameters of function

A nurse is caring for a patient prescribed lithium. The nurse knows that the teaching was successful if the patient states what?

"I need to get my serum lithium levels checked every 1-2 months." - has a narrow therapeutic range (1-1.5 mEq/L)

A patient is prescribed anti-anxiety medication. He has both benzodiazepine and Buspirone prescribed. Which response by the patient indicates effective teaching?

"I should take buspirone every day and benzodiazepines as PRN."

The nurse is doing medication teaching on a patient with depression. Which statement by the patient indicates need for the nurse to intervene?

"If I don't feel a change in my mood by week 3, I should call the HCP to increase my dosage." - can take 2-4 weeks for med to achieve therapeutic effect. Do NOT stop abruptly

The nurse is making a care plan for a child with autism. S/he knows that the best way to develop a positive social experience and rapport with the nurse is to do what?

Schedule in play therapy floor time with toys that the patient likes.

Which of the following are healthy people 2020 topic specific to infectious diseases? SATA (3)

-Immunization and infectious diseases -Sexually transmitted diseases -HIV

What may increase a person's risk for Alzheimer's?

-age -history of head trauma -diabetes (current research implicates diabetes as a risk factor for Alzheimer's dementia)

The nurse is assessing a patient with depression. They understand what may be a contributing factor to depression? SATA

-season -gender -family history -marital status -limited resources

A nurse receives 4 phone calls from caregivers about the patient. Which phone call should the nurse respond to FIRST?

A patient with paranoia that kicked the caregiver out of the house because she thought the caregiver was a spy. - physical (safety)

Knowing that a disaster can occur at any time, staff at a community hospital create a disaster plan that is based on a risk assessment. Which of the following activities should be included in the plan?

Scheduling periodic mock disasters to practice preparedness

The community/public health nurse is performing tuberculosis screening for newly hired employees at the local hospital. Which of the following best describes this nursing intervention?

Secondary: screening

Which of the following is one of the goals of healthy people 2020?

Achieving health equity, eliminating disparities, and improving the health of all groups

A nurse is caring for a child with a mental health disorder, how should the nurse plan their care plan?

Allow the family and patient to be part of the care plan process

Which non governmental agency is chartered by congress to respond to natural disasters?

American Red Cross: receives federal money and voluntary contributions

While at recess, the school nurse notices that a student is alone and not interacting with other students when they come to talk to him. She also notices the student is always wearing the same striped green shirt at school. He also really likes collecting grass. The school nurse identifies the child has which disorder?

Autism

Which of the following is the biggest threat to health and economy of developing countries?

High population growth

Which of the following public health actions has been particularly instrumental in reducing childhood infectious diseases in the United States?

Legally requiring children be immunized before being enrolled in school

Which of the following organizations is responsible for improving health and living standards in America?

PAHO

What was the initial purpose of establishing the CDC?

Prevent spread of malaria

Which defense mechanism would a 6-year-old child who has been wetting the bed at night since the birth of a baby brother be using?

Regression -Regression is the return to an earlier and more comfortable developmental level

A client is having a manic episode and has not eaten in the 2 weeks preceding hospitalization. Which rationale explains the eating pattern?

The client's activity level interferes with eating.

In the "don't smoke, don't start" program, the school nurse decided to focus on all aspects of the epidemiologic triangle. Which of the following would the nurse include?

The risk of nicotine (agent), genetic factors related to nicotine absorption (host), and media pressures to smoke (environment)

A patient asks the nurse how infectious diseases are different from other diseases. What is the nurse's best response?

They have a high potential to spread very fast and overwhelm available resources

Which mental mechanism would the nurse suspect when a client with alcohol use disorder who has not worked for the past 10 years states, "I currently work in the office of a local construction company"?

confabulation -often used by people with long-standing alcohol use disorder to cover lapses of memory that occur with Wernicke-Korsakoff syndrome

A patient with Alzheimer's misuses objects because of failure to identify them. For example, attempting to brush hair with a a toothbrush. You will document this finding as

apraxia

There's a stereotype that men with BIG BIG trucks are actually really short and small. What defense mechanism is this an example of?

compensation

What is thought to be the cause of some of the cognitive symptoms associated with Alzheimer's?

deficiency of the neurotransmitter acetylcholine

Which of the following is not a primary cause of death in developing countries such as the US?

malnutrition

Is bradycardia an AE of antipsychotics?

no

The school nurse set up a "don't smoke, don't start" program that focused on children who did not smoke. Which level of prevention is the nurse practicing?

primary