Community Case Study Questions
A teenage boy presents to the public health department with complaints of muscle and joint pains, malaise, stiff neck, and occasional fever. Upon assessment, Mr. Brady notes a ring like lesion on the back of the neck. What information does the nurse include in his assessment? a. Recent camping trips where there may have been exposure to deer or ticks b. Recent visits to the zoo c. Recent dog bites or cat scratches d. Recent consumption of undercooked hamburger
A
Allen is caring for a 79-year-old woman who has had a stroke. He conducts a home visit during which he delivers her influenza vaccination in early September. What level of prevention is this an example of in relation to home care? a. Primary b. Secondary c. Tertiary d. Disease management
A
Allen strives to provide care to his clients within the authorized number of visits by the insurance provider his agency is contracted with. Providing nursing care within these parameters is an example of a. cost-effectiveness. b. adherence to federal regulations. c. avoiding fraud. d. performance improvement.
A
An environmental assessment is conducted which reveals that the population is being exposed to toxic drinking water. Which of the following ethical tenets is related to dissemination of information? a. Do no harm b. Virtue ethics c. Moral character d. Competency
A
Bonnie Williamson has recently obtained certification as a Healthcare Quality Professional.What does this certification signify? a. The nurse has demonstrated educational achievements, experience, and performance on an examination that determines qualifications. b. The nurse has technical competence and has met minimum standards of performance. c. The nurse has been granted licensure to practice in the United States. d. The nurse has been recognized with a higher nursing degree.
A
Choua is providing counseling to the mother of a school-age child infected with HIV. What precautions are discussed? a. Attendance at school may be contraindicated in the presence of communicable diseases because of the immunosuppressed condition of the HIV-infected child. b. HIV-infected children should not attend public schools because of the risk of transmission. c. There have been multiple cases of HIV infection being transmitted in the school setting. d. It is left to the discretion of the school nurse to make decisions about educational and care needs of the HIV-infected child.
A
Emerging infections remains a 21st century public health challenge because of A. drug-resistant organisms. B. shortages of antibiotics. C. welfare reform and health care spending. D. behavioral influences.
A
Hilda Herrera visits the kindergarten classrooms just before influenza season and demonstrates hand-washing skills to the children and teachers. What level of prevention is she demonstrating? a. Primary b. Secondary c. Tertiary d. Illness care
A
Jordan Diaz has identified that 15% of the prisoners have acquired valley fever. What measure of epidemiology is most important to report to the medical director? A. Incidence rate B. Risk C. Attack rate D. Proportion
A
Mr. Anderson conducts a walkthrough on a weekly basis to a. assess for the presence of actual or potential hazards. b. ensure that employees are actually working. c. make sure the employees know someone is watching them. d. obtain knowledge about various roles to attain upward mobility.
A
Mr. Villegas has a patient who would benefit from the use of a new medication not approved by his insurance company. What primary prevention measures related to economic strategies would Mr. Villegas attempt to use for an issue like this? a. Work with the insurance company to provide coverage for the medication as it will reduce the length of the illness and future costs of care. b. Provide the medication at a reduced cost to the patient. c. Work with the pharmaceutical company on a charity application. d. Inform the patient that he should change insurance coverage.
A
Ms. Jackson would like to create an ecomap for the Wells family as part of her family assessment. Which of the following elements may be difficult to obtain? a. Financial risks b. Health risks c. Neighborhood and community resources d. Behavioral risks
A
Ms. Jimenez encourages her client to contact her extended family and coworkers to ask for assistance and support to the family during this stressful time. The family could use some assistance with car pooling and occasional home-delivered meals. What type of bioecological system influence is displayed in this type of family interaction? a. Microsystems b. Mesosystems c. Macrosystems d. Exosystems
A
Robert Miller is a school nurse educating the children about health promotion activities. Mr.Miller is obese and can be seen taking frequent smoke breaks. Which of the following might bean educator-related barrier? a. Lack of credibility b. Lack of knowledge about the subject matter c. Lack of knowledge about how to engage the children d. Inability to answer questions
A
The ethical principle of justice is encountered by the case manager in which of the following issues? a. A new and expensive medication is given to the client with financial means when it would also be advantageous to the client without funding. b. Excessive attention to containing costs supersedes or impairs the nurse's duty to improve health or relieve suffering. c. A client is in end stages of CHF but is led to believe that treatment will continue to be beneficial. d. The client's preferred provider is no longer contracted with insurance company and the client is forced to choose another provider.
A
The public health nurse has a responsibility to be informed about environmental health risks in the community. In what way is this competency demonstrated? a. The nurse provides education and advocates for policies that support a healthier environment. b. The community health nurse is knowledgeable about the high-risk diseases of the population. c. Reassure community members that the choice of materials, products, technology, and practices in the environment are not harmful. d. Assume that environmental testing is being conducted and reported to communities.
A
The school nurse provides education to the students about injury prevention measures. What educational topic is shared with the middle school age? a. Bicycle safety b. Poisoning prevention c. Violence d. Motor vehicle safety
A
What primary prevention strategies are useful for the school nurse to use to prevent violence in the school and community? a. Provide education about different forms of violence and ways to get help and intervene. b. Organize a violence screening day. c. Provide referrals to appropriate community organizations. d. Create support groups for bullied kids
A
What type of primary prevention activity would Rosalina expect to encounter in a rural health clinic? a. A health education program for school-age children that teaches them about the health effects of smoking. b. Toxin screenings for migrant workers who may be exposed to pesticides. c. A diabetes clinic for a defined population of adults in low-income housing d. Advocate for the underserved and disadvantaged population
A
When Denise informs the home health nurse that she did not go to her scheduled appointments, what is a cultural attitude the nurse may consider? a. This patient is noncompliant and uncooperative. b. The patient must have insufficient resources. c. The patient did not listen to instructions. d. The patient did not feel respected.
A
When working with the vulnerable populations, it is imperative that the nurse: a. Provides culturally and linguistically appropriate health care. b. Refers clients to the hospital emergency department when appropriate. c. Provides free or low-cost health care. d. Develops a plan for providing comprehensive health services.
A
Which of the following sciences would be used to study the poisonous effects of chemicals in the community? a. Toxicology b. Epidemiology c. Chemistry d. Pharmacology
A
1. Which of the following ethical theories are most appropriate to consider in dealing with the rural community? (Select two that apply.) a. Distributive justice and the allocation of benefits and burdens to members of society b. Beneficence as the obligation to perform those actions that maintain or enhance the dignity of other persons. c. Autonomy, which requires that individuals be permitted to choose those actions and goals that fulfill their life plans unless those choices result in harm to another. d. Virtue ethics, which enables persons to flourish as human beings.
A, B
The public health nursing care that Rosalina would expect to experience in the rural health setting includes (Select all that apply.) a. Nursing care that is culturally diverse and appropriate to the needs of the community b. Treatment aimed at preventing illness and promoting wellness. c. Education aimed at behavioral and mental health issues as well as substance abuse prevention. d. Nursing care provided within guidelines for Medicare funding. e. Illness care provided to the individual with referrals to acute care facilities in metropolitan locations.
A, B, C
How can home care nurses plan for future health care financing changes? (Select all that apply) a. Be aware of the costs of nursing services. b. Identify methods of cost-saving measures and evidence-based care. c. Be aware of how community-oriented practice affects economics. d. Decrease the number of nursing visits provided in home care. e. Decrease the utilization of other disciplines in home care to reduce costs.
A,B,C
The first step toward implementing EBP is to recognize the need for improved client outcomes. Which of the following determinants may assist Hilda in the decision to trial a new product? (Select all that apply.) a. Low infection rates b. Lack of computer skills to research the product c. Low rehospitalization rates d. Cost containment efforts e. Lack of administration support
A,B,C,E
Using the family systems theory, which interventions does Ms. Jimenez put into place to help Stacy's family with their illness and coping? (Select all that apply.) a. Establish a mechanism for providing the family members with information on a regular basis. b. Discuss ways to provide for everyday functioning when a family member is ill. c. Teach the family about expected growth and development. d. Help the family maintain routines and rituals. e. Create an eco map to display the ways the family interacts with outside sources.
A,B,D
What are the considerations for the nurse in responding to a disaster? (Select all that apply.) a. Advance personal and family preparation can help ease some of the conflicts that arise and allow nurses to attend to client needs sooner. b. The nurse assisting in disaster relief efforts must be as healthy as possible, both physically and mentally. c. Young children should not be involved in disaster preparedness because they might experience undue stress and anxiety. d. One way a nurse can ensure that her family is protected is by providing them with the skills and knowledge to help them cope with a disaster. e. The nurse maintains awareness that disaster drills are a requirement of the state and not a necessity.
A,B,D
Middle and high school students participate in cross-country practice each day after school. The school nurse works with the cross-country coach to provide safety education to the students. What measures are taught to the students about reducing their vulnerability to violence? (Select all that apply.) a. Teach personal defense measures. b. Teach kids to monitor one another's safety. c. Allow students to carry pepper spray while running. d. Teach students to run to any house for help. e. Work with community leaders to organize crime watch programs.
A,B,E
Gaining entry or acceptance into the community is perhaps the biggest challenge in assessment. What are the associated challenges the nurse may experience? (Select all that apply.) a. The nurse represents an established health care system that is not known to the residents. b. Lack of confidentiality with information obtained in the assessment. c. Nurses may feel insecure about their skills in the community. d. Lack of trust by community members. e. Lack of support by the public health leaders.
A,C,D
What are some of the benefits of the use of telehealth when dealing with case management of disease processes? (Select all that apply.) a. The client is able to be seen and treated in the comfort of her or his own home. b. The nurse is able to diagnose and provide medication adjustments if needed. c. The nurse is able to provide advice, counseling, and referral. d. Telehealth provides new alternatives within resource delivery options. e. The provider will benefit from decreased legal liability.
A,C,D
What are the ways in which a community health nurse could assess the environmental health risks of a population? (Select all that apply.) a. Medium b. Demographics c. Setting d. Functional location e. Socioeconomic status
A,C,D
Denise Bowers exhibits a correlation between poverty and its effects on her health. Select all of the following effects that are demonstrated in her case. a. Higher rate of chronic illness b. Extended life expectancy c. More complex health problems d. Higher infant morbidity and mortality rates e. Greater hospitalization and emergency visits
A,C,D,E
In partnering with vulnerable clients, which of the following techniques will create a more successful interaction with the individual client? (Select all that apply.) a. Demonstrate trustworthiness and dependability. b. Direct the care of the client so that they feel that the nurse is in control. c. Develop programs and policies for populations of vulnerable persons. d. Foster a cycle of dependency so the nurse feels needed. e. Create a partnership with the client through careful assessment.
A,C,E
Which of the following causal relationships may have an effect on the risk of developing valley fever in the prison population? (Select all that apply.) a. Climate b. Gender c. Population distribution d. Lifestyle factors e. Infectious agent
A,C,E
In considering the environmental concerns of the residents of the community, which of the following ethical questions would Lorraine Walker need to consider (Select all that apply.) a. What actions should I perform? b. What are the funding options for the community? c. Am I adequately prepared to collect data on the population? d. What are my obligations to myself and the community I serve? e. How should I behave?
A,D,E
A local school nurse calls the public health department to report that several students may have symptoms of pertussis. What symptoms does Mr. Brady expect to hear about? a. Enlarged lymph nodes and a fine, pink rash b. An irritating cough that becomes paroxysmal c. Fever, runny nose with full body rash d. Viral respiratory infection similar to a common cold
B
A student presents to the nurses' office with a severe allergic reaction to a bee sting. What is the primary role of the nurse in delivering emergent care to the child? a. Call the parents to obtain phone consent for treatment. b. Provide emergency care and then inform the parents. c. Call the child's primary care physician to obtain orders. d. Send the student to the nearest emergency department.
B
Alexandra questions Stacy about her recent concerns with high blood pressure and asks if the recent diagnosis has affected her family. This is an example of which family nursing approach? a. Family as the client b. Family as the context or structure c. Family as a system d. Family as a component of society
B
Based on interviews with the Wells family, Ms. Jackson creates a genogram. The results reveal that paternal men were deceased in their early 50s because cardiac-related illnesses. On the maternal side, grandparents lived into their 90s and had dementia. Mr. Wells' sister struggles with illness related to congenital kidney failure. The Wells children display symptoms of ADHD and require math tutors. What education should Elizabeth Jackson provide to Mr. Wells? a. Symptoms of adult-onset ADHD b. Signs and symptoms of cardiac disease, healthy diet, regular exercise, and smoking cessation c. Signs of renal insufficiency to report to the physician d. Measures to reduce the incidence of dementia
B
Completion of a genogram and educating the family about the findings is an example of which level of prevention related to families? a. Disease management b. Primary prevention c. Secondary prevention d. Tertiary prevention
B
Informant interviews are a critical part of conducting a community assessment. Which of the following should Ms. Jones consider when scheduling the meeting? a. Conclusions are often based on intuition and not accurate information. b. Interviews can be time consuming, so care must be taken to allow time for discussion. c. Informant interviews require assessment while driving in the car. d. Information obtained in the interview is not based on vital statistics.
B
Mr. Anderson is provided with monthly data about workers' compensation claims and productivity. What is the purpose of having this information provided to the occupational nurse? A. Allows the nurse to understand hazards B. Allows the nurse to know about productivity and pinpoint potential stressors C. Establishes the strengths of the organization and management D. Reduces insurance rates for the organization
B
Mr. Schmidt is treating a 52-year-old man for a possible eye infection. While the patient is at the clinic, Mr. Schmidt also requests a dental evaluation and educates the patient about diet and exercise, smoking and alcohol cessation counseling, and the importance of follow-up for influenza immunization at a future clinic. What type of nursing approach is being used? a. Holistic b. Comprehensive services c. Wrap-around services d. Family-centered services
B
Ms. Herrera uses information from the national Safe Kids Campaign to provide education about which of the following topics? a. Internet safety b. Vehicle backovers c. Suicide prevention d. Bullying
B
The nurse informs Denise that her doctor has ordered daily blood pressure monitoring. She informs the patient that she should obtain a portable monitor. What approach does the nurse use to assess the patient's ability to obtain a machine? a. "Without checking your blood pressure every day, you will definitely end up back in the hospital." b. "The doctor would like for you to monitor your blood pressure. Are you able to purchase a machine?" c. "You have to go to the pharmacy every morning to check your blood pressure on their machine." d. "If you don't purchase a machine, I will not be able to help you."
B
The public health nurse is seeing Veronica Reyes in the HIV/AIDS clinic. Veronica is 7 weeks' pregnant and requesting an HIV test. What does Choua instruct her in regards to the test? a. The rapid test is used to determine if a person has AIDS. b. The rapid test can provide results within the hour and indicates if the antibody to HIV is present. c. False-negative tests do not occur with the rapid test. d. Negative results are confirmed using the Western blot.
B
The public health nurse providing service to recent immigrants should be most concerned with which of the following? a. Obtaining an interpreter for communication b. Being knowledgeable about the high-risk diseases of the population c. Delivery of care within financial guidelines for the patient d. Demonstrating understanding of nontraditional healing practices
B
Vulnerable populations remain a significant concern to nurses in the public health department. What is currently the highest risk group? a. Homeless adults b. Pregnant substance abusers c. Adolescents d. Infants
B
What windshield survey components can be assessed through utilizing public transportation?(Select all that apply.) a. What are the religious practices of the residents? b. How frequently is public transportation available? c. Are there common characteristics of the people on the bus? d. What are the socioeconomic characteristics of the residents? e. What are the goals and perceived needs of the residents?
B,C
Ms. Chang is a nurse who speaks English and Chinese. She is dealing with new Hmong immigrants who speak Laotian as their primary language and are unfamiliar with Western medicine. How is cultural competence demonstrated in dealing with the population? (Select all that apply.) a. The nurse provides educational materials in English and Chinese while using a Laotian interpreter. b. The nurse provides care while paying attention to individual beliefs about pain, touch, modesty, and eye contact. c. The nurse delivers care while verbalizing all medical and nursing procedures being conducted. d. The nurse provides care without regard for cost or outcomes because it is required by the public health department. e. The nurse provides care that acknowledges the differences in ways individuals respond to illness and treatment.
B,E
Allen is informed by his manager that his clients have a higher rate of rehospitalization compared with the other nurses in the agency. What is the likely source of this data? A. Benchmarking data B. Patient satisfaction surveys C. Client outcomes data D. Accreditation process
C
Allen reports to his case manager that his client has been having frequent falls in the home. The case manager refers the client to a multidisciplinary team and determines that the client would benefit from a physical therapist evaluation. This is an example of which of the following functions? a. Care planning b. Direct care c. Care coordination d. Skilled care
C
As a public health nurse working in rural practice, what are some of the professional challengesMs. Garcia may encounter? a. Diversity in clinical experiences b. Close relationships with clients and coworkers c. Lack of resources with other health professionals to interact with d. Greater autonomy of practice
C
Choua is counseling a pregnant female about the importance of screening for sexually transmitted diseases as well as early initiation of treatment because a. most of the common STDs are resistant to antibiotics. b. the more common STDs are acute and easily cured. c. STDs can be passed on to the neonate and can cause serious problems to the infant within a few weeks. d. women are generally asymptomatic and unaware of the STD.
C
Harminder Sandhu enjoys visiting the Sisters of Mercy facility and is interested in applying for a position as the official parish nurse when the current nurse is ready for retirement in 6 months. What does Harminder need to do to apply? a. Convert to Catholicism. b. Obtain her master's degree. c. Provide evidence of a mature faith. d. Demonstrate 1 year of medical-surgical experience as a nurse.
C
Home health consumers utilize a website called "Home Health Compare" to obtain which of the following information? a. Cost for services b. Home health standards and expectations c. Data on the quality of home health services d. Information about the type of services available
C
Jorge approaches Ms. Giles and informs her that he has been taking prescription opioids. He is fearful of dependence and wants advice on how to stop the medication. a. Reassure Jorge that there is no chance of developing dependence. b. Inform Jorge that he must stop taking the medications immediately or risk termination. c. Instruct Jorge that he should gradually taper off the dose to avoid withdrawal symptoms. d. Encourage Jorge to stop the medication and replace it with another narcotic.
C
Mr. Miller creates an educational program for the second graders at his school. His topic is related to exercise and fitness. What would be an appropriate educational objective? a. Each child will participate in the education. b. Each child will participate in 30 minutes of exercise per day. c. Within 2 weeks, each of the children will be able to demonstrate at least two exercises that they have learned. d. The children will verbalize understanding of instructions given.
C
Ms. Giles observes a construction worker acting more energetic and talkative than normal. He also had several near misses related to safety in the past week and was observed to be entering the construction site without his head gear. What could be a suspected drug that would cause this behavior? a. Psychoactive drugs b. Depressants c. Stimulants d. Alcohol
C
One of the core public health functions is assessment of the health status of a community. Which of the following questions would be asked in the assessment phase? a. What programs are available to reduce the risk of cardiac disease in the population? b. What educational materials are needed to inform the community about environmental risk factors? c. What is the prevalence rate of hypertension among various age, race, and gender groups in the community? d. What types of public transportation are needed in the community to ensure access to services?
C
One of the essentials for baccalaureate-prepared nurses to understand is disaster preparedness. What is the purpose of an adequately prepared nurse? a. It is a regulatory requirement that nurses participate in disaster planning. b. Adequately prepared nurses can assist the public quickly so that they may return to their families. c. Adequately prepared nurses can serve as leaders and enable others to have a smoother recovery phase. d. Community health nurses serve as role models and mentors to the community in a disaster
C
Parish nurses fulfill a variety of roles in an autonomous manner. Which of the following is an example of the parish nurse as facilitator? A. Write a health education article for the congregational news bulletin. B. Help clients know what resources are available to solve their problems. C. Work with the congregation to increase disability access or extend services available to the homebound. D. Lend support during times of joy and sorrow.
C
Publicly reported data released from CMS indicate that the home health agency had a 50%increase in hospitalizations related to wound deterioration in the last quarter. What is the nextstep for the performance improvement coordinator? a. Educate the nursing staff on documentation requirements. b. Report the data to senior leadership, with action plans included. c. Conduct a retrospective audit to validate the data. d. Assume the data is inaccurate and file in archives.
C
Robert Miller is a school nurse working in an elementary setting. What is one of the first steps in creating an effective educational program for the students at his school? a. Select a topic that is interesting to teach. b. Consider the health literacy of the parents. c. Identify the learning needs of the population d. Select an optimal learning environment
C
The home care agency in which Christian works has refused to accept Medicare-funded clients but still accepts those with private insurance. This may be an example of a. fraud. b. Medicare abuse. c. health care rationing. d. tertiary prevention.
C
The mother of a 13-year-old boy approaches the school nurse because she is concerned about her son's weight. She states that she approached his pediatrician about the issue and felt dismissed. The nurse assesses the height and weight of the boy and determines that he is above the 95th percentile for his age. What are the next steps for the school nurse? a. Educate about a healthy diet but tell the mother that her son is too young to be concerned about his weight. b. Place the student on a diet and exercise plan with a goal of losing 2 to 3 lb per week. c. Educate about a healthy diet and physical activity and instruct the mother that her son should maintain his current weight while he continues to increase his height. d. Inform the mother that she should have been more concerned before her son reached puberty.
C
The public health nurse partners with the school nurse to provide education about influenza.What are the primary educational points? a. Symptoms follow a characteristic pattern. b. Transmission is through gastrointestinal contamination so hand washing after bowel movements is crucial. c. Annual immunization is necessary in early fall. d. Immigrants are immune to influenza.
C
What is the primary purpose of health promotion in an occupational setting? a. To detect disease and initiate prompt treatment b. To restore health as fully as possible c. To maintain or enhance the well-being of individuals or groups d. To eliminate or reduce the risk of disease
C
Which of the following payors are most likely to cover preventive services for clients? a. Medicare b. Medicaid c. Third-party insurance d. Medically indigent services programs
C
Jose Aguilar is a 48-year-old man who works in the grape fields for 12 to 13 hours per day. He is responsible for picking fruit and packing and moving crates to be picked up for delivery. What are the primary health concerns for this client? (Select all that apply.) a. Tractor fall b. Green tobacco sickness c. Chronic neck and back pain d. Eye problems related to dust and chemicals e. Skin cancer
C,D,E
What are the anticipated outcomes of CHF disease management? (Select all that apply.) a. Consumption of disproportionate resources b. Optimal clinical care across the continuum without regard for cost c. Interrupted development of disease d. Reduced emergency department visits and fewer inpatient days e. Greater client and provider satisfaction
C,D,E
A parent who fails to ensure that their child attends school is exhibiting a. acts of commission. b. psychological abuse. c. acts of demission. d. acts of omission.
D
As Harminder is leaving a visit with an older gentleman, she is seen leaving the apartment by his neighbor. She is approached by the neighbor and asked how his pain is being managed related to his cancer therapy. What is the most appropriate response? a. Tell the neighbor it is none of her business to be asking such things. b. Provide her with minimal details describing his pain control methods. c. Refer the neighbor to the pastor of the client because he was in the apartment during the visit. d. Maintain confidentiality and inform the neighbor that the elderly gentleman appreciates her concern.
D
Denise informs her nurse that she was too sick to go to the Coumadin clinic to have coagulation studies drawn. What nursing intervention might be a consideration? a. Instruct the patient to reschedule the appointment and do not return to her home until she does. b. Assume the patient does not care about her health and document noncompliance. c. Firmly explain the ramifications of missing the appointment and let the patient know she could be bleeding internally. d. Call the physician and inquire about orders for a home lab draw.
D
Hilda provides education to the sixth grade students on basic first-aid procedures on the playground. She includes information about standard precautions related to blood exposure. What is the primary purpose of providing this type of education? A. Standard precautions are necessary because there are students in the school with HIV. B. Hilda wants to expose the students to a career in health care. C. Hilda wants to ensure that the children know first-aid because she is not always on site. D. Knowledge of first-aid would allow the children to help in an emergent situation while an adult is being summoned.
D
Implementing or trialing a new product related to patient care is an example of which of the following? a. Evidence-based medicine b. Evidence-based public health c. Evidence-based nursing d. Evidence-based practice (EBP)
D
Janelle Garcia is working primarily with Mexican immigrants. What cultural health beliefs and practices is Ms. Garcia expected to encounter when dealing with this population? a. Mexican immigrants prefer not to be touched in encounters. b. The woman in the household is considered the health care decision maker. c. Mexican clients are more likely to listen to the health care provider for information. d. Mexican clients may appear to understand information by nodding
D
Ms. Anderson recently has been seeing a 12-year-old girl for complaints of vague symptoms. She comes to the office almost daily, and the nurse has noted a trend with the time of day. She appears anxious and nervous when she is deemed ready to return to class. What problem could be suspected byMs. Anderson? a. Emily is seeking attention. b. Emily has ADHD and lacks the ability to stay in class. c. Emily wants to be a nurse when she grows up. d. Emily is being bullied or pressured in the classroom.
D
Ms. Chang attends a class at the local Laotian Cultural Center so that she can learn more about the customs and practices of the community she serves. This demonstrates which of the following elements of cultural competence? a. Cultural desire b. Cultural skill c. Cultural awareness d. Cultural knowledge
D
Ms. Williamson monitors for patient injuries related to falls which occur in the home. What is the primary mechanism of monitoring and reporting this element? a. The Joint Commission b. Utilization review c. Outcomes audit d. Risk management
D
What is Mr. Brady aware of with regards to immunizations of students in the community? a. Parents who claim religious or philosophical objections to immunizations must homeschool their children. b. Inner-city children have higher rates of vaccination because of the free clinics that are offered. c. Adolescents have higher rates of vaccination. d. Ethnic groups are at risk for incomplete immunization
D
What is a secondary level of prevention which would be useful in the population? a. Providing influenza vaccinations b. Educating inmates about the effects of smoking c. Providing medical treatment for those men with diabetes d. Conducting PPD skin tests for tuberculosis identification
D
What is an important early step in the process of implementing a new product in the home care environment? a. Ask for approval from the agency administrator. b. Conduct a cost-benefit analysis on the use of the product. c. Educate the staff about the product and solicit input. d. Conduct a literature search on the outcomes related to the use of the product.
D
What is the main purpose of implementing a substance abuse program at a construction worksite? a. Lowers Workers Compensation rates for the company. b. Provides a topic of health education. c. Provides a mechanism of terminating problem employees. d. Harm reduction as a focus on health promotion
D
When Ms. Takahashi noted an issue with asthma exacerbations in the local student population, she worked with the school nurses and air pollution board to develop a community-wide alert program. What public health role was exhibited in this instance? a. Assessment b. Education c. Counseling d. Advocacy
D
Which of the following assessment tools may provide a more accurate family assessment? a. Create a genogram and ecomap. b. Interview the head of household on behalf of each family member. c. Individual assessments with each family member. d. Conduct a home visit.
D
Which of the following interventions is a tertiary prevention measure related to disaster management? a. Participating in developing a disaster management plan for the community b. Providing respiratory supplies for response to bioterrorism c. Assessing disaster victims and providing triage for care d. Participating in home visits to uncover dangers that may cause additional injury to victims or rescue personnel
D
