Community Exam 2 Practice questions

a nurse is collecting data to identify health needs in the local community. Which of the following examples should the nurse identify as secondary data? (select all that apply) a. Birth statistics b. previous health survey results c. windshield survey d. community forum e. health records

A, B & E: these are examples of secondary data because the nurse is reviewing data collected by someone else , did not directly collect the data , and the nurse obtained the data from another source c. windshield surveys are a method of collecting direct data d. community forums are a method of collecting direct data

The community health nurse is developing an education program directed to children, what should be included? (Select all that apply) A. Physical activity B. Skin protection C. STI prevention D. Sleeping positions E. Nutrition

A, B, D, & E- (ATI page 51)

A nurse is preparing to conduct a windshield survey. Which of the following data should the nurse collect as a component of this assessment? (select all that apply) a. Ethnicity of community members b. Individuals who hold power within the community c. Natural community boundaries d. Prevalence of disease e. Presence of public protection

A, C and E. B. individuals who hold power are identified through formal and informal observation of community activities as a participant observer D. Prevalence of disease is incorrect. Disease prevelance is a component of secondary data and is identifies through morbidity rates of the community

The community health nurse is identifying barriers to the development of a community health program. Barriers include which of the following? (Select all that apply) A. Participation of community partners is lacking B. Skilled leadership C. Inadequate data D. Logical planning E. Resources that are inadequate

A, C, & E- (ATI page 35)

The community health nurse wants to collect data by having direct discussions with the community members. What type of data collection should the nurse use? A. Informant interviews B. Community forum C. Participant observation D. Secondary data

A- Informant interviews (ATI page 32)

an occupational health nurse is consulting with senior management of a local industrial facility. When discussing work-related illness and injury, the nurse should include which of the following factors as physical agents? (select all that apply.) a. noise b. Age c. lighting d. viruses e. stress

A. Noise & C. Lighting b. including age as a host factor when discussing work related injury and illness d. include viruses as a biological agent when discussing work related illness and injury e. include stress as an outcome of physiologic agents when discussing work related illness and injury

State-level legislation that regulates financial compensation to workers suffering from injuries or illness resulting from the workplace is what occupational health legislation? A. Workers' compensation act B. Occupational safety and health act of 1970 C. Occupational health and safety administration D. National institute for occupational safety and health

A.- Workers' compensation act (ATI page 43)

The public health nurse has defined the community, collected and analyzed data during a community assessment. What is the next step? A. Plan programs B. Establish a community diagnosis C. Implement programs D. Evaluate the programs

B- (ATI page 32)

A forensic nurse is providing secondary prevention strategies when the nurse does which of the following? A. Provides treatment to incarcerated individuals B. Collect and preserve evidence from possible crimes C. Liaison between clients following trauma D. Connect clients with community resources after injury/trauma

B- Collect and preserve evidence from possible crimes (ATI page 46)

The community health nurse is wanting to evaluate if a community health program was successful, the nurse would do which of the following? A.Compare the resources and interventions required B.Recommend and implement modifications to better meet the needs of the community. C.Identify who will assume responsibility for each interventions. D.Monitor the intervention process and the response of the community in terms of values, needs, and perceptions

B- Recommend and implement (ATI page 35)

The community health nurse is approaching a family as a context. What would be the correct action by the nurse? A. Study how interactions among family members affect the whole family function. B. Focus on an individual first and the family next. C. Monitor how the family interacts with other institutions. D. Examine the functioning of the family first and then the individual next.

B- focus on the individual first and the family next (ATI page 53)

A nurse is completing a needs assessment and beginning analysis of data. Which of the following actions should the nurse take first? a. Determine health patterns within collected data b. compile collected data into a database c. ensure data collection is complete d. identify health needs of the local community

B. compile collected data into a database a. in order to determine health patterns with any collected data, take another action first c. in order to ensure data collection is complete, take another action first d. in order to identify health needs of the local community, take another action first

The community health nurse is developing an education program for the community, if the community health nurse uses the communities developmental stages to determine the community's readiness to learn, which educational theory would the nurse use? A. Humanistic theory B. Cognitive theory C. Developmental theory D. Social learning theory

C- Developmental theory (ATI page 34)

If a community health nurse sits at a local park to see what community members access the park and for what activities, what type of data collection is this? A. Survey B. Community forum C. Participant observation D. Informant interviews

C- Participant observation (ATI page 32)

The school nurse is providing tertiary prevention strategies for the students within their school. Which prevention strategy is tertiary? A. Counsel and debrief after a school crisis B. Maintain current records of required immunizations. C. Provide parenting education classes D. Report any suspected cases of child abuse/neglect.

C- Provide parenting education classes (ATI pages 44-45)

The occupational health nurse is attempting to perform primary prevention strategies to prevent any issues before they happen. Which of the following is a primary prevention strategy? A. Identifying workplace hazards B. Limited-duty programs C. Providing information on protective equipment D. Counseling and referral

C.- Providing information on protective equipment (ATI page 43)

The public health nurse understands that while performing a community assessment, focusing on the biological factors of people includes which of the following? A. Religion and spirituality B. Crime rates C. Census data D. Causes of death

D- Causes of death (ATI page 31)

The community nurse is developing an education program to address screenings needed by adult females, aged 20-35. The education program should include all of the following, Except? A. Pap test & mammograms B. Dental health C. Skin cancer D. Cholesterol screening

D- Cholesterol Screening (ATI page 52)

Data collection strategies that can be time consuming include all of the following, Except? A. Focus Groups B. Windshield Surveys C. Secondary Data D. Community Forum

D- Community forum (ATI pages 32-33)

The home health nurse understands that while they are in the patient's home, the nurse should always take measures to? A. Ensure the patient has food. B. Ensure the patient's home is clean. C. Ensure that the patient has a support system. D. Ensure their own safety.

D- Ensure their own safety (ATI page 41)

Forensic nurses provide care to all of the following except? A. Human trafficking victims B. Perpetrators of injury C. Victims of assault within the prison system D. Motor vehicle accident victims

D- Motor vehicle accident victims (ATI page 45)

The home health nurse understands that the patients who are recently discharged from the hospital are still ill and weak. When caring for the older adults within their home, what is the greatest risk identified by an environmental assessment for this population? A. Risk for poor nutrition B. Risk for medication mismanagement C. Risk for isolation D. Risk for falls

D- Risk for falls (ATI page 42)

The community nurse is completing a behavioral risk appraisal for a family. Completing a behavioral risk appraisal includes all the following, Except? A. Gathering information about the family's health values B. Gathering information about the family's health habits C. Gathering information about the family's health risk perceptions D. Gather information about the family's support network

D- gather information about the family's support network (ATI page 54)

a nurse is talking to a client who asked for additional information about Hospice. Which of the following statements should the nurse make? A. "Clients who require skilled nursing care at home qualify for Hospice care" B. "one function of Hospice is to provide teaching to clients about life sustaining measures" C. "Hospice assist clients to develop the skills needed to care for themselves independently" D. "a component of Hospice care is to control the clients manifestations"

D. "a component of Hospice care is to control the clients manifestations" (controlling the clients manifestations of medical problems or the dying process in improving quality of life are components of Hospice care) a. clients who require skilled nursing care at home qualify for home health b. home health can provide teaching declines about life sustaining measures. In Hospice, medical care aimed towards a cure is stopped c. home health assists clients to develop the skills needed to care for themselves independently

a nurse is conducting a community assessment. Which of the following data collection methods is the nurse using when having direct conversations with individual members of the community? a. Key informant interviews b. participant observation c. focus groups d. health surveys

a. Key informant interviews b. participant observation is observing formal or informal community activities and does not involve direct conversations with individual community members c. focus groups are directed talks with a representative sample of a community, and do not involve direct conversations with individual community members d. surveys are specific questions asked in a written format and do not involve direct conversations with individual community members

a nurse is preparing a list of important topics to discuss with young adults who are seen at the clinic. Which of the following topics should the nurse plan to address with this aggregate? a. Preconception counseling b. managing the common cold c. detecting congenital abnormalities d. assessing Medicare benefits

a. Preconception counseling (plan to ask clients if they want to discuss childbearing, and answer questions related to childbearing. This can include information about how the health of the client can impact physical health, recommended screenings and nutrition) b. chronic health conditions are more of a concern for adults than acute, infectious conditions c. detection of congenital abnormalities is a concern during infancy e. a national goal for older adult health is use of Medicare. Plan to address this topic towards the end of the middle-adulthood

a newly hired occupational health nurse at an industrial facility is performing an initial workplace assessment. Which of the following information should the nurse determine when conducting a work site survey? a. Work practices of employees b. past exposures to specific agents c. past jobs of individual employees d. length of time working in current role

a. Work practices of employees (determine the work practices of employees when conducting a work site survey) b. determine past exposures to specific agents when conducting an occupational health survey on individual workers, not a work site c. determine past drops of individual employees when conducting an occupational health history on individual workers, not a work site survey e. determine the length of time working in current role when conducting an occupational health history on individual workers, not a work site survey

public health nurse is planning interventions for children in the community. Which of the following topics should the nurse choose to target a major concern for school aged children? a. Skin cancer detection b. access to health care c. STI prevention d. cholesterol screening

b. access to health care (because caregiver income affects child health, access to Healthcare is a major concern for children) a. skin cancer screening and prevention is a priority topic for adults c. plan interventions related to safe sexual behavior for adolescents and adults d. plan interventions related to managing chronic health conditions for adults

a school nurse is planning health promotion and disease prevention activities for the upcoming school year. In which of the following situations is the nurse planning a secondary prevention Strategy? a. placing posters with images of appropriate hand hygiene near restrooms b. routinely checking students for pediculosis throughout the school year c. implementing age appropriate injury prevention programs for each grade level d. working with a dietitian to determine carbohydrate counts for students who have diabetes mellitus

b. routinely checking students for pediculosis throughout the school year A & C are primary prevention D is tertiary prevention

a public health nurse is planning an in-service on older adult health. Which of the following information should the nurse include? a. The percentage of older adults in the population is decreasing b. the proportion of older adults who live alone is increasing c. older adults who take 1/2 of all prescription medication d. older adults have a decreased recovery time following injury

b. the proportion of older adults who live alone is increasing (the nurse should plan to teach the group that the number of older adults living alone continues to increase) a. the percentage of older adults in the population is increasing not decreasing c. older adults take 1/3 of all prescription medications not 1/2 d. older adults have an increased recovery time following injury not a decreased

a nurse is completing an ecomap as part of a family assessment. Which of the following questions should the nurse plan to ask to gather appropriate data? a. "Do you have a family history of heart disease?" b. "What kinds of food does your family eats?" c. "Is your family involved in any community organizations?" d. "How does your family cultural beliefs influence your health values?"

c. "Is your family involved in any community organizations?" (an ecomap Studies the family's relationship with groups and organizations such as work, faith communities, and school) a. ask about any family history of disease when completing a genogram b. ask about the family's diet when assessing for behavioral risk factors d. ask about the family's health beliefs in values when assessing for behavioral risk factors

a school nurse is scheduling visits with a physical therapist for a child who has cerebral palsy. In which of the following roles is the nurse functioning? a. Direct caregiver b. consultant c. case manager d. counselor

c. case manager (In the roll up case manager, a school nurse coordinates comprehensive services for students who have complex health needs) a. in the role of direct caregiver, a school nurse provides illness and injury care to children at school b. in the role of consultant, a school nurse provides information to families, administrators, teachers, and parents-teacher groups to encourage decisions that promote the health of the students d. in the role of counselor, a school nurse develops a trusting relationship with students and provide support on issues affecting their lives

a nurse is planning a community health program. Which of the following actions should the nurse include as part of the evaluation plan? a. Determine availability of resources to initiate the plan b. gain approval for the program from local leaders c. establish a timeline for implementation of interventions d. compare program impact to similar programs

d. compare program impact to similar programs a. determine availability of resources to initiate the program as part of the assessment phase. However, when evaluating sustainability of the program, determine whether resources are available for continuing the program b. gain approval from the program from local leaders as part of the pre planning phase, because planning for the program should not begin without adequate community support c. establish a timeline for implementation of interventions after determining and selecting the best strategies for meeting the program's goals and objectives

a nurse is developing a community health education program for a group of clients who have a new diagnosis of diabetes mellitus. Which of the following learning strategies should the nurse include for clients who are auditory learners? a. Showing photographs of sites for injection b. providing equipment to practice hands-on skills c. supplying outlines for note-taking d. facilitating small group discussions

d. facilitating small group discussions (provides an opportunity for clients who are auditory learners to learn as they listen to information. This is an appropriate strategy to include for this group) a. show photographs as an appropriate learning strategy for children who are visual learners b. providing equipment to practice hands-on skills as an appropriate learning strategy for clients who are a Tactile-kinesthetic learners c. supply outlines for notetaking as an appropriate learning strategy for clients who are visual learners

a home health nurse is planning care for a client following a stroke. The nurse plans to interview each member of the family to see how they might help the client progress towards recovery period the nurse is using which of the following approaches to family health? a. Family as a component of society b. family as a system c. family as a client d. family as context

d. family as context (use family as context to promote individual recovery following a disease or event. The client is the focused, and members are viewed as a source of support for the client) a. used only as a component of society to plan population focus strategies for families by examining how family units interact with other parts of society, such as with medical facilities or financial institutions b. when using the family ID system approach, question how one change in the family impact all members. Ask individual family members how their life has changed following the clients stroke c. when using the family as client approach, focus on the family with individual needs secondary. Ask the family members how their family function overall has changed following the client stroke