Community exam 2 questions
A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements by the client indicates they understand this type of treatment?
"I am hoping this will limit my discomfort."
A nurse is educating a client about the goals of hospice care. Which of the following statements should the nurse identify as an indication that the client understands the teaching?
"I will receive treatment to control my symptoms and keep me comfortable."
A nurse is providing staff education about smallpox as a bioterrorism threat. Which of the following statements indicates an understanding of this agent? (Select all that apply.)
"Smallpox is transmitted person to person." "Naturally occurring smallpox has been eradicated from the world." "Smallpox is often confused with varicella."
The United States has ______% of the world's population and ______% of its prisoners
5% and 25%
A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which of the following clients should the nurse plan to care for first?
A client experiencing a tension pneumothorax
A community health nurse is performing disaster triage tagging following a disaster. On which of the following clients should the nurse place a black tag?
A client who has significant head trauma and agonal respirations
During a facility disaster drill for a mass casualty incident, the nurse should correctly assign a yellow tag to which client?
A client who has superficial chemical burns to both hands and arms.
A nurse is assessing a group of clients for hospice services. The nurse should recommend hospice care for which of the following clients?
A client who has terminal cancer and needs assistance with pain management
A nurse is working with an emergency response team in caring for a group of people who may have been exposed to anthrax while doing farm work. Which of the following is the appropriate action for the nurse to take?
Administer antibiotic therapy.
Using JumpStart to triage a young child, the nurse determines that the child is not breathing after repositioning the airway. What is the next step the nurse should take?
Assess pulse
A nurse responds to a disaster on Sesame Street. You see several people walking around and many more on the ground. You assess the adult patients as the following: Cookie Monster is limping and crying that he lost his cookies. Elmo is laying on the ground, has a respiratory rate of 28, capillary refill of <2, and responds to verbal commands to lift his arm. Big Bird is not breathing. You reposition the airway and note that there is a rate of 35. The Count is unconscious, not breathing, and remains apneic after his airway is repositioned. Based on the triage information you have, who will receive care first?
Big Bird
Post-exposure prophylaxis use following exposure to anthrax includes which of the following medications?
Ciprofloxacin
A nurse responds to a disaster on Sesame Street. You see several people walking around and many more on the ground. You assess the adult patients as the following: Cookie Monster is limping and crying that he lost his cookies. Elmo is laying on the ground, has a respiratory rate of 28, capillary refill of <2, and responds to verbal commands to lift his arm. Big Bird is not breathing. You reposition the airway and note that there is a rate of 35. The Count is unconscious, not breathing, and remains apneic after his airway is repositioned. Based on this information, who will you tag with a green tag?
Cookie Monster
The nurse is making a list of agencies that are available for the varying levels of disaster management at the local, state, and national levels. The nurse understands that this activity is an example of _______________?
Disaster Planning
A nurse responds to a disaster on Sesame Street. You see several people walking around and many more on the ground. You assess the adult patients as the following: Cookie Monster is limping and crying that he lost his cookies. Elmo is laying on the ground, has a respiratory rate of 28, capillary refill of <2, and responds to verbal commands to lift his arm. Big Bird is not breathing. You reposition the airway and note that there is a rate of 35. The Count is unconscious, not breathing, and remains apneic after his airway is repositioned. Based on the triage data, who will receive a yellow tag?
Elmo
__________is the underlying concept behind optimum health as a basic human right.
Equity
Migrant workers are at risk of poorer health outcomes due to
Exposure to pesticides
With aging, there is an increase in noncommunicable (chronic) illness. The Community Health Nurse recognizes that an example of a noncommunicable illness is:
Heart disease
The community health nurse is working with a group of older adults at the local senior citizen center. The nurse recognizes which of the following health care payment systems is the prevalent provider of services for the older adult.
Medicare
A person who moves from place to place following seasonal agricultural jobs is known as a
Migrant
During the preimpact phase of disaster planning, ______________ limits adverse affects of the disaster in the areas of health, infrastructure, and impact on the economy.
Mitigation
A nurse manager is on a planning committee to develop an emergency preparedness plan. The nurse should recommend that which of the following actions takes place first when implementing an emergency preparedness plan?
Notify the incident commander
A community health nurse is assisting with the development of a disaster management plan. The nurse should include which of the following nursing responsibilities in the disaster response stage of the plan?
Performing a rapid needs assessment
The purpose of the Occupational Safety and Health Administration (OSHA) is to
Protect workers, customers, and the environment
According to the Framework for 21st Century School Nurses, data collection skills are a component of which principle?
Quality Improvement
The emotional response that begins to accept and adjust to the new reality following disaster is identified as______________?
Reconstruction
During the recovery phase of the disaster, the nurse recognizes which of the following activities will take place?
Reconstruction and rehabilitation
During disaster triage, a patient is found lying on the ground with a chest wound. The nurse assesses breathing and the person is apneic. What is the nurse's next step?
Reposition airway
The symptoms of anthrax exposure include which of the following?
Shock
A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administer a vaccine following exposure?
Smallpox
A nurse is planning a staff education session regarding biological weapons of mass destruction. Which of the following should he plan to include in the session? (Select all that apply.)
Smallpox, Anthrax, Botulism
A nurse is planning a staff education session regarding biological weapons of mass destruction. Which of the following should he plan to include in the session? (Select all that apply.)
Smallpox, Botulism
Neighborhood, the built environment, level of economic stability, and availability of education are recognized as the environmental conditions that make up the
Social Determinants of Health
The public health nursing student learns that the need for environmental justice extends to disadvantaged populations, who, as a result of low income, age, health status, race, or other social indices of susceptibility, are at greatest risk of exposure to environmental hazards because of which of the following problems? Select all that apply.
Substandard housing Lack of access to healthcare Lack of nutritious food Lack of safe places to play Employment in risky jobs
While working in a hospital, the nurse understands that a sudden increase in patients is referred to as a
Surge
A nurse responds to a disaster on Sesame Street. You see several people walking around and many more on the ground. You assess the adult patients as the following: Cookie Monster is limping and crying that he lost his cookies. Elmo is laying on the ground, has a respiratory rate of 28, capillary refill of <2, and responds to verbal commands to lift his arm. Big Bird is not breathing. You reposition the airway and note that there is a rate of 35. The Count is unconscious, not breathing, and remains apneic after his airway is repositioned. Based on this assessment data, who will receive the black tag?
The Count
You are caring for a hospice client who is at the end of life. Based on this client's signs and symptoms, the client is comatose, dehydrated, free of pain, without distress and expected to die in a day or two. Which of the following is an appropriate client outcome?
The client will remain free of pain and distress
Primary prevention of smallpox includes which of the following activities by the nurse?
Vaccine
The student nurse identifies which of the following settings would be considered faith based nursing. Select all that apply
a synagogue a congregational church a member of a missionary team a kingdom hall a catholic church
The nurse is triaging an adult patient following a tornado. The patient is found to have a Babinski reflex. The nurse should
apply a black tag
A nurse is responding to an explosion at a daycare center. A small child with a respiratory rate of 40 has a pulse of 80 and has a decorticate posture. Based on this assessment, the nurse will
apply a red tag
Social Determinants of Health, social capital, and individual risk factors influence ________
degree of vulnerability
Social capital resides in the quantity and quality of _______ among people and communities
interpersonal ties
Prisoners who are released from the prison system experience
limited opportunities for employment
Someone who is stigmatized
possesses a real or imagined undesirable trait
Discrimination gives _______treatment to another group based on race, ethnicity, gender, or other group membership
prejudicial
A person living without adequate shelter, living in vehicles, staying in parks, or squatting in abandoned buildings is experiencing
primary homelessness
The nurse is working in a clinic that is designed to provide health education and immunizations. As such, this clinic is designed to provide
primary prevention
The distinction between a refugee and an asylee is
that a person asking to receive refugee status is outside the United States and seeking to enter, while an asylee is a person already residing in the United States when applying for asylum
According to W H O, the social gradient refers to a gradient in health that runs from top to bottom of:
the socioeconomic spectrum
