Community final...
18. The faith community nurse has consulted with nursing faculty at an area community college. Two faculty members have agreed to assist with the writing of a needs assessment survey. Building a healthy community takes time, careful planning, and a great deal of organization. The Healthy People Initiative suggests a formula for this process called MAP-IT. In what step of this process will the development of the needs assessment survey take place? A) Assess B) Implement C) Mobilize D) Track
A) Assess
What is a category of health promotion and health protection intervention that targets the individual or family? A) Health screenings B) Crime prevention activities C) Health fairs in the community D) Collaboration with organizations to provide comprehensive services to elderly
A) Health screenings
14. There are essential elements of establishing a nursing partnership with a faith-based organization. Building a healthy community takes time, careful planning, and a great deal of organization. The Healthy People Initiative suggests a formula for this process called MAP-IT. What activity occurs during the ìMî phase? A) A coalition of individuals that care about the faith community's health is formed. B) Areas of greatest need in the faith community are identified. C) Concrete action steps that can be monitored and make a difference are planned. D) Progress of the health program over time is mapped.
A) A coalition of individuals that care about the faith community's health is formed.
6. The role of the nurse with faith communities is dictated as always by the needs of the people. What is a common role of the nurse in this setting? A) Advocate B) Leader C) Manager D) Research expert
A) Advocate
The evaluation process provides an opportunity to determine the outcomes derived by the health promotion program and directs improvement of employee health services. What common method of evaluation can be used to determine morbidity and mortality differences? A) Chart and record reviews B) Interviewing of employees C) Observation of employees D) Post-program rating scales
A) Chart and record reviews
18. Once policy and plans have been implemented to reduce bulling, it is necessary to monitor the progress, particularly the school climate and bystander behavior. A maintenance program aimed at reducing the prevalence of future bullying is crucial. What is an example of secondary prevention strategy that the school nurse can do to influence the school climate and reduce bullying? A) Continue school meetings and teacher-student discussion groups about bullying, sexual bullying/harassment, and violence in the school setting. B) Separate counseling of bullies and victims. C) Involve parents of bullies and victims in monthly discussions. D) Develop individual care plans for students, both bullies and victims, addressing physical, mental, and behavioral health needs.
A) Continue school meetings and teacher-student discussion groups about bullying, sexual bullying/harassment, and violence in the school setting.
16. A core component of any antibullying intervention program is the awareness and involvement of key adults in the school community. What is an example of primary prevention strategy that the school nurse can do to influence the school climate and reduce bullying? A) Determine if bullying/sexual harassment policies are in place in the school system. B) Assess for bullying behaviors using a student questionnaire, such as the Peer Relations Questionnaire. C) Have a school conference day to disseminate the results of the survey and launch a multicomponent plan to tackle the problem. D) Implement effective adult supervision during recess, lunchtime, and classroom/bathroom breaks.
A) Determine if bullying/sexual harassment policies are in place in the school system.
The occupational health nurse is administering a health risk appraisal to employees of a medium sized business. What is a health risk appraisal? A) Easily administered, confidential instrument used to determine life expectancy based on current risk behaviors B) Instrument that calculates the amount of benefit that can occur with current lifestyle behaviors C) Appraisal used as a teaching tool that gives feedback about unhealthy behaviors D) Often completed with paper and pencil, a form to allow for accurate individualized reports
A) Easily administered, confidential instrument used to determine life expectancy based on current risk behaviors
13. Involving nursing volunteers from the community ensures that the multicultural diversity of the community can be mirrored in the faith community nursing team. The faith community is a microcosm of the larger local community. Other than cultural factors, what other factor is an essential concern of program problem identification and solution? A) Economic B) Emotional C) Physical D) Social
A) Economic
Marketing is an essential part of successful program implementation. The employee has been asked health-related quiz questions and receives the answer and rationale the next day. What marketing strategy does this represent? A) Electronic mail message B) Health newsletter C) Letter from the company president D) Wellness program announcement
A) Electronic mail message
Health promotion and health protection are two elements of primary prevention. What is health promotion? A) Emphasis on helping people change their lifestyles B) Protecting people from disease and injury C) Reducing exposure to carcinogens and toxins D) Eliminating exposure to environmental health hazards
A) Emphasis on helping people change their lifestyles
13. The school nurse is implementing a muscle mover club in the elementary school. What is the purpose of this type of program? A) Encourage physical activity B) Reward anaerobic exercise C) Importance of pet exercise responsibilities D) Educate on methods to promote cardiovascular function
A) Encourage physical activity
The occupational health nurse is assessing for employee signs and symptoms of being a victim of workplace bullying, harassment, or horizontal violence. What is an example of employee signs and symptoms? A) Feeling edgy, irritable, easily startled, and constantly on guard. B) Employee turnover rate is higher than industry standards. C) Higher rates of absenteeism and disability insurance claims. D) Employees request transfer from a certain department more often than from others.
A) Feeling edgy, irritable, easily startled, and constantly on guard.
7. Immunizations are required by state law to be current and on file for all children. Immunization requirements must be strictly supported by the school administration. Ideally, when does the school nurse have to make sure that this requirement is completed? A) First day of school B) First month of school C) 60 days after school starts D) 90 days after school starts
A) First day of school
20. The public health nurse is adapting a program for a vulnerable or marginalized population. What type of program would be best for offering screening procedures such as dental, blood pressure, cholesterol, blood glucose, vision, hearing, and lead poison? A) Health fair B) Positive parenting C) Community health education D) Diabetes education
A) Health fair
9. The community health nurse is trying to adapt a program for the most marginalized population. What group of individuals is among the most marginalized and vulnerable to disabilities and disease? A) Homeless B) Migrants C) Immigrants D) Persons with chronic disease
A) Homeless
15. The community health nurse is reviewing education system barriers for the homeless in the community. What is an example of a school success barrier? A) Inability to complete assignments B) School fees C) Lack of immunization/medical records D) Lack of previous school records
A) Inability to complete assignments
19. Involving the neighboring community in health-promotion programs can benefit school-aged children and their families, as well as members of the surrounding community. What is an example of a health-promotion strategy involving the community? A) Involve the school-aged children in a READ program with the local humane society. B) Conduct a survey to assess student opinion and food preferences for school lunches. C) Perform a plate waste study to determine what children are eating in school. D) Stuff payroll envelopes with health-promotion material.
A) Involve the school-aged children in a READ program with the local humane society.
Many community-dwelling elders are virtually prisoners in their homes. Why are people older than 65 years more likely to be victims of crime in or near their own homes? A) Lack of access to transportation B) Victims of frequent scams C) Live in high-crime neighborhoods D) Fear being mugged or robbed
A) Lack of access to transportation
7. The community health nurse knows that health disparities affect many groups. What is a commonality of marginalized groups? A) Less likely to obtain health care. B) Equal access to treatment for cancer. C) Insurance coverage is inexpensive to obtain with HIV/AIDS. D) Ability to complete major life activities without ongoing assistance.
A) Less likely to obtain health care.
4. The community health nurse is reviewing the needs of marginalized groups in the community. What is an example of a marginalized group? A) Migrants B) Children C) Men D) Minorities
A) Migrants
11. A school nurse is planning a health-promotion program. What is important for the school health nurse to do before planning the program? A) Observe how the students and teacher interact in the classroom. B) Plan to conduct the program when the classroom teacher is not available. C) Involve just parents planning the program because of limited teacher availability. D) Only need to verbally market the program a few days prior to implementation.
A) Observe how the students and teacher interact in the classroom.
The evaluation process provides an opportunity to determine the outcomes derived by the health promotion program and directs improvement of employee health services. The occupational health nurse is focused on whether the program leads to positive outcomes. What type of evaluation is being used? A) Outcome B) Process C) Program D) Structural
A) Outcome
Accessibility and affordability of health care are challenges for the elderly, particularly for rural and poor elders. What type of service is often limited for the elderly? A) Preventive B) Secondary C) Tertiary D) Chronic disease
A) Preventive
11. Cardiopulmonary resuscitation (CPR) training and emergency cardiovascular care classes for the faith community are an example of what type of activity? A) Primary B) Secondary C) Tertiary D) Health promotion
A) Primary
19. Through expansion of the nurse role, specifically the nurse practitioner role, more services can be brought to the faith community. Faith community nursing can be expanded to include what type of care services across the life span? A) Primary B) Secondary C) Tertiary D) Chronic disease monitoring
A) Primary
1. Health promotion, disease prevention and control, wellness, risk factor reduction, and preventive health care are some of the terms applied to workplace health programs. What is health promotion? A) Process by which employees learn about primary, secondary, and tertiary prevention strategies to improve their health and quality of life B) A partnership between employer and employee to promote safety and health of the workers benefits both parties C) Assure the safety and health of all American workers via partnerships and alliances with employers and other agencies D) Establish and enforce standards to help employers and employees reduce injuries, illnesses, and deaths on the job
A) Process by which employees learn about primary, secondary, and tertiary prevention strategies to improve their health and quality of life
The effects of intimate partner violence spill into the workplace and can affect employment productivity. What is an element of a domestic violence awareness program that addresses tertiary prevention of intimate partner violence against women? A) Provide adequate security to employees. B) Support a company policy of zero tolerance against violence of all people. C) Support a company policy that rewards collaboration, collegiality, and teamwork. D) Promote policies that raise the status of women in the company.
A) Provide adequate security to employees.
8. Major issues affecting children in the United States can be categorized under headings of nutrition; interpersonal violence; substance abuse; mental health issues; safety; sexuality; and environmental hazards, such as lead, asbestos, and air pollution. What would be a good topic for a health education program that addresses mental health issues? A) Recognizing signs and symptoms of depression B) Problem solving and decision-making skills C) Date rape and acquaintance rape D) Peer harassment
A) Recognizing signs and symptoms of depression
1. Nurses throughout history and in modern times have been concerned about vulnerable populations. What does a marginalized group mean? A) Treat someone or something as unimportant B) Lacks a fixed, regular, and adequate nighttime residence C) Blame society for the health issues that arise D) Experience limited resources with high risk for morbidity
A) Treat someone or something as unimportant
10. After assessing the community's educational preferences, the nurse plans intervention programs based on the results. The nurse establishes a Healthy Heart Club. What is the leading indicator of Healthy People that this program supports? A) Access to health care B) Physical activity C) Overweight and obesity D) Mental health
C) Overweight and obesity
3. In the face of the changing health care environment, congregations of worshipers are increasingly forming partnerships with nursing for health-promotion programs. What is a factor that has contributed to the movement of nursing in faith communities? A) Dissatisfaction with the disease-focused holistic model. B) Access to health care and insurance coverage. C) Decrease in lay ministry responsibilities in faith-based communities. D) Need for ongoing chronic disease management in faith-based communities.
B) Access to health care and insurance coverage.
4. Faith community nursing refers to a model of care that uses nurses based within faith communities to provide health services to the other members of those communities, including health-promotion and disease-prevention programs, chronic disease management, and culturally sensitive services. What is the name for people in these faith communities? A) Clients B) Participants C) Patients D) Residents
B) Participants
Most health promotion programs involve lifestyle behavioral changes. The person has decided to try and change a behavior and is ready for information and skills to maintain the behavioral change? What stage of the change process does this represent? A) Contemplation B) Preparation C) Action D) Maintenance
B) Preparation
1. Although faith community nursing programs have been in existence for some time, attention has focused on these types of programs as alternative methods of delivering services, through the establishment of the White House Office of Faith-Based and Neighborhood Partnerships. What is one of the priority areas? A) Economic recovery and easing poverty through education B) Addressing issues related to women, children, and pregnant teens C) Supporting responsible motherhood through financially rewarding employment opportunities D) Fostering national interfaith communities
B) Addressing issues related to women, children, and pregnant teens
The evaluation process provides an opportunity to determine the outcomes derived by the health promotion program and directs improvement of employee health services. What is involved in a structural evaluation? A) Determine whether the health promotion activity was appropriate for the setting. B) Analysis of employee demographics and their health status needs. C) Documentation and record keeping maintenance. D) Review whether the health promotion program was designed to meet workplace needs.
B) Analysis of employee demographics and their health status needs.
8. What is the best strategy for identifying the needs of the entire faith community? A) Distribute an educational needs survey to the women's auxiliary. B) Attend meetings for the representative different groups. C) Form an ad hoc committee with formal leaders to study the healthy ministry. D) Make decisions with input from the local community.
B) Attend meetings for the representative different groups.
20. It is important to implement creative programs that nurture healthy relationships and model healthy behaviors to school-aged children. A program is being developed to collaborate with local law enforcement to conduct a gun safety awareness program that includes handgun issues. This is an example of a health-promotion strategy for a partnership at what level? A) School B) Community C) Parents D) Teachers
B) Community
17. What is an important point for the nurse to remember when designing a sexual health education and health care program for homeless adolescents? A) Conduct focus groups to allow parents to have a voice in planning their adolescent sexual health needs. B) Establish trust with a respectful and nonjudgmental attitude. C) Use large media, such as posters, to deliver health information. D) Provide sexual health information that is narrowly focused in nature.
B) Establish trust with a respectful and nonjudgmental attitude.
5. A nurse is designing and planning to implement a health-promotion program in partnership with local faith communities. What community planning guide would be helpful? A) Creative Nursing Journal B) Healthy People in Healthy Communities C) International Journal for Human Caring D) Journal of Holistic Nursing
B) Healthy People in Healthy Communities
The nurse is planning a health promotion program. The nurse is writing a sample business plan to teach healthy behaviors to a diverse group of employees and their families. What does the methods section include? A) Short summary of the health promotion plan B) How, when, and where the plan will be put into action C) List of outcomes of the health promotion program D) An accurate projection of program costs
B) How, when, and where the plan will be put into action
9. The school nurse is developing a health education program on domestic violence for parents that addresses the effects on children and sources of help for the whole family. What major issue affecting children does this address? A) Mental health issues B) Interpersonal violence C) Sexuality D) Environmental hazards
B) Interpersonal violence
5. The community health nurse is aware that research needs to be designed to increase understanding of the determinants of health disparities and culturally appropriate strategies and interventions to reduce and eliminate health disparities in underserved and vulnerable populations. What organization supports research in this area? A) WHO B) NINR C) Office of Minority Health D) Institute of Medicine
B) NINR
14. Childhood overweight/obesity is a major health challenge facing the nation. Effective ways of treating and managing pediatric obesity have yet to be documented in the research literature. The school nurse is reviewing statistics about the number of children who are overweight or obese to determine if enough students could benefit from programming in this area. In the United States, how many children are considered overweight or obese? A) One of two children B) One of three children C) One of four children D) One of five children
B) One of three children
3. A community health nurse is developing a workshop on health promotion and development to a group of school-aged children. In describing Healthy People 2020, which goal would the community health nurse emphasize for this group? A) Achieve health equity, eliminate disparities, and improve the health of all groups. B) Promote healthy development and healthy behaviors across every stage of life. C) Increase quality and years of a healthy life. D) Eliminate health disparities.
B) Promote healthy development and healthy behaviors across every stage of life.
4. Who is ideally situated to provide health care to school-aged children? A) Parents and guardians B) School nurse or public health nurse C) Pediatric nurse practitioner D) Family nurse practitioner
B) School nurse or public health nurse
Most health promotion programs involve lifestyle behavioral changes. What occurs during the maintenance stage? A) The employee is practicing the new behaviors. B) The employee benefits by sharing the newly learned behavior. C) The employee needs support, incentives, and sincere encouragement. D) The new behavior requires a lot of effort, leaving the employee at risk for relapsing to the old behavior.
B) The employee benefits by sharing the newly learned behavior.
What is the increase in the percentage of older Americans compared with that of 1900? A) Double B) Triple C) Quadruple D) Quintuple
B) Triple
5. Healthy People 2020 builds on 11 priority areas of Healthy People 2010 for health education for school-aged children/adolescents. The health of children is an area of concern. Many children choose non-nutritious snacks. Which is the highest priority area of Healthy People 2020 that the school nurse should emphasize in a health-promotion program on overweight children and non-nutritious snacks that contribute to this issue? A) Inadequate physical activity B) Unhealthy dietary patterns C) Tobacco use and addiction D) Unintentional injury
B) Unhealthy dietary patterns
Community nurses need to be familiar with state abuse reporting laws and how to work with state adult protective services agencies. In a 2004 survey of State Adult Protective Services agencies, what was the percentage increase that was found in substantiated elder abuse cases from 2000 to 2004? A) 10.5% B) 13.4% C) 15.6% D) 16.5%
C) 15.6%
10. The economic crisis, foreclosures, the collapse of the housing market, job shortages, and devastating natural events have affected individuals who are homeless and those at risk for homelessness despite efforts over the last decade to end homelessness. Affordable housing exceeds the means of many families. Affordable housing is defined as no more than what percentage of income? A) 20% B) 25% C) 30% D) 35%
C) 30%
In 2002, what percentage of the older population reported at least one disability? A) 42% B) 47% C) 52% D) 57%
C) 52%
The terms elderly, older adults, aging, and senior citizens are used interchangeably to denote people over what age? A) 55 years B) 60 years C) 65 years D) 70 years
C) 65 years
Who is often responsible for health promotion programs at the worksite and is an excellent resource person for establishing a community partnership? A) Employer B) Nurse practitioner C) Occupational health nurse D) Primary care provider
C) Occupational health nurse
6. A community health nurse is developing a program on internal and external environmental issues for school nurses. In describing Healthy People 2020, which goal would the community health nurse emphasize for this group? A) Eliminate preventable disease, disability, injury, and premature death. B) Achieve health equity, eliminate disparities, and improve the health of all groups. C) Create social and physical environments that promote good health for all. D) Promote healthy development and healthy behaviors across every stage of life.
C) Create social and physical environments that promote good health for all.
A child born in 2004 could expect to live 77.9 years compared to about 29 years in 1900. What is this main reason for this phenomenal growth? A) Decreased mortality of adults B) Decreased morbidity of children C) Decreased mortality of children and young adults D) Decreased morbidity of adults and older adults
C) Decreased mortality of children and young adults
What is the goal of individual- or family-focused health promotion and health protection interventions? A) Design interventions to increase the individual's or family's knowledge, skills, and competence to make health decisions B) Involvement in activities that maximize health promotion and health protection behaviors C) Empowerment of the elderly and their families to make rational health decisions D) Activities and programs that are directed toward community elders
C) Empowerment of the elderly and their families to make rational health decisions
13. Primary prevention measures to prevent people who are at-risk for homelessness from becoming homeless are one of the first steps in health promotion for this population. What is an example of secondary prevention health promotion strategy for people who are homeless? A) Emergency financial assistance B) Financial advisement C) Evaluate community resources D) Legal assistance
C) Evaluate community resources
The nurse is planning a health promotion program. The nurse is writing a sample business plan to teach healthy behaviors to a diverse group of employees and their families. Where would the outcomes of the health promotion program be included in the business plan? A) Executive summary B) Methods C) Expected benefits D) Costs
C) Expected benefits
There are personal protective equipment and injury prevention objectives for agricultural workers. The particular health hazard is falling and/or airborne debris encountered during repair of agricultural machinery. What personal protective equipment should the nurse assess that the worker is wearing to protect from this hazard? A) Acoustic earmuffs B) Nonslip safety shoes C) Hard hat D) Seat belt
C) Hard hat
17. A core component of any antibullying intervention program is the awareness and involvement of key adults in the school community. What is an example of a secondary prevention strategy that the school nurse can do to influence the school climate and reduce bullying? A) Conduct a teacher/staff in-service program to educate the members of the school community about the problem of bullying. B) Have a parent meeting to discuss preventing school violence and explain that addressing and stopping bullying is an important component of violence prevention. C) Have teacher-student discussion groups to reinforce antibullying messages and contribute to changing the school culture. D) Formally assess for bullying behaviors on an annual basis.
C) Have teacher-student discussion groups to reinforce antibullying messages and contribute to changing the school culture.
Companies integrate health promotion into employee recruitment, job training, safety, health, and recreation efforts. What is an example of a health promotion program that can be planned, implemented, and evaluated that teaches healthy safety behaviors to a diverse group of employees? A) Membership at a health club B) Back care C) Hearing conversation D) Risk profiles and screenings
C) Hearing conversation
Adequate nutrition is important for older adults to maintain health, prevent disease, and slow progression of existing chronic illnesses. What makes nutrition classes more effective? A) Limit recipe sharing of nondiabetic diets B) Eliminate existing negative habits C) Include ethnic food preferences D) Use colorful single-page, small print pamphlets
C) Include ethnic food preferences
12. The community health nurse is planning a health-promotion program for school-aged children for Red Ribbon Week. What is the over all goal of this type of program? A) How to avoid teen pregnancies B) Healthy cardiovascular promotion measures C) Increase awareness of the dangers associated with alcohol and tobacco D) Review common eating disorders and how to prepare healthy lunches
C) Increase awareness of the dangers associated with alcohol and tobacco
Mental health issues faced by the elderly include social isolation and loneliness, depression, suicide, and alcohol addiction. What individual is at highest risk for social isolation? A) People aged 65 years or older B) Elderly people living in a nursing home C) Individuals who are in frail health D) Individuals retired from career work
C) Individuals who are in frail health
As functional status and sensory acuity begin to decline, the elderly become vulnerable to an assortment of abusive and neglectful situations. What is self-neglect? A) Maltreatment of an older person residing in his/her own home. B) Maltreatment of an older person residing in a residential facility. C) Neglect inflicted when the safety or health of older people is threatened by their living alone. D) Knowing, intentional, or negligent act by a caregiver or any other person that causes harm or a serious risk of harm to a vulnerable population.
C) Neglect inflicted when the safety or health of older people is threatened by their living alone.
The benefits of exercise are well established across the life span. Exercise activity for elders must be suitable to health and functional status. What is the best approach to exercise in the elderly? A) Staying active throughout the day. B) Participate in 20 minutes of high-intensity exercise three times a week. C) Participate in 20 to 30 minutes of moderate intensity exercise most days of the week. D) Low-impact activity schedules 3 times a day for 20 minutes at each session.
C) Participate in 20 to 30 minutes of moderate intensity exercise most days of the week.
Falls are the most common accidents experienced by people older than 70 years. It is estimated that about two-thirds of falls among the elderly are preventable. What is a common risk factor for falls? A) Osteoporosis B) Hypertension C) Poor vision D) Middle ear disturbance
C) Poor vision
18. Public health nurses working in the community can lobby for changes in legislation that can prevent homelessness at the primary prevention. What is an example of legislation that can be supported? A) Transportation B) Case management services C) Raising the minimum wage D) Sources for funding programs
C) Raising the minimum wage
Farming is one of the few industries in which the families, who often share the work and live on the premises, are also at risk for injuries, illness, and death. What is an example of a potential hazard of elemental exposure for agricultural workers? A) Fertilizers, pesticides, fungicides B) Risk of transferable disease; zoonoses C) Silos, grain bins, manure pits D) Cumulative trauma: noise and ergonomics
C) Silos, grain bins, manure pits
Health promotion in the workplace falls within three basic program types. What is an example of a behavior change activity? A) Low fat foods in the cafeteria B) On-site aerobic classes C) Smoking cessation D) Sunscreen dispenser by walking trail
C) Smoking cessation
15. There are essential elements of establishing a nursing partnership with a faith-based organization. Building a healthy community takes time, careful planning, and a great deal of organization. The Healthy People Initiative suggests a formula for this process called MAP-IT. What activity occurs during the ìPî phase? A) A coalition of individuals that care about the faith community's health is formed. B) Areas of greatest need in the faith community are identified. C) Strategies and action steps to achieve community vision are planned. D) A plan of concrete action steps that can be monitored and make a difference is implemented.
C) Strategies and action steps to achieve community vision are planned.
16. The community health nurse is reviewing education system barriers for the homeless in the community. What is an example of enrollment barrier? A) Frequent mobility B) Poor health C) Transportation D) Isolation
C) Transportation
8. A community health nurse is trying to locate information commonalities among marginalized groups. The nurse is interested in knowing about the number of noninstitutionalized individuals who have a limitation in usual activities due to a chronic condition. What percentage does the National Center for Health Statistics report? A) 10% B) 10.8% C) 11% D) 11.8%
D) 11.8%
2. Each state mandates certain requirements to maintain the health of school-aged children. Vision and hearing screening programs are required. How many days after enrollment does a new student have to have screening completed for hearing and vision? A) 30 B) 60 C) 90 D) 120
D) 120
Depression is a common problem many elders encounter as they experience health and psychosocial changes. What is the percentage of depression in older adults receiving home health care? A) 1% B) 5% C) 11.5% D) 13%
D) 13%
12. The faith community nurse is organizing a health fair for a faith community. How many weeks of preparation should the nurse minimally consider in setting the date for the fair? A) 3 B) 4 C) 5 D) 6
D) 6
11. The community health nurse knows that there are some alarming facts about the homeless. What is one of the alarming facts about the homeless? A) 23% of the homeless are younger than 50 years B) 43% of families with children are homeless C) 76% of the homeless are single individuals D) 67% of the homeless are youths and young adults
D) 67% of the homeless are youths and young adults
16. There are essential elements of establishing a nursing partnership with a faith-based organization. Building a healthy community takes time, careful planning, and a great deal of organization. The Healthy People Initiative suggests a formula for this process called MAP-IT. What activity occurs during the ìIî phase? A) A coalition of individuals that care about the faith community's health is formed. B) Areas of greatest need in the faith community are identified. C) Strategies and action steps to achieve community vision are planned. D) A plan of concrete action steps that can be monitored and make a difference is implemented.
D) A plan of concrete action steps that can be monitored and make a difference is implemented.
2. Partnerships between local health departments and faith-based organizations potentially can do much to deliver services and reduce health disparities experienced by vulnerable groups. Which Healthy People 2020 goal is consistent with this philosophy of faith communities? A) Individual health is closely related to community health. B) Increase quality and years of life with elimination of preventable disease. C) Develop partnerships between individual and community health. D) Achieve health equity, eliminate disparities, and improve the health of all groups.
D) Achieve health equity, eliminate disparities, and improve the health of all groups.
6. The community health nurse is adapting a program for vulnerable and marginalized populations. Which overarching goal for Healthy People 2020 directly applies to the issue of health disparity? A) Eliminate preventable disease, disability, injury, and premature death. B) Create social and physical environments that promote good health for all. C) Promote healthy development and healthy behaviors across every stage of life. D) Achieve health equity, eliminate disparities, and improve the health of all groups.
D) Achieve health equity, eliminate disparities, and improve the health of all groups.
Elderly populations, in general, are open to new health practices and respond to a variety of approaches that have the potential to improve their health. To plan effective health programs, community health nurses should validate proposed goals and strategies with the targeted elderly group. What is an action step for working with older adults in the community? A) Try to incorporate outreach activities into the program. B) Anticipate needs of those with poor hearing. C) Maintain a fast pace for activities to maintain relatively short sessions. D) Allow plenty of time for elders to share life experiences.
D) Allow plenty of time for elders to share life experiences.
9. After assessing the community's educational preferences, the nurse plans intervention programs based on the results. The faith community is interested in an exercise group. The nurse develops a walking map. The walking map is particularly popular with which group? A) School-aged children B) Adolescents C) Adults D) Elderly
D) Elderly
1. Most health care professionals would agree that a major goal for the 21st century would be to create a nation of children who are optimally well so they can lead long, happy, productive lives. What is one of the overarching goals of Healthy People 2020? A) Increase quality and years of healthy life. B) Increase the span of healthy life for Americans. C) Reduce health disparities among Americans. D) Eliminate preventable disease, disability, injury, and premature death.
D) Eliminate preventable disease, disability, injury, and premature death.
The majority of older persons have at least one chronic condition and many have multiple conditions. In 2004 and 2005, what was the most frequently occurring condition of the elderly? A) Arthritis B) Cancer C) Diabetes D) Hypertension
D) Hypertension
3. The community health nurse is reviewing the needs of vulnerable groups in the community. What is an example of a vulnerable group? A) Men B) Caucasians C) Heterosexuals D) Individuals with HIV/AIDS
D) Individuals with HIV/AIDS
As functional status and sensory acuity begin to decline, the elderly become vulnerable to an assortment of abusive and neglectful situations. What is elder abuse? A) Maltreatment of an older person residing in his/her own home B) Maltreatment of an older person residing in a residential facility C) Neglect inflicted when the safety or health of older people is threatened by their living alone D) Knowing, intentional, or negligent act by a caregiver or any other person that causes harm or a serious risk of harm to a vulnerable population
D) Knowing, intentional, or negligent act by a caregiver or any other person that causes harm or a serious risk of harm to a vulnerable population
The effects of intimate partner violence spill into the workplace and can affect employment productivity. What is an element of a domestic violence awareness program that addresses primary prevention of intimate partner violence against women? A) Promote employee counseling and intervention B) Implement domestic violence screening questions on pre-employment and annual health examinations C) Support a company policy with a statement that clearly demonstrates concern and commitment to employees who may be experiencing violence at home D) Maintain a workplace environment in which all employees, regardless of gender, ethnicity, sexual orientation, or religion, are treated with respect and dignity
D) Maintain a workplace environment in which all employees, regardless of gender, ethnicity, sexual orientation, or religion, are treated with respect and dignity
14. A common concern for homeless people is following medication and treatment regimens. What is a common condition that can facilitate being able to promote healthy partnerships with homeless people? A) Frequently medications can be easily refrigerated. B) Difficult-to-follow special dietary restrictions. C) Food is allowed in the sleeping area of the shelter. D) Medicine is sold for cash or swapped for benefits.
D) Medicine is sold for cash or swapped for benefits.
15. The community health nurse is involved in a creative program that nurtures healthy relationships and models healthy behavior for the school. What would be the most viable appropriate helpful example of a program that can be used with groups such as teachers or staff in a school setting? A) Late breakfast meetings; ìsecond cup of coffee meetingî B) Grandparents' day C) Monthly health bulletin board D) Monthly blood pressure assessments
D) Monthly blood pressure assessments
10. The school nurse is developing a program on breast self-examination and testicular self-examination. This program be most appropriate for which grade level? A) Third grade B) Fifth grade C) Seventh grade D) Ninth grade
D) Ninth grade
12. Primary prevention measures to prevent people who are at risk for homelessness from becoming homeless are one of the first steps in health promotion for this population. What is an example of a primary prevention health promotion strategy for people who are homeless? A) Health care needs must be addressed first for a homeless individual. B) Identify the barriers homeless people encounter in receiving health care. C) Categorize homeless needs as housing, health care, or employment. D) Obtain emergency financial assistance so utilities are not discontinued.
D) Obtain emergency financial assistance so utilities are not discontinued.
7. Faith community nurses are licensed professional nurses, with varied educational backgrounds and areas of expertise, who share their nursing skills as a means to give something back to their community of spiritual support. What nurse would be ideal for this type of nursing in a less physically demanding and flexible environment? A) Ambulatory care B) Critical care C) Nurse practitioner D) Older experienced nurse
D) Older experienced nurse
People older than 65 years need regular primary health care services to maintain health and prevent disabling chronic illness and life-threatening conditions. What is a health promotion service that can form the basis for a community nursing intervention? A) Referral to existing national pharmacy assistance programs B) Continuous source of tertiary care C) Connection to acute illness support groups D) One-stop shopping for health care
D) One-stop shopping for health care
20. The faith community nurse has established short-term goals for restructuring weight management classes. The Healthy People Initiative suggests a formula for this process called MAP-IT. According to the MAP-IT approach, in what step will the goals be established? A) Assess B) Implement C) Mobilize D) Plan
D) Plan
17. There are essential elements of establishing a nursing partnership with a faith-based organization. Building a healthy community takes time, careful planning, and a great deal of organization. The Healthy People Initiative suggests a formula for this process called MAP-IT. What activity occurs last? A) A coalition of individuals in the faith community are provided with a progress report. B) Progress in all areas of greatest need in the faith community is reviewed. C) Concrete action steps that can be monitored and make a difference are implemented. D) Progress of the individual health program over time is mapped.
D) Progress of the individual health program over time is mapped.
19. Refugees and immigrants typically experience three phases as they assimilate into the country of destination, with each phase having specific health care implications. What phase is connected to how well the immigrant or refugee assimilates into the American culture? A) Acute B) Primary C) Transition D) Resolution
D) Resolution
2. Nurses throughout history and in modern times have been concerned about vulnerable populations. What is a vulnerable group? A) Process in which individuals in certain groups seem not to matter to the rest of society. B) Focus on the health needs of populations who have been relegated to the margins of society. C) Treat someone or something as if the individual is of no consequence or is unimportant. D) Social group who experiences limited resources and consequent high relative risk for morbidity and premature mortality.
D) Social group who experiences limited resources and consequent high relative risk for morbidity and premature mortality.
Self-management programs teach problem-solving skills in addition to health education. Self-management programs are successful in helping patients with chronic diseases such as diabetes mellitus and arthritis to make lifestyle behavior changes that improve pain, fatigue, physical function, and emotions. What type of prevention has a goal of maintaining or minimizing disease progression or fostering rehabilitation? A) Principal B) Primary C) Secondary D) Tertiary
D) Tertiary
Most health promotion programs involve lifestyle behavioral changes. What occurs during the precontemplation stage? A) The employee is considering making an effort to change behavior. B) The employee is weighing the pros and cons of change. C) The employee may not know how to make change and considers it impossible. D) The goal is to make the employee aware of benefits of change.
D) The goal is to make the employee aware of benefits of change.
