Community Health Final

The community health nurse is developing a plan of tertiary prevention activities. Which actions might the nurse incorporate into the plan? Select all that apply. 1) Providing a community-based-stroke rehab program 2) Providing a support group for breast cancer survivors

1 and 2

Organize the following steps in the epidemiologic study from the first step to the last .1. Collect the data. 2. Identify the problem. 3. Analyze the findings. 4. Disseminate the findings. 5. Review the literature. 6. Develop conclusions and applications. 7. Design the study.

2,5,7,1,3,,6,4

As the community health nurse engages in the process of seeking grant funding, the nurse ensures that the appropriate steps are followed. Place the following in their proper sequence.1. Contact funders 2. Acquire proposal guidelines 3. Define the project 4. Identify the proper funding source 5. Be aware of submission deadline

3,4,1,2,5

A PHN has noticed an inconsistency among immunization compliance across the state and desires to start the process to ensure all school districts are following the same guidelines. Which approach will be best for the nurse to pursue? A. Meet with the local town/city councils to encourage passage of matching policies. B. Present a proposed policy to state policy makers to implement. C. Contact the ANA for assistance to present a proposal in Washington, DC. D. Encourage each school district to follow the same guidelines.

B

A community health nurse is applying the Behavioral Model for Vulnerable Populations when evaluating a local community. Which would the nurse include as predisposing factor? A. Insurance B. Marital status C. Social support D. Income

B

A community health nurse is developing a plan of care for a family who is providing round-the-clock care in their home for a daughter who is chronically ill. Which area would be most important for the nurse to integrate into the plan? A. Insurance limitations B. Respite care C. Flexible visiting D. Skill teaching

B

A community health nurse is explaining the chain of causation to a family that includes a child who has developed Lyme disease. The nurse correctly describes the opening in the child's skin caused by the actual tick bite as the: A. reservoir. B. portal of entry. C. mode of transmission. D. host.

B

A community health nurse is involved in secondary prevention level activities focusing on child abuse and neglect. Which activity would the nurse most likely implement? A. Prenatal parent preparation classes B. Respite care for families with special needs children C. Public service announcements for positive parenting D. Education to improve family functioning skills

B

A community health nurse is trying to change a client's attitudes about adhering to a diabetic diet due to a recent diagnosis of diabetes. Which domain would be used when teaching this client? A. Developmental B. Affective C. Cognitive D. Psychomotor

B

A community health nurse is working to form a partnership with others in the community. What is the best response if the nurse is asked why this collaboration with others is so important? A. Advocate for change in policies B. Maintain effective programs C. Promote appropriate resource allocation D. Ensure accessible services

B

A public health nurse has been meeting with a group of clients who have recently been diagnosed with HIV. The nurse has noted improved appointment compliance among the group with the use of which technique? A. Mailed post cards B. Text messaging C. Monthly newsletters D. Voice messages

B

A public health nurse who uses the upstream approach would likely focus on which contributor to unhealthy diets in the community? A. Consumer preference for sweet, greasy, and salty foods B. Marketing strategies of fast-food businesses C. Busy lifestyles within the community D. Individual acceptance of obesity

B

In order to evaluate a health program, which should the community health nurse focus on when planning the program? A. Measurement of goal attainment. B. Creation of objectives that are specific, measurable, attainable, relevant, and timely. C. Patient satisfaction. D. Measurement of consistency with standards.

B

The community health nurse observes an increase in the development of multidrug-resistant tuberculosis. The nurse understands that a major reason for this occurrence for individual clients would most likely be: A. political and social response to declining rates of TB over the past decade. B. noncompliance with the therapy for the full, recommended period. C. a premature sense that TB has been defeated. D. a reduction in funding for surveillance and research.

B

The group of community health nurses at a local public health department are reviewing a list of identified goals that they desire to work on to benefit the community. Which goal should have the highest priority? A. Divide the community into smaller groups. B. Ensure immunizations are available for everyone. C. Decide how best to use the available resources. D. Ensure all members of the community are clients

B

The nurse is examining the possibility that multiple factors are involved in the development of cerebral palsy. Which is the nurse is applying? A. Strength of association B. Web of causation C. Temporality D. Chain of causation

B

The school nurse is organizing an education fair for primary age school children. The nurse will be promoting good nutrition and a physically active lifestyle. Which level of prevention would the nurse be implementing? A. Secondary B. Primary C. Tertiary D. Secondary and tertiary

B

What is the most important reason for the nurse to conduct a cultural assessment? A. To meet the nurse's professional learning needs B. Because understanding the values, beliefs, and practices of a designated cultural group is critical to effective nursing action C. Because usually there is some culturally based reason that causes clients to engage in or avoid certain actions D. Because it is often assigned by nursing faculty

B

When assessing a family in crisis, which of the following actions would the community health nurse need to take first? A. Determine client's perception B. Assess coping abilities C. Define available supports D. Assess the nature of the crisis

B

When choosing an appropriate model for health education, community health nurses often select the PRECEDE-PROCEED model for which reason? A. It emphasizes the desired outcome of the teaching. B. The steps are similar to those of the nursing process. C. The nurse's perception of the problem is the key to this model. D. Evaluation of outcomes is the final step.

B

Which principle guides and enhances family nursing practice? A. The nurse should focus on each family member individually. B. The nurse should start where the family is at the present time and not the ideal level of functioning. C. The nurse should expect that the family will be normal and will not change. D. The nurse should evaluate the family based on consistency with traditional family patterns.

B

A community health nurse is presenting a program about hepatitis prevention and risk reduction to a local community group. The nurse determines that the group has understood the program when they identify which method as the major mode of transmission for hepatitis B? A. Oral-fecal route B. Airborne droplet nuclei C. Exposure to contaminated blood D. Infected rodents, such as mice and rats

C

A community health nurse is teaching a group of older adults at a senior center about strategies for successful aging. Which information would the nurse include? A. "Avoid eating too many fruits and vegetables. "B. "Limit drinking alcohol to once or twice a month. "C. "Keep in touch with friends and family. "D. "Get up early in the morning."

C

A community health nurse is working as part of a team providing care during a disaster involving an explosion. The nurse is working to triage victims. Which victim would the nurse categorize as green? A. Person is unconscious with signs of internal and external bleeding. B. Person is conscious with a fracture of the upper arm. C. Person is conscious with numerous cuts and bruises that are superficial. D. Person is unconscious with an open skull fracture with visible brain matte

C

A community health nurse is working in a rural area providing care to families. The nurse sets up a connection between one of the families with a social service agency providing meals to homebound persons. The nurse is acting in which role? A. Advocate B. Mentor C. Coordinator/case manager D. Health teacher

C

A community health nurse is working with a community that is involved with improving community and individual reaction and responses, so that the effects of a disaster are minimized. This community is in which phase of disaster management? A. Recovery B. Response C. Preparedness D. Prevention

C

A community health nurse is working with a community to develop a program for disaster management. The community is currently working on identifying factors in the community placing it at risk. This community is in which phase of disaster management? A. Preparedness B. Recovery C. Prevention D. Response

C

A community health nurse trying to collect data to assist with a genetic study is finding the majority of the community unwilling to cooperate or participate. What is a common concern or belief about genetic screening that the nurse needs to prepare for, before conducting such a study? A. Genetics have no influence on health and illness B. Having certain genes will decrease health care costs C. Genetics can be used to deny care D.

C

A community health nurse who will be working with a homeless population is planning care. Which action would the nurse need to take first? A. Visit the local shelter where the clients are B. Focus on the issue of homelessness C. Clarify personal values and beliefs D. Develop trust with the population

C

A community health nurse would recommend pneumococcal vaccine for which group? A. 30-year-old adults who have simple respiratory tract infections B. 1-year-old children C. Adults over age 65 who have COPD D. Healthy adults in their 50s

C

A public health nurse is asked by a group of students why they should chose public health nursing as a career focus. What is the best response by the public health nurse? A. Public health agencies provide the main source of employment. B. Public health nursing focuses only on health care, not illness. C. Public health nurses can lead the effort in making health care more accessible to all citizens. D. Financial resources for patients are more readily available in public health nursing, enabling more to be help.

C

A public health nurse is preparing to work with a group of college students to help decrease the incidence of STIs. What is the best response from the nurse when asked why a contract is needed? A. The contract identifies what can happen if you don't follow the plan. B. It provides documentation for requesting grants to cover the expenses for the group. C. It provides motivation for each of us to achieve the intended outcomes. D. The contract is just a document outlining what we plan to do.

C

A public health nurse using an upstream approach to improve heart health would most likely focus on which contributing factors to improving heart health? A. Decreased physical activity B. Unhealthy diets C. Lack of safe places to exercise D. Smoking tobacco

C

A student nurse is having difficulty understanding the differences between public health care agencies and private health care agencies. What is the best response from the instructor? A. Public health sector agencies generally satisfy the health care needs of an individual. B. Private sector health services are complementary and supplementary to government health agencies. C. Private sector health care agencies usually meet the needs of special groups of people. D. Private sector health agencies usually are constrained in developing innovations in health care.

C

Which statement about cultivating a spirit of inquiry is most accurate? A. It involves "asking the burning clinical question." B. It is not very important; research will be performed anyway. C. In order for effective change to occur, current practices must be continually examined, questioned, and challenged. D. The agency does not have an important role in cultivating a spirit of inquiry.

C

Which statement about elder abuse is most accurate? A. It is more common for elderly men to be abused rather than elderly women. B. Self-neglect is not considered to be a form of mistreatment. C. Elder abuse is a problem that is underrecognized and underreported. D. If there is long-term domestic violence in an elderly couple, it is not considered elder abuse for the perpetrator to continue to abuse the victim.

C

Which statement about immunization is true? A. In the United States, toddlers are thoroughly vaccinated. B. Half of the world's children are being reached with essential vaccines. C. Vaccines are one of the most cost-effective interventions found in public health. D. The World Health Organization estimates that a billion more lives could be saved each year with immunizations.

C

While working with another group of community health nurses, a nurse overhears one of the nurses saying, "That older man should just retire. He's 70 years old. How productive can he be?" The nurse interprets this statement as reflecting: A. prejudice. B. bias. C. ageism. D. insight.

C

The community health nurse is planning a smoking cessation program for expectant mothers in a rural farming community. Which level of prevention would the nurse be implementing? A. Tertiary B. Primary C. Health promotion D. Secondary

D

The community health nurse is traveling to a developing country and will be providing education about ways to prevent malaria. Which level of prevention will the nurse be implementing? A. Secondary B. Tertiary C. Secondary and tertiary D. Primary

D

When applying the epidemiologic triad model to a community's plan of care, which would the community health nurse address? A. Immunity, causation, and risk B. Health, illness, and injury C. Incidence, prevalence, and case fatality D. Host, agent, and environment

D

When developing an educational program for the community, which action must the community health nurse take first? A. Assess the client's perception of the problem B. Ensure a conducive environment for learning C. Determine the appropriate subject matter D. Assess the clients' readiness to learn

D

Which of these behaviors is most likely changeable? A. Smoking cessation at a work place where smoking is common and deeply imbedded B. Smoking cessation in a public environment where cigarettes are openly sold and persons are allowed to smoke C. Smoking cessation among a group of people who have smoked for 20 or more years D. Smoking cessation in a school for students who have only recently started smoking

D

Which statement is most accurate about the concept of community? A community is made up of people who do not necessarily interact with one another and do not necessarily share a sense of belonging to that group. B. Community members are biologically related. C. Community members live in the same geographic location. D. A community is a collection of people who share some important features of their lives.

D

Which would a community health nurse expect to assess in the population of homeless men? A. Frequent use of shelters B. Permanent . Marital status D. Substance abuse

D

Which would the community health nurse identify as a key component of the host? A. Infectivity B. Antigenicity C. Virulence D. Inherent resistance

D

When applying the principles of transcultural nursing, which step must the nurse implement first? A. Demonstrate respect for culture B. Cultivate cultural sensitivity C. Learn the client's group culture D. Develop cultural awareness

Develop cultural awareness:D

community health nurse is involved in education, screening, referral, and support for the individuals of a specific religious congregation. The nurse is practicing in which setting? A. Occupational health nursing B. Residential institution nursing C. Faith community nursing D. School nursing

Faith community nursing

A community health nurse is developing a community-wide drug campaign targeting middle school children. The nurse is incorporating information about the dangers of addiction. Which level of prevention would the nurse classify this activity? A. Tertiary B. Secondary and tertiary C. Primary D. Secondary

Primary: C

A class of nursing students is studying district nursing. The instructor recognizes the class understands the information by identifying which source is the early sponsor? a)Religious organizations b) Private philanthropy c)Public Funding d) contributions

Religious Organizations

A community health nurse is working with a group of parents concerned with drug use within the school system. The nurse is open to hear their concerns and values their input when working toward the development of meeting the needs of the group. Which fundamental ethical principle is the nurse using to guide decision-making in this situation? A. Fidelity B. Respect C. Justice D. Veracity

Respect: B

A public health nurse is discussing the core public health functions with a group of student nurses. Which fact should the nurse include in the discussion? A. Policy development relates to assessment. B. Assessment involves the actual provision of services. C. Public health nurses practice as partners with other public health professionals within these core functions. D. Assurance means that the public health agency must directly provide the needed services.

The community health nurse is investigating how many cases of STDs have occurred in the local high school during the past month. Which approach is the nurse applying in the investigative process? A. Descriptive epidemiology B. Prevalence epidemiology C. Analytical epidemiology D. Experimental epidemiology

A public health nurse is faced with an ethical dilemma. Which question should the nurse consider first when deciding how to resolve the dilemma? A. "What are the alternative courses of action? "B. "How should this dilemma be solved? "C. "What exactly is the ethical dilemma? "D. "What are the consequences of each alternative courses of action?"

What exactly is the ethical dilemma: C

A community health nurse and a client are negotiating a contract for home health services. After agreeing on the shared goals, which statement/question by the nurse would be most appropriate? A. "Great, now that we know our goals, let's decide on when we want to accomplish them." B. "So what else would you like to accomplish at these meetings?" C. "Okay, so at the next appointment we will see how well the plan is working." D. "Is there anything you would like to change?"

A

A community health nurse arrives at a family's home. Which behaviors by the nurse would be nontherapeutic? A. Paging through paperwork for information B. Placing car keys in the nurse's carryall bag C. Sitting on the furniture near the family members D. Maintaining eye contact with the family members

A

A community health nurse has noted an inner city area has a high incidence of diabetes. After researching the situation and noting few grocery stores in the area, what is the best response from the nurse? A. Explore feasibility of community gardens B. Enlist assistance from local food banks C. Arrange for transportation to grocery stores D. Work with a grocery chain to open stores in the area

A

A community health nurse implements a plan of care that combines aromatherapy and acupuncture with medication therapy and surgery. Which type of care is the nurse applying? A. Herbalistic health care B. Integrated health care C. Holistic health care D. Folk medicine care

A

A community health nurse is engaged in primary disaster prevention activities in the community. Which action would the nurse most likely involved with? A. Conducting disaster drills B. Implementing crisis counseling C. Providing emergency assistance D. Assisting with early evacuation

A

A community health nurse is meeting with a group of individuals who have been diagnosed with a serious mental illness. The nurse interprets this to mean: A. the clients have impaired level of functioning and quality of life. B. the clients have a significant behavior syndrome with present distress. C. the clients have issues of impaired control and dependency. D. the clients' disorder is chronic and persistent.

A

A community health nurse is working as part of a community health team tasked with developing programs to assist individuals with disability and chronic illness. Which component would be most important for the nurse to integrate into the programs? A. Holistic viewpoint B. Episodic care C. Narrow focus D. Orientation to the present

A

A community health nurse working with a group of vulnerable clients is focusing on empowering them. Which action would be most effective? A. Viewing the clients as active partners in the process B. Keeping the clients to a firm schedule of visits C. Having the clients cut through bureaucratic red tape D. Focusing on the clients' limitations

A

A nurse is completing an exposure history using the mnemonic I PREPARE. What data would a nurse collect when asking questions about the first "P"? A. Present work B. Past work experience C. Potential exposures D. Previous pesticide exposure

A

A rural community health nurse is acting in the role of a mentor. Which activity would the nurse most likely be doing? A. Orienting a new rural health nurse to the community B. Providing childbirth classes C. Collecting immunization data for program development D. Contacting a specialist for a client

A

An instructor is teaching a group of nurses the various types of policies. The instructor recognizes the class understands the information when they identify which result as an example of a regulatory health policy? A. Licensure of health professionals B. Allocating resources among groups C. Federal subsidies for nursing education D. Benefits for needy groups

A

During a home visit, a client asks the community health nurse to take her shopping to purchase some of the food items she needs for her diet. Which response by the nurse would be most appropriate? A. "I'll help you find an alternative way to get to the store, let's look into some public transit options." B. "I can't, I'm going in a totally different direction." C. "You need to find some other way to get to the store." D. "Use the foods you have in the house and shop next week."

A

During a lively class discussion on health care rationing, several students indicate that they find this upsetting. What is the best response from the instructor? A. Fair rationing focuses on the needs of the population. B. Rationing is the end result of today's market. C. Advances in knowledge and technological capabilities will eliminate the need for rationing in the future. D. The main focus for rationing is to expand medical care to all.

A

Implementing any of the three main approaches to the tertiary prevention of communicable disease includes: A. care and treatment, isolation and quarantine, and safe handling and control of infectious wastes. B. education, immunization, and screening. C. screening, immunization, and isolation and quarantine. D. case and contact investigation, notification, and treatment.

A

When a community health nurse is planning to teach a group of new immigrants from a non-English-speaking country about the need for immunizations, the nurse should include which in his or her plans? A. Using an interpreter B. Guessing about the native language and attempting to speak it C. Using a lot of pictures D. Talking clearly and slowly, being sure to enunciate each word

A

When developing teaching programs for a community of adult men and women, which would the community health nurse establish as a key aspect for this community's ability to follow through with the teaching? A. Health literacy B. Financial ability C. Life expectancy D. Health disparity

A

When preparing for a class on family and family health, which statement would the instructor include as the most appropriate description of family? A. "The members of the family are self-defined. "B. "Individuals live in close proximity to one another. "C. "Persons are involved in the same social community groups. "D. "Persons are related by a common bloodline."

A

Which statement is true regarding the description of school nursing? A. "The practice of school nurses is widening." B. "The primary role of school nurses is clinician." C. "This role of the community health nurse is static in this setting." D. "School nurses rarely act as advocates."

A

The community health nurse is developing a plan of primary prevention activities. Which might the nurse include? Select all that apply. A. Encouraging older adults to install safety devices in the bathroom B. Providing regular immunization programs for communicable diseases C. Teaching about safe sex practices to high school students D. Participating in cholesterol screening programs at health fairs E. Working with a group testing water samples for contamination. F. Providing skin testing for tuberculosis for children over 1 year of age

A,B,C

A community health nurse is working with several rural areas to improve access to health care for the residents. Which suggestion might the nurse provide? Select all that apply. A. Telehealth B. Mobile clinics C. School-based clinics D. Faith-based nursing E. Critical Access Hospitals

A,B,C,D

The community health nurse is working with a local community in identifying the goals and objectives of a solution for a health issue. Which factors will the nurse utilize when writing the objectives? Select all that apply. A. Achievable B. Teachable C. Specific D. Realistic E. Money required

A,B,C,D

The community health nurse is developing a plan of secondary prevention activities. Which actions would the nurse incorporate into the plan? Select all that apply. A. Encouraging monthly self-breast exams during a women's health fair B. Educating high-risk community groups about the importance of exercise at a hypertension clinic C. Participating in cholesterol screening programs at health fairs D. Teaching parents to place infants on their backs to sleep E. Providing BMI measurements during a health fair F. Teaching elementary students about the importance of using "MyPlate"

A,B,C,E

The public health nurse is reviewing the established guidelines for dealing with bioterrorism in the local community. Which actions would be most appropriate for the community health professionals to take? Select all that apply. A. Establish a coordinated response plan with other agencies. B. Adequate surveillance systems for early detection. C. Educate the public about potential dangers of continued environmental contamination. D. Educate all health care personnel about signs and symptoms of exposure. E. Educate communities to make decisions best for them.

A,B,D

A community health nurse is teaching a group of clients about infection control and mentions the role of vectors in transmitting diseases. Which would be examples of some common vectors? Select all that apply. A. Mosquitoes B. Salmonella C. Roaches D. Fleas E. Chemicals

A,C,D

Which entities would the community health nurse know are required to report known or suspected cases of reportable diseases in every state in the United States? Select all that apply. A. Any individual who knows of or suspects the existence of a reportable disease B. Laboratory directors C. Administrators of schools and child care centers D. Physicians, dentists, and nurses E. Medical examiners

A,C,D,E

The community health nurse is discussing the concept of shared culture with a group of nursing students. Which statement made by a student nurse demonstrates the student has been able to link the concept of shared culture to previous culture knowledge acquired? A. "Culture is a product of aggregate behavior." B. "Culture is static." C. "Culture is interrelated and dependent." D. "Culture can only be inherited, not acquired

A: Culture is a product of aggregate behavior

Which subpopulation is most likely to be sheltered homeless?

African Americans

When developing appropriate programs for adult mental health promotion, the nurse incorporates knowledge about the most prevalent mental disorders. Which disorder would the nurse identify as the most prevalent?

Anxiety Disorders

When working with immigrant groups in community health care, which action would be least appropriate for the community health nurse to take? A. Ensure an appropriate interpreter for communication if needed B. Develop educational programs to correct misconceptions C. Assume that the client has a basic understanding of health issues D. Permit ample time for interviewing to allow time to evaluate beliefs

Assume that the client has a basic understanding of health issues: C

A community health nurse is collaborating with local community leaders to prepare a community disaster plan. Which function is the nurse fulfilling? A. Policy development B. Research C. Assurance D. Assessment

C

The community health nurse is offering free osteoporosis screenings for seniors living in a retirement village. Which level of prevention would the nurse be implementing? A. Health promotion B. Tertiary C. Primary D. Secondary

D

Which statement about assessment (one of the core public health functions) and how it can be applied to environmental health is most accurate? A. Assessment should be limited to the general population and should not include the increased vulnerability of certain groups. B. Assessment includes the investigation of health hazards, surveillance of health issues, examining causes, and assessing needs. C. It is not necessary for nurses to have a background in the environmental health sciences. D. Assessment is least valuable when related to where the person attends school.

B

Which statement about the steps of the EBP process is most accurate? A. It is optional to integrate the best evidence with one's clinical expertise and patient preferences and values in making a practice decision or change. B. The first step in the EBP process is to cultivate a spirit of inquiry. C. One of the last steps of the EBP process is to search for and collect the most relevant best evidence. D. One of the earliest steps in the EBP process is to disseminate the outcomes of the EBP decision or change.

B

Which statement made by the student nurse would accurately describe the role the public health nurse has in decreasing the adverse effects of environmental hazards? A. "The role of the public health nurse in decreasing the adverse effects of environmental hazards is to correct, control, and evaluate environmental factors. "B. "The role of the public health nurse in decreasing the adverse effects of environmental hazards is to assess, correct, control, and prevent environmental factors." C. "The role of the public health nurse in decreasing the adverse effects of environmental hazards is to educate, correct, and control environmental factors." D. "The role of the public health nurse in decreasing the adverse effects of environmental hazards is to assess, educate, and prevent adverse effects from environmental factors."

B

Which would a community health nurse expect to attribute in the adolescent population with an eating disorder? A. Clear sense of self B. Distorted body image C. High levels of peer support D. Feelings of being in control

B

The public health nurse is preparing a community educational presentation to describe the ACA and its various benefits. Which points will the nurse include in the presentation? Select all that apply. A. It created one central insurance provider to ensure health insurance for everyone. B. Employers have the option to provide insurance or contribute to the marketplace option. C. It increased the coverage available through Health Savings Accounts. D. The plan is to provide health insurance coverage for all US citizens. E. Subsidies are available to assist all families.

B and D

Which would lead a community health nurse to suspect possible child neglect? Select all that apply. A. 14-year-old Jennifer watches her neighbor's 2-year-old every Saturday. B. 15-year-old Lucy misses school once a week to watch her baby sister while mom works. C. 11-year-old Samantha comes to school without lunch or lunch money each day. D. 9-year-old Tommy misses school two or three times a month due to asthma attacks. E. Twins, Bobby and Billy, arrive at school in dirty and smelly clothing most school days. F. 6-year-old Sam plays in the yard with a sweater on when it is 60 degrees outside.

B,C,E

Which are examples of the family life cycle stage of expansion? Select all that apply. A. The parents in a family of four divorce and one parent lives elsewhere. B. The single mother of one marries, and the new spouse has two children. C. The head of a family of four dies. D. The family of four welcomes the newborn into their family. E. The family of four's eldest daughter and her child return to the family home after divorce.

B,D,E

A community health nurse is discussing with a student nurse, the importance of engaging in assurance activities. Which statement made by the student nurse would demonstrate an understanding of assurance activities? A. "I should provide leadership in facilitating community groups toward meeting their needs, and work toward making changes in existing laws. "B. "I should be involved in activities that ensure necessary services are being provided to the community. "C. "I will be gathering and analyzing information that will affect the health of the people to be served. "D. "I will be accessing relevant data that enable identification of strengths, weaknesses, and needs within the community."

B: I should be involved in activities that ensure neccessary services are being provided to the community

A group of students are preparing a class presentation discussing causal thinking and its results on community health nursing. Which action by the nurse will the students identify as influencing causality? A. Developing a plan to address the rapid increase in older adult population B. Identifying multiple factors associated with promoting wellness C. Engaging in video conferencing to share research findings D. Using computer-based education programs for client education

B: Identifying multiple factors associated with promoting wellness

A client is surprised the public health nurse does not ask many questions concerning the past medical history but appears to already know it. What is the best response by the nurse to address the client's concerns? A. The last nurse to see you shared your history with me. B. The past medical history is not relevant to this visit. C. The information is already available in the electronic health record. D. The old records have been requested and will be reviewed when receiv

C

A community health nurse implements the use of promotoras to promote health in migrant communities. Which person would the nurse be using? A. Trained childbirth assistant B. Retired nurses knowledgeable of the area C. Nonprofessional community outreach worker D. Language translators

C

A community health nurse is applying the Behavioral Model for Vulnerable Populations when evaluating a local community. Which would the nurse include as an enabling factor? A. Marital status B. Acculturation C. Insurance D. Knowledge of disease

C

As community health nurse, you overhear a colleague say, "I don't understand why the Yang's take their young teenage daughters to the Hmong New Year celebration and have them play these match-making games. The girls meet boys every day at school and they are too young to be looking for husbands." Which response would be the most appropriate? A. "I know what you mean, I was thinking the same thing. You wouldn't catch me doing something similar with my teens. "B. "I feel sorry for those girls; they must feel funny in those cultural costumes. Let's talk to the parents and tell them how teens in America feel about such things." C. "Every culture has its differences; I think it is valuable that the Yang's are keeping their cultural practices alive." D. "The Yang's are very different from us; maybe in time we can convince them that their practices are not right."

C

As part of a community-wide program addressing the needs of seniors in the county, the nurse engages the seniors as well as their families in the program. The nurse is demonstrating which principle for effecting positive change? A. Interdependence B. Proper timing C. Participation D. Resistance to change

C

Communicable disease is a global health concern with a primary goal of eradicating communicable diseases worldwide. Which statement made by the community health nurse illustrates what would be involved in the achievement of this goal? A. "Eradication of communicable disease would involve reducing the incidence and/or prevalence of communicable diseases. "B. "Eradication of communicable disease would involve interrupting disease in a limited, defined geographic area. "C. "Eradication of communicable disease would involve interrupting transmission and reservoir of infection to prevent further cases." D. "Eradication of communicable disease would involve establishing primary health care services for all people on the globe."

C

Community health nurses must recognize the unique position they hold in providing adequate health care for their clients. Which action would be a priority for the community health nurse? A. Bring in educators to help the clients B. Identify the needs of each client who comes through the clinic doors C. Work to make healthy choices more accessible D. Identify which community leaders are most supportive of health care

C

For which illness would the nurse develop a community-wide education program, to decrease the rate of a leading cause of death worldwide? A. Smallpox B. Infectious diarrheal disease C. Acute respiratory tract infection D. Tuberculosis

C

How would a community health nurse define vulnerable populations? A. Individuals with chronic illness B. Those persons with higher mortality rates C. Those with increased risk for adverse health outcomes. D. Individuals with lower life expectancy

C

The community health nurse has identified a health care issue and believes a local coalition of various community members will be the best approach to handle the situation. Identify the initial step the nurse should take. A. Identify key players B. Identify potential members C. Define goals and objectives D. Conduct a community assessment

C

The community health nurse is designing a program that targets HIV-infected males regarding safe sex practices and medication adherence. Which level of prevention is the nurse implementing? A. Secondary and tertiary B. Tertiary C. Secondary D. Primary

C

The community health nurse is explaining the reasons for health problems in the homeless population. Which reason would the nurse identify as the most likely? A. Limited access to health care services B. Issues related to storage of medications C. Time and energy focus on survival needs D. Lack of transportation to keep appointments

C

The community health nurse is lobbying to increase the accessibility to health care services for mentally ill homeless clients in the community? Which level of prevention is the nurse operating within? A. Primary B. Tertiary C. Secondary D. Health promotion

C

The community health nurse is making an effort to ensure success of a proposed community intervention program. Which would the nurse include? A. Formal leaders B. Local knowledge C. Advisory group D. Target population

C

The community health nurse is planning to travel to a developing country and will be promoting prenatal care. Which level of prevention will the nurse be implementing? A. Secondary B. Secondary and tertiary C. Primary D. Tertiary

C

The community health nurse is reviewing the health status of the community. Which is the best factor for the nurse to examine? A. Adequacy of health services B. Strengths of the community C. Leading causes of death and illness D. Socioeconomic distributions

C

The community health nurse is using effect theory to design a prevention program for behavioral health. Which action would be the most likely for the nurse to take first? A Specifying the health problem outcome B. Identifying antecedent factors leading to the problem C. Identifying the specific health problem D. Determining the desired health problem impact

C

The nurse recognizes the financial means of individuals often determines the amount of health care received. As health care has improved, the costs have increased. Which factor has contributed the most to rationing over the recent years? A. Increase in health care insurance coverage B. Decrease in preventive health measures C. Increased life expectancy D. Decrease in medical staff

C

When reviewing the trends in communicable diseases for a county, the community health nurse notes that there was an increased incidence of Lyme disease. The nurse develops a plan for prevention and control integrating the understanding that this disease is most likely transmitted by which mode? A. Direct B. Airborne C. Vector D. Vehicle-borne

C

When working with gay and lesbian families, which is the most important challenge? A. Planning additional services to address the delayed development of each of the children B. Addressing the usual parental fears and concerns related to their children C. Creating an environment in which the family feels confident, relaxed, and comfortable D. Determining if the union is legal in the state that the family resides

C

Which measure would be most appropriate for a community health nurse to include when developing programs to address childhood obesity? A. Limiting the intake of unsaturated oils in B. Suggesting that families eat less meals together at home C. Urging an increase in physical activity daily D. Encouraging television watching for about 3 hours per da

C

Which are examples of a community health nurse providing health promotion teaching? Select all that apply. A. The community health nurse leads a group of stroke survivors in soft exercise. B. The community health nurse is a guest on a radio talk show to provide information how to avoid an infection that is endemic. C. The community health nurse teaches a mother and baby exercise group. D. The community health nurse encourages an individual whose blood pressure screening was elevated to have his or her blood pressure rechecked in 1 week. E. The community health nurse teaches a group of preschoolers about different fruits and vegetables that they might like to try. F. The community health nurse teaches a class of kindergartners how to properly wash their hands.

C,E,F

A community health nurse determines that a family is stressed beyond its limits. The nurse identifies that which attribute is being affected? A. Interdependency B. Goal-directed behavior C. Family boundaries D. Adaptive behavior

D

A community health nurse implements a teaching program for new parents about ways to prevent injuries and reduce infant mortality. Which suggestion would the nurse include as most important? A. "Stay within an arm's length when the baby is in the tub." B. "Check the temperature of the bath water before bathing." C. "Never leave the infant alone on a dressing table or couch." D. "Put the infant to sleep on his or her back."

D

A community health nurse is conducting orientation for new nurses to the clinic. Which factor should the nurse emphasize as most important when dealing with the community? A. Flexibility B. Client focus C. Cyclic nature D. Interaction

D

A community health nurse is making a home visit to a family. The family has a son with a disability who requires a motorized wheelchair. The family asks for the nurse's assistance. Which response by the nurse would be most appropriate? A. "You'll probably be able to get it if you pay for half the cost." B. "His disability should automatically cover the cost of the chair." C. "You might be able to get a regular wheelchair, but a motorized one is impossible." D. "We'll need to check with the insurance company about coverage."

D

A community health nurse is providing an in-service program to the agency staff about effect theory, which will be used to develop behavioral intervention programs. The nurse determines that the staff needs additional teaching when they attribute which theory with the effect theory? A. Impact theory B. Determinant theory C. Intervention D. Process theory

D

A community health nurse working in the community has developed a great relationship with the clients. This nurse understands the power and empowerment are best achieved by which concept? A. Client autonomy B. Hierarchical relationship C. Authority over clients D. Partnership with clients

D

A group of community health nursing students design a health education program for a group of pregnant teens that includes teaching nutrition during pregnancy, demonstrating helpful exercises, and discussing their concerns. This is an example of: A. treatment of disorders. B. evaluation. C. rehabilitation. D. health promotion.

D

A homeless client arrives at a free health clinic with reports of blood in his urine. Which action should the nurse take next? A. Refer the client to a urologist B. Direct the client to the nearest emergency room immediately C. Assist the client in finding shelter D. Gather additional data to determine the cause of bleeding

D

A nursing instructor is discussing the importance of each nurse, especially public health nurses to become involved in political activism. Which statement by a nursing student would indicate that the teaching was successful? A. "Nurses are the smallest group of providers with the largest voice." B. "Nurses have just now become increasingly active in the political arena." C. "Nurses are considered major political players in Washington." D. "The ANA provides nurses with a collective political voice."

D

A prospective nursing student is interested in working in community health nursing after graduation. Which level of education would be most appropriate for this student to complete? :A. Master's degree B. Diploma program C. Associate degree D. Baccalaureate degree

D

A public health nurse in the state's health department notes various facilities in a large community are reporting increased numbers of whooping cough. What should be the nurse's first response? A. Send the information to the CDC B. Organize an immunization event for the community C. Contact the local health facilities to encourage immunizations D. Gather more information such as immunization records

D

A public health nurse is reviewing information sent from various facilities in a large community and notes an unexpected increase in the cases of Lyme disease. Which resource is available to assist this nurse in planning an appropriate response? A. Electronic health records (EHR) from each facility B. Door-to-door survey of the affected neighborhoods C. Emailing a survey to each patient diagnosed with Lyme disease D. Geographic Information System (GIS)

D

After teaching a group of nursing students about the similarities and differences between public health and community health, which statement by a nursing student would best describe the similarities and differences between public health and community health? A. "Public health nursing is defined as nursing care that is provided in an institutional setting." B. "Public health nursing is focused on the health of individuals. "C. "Community health nursing is defined as nursing care that is provided in a community setting, rather than an institutional setting." D. "Community health nursing can shape the quality of community health services and improve the health of the general public."

D

The community health nurse is designing a program that targets expectant mothers who have been infected with the Zika virus. Which level of prevention is the nurse implementing? A. Tertiary B. Primary C. Secondary and tertiary D. Secondary

D

The community health nurse is discussing the chain of causation with a student nurse. Which statement made by the student nurse indicates no further need for additional teaching on the chain of causation? A. "The chain of causation begins with the portal of exit." B. "Bats are the largest reservoir of malaria identified in the chain of causation." C. "The last link in the chain of causation is the agent itself." D. "Humans can be considered a reservoir in the chain of causation."

D