Community NCLEX Questions Exam 1
A, C, D, E
Why is a needs assessment one of the first steps a community nurse should take when working with a community? (Select all that applies) A) to ensure energy and time is not wasted B) to help nurse collect data for the census C) to establish what is needed so resources can be used appropriately D) to get the community involved E) to help establish expectations within the community for services
A
A community health nurse wants to collect a needs assessment data in a small, religious town in southern Indiana. The first approach to gathering this data is to interview key informants in the community. Who would be considered a key informant for this community? A) pastor B) the local dance teacher C) owner of the ice cream shop D) the pet store worker
C
A nurse is needing to do an assessment on a community. Which of the following is not something that needs to be completed or considered? A) the nurse needs to identify gaps in service and accessibility B) first step in gathering data is to interview key informants in the community of interest C) mailing surveys will not help elicit information from diverse groups D) having a community forum is another approach to get people to discuss selected questions
B
A nurse is planning to do a windshield survey of District X. What best describes the technique and purpose of this type of survey? A) The nurse is conducting interviews with the people of the district to determine if they get their flu shot every year B) the nurse is waking through the district to observe the location and type of different services within the district C) The nurse is collecting paper surveys handed out to the people in the district to determine if they have access to grocery stores. D) The nurse is driving through the district to determine if she would want to live there.
A, B, C, D, E
A nurse is wanting to begin a smoking cessation lecture in a rural community. When selecting an aggregate for this certain lecture, what factors should be considered. Select all that apply A) age B) income C) religious affiliation D) location E) ethnicity
A, C, D, E
A patient presents himself to the Local clinic and explains to the nurse he has an appointment and that driving here just cost him a meal. Which of the following can the nurse do? (Select all that apply) A) speak with the other nurses and discuss performing a windshield survey B) smile and tell him the doctor will be with him very shortly C) speak with the man about how he feels about getting to the doctor D) obtain a history and physical for the patient E) ask him where he lives and where he shops for food
D
A public health nurse is looking at a specific community and plans on collecting data from the census and American community survey as part of her study. What information can she not receive from the data? A) the income of those within the community B) the age of the community members C) the poverty level within the community D) the number of hospitals in the community
A, B, C
In a local community, there has been an increased risk of lung cancer. Which aggregates do you think would be most at risk for getting this disease? (select all that apply) A) factory workers B) cigarette smokers C) mine workers D) teachers E) high school athletes
C
In order to effectively asses a community's capacity to address future problems, a nurse will assess a variety of things. Which from the list below is NOT something a nurse would assess when analyzing this problem? A) the community's commitment to a healthy future B) the ability to foster open communication and to elicit broad participation in problem identification and resolution C) the community's access to recreation centers D) the active involvement of structures such as health department that can assist with health issues
C
after community health advisors noticed an increase in breast cancer mortality rates in areas throughout the alabama black belt, they implemented a secondary prevention program. which is a form of secondary prevention that they used? A) HPV vaccine B) support groups C) breast and cervical screenings D) breast cancer disease management programs
B
the nurse is precepting a new nurse on their current assignment of assessing the various communities surrounding their community. Which of the following comments made by the new nurse should be corrected by the precepting nurse? A) increasing physical activity can improve the overall health in the community by helping people place an importance on their health. leading to healthier food choices and lifestyle choices B) having more sidewalks placed around the community could not increase physical activity C) the assessments a nurse makes about a community are important because they can then lead to a diagnosis, planning, intervention, and evaluation D) community health is important for prevention of diseases
A, B, D
IU health Bedford has been receiving more opioid overdoses in the ER than usual. an ER nurse notices this and wants to find more data on opioid overdoses. what are some reliable sources of data? A) national center for health statistics B) the world health organization (WHO) C) websites that end in ".com" D) center for disease control and prevention (CDC) E) a journal article from 1992
A
a nurse needs to know that drug addiction can be treated, anyone can develop a drug dependence, and: A) any drug can be abused B) abused drugs are illegal drugs C) dependence comes from illegal drugs only D) OTC cannot be abused
A
A nurse is wanting to gain insight about the communities' health organizations. To gain information about health manpower, she would contact which source: A) local and state health planning agencies B) local hotlines C) newspapers D) chamber of commerce
A, C, E
A community health nurse has conducted a needs assessment in a rural community and established a diagnosis of knowledge deficit related to IV drug use and HIV transmission. She wants to implement an educational program to reduce the fear and stigma surrounding IV drug use. Which of the following aggregates within the community would be the most appropriate targets for this program (select all that apply)? A) police officers and first responders B) certified nursing assistants at the local nursing home C) parents of the local high school D) kindergarten teachers within the school corporation E) the nursing staff at the local clinic
A, B, E
A community health nurse has noticed an increase in childhood obesity and a decrease in physical activity among the local students. She wants to perform a needs assessment regarding the local sidewalks and ability for kids to walk to school. Which forms of data collection would be useful in her assessment (select all that apply)? A) interviewing parents on the condition of their neighborhoods, their feeling of safety, and if they would allow their child to walk to school B) initiating a community forum in which members of the community are able to share their thoughts on the local sidewalks, physical activity, and walking to school C) extracting data regarding the average family income of each neighborhood D) creating a focus group to determine cafeteria workers feel about the lunches they serve E) direct observation of the ways in which children get to school, and the usage of sidewalks in the community
D
A community health nurse in paoli, IN has recently launched a diabetes prevention program. The nurse wants to begin nutrition classes for the elementary schools in Orange County. She plans to assess the progress of the program in 1 year. Which of the following would a nurse NOT use to evaluate the progress the community has made toward the goal of the program? A) construct benchmarks to gauge achievement of the program goal B) compare data from the entire US to the data in Orange County C) compare the current data to the baseline data D) ask the parents to evaluate the progress of their children
A
A community health nurse is assigned patients in a new area and wants to observe people and their role in the community. What is the best way to obtain this information? A) windshield survey B) looking up the town on google C) asking one person D) following the town's mayor on social media
A
A community health nurse needs to understand the community's perspective on health status, the services it uses or requires, and its concerns. What would be the most appropriate measure for the community health nurse to take? A) a community needs assessment that has data collected directly from an aggregate B) going into a doctor's office and surveying random people C) asking the government what they think about the community D) interviewing medical professionals at the local hospitals to gain better understanding of what the public is like
A
A community health nurse reviewed a census report and discovered that a district contained many elderly people. This knowledge directed the nurse toward further assessment of the social resources (i.e., housing, transportation, and community centers), health resources (i.e., hospitals, nursing homes, and geriatric clinics), and health problems among aging people. By identifying the trends in the population over time, the community health nurse BIGGEST concern is: A) to modify public health programs to meet the changing needs of the community B) identify the attributes that make the aging community unique by comparing data with the census unit he/she collected with another community of entire nation C) determine the morbidity and mortality rates of the aging community D) construct a community profile and compare trends with those in other communities
B
A correctional nurse is concerned about the increasing rates of prisoner admissions to a correctional facility that are testing positive for HIV. The nurse wants to complete a needs assessment for the population in efforts to decrease HIV prevalence and transmission in the prison. What should the nurse not do in efforts to compile data about the population? A) compile relevant demographic and epidemiological data to identify trends in the population B) walk through the lounges of the prison and gather sensory information that will enable the nurse to jot down preconceived notions about the population C) Schedule mandatory appointments for the HIV-positive prisoners to attend the clinic in order to gather a health history and discuss treatment options D) Create questionnaires to be distributed to the affected population to gain insight on their health literacy about the diagnosis
C
A high school nurse is collaborating with the sexual education instructor to educate young women on ways to prevent breast cancer. Which of the following is an example of primary prevention? A) perform a self breast exam every month B) education on when to start getting routine mammograms C) educate young girls on how to care for their own body D) contact your primary health care provider if you notice an abnormal lump during a self-breast exam
A, B, C, D, E
A nurse is assessing a type two diabetic patient and he states he eats frozen meals, drinks an excess amount of soda, and states he watches television all day. What are important factors to learn about the patient before teaching the patient. Select all that apply. A) neighborhood safety B) money C) accessibility to resources D) availability of fresh fruits and vegetables E) emotional support
B
A nurse wants to assess a community's perspective and concerns regarding health care needs in this community. What would be the best first approach for the nurse to take to gather data about the community? A) hold a community forum to discuss concerns in the community B) interview key informants in the community C) mail surveys to members of the community who were not willing to talk in person D) form focus groups to promote more interaction and expression of ideas
D
A patient is asking a nurse why they have to fill the census form every time I have appointment. Which of following answers from the community health nurse is not correct? A) the census impacts current politics and funding B) the census defines neighborhoods and culture identities in those area C) the census helps other nurses and I pinpoint what most people struggle with in that area D) the census form is a way of life and needed by the government
C
A public health nurse is teaching about disparities seen in Black Belt community, which statement requires further teaching? A) Women would defer having a mammogram if the travel distance was greater than twenty miles B) Rural women have an increased risk of being diagnosed with breast cancer in later stages of the disease than urban women C) African American women experience the same breast cancer mortality rates as white women D) rural women are less likely to comply with mammogram screening guidelines
C
A school nurse wants to implement a group counseling session for asthmatic students to recognize and avoid triggers that would lead to an asthma attack. In doing so, the nurse's implementation would be best described as: A) primary prevention B) comprehensive assessment C) tertiary prevention D) treatment intervention
C
A student nurse is interested in how Indiana's tobacco use compares to the national average tobacco use --what is the best source to gather this data from? A) conduct a windshield survey to collect first hand observation of tobacco use among the community B) twitter C) use a reliable and up to date source such as CDC --National Center for Health statistics to compare Indiana's tobacco prevalence among the US D) use MMWR (morbidity and mortality weekly report)
A
By conducting a "Windshield Survey," what is the most beneficial data that can be collected that would help the population of a rural community as a whole? A) methods of accessible transportation B) access to sidewalks near public schools C) the number of fire hydrants in all local neighborhoods D) determining the number of families in each neighborhood
G
Community health nurses must understand the community's perspective on health status, the services it uses and requires, and its concerns. Which form of data collection would best benefit nurses in reaching an understanding of their community's health literacy about the risks associated with tobacco use? A) community forums B) windshield surveys C) vital statistics D) questionnaires/surveys E) focus groups F) all of the above G) A, D, and E
C
Epidemiology plays an important role in determining disease patterns within a certain population. What can you acquire from the six new patients with food poisoning who attended the same restaurant on New Year's Eve? A) crude rate B) prevalence rate C) attack rate D) incidence rate
B
Formal data collection does not exist for all community aspects; therefore, many community health nurses must perform additional data collection, compilation, and analysis. For example, school nurses regularly use aggregate data from student records to learn about the demographic composition of their population. What is the BEST way the nurse can collect this data? A) using the data collection method of observation B) conduct ongoing surveys of classroom attendance and the causes of illness, along with screening the entire population to discover the disease C) form focus groups in which the participants selected are students to collect data on the school community to be able to provide solutions to identified problems D) gather data from key informants in the community
A, B, C, D, E
Nurses can gather valuable information about the causes and prevalence of health and disease in a community through epidemiological studies. Therefore, based on this information, the community health nurse can apply which of the following from an individual client level to target aggregate in the community? A) the nursing processes B) expanding assessment C) diagnosis D) planning E) intervention and evaluation
A
Which of the following is incorrect about why the 10-year census is important to community health nurses? A) the census provides information about specific health disparities in each geographic region B) it describes the population characteristics of the nation within progressive smaller geopolitical entities C) the census describes large metropolitan areas = as that extend beyond formal city boundaries D) the census tabulates many demographic variables, including population size and the distribution of age, sex, race, and ethnicity
A, D, E
You are a public health nurse looking for health promotion in the community. Which of the following examples already in place can be categorized as secondary prevention activities? Select all that apply. A) vision screening of a fourth grade class B) swim therapy for disabled elders C) exercise therapy after a stroke D) dental examinations E) organized screening programs for communities
A, B, C, E
You are apart of Alabama REACH 2010 helping implement the use of community health advisors (CHAs) to improve preventative breast and cervical cancer screening among women that live in the Black Belt region of the state. Which of the following are useful concerning CHAs? Select all that apply A) CHAs able to connect with the patients on a social level B) CHAs are able to explain the importance of screenings C) CHAs travel out to people's homes in the community D) CHAs give everyone the same information regardless of stage E) CHAs bridge the gap between healthcare institutions and the community
C
You are asked by a community health nurse to conduct a needs assessment. What is the first step? A) train data collectors B) conduct a needs assessment C) identify the aggregates D) identify needs suggested by data
B
You are caring for a patient with Type 2 diabetes in a rural community. What is the best way to begin data collection? A) conduct a windshield survey B) interview key informants C) hold a community forum D) collect a census data
A, E
You are giving a presentation about community health advisors (CHA), what would you include in your presentation? (Select all that apply): A) they can serve as a bridge between healthcare institutions and groups that lack access to health care services B) you have to be a nurse of doctor to be a CHA C) Breast and cervical cancer interventions promoted by CHA's have resulted in a decrease in mammograms and pap smears D) it takes no training to become a CHA E) community members can be CHAs
A, D
You are researching information to find out more about a specific community. You need data involving records of births, deaths, marriages, divorces, and adoptions in the area. Which of the following sources of health data could you utilize? Select all that apply. A) hospital B) almanac C) police department D) local courthouse E) chamber of commerce
A
You have partnered with a team of nurses, physicians, and public health workers to take on the high obesity rates within your county. Which of the following data collection approaches should you utilize first? A) interviewing key informants B) hold a community forum C) organize focus groups D) mail surveys to a more diverse group
A, B
Your team is holding a public health fair in your community which has been identified by the CDC as the county with the highest rates of diabetes in northeast Indiana. What would you include as primary prevention? Select all that apply. A) dietary teaching B) education on early signs and symptoms of diabetes C) counseling on diabetes management D) A1C screenings E) exercise therapy for those with type 2 diabetes
B
a community health care nurse is preparing a needs assessment which of the following is the best course of action for planning the assessment? A) use a census for information B) involve community members C) ask for help from nurses from outside the community D) pick a state to focus on
B
a community health nurse has been assigned to care for a group of clients in Indianapolis, IN where cardiovascular disease is a major health concern. which of the following is the BEST way for the nurse to gain an understanding of the community and its environmental features? A) conduct an interview with the local homeless shelter supervisor B) perform a windshield survey C) analyze and interpret local census data D) organize an education program for the students at IUPUI
C
a community health nurse is planning to conduct a study to address health disparities in paoli, IN. to set the focus for the study, the nurse is conducting a needs assessment. which of the following would be the most important first intervention to begin the needs assessment? A) compile local, regional, and state government reports to identify certain trends in the population over time B) determine if the sample will be representative of the whole population C) gather subjective information from community members to identify the specific gaps in services and community access D) collect samples from local water way to compare water quality in paoli, IN to surrounding aggregates
A, C, E
a community health nurse is trying to figure out why chronic diseases like breast cancer are more prevalent in women in rural areas. which of the following do you think are the main reasons for this? select all that apply. A) distance for preventative screenings are more than 20 miles B) there is greater amount of carcinogens in rural areas C) there is a lack of health insurance for people in rural areas D) people in rural areas are more likely to drink and smoke E) finances are usually limited for people in rural areas
A, C, D, E
a community health nurse is trying to find data to start a survey for elderly populations in scott county, IN. which of the following resources are good examples to gain data? select all that apply. A) windshield survey B) Wikipedia C) CDC D) large health care data sets (CMS) E) peer reviewed research articles
C
a community health nurse is trying to gain an understanding of the environmental layout to locate any concern through the idea of "sight, sense, and sound." which is the following ways is the best way for the nurse to observe the community and their roles? A) the nurse should take a look at the social system of the community to understand the relationships B) the nurse should analyze the geographic community to define landmarks in each neighborhood C) the nurse should conduct a windshield survey in order to learn about the community D) the nurse should assess the important determinants of a healthy community
C
a community health nurse is trying to obtain data about diabetes and sugar intake rates in an elderly population in Bloomington, IN. which of the following intervention should the nurse take first? A) identifying gaps in service/access B) collecting health data from a local hospital C) interviewing key informants D) starting a diabetes prevention program for the elderly population
C
a community health nurse must perform a needs assessment before implementing any intervention so as to identify gaps in access and not waste resources. which is the first step of a needs assessment? A) identify required information B) select data collection method C) identify aggregate D) engage community
A, B, C, D, E
a community health nurse wants to launch a diabetes prevention program in the local schools. who would be key informants that her team would meet with? select all that apply. A) school nurse B) lunchroom staff C) students D) parents of the students E) school administrators
A, B, D, E
a community health or public health nurse has noticed an increase in youth tobacco use in her community. which of the following aggregates would a nurse want to direct education about tobacco use towards? select all that apply. A) school-aged children B) parents of school aged children C) older adults D) administrators/educators E) pediatric nursing staff
B
a community nurse is interested in gathering data about a random community for a research project. what is the best first step in gathering this information? A) the nurse should conduct a windshield survey to make an observation of the community's businesses, schools, sidewalks, homes, and restaurants B) checking the census should be the nurse's first step as it obtains information regarding sex, population, age, race, and ethnicity C) the nurse should check into vital statistics to check records of deaths, births, and marriages D) the national center for health statistics (NCHS) should be the first step as this would tell the nurse statistics on disability, illness, and other health variables
A, C
a doctor in Monroe county has already seen 5 cases of hepatitis c in the month of January. last year, he only saw 6 cases throughout the entirety of the year. who should the doctor suspect to be the aggregates in the recent uprise in these cases? select all that apply. A) IV drug users B) people with hep. B C) those who have a risky sex life D) construction workers E) people with pets
D
a group of nurses are working at a clinic in a rural community with a population that heavily struggles with diabetes management, obesity, tobacco use, and depression. the nurses want to know what, if any, role these risk factors and diseases play in the mortality/morbidity rate in the community. what source of data would be the most helpful? A) windshield survey B) electronic survey C) census data D) vital statistics
C
a new community nurse wants to do a needs assessment for her community. which statement made by the nurse is incorrect? A) "before I can identify required information needed, I must engage the community. otherwise, it will not work out" B) "my very first step should be identifying where the community is lacking in access so that I do not repeat what does not work" C) "key informants are helpful for data collection, but not needed" D) "a few examples of data collection instruments that I may use are surveys or interviews"
B
a nurse is starting the process of assessing a community's health and diagnosis its health needs. which of the following should the nurse do first? A) involve the community B) define the community C) create a hypothesis about the community's health and health problems D) select method(s) of gathering data
C
a new nurse is educating a group of nursing students on the purpose of a windshield survey. which of the following statements made by the new nurse would require intervention by the experienced nurse? A) "a windshield survey offers the nurse an opportunity to observe people and their role in the community" B) "a windshield survey helps gain an understanding of environmental and geographic features" C) "a windshield survey can help gather subjective information from members of a particular population" D) "a windshield survey is one way a researcher gathers information on the location of agencies, services, businesses, and industries in a particular area through sight, sense, and sound"
B
a nurse at the IU health center notices a dramatic increase in chlamydia cases on campus. what is the nurse's first priority when conducting a needs assessment? A) call every patient with chlamydia and ask them about their sexual behaviors B) identify resources for sex education and free/low-cost forms of birth control (condoms) on campus C) ask the office of public safety to send out a university-wide email asking everyone to be tested for chlamydia D) the nurse does not need to conduct a needs assessment as this issue is not of her concern
D
a nurse has been caring for a patient who was admitted to the ED with complaints of fatigue, joint pain, and persistent coughing. the patient was diagnosed with HIV/AIDS and contracted the disease from dirty needle drug use. what tertiary prevention activity should the nurse complete with this patient before discharge? A) screen the patient's partner for HIV B) teach the client about prevention of contracting HIV with clean needle use C) provide referral for follow-up since the patient tested positive D) provide education on the management of HIV infection, advocacy, care management, and other interventions
C
a nurse has noticed increasing numbers of childhood obesity in her area of practice. she has decided that she wants to address this problem from a community standpoint. what is the first step the nurse needs to take moving forward? A) use demographic and epidemiological data to assess the aggregate B) perform a windshield survey of the area C) define the community D) interview key informants in the community
C
a nurse in on a college campus performing a secondary prevention method about HIV/AIDS. which of the following topics would the nurse be using? A) educate students on the practice of sexual abstinence or safe sex B) provide education on management of HIV infection for those who are HIV positive C) encourage testing and counseling for clients with known exposure or who are in high risk groups D) explain to students how HIV/AIDS is spread and how to avoid transmission
C
a nurse is assessing a community and determining what sources of data are best to use. which of the following statements by the nurse about data and its sources is incorrect: A) "a windshield survey can help me understand the environmental layout and locate areas of concern" B) "the American community survey reports data about income, poverty, and occupational factors" C) "all community aspects have formal data collection, no additional data collection will be necessary" D) "local libraries, in addition to the internet, can provide results of US census bureau surveys, reports, and vital statistics"
A, ,C, D
a nurse is developing a community education program about the risk factors for childhood obesity. which of the following aggregates of people should the nurse address in her teaching? select all that apply. A) parents of school-aged children B) local construction workers C) a small group of 1st grade students D) P.E. teachers within the school corporation E) nursing staff at the advanced dementia care facility
B
a nurse is doing a home visit and sees a young girl in the room over that avoids making eye contact, is very withdrawn, and is unable to engage in conversation. which should the nurse assess for within child abuse? A) emotional abuse B) emotional neglect C) physical abuse D) physical neglect
A, B, D
a nurse is doing a windshield survey in a rural population that she is about to work in. what should she be looking for during this windshield survey? select all that apply. A) determine areas that need further investigations B) tone of the community C) communicating with politicians about available resources D) available resources that the community has access to E) discussing resources that need to be implemented
D
a nurse is hoping to implement a Syringe Access Program into her community due to the recent increase in individual's newly diagnosed with hepatitis C. She is experiencing pushback from local officials. Which of the following is the best response to the effectiveness of SAPs. A) once we have made contact with users, it will be easy to convince them to enter a treatment program B) the addicts will find needles on their own, we might as well give them clean ones C) SAPs will increase the number of syringes in the community D) SAPs are an example of harm reduction which proves to be effective in preventing disease transmission and linking individuals to social services and health care they might require
A, C, D
a nurse is performing a community assessment of kids from ages 5-12 in a rural area. which of the following types of strategies should the nurse have for the dietary and nutrition levels of this specific population and location? select all that apply. A) do an assessment of their health by looking through school lunch programs and their nutrition rate B) ask the teacher in each class on how their students are behaving C) look for number of school kids having access to healthcare systems D) ask parents for their child's diet in home settings E) recommend children to eat a high fat, high carb, and low fiber diet to maintain sufficient nutritional levels
C
a nurse is performing a full assessment on a patient who came in reporting uncomfortable and difficult breathing. the nurse discovers through assessment that the patient works in a factory and suspects this could be the cause of difficulty breathing. what is this community nurses first priority? A) make a public service announcement to the community to prevent further cases B) inform the factory of this finding so they can make improvements to prevent further cases C) inform the physician of your assessment findings D) call the insurance so they can start a lawsuit for the employees against the company
A, B, D
a nurse is planning to conduct a study to address the opioid crisis in a particular southern Indiana county. the nurse is examining the community's functions and subsystems to determine existing and potential health problems that may be related to the opioid crisis. which of the following would be examples of community functions? A) education opportunities B) number of safe and clean parks C) high school graduation rate D) accessible health services E) prevalence of polypharmacy within the county
B
a nurse researcher is conducting a needs assessment in a community where there is an obesity problem. what would be the first approach to gather data for this needs assessment? A) look at the US census for crime levels in the area B) interview local doctors, school officials C) interview the manager of the local restaurant D) interview individuals who are overweight as you pass them on the street
A, B, C, D,
a nurse researcher surveyed a community and came up with a community diagnosis of the health problems affecting the community. which components of her community diagnosis followed the correct format of a community diagnosis? A) the identification of the health problem B) the affected aggregate or community C) the etiological or casual or statement D) the evidence or support for the diagnosis E) the nurses' recommendation on how to solve the identified health promotion
B
a nurse teaches an asthmatic client to recognize and avoid exposure to asthma triggers and assists the client's family in implementing specific protection strategies in the home, such as removing carpets and avoiding pets. the nurse's activities can be described as: A) comprehensive assessment B) primary prevention C) secondary prevention D) treatment intervention
C
a patient in a rural Indiana county with diabetes is talking with their health care provider about ways to access healthier food options and fresh produce. which of the following would be an accessible, healthy option that also supports the surrounding community to offer to the patient? A) grocery stores that have produce isles B) gas stations that sell fresh fruit C) local farmers market D) food pantry
C
a patient is being discharged from the hospital who has limited transportation to get to local farmers markets, health appointments, and religious services. who would be the best person to refer the patient to? A) physical therapist to improve walking abilities B) real estate agent to move closer to town C) social worker to provide transportation options within the community D) financial manager to provide ways to save money to buy a car
D
a patient wants to know what are some resources that are available to her since she lives in a food desert. the nurse is concerned that this patient will not be able to get the proper food that she needs to better her health and decrease her blood sugar. what should the nurse communicate in this situation? A) there are resources further away that you could take advantage of B) here are some pamphlets that discuss growing groceries in your backyard C) could there be someone else that could get groceries for you and your family? D) what type of resources would you like to learn about and are there resources that you have already tried?
B
a poor, older woman from a small town who doesn't make it to her doctor's visits for hypertension and type 2 diabetes is most at risk for: A) depression B) health disparities C) independence D) falls
B
a public health nurse has noted an increase in HIV and hep. c cases in her county over the past two years. she has begun an initiative to screen at-risk populations in her community. which level of prevention would this be considered? A) primary prevention B) secondary prevention C) tertiary prevention D) general prevention
B
a public health nurse is providing education to a client who was recently diagnosed with type 2 diabetes. during the teaching, the nurse emphasized the importance of inspecting the skin daily for dryness, cuts, or redness. this can be described as an example of -- A) primary prevention B) secondary prevention C) tertiary prevention D) comprehensive assessment
A
a public health worker has completed a needs assessment and determined the lack of access to nearby grocery stores leading to inadequate nutrition to be a problem within her community, what would be her next step in the ADPIE process? A) plan her goas relating to this problem diagnosis using evidence based practice B) open up her own grocery store in the center of the community C) nothing --she determined the problem now it's somebody else's responsibility to fix it D) evaluate the effectiveness of her interventions
B, C, E
a research team at a hospital are about to open up an online community forum to start their data collection --what are some disadvantages to this approach that they must keep in mind when analyzing their data? (select all that apply) A) online forums decrease collaboration and engagement B) online forums exclude some people such as those without access to a computer and those who can't write or read C) the lack of physical cues may lead to misccomunication/misunderstanding D) participants who may ordinarily feel embarrassed or nervous to participate in discussion feel freed by the anonymity of the forum E) participants may accidentally go off topic within a particular discussion thread
C
a school nurse is planning to teach an education class on the increased risk of undetected testicular cancer in young men. she will be teaching the class to junior and senior boys. what teaching point should NOT be included in the health education class? A) how to identify testicular lesions at an early stage and seek care promptly B) men ages 20-35 are at the highest risk C) men should begin self examinations at the age of 21 D) self-detection techniques and understanding of testicular cancer
B
a student is working with a public health nurse to perform a community assessments on a local town. during the assessment phase of the process, the student nurse volunteers to carry out a windshield survey of the area. which statement made by the student indicates a need for further teaching? A) "I will drive around the area and make organized observations of what I see" B) "I will interview locals to further clarify my observations" C) "I will take note of health resources being utilized and look for evidence of wellness care" D) "I will assess the conditions of the built environment"
A, B, D, E
according to a national study, (healthcare forum, 1994), the important determinants of a health community include: (select all that apply) A) a low crime rate B) good place to bring up children C) access to religious sanctuaries D) good schools E) healthy economy
B
after visiting a rural town in her state, a community health nurse is trying to put together a community health diagnosis. which of the following is the correct way to format this diagnosis? A) the town has an increased risk of diabetes due to nutrition problems B) increased risk of hypertension among pregnant women related to poor nutrition as demonstrated in the lack of awareness of healthy choices C) increased risk of cardiovascular disease in older white men due to lack of healthy food choices D) the community has a high risk of COPD which is related to their lack of education in smoking cessation
B
after you assess a boy's and girl's club in Indianapolis, what is the next step your team needs to take before being able to make a plan to help that community? A) assessment B) diagnosis C) planning D) evaluation
A
as a nurse you identify an opioid crisis in your county. you know you need to complete a needs assessment as your first step in data collection. what is the vital first step? A) identify gaps in service and access B) engage the community to gain support C) select the type of data collection method you want to use based on your research question D) identify procedures to collect consistent data
A
churches and synagogues are important to community health nursing. as a community parameter, religion is important in what way? A) it influences values in community by organizing common interests concerns B) affects access to services, food, and other resources C) affects community security D) influences socioeconomic status
A, B, C, D, E
factors related to the determinants of health identified in Healthy People 2020 include which of the following (select all that apply)? A) education and literacy B) genetic endowment C) gender D) culture E) social status
A
if a nurse researcher needed to know certain demographic variables such a the distribution of age, sex, etc. for the community in which they are performing their research, where would they look to find this information? A) the US census B) the local physician's office C) the American community survey D) ask the first 50 people you see to fill out a survey for you
C
in order to best control the spread of diseases in rural communities, what should the nurse communicate to her community and patients? 1. implementing a needle exchange 2. providing education about the spread of diseases 3. present patients with the statistics about the spread of diseases 4. identify risk factors that the patients could come across A) 1, 2, 3, 4 B) 3, 1, 2 C) 2, 4, 1 D) 4, 3, 1
A, B, D
nurses in a rural community want to start an initiative to promote access to healthy and affordable foods. which of the following resources would be most beneficial to contact to promote this idea? (select all that apply) A) community supported agriculture programs B) farmers market C) elementary schools D) community grocery stores E) local health clinics
B
the HIV outbreak in southern Indiana stemmed from a new drug called opana. this drug specifically increased HIV incidences because: A) it is the most addictive drug on the market B) it requires around 15 injections a day C) users were marking red dots on HIV infected needles D) it causes more bleeding than other drugs
C
the nurse is educating the patient on disease prevention regarding a recent outbreak of influenza within the community. which statement below is the most correct? A) getting the flu vaccine is a great example of tertiary prevention as it reduces your chances of getting the flu significantly B) be sure to stay clear from anyone who may cough or sneeze, even if they cover their face C) going for a checkup when you exhibit muscle aches and a cough is a good practice of secondary prevention for the flu D) primary prevention is used for early detection and treatment of the flu
A
the nurse is working on a committee to evaluate the need for a needle exchange program in the community. in doing so, the nurse is fostering the concept of what? A) health promotion B) education of IV drug use C) illness avoidance D) encouraging IV drug use
A
there is a current community flu pandemic occurring in many places around the world. fortunately, it has not impacted your community yet. in regards to community health, what is the community health nurses top priority? A) preventing an outbreak of the flu through community awareness efforts B) treating the patient with the flu C) researching the flu symptoms D) diagnosing the patient with the flu
true
true or false: the surveys conducted by the US census bureau, including surveys on crime, housing, and labor, census reports, and vital statistics can all be accessed through the public library and the internet
A, B, C, D
what are types of communities that community health nurses can assess? select all that apply. A) a dorm B) a school C) a club D) a town
B, C, D
what is considered a problem that a community health nurse should help find issues for? select all that apply. A) not enough mcdonald's restaurants B) no place to buy fresh fruits/vegetables/or meat C) no transportation to health care services D) no place to get prescriptions in the community
D
what would be the first step a nurse conducting a "needs assessment" on a rural community would prioritize as his/her first step in the process? A) determine the population of the community B) educate the population on all services available to the community C) teach individuals to collect data on the population's needs D) identify any gaps in services or access of that community
D
when applying the nursing process to environmental health, the nurse would: A) conduct an assessment focused on the client's presenting problem B) coordinate interventions with the primary care provider of record C) examine criteria that are limited to the client's immediate response D) include outcome measures that involve mitigation and elimination of the contributing factors
A, B, C, D
which of the following are true regarding the decennial census (select all that apply)? A) by comparing the current census data with past data and information, nurses can detect trends and differences that occur over time in a community B) the census collects information regarding population size, age distribution, sex, race, and ethnicity C) the census counts each individual separately; the characteristics of each person within the household are documented separately D) the census allows us to collect specific data to describe characteristics of smaller populations within the US (states, counties, etc.) E) a census tract is the largest reporting unit, consisting of 600,00+ people
B
which of the following best describes the role of the community health nurse? A) assisting with basic patient care needs in the clinical setting B) applying nursing skills to care for individuals, families, and groups where they live, work, or go to school C) helping individuals, families, and groups of people cope with social, political, and interpersonal difficulties D) work directly with patients in a primary care setting. perform physical examinations, diagnostic tests, write prescriptions, and educate
A
which of the following interventions represents primary prevention? A) AIDS and STD education for high school graduates B) vision screening of a first-grade class C) teaching clients with diabetes how to administer insulin using a sliding scale D) home care services for chronically ill patients
C
which of the following would be the least effective way to advance the quality of health of rural communities? A) providing home health visits for those who cannot access transportation to health care facilities B) starting a clinic in a community that lacks numerous health resources C) providing preventative screenings for free at a local clinic D) utilizing telehealth programs for those with little access to health centers
D
which of the following would not be a major feature of a community? A) aggregate of senior citizens B) a health care system C) school districts D) the mayor
C
which statement about communities requires further teaching? A) The dimensions of a community include an aggregate of people, a location in space and time, and a social system B) communities can consist of overlapping aggregates C) a safe and healthy environment is more important than accessing quality health care D) census tracts subdivide larger communities
C
you have decided to carry out a needs assessment focusing on sexual assault victims. you have reviewed several existing data sources and are now ready to collect new data. which method would likely yield the most results given the chosen aggregate? A) in-person interviews B) a public forum C) surveys D) focus groups
