Community Quiz 3 Practice Questions

A nurse is called by her sister, who tells her how wonderful it is that she knows the exact date her baby is coming because her doctor scheduled her for a C-section before his vacation. Which of the following would be the most appropriate response by the nurse? a. "A C-section is major surgery. Do you remember what the doctor shared were the risks for yourself and your baby?" b. "How marvelous to know the date; I'll plan to visit you in the hospital." c. "I'm so pleased. I know exactly when I'm going to be an aunt." d. "Why not wait until after your doctor comes back from his vacation?"

a. "A C-section is major surgery. Do you remember what the doctor shared were the risks for yourself and your baby?"

A man was crying and said, "I didn't mean to do it. She just got me so angry I lost control. It will never happen again." The woman said, "It was my fault. I shouldn't have upset him." Then, looking at the nurse, the woman added, "Please don't report this. It will never happen again." Which of the following is the most appropriate response by the nurse? a. "Abusers don't stop unless intervention occurs. I have to report it." b. "If you're sure it won't happen again, I'll let it go this time." c. "Legally, I'm required to put this in the medical record." d. "The decision is up to the physician, not me."

a. "Abusers don't stop unless intervention occurs. I have to report it."

In a college health course, the question arose as to when a woman needs to see her health care provider for a Pap smear. Which of the following would be the most appropriate response by the nurse? a. "After you begin having intercourse or reach age 21, whichever is sooner" b. "Before having sexual intercourse, when you go to obtain your birth control" c. "If your periods change at all, go to see your health care provider." d. "If you have a vaginal discharge that's unusual, go right in for a Pap smear."

a. "After you begin having intercourse or reach age 21, whichever is sooner"

A woman admitted, "I did fall once, but it was an accident that I'm sure won't happen again." Which of the following responses would be most appropriate for the nurse? (Select all that apply.) a. "Are you getting lots of calcium and vitamin D? Are you drinking milk or taking calcium pills?" b. "Do you have a couple glasses of wine each evening to relax you before you go to bed?" c. "Do you live in a one-story house and are your floors even without rugs to trip you up?" d. "Let me give you some balance and leg muscle exercises to practice at home each day." e. "Remember that if you start to fall, fall sideways if you can to minimize injury." f. "Review what medications you are taking."

a. "Are you getting lots of calcium and vitamin D? Are you drinking milk or taking calcium pills?" c. "Do you live in a one-story house and are your floors even without rugs to trip you up?" d. "Let me give you some balance and leg muscle exercises to practice at home each day." f. "Review what medications you are taking."

A nurse was creating an ecomap for a family, which consisted of a 3-year-old girl, an 8-year-old boy, and their mother. Which of the following questions would be useful for the nurse to ask? a. "Are you involved with any groups or resources in the community?" b. "Can you tell me about your extended family wherever they live?" c. "Have you thought about what would happen if you needed help?" d. "What were the causes of death for your older family members?"

a. "Are you involved with any groups or resources in the community?"

A young mother was very proud because she had been taking her 9-month-old with her to various garage sales where she had purchased a lot of toys for very little money. Which of the following would be the most appropriate response by the nurse? a. "Be sure there are no small pieces as young children can easily choke." b. "Fantastic. Saving money on toys will allow you to buy more fresh fruits and vegetables." c. "Toddlers love new toys; they will help with cognitive development." d. "You are doing an excellent job of giving your child lots of stimulation with new playthings."

a. "Be sure there are no small pieces as young children can easily choke."

When the school health nurse suggested the school health clinic include sexual counseling and free condoms if requested, an angry woman yelled, "Why do I care if some girls have no morals and sleep around?" Which of the following would be the most appropriate response by the nurse? a. "Because taxpayers spend billions each year for teenage moms and their babies." b. "Because your son may have to pay child support to that girl for the next 18 years!" c. "I understand your point of view, but since some parents don't teach their children morals, the school has to help." d. "We all should care for our neighbors and our neighbors' children."

a. "Because taxpayers spend billions each year for teenage moms and their babies."

A nurse asked of a family, "Could each of you tell me what you typically do during the week?" Which of the following would the nurse most likely say to follow up such an open-ended question? a. "Could you tell me about what you do at your job?" b. "Do you believe those choices are the best use of your free time?" c. "How do you feel about those activities?" d. "Is there anything you would like to do differently?"

a. "Could you tell me about what you do at your job?"

In the supermarket checkout, a young woman complained to her friend, "Old people think we taxpayers should pay for them to be in a nursing home. Seems like a waste of money." Which of the following would be the most appropriate response by the nurse? a. "Did you know more than 90% of all the elderly live in their own homes while fewer than 5% live in care facilities?" b. "Those old people built our society; we owe it to them to support them now." c. "Would it be better to put each person to sleep when they reach a certain age such as 80 years?" d. "You know, you'll get old someday too. Won't you want someone to take care of you when you can't anymore?"

a. "Did you know more than 90% of all the elderly live in their own homes while fewer than 5% live in care facilities?"

"My health problems are too much to handle," said an elderly woman at her annual clinical checkup. "What's most important for me to do?" Which of the following would be the most appropriate response by the nurse? a. "Focus on eating properly and staying active." b. "Get the shingles immunization along with your flu shot this year." c. "Keep active mentally—do you do crossword puzzles or Sudoku puzzles?" d. "Stay involved with others. Do you ever go to the senior citizens center?"

a. "Focus on eating properly and staying active."

A woman said, "I've never been retired before. I didn't plan it but it's OK. I'm still doing what I used to do otherwise; I go to church, make quilts for charity, and babysit my grandkids. Do you think I should be trying to find another job for a few years?" Which of the following would be the most appropriate response by the nurse? a. "For lots of people, retirement, even if unplanned, is much like life has always been." b. "It's okay to slow down at your age; why look for problems?" c. "You really need to get out of your house more and be more active, even if you don't get paid at the position." d. "Without a job, you really don't have an identity. Have you been to the unemployment office?"

a. "For lots of people, retirement, even if unplanned, is much like life has always been."

A nurse is on the treadmill exercising, when the woman next to her says, "You're a nurse. Explain to me how the scale says I've lost weight, but my waist and tummy just keep getting larger." Which of the following would be the most appropriate response by the nurse? a. "I'm concerned. You need to see your health care provider to follow up on this." b. "Muscle weighs more than fat so you're creating muscle while losing fat, but it takes a while for the body to redistribute the weight." c. "Tell me what you've been eating in the last week or so." d. "You're running so you're strengthening your legs and thighs, but to lose around your tummy, you have to exercise your abdominal muscles."

a. "I'm concerned. You need to see your health care provider to follow up on this."

A man came for follow-up care to the free clinic, explaining that he had applied for a job based on his education and years of previous work experience, but, being in a wheelchair, he was turned down. Which of the following responses would be most appropriate for the nurse? a. "If you know you can do the job, go to the free legal aid clinic for assistance. The employer may not know the law." b. "No one would want to hire a handicapped person, so you can continue to come here for free care." c. "Because it can be expensive to obtain the necessary equipment to help you do that job, the employer has every right to refuse to hire you." d. "The law says, if a handicapped person applies, he or she has to get hired even if an able-bodied person also applies."

a. "If you know you can do the job, go to the free legal aid clinic for assistance. The employer may not know the law."

A young son was so physically fidgety that his mother was seriously embarrassed by his inability to be quiet and involved in the interview. Which of the following comments by the nurse would be the most helpful? a. "Isn't it marvelous how much energy your son has?" b. "Is there something your son could be doing for you that would use some of that energy?" c. "Is your son always so fidgety? Have you discussed his behavior with his pediatrician?" d. "Why don't you let your son go to his room until we're finished?"

a. "Isn't it marvelous how much energy your son has?"

"I don't understand," a woman said. "I know I'm eligible for Medicare part A and it's free. Part B isn't free. When will I ever use it?" Which of the following would be the most appropriate response by the nurse? a. "Part A is only for hospital bills. Most care is given on an outpatient basis. Part B pays a large portion of those costs." b. "Part A is a benefit because you paid into Social Security for more than 10 years. In comparison, part B is optional if you want that additional insurance." c. "Part B is easy to pay for; they take the cost out of your Social Security check each month." d. "Researchers have found that people don't waste health care resources if they have to pay a bit for them."

a. "Part A is only for hospital bills. Most care is given on an outpatient basis. Part B pays a large portion of those costs."

Which of the following is consistent with the American Academy of Pediatrics (AAP) recommendations for breastfeeding? a. A mother combines breastfeeding with the introduction of complementary foods until the infant is 1 year old b. A mother supplements breastfeeding with formula when then infant is 4 months old c. A mother stops breastfeeding her infant after introducing solid foods d. A mother asks her employer to allow her to bring her infant to work so that she may breastfeed

a. A mother combines breastfeeding with the introduction of complementary foods until the infant is 1 year old

Which of the following persons would be called chronically homeless? a. A person has been homeless for more than a year b. A person who lives with a roommate when between jobs c. A person who has been staying with friends or family for an extended period of time d. A person has been residing each night in a homeless shelter for almost 3 months

a. A person has been homeless for more than a year

Which of the following strategies would be most helpful to implement with adolescent males at a high school? (Select all that apply.) a. A short required course on how to be a good parent b. Assistance in learning how to control emotions and behaviors c. Classes in male physiology, self-screenings, and influence of nutrition and exercise d. Encouragement to be involved in organized team sports involving both genders e. Recognition of reality factors such as the need to be employed after school hours f. Interpersonal communication with a male school nurse

a. A short required course on how to be a good parent c. Classes in male physiology, self-screenings, and influence of nutrition and exercise f. Interpersonal communication with a male school nurse

Which of the following are basic components of 12-step programs to help treat addictive behaviors such as alcoholism? (Select all that apply.) a. A willingness to change b. Attempts to make amends for wrongs done to others c. Daily attendance at a self-support group meeting d. Open recognition of weaknesses and request for help from others e. Public explanation of sins and future plans for resisting temptation f. Recognition of personal strengths and weaknesses

a. A willingness to change b. Attempts to make amends for wrongs done to others f. Recognition of personal strengths and weaknesses

Which of the following do expert rural nurses report as benefits of their work? (Select all that apply.) a. Ability to develop close relationships and give holistic care b. Being able to practice in the community where one lives c. Constant challenges d. Continual growth as an expert generalist e. Higher salary than in urban areas f. Intensity of purpose

a. Ability to develop close relationships and give holistic care b. Being able to practice in the community where one lives c. Constant challenges d. Continual growth as an expert generalist f. Intensity of purpose

A nurse eagerly explained to a long-term disabled male client the most recent relevant research related to his care. The client, rather than express appreciation, said, "I prefer to have my care given this way." The nurse explained that research suggested an alternative approach was more clinically effective, but the client said, "I am more comfortable during the day if my care is given this way." Which of the following actions should be taken by the nurse? a. Accept that the client knows what works best b. Ask the nursing supervisor to review the research with the client c. Give evidence-based care according to current research findings d. Negotiate a compromise between patient preferences and research-based approach to care

a. Accept that the client knows what works best

In comparison with mental health care in urban areas, which of the following best describes how mental health care in rural areas differs? (Select all that apply.) a. Access to care is more limited or not available at all locally. b. Cost for treatment is typically reimbursed at a lower rate. c. Depression is frequently not recognized or is not treated. d. Ethnic and racial disparities exist. e. Primary health care professionals accept responsibility for mental health treatment. f. The suicide rate is notably higher.

a. Access to care is more limited or not available at all locally. c. Depression is frequently not recognized or is not treated. e. Primary health care professionals accept responsibility for mental health treatment. f. The suicide rate is notably higher.

Although violence seems endemic in human society, which of the following causative factors could be reduced if society agreed action was necessary? (Select all that apply.) a. Access to firearms b. Alcohol and other drug abuse c. Dysfunctional families with lack of emotional support d. Intolerance of those with a different religious ideology e. Media video games, television shows, and movies f. Pacifism as a belief system

a. Access to firearms b. Alcohol and other drug abuse c. Dysfunctional families with lack of emotional support d. Intolerance of those with a different religious ideology e. Media video games, television shows, and movies

Which of the following describes what has been identified by public health experts as the number one priority in rural areas? a. Access to health care b. Access to education c. Access to telecommunications d. Access to better-paying employment opportunities

a. Access to health care

Which of the following guiding rules or principles would most likely be followed by a nurse caring for persons with disabilities? (Select all that apply.) a. Adopt the client's priorities b. Change care according to the most recent research findings c. Care for the disability and then for the whole person d. Know community resources thoroughly e. Support the client's decisions f. When in doubt, listen

a. Adopt the client's priorities d. Know community resources thoroughly e. Support the client's decisions f. When in doubt, listen

Which of the following groups of persons is most likely to be able to access health care? a. Adults who work in large corporations b. Many employed women c. Older women on fixed incomes d. Young adults, aged 16 to 24 years

a. Adults who work in large corporations

Which of the following concerns can a nurse as a citizen help address? a. Advocating for removal of environmental and social barriers to needed services b. Continuing to engage in political action to increase funding for care for the handicapped c. Recognizing that it is better to offer to help than to wait for a person with handicaps to have to ask for assistance d. Needing to not stare or ask personal questions of a person with a disability

a. Advocating for removal of environmental and social barriers to needed services

A nurse always reviewed the medications taken by elderly clients on each home visit. Which of the following best explains the rationale for the nurse's action? (Select all that apply.) a. Age-related changes and polypharmacy make elderly clients vulnerable to drug interactions and dangerous adverse reactions. b. Elderly clients are known to sue if medications taken do not make them feel better, and lawsuits are to be avoided, if possible. c. Folk or herbal medicines are often the same as the generic medications prescribed by health care providers, so elderly often have overdoses. d. Older adults are known to consume many over-the-counter medications, as well as folk or herbal remedies. e. The elderly are known to be particularly noncompliant with pharmaceutical prescriptions. f. With the high prevalence of chronic diseases, elderly clients are taking a large number of medications.

a. Age-related changes and polypharmacy make elderly clients vulnerable to drug interactions and dangerous adverse reactions. d. Older adults are known to consume many over-the-counter medications, as well as folk or herbal remedies. f. With the high prevalence of chronic diseases, elderly clients are taking a large number of medications.

Which of the following mood-altering substances are considered acceptable to use by current Western society? a. Alcohol b. Amphetamines c. Barbiturates d. Nicotine

a. Alcohol

A woman was seen in the emergency department with a greenstick broken arm and chest bruises. She explained she fell up a staircase at home while carrying laundry to the bedrooms. Besides assessing for other injuries, which of the following actions should be taken by the nurse? a. Ask about and educate regarding intimate partner violence (IPV) b. Assess for use of alcohol or other drugs that might have been a causative factor in the fall c. Get the patient an x-ray examination to determine location and severity of the break d. Immediately apply ice and immobilize in a sling

a. Ask about and educate regarding intimate partner violence (IPV)

Which of the following scenarios would most likely suggest that the person may be engaging in substance abuse? (Select all that apply.) a. All the people in the elevator edged away from the student who reeked of tobacco smoke. b. She declined his invitation; all he ever seemed to do was go to bars and drink. c. Because of a family emergency, the student called the instructor to explain her absence and ask for the assignments for next week. d. The campus police were called to control the student engaging in public indecency and disorderly conduct. e. The officer pulled the driver over for apparently driving under the influence. f. The student told her friend she had too much to drink last night and to cover for her in class.

a. All the people in the elevator edged away from the student who reeked of tobacco smoke. b. She declined his invitation; all he ever seemed to do was go to bars and drink. d. The campus police were called to control the student engaging in public indecency and disorderly conduct. e. The officer pulled the driver over for apparently driving under the influence. f. The student told her friend she had too much to drink last night and to cover for her in class

A nurse is developing a community education program about how to prevent sudden infant death syndrome (SIDS). Which of the following information would be included in the presentation? (Select all that apply.) a. Always place a baby on his or her back to sleep. b. Use a semi-firm sleep surface. c. Allow the baby to sleep in a position that provides the most comfort. d. Allow the baby to sleep with a favorite toy or blanket. e. Do not let the baby get too hot during sleep. f. Avoid exposing the baby to cigarette or cigar smoke.

a. Always place a baby on his or her back to sleep. e. Do not let the baby get too hot during sleep. f. Avoid exposing the baby to cigarette or cigar smoke.

Which of the following actions should a nurse take to ensure personal safety when engaging in home visits? (Select all that apply.) a. Always sit between the client and the exit, and, when in doubt, leave the situation b. Be sure of the correct address and always have a GPS system c. Carry a cell phone and drive in a well-maintained car with a full gas tank d. Have enough money that you can buy your way out of trouble e. Only accept assignments within a few blocks of your own home f. Take self-protection courses such as karate and carry a weapon for your own defense

a. Always sit between the client and the exit, and, when in doubt, leave the situation c. Carry a cell phone and drive in a well-maintained car with a full gas tank

Which of the following describe health hazards to which nurses in hospitals are exposed? (Select all that apply.) a. Anesthetic gases b. Dust c. Heat and chemicals d. Heavy lifting e. Infectious diseases f. Solvents and acids

a. Anesthetic gases d. Heavy lifting e. Infectious diseases

Which of the following best describe why it is crucial that nurses who focus on the care of individual patients also be able to work with families? (Select all that apply.) a. Anytime a person is ill, his or her whole family is affected. b. By understanding the family, understanding of the individual is improved. c. Families often are very demanding if they feel their loved one isn't receiving the best care possible. d. Individuals depend on their families for care and support. e. Most important decisions are made by families as a whole, not individuals. f. Risks caused by genetics or environment affect the whole family, not just the individual.

a. Anytime a person is ill, his or her whole family is affected. b. By understanding the family, understanding of the individual is improved. d. Individuals depend on their families for care and support. f. Risks caused by genetics or environment affect the whole family, not just the individual.

An elderly gentleman was shoveling his snow when you arrived for a home visit. You notice that when he comes inside he is very pale, is shivering, and seems a bit confused. His skin is very cold when you touch it. Which of the following actions would be most appropriate for the nurse to take first? a. Apply warm moist towels to his head, neck, chest, and groin b. Give him hot coffee with sugar to drink c. Have him get in a tub of very hot water immediately d. Call 911

a. Apply warm moist towels to his head, neck, chest, and groin

A school nurse has identified that there has been an increase in sexually transmitted infections (STIs) among the adolescents attending the school. Which of the following interventions should be completed by the nurse? a. Arrange for the health department to come to the school to give information and treatment on a confidential basis b. Encourage the athletic coaches to distribute condoms in such a way that a boy can obtain them in private c. Have English teachers assign stories about the problems that result from adolescent pregnancy d. Have the bus drivers put a comic book about sexuality, STIs, and preventive measures on each seat

a. Arrange for the health department to come to the school to give information and treatment on a confidential basis

Which of the following is the leading cause of disability in the United States? a. Arthritis b. Car accident c. Falls d. Heart disease

a. Arthritis

Which of the following scenarios involves a student who may be susceptible to problems secondary to substance dependence? (Select all that apply.) a. As soon as the student stepped outside the classroom, she lit a cigarette and inhaled deeply. b. The athlete was very proud of all the medals he had won in wrestling, even if he was worried about managing his anger outside of the gym. c. The car proceeded into the college parking lot, slowed, and stopped; the driver leaned out and vomited onto the street, then shut the door and proceeded into a parking space. d. The student had a splitting headache so took two aspirins out of the "care package" his mom had sent him over the holidays. e. The students met each night in a dorm room and proceeded to share several "herbal" cigarettes. f. The young woman in the student cafeteria ordered a third large cup of coffee and, hands shaking, continued to study for her examination.

a. As soon as the student stepped outside the classroom, she lit a cigarette and inhaled deeply. b. The athlete was very proud of all the medals he had won in wrestling, even if he was worried about managing his anger outside of the gym. c. The car proceeded into the college parking lot, slowed, and stopped; the driver leaned out and vomited onto the street, then shut the door and proceeded into a parking space. e. The students met each night in a dorm room and proceeded to share several "herbal" cigarettes. f. The young woman in the student cafeteria ordered a third large cup of coffee and, hands shaking, continued to study for her examination.

Which gender has higher morbidity rates with a higher prevalence of chronic diseases that cause disability and limitation of activities? a. Females b. Males c. No difference between genders in chronic health problems d. Prevalence of chronic diseases varies strongly by individuals more than gender.

a. Females

A woman was in the emergency department with a bruised and broken leg. She explained that she had accidentally opened the car door on a trip and the door had blown back on her leg. Her husband was very attentive, constantly asking the nurse to make his wife more comfortable. Which of the following actions should be taken by the nurse? a. Ask the husband to step out of the room while you get a urine specimen, and, after he leaves, ask the woman, "Have you ever been deliberately hurt by someone?" b. Call x-ray immediately, and prepare for the leg to have a cast applied. c. Put ice bags on the area until the leg can be repaired. d. Try to get an additional pain medication order from the physician.

a. Ask the husband to step out of the room while you get a urine specimen, and, after he leaves, ask the woman, "Have you ever been deliberately hurt by someone?"

A nurse was trying to decrease the amount of respiratory illness in the community. Which of the following approaches should be used by the nurse? a. Attend each farmworkers' meeting and listen to how they perceive and discuss their problems b. Offer to teach the farmers' spouses how to protect their families, such as having the farmer shower and change clothes before coming into the house c. Suggest the community work together to obtain a community college so farmworkers could be educated for other employment opportunities d. Teach children in the school system the importance of seeking employment in cities rather than staying on the farm

a. Attend each farmworkers' meeting and listen to how they perceive and discuss their problems

A family member tells the nurse that she is worried about her grandmother driving. Which of the following would be most appropriate for the nurse to suggest? (Select all that apply.) a. Avoid rush hour traffic. b. Buy and drive a very large heavy car. c. Do not converse with any passengers. d. Drive more slowly. e. Drive only during daylight. f. Leave the radio turned off.

a. Avoid rush hour traffic. c. Do not converse with any passengers. e. Drive only during daylight. f. Leave the radio turned off.

The current school year is now over, and the school health nurse spends time summarizing the records of all the children who had come into the school health office during the past school year. Which of the following best explains the rationale for this action? a. Because analysis can help establish priorities for future health programs b. Because annual reports are expected by the school board c. Because it's very personally rewarding to see all the help one has given throughout the year d. Because the nurse has to justify the school health office budget for each year

a. Because analysis can help establish priorities for future health programs

An African American male was addicted to drugs, received treatment, and now needs to resist abusing drugs again. Which of the following barriers exist for this individual? (Select all that apply.) a. Being arrested when caught rather than receiving treatment b. Difficulty obtaining employment c. Easy access to illegal drugs in the community d. Economic rewards for selling or distributing drugs to others e. Family demands, including children being physically active and noisy f. Pressure from drug-using friends to join them in social events

a. Being arrested when caught rather than receiving treatment b. Difficulty obtaining employment c. Easy access to illegal drugs in the community d. Economic rewards for selling or distributing drugs to others f. Pressure from drug-using friends to join them in social events

For which of the following groups is homicide the leading cause of death in the United States? a. Black males aged 15 to 34 years b. Black children aged 1 to 14 years c. White children aged 1 to 14 years d. White

a. Black males aged 15 to 34 years

An ambulance medic reported a client was on the way with a traumatic brain injury (TBI). Which of the following symptoms would the nurse expect this client to display? a. Blurred vision and a headache b. Hypotension and tachycardia c. Irregular heart rate d. Fecal incontinence

a. Blurred vision and a headache

Which of the following was suggested by the National Healthcare Disparities Report of 2008 (NHDR) as one reason that there are such disparities in health care outcomes inside the health care system? a. Care provider bias and poor communication exist. b. Funding is inadequate to give appropriate care to persons with disabilities. c. Many people do not seek care until it is almost too late. d. There is a national shortage of care providers.

a. Care provider bias and poor communication exist.

Which of the following groups would most need adult day care services? a. Caregivers who work all day b. Elderly who are bored staying home alone c. Elderly in whom Alzheimer's has been diagnosed d. Older men who want an opportunity to meet older women e. Older women who want to engage in arts and crafts activities

a. Caregivers who work all day

Which of the following is the most common reason for visual impairment in older adults? a. Cataracts b. Glaucoma c. Macular degeneration d. Presbyopia

a. Cataracts

Which of the following is the most common sexually transmitted disease (STD)? a. Chlamydia b. Gonorrhea c. HIV d. Syphilis

a. Chlamydia

Which of the following best explains why many elderly women do not prepare meals or do housework? a. Chronic diseases, especially arthritis and rheumatism, hinder their ability. b. Living in a nursing home does not require them to do so. c. They do not want to; their husbands can share in the work. d. With Social Security, they can afford to pay someone else to do these tasks.

a. Chronic diseases, especially arthritis and rheumatism, hinder their ability.

Which of the following best describes the practical importance of the classifications of metropolitan, micropolitan, and noncare areas? a. Classifications are used for congressional policy-making and funding decisions. b. Metropolitan areas gained importance because of their large population. c. Micropolitan areas are now recognized for their crucial role in society. d. The new system emphasizes the extent of rural (noncare) areas.

a. Classifications are used for congressional policy-making and funding decisions.

Which of the following compositional factors influences rural health needs? a. Demographics of the people living in an area b. Local environment c. The geography of the area d. The political and social institutions in the community

a. Demographics of the people living in an area

Which of the following insights is being stressed by advocacy groups regarding persons with disabilities today? a. Disability results when physical and social barriers in the environment prevent a person from taking equal part in community life. b. Handicapped persons have as much right to social support as nonhandicapped persons. c. It is recognized that an individual may be limited by an environmental barrier in society. d. Impairment is a result of society's reaction more than mental or physical condition.

a. Disability results when physical and social barriers in the environment prevent a person from taking equal part in community life.

Which of the following theoretical approaches would be most useful to the nurse who wants to improve patient-provider communication and address the gap between what providers discuss and what families want to know about? a. Ecological framework b. Network therapy theory c. The Kentucky Partnership model d. Transaction model

a. Ecological framework

Which of the following best explains why companies do not build work places in rural areas where people are anxious to find full-time employment? a. Employers need highly educated and skilled employees. b. Managers do not want to be transferred into a rural area where they will not fit in and will not be comfortable. c. Rural persons do not work as hard as urban dwellers. d. Smells emanating from farms are unacceptable to persons working inside.

a. Employers need highly educated and skilled employees.

Which of the following strategies would most likely increase attendance at a clinic aiming to improve men's health in the community? (Select all that apply.) a. Employing male nurses b. Having male-friendly space for socialization c. Having evening and weekend hours d. Having male-accepted nibbles and drinks (pretzels and light beer) e. Including lectures on male health each evening f. Providing male-accepted and respected activities such as poker

a. Employing male nurses b. Having male-friendly space for socialization c. Having evening and weekend hours f. Providing male-accepted and respected activities such as poker

Which of the following factors results in rural residents having less access to health care than urban dwellers? (Select all that apply.) a. Employment opportunities may be low paying and seasonal. b. There are greater distances to travel and limited choice of health care providers. c. Health care providers prefer to work in higher-paying urban settings. d. Rural residents are less likely to have health insurance. e. Rural persons' economic resources are tied up in land, not easily accessible cash. f. Rural persons believe in self-sufficiency and self-care, not asking others for help.

a. Employment opportunities may be low paying and seasonal. b. There are greater distances to travel and limited choice of health care providers. c. Health care providers prefer to work in higher-paying urban settings. d. Rural residents are less likely to have health insurance.

A man has been off work because of a recent illness. Which of the following would be the most useful action for the employer to take to support this man? a. Encourage the man to return to work as soon as possible, possibly at something less physically demanding b. Reassure the man that he may have as much time off as he needs c. Share the man's need with other employees so that they may donate unused or unneeded sick time to him d. Suggest that other male employees visit the man at his home to help keep his spirits up and demonstrate he is not forgotten

a. Encourage the man to return to work as soon as possible, possibly at something less physically demanding

A woman with two young children is debating if she should try to work using child care or stay at home and care for her children. Based on the current trends, which decision is she most likely to make? a. Enter the work force b. Invite a relative to live with them to care for the children c. Negotiate with her husband so he stays home with the children d. Stay home with the children

a. Enter the work force

A daughter tells the nurse that her mother is frequently confused, but what is really upsetting is that she is incontinent during the night. "All I do is watch her and wash sheets," the daughter says. Which of the following suggestions should the nurse provide to the daughter? a. Explain about respite care or the need to ask other family members to help so the daughter can have some time off b. It's time to have her mother go into a nursing home where they can give her the care she needs. c. Refer the daughter to Adult Protective Services so responsibility for her mother's care may be assumed by an agency prepared for such tasks d. Teach the daughter how to establish a toileting routine for the mother to help control the incontinence

a. Explain about respite care or the need to ask other family members to help so the daughter can have some time off

A female student is at a fraternity party where alcohol is flowing freely, the music is loud, and people are dancing and talking. Most people seem to be having a great time. What action should the student take, if anything, when she overhears two men talking about having put ketamine in a girl's drink? a. First get out of there, then call the campus police and report what was heard b. Nothing, because she had no idea which woman was targeted or even if she drank what was given to her c. Talk to the two men about the dangers and side effects of ketamine d. Watch to see if any young women pass out or are otherwise impaired

a. First get out of there, then call the campus police and report what was heard

Which of the following best describes the problem with the viewing disability based on the Nagi model? a. Functional limitations are used to determine if an individual is disabled. b. Functional limitations are not easily objectified and measured. c. The model does not distinguish between genetic limitations and limitations imposed by injury or illness. d. Persons are or are not limited according to choices they make.

a. Functional limitations are used to determine if an individual is disabled.

A nurse explained that the elderly are twice as likely to die in a home fire as younger persons and therefore suggested some safety measures. Which of the following strategies would most likely have been suggested by the nurse? a. Have smoke detectors installed in the house b. Invite a family member to sleep in the house at night c. Practice escaping quickly from the house in case of an emergency d. Program your phone so the fire department can be reached by pushing only one button

a. Have smoke detectors installed in the house

A man, who looked about 45 years old, gave a cashier at a grocery store the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) vouchers for some of the food he had just selected. Which of the following conclusions can be drawn from this scenario? a. He had a teenage daughter who was pregnant or with a young child. b. He met the requirement for Aid to Dependent Families. c. He really knew how to beat the welfare system. d. He was handicapped, although his handicap was not immediately apparent.

a. He had a teenage daughter who was pregnant or with a young child.

A man was told by his boss that his work had really gone downhill recently and he had to improve or the boss would have to let him go. His wife had moved out of the apartment. Obviously, the drug use was causing problems. Which of the following would cause the man to continue to use? (Select all that apply.) a. He had paid a lot for this stuff so he had just finished using what he had and then he had quit. b. He rationalized he was just hitting a rough spot and, as soon as he got over his wife's betrayal, he would quit using and his job would be fine. c. He tried to quit, but the withdrawal symptoms were so severe he could not. d. He verbalized quitting, but his new friends scoffed at him. e. His boss clearly did not understand what he was dealing with and had not a clue what pressure he was under—so ignoring him was the only option. f. He knew drug use made him legally handicapped so his boss could not fire him even if he wanted to.

a. He had paid a lot for this stuff so he had just finished using what he had and then he had quit. b. He rationalized he was just hitting a rough spot and, as soon as he got over his wife's betrayal, he would quit using and his job would be fine. c. He tried to quit, but the withdrawal symptoms were so severe he could not. d. He verbalized quitting, but his new friends scoffed at him

Which of the following best describes why for-profit managed care organizations (MCOs) have not begun to move into rural areas to increase the number of persons served? (Select all that apply.) a. High startup and administrative costs are needed. b. A large number of elderly are on Medicare or Medicaid, which results in low reimbursement. c. Managed care has not yet had time to go beyond major population centers. d. MCOs are waiting until federal reimbursements for underserved rural health areas become higher. e. The population is too small and too spread out. f. Rural health areas are too geographically unattractive and lack any recreational possibilities for managers to want to work there.

a. High startup and administrative costs are needed. b. A large number of elderly are on Medicare or Medicaid, which results in low reimbursement. c. Managed care has not yet had time to go beyond major population centers. e. The population is too small and too spread out.

Which of the following is the most serious complication of women having osteoporosis? a. Hip fracture b. Need to avoid sunlight c. Need to decrease weight-bearing physical activity d. Stooped posture

a. Hip fracture

Which of the following is a biological explanation for gender differences in health status? a. Influence of hormones b. Different treatment by parents c. Random differences in genetic inheritance d. Social expectations of appropriate gender behavior

a. Influence of hormones

Which of the following best explains how the Public Health Service (PHS) Act, Title X, has been helpful to families? a. It provides funds for family planning, including contraception. b. It created a child care subsidy to help adults obtain and retain employment. c. It provides housing for low-income families. d. It prevents utility companies from shutting off service and allows for bills to be subsidized.

a. It provides funds for family planning, including contraception.

Which of the following best describes the screening tests that are completed on all newborns in the United States? a. It varies from state to state, somewhere between 0 and 25 tests. b. It varies from state to state, but all states have a common 26 conditions that are tested. c. Federal legislation mandates 29 tests. d. The number varies greatly by state and by hospital policy.

a. It varies from state to state, somewhere between 0 and 25 tests.

Which of the following underlying factors most likely contributes to homelessness? a. Substance abuse b. Unemployment c. Posttraumatic stress syndrome (PTSD) d. Severe mental illness

a. Substance abuse

Which of the following best describes the term "literally homeless"? (Select all that apply.) a. Lacking a fixed, regular, and adequate nighttime residence b. Lacking a family residence c. Living in a place not typically used for human sleeping d. Living in a temporary living accommodation such as a hotel e. Living full-time in a recreational vehicle f. Sleeping in an extended-care facility or hospital

a. Lacking a fixed, regular, and adequate nighttime residence c. Living in a place not typically used for human sleeping

Which of the following is an appropriate conclusion to draw from research based on network therapy theory? a. Nurses can help at-risk populations access or build support systems. b. Problems in our health care system are worsened by specialization and fragmentation. c. Social class places limitations on access to health care. d. The family is culturally anchored in American beliefs.

a. Nurses can help at-risk populations access or build support systems.

Which of the following best describes the risk for violence among females in the United States today? a. One of top five causes of death from age 1 to 44 years b. One of top 10 causes of death, especially among girls aged 1 to 4 years c. One of the top 10 causes of death, especially among women aged 15 to 24 years d. One of the top 10 causes of death, especially among vulnerable elderly

a. One of top five causes of death from age 1 to 44 years

Which of the following way(s) can physicians enable drug abuse? (Select all that apply.) a. Prescribing psychoactive medications to a new patient who was claiming anxiety and insomnia b. Prescribing psychoactive medications to make a patient feel better during a time of situational stress c. Prescribing non-refillable small doses of psychoactive medications in response to short-term problems d. Refusing to prescribe psychoactive medications even if the patient has severe pain so the patient must seek self-medication with illegal substances or alcohol e. Suggesting psychoactive medications for pain relief after surgical treatment f. With drugs so available, the physician can use drugs for a temporary problem; feeling relief may lead to self-addiction.

a. Prescribing psychoactive medications to a new patient who was claiming anxiety and insomnia b. Prescribing psychoactive medications to make a patient feel better during a time of situational stress d. Refusing to prescribe psychoactive medications even if the patient has severe pain so the patient must seek self-medication with illegal substances or alcohol f. With drugs so available, the physician can use drugs for a temporary problem; feeling relief may lead to self-addiction.

A nurse was becoming very frustrated at the ongoing stream of farmworkers with respiratory problems each spring. Which of the following actions should be taken by the nurse? a. Provide community education on herbicides and other chemicals spread each spring with information on self-protective measures, such as respirators. b. Fight to get farmers to quit spreading chemicals on their fields each spring. c. Suggest that farmers spray water on the fields immediately after the chemicals are spread to reduce dust in the air. d. Tell farm workers to obtain different employment. e. Try to get farmers to reduce the amount of chemicals used on their fields.

a. Provide community education on herbicides and other chemicals spread each spring with information on self-protective measures, such as respirators.

Which of the following is most likely to provide public health services to Americans residing in a rural community? a. Public health nurse b. Public health physician c. Epidemiologist d. Nurse practitioner

a. Public health nurse

A son did not know what to get his mother for her birthday. She refused most gifts, saying they were just something more for her to take care of. Assuming the mother did not have these, which of the following would be a very helpful gift? (Select all that apply.) a. Purchase a new front door with a large peephole so she can see who is ringing the doorbell b. Arrange for Social Security check to be deposited directly into the bank c. Add bars on all the house windows for added security d. Buy a shredder for the mother to use on all personal documents e. Install caller ID on her telephone f. Have strong deadbolts installed on all outside doors

a. Purchase a new front door with a large peephole so she can see who is ringing the doorbell b. Arrange for Social Security check to be deposited directly into the bank d. Buy a shredder for the mother to use on all personal documents e. Install caller ID on her telephone f. Have strong deadbolts installed on all outside doors

As a concerned citizen and professional, a nurse encourages the local senators and representatives to support expansion of health clinics for the poverty stricken. Which of the following locations is in most desperate need? a. Rural areas where migrant and seasonal farmworkers (MSFW) labor b. Inner city poverty-stricken neighborhoods c. Near elderly low-income housing units d. Inside high schools in poverty-stricken neighborhoods

a. Rural areas where migrant and seasonal farmworkers (MSFW) labor

Which of the following best describes why there are more long-term consequences (such as death) to a driver injured in a truck accident in a rural area than a driver injured in a truck accident in an urban area? (Select all that apply.) a. Rural drivers are more likely to speed over long distances than urban drivers. b. Rural drivers are not as skilled with vehicles as urban drivers, so they are more severely injured in a crash. c. The urban driver is taken immediately for care, whereas the rural driver might be injured on an isolated field and not found by anyone for hours. d. Urban drivers are more likely to use their seat belts than rural drivers. e. Urban drivers are probably rushed to an emergency department, whereas the rural driver lives far away from emergency services, often over bad roads and possibly through severe weather. f. Urban drivers trade their vehicles in rather frequently, whereas rural drivers keep their vehicles for as long as they can make them run, so the vehicles are much less roadworthy.

a. Rural drivers are more likely to speed over long distances than urban drivers. c. The urban driver is taken immediately for care, whereas the rural driver might be injured on an isolated field and not found by anyone for hours. d. Urban drivers are more likely to use their seat belts than rural drivers. e. Urban drivers are probably rushed to an emergency department, whereas the rural driver lives far away from emergency services, often over bad roads and possibly through severe weather.

Which of the following best explains why an employer would care about the health needs of local children? a. The children are the employer's future workforce. b. The employer needs positive media coverage and no scandals. c. The community will provide greater support to employers that have family-based policies. d. Staying home to take care of sick children will impact the productivity of the workplace.

a. The children are the employer's future workforce.

A nurse overheard an adult woman, shaking her head in exasperation as she said, "Dad, you're being unreasonable. It's not safe!" Which of the following is the most likely reason for this argument? a. The dad wants to keep driving. b. The dad wants to keep cooking his own meals. c. The dad wants to keep taking care of himself each day without assistance. d. The dad wants to marry some young woman who may just want his money.

a. The dad wants to keep driving.

Which of the following factors make family nursing particularly challenging? (Select all that apply.) a. The health care system primarily focuses on care of individuals. b. Insurance reimbursement focuses on illness care and treatment of individuals. c. Family members are not always consistent in what they tell the nurse. d. More variables to be considered when completing an assessment e. Number of chronic comorbidities f. Most theories focus on intervention with individuals.

a. The health care system primarily focuses on care of individuals. b. Insurance reimbursement focuses on illness care and treatment of individuals. f. Most theories focus on intervention with individuals.

A nurse was excited about being the only staff member in the public health department in a small rural area. Which of the following problems would the nurse most likely encounter? (Select all that apply.) a. There is no one with whom to collaborate or exchange ideas. b. There will be no physician available to tell the nurse what needs to be done. c. No feedback can be obtained from others. d. The nurse may only be able to offer services supported by federal funds. e. The nurse will have to raise local funds to support the department. f. There will not be any epidemiologists or sanitarians to help.

a. There is no one with whom to collaborate or exchange ideas. d. The nurse may only be able to offer services supported by federal funds. f. There will not be any epidemiologists or sanitarians to help.

Which of the following has shown a significant increase in usage among young people during the past five years? a. Use of marijuana b. Use of cigarettes c. Use of smokeless tobacco d. Use of alcohol

a. Use of marijuana

An elderly woman shared that she had six different physicians, each focusing on one particular health problem. Which of the following would be of immediate concern for the home health nurse? (Select all that apply.) a. Whether the client has a family physician who was coordinating her care b. Whether the physicians communicate with each other c. If each physician was prescribing medications, what drug interactions might be occurring? d. Were all these health care providers licensed physicians? e. Who was helping her with transportation to all these physicians? f. Would all these physician visits add up to more than what Medicare would reimburse the client?

a. Whether the client has a family physician who was coordinating her care c. If each physician was prescribing medications, what drug interactions might be occurring?

A nurse completed the health assessment but needed to use the elderly woman's bathroom. The nurse noticed perineal pads under the sink. Which of the following questions would the nurse most likely ask the woman? a. "Can you tell me why you need to have perineal pads?" b. "Do you know how to do Kegel exercises to help control your urine?" c. "Does another woman live with you or visit often?" d. "Why do you have perineal pads? Are you bleeding down there?"

b. "Do you know how to do Kegel exercises to help control your urine?"

A mother explained that she had just dropped her 3-year-old off at her own mother's so she could come in for the required examination for her new job. She excitedly shared her hopes that she would be able to afford a used car rather than having to ride a bus all the time. Which of the following would be the most appropriate response by the nurse? a. "I'm sure the exam won't show any problems. I'm so excited for you." b. "Don't forget to buy a child's seat when you get your car." c. "How do you think your child will adapt to you being at work all day?" d. "It's fantastic that you have a new job in this rough economy. Will your mother be able to continue to babysit?"

b. "Don't forget to buy a child's seat when you get your car."

"I don't want to listen to another lecture on safe sex. Just give me my antibiotic and let me leave," said a defiant client. Which of the following would be the best response by the nurse? a. "As you wish. But can you tell me why you still engage in unprotected sex?" b. "Gonorrhea is becoming resistant to antibiotics. It's becoming difficult to treat you, and permanent damage to your body is occurring." c. "Our policy requires that we review how to protect yourself even if you have heard the information before." d. "These recurrent infections are damaging you inside; please consider using condoms."

b. "Gonorrhea is becoming resistant to antibiotics. It's becoming difficult to treat you, and permanent damage to your body is occurring."

A nurse asked a family if they'd work with her to create a family genogram. The mother asked, "Why would you want to know so much about our family?" Which of the following would be the most appropriate response by the nurse? a. "A genogram helps you see how some problems run in families. Your children will need to know this." b. "If you're willing to share, we can discuss family history and possibly some hereditary health issues." c. "Please be assured you don't have to answer any question you don't want to answer." d. "Why would you want to keep your family members secret? Is there some problem?"

b. "If you're willing to share, we can discuss family history and possibly some hereditary health issues."

The 7-year-old boy's hands were badly burnt; it was suspected that his mother had forced his hands into boiling hot water after she caught him masturbating. The staff did not want the mother to be allowed near the boy. Which of the following statements would be made by the nurse to encourage the staff to interact more objectively with the mother? a. "If we won't let the mom near, who does the child have for support at this painful time?" b. "Most abusers were themselves abused as children and need help to learn how to be a more effective parent." c. "The child may feel responsible; we have to let the mother fix their relationship." d. "We need to encourage the mother to continue parenting him or the boy will become a ward of the state."

b. "Most abusers were themselves abused as children and need help to learn how to be a more effective parent."

A nurse came limping into work with a huge cast on her right leg and asked to have an assignment for a week or two that did not require driving. The nurse said, "I never realized how difficult it is to get some places without two good legs. Now I know how persons with disabilities must feel!" Which of the following would be the most appropriate response from the nursing supervisor? a. "I'm sure you'll be even more understanding and supportive now." b. "Not really; you'll be out of that cast in a few weeks." c. "What a great opportunity to attend some support groups for people with disabilities and share with us which ones are most helpful." d. "Why don't you just take some sick leave rather than try to work with that leg cast?"

b. "Not really; you'll be out of that cast in a few weeks."

Which of the following questions is crucial to ask very early in a family interview? a. "Do you see any way this problem could have been avoided—so future problems could be prevented?" b. "What do you all, as a family, hope to achieve during your time with me?" c. "What would you like me to do for you today?" d. "Would you like to know my perception of what our goals together should be?"

b. "What do you all, as a family, hope to achieve during your time with me?"

A mother was concerned about her child dying of some childhood disease, because that is how some of her siblings died before her family came to the United States. Which of the following would be the most appropriate response by the nurse? a. "You should see your doctor immediately if you ever think your child is ill." b. "Your child has been immunized, so the biggest danger is from accidents." c. "You have made sure your child has all the right immunizations so you can quit worrying." d. "You're right to be concerned, since susceptibility runs in families."

b. "Your child has been immunized, so the biggest danger is from accidents."

Which of the following best describes what is meant by cohabitation? a. A living arrangement in which one adult is employed and the other is unemployed b. A living arrangement in which an unmarried couple in a long-term relationship lives together c. A living arrangement between two members of the same sex d. A living arrangement between two single mothers with children

b. A living arrangement in which an unmarried couple in a long-term relationship lives together

Which of the following best describes a professional enabler? a. A spouse who has been enabling an abuser for several years b. A physician who provides narcotic analgesics to patients on a regular basis c. A clergyman who offers to take an abuser to an Alcoholics Anonymous meeting d. A child who is a caretaker for her substance abusing mother

b. A physician who provides narcotic analgesics to patients on a regular basis

A nurse has recently learned of the death of a 22-year-old female friend. Which of the following would be the most likely cause of death? a. Complications of childbirth b. Accident or unintentional injury c. Cancer d. Cardiovascular disease

b. Accident or unintentional injury

Which of the following statements best explains why parents and nurses are often concerned about adolescents? a. Adolescents engage in sexual acts without using protection. b. Adolescents engage in very high-risk behaviors. c. Adolescents love driving but are not as skilled as they believe. d. Adolescents often experiment with alcohol or drugs.

b. Adolescents engage in very high-risk behaviors.

Which legislation has increased funding for treatment and rehabilitation for substance abuse? a. Drug Abuse Prevention and Control Act b. Anti-Drug Abuse Acts of 1986 and 1988 c. Omnibus Transportation Employee Testing Act d. Harrison Narcotic Act of 1914

b. Anti-Drug Abuse Acts of 1986 and 1988

A client has refused to stop drinking alcohol. Which of the following actions should be taken by the nurse? a. Ask a physician to admit the patient to the acute care hospital. b. Attempt harm reduction to help the client reduce drinking. c. Cease giving care because the client is totally noncompliant. d. Seek to have the patient admitted as a mental health client.

b. Attempt harm reduction to help the client reduce drinking.

A nurse is completing a first assessment interview with a family after entering the family's apartment for the first time. Which of the following would be crucial for the nurse to remember? a. Analyze the power relationships before focusing on needed information b. Be on best behavior with manners and courtesy, starting with a self-introduction c. Determine as soon as possible who makes decisions within the family d. Evaluate the safety of the immediate environment for self and the family

b. Be on best behavior with manners and courtesy, starting with a self-introduction

A school nurse at a high school suggests that all students have an educational unit on newborn care in their required health class. Which of the following provides the best rationale for this suggestion? a. Because all adults should be knowledgeable in basic child care b. Because the first year of life is the most hazardous until old age c. To help convince students not to engage in sexual intercourse d. To demonstrate the incredible responsibilities in parenthood

b. Because the first year of life is the most hazardous until old age

Which of the following best describes why grandparents would be the primary caregivers for their grandchildren? a. Because they fell in love with the newborn and wanted that small person to be a part of their lives b. Because the parents were drug abusers or in the prison system c. Raising a grandchild is easier because grandparents have already been experienced parents d. Raising a child gives purpose to life for the grandparents

b. Because the parents were drug abusers or in the prison system

Which of the following is the drug of choice for treating persons with alcohol withdrawal? a. Antabuse b. Benzodiazepines c. Methadone d. Naltrexone

b. Benzodiazepines

Which of the following indicators would be most informative in assessing the health of a newborn? a. Apgar score at birth b. Birth weight and length of gestation c. Mother's education and income from employment d. When the mother began prenatal care at her local clinic

b. Birth weight and length of gestation

Which of the following best describes how the Continuum of Care (CoC) concept determines the number of homeless? (Select all that apply.) a. By asking local police departments to visit areas where the homeless hide and report the number of people found there each March b. By conducting a point-in-time (PIT) homeless persons count every other January c. By making an educated guess based on anecdotal data d. By completing a statistical analysis of the Census Bureau data e. By reporting the number of homeless persons who use emergency shelters or transitional housing during the year f. By sending CoC personnel into the community to try to find hidden homeless

b. By conducting a point-in-time (PIT) homeless persons count every other January e. By reporting the number of homeless persons who use emergency shelters or transitional housing during the year

A patient had a distorted thought pattern, which led to very uncomfortable feelings and inappropriate behaviors. Which of the following types of therapy would most likely be successful? a. Behavioral therapy b. Cognitive-behavioral therapy c. Family therapy d. Group therapy

b. Cognitive-behavioral therapy

A man had managed not to drink for over two years, but today, when he was told his position was being eliminated, he drank himself into a stupor. Which of the following approaches should the nurse take with this client? a. Admit the man is an alcoholic and always will be b. Consider the relapse a learning opportunity and discuss options for coping with problems c. Have him arrested for disorderly conduct in the hope that jail will get his attention and scare him into avoiding future use d. Suggest inpatient treatment, where he will not be able to access alcohol

b. Consider the relapse a learning opportunity and discuss options for coping with problems

Because of county need, a school nurse was transferred from a new suburban school to a large inner-city school in an older low-income neighborhood. Which of the following changes in role should be anticipated by the nurse? (Select all that apply.) a. An increased absentee rate because of infectious diseases b. Cooperating with the school meal program to be sure fruits and vegetables and other healthy choices are included c. Regularly checking each child for visible signs of child abuse d. Emphasizing to parents that their child cannot attend school until immunizations are done e. Need for lead poisoning screening and education f. Screening for head lice several times a year

b. Cooperating with the school meal program to be sure fruits and vegetables and other healthy choices are included e. Need for lead poisoning screening and education

An 80-year-old woman lived with her eldest daughter, the daughter's husband, and their three children. On this visit, the nurse noted the woman looked dehydrated and seemed depressed. Both wrists were red and scabbed. When asked if she was all right, the woman protested she was fine and her daughter took good care of her. Which of the following actions should be taken by the nurse? a. Begin the paperwork to have the elderly woman put in a nursing home b. Discuss respite care and other stress relief measures with the daughter c. Report the elder abuse to the state department of aging d. Review with the total family how to share responsibilities for the woman's care

b. Discuss respite care and other stress relief measures with the daughter

A school nurse is trying to determine health trends when making plans for health programming in the school for the upcoming school year. Which of the following would be the most appropriate action for the nurse to take? a. Conduct a survey in the community b. Do an online search of groups that might collect and analyze such data c. Examine records in the school health office to determine trends d. Interview local health officials regarding problems beginning to occur

b. Do an online search of groups that might collect and analyze such data

Which of the following is the most likely reason for adult women to be injured? a. Automobile accidents b. Domestic violence c. Falling d. Stranger violence (theft, rape)

b. Domestic violence

Which of the following is the greatest single cause of absenteeism from school and work among young women? a. A child's illness b. Dysmenorrhea c. Mental health disorders d. Upper respiratory tract infection

b. Dysmenorrhea

Which of the following are factors that have led to the decrease in mortality of some cancers? (Select all that apply.) a. An increase in mortality rate among other cancers b. Early detection through emphasis on routine screening c. Fewer sexual partners with emphasis on monogamy d. An increased awareness of influence of lifestyle choices e. Legislation such as the Clean Air Act f. A decrease in tobacco use and smoking among women

b. Early detection through emphasis on routine screening d. An increased awareness of influence of lifestyle choices f. A decrease in tobacco use and smoking among women

Which of the following best describes how many households with at least one child with a disabling condition would a school nurse working in an elementary school expect to see? a. About 5% b. About 10% c. About 15% d. About 20%

c. About 15%

A middle-aged woman was obese and being treated for hypertension; and her blood tests showed elevated triglycerides and low high-density lipoprotein (HDL). Besides recommending physical activity, which of the following nutritional guidance should be provided by the nurse? a. Buy a good diet book, and follow its advice. b. Eat fish and seafood such as salmon, halibut, tuna, and scallops at least three times a week. c. Use olive oil when you cook, especially if you are frying food. d. You have to lose weight, so stop all desserts and eat nothing but salads for 2 weeks.

b. Eat fish and seafood such as salmon, halibut, tuna, and scallops at least three times a week.

Which of the following is the leading cause of death for women in their first trimester? a. Anesthesia b. Ectopic pregnancy c. Hemorrhage d. Pulmonary embolism

b. Ectopic pregnancy

Which of the following describes a dimension of the social determinants of health (SDH) defined within Healthy People 2020? a. Employment b. Education c. Gender d. Income

b. Education

A nurse suspects that a client is depressed. Which of the following symptoms is most likely being exhibited by the client? (Select all that apply.) a. Paranoia b. Fatigue c. Irritability d. Difficulty concentrating e. Hallucinations f. Impulsivity

b. Fatigue c. Irritability d. Difficulty concentrating

A woman vows to quit smoking and drinking immediately upon the surprising news that she is 2 months pregnant. Which of the following concerns would the nurse have for this woman? a. Those with whom she shares living quarters might smoke or drink. b. Fetal damage may already have occurred. c. Peers may encourage her to resume old habits, and peer pressure is very strong. d. She won't be able to keep her vow.

b. Fetal damage may already have occurred.

"Do you have any advice?" a young woman asked. "I'm eating lunch with my dad but he can't hear and he won't wear his hearing aid." Which of the following suggestions should be made by the nurse? a. Encourage your dad to wear his hearing aid—if only for you b. Find a very quiet place with good lighting and very little background noise for lunch c. Repeat yourself several times using exactly the same words and gestures d. Talk very loudly while facing him directly

b. Find a very quiet place with good lighting and very little background noise for lunch

Which of the following are the causes of mental illness? (Select all that apply.) a. Excessive amounts of brain serotonin, dopamine, and γ-aminobutyric acid b. Genetic inheritance combined with neurochemical and metabolic changes c. Living through a severe disaster, whether manmade or natural d. Physiological abnormalities in the brain structure e. Posttraumatic stress syndrome (PTSD) f. Social isolation, rejection, and/or stress

b. Genetic inheritance combined with neurochemical and metabolic changes c. Living through a severe disaster, whether manmade or natural d. Physiological abnormalities in the brain structure e. Posttraumatic stress syndrome (PTSD) f. Social isolation, rejection, and/or stress

A male strong firearms advocate stressed his guns were for self-protection and he wanted all criminals to know his family had loaded guns in their home. Which of the following best explains why a nurse would not support his actions? a. Criminals carry more powerful and illegal guns. b. Guns in the home typically result in dead family members and friends. c. His children may be less careful than the adults in the family. d. Less trained individuals might think the guns were unloaded.

b. Guns in the home typically result in dead family members and friends.

Which of the following problems depends on the responses of other people and therefore cannot be measured? a. Disability b. Handicap c. Impairment d. Injury

b. Handicap

Which of the following provides the best description of severe mental illness (SMI)? a. Having been clearly diagnosed with at least two mental health disorders within the past year b. Having a diagnosable mental disorder with moderate functional behavior in a specific area of lifestyle at any time during the past year c. Being unable to function in society due to a mental illness d. Being convicted of several impulsive crimes during the past year

b. Having a diagnosable mental disorder with moderate functional behavior in a specific area of lifestyle at any time during the past year

A woman was bragging about her 12-year-old son who was quiet and spent a lot of his time in his room building model airplanes, gluing and painting pieces. Which of the following may be concerning to the nurse? a. Being preadolescent, he needs education on sexual growth and development. b. He may be inhaling fumes from the aerosol paints and glues. c. Twelve-year-olds are not usually quiet; he needs a mental health consult. d. Twelve-year-olds need physical exercise, and he is not getting any sitting around.

b. He may be inhaling fumes from the aerosol paints and glues.

Which of the following best explains why health professionals and educators are stressing total abstinence of drugs instead of teaching appropriate social use? a. Federal funds are available to schools if abstinence is stressed. b. If students perceive a drug as harmful, fewer actually try it. c. It is easier to avoid a substance altogether than to try to control the dose. d. This education is consistent with our American culture.

b. If students perceive a drug as harmful, fewer actually try it.

Which of the following situations best describes when a person would most likely be very unhappy and perhaps ill after retirement? (Select all that apply.) a. If their family total income is now less than when he or she was employed b. If the retirement was involuntary c. If the person's self-image was based on job role and status d. If the person has no outside interests or leisure activities e. If his or her spouse did not appreciate input into their schedules or activities f. If the person believes others are now taking credit for his or her achievements

b. If the retirement was involuntary c. If the person's self-image was based on job role and status d. If the person has no outside interests or leisure activities e. If his or her spouse did not appreciate input into their schedules or activities

Based on theory, which of the following are men most likely to do when they become ill? a. Ask their female partner what action might be helpful b. Ignore symptoms or refuse to see them as symptoms of illness and act tough c. See their physician as soon as possible d. Talk to other men about what would be the best action

b. Ignore symptoms or refuse to see them as symptoms of illness and act tough

Which of the following statements best describes how firearm injuries are different in rural areas as compared with urban areas? a. In rural areas, firearm deaths occur more frequently because of purposeful, rather than accidental, shooting. b. In rural areas, firearm injuries occur more frequently in the home. c. In rural areas, firearm injuries occur more frequently during official hunting season, whereas the frequency does not vary in urban areas. d. In rural areas, firearm injuries are more frequently fatal than in urban areas.

b. In rural areas, firearm injuries occur more frequently in the home.

Which of the following actions would improve a man's probability of obtaining health screenings and health-promoting education? a. Being active in organized sports b. Joining the military c. Seeking an andrology specialist physician d. Working for an employer that requires employees to have an annual physical exam

b. Joining the military

A young teenager was habitually engaging in binge drinking with friends on weekends. Which of the following would be a long-term concern of this behavior? a. He might have to drive to get together with them and then drive home after drinking. b. Legal drug use almost always precedes use of illegal drugs. c. Obesity is a major health problem, and alcohol is very high in calories. d. The teenager's parents are obviously a dysfunctional family.

b. Legal drug use almost always precedes use of illegal drugs.

Which single action has been most influential in changing men's health behaviors? a. Establishing well-man clinics during evening hours b. Legislative action c. Peer-reviewed journals such as the American Journal of Men's Health d. Running men's health ads during sports events e. The male consumer movement: seen in The National Organization for Changing Men

b. Legislative action

Which of the following best describes why a nurse would ask about the meals of all family members, rather than focus on a nutritional history for the post-myocardial infarction patient? a. It is assumed that all family members eat the same food at the same time each day. b. Lifestyle choices among family members are usually consistent. c. Many parents eat whatever their children don't rather than throw away good food, so the nurse should know what the children eat. d. The nurse was afraid to assume that whoever cooked would only prepare one meal for everyone to share.

b. Lifestyle choices among family members are usually consistent.

Which gender perceives and reports having better health? a. Females b. Males c. No difference between genders in perceived health status d. Perceived health status varies strongly by individuals more than gender.

b. Males

Which of the following best describes the current perspective on how communities should treat persons with disabilities (PWDs)? a. Be supportive of PWDs and try to reduce environmental barriers b. Maximize opportunities for PWDs to work and otherwise contribute to community life c. PWDs have civil rights just as other citizens do. d. Recognize that PWDs deserve our support both financially and otherwise

b. Maximize opportunities for PWDs to work and otherwise contribute to community life

A nurse needed to help a child who was not behaving consistently with the requirements of the new preschool program that began that fall. Which of the following actions would be most appropriate for the nurse to perform? a. Meet with the child each day to let the child have a safe play environment without the regular program frustrations b. Meet with the child's parents to discuss how their parenting may need to change to help improve their child's behavior at school c. Meet with the child's teacher to brainstorm ways to help the child cope with school requirements d. Point out to the child that if behavior doesn't improve, the child won't be able to play with all the other children at the school

b. Meet with the child's parents to discuss how their parenting may need to change to help improve their child's behavior at school

Which of the following statements best explains why men are sicker on hospital admission than women? a. Men do not have access to care. b. Men do not seek treatment until they are very ill. c. Men have chronic conditions more than women. d. Men have more acute illnesses than women.

b. Men do not seek treatment until they are very ill.

A female student was extremely upset over her test results. She thought she had studied thoroughly, but her test grade would be totally unacceptable to her parents. Her friend said, "Come on, it's just the first course test. You'll do better on the next one. Let's go out and have a drink. You'll feel much better." After the first drink, how will the upset student most likely feel? a. A bit nauseous b. More relaxed and comfortable c. Ready to have a second d. Very thirsty

b. More relaxed and comfortable

Which of the following best explains why having parity in insurance coverage does not always help persons with depression? a. Many persons find that the medications do not relieve symptoms. b. Most depressed persons do not seek treatment. c. Most depression is situational, and having insurance does not change the situation. d. Psychotherapists will not accept the low reimbursement offered by insurance plans.

b. Most depressed persons do not seek treatment.

Which of the following facts is noteworthy about adolescent males who are driving without a license in the countryside? a. Most had driver's education classes but have not yet earned the money to pay for their driver's license test. b. Most were Hispanic or black from a rural area. c. Most were practiced in driving large farm machinery and were just going from one section of the farm to another section. d. Most were practicing their driving skills with their parent in the car.

b. Most were Hispanic or black from a rural area.

A nurse is caring for a woman, who has just found out she is pregnant. The woman begins crying and says, "But I'm not trying to get pregnant!" Should this response by the woman be concerning to the nurse? a. No, because women may not consciously be aware of an unconscious desire to be a mother b. No, because about half of all pregnancies in the United States are unintended c. No, because she admitted having unprotected sexual intercourse d. Yes, because pregnancy can usually be avoided by appropriate precautions

b. No, because about half of all pregnancies in the United States are unintended

For which of the following groups is suicide the second leading cause of death? a. People aged 15 to 24 years b. People aged 25 to 34 years c. People aged 35 to 65 years d. People over age 65 years

b. People aged 25 to 34 years

A woman is in the emergency department for the fifth time this year, each time with more severe injuries. Which of the following is the primary responsibility of the nurse? a. Insist she be discharged to a safe shelter where the perpetrator cannot find her b. Provide information regarding safe shelters and sources of support c. Report the assault and battery to the local police department so the perpetrator is arrested for the crime d. Treat the injuries and inform the woman she may be killed if she stays with the perpetrator

b. Provide information regarding safe shelters and sources of support

Which of the following groups has the highest poverty rate in the United States? a. Married couples with several children b. Single female heads of household c. Single male heads of household d. Two adults cohabitating when one is unemployed

b. Single female heads of household

A family agreed to bring all the children in to the clinic at one time to begin to catch up on the children's immunizations, but they didn't keep their appointment. Which of the following conclusions by the nurse would be most accurate? a. Obtaining immunizations might have been the nurse's goal, not the family's. b. Some barrier or restraint interfered with the family's ability to come. c. The family had other, more important priorities. d. The nurse didn't adequately emphasize the importance of obtaining immunizations.

b. Some barrier or restraint interfered with the family's ability to come.

A family was very pleased with how well their child was doing now that he was on medication. They congratulated the nurse on getting their child help and said they were so impressed that the nurse was able to cure him. Which of the following would be the most appropriate response by the nurse? a. Congratulate them on being so supportive to their child through this ordeal. b. Stress that the medication is controlling the symptoms and their child will continue to need their support. c. Thank them for their recognition of the role you—and all nurses—play in promoting health. d. Verbalize your observations of how well their child is doing.

b. Stress that the medication is controlling the symptoms and their child will continue to need their support.

A patient with severe panic attacks refuses to come to the mental health clinic to get help even after being assured there is no charge for the initial assessment. Which of the following provides the best explanation for this behavior? a. People know that the treatment is to confront your fears in small doses, and the very idea is overwhelming and frightening. b. Such persons have anticipatory anxiety, so they try to avoid situations that may lead to a panic attack, such as leaving their house. c. The recurring symptoms such as tachycardia, chest pain, nausea, and sweating are seen as symptoms of a physical illness, not a mental illness. d. They are too depressed to take action.

b. Such persons have anticipatory anxiety, so they try to avoid situations that may lead to a panic attack, such as leaving their house.

A professional strongly encouraged institutionalization so the parents could focus on care of their other family members. Which of the following suggestions would be appropriate for the nurse to make to the parents? a. As the expert pointed out, institutionalization will reduce family stress. b. The child has a right to an education in the least-restrictive setting. c. The child will eventually adapt to whatever choice the parents make. d. The choice of what to do is entirely the parents'.

b. The child has a right to an education in the least-restrictive setting.

A 6-month-old infant was brought in unresponsive by both parents. X-ray examination showed evidence of shaken baby syndrome. Which of the following persons is most likely responsible? a. The babysitter b. The dad c. The grandparents d. The mom

b. The dad

When making a home visit, a nurse is usually expected to focus attention on the ill family member. But whom would the nurse possibly focus on instead? a. The children who are being affected by the stress of the situation b. The ill family member's primary caregiver c. The spouse of the ill family member d. The neighbors of the family who may be able to help

b. The ill family member's primary caregiver

Which of the following events occurred in 1965? a. State mental hospitals were created. b. The mentally ill were deinstitutionalized. c. Electroconvulsive therapy was discovered to help depression. d. Community mental health centers for outpatient care were established.

b. The mentally ill were deinstitutionalized.

A registered nurse is discovered stealing a patient's narcotic medication for personal use. Which of the following is most likely to happen to the nurse? a. The nurse can be sued by the patient for pain and suffering (because the patient did not get the medication prescribed). b. The nurse who shows acceptance of a drug problem may be allowed limited practice under supervision while undergoing treatment and monitoring. c. The nurse will go to jail like any criminal caught stealing. d. The nurse will lose employment, as well as the license allowing professional practice.

b. The nurse who shows acceptance of a drug problem may be allowed limited practice under supervision while undergoing treatment and monitoring.

Which of the following best explains why drug abusers so often relapse? a. Drugs are widely available. b. They lack a supportive environment. c. They remember how fantastic they feel immediately after using. d. Drugs make them feel better about life.

b. They lack a supportive environment.

Which of the following best describes how brain imaging scans are being used? a. To deliver electroconvulsive therapy to high-risk individuals b. To help detect and diagnose medical disorders and illnesses c. To help determine treatment options for mental disorders d. To help determine the effects of psychotherapy

b. To help detect and diagnose medical disorders and illnesses

Which of the following best explains how marriage customs have remained unchanged over the last couple decades? a. Lesbian and homosexual adults are adopting children. b. Women are usually responsible for the children following a divorce. c. Single adults are adopting children. d. Women are trying to avoid spinsterhood. e. Women seek to marry at a young age.

b. Women are usually responsible for the children following a divorce.

A nurse is making the first home visit to a recently discharged elderly client. Which of the following should the nurse most likely expect to find? a. A client who is unhappy with the disorganization of the house b. A client who will expect the nurse to do everything now that the nurse is at his or her house c. A client who may well have hearing or vision problems or both d. A client who is upset with being discharged while still so ill and having to take on problems at home

c. A client who may well have hearing or vision problems or both

A 36-year-old woman had diabetes diagnosed at a free health-screening program at a large employer. Which of the following should be emphasized by the nurse when helping the woman make an appointment at the diabetic clinic for follow-up testing and treatment? a. "Bring a food diary of everything you've eaten for one week with you to the appointment to help with future meal planning." b. "It's really not that hard to learn how to inject insulin, and it really doesn't hurt." c. "Please encourage all your family members, including your parents, to be tested for diabetes as well." d. "They'll teach you how to manage your meals and medications to stay healthy."

c. "Please encourage all your family members, including your parents, to be tested for diabetes as well."

A rape victim says to the nurse, "He said he loved me; he had been so nice; he said he wanted to show me how much he loved me. And then he...." Which of the following is the most appropriate response by the nurse? a. "Anyone can lose control; I'm sure he'll never do it again." b. "I'm not sure he loves you; he may just have wanted easy sex." c. "Rape isn't about love or even sex; it's about power and control." d. "You shouldn't have gone up to his room alone when the two of you had both been drinking."

c. "Rape isn't about love or even sex; it's about power and control."

A mother was very proud that she had cut back smoking from two packs a day, which she had smoked for years, to only half a pack a day. Which of the following would be the most appropriate response by the nurse? a. "I wish all smoking moms could see your example!" b. "I'm so proud of you. You're down to only 25% of what you used to smoke!" c. "That must have been difficult, but you're probably still getting nicotine, so it's important you quit entirely." d. "Your baby will really appreciate your efforts at quitting, especially if you do not resume after the baby is born."

c. "That must have been difficult, but you're probably still getting nicotine, so it's important you quit entirely."

A nurse has just been told by a friend that her physician has recommended a hysterectomy for fibroids in her womb. Which of the following would be the most appropriate response by the nurse? a. "Hysterectomies are the most common surgical procedure done on women; you'll be fine." b. "Tell your doctor to remove your ovaries as well so you will never have to worry about ovarian cancer." c. "There are other alternatives. Why don't you seek a second opinion just to be sure a hysterectomy is best for you?" d. "Uterine fibroids are very common so don't feel badly; you've already had your children, so there's no reason to keep your uterus."

c. "There are other alternatives. Why don't you seek a second opinion just to be sure a hysterectomy is best for you?"

After his family and employer confronted a man with all the problems his drinking was causing, he agreed to go into treatment. However, the wife asks, "But if we are forcing him to go into treatment, wont'he just resent us and keep on drinking?" Which of the following would be the most appropriate response by the nurse? a. "He may resent you, but the relationship between the two of you was being ruined by his drinking anyway." b. "Isn't this better until waiting until he has lost his job and you're forced to seek a divorce?" c. "Treatment can still be effective, even if you're forcing him into it." d. "You're right; it's harder to treat the problem when the person is being forced into treatment, but what choice did you have?"

c. "Treatment can still be effective, even if you're forcing him into it."

Which of the following questions would be a good opening to address health concerns with a male client? a. "How do you know when you are ill?" b. "What sort of health problems or illnesses do you have?" c. "What are your usual physical activities?" d. "What would your wife say about your health?"

c. "What are your usual physical activities?"

A nurse was teaching a class on good hygiene at a local day care center when one child volunteered, "I have two mommies." Which of the following would be the most appropriate response by the nurse? a. "Don't tell anyone; that's a secret." b. "That's nice—why did you share that?" c. "Yes, some children have two mommies, some have a mommy and a daddy, and some just have daddies. Some people only have one grown-up to love them." d. "Which mommy is your real mommy?"

c. "Yes, some children have two mommies, some have a mommy and a daddy, and some just have daddies. Some people only have one grown-up to love them."

A man stated, "I used to work out at the exercise room at work, but now that I'm retired I sit and watch TV. My wife keeps nagging me to do something. What do you think I should be doing at my age?" Which of the following would be the most appropriate response by the nurse? a. "I think you should try to please your wife. What is it she wants you to do?" b. "It's okay to slow down at your age; why look for problems?" c. "You should try to exercise just as you did before. Is there a YMCA or club nearby?" d. "You've worked all your life; you have a right to rest now."

c. "You should try to exercise just as you did before. Is there a YMCA or club nearby?"

Which of the following females would be at greatest risk for developing anorexia nervosa? a. A young woman who had been badly hurt in a car accident and is now living with her grandparents but managing to retain her high school Grade Point Average (GPA) b. A young woman who is a fantastic athlete but acts out and does what she feels is best, regardless of what others think c. A "good girl," obedient to her parents' wishes, who always agrees with peers in her clique and strives to do everything perfectly d. A student under a lot of stress from family events at home but who has good coping skills and recognizes that she is coping with major life changes

c. A "good girl," obedient to her parents' wishes, who always agrees with peers in her clique and strives to do everything perfectly

Which of the following individuals is most likely to be the victim of violent crime? a. A 10-year-old white female b. A 15-year-old black female c. A 15-year -old black male d. A 10-year-old white male

c. A 15-year -old black male

Which of the following females would be at greatest risk for developing bulimia nervosa? a. A 13-year-old who is constantly snacking on food from her backpack all day b. A 14-year-old student who is known as a nerd c. A 15-year-old cheerleader who wants to be a professional ballerina d. An 11-year-old student with the highest Grade Point Average (GPA) in the school

c. A 15-year-old cheerleader who wants to be a professional ballerina

Which of the following persons will have the most difficulty in obtaining adequate support services to find a long-term home? a. An alcoholic homeless person b. A homeless person who has a limited support system and is unemployed c. A homeless person who has a mental illness and is an alcoholic d. A mentally ill homeless person

c. A homeless person who has a mental illness and is an alcoholic

Which of the following statements best reflects the model of justice U.S. health care is based on? a. All people are entitled to minimum standards of care. b. All people are responsible to help their neighbors. c. All people have a right to whatever their own efforts allow them to purchase. d. Like firefighting, police protection, libraries, and roads and highways, health care must be supported by tax money for the good of all who need such services.

c. All people have a right to whatever their own efforts allow them to purchase.

Which of the following is an accurate definition of impairment? a. A disadvantage resulting from a disability that prevents fulfillment of an expected role b. A restriction or inability to perform an activity in a normal manner c. An anatomical, mental, or psychological loss or abnormality d. A defect that affects society on a macro level

c. An anatomical, mental, or psychological loss or abnormality

Which of the following best describes the incidence of abuse among pregnant women? a. It is too difficult to determine the actual incidence of abuse among this population. b. It is estimated that approximately 1 out of every 10 women experiences abuse. c. Approximately one out of every six women has been abused by a partner. d. Abuse does not occur among pregnant women.

c. Approximately one out of every six women has been abused by a partner.

Which of the following disorders is experienced at a higher rate by homeless adults when compared with the general population? (Select all that apply.) a. Hepatitis b. Diabetes c. Asthma d. HIV/AIDS e. Hypertension f. Alcoholism

c. Asthma e. Hypertension f. Alcoholism

Which of the following is the most common cause of death among women after age 75? a. Accidents and unintentional injuries b. Cancer c. Cardiovascular disease (CVD) d. Diabetes and its complications

c. Cardiovascular disease (CVD)

Which of the following best summarizes the symptoms of a person with bipolar disorder? a. Chronic, unrealistic, and exaggerated worry about life b. Ongoing hallucinations and delusions c. Changes in mood from depression to mania d. A persistent abnormally elevated or irritable mood

c. Changes in mood from depression to mania

Which of the following actions would public health professionals want to use as primary prevention against widespread community violence? (Select all that apply.) a. Women seen in emergency departments should be asked about abuse b. Courses for prisoners about avoiding violence and resolving conflict c. Classes on parenting and supportive follow-up for new parents d. Courses on anger management and conflict resolution e. Community media campaigns to decrease acceptance of violence f. Home visits to elderly clients should include screening for elder abuse

c. Classes on parenting and supportive follow-up for new parents d. Courses on anger management and conflict resolution e. Community media campaigns to decrease acceptance of violence

Which of the following strategies have been used to improve the collection of prevalence data for the homeless population? (Select all that apply.) a. Urban Institute study b. Homeless Assistance Report c. Continuum of Care (CoC) concept d. Homeless Information Management System (HMIS) e. Census Bureau f. Education for Homeless Children and Youth program

c. Continuum of Care (CoC) concept d. Homeless Information Management System (HMIS)

Which of the following mental illnesses is most frequently diagnosed among adults in the United States? a. Acute stress disorder b. Bipolar disorder c. Depression d. Schizophrenia

c. Depression

In which of the following clinical areas are nurses most at risk for workplace violence? (Select all that apply.) a. Acute care/intensive care units b. Community health clinics c. Emergency departments d. Geriatric units e. Psychiatric units f. Rehabilitation units

c. Emergency departments d. Geriatric units e. Psychiatric units

Beyond gathering needed information for future interventions, which of the following purposes is served when the nurse interviews the family? a. Assessing the safety of the immediate environment before further planning can be done b. Establishing a process for the nurse and the family to make decisions c. Engaging in focused planned conversation, which has healing potential in itself d. Focusing on giving compliments to make the family feel good about themselves

c. Engaging in focused planned conversation, which has healing potential in itself

A school nurse is trying to decrease the effects of an incredible health crisis attacking school children. Which of the following actions would be most appropriate for the nurse to take? a. Arrange for booster shots to maximize immunization protection against childhood infectious diseases b. Arrange for swine flu and regular flu shots each year c. Establish recreational programs that encourage physical exercise each day d. For those whose parents give permission, teach adolescents about the need for abstinence or "safe sex"

c. Establish recreational programs that encourage physical exercise each day

A nurse is working in a community setting caring for persons with mental health problems and their families. Which of the following is the most important and critical task for this nurse? a. Be an advocate by writing letters to legislators demanding more resources for care for the mentally ill b. Encourage all those involved to fight the community's tendency to stigmatize the mentally ill and their families c. Establish supportive interpersonal relationships with all those involved d. Lobby for increased funding for care of the mentally ill

c. Establish supportive interpersonal relationships with all those involved

Which of the following best describes why some advocacy groups have taken a strong stand against physician-assisted suicide? a. Ethical belief that life is always preferable to death b. Emphasis that there is always hope for a research breakthrough or discovery of a new treatment intervention c. Fear that some persons may be "encouraged" to accept an early death merely because they are not valued by society for their contributions d. Helping someone die is murder, plain and simple

c. Fear that some persons may be "encouraged" to accept an early death merely because they are not valued by society for their contributions

Which of the following must be involved for an act to be considered a terrorist act? a. A commitment to a political or religious belief b. An attempt to force compliance with a particular set of religious or political beliefs and behaviors c. Fear, intimidation, and violence d. Violence resulting in plural deaths

c. Fear, intimidation, and violence

Which of the following is the most useful way to discuss aging? a. By divisions—young-old, middle-old, old-old, and elite-old b. Chronological age c. Functional age d. Number of chronic comorbidities

c. Functional age

Which of the following best describes why all citizens should care about young people joining gangs? a. Gangs are beginning to be seen in suburban areas. b. Gangs are responsible for destroying lives and property in inner cities. c. Gangs commit as much as 90% of all crime in some communities. d. Gangs help give the young person protection, respect, and sense of belonging.

c. Gangs commit as much as 90% of all crime in some communities.

Which of the following are examples of the internal structure of the family? a. Ethnicity and race b. Extended family members c. Gender and rank order of birth d. Social class and religion

c. Gender and rank order of birth

Which of the following behaviors best represent the definition of mental health? (Select all that apply.) a. Currently enjoys receiving unemployment benefits b. Frequent dates, although most relationships are short term c. Happily married and successful parent of three children d. Just promoted with more responsibilities and increased salary e. Lives alone in a small apartment f. Set up a memorial fund for research after death of a family member

c. Happily married and successful parent of three children d. Just promoted with more responsibilities and increased salary f. Set up a memorial fund for research after death of a family member

Which of the following advantages do women have in relation to health screenings? (Select all that apply.) a. As the weaker sex, women are expected to be ill and see physicians more often. b. Employers often require health screening of their employees. c. Health care departments focus on maternal and child health. d. Women enjoy socialization during visits to health care providers. e. Women have more health screenings because of the need for birth control or physician visits related to childbearing. f. Women have more leisure time and can more easily see their health care providers.

c. Health care departments focus on maternal and child health. e. Women have more health screenings because of the need for birth control or physician visits related to childbearing.

Each evening, a newly disabled man becomes angry when his wife, just home from her new full-time job, does not have dinner on the table at 6 PM. Which of the following actions would be most appropriate for the nurse to take? a. Allow the wife to express her frustration and anger to you b. Explain to the husband that he is going to have to begin learning how to cook c. Help all family members recognize that long-time roles are being changed and change is uncomfortable for everyone d. Suggest to the children who are old enough that they prepare some simple meals during the week with the mother doing the fancy cooking only on weekends

c. Help all family members recognize that long-time roles are being changed and change is uncomfortable for everyone

Which of the following groups is the fastest-growing component of the rural population? a. Disabled adults b. Elderly women c. Hispanic children d. Retirees

c. Hispanic children

Which of the following groups of children is at the highest risk to have poor health? a. African American children living in a suburb b. Asian children living in an outer urban area c. Hispanic children living in the inner city d. White children living in a rural area

c. Hispanic children living in the inner city

A person with obsessive-compulsive disorder (OCD) knows the ritual is senseless, but is unable to stop. Which of the following best explains why he does not quit doing the ritual? a. As rituals become habit, others will worry about the person if he or she suddenly stops engaging in the ritual behavior. b. Engaging in rituals allows the individual to feel in control. c. If the compulsion is resisted, anxiety increases. d. Rituals, even if nonsensical, are comforting and reassuring.

c. If the compulsion is resisted, anxiety increases.

A family will most likely lose their primary nighttime residence within the next week. Which of the following terms best describes their situation in relation to homelessness? a. Homeless under other federal statutes b. Literally homeless c. Imminent risk of homelessness d. Fleeing/attempting to flee domestic violence (DV)

c. Imminent risk of homelessness

Where is youth violence most likely to occur? a. At home b. At recreational facilities c. In inner city schools d. In fast-food facilities where young adults are employed

c. In inner city schools

Which of the following best describes why infant mortality rate is used as an international comparison of a country's health status? a. Every country, regardless of other priorities, focuses on care of infants and their mothers. b. It is easy to obtain and compare such data. c. It reflects medical care quality and access and public health practice. d. The World Health Organization requires these data be reported to them each year.

c. It reflects medical care quality and access and public health practice.

Which of the following factors would prevent a homeless person from accepting employment adequate to pay for housing? a. Could not complete an employment application because of lack of mailing address b. Hope for a better position than the service positions available c. Lack of adequate resources to pay for other necessities d. Prefer to receive a handout than to have to work

c. Lack of adequate resources to pay for other necessities

Which of the following trends in drug use is being seen among young adults? a. Decrease in the use of illegal cocaine derivatives b. Expansion in the misuse of prescription drugs c. Large increase in the use of steroids and methamphetamines d. Increase in the overall use of all types of drugs

c. Large increase in the use of steroids and methamphetamines

Which of the following best describes how people with mental illness are viewed by the general public? a. Individuals in need of assistance b. Criminals who need to be institutionalized c. Lazy, weak, and immoral d. Contributing members of society

c. Lazy, weak, and immoral

Which of the following best explains what experts believe is the causative factor in the decline in total alcohol consumption? a. Americans prefer less dangerous mood-altering substances. b. Increased "sin" taxes on alcohol and tobacco nationwide c. Less social tolerance and no-drinking-while-driving campaigns d. So many movies about teenaged drinking make alcohol look adolescent.

c. Less social tolerance and no-drinking-while-driving campaigns

Which of the following best describes a major difference between women who have always had shelter and women who have been homeless? a. Educational opportunities and attainment b. History of gender relationships (marriages, divorces) c. Level of involvement with physical and/or sexual abuse d. Skills necessary for paid employment

c. Level of involvement with physical and/or sexual abuse

A school nurse was asked to see Lisa, a student in the fourth grade who was rumored to be living in a car with her mother. Which of the following would most likely have caused the teacher to become concerned? a. Lisa is not always respectful of the teacher. b. Lisa has not been doing her homework. c. Lisa may be developmentally delayed. d. Lisa may have behaved in a sexually inappropriate manner.

c. Lisa may be developmentally delayed.

Which of the following is the most commonly used illegal mood-altering substance? a. Cocaine or crack ecstasy b. Heroin c. Marijuana d. Methamphetamine or speed

c. Marijuana

When considering the benefits for the recipients, which is more beneficial: Medicaid or private insurance? a. Private insurance, because it is accepted by all providers, whereas Medicaid is not b. Private insurance, because it gives its beneficiaries more benefits than Medicaid gives c. Medicaid, because it includes early and periodic screening, diagnosis, and treatment services d. Medicaid, because it is available for all children

c. Medicaid, because it includes early and periodic screening, diagnosis, and treatment services

Which of the following is the treatment of choice for treating heroin addicts during withdrawal? a. Acamprosate b. Benzodiazepines c. Methadone d. Naltrexone

c. Methadone

Which of the following best explains why some community health nurses find nursing models inappropriate for use in their clinical practice? a. Models are almost always based on meeting the needs of individuals, not groups. b. Models are too theoretical and not realistic. c. Models, developed for the middle class, do not fit low-income families. d. Models taught in nursing school are not remembered by nurses in practice.

c. Models, developed for the middle class, do not fit low-income families.

Why do some researchers believe data regarding health behaviors may be inaccurate in relation to men? a. Men are not socialized to tell the truth when interviewed. b. Men do not know when they are ill. c. Most of the data are collected about and from women. d. Most of the data are collected by women.

c. Most of the data are collected about and from women.

Which of the following statements best describes how the United States compares with other countries on infant mortality rate? a. Best of all the industrialized nations b. About in the middle of the industrialized nations c. Near the bottom of the industrialized nations d. Gradually improving among the industrialized nations

c. Near the bottom of the industrialized nations

Which of the following would be good rules to use when interacting with a person with disabilities? (Select all that apply.) a. Apologize for slips of the tongue such as saying "Do you see?" to a blind person b. Be friendly to guide dogs, including petting them and offering to get them fresh water c. Notice similarities between yourself and the person with a disability d. Take hold of a blind person's arm to assist them in dangerous situations, such as crossing a busy street e. Volunteer the most recent research findings related to the person's disability f. With someone who is blind, announce who you are and why you are there when you enter the room

c. Notice similarities between yourself and the person with a disability f. With someone who is blind, announce who you are and why you are there when you enter the room

Which of the following are particularly prevalent in rural areas (more so than in urban areas) of the South? a. Falls and motor vehicle accidents b. Less use of seatbelts and more drinking of alcohol c. Obesity and sedentary lifestyle d. Suicide and homicide

c. Obesity and sedentary lifestyle

A family has recently learned that their child will be permanently disabled. The parents do not deny the disability, but do not fully realize its impact. Which of the following levels of adjustment are the parents experiencing? a. Self-actualization b. Normalization c. Ostrich phase d. Special designation

c. Ostrich phase

Which of the following best explains why cancer rates increase as people get older? a. Better prevention programs are available for cardiac disease, so cardiac disease rates are decreasing, making cancer rates increase. b. It is harder to screen for cancer than for other fatal diseases, so the rates are increasing because of the inability to detect the cancer at an early stage. c. Poor lifestyle choices, environmental exposures, and increased life expectancy have all caused cancer rates to increase. d. Other causes of death are decreasing, so it appears that cancer rates are increasing.

c. Poor lifestyle choices, environmental exposures, and increased life expectancy have all caused cancer rates to increase.

Which of the following is a major barrier to a nurse caring for the family as a whole? a. Families often don't want to know what is wrong with their loved one. b. Nurses don't know how to care for families. c. Reimbursement is paid only for services given to an individual. d. The family often isn't available when the nurse is giving care.

c. Reimbursement is paid only for services given to an individual.

Which of the following best describes how the federal government tries to both encourage and support rural health clinics under the Community Health Centers (CHC) program? a. Allowing tax deductions for charitable contributions to rural health clinics (RHCs) b. Donating equipment and supplies to establish such clinics c. Reimbursing both Medicare and Medicaid at a higher rate than otherwise d. Requiring recipients to serve in a rural health clinic for 3 years in exchange for financial assistance while in school

c. Reimbursing both Medicare and Medicaid at a higher rate than otherwise

A 4-year-old child is seen in the emergency department with a spiral fracture of the right arm. X-ray examination shows previously broken and healed bones. Which of the following is the immediate responsibility of the nurse? a. Call social services to immediately set up foster care for the child b. Provide information about parenting and anger management classes c. Report the child abuse to the local legal authorities d. Try to establish rapport and trust with the child's family

c. Report the child abuse to the local legal authorities

Which of the following best explains why there are so few hospitals in rural areas? a. Few nurses and physicians enjoy the rural lifestyle. b. Historically, hospitals began in large urban areas and have slowly expanded outward but have not yet reached all rural areas. c. Rural areas have very low population density. d. Rural residents do not trust hospitals, preferring to receive care from neighbors and friends.

c. Rural areas have very low population density.

Which of the following factors are most likely to contribute to homelessness? a. Domestic violence and substance abuse b. Scarcity of support systems and recent job loss c. Shortage of affordable housing and insufficient income d. Substance abuse and serious mental illness

c. Shortage of affordable housing and insufficient income

Which of the following best describes how Migrant Health Centers (MHCs) under the Migrant Health Program are often different from other clinics? a. Care is restricted to those who can document that they are employed in agriculture. b. They are much better funded than typical rural clinics. c. Staff are typically bilingual and bicultural. d. They welcome illegal immigrants to receive care.

c. Staff are typically bilingual and bicultural.

Which of the following was required by the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008? a. That alcoholism be recognized as a disease and treatment be given in residential facilities b. That drug addiction be accepted as a mental health diagnosis and addicts be treated rather than jailed when caught c. That health insurance must cover treatment for mental illness on the same terms and conditions as physical illness d. That community clinics must treat clients for mental illness just as they treat prisoners who have a physical illness

c. That health insurance must cover treatment for mental illness on the same terms and conditions as physical illness

Using a public health perspective, which of the following has responsibility for a child's health? a. The child's family b. The businesses in the community c. The entire community d. The school system

c. The entire community

A 14-year-old girl came with her family to the clinic as her father picked up his medication. The girl became anxious and said she had to go home soon to clean the house and start dinner. Which of the following would the nurse most likely suspect from this interaction? a. As Freud pointed out, girls try to take over the wife role with their dad. b. The girl did not want to admit her dad was a drug addict and was trying to get away from an uncomfortable environment. c. The girl is taking on the role of hero with responsibility for caretaking functions. d. The girl was afraid she would be seen with her dad, a known drug addict, in a public place.

c. The girl is taking on the role of hero with responsibility for caretaking functions.

The male home health nurse parked his marked car in preparation for visiting the next client when a young female walked over to the car and asked him if he would like to have some fun. Which of the following provides the best explanation for this behavior? a. The girl was skipping school and wanted money for entertainment. b. The male nurse was extremely young and attractive and looked like he had money. c. The girl may have hoped a nurse would give her enough money to eat. d. Young girls often engage in thrilling, if high-risk, behaviors.

c. The girl may have hoped a nurse would give her enough money to eat.

A nurse is trying to determine who would be the most appropriate person to make a health care decision for an adolescent, the adolescent or the parent. Which of the following considerations will the nurse need to make? a. The need for cultural competence b. The need for access to care c. The need for client autonomy d. The need for client privacy and confidentiality

c. The need for client autonomy

Which of the following best describes the recent trends in homelessness? a. The number of homeless individuals in school is decreasing. b. The number of homeless individuals is increasing. c. The number of people in homeless families is increasing. d. The number of people in homeless families is decreasing.

c. The number of people in homeless families is increasing.

A school nurse brought a young boy back into a private office and asked him to remove his shirt. Fresh welts across his back were seen. Which of the following would most likely cause the nurse to be concerned about the parents? (Select all that apply.) a. The child had a tendency to act out frequently and really did "ask for it." b. The parents did not like their own child and had trouble hiding that fact. c. The parents were dealing with a lot of stress and lacked support. d. The parents were themselves abused as children. e. The parents may be substance abusers. f. The parents probably did not have health insurance for the boy.

c. The parents were dealing with a lot of stress and lacked support. d. The parents were themselves abused as children. e. The parents may be substance abusers.

Which of the following would be most upsetting for American families when their loved one, after serving in Iraq or some other battlefield, returns home? a. Many families, especially those with children, do not want guns in the house. b. Reabsorbing them into the family structure is challenging and difficult. c. The suicide rate is twice as high as among nonveteran adults. d. They must use the Veterans Affairs medical system for medical care.

c. The suicide rate is twice as high as among nonveteran adults.

Which of the following statements best describes how working on a farm is different from working in a factory? a. Factories have more dangerous dust than farming dust. b. Farm chemicals are more immediately fatal than most industrial chemicals. c. The worksite and the home are the same. d. Workers on farms, unlike those in factories, can bring dangerous substances home on their clothing, which expose their families.

c. The worksite and the home are the same.

Which of the following groups of people is most likely to experience homelessness? a. Those who have a supportive family b. Those who have recently become unemployed c. Those who have substance abuse problems d. Those who frequently change jobs

c. Those who have substance abuse problems

Which of the following statements best describes how a family can meet the needs of society? a. By living and existing in the wider community b. By meeting the needs of the individual family members c. Through procreation and socialization d. Through productivity seen in employment positions

c. Through procreation and socialization

Which of the following best describes what happens when persons who work full-time and receive the typical minimum wage seek an apartment? a. Few clean and decent low-rent apartments exist. b. People do not like to rent to low-income persons. c. To afford housing, they need a job that pays at least three times minimum wage. d. There are not many trailer parks near their employment.

c. To afford housing, they need a job that pays at least three times minimum wage.

Which of the following best explains why all family members should want their aged relatives to have a living will? a. To confirm that the attorney is serving as guardian and family members do not have to be responsible b. To fulfill the federal Patient Self-Determination Act requirements c. To help family members know what their loved one does or does not want if he or she becomes incapacitated d. To keep physicians from writing a do-not-resuscitate order

c. To help family members know what their loved one does or does not want if he or she becomes incapacitated

Which of the following best describes the purpose of the Vulnerability Index? a. To identify those most at risk of becoming homeless b. To determine the underlying cause of homelessness among vulnerable populations c. To identify and prioritize the need for housing among the homeless d. To determine what resources should be provided for vulnerable populations

c. To identify and prioritize the need for housing among the homeless

Which of the following statements best explain the difference in suicide rate according to gender? a. Men are less likely to attempt suicide and less likely to be successful. b. Men are more likely to attempt suicide but less likely to be successful. c. Women are more likely to attempt suicide but less likely to be successful. d. Women are less likely to attempt suicide but more likely to be successful.

c. Women are more likely to attempt suicide but less likely to be successful.

A parent at a school says to the school nurse, "I can't keep that plate thing straight. What is the bottom line about nutritious eating today?" Which of the following is the most appropriate response by the nurse? a. "Avoid processed foods, and eat fresh fruits and vegetables." b. "Eat lots of protein, fruits, and vegetables, and don't worry about the other rules." c. "Let me get you a copy of the Department of Agriculture plate that you can keep on your refrigerator for easy reference." d. "Balance your plate with half of a plate of fruits and vegetables, and a quarter of a plate of both proteins and grains."

d. "Balance your plate with half of a plate of fruits and vegetables, and a quarter of a plate of both proteins and grains."

A family was dependent on the dad for financial support, and now he is in treatment for alcoholism. The wife asks you how long this will take. Which of the following would be the most appropriate response by the nurse? a. "Don't worry about length of time. Focus on helping him avoid alcohol." b. "It all depends on how badly he wants to hold the family together as opposed to enjoying the relief of drinking again." c. "Once an alcoholic, always an alcoholic. He'll have to avoid liquor the rest of his life." d. "Remaining in treatment is crucial; it must last long enough to produce stable behavioral changes."

d. "Remaining in treatment is crucial; it must last long enough to produce stable behavioral changes."

A woman confides in the nurse that she and her husband want to become parents as soon as possible. Which of the following statements would be the best reply from the nurse? a. "Ask some young parents if you can babysit for a while to get in practice." b. "Can you afford to become parents with all the items a baby will need?" c. "Consider whether you are really ready to become parents." d. "Start living as healthy a lifestyle as possible right now."

d. "Start living as healthy a lifestyle as possible right now."

A son explained to the home health nurse that since his mother died, his father did not seem to have any interest in life and had even told his son he was considering suicide. Which of the following would be the most appropriate response by the nurse? a. "If he really wants to kill himself, he will, and there really isn't anything you can do to stop him." b. "If you talk to him about it, you're strengthening the idea." c. "People who talk about suicide rarely do it, so don't worry." d. "Suicide is a serious concern; let's talk to his doctor about what you've noticed."

d. "Suicide is a serious concern; let's talk to his doctor about what you've noticed."

A male nurse is enjoying a very hot summer day at the zoo when he notices a family approaching. An elderly member of the family is moving very slowly and being scolded by another adult, saying "You are not sick. Let's keep moving." The nurse touches the elderly adult who has a flushed face and notices clammy and moist skin. What should the nurse say to the adult? a. "I'm a nurse, and your family member needs to go to the emergency department right now." b. "I'm a nurse, and your family member has heat stroke. I'm calling 911." c. "Take your family member to the air-conditioned restaurant, and have him drink a cold soda immediately." d. "Take your family member to the air-conditioned restaurant, and let your family rest for a while."

d. "Take your family member to the air-conditioned restaurant, and let your family rest for a while."

A nurse is explaining why migrant farmworkers experience cultural barriers when trying to receive care. Which of the following would the nurse include in this explanation? a. "As illegal immigrants, they are not eligible for tax-paid health care." b. "Families who travel in isolation seeking agricultural work do not mix with their employers or other members of the community." c. "Mexicans who speak primarily Spanish and cannot understand English." d. "Usually perceived as outsiders, they are from many countries and cultures."

d. "Usually perceived as outsiders, they are from many countries and cultures."

A mother says to the nurse, "I know I should be feeling an empty nest sadness now that our youngest has left for college—but mainly I'm dying to turn his room into my craft room. Do you think that's normal for a mom? I really do love my kids." Which of the following would be the most appropriate response by the nurse? a. "Hmm, that is unusual. Would you like me to make an appointment with a psychologist for you?" b. "Maybe you've always wanted to be an artist and now you can, so enjoy the feeling—and the room!" c. "You're probably trying to put a positive spin on the situation to keep feelings of sadness at bay." d. "Very normal; you've launched your family and now you can devote attention to your own life and preferences—such as crafts." e. "Would you like to talk about how you feel?"

d. "Very normal; you've launched your family and now you can devote attention to your own life and preferences—such as crafts."

"I want to get pregnant as soon as possible now that I'm married," a 43-year-old female says to the nurse. Which of the following would be the most appropriate response by the nurse? a. "Having a child will certainly cement your new marriage and give it a focus." b. "It's understandable that your 'biological clock is ticking' and time is running out." c. "You're right, once you hit menopause you won't be able to have a child." d. "We will help you, but you need to know that there are more risks for you at your age."

d. "We will help you, but you need to know that there are more risks for you at your age."

A young man rolled his wheelchair up the ramp into the clinic to the desk where the intake nurse greeted him. After welcoming him to the clinic, which of the following should be the initial question asked by the nurse? a. "Are you a vet home from the war?" b. "Can I help you into the treatment room to see the nurse practitioner?" c. "Do you have any family with you to help today?" d. "What brings you to the clinic today?"

d. "What brings you to the clinic today?"

The nurse has started to complete a family health tree. Which of the following questions would be most helpful as the nurse works with the family to promote their health? a. "Can you tell me the cause of death of your older relatives back several generations?" b. "Do you know of any chronic health problems any of your relatives or their spouses have had?" c. "What concerns do you have about your family's health?" d. "What do your family members do to keep in shape and handle stress?"

d. "What do your family members do to keep in shape and handle stress?"

The mother confided in the nurse, "I don't think my child is improving." Which of the following statements would be the best response by the nurse? a. "My assessment shows your child is improving." b. "The children seem to be playing with and accepting your child." c. "The teacher reported to me that your child is doing much better." d. "What is causing your concern?"

d. "What is causing your concern?"

A nurse is picking up her child from nursery school when the day care teacher says to her, "One of the boys we care for does not seem able to sit still and listen, but is always running around and getting into things. His parents are not worried. His mother said her brother was the same way when he was a kid. Since you are a nurse, do you have any ideas on how I can calm him down?" Which of the following would be the most appropriate response by the nurse? a. "I'm not a pediatric nurse; I really don't know what to tell you." b. "I'm sorry you're concerned, but being impulsive and very physically active is quite normal for 3- to 4-year-old children." c. "Tell the parents he has to see the doctor as he's not doing well in nursery school." d. "Why not suggest that it's time for him to have a complete assessment and suggest the physician call you for an update on how he is doing in nursery school?"

d. "Why not suggest that it's time for him to have a complete assessment and suggest the physician call you for an update on how he is doing in nursery school?"

A man had been in an extended-care facility for five weeks and was now home. His wife tells the nurse, "He's trying to take up where he left off but we've adapted to not having him home. He keeps thinking things will be just as they were when he left, but they aren't." Which of the following would be the most appropriate response by the nurse? a. "Are the changes making him uncomfortable or are the rest of you uncomfortable?" b. "Do you want me to talk to him and try to explain?" c. "How can we make things as they were before he left?" d. "You all adapted to running the house without him; it will be challenging now to adapt back."

d. "You all adapted to running the house without him; it will be challenging now to adapt back."

"I don't understand," the woman said. "It's my husband who is the alcoholic, not me. Why are you asking me to get involved in his treatment?" Which of the following is the most appropriate response by the nurse? a. "You are codependent. You will need to learn how to function independently." b. "You are an enabler covering up for your husband, and you have to learn how not to do that." c. "You are as ill as he is, just in a different way. You also need treatment." d. "You have been hurt by his drinking; you will need support as you try to help your husband stop drinking."

d. "You have been hurt by his drinking; you will need support as you try to help your husband stop drinking."

What proportion of U.S. citizens are children? a. 12% b. 16% c. 20% d. 24%

d. 24%

How do the policies on children's health in the United States differ from the policies on children's health in other industrialized nations? a. Most industrialized nations, including the United States, have similar policies. b. U.S. policies are more market based and less social justice based. c. U.S. policies are voluntary, whereas in most countries they are required by law. d. Although industrialized nations have policies on children's health, the United States does not.

d. Although industrialized nations have policies on children's health, the United States does not.

Which of the following individuals would be described as being "doubled up"? a. An individual who has two chronic conditions b. An individual who has recently been released from prison c. An individual who maintains two jobs to avoid being homeless d. An individual who is forced to live with friends

d. An individual who is forced to live with friends

Which of the following describes the most important need of every school-aged child with a disability? a. A teacher who understands the child's needs b. An advocate within the school system c. An assessment with comparison with developmental milestones d. An individualized education plan (IEP)

d. An individualized education plan (IEP)

Which of the following best describes the typical perpetrator of homicide? a. A person trying to engage in rape with the woman fighting back b. A person who wanted money and she refused to give it to him c. A stranger d. An intimate partner

d. An intimate partner

Which of the following best explains why more nurses do not report violence against themselves to authorities? a. Assumption that the nurse somehow "asked for it" by not being cautious enough or alert enough to avoid it b. Assumption that nothing would be done about the situation anyway c. Assumption that nurses can accept anything, from taking blame to being scapegoats for when outcomes are not positive d. Assumption that patients and families cannot be held responsible; being assaulted is part of the job

d. Assumption that patients and families cannot be held responsible; being assaulted is part of the job

Which of the following would be true for a county to be defined as having persistent poverty? a. At least 10% of the population has been in poverty for at least the last 10 years. b. At least 10% of the population has been in poverty for at least the last 20 years. c. At least 20% of the population has been in poverty for at least the last 20 years. d. At least 20% of the population has been in poverty for at least the last 30 years.

d. At least 20% of the population has been in poverty for at least the last 30 years.

Which of the following best describes why hate crimes involving violence are often considered worse than other crimes involving violence? a. Because hate crimes cannot be avoided because one cannot change one's race or religious or sexual orientation b. Because hate crimes often are committed by groups rather than individuals c. Because more damage is typically done in a hate crime than in a typical assault and battery d. Because the crime is personal, attacking the victim's identity

d. Because the crime is personal, attacking the victim's identity

Which of the following factors is strongly predictive for homelessness among women veterans? a. Having a previous criminal conviction b. Being a mother c. Having a high school education d. Being unmarried

d. Being unmarried

Which of the following actions should be taken by a typical community preparing for the expected demographic changes in the United States? a. Build more elementary schools b. Build more high schools c. Build more colleges d. Build more adult condominiums

d. Build more adult condominiums

Which of the following was the primary recommendation of the New Freedom Commission on Mental Health report for the mental health service delivery system? a. Advised the president to drastically increase funding for mental health b. Increased scholarships and grants to health care professionals willing to specialize in care of the mentally ill c. Suggested the federal government take over responsibility for mental health care for all citizens d. Called for a shift from a fragmented nonsystem to an integrated comprehensive approach to care delivery

d. Called for a shift from a fragmented nonsystem to an integrated comprehensive approach to care delivery

A nurse is using an upstream intervention when working with the homeless population. Which of the following public health interventions will the nurse most likely use? a. Case management b. Outreach c. Surveillance d. Community organizing

d. Community organizing

Which of the following best explains how the Civil Rights Act amendments have been helpful to adult women who are employed? a. If both a man and a woman apply for a position, preference must be given to the woman. b. Everyone has permission to apply for any employment position regardless of gender. c. Employers are prohibited from paying different salaries to men and to women for the same position responsibilities. d. Discrimination against pregnant women or conditions involving childbirth or pregnancy is prohibited.

d. Discrimination against pregnant women or conditions involving childbirth or pregnancy is prohibited.

Which of the following best explains why anyone would ever experiment with an illegal substance? a. As a way of rebelling against parental authority b. Because it is forbidden c. For the thrill of it—without getting caught d. Friends are encouraging it

d. Friends are encouraging it

A wife explained to the nurse that her husband was becoming awfully forgetful, and now he's started getting lost on the way home from the golf club. She's scared he may be getting Alzheimer's disease. Which of the following would be most appropriate action for the nurse to take? a. Ask the husband to explain why he thinks he got lost coming home b. Explain that all elderly persons get a little forgetful and not to worry c. Ask the husband to count backwards by 7 from 100 d. Hand the husband pencil and paper and ask him to draw a clock

d. Hand the husband pencil and paper and ask him to draw a clock

Which of the following is an example of a nonstochastic theory of aging? a. Cross-link theory b. Error theory c. Free radical theory d. Immunologic theory e. Somatic mutation theory f. Wear and tear theory

d. Immunologic theory

Which of the following best describes a downstream intervention to solve the problem of homelessness? a. Improved use of community resources b. Increased employment opportunities c. Increased affordable housing d. Improved treatment of mental illness

d. Improved treatment of mental illness

Which of the following best describes why it is crucial to never use the label of "addiction"? a. Labeling invites ridicule by other people. b. Labeling someone avoids actually taking action to correct the behavior. c. Labels have a tendency to remain throughout the person's life. d. Labels influence self-perception, and behavior will begin to fulfill the label.

d. Labels influence self-perception, and behavior will begin to fulfill the label.

What has research suggested is a barrier to college students eating healthy? a. Lack of access to an exercise facility b. Lack of access to a primary care provider c. Lack of knowledge of the benefits of healthy eating d. Lack of knowledge related to food preparation

d. Lack of knowledge related to food preparation

A male client reports that he is unable to change his health behaviors and adopt a healthier lifestyle. Which of the following is the most likely reason for his difficulty? a. Lack of financial resources b. Lack of transportation c. Lack of programs d. Lack of motivation

d. Lack of motivation

Which of the following was the result of the passage of the American Recovery and Reinvestment Act of 2009? a. A few employers accepted the extra funds and employed more people with disabilities (PWDs). b. Large numbers of employers accepted the extra funds and employed more PWDs. c. Employers still refused to employ PWDs. d. Little change has occurred.

d. Little change has occurred.

Which of the following represents the largest group of homeless adults? a. Minorities b. Disabled c. Females d. Males

d. Males

Which of the following statements is correct? a. Males are more likely to have colorectal testing than females. b. Males are more likely to receive dental care than females. c. Males are more likely to have routine physicals than females. d. Males are more likely to be eligible for primary care services than females.

d. Males are more likely to be eligible for primary care services than females.

Which of the following is crucial during the detoxification phase of the addiction process? a. Controlling the environment so drugs cannot be obtained b. Maintaining a therapeutic relationship with the client c. Maintaining communication with the client's family d. Managing the acute withdrawal symptoms

d. Managing the acute withdrawal symptoms

Which of the following best explains why a community health nurse would choose to emphasize women's health? (Select all that apply.) a. Different nurses prefer different specialties. b. It is currently politically correct to verbalize support for female issues. c. Many women's groups are lobbying for more programs. d. Many factors resulting in illness and death in women are preventable. e. Knowledge deficits prevent women from assuming responsibility for their own health. f. Women face barriers in accessing health care.

d. Many factors resulting in illness and death in women are preventable. e. Knowledge deficits prevent women from assuming responsibility for their own health. f. Women face barriers in accessing health care

Which of the following drugs is being widely manufactured within the United States? a. Cocaine b. Heroin c. Marijuana d. Methamphetamine

d. Methamphetamine

A public health nurse is working in a rural clinic. On the basis of risk, which of the following would be the priority group for care? a. African American adults b. Adolescents c. Elderly women who live alone d. Migrant and seasonal farmworkers (MSFW)

d. Migrant and seasonal farmworkers (MSFW)

Which of the following employment opportunities are among the most dangerous? a. Food processing, textiles, and transportation b. Highway construction, ranching, and public utilities c. Large mechanized factory positions d. Mining, forestry, and fishing

d. Mining, forestry, and fishing

Which of the following outcomes for the infant and mother have occurred because of fetal monitoring? a. Improved outcomes for both infant and mother b. No difference for the infant but improved outcomes for the mother c. No difference for the mother but improved outcomes for the infant d. No difference in outcomes for the infant but increased risk for the mother

d. No difference in outcomes for the infant but increased risk for the mother

Which of the following problems was the Ticket to Work and Work Incentives Improvement Act (TWWIIA) designed to address? a. Employers trying to avoid hiring persons with disabilities b. Employers resenting being forced to hire persons with disabilities c. Persons with disabilities not being able to receive on-the-job training d. Persons with disabilities not seeking employment for fear of losing their health care and other governmental supports

d. Persons with disabilities not seeking employment for fear of losing their health care and other governmental supports

Which of the following factors would cause a geographic area to be called a frontier area? a. Arbitrary distinction recognizing the Great Plains, Intermountain areas, and Alaska b. Geographically located in the West, specifically the Great Plains states c. High death rate from use of guns (homicide or suicide) d. Population of fewer than six persons per square mile

d. Population of fewer than six persons per square mile

Which of the following factors is the single largest threat to child health? a. Child abuse b. Obesity c. Poor nutrition d. Poverty

d. Poverty

Which of the following best describes an unexpected result of the decrease in funding to traditional public and private forms of health care? a. Emergency departments where patients can't be turned away are overwhelmed with patients needing nonemergency care. b. Grants are increasingly being requested to pay for care. c. More people don't receive needed health care in a timely manner. d. Programs are developed as a result of community efforts.

d. Programs are developed as a result of community efforts.

Which of the following best explains why the rural population is growing when young persons from rural areas consistently are moving to urban areas to seek employment? a. Adults engaged in all the physically demanding farming tasks have longer life spans than people in urban areas. b. Farm families continue to have a higher birth rate than urban families. c. Many formerly migrant worker Hispanics are settling in rural counties. d. Retirees and other urbanites able to conduct business through telecommunication and travel are moving in.

d. Retirees and other urbanites able to conduct business through telecommunication and travel are moving in.

Which of the following differences is found in parish nursing in a rural area as opposed to parish nursing in an urban area? a. Rural parish nurses are less likely to be involved in case management or care coordination than their urban counterparts. b. Rural residents are more grateful for the nurse's assistance because there are so few health resources in rural areas. c. Rural residents are typically less committed to traditional values or a strong religious faith. d. Rural residents may discuss health concerns with the nurse wherever they meet, whether in church or the local market.

d. Rural residents may discuss health concerns with the nurse wherever they meet, whether in church or the local market.

Which of the following is most effective in helping males choose healthier lifestyle behaviors? a. Educational programs that include both threat and reward b. Involvement in team sports at school or at work c. Physician prescription for a specific behavior change d. Support from a female family member concerned about the man's well-being

d. Support from a female family member concerned about the man's well-being

A nurse saw there was a need for a hospice facility in a rural area, because so many of the residents were quite elderly and death was common. Which of the following best explains why the community would not immediately see the wisdom of the nurse's suggestion? a. Change is always difficult; the nurse just needs to keep reinforcing the need for such a facility. b. The nurse did not tell residents how much their taxes would need to go up to support such a facility. c. Residents were fearful of confronting death in such an open way. d. Rural residents prefer to use their informal social support networks when help is needed.

d. Rural residents prefer to use their informal social support networks when help is needed.

"Stand up straight, mom," a young woman said to an older woman in the grocery store checkout line. Which of the following would be the most appropriate action by the nurse who is standing next to them in line? a. Do nothing; the nurse is not expected to act as a nurse when not at work. b. Say to the older woman, "You need to start treating that osteoporosis." c. Say, "Older women who don't get much calcium, vitamin D, or exercise can often have trouble standing up straight. Keep reminding yourselves." d. Say, "You both may have some problems. Have you both ever been checked for osteoporosis?"

d. Say, "You both may have some problems. Have you both ever been checked for osteoporosis?"

Which of the following best describes how health care professionals are involved in the problem of homelessness? a. Homeless persons make everyone uncomfortable when they beg for handouts. b. Homeless persons often live in emergency departments and clinics. c. Poverty leads to crimes, and health care professionals can be attacked and robbed outside health care facilities. d. Serious illnesses or disability creates high medical bills, which may lead to homelessness.

d. Serious illnesses or disability creates high medical bills, which may lead to homelessness.

Which of the following are the most frequent problems suffered by the chronically homeless? a. Chronic conditions such as hypertension, bronchitis, and emphysema b. HIV/AIDS and other sexually transmitted diseases, tuberculosis, and hepatitis C c. Respiratory infections, trauma, and skin disorders d. Severe mental illness and substance abuse disorders

d. Severe mental illness and substance abuse disorders

In which of the following ways is methamphetamine different from and more dangerous than other mood-altering substances? a. The drug itself is highly combustible, so both makers and users have suffered severe burns when injecting it. b. Methamphetamine helps users become more productive and energetic so people find it helpful at work and home and want to continue using it. c. It provides more pleasurable effects more quickly than other mood-altering drugs, so persons become addicted more quickly. d. Severe neurological changes occur in the brain very quickly, often even with the first dose.

d. Severe neurological changes occur in the brain very quickly, often even with the first dose.

A wife, who had just come home after major abdominal surgery, explained to the home health nurse that she was really worried about her husband. He had not been sleeping well or eating well, seemed to have no energy, and did not seem to enjoy anything including activities he used to love. Which of the following suggestions should the nurse give to the client? a. Ask what medications the husband is taking, because many medications can affect mood b. Explain her husband has probably been worried sick about her and the surgery, and she should reassure him frequently that she is OK c. Point out that many people get sad during the winter months and he should be fine when spring arrives, but in the meantime put full-spectrum light bulbs in all the household lamps d. Share that her husband seems depressed and that they should see his doctor immediately

d. Share that her husband seems depressed and that they should see his doctor immediately

A young woman rolled her wheelchair up the ramp into the clinic to the desk where the intake nurse greeted her. Which of the following should be the nurse's first response? a. "How can I help you?" b. "Who came with you today?" c. Compliment her on her skill with the wheelchair d. Sit so the nurse is on eye level with the young woman

d. Sit so the nurse is on eye level with the young woman

Which of the following is the primary source of income for elderly Americans? a. Employment income b. Pensions c. Savings d. Social Security

d. Social Security

When a person was brought into the clinic in a wheelchair, the new nurse asked the patient if he felt a need for a priest. Which of the following best explains why the nurse would ask about spiritual health during the intake assessment? a. All patients have spiritual as well as physical needs. b. Medical personnel have to collaborate with religious leaders. c. People reach out for spiritual care when they have suddenly become ill. d. Some people perceive disabilities as punishment for sin.

d. Some people perceive disabilities as punishment for sin.

Which of the following best explains why experts are now distinguishing between use and misuse? a. It is easier to discuss use than to accuse persons of being drug addicts. b. Expansion of drug treatment programs has prevented some people from becoming totally addicted. c. Persons using prescription drugs are "users," not "misusers." d. Some persons may use drugs and not become dependent on them.

d. Some persons may use drugs and not become dependent on them.

If most students have no intention of ever leaving their local community, which of the following languages should be chosen as the required foreign language in high school? a. French, as it is a very romantic language b. German, because many of the students' names are German c. Latin, as it is the basis for many other languages d. Spanish, to improve employment opportunities

d. Spanish, to improve employment opportunities

Which of the following preventable health problems is the cause of more deaths, illnesses, and disabilities than any other? a. Use of tobacco b. Obesity c. Sexually transmitted diseases (STDs) d. Substance abuse

d. Substance abuse

Which of the following best describes the problem with the Section 8 housing program? a. Direct access to an apartment in a public housing facility is faster and easier. b. Most renters prefer the program to make direct payment to apartment owners willing to rent to them. c. Section 8 housing is essentially slum housing, and no one wants to live there. d. Supply is vastly less than the demand

d. Supply is vastly less than the demand

Which of the following best describes a proposed strategy to address the lack of health care professionals in rural communities? a. Advertise that there are more men than women in many rural areas to attract female nurses who want to be wives and mothers b. Offer free housing and office space to a professional who will come to live in the community c. Pay extremely high salaries to professionals willing to relocate d. Support local students obtaining an education while continuing to live at home

d. Support local students obtaining an education while continuing to live at home

A community health nurse suggested that a group of nursing students perform a diabetic screening at a location where groups of people meet. Which of the following sites would be best for the screening? a. The senior citizens center, which always welcomes students back b. The shopping mall where many young adults go to save money c. The YWCA/YMCA down the street d. The Weight Losers group meeting at the church

d. The Weight Losers group meeting at the church

Which of the following best explains why most states have the legal drinking age set at 21 years old? a. At 21 years of age, most Americans consider a person an adult. b. College is completed, and employment has begun by 21 years of age. c. Most 21-year-olds are self-supporting and no longer dependent on parents. d. The alcohol-related death rate rose alarmingly when drinking age was lowered to 18 years.

d. The alcohol-related death rate rose alarmingly when drinking age was lowered to 18 years.

A student said she wanted to discuss an issue with the nurse but that it was confidential. Therefore, she asks the nurse to promise as a professional to keep this a secret. She then shares that her roommate is very depressed; her older sister committed suicide, and she is planning on killing herself if she does not pass her final examinations. Which of the following actions should be taken by the nurse? a. As a professional who made a promise, the nurse teaches the student how to recognize if her roommate is getting ready to actually do it and the phone number of the suicide hot line. b. As secrecy was promised, the nurse can only encourage the student to encourage her roommate to seek help. c. The nurse should give the student brochures and information plus the suicide hotline phone number to share with her roommate. d. The nurse should stress that one cannot keep a secret when someone's life is at stake and immediately go to assess the roommate.

d. The nurse should stress that one cannot keep a secret when someone's life is at stake and immediately go to assess the roommate.

Which of the following behaviors is a warning that a person is no longer just using a drugs recreationally but is abusing drugs and becoming addicted? a. The person decides to try a new drug, claiming to be curious. b. The person is using the drug more frequently than before. c. The person joins a friend in using drugs in a social situation. d. The person is less able to control frequency and amount of indulging.

d. The person is less able to control frequency and amount of indulging.

Which of the following best describes the proportion of the U.S. population that is made up of persons with a long-lasting condition or disability? a. The number is about 5% and increasing. b. The number is about 10% and stable. c. The proportion is about 15% and stable. d. The proportion is almost 20% and increasing.

d. The proportion is almost 20% and increasing.

Which of the following would be a source of care if families are employed at a salary above the poverty line, but at too low of an income for health insurance? a. Local health department clinics that provide care on a sliding scale b. Health care providers who donate time and pharmaceutical samples to free clinics c. School health clinics d. The state Children's Health Insurance Program (CHIP)

d. The state Children's Health Insurance Program (CHIP)

Record data demonstrated that there were a very large number of children in the school district whose insurance plan was the Children's Health Insurance Program (CHIP). Which of the following conclusions would be accurate for the nurse to make? a. There are a large number of parents who know how to abuse government programs. b. There are a large number of homeless families. c. There are a large number of unemployed poverty-stricken families. d. There are a large number of working, low-income parents.

d. There are a large number of working, low-income parents.

On the basis of all the work done by social scientists, approximately how many homeless persons should be expected and tolerated in our society? a. No more than 5% b. No more than 10% c. No more than 15% d. There should not be homeless persons in America

d. There should not be homeless persons in America

Which of the following best explains what children of alcoholics do when they become adults with families? a. They do not touch alcohol because they know the problems it brings. b. They do not use alcohol but may use other drugs. c. They manage to use alcohol in social situations but not otherwise. d. They themselves are at high risk for becoming alcoholics.

d. They themselves are at high risk for becoming alcoholics.

Which of the following offers the best explanation as to why it is important for low-income women to seek prenatal care? a. To provide the extra support from a nurse who listens b. To begin the process of obtaining hospital care for delivery for a reduced cost c. To have time to begin healthy behaviors to ensure a healthy infant d. To obtain referrals for other helpful service

d. To obtain referrals for other helpful service

According to the U. S. Department of Commerce, which of the following rules must be followed by makers of toy guns? a. Darts from toy guns must be made of materials that will not penetrate skin. b. Toy guns cannot contain parts made of lead or lead-based paint. c. Reflective paint must be used on toy guns. d. Toy guns must be distinguishable from real guns.

d. Toy guns must be distinguishable from real guns.

Which of the following is the most frequent cause of farm fatalities and nonfatal injuries? a. Manure pits (methane poison) b. Power take-off augers c. Storage silos d. Tractors e. Very old and barely functioning trucks

d. Tractors

From which of the following causes are rural residents twice as likely to die from in comparison with urban residents? a. Chronic diseases, especially cardiac problems and cancers b. Diabetes from the higher incidence of obesity c. Respiratory diseases (from pesticides and herbicides) d. Unintentional injuries

d. Unintentional injuries

A nurse needed to do a quick assessment of a client's lifestyle behaviors to counsel appropriately. Which of the following strategies would be the easiest way to determine the elderly woman's nutritional status? a. Ask the woman to keep a food diary for 2 weeks and bring it to the clinic b. Have the clinic dietitian interview the woman about her eating habits c. Quiz the woman verbally as to her usual meals during the day d. Use the DETERMINE mnemonic

d. Use the DETERMINE mnemonic

Some of the medical staff thought an abused woman deserved what she got when she told them she was not going to a safe house following discharge from the emergency department. Which of the following information should the nurse stress to the medical staff? a. When the woman leaves the emergency department, her abuser will most likely be arrested. b. The woman probably feels fearful and helpless and, until her life is clearly threatened, nothing will probably change. c. The woman needs additional reinforcement that she would be safer in a domestic violence shelter. d. When a woman attempts to leave the situation, it is often when the abuser kills her.

d. When a woman attempts to leave the situation, it is often when the abuser kills her.

A mother was debating whether or not to take her son to the clinic. His temperature was 104° F and rising so she gave him acetaminophen (Tylenol). Which of the following will most likely be the deciding factor in the mother's decision? a. Whether or not the child is crying b. Whether or not the fever goes down after the Tylenol c. Whether or not the child seems to be getting better d. Whether or not the child is covered under insurance

d. Whether or not the child is covered under insurance

A school nurse is developing a health education program for third grade students about how to play safely. Which of the following provides the best rationale for this nursing action? a. The kids were playing chicken in front of the school buses each day. b. The students are at the age when they begin to engage in risky behaviors. c. Toys can have unexpected hazards from lead paint to small swallowable parts. d. Without proper head protection, many sports can lead to traumatic brain injury (TBI).

d. Without proper head protection, many sports can lead to traumatic brain injury (TBI).

Which of the following best explains why lung cancer kills more women than breast cancer? a. Early detection and cure of breast cancer has lowered the death rate. b. Pap smears lead to early detection and often the cure of uterine cancers, hence avoiding breast metastasis. c. There is no accepted treatment for lung cancer. d. Women have begun smoking.

d. Women have begun smoking.

Which of the following provides the best explanation for the importance of the "Go Red" and "The Heart Truth" campaigns? a. Because heart disease is so prevalent, we all need to know the usual symptoms so we may seek help quickly. b. Few people are aware of how to prevent chronic diseases such as cancer. c. We need to increase awareness of the genetic component in chronic disease. d. Women have different symptoms and require different treatment than men.

d. Women have different symptoms and require different treatment than men.

Which of the following events caused attention that has resulted in the current emphasis on women's health? a. Hillary Clinton and Sarah Palin's comments during the presidential race b. Political correctness, including addressing the rights of women c. New research studies that are focusing on women d. Women's movement from the 1970s

d. Women's movement from the 1970s

Which of the following age groups has the highest prevalence of binge drinking and heavy drinking? a. Adults aged 45 to 65 years b. Adult business persons, aged 25 to 45 years c. Both genders of depressed elderly, aged 65 years and up d. Young adults aged 18 to 25 years

d. Young adults aged 18 to 25 years

A woman stumbled into the rural health clinic and explained that she had an incredible headache. She was sweating and began vomiting into the wastebasket by the intake nurse's desk. Which of the following diagnoses should be anticipated by the nurse? a. Acute adult panic disorder b. Acute alcohol intoxication c. Acute appendicitis d. Acute meningitis e. Acute pesticide poisoning

e. Acute pesticide poisoning

A college student visits the student health center and tells the nurse that his roommate is talking about killing himself, has given some of his possessions away, and he believes the roommate has a gun. Which of the following actions should be taken by the nurse? a. Ask the student why he is telling this story; what does he expect the nurse to do? b. Call the police immediately, and have the student tell them the story. c. Call the roommate, and set up an appointment for him to come to the student health center to discuss how things are going in his life right now. d. Call the roommate, ask if he is thinking of killing himself, and, if so, how is he thinking of doing that? e. Immediately locate the roommate, talk to him, and, if the story is confirmed, stay with him until emergency services arrive.

e. Immediately locate the roommate, talk to him, and, if the story is confirmed, stay with him until emergency services arrive.

Which of the following would be a problem for an older adult with a hearing loss? (Select all that apply.) a. Difficulty in finding a hearing aid that is unobtrusive b. Embarrassment at having to wear a hearing aid c. Hearing is not part of a routine health screening d. Long delays in getting an appointment to see an audiologist or otolaryngologist e. Medicare does not cover the costs of hearing aids f. The adult may withdraw, become isolated, and depressed

e. Medicare does not cover the costs of hearing aids f. The adult may withdraw, become isolated, and depressed

Which of the following best describes what proportion of children live in a single-parent family? a. Fewer than 10% b. 11%-15% c. 16%-20% d. 21%-26% e. More than 30%

e. More than 30%

A family came in to discuss a problem with one of their children. Which of the following family behaviors would be concerning to the nurse? a. Each family member made supportive comments about each other. b. Every Sunday the family attends religious services together. c. Family members made humorous comments about their life together. d. The family seemed to rather quickly determine priorities for action. e. The family wanted the nurse to decide what they should do.

e. The family wanted the nurse to decide what they should do.

Which of the following definitions of family would be the most useful for the nurse practicing in the community? a. A group of persons with shared convictions b. A social unit interacting with the larger society c. People descended from a common ancestor d. Persons related either by blood or by legal contract (marriage) e. Whoever the family says is in their family

e. Whoever the family says is in their family