community/public health final exam

Nursing students are preparing a class project which will explore the statistics of the cost of healthcare in the USA, they discover the expenditure that is the fastest growing as the cost of...

prescription medications

The nurse is concerned that there has been an increase in the number of flu cases in the country over the past year when compared to last year's totals. What rate will best provide the answer to her?

prevalence rate

The community health nurse working with low-income families is trying to decrease the incidence of diarrheal illnesses, the best intervention for her to carry out would be to...

provide sanitized drinking water

The chart of a brain cancer victim notes CMO, which intervention should the nurse expect this client to receive?

morphine for pain management

The public health nurse is conducting a routine well-child visit. Which statements should raise concern with the nurse in regards to the safety of children?

-"my partner says that one day I will get a bullet through my head if I don't stop nagging him" -"My spouse sometimes makes our child come into our bedroom and watch as I am being hit" -"the last time we fought my partner threatened to go pull out the shotgun"

The nurse works with a 16 year old client who has an alcohol use disorder. Which mental health disorder is highly correlated to substance use disorder?

-anxiety disorder -major depression -bipolar disorder

Five weeks after a category 4 hurricane in a small town of southern Louisiana continues to battle for survival, which data may be included in the epidemiologic analysis report?

-continuing death -population shift -contamination of water -limited access to places of worship -collapse of access to healthcare

The school nurse is aware that one of her/his responsibilities is to stand up for the child when necessary. Which action exemplifies the school nurse role as a child advocate?

-convincing the school cafeteria to include low sugar options in the lunch room for students with diabetes -teaching children who have asthma how to use an inhaler -instructing a group of faculty members on the proper way to respond to a child having an epileptic seizure in class

A client with a history of physical and sexual abuse is currently in a support group for victims of abuse. What factors is the client most likely at risk of experiencing based on their social background?

-decreased safe sexual behavior -increased risk for HIV/AIDs -increased risk of depression

The public health nurse provides care to the community while following the various rules and regulations established by the federal government. Which areas are most likely regulated by the federal government?

-food -medications -school health -devices -environment

A nurse is in charge of the flu vaccination program in the community. Which actions should she take when planning and evaluating this program?

-measure epidemiologic statistics before and after administering the flu shots -plan and evaluate influenza vaccinations regularly -as new data becomes available modify the intervention accordingly

A nurse working in a facility that provides hospice care for clients with a cancer diagnosis is developing a care plan for these patients which functions should be prioritized?

-palliative care -pain control -supportive spiritual development

A client arrives on the unit diagnosed with norovirus from eating shellfish, the client has been vomiting repeatedly and is now severely dehydrated. Which interventions are most likely to help this client?

-practice good hand washing -immediately disinfect all potentially contaminated objects and surfaces

A group of nursing students are examining the patient protection and affordable care act of 2010. Which goals should they be able to point out where the main focus of this legislation?

-reducing the cost and improving the efficiency of healthcare -expanding healthcare insurance coverage -expanding healthcare access to children

which findings on the assessment of an elderly client should raise a red flag when there is suspected elder abuse in a household?

-the client appears dehydrated -the client mentions she is always hungry -the caregiver appears impatient with the session

The home care agency has just received a client referral from a healthcare provider and assigned case. The client should expect that the nurse will contact him or her within a

24 hour time frame

the nurse is responsible for the construction of an isolation unit during an Ebola outbreak, that will be used for cases of Ebola only. Which unit should the nurse prioritize to fulfill this need?

12 room unit with negative pressure units

The nurse working in the ER finds a client with respiratory depression associated with a heroin overdose. Which medication should the nurse predict to be ordered for this client?

naloxone

Tent communities are constructed in a rural community by the American Red Cross after a disaster. Which factors may increase the possibility of disease emergence in the cities?

poor hygiene and poor sanitation

what strategy is the nurse using when she persuades an obese client to perform weekly weigh-in checks at home?

personal responsibility for health

The community health nurse will determine if perhaps there may be a better or different method to use with each family to ensure top quality care is being given by...

practicing self-reflection to ensure his or her actions are most appropriate

nuclear family

Mother, father and children living as a unit - first degree relatives living together

The nurse will address the increased numbers of suicides at the local high school by...

developing a suicide prevention program for high school students

A public health nurse is curious to see if there has been an increase in the need for hospitalization of patient with reported cases of the flu. what factor should the nurse prioritize for researching to answer this query?

Rate

Healthcare providers and their facilities are required to report certain infectious diseases to the

State department of public health

A nursing instructor is preparing a session which will delve into the relationship of healthcare and politics. Which factors should the instructor point out in this session?

The government should be interested in health matters when a problem affects a specific group or a whole population

the community nurse researches whether the community would benefit from monthly blood pressure clinics. Which system would this intervention address?

downstream

What is a physical hazard in the working environment?

electric and magnetic fields

The public health nurse works in New England during an ice storm that cripples the city. Which classification should the team prioritize for this occurrence?

a natural disaster

The nurse in the community is trying to analyze the various risk factors in the community that are associated with overall health. She should consider...

air pollution

the nurse observes a patient that arrives for an appointment and appears to have an upper respiratory infection. Which mechanism of transmission is the nurse most likely attempting to prevent by requesting that the patient wear a mask?

airborne

The public health nurse interacts with members of her community and points out that ______ is a mental illness that most likely will go untreated

alcoholism

A patient is recovering from an injury and realizes that it is time to change her living arrangements, to those where she can still cook and bathe herself but there is a nurse available on site where communal dining and recreation options are offered. The nurse would suggest...

assisted living facility

The community health nurse working in a receiving station after a radiologic disaster. The nurse is wearing the correct PPE, a worker reports that many of the victims have dust on their clothes. What is the next step for the nurse to take?

consider is radioactively contaminated and notify hazmat

social isolation

considered a risk factor for a homeless adolescent who recently attempted suicide by drug overdose

The nurse is caring for a client that is refusing food because he states it is foreign to him and will make him sick. The food must all be blessed, and the PCA is upset by his behavior and states that he should eat the food anyway. What is the basis for the client's behavior?

cultural belief

when working in a culturally diverse well-child clinic the nurse treats each client with

cultural competence

The nurse is meeting with a patient who is learning to manage the care of the 8-year-old child who has been diagnosed with Muscular dystrophy. Which action by the nurse will best portray the parent's ability to provide care for this family?

encourage the parent to continue the appropriate care

A nurse is preparing to travel to Asia to assist with caring for clients suffering with chloroquine resistant malaria. Which type of disease occurrence is the nurse becoming involved with

endemic disease

The community health nurse plans to address cyberbullying in the local middle schools. The first step the nurse will take to prioritize this is to...

explore the current program to prevent bullying and youth violence

John Snow

given credit for performing early epidemiologic research for cholera in the 1850s

The public health nurse is preparing to conduct a force field analysis of local healthcare. Which factor will she prioritize in the process?

identifying the forces driving the change and those resisting it

The school nurse discovers that there are 12 cases of H1N1 she advises the caregivers to keep the children home for a minimum f 5 to 7 days, and her next step is to...

implement education in the school setting on respiratory and hand hygiene

The community health nurse is working in a low income country. Her primary concern is to decrease the number of cases of malaria, to do this she will

increase the distribution and education on the daily use of insecticide treated bed nets

The nurse conducts a community assessment and finds 68% of students are behind in their physicals and immunizations due to families being out of work. Her recommendations to get things caught up would be to...

initiate the use of neighborhood clinics at low or no costs to the community

Workplace walk-through

is done as one of the first jobs a newly hired safety office can do to determine what hazards are present in the workplace, where the locations of entries and exits are, and where the emergency equipment is

numb shock

is the phase of grief where a person is in a stupor, devoid of emotions, and stares into space

Victims at this level should be evacuated as soon as possible

level 1

A client presents with a high fever and unexplained bleeding and is diagnosed with ebola hemorrhagic fever. What interventions should the nurse anticipate?

strict infection control isolation of the client

With the increase in middle school children with symptoms of asthma the best approach to this issue would be...

the development of asthma education and surveillance program that addresses the students, families, and faculty members

three years after an exposure to a virulent flu a population faces the same flu strain, the public health department determines that there are members that have not been exposed to this flu. Which will the health department predict will occur next?

the unexposed population is not likely to contract the illness