Engaging Community Health
A nurse is caring for a client who has end-stage liver disease and states, "I am aware of the dangers of continuing to drink, but I am choosing not to stop." Which of the following actions should the nurse take to act as a client advocate?
Accept the client's decision and offer to be a resource if the client changes their mind.
A nurse is providing education to a newly licensed nurse about nursing organizations. The nurse should include that which of the following organizations is responsible for mitigating nursing staff shortages?
American Organization for Nursing Leadership (AONL)
A home health nurse cares for a neighborhood of diverse clients. Which of the following aspects of cultural diversity should the nurse remember when caring for the clients?
Caring for diverse clients will require balancing differences and needs
A public health nurse is participating in a research study to determine how virulent a new virus is. Which of the following mortality measures should the nurse use to calculate this data?
Case fatality
A community health nurse is calculating the top three causes of death in a county. Which of the following mortality measures should the nurse use to obtain this data?
Cause-specific mortality rate
A community health nurse is making efforts to expand their cultural competence when working with clients. To develop cultural competence, the nurse must appreciate understand which of the following characteristics of their clients?
Diversity
A nurse is assessing an individual in the emergency department following an accidental gun injury sustained while cleaning the firearm. The individual shares a home with another adult and 3 children. The nurse should include which of the following in the plan of care?
Educate the client about gun safety and securing access to firearms in the home
A nurse is caring for an older adult client in an acute setting. The client is malnourished and has bruising on the upper extremities. The nurse communicates concerns with the provider and manager. Which of the following actions should the nurse take next?
Follow the facility's process to report suspected abuse
Which of the following refers to international collaboration to improve health outcomes and decrease health inequities using a multimodal approach?
Global health
A nurse is preparing to present an informational session on global warming to a group of clients. Which of the following should the nurse include as the major cause of global warming?
Greenhouse gas emissions
A nurse is discussing health insurance coverage with state legislators. Which of the following disadvantages related to health insurance should the nurse include in the discussion that is specific to clients who live in rural communities rather than urban areas?
Limited access to primary care providers
A nurse is meeting with a government agency to discuss ways to increase the number of nurses applying for a position in the health department. Which of the following factors has been identified as contributing to the shortage of nurses working in community and public health settings?
Limited pay structures
A community health nurse is researching information related to the Healthy People 2030 goals. The nurse should identify that which of the following agencies sets and supports the Healthy People objectives?
Office of Disease Prevention and Health Promotion (ODPHP)
A public health nurse is discussing how to improve client outcomes with county legislators. Which of the following interventions should the nurse recommend to improve outcomes for clients impacted by the cycle of poverty?
Opening a community health center in an underserved area
A nurse is providing diet education to children who are attending a health fair. This is an example of which of the following levels of disease prevention?
Primary
A nurse is presenting information about the prevention of sexually transmitted infections to a group of high school students. The nurse should identify that this is an example of which of the following types of prevention?
Primary prevention
A community health nurse is reinforcing an additional educational training on diabetes mellitus due to the increased number of diabetic clients within the community. Which of the following elements of Nursing's Social Contract is the nurse demonstrating?
Workforce Sustainability
A nurse in a public clinic is researching health data on culturally diverse populations in the community. Which of the following population groups should the nurse anticipate as having the highest mortality rate due to HIV?
Black American
A home care nurse is speaking with a parent who saw their child playing with cleaning supplies. The parent is not sure if the child ingested anything. Which of the following actions should the nurse take first?
Call the poison control center regarding possible chemical exposure.
A nurse is preparing a presentation for an HIV taskforce regarding strategies to help decrease the number of newly diagnosed cases. Which of the following major health care organizations should the nurse utilize to find strategies to include in the presentation?
Centers for Disease Control and Prevention (CDC)
A nurse in a clinic is caring for a child who has an acute condition. At the end of the visit, the child's young adult parent states, "Although I have a job, I have two more children at home. I don't have any health insurance for my children and can't afford to pay for this office visit." Which of the following resources should the nurse recommend for the parent?
Children's Health Insurance Program (CHIP)
An employee presents to an occupational health nurse with concerns that their hearing is worse on one side. Which of the following actions should the nurse take first to address the employee's concern?
Conduct a physical examination.
A nurse manager in a community clinic is using Healthy People 2030 to plan care for clients. Using the Healthy People 2030 guidelines, which of the following interventions should the nurse use to reduce health disparities? Which of the following is an example of how Healthy People 2030 addresses strategies to reduce health disparities?
Consider the literacy level of clients using evidence-based interventions and strategies
An occupational health nurse is discussing social determinants of health with staff members in the clinic. Which of the following does the nurse suggest the team use when searching for a non-profit resource to provide information about socioeconomic factors in the local community?
County Health Rankings
A nurse in the clinic is caring for an adolescent client who has severe juvenile arthritis pain. The nurse is planning to administer an analgesic injection, but the client's guardian refuses, stating it is against their beliefs to administer pain medication. Which of the following actions should the nurse take?
Provide education to both the client and the guardian on how analgesics can help with the severe pain
A nurse is preparing a presentation for a planning board on strategies that would help older adults remain in their homes as they age. Which of the following strategies should the nurse include in the presentation?
Providing assistance with minor home repairs and modifications
A nurse is teaching a group of newly licensed nurses about developments in other areas of study that led to improvements in public health. The nurse should include that the Shattuck Report brought about changes in which of the following areas?
Public sanitation
A home health nurse is caring for an elderly client who has heart failure. Which of the following interventions on the tertiary level of prevention could be included in the care?
Reinforce past teachings on how to read food labels.
A nurse is preparing a presentation about strategies to decrease health care disparities among vulnerable groups. Which of the following strategies should the nurse include?
Reinforce the importance of recognizing discrimination in vulnerable populations with staff.
Which of the following is a function of a population health nurse?
Supporting clients in managing their own health conditions
A correctional nurse is caring for a client who was recently injured in the facility. The client is complaining of pain but is not due to receive any more pain medication for a while. Which of the following interventions could the nurse include to achieve the goal of pain relief?
Using distractions like watching TV to keep the client's mind off the pain
An occupational health nurse is implementing some tertiary levels of prevention in the workplace. Which of the following interventions are tertiary interventions?
Working with the floor manager to decide on some light duty work for a nurse aid who is recovering from a broken ankle
A nurse at a community clinic is reinforcing education for a newly licensed nurse about nursing advocacy. Which of the following actions should the nurse include as an example of nursing advocacy?
Ensuring the client has given informed consent for care
A nurse is discussing the dimensions of the Leininger Sunrise Model with a newly licensed nurse. Which of the following dimensions includes the client's access to resources such as drinkable water and electricity?
Environmental context
A public health nurse is investigating a food-borne illness outbreak following a community picnic. After calculating the attack rate, which of the following foods served at the picnic should the nurse determine is the most likely cause of the outbreak?
Ham sandwich with an attack rate of 72%
A nurse in a public clinic is researching health data on culturally diverse populations in the community. Which of the following population groups should the nurse anticipate having end-stage renal disease due to diabetes mellitus?
Hispanic/Latino
A nurse in a community clinic is teaching a newly licensed nurse about elements that affect payment or reimbursement for health care services. Which of the following should the nurse teach is a quality-based element of payment or reimbursement?
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)
A community-based nurse in a pulmonary clinic is developing a care plan for a client who smokes. Which of the following might the nurse include in the plan if the client is in the preparation phase of the Transtheoretical Model?
Identify a support system to prevent the client from giving into the urge to smoke.
A nurse manager of a community clinic is planning ways to increase the culturally competent care within the facility. The manager knows that which of the following benefits occur from providing culturally competent health care?
Improved health outcomes for clients
The public health nurse is explaining to a newly licensed nurse how to investigate the incidence of breast cancer in the community. Which of the following information should the nurse provide about calculating the incidence rate?
Incidence includes only people at risk for the disease.
A community health nurse manager is searching an electronic database for potential sources of funding for health care. Which of the following factors should the nurse manager identify as a greater funding concern for private sources of funding when compared to public sources?
Income primarily generated by goods and services
A nurse is planning a presentation at a local public health conference about the relationship between quality education and health outcomes. Which of the following information should the nurse include in the presentation?
Individuals who attain a quality education increase the likelihood of obtaining a job that pays a living wage.
A nurse is providing care to a client from a different culture during a health fair. Which action by the nurse indicates cultural competence?
Interacts effectively in a multicultural context
A public health nurse is speaking with a client about why it is important to be an advocate for the environment. Which of the following reasons should the nurse identify as the primary purpose for environmental advocacy?
It can help ensure Earth's resources are available in the future.
A community health nurse is assisting with initiating a community's disaster plan following a nearby disaster. Which of the following resources responds to the disaster first?
Local government
A public health nurse is discussing the major effects of the Affordable Care Act (ACA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of the major effects the ACA had on health inequities in their community?
"The ACA has enabled clients with pre-existing conditions to obtain health insurance."
A community health nurse is preparing an in-service for staff to define the conditions of causation in epidemiological studies. Which of the following descriptions should the nurse use to define a temporal relationship to establish causation?
"The exposure must come before the disease develops."
A nurse manager at a community clinic is preparing a presentation for staff about the government's legal responsibilities for health care. Which of the following statements should the nurse manager make?
"The government produces an annual budget."
A nurse is discussing transcultural nursing with a newly licensed nurse. Which of the following statements should the nurse make when discussing the Kinship and Social Factors dimension of Leininger's Sunrise Model?
"This dimension includes relationships with others and social supports."
A community health nurse is providing teaching to a group of adults preparing for a trip to Zambia, where malaria is endemic. Which of the following statements by a group member indicates an understanding of the environmental element of the epidemiologic triangle?
"We should empty sources of standing water to prevent mosquitos from multiplying."
A nurse is caring for a seriously ill newborn at a client's home and is working with the parents to discuss the option of having a critical surgery. Which of the following questions should the nurse ask themselves during the first step of gathering data?
"What is the ethical issue?"
FLAG A community health nurse is preparing an in-service for staff to define the conditions of causation in epidemiology studies. Which of the following descriptions should the nurse use to define a cessation of exposure to establish causation?
"When the exposure is decreased or eliminated, the risk of disease declines or is eliminated."
A nurse asks the nurse manager of the community clinic which steps should be taken to start a career in political advocacy. Which of the following statements by the nurse manager encourages the nurse towards a career in political advocacy?
"You should work with your nursing organizations to see which federal issues they are working on."
A nurse manager in a community clinic is explaining the concept of culture to a newly licensed nurse. Which of the following statements should the nurse manager use to describe a subculture?
"A subculture is a variation within an ethnic or cultural group."
A nurse working in a community health center is speaking with a client who expresses their difficulty in finding employment. Which of the following responses should the nurse give?
"It sounds like it has been very challenging to find a job."
A community health nurse is teaching a group of community members about disaster preparedness. Which of the following statements should the nurse include in the teaching about when to plan for a disaster?
"Planning for a disaster should happen before a disaster occurs."
A public health nurse is planning ways to improve the health care for diverse groups in the community. The nurse should identify that which of the following groups in the United States is at risk for the shortest life span?
Black Americans
A nurse is asked which population group has the highest age-adjusted death rate in the United States. The nurse replies with which of the following?
Black males
A nurse is caring for a client who practices the Muslim faith. Which of the following should the nurse identify as an acceptable dietary option for this client?
Chicken
A nurse working in a community health clinic is reinforcing education to a group of nurses about communication skills for improving client outcomes. Which of the following qualities should nurses demonstrate when communicating with clients?
Compassion
A nurse at a public health department is reviewing evidence from Healthy People 2030. Which of the following does the nurse identify as one of the overarching goals of Healthy People 2030?
Create social, physical, and economic environments that promote attaining the full potential for health and well-being for all.
A nurse notices that a colleague who was involved in a recent mass casualty incident is experiencing extreme fatigue and flashbacks. Which of the following resources should be the nurse's priority suggestion for their colleague?
Critical incident stress debriefing
A community health nurse is involved in community-engaged research in a community in which residents express concerns about social justice. Which of the following community-engaged research principles best addresses their concerns?
Community-engaged research facilitates a collaborative, equitable partnership in all phases of research.
A nurse is preparing a presentation for a group of community stakeholders who are calling for a plan to decrease violence within the community. Which of the following actions should the nurse include as the first step to the CDC's population-based model for violence prevention?
Define and Monitor the Problem
A community health nurse is teaching a group of school age children about proper handwashing technique. The nurse should identify that this intervention targets which of the following links in the chain of transmission?
Mode of transmission
A nurse is reviewing the CDC's list of top ten public health achievements of the 21st century with a group of newly hired nurses. Which of the following accomplishments should the nurse identify as being included on the list?
Motor vehicle safety
A public health nurse has been working with other staff at the health department to complete a community health assessment for their city. As part of their core function of assessment, which of the following should be done with the information?
Post the analyzed findings on the health department section of the city's website.
A community health nurse is researching social determinants of health in the differing populations they serve. The nurse should identify that which of the following factors place populations at the highest risk for negative health outcomes?
Poverty
A client who was recently diagnosed with diabetes mellitus arrives for follow-up appointment at the community health clinic. The client appears distressed and has disclosed that they have recently separated from their partner. Which of the following actions should the nurse take first?
Provide an opportunity to listen to and comfort the client.
A community health nurse is training a newly licensed nurse on the use of case studies and case reports. Which of the following information should the nurse provide about when these tools are utilized?
They provide a starting point for further study.
A nurse working at a community health center is caring for a client who has diabetes mellitus. The client says, "I don't want to lose my vision." Which of the following responses should the nurse make?
"It sounds like you are worried about the complications of diabetes."
A public health nurse is reviewing the records of a group of clients who have a low socioeconomic status. The nurse should identify that which of the following clients are most likely to experience long-term economic stability?
An older adult couple living in a community where goods and services are within walking distance
A community health nurse is educating a newly licensed nurse about sensitivity and specificity using a two-by-two table. Which of the following statements by the newly licensed nurse indicates an understanding of the table related to false negatives?
"False negatives are represented in the table cell that indicates the person has the disease and the test does not indicate disease."
A nurse is caring for an adolescent client who has a history of depression and suicidal ideation. Which of the following client statements should the nurse identify as requiring further intervention?
"I don't have anyone I can talk to about my problems."
A nurse is examining their own personal attitudes about vulnerable populations. Which of the following statements reflects an attempt by the nurse to minimize judgment and bias when caring for clients?
"I will reflect on my responses and thoughts when meeting new clients."
A nurse is discussing ethical issues associated with telehealth with a group of newly licensed nurses. Which of the following statements should the nurse include in the discussion as an ethical concern related to telehealth?
"Telehealth can compromise client confidentiality."
A community clinic recently added a bilingual nurse to their staff to provide better health teaching with their Hispanic and Latino clients. Which of the following is an indication of improved client health outcomes?
A client has stabilized their blood glucose levels
A nurse is reviewing the records of a group of clients. Which of the following clients should the nurse identify as eligible to receive health insurance under the Medicaid program?
A client whose income is below the poverty line
A nurse is collecting the medical history of a 10-year-old client. The nurse notes that the child avoids eye contact and appears withdrawn. What is the nurse observing?
A nonverbal sign of abuse
Some elderly people with health issues in a more established neighborhood are on fixed incomes and have trouble getting around. Which of the following could the community health nurse do to assist them?
Advocate for more transportation to health care facilities.
A nurse is discussing major health organizations with a group of newly hired nurses. Which of the following organizations should the nurse describe as widely recognized for managing the U.S. blood supply?
American Red Cross
A nurse is reviewing the records of a group of clients. Which of the following clients should the nurse identify as eligible to receive health insurance under the Medicare program?
A client who is age 65 or older
Which of the following steps of the nursing process includes gathering information from a client who requires medical treatment?
Assessment
A nurse is caring for an adolescent client who is experiencing bullying at school. The nurse should recognize that which of the following individual factors may contribute to risks of abuse?
The client has poor academic performance at school.
A public health nurse is preparing to evaluate primary prevention measures developed by community leaders to decrease health costs associated with individuals who live in poverty. Which of the following programs should the nurse review?
Job training sessions
A nurse is reinforcing teaching to a newly licensed community nurse about the benefits of being part of the American Nurses Association (ANA). Which response by the newly licensed nurse indicates understanding of the information presented?
"I will join the ANA to stay current with my specialty and to keep up with trends in nursing."
A home health nurse is interviewing a client and asks the client, "Have you or your family been exposed to any chemical liquids, fumes, lead, or unusual smells?" Which type of assessment is the nurse conducting?
An environmental health assessment
A nurse is working with a group of clients who are all members of vulnerable populations. Which of the following clients should the nurse assist first?
An older adult client who is living below the poverty line and has no means of transportation.
A nurse in a primary care clinic is caring for a 30-year-old client who is reporting chronic back pain. Which of the following is an important part of a risk assessment for violence in this person's life?
Ask the client to complete the intimate partner violence screening questionnaire when they are in the exam room
A nurse is caring for a client who has reported experiencing abuse at home. Which of the following actions should be a priority for the nurse?
Assess risk for immediate harm.
A nurse in a community health clinic is administering immunizations. The nurse tells a client, "The protection from serious illness outweighs the temporary discomfort, but ultimately it is your choice if you decide to get the immunization." Which ethical principle is the nurse explaining in this situation?
Nonmaleficence
A team of public health nurses is preparing to present information about Healthy People 2030. Which of the following statements will the nurses include about the vision and mission of Healthy People 2030?
Overarching goals provide focused objectives to reach the vision
A nurse is speaking to a group of newly licensed nurses about how the QSEN competencies were integrated into their nursing school curriculum. Which of the following competencies should the nurse expect the newly licensed nurses to identify as the competency they were most prepared to address as students?
Patient-centered care
An occupational health nurse is attending to a new employee who had an accident at a worksite. Which of the following tasks should the nurse complete as a part of the protocol for an employee injury?
Perform a drug test.
A nurse is caring for a client who is refusing life-saving treatment due to their religious beliefs. The nurse should identify that this situation is an example of which of the following considerations of the Public Health Code of Ethics?
Permissibility
A school nurse is preparing a presentation for students about racism. Which of the following examples should the nurse use to best describe racism?
Assigning value based on physical characteristics and skin color
A community health nurse has been tasked with providing a daily expense report of clients that have utilized the community health center for assistance with basic needs. Which of the eight domains of public health nursing practice includes providing data for the health center?
Domain 7: Financial Planning, Evaluation, and Management Skills
A nurse assisting in a workshop at the local community clinic to address accessibility of health care resources for the people who do not have a home. Which role is the nurse acting as in this situation?
Educator
A nurse is planning to open a free health care clinic in a low-income, high-crime area. Which of the following terms best describes this type of project?
Environmental justice
A nurse is providing a presentation to a group of nurses about early public health efforts to improve the health of families. Which of the following nurses should be included in the presentation as working specifically to improve the health of Black families?
Jessie Sleet Scales
A public health nurse will be administering immunizations at a clinic. Which of the following will the nurse want to ask each client before administering the vaccine to ensure safety?
If they have had any past issues or allergies to the vaccine
A community health nurse who has failed to complete proper documentation for a client is now expected to undergo retraining and practice under the supervision of another nurse. Which of the following elements of Nursing's Social Contract does this address?
Knowledge, skill, and competence
A nurse is planning to engage in health policy advocacy activities. Which of the following actions is the most direct application of health policy advocacy?
Interacting with decision makers
A community health nurse is part of a team that plans to propose a policy that improves access to primary care. Which of the following is the first step in becoming competent as a policy making advocate?
Locating the correct level and jurisdiction where an idea can be introduced
A nurse working at a middle school suspects that a student is experiencing physical abuse after performing an assessment on them. Which of the following actions should the nurse take next?
Make a report to Child Protective Services (CPS).
A public health nurse is preparing to search an electronic database about health plans and policies that address prescription drug plans. Which of the following terms should the nurse use to identify Medicare Prescription Drug, Improvement, and Modernization Act (MMA)?
Medicare Part D
A nurse is researching the effects of health care costs on the gross domestic product (GDP) in the U.S. Which statement reflects the nurse's understanding of the GDP?
The GDP is based on the value of all products and services produced and consumed within a country
A nurse is caring for a client who has substance use disorder who has expressed interest in receiving treatment to stop using. Which of the following interventions is an example of a tertiary intervention strategy for this client?
Provide information on drug rehabilitation facilities since the client has expressed readiness to change.
A nurse is caring for a client that has recently been diagnosed with terminal cancer. Which of the following actions exemplifies compassion?
Providing nursing care that demonstrates caring service
A community health nurse is working in a rural area where there are many homes built before the 1970s. To promote good health, which of the following actions should the nurse take?
Teach residents about the dangers of lead-based paint.
A school nurse is helping a special needs student with tube feeding during the lunch hour. Which of the following levels of prevention does this fall under?
Tertiary
A nurse working in a rehabilitation center interacts with registered nurses (RN) and practical nurses (PN). The nurse is concerned that one of the practical nurses is being bullied by a registered nurse. Which of the following behaviors would indicate bullying?
The RN assigns the PN to clients who require the most extensive care
A nurse has been found guilty of medication mismanagement at the community clinic. The nurse was fired and the nurse manager was obligated to report the event. Which organization has the legal obligation to enforce the laws and rules found in a Nurse Practice Act?
The State Board of Nursing
A school nurse is partnering with the local hospital system's tobacco cessation program to give a presentation focused on discouraging tobacco use in high school students. According to the Health Belief Model, which of the following might be included in the presentation?
The benefits to not smoking when engaging in sports and other activities
A nurse is caring for an older adult client in an acute setting. The nurse is planning to discharge the client. The nurse should identify which of the following characteristics of the community as risk for neglect or abuse?
The client lives in a neighborhood with many abandoned homes.
The nurse is in a maternal/child unit and is caring for a new parent. The new parent expresses concern about their safety in the home. The nurse provides the client with an intimate partner violence crisis center number. Which of the following is a way the nurse can evaluate the client's response to the safety plan?
The client puts the number of the crisis center into their phone.
A nurse is collecting the medical history of a client. The client reports that they have experienced violence in the past with a previous partner. What is an immediate concern of the nurse?
The client reports that they are experiencing frequent gastrointestinal issues.
A nurse is evaluating the social profile of a new adolescent client at a community health clinic. Which of the following actions by the client is the priority for the nurse to address?
The client took courses online and experienced cyberbullying.
A nurse is counseling a client who has diabetes mellitus and is considering enrollment in a private managed care program. The policy will cover medical expenses for the client's condition, as well as vision care, but the client's current health care provider is not listed as a contracted provider under the managed care program. Which of the following information should the nurse share with the client?
The policy does not allow them to keep their current health care provider.
A community health nurse is planning a program to educate parents and caregivers in the community about childhood immunizations. When incorporating evidence-based practice, the nurse should identify that which of the following is a focus of implementing the program?
The values and preferences of the community
A community health nurse is providing education to a group of nurses about the functions of various government agencies. The nurse should include in the teaching that which of the following government agencies addresses food security by directly providing food to select populations?
U.S. Department of Agriculture (USDA)
A community health nurse is speaking to a group of nursing students about various major health organizations. Which of the following agencies should the community health nurse identify as the agency that works with children around the world to provide emergency relief?
United Nations International Children's Emergency Fund (UNICEF)
A nurse is providing education about immunizations to a group of newly licensed nurses. The nurse should identify that which of the following statements by one of the newly licensed nurses indicates an understanding of the teaching?
"Each state determines which school immunizations are required and who may be exempt."
A nurse should identify a possible health literacy barrier when a client responds with which of the following statements?
"I don't like to read; just tell me what I need to know."
A community health nurse is providing teaching to a client who is being enrolled in a randomized controlled trial. Which of the following statements by the client indicates an understanding of the teaching?
"I will not know if I am going to be in the intervention or control group."
A home health nurse is working with assistive personnel (AP) to care for a client in their home. Which of the following tasks can the nurse assign to the AP?
Assist the client with bathing and oral care.
A home health nurse is assessing a patient who has heart failure and notes the patient has had a weight gain of 1.8 kg (4 lb), as well as generalized edema, since the last visit 3 days ago. Which of the following actions should the nurse take next?
Ensure the client has been taking their prescribed diuretic.
A public health nurse is involved in community-engaged research related to reasons for low immunization rates of children in county public schools. Which of the following situations does the nurse recognize as a potential ethical issue involving recruitment of research participants or confidentiality of information?
A school principal offers to provide immunization records of students.
A county health nurse is addressing a recent outbreak of an infectious airborne illness in a poorly performing school in a low-income area of the city. The school lacks multiple resources such as a cafeteria, counseling services, a gymnasium, and a dedicated school nurse. Which of the following interventions should the nurse implement first to improve outcomes for the students?
Provide testing to detect infected students.
A community health nurse is using the United States Preventive Services Task Force (USPSTF) guidelines to recommend health screenings for a client. The nurse should identify that which of the following descriptions applies to Grade C screenings?
"Research indicates this screening exam is beneficial." This is actually incorrect. This is a grade A meaning, but it's what ATI flags as correct. Professors are aware and reaching out to ATI.
A community health nurse is providing teaching to a client who is being enrolled in a cross-sectional study. Which of the following statements by the client indicates an understanding of the teaching?
"The survey will take an hour to complete and then I'll be done."
A public health nurse is educating a newly licensed nurse about sensitivity and specificity using a two-by-two table. Which of the following statements by the newly licensed nurse indicates an understanding of the table related to true positives?
"True positives are represented in the table cell that indicates the person has the disease and the test indicates the person has the disease."
A nurse is providing education about Medicaid to a client who is pregnant and cannot pay for medical insurance. The nurse should recognize that which of the following statements by the client indicates an understanding of the teaching?
"When my baby is born, they can receive Medicaid as well."
A case management nurse is discussing medicalization with a group of newly hired nurses. Which of the following statements by one of the nurses indicates an understanding of "medicalization"?
'Medicalization is the practice of prescribing medications for conditions that could be treated using nonpharmacological strategies."
A community health nurse is calculating the number of deaths of school age children in a county. Which of the following methods should the nurse use to obtain this data?
Age-specific mortality rate
A community health nurse is searching for data about health behaviors related to smoking and exercise. Which of the following resources should the nurse use to find data about health behaviors in their local area?
County Health Rankings
A public health nurse is comparing mortality rates in their state to overall mortality rates in the U.S. Which of the following mortality rates should the nurse use for this comparison?
Crude mortality rate
A public health nurse is working with a statistician while conducting an analytic study of health disparities in the community. In which of the following stages of the analytic study is the nurse currently participating?
Data analysis
Which of the following theories or models looks only at the internal factors that motivate a person to adopt healthier lifestyle habits?
Health Belief Model
A nurse is describing health care coverage options for a client. Which of the following programs should the nurse describe as the first attempt of the federal government to reform both the public and private sectors of health care?
The Affordable Care Act (ACA)
A nurse in a wellness center is preparing a presentation about the impacts of quality measurements on federal funding for the center. Which of the following should the nurse identify as a survey of quality that impacts federal funding?
The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)
A nurse is discussing the plan of care for a school-age child who was recently diagnosed with diabetes mellitus with the child's parents. The family of three is living on a tight budget because the father's business has been closed due to the COVID-19 disease lockdown. Which of the following factors requires attention from the nurse?
The elementary school is closed and students are learning remotely.
A public health nurse is responsible for conducting a community-engaged, educational research project in a county. Which of the following principles will the nurse consider when conducting a needs assessment with the residents?
The results should be disseminated to all residents.
A community health nurse is educating a client about the implications of a false negative result of a screening test. Which of the following statements by the client indicates an understanding of a false negative screening?
"If I have a false negative screening, I may miss the opportunity for early treatment."
A nurse in a community health organization is teaching newly hired nurses about the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). The nurse should include that there are how many questions on the survey for the nurses to address?
29 items
A public health nurse is orienting a newly licensed nurse to the job. The new nurse cannot remember what the "A" stands for in the I PREPARE mnemonic. Which of the following terms is correct?
Activities
A nurse is caring for an older adult client whom the nurse suspects has experienced abuse by a nonpartner. Which of the following principles does the nurse demonstrate by reporting their concern to a supervisor?
Ethical decision-making
A nurse is caring for a client who has an acute case of cellulitis. After implementing a treatment protocol with the client, the client reports that they have had difficulty finding a job for almost a year and they sometimes skip meals to save money. Which problem is the priority for the nurse to address in the care plan?
Food access
A nurse is reviewing epidemiological information on environmental pollutants within the community. Which of the following pathophysiologies due to hazardous exposure should the nurse anticipate among manual labor workers?
Hearing loss
A community health nurse is assisting with the development of a program aimed at decreasing health issues among community residents who are pregnant. Using FOCUS-PDSA framework, which of the following steps is the first the nurse will take in the quality improvement process?
Identify the prevalence of anemia during pregnancy
A nurse manager at a public health clinic is working to expand diversity of the clinic's nursing staff. The manager knows that which of the following factors is a barrier to creating a diverse workforce?
Male nurses are less than 10% of the national workforce.
A nurse in an emergency department often sees victims of intimate partner violence. Which of the following actions should the nurse take when caring for victims of violence?
Provide the client with information on resources in the community to support victims of violence.
A community health nurse is meeting with city leaders to discuss the effectiveness of community-sponsored secondary prevention interventions on the cost of health care for older adults. Which of the following interventions should the nurse suggest?
Providing screening fairs for diabetes and hypertension
A nurse working in a community health clinic is planning care for a client who recently lost their job and is unable to afford their medications to treat diabetes mellitus. Which of the following actions should the nurse take?
Request a referral to the social worker.
A nurse is discussing with another nurse how health outcomes for underinsured clients can be improved by returning to school to achieve a higher level of education. Which of the following rationales should the nurse include in the discussion?
Returning to school could help a client get a job that allows them to gain access to health insurance that provides more coverage or better benefits.
A school nurse is assessing an adolescent client who indicates they have been experiencing depression due to a recent move. Which of the following interventions should the nurse implement?
Schedule an appointment with a school-based counselor
A community health nurse is establishing a care plan for a 12-year-old client who is disruptive in school. The nurse includes a referral for a mentorship program as one of the interventions in the care plan. Which of the following rationales should the nurse include to support the referral?
Students who are mentored are more likely to attain educational success.
A community health nurse is reflecting on unconscious feelings they may have toward some of the clients they care for. The nurse should identify this as which of the following concepts of cultural competence?
Implicit bias
A nurse is completing a summative evaluation of a condom distribution program at a local community college. Which of the following metrics should the nurse include?
Decrease in the incidence of sexually transmitted infections
A nurse is reviewing the effects of the Affordable Care Act (ACA) on the community with a newly licensed nurse. Which of the following describes the major effect the ACA has had on health funding inequities?
Increased ability of everyone in the community to obtain health insurance
A community health nurse attends the American Public Health Association (APHA) meeting annually to stay current in the field and to interact with colleagues across the country. Which of the core functions of epidemiology is the nurse engaged in?
Linkages
A nurse manager in a home health agency is planning a presentation on transcultural nursing for staff nurses. The nurse manager should identify that which of the following individuals is considered the founder of transcultural nursing?
Madeline Leininger
A community health nurse is providing teaching to a client about primary prevention methods for sexually transmitted infections. The nurse should identify that the teaching reflects which of the following stages of the natural history of disease model?
Stage of susceptibility