Exam 3 Questions

A, C

A community nurse who routinely works in the immunization clinic notes an influx of new patients from Russia. The nurse wants to improve self-awareness of this new population. What steps can the nurse take to cultivate cultural sensitivity toward this new client population? (select all that apply) A) Interview some of the new members and inquire about cultural values B) Acknowledge that differences in culture occur even within a common culture C) Demonstrate a genuine interest in the lives and culture of the new clients D) Provide care to the new population based on broad cultural values of health E) Perform an internet search to improve knowledge on the new client population

B

A new client is scheduled at the clinic. During the assessment, the nurse notes a circular, dark-pink indention on the client's abdomen. The nurse is aware the client is not from the US. What is the nurse's next best action in assessing this client? A) Assume the client performs the cultural practice of cupping and ask when the client last did this B) Ask the client to describe usual health beliefs and practices when the client becomes sick C) Assess the indention and ask the client the origins of the circular mark on the abdomen D) Apply pressure to the area to determine if it blanches, then proceed with the assessment

B

A nurse could use which of the following to intervene with a vulnerable population's environmental risk? A) Finding published research B) Community assessment C) Alerting emergency personnel D) Conferring with health care personnel

D

A nurse could use which of the following to intervene with a vulnerable population's environmental risk? A) Finding published research B) Participating in research C) Alerting emergency personnel D) Conferring with local health departments

D

A nurse develops a program in an at-risk population as a result of disability related life year (DALY) health data. Which program goal best targets a reduction in DALY risk factors? A) Client satisfaction with the program will increase 10% B) Client will reiterate program goals C) Client will make health food choices D) Client will increase exercise to 3 days a week

A

A nurse works in a program supported by the World Health Organization (WHO). What best describes the role of a nurse in a tuberculosis initiative? A) To administer vaccinations B) To distribute mosquito nets C) To prescribe rifampin treatment D) To advocate for policy initiatives

C

A patient requests information concerning how to isolate ourselves against the exposure to environmental contaminates. Which statement is the basis for the nurse's response? A) The number of potentially dangerous environmental contaminates has decreased over the last 20 years B) Protection from environmental contaminates depends on one's own immune system C) It is not likely to protect themselves from contact with some form of environmental contaminate D) The initial step is to become educated about what environmental contaminates you are exposed to

D

A public health nurse begins work in a new community. Which is the best first step in working towards community change? A) Evaluating the programs already in place B) Planning a new intervention C) Implementing evidence-based practice D) Building relationships with community members and leaders

A

A school nurse is screening for potential dating violence what level of prevention, is this? a) Secondary b) Tertiary c) Primary d) Essential

False

Abuse can only describe what happens between people at home?

C

During an intake assessment at the local health department, the nurse asks a Hispanic client where in Mexico they were born. The client becomes angry and reports being born in Colombia. What is the best action for the nurse to take? A) Ask the client to provide education on the differences between Hispanics from Mexico versus Columbia B) Express regret for the assumption and seek a Hispanic nurse to complete the interview process C) Apologize for the cultural insensitivity and make a mental note to be more careful in the future D) Explain to the client most of the Hispanic individuals who come to the health department are from Mexico

B

Given a list of nursing interventions, identify the best intervention that facilitates capacity building among the vulnerable populations and their communities A) Safety planner B) Patient advocate C) Individual assessment D) Serving as confidants

A

Global health is a dynamic concept with many components. Choose the answer that is NOT a determinant of global health: A) Spiritual environment B) Individual health C) Health behaviors D) Physical environment

C, D, F

Global health is determined by a number of factors. Which factors are considered part of the social and physical environment? (Select all that apply) A) Individual behavior B) Individual biology C) Neighborhood crime D) Number of abandoned houses E) Personal choice F) Policies and laws

A

How is it that the risk for lead poisoning is increased for children living in poorer communities? A) Sate of deteriorating housing B) Limited access to health care services C) Poor diet as a result of limited income D) Lower literacy rates among patients

False

If it looks like abuse or neglect to you, it always is?

A

In a health context, risk factors are defined as personal habits and behaviors, environmental conditions, or inborn or inherited characteristics that are known to affect a health-related condition. Of the following, which is NOT a risk factor associated with global health? A) Unemployment B) Childhood and maternal undernutrition C) Sexual and reproductive health D) Addictive substances

B, E

In preparing a health and wellness care plan for the local senior citizen center, the nurse ensures the consideration of the three universal needs. What are the three universal human needs of the community? A) Satisfaction in life transitions B) Safety and security C) Support for decisions D) Social relationships E) Sense of belonging

A

In regards to environmental health risks, how would the genetic predispositions for diabetes be classified? A) Personal B) Wider environment C) Community D) Lifestyle

A

In regards to the environmental health risks, which of these spheres affects everyone and includes general air or water pollution, exposure to natural or man-made disaster, and/or outbreaks of disease? A) Wider environment B) Personal C) Lifestyle D) Community

True

Nurses are Mandated Reporters?

True

Process evaluations focus on how well the program was implemented and looks at the processes, activities, and capacity building?

C

Support groups for survivors of domestic violence is an example of which level of prevention? a) Primary b) Secondary c) Tertiary d) Essential

B

The community nurse visits a local playground and assesses the safety of newly installed equipment. What level of intervention is the nurse performing? A) Intermediate intervention B) Secondary intervention C) Tertiary intervention D) Primary intervention

B

The community nurse who facilitates the quick cleanup of toxic hazards is performing what level of intervention? A) Intermediate intervention B) Tertiary intervention C) Primary intervention D) Secondary intervention

D

The hallmark of the public health nurse highlights which component as it relates to community? A) To impact the social conditions in which people live: their income, social status, education, literacy level, home and work environments, support networks, gender, culture, and the availability of health services B) The goal to help provide affordable health insurance coverage to most Americans, lower costs, improve access to primary care, add to preventive care and prescription benefits, offer coverage to those with preexisting conditions, and extend young adults' coverage under their parents' insurance policies C) None of the above D) Focuses on population health through continuous surveillance and assessment of the multiple determinants of health with the intent to promote health and wellness; prevent disease, disability, and premature death; and improve neighborhood quality of life

A

The nurse asks a client, "Do you wear the clothes you wear at work to home?" This is an example of which subject on the exposure history? A. Present work B. Past work C. Home/residence D. Concerns

C

The nurse assesses the negative health effects of air pollution on individuals in a community. What levels of intervention is the nurse practicing? A) Upstream B) Midstream C) Downstream D) Mainstream

B

The nurse conducts biomonitoring of residents of a community exposed to mercury vapor from a manufacturing facility nearby. Which form of biomonitoring is the method for the purpose of determining exposure to this contaminant? A. Measuring heart rate B. Collecting blood or urine C. Assessing respiratory rate D. Obtaining body weight and composition measures

B

The nurse identifies which of the following as a secondary level of prevention in lead exposure? a) Removal of lead-based paint in housing. b) Blood lead level screening tests in children. c) An educational campaign to reduce and prevent lead exposure. d) Renovations in older housing to reduce lead hazards.

C

The nurse is asked what is meant by "vulnerability" in the context of community health nursing. What is the best response? A) Vulnerability is the state of mind the nurse possesses when treating the sick B) Vulnerability is an emotional disposition towards one's environment C) Vulnerability is any factor that increases the chances for poor health D) Vulnerability is the likelihood that a population will ignore health interventions

D

The nurse visits a community along a creek where residents have begun to report upper respiratory illnesses and asthma. After investigating, the nurse learns that several miles upstream is a hazardous material disposal site. In addition, chemicals have leached through the soil into the creek water and have been carried downstream to this community. Although children are not allowed into the creek, they do often play along the bank. Which represents the route of exposure in this situation? A. Creek Water B. Chemicals C. Bank of the Creek D. Inhalation

B, C, E

The public health nurse recognizes which of the following as indicative of low-level carbon monoxide exposure (select all that apply). a) Tachycardia b) Headache and flu-like symptoms c) Depression d) Vision Loss e) Poor cognition

A, B

Upstream addresses the root cause of disease and manufacturers of illness by taking into account what factors? (select all that apply) A) Socioeconomic B) Environmental C) Personal D) Genetics E) Psychologic

B, C, D, E

What are risk factors for susceptibility to disease in vulnerable populations? (select all) A) Character flaws B) Relative risk C) Resource availability D) Income E) Health status

B, C, D, E

What can help address and solve environmental health problems faced by populations and communities? (select all that apply). A) Focus on treating individual clients, one by one B) Take action to promote the development of policies and legislation that enhance consumer protection and promote a healthier environment C) Take action to correct situations in which health hazards exist D) Collaboration with citizens and other professionals to develop protective and preventive environmental health strategies in the community E) Apply environmentally related research findings in your practice and participate in nursing research

C, D, E

What criteria does a successful community intervention for improving environmental health meet? (select all that apply) A) Relies on public donations B) Free of monetary constraints C) Relies on community input D) Evidence-based E) Feasible

D

What intervention can be used to prevent adverse health consequences and empower vulnerable populations though the sharing of knowledge, skills, and information? A) Outreach B) Referral C) Case Management D) Health teaching

C

What is an example of a biological health risk? A) Pesticides B) Loud machinery C) Contaminated drinking water D) Garden and lawn fertilizer

B

What is the best way to help populations and communities avoid environmental health risks? A) Providing home health care after discharge from acute care facility B) Identifying potential dangers before they occur or worsen C) Performing secondary intervention to avoid further complications D) Treating individual clients in an acute care setting

D

What is the first step in conducting a risk assessment? A) Risk B) Identification C) Dose-response assessment D) Exposure assessment

C

What is the first step in providing culturally competent care? a) Know that your attitudes toward race are all based in fact b) Ignore any racial & cultural differences as they are irrelevant to health c) Recognize your own biases

D

What is the fundamental goal of an intervention directed toward addressing environmental health issues? A) Introduction of a cure for the resulting illness B) Eradication of the sources of environmental contamination C) Evaluation of care provided to address the pathology of the triggered illness D) Interruption of the exposure pathway

A

What is the initial nursing intervention when conducting a cultural assessment regarding the health beliefs and values of a member of a non-white American culture? A) Establishing an accepting environment B) Arriving at mutually agreed-upon definitions of health beliefs and values C) Determining the presence of any existing language or communication barriers D) Gaining insight into the patient's cultural world view

A, B

What populations are disproportionately affected by environmental hazards? (Select all that apply). A) Poor or low income B) Minorities C) White D) Middle class E) Rich or affluent income

B

What statement about children and adolescent populations is true? A) Children in single-parent homes are less likely to be poor than those in two-parent homes B) Of all children who are poor, 1/3 are African American C) Five percent of children younger than age 6 are living in poverty D) Children and adolescents are considered less vulnerable than the elderly

A

What statement about environmental justice is correct? a) Environmental justice is part of the mission of each federal agency b) Farm workers face less health risks than city workers c) Only select groups should bear the burden of environmental health hazards d) Commercial operations are exempt from environmental regulations

C

What statement is true about global environmental challenges? A) Studies have revealed a weak link between poor sanitation and illness B) Fewer than 1 billion people around the world lack access to adequate sanitation C) Seventeen percent of the world population lacks access to safe water sources D) Most citizens in the US lack access to clean water

B

What statement is true about social justice? Social justice refers to: A) Relaxing environmental protection laws B) Sharing common burdens and advantages C) Abandoning highly polluted areas D) Advocating health care as a privilege

A

When considering cultural influences, how would the nurse interpret a Chinese patient's lack of eye contact during a discussion about a newly prescribed medication as a sign of what? A) Respect B) Misunderstanding C) Disinterest D) Depression

B

When considering exposure, what term is used to identify the way an individual was originally exposed to an environmental contaminate? A) Estimate B) Pathway C) History D) Assessment

C

When considering health views, which statement is the basis for discussions concerning the effect of culture? A) Cultural world views are seldom concerned with health care issues B) The beliefs concerning the causes the causes of illness are shared by most world cultures C) Cultural world views are responsible for the different beliefs regarding the cause of illness D) Cultures generally share a world view regarding how illness should be treated

C

When considering the risks the environment presents to the human health, when does exposure to illness occur? A) A risk assessment confirms that an environment contaminant is present B) When an environmental contaminate has a history of triggering illness C) People come into contact with an environmental contaminant D) An environmental contaminant is resistant to treatment

A, C, D, E, F

Which are examples of serious environmental hazards that affect populations and communities? (select all that apply) A) Ozone depletion and global warming B) Hyperbaric oxygen C) Insect and rodent control D) Deforestation, wetlands destruction, and desertification E) Overpopulation F) Unhealthy and contaminated food

A, B, C, F

Which are quantitative social determinants of health? Select all that apply. a) Life expectancy b) Maternal mortality rate c) Neonatal mortality rate d) Political stability e) Civil rights f) Child mortality rate

D

Which aspect of industrialization has had the greatest impact on the general health of mankind? A) Delivery of services B) Economic impact of individuals C) International communication D) Air and water quality

B

Which is a major variable in the health of population? A) Ozone B) Air pollution C) Food D) Waste

A

Which is an example of a secondary intervention? A) Screening of employees for work-related injuries, such as hearing loss and repetitive physical activity B) Teaching older adults about safety in the home, such as how to prevent falls C) Advocating for protective gear such as helmets and safety goggles D) Advocating for hazard removal abatement services

D

Which is an example of primary intervention? A) Provide treatment and safety assessment for clients and community members affected by exposure B) Screen children for blood levels of toxins like lead C) Dispatch emergency response to contain an active hazard D) Counsel women of childbearing age about any environmental hazards that can affect the health of their babies

C

Which is an example of social injustice? a) Receiving SNAP benefits b) Voting in an election c) Your ethnic group being disproportionately targeted by police d) Owning a gun

A

Which lifestyle choices or behaviors most strongly determine long-term health outcomes in developed nations? A) Smoking and alcohol consumption B) Genetic factors C) Age and race D) Educational status

D

Which of the following are included in the notion of social injustice? A. Belief of those in power that others are inferior B. Denial of human rights to certain populations C. Disparities in access to services, such as healthcare D. All of the above

A, B, D

Which of the following are major challenges to environmental epidemiology? (Select all that apply) a) Limited availability of data on many contaminants b) Limited data on how contaminants may affect health c) The short period between exposure and illness onset d) Exposure to multiple contaminants and inability to discriminate between effects of each e) Conclusive findings are able to be made

D

Which of these is a step in the nursing process that must come before diagnosis and intervention? A) Outreach B) Evaluation C) Advocacy D) Assessment

A, C, D, E

Which question is focused toward evaluating an intervention to stop the exposure to an environment contamination? (select all that apply) A) Has the number of those exposed been decreased? B) Is the intervention possible without a financial cost? C) How has the community's health improved? D) Can this intervention be implemented long-term? E) Are people in the community supporting this intervention?

C

Which science focuses on the association between the environment and human health? A) Physical science B) Medical science C) Public health science D) Nursing science

D

Which statement is true? A) Genetics are part of the lifestyle sphere of environmental health B) Exposure to pesticides falls into the community sphere of environmental health C) Lifestyle choices do not expose the wider community to health risks D) The use of alcohol is categorized as a lifestyle choice

C

Which statement regarding the cause of poor health outcomes and exposure to environmental contaminates describes the challenge associated with minimizing the risk to an individual's health? A) The connection between many negative health outcomes and environmental exposure has been established B) Medicine has begun to dedicate resources to positively demonstrate the link between environment and health C) It is very difficult to confirm a link between a person's illness and the environment in which he or she lives D) Environmental exposure to contaminants is the greatest factor associated with human illness

C

While providing in-home wound care, the nurse notes the client is frequently vocal and screams at relatives when in pain. In performing a cultural assessment, in what area would the nurse document the frequent outburst and vocalizations? A) Family dynamics B) Cultural identifications C) Biological variations D) Communication

False

You, as a nurse, must get an adult out of an abusive situation regardless of their wishes?

True

Children who exhibit violent behavior are more likely to exhibit the same behavior in young adulthood?

False

Parents who neglect their children change their behavior when healthcare providers judge and berate them?

D

Of the following steps, which one should a nurse take after intervening with a vulnerable population's environmental risk? A) Confer with health care personnel B) Find published research C) Alert emergency personnel D) Evaluate environmental health knowledge

C

Of the selected steps below, what is the correct order in developing an evaluation plan for community-level interventions? A) Identify where you will find the data you need, plan how you will analyze your data, and develop evaluation questions B) Identify where you will find the data you need, develop evaluation questions, and plan how you will analyze your data C) Develop evaluation questions, identify where you will find the data you need, and plan how you will analyze your data D) Plan how you will analyze your data, develop evaluation questions, and identify where you will find the data you need