PH Exam 3 - 12,16,17,19,20,22,23,25

Carbon dioxide accounts for ________ percent of the greenhouse effect

60

An older client is seeking a fourth refill on a prescription for benzodiazepines. The nurse is concerned that the client may be developing a tolerance for the drug. Which comment by the client would most confirm this concern?

A) "Lately I've had to double up on my dose just for it to be effective."

The occupational health nurse works in facility located in a region that is highly prone to tornadoes. Which intervention should the nurse make sure is included in the facility's emergency plan to address this potential threat?

A) A shelter-in-place policy and procedure

4. Which of the following are common characteristics of violent families regardless of the type of abuse that exists? Select all that apply.

A) Abuse of power and control B) Alcohol and other drug abuse C) Intergenerational transmission D) Social isolation

16. As a member of a disaster team, the nurse responds to a confirmed outbreak of the plague. The nurse understands that the pneumonic plague has a high mortality rate. The decision to meet the needs of the public on a wide scale includes:

A) Administration of antibiotics via PODs

Principles of epidemiology can be used as a method to determine patterns of illness forthe faith community, and risk factor assessment helps the nurse decide what programs toprovide. Which demographic data about the faith community should the nurse gather forthe purpose of assessment? (Select all that apply.)

A) Age C) Family structure E) Proximity of residence to healthcare facilities

The occupational health nurse is a member of the emergency planning committee in theworkplace. The nurse is helping to formulate an emergency plan for the facility. Whichkey components should the nurse include in the emergency plan?

A) Alarms C) Reporting D) Communication E) Evacuation

During an assessment, a teenager reveals a 2-year history of inhalant use. Using knowledge that fumes may be inhaled through the mouth, this will achieve a state of intoxication similar to:

A) Alcohol

24. The nurse is assessing an elderly female in the emergency department. There are many bruises present on her body in varying stages of healing. After documenting the bruising in the assessment, what should the nurse do next?

A) Ask the client when and how the bruises occurred

Changes to water supplies and increased flooding, which are believed to result from climate change, may make some areas more vulnerable to diseases. Which diseases are expected to become more prevalent as a result of climate change?

A) Asthma C) Diarrhea D) Malaria E) Dengue fever

On the basis of the eight recommended components of a comprehensive school healthprogram, which should be included in a K-12 health education curriculum? (Select allthat apply.)

A) Consumer health education B) Environmental health education C) Sexuality education D) Nutrition counseling

5.Which exemplify biological hazards? (Select all that apply.)

A) Contaminated body fluids B) Poisonous plants D) Venomous snakes

20. The disaster is over and the team prepares to return to normal operations. Before disbandment of the team, it is essential to create a safe environment for the staff. The staff will participate in:

A) Critical incident stress debriefing

The occupational health nurse is a member of the emergency planning committee in the workplace. The nurse is helping to formulate an emergency plan for the facility. Which goals should the nurse keep in mind while developing the plan?

A) Establish clear reporting instructions for employees. D) Name key personnel who will assume necessary tasks. E) Establish emergency escape routes.

A nurse receives blood test results that indicate that a 14-year-old client has been using cannabis. Based on knowledge of factors that affect rate of cannabis use among youth, which would be themost effective strategy to discourage this behavior?

A) Explain the risks associated with cannabis use

The community health nurse addresses cyber bullying in the local middle schools. Currently, there are no policies in place for this issue. The most appropriate first step is to:

A) Explore current programs to prevent bullying and youth violence

In assessing a 13-year-old Native American boy who lives on a reservation, the nurse finds that he regularly drinks alcohol and smokes cannabis. He says that most of his friends do so, as well. The nurse is aware that this rate of prevalence is far higher than that for 13-year-olds of all ethnicities nationwide. Which social conditions have researchers associated with this health disparity?

A) Greater availability of cannabis from local farms C) Lower academic attainment D) Proximity to Mexico and drug gangs

The nurse assesses a 33-year-old who abuses alcohol. To gauge how the client's substance use is impairing his ability to fulfill normal role functions, the nurse should use:

A) History of arrests for drunken driving C) Jobs lost due to intoxication at work and chronic absenteeism D) Failing grades in night classes at the local community college

19. A young woman telephones the emergency department and loudly tells the nurse, "I've been raped! Please help me!" Which of the following is the priority for the nurse to determine?

A) If the client was in a safe place, her condition, and if transportation is available

Which data are tracked under epidemiologic workplace surveillance? (Select all thatapply.)

A) Injuries B) Illness C) Hazards D) Exposures

The Church Health Center, in developing its curriculum for the preparation of faith-based nurses, identifies seven specific functions that parish nurses perform in faith community work. Spiritual care would occur as part of which function?

A) Integrator of faith and health

Bioavailability is the amount of the contaminant that:

A) Is absorbed into the body and becomes available at the site of physiological activity

25. A nurse is working with a client who has a history of repeated abusive intimate relationships. The nurse has difficulty understanding why a woman would repeatedly enter into relationships with abusive partners. When working with this client, the nurse can best maintain a therapeutic relationship through which of the following approaches?

A) Keeping focused on the client's feelings about her life situation

3. The nurse visits the home of client in a low-income community and notices that paint is flaking off the walls and forming a dust in the corners of some rooms. The nurse asks the client when the house was built, and she responds that it was built in 1959. Which contaminant should the nurse expect to find in this home?

A) Lead

A line operator in a manufacturing facility comes in to the on-site clinic reporting numbness in his hands after excessive exposure to the toxin benzene. Applying the epidemiologic triad to this scenario, which is the host?

A) Line operator

The nurse performs motivational interviewing with a college student in the university health center regarding the student's history of binge drinking. The nurse hopes to ascertain the student's readiness to change her behavior and encourage her to make better choices related to alcohol use. The interview should begin with:

A) Listening empathetically to establish trust

11. The nurse is involved in a community education program for new parents and plans to include information on child abuse. The nurse will teach the parents that the most common form of child abuse is which of the following?

A) Neglect

An advisory board is essential for solving problems and avoiding pitfalls in faith communities. How might the advisory board offer help to a faith community nurse?(Select all that apply.)

A) Offer leadership B) Establish policy C) Develop guidelines

14. Which of the following are common behavioral and emotional responses to abuse? Select all that apply.

A) One third of abusive men are likely to have come from violent homes. B) Women who grew up in violent homes are 50% more likely to expect or accept violence in their own relationships. C) Dependency on the abuser is a common trait found in victims of domestic violence. E) It is critical for the nurse to demonstrate acceptance after hearing about the abuseso that the victim may begin to gain self-acceptance

4. Characteristics of a congregation include: (Select all that apply.)

A) Organized group of people D) Independent or affiliated with a local or national denomination E) Community within the larger community

The nurse asks a client, "Do you wear the clothes you wear at work to home?" This is anexample of which subject on the exposure history?

A) Present work.

The information gained from environmental epidemiologic studies can be very helpful in trying to identify whether an exposure or what particular exposures have made people ill. Major challenges to most environmental epidemiology studies include:

A) Resource intensive in terms of personnel and money D) Limited availability of data on many contaminants and their effect on people's health E) Time consuming to perform

Which strategies have been shown successful for preventing adolescent pregnancy?(Select all that apply.)

A) Responsible sexual behavior education B) Abstinence education D) Contraceptive counseling E) Confidential reproductive services

2. In an institution-based model of nursing, the nurse: (Select all that apply.)

A) Serves a health system with assignment to particular congregational settings B) Serves as a liaison between a health system and a congregation

A newly hired health promotion specialist works at a meat-processing facility. The specialist is in charge of developing a program that encourages a balance among work, family, personal, health, and psychosocial concerns. Which components are appropriate to include in this program?

A) Signage that demonstrates safe lifting techniques D) Clinic on proper use of safety goggles and other equipment E) Monitoring of noise levels within the facility

Which services are reimbursable by Medicaid? (Select all that apply.)

A) Speech/language therapy and evaluations B) Occupational therapy and evaluations C) Physical therapy and evaluations E) Allergy testing and evaluations

The school nurse at a public high school recently noticed an increase in students smoking before and after school. Using the community school model to reduce tobacco use among your students, which interventions are appropriate?

A) Starting an after-school tobacco cessation program with the assistance of localrepresentatives of the American Cancer Society B) Having a local clinical oncologist speak at a PTA meeting about the hazards oftobacco use among children D) Promoting the community's "great smoke-out" smoking cessation event each year.

5. Which of the following are common reasons why abused women remain with the abusive partner? Select all that apply.

A) The abused person is personally and financially dependent on the abuser. B) The abused person has low self-esteem and defines her success as a person by theability to make the relationship work. D) The abused person believes that she is unable to function without her husband. E) The abused person is afraid that the abuser will kill her if she tries to leave.

1. The nurse is collecting assessment data on a client who is suspected to be a victim of violence. Which assessment data would support the suspicion that the client is a victim of abuse? Select all that apply.

A) The client has few friends. D) There is a moderate amount of alcohol use in the home. E) The client reports that the father was abusive during childhood.

7. The nurse is caring for a 16-year-old boy with a history of sexual abuse. What might the nurse expect to assess with this client?

A) The client will experience long-term emotional trauma, nightmares

13. A school nurse is educating a group of adolescent girls about rape and sexual assault. The nurse evaluates the students' understanding when they report which of the following as a high-risk factor regarding the incidence of rape?

A) The highest incidence of rape occurs in adolescents and young adult women.

6. Which of the following are typical characteristics of the perpetrator of intimate partner abuse? Select all that apply.

A) The perpetrator often believes that the partner is his own property. B) The perpetrator is often irrationally jealous, even of his own children. C) The perpetrator is emotionally immature and needy.

Children may be more vulnerable to environmental exposures than adults. There are several factors that increase children's vulnerability. Which factors should be consideredwith children?

A) Their body systems are still rapidly developing. C) Their bodies may be less able to break down and excrete contaminants. D) Their behaviors can expose them to more contaminants.

The Youth Risk Behavior Surveillance Survey (YRBSS) outlines common risk behaviors influencing the health of the nation's youth. Which risk factors are included on this survey? (Select all that apply.)

A) Unintentional injury D) Sexual behaviors E) Alcohol use

Which common problems should a school nurse be prepared to identify in students?(Select all that apply.)

A) Vision impairment C) Attention deficit hyperactivity disorder (ADHD) D) Scoliosis

An elementary school student comes to school nurse's office reporting a headache. Thenursing assessment begins by gathering which subjective data? (Select all that apply.)

A) Where it hurts on the child's head B) Whether the pain is constant, throbbing, or intermittent D) How bad the pain is on a scale of 1 to 10.

17. A woman has just presented at the emergency department after being raped. The initial nursing action would be to

A) provide emotional support.

5. Response to a disaster is in its final phase. Although still in the recovery phase of the response, an evaluation meeting is arranged. The purpose of the evaluation meeting is to:

A)Analyze the strengths and weaknesses of the response and submit a plan to improve response in the future

4. Five weeks after a category 4 hurricane, a town in southern Louisiana continues to battle for survival. The flood waters have now receded. The nurse is part of the disaster recovery team. Epidemiologic analysis of this town includes factors that influence the health status of this community. Which data may be included in the epidemiologic analysis report? (Select all that apply.)

A)Continuing death B)Population shift C)Contamination of water supplies E)Collapse of access to healthcare

3.The management team is in the process of identification of hazards associated with the ice storm that is expected to disable electrical service to the city. To identify areas most vulnerable to damage and plan for an effective response, which data or methods of data collection may be used? (Select all that apply.)

A)Geographic information B)Satellite imagery D)Historical data on previous events

10. Which are advantages of disaster management JITT for nurses? (Select all that apply.)

A)Is cost-effective because it requires the least amount of resources to produce the final result C)Shortens the period of time between learning and application D)Includes classroom sessions and on-site presentations E)Is offered online for easy access

The nurse is a member of the emergency and disaster preparedness committee for an organization. The nurse's role is to head the data collection subcommittee. What are the key areas that would be included in your plan?

A)Morbidity, mortality, mental health, and infectious disease

13.The nurse is in charge of implementing a personal protective equipment (PPE) program at the hospital, in response to a chemical terrorist attack. Which components should be included in this program? (Select all that apply.)

A)Selection, maintenance, and use of PPE B)Training of employees in PPE use C)Identification of hazards present

A parish nurse helps an older woman in the congregation who is taking multiple medications develop a system whereby the woman can more easily remember to take the right medications at the right time. Which is the primary ethical principle observed by the nurse in this situation?

Autonomy

2.The nurse travels to Nigeria with a humanitarian aid organization to assess and treat members of a remote community. The children all have high levels of lead in their blood, as a result of exposure to lead dust created by gold mining. Many children are dying. The nurse has never witnessed such a phenomenon in the United States. Which are the most likely reasons for this discrepancy?

B) Lack of environmental regulations or of their enforcement C) Lack of knowledge concerning environmental dangers E) Need of the miners to earn a living and fewer work options

8. The public health nurse is a first responder in a community disaster, secondary to a flood. One section of the town has experienced a loss of water and electricity for 4 days. The nurse's first action to meet the needs of the community at this time should be to:

B) Provide access to safe food and water

Which is one of the most important strategies recommended by the Centers for DiseaseControl and Prevention (CDC) for reducing the spread of HIV?

B) Routinely screening all adolescents and adults aged 13 to 64

The school nurse works with a 12-year-old girl who is obese and has type 2 diabetes. As client advocate, which would be most appropriate nursing action?

B) Schedule a conference with the client's parents to discuss how to collaboratively manage her blood glucose level and encourage her to select appropriate foods in the cafeteria for lunch.

The Centers for Disease Control and Prevention (CDC) recommends which methods forimproving the food environments of school-aged children and adolescents? (Select allthat apply.)

B) School-based prevention C) Policy and regulatory strategies D) Strategic use of media E) Coordination of statewide and local activities

2. A young female immigrant presents in the rural health clinic with facial bruising and a fractured nose. The client is reluctant to give details of the nature of her injuries. Which of the following should be a consideration in providing care for this client?

B) She may fear deportation if she seeks public assistance.

Which health education interventions are appropriate for the school nurse to perform?(Select all that apply.)

B) Teaching a student how and when to use her EpiPen C) Teaching a 6th-grade class about the consequences of cyber bullying D) Counseling a student about tobacco use E) Teaching a group of students with eating disorders about a healthy view of food

14. The nursing team cares for victims of a possible anthrax white powder investigation. Which information must be documented by the nurse scribe? (Select all that apply.)

B) Time and place C) Name of the Incident Commander D) General assessment of the field

An elderly client with dementia lives with her daughter. During the day the client attends a Day Center. The nurse notices the client is unkempt and smells of urine. Upon examining the client, the nurse notes bruising on her arms and back. From the nurse's observations, which of the following is the type of abuse suspected?

B) physical abuse

6.A tornado touched down in the city. The public health nurse is a member of the disaster management team. The nurse's role includes: (Select all that apply.)

B)Clinical assessment and triage C)Provision of health education

15. A woman is in treatment for an anxiety disorder. Her history reveals that she was sexually abused repeatedly by her husband. Which of the following interventions would be appropriate in relation to this piece of data?

B)Encourage her to talk about her feeling related to the abuse

9. The nurse cares for a client who has symptoms of high fever and unexplained bleeding. After receiving blood test results, the client's primary care provider diagnoses the client with Ebola hemorrhagic fever. What interventions should the nurse anticipate implementing for this client? (Select all that apply.)

B)Strict infection control C)Isolation of the client

The Church Health Center, in developing its curriculum for the preparation of faith community nurses, identifies seven specific functions that parish nurses perform in faith community work. Which exemplifies the health advocate function of the faithcommunity nurse?

C) Empowerment of members of the congregation

4.Several important pieces of legislation have helped highlight the importance of environmental health and environmental protection. Which best describes Superfund?

C) Environmental program established to address abandoned hazardous waste sites

12.After a hurricane, the nurse is placed on a planning committee to meet the direct needs of the community. Most of the clean-up and rescue work has been completed, and several members of the community are living in shelters and are homeless. One of the foremost priorities of the committees is to establish:

C)POD emergency supply centers

Which occurred as a result of the passage of the Education for All Handicapped Children Act in 1975?

Children with chronic or complex medical issues were entitled to a public education.

Who are the top users of energy in the world?

China, U.S, and Japan

The occupational and environmental health nurse can function comfortably in roles as a clinician, coordinator, and case manager following company procedures, using assessment checklists and clinical protocols to provide treatment. At which competency level in occupational and environmental health nursingis this nurse functioning?

Competent

The nurse applies the nursing process to a case in which a client has been exposed to an environmental contaminant. The nurse considers the question, "Has the exposure pathway been interrupted?" This question would be considered during which phase ofthe nursing process to examine the impact of the environment on human health?

D) Evaluation

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?

D) Inhalation

According to current research findings, which group has the most experience withcongregational health ministers?

D) Mainline Protestant and Roman Catholic

The nurse works with a client who is struggling with heroin addiction. Which examination should the nurse perform to screen for a comorbidity that is highly associated with substance use disorders?

D) Mental status examination

27. The community health nurse meets with the family members of an elderly client. The nurse includes which of the following in the plan of care as a preventive measure to guard against elder abuse?

D) Provide the primary caregiver with additional resources to meet the elder's needs - prevent caregiver burnout

6. There are different methods for conducting risk assessment for environmental contaminants. Which formula determines the amount of risk?

D) Risk = hazard ◊ exposure

1. In a congregation-based model of nursing, the nurse:

D) Serves a particular faith community by virtue of a contract or job description

12. A coherent elderly woman has been financially and emotionally abused by her adult children for the past several years, but has failed to report the abuse to anyone. Which is the most likely reason that the woman neglects to report the abuse?

D) She is emotionally close to her children and does not want to bring them harm.

18. The nurse is working in the emergency department with a woman who was raped 1 hour ago. Which of the following is most important for the nurse to remember when planning care?

D) The woman may feel threatened by some of the procedures like the pelvic exam

23. A female college student comes to the counseling center and tells the nurse she is afraid of her boyfriend. She states, "He is so jealous and overprotective; he wants to know where I am and who I'm with every minute." Which of the following is most likely true of the situation?

D) This is characteristic of the tension-building phase of the violence cycle the abuser attempts to establish complete control over all the person's actions. It is more appropriate for the nurse to listen to the client

A newly hired health and safety officer works for a large manufacturing facility. One of the officer's first jobs is to conduct a complete survey of the workplace to determine what hazards are present, the location of entries and exits, the availability of emergency equipment, and potential trouble spots. Which interventions should the officerimplement to accomplish this goal?

D) Workplace walk-through

Which referral would a nurse make for a client who was badly beaten by a spouse, has no place to go, and no financial means?

D) a women's shelter

21.An outbreak of foodborne botulism has occurred in the community, and the nurse is on the disaster management team to address it. Which intervention should the nurse expect to implement in this situation?

D)Administration of antitoxins

The nurse teaches a client about pharmacologic treatments for alcohol-dependent disorders. The client correctly understands the teaching when she tells the nurse that a medication that induces aversive effects if alcohol is consumed is:

Disulfiram

In which phase of a school-based substance abuse program is information most likely to have meaning and applicability to students?

Early relevance

The occupational and environmental health nurse provides leadership in developing occupational safety and health policy within the organization and function in an upper management role. The nurse has served as a consultant to both business and government and has designed and conducted significant research. At which competency level in occupational and environmental health nursing is this nurse functioning?

Expert

Which most accurately describes environmental epidemiology?

Focuses on the incidence and prevalence of disease or illness in a population from exposures in their environments

Which is a community nursing diagnosis?

Lack of Health-Seeking Behaviors

The school nurse is concerned about the lack of nutritional choices available in the food vending machines at the school. Which is the best tool to address this situation?

Make it happen

The nurse works in the ER when a client arrives with respiratory depression associated with a heroin overdose. Which medication should the nurse expect to be ordered for this client?

Naloxone - narcan

Environmental justice is most accurately described as the belief that:

No group should suffer more from environmental health consequences than others.

Which sourceshould the nurse consult to acquire the proper record-keeping form and guidelines?

OSHA

The national weather service warns of an impending ice storm that may have crippling effects on the community. Widespread electrical outages are predicted as well as freezing temperatures. The community health nurses are mobilized to establish emergency living quarters and clinics for those without heat. The nurses' actions are occurring during which phase of the disaster?

Pre-impact

The occupational and environmental health nurse quickly obtains the information needed for accurate assessment and zoom in on the critical aspects of a problem in response to a client situation. The nurse uses highly developed clinical and managerial skills in the work environment. At which competency level in occupational and environmental health nursingis this nurse functioning?

Proficient

8. Which is an example of a radiological contaminant?

Radon

Screening for cholesterol is an example of which prevention level?

Secondary

A nurse working in the rural Southeast United States sees many young white adolescent girls in the clinic. The nurse should be aware that which type of substance use is highest among this demographic?

Sniffing glue

The nurse screens a woman who is 6 months pregnant for alcohol use. Which screening instrument should be used?

T-ACE

9. Which industry has the highest number of fatal injuries?

Transportation

How are fossil fuels formed? Buried deposits of decayed plants and animals that are converted into fuel by exposure to heat and pressure over millions of years

What are some strategies for controlling energy? conservation (higher oil prices), create renewable sources of energy (wind), alternative fuels (ethanol), and electric vehicles

What is Air Quality Index (AQI)?

a measure of local air quality and its relationship to health

1. The public health nurse works in New England during the winter months. An ice storm cripples the city, and electrical outages affect the power grid. The management team should classify this occurrence as:

a natural disaster

patients live in a senior community & have a health care team that manages them weekly, daily or prn; what type of home care?

assisted living

focus on cost containing system of health care administration, focus on systems

care management

goal is to improve the coordination of services provided to clients enrolled in a care management program

care management

the evaluation of health care interventions, including need & appropriateness of care, and the actions taken to attain effective & efficient outcomes

care management

collaborative process of assessment, planning, facilitation, & advocacy for options & services to meet an individual's health needs through communication & available resources to promote quality cost-effective outcomes

case management

focused on individuals

case management

primarily disease management but can include conditions not related to disease such as maternity-related issues

case management

Which level of assessment occurs when assessing whether healthcare is accessible to members of the congregation?

community

Which of the eight recommended components of a comprehensive school health program should include the physical, emotional, and social conditions that affect the well-being of students and staff?

B) Healthy and safe school environment

The nurse works with a recovering heroin addict who is currently receiving opioid substitution treatment. Besides reducing his use of heroin, what additional benefits are offered by this treatment?

C) Decrease in transmission of HIV D) Improving the client's overall health

4.Which exemplifies a physical hazard?

C) Electric and magnetic fields

The nurse counsels a college student who admits to frequent binge drinking. Based on her age and environment, the most likely reason for this student's binge drinking is to:

D) Enhance mood or affective state

The nurse assesses a 19-year-old client for alcohol abuse. Which would be the most significant risk factor for alcohol abuse in this client?

D) Enrollment in college

what groups receive care from home health care the most

-adults with chronic illnesess -older adults -low-income or uninsured pregnant women, moms & newborns -children w/complex needs -terminally ill

5 models of home care

-assisted living -home visits to homeless -parish/faith community nursing -public health departments -hospice programs

medicare criteria for eligibility (5)

-homebound -plan of care -skilled needs -intermittent care needs -necessity

5 phases w/ home visits?

-initiating the visit -prep -the actual visit -termination of visit -post-visit planning

The client states a history of substance abuse but reports current abstinence. If valid, this report means that the client has not used alcohol or illicit substances in at least how many months?

12

26. The school nurse is teaching a health class about recognizing the signs of abusive relationships. The nurse describes the cycle of violence. The nurse would document effective teaching if the students identify the cycle of violence to be which of the following patterns?

A. Tension building C. Violent behavior D. Period of remorse B. Honeymoon period

The occupational health nurse at a company has seen three different employees in one week who have all reported similar upper respiratory symptoms. Which rate should the nurse consider calculating to understand the severity of this problem and to determine whether a cluster or cohort is forming?

B) Incidence rate

The occupational health nurse for a computer manufacturer is required to conduct aphysical examination of each new hire. The rationale for this action is to:

B) Ensure the worker's fitness for the job.

3. Which of the following is the best explanation for why family violence tends to occur over multiple generations of families?

B) Family violence may be perpetuated between generations of families by role

7. Which exemplify environmental media and transport mechanisms within an exposure pathway?

B) Groundwater C) Pond D) Air E) Subsurface soil.

A client arrives at the clinic shaky and requesting a refill on a prescription for alprazolam (Xanax). The nurse suspects that the client might be experiencing substance withdrawal. Which comment by the client would most tend to confirm your suspicion?

B) "I ran out of pills a week ago and have felt sweaty and agitated ever since."

15. The nurse is notified that a possible anthrax exposure occurred at the local military base. Civilian workers are routed to the local hospital's emergency department. The nurse's responsibility is to set up PODs in the community. The function of the PODs in response to the anthrax exposure is to:

B) Administer prophylactic medications

The nurse assesses a 15-year-old client who shows some signs of possible drug addiction. The nurse reviews the client's health and family history, looking for key indicators for risk of substance dependence, such as:

B) Age at first use of illicit substance C) Family history of alcoholism

A politically active community health nurse assists in drafting state legislation for alcohol use laws. Which principles of the World Health Organization should be integrated into the draft legislation?

B) Alcohol policies should be equitable for all in the state. C) Alcohol policies should be sensitive to cultural contexts E) Legislation should protect those exposed to the harmful effects of drinking by others.

Which individual health assessment would a school nurse most likely perform?

B) Assessment of a playground injury

Being a school nurse requires which combination of practice type and decision making?

B) Autonomous practice and independent decision making

Supportive relationships with the spiritual head of the congregation are important for the success of a faith community nursing program. Unless the pastor has worked with a faith community nurse before, repeated explanations will most likely be necessary. The spiritual head of the congregation may need further education to clear up the common misconception that the nurse will:

B) Be a private visiting nurse for the congregation

Which is an advantage, from the perspective of a faith community nurse, of working inan unpaid congregation-based model?

B) Can limit how much time he or she offers to the congregation

The occupational health nurse for an electronics factory compiles an occupational health history for each worker. Which should be included?

B) Chronological record of all past work and potential exposures C) An occupational exposure inventory D) List of exposures in the home or community

The nurse conducts bio-monitoring of residents of a community exposed to mercury vapor from a manufacturing facility nearby. Which form of bio-monitoring is the method for the purpose of determining exposure to this contaminant?

B) Collecting blood or urine

18. The community health nurse works in a receiving station after a radiological disaster. The nurse wears the requisite PPE and notes that the majority of the victims have blast injuries. A volunteer worker reports that many of the victims have dust on their clothes. The nurse's response to the dust is to:

B) Consider it radioactively contaminated and notify HAZMAT

Which actions exemplify the school nurse's role as a child advocate? (Select all thatapply.)

B) Convincing the cafeteria manager to include low-sugar options in the lunch menu for students with diabetes D) Teaching a child who has recently been diagnosed with asthma how to use an inhaler E) Instructing a group of faculty members on the proper way to respond to a child having an epileptic seizure in class.

The faith community nurse works in a hospital that serves several local congregations.Which tasks would the nurse likely perform in this role? (Select all that apply.)

B) Coordinate the discharge and transition of congregation members from thehospital to home C) Recommend services that the hospital provides D) Serve as a health advisor to members of the congregation

Environmental justice is an important consideration when working with tribal communities. In which way is traditional tribal practices most often directly affected by contaminated land and water?

B) Dietary practices

The faith community nurse recently visited with a member of the congregation, Sandy, who is recovering from a hysterectomy. Following a church service one Sunday, another member of the congregation, Patricia, approaches you and says, "How is Sandy recovering from her surgery?" Which is the most appropriate response?

C) "I'm afraid I can't share any details, but I'm sure she'd love a call or text from you"

20. The nurse is discussing expectations of raising a child with a pregnant teenager expecting her first baby. The father will not be a participant in the parenting. Which of the following statements made by the expectant mother would be of greatest concern to the nurse?

C) "My child will love me unlike my parents ever did."

In the United States, most citizens have access to clean water and sanitation services and often take these services for granted. Worldwide, however, clean water and sanitationare not standard. How many people worldwide in 2010 lacked access to improved watersources?

C) 783 million

14.Which are examples of primary prevention activities? (Select all that apply.)

C) A weight-lifting program for seniors to maintain strong bones D) A community vegetable garden to promote healthy eating

Which is an example of a tertiary prevention strategy that a nurse might implement or facilitate for members of a faith community?

C) An occupational therapy program for patients recovering from strokes

19. The nurse is appointed to be a member of the risk communication team during a disaster response situation. During an evacuation, the nurse is informed that an increasing number of individuals are reluctant to leave their homes. To complete an orderly evacuation, it is necessary to:

C) Create an environment of trust and credibility

10. The client is talking to the nurse about her intimate relationships. Which one of the following statements regarding intimate partner violence is true?

C) Intimate partner violence can exist with former partners.

21. The nurse at a university health services clinic has been asked to meet with a freshman class of women about warning signs of relationship violence. The nurse points out which of the following danger signs the students should be alert for in a date?

C) Is excessively jealous

In a parish nursing model, the nurse:

C) Is part of the ministry staff of the congregation

A woman who is at high risk for alcohol abuse has just found out that she is pregnant. The nurse counsels her about the long-term effects of alcohol on the child. The nurse should include mention of:

C) Low IQ D) Facial anomalies E) Short attention span

1.Which is the most accurate definition of an exposure pathway?

C) Method by which people are exposed to an environmental contaminant

9. Which characteristic of the abuser should the nurse look for when completing the family assessment of a victim on intimate partner violence?

C) Needy and possessive of the partner

The community health nurse is concerned with the prevalence of new HIV infections in the community and understands the strong correlation between substance use disorders and HIV. Which interventions should the nurse promote in the community health clinic to best address this problem?

C) Opioid substitution treatment D) Syringe exchange programs

7. The nurse is setting up a faith community nursing program at a local synagogue and

C) Rabbi

17. Which is an example of a family assessment?

C) Stress assessment for the family with a new baby

8. Which of the following behaviors would first alert the school nurse or teacher to suspect sexual abuse in a 7-year-old child?

C) The child tells sexually explicit stories to peers.

16. The pediatric nurse is caring for a 15-month-old child recently admitted to the hospital for a fractured femur. Which of the following data obtained during the assessment would raise the nurse's suspicion that the child has suffered physical abuse?

C) The injury occurring several days before the parents sought treatment

A community health nurse visits a home and finds a child who stayed home from school to care for a younger sibling. The nurse observes that the house is cluttered and dirty. When asked about the parents, the child states he does not think his father likes him because he calls him "stupid." The nurse suspects which type of abuse?

C) emotional abuse

The client tells the nurse that her husband abuses her often with he drinks, just as his father had beaten him and his mother. He always apologizes and is remorseful after the event. Which stage is this in the cycle of violence?

C) honeymoon stage

A client has not been to work in three days. When she returns to work, she is wearing dark glasses. Facial and body bruises are visible. Her supervisor takes her to the occupational nurse. Which assessment is the priority for the nurse?

C) physical injuries

23. The nurse is working with a client at the battered women's shelter who is in a violent and abusive relationship. The client is considering a separation and asks the nurse, "What do you think about that?" Which is the best response by the nurse?

D) "You may be in more physical danger after you leave him."

Which is the most appropriate intervention to use in a school-based substance abuse program?

D) Designing an interactive, behavior-focused program

5.Which is the most accurate definition of a risk assessment?

D) Determination of the likelihood of adverse effects in a group exposed to an environmental contaminant

What are the consequences of global warming?

more rainfall and flooding, higher mortality rates, increased melting of earth's polar ice caps

What is natural pollution of air?

pollution linked with diverse health problems

visiting nurses association

private/voluntary (not for profit)

how is home care financed?

reimbursed by local, state & federal funds; private insurance & private individuals

telehealth

remote exchange of data between a pt. at home & their clinicians to assist in dx & monitoring of pts w/chronic conditions useful in rural areas or homebound clients

Which injury has the highest incidence rate among occupational injuries and illnesses that result in days away from work?

sprains

Environmental Health Definition?

the collective interactions of humans with the environment and the short-term and long-term health consequences of those interactions

What does home healthcare allow the medical team to see?

what other factors are influencing the success or failure of a patient

The occupational health nurse for a hydroelectric plant uses root cause analysis to investigate a recent accidental electrocution of a plant worker. The nurse currently is defining the characteristics of the case. In which step of the root cause analysis is the nurse?

define the problem

17.The nurse is a member of a disaster team responding to a chemical disaster. The nurse assesses clients in a systematic fashion, concentrating on their ability to breathe. When entering the evacuation site, before the physical assessments, the nurse should:

don PPE

The occupational health nurse for a multinational corporation compares aggregate data on the occurrence of lung cancer in workers in a factory in Brazil with workers in a factory in Hong Kong. Which type of epidemiologic study is this nurse most likely conducting?

ecological

What are factors of environmental health?

environmental pollutants, technology, and rapid population growth

The history of school nursing can be traced back to 1902, when Lillian Wald was working in a New York City public school. She viewed school nursing services as a way to decrease which problem?

excessive absenteeism

What are the limitations for the world population?

food, land and water, energy, and standard living

homecare; VA

for those currently serving or have served in the armed services

homecare: tricare

for veterans or military personnel & family

Where does 85% of energy come from?

fossils fuels; coal, oil, and natural gas

What are factors of population growth?

high fertility rate, lack of family planning resources, and lower death rate

st. mary's home care

hospital-based (for profit or not for profit)

What is the cause of the increase of greenhouse gases concentration?

human activity, combustion of fossil fuels. car exhaust, factory emissions, deforestation, fossil fuel and wood burning

What is the Ozone Layer?

layer of the atmosphere, invisible layer about 10-30 miles above the earth's surface that shields the planet from the sun's ultraviolet rays

The nurse works with a 16-year-old client who has an alcohol use disorder. Which mental disorder, highly correlated to substance use disorder, should the nurse also assess for in this client?

major depression