PH Final Exam

Nursing students are preparing a class project which will explore the statistics of the cost of healthcare in the USA. They discover that what is the fasted growing cost expenditure?

prescription medications

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

prevalence rate

A public health nurse is assisting with a disaster secondary to a flood in the community, of which has lost its supply of water and has had no electricity for 4 days. What should the nurse prioritize to meet the needs of the community?

provide access to safe food and water

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

provide sanitized drinking water

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

rate

A group of nursing students are examining the Patient Protection and Affordable Care Act of 2010. Which goals should they be able to point out were the main focus of this legislation?

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

Electric and magnetic fields present what kind of hazard in the working environment?

physical hazard

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

"My partner says that one day I will get a bullet through my head if I don't stop nagging him. He sometimes makes our child come into the bedroom and watch while he hits me. Last time we fought, he threatened to pull out the shotgun"

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

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

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

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

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

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

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

morphine for pain management

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

naloxone

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

numb shock

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

palliative care, pain control, + supportive spiritual development

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

personal responsibility for health

Tent communities are constructed in a rural community by the American Red Cross after a disaster. Because of overcrowding, surrounding states create accommodations for the displaced and homeless. The survivors are accommodated in the cities of four Southern states. Which factors may increase the possibility of disease emergence in the cities?

poor hygiene + poor sanitation

What type of victims of a disaster should be evacuated as soon as possible?

Level 1 victims

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

downstream

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

a cultural belief

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

a natural disaster

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

a workplace walk-through

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

air pollution

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

airborne

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

alcoholism

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

assisted living facility

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

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

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

consider the dust radioactively contaminated and notify HAZMAT

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

continuing death, population shift, + collapse of access to healthcare

When working in a culturally diverse well-child clinic, the nurse treats each client in a way that reflects his or her cultural needs. What is the nurse exhibiting?

cultural competence

How can the nurse address the increased number of suicides at the local high school?

developing a suicide prevention program for high school students

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

encourage the parent to continue providing the appropriate care

Chloroquine-resistant malaria occurs in most of Africa, the Middle East, and Asia and all of the South Pacific islands. This type of disease occurrence is known as:

endemic

The nurse has been provided with information about a nuclear family. What structure will she see upon her visit to them?

first degree relatives that live together

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

food, medications, school health, devices, + the environment

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

identifying the forces driving the change + those resisting it

The school nurse discovers that there are 12 cases of H1N1. She advises the caregivers to keep the children home for a minimum of 5-7 days. What is her next step?

implement education in the school setting on respiratory and hand hygiene

The nurse conducts a community assessment and finds 68% of students are behind with their physicals + immunizations due to families being out of work. What would her recommendation be to get things caught up?

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

Who is given credit for performing early epidemiological research for Cholera in the 1850s?

john snow

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

major depression

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

social isolation

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

start an IV line for fluid + electrolyte replacement, encourage client + family to practice good handwashing, and immediately disinfect all potentially contaminated objects + surfaces

A client presents with high fever and unexplained bleeding. They are diagnosed with Ebola hemorrhagic fever. What interventions should the nurse anticipate?

strict infection control + isolation of the client

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

the client appears dehydrated, mentions they are always hungry, + the caregiver appears impatient with the session

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

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

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

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

Where are health care providers + facilities required to report certain infectious diseases?

the state department of public health

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

the unexposed population is not likely to contract the illness

The community health nurse addresses cyber bullying in the local middle schools. What is the first step the nurse will take to prioritize this?

to explore the current program to prevent bullying + youth violence

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

use the distribution of insecticide-treated bed nets + educate about daily use

The home care agency has just received a client referral from a healthcare provider. The client should expect that a nurse will contact them in how long?

within 24 hours