Pop Health Test 3
9.Which industry has the highest number of fatal injuries? A) Agriculture B) Construction C) Mining D) Transportation
D) Transportation
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: A) Deal with family dysfunction B) Cope with violence C) Escape painful emotions D) Enhance mood or affective state
D
12.Which common problems should a school nurse be prepared to identify in students? (Select all that apply.) A) Vision impairment B) Malignant melanoma C) Attention deficit hyperactivity disorder (ADHD) D) Scoliosis E) Need for orthodontia
A,C,D
4.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 B) Sports-related trauma C) Sleep deprivation D) Sexual behaviors E) Alcohol use
A,D,E
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 the most effective strategy to discourage this behavior? A) Explain the risks associated with cannabis use B) Remind the client that it is still illegal in your state C) Refer the client for counseling D) Share about your own experience with drug use
A
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." B) "I ran out of pills a week ago and have felt sweaty and agitated ever since." C) "I feel like I just can't function without the medicine." D) "The medicine has been wonderful. I think one more refill should do it for me."
A
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 B) Cannabis C) Cocaine D) Morphine
A
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 B) Eliciting feelings about how the drinking behavior is affecting the student's life C) Noting discrepancies between attitudes toward alcohol and alcohol- associated harms D) Being supportive of the student's life goals
A
Which accurately defines femicide? A)A homicide of a female that occurs in the context of intimate partner violence B)Violence that targets people or groups of people on the basis of their gender C)A pattern of assaultive and coercive behaviors D)A suicide by a female that occurs in the context of intimate partner violencE
A
6. According to the U.S. Bureau of Labor Statistics, how many workers in all industries, including state and local governments, had a reportable injury or illness in 2011? A) 3.8 of 100 B) 4.2 of 100 C) 5.8 of 100 D) 6.2 of 100
A) 3.8 of 100
21.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 B) Personal protective equipment C) Evacuation drills D) Decontamination procedures
A) A shelter-in-place policy and procedure
20.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? (Select all that apply.) A) Asthma B) Lung cancer C) Diarrhea D) Malaria E) Dengue fever
A) Asthma C) Diarrhea D) Malaria E) Dengue fever
20.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? A) Autonomy B) Confidentiality C) Beneficence D) Nonmaleficence
A) Autonomy
Which criteria must an individual meet to receive Medicare for home health services? (Select all that apply.) A) Home bound B) Specific plan of care C) Skilled healthcare needs D) Intermittent care needs E) Continuous 24-hour necessity for care
a,b,c,d
12.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? A) Define the problem B) Collect data C) Identify possible causal factors D) Identify the root cause
A) Define the problem
9.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 B) Develop rules for acceptable and safe use of all electronic media for all students C) Ban use of the Internet at all schools D) Actively monitor students' social media postings
A) Explore current programs to prevent bullying and youth violence
16.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 B) Health educator C) Personal health counselor D) Accessing and developing support groups
A) Integrator of faith and health
10.Bioavailability is the amount of the contaminant that: A) Is absorbed into the body and becomes available at the site of physiological activity B) Initially escapes a container and becomes available for contact with living organisms C) Is airborne and available for inhalation D) Is waterborne and available for skin contact
A) Is absorbed into the body and becomes available at the site of physiological activity
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 B) Radon C) Asbestos D) Pesticide
A) Lead
7. 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 B) Manufacturing facility C) Benzene D) Hands
A) Line operator
12.The nurse asks a client, ìDo you wear the clothes you wear at work to home?î This is an example of which subject on the exposure history? A) Present work B) Past work C) Home/residence D) Concerns
A) Present work
15.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: (Select all that apply). A) Resource intensive in terms of personnel and money B) Period between exposure and illness can be very short C) Weak ability to identify outbreaks of infectious disease D) Limited availability of data on many contaminants and their effect on people's health E) Time consuming to perform
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
8.Which injury has the highest incidence rate among occupational injuries and illnesses that result in days away from work? A) Sprains B) Broken bones C) Cuts D) Carpal tunnel syndrome
A) Sprains
16.Children may be more vulnerable to environmental exposures than adults. There are several factors that increase children's vulnerability. Which factors should be considered with children? (Select all that apply.) A) Their body systems are still rapidly developing. B) They eat less, drink less, and breathe more in proportion to their body size than do adults. C) Their bodies may be less able to break down and excrete contaminants. D) Their behaviors can expose them to more contaminants. E) Their breathing zone is further from the ground.
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.
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 B)Administration of antivirals via PODs C)Door-to-door visits to administer preventative medication D)Isolating designated hospitals to prevent spread of the plague
A)Administration of antibiotics via PODs
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 B)Create a report that emphasizes the cohesiveness of the departmental response to the disaster C)Analyze the effectiveness of the disaster relief teams from respondent states D)Create a postdisaster report for FEMA
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 D)Limited access to places of worship E)Collapse of access to healthcare
A)Continuing death B)Population shift C)Contamination of water supplies E)Collapse of access to healthcare
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 B)Support group to foster recovery C)Information debriefing for prevention purposes D)Interrogation process to identify unsafe behaviors
A)Critical incident stress debriefing
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: A)Don PPE B)Interview the client C)Report to the hot zone D)Request a HAZMAT expert to witness the client assessment
A)Don PPE
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 C)Census data D)Historical data on previous events E)Planning board declarations
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 B)Provides the nurse with comprehensive knowledge of how to respond to many different types of disaster 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
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
7.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 B)Morbidity, mortality, displacement, and community infrastructure C)Morbidity, mortality, mental health, and chronic illness D)Morbidity, mortality, displacement, and healthcare workers
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 D)Identification of commodities to be distributed via POD emergency supply centers E)Clinical assessment and triage drills
A)Selection, maintenance, and use of PPE B)Training of employees in PPE use C)Identification of hazards present
The nurse cares for a woman who is in her 39th week of gestation and who recently revealed that she is being physically abused by her partner. Which conditions associated with intimate partner violence (IPV) should the nurse look for in this client and in her child now and in the coming weeks? (Select all that apply.) A)Depression in the mother B)Low-birth weight infant C)Down syndrome in the infant D)Gestational diabetes in the mother E)Cleft palate in the infant
A, B
The nurse suspect a 16-year-old client is being physically abused by her boyfriend. Compared with adolescent girls with no abuse history, this client is at significantly increased risk for: (Select all that apply.) A)Smoking cigarettes B)Anorexia C)Becoming pregnant D)Assaulting her siblings E)Theft
A, B, C
Which instance would be considered child abuse and neglect according to the federal Child Abuse and Prevention and Treatment Act? A)A father leaving a child in the back seat of a car on a hot August day B)A mother not feeding a 5-year-old child all day C)A mother allowing her boyfriend to punch her daughter D)A caregiver smacking away a toddler's hand when she reaches for a hot stove E)A neighbor touching the private parts of a 12-year-old boy
A, B, C, E
Which risk factors are associated with committing gun-related homicide? (Select all that apply.) A)Low income B)Lack of education C)Female gender D)Being a victim of discrimination E)Lack of employment opportunities
A, B, D, E
After examining a young woman, the nurse asks her questions about some bruises on her back. The client confides that her husband has started hitting her when they argue. The nurse makes recommendations about getting help; the client dismisses them and states, "It's just a few bruises. I think I can handle it." Which long-term consequences of exposure to violence, according to Healthy People 2020, should the nurse discuss with this client? (Select all that apply.) A)Premature death B)Breast cancer C)Disability D)Lost productivity E)Obesity
A, C, D
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? (Select all that apply.) A) Greater availability of cannabis from local farms B) Higher socioeconomic status C) Lower academic attainment D) Proximity to Mexico and drug gangs E) College enrollment
A, C, D
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: (Select all that apply.) A) History of arrests for drunken driving B) Age at the time of first alcoholic drink C) Jobs lost due to intoxication at work and chronic absenteeism D) Failing grades in night classes at the local community college E) Blood alcohol level at time of last arrest for driving while intoxicated
A, C, D
Which statements by a caregiver would indicate the presence of risk factors for violence and should cause the nurse to have significant concern for the safety of children? (Select all that apply.) A)"My boyfriend says that one day he'll put a bullet through my head if I don't stop nagging him." B)"My 3-year-old daughter cries when my partner and I argue." C)"My husband sometimes makes our son come into our bedroom and watch as he hits me." D)"The last time we fought, he threatened to go pull out his shotgun." E)"My husband got upset with how much our daughter was texting and took her phone away from her for a month."
A, C, D
The nurse is completing a lethality assessment with a female client. Which are appropriate lethality risk questions? (Select all that apply.) A)Is there a gun in your house? B)Are you using drugs or drinking excessively? C)Has your partner ever been arrested? D)What is the worst thing your partner has ever done to you? E)Do you feel that the partner is capable of hurting you?
A, C, D, E
20.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 key components should the nurse include in the emergency plan? (Select all that apply.) A) Alarms B) Phones C) Reporting D) Communication E) Evacuation
A,C,D,E
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 C) Is part of the ministry staff of the congregation D) Serves a particular faith community by virtue of a contract or job description E) Provides care of the human spirit
A,B
8.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 D) Establish the budget for the program E) Provide recommendations on clinical best practices
A,B,C
16.Which data are tracked under epidemiologic workplace surveillance? (Select all that apply.) A) Injuries B) Illness C) Hazards D) Exposures E) Productivity
A,B,C,D
2.On the basis of the eight recommended components of a comprehensive school health program, which should be included in a K-12 health education curriculum? (Select all that apply.) A) Consumer health education B) Environmental health education C) Sexuality education D) Nutrition counseling E) Physical development activities
A,B,C,D
3.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 D) Nutrition screening and evaluations E) Allergy testing and evaluations
A,B,C,E
5.Which exemplify biological hazards? (Select all that apply.) A) Contaminated body fluids B) Poisonous plants C) Diesel exhaust D) Venomous snakes E) Aerosols
A,B,D
7. 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? (Select all that apply.) A) Starting an after-school tobacco cessation program with the assistance of local representatives of the American Cancer Society B) Having a local clinical oncologist speak at a PTA meeting about the hazards of tobacco use among children C) Confronting groups of students while they are smoking with information regarding the school's smoking policy and the dangers of smoking D) Promoting the community's "great smoke-out" smoking cessation event each year E) Encouraging the school's administration to designate a single smoking area outside to limit nonsmokers' exposure to the smoke
A,B,D
8.An elementary school student comes to school nurse's office reporting a headache. The nursing 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 C) What the child's temperature is on arrival D) How bad the pain is on a scale of 1 to 10 E) The presence of a bruise on the child's forehead
A,B,D
19.Which strategies have been shown successful for preventing adolescent pregnancy? (Select all that apply.) A) Responsible sexual behavior education B) Abstinence education C) Mandated religious education on sex practices D) Contraceptive counseling E) Confidential reproductive services
A,B,D,E
11. Principles of epidemiology can be used as a method to determine patterns of illness for the faith community, and risk factor assessment helps the nurse decide what programs to provide. Which demographic data about the faith community should the nurse gather for the purpose of assessment? (Select all that apply.) A) Age B) Sex C) Family structure D) Proximity of residence to church E) Proximity of residence to healthcare facilities
A,C,E
13.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? (Select all that apply.) A) Signage that demonstrates safe lifting techniques B) Free screening for HIV C) Diagnosis of potentially malignant skin lesions D) Clinic on proper use of safety goggles and other equipment E) Monitoring of noise levels within the facility
A,D,E
19.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? (Select all that apply.) A) Establish clear reporting instructions for employees. B) Provide instructions on safe lifting techniques. C) Identify hazardous substances that workers are exposed to in their daily work. D) Name key personnel who will assume necessary tasks. E) Establish emergency escape routes.
A,D,E
4. Characteristics of a congregation include: (Select all that apply.) A) Organized group of people B) Individuals in the group have diverse religious beliefs, customs, or practices C) External governance structure D) Independent or affiliated with a local or national denomination E) Community within the larger community
A,D,E
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? A) "Lately I've had to double up on my dose just for it to be effective." B) "I ran out of pills a week ago and have felt sweaty and agitated ever since." C) "I feel like I just can't function without the medicine." D) "The medicine has been wonderful. I think one more refill should do it for me."
B
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? A) Smoking cannabis B) Sniffing glue C) Injecting heroin D) Drinking alcohol
B
The nurse assesses a new client and performs a standard screening for intimate partner violence. Which is the most appropriate question to ask first? A)"Are you in danger now?" B)"It's normal for couples to disagree about things. What happens when you and your partner disagree?" C)"Do you ever think about hurting yourself, cutting, stopping eating, or purging food?" D)"Have you ever thought about or been granted a restraining order?"
B
Which most accurately defines gender-based violence? A)A homicide of a female that occurs in the context of intimate partner violence B)Violence that targets people or groups of people on the basis of their gender C)A pattern of assaultive and coercive behaviors perpetrated against an individual by one who is, was, or wishes to be in an intimate relationship with the victim D)A type of violence typically committed by one gender but not the other
B
18.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? A) Spiritual practices B) Dietary practices C) Work opportunities D) Exercise opportunities
B) Dietary practices
1.The occupational and environmental health nurse faces many different practice issues every day and 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 American Association of Occupational Health Nurses (AAOHN) competency level in occupational and environmental health nursing is this nurse functioning? A) Advanced beginner B) Competent C) Proficient D) Expert
B) Competent
14.Which individual health assessment would a school nurse most likely perform? A) Immunization check B) Assessment of a playground injury C) Vision screening D) Height and weight measurements
B) Assessment of a playground injury
13.Being a school nurse requires which combination of practice type and decision making? A) Collaborative practice and interdependent decision making B) Autonomous practice and independent decision making C) Collaborative practice and dependent decision making D) Autonomous practice and interdependent decision making
B) Autonomous practice and independent decision making
9.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: A) Provide confidential professional nursing care B) Be a private visiting nurse for the congregation C) Make referrals for appropriate healthcare in the faith community D) Work under the ANA's Faith Community Nursing Scope of Practice
B) Be a private visiting nurse for the congregation
6.Which is an advantage, from the perspective of a faith community nurse, of working in an unpaid congregation-based model? A) Is recognized as a member of the ministry team B) Can limit how much time he or she offers to the congregation C) Receives much assistance from other nurses D) Can serve as an ambassador and referral agent to a health system
B) Can limit how much time he or she offers to the congregation
11.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) Collecting blood or urine
14.The occupational health nurse for a computer manufacturer is required to conduct a physical examination of each new hire. The rationale for this action is to: A) Screen for cardiac defects the worker may be unaware of. B) Ensure the worker's fitness for the job. C) Determine possible causes of the worker's chief complaint. D) Provide a baseline for future comparison. E) Determine the worker's eligibility for the company health insurance plan.
B) Ensure the worker's fitness for the job.
7.Which exemplify environmental media and transport mechanisms within an exposure pathway? (Select all that apply.) A) Mercury B) Groundwater C) Pond D) Air E) Subsurface soil
B) Groundwater C) Pond D) Air E) Subsurface soil
1.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? A) Family/community involvement B) Healthy and safe school environment C) Counseling and psychology services D) Health promotion for staff
B) Healthy and safe school environment
17.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? A) Productivity rate B) Incidence rate C) Prevalence rate D) Ratio of affected to unaffected
B) Incidence rate
19.Which is a community nursing diagnosis? A) Impaired Home Maintenance B) Lack of Health-Seeking Behaviors C) Risk for Imbalanced Nutrition: More than Body Requirements D) Risk for Activity Intolerance
B) Lack of Health-Seeking Behaviors
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? (Select all that apply.) A) Larger mining operations than in the United States B) Lack of environmental regulations or of their enforcement C) Lack of knowledge concerning environmental dangers D) Weaker immune systems than in the United States E) Need of the miners to earn a living and fewer work options
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
15.The occupational health nurse with a construction company is responsible for filling out a record of accidents and illnesses that occur on the company's work sites. Which source should the nurse consult to acquire the proper record-keeping form and guidelines? A) FMLA B) OSHA C) HIPAA D) NORA
B) OSHA
Who is in the best position to recognize both children being victimized and children perpetrating violence? A)Pediatric primary care provider B)Parent C)School nurse D)Next door neighbor
C
20.Which is one of the most important strategies recommended by the Centers for Disease Control and Prevention (CDC) for reducing the spread of HIV? A) Excluding students from school who have symptoms of sexually transmitted infections B) Routinely screening all adolescents and adults aged 13 to 64 C) Requiring parents to take their adolescent children who have sexually transmitted infections for treatment D) Keeping detailed records of all new cases of sexually transmitted infections in people aged 15 to 24 years
B) Routinely screening all adolescents and adults aged 13 to 64
6.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? A) Scold the client when she buys a soda from a vending machine at school. 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. C) Perform a finger stick and check the client's blood glucose level when she reports feeling weak and dizzy one day. D) Weigh the client each week in the office to help track her weight and hold her accountable to her weight loss goals.
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.
13.Screening for cholesterol is an example of which prevention level? A) Primary B) Secondary C) Tertiary D) Quaternary
B) Secondary
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. Trees and frozen power lines are down throughout the city, and the timeline for restoration of power is 7 to 10 days. The management team should classify this occurrence as: A)An emergency B)A natural disaster C)Terrorism D)An accidental disaster
B)A natural disaster
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: A)Distribute decontaminated food B)Administer prophylactic medications C)Distribute decontaminated water D)Provide triage
B)Administer prophylactic medications
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.) A)Search and rescue B)Clinical assessment and triage C)Provision of health education D)Hazardous materials management E)Protection of property
B)Clinical assessment and triage C)Provision of health education
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: A)Recognize that the dust is common with blast injuries B)Consider it radioactively contaminated and notify HAZMAT C)Consider the dust a biological agent and therefore a contaminant D)Flush all wounds to prevent chemical contamination
B)Consider it radioactively contaminated and notify HAZMAT
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: A)Refer the members of the community to a spiritual outreach program B)Provide access to safe food and water C)Inform the fire department of potential risks within the community setting D)Provide an immunization program
B)Provide access to safe food and water
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.) A)Administration of an antiviral B)Strict infection control C)Isolation of the client D)Rinsing of the client's eyes E)Administration of an antitoxin
B)Strict infection control C)Isolation of the client
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.) A)Victims' names B)Time and place C)Name of the Incident Commander D)General assessment of the field E)Victims' health histories
B)Time and place C)Name of the Incident Commander D)General assessment of the field
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: (Select all that apply.) A) Obesity B) Age at first use of illicit substance C) Family history of alcoholism D) Presence of a learning disability E) Early onset of diabetes
B, C
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? (Select all that apply.) A) Legislation should be guided and formulated by the interests of local business owners. B) Alcohol policies should be equitable for all in the state. C) Alcohol policies should be sensitive to cultural contexts. D) Legislation should protect those with substance use disorders from serving extended prison sentences. E) Legislation should protect those exposed to the harmful effects of drinking by others.
B, C, E
A nurse is preparing to make a mandatory report of intimate partner violence (IPV) with regard to the caregiver of a pediatric client. Which actions are appropriate? (Select all that apply.) A)Tell the child about the possibility of filing a mandatory report B)Determine whether it will be safe to inform the child about the report C)Ask about the child's incidence of using drugs D)Ask the victim whether she has a plan to keep herself and the child safe E)Ask the victim if she would like to file a report at the same time as you file yours
B, D, E
Intimate partner violence is a pattern of assaultive and coercive behaviors. This definition includes: (Select all that apply.) A)Emotional injury B)Sexual assault C)Progressive social interaction D)Physical injury E)Deprivation
B, D, E
11.The occupational health nurse for an electronics factory compiles an occupational health history for each worker. Which should be included? (Select all that apply.) A) Location of facility exits and entries B) Chronological record of all past work and potential exposures C) An occupational exposure inventory D) List of exposures in the home or community E) Availability of emergency equipment
B,C,D
5.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.) A) Administer flu shots B) Coordinate the discharge and transition of congregation members from the hospital to home C) Recommend services that the hospital provides D) Serve as a health advisor to members of the congregation E) Assess congregation members for possible upper respiratory illnesses
B,C,D
16. Which health education interventions are appropriate for the school nurse to perform? (Select all that apply.) A) Teaching faculty members how to assess their students for upper respiratory illnesses 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
B,C,D,E
21. The Centers for Disease Control and Prevention (CDC) recommends which methods for improving the food environments of school-aged children and adolescents? (Select all that apply.) A) Preserving social norms of adolescents B) School-based prevention C) Policy and regulatory strategies D) Strategic use of media E) Coordination of statewide and local activities
B,C,D,E
5.Which actions exemplify the school nurse's role as a child advocate? (Select all that apply.) A) Injecting a child with her EpiPen during an anaphylactic reaction to peanuts B) Convincing the cafeteria manager to include low-sugar options in the lunch menu for students with diabetes C) Taking the temperature of a child who is exhibiting signs of an upper respiratory infection 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
B,D,E
An injury prevention objective of Healthy People 2020 is: A)Prevention of drug-related deaths B)Identification of improper chemical storage in homes C)Decreased incidents of homicide, child maltreatment, and physical assaults D)Elimination of alcohol possession by adolescents on school property
C
Preventing intimate partner violence (IPV) and recurrence of violence requires targeting efforts at all three levels of prevention: primary, secondary, and tertiary. Which is a secondary prevention strategy? A)Creating and broadcasting a public service announcement that raises awareness about IPV B)Putting up posters around the health provider's office that give tips on what to do if one is in an abusive relationship C)Screening a woman for evidence of abuse who has several risk factors for IPV D)Providing a woman who is being abused by her husband the number to an abuse hotline so that she can get help leaving him
C
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: A) Naltrexone B) Acamprosate C) Disulfiram D) Buprenorphine
C
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? A) Obsessive compulsive disorder B) Anxiety disorder C) Major depression D) Bipolar disorder
C
4.Which exemplifies a physical hazard? A) Infectious agents B) Hazardous drug and toxin exposures C) Electric and magnetic fields D) Sexual harassment
C) Electric and magnetic fields
21.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? A) "She still has some bleeding, but overall she's doing well." B) "You mean her hysterectomy? She's doing really well." C) "I'm afraid I can't share any details, but I'm sure she'd love a call or text from you." D) "I'm sorry, Patricia, but that's none of your business."
C) "I'm afraid I can't share any details, but I'm sure she'd love a call or text from you."
19.. 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 sanitation are not standard. How many people worldwide in 2010 lacked access to improved water sources? A) 7 million B) 78 million C) 783 million D) 7.8 billion
C) 783 million
12. Which is an example of a tertiary prevention strategy that a nurse might implement or facilitate for members of a faith community? A) A program on radon detection in the home B) A class on cooking nutritious foods C) An occupational therapy program for patients recovering from strokes D) A water aerobics class for seniors
C) An occupational therapy program for patients recovering from strokes
11.Which occurred as a result of the passage of the Education for All Handicapped Children Act in 1975? A) Children with disabilities were provided tax-funded tutors for home education. B) Children with mental disabilities were entitled to a tax-funded education at a special education private school. C) Children with chronic or complex medical issues were entitled to a public education. D) Children with physical disabilities were provided grants to attend the college of their choice.
C) Children with chronic or complex medical issues were entitled to a public education.
17.In which phase of a school-based substance abuse program is information most likely to have meaning and applicability to students? A) Inoculation B) Primary C) Early relevance D) Tertiary
C) Early relevance
18.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? A) Prospective, cohort B) Case-control C) Ecological D) Cohort case-control
C) Ecological
15.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 faith community nurse? A) Individual health teaching B) Group health teaching C) Empowerment of members of the congregation D) Provider of health resources
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? A) National program to control the damaging effects of air pollution B) Program that protects and enhances the quality of the nation's air by regulating stationary and mobile sources of air emissions C) Environmental program established to address abandoned hazardous waste sites D) Comprehensive framework of standards, technical tools, and financial assistance to address the many causes of pollution and poor water quality
C) Environmental program established to address abandoned hazardous waste sites
10.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? A) Nutrition deficiencies B) Dental cavities C) Excessive absenteeism D) Seasonal allergies
C) Excessive absenteeism
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? (Select all that apply.) A) Reduction in alcohol use B) Weight loss C) Decrease in transmission of HIV D) Improving the client's overall health E) Decrease in depression
C, D
14.Which most accurately describes environmental epidemiology? A) Focuses on the amount of a contaminant that is absorbed into the body B) Involves monitoring the results of medical tests to determine whether a person has been exposed to a contaminant C) Focuses on the incidence and prevalence of disease or illness in a population from exposures in their environments D) Involves monitoring the number of adverse effects of chemical, physical, or biological agents on people, animals, and the environment
C) Focuses on the incidence and prevalence of disease or illness in a population from exposures in their environments
3. In a parish nursing model, the nurse: A) Serves a health system with assignment to particular congregational settings B) Serves as a liaison between a health system and a congregation C) Is part of the ministry staff of the congregation D) Serves a particular faith community by virtue of a contract or job description
C) Is part of the ministry staff of the congregation
1.Which is the most accurate definition of an exposure pathway? A) The total amount of a contaminant that comes in direct contact with the body B) Factor that determines a person's level of exposure to a contaminant C) Method by which people are exposed to an environmental contaminant D) Process to determine whether exposure to an environmental contaminant has occurred
C) Method by which people are exposed to an environmental contaminant
3.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 American Association of Occupational Health Nurses (AAOHN) competency level in occupational and environmental health nursing is this nurse functioning? A) Advanced beginner B) Competent C) Proficient D) Expert
C) Proficient
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? (Select all that apply.) A) 12-step self-help groups B) Family and couples therapy C) Opioid substitution treatment D) Syringe exchange programs E) Motivational interviewing
C, D
7.The nurse is setting up a faith community nursing program at a local synagogue and would like a better understanding of how the overall congregation is structured and organized. Who would be best to ask about the structure of the congregation? (Select all that apply.) A) Lay members B) Physician in the congregation C) Rabbi D) Health system administrator
C) Rabbi
17.Which is an example of a family assessment? A) Blood pressure screening B) Home assessment for safety C) Stress assessment for the family with a new baby D) Assessment for normal grieving for the recently widowed
C) Stress assessment for the family with a new baby
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: A)Involve the armed forces B)Declare martial law C)Create an environment of trust and credibility D)Disseminate information regarding the necessity of the evacuation
C)Create an environment of trust and credibility
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: A)Ecumenical centers for long-term worship B)Home repair resources C)POD emergency supply centers D)Financial aid centers
C)POD emergency supply centers
2.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? A)Impact B)Postimpact C)Preimpact D)Preparedness
C)Preimpact
Pediatric providers face special issues in screening for intimate partner violence (IPV) in a caregiver who is accompanying a child. Which are appropriate strategies for addressing this screening issue? (Select all that apply.) A)Asking the mother directly, with the child present B)Asking the child directly, while the mother is out of the room C)Asking the mother indirectly, with a written questionnaire or computer survey D)Screening for the safety and dangerousness of the situation before deciding whether to ask the mother E)Informing parents about mandatory reporting law after asking questions
C, D
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: (Select all that apply.) A) Down syndrome B) Type 1 diabetes C) Low IQ D) Facial anomalies E) Short attention span
C, D, E
A 50-year-old woman recently underwent a divorce and has two teenaged children. She has an associate's degree from her local community college and earns an annual salary of $22,000. Which risk factors place this woman at risk for intimate partner violence (IPV)? (Select all that apply.) A)Age of 50 years B)Education at associate's degree level C)Recent divorce D)Having two teenaged children E)Annual salary of $22,000
C, E
14.Which are examples of primary prevention activities? (Select all that apply.) A) A program helping military veterans with amputations adapt to their new circumstances B) HIV screening open to the whole faith community C) A weight-lifting program for seniors to maintain strong bones D) A community vegetable garden to promote healthy eating E) Leg exercises to help people recovering from hip fractures to walk again
C,D
Preventing intimate partner violence (IPV) and recurrence of violence requires targeting efforts at all three levels of prevention: primary, secondary, and tertiary. Which is a tertiary prevention strategy? A)Adding a question to the standard health history form that asks whether the client is currently experiencing abuse B)Putting up posters around the health provider's office that give tips on what to do if one is in an abusive relationship C)Screening a woman for evidence of abuse who has several risk factors for IPV D)Providing a woman who is being abused by her husband the number to an abuse hotline so that she can get help leaving him
D
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? A) 3 B) 6 C) 9 D) 12
D
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? A) African-American race B) Female gender C) History of type 1 diabetes D) Enrollment in college
D
The nurse helps a client who is a victim of intimate partner violence (IPV) with safety planning. The client worries about what to do if her partner becomes violent again. A safety suggestion for the when the client is at home is for her to go to the: A)Kitchen because it is well-lit B)Bathroom because it is a small space C)Basement because there are places to hide D)Living room because there are windows
D
The nurse screens a woman who is 6 months pregnant for alcohol use. Which screening instrument should be used? A) AUDIT-C B) CAGE C) SMAST-G D) T-ACE
D
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? A) Naltrexone B) Acamprosate C) Disulfiram D) Naloxone
D
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? A) Assessment of blood glucose level B) Bone marrow aspiration C) Magnetic resonance imaging of the brain D) Mental status examination
D
Which is a relationship risk factor for intimate partner violence? A)Emotional dependence and insecurity B)Belief in strict gender roles C)Desire for power and control D)Unhealthy family interactions
D
Which is a societal risk factor for intimate partner violence? A)Experiencing poor parenting B)Marital instability C)Unwillingness of neighbors to intervene when violence is witnessed D)Traditional gender roles
D
18.Which level of assessment occurs when assessing whether healthcare is accessible to members of the congregation? A) Individual B) Family C) Congregation D) Community
D) Community
18.Which is the most appropriate intervention to use in a school-based substance abuse program? A) Integrating students' goals with those of a prevention program B) Assessing the needs and interests of the group carefully after selecting a program C) Designing a program that is knowledge based D) Designing an interactive, behavior-focused program
D) Designing an interactive, behavior-focused program
5.Which is the most accurate definition of a risk assessment? A) Assessment of the adverse effects of chemical, physical, or biological agents on people, animals, and the environment B) Process to help determine whether an individual has been exposed to environmental contaminants C) Assessment of factors that determine a person's level of exposure to an environmental contaminant D) Determination of the likelihood of adverse effects in a group exposed to an environmental contaminant
D) Determination of the likelihood of adverse effects in a group exposed to an environmental contaminant
13.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, ìHas the exposure pathway been interrupted?î This question would be considered during which phase of the nursing process to examine the impact of the environment on human health? A) Assessment B) Planning C) Intervention D) Evaluation
D) Evaluation
2.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 American Association of Occupational Health Nurses (AAOHN) competency level in occupational and environmental health nursing is this nurse functioning? A) Advanced beginner B) Competent C) Proficient D) Expert
D) Expert
9.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
D) Inhalation
10.According to current research findings, which group has the most experience with congregational health ministers? A) Mainline Protestant and African-American Protestant B) Conservative Protestant and Roman Catholic C) African-American Protestant and Conservative Protestant D) Mainline Protestant and Roman Catholic
D) Mainline Protestant and Roman Catholic
15.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? A) Food-Safe Schools Action Guide B) Health Education Curriculum Analysis Tool C) Improving the Health of Adolescents and Young Adults: A Guide for States and Communities D) Making It Happen!
D) Making It Happen!
17.Environmental justice is most accurately described as the belief that: A) Those who violate the environment should be required to pay significant fines or face extensive prison sentences. B) All the harms humans have committed against the environment will one day result in divine judgment. C) All people should have equal access to the environment. D) No group should suffer more from environmental health consequences than others.
D) No group should suffer more from environmental health consequences than others.
8.Which is an example of a radiological contaminant? A) Lead B) Mercury C) Ricin D) Radon
D) Radon
6.There are different methods for conducting risk assessment for environmental contaminants. Which formula determines the amount of risk? A) Hazard = exposure ◊ risk B) Exposure = risk ◊ hazard C) Risk = contaminant presence ◊ exposure D) Risk = hazard ◊ exposure
D) Risk = hazard ◊ exposure
1. In a congregation-based model of nursing, the nurse: A) Serves a health system with assignment to particular congregational settings B) Serves as a liaison between a health system and a congregation C) Contributes to the health and wholeness of people in the context of a faith community D) Serves a particular faith community by virtue of a contract or job description
D) Serves a particular faith community by virtue of a contract or job description
10.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 officer implement to accomplish this goal? A) Ergonomics B) Occupational health history C) Root cause analysis D) Workplace walk-through
D) Workplace walk-through
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? A)Administration of antivirals B)Administration of antibiotics C)Distribution of personal protective equipment (PPE) D)Administration of antitoxins
D)Administration of antitoxins
11.The nurse is responsible for triage in a setting where a natural disaster has occurred. The triage is expected to last for an extended period of time. Which triage model would be most effective in this scenario? A)Simple triage and rapid treatment (START) B)Prehospital triage C)JumpSTART triage D)Start/Save triage
D)Start/Save triage
The nurse reviews the official document called the Scope and Standards of Home Health Nursing Practice. Using knowledge about the document providing guidelines for nurses involved in home healthcare practice, which are included in the standards of care? (Select all that apply.) A) Assessment by collecting data about home care clients B) Implementation of nurse-centered actions in collaboration with physicians C) Diagnosis through the analysis of data D) Outcome identification that helps identify nurse-sensitive measures E) Planning nurse-sensitive interventions directed at the identified outcomes
a,c,d,e. You are ON YOUR OWN
The nurse discusses home care options with an 85-year-old client who recently fractured her humerus in a fall in her house. She is recovering well now but says the experience has made her see that it is time for her to change her living arrangements. The client can still bathe herself and cook meals on occasion but says she would like to live where nursing care is available onsite and where communal dining and recreation options are offered. Which of the following living arrangements could the nurse recommend? A) Assisted living facility B) Independent living in a senior living facility C) Nursing home D) Apartment located near a hospital
a
The nurse has recently been appointed to a community-based advisory board of an agency that is interested in providing fiscally sound, high-quality care for clients they decide will be their service population. Any profit margin that is acquired is reinvested in the operations of the home healthcare service. Which type of agency is this? A) Private/voluntary B) Hospital based C) Proprietary D) Official
a
The nurse works with 68-year-old client who is having great difficulty managing his blood glucose level. The nurse finds that the client is not following the diet that he had agreed to follow and is eating portions that are far too large. He apologizes and explains that he is grieving the loss of his wife, who died 2 weeks ago. The nurse shares condolences with him on his loss and explain that it is perfectly understandable to have trouble following a new diet while grieving. In this scenario, the nurse is using which principal approach in motivational interviewing? A) Expressing empathy B) Supporting self-efficacy C) Rolling with resistance D) Finding a discrepancy
a
Using knowledge of the parish or faith community nurse, which interventions are likely to perform on the basis of the key roles of this type of nurse? (Select all that apply.) A) Teaching a class to faith community members on managing high blood pressure B) Providing counsel on preventing upper respiratory illness to member C) Referring a faith community member to a nutritionist for dietary counsel D) Assisting an obstetrician in the birth of a faith community member's child E) Administering vaccinations at a local health clinic
a,b,c,
The case manager works with a client who has type 2 diabetes and heart disease. In this role, which actions should the nurse take in managing the client's diseases? (Select all that apply.) A) Provide weekly coaching sessions by telephone for blood glucose management. B) Supervise cardiac stress tests in the exercise room of the local hospital. C) Administer emergency insulin when the client arrives at the hospital in a diabetic coma. D) Demonstrate use of a glucose meter to the client. E) Review heart-healthy and diabetic-friendly food options with the client and his family.
a,d,e
The case manager works with a 10-year-old girl who has asthma. Because the client's family has trouble affording inhalers, the case manager researches client assistance programs through which they could receive free medications. This aspect of case management is known as: A) Care management B) Advocacy C) Disease management D) Interdisciplinary collaboration
b
The home care agency has just received a client referral from a physician and assigned the case. Within how many hours from receiving the referral should the nurse plan to make the initial visit to this client, on the basis of typical agency policy? A) 12 hours B) 24 hours C) 36 hours D) 48 hours
b
Which type of agency can be either profit or nonprofit? A) Private/voluntary B) Hospital based C) Proprietary D) Official
b
What services is telehealth used to deliver? (Select all that apply.) A) Chronic care and specialty consultations B) Home telenursing C) Electronic referrals to specialists in expert health facilities D) Transmission of healthcare information to people in the same geographical area
b,c
The community health nurse can receive a referral to a home health agency at any time. Which phases are included in a home visit? (Select all that apply.) A) Plan personal safety of visit B) Initiating a visit C) Preparation D) Actual visit E) Termination of the visit
b,c,d,e
The client wants to know how long Medicare will pay for skilled needs. How long can the nurse continue to provide this care before she must seek a renewal if skilled needs continue to exist? A) 30 days B) 45 days C) 60 days D) 90 days
c
The nurse provides care covered by Medicare for a client over 2 hours during the day, 3 days during the week, for 60 days. Which type of care is the nurse providing? A) Interdisciplinary B) Skilled C) Intermittent D) Part-time
c
The nurse takes care of a dependent family member whose husband is in the military. Which government funding is most likely going to be used for home healthcare services for this client? A) Medicare B) Medicaid C) TRICARE D) Veterans Administration
c
Who primarily regulates the provisions of home healthcare? (Select all that apply.) A) Insurance companies B) Local government C) State government D) Federal government
c,d
A student is considering becoming a home health nurse. In researching this type of nursing, the student finds that several key factors have played a part in the development of home healthcare as it is today? These include: (Select all that apply.) A) Increase in the number of hospitals nationwide B) Reduction in the incidence of chronic diseases C) Development of health insurance D) Rising costs in healthcare E) Increase in medical and nursing specialization
c,d,e
The nurse recently took a position in a national chain of home healthcare agencies directed at caring for clients who are on home hemodialysis. The services provided are often paid for privately by families, and any profit margin is used to benefit the owner of the agency. Which type of agency is this? A) Private/voluntary B) Hospital based C) Proprietary D) Official
c. Want to make MONEYYY
A community care nurse at a healthcare agency assists in coordinating a plan for providing health services in the most cost-effective way possible to a large number of members living in the region. This work is known as: A) Case management B) Home healthcare C) Interdisciplinary collaboration D) Care management
d
The home health nurse has to ensure that a safety plan is in place to address falls. Using knowledge that 55% of fall-related injuries occur with falls inside the home, a total of more than 60% of these falls occur in which two rooms? A) Living room and hallway B) Kitchen and bathroom C) Hallway and bedroom D) Living room and bedroom
d
The case manager for a 12-year-old boy who is obese and pre-diabetic. To help the client develop a diet that will promote weight loss and control of his glucose level, the case manager decides to consult with a dietician, who provides several current journal articles that present findings on various diets. This aspect of case management is known as: A) Care management B) Advocacy C) Disease management D) Interdisciplinary collaboration
d. She's collaborating with the dietitian
