Population Health prepU
A client states, "I'm worthless, and I don't deserve to live." This theme in the client's expressed thought may signal a maladaptive response to which disorder?
Depression
The nurse beginning practice would like to access the standards for ethical practice. Which organization should the nurse research for these standards?
ICN
Which intervention is focused on a goal included in Healthy People 2020 Mental Health objectives?
Including a depression screening in the assessment interview conducted by the staff of a group of family practitioners
Case management has been proposed as a cost-effective model of psychiatric care for mentally ill clients. Which describes the goal of case management?
Short-term inpatient, crisis stabilization, and community referral
The psychiatric mental health nurse has taught some relaxation techniques to a client with obsessive-compulsive disorder (OCD). What outcome would most clearly suggest that this intervention has been successful?
The client reports increased quality and quantity of sleep
A community health nurse is performing a visit to the home of a patient who has a history of rheumatoid arthritis (RA). On what aspect of the patient's health should the nurse focus most closely during the visit?
The patient's functional status
The public health nurse is presenting a health promotion class to a group of new mothers. How should the nurse best define health?
The state of being connected in body, mind, and spirit
A nurse is preparing to assess a middle-aged client who was brought to the emergency department by the client's spouse. The spouse reports that the client has been "extremely depressed lately." When assessing this client, which would be a priority assessment?
Thoughts of self-harm
What was the original purpose for developing the role of the case manager in community-based care?
To allow the case manager to coordinate the various functions (housing, work-ups, social contacts, mental health treatment, etc.) that would address the needs of the mentally ill client within the community and reduce inpatient admissions
The nurse is conducting an assessment of a client in her home setting. The client is a 91-year-old woman who lives alone and has no family members living close by. What should the nurse be aware of to aid in providing care to this client?
What resources are available to the client
what can make someone marginalized
age gender socioeconomic status
CNS depressants
alcohol heroine
Participating in the community allows the nurse to be accepted as a member of it. This method of data collection allows the nurse to participate in the daily life of the community, obtain information about the structures and influences of the community, and also do which of the following?
make observations
writing a congressman to leverage more funding is an example of
politics
One major concern associated with higher morbidity and mortality rates in a community is
poverty
Public health nursing is the branch of nursing that
provides health care for the community.
SBIRT is
screening brief intervention recommendation to treamtent
which step in the policy making process involves assessment?
setting the agena
When comparing homeless people without mental illness to homeless people with mental illness, homeless people with mental illness:
spend more time in jail.
A nurse knows the importance of assessing a client's community because
the health of a person is influenced by the health of the community.
The public health nurse understands that the purpose of a community assessment is which of the following?
to determine the health-related concerns of its members
The client states he has been increasing the amount and frequency of the drug he is using. The nurse determines that the client most likely has developed ______________ to the drug.
tolerance
A nurse hold the hand of a client who is withdrawing from alcohol. What is the nurse's rationale for this intervention?
tremors
The number one cause of childhood mortality in the United States for children between the ages of 5 and 14 years is
unintentional injuries.
The family of a 22-year-old client with bipolar disorder is having difficulty coping with the client's rapid mood swings, irritability, grandiose delusions, and overly intrusive behaviors. Following a visit to the unit, the parents discuss their frustration and anger with the nurse and ask what they should do to help the client. Which reply by the nurse is most appropriate?
"Help the client monitor medication adherence and watch for changes in mood and sleep."
A client diagnosed with schizophrenia tells the nurse, "I hear the voice of Elvis." Which is the mosttherapeutic response by the nurse?
"I don't hear the voice, but I know you hear what sounds like a voice."
A client who is delusional and paranoid refuses to take antipsychotic medication as prescribed. Which is the most therapeutic response by the nurse to this refusal?
"What is it about the medicine that you don't like?"
select all that apply for upstream thinking (individual vs community) 1. evaluating the patients access to healthcare 2. teaching a paitent wound care 3. addressing the neighborhoods limited acces to nutritional food 4. having case management facilitate connecting the patient to a house and urban development advocate 5. evaluating asthma triggers int eh patients home enviorment
1. evaluating the patients access to healthcare 3. addressing the neighborhoods limited acces to nutritional food 4. having case management facilitate connecting the patient to a house and urban development advocate 5. evaluating asthma triggers int eh patients home enviorment
Which client and family teaching objective is most important regarding the cause of substance addiction? 1) An individual's social and cultural environment can be implicated in the cause of substance addiction. 2) Biological, psychological, and sociocultural factors can all be implicated in the cause of substance addiction. 3) evidence of a genetic link accounts for most cases of substance addiction. 4) Reinforcing properties of the substance encourage progression from use to addiction.
2) Biological, psychological, and sociocultural factors can all be implicated in the cause of substance addiction.
Several pregnant clients have recently been told that the obstetrics unit at their local rural hospital will be closing, effective in 1 month. This is the second obstetric unit in a rural facility that has closed within a 40-mile radius. What is the problem is the community facing?
A lack of accessibility to meet health care needs.
The nurse has treated several homeless clients over the last year, many of whom have lost their jobs. To what type of problem in communities is this issue related?
A lack of adequate housing
Nurse-Family Partnership
A nurse-led evidence based, home visitation program that improves the health, well-being and self sufficiency of low income, first-time parents and their children"
In researching the problem of homelessness in the city, the nurse discovers that the number of mentally ill homeless has steadily grown over the past couple of decades. Which reason can the nurse point out is most likely responsible for this situation? A. Deinstitutionalization of the mentally ill B. An increase in the prevalence of mental illness C. Economic downturns D. Shortages of affordable housing
A. Deinstitutionalization of the mentally ill
The nurse is discussing childhood immunization recommendations with a pediatric patient's parent. Where would the nurse find the most current information on this topic?
CDC
The community health nurse is creating a program to improve the health of a select group of clients in the community, based on Healthy People 2030 by the U.S. Department of Health and Human Services. The nurse will base the program on which determinant(s) of health? Select all that apply.
Attain lives free of preventable disease, disability, injury, and premature death. Achieve health equity and eliminate disparities. Promote healthy behaviors across the lifespan. Promote good health for all.
The school nurse notifies the community nurse that there have been five confirmed cases of pertussis in the sixth-grade classes. Which action should the community nurse prioritize at this time? A) Recommend that the school be closed B) Research the vaccine compliance in the school C) Recommend that notes be sent home to the parents regarding a pertussis epidemic D) Consult with the infection control healthcare provider at the local hospital
B) Research the vaccine compliance in the school
A mother with a history of heroin use is admitted to an inpatient substance abuse program. Which client statement should a nurse associate with a positive prognosis for this client? A. I'm not going to use heroin every again. I know I've got the willpower to do it this time B. I cannot control my use of heroin. It's stronger than I am. C. I'm going to get all my children back, They need their mother D. Once I deal with my past abuse, recovery should be easy.
B. I cannot control my use of heroin. It's stronger than I am.
An infectious outbreak of unknown origin has occurred in a long-term care facility. The nurse who oversees care at the facility should report the outbreak to what organization?
Centers for Disease Control and Prevention (CDC)
Which symptoms would the nurse expect to observe in a client experiencing opioid intoxication? A) Insomnia B) Abdominal cramps C) Muscle aches D) Impaired judgment
D) Impaired judgment
Primary, secondary, and tertiary levels of prevention help reduce risk, identify and limit disabilities, and reduce complications of mental health problems. Which of the following is an example of a tertiary prevention strategy for mental health problems? A. Screen for mental health disorders B. Refer high-ris k people for diagnostic services C. Provide mental health services following stressful community events D. Promote support groups for people with mental health disorders
D. Promote support groups for people with mental health disorders
A client is having difficulty paying for complex home health care needs. Which action by the nurse promotes cost-effective care?
Ensure client is utilizing all available options for assistance in paying for home health care.
difference in cancer risk social determinant or health disparity?
HD
different in diabetes incidence social determinant or health disparity?
HD
The National Center for Health Statistics uses data from healthcare agencies to issue quarterly and annual reports on performance related to goals for improving the health of the U.S. population. Which initiative is targeted with improving the health of all Americans?
Healthy People 2030
The nurse is concerned with the rising unemployment rate of the community in which she lives. How will the nurse be affected by this problem?
High unemployment rates are associated with higher morbidity and mortality rates.
1. What makes someone vulnerable?
Higher risk of developing health problems as a result of their social determinants Marginalized
Which of the following health care insurance programs is most suitable for a 68-year-old client?
Medicare
Which type of service is provided to medically stable clients who do not require inpatient, residential, or home care environments?
Outpatient care
One of the primary goals in caring for the client with schizophrenia is to establish clear, consistent, open communication. Which nursing intervention would be most effective in accomplishing this goal?
Present reality in clear, simple language, and demonstrate patience.
The nurse is working in an ambulatory health clinic. What is the focus of community-based nursing practice?
Promoting and maintaining population health and preventing and minimizing disease progress
A client is brought to the emergency department stating, "I'm scared because the Federal Bureau of Investigation is now tapping my home phone, and I can hear them talking between my two telephones during the night." The client's eyes dart around the room while the nurse is trying to interview the client, and the client is tapping the client's fingers on the table. The nursing prioritywith this client is what?
Reassure the client that the client is in a safe place where the client will be helped.
Within the public health system there has been an increased demand for medical, nursing, and social services. The nurse should recognize what phenomenon as the basis for this increased demand?
The growing number of older adults in the population
When intervening with a suicidal client, the initial goal is to keep the client safe. Measures to optimize safety would include what?
Remove access to the means to attempt suicide
social determinant or health disparity? access to food
SD
social determinant or health disparity? access to healthcare
SD
Which is the priority for admission to inpatient care?
Safety of self or others
A county in Florida was just devastated by a Category 4 hurricane. Community mental health nurses have been sent to the area to provide crisis intervention. What type of prevention strategy is this?
Secondary
The nursing student is obtaining information regarding the education levels of a community and how it relates to the health status of the individuals. Her data informs her that there is a large population of individuals with a college degree and graduate degrees. How will this affect the health status of the community?
The higher the education levels, the healthier the community.
What statement by the nurse shows an understanding of the ultimate goal of Healthy People 2020?
The ultimate goal is that they provide an overall action plan to improve health and quality of life
Schizophrenia is most often characterized by which assessment finding?
Thought disturbances and hallucinations
The World Health Organization defines health as
a state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity.
The World Health Organization (WHO) defines health as
a state of complete physical, mental, and social well-being.
euphoria, tachycardia, thinks they are a super hero what is this patient experiencing
cocaine overdose
The primary purpose of a community assessment is to
determine health-related concerns.
ensuring that vulnerable groups have the same opportunity to attend is an example of
health equity
The primary aim of the Healthy People 2030 initiative is
health promotion
identify the leading health indicators to guide program activities is an example of
healthy peopel 2020
ER sweating profusely, paranoia, flu like symptoms, irritability what is this patient experiencing
heroine withdraw
In the assessment of a community, it is important for the nurse to assess the educational institutions. One indicator that there are problems in the high school system is the
low graduation rate.
A nursing student is preparing to care for a client diagnosed with schizophrenia. When interacting with the client, the student notices that the client is highly suspicious and guarded, stating, "They're out to get me." The student identifies this as what?
paranoia
reffering to the scope and standards when deciding on the best practice intervention is an example of
policy
Alcohol withdraw symptoms
tremors hypertension
A group of public health nurses are meeting to develop some goals for their community with the main goal of improving the health of their community. Which goal should this group prioritize to achieve this outcome? A) To restore the ability of an 80 year old to perform activities of daily living after a stroke B) To lobby for legislation that ensures the accessibility to health insurance on the basis of individual health C) To develop treatments to address symptoms related to chemotherapy D) To establish a free exercise program at a community center to promote fitness in a low-income neighborhood with high obesity rates
D) To establish a free exercise program at a community center to promote fitness in a low-income neighborhood with high obesity rates
