PRACTICE LAB 1 LEADERSHIP 8/23
A nurse is discussing the benefits of population-focused health care strategies with a group of newly licensed nurses. Which of the following statements by one of the newly licensed nurses indicates an understanding of population-focused health care strategies? (Select all that apply.) "Population-focused health care strategies are thought to decrease the cost of care." "Population-focused care is likely to improve health literacy." "Access to care should improve with the use of population-focused health care strategies." "Population-focused health strategies will likely decrease the demands currently placed on the health care workforce." "Population-focused care is expected to improve the quality of care provided."
"Population-focused health care strategies are thought to decrease the cost of care" is correct. Population-focused care is expected to decrease health care costs. Therefore, the nurse should recognize this statement as an understanding of population-focused health care strategies. "Access to care should improve with the use of population-focused health care strategies" is correct. Population-focused care is expected to improve access to care. Therefore, the nurse should recognize this statement as an understanding of population-focused health care strategies. "Population-focused care is expected to improve the quality of care provided" is correct. Population-focused care is expected to improve the quality of care provided. Therefore, the nurse should recognize this statement as an understanding of population-focused health care strategies.
A nurse is discussing ethical issues associated with telehealth with a group of newly licensed nurses. Which of the following statements should the nurse include in the discussion as an ethical concern related to telehealth? "Telehealth encounters are expensive." "Telehealth may disadvantage those without access to a computer." "Telehealth will worsen health inequities." "Telehealth can compromise client confidentiality."
"Telehealth can compromise client confidentiality." The confidentiality of what transpires during the encounter is an ethical concern as the provider cannot control who may be present at the client location or guarantee the security of client devices. Therefore, the nurse should include this statement in the discussion.
A nurse is reviewing gun violence prevention approaches with a group of civic leaders. Which of the following should the nurse identify as being population-focused approaches to gun violence prevention? (Select all that apply.) Addressing mental health disorders Researching root causes for gun violence Enforcing gun laws Providing funding for violence-prevention education programs Limiting the number of guns a person can own
Addressing mental health disorders is correct. Addressing mental health disorders can identify stressors that lead to gun violence at a population level. Therefore, the nurse should identify this approach as being a population-focused approach to gun violence prevention. Researching root causes for gun violence is correct. Researching and identifying root causes for gun violence is required in order to explore population-focused strategies that prevent gun violence. Therefore, the nurse should identify this approach as being a population-focused approach to gun violence prevention. Providing funding for violence-prevention education programs is correct. Providing violence-prevention education programs is a population-focused strategy. Therefore, the nurse should identify this approach as being a population-focused approach to gun violence prevention.
A community health nurse is conducting a presentation about modifiable risk factors at a local community center. A community member asks a question and the nurse does not know the answer. Which of the following actions should the nurse take? Pause the presentation to research the answer to the question. Ask the community member to hold their question until the end so the nurse can have some time to think about the answer. Answer as best as possible, even though they are unsure. Admit not knowing the answer to the question and advise they will follow up.
Admit not knowing the answer to the question and advise they will follow up. The nurse should be honest and admit to not knowing the answer, and follow up after doing some research.
A nursing director in a community health setting is providing education to a group of nurses about the skills needed to meet the challenges associated with providing population-focused care. Which of the following skills should the nursing director include in the teaching as core competencies for public health professionals? (Select all that apply.) Bilingual skills Policy development skills Keyboarding skills Financial planning skills Management and leadership skills
Policy development skills is correct. Policy development skills have been identified as core competencies for public health professionals. Therefore, the nurse should include this skill in the teaching. Financial planning skills is correct. Financial planning skills have been identified as core competencies for public health professionals. Therefore, the nurse should include this skill in the teaching. Management and leadership skills is correct. Management and leadership skills have been identified as core competencies for public health professionals. Therefore, the nurse should include this skill in the teaching.
A major element of the health belief model is the likelihood that an individual will take action. Which of the following is an example of a cue to action? Receiving a text from their health care provider reminding them about an upcoming appointment Perceiving the severity of an illness or disease Watching a news program about how cholesterol affects the body Noticing a billboard encouraging screening for sexually transmitted diseases Discussing dietary changes with their family
Receiving a text from their health care provider reminding them about an upcoming appointment is correct. This is an example of a cue to action. Watching a news program about how cholesterol affects the body is correct. Watching an educational program is a cue to action. Noticing a billboard encouraging screening for sexually transmitted diseases is correct. Reminders in any form can serve as a cue to action. Discussing dietary changes with their family is correct. Talking with friends and family about health changes is a cue to action.
A nurse is discussing with another nurse how health outcomes for underinsured clients can be improved by returning to school to achieve a higher level of education. Which of the following rationales should the nurse include in the discussion? Returning to school can enable students to be eligible to receive government grant money set aside for this purpose. Increasing their education level will help the client be approved for program assistance from certain nonprofit organizations. Returning to school could help a client get a job that allows them to gain access to health insurance that provides more coverage or better benefits. Improving their education level could provide the client with a broad selection of coverage plans to choose from.
Returning to school could help a client get a job that allows them to gain access to health insurance that provides more coverage or better benefits. Attaining a greater level of education can help a client get a job that allows them to gain access to health insurance that provides more coverage or better benefits. A quality education gives clients the chance to make a living wage, obtain health insurance, and make well-informed health decisions.
An occupational health nurse at a factory has been asked to investigate an employee injury claim. Which of the following information should the nurse review? The Occupational Safety and Health Act The workplace procedures and protocols manual The client's attendance record at health and safety seminars The client's medical record or chart
The client's medical record or chart Reviewing the client's chart will help to determine if the injury was caused by a hazard at the workplace.
A nurse is reviewing the CDC's list of top ten public health achievements of the 21st century with a group of newly hired nurses. Which of the following accomplishments should the nurse identify as being included on the list? Motor vehicle safety Improvements in sanitation Eradication of smallpox Diabetes management
Motor vehicle safety Motor vehicle safety should be included on the list as it is noted by the CDC as a top public health achievement for the 21st century.
A community health nurse is discussing goals and objectives with a group of community members. Which of the following statements is true regarding goals and objectives? The words "goal" and "objective" are synonyms. Objectives are short-term outcomes. Goals are specific. Completing objectives helps to achieve goals. Objectives are general and broad.
Objectives are short-term outcomes is correct. Objectives are short-term outcomes aimed at achieving goals. Completing objectives helps to achieve goals is correct. Objectives are short-term outcomes aimed at achieving goals.
A community health nurse is reviewing different learning concepts and approaches to incorporate into a health program that they are developing. Which of the following statements by the nurse is correct? "The psychomotor domain of learning concentrates on an individual's thought processes." "Learning is the responsibility of the educator or nurse." "Considering an individual's learning style helps them to better receive, process, remember, and apply information that they have learned." "Learning theories focus mainly on an individual's retention of information, not on their learning environment."
"Considering an individual's learning style helps them to better receive, process, remember, and apply information that they have learned." Every learner has a style of learning that is best for them, and allows them to receive, process, remember, and apply learned information easily.
A nurse is providing education about immunizations to a group of newly licensed nurses. The nurse should identify that which of the following statements by one of the newly licensed nurses indicates an understanding of the teaching? "School immunizations were first required in the early 1900s." "The first vaccine was developed to protect against polio." "The mumps vaccine is required by all 50 states and Washington, D.C." "Each state determines which school immunizations are required and who may be exempt."
"Each state determines which school immunizations are required and who may be exempt." "Each state determines which school immunizations are required and who may be exempt" is a correct statement. Therefore, the nurse should identify this statement by the newly licensed nurse as an indication of understanding.
A nurse is caring for a client who has a serious mental illness and reports having challenges maintaining consistent work. Which of the following client statements indicates to the nurse that the client is living in a food desert? "I cannot always afford ride-share services to get to the nearest store, which is 30 minutes away from where I live." "Although I live in the country, my neighbor takes me shopping each week. It takes about 10 minutes for us to drive to the nearest grocery store." "I am able to walk to a grocery store that is 5 blocks away from my apartment." "Sometimes I get food from the Salvation Army food pantry that is about a half a mile from my house."
"I cannot always afford ride-share services to get to the nearest store, which is 30 minutes away from where I live." This statement does indicates that the client is living in a food desert because the client resides more than 10 miles from the nearest grocery store. The fact that this client is living with a serious mental illness also indicates that job stability is a factor for the nurse to consider when working on the care plan for this client.
A nurse is caring for an adolescent client who has a history of depression and suicidal ideation. Which of the following client statements should the nurse identify as requiring further intervention? "I think that I missed two math tutoring classes last week, but I can still catch up." "I have not used drugs in 6 weeks." "I don't have anyone I can talk to about my problems." "I have been participating in my local YMCA after-school dance program again."
"I don't have anyone I can talk to about my problems." The nurse should identify this statement requires intervention for a client who has a history of depression and suicidal ideation. Isolation and loneliness can have a great impact on the well-being of this client. When prolonged social isolation occurs, an intervention might be necessary to prevent further escalation into depression.
A nurse is reviewing the records of a group of clients. Which of the following clients should the nurse identify as eligible to receive health insurance under the Medicare program? A client who does not have any other kind of health insurance A client who is below the age of 18 A client whose income is below the poverty line A client who is age 65 or older
A client who is age 65 or older A client who is age 65 or older is eligible to receive health insurance under the Medicare program.
A nurse is reviewing the records of a group of clients. Which of the following clients should the nurse identify as eligible to receive health insurance under the Medicaid program? A client who is a young adult between the ages of 18 to 25 A client whose income is below the poverty line A client who has health insurance but requires a supplemental policy A client who has health insurance from their job but is recently unemployed
A client whose income is below the poverty line Medicaid is a joint federal and state program that provides coverage for health services for clients with limited income and resources. Socioeconomic status determines whether a client is eligible.
A nurse is discussing major health organizations with a group of newly hired nurses. Which of the following organizations should the nurse describe as widely recognized for managing the U.S. blood supply? American Red Cross U.S. Public Health Service (USPHS) Commissioned Corps Occupational Health and Safety Administration (OSHA) Agency for Healthcare Research and Quality (AHRQ)
American Red Cross The American Red Cross is recognized as the organization that manages the U.S. blood supply.
A public health nurse is reviewing the records of a group of clients who have a low socioeconomic status. The nurse should identify that which of the following clients are most likely to experience long-term economic stability? A young family regularly using public transportation services to acquire goods and services A single parent of two children who uses ride-share services An older adult couple living in a community where goods and services are within walking distance A client who has diabetes mellitus and regularly relies upon a family member for transportation
An older adult couple living in a community where goods and services are within walking distance When clients live in a community where goods and services are within walking distance, a healthy lifestyle becomes attainable and long-term economic stability is promoted.
A nurse is preparing a presentation for an HIV taskforce regarding strategies to help decrease the number of newly diagnosed cases. Which of the following major health care organizations should the nurse utilize to find strategies to include in the presentation? National Institutes of Health (NIH) Centers for Disease Control and Prevention (CDC) Occupational Safety and Health Administration (OSHA) Centers for Medicare and Medicaid Services (CMS)
Centers for Disease Control and Prevention (CDC) The CDC is the major health care organization that is charged with protecting the public's health. The CDC works to secure global health, eliminate disease, and end pandemics. Therefore, the nurse should utilize the CDC to find strategies to include in the presentation.
An employee presents to an occupational health nurse with concerns that their hearing is worse on one side. Which of the following actions should the nurse take first to address the employee's concern? Conduct a physical examination. Refer the client to an audiologist. Irrigate the ear to remove any obstruction. Advise the client on the use of ear plugs.
Conduct a physical examination. The nurse should identify that the first step of the nursing process is to assess the client, which would include a hearing test. This action will help the nurse to determine the nature of the client's condition.
A nurse is preparing a presentation for a group of community stakeholders who are calling for a plan to decrease violence within the community. Which of the following actions should the nurse include as the first step to the CDC's population-based model for violence prevention? Identify Risk and Protective Factors Assure Widespread Adoption Define and Monitor the Problem Develop and Test Prevention Strategies
Define and Monitor the Problem The nurse should include "Define and Monitor the Problem" as the first step of the CDC's population-based model for violence prevention.
A community health nurse should know that individuals with low health literacy might encounter which of the following while navigating the health system? Difficulty seeking emergency care Difficulty filling out health forms Difficulty managing chronic conditions Ability to understand the correlation between unhealthy behaviors and their health. Giving an inaccurate health history to their provider
Difficulty filling out health forms is correct. Individuals with low health literacy tend to have difficulty filling out health forms. Difficulty managing chronic conditions is correct. Individuals with low health literacy tend to have difficulty managing chronic conditions. Giving an inaccurate health history to their provider is correct. Clients with low health literacy might encounter difficulty filling out health forms, seeking preventative care, managing chronic conditions, and sharing an accurate medical history with their provider.
A community health nurse is preparing an educational activity that addresses the domains of learning. The nurse should know that the psychomotor domain involves which of the following? Fine motor skills Gross motor skills Thought processes Autonomic reflexes Prioritizing value
Fine motor skills is correct. An individual's fine motor skills fall under the psychomotor domain. Gross motor skills is correct. An individual's gross motor skills fall under the psychomotor domain. Autonomic reflexes is correct. An individual's autonomic reflexes fall under the psychomotor domain
A nurse is caring for a client who has an acute case of cellulitis. After implementing a treatment protocol with the client, the client reports that they have had difficulty finding a job for almost a year and they sometimes skip meals to save money. Which problem is the priority for the nurse to address in the care plan? Health care illiteracy Economic stability Food access Quality of education
Food access Food access is the priority for the nurse to address.
A nurse is caring for a client who has an acute case of cellulitis. After implementing a treatment protocol with the client, the client reports that they have had difficulty finding a job for almost a year and they sometimes skip meals to save money. Which problem is the priority for the nurse to address in the care plan? Health care illiteracy Food access Quality of education Economic stability
Food access Food access is the priority for the nurse to address.
A nurse reviews notes for a school-age child from the child's schoolteacher. The teacher reports that the student cannot focus, has a short attention span, and has had consistently low grades for 6 months. Which of the following problems should the nurse suspect? Lack of mentoring Unhealthy family relationships Transportation challenges Food insecurity
Food insecurity The nurse should identify this child might be experiencing food insecurity and provide appropriate interventions with food assistance programs such as the Women, Infants, and Children's program (WIC) or the Supplemental Nutrition Assistance Program (SNAP). Studies show that children who are not properly nourished experience deficits in academic learning and performance.
A nurse is reviewing epidemiological information on environmental pollutants within the community. Which of the following pathophysiologies due to hazardous exposure should the nurse anticipate among manual labor workers? Multiple sclerosis Alopecia Hearing loss Influenza
Hearing loss Hazardous exposures where a client works may have a detrimental impact on health. Such exposures, which are more common for manual labor workers, can precipitate lung disease, cancer, hearing loss, and heat stroke.
A nurse is planning a presentation at a local public health conference about the relationship between quality education and health outcomes. Which of the following information should the nurse include in the presentation? Individuals who attain a quality education increase the likelihood of obtaining a job that pays a living wage. With a quality education, clients have increased access to virtual visits with primary care physicians. Individuals who desire a quality education are required to purchase healthy lunches at school. Quality education includes coverage for some medical expenses.
Individuals who attain a quality education increase the likelihood of obtaining a job that pays a living wage. A quality education is an education that meets national standards and benchmarks for students. A quality education provides an increased likelihood of obtaining a job that pays a living wage, increases the opportunity to obtain health care insurance, and can lead to improved health outcomes.
A community health nurse is organizing an event and is looking for community members to partner with. The nurse should understand that it is important to partner with community members for which of the following reasons? Community members will be less likely to give a negative critique about the event. The nurse can change the community members' perspective by working closely with them. It will help ensure that community members' concerns are heard and their ideas are incorporated into the planning of the event. Partnering with community members will allow the nurse time to work on more important tasks.
It will help ensure that community members' concerns are heard and their ideas are incorporated into the planning of the event. Partnering with community members is necessary to ensure that their concerns are being addressed.
A nurse is providing a presentation to a group of nurses about early public health efforts to improve the health of families. Which of the following nurses should be included in the presentation as working specifically to improve the health of Black families? Lillian Wald Jessie Sleet Scales Mary Breckinridge Florence Nightingale
Jessie Sleet Scales The nurse should include Jessie Sleet Scales as the nurse who worked specifically to improve the health of Black families. Along with two other Black nurses, Elizabeth Tyler and Edith Carter, Jessie Sleet Scales worked with Black families who had tuberculosis and established the Stillman House to provide care to Black families in New York City.
A nurse is discussing health insurance coverage with state legislators. Which of the following disadvantages related to health insurance should the nurse include in the discussion that is specific to clients who live in rural communities rather than urban areas? Limited access to primary care providers Financial risk that is typical of underinsured clients Lack of government-provided health insurance Limited availability of managed care insurance
Limited access to primary care providers One disadvantage for clients who live in rural areas is limited access to primary care providers (PCP). Without access to a PCP, the client lacks primary and secondary care interventions such as heckups, vaccines and screenings for disease.
A nurse is meeting with a government agency to discuss ways to increase the number of nurses applying for a position in the health department. Which of the following factors has been identified as contributing to the shortage of nurses working in community and public health settings? Telehealth Licensure requirements Aging of the population Limited pay structures
Limited pay structures Pay structures have been identified as contributing to the shortage of nurses because nurses in acute care settings tend to be paid more than those in community/public health.
A community health nurse is researching information related to the Healthy People 2030 goals. The nurse should identify that which of the following agencies sets and supports the Healthy People objectives? Centers for Disease Control and Prevention (CDC) Office of Disease Prevention and Health Promotion (ODPHP) World Health Organization (WHO) National Institutes of Health (NIH)
Office of Disease Prevention and Health Promotion (ODPHP) The nurse should identify the ODPHP as the agency that sets and supports the Healthy People objectives.
A public health nurse is discussing how to improve client outcomes with county legislators. Which of the following interventions should the nurse recommend to improve outcomes for clients impacted by the cycle of poverty? Opening a community health center in an underserved area Replacing Medicare programs with Medigap policies Eliminating the use of client portals or virtual visits Implementing the Teach Back Method when prescribing medication
Opening a community health center in an underserved area Opening a community health center in an underserved area could improve care for clients living below the poverty line and improve client outcomes.
A nurse is speaking to a group of newly licensed nurses about how the QSEN competencies were integrated into their nursing school curriculum. Which of the following competencies should the nurse expect the newly licensed nurses to identify as the competency they were most prepared to address as students? Evidence-based practice Patient-centered care Quality improvement Teamwork and collaboration
Patient-centered care Student nurses report being most prepared to address patient-centered care.
An occupational health nurse is attending to a new employee who had an accident at a worksite. Which of the following tasks should the nurse complete as a part of the protocol for an employee injury? Initiate safety and audit checks. Vet the injured worker. Perform a drug test. Order a new medication.
Perform a drug test. It is the role of the occupational health nurse to investigate an incident in order to understand the true nature of what occurred and to determine causation. Depending on the nature of the incident, the nurse will perform a drug and alcohol test.
A nursing director in a community health setting is providing education to a group of nurses about the skills needed to meet the challenges associated with providing population-focused care. Which of the following skills should the nursing director include in the teaching as core competencies for public health professionals? Bilingual skills Policy development skills Keyboarding skills Financial planning skills Management and leadership skills
Policy development skills is correct. Policy development skills have been identified as core competencies for public health professionals. Therefore, the nurse should include this skill in the teaching. Financial planning skills is correct. Financial planning skills have been identified as core competencies for public health professionals. Therefore, the nurse should include this skill in the teaching. Management and leadership skills is correct. Management and leadership skills have been identified as core competencies for public health professionals. Therefore, the nurse should include this skill in the teaching.
A county health nurse is addressing a recent outbreak of an infectious airborne illness in a poorly performing school in a low-income area of the city. The school lacks multiple resources such as a cafeteria, counseling services, a gymnasium, and a dedicated school nurse. Which of the following interventions should the nurse implement first to improve outcomes for the students? Provide counseling services to help students share their concerns about the outbreak. Establish a physical education program to help students become more active. Provide testing to detect infected students. Create a lunch program to improve student nutrition.
Provide testing to detect infected students. Students who attend a poorly performing school are less likely to have access to preventative screenings by a school nurse for health issues. When using the greatest risk priority framework, the nurse should identify that providing this kind of access, including testing, would help stop the spread of the disease.
A nurse is teaching a group of newly licensed nurses about developments in other areas of study that led to improvements in public health. The nurse should include that the Shattuck Report brought about changes in which of the following areas? Prison health care reform Public sanitation Care of the mentally ill Working conditions
Public sanitation The Shattuck Report, based on a sanitation study conducted by Lemuel Shattuck, concluded that many diseases occurring in America were the result of poor sanitation standards. The results of this study laid the foundation for many public health initiatives that led to improvements in public health, improved public sanitation, and an increased life expectancy for American citizens.
A school nurse is assessing an adolescent client who indicates they have been experiencing depression due to a recent move. Which of the following interventions should the nurse implement? Recommend the client obtain a part-time job. Encourage the client to engage in more physical activity, such as joining a sports team. Schedule an appointment with a school-based counselor Arrange a visit with a neurologist.
Schedule an appointment with a school-based counselor Scheduling an appointment with a school-based counselor would help the client by providing a foundation to establish medical care and make referrals to appropriate members of the health care team to begin to address the client's need for mental health wellness.
A community health nurse is working with a client to make long-standing, health-related changes using the transtheoretical model. Which of the following actions by the client indicates that they are in the preparation stage? Stocking their refrigerator and pantry with healthy foods Reading about daily nutritional requirements Considering signing up for the gym next week Purchasing running shoes Signing up for a local smoking cessation programs
Stocking their refrigerator and pantry with healthy foods is correct. Stocking up on healthy foods will prepare the client to take action. Reading about daily nutritional requirements is correct. Reading about nutrition will prepare the client to take action. Purchasing running shoes is correct. Purchasing running shoes will prepare the client to take action. Signing up for a local smoking cessation program is correct. Signing up for a smoking cessation program will prepare the client to take action.
A community health nurse is establishing a care plan for a 12-year-old client who is disruptive in school. The nurse includes a referral for a mentorship program as one of the interventions in the care plan. Which of the following rationales should the nurse include to support the referral? Mentorship will help the child avoid sexual activities during the teen years. Students who are mentored are more likely to attain educational success. Studies show a minimal increase in confidence levels among mentored youth. Mentored teens tend to recover better from bullying experiences.
Students who are mentored are more likely to attain educational success. Studies have shown that mentorship can help a child develop higher aspirations in life and achieve educational success.
A community health nurse is counseling a client who cares for a mentally ill parent. The client states "I am feeling overwhelmed and exhausted." Which of the following referrals should the nurse make to provide this client with first level support? Psychiatrist Support group Life coach Social worker consult
Support group The community health nurse should be a resource for connecting clients with appropriate support services to meet their needs and to prevent burnout. In this case, a referral to the National Alliance on Mental Illness (NAMI) would be appropriate because it provides support to mentally ill individuals and their families. First level support options include community resources that can be easily accessed by all community members.
A nurse is assessing a client's environment. Which of the following client statements indicates that a client is living in a faulty built environment? The client reports there are no bike paths or running trails in their community. The client reports that there is limited public parking on their street. The client reports contaminants in their drinking water at home. The client reports a lack of community centers in their neighborhood.
The client reports contaminants in their drinking water at home. Exposure to contaminated water where one lives is an environmental health hazard, which is considered part of a faulty built environment.
A nurse is evaluating the social profile of a new adolescent client at a community health clinic. Which of the following actions by the client is the priority for the nurse to address? The client still journals their feelings about their sister's death 7 years ago. The client reports that they primarily eat fast food while living on a limited budget. The client took courses online and experienced cyberbullying. The client reports missing classes due to suffering from seasonal allergies.
The client took courses online and experienced cyberbullying. When using the greatest risk priority framework, the nurse should identify that this statement is the priority to address as bullying is linked to suicide and is a leading cause of death in people aged 15 to 24. The nurse should follow up with the client on this, as well as gauge the depression and anxiety in this client.
A community health nurse is preparing an educational activity that addresses the domains of learning. The nurse should know that the affective domain focuses on which of the following? The learner's desire to participate The learner's ability to perform a skill The learner's knowledge and skill level The learner's feelings, beliefs, and attitudes
The learner's feelings, beliefs, and attitudes The affective domain focuses on how the learner's feelings, beliefs, and attitudes change after they learn new information.
A nurse is counseling a client who has diabetes mellitus and is considering enrollment in a private managed care program. The policy will cover medical expenses for the client's condition, as well as vision care, but the client's current health care provider is not listed as a contracted provider under the managed care program. Which of the following information should the nurse share with the client? The policy does not include any supplemental plans. The policy does not provide coverage for preexisting conditions. The policy is only partially provided by the government. The policy does not allow them to keep their current health care provider.
The policy does not allow them to keep their current health care provider. The disadvantage for this client is not being able to see their current health care provider without paying a much higher cost because their primary care physician is not included in the list of medical care providers.
A community health nurse wants to create an educational activity that will change the way clients think about their current eating habits. The nurse should know that which of the following learning theories focuses on reflection and evaluation of perspective? Humanistic Transformative Behavioral Experiential
Transformative The transformative learning theory suggests that learners can change the way they think once they have new information and have reflected on previous experiences and critically evaluated their perspective.
A community health nurse is speaking to a group of nursing students about various major health organizations. Which of the following agencies should the community health nurse identify as the agency that works with children around the world to provide emergency relief? Administration for Community Living (ACL) Office of Disease Prevention and Health Promotion (ODPHP) United Nations International Children's Emergency Fund (UNICEF) Administration for Children and Families (ACF)
United Nations International Children's Emergency Fund (UNICEF) The nurse should identify UNICEF as the agency that works with children around the world to provide emergency relief.
A case management nurse is discussing medicalization with a group of newly hired nurses. Which of the following statements by one of the nurses indicates an understanding of "medicalization"? "Medicalization is a law that facilitates access to prescription medications for uninsured clients." "Medicalization is a way to pay for medications." 'Medicalization is the practice of prescribing medications for conditions that could be treated using nonpharmacological strategies." "Medicalization is a process designed to help people and organizations save money on
"Medicalization is the practice of prescribing medications for conditions that could be treated using nonpharmacological strategies." Medicalization refers to prescribing medications for conditions that could be treated with nonpharmacological strategies such as diet, exercise, and financial support. The case management nurse should identify that this statement indicates understanding of medicalization.
A nurse is discussing telehealth with a group of state legislators. Which of the following statements pertinent to homebound clients should the nurse include in the discussion? "Telehealth helps to cover the cost of prescriptions, medical equipment, and other health care expenditures." "Telehealth is a supplemental program that fills in gaps in coverage from government-provided health insurance." "Telehealth can duplicate or replace all of the services provided by a health care institution." "Telehealth helps clients who have difficulty accessing a physician's office communicate with their primary care providers."
"Telehealth helps clients who have difficulty accessing a physician's office communicate with their primary care providers." Telehealth, which involves a virtual visit with a health care provider, can be utilized when it is difficult for clients to travel to and from a provider.
A nurse is providing education about Medicaid to a client who is pregnant and cannot pay for medical insurance. The nurse should recognize that which of the following statements by the client indicates an understanding of the teaching? "My income level does not impact whether or not I can receive Medicaid." "When my baby is born, they can receive Medicaid as well." "Medicaid is a federal-run health insurance program." "Medicaid benefits are the same for everyone in the United States."
"When my baby is born, they can receive Medicaid as well." Medicaid provides health insurance to children whose families cannot afford to pay for health care for their children. The nurse should recognize this statement by the client as an indication of understanding.
A community health nurse should understand that collaborating with a community and its members involves which of the following? Actively partnering with community members Looking at health issues from the community members' perspective Incorporating community member concerns into health education initiatives Taking the lead and making decisions for community members Focusing on the issues that the nurse believes to be important
Actively partnering with community members is correct. Collaboration involves partnership with community members. Looking at health issues from the community members' perspective is correct. It is important to consider the viewpoint of community members. Incorporating community member concerns into health education initiatives is correct. Community members' concerns should be factored into the development of health education initiatives.
A nurse is reviewing gun violence prevention approaches with a group of civic leaders. Which of the following should the nurse identify as being population-focused approaches to gun violence prevention? Addressing mental health disorders Researching root causes for gun violence Enforcing gun laws Providing funding for violence-prevention education programs Limiting the number of guns a person can own
Addressing mental health disorders is correct. Addressing mental health disorders can identify stressors that lead to gun violence at a population level. Therefore, the nurse should identify this approach as being a population-focused approach to gun violence prevention. Researching root causes for gun violence is correct. Researching and identifying root causes for gun violence is required in order to explore population-focused strategies that prevent gun violence. Therefore, the nurse should identify this approach as being a population-focused approach to gun violence prevention. Providing funding for violence-prevention education programs is correct. Providing violence-prevention education programs is a population-focused strategy. Therefore, the nurse should identify this approach as being a population-focused approach to gun violence prevention.
A nurse is discussing the services of the Henry Street Settlement in New York City with a group of public health nurses. The nurse should include in the discussion that the Henry Street Settlement offered which of the following services? (Select all that apply.) Place for children to play Classes in childcare Banking Classes in birth control methods Care for the sick
Place for children to play is correct. The Henry Street Settlement House had a playground for public use. Therefore, the nurse should include this service in the discussion. Classes in childcare is correct. The Henry Street Settlement House provided classes in both infant care and childcare. Therefore, the nurse should include this service in the discussion. Care for the sick is correct. The Henry Street Settlement House did provide care for the sick. Therefore, the nurse should include this service in the discussion.
A nurse is preparing a presentation for a planning board on strategies that would help older adults remain in their homes as they age. Which of the following strategies should the nurse include in the presentation? Expanding the number of communities designed for older adults Focusing care and resources on morbidity and mortality Providing assistance with minor home repairs and modifications Increasing the number of advanced practice nurses
Providing assistance with minor home repairs and modifications Many older adult clients could stay in their homes with minor home modifications, such as ramps and grab bars, which help to maintain the safety of the client. This strategy should be included in the presentation.
A nurse is counseling a caregiver who has a special needs child regarding the support of socio-emotional development and language skills. Which of the following recommendations should the nurse make? Watch a favorite TV program with the child on a consistent basis. Enable playtime for the infant child once per month Read to the child at least four times per week. Allow regular naps for the child to foster proper brain growth.
Read to the child at least four times per week. Reading to children at least 4 days a week is important for literacy and language skills and improves behavior and overall well-being.
A nurse is discussing the plan of care for a school-age child who was recently diagnosed with diabetes mellitus with the child's parents. The family of three is living on a tight budget because the father's business has been closed due to the COVID-19 disease lockdown. Which of the following factors requires attention from the nurse? The family enrolled in the Supplemental Nutrition Assistance Program to receive extra food benefits. The power company has issued a lenient notice for back payment of owed money. The elementary school is closed and students are learning remotely. The family may not be able to see preferred providers due to increased health insurance costs.
The elementary school is closed and students are learning remotely. The COVID-19 pandemic has greatly impacted the economic status of families. It has also impacted hunger in the U.S. This family is at risk for food insecurity because their business has been closed due to lockdown restrictions. Food-insecure families often rely on meals provided to their children at school to supplement and ensure access to nutritious foods. The nurse should identify that further follow-up and support from community resources are required for this family.
A community health nurse is teaching a group of clients at a diabetes mellitus clinic about carbohydrate counting. The nurse should encourage the group to recall their previous knowledge about carbohydrate counting for which of the following reasons? To help them apply the knowledge they have gained To prove that they do not need any more teaching on that topic To help them link new knowledge with their prior knowledge To determine if there are any areas they need help with To help them memorize what they have learned
To help them apply the knowledge they have gained is correct. Recollection of information helps the clients apply what they have learned. To help them link new knowledge with their prior knowledge is correct. Recollection of information helps clients apply what they have learned. To determine if there are any areas they need help with is correct. Recollection of information informs the nurse about what areas their clients need more help with.
A community health nurse is providing education to a group of nurses about the functions of various government agencies. The nurse should include in the teaching that which of the following government agencies addresses food security by directly providing food to select populations? U.S. Department of Health Resources and Services Administration (HRSA) Office of Disease Prevention and Health Promotion (ODPHP) U.S. Department of Agriculture (USDA) U.S. Food and Drug Administration (FDA)
U.S. Department of Agriculture (USDA) The USDA oversees the Supplemental Nutrition Assistance Program (SNAP), the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), and the school lunch program, all of which provide food to specific populations. Thus, the nurse should include this government agency as the agency that addresses food security by directly providing food to select populations.
A nurse is discussing the benefits of population-focused health care strategies with a group of newly licensed nurses. Which of the following statements by one of the newly licensed nurses indicates an understanding of population-focused health care strategies? "Population-focused health care strategies are thought to decrease the cost of care." "Population-focused care is likely to improve health literacy." "Access to care should improve with the use of population-focused health care strategies." "Population-focused health strategies will likely decrease the demands currently placed on the health care workforce." "Population-focused care is expected to improve the quality of care provided."
"Population-focused health care strategies are thought to decrease the cost of care" is correct. Population-focused care is expected to decrease health care costs. Therefore, the nurse should recognize this statement as an understanding of population-focused health care strategies. "Access to care should improve with the use of population-focused health care strategies" is correct. Population-focused care is expected to improve access to care. Therefore, the nurse should recognize this statement as an understanding of population-focused health care strategies. "Population-focused care is expected to improve the quality of care provided" is correct. Population-focused care is expected to improve the quality of care provided. Therefore, the nurse should recognize this statement as an understanding of population-focused health care strategies.
A nurse is providing care to a client who is from a different culture. Which of the following statements is true regarding the cultural care theory? The nurse should know everything about the client's culture. The nurse should be fair and treat everyone the same. It is possible for the nurse to separate a client's culture from their care. The nurse should aim to provide culturally competent and congruent care.
The nurse should aim to provide culturally competent and congruent care. The nurse must consider the client's culture when providing their care.
