CH: exam 3

Question 11 With so much information in the media and on social media, bullying has gotten much attention lately. The CDC has developed recommendations to deal with bullying in the schools. Which of the following are part of the CDC recommendations? SELECT ALL THAT APPLY. A. Whole school anti-bullying policy B. Provide consequences for bullying C. Use less supervision and allow children an opportunity to resolve their own conflicts D. Cooperation between school staff, parents, and professionals

A, B, D

Question 12 The nurse has a new patient that requires core strengthening exercises for rehabilitation of a back injury. Based on the Health Beliefs Model (Rosenstoch et al.) and the Health Promotion Model (Pender), which of the following will determine the success of the education program? (SELECT ALL THAT APPLY). A. The perceived barriers to performing the behaviors B. The skill of the educator C. Whether or not the patient has gone through the pre-contemplation stage D. The perceived benefits of the exercises, such as improved sleep and less pain

A, D

Question 15 Which of the following characteristics must a learner possess to successfully master psychomotor learning? SELECT ALL THAT APPLY A. The necessary ability to perform the skill B. The ability to express his feelings C. Opportunities to practice the skill D. An 8th grade reading level ability

A,B,C

Question 32 Also based on the above case scenario: Mrs. Wells 22-year-old daughter, Tiffany receives a visit from the county public healthnurse. Tiffany is 8 months pregnant and was recently laid off from her job. She has no income presently. She needs two more courses to complete her pharmacy technician training and will need a breast pump to attend school after the baby is born. Her mother will provide child care for her while she attends evening classes if she can find resources to go back to college. She tells you there is little food in the home. What are some resources the public health nurse can suggest to assist Tiffany at this point in time? SELECT ALL THAT APPLY A. Food bank B. WIC - Women, Children and Infants C. TANF - Temporary Assistance to Needy Families D. Medicare

A,B,C

Question 7 Which of the following patients in the Emergency Department will require mandatory reporting by the nurse? SELECT ALL THAT APPLY A. A 35-year-old with Down Syndrome with several bruises who states her caregiver pushed her down and hit her B. An 88-year-old female with facial bruises who tells you her daughter-in-law "did this to me" C. A 5-year-old who tells you "My big brother wanted to play doctor and he took my clothes off and hurt me where I go pee-pee" D. A 45-year-old with a black eye and a large bruise on the cheek who tells you "My partner had a bad day at work and sort of lost it"

A,B,C

Question 26 When patients are discharged from the hospital, errors can happen. Some of the reasons for errors in these care transitions are which of the following? SELECT ALL THAT APPLY A. Inadequate patient teaching on the importance of medications and follow-up B. Incompatible computer systems for electronic medical records C. Patients not receiving instructions on follow-up visits to primary care physicians or specialists D. Home care visits initiated within a timely manner E. Not reconciling patient medication lists from one facility to another

A,B,C,E

Question 44 The home health RN performs her initial assessment of the 82-year-old female patient following a stroke (CVA). This patient needs assistance with medication teaching, ambulation and leg weakness, showering and personal hygiene and she reports some new onset depression. Which of the following services would the nurse request under the Medicare Home Care benefit program? SELECT ALL THAT APPLY A. Home Health Aide B. Pharmacist C. Social Worker (MSW) D. Psychologist E. Physical Therapist

A,C,E

Question 10 A nurse is working with children who may be at risk for abuse. In which of the following situations is child abuse most likely to occur? SELECT ALL THAT APPLY. A. When the parent's sense of control is threatened B. When parents are sensitive to their children's needs C. When the parents have reasonable expectations for their children D. When parents lack a social support network

A,D

Question 48 Which of the following assessment tools may provide a more accurate family assessment? A. Conduct a home visit B. Look at the medical records for each family member C. Perform individual assessments with each family member D. Interview the head of the household on behalf of each family member

A. Conduct a home visit

Question 36 A nurse is implementing a tertiary prevention strategy related to child sexual abuse. Which of the following activities would the nurse complete? A. Educate parents about the risks of having one adult with one child in isolated situations B. Teach children which body parts others should not touch and use examples of situations in their lives C. Teach nurses how to recognize signs and symptoms of child sexual abuse D. Request that a child advocacy center be used for the physical exam, forensic interviews, and psychological evaluation and treatment for the child who discloses

A. Educate parents about the risks of having one adult with one child in isolated situations

Question 20 The patient is receiving discharge instructions from the nurse. The nurse wants to know on what level and what tools she can use to ensure the patient can read, comprehend, and make choices about the presented health information. What is the nurse assessing? A. Health literacy B. Health data C. Medical comprehension D. Medical knowledge

A. Health literacy

Question 18 A nurse just finished teaching breast self-examination to a large group of women at a professional conference. During the session she distributed literature and used culturally appropriate visual aids. However, the session was not as effective as it could have been. Which of the following was the most important thing omitted by the nurse? A. Opportunity for the women to practice what they learned B. Use of simple language instead of printed material C. Explanation of why culturally appropriate images are more acceptable D. Time for audience members to ask questions and clarify the information

A. Opportunity for the women to practice what they learned

Question 41 In one century, the Pima and Tohono O'odham Indians went from virtually no cases of this particular disease to some of the highest rates of this disease in the world. What was the disease? A. HIV/AIDS B. Diabetes C. Cirrhosis of the liver D. Tuberculosis

B. Diabetes

Question 19 A nurse is using the technique of motivational interviewing when working with a client. Which of the following statements by the client indicates the client is ready to make the change? A. "It's important to change" B. "I should change" C. "I am willing to change" D. "I want to change"

C. "I am willing to change"

Question 30 Elizabeth Jackson is a registered nurse returning to school to obtain her BSN. She is working in the public health department during her community health rotation. Her focus is on the holistic health needs of the family. Ms. Jackson is conducting a family health assessment on the Wells family, a middle-income family of five. Mr. Wells is a 48-year-old man disabled from a back injury. Mrs. Wells is a 42- year-old woman in good general health. There are two sons from the marriage, ages 12 and 10 years. Mrs. Wells also has a 22-year-old daughter from a previous relationship. Based on interviews with the Wells family, Ms. Jackson creates a genogram. The results reveal that paternal men were deceased in their early 50s because of cardiac-related illnesses. On the maternal side, grandparents lived into their 90s and one had dementia. Mrs. Wells' sister struggles with illness related to congenital kidney failure. The Wells children display symptoms of ADHD and require math tutors. What education should Elizabeth Jackson provide to Mr. Wells? A. Signs and symptoms of cardiac disease, healthy diet, regular exercise, and smoking cessation B. Measures to reduce the incidence of dementi

A. Signs and symptoms of cardiac disease, healthy diet, regular exercise, and smoking cessation

Question 49 A nurse is learning about the different theories related to behavior change. The theory that states that health behavior change requires an individual's progress through five stages of change beginning with pre-contemplation is: A. The Transtheoretical Model B. The Health Belief Model C. The Motivational Interviewing Model D. The Health Promotion Model

A. The Transtheoretical Model

Question 29 The following people enter the health clinic together: an unmarried man and his year-old son, an unmarried woman with a year-old daughter, and the man's married brother, who is separated from his wife. During the assessment it is determined that both men work and contribute to the household, where all of them live. Which of the following best describes the "family"? A. The family includes whoever the adults state are family members B. There is no family here, only three adults sharing resources between themselves and two biologically related children C. The group consists of three families: the man and his son, the woman and her daughter, and the brother, who is married even though he and his wife are separated D. There are two families involved: first, the unmarried man and woman and their two children, and second, the brother, who is married even though he and his wife are separated

A. The family includes whoever the adults state are family members

Question 27 All of the following are primary goals of case management except one. Which one is not a goal of case management? A. To stress the advantages and benefits of community-based care B. To promote self-determination in a patient or group C. To manage resource use and control expenses D. To emphasize evidence-based clinical decision making

A. To stress the advantages and benefits of community-based care

Question 35 According to the presentation Stewards of Children by Darkness to Light regarding child sexual abuse, ______% of children are sexually abused by people they know. A. 66 B. 90 C. 10 D. 48

B

Question 50 A nurse is providing home care for several elderly clients in the community. Which of the following situations would most likely be indicative of elder abuse? A. A daughter refuses to visit her mother due to work commitments B. A young man repeatedly steals money from his grandmother C. An older person eats alone every night D. A child runs around a grandparent's house, breaking

B. A young man repeatedly steals money from his grandmother

Question 2 A nurse is concerned about stress related to the heavy caregiver burden assumed by adult children of older clients. Which of the following actions by the nurse demonstrates the use of secondary prevention to limit caregiver stress? A. Referring to some activities the neighbors and friends B. Asking caregivers how they are doing C. Encouraging caregivers to periodically leave the house for a couple of hours D. Establishing support groups for caregivers of older parents

B. Asking caregivers how they are doing

Question 22 Which one of the following best describes why planning care for an individual is so challenging in today's healthcare system? A. Because there is an excess of providers in the acute care setting B. Because multiple providers, payers, and settings have to be coordinated C. Because of the new high technology constantly being created and used for client treatment D. Because today's clients have high expectations of the healthcare system

B. Because multiple providers, payers, and settings have to be coordinated

Question 34 A nurse is working with a family who is confronting major challenges to their health. Which of the following approaches would be most helpful for the nurse to use? A. Allowing the family to be noncompliant B. Building on the family's strengths and resilience C. Labeling the family as resistant D. Recognizing that the family is dysfunctional

B. Building on the family's strengths and resilience

Question 17 A nurse is using motivational interviewing with a patient who wants to stop smoking cigarettes. Motivational interviewing includes which one of the following? A. Allowing the patient to experience negative consequences will get his attention B. Encouraging the patient to get over their ambivalence about changing is helpful C. Challenging the patient and pointing out their role in this behavior D. Expecting the change to happen overnight, so the patient won't revert back to the original behavior

B. Encouraging the patient to get over their ambivalence about changing is helpful

Question 42 Which of the following is a primary requirement for a client to be eligible for home health nursing and Medicare reimbursement of services? A. Must be over 65 years of age B. Must be homebound C. Must be living in a medically underserved area D. Must be indigent

B. Must be homebound

Question 1 A community mental health nurse is working within the community to help prevent youth violence. Which of the following interventions would most likely be implemented by the nurse? A. Explaining to youth why violence is detrimental to society B. Partnering with associations to provide alternative activities that improve social skills C. Recommending increased funding to prosecute and jail teens associate with violence activity D. Distributing literature that associates violence with a lack of intelligence

B. Partnering with associations to provide alternative activities that improve social skills

Question 9 Which of the following is a common factor typically found in those who abuse? A. Fear and belief that others are "out to get them" B. Previous observations of violent behaviors to manage conflict C. Difficulty keeping commitments D. Poor self-esteem and unawareness of alternatives

B. Previous observations of violent behaviors to manage conflict

Question 14 The nurse is teaching a group of nursing students about health promotion. Which of the following has the greatest impact on decreasing prevalence and incidence? A. Secondary prevention B. Primary prevention C. Tertiary prevention D. Increased health disparity

B. Primary prevention

Question 5 A mother confides to the nurse that her live-in boyfriend knocked down her 2-year-old child because he was crying too much. She begs the nurse not to tell anyone because her boyfriend has agreed to take anger management classes. Which of the following actions should be taken by the nurse? A. Abide by the mother's wishes because this information was provided in confidence B. Report the incident to child protective services or other appropriate legal authority C. Encourage the mother to take the child and find alternative housing as soon as she can D. Arrange for counselling for the boyfriend at the earliest possible availability

B. Report the incident to child protective services or other appropriate legal authority

Question 37 A nurse is implementing a primary prevention strategy related to child sexual abuse. Which of the following activities would the nurse complete? A. Say "I believe you and thank you for telling me that" to the child who discloses B. Request that a child advocacy center, be used for physical exam, forensic interviews, and psychological evaluation and treatment for the child who discloses C. Screen children for potential signs of child abuse in the clinic D. Educate parents about the risks of having one adult with one child in isolated situations

B. Request that a child advocacy center, be used for physical exam, forensic interviews, and psychological evaluation and treatment for the child who discloses

Question 3 A nurse is developing a care plan for an 85-year-old patient who has been hospitalized following physical and emotional abuse by her caregiver. In developing the care plan, which concern should receive the most concern? A. Emotional support B. Safety of the patient C. Financial support D. Religious support

B. Safety of the patient

Question 45 All of the following are indirect care activities except one. Which one of the following is not considered to be an indirect care activity? A. Consulting with the physical therapist at the team conference B. Teaching a client and family how to change a colostomy bag C. Documenting care D. Supervising the home health aide

B. Teaching a client and family how to change a colostomy bag

Question 16 A nurse has set up a workshop in the senior community center to teach the residents who are newly diagnosed with diabetes how to manage their disease and self-inject insulin. The nurse documents this on the paperwork to the nursing manager as which type of intervention? A. Universal prevention B. Tertiary prevention C. Secondary prevention D. Primary prevention

B. Tertiary prevention

Question 13 Motivational interviewing (MI) is an evidence-based intervention. Which one of the following statements is FALSE regarding MI? A. It is a collaborative partnership between patient and nurse B. The patient doesn't need a long-term commitment C. The patient needs a reason to make the change D. The main goal is to get the patient to change his behavior

B. The patient doesn't need a long-term commitment

Question 46 Which one of the following is not a requirement for the Medicare Hospice Program? A. The patient is homebound B. The patient has a cancer diagnosis C. The patient has a 6-month life expectancy D. The patient requires some type of skilled care

B. The patient has a cancer diagnosis

Question 28 A case manager implements a primary prevention activity. Which of the following actions would the nurse most likely complete? A. Advocating for the client who's values conflict with those of his medical provider B. Collaborating between nursing and occupational health personnel re: a treatment plan C. Educating a group regarding community services that are available if ever needed D. Resolving conflict between a primary-care clinic and a tertiary health care facility

C. Educating a group regarding community services that are available if ever needed

Question 39 In the school nurse case study, the nurse assesses an 11-year-old female patient for anorexia nervosa. Which finding by the nurse is most concerning? A. Low self-esteem B. Reduction in bone density C. Electrolyte imbalance D. Dental caries

C. Electrolyte imbalance

Question 6 A nurse is implementing a primary prevention strategy to address abuse in the community. Which one of the following actions is the nurse most likely taking? A. Screening each pregnant woman privately for intimate partner abuse B. Referring caregivers to community respite centers if abuse is beginning to occur C. Lobbying for passage of legislation to outlaw physical punishment in schools D. Encouraging others to interfere when they see children hit or hurt in a public place

C. Lobbying for passage of legislation to outlaw physical punishment in schools

Question 47 Which of the following is the primary focus of hospice care? A. Curing or controlling the client's chronic disease B. Teaching the client and family how to care for themselves C. Providing palliative care to maintain comfort until death D. Decreasing the waste of acute care (hospital) resources

C. Providing palliative care to maintain comfort until death

Question 40 A nurse enters a patient's room and observes that the patient is looking at an image of two naked children touching each other inappropriately on his personal laptop. The nurse should do which one of the following? A. Tell the patient firmly to put it away B. Close the door and see if it happens again C. Report this to child abuse hotline or police D. Leave the patient alone because it is his personal computer

C. Report this to child abuse hotline or police

Question 21 A client has been taking oxycontin for chronic low back pain. The client discloses to the nurse in the pain clinic, that he has been taking more oxycontin than prescribed and as a result, he feels very sleepy at work. Which of the following Motivational Interviewing approaches might be used during the encounter? A. Let me tell you some facts about how successful other people are managing to cut down on medications B. I think you are really just taking too many pills and putting your health at risk C. You identified some concern about the use of your pain medication. What would you like to accomplish towards addressing this concern? D. I'm worried about your use of opioids and it is time to cut way back

C. You identified some concern about the use of your pain medication. What would you like to accomplish towards addressing this concern?

Question 24 Which of the following United Healthcare Insurance patient would most likely receive case management? A. A person receiving rehabilitation following an injury B. An elderly patient C. A person with acute illness D. A person with a high-cost chronic disease

D. A person with a high-cost chronic disease

Question 8 Which one of the following statements about abuse is correct? A. Abuse generally gets better over time and the severity lessens B. There is most often no pattern, the abuse just occurs C. 10% of abused children will go on to abuse their own children D. Attempts by the victim to leave the situation may result in homicide

D. Attempts by the victim to leave the situation may result in homicide

Question 31 Based on the above scenario regarding the Wells family: Nurse Jackson is examining social determinants of health (SDOH) as part of her family assessment. Which of the following SDOH may be the best predictor of family health status? A. Neighborhood and community resources B. Behavioral risks C. Inherited cardiac disease risks D. Financial status (income)

D. Financial status (income)

Question 23 Which one of the following best describes the primary problem that can result from health care today being provided by several different care providers? A. Clients are not sure which provider to see first B. Health care providers have to make referrals to other providers C. Clients may not know who their primary provider is D. Overuse, underuse or gaps in care may result

D. Overuse, underuse or gaps in care may result

Question 43 Which of the following clients meets the skilled care criteria for Medicare reimbursement for home health nursing? A. The client who needs assistance with bathing and meal preparation B. The client who needs sitter services because she wanders from home and becomes lost C. The client who needs assistance with house cleaning and meal preparation D. The client whose family members need to learn how to care for his surgical wound

D. The client whose family members need to learn how to care for his surgical wound

Question 4 Which of the following is the top risk factor for intimate partner homicide? A. The husband has made threats before B. The woman's young daughter lives with them C. There is a gun in the house D. The wife has previously called 911 because of her husband beating her

D. The wife has previously called 911 because of husband beating her

Question 33 All but one of the following are Social Determinants of Health (SDOH) for the Wells family. Which one is not considered to be a SDOH? A. Mrs. Wells has Blue Cross/Blue Shield health insurance B. Their neighborhood has a high crime rate C. Mr. Wells receives a monthly check through Social Security D. They have a very strong family history of heart disease E. There is a recreation center about a mile from their home

D. They have a very strong family history of heart disease

Question 25 A nurse is using the problem identification phase of the case management process. To which of the following phases of the nursing process does this correspond? A. Evaluation B. Planning C. Assessment D. Implementation E. Diagnosis or Analysis

E. Diagnosis or Analysis

Question 38 A health care provider's prescription reads to administer an intravenous dose of 350,000 units of penicillin G benzathine. The label on the 10 mL ampule sent from the pharmacy reads penicillin G benzathine 300,000 units/mL. The nurse prepares how much medication to administer the correct dose? The correct answer is 1.75 mL. True or False? True False

False