Community Final Exam Questions

The world health organization defined health as?

"a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity".

A nurse is teaching a group of newly hired nurses about the requirements for disaster planning. Which of the following statements by one of the newly hired nurses indicates an understanding of the teaching? A. "An actual disaster cannot take the place of a disaster drill." B. "A staff nurse can function as the incident commander." C. "A physician must triage victims of a disaster in the emergency department." D. "Disaster drills should be held on a regular basis."

A. "An actual disaster cannot take the place of a disaster drill."

**A community health nurse is providing discharge teaching for a client who has a new prescription for home oxygen. Which of the following instructions should the nurse include in the teaching? A. "Do not adjust the oxygen flow rate." B. "Check your oxygen equipment once each week." C. "Store unused oxygen tanks horizontally." D. "Use wool blankets on your bed."

A. "Do not adjust the oxygen flow rate."

A nurse is caring for a client who is dying. The client says, "My mother died in the hospital, but I did not get there before she died." Which of the following statements should the nurse make? A. "We will call your family in time for them to get here." B. "I wonder if you are fearful of dying alone." C. "I will make sure a staff member is in your room at all times." D. "I will tell your family of your concern so that they can be here."

A. "I wonder if you are fearful of dying alone."

Healthy People 2020 is a guidepost for nurses and interdisciplinary teams in community and public health. Which new focal areas will the nurse discover has been added to the 2020 goals? (Select All That Apply) A. Adolescent health B. Diabetes C. Genomics D. Nutrition and weight status E. Social determinants of health

A. Adolescent health C. Genomics E. Social determinants of health

**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

A 19-year-old client diagnosed as HIV positive. Which behaviors might be indicators of noncompliance with her drug regimen and require further assessment? (Select All That Apply.) A. Depression B. Indifference to self-advocacy in sexual relationships C. Goal-oriented attitude toward treatment plan D. Client's expression of concern for the health and well-being of her children E. Client's expression of concern regarding the ability to pay for her medication

A. Depression B. Indifference to self-advocacy in sexual relationships E. Client's expression of concern regarding the ability to pay for her medication

Environmental health is the branch of public health science that focuses on how the environment influences human health. Some of the health effects that the public may experience include: (Select all that apply) A. Drinking water supplies that are contaminated by sewage after a hurricane B. Living in an urban area where air pollution that can be dangerous particularly with the asthmatic population C. Living in an agricultural area that may have pesticides D. Residing in a biosphere dome that has only plants, animals, and bacteria

A. Drinking water supplies that are contaminated by sewage after a hurricane B. Living in an urban area where air pollution that can be dangerous particularly with the asthmatic population C. Living in an agricultural area that may have pesticides

A nurse is caring for a client who suspects recent exposure to inhalation anthrax. Which of the following findings indicate possible exposure? A. Respiratory Failure B. Vesicles on the skin C. Sloughing of skin D. Flu-like symptoms

A. Flu-like symptoms

**A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitus. Which social determinant would the nurse predict are influencing this client's choices? (Select All That Apply) A. Household income of $23,000 per year B. Reading level of a third grader C. Failure of the medication to work effectively because the pharmacy filled the script incorrectly D. Originally from Sudan

A. Household income of $23,000 per year B. Reading level of a third grader D. Originally from Sudan

The nurse conducts a community assessment in a town once supported by multiple paper factories. The factories closed 2 years ago and most of the population is now out of work. The school nurse notes that 68% of the students are behind schedule in their physicals and immunizations. Which recommendation should the nurse prioritize based on this community assessment? A. Initiation of neighborhood clinics at low or no cost to the community B. Creation of a task force to assess the impact of low income on immunization compliance C. A formal petition to the local government to mandate immunizations by imposing monetary fines on parents whose children are not immunized D. A tax relief program for new companies wishing to settle in the community

A. Initiation of neighborhood clinics at low or no cost to the community

**The faith community nurse assumes a variety of roles when working with clients in a particular congregation. These roles may include (Select All That Apply). A. Integrator of health and faith B. Health educator C. Health Counselor D. Religious teacher E. Advocate

A. Integrator of health and faith B. Health educator C. Health Counselor E. Advocate

The nurse works in a facility that provides hospice care for clients with cancer diagnoses. The nurse recognizes that the care provided in this facility is tertiary in nature. When developing the care plan for these individuals, which functions should the nurse prioritize? (Select All That Apply.) A. Palliative Care B. Pain Control C. Isolation D. Supportive spiritual development

A. Palliative Care B. Pain Control D. Supportive spiritual development

When developing the plan of care for a client receiving home health care services, which of the following would be the most important goal for the home healthcare nurse to incorporate in the plan of care? A. Promotion of client independence B. Complete resolution of the problem C. Detecting family conflicts D. Ensuring access to resources

A. Promotion of client independence

**Which services or activities are commonly associated with workplace health promotion (Select All That Apply) A. Safe-lifting demonstration B. Laser vision corrective surgery C. On-site influenza vaccinations D. Cholesterol Testing

A. Safe-lifting demonstration C. On-site influenza vaccinations D. Cholesterol Testing

**The concept of environmental justice includes all the following tenets except: A. The fair treatment and meaningful involvement of all people regardless of race or color B. The fair treatment and meaningful involvement of all people regardless of national origin or income with respect to the development and enforcement of environmental laws C. Tribal communities bear a disproportionate share due to pollution on their lands affecting their food and water D. Pollution, climate change, and lack of access to nutritious food and water are not affected by environmental justice

A. The fair treatment and meaningful involvement of all people regardless of race or color B. The fair treatment and meaningful involvement of all people regardless of national origin or income with respect to the development and enforcement of environmental laws C. Tribal communities bear a disproportionate share due to pollution on their lands affecting their food and water

When describing the philosophy of hospice care to a group of students, which of the following would the instructor include? (Select All That Apply) A. The right to die and euthanasia B. Working with people in their last year of life C. Holistic and family centered care to terminally ill patients D. Weaving hospice concepts around curative treatments

A. The right to die and euthanasia B. Working with people in their last year of life C. Holistic and family centered care to terminally ill patients

**A newly hired occupational health nurse at an industrial facility is performing an initial workplace assessment. Which of the following information should the nurse determine when conducting a work site survey? A. Work practices of employees B. Past exposure to specific agents C. Past jobs of individual employees D. Length of time working in current role

A. Work practices of employees

To develop a plan of care nurse Michael knows that an assessment of the clients is important. Which factors should be considered as part of the assessment? (Select All That Apply) A. socioeconomic resources B. preventive health needs C. living environment and neighborhood surroundings D. current health issues and medications

A. socioeconomic resources C. living environment and neighborhood surroundings D. current health issues and medications

. What is the goal of Healthy People 2020-2030? (select all that apply) A. Decrease the incident or preventable diseases, disability, injury, and premature death B. Reduce health inequity, decrease disparities, and improve the health of certain groups C. Create social and physical environments that promote good health for all. D. Promote healthy development and healthy behaviors for the geriatric stage of life.

ALL ARE CORRECT (A, B, C, D)

Considering public health nursing which organization should student research to discover the essential of public health nursing and the activities

ANA

global health

An area for study, research, or practice that places a priority on improving health and achieving equity for all people worldwide. Emphasizes transnational health issues, determinants, and solutions, involves many disciplines within and beyond the health sciences, and promotes interdisciplinary collaboration, and is a synthesis of population-based prevention with individual-level clinic care

Which is an example of tertiary prevention that a nurse might implement for faith community during rehab?

An occupational therapy program for pts recovering

Dr. R. recently completed his Family Residency program and is looking for a job. She is being recruited for a position in a large rural area with limited healthcare access. All of the following factors should be considered for hiring EXCEPT: A. The promise of student loan repayment B. Faculty teaching opportunities at academic hospitals C. A guaranteed lifetime position in family medicine D. Provision of housing and relocation expenses

C. A guaranteed lifetime position in family medicine

**A prospective nursing student is interested in working in community health nursing after graduation. Which type of education would be most appropriate for this student to choose? A. Diploma program B. Associate degree program C. Bachelor's degree (Baccalaureate) D. Master's degree

C. Bachelor's degree (Baccalaureate)

When describing the philosophy of hospice care to a group of students, which of the following would the instructor include? A. The right to die and euthanasia B. Working with people in their last year of life C. Holistic and family-centered care to terminally ill clients D. Weaving hospice concepts around curative treatment

C. Holistic and family-centered care to terminally ill clients

A community health nurse is educating the public on the agents of bioterrorism. Which of the following agents should the nurse include as Category A biological agents? (Select all that apply.) A. Hantavirus B. Typhus C. Plague D. Tularemia E. Botulism

C. Plague D. Tularemia E. Botulism

**Nurses can play a valuable role in healthcare policy and change by doing all of the following EXCEPT A. Joining professional nursing organizations such as the ANA B. Nurses should have a deep knowledge about how the health system functions (structure and process) C. Pledging allegiance to only the Democratic vs. Republican party D. Working with local elected officials to make change

C. Pledging allegiance to only the Democratic vs. Republican party

The public health department is concerned there is an increase in violence among the children in the community. Which individual should the department involve in determining which children are most likely to be a victim or a perpetrator? A. Pediatric primary care provider B. Parent C. School nurse D. Next door neighbor

C. School nurse

A tornado touched down in the city. Public health nurse is a member of disaster team. The nurses role includes...

Clinical assessment and triage

The public health nurse is preparing to lead discussion in the library. Which goal from healthy people should nurse prioritize

Create social and physical environments that promote good health for all

The Healthy People 2020 initiatives strive to improve the health of all individuals. Which group is the focus of special attention and creative solutions to counter the health disparities and social injustice against them? A. Older adults B. People with acute infectious diseases C. People recovering from traumatic accidents D. Mentally ill people

D. Mentally ill people

**An instructor is reviewing the evolution of environmental health and the development of various agencies designed to protect health. As part of the review, the instructor includes the Environmental Protection Agency (EPA), describing its primary goal as which of the following? A. Identify and address world health issues B. Protect occupational safety and health C. Monitor food and drug production and availability D. Set standards and monitor and enforce environmental protection

D. Set standards and monitor and enforce environmental protection

**What is the goal of healthy people of 2020-2030?

Decrease the incidence of preventative diseases, disabilities, injury, and premature death

Absenteeism due to illness increased recently. The increase is noted to be related to exacerbation of asthma symptoms in the student population. What would be the most effective approach to decreasing absenteeism among this population?

Develop asthma education and surveillance program that addresses student fam, faculty

The nurse is a member of a disaster team responding to chemical disaster. The nurse assesses clients in a systemic fashion, concentrating on their ability to breathe. When entering the evacuation before the physical assessment the nurse should?

Don PPE

Environmental Protection Agency (EPA)

Federal agency that help keep our water or atmosphere clean, any pollutants or contaminants. They are the first on the scene.

During a home visit, nurse Ryan has concern about the patients environment and health. His main interventions should be?

Insisting the patient leave the home and live in a hotel

Common fears of the dying may include all of the following except?

Not being able to fulfill everything on their bucket list

A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of secondary prevention?

Performing screening for sexually transmitted infections in a clinic for adolescent health.

Demographic characteristics indicate the people in developed countries. Which factor best represents these social determinants

Social conditions in which people live and work

environmental justice

The belief that no group of people should bear a disproportionate share of negative environmental health consequences (regardless of race, culture, or income).-- everyone has the right to live in a clean & safe environment

Two ways the environment and its effect on human health are often considered...

The first focuses on how contaminants in the environment, such as asbestos, lead, or radon, influence human health. The second focuses on how the entire environment surrounding the community, such as neighborhood safety, climate, access to grocery stores, and community design, affects health.

global burden of disease

The importance of risks to health and their outcomes in different demographic populations and social settings - The collection of specific data related to risk factors, health indicators, and health outcomes in regions of the world determines the GBD

US dept. of health and human services and what they do

U.S. branch of government responsible for health and welfare of citizens. Providing... (1) assessment information regarding the level of health or illness in the nation; (2) assurance that the infrastructure, including trained personnel, is available to all citizens and refugees/asylees; and (3) legislation and implementation of health policy

Nurse coordination plan to bring vaccination in a cost effective way to rural community. What type of intervention is the nurse implementing in this community?

a. Case management

Environmental health is the branch of public health science that focuses on how the environmental influences human health. Some of the health effects that the public may experience include:

a. Drinking water supplies that are contaminated by sewage after a hurricane b. Living in an urban area where air pollution can be dangerous with asthma patients c. Living in agricultural areas that may have pesticides

The nurse works in a facility that provides hospice care for clients with cancer diagnoses. The nurse recognizes that the care provided in this facility is tertiary in nature. When developing the care plan for these individuals, which functions should the nurse prioritize? (Select All That Apply.)

a. Palliative care b. Pain control c. Supportive spiritual development

Nurse is triaging victims of multiple motor crash. After repositioning his upper airway. Which of the following should the nurse take?

a. Place a black tag on the clients upper body and attempt to help the next client in need

Personal responsibility for health involves active participation of ones own health through education and lifestyle changes. Which exemplify personal responsibility?

a. Reviewing ones med record b. Avoiding tobacco c. Showing up for scheduled apt's

Brownfields

dumping ground where reuse of property is complicated by the presence of hazardous substances from prior use - any former industrial or commercial property that has been fully contaminated

role of the nurse in environmental health

figure out where they live, what they've been exposed to, how the changing environment affects the population, emergency planning, social justice

environmental policy

governmental roles- protect and safeguard, pass and enact laws, identify risks, compliance

healthy people define "health and well-being"

implies separate but related states that influence each other in a mutually reinforcing relationship including: social justice, safety, prosperity, civic engagement, and environmental integrity

tertiary prevention

intervention aimed at disability limitation and rehabilitation from disease, injury, or disability ex: rehabilitation, counseling, support groups

secondary prevention

intervention that seeks to detect disease early in its progression, before clinical signs and symptoms become apparent, in order to make an early diagnosis and begin treatment ex: screenings & education

SMOG

particle matters emitted directly into the atmosphere from such sources as: cars, trucks, factories. (morning fog)

homecare

payers include Medicare, Medicaid, Tricare, and private insurers. Home Care is regulated and primarily paid for by the state and federal government.

occupational nurse

prevent injuries, provide a safe workplace, assess practices of the workplace

home healthcare

providing services for people in their home environment who are homebound (requires a taxing effort to leave the home) and/or require skilled nursing services (wound care) intermittently, requires a plan of care and medical necessity (under Medicare).

role of the school nurse in environmental health

responsible to identify & act if they felt the building was unsafe or the kid was getting sick due to chemical or odor in the building → safety issues

primary prevention

seeks to promote health and prevent the occurrence of disease, injury, or disability ex: vaccinations

Environmental health

the branch of public health science that focuses on how the environment influences human health.

The world health organization identifies the key determines of health as?

the physical and social environments, health behaviors and coping skills, access to health services, healthy child development, employment and working conditions (cheat sheet definiton) Factors that affect outcomes of health status, such as physical environment, social environment, health behaviors, and individual health, as well as broader factors such as access to health services and overall health policies and interventions (txtbk definition)

According to the ANA: Faith-Based Nursing is a specialized practice of professional nursing that focuses on the intentional care of the spirit, as well as the promotion of whole-person health and the prevention or minimization of illness within the context of a faith community and the wider community True or False

true

A nurse is conducting health screenings at a statewide health fair and identifies several clients who require referral to a provider. Which of the following statements by a client indicates a barrier to accessing health care? A. "I don't drive, and my son is only available to take me places in the mornings." B. "I can't take off during the day, and the local after‑hours clinic is no longer in operation." C. "Only one doctor in my town is a designated provider by my health maintenance organization." D. "I would like to schedule an appointment with the local doctor in my town who speaks Spanish and English."

B. "I can't take off during the day, and the local after‑hours clinic is no longer in operation."

**A home care nurse is assisting with triaging clients following an explosion. Which of the following clients should the nurse identify as the highest priority? A. An unconscious adult client who has a large head wound with gray matter exposed, absent respirations B. A conscious adult client who has second-degree burns on both lower legs; respiratory rate is > 30/min C. An unconscious 6-month-old infant with no respirations; no visible injuries D. A conscious adult client wearing a medic-alert diabetic bracelet; client reports feeling clammy and shaky.

B. A conscious adult client who has second-degree burns on both lower legs; respiratory rate is > 30/min

.The public health nurse is relocating to an area that is currently classified as a medically underserved region. Which situation will the nurse most likely encounter in this new position? A. A geographic area, population group, or medical facility with shortages of healthcare professionals to the degree that a full complement of healthcare services is not possible B. An area with a lack of medical care services as determined by the number of primary medical care healthcare providers per 1,000 population, infant mortality rate, percentage of the population with incomes below the poverty level, and percentage of the population 65 years or older C. A U.S. federal designation for those populations that face economic, cultural, or linguistic barriers to accessing primary medical care services D. A subgroup of the population that has a higher risk of developing health problems because of marginalization

B. An area with a lack of medical care services as determined by the number of primary medical care healthcare providers per 1,000 population, infant mortality rate, percentage of the population with incomes below the poverty level, and percentage of the population 65 years or older

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 school 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

**Several levels of public health surveillance are necessary to protect the nation's health. At what level are healthcare providers and health facilities required to report certain infectious diseases? A. Local B. State C. Federal D. International

B. State

The nurse conducts a community assessment. The community is large, and the members range from affluent executives to poor migrant workers. Which approach will provide the most accurate assessment for this nurse? A. Use a questionnaire written on a fifth-grade reading level B. Use multiple methods or perspectives C. Interview a subpopulation of each group represented D. Analyze census data

B. Use multiple methods or perspectives

What type of degree do you need in public health?

Bachelors Degree