community health exam 2

a nurse in a community health clinic is planning a staff presentation on modes of transmission for infectious diseases. the nurse soul include that salmonella uses which of the following modes of transmission a. direct b. vectorborne c. vehicle borne d. airborne

c

a nurse is asked to develop an impact report regarding a recent community health initiative program. which of the following information is true regarding this type or report a. an impact report should not be shared on public websites b. an impact report is a private report used for agencies to identify issues c. an impact report is a communication tool outlining the outcomes of a community project d. an impact report is generated to guide assembly of community organizers

c

a nurse and a community team are examining the University of Kansas toolkit to see if it could inform their work. which of the following steps should the nurse and the team focus on as their first action a. identification of key stakeholders b. description of initiate framework or model c. delegation of tasks d. description of evaluation design

a

a nurse in a community health clinic is planning a staff presentation about modes of transmission for infectious diseases. which of the following modes of transmission should the nurse identify for malaria a. vector borne b. direct c. vehicle borne d. airborne

a

a nurse at a state public health department is preparing for an upcoming accreditation. which of the following should they identify as a benefit of accreditation for their public health department a. accreditation allows public health nurses to base decisions, care, and processes on natural standards b. accreditation allows public health nurses to use FOCUS-PDSA to improve processes c. it provides public health nurses with knowledge, attitudes, and skills for quality improvement d. it provides public health nurses with professional nursing certifications

a

a school nurse is developing a program for nutritional needs for school aged children. which of the following is a resource provided by healthy people 2030 that includes evidence based guidelines the nurse can use a. the 10 essential public health services b. research objectives c. core objectives d. quality improvement frameworks

c

a community health nurse is providing teaching to a group of adults preparing for a mission trip to a country where mosquito borne illness is endemic. the nurse instructs the group members to wear long pants and long sleeve shirts. which of the following parts of the epidemiological triangle does this recommendation reflect a. host b. environment c. vector d. agent

a

a community health nurse is educating a newly licensed nurse about sensitivity and specificity using a 2x2 table. which of the following statements by the newly licensed nurse indicates an understanding of the table related to true negatives a. true negatives are represented in the table cell that indicates the person does not have the disease and the test indicates disease b. true negatives are represented in the table cell that indicates the person does not have the disease and the test does not indicate disease c. true negatives are represented in the table cell that indicates the person has the disease and the test indicates the person has the disease d. true negatives are represented in the table cell that indicates the person has the disease and the test does not indicate disease

b

a community health nurse is preparing an inservice for staff to define the conditions of causation in epidemiological studies. which of the following descriptions should the nurse use to define biological plausibility to establish causation a. the exposure must come before the disease devleops b. increased exposure increases the risk of developing the disease c. a relationship is biologically possible and it makes sense d. when the exposure is decreased or eliminated, the risk of disease declines or is eliminated

c

a community health nurse is creating a handout for clients on methods to naturally enhance their immunity against infectious disease. the nurse should identify that this information will target which of the following links in the chain of infection a. portal of exit b. portal of entry c. reservoir d. susceptible host

d

a public health nurse and community team are assessing the community using the community health needs assessment model. the nurse should identify that which of the following is true about this model a. the model includes 5 sectors, of which the team should pick and choose only those sectors that pertain to their initiative b. there should be limited community representation for refinement of single objectives c. the model focuses on both strengths and weaknesses of the community d. a guiding principle of the model includes evidence based interventions

d

a public health nurse is collaborating with a community team and considering which assessment tool looks at health as a broad, multifaceted concept and considers health as impacted by individual, community, social, political and physical elements. which of the following tools should the nurse recommend

d

a community health nurse is caring for a client who tested positive for an infectious disease but is not yet exhibiting manifestations. which of the following stages of illness in the natural history of disease model is the client in a. incubation period b. stage of susceptibility c. stage of clinical illness d. stage of recovery, disability, or death

a

a community health nurse is explaining to a newly licensed nurse the difference between an observational and experimental study. which of the following explanations should the nurse provide a. no variable is manipulated in observational studies as occurs in experimental studies b. experimental studies run longer than observation studies c. observational studies require fewer participants than experimental studies d. observational studies do not require informed consent as experimental studies do

a

a community health nurse is making recommendations for illness surveillance measures in public schools to a local school board. which of the following core functions of epidemiology is the nurse engaged in a. policy development b. linkages c. surveillance d. evaluation

a

a community health nurse is providing teaching to a client who is being enrolled in an epidemiological cohort study. which of the following statements by the client indicates an understanding of the teaching a. the study will last for 10 years. you will contact me annually for an interview and blood work b. i will not know if i am going to be in the intervention or control group c. the survey will take an hour to complete and then ill be done d. you'll need to find other participants like me but who does not have this disease

a

a public health nurse is participating in an interdisciplinary team to identify the origin of an outbreak of legionnaires disease. which of the following essential public health services is the nurse performing a. investigate, diagnose, and address health problems and hazards affecting the population b. build and maintain a strong organizational infrastructure for public health c. create, champion, and implement policies, plans, and laws that impact health d. improve and innovate public health functions through ongoing evaluation, research, and continuous quality improvement

a

a public health nurse is reviewing laboratory results for a client who is being screened for HIV. the results yield low specificity. which of the following statements by the client indicates an understanding of the laboratory results a. i understand that screening test may result in a false positive because it has low specificity b. i understand that the screening test may result in a false negative because it has low specificity c. if i screen negative, it means there is no way i can transmit HIV d. low specific means ill need to begin treatment right away

a

a public health nurse is assessing a client for determinants of health. which of the following questions should the nurse include in their assessment a. do you have a family history of any medical condition b. what medications do you currently take c. where do you work d. what type of health insurance do you have e. how old are you

a, c, d, e

a community health nurse is collaborating with a community team and wants to use a data collection tool and planning resources to guide community partners in assessment and prioritization of community improvement initiatives. which of the following tools should the nurse recommend a. ecological model b. CHANGE model c. CHNA d. build environment assessment tool manual

b

a nurse and a community team are assessing their community using the CHANGE model. the team recognizes they should consider which of the following as a sector of their model a. community population b. health care c. political leaders d. individual

b

a public health nurse is teaching a newly licensed nurse how to determine the prevalence rate of the top diseases in the county. which of the following information should the nurse provide to describe prevalence rate a. the prevalence rate considers only those at risk for the disease b. the prevalence rate considered new cases of disease c. the prevalence rate is a mortality measure d. a case control study is used to measure the prevalence rate

b

a team of home health nurses is searching for data about pressure injury protocols for use in the home setting. which of the following resources should they use to find pressure injury protocols a. robert wood johnson foundation b. cochrane c. NIH office of disease prevention d. healthy people 2030

b

a public health nurse conducts an evaluation of a health promotion program. which of the following ethical principles does the nurse uphold by nursing that the program does not result in any harm to participants a. autonomy b. beneficience c. nonmalefience d. justice

c

a public health nurse is compiling infant mortality statistics for a state epidemiology report. which mortality measure should the nurse use a. case fatality b. cause specific mortality rate c. age specific mortality rate d. proportionate mortality

c

a nurse is preparing a workshop on preventing common communicable and infectious disease in the community. which of the following prevention methods should the nurse include to target diseases that are transmitted indirectly a. contact tracing b. isolation c. vaccination d. pest control

d

a nurse should recognize that which of the following factors contributes to the increasing burden of chronic diseases in public health a. increased population mobility b. lack of preventive strategies c. ineffective treatments d. the aging population

d

a nurse is a community health clinic is preparing an inservice for staff to define the conditions of causation in epidemiology studies. which of the following descriptions should the nurse use to define a dose response relationship to establish causation a. the exposure must come before the disease develops b. increased exposure increases the risk of developing the disease c. a relationship is biologically possible, and it makes sense d. when the exposure is decreased or eliminated, the risk of disease declines or is eliminated

b

a community health nurse is using the united states preventive services task force guidelines to recommend health screenings for a client. the nurse should identify that which of the following descriptions applies to grade A screening a. research indicates this screening exam is beneficial. i would like to offer it to you b. research indicates this screening exam has a small benefit. lets discuss this more to see if this screening is right for you c. research indicates this screening is not warranted at this time an may, in fact, be harmful d. there is not enough evidence to determine if this screening is helpful or not. lets take a closer look at this recommendation together

a

a nurse is reviewing various roles within the community. the nurse should identify which of the following information is correct about the role of a public health nurse a. uses evidence based care to promote health, prevent disease and mitigate health risks within a community setting b. acts in an independent way, not influenced by other disciplines, but relying solely on the nursing perspective to foster primary prevention of disease within the community c. does not rely on the nursing process, as the nursing process is only used in a hospital or clinical setting d. the focus is typically the care of an individual or small group of clients at the bedside

a

a nurse is working with a healthcare team to develop community partnerships. which of the following actions should the nurse take to assist with this development a. focus on developing parterships built on a foundation of preexisting, trust based relationships b. avoid adding partners as the organization becomes operational, as this can erode trust c. identify that building trust throughout the process is not a priority, as trust can be assumed d. change the core membership frequently to ensure new ideas are brought to the group

a

a pubic health nurse is administering an influenza immunization to a client who asks about the extent of influenza in the community. which of the following levels should the nurse identify if the rate of influenza cases is at the expected level for the current time of year a. endemic b. pandemic. c. outbreak d. epidemic

a

a public health nurse is completing an institutioanl review board application for an analytic study in a community hospital following an outbreak of E. Coli. which of the following stages of the analytic study is the nurse engaged in a. conduct/implementation b. conceptualization/design c. data analysis d. interpretation of findings

a

a community member is asking a community health nurse why evaluation of a program is important. which of the following responses should the nurse make a. program evaluation should be completed by a community influencer, such as an elected official b. evaluation is done to appraise the outcomes of an initiative and to inform ongoing implementation of community initatives c. evaluation should take place at a set time and occur only once at the end of a project d. program evaluation should include limited data for simplicity and quantification

b

a community health nurse and a community team are prioritizing community level data. they want to use a simple method of prioritization strategy that involves an open or secret vote. the nurse should use which of the following a. the criteria weighting method b. the simplex method c. the quick and colorful approach d. nominal group planning

c

a community health nurse is preparing a presentation on the cause of death among a group of adults aged 18-24 years in a specific country. which of the following mortality measures should the nurse use to obtain this data a. case fatality b. cause specific mortality rate c. age specific mortality rate d. crude mortality rate

c

a community health nurse is involved in community engaged research about physical activity levels of families who attend local schools. using the nursing process, which of the following activities of the nurse represents the evaluation phase of the research a. the nurse and community residents define the boarders of the community b. the nurse and community residents identify outdoor recreational areas that are available to families c. the nurse and community residents hold fundraising events for new recreational equipment in parks d. the nurse and community residents present the findings at a school board meeting

d

which of the following is true about the national notifiable disease surveillance system a. reporting is voluntary; states can choose to opt in or out of the national reporting b. the list of national notifiable diseases is consistent throughout the united states and does not vary from state to state c. reporting to the national database only provides a way of tracking diseases and is not used in the prevention of outbreaks from certain diseases d. it is a legal requirement for states to report on national notifiable diseases

d

a community health nurse is working with a client who decides to forego united states preventive services task force recommended screenings, which of the following ethical principles does the nurse uphold by supporting the clients decision a. autonomy b. beneficience c. nonmalefience d. justice

a

a home health nurse is searching for evidence based information about the benefits of caregiver support groups. which of the following sources is the best source for systematic reviews and recommendations a. cochrane b. PICOT c. healthy people 2030 d. robert wood johnson foundation

a

a nurse and a community team are collaborating with the healthy people 2030 initiative. which of the following is the vision of healthy people 2030 a. to promote, strengthen, and evaluate the nations efforts to improve the health and well being of all people b. a society in which all people can achieve their full potential for health and well being across the lifespan c. promotion of health and well being and preventing disease through linked efforts that encompass physical, mental and social health dimensions d. investment to achieve the full potential for health and well being for all, providing valuable benefits to society

b

a nurse and a community team are using the strategic prevention framework. which of the following is true about this framework a. a leader should be assigned b. planning is an important step in the process c. the framework uses a three step process d. decision making relies heavily on team opinion

b

a nurse at a public health department is presenting information about healthy people 2030 to a group of community heath workers. in which of the following categories will the nurse discuss specific, evidence based interventions of healthy people 2030 a. mission b. objectives c. goals d. vision

b

a public health nurse is collaborating with a community team to identify key health needs through comprehensive, methodical collection and analysis of data. which of the following assessment models should the nurse recommend a. the ecological model b. a community health assessment c. windshield survey d. primary data

b

a community health nurse and a community team are using the simplex method. which of the following statements is true about the simplex method a. the simplex method uses open ended questions b. the simplex method prioritizes data with lower scoring items c. the simplex method uses close ended questions d. the simplex method is used to gather data in the community

c

a community health nurse has just presented an education session to local citizens about west nile virus. which of the following statements by one of the participants indicates an understanding of the teaching a. most people who have west nile virus will be very sick and need to be hospitalized b. if i have west nile virus, my HCP will give me antibiotics to treat it c. i can prevent west nile virus by wearing long sleeves and long patns d. the risk for severe illness with west nile virus is higher for younger adults

c

a nurse and a community team are working with the strategic prevention framework. which of the following describes the strategic prevention framework a. a guiding principle of the framework is homogeneity b. the framework should focus on culturally homogenous subpopulations c. a guiding principle of the framework is cultural competence d. the first step in the process is planning

c

a nurse in a community clinic is interviewing a client about their asthma diagnosis. which of the following questions by the nurse represents point prevalence a. have you ever had asthma b. have you had asthma within the last 3 years c. do you have asthma now d. when were you diagnosed with asthma

c

a population health nurse is researching evidence based strategies for decreasing pollution caused by industrial waste. which of the following does the nurse identify as a reason to use a cochrane review as a resource to obtain information a. cochrane is administered by the CDC b. cochrane addresses the nations security level c. chochrane uses 17 specific intervention topics to guide practice d. cochrane contains systematic reviews of synthesized evidence

d

a public health nurse is calculating the attack rate following a food borne illness outbreak after a community picnic. which of the following groups of people should the nurse include in the denominator of the attack rate calculation a. all people who attended the event b. all people who ate the specific food item and did not become ill c. all people who ate the specific food item and became ill d. all people who ate the specific food item

d

a public health nurse is listing all causes of death in the country to determine the percentage each cause contributes to the overall death rate. which of the following mortality measures should the nurse use to calculate this data a. case fatality b. cause specific mortality rate c. age specific mortality rate d. proportionate mortality

d

a public health nurse is working with a team to plan a community initiative. the nurse looks to national initiative to drive community action. which of the following outlines national objective for health improvement and can be used to help drive community specific objectives a. the CHANGE model b. community health assessment c. the CDC d. healthy people 2030

d

a nurse is creating an impact report on a community initiative that has been in progress for the past six months. which of the following is an impact report a. it should be transparent and widely disseminated among community members b. it should be shared only with those who had a direct influence in the creation of the report c. impact reports are only useful during the planning stages of a community program d. impact reports should not be published

a

a nurse is discussing methods of disease transmission with a newly licensed nurse. which of the following methods of transmission describes congenital infections that are passed from birthing parent to their newborn a. direct b. airborne c. vehicle d. vector

a

a nurse is reviewing the need to include community gatekeepers in community partnerships. which of the following statements describes the importance of this inclusion a. community gatekeepers are people who have an impact on community members, and the support of community gatekeepers can be pivotal in moving initiatives forward b. community gatekeepers hold all of other authority in a community, and their support is necessary to ensure approvals are granted for community projects c. community gatekeepers have the largest impact on the youth of the community d. community gatekeepers represent the underserved sectors of the population and should be included in partnerships

a

a public health nurse is educating a newly incense nurse about sensitivity and specificity using a two by two table. which statement by the newly license nurse indicates understanding of the table related to false positives a. false positives are represented in the table cell that indicates the person does not have the disease and the test indicates disease b. false positives are represented in the table cell that indicates the person does not have the disease and the test does not indicate disease c. false positives are represented in the table cell that indicates the person has the disease and the test indicates the person has the disease d. false positives are represented in the table cell that indicates the person has the disease and the test does not indicate disease

a

a team of community health nurses is in the planning phase for community engaged research. which of the following describes a role the nurses housed take during the planning phase using the nursing process a. writing grants for funding of community engaged research b. deciding on the research topic for the community c. identifying gaps in the health of the community d. disseminating results of the research

a

a community health nurse is providing teaching to a group of college students who are preparing for a cultural immersion trip to a country where malaria is endemic. the nurse recommends the studnets spray a mosquito insecticide in their sleeping quarters before bedtime each night. which of the following parts of the epidemiologic triangle does the nurses recommendation reflect a. host b. environment c. vector d. agent

c

a community health nurse is using the united states preventive services task force guidelines to recommend health screenings for a client. the nurse should identify that which of the following descriptions applies to grade d screenings a. research indicates this screening exam is beneficial b. research indicates this screening exam has a small benefit c. research indicates this screening is not warranted at this time and may be harmful d. there is not enough evidence to determine if this screening is helpful or not

c

a nurse and a community team are looking at the high 5 initiative, as they are having similar issues in their community. which of the following statements by the nurse indicates an understanding of the initiative and its applications a. it is a national initiative and likely not useful at the local level b. this initiative should be followed in our community exactly as outlined in the report c. this is a local initiative that could be adapted to our community needs d. this initiative will ensure improvement of our local environment

c

a community health nurse is planning a public service campaign to decrease the transmission of influence. which of the following interventions shoud the nurse include as a primary prevention a. going to the hospital for dehydration after getting the flu b. staying home when sick c. getting tested for the flu when you have symptoms d. getting an immunization

d

a nurse and a community team are trying to increase interest within the community for the community program they are working to implement. which of the following is a key strategy used to give community members a reason they should care about a community problem or goal a. craft a clear message b. identify outreach methods c. identify incentives d. define goals

c

a nurse and a community team are using the strategic prevention framework. which of the following is true about the strategic prevention framework a. it is a linear process b. it is opinion driven c. it uses a team approach d. it is a static, concise process

c

a nurse is part of a team at a public health department that is preparing for accreditation. which resource should the nurse suggest that the team use for guidance about accreditation criteria a. cochrane b. PICOT c. CDC d. healthy people 2030

c

a community health nurse is participating on a task force working to decrease opioid overdoses in the county. which of the following strategies should the nurse recognize as secondary prevention a. providing rapid fentanyl test strips b. scheduling targeted education sessions for providers who prescribe opiods c. creating syringe exchange program d. offering naloxone distribution to first responders and people who use opioids

d

a community health nurse is planning to create a partnership within a community for the advancement of community initiatives. the nurse should identify which of the following as an important aspect of this partnership a. a partnership should involve a system in which community leaders dictate policy and community activities to enhance the wealth of a community b. the concept of community as partner recognizes the importance of relying on community health care providers to lead all aspects of community initiatives c. a partnership should b limited to community financial leaders to ensure feasibility of initiatives d. the promotion of health within a community should involve collaborative community effort form a diverse group of community partners

d

a community health nurse is providing teaching to a client who is being enrolled in a case control study. which of the following statements by the client indicates an understanding of the teaching a. the study will last for 10 years. you will contact me annually for an interview and blood work b. i will not know if i am going to be in the intervention or control group c. the survey will take an hour to complete and then ill be done d. you'll need to find other participants like me but who does not have this disease

d

a home health nurse is assessing a client who was recently hospitalized for pneumonia and no longer reports SOB on ambulation. the nurse should identify that the client tis in which of the following stages of the natural history or disease model a. incubation period b. stage of susceptibility c. stage of chronic illness d. stage of recovery, disability, or death

d

a nurse and a community team are working on a situation statement. which of the following describes the purpose of a situation statement a. to provide a list of available resources b. to identify key stakeholders c. to outline geographic boarders d. to provide definition of issues in which community awareness and support are sought after

d

a nurse in a public health department is searching healthy people 2030 for objectives with evidence based interventions related to social determinants of health. which of the following is a type of healthy people objective that includes reliable baseline data and evidence based interventions a. policy b. developmental c. research d. core

d

a nurse is discussing immunizations with a group of new parents. the nurse encourages the parents to get their annual flu vaccine because infants cannot receive the vaccine until they are older than 6 months of age. which of the following types of immunity is the nurse promoting a. innate immunity b. acquired immunity c. passive immunity d. community immunity

d

a public health nurse provides expert testimony to a city development board about the negative health consequences of living near a landfill. which of the following ethical principals does the nurse uphold by advocating for a new landfill to be constructed in a different area of the city a. autonomy b. beneficience c. nonmalefience d. justice

d