Community Health Final
Communicable diseases no longer pose threats to the health of US citizens. T/F
False
Child abuse in the community is determined to be a priority community problem. By establishing programs to provide prompt treatment for abused children and abusing parents, the community health nurse is using which type of prevention? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Health promotion
Secondary Prevention
The epidemiological triangle studies the relationships between what three factors? a. agent, host, and disease b. agent, gender, and environment c. agent, rates, and environment d. agent, host, and environment
Agent, host, environment
Lyme disease, rabies, and malaria are examples of diseases transmitted through a. Direct transmission b. Indirect transmission c. Airborne transmission d. Vector transmission
D
______________________ is one way to help ensure quality of health care.
Evidenced-based care
One of the most important issues in health care today is a. the quality of care provided. b. the amount of time spent with a patient. c. the culture of the care environment. d. the length of a hospital stay.
a
Ethnocentrism can cause damage to the relationships we have with clients when we a. learn a limited amount about another's culture. b. we choose not to judge the culture of others. c. believe our culture is the best. d. listen to other's stories.
c
The framework for environmental health and safety that is based on the premise that we must protect our environment in order to promote health is a. upstream b. sociological c. sustainable d. ecological
c
Vulnerable populations are at risk for _________ __________outcomes. poor compliance poor access poor health poor housing
c
Incidence and prevalence rates are a. measures of mortality. b. measures of morbidity. c. measures of variance. d. measures of central tendency.
measures of morbidity
A recent trend has been for retirees to return to work t/f
true
Florence Nightingale was considered all of the following except a.registered nurse b.reactionary c.reformer d.researcher
a
Two of the most important learner-related barriers are: low literacy and lack of motivation lack of feedback and lack of motivation overdependence on notes and lack of credibility fear of public speaking and uncertainty
a
Very often, the older population suffers emotionally from some side effects of aging such as: Depression Feelings of having too many people around Feelings of having too many grandchildren Post-partum depression
a
Which of the following statements about families is most accurate? The family formation determines the structure and function of the family. Family functions include communication and role performance. Failure to launch the younger generation is a developmental delay. A family is defined by the family itself and takes many forms.
a family is defined by the family itself and takes many forms
The overarching goals of Healthy People 2020 are a. Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death b. Achieve health equity, eliminate disparities, and improve the health of all groups c. Create social and physical environments that promote good health for all d. Promote quality of life, healthy development, and healthy behaviors across all life stages e. All of the above
a, b, c, d, e
A rural community wants to create a nurse-led and managed health center. Which of the following descriptions most likely would be included in the plans for the center? (Select all that apply.) Comprehensive primary care Practice limited to pediatrics Sliding scale fee structure Non-profit, tax-exempt status
a,c,d
A community health nurse is determining available and needed supplies in the event of a bioterrorism attack. The nurse should be aware that community members exposed to anthrax will need access to which of the following medications? a. Metronidazole b. Zanamivir c. Ciprofloxacin d. Fluconazole
c
A community that achieves a high level of wellness is composed of a.few environmental hazards b.many different population groups c.healthy citizens d.safe water
c
Environmental exposure through pollutants can cause reproductive health problems that include a. Crohn's disease b. Asthma c. Type I diabetes mellitus d. Infant death
d
Characteristics of rural areas include (Select all that apply.) a. lower socioeconomic status b. higher poverty c. lower education d. lower income
lower socioeconomic status, higher poverty, lower education and lower income
A community health nurse is developing an education program on substance use disorders for a group of adolescents. Which of the following information should the nurse include when discussing nicotine and smoking? a. Smoking is the fifth-most preventable cause of death in the United States. b. Nicotine is a central nervous system depressant. c. Withdrawal effects from smoking are minimal. d. Tolerance to nicotine develops quickly.
Tolerance to nicotine develops early
A nurse is caring for a preschool-aged child who has a history of middle ear infections. Which of the following is a common cause of middle ear infections? Environmental tobacco smoke exposure Living in low income housing. Sticking fingers in the outer ear canal. Drinking fruit juice.
a
The comparison of the nursing process and community program planning includes; Assessment and detailing Assessment and formulation evaluation and detailing nursing diagnosis and formulatlon
b
A nurse is preparing a community health program on communicable diseases. When discussing modes of transmission, the nurse should include which of the following illnesses as airborne? a. Cholera b. Malaria c. Influenza d. Salmonellosis
c
Community is defined as a collection of people who interact with one another with common characteristics that form the basis for a sense of belonging. True or False
t
A goal of hospice care is to focus on the health of the family. t/f
true
Aging in place is a term used for seniors who choose to remain in their own homes. t/f
true
Consumers are now considered to be more active in their health care and demand better care. t/f
true
Other City had 35 new cases of AIDS diagnosed between January 1 and December 31 of the previous year with a total of 300 cases on the active list as December 31. Calculate the incidence rate for this case. The population is 400,000. A. 8 cases per 100,000 B. 8.5 cases per 100,000 C. 8.75 Cases per 100,000 D. 8.25 cases per 100,000
8.75 cases per 100,000
Child neglect occurs when which resources are withheld or unavailable? time out occurrences medical disciplinary measures extracurricular school activities
Medical
____________ care consists of comfort and symptoms management and does not provide a cure. Hospice Palliative Respite Self
b
Health is defined as a. a dynamic balance between physical and emotional components. b. soundness of mind and spirit. c. a balance of mind, body, and spirit. d. a dynamic balance of physical, emotional, social, spiritual, and intellectual health.
d
There are approximately 17 billion LGBT people in the United States. t/f
false
The mobility of migrant workers results in a. cultural differences in care. b. poor continuity of care. c. fewer health issues of this population. d. different health issues than the general population
poor continuity of care
Please choose which are family functions. Select all that apply. Instilling identity and satisfaction Providing socialization Outlining only controls Providing affection
providing affection, installing identity and satisfaction, providing socialization
Trends in the health workforce that impact changes in the US health system are (Select all that apply.) a. retirement of nurses. b. restrictions on state nurse practice acts. c. nursing shortages. d. use of electronic health records in primary care practices.
retirement of nurses, restrictions state NP acts, nursing shortages
Several post offices in the US receive suspicious letters in the mail. Notification is provided to the CDC National Notifiable Diseases Surveillance System (NNDSS). What is key to the security of this type of threat? a. Accurate reporting b. Review of procedures c. Investigation d. Surveillance
D
Rarely is a client's culture misunderstood in the delivery of health care. T/F
False
The three tenets of cultural humility are a. life-long learning, allowing for power imbalances, and institutional accountability. b. life-long learning, challenging imbalances, and individual accountability. c. life-long learning, engaging stakeholders, and challenging power imbalances. d. life-long learning, challenging power imbalances, and institutional accountability
Life long learning, challenging power imbalances, and institutional accountability
A nurse is preparing an educational program on cultural perspectives in nursing. The factors that are influenced by an individual's culture to include in the program include (Select all that apply) a. nutritional practices b. family structure c. health care interactions d. biological variations e. views about illness f. all of the above
Nutritional practices, Family structure, Health care interactions, views about illness
During the 1900's in the United States, what were the main causes of death? a. pneumonia, TB, and cancer b. pneumonia, heart disease, and cancer c. pneumonia, TB, and diarrhea d. pneumonia, heart disease, and diarrhea
Pneumonia, TB and diahrrea
You are a nurse assisting with triage during a disaster. You are part of the yellow team. When you check your first triage victim, you find him with respirations of 30/minute, capillary refill of 3 seconds, and agitated mental status. What tag do you put on this individual? a. Green to treat with first aid b. Yellow to delay treating c. Red to treat immediately d. Black because the victim is deceased
Red to treat immediately
In relation to epidemiology and community health, the goal of Healthy People 2020 is to prevent disease, disability, and death from infectious diseases. T/F
True
The awareness of predisposing, reinforcing, and enabling factors facilitates the assessment of health-related behaviors. T/F
True
The greatest barrier to a successful family health visit is lack of planning and preparation. T/F
True
The important concepts of a community assessment are structure, process, and outcomes. T/F
True
The key to environmental health risk reduction is prevention. T/F
True
The most common areas of concern in the United States for health are health promotion and disease prevention T/F
True
The percentage of battered women who are mentally ill is the same as in the general population; however, they have low self-esteem and a damaged spirit. T/F
True
To care for other cultural groups, nurses must first be aware of their own culture and values. T/F
True
Mrs. Kim, a Korean-American, is recovering from a surgery to repair a fractured hip in a rehabilitative facility. The nurse case manager is scheduled to make a home visit to assess the readiness of Ms. Kim's home environment for her discharge to home. Which of the following is most important for the nurse to assess during the home visit? Presence of loose rugs, electrical cords, and stairs. Condition of homes in the area surrounding the neighborhood. Availability of friends and family members to help care for her. Furnishings in the kitchen, bedroom, and bathroom.
a
If there is an outbreak of a communicable disease, the steps that need to be completed include (Select all that apply) a. surveillance to identify additional infected individuals b. determine the possible source of the infection and means of transmission c. identify other at-risk individuals d. prevent further transmission e. monitor the health of the at-risk individuals
a, b, c, d
Tertiary prevention attempts to reduce the extent and severity of a health problem to its lowest possible level. Example(s) of tertiary prevention are a. early treatment and management of diabetes b. monthly breast self-examination c. stroke rehabilitation d. childhood vaccinations
a, c
Creating easy to understand materials for educational projects include: (Select all that apply.) visuals help tell the story prepare for one population only consider culture make your message clear
all
In assessing why some people become homeless, you know that these reasons are often due to: (Select all that apply.) Mental illness Employment Domestic violence Addiction disorders
all
The Genderbread man helps us to understand (Select all that apply.) Gender identity is in the mind - something you know about yourself. Sexual attraction is emotive, who you find yourself drawn to physically. Gender expression is how you dress, your mannerisms or speech patterns. Sex is the parts you have - your genitalia
all
The home health nurse must consider the following in meeting the client's goals outlined by the plan of care. (Select all that apply.) Economic dimensions Religious dimensions Environmental dimensions Cultural dimensions Political dimensions
all
Which activities/actions are most effective for the community health nurse to promote empowerment among vulnerable clients? (Select all that apply.) Being a teacher and a role model Capacity building Developing a trusting relationship Having a client-centered approach Employing advocacy
all
A group of community health nursing students design a health education program for a group of pregnant teens that includes teaching nutrition during pregnancy, demonstrating helpful exercises, and discussing their concerns. This is an example of: treatment of disorders. health promotion. rehabilitation. evaluation.
b
A newly hired public health nurse is familiarizing himself with the levels of disaster management. Which of the followoing actions is a component of disaster prevention? a. Outlining specific roles of community agencies b. Identifying community vulnerabilities c. Prioritizing care of individuals d. Providing stress counseling
b
Child abuse is the _______________of children. punishment maltreatment neglect malpractice
b
Outreach to schools and community events are examples of which focused intervention level? a. individual/family b. community c. systems d. organizational
b
Over _% of the US homeless population in 2012 were families with children. 40 34 60 25
b
When working with systems-level interventions, the goal is to change a. attitudes and behavior b. laws and knowledge c. laws and policies d. laws and beliefs
c
A nurse is reviewing information about the local health department looking for resources for her clients. Which services should the nurse expect the local health department to provide? (Select all that apply) a. Licensing of registered nurses b. Reporting communicable diseases to the CDC c. Coordinating directives from state personnel d. Providing education to achieve community health goals e. Managing the Women, Infants, and Children program
c, d
Before the mid-1800's, the focus of nursing care was to care for the poor through charitable groups. t/f
false
In the economics of health care, supply and demand are always equal. T/F
false
It is of little importance for nurses to be involved in health care and insurance debates. T/F
false
Mortality rates for children and adolescents have increased dramatically since the 1900's. t/f
false
Rural residents typically travel shorter distances than urban residents to receive health care. T/F
false
The determinants of health due to health inequities are not included in the framework of the Intervention Wheel. T/F
false
The WHO has identified two goals to reach global health diplomacy. What imbalances affect reaching these goals? a. imbalances between power and capacity between developed and developing nations b. imbalances between resources between developed and under-developed nations c. imbalances between power between developed and developing nations d. imbalances between fiscal management between developed and developing nations.
imbalances between power and capacity between developed and developing nations
New and unexpected forms of violence are becoming a reality in our unsettled world. Within communities, violence comes into the home in the form of__________, ____________, and ________ ___________. internet crimes against children, home invasions, and family kidnappings. internet crimes against children, kidnappings, and home invasions. internet crimes against children, family kidnappings, and home invasions. internet crimes against children, child abductions, and home invasions.
internet crimes against children, child abductions, and home invasions
Characteristics of farmworkers in the United States include (Select all that apply) a. Majority are of Mexican origin. b. Average age is 36 years. c. Average grade completed in school is 8th grade. d. Average number of children in the family is 3.
majority are of mexican origin, average age is 36yrs, average grade completed in school is 8th
The federal law that protects children of migrants from overworking is a. Child Labor Act. b. Fair Labor Standards. c. Migrant and Seasonal Worker Protection Act. d. none of the above.
none of the above
The cycle of violence includes the following phases: Select all that apply Normalcy Acute battering Tension building Honeymoon Loving reconcilation
noramlcy, tension bulidng, acute battering, honeymoon, loving reconciliation
One of the primary tasks of the Global Outbreak Alert and Response Network is a. cpr instruction b. intermittent disease detection c. outbreak verification d. minimal cooperation between health care disciplines
outbreak verification
The American Nurses Association promotes a blueprint for reform. It stresses that health care is a basic human right and supports the aims of the Institute of Medicine through health policy. What do they suggest as the best option to finance reform in the US health care system? a. value-based payment plans. b. single-payer mechanisms c. one time annual payment option d. better regulation of the insurance industry
single-payer mechanisms
Depression rates among older adults is half that of younger people. t/f
true
Every community has unique health problems that need to be identified. T/F
true
Health promotion includes efforts that seek to move people to higher levels of wellness. t/f
true
Home health has its roots in public health nursing and emphasizes health promotion, illness prevention, and care of people in the community. t/f
true
Home visiting has been shown to have positive outcomes for a variety of vulnerable populations. t/f
true
Homeless families represent the fastest growing segment of the homeless population. t/f
true
In wellness centers, public health nurses and other interdisciplinary team members provide a range of primary and secondary prevention measures of which are usually not reimbursed by insurance plans. t/f
true
Occupational and environmental health nurses work with employees to cultivate creative and business appropriate health and safety programs. t/f
true
Of sexually transmitted infections, STI and HIV are epidemic among adolescents worldwide. t/f
true
Primary prevention activities focus on education to promote a healthy lifestyle. t/f
true
Successful community health programs require that the nurse listen to the target population and not determine the problem and solution without their assistance. T/F
true
The United States leads most developed nations in the rates of teenage pregnancy, abortions, and childbearing. t/f
true
Common myths about abuse in families include: family violence is common and increasing women who accept battering are mentally ill family violence occurs across all incomes family violence occurs across all racial and cultural groups
women who accept battering are mentally ill
Which aspects of program management are vital to the survival of the nursing discipline in health care delivery? planning and evaluation planning and implimentation evaluation and assessment planning and regress
a
______ care seeks to improve the health and well-being of adolescents and women before they become pregnant Preconception Intraconception Women's and Children's care Post conception
a
The focus of primary prevention is to a. not allow diseases to occur in the first place. b. find diseases early to treat. c. restore patients to their best health. d. provide screenings to discover disease conditions.
A
Guidelines for assessing the safety of the environment for older people include _______________________. The kitchen, family, and assistive devices Family dynamics, overall hazards, and provider appointments. Hazards, the stairway, and temperature The bedroom, stairways, and family
c
The community health nurse completes a home visit with a family whose home is near a waste treatment plant and the closest community health center is five miles away. This situation describes a. the standard environmental assessment b. health inequity c. the need for a disease investigation d. none of the above
b
Healthy People 2020 objectives foster recognition that _____________ ____________ of health must be factored into any educational or health promotion effort. social values social delinquencies social determinants social norms
c
Laws and regulations are in effect to assist communities to provide healthy environments for their populations. What factor is a significant contributor to health problems in spite of regulatory efforts? a. Water pollution b. Land and soil problems c. Air pollution d. Bacteria in food
c
Low literacy clients may learn better with the use of __________. emails texting Pictures documents with written statements
c
Migrant parents want a better future for their children, one of the main reasons they leave their country of origin. Some of the many health problems they suffer include a. West Nile virus. b. various cancers. c. malnutrition and inadequate immunizations. d. skin diseases.
c
What is the definition of health status indicators? Measures used to describe the level of well-being or illness present in a defined population. Measures used to describe the effects of disease on an individual. Measures used to determine who is suffering from measles. Measures used to determine who is responsible for a measles outbreak.
a
During the disaster triage from a flood, you are assisting with tagging victims. Your first victim has respirations of 28/minute, capillary refill less than 3 seconds, and mental status of being able to follow directions. Which tag do you place on this victim? a. Delayed b. Minor c. Immediate d. Deceased
Delayed
Culture does not have much influence on thinking, behavior, and the effectiveness of health care. T/F
False
Enforcement of work laws for migrants is a frequent problem with only 5 states enforcing workplace safety standards. T/F
False
Even abusive parents are better for a child than a child living elsewhere. t/f
False
Non-profit heath agencies provide services to meet general health needs of the population. T/F
False
Prevalence rates measure the pace of which new illness occurs in a previously disease-free group of people. T/F
False
Screening programs for high blood pressure and cholesterol are examples of primary prevention. T/F
False
The majority of home health care recipients are those middle age with a devastating injury. t/f
False
The number of immigrants that arrive in a country each year are not affected by immigration laws. T/F
False
The rate of preterm births has decreased since 1981. t/f
False
Several categories of data collection are important for a family health assessment. Select all that apply. Family functions Family communication patterns Family health behaviors. Family coping patterns Family detention areas
Family function, family communication patterns, family coping patterns and family health behaviors
Rate is a measure of what factor of a health event? a. time b. length c. frequency d. duration
Frequency
Providing health screenings for disease conditions is a form of a. health promotion b. primary prevention c. secondary prevention d. tertiary prevention
Secondary prevention
The nurse is preparing an education program on disease transmission for employees at a local day care facility. When discussing the epidemiological triangle, which factors should the nurse include? (Select all that apply) a. Resource availability b. Ethnicity c. Altered immunity d. Toxins e. Bacteria
Toxins and Bacteria
Community health nurses have a primary role in addressing the full continuum - from promotion to prevention to treatment to recovery for persons with mental and substance use disorders. t/f
True
Community health nurses use three levels of prevention when working with families. Primary prevention focuses on providing people with the skills and resources to prevent violent situations. t/f
True
Community health nursing is community-oriented with a population focus of care built on relationships. T/F
True
Educational programs for schoolchildren should incorporate issues such as childhood obesity. T/F
True
The focus of community/public health nursing is primary prevention T/F
True
The study of health-related trends in populations is for the purposes of disease prevention, health maintenance, and health protection. T/F
True
A barrier to achieving the objectives of Healthy People 2020 for children and adolescents includes which of the following? Economic inequalities surge of community supported health programs Surge of sufficient immunizations No risks with behaviors
a
A community health nurse is asked to give a health education program to a group of African-American men age 40-75. Which of the following topics is most important to include in the program? Prostate cancer screening Diabetes screening Depression screening Skin cancer screening
a
One of the goals of Healthy People 2020 is to eliminate __________________. health disparities health promotion health literacy health issues
a
One of the main reasons the measles are now on the rise in the US is a. people traveling to the US bring it into the country. b. people get vaccinated too late to stop the spread. c. people contract it more easily now. d. people are not aware that the disease is still around.
a
Primary prevention includes a. measures to keep illness or injuries from occurring. b. measures to slow illness and disease. c. measures to minimize illness or injuries. d. measures to treat existing diseases.
a
Sexual education for adolescents already sexually active has been observed to do 2 things. Please choose the best answer Delaying the onset of sexual activity and increasing the use of contraception Decreasing the behavior of abstinence and increasing the use of contraceptives Increasing the behavior of abstinence and increasing safe sex practices Increasing the onset of sexual activity and decreasing the use of contraceptives
a
The Precautionary Principle states that if something indicates that it is not safe, then it should not be used. Which of the following is an example of this principle? a. Toxic air emissions such as those from automobiles b. Planting an organic garden c. Use of chlorine in public swimming pools d. Use of pesticides on food
a
The focus of district nursing was a. the individual b. the family c. the community d. all of the above
a
The most direct, immediate care to populations is provided by a. local or county health departments b. state health departments c. national public health agencies d. none of the above
a
Two areas of which advanced practice nurses can improve the health of the nation include___________and ___________. health promotion and disease prevention advocacy and family management family management and disease control advocacy and disease control
a
What step in the program planning and evaluation process comes after assessment? conceptualization implementation evaluation detailing
a
Healthy People 2020 objectives for men include: *Select all that apply.) Increase the proportion of adolescents and adults who have been tested for HIV in the last 12 months among (developmental) MSM (men who have sex with men). Reduce the number of prostate cancer death rates Increase the proportion of sexually active unmarried males Increase the number of men who have discussed with their health care provider whether or not to have prostate-specific antigen test to screen for prostate cancer
a, b, d
Which social determinants of health have been identified as influencers in sexually transmitted diseases? (Select all that apply) a. Age and race b. Access to health care c. Living conditions d. Transportation in the community
a, b,c
Undocumented immigrants often live in housing areas where diseases are common. What primary environmental hazards are found in these areas? (Select all that apply.) a. overcrowded living conditions b. paved walkways c. poor sanitation d. bus routes
a, c
In dispelling ageism, several myths are still very common about the process of aging. These include: (Select all that apply.) The myth of senility The myth of older people not having driver's licenses The myth of the rocking chair The myth of homogeneity
a, c, d
A thorough community assessment will include (Select all that apply) a. assessment of the population's health status b. community resources c. determinants of health d. interventions to meet health needs
a,b,c
Healthy People 2020 objectives for adolescents and young adults include which statements? (Select all that apply.) Increase the proportion of schools with a school breakfast program. Increase th proportion for adolescents who have had a wellness checkup in the past 12 months Decrease the proportion of public schools with a serious violent incident Increase the proportion of middle and high schools that prohibit harassment based on student's sexual orientation or gender identity
a,b,c,d
Medicaid pays for health services for which of these groups? (Select all that apply) a. dependent children b. the blind c. poor older adults d. needy families e. the disabled f. maternity care
a,b,c,d,e,f,
A community health nurse is conducting an educational program on recommendations for childhood vaccination. Which of the following comments from a parent indicates a need for follow up teaching? (Select all that apply) I refuse to let my daughter get vaccinated against HPV (human papilloma virus) because I don't want her sexually active yet. I'm glad my children are in college now so they don't need any more vaccines or shots. I have an immunization record to document when each vaccination is given so I can make sure we don't miss one. The risk of getting the measles is so small with most children getting immunized that I'd rather not risk my child getting autism
a,b,d
The overarching goals of the current Healthy People 2020 are: (Select all that apply.) Promote quality of life, healthy development, and healthy behaviors across all ages Attain high-quality longer lives free of preventable disease, disability, injury, and premature death Create social environments that only the more wealthy can live in Achieve health equity eliminate disparities, and improve the health of all groups
a,b,d
As a community health nurse, you want to assist a client who is of minority ethnicity, low socioeconomic status, and is pregnant. What principles might you keep in mind to achieve solution focused plan of care? (Select all that apply.) Resilience is equally important as vulnerability Nurses are concerned with helping clients adapt and grow A reactive approach is necessary to reach an outcome Keep the person as the focus, not the problem Strengths, not just problems, can be found and further developed
a,b,d, e
There are many guidelines for the effective home health nurse. (Select all that apply.) Sense "where people are" and suspend judgment. Plan not to visit again when client is noncompliant Make do with limited supplies Keep priorities fluid Build trust
a,c,d,e
What diseases are prevented through scheduled childhood immunizations? (Select all that apply.) diphtheria cholera polio tetanus smallpox
a,c,d,e
The community nursing diagnosis helps clarify the problem and a. identifies who receives the care after looking at available data. b. identifies who receives the care and factors contributing to the identified problem. c. identifies who receives the care through a formal problem analysis. d. identifies who receives the care after identifying resources.
b
In more developed countries, the role of the nurse in global health is better defined than those in lesser-developed countries. Some of the roles nurses provide include (Select all that apply) a. advocacy b. direct care c. education d. leadership
advocacy, direct care, education, leadership
Transcultural nursing focuses on a. global cultures b. global health c. cultural caring d. nursing phenoma e. all of the above
all of the above
A nurse case manager receives a referral to assess a home-bound client on Medicare with newly diagnosed congestive heart failure needing assistance for symptom management and activities of daily living following discharge. Which of the following types of care management would be the most appropriate to consider first? Hospice care Home care Long term care Palliative care
b
Adolescent dating violence includes ___________ _______ __________-__________ abuse between teenagers who are or have been in a casual or serious dating relationship. emotional, sexual, biological, and verbal physical, sexual, emotional, and verbal physical, biological, sexual, and verbal sexual, verbal, emotional, and biological
b
Affective learning can be very difficult to measure and is often attempted through_________. EHR documentation self report surveys and tools performance demonstration cognition learning
b
Cultural diversity a. occurs only within countries. b. is when a variety of cultural patterns co-exist in a designated geographic area. c. is rare in the United States. d. is when there is little variety of cultural patterns in a geographic area.
b
Economic forces that have affected the practice of public health nursing include a. unemployment, changing demographics of populations, and new methods of payment for care. b. limited access to healthcare, rising cost of healthcare, and demand for quality care. c. rising cost of healthcare, rise in scientific inquiry, and immigration. d. trade, immigration, and policy development.
b
Foundations that support health programs, research and professional education include a. the National Kidney Foundation b. the Kellogg Foundation c. the American Cancer Association. d. the National League for Nursing.
b
Mammography screening for women should begin at what age unless recommended sooner by a health provider? 45 50 70 65
b
Social influences that help shape the practice of community health nursing a. have not had an effect on its practice. b. have influenced its growth. c. provide the framework for its practice. d. limit how practice is provided.
b
The models of community practice most frequently found in the Healthy Communities movement are: listening to the older generations and determining needs that of working with local people to determine partnerships that best meet their needs preparing an agenda that you already developed engaging younger generations to determine needs
b
The purpose of the Intervention Wheel is to a. improve access to health care in the community b. improve the health of the public c. improve payment methods for clients d. improve health programs provided for clients
b
________ _____________ is a diagnosis applied to parents and other caregivers who intentionally feign, exaggerate, and/or induce illness or injury in a child to get attention from health professionals and others. Le Chat syndrome Munchausen Syndrome Shaken baby syndrome Crinkle Syndrome
b
____________ is one tool to use in heath education and is designed to help clients state their motivations for change. Engaging interviewing Motivational interviewing Motivational strategies Persistence interviewing
b
______________ abuse is the intentional or unintentional hurting, either physical or emotional, of a person who is aged 60 or over. Primary Elder Developmental Older
b
______________ is the most common used substance by US adolescents. Heroin Alcohol Marijuana Oxycontin
b
A community health nurse is visiting a family that has newborn twins and two school-age children. The parents tell the nurse they are emotionally and financially overwhelmed. Which of the following referrals are appropriate? (Select all that apply.) Medicare Part B Nurse Family Home Visiting program. Supplemental Nutrition Assistance Program (SNAP) Women, Infants, and Children (WIC) program Child Protective Services (CPS)
b, c ,d
Healthy People 2020 objectives for women include: (Select all that apply.) Maintain the current rate of pregnancy among adolescent females Reduce postpartum relapse of smoking among women who quit smoking during pregnancy. Reduce iron deficiency among pregnant females from 16.1% to 14.5%. Reduce the rate of maternal mortality from 12.7% to 11.4%.
b, c, d
Which of the following statements about population health is true? (Select all that apply) The leading cause of mortality across all ages is heart disease The leading cause of cancer for women and men is lung cancer Breast cancer is the leading cause of cancer morbidity in the nation The leading cause of mortality across all ages is cancer.
b, c, d
Practice guidelines for the home health nurse include: (Select all that apply.) Have the client come by the office Gather agency documents Only contact the client once Review the data Contact the client
b, d, e
The US Public Health Service (Select all that apply) a. provides all funding to state health departments. b. is concerned with broad health interests in the US. c. works to ensure the health of the world. d. provides grants and contracts with other agencies and organizations.
b,c,d
Vulnerable populations who are at-risk during specific periods of physical development include (Select all that apply) a. adult women b. children c. infants d. pregnant women
b,c,d
Which nursing roles are specific to those when working with vulnerable populations? (Select all that apply.) Litigation specialist Advocate Direct care provider Case manager Health educator
b,c,d,e
A home health nurse is discussing portals of entry with a group of newly hired assistive personnel. Which of the following locations should the nurse include as a portal of entry? (Select all that apply.) a. Respiratory secretions b. Skin c. Genitourinary tract d. Saliva e. Mucous membranes
b,c,e
Who is the client in home health settings? (Select all that apply.) Neighbors The patient/client Former physicians/NP's Family Significant others
b,d, e
A group of smokers wish to end their addiction to nicotine. Which objective is an appropriate long term goal? Forty percent of the group will remain smoke free for the next 24 hours. Half of the group will remain smokd free today. Ninety percent of group members will remain tobacco free for 6 months. Within 1 month, all members will be nicotine free.
c
A nurse is collecting data to identify health needs in the local community. Which of the following examples should the nurse identify as secondary data? (Select all that apply). a. birth statistics b. previous health survey results c. windshield survey d. community forum e. health records
birth stats, previous health survey results, health records
A behavior among adolescents that typically may lead to suicide is self injury or ____________. stealing prescription medications from a relative mutilation of the upper lip cutting taking a parent's prescribed pain medication
c
A community health nurse is implementing health programs with several populations in the local area. In which of the folowing situations is the nurse using primary prevention? a. Performing a home safety check at a client's home b. Teaching healthy nutrition to clients who have hypertension c. Providing influenza immunizations to employees at a local preschool d. Implementing a program to notify individuals exposed to a communicable disease
c
A community health nurse is planning to conduct an educational program for school teachers about the effects of pollution on children when playing outside. Which of the following statements by a teacher indicates an understanding of the teaching? The kidneys filter toxins at a greater rate in children than in adults. Children drink fewer liquids for their body weight than adults, so they take in fewer toxins. Children breathe more rapidly than adults which increases their exposure to air pollutants. Outdoor air pollutants are more likely to trigger asthma attacks than indoor pollutants
c
Direct transmission of a disease can be through a. toys b. food c. biting d. sharp objects
c
One intervention by the healthcare team to prevent polypharmacy issues in the older population is: to have them call for information from family to have them memorize their lists of medications so no errors are made to have the person bring all their medication with them when seeing the healthcare team or provider to have them leave their medications at home so they do not become lost
c
Populations a. interact with one another as a group b. share a sense of belonging in a group c. share one or more characteristics d. are always geographically close
c
Positive effects of service learning include a. a lifetime of service after graduation and leadership skill development. b. academic performance and early job acceptance. c. leadership and values. d. values and early job acceptance.
c
Stereotyping older adults and perpetuating false information and negative images and characteristics regarding older adults is called _________________. senility normalism ageism homogenie
c
The international organization that helps collect and communicate data about the health of countries is a. the United Nations. b. the World Health Assembly. c. the World Health Organization. d. the Pan American Health Organization.
c
The overall aim of professional home health services is to decrease__________ and prevent or delay institutionalization. medication addiction rehospitalization death
c
When dealing with a bioterrorism attack, it is important that collaboration across the nation occur. What do the agencies who work together want to accomplish? a. preparation for the next possible threat b. proper recording of all at-risk populations c. preparation, surveillance, and response to the threat d. response to decrease chance of another threat
c
Which characteristic listed is not a characteristic of community health nursing? a. The population is the client of care. b. Primary prevention is the priority in selecting appropriate activities. c. Focus is on selecting strategies that achieve the greatest good for the population as a whole. d. Collaboration with other professions, populations, organizations, and stakeholder groups is the most effective way to promote and protect the health of the people.
c
With both home care and hospice clients, the nurse must become familiar with the requirements of ___________ to promote continuity of care and ensure reimbursement. committments salaries documentation Medicare
c
___________ ____________ is a useful tool that can enhance health promotion efforts in the community. One such example is the Go Red for Women campaign. Social determinants Social awareness Social marketing Social assistance
c
________________ of prevention focuses on rehabilitation and prevention of further damage to an already compromised system. Primary prevention Secondary prevention Tertiary level Third prevention level
c
in assessing a community client who has entered the Health Department, one of the first actions by the nurse is to: assess ability to obtain medications assess home environments assess functioning assess ability to drive
c
An outbreak investigation (Select all that apply.) a. confirms that there is an epidemic. b. confirms signs and symptoms of diseases. c. describes cases by person, place, and situation. d. builds a test hypothesis. e. develops and tests interventions.
confirms that there is an epidemic, confirms s/sx of diseases, builds a test hypothesis, develops and tests interventions
A community health nurse is providing anticipatory guidance to a group of adolescents. To reduce premature deaths in this age group, which of the following topics would be most important to discuss? Heart healthy diet Safe sex practices Underage smoking Safety belt use
d
A community health nurse is teaching a group of older adults at a senior center about strategies for successful aging. Which information would the nurse include? "Get up early in the morning." "Limit drinking alcohol to once or twice a month." "Avoid eating too many fruits and vegetables." "Keep in touch with friends and family."
d
A community mental health nurse utilizes___________and __________ to better serve the population. education and resources advocacy and interference resources and payment advocacy and education
d
A nurse assessing a family recognizes that which behaviors are learned within the family's structure? Driving habits Peer norms Personality traits Family values
d
A nurse is developing a community health education program for a group of clients who have a new diagnosis of diabetes mellitus. Which strategy should be included for clients who are auditory learners? a. Showing informational videos b. Providing equipment to practice hands-on skills c. Supplying outlines for note taking d. Facilitating small group discussions
d
A nurse monitors the incidence of measles in the community. Which public health intervention is being implemented? Health teaching Coalition building Referral and follow-up Surveillance
d
A school nurse wants to decrease the incidence of obesity in elementary school children. What secondary prevention could the nurse implement first? Designing a game in which students select healthy food choices Giving a presentation on the importance of exercise and physical fitness Putting students on a diet if they weigh greater than 20% of their ideal weight Weighing students to identify those who are overweight
d
As a community health nurse, which type of "knock on the door," is appropriate and will get you into more homes. quiet as a mouse knock bill collector knock the, "I don't want to be here knock." a knock which is loud enough to be heard, yet friendly and nonthreatening
d
Contamination that occurs through food and water can occur a. through droplets of bacteria onto the food. b. through a primary source of certain bacteria. c. through poor sanitary practices. d. at the source or through poor sanitary practices.
d
Deinstitutionalization includes the _____________________. transitioning of women from state psychiatric facilities to acute care facilities the movement of clients from acute care to long term care facilities transitioning of men from acute care to psychiatric facilities transitioning of large numbers of clients from state psychiatric facilities to communities.
d
In assessing and helping a family unit, the community health nurse understands that the following is a true statement. May refer the family unit to a psychiatrist for re-evaluating their traditional roles. Hold values of the traditional family as first and foremost. Must able to question the family unit in not holding traditional values of the family unit Must be accepting and prepared to work with all types of families.
d
Leading indicators of health are used to measure a. the health of states b. the health of each community c. the health of the world d. the health of the nation
d
Populations without good insurance coverage at risk for health problems are a. women and children. b. the frail elderly. c. retired veterans. d. the uninsured and underinsured.
d
Social trends that impact the health of communities include a. a decrease in the US population. b. an increase in the number of inpatient beds in hospitals. c. an increase in the use of technology in health care institutions. d. the changing composition of families and living patterns.
d
The DARN-CAT mnemonic is a strategy to: not consider using engage those not willing to make any changes rescue all the cats at the humanity resource center implement preparatory and change talk with those willing to make a change
d
The Intervention Wheel is utilized in practice with a. communities b. individuals and families c. systems d. all of the above
d
The community health nurse is visiting a client in the community with a communicable disease. The focus of care is the protection of a. the client b. the client and family c. the client, family, and friends d. the whole community
d
The environment in which we live a. has no influence on our health. b. does not relate to our health and lifestyle. c. limits healthy lifestyle choices. d. has an influence on our health.
d
The first two states to develop Healthy Community projects were__________and___________. New York and Texas California and New York Indiana and Wyoming Indiana and California
d
The largest minority population group in the United States is a. Asian population. b. African American population. c. Arab/Muslim population. d. Hispanic indivicuals.
d
The most important activity of the nurse in the disaster response phase of disaster preparedness is a. rapid needs assessment b. first aid c. triage d. communication
d
The psychomotor domain of learning includes visible, demonstrable _____________skills that require some kind of neuromuscular coordination. belief cognition behavior performance
d
TriCARE provides health insurance to a. retired veterans only. b. active duty military personnel only. c. widows of veterans. d. military families.
d
What is compassion fatigue? It is related to the combat fatigue of soldiers. It is a term to describe how hospice nurses feel. It is a term to describe the fatigue which develops after working a 12 hour shift. It is often viewed as secondary stress.
d
What is the primary objective of hospice programs? To keep clients in their own home and with adequate spiritual care until the end of life. To monitor response to treatments and therapies emphasizing remission of the disease. To reduce the cost of care and inconvenience for the terminally ill and their families. To provide palliative care and bereavement support for patients and families at the end of life.
d
What percentage of the population in South Carolina lives in rural areas? a. 25% b. 22% c. 37% d. 27%
d
When planning interventions at the individual/family level, you want to change their knowledge, attitudes, and a. beliefs and goals b. beliefs c. beliefs and assumptions d. beliefs and behaviors
d
Which client is best appropriate for hospice care? An 85 year old with no living family An 85 year old with acute kidney failure An 85 year old with sepsis An 85 year old with terminal cancer
d
While providing care to a family at a local center, the community health nurse contacts the local department of social services to help the family attain assistance with health insurance coverage and a list of pharmacies to get their prescriptions filled. The nurse is acting in which role? Employee Benefits counselor Educator Advocate
d
n the LGBT community, ______________ refers to gender identity. bi-sexual cis-gender homosexual transgender
d
Data collection and analysis are necessary to properly identify the problem in a community. Best methods of data collection include which of the following a. data gathering of census data b. data generation c. collection of reported data d. data prioritizing
data gathering of census data, data generation, collection of reported data
Services provided by local health departments are (Select all that apply.) a. regulated by the insurance industry. b. dependent on the needs of the community. c. local health codes. d. funding and resources.
dependent on the needs of community, local health codes, funding and resources
A nurse is preparing to conduct a windshield survey. Which of the following data should the nurse collect as a component of this assessment? a. ethnicity of community members b. individuals who hold power within the community c. natural community boundaries d. prevalence of disease e. presence of public protection
ethnicity, community boundaries, Presence of public presentation
______________ and _______________ for the next visit complete the family health visit cycle. Preparation and referral Referral and non-evaluation Evaluation and cease Evaluation and preparation
evaluation and preparation
Which of the following statements about the stages in the life cycle of a family is true? Engagement and disengagement are phases of the family life cycle. Family life cycles are defined as the interacting parts of a system. Family life cycles are defined by the number of children cared for. Expansion and contraction of family size may be repeated in some families.
expansion and contraction of family size may be repeated in some families
Hospice care is not suitable for children t/f
false
Which of the following statements about family functions is false? Family functions always are performed better in two parent households. One family function is providing affection. Family functions can be performed by some social service agencies. An important family function is socialization of children.
family functions always are performed better in two parent households
Global health diplomacy brings together many disciplines to help shape the global policy environment for health. Relationships between three areas are important to impact this diplomacy. They are a. health, domestic policy, and trade b. health, foreign policy, and trade c. health, foreign policy, and industry d. health, education, and trade
health, foreign policy, and trade
A primary tenet of managed care is a. the use of telehealth. b. the primary prevention approach. c. the case management approach. d. the health promotion approach.
the case management approach
Medicare remains the largest single payer for home care services in the US and has set the standard in establishing reimbursement standards for other payers. t/f
true
The aging of the US population and the rise in lifestyle-related illnesses such as diabetes and obesity are often linked with increasing rates of disability. t/f
true
The environment affects the health of a community t/f
true
The global burden of disease combines losses from premature death and losses of healthy life that result from disability and is represented by disability-adjusted life-years. T/F
true
The goal of community/population health is to improve the health of populations. T/F
true
The incidence of food allergies has increased. t/f
true
The public health nurse utilizes appropriate safety measures when making home visits. t/f
true
Women in Japan have the highest life expectancy at birth with the age of 85.6 years t/f
true
You and your facility can be found liable of sex discrimination if there is a poor outcome related to disrespecting your client if using an inappropriate pronoun. t/f
true
The main reason for the growing disparity in mortality between rural and urban populations is a. more chronic diseases b. increased suicide rate c. unintentional injuries d. increased obesity and related health issues
unintentional injuries
