cortez 2

Which statement about advanced public health nurses and nurse practitioners is correct? a. They often work in similar settings. b. They have identical educational preparation. c. Their practices have become more similar during the past decade. d. The clinical nurse specialist role always involves prescriptive practice.

ANS: A Advanced public health nurses and nurse practitioners often work in similar settings.

1. Who led reform efforts to correct types of inhumane practices in the care of criminals, those with mental disorders, and victims of the Civil War? a. Dorothea Dix b. Philippe Pinel c. Benjamin Rush d. Clifford Beers

ANS: A Dorothea Dix led reform efforts to correct types of inhumane practices in the care of criminals, those with mental disorders, and victims of the Civil War.

Many clients with mental disorders were institutionalized because: a. There was a continued fear of people with mental disorders. b. The success rate was higher with hospital treatment. c. It was easier to stabilize clients with psychotropic medications. d. It provided a less stressful environment for clients to recuperate.

ANS: A Many clients with mental disorders were institutionalized because of a continued fear of people with mental disorders.

10. Why is it necessary for nurses to obtain certification? a. To assure competence at an advanced level b. To verify minimal competency levels of practice c. To create a network for nurses to collaborate d. To make it difficult to become a nurse

ANS: A The purpose of certification is to assure the public that nurses who claim to be competent at an advanced level have had their credentials verified through examination.

During a class on newborn care given at a local health department, a nursing student asks the participants to practice with baby dolls. Which step of promoting effective education is the student using? a. Eliciting performance b. Assessing performance c. Enhancing retention and transfer of knowledge d. Gaining attention

ANS: A The step of eliciting performance includes encouraging the learners to demonstrate what they have learned.

Why must a nurse have specialized knowledge and skills in mental health illness and problems in order to provide effective nursing care for this population? a. Services for people with mental disorders are inadequate. b. The effects of mental health are universal. c. Mental health disorders affect small sectors of the population. d. Current health objectives cannot be met without the influence of nursing

ANS: A There are two universal truths that require nurses to have specialized knowledge and skills in this area: services for people with mental disorders are inadequate in all countries, and mental illness has a major impact on families, communities, and nations.

1. When conducting an effective educational program, a nurse would use which basic principle? Select all that apply. a. Use a clear, succinct style. b. Use an active voice. c. Refer to Internet sources. d. Use aids to highlight key points.

ANS: A, B, D Reliable sources must be used, and information found on the Internet is not always reliable.

14. Which behavior would the nurse anticipate when working with an individual with low literacy? a. Asking for additional clarification of materials b. Requesting to read the information later c. Having a high level of motivation d. Being overly dependent on others

ANS: B Individuals with a limited literacy may have a limited vocabulary and general knowledge

13. After evaluating learning needs, what is the next step the nurse should take in developing an educational program? a. Consider any potential barriers to learning. b. Establish goals and objectives for the program. c. Select appropriate materials for the program. d. Assess the dynamics of the group.

ANS: B Instructional objectives need to be evaluated before a teaching program is designed.

A nurse who is working with persons with serious mental illness should recognize that: a. Persons with severe mental illness require institutionalization until they are functional. b. Inadequate community resources have caused problems with homelessness among this population. c. Serious mental illness originates from childhood events and therapy is ineffective. d. Motivation influences a person's ability to earn a living and purchase necessary medications.

ANS: B Many people with serious mental illness live in poverty because they lack the ability to maintain a suitable standard of living. Brief hospital stays and inadequate community resources have resulted in an increased number of persons with serious mental illness living on the streets or in jail.

A nurse practitioner is employed in a primary health care setting. Which services are most likely provided in this setting? a. Primary health services and prison medicine services b. Public health and primary care services c. Family practice and geriatrics care d. Home health and school health services

ANS: B Primary health includes public health and primary care services by definition.

31. Evaluation of individual and group progress toward health goals is important. Which component should be included in the evaluative process? a. Type of teaching strategy used b. Recognition of accomplishments in the group c. Conflict that occurred in the group d. The type of leadership in the group

ANS: B Recognition of accomplishments in the group and of the group is built into the evaluative process.

An advanced practice nurse who uses knowledge and physical, psychosocial, and environmental assessment skills to respond to common health and illness problems is referred to as a(n): a. Advanced practice nurse b. Advanced public health nurse c. Nurse practitioner d. Clinical nurse specialist

ANS: C A nurse practitioner applies nursing knowledge with physical, psychosocial, and environmental assessment skills.

Approximately what percentage of the adult population (ages 18 and older) suffers from a mental disorder in a given year in the United States? a.6 b.14 c.26 d.30

ANS: C Approximately 26% of the adult population has a mental disorder in the United States.

A nurse is implementing an educational program about the importance of being physically active. Which step would the nurse complete first? a. Provide learning guidance b. Present the stimulus c. Gain the learner's attention d. Ask learners to recall prior learning

ANS: C Gaining the learner's attention must happen first before learning can take place.

18. The nurse working in the role of educator with groups of clients may: a. Care for clients in acute care settings. b. Coordinate activities with staff members in community settings. c. Use learning principles to increase understanding about mental illness. d. Act as an advocate for mental health support groups.

ANS: C The educator role is foundational to health maintenance, health promotion, and community action.

When implementing a community health education program, which educational principle will the nurse use as a guide? a. Refer to trustworthy sources b. Use an active voice c. Create the best learning environment d. Accentuate the positive

ANS: C The environment must be conducive to learning for educational programs to be effective.

The first major piece of legislation to influence mental health services in the United States was the: a. National Mental Health Act b. Mental Health Study Act c. Social Security Act d. Protection and Advocacy for Mentally Ill Individuals Act

ANS: C This was in response to economic and social problems of the era and shifted the responsibility of care for ill people from the state to the federal government.

A potential barrier that a nurse may experience when in the educator role is: a. Working with clients with a low literacy level b. Memorizing the information that is to be taught c. Having a limited vocabulary d. Lacking knowledge about how to gain participation

ANS: D Educators may lack knowledge about how to gain participation. Participation can be fostered by asking open-ended questions, inviting participation, and planning small-group activities whereby a person responds based on the group rather than presenting his own information.

When an advanced public health nurse provides other nurses with information on improving client care, which role is being performed? a. Researcher b. Administrator c. Educator d. Consultant

ANS: D The consultant role is being practiced when an advanced public health nurse provides other nurses with information on improving client care.