Everyday, It's A Getting Closer

A nurse should identify a possible health literacy barrier when a client responds with which of the following statements? a) "I don't like to read; just tell me what I need to know." b) "Let me put my glasses on before I start reading this material." c) "My sibling has the same diagnosis, so I know what to expect." d) "With practice, I am able to learn new skills pertaining to my health."

a) "I don't like to read; just tell me what I need to know." The nurse should be able to determine literacy without embarrassing the client. The client may not want to admit their literacy barrier to a health care professional.

A nurse is obtaining a health hx from a client. The client states, "I am not taking my medications because of their costs." Which of the following statements should the nurse make? a) "I can provide you with resources to assist with your concern" b) "it seems that you do not understand the purpose of your medications" c)"I think you like receiving attention" d)"You should consider at least taking your medications every other day"

a) "I can provide you with resources to assist with your concern"

A nurse is reviewing a client's record and notes that the client receives both Medicare and Medicaid. Which of the following information should the nurse identify that this reveals about the client? a) The client has a large family b) The client is vulnerable to health disparities c) The client must pay for their preventive services d) The client is greater than 65 years of age

b) The client is vulnerable to health disparities

A nurse is discussing telehealth with a group of state legislators. Which of the following statements pertinent to homebound clients should the nurse include in the discussion? a) "Telehealth helps clients who have difficulty accessing a physician's office communicate with their primary care providers." b) "Telehealth helps to cover the cost of prescriptions, medical equipment, and other health care expenditures." c) "Telehealth can duplicate or replace all of the services provided by a health care institution." d) "Telehealth is a supplemental program that fills in gaps in coverage from government-provided health insurance."

a) "Telehealth helps clients who have difficulty accessing a physician's office communicate with their primary care providers."

A nurse is teaching about the family medical leave act (FMLA) with the client and their caregiver who is their adult child. Which of the following statements by the caregiver indicates understanding? a) "during FMLA, I will not receive a paycheck" b) "FMLA is only provided companies that have at least 20 employees" c) "I'm not eligible for FMLA because I've been employed less than a year" d) "there are strict conditions to qualify for FMLA"

a) "during FMLA, I will not receive a paycheck"

A nurse is discussing the benefits of population-focused health care strategies with a group of newly licensed nurses. Which of the following statements by one of the newly licensed nurses indicates an understanding of population-focused health care strategies? SATA a) "population-focused health care strategies are thought to decrease the cost of care" b) "population-focused care is likely to improve health literacy" c) "access to care should improve the use of population-focused health care strategies" d) "population-focused health care strategies will likely decrease the demands currently placed on the health care workforce" e) "population-focused care is expected to improve the quality of care provided"

a) "population-focused health care strategies are thought to decrease the cost of care" c) "access to care should improve with the use of population-focused health care strategies" e) "population-focused care is expected to improve the quality of care provided"

A community health nurse is following up with community leaders on the status of a community-engaged research process. Which of the following statements by a community leader indicates to the nurse that additional education about a community-engaged research principle is necessary? SATA a) "we will solve this problem by starting over with all new resources" b) "we want to have a good system in place for dissemination of information to all residents" c) "we are looking forward to long-term sustainable results" d) "we will help facilitate an equitable partnership" e) "we will focus our results on individuals"

a) "we will solve this problem by starting over with all new resources" e) "we will focus our results on individuals"

A nurse is caring for several migrant farmworkers. Which of the following barriers to care should the nurse identify as specific to this population? a) Absence of culturally competent care b) Availability of healthcare specialists c) Distance of health care facilities from the client's place of residence d) High health care costs

a) Absence of culturally competent care

A nurse is discussing major health organizations with a group of newly hired nurses. Which of the following organizations should the nurse describe as widely recognized for managing the U.S. blood supply? a) American Red Cross b) Agency for Healthcare Research and Quality (AHRQ) c) Occupational Health and Safety Administration (OSHA) d) U.S. Public Health Service (USPHA) Commissioned Corps

a) American Red Cross

A nurse in a clinic is caring for a child who has an acute condition. At the end of the visit, the child's young adult parent states, "Although I have a job, I have two more children at home. I don't have any health insurance for my children and can't afford to pay for this office visit." Which of the following resources should the nurse recommend for the parent? a) Children's Health Insurance Program (CHIP) b) Health care savings account c) TRICARE d) Medicare

a) Children's Health Insurance Program (CHIP) CHIP is a governmental program that provides health insurance for children whom parents/guardians meet the income requirements to be eligible for enrollment. Since the parent has more children, this would be a resource for the parent to seek health insurance.

A nurse at a public health department is reviewing evidence from Healthy People 2030. Which of the following does the nurse identify as one of the overarching goals of Healthy People 2030? a) Create social, physical, and economic environments that promote attaining the full potential for health and well-being for all. b) A society in which all people can achieve their full potential for health and well-being. c) Increase the proportion of persons with health insurance. d) Promote, strengthen, and evaluate the nation's efforts to improve health and well-being of all people.

a) Create social, physical, and economic environments that promote attaining the full potential for health and well-being for all.

A palliative care nurse is preparing to participate in interprofessional rounds. Which of the following members of the interprofessional team should the nurse plan to collaborate with? SATA a) Health care provider b) Chaplain c) Registrar d) Nutritionist e) Social worker

a) Health care provider b) Chaplain d) Nutritionist e) Social worker

A nurse is reviewing epidemiological information on environmental pollutants within the community. Which of the following pathophysiologies due to hazardous exposure should the nurse anticipate among manual labor workers? a) Hearing loss b) Alopecia c) Multiple sclerosis d) Influenza

a) Hearing loss Such exposures, which are more common for manual labor workers, can precipitate lung disease, cancer, hearing loss, and heat stroke.

A nurse in a community clinic is teaching a newly licensed nurse about elements that affect payment or reimbursement for health care services. Which of the following should the nurse teach is a quality-based element of payment or reimbursement? a) Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) b) Diagnosis-Related Groups (DRG) c) International Classification of Diseases (ICD-10) d) Health Savings Account (HSA)

a) Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)

A nurse is performing a health screening for an older adult client. Which of the following findings should the nurse identify is a health disparity? a) Mental health b) Low income housing c) Access to nutritious foods d) Neighborhood safety

a) Mental health Health disparities can be linked to race or ethnicity, sex, sexual identity, age, disability, socioeconomic status, and geographic location. Examples of disabilities include visual or hearing impairments, mental health conditions, and intellectual or physical deficits.

A nurse and a community team are using the nominal group planning method to analyze community-level data. Which of the following is true about nominal group planning? a) Nominal group planning is used for group exploration to allow for the exchange of dialogue and opinions by the stakeholders. b) Nominal group planning involves group consensus before prioritizing data. c) Nominal group planning is authoritarian with the key stakeholder dictating prioritization of community data. d) Nominal group planning is best used in situations where the final decision is made by the nurse leading the team.

a) Nominal group planning is used for group exploration to allow for the exchange of dialogue and opinions by the stakeholders. nominal group planning is used to allow for exploration of problems through group discussion. Exchange of dialogue and opinion is used to create a list that is ultimately prioritized by order of shared importance.

A nurse is discussing the services of the Henry Street Settlement in New York City with a group of public health nurses. The nurse should include in the discussion that the Henry Street Settlement offered which of the following services? (Select all that apply.) a) Place for children to play b) Classes in childcare c) Banking d) Classes in birth control methods e) Care for the sick

a) Place for children to play b) Classes in childcare e) Care for the sick

A nurse is presenting information about the prevention of sexually transmitted infections to a group of high school students. The nurse should identify that this is an example of which of the following types of prevention? a) Primary prevention b) Secondary prevention c) Quaternary prevention d) Tertiary prevention

a) Primary prevention

A nurse is collaborating with a community team on a community-wide project. Which of the following processes involves the coordination of related projects to achieve the overall goals of the program? a) Program management b) Project implementation c) Developing a timeline d) Defining goals

a) Program management Management of a program is a process involving the management of related projects to achieve the overall goals of the program.

A nurse is preparing a presentation for a planning board on strategies that would help older adults remain in their homes as they age. Which of the following strategies should the nurse include in the presentation? a) Providing assistance with minor home repairs and modifications b) Focusing care and resources on morbidity and mortality c) Increasing the number of advanced practice nurses d) Expanding the number of communities designed for older adults

a) Providing assistance with minor home repairs and modifications

A nurse is researching strengths and weaknesses of the private sector of health care in the U.S. Which of the following should the nurse identify as strengths? a) Research b) Bureaucracy c) Affordability d) Workforce e) Employer-sponsored health insurance

a) Research e) Employer-sponsored health insurance

A public health nurse is looking for evidence-based practice interventions for community transmission of a communicable disease. Which of the following does the nurse identify as part of the 17 specific intervention topics in the Intervention Wheel developed by the Minnesota Department of Health? SATA a) Screening b) Outreach c) Knowledge d) Behavior e) Skill

a) Screening b) Outreach

A community health nurse is counseling a client who cares for a mentally ill parent. The client states "I am feeling overwhelmed and exhausted." Which of the following referrals should the nurse make to provide this client with first level support? a) Support group b) Psychiatrist c) Social worker consult d) Life coach

a) Support group

A nurse is discussing the plan of care for a school-age child who was recently diagnosed with diabetes mellitus with the child's parents. The family of three is living on a tight budget because the father's business has been closed due to the COVID-19 disease lockdown. Which of the following factors requires attention from the nurse? a) The elementary school is closed and students are learning remotely. b) The family may not be able to see preferred providers due to increased health insurance costs. c) The power company has issued a lenient notice for back payment of owed money. d) The family enrolled in the Supplemental Nutrition Assistance Program to receive extra food benefits.

a) The elementary school is closed and students are learning remotely. The COVID-19 pandemic has greatly impacted the economic status of families. It has also impacted hunger in the U.S. This family is at risk for food insecurity because their business has been closed due to lockdown restrictions. Food-insecure families often rely on meals provided to their children at school to supplement and ensure access to nutritious foods. The nurse should identify that further follow-up and support from community resources are required for this family.

A nurse has determined that a family needs a referral to a infant and children agency for their 6 month old infant who was recently diagnosed with failure to thrive. Which of the following information should be included as part of the "background" component when using the SBAR tool? SATA a) The infant's current weight. b) The infant was prescribed 32 ounces of a soy-based formula per day. c) The infant's parent was recently enrolled in an outpatient substance use disorder clinic. d) The infant should gain 0.2 kg (7 oz) each week. e) The infant had an acute middle ear infection when they were 4 months old.

a) The infant's current weight. b) The infant was prescribed 32 ounces of a soy-based formula per day. d) The infant should gain 0.2 kg (7 oz) each week.

A public health nurse is responding to a disaster and is following the eight domains of Core Competencies in Disaster Nursing by the International Council of Nurses. Which of the following actions should the nurse take within the domain of safety and security? a) Wear personal protective equipment (PPE) when necessary b) Respectfully manage a large number of deceased clients c) Participate in debriefing for those who responded to the disaster d) Provide first aid to those affected by the disaster

a) Wear personal protective equipment (PPE) when necessary Infection control is part of the domain of safety and security. The nurse should follow basic infection control practices, such as wearing PPE to mitigate the spread of infection, so as not to hinder disaster response efforts.

A nurse is looking at a Nurse-Family Partnership impact report as an example of a community impact report. Which of the following stands out as an aspect of this impact report? a) The impact report is kept private. b) Expansion of program within the Hispanic community is a key initiative. c) The impact report focuses solely on local partnerships. d) Expansion of public-private partnerships is a key initiative.

d) Expansion of public-private partnerships is a key initiative.

A team of school nurses is planning to advocate for students who will be affected by a proposed law. When should the nurses plan to analyze the law to advocate for the students? SATA a) When the bill is proposed to the legislature b) When the executive branch signs the bill into law c) When the bill is being developed by legislators d) When a percentage of students has been affected by the law e) When parent and teacher organizations post about the law on social media sites

a) When the bill is proposed to the legislature b) When the executive branch signs the bill into law c) When the bill is being developed by legislators

A nurse is providing information with a newly licensed nurse about evidence that supports that 25% of the population will be elderly by 2060. Which of the following variables should the nurse identify as influencing this evidence? SATA a) ability of a community to provide adequate resources b) family function c) increased number of clients with chronic disorders d) changes in retirement age e) decrease in the birth rate

a) ability of a community to provide adequate resources results in a lack of availability of adequate resources/ a decrease in the quality of available resources b) family function families may be strained with balancing care c) increased number of clients with chronic disorders incidence of long-term chronic illness increases as the population ages d) changes in retirement age people will need to work until an older age to support the overall economy and the decrease in available resources for those who are retired

A nurse in a clinic is talking with a client who has a new dx of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications? a) acetaminophen b) celecoxib c) cyclobenzaprine d) ibuprofen

a) acetaminophen

A nurse is reviewing gun violence prevention approaches with a group of civic leaders. Which of the following should the nurse identify as being population-focused approaches to gun violence prevention? SATA a) addressing mental health disorders b) researching root causes for gun violence c) enforcing gun laws d) providing funding for violence prevention education programs e) limiting the number of guns a person can own

a) addressing mental health disorders b) researching root causes for gun violence d) providing funding for violence prevention education programs

An occupational health nurse is conducting an educational presentation about Healthy People 2030. Which of the following does the nurse include in the presentation as overarching goals of Healthy People 2030? SATA a) attain healthy, thriving lives and well-being free of preventable disease, disability, injury, and premature death b) eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all c) promote healthy development, healthy behaviours, and well-being across all life stages d) reduce new cases of work-related hearing loss e) reduce work-related assault f) reduce health and environment risks from hazardous sites

a) attain healthy, thriving lives and well-being free of preventable disease, disability, injury, and premature death b) eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all c) promote healthy development, healthy behaviours, and well-being across all life stages

A team of home hospice nurses has observed high levels of engagement among caregivers and families in a rural community who attend a support group. When conducting a search for findings about caregiver and family engagement, the nurse should form PICOT questions with which of the following as the "P"? SATA a) caregivers b) families c) attendance at a support group d) within 1 month of dx e) increased caregiver and family engagement f) provide transportation assistance

a) caregivers b) families

A public health nurse is discussing how to improve client outcomes with county legislators. Which of the following interventions should the nurse recommend to improve outcomes for clients impacts by the cycle of poverty? a) opening a community health centre in an underserved area b) eliminating the use of client portals or virtual visits c) implementing the teach back method when prescribing medication d) replacing Medicare programs with Medigap policies

a) opening a community health centre in an underserved area

A nurse in palliative care is preparing to review the various types of palliative conditions with a newly licensed nurse. Which of the following conditions should the nurse plan to review with the newly licensed nurse? SATA a) parkinson's disease b) alzheimer's disease c) arthritis d) cancer e) COPD f) pneumonia

a) parkinson's disease b) alzheimer's disease e) COPD

An occupational health nurse is attending to a new employee who had an accident at a worksite Which of the following tasks should the nurse complete as a part of the protocol for an employee injury? a) perform a drug test b) order a new medication c) vet the injured worker d) initiate safety and audit checks

a) perform a drug test depending on the nature of the incident, the nurse will perform a drug and alcohol test

A nurse is discussing with another nurse how health outcomes for underinsured clients can be improved y returning to school to achieve a higher level of education. Which of the following rationales should the nurse include in the discussion? a) returning to school could help a client get a job that allows them to gain access to health insurance that provides more coverage or better benefits b) increasing their education level will help the client be approved for program assistance from certain nonprofit organizations c) improving their education level could provide the client with a broad selection of coverage plans to choose from d) returning to school can enable students to be eligible to receive grant money set aside for this purpose

a) returning to school could help a client get a job that allows them to gain access to health insurance that provides more coverage or better benefits

A school nurse is assessing an adolescent client who indicates they have been experiencing depression due to a recent move. Which of the following interventions should the nurse implement? a) schedule an appointment with a school-based counselor b) encourage the client to engage in more physical activity, such as joining a sports team c) arrange a visit with a neurologist d) recommend the client obtain a part-time job

a) schedule an appointment with a school-based counselor

A nurse is collecting data from a client and their full-time caregiver who is their adult child. The caregiver appears to be disheveled and irritable. Which of the following should the nurse identify as a caregiver concern to address? a) self-care b) roles c) deficient knowledge d) injury

a) self-care

A nurse is caring for a client who has a serious mental illness and reports having challenges maintaining consistent work. Which of the following client statements indicates to the nurse that the client is living in a food desert? a) "I am able to walk to a grocery store that is 5 blocks away from my apartment" b) "I cannot always afford ride-share services to get to the nearest store, which is 30 minutes away from where I live" c) "Sometimes I get food from the Salvation Army food pantry that is about half a mile from my house" d) "although I live in the country, my neighbor takes me shopping each week. It takes about 10 minutes for us to drive to the nearest grocery store"

b) "I cannot always afford ride-share services to get to the nearest store, which is 30 minutes away from where I live" Client resides more than 10 miles from the nearest grocery store.

A community health nurse is teaching a group of community members about disaster preparedness. Which of the following statements should the nurse include in the teaching about when to plan for a disaster? a) "Planning for a disaster should occur during the disaster." b) "Planning for a disaster should happen before a disaster occurs." c) "Planning for a disaster is pointless because disasters are unpredictable." d) "Planning for a disaster should happen after a disaster occurs."

b) "Planning for a disaster should happen before a disaster occurs."

A public health nurse is reviewing the records of a group of clients who have a low socioeconomic status. The nurse should identify that which of the following clients are most likely to experience long-term economic stability? a) A single parent of two children who uses ride-share services b) An older adult couple living in a community where goods and services are within walking distance c) A client who has diabetes mellitus and regularly relies upon a family member for transportation d) A young family regularly using public transportation services to acquire goods and services

b) An older adult couple living in a community where goods and services are within walking distance

A public health nurse is implementing programs that are aligned with the goals of Healthy People 2030. Which of the following are types of Healthy People objectives that include evidence-based intervention guidelines the nurse can follow during program implementation? SATA a) Research b) Developmental c) Core d) Quantity e) Quality

b) Developmental c) Core

A nurse is collaborating with a community group and is looking at the toolkit provided by the University of Kansas. Which of the following is true about the toolkit? a) The first step assists with how to perform a collection of evidence. b) It uses a step-by-step approach. c) It is a proprietary document that is used solely within the state of Kansas. d) It is used in planning community initiatives.

b) It uses a step-by-step approach.

A nurse is providing a presentation to a group of nurses about early public health efforts to improve the health of families. Which of the following nurses should be included in the presentation as working specifically to improve the health of Black families? a) Mary Breckinridge b) Jessie Sleet Scales c) Florence Nightingale d) Lillian Wald

b) Jessie Sleet Scales

A nursing director in a community health setting is providing education to a group of nurses about the skills needed to meet the challenges associated with providing population-focused care. Which of the following skills should the nursing director include in the teaching as core competencies for public health professionals? SATA a) Bilingual skills b) Policy development skills c) Keyboarding skills d) Financial planning skills e) Management and leadership skills

b) Policy development skills d) Financial planning skills e) Management and leadership skills

A community health nurse is reporting their findings from research conducted in a rural community. According to Wilder's community-engagement research model, which of the following activities would the nurse report if the community was engaged in the research in the advisor role? SATA a) Residents answered door-to-door surveys during the research process. b) Residents attended information sessions presented by the nurse during the research process. c) Residents developed the survey tool to be used in the door-to-door survey during the research process. d) Residents assisted the nurse in organizing data collected during the research process. e) Residents read information packets before the research process began.

b) Residents attended information sessions presented by the nurse during the research process. e) Residents read information packets before the research process began.

A nurse at a state health department is part of a team preparing for accreditation. Which of the following resources will they suggest as a resource for the team to assist them with the accreditation process? SATA a) Cochrane b) The CDC c) The Public Health Accreditation Board (PHAB) d) The Community Guide crosswalk e) The National Institutes of Health (NIH) Office of Disease Prevention (ODP)

b) The CDC c) The Public Health Accreditation Board (PHAB) d) The Community Guide crosswalk

An occupational health nurse is having difficulty implementing evidence-based interventions in a workplace safety program provided by their company. Which of the following statements should the nurse identify as organizational barriers to implementation of evidence-based practice? SATA a) The nurse has limited information technology skills. b) The nurse has limited time related to a heavy workload. c) The nurse does not have access to evidence-based databases on their work computer. d) The nurse was told by a supervisor that management does not support changes in practice. e) The nurse does not know how to conduct advanced searches on evidence-based databases. f) The nurse does not have experience in evaluating statistics.

b) The nurse has limited time related to a heavy workload. c) The nurse does not have access to evidence-based databases on their work computer. d) The nurse was told by a supervisor that management does not support changes in practice.

A nurse is counseling a client who has diabetes mellitus and is considering enrollment in a private managed care program. The policy will cover medical expenses for the client's condition, as well as vision care, but the client's current health care provider is not listed as a contracted provider under the managed care program. Which of the following information should the nurse share with the client? a) The policy does not include any supplemental plans. b) The policy does not allow them to keep their current health care provider. c) The policy is only partially provided by the government. d) The policy does not provide coverage for preexisting conditions.

b) The policy does not allow them to keep their current health care provider. The disadvantage for this client is not being able to see their current health care provider without paying a much higher cost because their primary care physician is not included in the list of medical care providers.

A nurse is working with community members who are part of minority groups that are disproportionately affected by COVID-19. Which of the following is an example of why members of minority groups are disproportionately affected? a) Not being up to date with immunizations b) The societal factor of racism c) Health illiteracy d) Language barriers

b) The societal factor of racism

A nurse is reviewing the records of a group of clients. Which of the following clients should the nurse identify as eligible to receive health insurance under the Medicare program? a) a client who does not have any other kind of health insurance b) a client who is age 65 or older c) a client who is below the age of 18 d) a client whose income is below the poverty line

b) a client who is age 65 or older

A community health nurse is searching for data about health behaviours related to smoking and exercise. Which of the following resources should the nurse use to find data about health behaviours in their local area? a) Cochrane b) county health rankings c) Healthy People 2030 d) national institute of health (NIH) Office of Disease Prevention (ODP_

b) county health rankings

A nurse reviews notes for school-age child from the child's schoolteacher. The teacher reports that the student cannot focus, has a short attention span, and has had consistently low grades for 6 months. Which of the following problems should the nurse suspect? a) transportation challenges b) food insecurity c) unhealthy family relationships d) lack of mentoring

b) food insecurity

A nurse in a clinic is providing care for a client who has a chronic health condition. Which of the following actions should the nurse identify as a primary prevention activity to prevent the progression of the client's chronic condition? a) assist the client's family with memory care placement b) providing a brochure with information about community resources c) refer the client for hospice services d) refer the client to a provider that can provide management of the condition with medication

b) providing a brochure with information about community resources

A nurse is teaching a group of newly licensed nurses about developments in other areas of study that led to improvements in public health. The nurse should include that the Shattuck Report brought about changes in which of the following areas? a) care of the mentally ill b) public sanitation c) prison health care reform d) working conditions

b) public sanitation based on a sanitation study by Lemuel Shattuck that many disease occurring in America were the result of poor sanitation standard.

A home health nurse is providing care for client and observes during the visit that the client's caregiver appears tired and tearful. Which of the following activities should the nurse suggest to the client's caregiver? a) keep a detailed log of the client's activities b) schedule a time each day to get out and exercise c) limit visits from other family members during the week d) insist that other members give them days off from providing care

b) schedule a time each day to get out and exercise

A nurse if collecting data from an older adult client who has COPD, arthritis, cataracts, and a BMI of 18.5. Which of the following findings should the nurse identify as a potential barrier to the client's nutritional goal? SATA a) diet restrictions to manage the client's condition b) the client relies on the public transit system for transportation c) the client's adult child visits once a week d) the client receives supplemental nutritional assistance e) the client potential mobility impairment because of arthritis

b) the client relies on the public transit system for transportation e) the client potential mobility impairment because of arthritis

Nurses at a local public health department are discussing the benefits of being an accredited public health department. Which of the following are impacts the nurse expect to see from accreditation? SATA a) the nurses will be able to obtain to use standards set by the accreditation body to obtain professional certifications b) the nurses will be able to base decisions on national standards set by the accreditation body c) the nurses will be able to use processes based on national standards set by the accreditation body d) the nurses will be able to learn the PICOT format to search for evidence from the accreditation body e) the nurses will participate in a systematic process that will enable them to meet high quality standards and provide exceptional care for their community

b) the nurses will be able to base decisions on national standards set by the accreditation body c) the nurses will be able to use processes based on national standards set by the accreditation body e) the nurses will participate in a systematic process that will enable them to meet high quality standards and provide exceptional care for their community

A community health nurse is planning a program to educate parents and caregivers in the community about childhood immunizations. When incorporating evidence-based practice, the nurse should identify that which of the following is a focus of implementing the program? a) the use of one research article as an example to focus the objectives of the program b) the values and preferences of the community c) the implementation of interventions that focus on the health of individuals d) the model of evidence-based practice preferred by the provider

b) the values and preferences of the community utilizes needs, values, and preferences of the client

A nurse is discussing ethical issues associated with telehealth with a group of newly licensed nurses. Which of the following statements should the nurse include in the discussion as an ethical concern related to telehealth? a) "Telehealth may disadvantage those without access to a computer." b) "Telehealth encounters are expensive." c) "Telehealth can compromise client confidentiality." d) "Telehealth will worsen health inequities."

c) "Telehealth can compromise client confidentiality."

A public health nurse and a community team are working on a community diagnosis. Which of the following would be considered a community diagnosis? a) Risk for infection b) Impaired transferability c) Alteration in family health management d) Disturbed sleep pattern

c) Alteration in family health management

An occupational health nurse is discussing social determinants of health with staff members in the clinic. Which of the following does the nurse suggest the team use when searching for a non-profit resource to provide information about socioeconomic factors in the local community? a) National Institute for Health (NIH) Office of Disease Prevention (ODP) b) CDC c) County Health Rankings d) local health department

c) County Health Rankings non-profit resource that provides information about socioeconomic factors in the local community

A nurse is meeting with a government agency to discuss ways to increase the number of nurses applying for a position in the health department. Which of the following factors has been identified as contributing to the shortage of nurses working in community and public health settings? a) Licensure requirements b) Aging of the population c) Limited pay structures d) Telehealth

c) Limited pay structures

A nurse is reviewing the CDC's list of top ten public health achievements of the 21st century with a group of newly hired nurses. Which of the following accomplishments should the nurse identify as being included on the list? a) Eradication of smallpox b) Improvements in sanitation c) Motor vehicle safety d) Diabetes management

c) Motor vehicle safety

A community health nurse is researching information related to the Healthy People 2030 goals. The nurse should identify that which of the following agencies sets and supports the Healthy People objectives? a) World Health Organization (WHO) b) National Institutes of Health (NIH) c) Office of Disease Prevention and Health Promotion (ODPHP) d) Centers for Disease Control and Prevention (CDC)

c) Office of Disease Prevention and Health Promotion (ODPHP)

A nurse is caring for a client who is receiving hospice care services and observes that the client's health is improving, and the client is becoming more active. What information should the nurse discuss with the client and their family? a) Discharge from hospice services b) Admission to long term care facility c) Other therapies that are like hospice services d) Obligations for continuing hospice services for a least one year

c) Other therapies that are like hospice services

A nurse is caring for a client who has substance use disorder who has expressed interest in receiving treatment to stop using. Which of the following interventions is an example of a tertiary intervention strategy for this client? a) Recommend the client be screened for Hepatitis B. b) Inform the client about needle exchange programs. c) Provide information on drug rehabilitation facilities since the client has expressed readiness to change. d) Reinforce the importance of eating a well-balanced diet.

c) Provide information on drug rehabilitation facilities since the client has expressed readiness to change.

A public health nurse is reviewing the disaster management cycle. The nurse should identify that activation of a disaster plan occurs during which phase of the cycle? a) Prevention/mitigation b) Preparedness c) Response d) Recovery

c) Response Activation of a disaster plan occurs during the response phase of the disaster management cycle. Other actions during the response phase include performing triage and establishing disease surveillance if needed.

A nurse is describing health care coverage options for a client. Which of the following programs should the nurse describe as the first attempt of the federal government to reform both the public and private sectors of health care? a) The Medicare Prescription Drug, Improvement, and Modernization Act (MMA) b) Health savings accounts c) The Affordable Care Act (ACA) d) Medicare

c) The Affordable Care Act (ACA)

A nurse is assessing a client's environment. Which of the following client statements indicates that a client is living in a faulty built environment? a) The client reports a lack of community centers in their neighborhood. b) The client reports that there is limited public parking on their street. c) The client reports contaminants in their drinking water at home. d) The client reports there are no bike paths or running trails in their community.

c) The client reports contaminants in their drinking water at home.

A community health nurse is teaching a group of community members about natural disasters. Which of the following information about natural disasters should the nurse include in the teaching? a) They always occur without warning. b) They require less planning to prepare for them than human-made disasters. c) They are geological or meteorological occurrences. d) They can be intentional or unintentional.

c) They are geological or meteorological occurrences.

A public health nurse is involved in community-engaged research related to reasons for low immunization rates of children in county public schools. Which of the following situations does the nurse recognize as a potential ethical issue involving recruitment of research participants or confidentiality of information? a) a primary care clinic offers use of their conference room for data collection b) the owner of a local store donates supplies for data collection c) a school principal offers to provide immunization records of students d) the leader of the data collection team delivers supplies to the team members at their homes

c) a school principal offers to provide immunization records of students

A nurse is admitting a client who has hip fracture from recent fall at home. During the admission interview, the client's partner, who is frail, informs the nurse that they will be the client's caregiver upon discharge to home. Which of the following actions should the nurse take? a) inform the client's partner that they will be unable to care for the client b) obtain referral for occupational therapy services c) consult case management d) facilitate for the client's discharge to home

c) consult case management be able to assist the client and their partner about discharge planning. Will review options to ensure client safety and minimize caregiver strain on the client's partner

A nurse is caring for a client who has Alzheimer's disease and is obtaining data from their partner who is their full-time caregiver. Which of the following responses by the partner should the nurse identify as a potential concern? a) "I am able to get a rest at night because they often sleep well" b) "I am able to do my hobbies while taking care of them" c) "I have a family member that comes by twice a week to allow me to run errands" d) "I get agitated when they don't eat their food at mealtime"

d) "I get agitated when they don't eat their food at mealtime" - agitation or anger or irritability shows signs of caregiver stress.

A nurse is providing education about Medicaid to a client who is pregnant and cannot pay for medical insurance. The nurse should recognize that which of the following statements by the client indicates an understanding of the teaching? a) "Medicaid benefits are the same for everyone in the United States." b) "Medicaid is a federal-run health insurance program." c) "My income level does not impact whether or not I can receive Medicaid." d) "When my baby is born, they can receive Medicaid as well."

d) "When my baby is born, they can receive Medicaid as well." Medicaid provides health insurance to children whose families cannot afford to pay for health care for their children. Medicaid is a state-run insurance program.

A case management nurse is discussing medicalization with a group of newly hired nurses. Which of the following statements by one of the nurses indicates an understanding of "medicalization"? a) "medicalization is a law that facilitates access to prescription medications for uninsured clients" b) "medicalization is a way to pay for medications" c) "medicalization is a process designed to help people and organizations save money on medications" d) "medicalization is the practice of prescribing medications for conditions that could be treated using nonpharmacological strategies"

d) "medicalization is the practice of prescribing medications for conditions that could be treated using nonpharmacological strategies" Such as diet, exercise, and financial support

A nurse is reviewing the records of a group of clients. Which of the following clients should the nurse identify as eligible to receive health insurance under the Medicaid program? a) A client who has health insurance but requires a supplemental policy b) A client who is a young adult between the ages of 18 to 25 c) A client who has health insurance from their job but is recently unemployed d) A client whose income is below the poverty line

d) A client whose income is below the poverty line

A nurse in an emergency department is caring for a client who was brought in by their family. The nurse suspects the client has uncontrolled type 2 diabetes mellitus. Which of the following actions should the nurse take? a) Treat the symptoms and give the client medication to take at home. b) Suggest the client go home and return if the client gets worse. c) Refer the client to an endocrinologist to address the suspected manifestations. d) Begin tests to determine the cause of the client's symptoms while asking about other social concerns.

d) Begin tests to determine the cause of the client's symptoms while asking about other social concerns. it is important for the nurse to provide comprehensive assessment and determine the cause of the client's symptoms and inquire about social concerns. This would allow for the nurse to determine the need for social and economic assistance.

A nurse is providing care to client who is pregnant. Which of the following findings should receive highest priority when providing care? a) Client's decreased caloric intake b) Lack of health insurance c) History of anemia d) Client's age less than 16

d) Client's age less than 16 he nurse should identify that and age less than 16, is the highest priority. Adolescent clients are considered high-risk because they could experience low socioeconomic status, late entry into prenatal care, and limited knowledge about self-care knowledge, which can lead to complications during the client's pregnancy.

A nurse and a family have identified a problem that needs to be addressed. Which of the following should the nurse remember when determining interventions? a) Interventions should be solely based on what the nurse and provider think is best b) Interventions should only consider the needs of the individual. c) Interventions should be based on what the weaknesses of the family are. d) Family members should be involved in the formulation of interventions.

d) Family members should be involved in the formulation of interventions.

A nurse is planning activities to increase disaster preparedness in the community. Which of the following activities should the nurse include? a) Refer community members to mental health services b) Establish a "new normal" c) Assess community members' homes for vulnerabilities d) Identify emergency shelter locations

d) Identify emergency shelter locations

A community health nurse is assisting with initiating a community's disaster plan following a nearby disaster. Which of the following resources responds to the disaster first? a) Federal Emergency Management Agency (FEMA) b) State government c) American Red Cross (ARC) d) Local government

d) Local government The local government is the first to respond to a local disaster. If the local resources are unable to handle disaster response efforts, then assistance from the state government is requested.

A team of public health nurses is preparing to present information about Healthy People 2030. Which of the following statements will the nurses include about the vision and mission of Healthy People 2030? a) The vision identifies that health and well-being are consistent among all populations. b) The mission guarantees improvements in the health and well-being of all people. c) Primary care providers will have to accomplish the goals in order to achieve the vision. d) Overarching goals provide focused objectives to reach the vision

d) Overarching goals provide focused objectives to reach the vision

A nurse is evaluating the social profile of a new adolescent client at a community health clinic. Which of the following actions by the client is the priority for the nurse to address? a) The client still journals their feelings about their sister's death 7 years ago. b) The client reports that they primarily eat fast food while living on a limited budget. c) The client reports missing classes due to suffering from seasonal allergies. d) The client took courses online and experienced cyberbullying.

d) The client took courses online and experienced cyberbullying.

An occupational health nurse at a factory has been asked to investigate an employee injury claim. Which of the following information should the nurse review? a) The Occupational Safety and Health Act b) The client's attendance record at health and safety seminars c) The workplace procedures and protocols manual d) The client's medical record or chart

d) The client's medical record or chart

A community health nurse is providing education to a group of nurses about the function of various government agencies. The nurse should include in the teaching that which of the following government agencies addresses food security by directly providing food to select populations? a) U.S Food and Drug Administration (FDA) b) Office of Disease Prevention and Health Promotion (ODPHP) c) U.S Department of Health Resources and Services Administration (HRSA) d) U.S Department of Agriculture (USDA)

d) U.S Department of Agriculture (USDA) provides food to specific populations. This and SNAP, WIC, and school lunch programs are under the USDA

A community health nurse is speaking to a group of nursing students about various major health organizations. Which of the following agencies should the community health nurse identify as the agency that works with children around the world to provide emergency relief? a) Office of Disease Prevention and Health Promotion (ODPHP) b) Administration for Children and Families (ACF) c) Administration for Community Living (ACL) d) United Nations International Children's Emergency Fund (UNICEF)

d) United Nations International Children's Emergency Fund (UNICEF)

A school nurse is searching for evidence-based information about the use of spacers with metered-dose inhalers (MDI) among school-age children. Which part of their PICOT question represents the "I": Among school-age children, does the use of a spacer with an MDI compared with the use of no spacer decrease the incidence of asthma exacerbations during winter months? a) Decrease the incidence of asthma exacerbations b) During winter months c) School-age children d) Use of a spacer with an MDI

d) Use of a spacer with an MDI

A nurse and a community team are assessing their community using the built environment assessment tool. Which of the following is a core feature of the built environment assessment tool? a) Community at large b) Financial stability c) Local ordinances d) Walkability

d) Walkability The nurse should identify that core features of the built environment assessment tool include walkability, infrastructure such as biking paths, recreation structures, and food.

A nurse is admitting a client who requests not to be intubated or have any other life saving measures initiated. Which of the following actions should the nurse take? a) ask the client family if they're in agreement with the client's request b) inform the client that their family can override their decision c) inform the client that the provider must agree with this decision d) ask the client if they have a copy of their advance directive

d) ask the client if they have a copy of their advance directive

A nurse at a community center is preparing to provide wellness education for a community group that is 70% Black, 20% Hispanic, and 10% White. Which of the following outcomes should the nurse include in the class? a) by the end of the class, participants will have a blood glucose levels between 70-100 mg/dL at least 3 times per week b) by the end of the class the participants will eliminate consumption of alcoholic beverages c) by the end of the class, participants will verbalize the importance of colon cancer screening between the ages of 45 - 75 years d) by the end of the teaching session participants will be able to list three ways to reduce cholesterol levels in their current diet

d) by the end of the teaching session participants will be able to list three ways to reduce cholesterol levels in their current diet It is time oriented, client centered, and measurable. The largest demographic is Black. Blacks have the highest incidence of heart disease and reducing cholesterol would have a direct impact on that demographic

A community health nurse is involved in community-engaged research in a community in which residents express concerns about social justice. Which of the following community-engaged research principle best addresses their concerns? a) community-engaged research involves a long-term process and commitment to sustainability b) community-engaged research builds ton strengths and resources within the community c) community-engaged research uses systems development with cyclical process d) community-engaged research facilities a collaborative, equitable partnership in all phases of research

d) community-engaged research facilities a collaborative, equitable partnership in all phases of research

A team of nurses is planning to develop evidence-based interventions to improve health outcomes for residents in all age groups in their community. Which of the following questions should they use as appropriately worded PICOT questions? SATA a) in older adult, how does a daily meal delivery services decrease the prevalence of nutritional deficits after one year? b) how do after-school programs compare to recreational sports programs in decreasing average BMI over one year? c) how do community-sponsored tutoring programs affect mental health during the middle school and high school years? d) in adults with hypertension, how does a group exercise program compared to an individual exercise program affect after blood pressure after 6 months? e) in young adults, how does full-time employment compared to no employment affect the incidence of alcohol-related injuries before the age of 25 years?

d) in adults with hypertension, how does a group exercise program compared to an individual exercise program affect after blood pressure after 6 months? e) in young adults, how does full-time employment compared to no employment affect the incidence of alcohol-related injuries before the age of 25 years?

a nurse is planning a presentation at a local public health conference about the relationship between quality education and health outcomes. Which of the following information should the nurse include in the presentation? a) with a quality education, clients have increased access to virtual visits with primary care physicians b) individuals who desire a quality education are required to purchase healthy lunches at school c) quality education includes coverage for some medical expenses d) individuals who attain a quality education increase the likelihood of obtaining a job that pays a living wage

d) individuals who attain a quality education increase the likelihood of obtaining a job that pays a living wage

a nurse is speaking to a group of newly licensed nurses about how to the QSEN competencies were integrates into their nursing school curriculum. Which if of the following competencies should the nurse expect the newly licensed nurses to identify as the competency they were most prepared to address as students? a) teamwork and collaboration b) evidence-based practice c) quality improvement d) patient-centered care

d) patient-centered care

A county health nurse is addressing a recent outbreak of an infectious airborne illness in a poorly performing school in a low-income area of the city. The school lacks multiple resources such as a cafeteria, counseling services, a gymnasium, and a dedicated school nurse. Which of the following interventions should the nurse implement first to improve outcomes for the students? a) crease a lunch program to improve student nutrition b) provide counseling services to help students share their concerns about the outbreak c) establish a physical education program to help students become more active d) provide testing to detect infected students

d) provide testing to detect infected students

A nurse is counseling a caregiver who has a special needs child regarding the support of socio-emotional development and language skills. Which of the following recommendations should the nurse make? a) watch a favorite TV program with the child on a consistent basis basis b) allow regular naps for the child to foster proper brain growth c) enable playtime for the infant child once per month d) read to the child at least four times per week

d) read to the child at least four times per week important for literacy and language skills and improves behaviour and overall well-being

A community health nurse is establishing a care plan for a 12-year-old client who is disruptive in school. The nurse includes a referral for a mentorship program as one of the interventions in the care plan. Which of the following rationales should the nurse include to support the referral? a) mentorship will help the child avoid sexual activities during the teen years b) mentored teens tend to recover better from bullying experiences c) studies show a minimal increase in confidence levels among mentored youth d) students who are mentored are more likely to attain educational success

d) students who are mentored are more likely to attain educational success

A public health nurse is responsible for conducting a community-engaged, educational research project in a county. Which of the following principles will the nurse consider when conducting a needs assessment with the residents? a) the results should focus on individual learning b) the research should be a short-term project c) the research use of a linear process d) the results should be disseminated to all residents

d) the results should be disseminated to all residents