Mental Health ex 4

During 2006 in Woodland County, there are 175 cases of syphilis reported to the health department. In July 2006, there were approximately 250,000 residents of Woodland County. Thus the incidence of syphilis for 2006 was: A. 700 per 100,000 B. 7 per 100,000 C. 7 per 1000 D. 70 per 100,000

70 per 100,000

Host factors that affect the health of members of aggregates and communities include: A. Public policy, population density, customs health services, and occupation. B. Radiation, temperature, noise levels, viruses and allergens. C. Age, diet, hygiene, anatomic factors, and response to stress. D. Climate, pollution, insects, drugs and animals.

Age, diet, hygiene, anatomic factors, and response to stress.

The most prevalent health problems among homeless men are: A. Alcoholism and substance abuse B. Chronic disorders (e.g., HTN, PVD, DM) C. Severe mental illnesses (e.g., schizophrenia, depression, bipolar disorder) D. Communicable diseases (e.g., AIDS, TB, STDs)

Alcoholism and substance abuse

Which of the following would be the most vulnerable for developing health problems? A. A 16-year-old who was born deaf; he lives with his parents and attends a special school for the hearing impaired. B. An 8-year-old from Mexico who moves from farm to farm picking vegetables with her father and two brothers. C. A 30-year-old practicing attorney who uses a wheelchair because he is a paraplegic following an auto accident. D. A 20-year-old single mother who has a minimum wage job and lives in subsidized housing.

An 8-year-old Mexico who moves from farm to farm picking vegetables with her father and two brothers.

Overall, the most common cause of disability is: A. Alzheimer's disease B. Stroke C. Spinal cord injuries D. Arthritis

Arthritis

Alcoholics Anonymous (AA) was the first and is probably the best known mutual help group. Mutual help groups are: A. Groups of codependent individuals and families who meet to discuss measures to overcome long-term and cyclical problems that produce addictive behavior B. Networks of individuals who share treatment regimens that have proved to be successful for them in overcoming addictive problems. C. Associations of individuals desiring to recover from substance abuse through individual and group support and use of a 12-step program to guide the recovery process D. Coalitions of health care providers who collaboratively work to reduce particular psychosocial problems individuals and groups.

Associations of individuals desiring to recover from substance abuse through individual and group support and use of a 12-step program to guide the recovery process

Since the 1940s, the incidence of a number of communicable diseases has been dramatically reduced. Currently, to prevent communicable diseases in the community, as evidenced by objectives in Health People 2020 and related efforts, there has been renewed emphasis on: A. Childhood immunizations B. Lifestyle changes C. Environmental sanitation D. Antibiotic treatment

Childhood immunizations

Which of the following individuals are indirectly impacted by disaster? A. Frank Finley, a middle-aged truck driver who was one of the 20 people killed when a bridge collapsed into the Missouri River. B. Cathy Carter, a high school sophomore who received a broken leg, multiple cuts, and contusions during a train derailment. C. Danny Dixon, a paramedic who is suffering from PTSD after being called to the scene of an airliner crash. D. Elizabeth Ellis, a retired schoolteacher who lost her home during a wildfire caused by an arsonist; the fire destroyed dozens of homes.

Danny Dixon, a paramedic who is suffering from PTSD after being called to the scene of an airliner crash

Factors that contribute to homelessness include such things as poverty, lack of affordable housing, substance abuse, and: A. The recent influx of immigrant B. Deinstitutionalization of mentally ill persons C. The AIDS epidemic D. The "graying of America" (increase in the number of elderly)

Deinstituitionalization of mentally ill person

Probably the most prevalent health problem seen among migrant farm workers is: A. Asthma and chronic obstructive pulmonary disease B. Malnutrition C. Diabetes D. Dental disease

Dental Disease

Paroxetine (paxil), amitriptyline, and imipramine are usually used to manage: A. Depression B. ADHD C. Schizophrenia D. Anxiety

Depression

All nurses should be prepared for an emergency or disaster by: A. Developing a personal emergency plan B. Completing a certified first aid course C. Completing an American Red Cross disaster training course D. Be prepared to act as a "first responder"

Developing a personal emergency plan

Any restriction or lack of ability to perform an activity in a manner considered normal is a(n): A. Limitation B. Disability C. Handicap D. Impairment

Disability

Which of the following statements about disaster planning is most accurate? A. Disaster planning is essential for a community, business, or hospital. B. A disaster plan must be lengthy and detailed. C. A disaster plan should be created by the person responsible for the emergency management of the community. D. It is assumed that all professionals have addressed their personal preparation.

Disaster planning is essential for a community, business, or hospital

The State Children's Health Insurance Program is a(n): A. Comprehensive pregnancy prevention program sponsored by Medicaid. B. Alcohol and drug prevention program funded by individual states with federal block grants C. Immunization program that provides free and low cost vaccination for all eligible children funded by the Department of Health and Human Services D. Federally sponsored program that funds states to expand Medicaid coverage to children from families of the working poor.

Federally sponsored program that funds states to expand Medicaid coverage to children from families of the working poor.

Erin Jefferys is a nurse in a clinic that provides care for migrant farm workers and their families. On Monday, Erin cared for Delores Perez, a 33-year-old who is approximately 5 months pregnant with her sixth child. Through an interpreter, Erin learns that Delores is experiencing abdominal cramping. Which of the following would be the best response for Erin? A. Insist that Delores's husband take her to the nearest hospital with a labor and delivery unit immediately, because she may be in labor and the drive is almost 2 hours B. Contact a local lay-midwife who is Spanish speaking to see whether she can care for Delores, because Erin is aware that most migrant farm workers use this midwife to deliver their children. C. Call the local county extension program agent, who coordinates services for migrant workers and their families, to determine what services will be financed by the county. D. Further assess Delores's abdominal pain before making any decisions.

Further assess Delores's abdominal pain before making any decisions.

Janet Rogers works in a shelter for homeless persons in a large city. One Thursday, Janet cared for Derrick, a 3-year-old who is currently living in a car with his parents and older brother. Because of her experience, Janet knows that Derrick should be thoroughly assessed because homeless children are at risk for: A. Physical and sexual abuse, gastrointestinal abnormalities, and lead poisoning. B. Tuberculosis, AIDS, hepatitis B, and mental illness. C. Incomplete immunizations, respiratory disorders, anemia, and developmental delays. D. Childhood cancers, substance abuse, delays in motor skills, and malnutrition.

Incomplete immunizations, respiratory disorders, anemia, and developmental delays.

Exposure to radon gas is of concern for nurses in community practice because it: A. Is responsible for thousands of cases of lung cancer each year B. Can destroy metals and erode buildings causing depletion of property values C. Has been associated with sudden deaths related to cracked heating units or improperly vented gas appliances D. Can cause severe mental deficiencies in exposed individuals, being particularly severe in children.

Is responsible for thousands of cases of lung cancer each year

When the public health nurse uses an upstream approach to improve heart health, the nurse would examine which of the following factors? A. Unhealthy diets B. Decreased physical activity C. Smoking tobacco D. Lack of safe places to exercise

Lack of safe places to exercise

One of the most persistent environmental threats to the health of the children causing irreversible CNS disorders and renal problem is: A. Electromagnetic fields B. Pesticide exposure C. Lead exposure D. Asbestos exposure

Lead exposure

When reporting the ID of a communicable disease and need for investigation, which of the following must be notified first? A. CDC B. The Department of Health and Human Services C. Local public health department D. National Reported Disease list

Local public health department

Which of the following statements about disaster is true? A. Disasters are global and affect people from developed and developing countries approximately equally. B. To be considered a disaster, an event must involve the loss of human life. C. Disasters are almost always the result of natural occurrences such as earthquakes, hurricanes, and blizzards. D. Man-made disasters frequently follow natural disasters.

Man-made disasters frequently follow natural disasters.

A public health nurse who uses the upstream approach would likely focus on which one of the following contributors to unhealthy diets in the community? A. Consumer preference for sweet, fat, and salty foods B. Marketing strategies of fast food businesses C. Busy lifestyles within the community D. Individual acceptance of obesity

Marketing strategies of fast food businesses

Federal aid that supports clinics serving agricultural workers and their families is provided by the: A. Rural Health Clinic Service Act B. Migrant Health Act C. Health Training Improvement Act D. Comprehensive Health Manpower Training Act

Migrant Health Act

For the first few weeks to months after birth, infants are immune to some diseases such as chickenpox. This type of immunity is called: A. Active immunity B. Acquired immunity C. Passive immunity D. Natural immunity

Passive immunity

A nurse provider who offers homeless clients yearly TB screening and provides free treatment for those who test positive for TB is practicing which of the following? A. Secondary and Tertiary prevention B. Tertiary prevention C. Secondary prevention D. Primary prevention

Secondary prevention

One factor that predisposes many migrant farm workers to disenfranchisement is which of the following? A. Absence of health insurance B. A strong work ethic C. Shorter life expectancy D. Short length of time in the community

Short length of time in the community

Review of all recent cases of testicular cancer in Graceland County revealed that 80% occurred in men who had been employed at the local paper mills. An example of secondary prevention for occupational health nurses would be: A. Examining all toxic substances emitted by wood processing for carcinogenic properties. B. Encouraging a statewide boycott of all products supplied by the paper mills. C. Teaching testicular self-examination to all male employees of the paper mills. D. Instituting support groups for men with testicular cancer and their families.

Teaching testicular self-examination to all male employees of the paper mills.

The organization that provides disaster relief services to victims of disasters such as house fires, hurricanes, floods, and earthquakes is: A. The National Disaster Medical System B. FEMA C. The American Red Cross D. The United Emergency Fund

The American Red Cross

The federally sponsored program to improve nutrition in low-income pregnant and breastfeeding mothers and their infants and small children is: A. National Health Service Corps B. EPSDT C. Head Start D. WIC

WIC

Sam Butler is an occupational health nurse at a large hospital. Recently Sam read several recommendations by the CDC and reports of incidence and prevalence studies, and he is aware that tuberculosis raters are increasing in his area. Which of the following is a secondary prevention strategy Sam might propose to the hospital board? A. Yearly screening of all hospital employees B. Placing all HIV-positive clients on respiratory isolation C. Installation of a high-exchange ventilation system to decrease potential contamination by droplet nuclei. D. Routine monitoring of medication compliance for all diagnosed cases of tuberculosis.

Yearly screening of all hospital employees