Module 2

As the nurse is researching morbidity and mortality, what statistics would be included under the mortality rate? Select all that apply. A. Crude death rates B. Paternal death rates C. Age-specific death rates D. Motor vehicle death rates E. Infant and maternal death rates

Answer: A. Crude death rates C. Age-specific death rates E. Infant and maternal death rates

How can nurses participate in the essential services of public health? Select all that apply. A. Diagnose health problems B. Educate people on health issues C. Link people to the health services they need D. Ensure a competent public health workforce E. Work directly with pharmaceutical companies

Answer: A. Diagnose health problems B. Educate people on health issues C. Link people to the health services they need D. Ensure a competent public health workforce

Which is an example of primary prevention strategies? A. Influenza immunizations B. Heart failure management C. Glucose testing class for diabetics D. Mammograms to detect breast cancer

Answer: A. Influenza immunizations

Which occurrences would lead the public health nurse to assess the attack rate of an infection? Select all that apply. A. Tuberculosis B. Food-borne illnesses C. Catheter-associated illnesses D. Sexually transmitted infections E. Community acquired pneumonia

Answer: A. Tuberculosis B. Food-borne illnesses D. Sexually transmitted infections

Which core public health functions of the nurse apply in disaster management? Select all that apply. A. Mitigation B. Assurance C. Assessment D. Policy development E. Personal preparedness

Answer: B. Assurance C. Assessment D. Policy development

How does Women, Infant and Children (WIC), a cost-effective national health program, benefit recipients? Select all that apply. A. Provides prenatal care B. Improves birth outcomes C. Decreases healthcare costs D. Lower rates of childhood obesity E. Provides childhood immunizations

Answer: B. Improves birth outcomes C. Decreases healthcare costs D. Lower rates of childhood obesity

The public health nurse is calculating the birth rate for the city in which he or she works. There were 225 live births in a population of 140,000. What percentage would the nurse document as the birth rate? Record your answer using one decimal place.

Answer: 1.6% Rationale: 225/140,000 x 1000

A student nurse is researching the infant mortality rate in underdeveloped countries and notices the number of infant deaths is 500 and the number of live births in 30,000 per year. What would the student report as the infant mortality rate for this specific country? Record your answer using one decimal place.

Answer: 16.7% Rationale: 500/30,000 x 1000

A nurse is beginning to research the number of children diagnosed with ADHD in a community school of 3427. Last year 283 children were listed as having ADHD in their school record. What is the proportion of ADHD in this population? Record your answer using one decimal place.

Answer: 8.3% Rationale: 283/3427 x 100 to give the percent

A nurse is reviewing a hospital's mortality rate from hospital-acquired infections. Last year, a total of 4271 people died at the hospital. A total of 973 people died from an infection, and 402 people died from a hospital-acquired infection. What is the proportionate mortality ratio of this population? Record your answer per 1000 people using a whole number.

Answer: 94 Rationale: 402/4271 x 1000

What are the components of public health infrastructure that enable a public health organization at the federal, tribal, state, or local level to deliver public health services? Select all that apply. A. A capable and qualified workforce B. Up-to-date data and information systems C. Information and education that empower people about health issues D. Enforced laws and regulations that protect health and ensure safety E. Agencies capable of assessment and responding to public health needs

Answer: A. A capable and qualified workforce B. Up-to-date data and information systems E. Agencies capable of assessment and responding to public health needs

Which are public health core functions of the U.S. government? Select all that apply. A. Assessment B. Policy development C. Education D. Assurance E. Translation

Answer: A. Assessment B. Policy development D. Assurance

Which chronic conditions would remove people from the prevalence pot after treatment? Select all that apply. A. Cataracts B. Heart failure C. Hypertension D. Cholelithiasis E. Osteoarthritis

Answer: A. Cataracts D. Cholelithiasis E. Osteoarthritis Rationale: Chronic conditions that can be successfully treated with organ removal or implants (answered above) do not decrease the prevalence, but do decrease the incidence. Heart failure and hypertension are chronic diseases that are manageable with medication but do not remove people from the prevalence pot.

What model of care in the United States in being developed in many other countries to bridge the gap between hospital and community-based care? A. Home healthcare B. Skilled nursing facilities C. Long term care facilities D. Public health departments

Answer: A. Home healthcare

According to the epidemiological triangle, what factors interact to support transmission of disease? Select all that apply. A. Host B. Agent C. Immunity D. Environment E. Genetic makeup

Answer: A. Host B. Agent D. Environment Rationale: The wheel model looks at the multiple host and environmental interactions and includes immunity and the genetic makeup of the host.

Which best illustrates population-based nurses intervening at the community level of tertiary prevention? A. Hosting support groups for patients with epilepsy B. Administering insulin injections for a patient with diabetes C. Coordinating emergency medical services for earthquake victims D. Conducting cardiac rehabilitation for a patient with heart disease

Answer: A. Hosting support groups for patients with epilepsy

Which strategies best illustrate primary prevention? Select all that apply. A. Immunizing against pneumonia B. Teaching healthy nutrition habits C. Teaching heart failure management D. Coordinating smoking cessation programs E. Encouraging exercise to promote healthy body weight

Answer: A. Immunizing against pneumonia B. Teaching healthy nutrition habits D. Coordinating smoking cessation programs E. Encouraging exercise to promote healthy body weight

What key goals of Healthy People 2020 does the public health infrastructure support? Select all that apply. A. Improvement of health B. Creation of environments that promote health C. Promotion of healthy development and behaviors D. Linking people to needed personal healthcare services when unavailable E. Monitoring the health status to identify and solve community health problems

Answer: A. Improvement of health B. Creation of environments that promote health C. Promotion of healthy development and behaviors

Which statement best explains incidence in relation to morbidity rates? A. Incidence is the new number of cases of any disease B. Incidence includes the total number of existing cases C. Incidence involves the number of fatalities from a disease D. Incidence is reported as the rate of illness occurrence in a population

Answer: A. Incidence is the new number of cases of any disease

What expert panel has influenced the direction of safety for national healthcare? A. Institute of Medicine (IOM) B. Centers for Disease Control (CDC) C. American Public Health Association (APHA) D. U.S. Preventative Services task force (USPSTS)

Answer: A. Institute of Medicine (IOM)

What are the key elements to achieving the goal for better health for all via primary health care, as defined by the World Health Organization? Select all that apply. A. Integrating health into all sectors B. Increasing stakeholder participation C. Pursuing collaborative models of policy dialogue D. Reducing exclusion and social disparities in health E. Organizing health services around people's wants and desires

Answer: A. Integrating health into all sectors B. Increasing stakeholder participation C. Pursuing collaborative models of policy dialogue D. Reducing exclusion and social disparities in health

Title III of the Older Americans Act authorizes funding for nonprofit area agencies on aging to coordinate what services or resources? Select all that apply. A. Nutritional services B. Family caregiver support C. Supportive social services D. Durable medical equipment E. Assistance with the cost of prescription medication F. Disease prevention and health promotion activities

Answer: A. Nutritional services B. Family caregiver support C. Supportive social services F. Disease prevention and health promotion activities

What focus can a community health nurse take to move beyond the direct care of individuals and families? A. Population focus B. Geographical focus C. Primary prevention D. Community subpopulation

Answer: A. Population focus

Which are the foundational goals of the Core Functions Project? Select all that apply. A. Preventing injuries B. Promoting healthy behaviors C. Insuring healthcare providers D. Providing free healthcare services E. Ensuring accessibility of health services

Answer: A. Preventing injuries B. Promoting healthy behaviors E. Ensuring accessibility of health services

Nurses train daycare workers regarding hand hygiene, diapering, choking hazards for young children, and proper food preparation and storage. The topics presented best represent which level of prevention strategies regarding epidemiology issues in infants and children? A. Primary B. Tertiary C. Secondary D. Assessment

Answer: A. Primary

The nurse teaches a community health class that includes nutrition, promotion of physical activity, and stress management strategies based on identified health risk factors in this community. Which level of prevention strategies does the selection of these topics represent? A. Primary B. Tertiary C. Functional D. Secondary

Answer: A. Primary

What benefit does the Patient Protection and Affordable Care Act (or Health Care Reform Act) have on the national level? Select all that apply. A. Prohibits insurers from dropping policyholders when they get sick B. Established low-risk pools to provide health coverage to those with preexisiting conditions C. Prohibits insurance companies from placing lifetime limits on the dollar value of coverage D. Requires health plans to cover all preventative care and screening at no cost to the consumer E. Prohibits insurers from disallowing coverage for some individuals with preexisiting conditions

Answer: A. Prohibits insurers from dropping policyholders when they get sick C. Prohibits insurance companies from placing lifetime limits on the dollar value of coverage E. Prohibits insurers from disallowing coverage for some individuals with preexisiting conditions

What is the benefit of having a national public health infrastructure? A. Provides a framework for addressing social determinants of health B. Promotes standardization of services and improved performance C. Provides evidence based information for community interventions D. Addresses legal and political challenges as a result of increased levels of chronic illness

Answer: A. Provides a framework for addressing social determinants of health

The nurse is reviewing a community health profile for a particular community and reads that the proportion of adults satisfied with the healthcare system in the community is high. In which section of the community health profile will this information be included? A. Quality of life B. Health status C. Functional status D. Health care resource consumption

Answer: A. Quality of life Rationale: The health status section contains information about infant death rate, adult death rates, and births. Functional status section contains information about how many adults report their general health is good. The healthcare resource consumption section contains information about the per capita spending for Medicare beneficiaries.

The Centers for Disease Control Healthy Communities Program contains which programs? Select all that apply. A. REACH US B. Steps Communities C. Center for Civic Partnerships D. Pioneering Healthy Communities E. Strategic alliances for health communities F. Association for Community Health Improvement

Answer: A. REACH US B. Steps Communities D. Pioneering Healthy Communities E. Strategic alliances for health communities Rationale: The Center for Civic Partnerships is a part of the Public Health Institute. The Association for Community Health Improvements is an independent organization.

What are the stages of disaster management? Select all that apply. A. Recovery B. Response C. Prevention D. Assessment E. Collaboration F. Preparedness

Answer: A. Recovery B. Response C. Prevention F. Preparedness

The results of epidemiologic studies guide tertiary level prevention activities resulting in which patient outcomes? Select all that apply. A. Reducing mortality B. Limiting debilitating events C. Improving the quality of life D. Managing chronic diseases E. Screening for chronic diseases

Answer: A. Reducing mortality B. Limiting debilitating events C. Improving the quality of life D. Managing chronic diseases

What are the goals of the U.S. Department of Homeland Security? Select all that apply. A. Response B. Recovery C. Protection D. Prevention E. Awareness F. Compensation

Answer: A. Response B. Recovery C. Protection D. Prevention E. Awareness

A nurse has collaborated with community partners in utilizing ICAM to gather data prior to incorporating a community healthcare center. Using the ICAM, what specific areas will the team assess in the community? Select all that apply. A. Spirituality B. Recreation C. Perceptions D. Health disparity E. Support systems

Answer: A. Spirituality B. Recreation C. Perceptions E. Support systems

Nurses provide care for the patient diagnosed with breast cancer who undergoes surgery, chemotherapy, and radiation treatments aimed at limiting the disabling effects of the disease. These treatment approaches best represent which level of prevention strategies based on epidemiological data? A. Tertiary B. Primary C. Curative D. Secondary

Answer: A. Tertiary

What program provided grant monies to states for the development of comprehensive services for persons discharged from psychiatric institutions and invited consumers to participate? A. The Community Support Program B. The Interagency Council on the Homeless C. The Mental Health Global Action Program D. The Rehabilitative Services Administration

Answer: A. The Community Support Program

Why is it beneficial to analyze health data by time, place, and person? Select all that apply. A. The epidemiologist can become very familiar with the data B. The epidemiologist can analyze how a disease is transmitted C. The epidemiologist can identify areas that have a high rate of disease D. The epidemiologist can create tables, graphs, and maps for easy communication E. The epidemiologist can identify the extent and pattern of the problem being investigated

Answer: A. The epidemiologist can become very familiar with the data C. The epidemiologist can identify areas that have a high rate of disease D. The epidemiologist can create tables, graphs, and maps for easy communication E. The epidemiologist can identify the extent and pattern of the problem being investigated

Which information should the nurse have available in order to determine the incidence rate of measles in a community? Select all that apply. A. Time frame B. Number of deaths per year C. Number of cases of measles D. Number of susceptible people E. Total number of people in community

Answer: A. Time frame C. Number of cases of measles D. Number of susceptible people

What is the rationale fr the public health nurse to research epidemiologic rates in an area? Select all that apply. A. To track health trends over time B. To determine extent of a health problem C. To develop contacts within the community D. To obtain the number of people in a community E. To compare information among demographics and locations

Answer: A. To track health trends over time B. To determine extent of a health problem E. To compare information among demographics and locations

Which social determinants of population health are associated with persistent socioeconomic disparities worldwide? Select all that apply. A. Total ecology B. Medical care C. Chronic disease D. Health behaviors E. Social characteristics

Answer: A. Total ecology B. Medical care D. Health behaviors E. Social characteristics Rationale: Chronic disease is an adverse outcome of these social determinants.

A strong F4 tornado has devastated a suburban neighborhood in a path 1 mile wide and 10 miles long. Which role will be performed by the public health nurse? A. Triage B. Law enforcement C. Search and rescue D. Assessing for infections

Answer: A. Triage Rationale: The role of the nurse during a disaster is to triage the injured and provide treatment. Police are a part of the interprofessional team that provides law enforcement. Law enforcement and fire department members are more likely to coordinate search and rescue. Patients are more likely to be assessed for injury in this situation than for infections.

What national agency of U.S. Department fo Health and Human Services (DHHS) will the nurse use to help coordinate community-based services for an older adult? A. National Institutes of Health (NIH) B. Administration for Community Living C. Centers for Medicare and Medicaid Services D. Health Care Resources and Services Administration

Answer: B. Administration for Community Living

In which aspects of healthcare will the public health nurse directly participate? Select all that apply. A. Research B. Community C. Epidemiology D. Chronic diseases E. Emergency preparedness

Answer: B. Community C. Epidemiology E. Emergency preparedness

A nurse identifies that there are 247 new cases of syphilis in the community. This is an example of what? A. Pattern B. Frequency C. Distribution D. Surveillance

Answer: B. Frequency

The parent of a disabled child is looking for assistance with education and support services. The nurse should recommend information from which U.S. government agency? A. Maternal and Child Health Bureau B. Office of Special Education Programs C. Rehabilitative Services Administration D. Center for Medical and Medicare Services

Answer: B. Office of Special Education Programs

What is the most effective model of nursing that is critical to addressing the challenges of inefficient healthcare delivery in the global community? A. Public health nursing B. Population-based nursing C. Primary healthcare nursing D. Community public health nursing

Answer: B. Population-based nursing

The school nurse reviews the current data available regarding the incidence of sexually transmitted diseases among teenagers in the county and implements a sexual health topic in the health class curriculum. This is an example of which level of prevention strategies based on epidemiological data? A. Early B. Primary C. Tertiary D. Secondary

Answer: B. Primary

The public health nurse considers using a patient reminder system to increase the community demand for vaccines. Based on the Guide to Community Preventative Services, of what quality is the evidence that supports this intervention? A. Weak B. Strong C. Sufficient D. Insufficient

Answer: B. Strong

Which level of prevention strategies is best illustrated by providing physical therapy to limit the progression of muscle atrophy in patients with muscular dystrophy? A. Primary B. Tertiary C. Secondary D. Community

Answer: B. Tertiary

Which prevention level targets populations who have experienced disease or injury to limit further negative effects from a health problem? A. Primary B. Tertiary C. Individual D. Secondary

Answer: B. Tertiary

Increased incidence of disease over the years, such as yellow fever and typhoid, can be attributed to which factors? Select all that apply. A. Economics B. Urbanization C. Communication D. Industrialization E. Science and technology

Answer: B. Urbanization D. Industrialization

Which are examples of category B bioterrorism agents or diseases? Select all that apply. A. Plague (Yersinia pestis) B. Smallpox (Variola major) C. Brucellosis (Brucella species) D. Epsilon (Clostridium perfringens) E. Tularemia (Francisella tularensis)

Answer: C. Brucellosis (Brucella species) D. Epsilon (Clostridium perfringens)

What is the intent of the U.S. Department of Health and Human Services (DHHS) transitioning Healthy People 2020 into a web-accessible database that is searchable and interactive and allows users to tailor the document to the public's needs? A. Provide access to healthcare services and information to the national public B. Involvement of the national public in their own health and lifestyle choices C. Change the perception that access to healthcare services will solve health problems D. Provide an education tool for the national public to assist them in achieving optimal health

Answer: C. Change the perception that access to healthcare services will solve health problems

For what is the Centers for Disease Control and Prevention (CDC) globally recognized? A. Improving the health standards of the Americas B. Health-related initiatives to promote sustainable economic growth C. Conducting research and investigation and taking action-oriented approach D. Children's survival, development, and protection through community-based programs

Answer: C. Conducting research and investigation and taking action-oriented approach

At the secondary prevention level, population-based nurses conduct various interventions to screen and treat patients and populations. Which intervention demonstrates secondary prevention at the individual level? A. Lobbying public officials for mobile mammogram units for rural areas B. Providing bike safety education to parents of school-age children C. Educating each clinical patient about recommended age-specific screenings D. Coordinating community blood pressure events with referrals and follow-ups as needed.

Answer: C. Educating each clinical patient about recommended age-specific screenings

What factor does the National Coalition of Health Professional Education in Genetics consider a "genetic red flag"? Select all that apply. A. Being born to parents over the age of 40 B. Onset of a disease at a later age than expected C. Ethnic predisposition to certain genetic disorders D. Close biological relationships existing between parents E. Disease occurrence in the absence of known risk factors F. Family history of multiple affected family members with the same or related disorders

Answer: C. Ethnic predisposition to certain genetic disorders D. Close biological relationships existing between parents E. Disease occurrence in the absence of known risk factors F. Family history of multiple affected family members with the same or related disorders

Which finding would the nurse consider to be the prevalence of clostridium difficile for a healthcare facility? A. 35 cases last year B. 20 potential cases C. Four current cases D. 10 cases last month

Answer: C. Four current cases

What scenario requires support from all facets of the interprofessional disaster relief team? A. Flash flooding of a creek B. Lightning strike of a single person C. Hurricane with a large sea wall breech D. Thunderstorm resulting in a downed power line

Answer: C. Hurricane with a large sea wall breech

A nurse is teaching people in the community about ways to respond in an active shooter emergency. What does the nurse include in the teaching? A. Get the shooter to chase you. B. Sound off a cell phone alarm C. Leave all your belongings and run D. Have everyone start shouting for help.

Answer: C. Leave all your belongings and run

Which factor can increase the prevalence rate without impacting the incidence rate? A. Mortality rate B. Food-borne illnesses C. New medical treatments D. Number of comorbidities

Answer: C. New medical treatments

What is the best description of prevalence? A. Rates of chronic illness within a population that is usually underreported B. Number of deaths from a certain illness during a specified period of time C. Number of all cases of a specific disease in a population during a certain period of time D. Number of new cases of a disease that occurred in a community over a period of time

Answer: C. Number of all cases of a specific disease in a population during a certain period of time Rationale: Number of new cases within a community is incidence

A nurse is reviewing studies on breast cancer risk in American women. The study states that the incidence rate per 100,000 in 2017 was 128.7. How does the nurse interpret this statistic? A. Out of 100,000 American women, 128.7 women had breast cancer B. Out of 100,000 American women, 128.7 women died of breast cancer C. Out of 100,000 American women, 128.7 women had a new diagnosis of breast cancer D. Out of 100,000 American women, 128.7 women were at risk for developing breast cancer

Answer: C. Out of 100,000 American women, 128.7 women had a new diagnosis of breast cancer

A community health nurse is providing dietary instruction for a patient newly diagnosed with hypertension. The patient asks the nurse, "Can I really do this?" Based on the patient's statement, which component of the health belief model does this patient's statement reflect? A. Self-efficacy B. Cues to action C. Perceived barriers D. Perceived severity

Answer: C. Perceived barriers

On which system of the body does the public health nurse focus in the assessment of those exposed to volcanic ash after an eruption? A. Nervous B. Endocrine C. Respiratory D. Gastrointestinal

Answer: C. Respiratory Rationale: Inhalation of volcanic ash and air pollution from a volcanic eruption can cause respiratory irritation and illness. The nervous, endocrine, and gastrointestinal systems are not immediately impacted by the inhalation of ash.

A nurse is performing surveillance of the latest strain of flu. This is an example of what? A. Patterning B. Distribution C. Analytic epidemiology D. Descriptive epidemiology

Answer: D. Descriptive epidemiology

The Ryan White HIV/AIDS Treatment Extension Act of 2009 provides funds to patients with HIV or AIDS for what services? Select all that apply. A. Hospice care B. Meal delivery C. Transportation D. Emergency services E. Drug reimbursement programs F. Services for early intervention and care

Answer: D. Emergency services E. Drug reimbursement programs F. Services for early intervention and care

Which chemical agent has a moderate lethality rating? A. Sarin B. Tabun C. Chlorine D. Hydrogen cyanide

Answer: D. Hydrogen cyanide Rationale: Hydrogen cyanide is a chemical agent with a low to moderate lethality rating. Sarin and tabun are nerve agents with high lethality ratings. Chlorine is a pulmonary agent with a low lethality rating.

Which study is an example of analytic epidemiology? A. Monitoring for a new avian flu infection B. Studying transmission patterns of a flu outbreak in the Midwest C. Reviewing the risk of cervical cancer development in young women D. Investigating the cause of hepatitis A outbreak in the homeless population in San Diego

Answer: D. Investigating the cause of hepatitis A outbreak in the homeless population in San Diego Rationale: Analytic epidemiology is the study of the cause of a disease or a disease outbreak through the use of comparison groups

What epidemiological data is monitored by global information system (GIS) technology? A. Use of medical supplies B. Severe weather changes C. Client global health records D. Maps water quality measures in sensitive ecosystems

Answer: D. Maps water quality measures in sensitive ecosystems

A nurse is reading a study that found association between cervical cancer rates and the number of sexual partners. What conclusion can the nurse draw? A. An increased number of sexual partners will cause cervical cancer. B. Exposure to multiple sexual partners increases one's risk for cervical cancer. C. There is no definitive relationship between cervical cancer and sexual partners. D. People who have multiple sexual partners are more likely to have cervical cancer.

Answer: D. People who have multiple sexual partners are more likely to have cervical cancer.

What national shift in philosophy did the Centers for Disease Control and Prevention (CDC) make to the accelerate health impact and reduce health disparity? A. Emphasize clinical prevention B. Collecting and analyzing health data C. Designing and implementing programs D. Providing incentives for participation and cooperation

Answer: D. Providing incentives for participation and cooperation

A nurse wants to address physical environment determinants of health in reducing asthma rate. What is an example of an initiative that would do this? A. Minimizing smoking B. Improving insurance coverage C. Increasing access to primary care physicians D. Reducing cockroach infestations

Answer: D. Reducing cockroach infestations

At which prevention level do population-based nurses assume the roles of screening and treating populations, including education about screenings, administering medications and treatments, coordinating screening events and follow-up care, and lobbying for additional resources for screenings? A. Tertiary B. Primary C. Individual D. Secondary

Answer: D. Secondary

Home safety checks focusing on fall risks such as throw rugs for older adults best demonstrates which level of prevention strategy? A. Primary B. Tertiary C. Geriatric D. Secondary

Answer: D. Secondary

Which level of prevention strategies targets populations that have risk factors in common to detect and treat health problems in their early stages? A. Primary B. Tertiary C. Curative D. Secondary

Answer: D. Secondary

What does a nurse understand about planning to fight off an active shooter? A. The nurse can back away at any time B. The nurse should never fight off an active shooter C. The nurse should not be the one to fight off the shooter D. The nurse must fully commit to the fight and follow through with it

Answer: D. The nurse must fully commit to the fight and follow through with it

Which best explains how media influences gun violence? A. Social media sites are funded by gun activists B. Radio stations make it look attractive to harm other people C. News stories tell people where they can purchase firearms D. Violent video games can inspire people to become violent themselves

Answer: D. Violent video games can inspire people to become violent themselves

A group of nurses work for environmental protection by providing consultation to industries, local government and concerned citizens, as well as teaching community health seminars about preventable environmental health problems. These actions best demonstrate which level of prevention strategies? A. Primary B. Tertiary C. Secondary D. Functional

Answer: A. Primary

Nurses screen veterans for mental health conditions including depression and post-traumatic stress disorder. Which level of prevention does this activity illustrate? A. Primary B. Tertiary C. Secondary D. Functional

Answer: C. Secondary

Which international health organization is a bilateral organization? A. World Health Organization (WHO) B. United Nations Children's Fund (UNICEF) C. Pan American Health Organization (PAHO) D. U.S. Agency for International Development (USAID)

Answer: D. U.S. Agency for International Development (USAID) Rationale: The other organizations are multilateral, meaning they receive funding from multiple government and nongovernment resources.

Which patient system of community levels of care is the nurse using when promoting the health benefits of yoga through community classes? A. Family B. Individual C. Aggregate D. Community

Answer: C. Aggregate

What is an example of an epidemic? A. A few cases of measles flare up in a community B. Nearly half of the community members have colds C. A large portion of people in the population have HIV/AIDS D. Several children and adults in the community have pneumonia

Answer: A. A few cases of measles flare up in a community Rationale: HIV/AIDS is a pandemic.

Which factors contributed to the reduction of communicable disease mortality in the mid-1900's? Select all that apply. A. Better housing B. Nutrition education C. Improved sanitation D. Reduced infrastructure E. Increased job openings F. Immunization campaigns

Answer: A. Better housing B. Nutrition education C. Improved sanitation F. Immunization campaigns

What is the goal of primary prevention of violence when it comes to shooters? A. To assess victims of the shooting B. To treat the shooter after the incident C. To help people heal after the shooting D. To stop the shooting before it happens

Answer: D. To stop the shooting before it happens

Which parameters of global diplomacy are important for a nurse working in international communities to acknowledge? Select all that apply. A. Geography B. Technology C. Public health D. Social justice E. Political system

Answer: B. Technology C. Public health D. Social justice E. Political system

What type of disaster prevention is aimed at preventing a recurrence or identifying problems with the plan and making revisions? A. Primary B. Tertiary C. Recovery D. Secondary

Answer: B. Tertiary

The nurse understands that how many days worth of food are recommended to store in a disaster preparedness kit? A. 3 B. 6 C. 10 D. 14

Answer: A. 3

Under the Pandemic and All-Hazards Preparedness Reauthorization Act, what biodefense programs were established to help public health professionals mount a proactive response to pandemics and biological disasters? Select all that apply. A. BioWatch B. BioSense C. Instiut Pasteur D. Project BioShield E. Cities Readiness Initiative F. Strategic National Stockpile

Answer: A. BioWatch B. BioSense D. Project BioShield E. Cities Readiness Initiative F. Strategic National Stockpile Rationale: Instiut Pasteur facilitates the development of sera and vaccines for countries in need, disseminates current health information, and trains and provides fellowships for medical training and study in France.

The nurse is called upon to assist with caring for patients following a bioterrorism attack. The nurse has two young children and explains to the supervisor that they cannot be left alone, so the nurse is unavailable to assist. What core competency for disaster medicine and public health should the nurse have demonstrated? A. Demonstrate personal and family preparedness for disasters and public health emergencies B. Demonstrate knowledge of personal safety measures that can be implemented in a disaster or public health emergency C. Demonstrate knowledge of ethical principles to protect the health and safety of all ages, populations, and communities affected by a disaster or public health emergency D. Demonstrate knowledge of public health principles and practices for the management of all ages and populations affected by disasters and public health emergencies

Answer: A. Demonstrate personal and family preparedness for disasters and public health emergencies

International nursing research has focused on what areas of healthcare? Select all that apply. A. Diverse clinical experiences B. Student and faculty education exchange programs C. Primary healthcare delivery and the role of the APN D. International development of home care transition from hospital to home E. Cost efficient attainment of health for all in an accessible healthcare system

Answer: A. Diverse clinical experiences B. Student and faculty education exchange programs D. International development of home care transition from hospital to home

A public health nurse is teaching fire prevention to a group of campers. Which instructions does the nurse include? Select all that apply. A. Do not leave an active campfire B. Build fires near trees and bushes C. Be mindful of the surrounding residences D. Have an evacuation plan and supplies ready E. Keep a fire extinguisher near the fire at all times

Answer: A. Do not leave an active campfire C. Be mindful of the surrounding residences D. Have an evacuation plan and supplies ready E. Keep a fire extinguisher near the fire at all times

Extreme, sustained heat is predicted for a local community. A community health nurse is scheduled to appear on a news segment to share tips on how to avoid heat-related illness. What tips should the nurse include? Select all that apply. A. Eating light B. Seeking shelter C. Increasing activity D. Wearing dark clothing E. Increasing fluid intake

Answer: A. Eating light B. Seeking shelter E. Increasing fluid intake

What is a public health nurse's role in an active shooter situation? Select all that apply. A. Engage fully in primary prevention B. Stop the shooter from harming others C. Educate people about how to respond D. Follow orders of the incident commander E. Rescue people who are held by the shooter

Answer: A. Engage fully in primary prevention C. Educate people about how to respond D. Follow orders of the incident commander

What is the preferred method of response to an active shooter situation? A. Evacuating the area B. Combating the shooter C. Rescuing everyone in the room D. Locking the shooter in the area

Answer: A. Evacuating the area

When caring for a patients in a community with a high rate of hypertension, which social determinants of health will the community health nurse take into consideration? Select all that apply. A. Food B. Stress C. Transport D. Addiction E. Social support

Answer: A. Food B. Stress C. Transport E. Social support

Which are agencies under the U.S. Public Health Service (part of the Department of Health and Human Services)? Select all that apply. A. Food and Drug Administration B. Mental Health Global Action Program C. National Incident Management System D. Agency for Healthcare Research and Quality E. Health Resources and Services Administration F. Agency for Toxic and Substances and Disease Registry

Answer: A. Food and Drug Administration D. Agency for Healthcare Research and Quality E. Health Resources and Services Administration F. Agency for Toxic and Substances and Disease Registry

A nurse is caring for patients in the emergency department of a city hospital. Within the last 48 hours, the nurse has treated a large number of patients from a nearby university who have symptoms of smallpox. The nurse's priority is to notify which group? A. Hospital administration B. 911 communication center C. Department of Homeland Security D. Department of Health and Human Services

Answer: A. Hospital administration

What are the duties and tasks performed by the Centers for Medicare and Medicaid Services? Select all that apply. A. Improving quality of care B. Providing health insurance C. Developing coverage policies D. Regulation of laboratory testing E. Health promotion and wellness programs F. Oversight of surveying and certifying of nursing home and continuing care providers

Answer: A. Improving quality of care B. Providing health insurance C. Developing coverage policies D. Regulation of laboratory testing F. Oversight of surveying and certifying of nursing home and continuing care providers

Which are QSEN competencies for nursing? Select all that apply. A. Informatics B. Patient-centered care C. Provider-based training D. Healthcare accessibility E. Evidence-based practice F. Teamwork and collaboration

Answer: A. Informatics B. Patient-centered care E. Evidence-based practice F. Teamwork and collaboration

A community health nurse is preparing a hurricane safety education session for residents in a coastal area. Which recommendations will the nurse include? Select all that apply. A. Keeping an emergency stock of food B. Monitoring NOAA weather radio for information C. Filling the bathtub and large containers with water D. Keeping clear of windows and doors even if they are covered E. Planning to stay home through the storm if living in a mobile home

Answer: A. Keeping an emergency stock of food B. Monitoring NOAA weather radio for information C. Filling the bathtub and large containers with water D. Keeping clear of windows and doors even if they are covered

A nurse is educating community members on preparation for flood emergencies. Which actions does the nurse recommend? Select all that apply. A. Keeping vehicles full with gas B. Planning an evacuation route C. Locating emergency shelters D. Investigating if one's property is on a flood plain E. Planning water and food for two days for each person

Answer: A. Keeping vehicles full with gas B. Planning an evacuation route C. Locating emergency shelters D. Investigating if one's property is on a flood plain Rationale: Water and food stock should include enough for each person for 3 to 5 days.

A nurse is teaching elementary school students about safety during storms. Which items does the nurse teach students to avoid to decrease the risk of being injured by a lightning strike during a thunderstorm? Select all that apply. A. Metal objects B. Isolated trees C. Stone shelters D. Wooden homes E. Concrete fencing

Answer: A. Metal objects B. Isolated trees Rationale: Contact with metal objects and close proximity to tall, isolated trees increases the risk of injury from lightning strike during a thunderstorm. Stone shelters, wooden homes, and concrete fencing are not good conductors of electricity, so being near them does not increase risk.

What are the leading health indicator topics identified in Healthy People 2020 that the public health nurse should know? Select all that apply. A. Oral health B. Vaccine promotion C. Injury and violence D. Environmental quality E. Reproductive and sexual health

Answer: A. Oral health C. Injury and violence D. Environmental quality E. Reproductive and sexual health

Which are examples of category A bioterrorism agents or diseases? Select all that apply. A. Plague (Yersinia pestis) B. Smallpox (Variola major) C. Brucellosis (Brucella species) D. Epsilon (Clostridium perfringens) E. Tularemia (Francisella tularensis)

Answer: A. Plague (Yersinia pestis) B. Smallpox (Variola major) E. Tularemia (Francisella tularensis)

Which steps are parts of the acronym for Healthy People 2020 MAP-IT Strategy for Creating a Healthy Community? Select all that apply. A. Plan B. Teach C. Assess D. Mobilize E. Implement

Answer: A. Plan C. Assess D. Mobilize E. Implement Rationale: T is for tracking progress over time.

Which statement describes the Health Services Pyramid? A. Population-based public health programs support the goals of providing a foundation for clinical preventative services B. Some tiers of healthcare services are important to the health of the population, and only those important ones have health as a goal C. The greater the effectiveness of services in the higher tiers, the greater the capacity of lower tiers to contribute efficiently to health improvement D. All levels of healthcare, including population-based public healthcare, must be funded or the goal of health populations may never be reached.

Answer: A. Population-based public health programs support the goals of providing a foundation for clinical preventative services

What type of disaster prevention is aimed at preventing the occurrence of a disaster or limiting consequences when the event itself cannot be prevented? A. Primary B. Tertiary C. Recovery D. Secondary

Answer: A. Primary

When using the community-based participatory research model, who determines the health needs and plans the interventions? Select all that apply. A. Professionals B. Community members C. Public health department D. Centers for Disease Control and Prevention (CDC) E. Agency for Healthcare and Research Quality (AHRQ)

Answer: A. Professionals B. Community members

Which factors can help nurses predict the types of injuries and illnesses that might occur following a disaster event? Select all that apply. A. Type of disaster event B. Timing of disaster event C. Location of disaster event D. Purpose of disaster event E. Strategy of disaster event

Answer: A. Type of disaster event B. Timing of disaster event C. Location of disaster event

What will the global health nurse include in a needs assessment prior to implementing health services in a less-developed nation? Select all that apply. A. Wants B. Needs C. Diplomacy D. Resources E. Sustainability

Answer: A. Wants D. Resources E. Sustainability

Which action is the nurse prepared to take during a biological attack? Select all that apply. A. Washing with soap and water B. Moving away from the scene quickly C. Listening to the media for official instructions D. Lying flat on the ground and covering the head E. Putting on sunglasses to avoid eye contact with the light

Answer: A. Washing with soap and water B. Moving away from the scene quickly C. Listening to the media for official instructions

The public health nurse is teaching members of a low-lying community about safe practices during flooding. Which statement does the nurse make during the presentation? A. You should move to the highest are of the home B. The risk of mortality in braving flood waters is low C. You can walk through the water if it appears shallow enough D. It is safe to drive through water if the tailpipe of the vehicle is not covered

Answer: A. You should move to the highest are of the home

Which program is a data-sharing program to facilitate surveillance of unusual patterns or clusters of disease in the United States? A. BioWatch B. BioSense C. Project BioShield D. Cities Readiness Initiative

Answer: B. BioSense Rationale: BioWatch is an early warning system for biothreats that uses an environmental sensor system to test the air for biological agents in several major metropolitan areas. Project BioShield is a program to develop and produces new drugs and vaccines as countermeasures against potential bioweapons and deadly pathogens. The Cities Readiness Initiative is a program to aid cities in increasing their capacity to deliver medicines and medical supplies during a large-scale public health emergency such as bioterrorism attack or a nuclear accident.

What United Nation (UN) Millennium Goals have been established to relieve poor health conditions around the world? Select all that apply. A. Reduction of infant mortality B. Ensure environmental sustainability C. Achieve primary universal education D. Eradication of combat in civilian area E. Promote gender equality and empower women

Answer: B. Ensure environmental sustainability C. Achieve primary universal education E. Promote gender equality and empower women

The public health nurse is organizing efforts after a hurricane led to a devastating flooding. Which bacteria or disease processes are of highest priority for recognizing and tracking? Select all that apply. A. Tetanus B. Giardiasis C. Hepatitis B D. Leptospirosis E. Escherichia coli (E. coli)

Answer: B. Giardiasis D. Leptospirosis E. Escherichia coli (E. coli)

Which indicator will be the international nurse use when conducting a survey on an international community to adequately describe the outlook of the health of the community? A. Disability-adjusted life years B. Global burden of disease (GBD) C. Loss of life resulting from disability D. Number of premature deaths due to disability

Answer: B. Global burden of disease (GBD)

Which factor has undergone social change that most affected the development of community health nursing practice? A. Role of nursing B. Health insurance C. The environment D. Health of the aggregate client

Answer: B. Health insurance

Federally qualified health centers might include which types of facility? Select all that apply. A. Nursing home B. Homeless center C. School-based center D. Skilled nursing facility E. Public housing center F. Community health center

Answer: B. Homeless center C. School-based center E. Public housing center F. Community health center

Which are categories of public health workforce competencies? Select all that apply. A. Technology B. Leadership C. Communication D. Program planning E. Financial planning F. Cultural competency

Answer: B. Leadership C. Communication D. Program planning E. Financial planning F. Cultural competency

A public health nurse in an area near a fault line is educating the community about actions to take of an earthquake. Which interventions does the nurse include in this teaching? Select all that apply. A. Drive away from the area B. Move away from buildings C. Get outside to a wide open area D. Stay away from exits of buildings E. Stay clear of areas with overhead wires

Answer: B. Move away from buildings C. Get outside to a wide open area D. Stay away from exits of buildings E. Stay clear of areas with overhead wires

Why is it important for community and public health nurses to be aware of the stages in disease history of humankind? A. Patients can tell the nurse a lot about other patients who belong to the same group B. Patients may have distinct cultural traditions or beliefs about healthcare that are rooted in a particular stage C. Nurses need to know how to classify each patient according to the evolution of civilization and document in the health record D. Nurses cannot provide services to people that relate strongly to certain stages in disease history, and healthcare providers may need to step in.

Answer: B. Patients may have distinct cultural traditions or beliefs about healthcare that are rooted in a particular stage

A nurse is using the International Community Assessment Model (ICAM) to assess a community's culture for barriers to health. What recreational activity is representative of the community health? A. Lifestyle choices B. Stress management C. The physical environment D. Community perception on health

Answer: B. Stress management Rationale: The ICAM assessment of recreation includes community cardiovascular fitness, stress management, energy renewal, and relaxation through sports, hobbies, and games.

Which program was designed to prevent and control disease or death, while also promoting health and quality of life that results from interactions between people and their environment? A. The National Institute for Occupational Safety and Health B. The Centers for Disease Control and Prevention's Environmental Hazards and Effects Program C. The Center for Disease Control and Prevention's Task Force on Community Preventative Services D. The Center for Disease Control and Prevention's National Center for Injury Prevention and Control

Answer: B. The Centers for Disease Control and Prevention's Environmental Hazards and Effects Program

What system monitors emergency department data to detect unusual patterns (or aberrations) so that quick epidemiologic case confirmation and follow-up can be initiated? A. The Cities Readiness Initiative B. The Enhanced Surveillance Project C. The National Disaster Medical System D. The Global Outbreak Alert and Response Network

Answer: B. The Enhanced Surveillance Project

The public health nurse applies the communication skills domain for public health nursing competencies to an older adult patient of Asian decent. Which action will the nurse take? A. Identifying the impact of new healthcare policies on the patient B. Adapting services according to the patient's cultural preferences C. Assessing how familiar the patient is with medical terminology and concepts D. Using valid and reliable instruments for collecting data on the patient's health history

Answer: C. Assessing how familiar the patient is with medical terminology and concepts Rationale: This is an example of assessing health literacy, which is part of the communication skills domain of public health nursing competencies. Adapting services to accomodate cultural preferences is an example of applying cultural competency skills. Identifying the impact of new healthcare policies on the patient is an example of policy development/program planning skills. Using valid and reliable instruments for collecting data is an example of analytic assessment skills.

The nurse is performing triage after an F3 tornado caused significant damage at a local community center. Which type of injury does the nurse most expect to encounter? A. Burns B. Drowning C. Blunt trauma D. Carbon monoxide poisoning

Answer: C. Blunt trauma

What is required for a local health department to maintain public health accreditation? A. Community health promotion B. Community health education C. Community health assessment D. Community health management

Answer: C. Community health assessment Rationale: the others are education services rendered by the public health department, not requirements for accreditation

A nurse manager is teaching staff nurses about preparing for chemical agents of mass destruction. Which statement made by the staff nurse indicates teaching is effective? A. If someone comes into contact with chlorine, I will provide them with an antidote B. If someone comes into contact with sarin, I will wrap them up in blankets and keep them out of light C. If someone comes into contact with VX, I will move that person to fresh air and wash off his or her skin D. If someone comes into contact with tabun, I will keep him or her indoors and not touch his or her skin

Answer: C. If someone comes into contact with VX, I will move that person to fresh air and wash off his or her skin

A nurse is teaching a student nurse about the principles of public health nursing. Which statement made by the student nurse indicates that further teaching is required? A. I should treat each patient as representing the population B. My relationship with patients is that of an equal partnership C. Our primary obligation is to achieve the greatest good for each individual patient D. I can collaborate with other companies in town to promote good health practices

Answer: C. Our primary obligation is to achieve the greatest good for each individual patient Rationale: Rather, the primary obligation for public health nursing is to achieve the greatest good for the greatest number of people or the population as a whole.

The nurse oversees a team of nurses who are providing health services in the community. Which action made by the nurse represents the tertiary level of prevention? A. Screening for cervical cancer B. Educating a group of patients about dental care C. Providing mental health services for military veterans D. Offering birthing classes for pregnant teenage mothers

Answer: C. Providing mental health services for military veterans

According to the Institute of Medicine (IOM), what is the definition of public health? A. Public health is what communities use to determine the medical and clinical needs of the people B. Public health is the state of health, wellness, and illness within a certain region and population of people C. Public health is what society does collectively to assure the conditions in which people can be healthy D. Public health is the measure of how many people within a community are living without any disease

Answer: C. Public health is what society does collectively to assure the conditions in which people can be healthy

What type of map used in preparing for natural or man-made disasters shows the locations of buildings with basement shelters, stored supplies, and evacuation routes? A. Risk map B. Casualty map C. Resource map D. Mitigation map

Answer: C. Resource map Rationale: A resource map is a geographic map that outlines the resources that would be available in or near the area affected by a potential disaster, such as basement shelters, stored supplies, and evacuation routes. A risk map is a geographic map of an area that is analyzed for the impact of a potential disaster on the population and buildings in the area that would be involved. Casualty maps and mitigation maps are not types of maps used in preparing for natural or human-made disasters.

What does the nurse teach a patient about what to do in the event of a chemical attack if the patient is instructed to remain in the home or office building? A. Open the windows and turn on the fans B. Find shelter underground as quickly as possible C. Seal the room with duct tape and plastic sheeting D. Stay near the exterior of the house or building for an easy exit

Answer: C. Seal the room with duct tape and plastic sheeting

What agency ultimately determines an individual's status for disability benefits? A. Office of Disability Employment B. The National Council on Disability C. The Social Security Administration D. Rehabilitative Services Administration

Answer: C. The Social Security Administration

How is the role of the nurse impacted in less developed countries? A. The role is advanced. B. The role is nonexistent. C. The role is poorly defined. D. The role assumes increased autonomy.

Answer: C. The role is poorly defined.

A nurse hears on the news that a chemical attack might be imminent. What does the nurse understand? A. The chemical attack is over and done B. A chemical attack will take place in the next 24 hours C. This is a forewarning of an upcoming chemical attack D. There are places already experiencing a chemical attack

Answer: C. This is a forewarning of an upcoming chemical attack

What does the ALICE acronym stand for? A. All life is cared for and evaluated B. Alleged, lifeless, injured, care, and examine C. Alibi, legal, investigate, consult, and eliminate D. Alert, lockdown, inform, counter, and evacuate

Answer: D. Alert, lockdown, inform, counter, and evacuate

Which group supported the writing of the Public Health Code of Ethics? A. National Institutes of Health B. The International Red Cross C. Pan American Health Organization D. American Public Health Association

Answer: D. American Public Health Association

The nurse reviews a report about a group, called Nicotine No More whose members lobby for prohibition of cigarette sales in the United States. What does this nurse call this type of group? A. Lobbyists B. Population C. Aggregates D. Community of solution

Answer: D. Community of solution

The nurse implements a triage system for patient following a building collapse. Which core competency for disaster medicine and public health does this action represent? A. Demonstrate personal and family preparedness for disasters and public health emergencies B. Demonstrate knowledge of personal safety measures that can be implemented in a disaster or public health emergency C. Demonstrate knowledge of ethical principles to protect the health and safety of all ages, populations, and communities affected by a disaster or public health emergency D. Demonstrate knowledge of public health principles and practices for the management of all ages and populations affected by disasters and public health emergencies

Answer: D. Demonstrate knowledge of public health principles and practices for the management of all ages and populations affected by disasters and public health emergencies

When nurses in a healthcare facility detect that there may be a biochemical terrorism incident, who do they contact immediately? A. 911 emergency B. Fire department C. Local first responders D. Infection control department

Answer: D. Infection control department Rationale: When it is believed or detected that a biochemical terrorism incident is underway, this must be reported to the infection control department immediately so that the information can be passed along to the rest of the community. The 911 emergency, fire department, and local first responders are not contacted first.

What population has emerged with the most critical need for public health nursing services? A. Mentally disabled B. Geriatric patients C. Illegal immigrants D. Parents with substance abuse issues

Answer: D. Parents with substance abuse issues Rationale: The number of young women and their parents who are substance abusers and engage in risky behaviors put their pregnancies and children at high risk for injury and abuse.

How has the World Health Organization (WHO) contributed to the population of healthcare workers globally? A. Funding community healthcare clinics B. Providing grants in the U.S. for international nursing C. Increasing the number of U.S. healthcare workers globally. D. Supporting multiple health training programs for professionals in developing nations

Answer: D. Supporting multiple health training programs for professionals in developing nations

A patient is asking for the latest guidelines regarding vaccination. Which organization issues the vaccine schedule on an annual basis? A. Maternal and Child Health Bureau B. The Environmental Hazards and Effects Program C. The Health Resources and Services Administration D. The Advisory Committee on Immunization Practices

Answer: D. The Advisory Committee on Immunization Practices

The nurse is working on a research team to develop a community health profile for a developing community. Which data will the nurse include under the health risk factors section of the profile? A. The median household income is $34,760 B. The unemployment rate of the community is 36% C. Approximately 52% of families are single-parent families D. The community has two lakes that are approved for fishing and swimming

Answer: D. The community has two lakes that are approved for fishing and swimming Rationale: The others fall under sociodemographic characteristics section of the community health profile

How did the scope of nursing change from early 1800s to the mid-19th century? A. The focus shifted from illness intervention int he early 1800s to moral improvement in the mid-19th century B. The focus of nursing started out with providing care to wounded soldiers and moved toward nursing publications C. The focus began as a means to protect the sick and the poor, and become newly focused on medical technology D. The focus moved away from moral improvement and toward addressing public health concerns and improving urban living conditions

Answer: D. The focus moved away from moral improvement and toward addressing public health concerns and improving urban living conditions

What role does the nurse play regarding the Strategic National Stockpile (SNS) of pharmaceuticals? A. To ensure points of dispensing (POD) B. To deliver medicine to any state within 12 hours C. To determine that a specific disaster requires use of the SNS D. To organize and participate in mass prophylaxis and vaccination campaigns

Answer: D. To organize and participate in mass prophylaxis and vaccination campaigns Rationale: State and local emergency planners ensure POD. Federal and local authorities ensure delivery of medicine to any state within 12 hours after they determine that a specific disaster requires use of SNS.

The nurse is overseeing a team of student nurses as they develop public health programs to provide community services. The student nurses are instructed to provide only secondary prevention services. Which action made by the group causes the instructor to intervene? A. Developing a program for adolescents on the negative effects of smoking and drinking. B. Coming up with an early detection screening program for hypertension in college students. C. Creating a referral program for treatment of people who have been exposed to high levels of toxins. D. Designing an early detection program for type 2 diabetes with individuals who have high body mass indices.

Answer: A. Developing a program for adolescents on the negative effects of smoking and drinking. Rationale: this is an example of primary prevention, not secondary.

Due to the significant cultural diversity reflected in today's society, what social determinant of health does the nurse need to be aware of that significantly influences health belief systems, health practices, and health outcomes? A. Age B. Race C. Language D. Biological variation

Answer: C. Language

What are some of the services and guidance provided by the Care One program at the University of New Mexico Health Science Center? Select all that apply. A. Child care services B. Homemaker services C. Securing financial resources D. Behavioral health counseling E. Navigating the healthcare system F. Using appropriate community resources

Answer: C. Securing financial resources D. Behavioral health counseling E. Navigating the healthcare system F. Using appropriate community resources

What health promotion strategy is the nurse addressing when providing family planning counseling? A. Health protection B. Health promotion C. Population control D. Disease prevention

Answer: D. Disease prevention Rationale: Population control is not considered a health promotion strategy. Health protection includes environmental measures to improve health and quality of life. Health promotion focuses on achieving well-being through community and individual lifestyle changes.