Module Questions for Exam 3
A nurse could use which of the following to intervene with a vulnerable population's environmental risk? A. Finding published research B. Community assessment C. Conferring with health care personnel D. Altering emergency personnel
B
What outreach method includes the nurse reaching out to individuals and families through home visits, churches, or school meetings? A. Public outreach B. Direct outreach C. Media and social media D. Missionary work
B
In regards to environmental health risks, how would the genetic predisposition for diabetes be classified? A. Personal B. Wider environment C. Community D. Lifestyle
A
Of the following steps, which one should a nurse take after intervening with a vulnerable population's environmental risk? A. Evaluate environmental health knowledge B. Alert emergency personnel C. Find published research D. Confer with health care personnel
A
A public health nurse is developing an educational brochure on diabetes for the community clinic. Which group has a higher propensity toward the health disparities of cancer and diabetes? A. Algerian B. African American C. Alaskan natives D. Asian
B
A community health nurse is working with the nearby American Indian reservation to develop a program to reduce health disparities. What is a known health disparity of the American Indian that the nurse will want to address? A. Stroke B. Hypertension C. Diabetes D. Heart disease
C
A nurse could use which of the following to intervene with a vulnerable population's environmental risk? A. Participating in research B. Altering emergency personnel C. Finding published research D. Conferring with local health departments
D
What can help address and solve environmental health problems faced by populations and communities? (Select all that apply) A. Focus on treating individual clients, one by one B. Apply environmentally related research findings in your practive and participate in nursing research C. Take action to correct situations in which health hazards exist D. Collaboration with citizens and other professionals to develop protective and preventive environmental health strategies in the community E. Take action to promote the development of policies and legislation that enhance consumer protection and promote a healthier environment
B, C, D, E
A nurse works in a program supported by the WHO. What best describes the role of a nurse in a TB initiative? A. To advocate for policy initiatives B. To distribute mosquito nets C. To administer vaccinations D. To prescribe rifampin treatment
C
What is the first step in conducting a risk assessment? A. Exposure assessment B. Risk C. Identification D. Dose response assessment
A
When considering exposure, what term is used to identify the way an individual was originally exposed to an environmental contaminate? A. Assessment B. Estimate C. Pathway D. History
C
Research is an important part of the 10 essentials of public health services. When the nurse uses research for community problems, what purpose does this serve? A. Connections between practice and theory B. Identification of new solutions C. Supporting public health practices D. Improvements in policy development
B
Which statement regarding the cause of poor health outcomes and exposure to environmental contaminates describes the challenge associated with minimizing the risk to an individual's health? A. The connection between many negative health outcomes and environmental exposure has been established B. Medicine has begun to dedicate resources to positively demonstrate the link between environment and health C. It is very difficult to confirm a link between a person's illness and the environment in which he or she lives D. Environmental exposure to contaminants is the greatest factor associated with human illness
C
Social justice is the fair and equitable distribution of social benefits and burdens and is tied to issues of human rights A. True B. False
True
A nurse develops a program in an at risk population as a result of disability related life year health data. Which program goal best targets a reduction in DALY risk factors? A. Client will increase exercise to 3 days a week B. Client will make healthy food choices C. Client will reiterate program goals D. Client satisfaction with the program will increase 10%
A
The nurse is concerned that an elderly client may be victim of abuse. Who is most likely to abuse an elder? A. A family member B. A caregiver C. A stranger D. A neighbor
A
What is an example of a biological health risk? A. Contaminated drinking water B. Garden and lawn fertilizer C. Loud machinery D. Pesticides
A
Which statement would be a question in an environmental health assessment using the "I PREPAE" model in regard to meeting the second "E" part of the assessment? A. Are materials available for education? B. What chemicals are you exposed to in your work setting? C. Are there environmental concerns in your neighborhood? D. What are your hobbies?
A
What factors does the nurse understand are associated with increased risk of elder abuse? (select all that apply) A. Dependence on others for physical cares B. African American elder C. Male Elder D. Elder with dementia E. Increase in caregiver stress/strain
A, D, E
Global health is a dynamic concept with many components. Choose the answer that is NOT a determinant of global health: A. Individual health B. Spiritual environment C. Health behaviors D. Physical environment
B
Using person first language, how would the nurse describe a client who recently was diagnosed with paralysis from the waist down? A. Paraplegic B. Client with paraplegia C. Paralyzed client D. Paraplegic patient
B
Which is a major variable in the health of populations? A. Food B. Air pollution C. Ozone D. Waste
B
A nurse works at a community health clinic with a diverse clientele. Many of the nurse's clients, besides their health concerns, are in the midst of a crisis, either developmental or situational. Which example shows a client who is experiencing a situational crisis? A. A 17 year old man who has started arguing with his father and threatening to run away because he wants to be independent B. An 11 year old girl who feels embarrassed because she started having her period before all of her friends C. A 42 year old man who is depressed because he has gained 30 lbs and must now take a statin to lower his cholesterol D. An 18 year old woman who recently left home to go to college and was sexually assaulted while walking to her dorm one night
D
In regards to the environmental health risks, which of these spheres affects everyone and includes general air or water pollution, exposure to natural or man made disasters, and/or outbreaks of disease? A. Community B. Personal C. Lifestyle D. Wider environment
D
When the nurse has reasonable cause to believe elder abuse or neglect is present, reporting is required: A. When the nurse knowns how to file a report B. Only if positive proof of abuse or neglect is available C. Only is malicious intent is suspected D. Regardless of the severity of abuse or neglect
D
Process evaluations focus on how well the program was implemented and looks at the processes, activities, and capacity building. A. True B. False
True
Which factor is considered when determining social determinants of health? (select all that apply) A. Age B. Social policies C. Childhood experiences D. Employment history E. Place of birth
A, C, D, E
What statement is true about social justice? Social justice refers to: A. Sharing common burdens and advantages B. Relaxing environmental protection laws C. Advocating health care as a privilege D. Abandoning highly polluted areas
A
While working in the free clinic, the public health nurse is assessing a migrant farm worker who has an infection of the right hand. The nurse cleans the wound, applies antibiotic cream, and wraps the area to keep it clean. The nurse is conducting an assessment to determine if the client has any contributing factors related to health disparities. Which of these are contributing factors to health disparities? (select all that apply) A. A diagnosis of schizophrenia B. Language barriers C. No means of transportation D. Educational obtainment E. Part time employment
A, B, C
Which of the following are examples of inequities that may interfere with health? (select all that apply) A. Economic B. Empowerment C. Social D. Advocacy E. Political
A, C, E
The community nurse visits a local playground and assess the safety of newly installed equipment. What level of intervention is the nurse performing? A. Intermediate intervention B. Secondary intervention C. Primary intervention D. Tertiary intervention
B
There are several types of elder abuse. An example of elder neglect would be: A. Verbal threats B. Misuse of a credit card C. Sexual contact without consent D. Failure to provide for basic needs
D
Which aspect of industrialization has had the greatest impact on the general health of mankind? A. Delivery of services B. Air and water quality C. International communication D. Economic impact of individuals
B
A public health nurse is developing a program based on the goals of the government initiative healthy people 2020. What is a health indicator the nurse may use as a part of the program? (select all that apply) A. Technology usage B. Exercise frequency C. Tobacco usage D. Environmental quality E. Substance abuse
B, C, E
What is the fundamental goal of an intervention directed toward addressing environmental health issues? A. Interruption of the exposure pathway B. Introduction of a cure for the resulting illness C. Eradication of the sources of environmental contamination D. Evaluation of care provided to address the pathology of the triggered illness
A
What statement about environmental justice is correct? A. Environmental justice is part of the mission of each federal agency B. Commercial operations are exempt from environmental regulations C. Farm workers face less health risks than city workers D. Only select groups should bear the burden of environmental health hazards
A
What statement is true about global environmental challenges? A. 17% of the world population lacks access to safe water sources B. Fewer than 1 billion people around the world lack access to adequate sanitation C. Studies have revealed a weak link between poor sanitation and illness D. Most citizens in the US lack access to clean water
A
What is the initial nursing intervention when conducting a cultural assessment regarding the health beliefs and values of a member of a non-white American culture? A. Arriving at mutually agreed upon definitions of health beliefs and values B. Establishing an accepting environment C. Determining the presence of any existing language or communication barriers D. Gaining insight into the patient's cultural world view
B
What statement about children and adolescent populations is true? A. 5% of children younger than age 6 are living in poverty B. Of all children who are poor, 1/3 are African American C. Children and adolescents are considered less vulnerable than the elderly D. Children in single parent homes are less likely to be poor than those in 2 parent homes
B
What populations are disproportionately affected by environmental hazards? (select all that apply) A. White B. Minorities C. Rich or affluent income D. Poor or low income E. Middle class
B, D
A student nurse preparing for a global mission trip is using the framework for global community health nursing as a guide to evaluate the care available in the community. On the basis of this framework, what are essential components the nurse should expect to find in the community? A. A physician, a client, and a clinic B. A community partner, a college of nursing, and donations C. Donations, a financial manager, and a population D. Health care providers, a community, and a health education program
D
A patient requests information concerning how to isolate ourselves against the exposure to environmental contaminates. Which statement is the basis for the nurse's response? A. It is not likely to protect themselves from contact with some form of environmental contaminate B. The number of potentially dangerous environmental contaminates has decreased over the last 20 years C. Protection from environmental contaminates depends on one's own immune system D. The initial step is to become educated about what environmental contaminates you are exposed to
A
During a health fair, the population health nurse notes that a child of a family renovating an older home is demonstrating fatigue. What action should the nurse encourage the parents to take? A. Screen the child for serum lead levels B. Encourage the child to eat more foods with protein C. Screen the child for hearing difficulties D. Have the child go to bed earlier
A
What are the risk factors for susceptibility to disease in vulnerable populations? (select all that apply) A. Resource availability B. Character flaws C. Health status D. Relative risk E. Income
A, C, D, E
Which are examples of serious environmental hazards that affect populations and communities? (select all that apply) A. Deforestation, wetlands destruction, and desertification B. Hyperbaric oxygen C. Ozone depletion and global warming D. Insect and rodent control E. Unhealthy and contaminated food F. Overpopulation
A, C, D, E, F
The nurse is considering working with the local chapter of the amputee society to develop a media campaign to educate the public to change perceptions toward people with disabilities. Which wedge of the public health intervention wheel would this work represent? A. Delegated functions B. Advocacy C. Health education D. Coalition building
B
What is the best way to help populations and communities avoid environmental health risks? A. Providing home health care after discharge from acute care facility B. Treating individual clients in an acute care setting C. Identifying potential dangers before they occur or worsen D. Performing secondary intervention not avoid further complications
C
A group of 12 nurses and other health care professionals is working with community members in a poor, rural village. What is the best indicator of health in this community? A. A wide selection of fresh fruits and vegetables in the local food market B. An obesity rate of 20% among village members C. An average income equivalent to one US dollar per day D. A health clinic in the center of the town for women and children
C
Identify the best intervention that considers the mental, physical, emotional, social, and environmental health affecting a population experiencing emergency, disaster, and terrorism issues: A. Counseling B. Teaching C. Collaboration D. Consultation
C
When applying the nursing process to environmental health issues such as food poisoning, the community health nurse would: A. Conduct a focused assessment on the presenting problem B. Coordinate interventions with the physician only C. Include outcome measures that mitigate and eliminate the environmental factors D. Examine criteria that include only the clients immediate response
C
A community nurse is working with clients in the communicable disease clinic. A client seeking treatment confides to the nurse that she has sex for money sometimes to pay her rent. The nurse provides the client with education on how to protect herself from further infection and offers her free condoms. Which of the elements of the American Nurses Association Code of Ethics is the nurse practicing while taking care of this client? (select all that apply) A. Dignity, regardless of personal attributes B. Consideration, regardless of economic influence C. Compassion, regardless of the health problem D. respect, regardless of social status E. Encouragement, regardless of the circumstance
A, C, D
When considering the risks the environment presents to the human health, when does exposure to illness occur? A. A risk assessment confirms that an environmental contaminant is present B. People come into contact with an environmental contaminant C. When an environmental contaminate has a history of triggering illness D. An environmental contaminant is resistant to treatment
B
Which group is more susceptible to health disparities and discrimination in health care systems? (select all that apply) A. Individuals in drug treatment programs B. Ethnic or racial minorities C. People who did not finish high school D. Runaway teenagers E. Unemployed persons
B, D, E
Global health is determined by a number of factors. Which factors are considered part of the social and physical environment? (select all that apply) A. Individual behavior B. Neighborhood crime C. Individual biology D. Personal choice E. Policies and laws F. Number of abandoned houses
B, E, F
The nurse decides to include an exposure assessment to begin the investigation of a foodborne illness outbreak. Which aspects of an individual who was affected by this outbreak should the nurse examine to gain the most information? A. The individual's personal stress factors B. All the substances the individual uses to clean the house or maintain the yard or garden C. The individual's home, work site, and neighborhood D. All the chemicals the individual uses at work or in hobbies
C
Upstream focus addresses the root cause of disease and manufacturers of illness by taking into account what factors? (select all that apply) A. Psychologic B. Genetics C. Socioeconomic D. Personal E. Environmental
C, E
Why are children more vulnerable than adolescents and adults to developmental problems that are associated with environmental factors? (Select all that apply) A. Children's bodies absorb chemicals more easily B. Parental supervision is limited C. Brain information is still occurring in children less than 5 years of age D. Children very often put objects in their mouth E. The number of day cares has increased in recent years F. Children frequently play and crawl on the floor
A, C, D, F
What actions are important to take in preparing for an international opportunity? (Select all that apply) A. Explore the culture of the country and community B. Become fluent in the language of the country C. Contact the in country partner to inform them about plans D. Investigate health information for travelers E. Examine the current trends in health care in the country
A, D, E
Which intervention would be most important for a community health nurse to do first when teaching residents of a low income housing projects concerning food safety? A. Demonstrating proper hand washing techniques to use before, during, and after food preparation B. Emphasizing with how their financial constraints limit the quality of food they can purchase C. Explaining how to measure the temperature of cooked meat to ensure that it is safe to consume D. Correcting misunderstandings about the causes of foodborne illnesses
B
The nurse is asked what is meant by "vulnerability" in the context of community health nursing. What is the best response? A. Vulnerability is the state of mind the nurse possess when treating the sick B. Vulnerability is the likelihood that a population will ignore health interventions C. Vulnerability is any factor that increases the chances of poor health D. Vulnerability is an emotional disposition towards one's environment
C
Identify the best intervention that considers the mental, physical, emotional, social, spiritual, and environmental health of a population's cultural influences: A. Screening B. Surveillance C. Outreach D. Investigation of disease
A
The nurse assess the negative health effects of air pollution on individuals in a community. What level of intervention is the nurse practicing? A. Downstream B. Midstream C. Upstream D. Mainstream
A
The nurse is asked about performing community health interventions. What is a correct statement? A. Interventions are always based on assessment data B. Interventions are hindered by community involvement C. Interventions are rarely improved by stakeholder input D. Interventions are best performed prior to assessment
A
What intervention can be used to prevent adverse health consequences and empower vulnerable populations though the sharing of knowledge, skills, and information? A. Health teaching B. Outreach C. Referral D. Case management
A
What are included in the 10 essential services of public health? (select all that apply) A. Enforce B. Inform C. Collaborate D. Mobilize E. Perform
A, B, D
Of the selected steps below, what is the correct order in developing an evaluation plan for community level interventions? A. Identify where you will find the data you need, develop evaluation questions, and plan how you will analyze your data B. Develop evaluation questions, identify where you will find the data you need, and plan how you will analyze your data C. Plan how you will analyze your data, develop evaluation questions, and identify where you will find the data you need D. Identify where you will find the data you need, plan how you will analyze your data, and develop evaluation questions
B
Which of these locations or strategies would be an effective way for the nurse to communicate the dangers of diabetes to introverts? A. Music in the park B. Pamphlets C. Parades D. County fairs
B
Which value is central to nursing and public health? A. Ethical dilemma B. Social justice C. Self determination D. Trust
B
Identify the best intervention that considers the mental, physical, emotional, social, spiritual, and environmental health affecting a population with mental health challenges: A. Case management B. Delegation C. Case finding D. Referral and follow up
C
The hallmark of the public health nurse highlights which components as it results to community? A. None B. The goal to help provide affordable health insurance coverage to most Americans, lower coasts, improve access to primary care, add to preventive care and prescription benefits, offer coverage to those with pre-existing conditions, and extend young adults coverage under their parents insurance policies C. Focuses on population health through continuous surveillance and assessment of the multiple determinants of health with the intent to promote health and wellness; prevent disease, disability, and premature death; and improve neighborhood quality of life D. To impact the social conditions in which people live: their income, social status, education, literacy level, home and work environments, support networks, gender, culture, and the availability of health services
C
The nursing instructor knows that students are beginning to understand the role of an international service experience to a developing nation when they can complete the following statement: the best action by our group to help address the issue of obesity in a developing nation would be to... A. Work with a community partner to provide sustainable programs B. Provide donations of medications and healthy food options 6 times per year C. Bring healthy recipes on a tablet to share with the community D. Teach the community about going to the gym regularly
C
While providing in home wound care, the nurse notes the client is frequently vocal and screams at relatives when in pain. In performing a cultural assessment, in what area would the nurse document the frequent outburst and vocalizations? A. Family dynamics B. Communication C. Biological variations D. Cultural identification
C
In a health context, risk factors are defined as personal habits and behaviors, environmental conditions, or inborn or inherited characteristics that are known to affect a health related condition. Of the following, which is NOT a risk factor associated with global health? A. Sexual and reproductive health B. Addictive substances C. Childhood and maternal undernutrition D. Unemployment
D
The nurse knows that the main objectives of healthy people 2020 related to disability and health address what issues? A. The environment, health insurance regulations, and barriers to health care B. Health insurance regulations, systems and policies, and improved reporting C. Barriers to health care, transportation policies, and health insurance regulations D. Systems and policies, barriers to health care, and the environment
D
What is the source for established national objectives and health outcomes that guide health promotion in the US? A. The millennium development goals B. WHO C. National prevention counsel D. Healthy people 2020
D
The nurse in a rural community is likely to identify which elements as barriers to accessing health care services in general or support services in particular that residents face? (select all that apply) A. Stigma associated with behavioral and sexual abuse B. Very low incidence of a particular condition C. Weather and geographic conditions D. Well prepared law enforcement officials to handle crisis E. Lack of immediate and long term support services F. Transportation challenges to access crisis services
A, C, E, F
A nurse is caring for a client whose spouse physically abuses her. When the nurse asks the client whether she is ready to leave her husband, the client says, "but he's always so sorry afterward, he even buys me flowers." This behavior by the husband is an example of which phase of the cycle of violence? A. Tension building phase B. Loving reconciliation phase C. Rehabilitation phase D. Acute battering phase
B
A new client is scheduled at the clinic. During the assessment, the nurse notes a circular, dark-pink indention on the client's abdomen. The nurse is aware the client is not from the US. What is the nurse's next best action in assessing this client? A. Assess the indention and ask the client the origins of the circular mark on abdomen B. Ask the client to describe usual health beliefs and practices when the client becomes sick C. Assume the client performs the cultural practice of cupping and ask when the client last did this D. Apply pressure to the area to determine if it blanches, then proceed with the assessment
B
Given a list of nursing interventions, identify the best intervention that facilitates capacity building among the vulnerable populations and their communities. A. Serving as confidants B. Patient advocate C. Individual assessment D. Safety planner
B
What is the estimate by the national violence against women survey of the number of women who are raped during their lifetime in the US? A. 1 in 10 B. 1 in 6 C. 1 in 8 D. 1 in 4
B
Which elder has the highest risk for abuse? A. 75 year old male with recently diagnosed Parkinson's who requires help from his adult daughter 2-3 days per week so he can stay in his home B. 82 year old female who has lost 10 lbs in the past 3 months, has incontinence, is in cognitive decline, and is refusing to seek medical care C. 78 year old male with HTN and DMII who lives in his own home and is able to care for himself D. 80 year old female who is able to take care of her own finances and lives in an assisted living setting
B
During an intake assessment at the local health department, the nurse asks a Hispanic client where in Mexico they were born. The client becomes angry and reports being born in Columbia. What is the best action for the nurse to take? A. Ask the client to provide education on the differences between Hispanics from Mexico vs Colombia B. Explain to the client most of the Hispanic individuals who come to the health department are from Mexico C. Apologize for the cultural insensitivity and make a mental note to be more careful in the future D. Express regret for the assumption and seek a Hispanic nurse to complete the interview process
C
The nurse is working with a client who has been a quadriplegic since the client was 7 years old. Obtaining health care has been a challenge. Which resource would be best to consult for help related to health promotion and prevention needs of people with disabilities and chronic illness? A. World report on disability B. Americans with disability act C. Healthy people 2020 D. Office of civil rights
C
Which lifestyle choices or behaviors most strongly determine long term health outcomes in developed nations? A. Age and race B. Genetics factors C. Educational status D. Smoking and alcohol consumption
D
Which statement is true? A. The use of alcohol is categorized as a lifestyle choice B. Lifestyle choices do not expose the wider community to health risks C. Exposure to pesticides falls into the community sphere of environmental health D. Genetics are part of the lifestyle sphere or environmental health
A
When considering health views, which statement is the basis for discussions concerning the effect of culture? A. Cultural word views are responsible for the different beliefs regarding the cause of illness B. The beliefs concerning the causes of illness are shared by most world cultures C. Cultures generally share a world view regarding how illness should be treated D. Cultural world views are seldom concerned with health care issues
A
Which is an example of a primary intervention? A. Counsel women of childbearing age about any environmental hazards that can affect the health of their babies B. Provide treatment and safety assessment for clients and community members affected by exposure C. Dispatch emergency response to contain an active hazard D. Screen children for blood levels of toxins like lead
A
Which is an example of secondary intervention? A. Screening of employees for work related injuries, such as hearing loss and repetitive physical activity B. Advocating for protective gear such as helmets and safety goggles C. Advocating for hazard removal abatement services D. Teaching older adults about safety in the home, such as how to prevent falls
A
The nurse understands that which community strategies can be implemented to prevent rape? (select all that apply) A. Educating law enforcement personnel on the needs of victims B. Offering seminars on contraceptive options to high school students C. Educating the community about date rape risk and reporting D. Staffing hotlines to provide help for rape victims E. Providing rape prevention education for adolescents and college students F. Lobbying for reduced sentences for preparations of sexual assault
A, C, D, E
The nurse is working with a client who has severe rheumatoid arthritis. The nurse is encouraging the client to apply for a disability placard; the client is reluctant and believes others will perceive that it is not necessary. The nurse's best response would be: A. Just ignore them; they are just rude and ignorant B. It's your right, don't worry about it C. A handicap placard will help minimize your pain and help you maintain your independence D. I can see how you would be nervous that people will think you are faking it, since you have no real visible disability
C
The population health nurse is aware of many young couples with children purchasing and renovating older community homes. What primary prevention measure should the nurse implement to ensure the safety of these families? A. Institute chelating measures for lead removal in the family members B. Screen all members for lead levels C. Encourage the safe removal of lead based paint in the homes D. Monitor lead levels in the family members
C
The public health nurse is offering nutrition classes and developing a walking program for the community residents. Which of the 10 essential public services is the nurse demonstrating? A. Competency B. Monitor C. Inform D. Develop
C
Community health nurses should understand and communicate to clients that risks related to foodborne illnesses occur: A. Almost exclusively due to improper handling during food preparation B. Mainly as a result of improper food storage C. Primarily as a result of use of pesticides and chemical fertilizers in food production D. At all points from food production to food consumption
D
How is it that the risk for lead poisoning is increased for children living in poorer communities? A. Poor diet as a result of limited income B. Limited access to health care services C. Lower literacy rates among parents D. State of deteriorating housing
D
The community nurse who facilitates the quick cleanup of toxic hazards is performing what level of intervention? A. Secondary intervention B. Intermediate intervention C. Primary intervention D. Tertiary intervention
D
When considering cultural influences, how would the nurse interpret a Chinese patient's lack of eye contact during a discussion about a newly prescribed medication as a sign of what? A. Misunderstanding B. Disinterest C. Depression D. Respect
D
Which question is focused toward evaluating an intervention to stop the exposure to an environment contamination? (select all that apply) A. Are people in the community supporting this intervention? B. Is the intervention possible without a financial cost? C. Can this intervention be implemented long term? D. How has the community's health improved? E. Has the number of those exposed been decreased?
A, C, D, E
Infant mortality remains a priority problem for many developing nations. What are examples of primary prevention strategies aimed at reducing infant mortality? (select all that apply) A. Provide education on healthy prenatal nutrition B. Distribute a starter pack of prenatal vitamins C. Encourage regular prenatal visits D. Teach signs and symptoms of GI syndromes E. Treat acute respiratory infections with antibiotics F. Advocate for breastfeeding
A, C, F
A community nurse who routinely works in the immunization clinic notes an influx of new patients from Russia. The nurse wants to improve self awareness of this population, what steps can the nurse take to cultivate cultural sensitivity toward this new client population? (Select all that apply) A. Interview some of the new members and inquire about cultural values B. Provide care to the new population based on broad cultural values of health C. Perform an internet search to improve knowledge on the new client population D. Demonstrate a genuine interest in the lives and culture of the new clients E. Acknowledge that differences in culture occur even within a common culture
A,D`
Which person might be most at danger from the environment? A. The sanitarian who makes rounds to assess the safety of restaurants, wells, and swimming pools B. The ward clerk who answers the phone, greets visitors, and responds to patient call bells C. The scrub nurse in the operating room D. The home health aide who care for fairly healthy older clients in a retirement facility
C
Which science focuses on the association between the environment and human health? A. Medical science B. Physical science C. Public health science D. Nursing science
C
What criteria does a successful community intervention for improving environmental health meet? (Select all that apply) A. Evidence based B. Feasible C. Relies on public donations D. Relies on community input E. Free of monetary constraints
A, B, D
Even though the nurse may be employed to do a specific task or engage in specific programs, in what activities can the nurse engage to continue to help vulnerable groups in the community? (select all that apply) A. Consider every contact with clients as an opportunity to ask about health of their family members B. Focus on one health disparity that could help one population group C. Screen for potential problems while engaging in the tasks for which the nurse is reimbursed D. Engage in extensive multiphasic testing to diagnose other possible medical problems E. Voice ongoing concern about the needs of the agency for ongoing funding to all the clients seen at the agency
A, C
What is the goal of a community health assessment (CHA)? (select all that apply) A. Associating health need with possible community resource B. Financing the implementation of the community health interventions C. Effective assessment of existing community health problems D. Prioritization of community focused health interventions E. Identification of community health resources
A, C, D, E
While taking a walk around the school at lunch, the school nurse notices the cafeteria dumpsters are next to the playground. The nurse goes over to the dumpster to investigate and finds the dumpsters leaking, which is attracting bees. Which of the 10 essentials is the nurse demonstrating? A. Monitoring B. Diagnosing C. Developing D. Connecting
B
In preparing a health and wellness care plan for the local senior citizen center, the nurse ensures the consideration of the three universal needs. What are the three universal human needs of the community? (select all that apply) A. Social relationships B. Sense of belonging C. Safety and security D. Satisfaction in life transition E. Support for decisions
B, C
A public health nurse begins work in a new community. Which is the best first step in working towards community change? A. Evaluating the programs already in place B. Planning a new intervention C. Implementing evidence based practice D. Building relationships with community members and leaders
D
Which is a true statement about health interventions in specific populations? A. Health teaching is ineffective at reducing chronic illness B. Health investigation is the best way to stop domestic abuse C. Surveillance has been shown to help those with disabilities cope D. Outreach is an effective strategy for intervening in substance abuse
D
Which of these is a step in the nursing process that must come before diagnosis and intervention? A. Evaluation B. Advocacy C. Outreach D. Assessment
D
