NMNC 1220 Combined Sets

2. A 9-year-old child has a difficult time making friends at school and being chosen to play on the team. He also has trouble completing his homework and, as a result, receives little positive feedback from his parents or teacher. According to Erikson's theory, failure at this stage of development results in: (Select all that apply.) 1. Feelings of inadequacy. 2. A sense of guilt. 3. A poor sense of self. 4. Feelings of inferiority 5. Mistrust.

1,4

Match the cultural concepts on the left with the correct definitions on the right. 1. Etic world view __________ 2. World view __________ 3. Cultural desire __________ 4. Intersectionality __________ a. Factor that shapes how people perceive others and how they relate to reality b. Insider's perspective in an intercultural encounter c. A policy model that describes factors and power structures that shape and influence life d. An outsider's perspective in an intercultural encounter e. The motivation of a health care professional to "want to" engage in cultural competency

1d, 2a, 3e, 4c, 5b

10. During a visit to a family clinic, a nurse teaches a mother about immunizations, the use of car seats, and home safety for an infant and toddler. Which type of nursing interventions are these? 1. Restorative 2. Health promotion 3. Acute care 4. Growth and development

2

3. The nurse teaches parents how to have their children learn impulse control and cooperative behaviors. This would be during which of Erikson's stages of development? 1. Trust versus mistrust 2. Initiative versus guilt 3. Industry versus inferiority 4. Autonomy versus sense of shame and doubt

2

6. A hospice nurse is caring for a family that is providing end-of-life care for their grandmother, who has terminal breast cancer. The nurse focuses on symptom management for the grandmother and on helping the family with developing coping skills. This approach is an example of which of the following? 1. Family as context 2. Family as patient 3. Family as a system 4. Family as structure

2

6. When nurses are communicating with adolescents, they should: 1. Ask closed-ended questions to get straight answers. 2. Ask the adolescent to collaborate on plan of care. 3. Avoid looking for meaning behind adolescents' words or actions. 4. Avoid discussing sensitive issues such as sex and drugs.

2

9. A 15-year-old patient tells the nurse that she is sexually active. What is the best action by the nurse? 1. Contact her parents to alert them of her need for birth control. 2. Explain that having sex is not appropriate for her age-group. 3. Counsel her on safe sex practices and on minimizing health risks. 4. Ask her to have her partner come to the clinic for STI testing.

3

A nursing student is giving a presentation to a group of other nursing students about the needs of patients with mental illnesses in the community. Which statement by the student indicates that the nursing professor needs to provide further teaching? 1. "Many patients with mental illness do not have a permanent home." 2. "Unemployment is a common problem experienced by people with a mental illness." 3. "The majority of patients with mental illnesses live in long-term care settings." 4. "Patients with mental illnesses are often at a higher risk for abuse and assault."

3

9. A married couple has three children. The youngest child just graduated from college and is moving to a different city to take a job. The other two children left the home several years ago. Both of their parents are older and are beginning to need help to maintain their home. What assessment questions will help the nurse determine the family's functioning? (Select all that apply). 1. Which transitions or changes in your family are you currently experiencing? 2. Are your children having any problems that are affecting your family right now? 3. Describe a recent family conflict and how your family resolved it. 4. What coping strategies do you typically use as a family? 5. Who is involved in helping care for your parents?

3,4,5

1. The nurse is aware that preschoolers often display a developmental characteristic that makes them treat dolls or stuffed animals as if they have thoughts and feelings. This is an example of: 1. Logical reasoning. 2. Egocentrism. 3. Concrete thinking. 4. Animism.

4

5. Parents are concerned about their toddler's negativism. To avoid a negative response, which of the following is the best way for a nurse to demonstrate asking the toddler to eat lunch? 1. Would you like to eat your lunch now? 2. Would you like to sit at the big table to eat? 3. When would you like to eat your lunch with your friends? 4. Would you like apple slices or applesauce with your sandwich?

4

5. When preparing a 4-year-old child for a procedure, which method is developmentally most appropriate for the nurse to use? 1. Allowing the child to watch another child undergoing the same procedure 2. Showing the child pictures of what he or she will experience 3. Talking to the child in simple terms about what will happen 4. Preparing the child through play with a doll and toy medical equipment

4

What factor results in vulnerable populations being more likely to develop health problems? 1. The ability to use available resources to find housing 2. Adequate transportation to the grocery store and community clinics 3. Availability of others to help provide care 4. Limited access to health care services

4

A case management nurse for a locally funded program for special-needs children is increasingly concerned about a recent referral for a 1-year-old child with a congenital illness residing in a poverty-stricken community. The nurse knows that this child may be at higher risk for the most harmful effects of poverty, including: a) developmental delays. b) ear infections. c) frequent colds and infections. d) irritability.

a

A child uses two- to four-word sentences. The nurse should interpret this data as expected development for a child of what age? a. Two years b. Two months c. One year d. Three years

a

A community-based hospice nurse has an Asian male client with terminal stage cancer. The client complains that he is in continuous pain and receives no relief from the codeine prescribed by his primary care practitioner (PCP). The nurse contacts the client's PCP to discuss replacing the prescription of codeine with another pain-reducing non-codeine-based drug. The nurse is demonstrating knowledge of the cultural organizing factor of: a) biological variance. b) communication. c) space. d) time perception.

a

A mother tells the nurse that her 2-year-old child has temper tantrums. The child says "no" every time the mother tries to help her get dressed. The nurse explains that, developmentally, the toddler is A. trying to increase her independence. B. developing a sense of trust. C. manifesting an anger management problem. D. attempting to finish a project she started.

a

A nurse exclaims proudly to other nurses at the agency, "The care I provide is the same for everyone. I treat everyone the same." In fact, this nurse is demonstrating what inhibitor to developing cultural competence? a) Cultural blindness b) Cultural competence c) Cultural conflict d) Culture shock

a

A nurse had a habit of sitting with the lower part of one leg resting over the knee of the opposite leg when collecting a patient's history. The nurse stopped doing this around Muslim patients after being told that Muslims were offended when the sole of the foot (shoe) was exposed to their face. Which was exhibited by the nurse when they changed their behavior? a. Cultural skill b. Cultural repatterning c. Cultural imposition d. Cultural accommodation

a

A nurse in a clinic that provides direct care services to clients with tuberculosis would be classified as practicing: a. community-based nursing. b. community-oriented nursing. c. institutional nursing. d. public health nursing.

a

A nurse in community health is following a pregnant teenager who attends school. The nurse plans to discuss self-care activities that will be important for the teen during her pregnancy. The discussion should include: a) carrying heavy book bags. b) changing to home education. c) decreasing fluid intake to avoid nausea. d) keeping up her grades.

a

A nurse in community health is working with a parent whose spouse has been called up for active duty in the military reserve. The family is experiencing financial strain due to decreased income. The extended family lives at a distance. The parent is struggling to manage the family in the spouse's absence. The family consists of four children (three preschool and one preteen). In this situation, it would be important for the nurse to further explore the potential for: a) child abuse. b) depression. c) intimate partner abuse. d) parent's resentment of the preteen.

a

A nurse in community health located in Virginia is conducting an assessment on a Hispanic worker currently working in a local apple orchard for the season. The nurse determines that the worker originates from Florida and is living in temporary housing with other orchard workers. Based on this information, the nurse should integrate the special needs of what vulnerable population? a) Migrant farmworkers b) Seasonal farmworkers c) Underinsured d) Undocumented aliens

a

A nurse is advocating for local leaders to place a newly approved community health clinic in an area of the city that has fewer resources than other areas. The nurse is advocating for the leaders to uphold which of the following ethical principles? a. distributive justice b. fidelity c. respect for autonomy d. veracity

a

A nurse is caring for a migrant farm worker who has been working in the agricultural industry for the past 10 years. When questioned about environmental hazards, the patient reports regular exposure to pesticides. Which of the following disorders is the patient most at risk to develop? a. Cancer b. Memory loss c. Skin rashes d. Headaches

a

A nurse is conducting a community assessment. Which of the following data collection methods is the nurse using when having direct conversations with individual members of the community? A. Key informant interviews B. Participant observation C. Focus groups D. Health surveys

a

A nurse is planning interventions for migrant farm workers in a rural area. Which of the following should the nurse include as part of primary prevention? A) establish food banks at locations throughout the community B) provide employers handouts on recognizing pesticide toxicity C) partner with clinics to provide onsite care for acute injuries D) create handouts on identifying skin cancer in multiple languages

a

A nurse is preparing a list of important topics to discuss with young adults who are seen at the clinic. Which of the following topics should the nurse plan to address with this aggregate? A) preconception counseling B) managing the common cold C) detecting congenital abnormalities D) accessing medicare benefits

a

A nurse is talking with the parents of toddler. Which of the following should the nurse suggest regarding discipline? A. Establish consistent boundaries. B. Place him in a room with the door closed. C. Have him learn by trial and error. D. Use favorite snacks as rewards.

a

A nurse planning a smoking cessation clinic for adolescents in the local middle schools and high schools is providing: a. community-oriented care. b. community-based care. c. secondary care. d. tertiary care.

a

A nurse who speaks only English has just gotten a new client for an intake interview. The client is a refugee who has very limited English proficiency (LEP). The nurse should: a) get an interpreter. b) see whether another nurse, more comfortable with refugees, will work with the client. c) see what helpful information is on the Internet. d) try to communicate with hand gestures.

a

A nurse, while preparing to interview for employment in a rural hospital, identifies which chronic illnesses as more prevalent in rural areas than in urban areas of the United States? a) Cancer and heart disease b) Sexually transmitted infections c) Alzheimer's disease and dementia d) Chronic obstructive pulmonary disease

a

A recent movie release portrays a criminal as a black female drug user whose abusive boyfriend has two children by different women. She lives in the riot-torn inner city of a large metropolitan area. This best demonstrates what type of factor that influences poverty? a) Cultural b) Environmental c) Political d) Social

a

A recent news article reported the death of a 60-year-old road construction worker on a day with a posted heat advisory. An occupational health nurse would recognize the additional host factors that contributed to this fatality as which of the following? a) Age and work practices b) Gender and lifestyle c) Health status and age d) Work practices and health status

a

Home health agency types, whether official, private and voluntary, combination, hospital based, or proprietary, are similar in terms of which of the following? a. Conditions of participation (COP) for Medicare and Medicaid b. Federal income tax exemption status or accreditation status c. Governance models and administrative structures d. Homemaker services or service contracting practices

a

In applying the developmental theory, a family nurse determines the developmental stage of the family based on: a. age of the eldest child. b. family strengths. c. individual growth patterns. d. overall tasks of the family.

a

In the United States, the current system of the local government's responsibility for providing care for the disenfranchised emerged from: a. Elizabethan Poor Law. b. Florence Nightingale. c. Public Health Service (PHS). d. Federal Emergency Relief Administration (FERA).

a

Migrant workers and their families who reside in a specific mobile home park during the summer months would best be classified as a: a. community. b. group. c. setting of practice. d. target population.

a

Nurses in community health who understand the basis of their own behaviors and how those behaviors help or hinder the delivery of competent care to persons from cultures other than their own are demonstrating the cultural competence development process construct of: a) cultural awareness. b) cultural desire. c) cultural encounter. d) cultural skill.

a

The Patient Self-Determination Act of 1990 requires that providers receiving Medicare and Medicaid funds give clients written information regarding: a. legal options for treatment choices in the event the person becomes incapacitated. b. patient rights. c. the cost of services. d. patient privacy.

a

The historical nursing figure who contributed to establishing the foundation for current community health and nursing in community health by working in military field hospitals using a population-based approach that improved nursing care and environmental conditions was: a. Florence Nightingale. b. Frances Root. c. Lillian Wald. d. Mary Breckinridge.

a

The later years of life for many older adults mark a period of abruptly changing social dynamics over which the older adult has very little control. The nurse should understand that this phenomenon of later life challenges: a. Adapting and coping responses b. Intellectual Capacity c. Socioeconomic status d. Spiritual Awareness

a

The most common causes of preventable disease, disability, and death among children are: a. injuries and accidents. b. maintaining a healthful diet. c. physical activity. d. cardiovascular health.

a

The nurse in community health identifies an elder abuse problem related to caregiver stress among families. The nurse further identifies a lack of caregiver support services in the local community. The next step in the community-oriented nursing process would be to: a. analyze the community problem. b. establish priorities. c. establish goals and objectives. d. identify intervention activities.

a

The primary source for data collection during a psychiatric nursing assessment is the a) client's own words and actions. b) client's family and friends. c) client's nonverbal responses. d) client's medical treatment records.

a

The term "instructive district nursing" was coined in the 19th century to describe the relationship of nursing to: a. health education. b. home health care. c. settlement houses. d. visiting nurse services.

a

Vulnerable populations may be exposed to more than one hazard at a time. This is known as: a) cumulative risk. b) disenfranchised populations. c) resilience. d) underserved populations.

a

Which of the following systems of surveillance is used to monitor trends in commonly occurring diseases? a. Active b. Passive c. Sentinel d. Syndronic

c

Which term best describes the concept of the health outcomes of a defined group of people along with the distribution of health outcomes within that group? a. Public health b. Community health c. Population health d. Health equity

c

Why is it important for nurses to have a broad understanding of cultural influences on health care? a) Disability entitlements b) Requirements of the Health Insurance Portability and Accountability Act (HIPAA) c) Increasing global diversity d) Litigious society

c

a nurse is planning measures to reduce the incidence of obesity. Which of the following interventions affect the environment, according to the epidemiological triangle? A) determine whether clients have a family history of obesity B) measure clients BMI C) provide low fat meal options at public schools D) ask affected adults to keep a diary of food intake

c

a public health nurse is reviewing the outcomes of an exercise program at various locations. Which of the following aspects of care does the finding evaluate? A) timeliness B) client centered C) equity D) safety

c

A nurse is reviewing the Centers for Disease Control and Prevention's (CDC's) immunization recommendations with the parents of two preschoolers. Which of the following recommendations should the nurse include in this discussion? (Select all that apply.) A. Haemophilus influenzae type b B. Varicella C. Polio D. Hepatitis A E. Seasonal influenza

b,c,e

Changes in the workforce will pose new challenges to protecting worker health and safety. Which of the following trends will influence business strategies to increase health status, employment longevity, and satisfaction of workers? Select all that apply. a) Expanded younger workforce b) Female workforce increasing c) Increase in minority workers d) Job shifts to manufacturing e) More racially diverse workforce

b,c,e

What are the purposes of disease surveillance in public health? Select all that apply. a. Tries to identify terrorist attacks before they occur. b. Provides a means for nurses to monitor disease trends. c. Generates knowledge about disease or outbreak patterns. d. Allows the nurse to advocate for policy changes. e. Reduces morbidity and mortality and improves health through disease trend monitoring.

b,c,e

Which of the following is an example of a patient with a health disparity? (Select all that apply.) a) A patient who has a homosexual sexual preference b) A patient unable to access primary care services c) A patient living with a chronic disease d) A family who relies on public transportation e) A patient who has had a history of smoking for 10 years

b,c,e

Which of the following statements accurately describe the stress reaction phases a community may experience during a disaster response? Select all that apply. a) Disillusionment and reconstruction is most associated with response efforts. b) During the Heroic phase, there is overwhelming need for people to do whatever they can to help others survive the disaster. c) In the Honeymoon phase, survivors may be rejoicing in that their lives and the lives of loved ones have been spared. d) Disillusionment is the longest phase in the stress reaction process. e) The Disillusionment phase occurs after time elapses and people begin to notice that additional help and reinforcement may not be immediately forthcoming.

b,c,e

Which of the following statements are true regarding the health-related vulnerabilities of men? Select all that apply. a. More males die at birth. b. Fewer health services are emphasized for men. c. Men are less likely to be honest about their symptoms. d. More males die from suicide. e. Men do not participate in health care at the same level as women.

b,c,e

A 17-year-old patient confides to the nurse that they have been thinking of ways to kill a peer. What response should the nurse give when the patient states, "you have to keep it a secret because its confidential information"? a) "I will keep it a secret, but you and I need to discuss ways to deal with this situation appropriately without committing a crime." b) "Yes, I will keep it confidential. We have laws to protect patients' confidentiality." c) "Issues of this kind have to be shared with the treatment team and your parents." d) "I will have to share this with the treatment team, but we will not share it with your parents."

c

A 26-year-old patient is brought to the emergency room by a friend. The patient is unable to give any coherent history. Which response should the nurse provide when the patient's friend offers to provide information regarding the patient? a) "I'm sorry, but I cannot take any information from you as it would violate confidentiality laws." b) "There is no need for that as I will call his primary care provider to obtain the information we need." c) "Yes, I will be happy to get any information and history that you can provide." d) "Yes, however, we will have to get a release signed from the patient for you to be able to talk with me."

c

A long-distance truck driver being assessed by a nurse in a community-based clinic states, "I smoke 3 packs of cigarettes a day. I use coffee and diet pills from the drug store to stay awake on the road. That makes it difficult to sleep when I do pull over, so I use a prescription sleeping pill from my doctor to sleep for 4 hours. It's giving me palpitations." The nurse's assessment should include a diagnosis of: a) drug abuse. b) drug addiction. c) substance abuse. d) adverse drug reaction.

c

A nurse in community health is working in a rural setting. In planning for programs to address the population's needs, the nurse should be aware that, in general, rural populations: a) engage in physical activity during leisure time. b) engage in preventive behaviors. c) perceive their overall health as less favorable. d) use seat belts.

c

A nurse in community health may have state-granted personal immunity for particular practice areas such as giving immunizations. If the state legislature has granted personal immunity to nurses employed by public agencies to cover all aspects of their practice, the legal theory that applies is: a. case law. b. respondeat superior. c. sovereign immunity. d. worker's right to know.

c

A nurse in community health who teaches a client with asthma to recognize and avoid exposure to asthma triggers and assists the family in implementing specific protection strategies such as removing carpets and avoiding pets is intervening at the level of: a. assessment. b. primary prevention. c. secondary prevention. d. tertiary prevention

c

A nurse is caring for multiple clients during a mass casualty event. Which of the following clients is the highest priority? A.A client who received crush injuries to the chest and abdomen and is expected to die B.A client who has a 4-inch laceration to the head C.A client who has partial-thickness and full-thickness burns to his face, neck, and chest D.A client who has a fractured fibula and tibia

c

A 43-year-old client being seen in the mental health clinic states, "I have always been a practicing Jew, but in the past few months I am questioning everything. I just don't know if I believe in it anymore." Which of the following nursing diagnoses best describes the client's comment? a) Ineffective coping b) Spiritual distress c) Risk for self-harm d) Hopelessness

b

A family nurse is working with a married couple that has decided to remain child-free. The nurse recognizes this decision as a: a. biological necessity. b. contemporary family function. c. religious belief decision. d. threat to family survival.

b

A nurse in community health conducting a home visit notices a 4-year-old girl sitting on a stool in an adjoining room. The girl is quiet and withdrawn, rarely makes eye contact, and does not leave the room. The nurse proceeds to ask about the child and attempts to engage the child in conversation. The nurse is assessing for what indicators of child abuse? a) Emotional abuse b) Emotional neglect c) Physical abuse d) Physical neglect

b

A nurse in community health is working with a single parent of three children, ages 4, 6, and 8. The 6-year-old has cerebral palsy. The 4-year-old has asthma. The maternal grandmother lives with the family and has diabetes. The nurse understands the importance of working within the context of the existing family structure and community resources because families are: a. resistive to outside intervention or involvement. b. responsible for providing/managing the care of their members. c. unable to manage the stress of complex health needs. d. restricted in their ability to identify interventions.

b

A nurse is caring for a patient who is from a different culture than the nurse. When beginning the cultural assessment, which of the following actions should the nurse take first? a. Determine the patient's perception of their current health status b. gather data about the patient's cultural beliefs c. Determine how the patient's culture can affect the effectiveness of nursing actions d. gather information about previous patient interactions with the health care system

b

A nurse is completing a needs assessment and beginning analysis of data. Which of the following actions should the nurse take first? A. Determine health patterns within collected data. B. Compile collected data into a database. C. Ensure data collection is complete. D. Identify health needs of the local community

b

A nurse is conducting health screenings at a statewide health fair and identifies several clients who require referral to a provider. Which of the following statements by a client indicates a barrier to accessing health care? A. "I don't drive, and my son is only available to take me places in the mornings." B. "I can't take off during the day, and the local after‑hours clinic is no longer in operation." C. "Only one doctor in my town is a designated provider by my health maintenance organization." D. "I would like to schedule an appointment with the local doctor in my town who speaks Spanish and English."

b

A nurse is working to ensure long-term positive health outcomes of poor pregnant teens and their children. Which of the following actions would the nurse most likely take? a. Assist teen mothers to learn about their body changes during pregnancy. b. Develop programs that allow teen mothers to complete their education. c. Offer courses in proper care of babies and how to be a parent. d. Monitor pregnant teens to detect early problems with pregnancy.

b

A nurse volunteering at the free clinic in her community informs a client seeking treatment for hypertension that the family's children may qualify for enrollment in the State Children's Health Insurance Program (SCHIP). The nurse's intervention can reduce health disparities for these vulnerable children by making a referral to a program that provides: a) direct financial subsidies for children. b) funds to insure currently uninsured children. c) outreach efforts to enroll eligible children in Medicaid. d) prospective payments for child services.

b

A public health nurse is planning interventions for children in the community. Which of the following topics should nurse choose to target a major concern for school aged children? A) skin cancer detection B) access to health care C) STI prevention D) cholesterol screening

b

During a recent heat advisory, baggage handlers at the local airport were placed on a 1-hour shift rotation. This work-health interaction demonstrates the theoretical application of which of the following? a) Aggregate populations b) Epidemiologic model c) Host risk factor d) Occupational exposure

b

Nurses should review which of the following reports to determine what pollutants have been found in the drinking water of a community? a. Point source report b. Consumer confidence report c. Material Safety Data Sheet d. Environmental standards report

b

What is the purpose of using an algorithm in the surveillance process? a. Tells the nurse who to call in the event of an outbreak. b. Provides the nurse with a step by step plan to identify events needing investigation. c. Provides the nurse with a system for telephone triage in an outbreak. d. It is a visual reminder of the epidemiologic triangle.

b

Which of the following dimensions is an essential component of parish nursing? a) Assertiveness b) Compassion c) Organizational skills d) Fiscal responsibility

b

A particular chronic health problem that is a serious public health challenge and results in health complications that double medical costs is: a. stroke. b. hypertension. c. diabetes. d. cardiovascular disease.

c

A patient being prepared for a major cardiac surgical procedure tells the nurse she is not religious but has spiritual beliefs. How would the nurse best base her response to the patient? a) Beliefs about life, death, good, and evil b) The use of prayer for intercession and thanksgiving c) A person's effort to find purpose and meaning in life d) A formal system of beliefs, including worship of God or gods

c

Analytic epidemiology differs from descriptive epidemiology because it searches for: a. "when" of disease patterns b. "where" of disease patterns c. "why" of disease patterns d. "who" of disease patterns

c

Community-oriented nursing in the 21st century has been influenced by historical events and government initiatives that support the approach of: a. caring for the disenfranchised. b. illness care. c. keeping the public healthy. d. preventing acute illness.

c

Elderly clients should be assessed for signs of abuse. The illegal use of a person for another person's profit is known as: a. neglect. b. incompetence. c. exploitation. d. self-determination.

c

In 1902 Lillian Wald introduced the concept of school nursing to address the problem of student absenteeism by: a. enforcing the Department of Health's rules and regulations. b. excluding infectious children from the school environment. c. providing and obtaining medical treatment for absent students. d. providing shoes and clothing for absent students.

c

Indiscriminate use of "good drugs" has caused more health problems from adverse reactions, drug interactions, dependence, addiction, and overdoses than has the use of "bad drugs." The high-risk population group that most experiences the negative consequences identified above is: a) adolescents. b) injection drug users. c) older adults. d) pregnant women.

c

Nonprofit home health agencies can be reimbursed for home health services through Medicare, Medicaid, and private insurance companies. A major difference between an official agency and a voluntary or private agency is that official agencies receive additional: a. client payments. b. charity support. c. public funding. d. third-party payments.

c

Nurses come to home health from a variety of educational and practice settings. Based on educational level, nurses are prepared to practice at various levels. To ensure the public of competence and quality in a highly competitive health care environment, it may become necessary for nurses to seek which of the following? a. Accreditation b. Advanced degrees c. Certification d. Specialization

c

One member of an older couple has just retired. This is considered a: a. developmental stage that will help the family with stress reduction. b. nonnormative event that will have psychological impact on the family. c. normative event and can increase the family's risk for illness. d. normative event and will have little effect on the family' well-being.

c

The Food Quality Protection Act of 1996 increased the protection of infants and children from pesticide exposure from multiple sources by establishing a new health-based standard of reasonable certainty of "no harm" that: a. considers the cumulative impacts of all pesticides that may share a common mechanism of action. b. establishes a 15-year renewal process for all pesticides. c. prohibits taking into account economic considerations when children are at risk. d. uses an additional tenfold margin of safety when there are adequate data indicating developmental risks.

c

The community health nurse asks a client, "Have you ever been exposed to any radiation or chemical liquids, dust, mists, or fumes?" The nurse is conducting an: a. environmental advocacy activity. b. environmental compliance activity. c. environmental health assessment. d. environmental risk communication.

c

The current-day definition of family refers to two or more individuals who depend on one another for emotional, physical, and/or financial support. Which of the following is the most important principle to support this broader definition? a. Families are defined by genetic ties. b. Family names are needed to confer status. c. Members of a family are self-defined. d. Traditional family functions have been redefined.

c

The deliberate release of viruses, bacteria, or other germs with the intent of causing illness or death is: a. event outbreak. b. chemical terrorism. c. biological terrorism. d. surveillance.

c

The local hospital emergency department has recently experienced an increase in gastroenteritis cases among migrant farmworkers. The local health department is informed of this rise in cases and schedules a case mapping of local: a) bars frequented by migrant workers. b) farm fields employing migrant workers. c) housing for migrant workers. d) restaurants frequented by migrant workers.

c

The nurse is responding to a disaster and knows which biological agent requires the use of an antitoxin if exposure occurs? a. Anthrax b. Plague c. Botulism d. Typhoid

c

The nurse's care of a Hispanic family includes teaching about infant care. When developing a plan of care, the nurse bases interventions on the knowledge that in traditional Hispanic families: a. Breastfeeding is encouraged immediately after birth. b. Male infants typically are circumcised. c. The maternal grandmother participates in the care of the mother and her infant. d. Special herbs mixed in water are used to stimulate the passage of meconium.

c

The nurse is caring for a Hispanic man who wishes to have a "traditional healer" come to the hospital to give care. After informing the primary care provider, the nurse should obtain the services of which individual? a) A hougan b) A shaman c) A parteras d) A curandero

d

The nurse is working with a patient who has undergone transgender transformation to become a male. Which are some Western cultural masculine attributes the nurse should emphasize to the patient? a) Fitness, fidelity, and stamina b) Generosity, sportsmanship, and leadership c) Harmonious relationships, modesty, and caretaking d) Achievement, material success, and recognition

d

The nurse should be aware that during the childbearing experience an African-American woman is most likely to: a. Seek prenatal care early in her pregnancy. b. Avoid self-treatment of pregnancy-related discomfort. c. Request liver in the postpartum period to prevent anemia. d. Arrive at the hospital in advanced labor.

d

The school nurse is interested in providing an anti-smoking program in a local middle school and is aware that programs are more effective for this age group when they focus on short-term versus long-term effects of smoking. Besides including health risks and cosmetic effects, the nurse should also consider: a. behavior modification techniques. b. effects on the environment. c. laws regarding tobacco sales to minors. d. social skills instruction to d. resist pressure to smoke.

d

To maintain effective disaster preparedness, nurses working in the community can play a critical role in providing an updated record of: a) immunizations. b) active tuberculosis (TB) cases. c) WIC enrollees. d) vulnerable populations.

d

A child with severe macular degeneration and some hearing loss will be attending the third grade in a local school. A tertiary prevention intervention the school nurse should perform would be which of the following? a. Assess the child's language skills, motor abilities, and social abilities. b. Ensure that a telephone is available for calling emergency personnel or parents. c. Lead educational programs to address coping strategies and stress management techniques. d. Meet with the assigned teachers to discuss classroom seating to enhance the child's learning experience.

d

A nurse is caring for a client who is a Jehovah's Witness and is scheduled for surgery as a result of a motor vehicle crash. The surgeon tells the client that a blood transfusion is essential. The client tells the nurse that based on his religious values and mandates, he cannot receive a blood transfusion. Which of the following responses by the nurse is appropriate? A. "I believe in this case you should really make an exception and accept the blood transfusion." B. "I know your family would approve of your decision to have a blood transfusion." C. "Why does your religion mandate that you cannot receive any blood transfusions?" D. "Let's discuss the necessity for a blood transfusion with your religious and spiritual leaders and come to a reasonable solution."

d

A nurse is planning a community health program. Which of the following actions should the nurse include as part of the evaluation plan? A. Determine availability of resources to initiate the plan. B. Gain approval for the program from local leaders. C. Establish a timeline for implementation of interventions. D. Compare program impact to similar programs.

d

A nurse is talking to a client who asks for additional information about hospice. Which of the following statements should the nurse make? a. "Clients who require skilled nursing care at home qualify for hospice care." b. "One function of hospice is to provide teaching to clients about life-sustaining measures." c. "Hospice assists clients to develop the skills needed to care for themselves independently." d. "A component of hospice care is to control the client's manifestations."

d

A public health nurse employed by the Department of Health is working on a team developing local health policy. The nurse recognizes which of the following about policy development? a. It is based on Socratic method. b. It is important that the policy has been approved by the American Nurses Association. c. It is primarily up to politicians to plan for health care. d. It is very similar to the nursing process.

d

Forcing one's own cultural beliefs and practices on another person is an example of a. stereotyping. b. ethnocentrism. c. cultural relativity. d. cultural imposition.

d

In a community clinic that screens and treats individuals for cardiovascular disorders, the nurse practicing public health/population-focused nursing would most likely ascertain: a. a holistic treatment plan. b. a specific clinical diagnosis. c. individual dietary interventions for cardiovascular disorders. d. the prevalence rate of cardiovascular disorders among various groups.

d

In the event of a disaster, shelters are generally the responsibility of which of the following entities? a) Centers for Disease Control and Prevention (CDC) b) Federal Emergency Management Agency (FEMA) c) Public Health Service (PHS) d) Red Cross chapter

d

Nurses play a key role in promoting health equity. An important mechanism to do this is to a. discourage use of evidence-based practice guidelines. b. insist that patients adhere to established clinical guidelines. c. teach patients to use the Internet to find resources related to their health. d. engage in active listening and establish relationships with patients and families.

d

Using Healthy People 2020 as a guide, which of the following would improve delivery of care to a community? (Select all that apply.) 1. Community assessment 2. Implementation of public health policies 3. Home safety assessment 4. Increased access to care 5. Determining rates of specific illnesses

1,2,4,5

The nurse is planning care for the spiritual needs of a patient who has been newly diagnosed with a chronic illness. Which are appropriate nursing interventions for the spiritual care of this patient? (Select all that apply.) Select all that apply. a) Ambulating the patient b) Shared tears c) Praying with the patient d) Shared laughter e) Administering medication f) Listening to the patient

b,c,d,f

A nurse is reviewing information about the local health Department to prepare for an interview. Which of the following services should the nurse expect the local health Department to provide? Select all that apply. a) Managing the women, infants, and children program b) providing education to achieve community health goals c) Coordinating directives from state personnel d) reporting communicable diseases to the CDC e) licensing of registered nurses

b,c

A nurse is reviewing information about the local health department to prepare for an interview. Which of the following services should the nurse expect the local health department to provide? (Select all that apply.) A. managing the Women, Infants, and children program B. Providing education to achieve community health goals C. coordinating directives from state personnel D. reporting communicable diseases to the CDC E. licensing of registered nurses

b,c

A nurse is reviewing information about the local health department to prepare for an interview. Which of the following services should the nurse expect the local health department to provide? (Select all that apply.) A. managing the Women, Infants, and children program B. Providing education to achieve community health goals C. coordinating directives from state personnel D. reporting communicable diseases to the CDC E. licensing of registered nurses

b,c

The community health nurse performs an assessment of violence by observing which of the following community characteristics? Select all that apply. a) Presence of social support networks b) Crime rates c) Levels of unemployment d) Presence of physical disabilities in individuals e) Presence of family violence

b,c

A nurse educator is discussing the facility protocol in the event of a tornado with the staff. Which of the following should the nurse include in the instructions? (Select all that apply.) A.Open doors to client rooms. B.Place blankets over clients who are confined to beds. C.Move beds away from the windows. D.Draw shades and close drapes. E.Relocate ambulatory clients in the hallways back into their rooms.

b,c,d

A Hispanic outreach program works with the nurse in community health to train Hispanic health care workers in providing basic services and education within the local Hispanic community. The concept basic to community-oriented nursing practice that is best described by this intervention is: a. community. b. community client. c. community health. d. community partnerships.

d

A nurse is preparing an education program on disease transmission for employees at a local day care facility. When discussing the epidemiological triangle, the nurse should include which of the following factors as agents? (select all that apply) A) resource availability B)ethnicity c)toxins D)bacteria e) altered immunity

c,d

A nurse is preparing to administer medications to a preschooler. Which of the following should the nurse do to increase the child's cooperation? a. reassure the child an injection will not hurt b. mix oral medications in a glass of milk c. offer the child choices when possible d. have the parents bring in a favorite toy e. engage the child in pretend play with a toy medical kit.

d,e

4. When Ryan was 3 months old, he had a toy train; when his view of the train was blocked, he did not search for it. Now that he is 9 months old, he looks for it, reflecting the presence of: 1. Object permanence. 2. Sensorimotor play. 3. Schemata. 4. Magical thinking.

1

5. A patient who is newly diagnosed with breast cancer states, "Although I am really scared about what is going to happen to me, I know my family will learn from this experience, and we will be stronger in the end." What term does the nurse use in the patient's 133medical record to describe the characteristic displayed in this statement? 1. Resiliency 2. End-of-life care 3. Family functioning 4. Family's culture

1

6. A nurse is caring for a man who is recently retired and who appears withdrawn. He says he is "bored with life." The nurse helps this individual find meaning in life by: 1. Encouraging him to reflect on his relationships with others. 2. Encouraging relocation to a new city. 3. Explaining the need to simplify life. 4. Encouraging him to adopt a new pet.

1

9. Which of the following are examples of the conventional reasoning form of cognitive development? (Select all that apply.) 1. A 35-year-old woman is speaking with you about her recent diagnosis of a chronic illness. She is concerned about her treatment options in relation to her ability to continue to care for her family. As she considers the options and alternatives, she incorporates information, her values, and emotions to decide which plan will be the best fit for her. 2. A young father is considering whether or not to return to school for a graduate degree. He considers the impact the time commitment may have on the needs of his wife and infant son. 3. A teenage girl is encouraged by her peers to engage in shoplifting. She decides not to join her peers in this activity because she is afraid of getting caught in the act. 4. A single mother of two children is unhappy with her employer. She has been unable to secure alternate employment but decides to quit her current job. 5. A young man drives over the speed limit regularly because he thinks he is an excellent driver and will not get into a car accident.

1,2

The public health nurse is working with the county health department on a task force to fully integrate the goals of Healthy People 2020. Most of the immigrant population do not have a primary care provider, nor do they participate in health promotion activities; the unemployment rate in the community is 25%. How does the nurse determine which goals need to be included or updated? (Select all that apply.) 1. Assess the health care resources within the community. 2. Assess the existing health care programs offered by the county health department. 3. Compare existing resources and programs with Healthy People 2020 goals. 4. Initiate new programs to meet Healthy People 2020 goals. 5. Implement educational sessions in the schools to focus on nutritional needs of the children.

1,2,3

4. A family is facing job loss of the father, who is the major wage earner, and relocation to a new city where there is a new job. The children will have to switch schools, and his wife will have to resign from the job she enjoys. Which of the following contribute to this family's hardiness? (Select all that apply.) 1. Family meetings 2. Established family roles 3. New neighborhood 4. Willingness to change in time of stress 5. Passive orientation to life

1,2,4

8. A family consisting of a grandparent, two adults, and three school-age children just immigrated to the United States. They come to a community wellness center to establish health care. Which of the following questions does the nurse ask to assess the family's function? (Select all that apply.) 1. "What does your family do to keep members healthy?" 2. "How does your family usually make decisions?" 3. "What health services are available in your neighborhood?" 4. "Which rituals or celebrations are important for your family?" 5. "Is there a lot of crime in your neighborhood?" 6. "How many parks are there in your community?"

1,2,4

A community health nurse is working in a clinic with a focus on asthma and allergies. What is the primary focus of the community health nurse in this clinic setting? (Select all that apply.) 1. Decrease the incidence of asthma attacks in the community 2. Increase patients' ability to self-manage their asthma 3. Treat acute asthma in the hospital 4. Provide asthma education programs for the teachers in the local schools 5. Provide scheduled immunizations to people who come to the clinic

1,2,4

The nurse caring for a refugee community identifies that the children are undervaccinated and the community is unaware of resources. The nurse assesses the community and determines that there is a health clinic within a 5-mile radius. The nurse meets with the community leaders and explains the need for immunizations, the location of the clinic, and the process of accessing health care resources. Which of the following practices is the nurse providing? (Select all that apply.) 1. Raising awareness about community resources for the children 2. Teaching the community about health promotion and illness prevention 3. Promoting autonomy in decision making about health practices 4. Improving the health care of the community's children 5. Participating in professional development activities to maintain nursing competency

1,2,4

1. Which of the following should be included in health teaching for a pregnant patient? (Select all that apply.) 1. Exposure of the fetus to alcohol, drugs, or tobacco can cause abnormal development. 2. Nutritional needs increase during pregnancy, and eating healthy foods is important. 3. Complementary and alternative therapies should always be avoided during pregnancy. 4. Provide education on self-care to reduce common discomforts of pregnancy, such as nausea. 5. Recommend birthing classes to prepare the mother for the birthing process.

1,2,4,5

A nurse in a community health clinic reviews screening results from students in a local high school during the most recent academic year. The nurse discovers a 10% increase in the number of positive tuberculosis (TB) skin tests when comparing these numbers to the previous year. The nurse contacts the school nurse and the director of the health department. Together they begin to expand their assessment to all students and employees of the school district. The community nurse was acting in which nursing role(s)? (Select all that apply.) 1. Epidemiologist 2. Counselor 3. Collaborator 4. Case manager 5. Caregiver

1,3

The nurse in a new community-based clinic is requested to complete a community assessment. Order the steps for completing this assessment. 1. Structure or locale 2. Social systems 3. Population

1,3,2

3. A nurse is caring for a 66-year-old patient who lives alone and is receiving chemotherapy and radiation for a new cancer diagnosis. He is unable to care for himself because of severe pain and fatigue. He moves into his 68-year-old brother's home so his brother can help care for him. Which assessment findings indicate that this family caregiving situation will be successful? (Select all that apply.) 1. Both the patient and his brother attend church together regularly. 2. The brothers are living together and enjoy eating the same foods. 3. Other siblings live in the same city and are willing to help. 4. The patient and his brother have a close network of friends. 5. The patient has obsessive-compulsive disorder and has difficulty throwing away possessions.

1,3,4

8. At a well-child examination, the mother comments that her toddler eats little at mealtime, will sit only briefly at the table, and wants snacks all the time. Which of the following should the nurse recommend? (Select all the apply.) 1. Provide nutritious snacks for a healthy diet. 2. Offer rewards for eating at mealtimes. 3. Avoid snacks so she is hungry at mealtime. 4. Offer finger foods so she can eat as she walks. 5. Explain to her why eating at mealtime is important.

1,4

4. Sequence the skills in the expected order of gross-motor development in an infant, beginning with the earliest skill. 1. Can lift head 45 degrees off table, when prone 2. Pulls self to standing position 3. Sits upright without support 4. Rolls from back to abdomen 5. Rolls from abdomen to back

1,5,4,3,2

a nurse is reviewing data on the rates of varicella zoster (chicken pox) for a county. If there were 416 cases of varicella in one year among a population of 32,000 people, what should the nurse record as the incidence rate per 1000 people?

13 per 1000 people

7. You are caring for a 4-year-old child who is hospitalized for an infection. He tells you that he is sick because he was "bad." Which is the most correct interpretation of his comment? 1. Indicative of maladaptive stress response 2. Representative of his cognitive development 3. Suggestive of excessive discipline at home 4. Indicative of his developing sense of inferiority

2

A community health nurse conducts a community assessment focused on adolescent health behaviors. The nurse determines that a large number of adolescents smoke. Designing a smoking cessation program at the youth community center is an example of which nursing role? 1. Educator 2. Counselor 3. Collaborator 4. Case manager

2

3. A nurse is teaching the mother of a young infant about prevention of sudden infant death syndrome (SIDS). Which of the following statements indicates that the teaching has been effective? (Select all that apply.) 1. "I'll let the baby sleep in bed with me so I can watch her." 2. "I'll remove stuffed animals and pillows from the crib." 3. "I'll place my baby on her back for sleep." 4. "I'll be sure to keep my baby's room cool." 5. "I'll keep a crib bumper in the bed to prevent drafts."

2,3,4

2. A mother and her two children are homeless and enter a free health care clinic. Which statements most likely describe the effects of homelessness on this family? (Select all that apply.) 1. The children have stability in their education. 2. The family members may have symptoms of malnutrition, such as anemia. 3. The family is at a low risk for experiencing violence. 4. The children are at higher risk for developing ear infections. 5. All family members may have mental health issues

2,4,5

a nurse is determining the attack rate following an E. coli outbreak at a restaurant. If 84 people ate contaminated lettuce and 13 people developed an infection, what should the nurse conclude as the attack rate?

25%

1. A family includes a mother, a stepfather, two teenage biological daughters of the mother, and a biological daughter of the father. The father's daughter just moved home following the loss of her job in another city. The family is converting a study into a bedroom and is in the process of distributing household chores. Nursing assessment reveals all members of the family think that their family can adjust to lifestyle changes. This is an example of family: 1. Diversity. 2. Durability. 3. Resiliency. 4. Configuration.

3

2. A parent has brought her 6-month-old infant in for a well-child check. Which of her statements indicates a need for further teaching? 1. "I can start giving her whole milk at about 12 months." 2. "I can continue to breastfeed for another 6 months." 3. "I can give her plenty of fruit juice to increase her vitamin intake." 4. "I can start giving her solid food now, introducing one food at a time."

3

10. Dave reports being happy and satisfied with his life. What do we know about him? 1. He is in one of the later developmental periods, concerned with reviewing his life. 2. He is atypical, since most people in any of the developmental stages report significant dissatisfaction with their lives. 3. He is in one of the earlier developmental periods, concerned with establishing a career and satisfying long-term relationships. 4. It is difficult to determine Dave's developmental stage since most people report overall satisfaction with their lives in all stages.

4

7. A 7-year-old child was recently diagnosed with asthma. A nurse is providing education to the child and her parents about the treatment and management of asthma and changes they need to make in their home environment to promote her health. Which statement made by the parents requires follow-up by the nurse? 1. "We have made an appointment to talk with the school nurse about the change in our child's health." 2. "We forgot to give our daughter her medications before bedtime, so we made a list of her medications to help us remember." 3. "We have worked out a schedule to check on her before and after school." 4. "We have not been spending time with our parents because we are so busy taking care of our daughter."

4

8. Elizabeth, who is having unprotected sex with her boyfriend, comments to her friends, "Did you hear about Kathy? You know, she fools around so much; I heard she was pregnant. That would never happen to me!" This is an example of adolescent: 1. Imaginary audience. 2. False-belief syndrome. 3. Personal fable. 4. Sense of invulnerability.

4

A 16-year-old female tells the school nurse that she doesn't need the human papillomavirus (HPV) vaccine since her partner always uses condoms. The best response by the nurse to this statement is: a. "Latex condoms are the most effective way to eliminate the risk of HPV transmission." b. "Your parents may not want you to receive the HPV vaccine since it has been shown to increase sexual risk taking and sexual activity." c. "The HPV 9-valent vaccine is recommended for males and females even if they use condoms because it targets the specific viruses that cause cancer and genital warts." d. "You are past the recommended age to receive the vaccine."

C

A nurse desires to communicate with a young woman who is Serbian and who has limited experience with being in a hospital. The nurse has 10 years of experience caring for Serbian women. The patient was admitted for a serious pregnancy complication. Apply the LEARN model and match the nurse's behaviors with each step of the model. L ___________ E ___________ A ___________ R __________ N __________ a. The nurse notes that she has learned that fathers can visit mothers at any time in both Serbia and the United States. b. The nurse shares her perception of the woman's experiences as a patient. c. The nurse asks the patient how she can maintain bed rest when she returns home. d. The nurse attends to the patient and listens to her story about hospitals in Serbia. e. The nurse involves the patient in a discussion of the treatment options for her condition.

L-d, E-b, A-a, R-e, N-c

Many older homes in a neighborhood are undergoing a lot of restoration. Lead paint was used to paint the homes when they were built. The community clinic in the neighborhood is initiating a lead screening program. This activity is based on which social determinant of health?

Physical environment

A breast cancer screening program screened 8000 women and discovered 35 women previously diagnosed with breast cancer and 20 women with no history of breast cancer diagnosed as a result of the screening. The prevalence proportion would reflect: a. current and past breast cancer events in this population of women. b. newly diagnosed cases of breast cancer in this population of women. c. past breast cancer events in this population of women. d. the population of women that had no evidence of breast cancer.

a

A client is back for his follow-up appointment and says to the nurse, "I know. I know. I drink too much, but the job is so stressful that I need to find a way to unwind at the end of the day. You would too!" The nurse should recognize that this is a primary symptom of addiction known as: a) denial. b) social drug use patterns. c) setting variable. d) coping.

a

A community-oriented nurse has identified obesity as a problem in the middle school. The next step in a population-focused practice is to make information available about the health of the middle school students. This describes the public health core function of: a. assessment. b. assurance. c. policy development. d. research.

a

A mass casualty incident was identified on a nearby freeway. Which patient would likely be designated "red" during triage at the site? a. An individual whose femoral artery has been severed and is bleeding profusely b. An individual who is not expected to survive a crushing head and neck wound c. An individual who is distraught at the violence of the incident d. An individual who has experienced an open arm fracture from falling debris

a

A newly hired occupational health nurse at an industrial facility is performing an initial workplace assessment. Which of the following information should the nurse determine when conducting a work site survey? a. work practices of employees b. past exposure to specific agents c. past jobs of individual employees d. length of time working in current role

a

A nurse at an urban community health agency is developing an education program for city leaders about homelessness. Which of the following groups should the nurse include as the fastest-growing segment of the homeless population? a. families with children b. adolescent runaways c. intimate partner abuse survivors d. older adults

a

A nurse in community health directly contacts a mammography clinic to arrange an appointment for a female migrant worker with limited English language abilities. The nurse communicates with the client through an interpreter to ensure that the client's appointment is scheduled to meet her needs and that the client understands the procedure to be performed. This strategy used with vulnerable populations can best be described as: a) advocacy. b) culturally competent care. c) partnership. d) social justice.

a

A nurse is cautioning the mother of an 8-month-old infant about safety. Which of the following statements by the mother indicates an understanding of safety for the infant? A. "My baby loved to play with his crib gym, but I took it away from him." B. "I just bought a soft mattress so my baby will sleep better." C. "My baby really likes sleeping on the fluffy pillow we just got for him." D. "I just bought a child-safety gate that folds like an accordion."

a

A nurse is talking with parents of a school-age child who describe several issues that concern them. Which of the following problems the parents verbalized should the nurse identify as the priority for further assessment and intervention? A. "We just don't understand why our son can't keep up with the other kids in simple activities like running and jumping." B. "Our son keeps trying to find ways around our household rules. He always wants to make deals with us." C. "We think our son is trying too hard to excel in math just to get the top grades in his class." D. "Our son is always afraid the kids in school will laugh at him because he likes to sing and write little poems."

a

A nurse is using the I PREPARE mnemonic to assess a patient's potential environmental exposures. Which of the following questions should the nurse ask when assessing for "a" in the mnemonic? a) What do you like to do for fun? b) What year was your residence built? c) what jobs have you had in the past? d) what industries are near where you live?

a

A nurse is using the I Prepare mnemonic to assess a client's potential environmental exposures. Which of the following questions should the nurse ask when assessing for "a" in the mnemonic? A. "What do you like to do for fun?" B. "What year was your residence built?" C. "What jobs have you had in the past?" D. "What industries are near where you live?"

a

A patient is admitted to the emergency department with possible anthrax. What initial action should the nurse anticipate in the care of this person? a) The clothes will be cut off. b) The patient will be made NPO. c) The patient will need to sign a living will. d) The nurse will administer a detoxifying agent.

a

A school district in the Midwest has included health education, physical education, health services, nutrition services, and counseling, psychological, and social services as components of the student health services. Additionally, the district has integrated family/community involvement, staff health promotion, and a commitment to a healthy school environment in its program design. This school district has adopted the school health service program scope of which of the following? a. CDC's Coordinated School Health Program b. Healthy Schools, Healthy Communities program c. Healthy People 2020 d. School-linked program

a

A school nurse is assessing a student and notices the eyes look rather red and dry. The nurse asks the student if they have any eye problems. The student yawns and says they haven't noticed any eye problems. However, the student does confess to the school nurse that they gained 15 pounds since starting smoking "special cigarettes." The nurse is aware the student is most likely smoking: a. Marijuana b. Tobacco c. Crack cocaine d. Ice methamphetamine

a

A school nurse teaches three middle school students with asthma conditions techniques to minimize their incidence of bronchial spasms. This is an application of: a. community-based nursing. b. community-oriented nursing. c. institutional nursing. d. public health nursing.

a

A second-grade child with cerebral palsy receives services from a physical therapist and occupational therapist during the child's academic day. The school nurse sets up the schedule to ensure that the therapists' visits do not unnecessarily affect the child's academic day negatively. This role of the school nurse is best described as which of the following? a. Case manager b. Counselor c. Consultant d. Direct caregiver

a

A state agency has received multiple complaints regarding the availability of elder transportation services to a specific county senior center. The state agency assigns a public health nurse to work with the community to evaluate its program for elder transportation services to publicly sponsored elder care programs. The public health core function applied is: a. assurance. b. policy development. c. primary prevention. d. public transportation.

a

A strategy that may improve compliance with tuberculosis (TB) treatment is the: a. expansion of directly observed therapy. b. tuberculosis testing protocols. c. increased confirmatory testing protocols. d. treatment compliance education.

a

A unique characteristic of the standards of practice for school nurses is which of the following? a. Alignment with the American Academy of Pediatrics (AAP) guidelines for providing health care to students b. Requirement of bachelor's degrees in nursing and special certification in school nursing c. Restriction on delegation of care to other school personnel d. Use of research findings in the practice of school nursing

a

An occupational health nurse is consulting with senior management of a local industrial facility. When discussing work-related illness and injury, the nurse should include which of the following factors as physical agents? (SATA) a. work practices of employees b. past exposure to specific agents c. past jobs of individual employees d. length of time working in current role

a

An older adult from Nigeria is visiting an adult child. The child tries to encourage the patient to have the testing and treatment for a chronic productive cough. What behavior has occurred since the child now believes in American medical treatment? a) Acculturation b) Ethnocentrism c) Race awareness d) Cultural imposition

a

As congregations realize the need for care and care for one another, their individual and corporate relationships with their Creator often are enhanced, thereby increasing their resilience for future crisis situations. The characteristic of faith community nursing philosophy that best endorses this principle is that faith community nurse services: a) emphasize strengths of individuals, families, and communities. b) focus on the faith community and its ministry. c) focus on the centrality of the spiritual dimension. d) consider health, spiritual health, and healing as an ongoing dynamic process.

a

Clinical medicine and epidemiology differ from each other in the major aspect of: a. practice focus. b. health monitoring. c. determinants of health and disease. d. evaluation of interventions.

a

During a nursing assessment a patient displayed several behaviors. Which behavior suggests the patient may have a health literacy problem? a) Patient has difficulty completing a registration form at a medical office b) Patient asks for written information about a health topic c) Patient speaks Spanish as primary language d) Patient states unfamiliarity with a newly ordered medicine

a

For a nurse to develop a therapeutic attitude toward the treatment of alcohol, tobacco, and other drug (ATOD) problems in the community, the nurse must realize drug addiction can be successfully treated, anyone may develop drug dependence, and: a) any psychoactive drug can be abused. b) illegal drugs are the category of abused drugs. c) prescription drugs rarely cause dependence. d) over-the-counter (OTC) drugs are "good drugs."

a

For the homeless, health care is usually crisis oriented and sought in emergency departments. The most difficult challenge for nurses treating this vulnerable population is to recognize the client's: a) limitations in following treatment protocols. b) limited number of transient treatment facilities. c) transition to persistent poverty. d) use and abuse of tobacco, alcohol, and illicit drugs.

a

In a federally funded preschool program such as Head Start, nursing services that include conducting developmental-level screening for cognitive and psychomotor development of individual children would most likely be considered community-oriented nursing care when: a. individual results are compared with established standards for children of the same age group. b. program characteristics are assessed for their effectiveness in making the school population healthier. c. referral is provided for a child identified with delayed psychomotor development. d. treatment is initiated for a child with an identified learning disability.

a

In giving care to the survivors of violence, the nurse should demonstrate respect and caring for all family members, insist that safety is the first priority, and demonstrate intolerance for violent behavior. Additionally, the nurse should be: a) absolutely honest about what will be reported and what the family can expect. b) authoritarian in approaching the problem. c) cautious in reporting unconfirmed reports of violence. d) sincere in concern for the victims.

a

Nurses in community health conducting health education classes for populations vulnerable to HIV/AIDS should explain the natural history of the progression of human immunodeficiency virus (HIV). Of particular importance is the fact that the disease may go undetected during the primary infection phase because: a. antibody tests are typically negative. b. the immune system increases antibody production. c. the incubation period is prolonged. d. symptoms include myalgias, sore throat, and rash.

a

Several community-oriented nurses want to explore the problem of obesity in school-age children and assess their community school district health status related to that problem. When gathering information at a national level, they would begin with the: a. Centers for Disease Control and Prevention (CDC). b. Centers for Medicare and Medicaid Services (CMS). c. Health Resources and Services Administration (HRSA). d. National Institute of Nursing Research (NINR).

a

The adult children of a patient who is Hindu have requested a vegetarian diet for the patient. What is the nurse's most appropriate response? a) Order a vegetarian diet for the patient. b) Assess the family's rationale for choosing this particular diet. c) Teach the family about the relationship between protein intake and wound healing. d) Explore the benefits of a low-meat, high-protein diet with the family and the dietitian.

a

The charge nurse observes a staff nurse. What observed action would be most indicative of stereotyping? a) Advocating for bronchodilators to be prescribed for all newly admitted black patients b) Helping a recent immigrant to explore ways to pay for her newly prescribed antihypertensive medications c) Prioritizing the assessment of obesity when providing care for black and Mexican American women d) Arranging for translation services to be provided for a patient who has recently emigrated from Sri Lanka and does not speak English

a

The client's priority nursing diagnosis has been established as risk for self-directed violence: suicide related to multiple losses. What is the priority outcome for this client? a) Refrain from attempting suicide. b) Be placed on suicide precautions. c) Attend self-help group daily. d) State absence of feelings of powerlessness.

a

The faith community nurse role arose out of the challenges faced by families to succeed in meeting the demands of young children, teens, and aging parents as well as which of the following challenges? a) Inadequate training for caregivers b) Increased hospital length of stay c) Lack of consumer demand for health care decisions involvement d) Society's lack of accountability for health care decision making

a

The family nurse conducts the family nursing assessment with the family as a unit. Using a systematic process, family problems are identified and family strengths are emphasized as building blocks for interventions. Which of the following best completes the statement to demonstrate the importance of assessment to outcomes? Integrating the extended families: a. fosters equal family and provider commitment to success. b. facilitates outcomes-oriented family nursing research. c. decreases the need for nurse contact and intervention. d. removes barriers to needed services to achieve success.

a

The greatest risk for experiencing work-related accidents with subsequent injuries is to which of the following? a) New workers with less than 1 year of experience on the current job b) Older workers with 2 years of experience on the job c) Women over 50 years of age with 3 years of experience on the current job d) Workers with safe, low-level exposure on the job

a

The home health nurse completes an initial assessment on a recently admitted home health client. The nurse should now analyze the assessment data and complete what step in the nursing process that is consistent with the standards of home health practice? a. Diagnosis b. Implementation c. Outcome identification d. Planning

a

The hospital infection control practitioner reports new cases of tuberculosis to the public health department. Of what type of surveillance system is this an example? a. Passive b. Active c. Sentinel d. Special

a

The nurse in community health defines goals and measurable objectives during the planning phase of a community health intervention. This also marks the beginning of the: a. evaluation phase. b. implementation phase. c. needs assessment. d. problem analysis.

a

The nurse in community health uses information about family structure, household composition, marriage, divorce, birth, death, adoption, and other family life events to forecast and predict stresses and developmental changes experienced by families and identify possible solutions to family challenges. This best describes the study of: a. family demographics. b. family functions. c. family health. d. family resilience.

a

The nurse is evaluating a new home health client for ongoing management at home following back surgery for a traumatic injury. The client has been receiving a morphine-based drug for long-term pain management over the past 6 months. The nurse's assessment should include a plan for addressing the client's: a) drug dependence. b) drug addiction. c) substance abuse. d) opiate addiction.

a

The nurse is gathering a sexual health history on a patient being admitted to the hospital for surgery. Which question demonstrates a nonjudgmental attitude? a) Can you tell me your sexual orientation? b) How do you and your wife feel about intimacy? c) Do you have sex with men, women, or both? d) Do you have sexual intercourse at your age?

a

The nurse is providing community education about how the sexual response changes with age. Which statement made by one of the adults indicates the need for further information? a) "Health problems such as diabetes, chronic obstructive pulmonary disease, and hypertension have little effect on sexual functioning and desire." b) "It usually takes longer for both sexes to reach an orgasm." c) "Most of the normal changes in function are related to alteration in circulation and hormone levels." d) "Many medications can interfere with sexual function."

a

The process by which people retain some of their own culture while adopting the practices of the dominant society is known as: a. Acculturation. b. Assimilation. c. Ethnocentrism. d. Cultural relativism.

a

The school nurse at the intermediate level arranges for a presentation by the trauma educator at the local regional medical center. Bicycle and helmet safety will be the primary topic at the school's open house. This is an example of which of the following school nurse roles? a. Community outreach b. Counselor c. Consultant d. Case manager

a

Twenty people attended a church picnic the previous weekend. By Monday, four individuals exhibited symptoms of food poisoning. On Tuesday, the nurse in community health records the addition of two new cases. The incidence rate would be: a. two new cases divided by 16 at risk. b. two new cases divided by 20. c. six cases divided by 20. d. four cases divided by 16.

a

What are the four components of cultural competence that nurses can demonstrate in providing nursing care in any care delivery setting? a) Awareness, knowledge, skill, and encounter b) Patience, sensitivity, openness, and listening c) Immersion, transcendence, imposition, and attitude d) Ability, understanding, communication, and empathy

a

What principle forms the basis of nursing outcome planning? a) Individuals have the right to outcomes that is reflective of their abilities. b) Nursing interventions are designed to solve individuals' problems for them. c) The goal of nursing action is to create a dependency between the client and the caregiver. d) Nurses have the best understanding of client problems and so they direct outcome selection.

a

When a community health nurse evaluates the completeness and accuracy of information made available to community residents regarding the impact of rezoning land parcels for industrial use, the nurse is: a. advocating for ethical choices. b. communicating risk. c. controlling environmental damage. d. volunteering for service on state boards.

a

When applying the nursing process to environmental health, the community health nurse would examine criteria that include the immediate and long-term responses of the client to the planned interventions. Another important factor to consider in the evaluation process would be: a. recidivism of the problem for the client. b. consideration of community policy and laws. c. relationship between the disease and the environmental factors. d. coordination of actions to meet the client's needs.

a

When determining whether a geographic area is rural or urban, the nurse should recognize that: a) rural and urban areas, by relative nature, occur on a continuum. b) rural regions have fewer than six persons per square mile. c) rural residents feel isolated. d) rural areas are recreational, retirement, or resort communities.

a

Which explanation provided by the nurse is the most accurate meaning for "providing culturally congruent care"? a) It fits the patient's valued life patterns and set of meanings. b) It is the same set of values as those of the health care team c) member providing daily care. d) It holds one's own way of life as superior to those of others. e) It redirects the patient to a more socially expected set of values.

a

Which of the following is a unique characteristic of the role of the occupational health nurse? a) Adapts to the needs of the agency and specific groups of workers. b) Works as a solo clinician and/or independent contractor. c) Is interdisciplinary in nature. d) Specializes in health promotion and education.

a

Which of the following statements accurately reflects the current status of nursing in community health? a. Each type of nurse is needed in today's communities. b. Community health serves only clients with chronic conditions. c. Comprehensive reform of health care is required. d. People no longer believe they can protect themselves.

a

Which of the following statements best explains the need for geologists, meteorologists, and chemists on the multidisciplinary team in environmental health? a. Earth sciences explain how pollutants travel in air, water, and soil. b. Earth sciences help us understand the strength of the association between exposures and health effects in human populations. c. Earth scientists study the negative effects of chemical exposure. d. Earth scientists work with the community to coordinate services to meet the community's needs.

a

Which statement made by a new graduate nurse about the teach back technique requires intervention and further instruction by the nurse's preceptor? a) "After teaching a patient how to use an inhaler, I need to use the teach-back technique to test my patient's technique." b) "The teach-back technique is an ongoing process of asking patients for feedback." c) "Using teach-back will help me identify explanations and communication strategies that my patients will most commonly understand." d) "Using pictures, drawings, and models can enhance the effectiveness of the teach-back technique."

a

Which statement most accurately describes cultural factors that may affect health? a. Diabetes and cancer rates differ by cultural/ethnic groups. b. There are limited ethnic variations in physiologic responses to drugs. c. Most patients find that religious rituals help them during times of illness. d. Silence during a nurse-patient interaction means the patient understands the instructions.

a

The public health nurse is most likely to use what types of surveillance systems? Select all that apply. a. Active b. Passive c. Sentinel d. Syndronic

a,b

Which of the following tools are used in analytic epidemiology? Select all that apply. a. Cohort study b. Case-control study c. Cross-sectional study d. Clinical trials e. Community trials

a,b,c

A nurse is preparing a wellness presentation for families at a about health screening for adolescents. Which of the following should the nurse include? a. obtain periodic mental status evaluation b. discuss prevention of STIs c. Regular screenings for TB d. Provide education about drug/alcohol use e. teach monthly breast examinations

a,b,c,d

Nurses are reclaiming their tradition of healing and affirming the independent functions of nursing. A heritage of health and healing can also be found in the foundations of faith communities through activities such as: Select all that apply. a) holding grief groups. b) providing meals to families in crisis. c) sponsoring health fairs. d) visiting the homebound. e) volunteering in community AIDS care groups.

a,b,c,d,e

Which of the following are factors that may contribute to vulnerability? Select all that apply. a) Exercise habits b) Crime c) Peeling lead paint d) Social isolation e) Illiteracy

a,b,c,d,e

A nurse at an elementary school is planning a health promotion and primary prevention class. Which of the following topics are appropriate to include for the parents of school-age children? (Select all that apply.) A. Childhood obesity B. Substance use disorders C. Scoliosis screening D. Front-seat seatbelt use E. Stranger awareness

a,b,c,e

A nurse is planning diversionary activities for children on an inpatient pediatric unit. Which of the following should the nurse incorporate as appropriate play activities for school-age children? (Select all that apply.) A. Building models B. Playing video games C. Reading books D. Using toy carpentry tools E. Shaping modeling clay

a,b,c,e

A nurse is preparing an educational program on cultural perspectives in nursing. The nurse should include that which of the following factors are influenced by an individual's culture? (select all that apply) a) nutritional practices b) family structure c) Health care interactions d) biological variations e) views about illness

a,b,c,e

A public health nurse is discussing disaster planning with family. What suggestions can be made to help them be prepared? (Select all that apply.) a. Discuss probable disasters in the area. b. Create a family disaster preparedness kit. c. Establish family emergency communication. d. Plan to prepare when there is a guarantee of a disaster in the area. e. Create an evacuation plan.

a,b,c,e

Which criterion is essential when the nurse plans nursing interventions designed to meet a specific goal? Select all that apply. a) Safe b) Evidence based c) Individualized d) Economical e) Realistic

a,b,c,e

A nurse is talking with the parents of a 6-month-old infant about gross motor development. Which of the following gross motor skills are expected findings in the next 3 months? (Select all that apply.) A. Rolls from back to front B. Bears weight on legs C. Walks holding onto furniture D. Sits unsupported E. Sits down from a standing position

a,b,d

What are the leading determinants of a patient's health (select all that apply)? a. Genetics b. Health behaviors c. Family history of disease d. Social and physical environment e. Type and quality of medical care received

a,b,d

A nurse on a pediatric unit is caring for an adolescent who has multiple fractures. Which of the following interventions should the nurse take? (Select all that apply.) A. Suggest that his parents room in with him. B. Provide a television and DVDs for him to watch. C. Limit visitors to immediate family. D. involve the adolescent in treatment decisions when possible E. Allow him to perform his own morning care.

a,b,d,e

Health care organizations must provide which of the following based on federal civil rights laws? (Select all that apply.) a) Provide language assistance services at all points of contact free b) of charge. c) Provide auxiliary aids and services, such as interpreters, note takers, and computer-aided transcription services. d) Use patients' family members to interpret difficult topics. e) Ensure that interpreters are competent in medical terminology. f) Provide language assistance to all patients who speak limited English or are deaf.

a,b,d,e

The nurse identifies a patient at high risk for health care disparities. What should be included as important nursing actions to reduce health care disparities? (Select all that apply.) a) Active listening b) Relationship building c) Taking foreign language classes d) Participating in cross-cultural education e) Using standardized evidence-based guidelines

a,b,d,e

A nurse is collecting data to identify health needs in the local community. Which of the following examples should the nurse identify as secondary data? (SATA) a. birth statistics b. previous health survey results c. windshield survey d. community forum e. health records

a,b,e

A nurse is collecting data to identify health needs in the local community. Which of the following examples should the nurse identify as secondary data? (Select all that apply.) A. Birth statistics B. Previous health survey results C. Windshield survey D. Community forum E. Health records

a,b,e

Which are exemplars of negative/dysfunctional family dynamics? (Select all that apply.) Select all that apply. a. Codependency b. Marital infidelity c. Traumatic injury of a family member d. Divorce/remarriage e. Sibling rivalry

a,b,e

Which of the following factors assisted such community-oriented nursing pioneers as Lillian Wald to develop approaches and programs to solve the health care and social problems of the late 1800s? Select all that apply. a. Community health's focus on teaching and prevention b. Establishment of settlement houses c. Establishment of the Town and Country Nursing Services in large cities d. Lack of public interest in limiting disease e. Middle and upper class fear of diseases

a,b,e

A nurse manager at community agency is developing an orientation program for newly hired nurses. When discoursing the differences between community-based and community-oriented nursing, the nurse should include which of the following situations as an example of community-based nursing? (SATA) a. a home health nurse performing wound care for a client who is immobile b. an occupational health nurse providing classes on body mechanics at a local industrial plant c. a school nurse teaching a student who has asthma about medications d. a parish nurse teaching a class on low-sodium cooking techniques e. a mental health nurse discussing stress management techniques with a support group

a,c

A nurse is giving a presentation about accident prevention to a group of parents of toddlers. Which of the following accident-prevention strategies should the nurse include? (Select all that apply.) A. Keep toxic agents in locked cabinets. B. Keep toilet seats up. C. Turn pot handles toward the back of the stove. D. Place safety gates across stairways. E. Make sure balloons are fully inflated.

a,c,d

An adolescent who is pregnant for the first time is at her initial prenatal visit. The women's health nurse practitioner (WHNP) informs the patient that she will be screening her for sexually transmitted infections (STIs). The patient replies, "I know I don't have an STI because I don't have any symptoms." Which responses by the WHNP would be appropriate? (Select all that apply.) a) "Untreated STIs can cause serious complications in pregnancy, so we routinely screen pregnant women." b) "Bacterial STIs don't usually cause symptoms, or you could have an asymptomatic viral STI." c) "Chlamydia screening is recommended for all sexually active women up to age 25 even if asymptomatic." d) "People between the ages of 15 and 24 are often asymptomatic and have the highest incidence of STIs." e) "There is no need to screen for infection since you aren't having any problems or symptoms."

a,c,d

The Clean Air Act of 1970 was amended in 1990 to meet unaddressed or insufficiently addressed problems that included which of the following? Select all that apply. a. Addressing acid rain b. Addressing excessive noise and heat or cold extremes c. Addressing ground-level ozone d. Addressing stratospheric ozone depletion e. Tracking 75,000 industrial chemicals

a,c,d

The school nurse is counseling an adolescent male who is returning to school after attempting suicide. He denies substance abuse and has no history of treatment for depression. He says he has no friends or family who understand him. Critical thinking encourages the nurse to consider all possibilities, including which of the following? (Select all that apply.) a) Adolescents often explore their sexual identity and expose themselves to complications such as sexually transmitted infections (STIs) or unplanned pregnancy. b) Peer approval and acceptance are not important in this age-group. c) Lesbian, gay, bisexual, and transgender (LGBTQ+) youth often experience stress from identification with a sexual minority group. d) Knowledge about normal changes associated with puberty and sexuality can decrease stress and anxiety. e) Adolescence is a time of emotional stability and self-acceptance.

a,c,d

What terms are used to describe healthy families? Select all that apply. a. Families with strengths b. Dysfunctional c. Functional families d. Resilient families e. Resistant families

a,c,d

Which of the following best support the concept of community-oriented nursing practice? Select all that apply. a. Direct nursing care of individuals with tuberculosis (TB) b. Hospice home care for a terminally ill individual and family c. Nursing interventions to stop elder abuse d. Nutrition education programs for teenagers and their families e. Wound care for a homebound individual

a,c,d

The nurse is providing education on sexually transmitted infections (STIs) to a group of older adults. The nurse knows that further teaching is needed when the participants make which statements? (Select all that apply.) a) "I don't need to use condoms since there is no risk for pregnancy." b) "I should be screened for an STI each time I'm with a new partner." c) "I know I'm not infected because I don't have discharge or sores." d) "I was tested for STIs last year, so I know I'm not infected." e) "The infection rate in older adults is low because most are not sexually active."

a,c,d,e

A client diagnosed with human papillomavirus (HPV) states to the nurse, "I'm not concerned; I know the lesions disappear after a while." The nurse should counsel the client on which of the following? Select all that apply. a. The link between HPV and cervical cancer b. The fact that HPV is a reportable disease c. The removal of warts does not eradicate the virus d. The serious complications for men e. The lack of a cure

a,c,e

A current challenge for home health care is the issue of family responsibility for the role of caregiver. Which of the following statements reflect underlying factors that contribute to this home health care challenge? Select all that apply. a. Able family members with multiple obligations b. Debilitation of family members c. Number of women working outside the home d. Reimbursement to family e. Social support systems for caregivers

a,c,e

A nurse in community health in California has been working with a 6-year-old child that was rescued from a mudslide. The nurse will observe the child for which of the following stress effects? Select all that apply. a) Bed-wetting episodes b) Desire to return to school c) Fantasies of denial d) Increased playfulness with peers e) Thumb sucking

a,c,e

A nurse is planning diversionary activities for children on an inpatient pediatric unit. Which of the following should the nurse incorporate as appropriate play activities for preschoolers? (Select all that apply.) A. Assembling puzzles B. Pulling wheeled toys C. Using musical toys D. Using finger paints E. Coloring with crayons

a,c,e

A nurse is preparing to conduct a windshield survey. Which of the following data should the nurse collect as a component of this assessment? (Select all that apply.) A. ethnicity of community members B. individuals who hold power within the community C. natural community boundaries D. Prevalence of disease E. Presence of public protection

a,c,e

What was the initial impact of African American nurses working in the public health setting? Select all that apply. a. African American nurses in the South were paid less than their white counterparts. b. African American nurses held supervisory roles. c. Public health nursing certificate and graduate education programs were segregated in the South. d. Nursing education for Southern nurses was provided through free educational grants. e. Study outside the South for Southern nurses was difficult to afford and study leaves from the workplace were rarely granted.

a,c,e

Which of the following factors have had an impact on the complex relationship among nursing practice, health policy, and politics? Select all that apply. a. Categorical funding b. Death penalty c. Head Start d. Health fairs e. Statutory authority for the profession

a,c,e

A 35-year-old woman has Medicaid coverage for herself and two young children. She missed an appointment at the local health clinic to get an annual mammogram because she has no transportation. She gets the annual screening because her mother had breast cancer. Which of the following are social determinants of this woman's health? (Select all that apply.) a) Medicaid insurance b) Annual screening c) Mother's history of breast cancer d) Lack of transportation e) Woman's age

a,d,e

A nurse is assessing a 2-week-old newborn during a routine checkup. Which of the following findings should the nurse expect? a. sleeps 14-16 hr each day b. posterior fontanel c. pincer grasp present d. hands remain in a closed position e. current weight same as birth weight

a,d,e

The nurse should recognize which attributes and criteria are concepts of spirituality? (Select all that apply.) Select all that apply. a) Spirituality is universal. b) Physical illness does not impact the spirit. c) Spirituality manifests whether a person acts on personal beliefs or not. d) Nurses should be aware of local community-based religious organizations. e) Family and culture impact spiritual beliefs.

a,d,e

A nurse at a community clinic is conducting a well-child visit with a preschool-age child. The nurse should identify which of the following manifestations as a possible indication of child neglect? (SATA) a. underweight b. healing spiral fracture of the arm c. genital irritation d. burns on the plasm of the hands e. poor hygiene

a,e

A nurse overhears the doctor saying, "Do not give him milk; he is from Africa." The nurse reflects on the comment and determines that the: Select all that apply. a) doctor is culturally competent. b) doctor is prejudiced. c) doctor should have called an interpreter. d) doctor's ability to assess nutritional practices based on culture may be limited. e) doctor is planning care based on racial enzymatic differences.

a,e

A Muslim patient is hospitalized during the period of Ramadan and refuses his morning oral medications. What is the priority action by the nurse? a) Place the medication in food. b) Offer the medication to the patient after sundown. c) Tell the patient that if he does not take the medication now, he will not get better. d) Inform the patient that if he does not take his medication, he will have to leave the hospital.

b

A business executive develops symptoms of the flu 1 day after returning by air from a cross-Atlantic business trip that ran for 2 consecutive stressful 10-hour days. This individual's development of flu symptoms illustrates the relationship between: a. host and agent. b. host, agent, and environment. c. risk and causality. d. morbidity and disease.

b

A client presents at the local clinic with acute symptoms of fever, nausea, lack of appetite, malaise, and abdominal discomfort. During the course of the assessment, the nurse determines that the client is a health care aide working at a daycare center. These facts are important because: a. acute hepatitis B is self-limiting. b. hepatitis A outbreaks are common in facilities where staff change diapers. c. hepatitis C is the "silent stalker." d. persons with chronic liver disease are at greater risk for hepatitis A.

b

A district health nurse is assigned to two rural counties in the state. To achieve the best outcomes possible in reducing the health disparities for the large number of frail older clients in the two counties, the nurse should consider using what community-oriented nursing skill? a) Assessment b) Case management c) Geriatrics d) Tertiary prevention

b

A hospice nurse is working with a cancer client and his family. The client's 7-year-old son has developed recent school and peer problems. Understanding the risk for disruption of normal development, the nurse plans to first screen the child for: a) developmental disorders. b) mental health problems. c) parental neglect. d) violence potential.

b

A key characteristic of faith community nursing services is to facilitate collaborative health ministries in the faith communities by: a) embracing individuals across the life span. b) respecting diverse traditions of faith. c) requiring statements of faith. d) using a Judeo-Christian theological framework.

b

A middle school student approaches the school nurse and asks, "Can I speak with you about something important?" The school nurse responds affirmatively but should also state which of the following? a. "Anything you tell me will be kept private and confidential." b. "If anything you tell me indicates that someone is in danger, the parents and school officials must be told." c. "It may be best for me to set up an appointment with the school counselor." d. "You can always speak to me if you are in trouble or when you need someone to talk to."

b

A mother brings her child to the nurse's office a few days before the first day of class for the new school year. The mother wants the child to begin school but says, "I'm going to take care of the immunizations tomorrow." The most important action the nurse should take is to: a. conduct a physical examination to determine whether the child is healthy. b. explain to the parent that all required immunizations must be given before the child will be allowed to enter school. c. let the child begin school but ensure that the school keeps the child separated from the other children. d. make sure the child does have an appointment for tomorrow.

b

A nurse demonstrates cultural competence by using statements such as: a) "I know how you feel." b) "Tell me about your health care beliefs." c) "Let me show you the way you should do this." d) "You can do things in a more modern way now."

b

A nurse doing a family assessment asks the client, "Have any of your blood relatives had mental illness?" The nurse is asking this question to: a. determine whether the family is stable. b. assess for biological risk factors. c. decide whether this family member needs medication. d. demonstrate open-mindedness about mental illness.

b

A nurse in community health contacts three individuals who have had sexual encounters with an individual recently diagnosed with syphilis. The concept basic to community-oriented nursing practice that is best described by this intervention is: a. community. b. community as client. c. individual as client. d. partnership.

b

A nurse in community health is following an older woman who complains frequently of migraine headaches, backaches, and GI disturbances. During a recent visit, the woman states that her adult son now lives with her. He was recently let go from his job. He enjoys hanging out with his old buddies. When he feels better, he will look for a new job. Despite the added burden she really enjoys having her son around again. The nurse should explore this further to determine whether the family is: a) abusive. b) codependent. c) coping. d) estranged.

b

A nurse in community health is invited to work with a coalition of churches to address safety concerns for children in the local community. The nurse provides training in problem-solving skills, manages conflict, facilitates the process, and provides expertise in interpreting data. This nurse has chosen the implementation role of: a. change agent. b. change partner. c. group leader. d. data collector.

b

A nurse in community health that speaks out in a public hearing in support of changes to existing requirements for reporting any long-term effects of structural or organizational changes within the community's health care organizations would be demonstrating: a. legislative action. b. health policy. c. regulatory action. d. regulatory monitoring.

b

A nurse is attending a class on disaster preparedness. Teaching has been effective if the nurse makes which statement regarding the difference between disaster nursing and general nursing? a) "The focus of care is to care for the sickest individuals first." b) "The focus of care is to save the greatest number of lives." c) "Resources will be allocated to the most critically injured." d) "Patients with green tags need to be treated immediately."

b

A nurse is aware vulnerable populations may be exposed to more than one hazard at a time. The nurse identifies this as: a. Resilience b. Cumulative risk c. Disenfranchised populations d. Underserved populations

b

A nurse is caring for a client who is from a different culture than himself. When beginning the cultural assessment, which of the following actions should the nurse take first? A. Determine the client's perception of his current health status. B. Gather data about the client's cultural beliefs. C. Determine how the client's culture can affect the effectiveness of nursing actions. D. Gather information about previous client interactions with the health care system.

b

A nurse is concerned about the accuracy of the PPD test in identifying cases of TB exposure for follow-up chest x-ray. The nurse's concern is addressing the validity measure of: a. reliability. b. sensitivity. c. specificity. d. variation.

b

A nurse is conducting health screenings at a statewide health fair and identifies several patients who require referral to a provider. Which of the following statements by a client indicates a barrier to accessing health care? a) I do not drive, and my son is only available to take me places in the morning b) I can't take off during the day and the local after-hours clinic is no longer in operation c) Only one doctor in my town is designated provider by my health maintenance organization d) I would like to schedule an appointment with the local doctor in my town who speaks Spanish and English

b

A nurse is planning care for a client who is a devout Muslim and is 3 days postoperative following a hip arthroplasty. The client is scheduled for two physical therapy sessions today. Which of the following statements by the nurse indicates culturally appropriate care to the Muslim client? A. "I will make sure the menu includes kosher options." B. "I will discuss the daily schedule with the client to make sure the client will have time for prayer." C. "I will make sure to use direct eye contact when speaking with this client." D. "I will make sure daily communion is available for this client."

b

A nurse is preparing a presentation on bio-terrorism. Which of the following findings should the nurse include as an indication of potential bio-terrorism? A) nationwide incidence of pneumonia is higher than the prior year B) a large number of otherwise healthy adults are dying from sepsis C) a health department reports cases of influenza in October D) most of the clients' diagnoses with pneumonia have an elevated WBC count

b

A nurse is reviewing car-seat safety with parents of a 1-month-old infant. When reviewing car-seat use, which of the following instructions should the nurse include? A. Use a car seat that has a three-point harness system. B. Position the car seat so that the infant is rear-facing. C. Secure the car seat in the front passenger seat of the vehicle. D. Put soft padding in the car seat behind the infant's back and neck.

b

A nurse is talking with parents of a preschooler who describe several issues that concern them. Which of the following problems the parents verbalized should the nurse identify as the priority for further assessment and intervention? A. "Our son will only eat a few things, like burgers and bananas, and pretty much refuses everything else." B. "Our son has these temper tantrums every time we tell him to do something he doesn't want to do." C. "We think our son truly believes that his toys have personalities and talk to him, especially at night." D. "We feel bad when we see our son trying so hard to button his shirt. We just tell him this is something he'll just have to learn to do."

b

A parent with two school-age children has just finished a family health assessment questionnaire. The parent asks the nurse why one of the questions asks whether there is a neighborhood playground. The nurse's best response would be: a. "Don't worry about it. We are going to talk about all this anyway." b. "It's important to good health to have adequate recreation resources." c. "We want to be able to report any dangerous playground equipment to the city." d. "We want to know what kind of neighborhood you're in so we can assess income."

b

A patient who has recently moved to this country states he is frustrated about the pressure to give up his original identity and develop a new cultural identity. Which term best describes this type of cultural change? a) Biculturalism b) Assimilation c) Ethnicity identification d) Acculturation

b

A person working with radioactive materials believes she has been contaminated. The nurse needs to ask the patient if she is allergic to which substance? a) Penicillin b) Iodine c) Eggs d) Bleach

b

A poor, older Native Alaskan woman lives in a small, remote village near the Canadian border. She has been diagnosed with hypertension and diabetes but rarely makes it to the regional clinic in a distant town for checkups. This woman is most at risk for: a) disenfranchisement. b) health disparities. c) loss of independence. d) resilience.

b

A public health nurse has identified the need to make amendments in an existing law concerning the TB health assessment of individuals sentenced to serve jail terms on weekends only, based on the current criminal justice system practices and potential health risk to the free-living community. To raise this concern, the nurse has several paths to follow, but the amendment of any existing laws would ultimately be decided by: a. the executive branch of the government. b. the legislative branch of the government. c. local representatives. d. senate hearings.

b

A public health nurse is planning an in-service on older adult health. Which of the following information should the nurse include? A) the percentage of older adults in the population is decreasing B) the proportion of older adults who live alone is increasing C) older adults take one half of all adult prescription medications D) older adults have decreased recovery time following injury

b

A school nurse is planning health promotion and disease prevention activities for the upcoming school year. In which of the following situations is the nurse planning a secondary prevention strategy? a. placing posters with images of appropriate hand hygiene near restrooms b. routinely checking students for pediculosis throughout the school year c. implementing age-appropriate injury prevention programs for each grade level d. working with a dietitian to determine carbohydrate counts for students who have diabetes mellitus

b

All adults should be assessed for violence in their primary intimate relationships. The abuse of female partners has the most serious community health ramifications because of the greater prevalence, the more serious long-term emotional and physical consequences, and the greater potential for: a) fleeing to a shelter. b) homicide. c) possessive behavior. d) spontaneous abortion.

b

An effective industrial disaster plan is a written plan that is shared with all who will be involved, such as the internal first responders, external community-based emergency personnel (transportation, fire, EMS, and hospitals), and other key resources in the community. Another factor that influences the effectiveness of an industrial disaster plan is which of the following? a) Addressing activities for work areas that are at greater risk b) Conducting a response agency worksite walk-through c) Testing with a biannual drill d) Training specific employees for fire brigade procedures

b

An effective program strategy for health promotion efforts guided by the Healthy People 2020 framework that can be used by the faith community is establishing: a) food pantries. b) health fairs. c) statements of faith. d) volunteer training.

b

An eighth-grade athlete is brought to the clinic with complaints of palpitations and insomnia. The nurse should consider the possible use of: a) marijuana. b) energy drinks. c) MDMA (Ecstasy). d) PCP (phencyclidine).

b

An urban school-based clinic is located in a school district where many of the children lack health insurance. The school nurse continues to provide screening, assessment, first aid, and recordkeeping but can refer students who require additional services to the nurse practitioners that staff the school-based health center (SBHC) on the school grounds. The SBHC is federally funded under which of the following? a. CDC's Federal School Health Program b. The Patient Protection and Affordable Care Act c. Healthy People 2010 d. School-linked program

b

As part of the nursing process, cultural assessment is best accomplished by a. judging the patient's cultural values based on observations. b. using a cultural assessment guide as part of the nursing process. c. seeking guidance from a nurse from the patient's cultural background. d. relying on the nurse's previous experience with patients from that cultural group.

b

At the end of each school term, the school nurse schedules an equipment safety assessment of each school playground in the district. The school nurse uses the guidelines of the US Consumer Protection Safety Commission and prepares a report of the findings for the school board for planning purposes. This intervention by the school nurse is an example of which of the following? a. Community outreach b. Primary prevention c. Secondary prevention d. Tertiary prevention

b

Communities of faith strive to be caring communities and strongly value the fellowship among members. The faith community nurse recognizes that sharing concerns with pastoral staff and fellow congregants gains valuable support to promote optimal healing. The ethical issue of concern in this matter is: a) group rights. b) individual rights. c) statements of faith. d) virtue ethics.

b

Congress-supported categorical funding has produced what negative effect on the delivery of health care services? a. Beginning of 2-year associate's degree programs in nursing b. A reduction in comprehensive community health programs c. End of insurance company support for visiting nurses d. Rise in hospital-based care

b

During a family nursing assessment, a parent questions whether God is punishing the family, because one of the children has just been diagnosed with leukemia. The most facilitative response by the nurse would be: a. "God is loving and doesn't punish people." b. "Tell me more about your family's spiritual beliefs." c. "That is not part of my religious belief system, so I don't know." d. "Why do you think your family needed to be punished?"

b

Each client in the Medicare home care program must be under the care of a doctor (medicine, podiatry, or osteopathy). The home health nurse must involve the doctor in developing a plan of care. The role of the doctor in the home health interdisciplinary team is to do which of the following? a. Achieve the optimal level of functioning by teaching. b. Certify/recertify the medical necessity and plan of care. c. Deal with the social, emotional, and environmental factors that affect well-being. d. Provide maintenance, preventive, and restorative treatment for clients.

b

Following the attacks of 9/11, a nurse practitioner in a family clinic used opportunities at the clinic staff meetings to speak about her own feelings of loss and guilt. This strategy indicates that the nurse was aware of what phenomenon related to disasters? a) Anxiety b) Effects of stress on individuals c) Sense of urgency d) Scapegoating and blaming

b

Four months after the disaster of 9/11 at the Pentagon, a local EMS worker complained of extreme exhaustion. The veteran EMS worker also stated that the pace of work at the squad was too slow. The occupational health nurse that is assessing the EMS worker recognizes the symptoms of: a) anger. b) delayed stress reaction. c) inability to concentrate. d) insomnia.

b

Health education is often used as a strategy in working with vulnerable populations. The benefits of health education can be greatly affected by: a) dependency cycle. b) health literacy. c) income level. d) race and ethnicity.

b

Home health care can be defined as a broad spectrum of health and social services offered in the home environment to recovering, disabled, or chronically ill persons. Participation in providing the needed maintenance care for the home care client is essential by which of the following? a. Chaplain b. Family caregivers c. Home health aides d. Physician

b

In health care facilities and clinical laboratories, the occupational health nurse needs to be aware of the worker groups that are at risk for exposure to biological agents. Besides the health care workers, worker groups at risk for exposure to biological infectious agents may include which of the following? a) Clerical staff b) Maintenance personnel c) Receptionists d) Chaplains

b

In identifying patients at the greatest risk for health disparities, the nurse would note that a. patients who live in urban areas have readily available access to health care services b. cultural differences exist in patients' ability to communicate with their health care provider. c. a patient receiving care from a health care provider of a different culture will have decreased quality of care. d. men are more likely than women to have their cardiovascular disease symptoms ignored by a health care provider.

b

Jennifer is a nurse in a family medicine clinic. Today she is assessing Jose, a 4-year-old who is being seen for an earache. The type of nursing Jennifer practices is: a. community-oriented nursing. b. community-based nursing. c. public health nursing. d. tertiary health nursing.

b

Many behaviors place individuals of all ages, genders, ethnicities, or any other factors at greater risk for sexually transmitted diseases (STDs). The nurse should include primary prevention interventions in all client encounters through the discussion of: a. partner notification. b. safer sex. c. standard precautions. d. STD testing.

b

Mary Breckinridge established the Frontier Nursing Service (FNS) in 1925. One of Breckinridge's primary contributions to health care in the United States was: a. the Federal Emergency Relief Administration (FERA). b. introduction of the first nurse-midwives. c. the nursing process. d. occupational health nursing.

b

Methadone maintenance for heroin addiction is a harm reduction strategy because it reduces deviant behavior and introduces addicted persons to the health care system. What is another advantage to the use of Methadone? a) Methadone is a cure for heroin addiction. b) Methadone has few known side effects. c) Methadone produces a "high" similar to heroin. d) Methadone is short acting.

b

Nurses in community health often use epidemiology because in the community it is often difficult to control the environment. Which of the following statements demonstrates an epidemiologic strategy for monitoring disease trends? a. A nurse in community health conducts an education class for clients newly diagnosed with diabetes. b. A nurse in community health investigates a breakout of whooping cough in a local middle school. c. A nurse in community health organizes a health fair at the community health center. d. A nurse in community health participates on a county school board that addresses student health issues.

b

Nurses often participate in field assessment teams during a disaster response. These assessments are crucial to best help: a) encourage good intentions of those giving aid. b) match available resources to the population's emergency needs. c) separate casualties and allocate treatment. d) provide compassion and dignity.

b

One of the basic concepts in epidemiology is the concept of risk. Risk refers to the: a. prevalence of an event occurring. b. probability that an event will occur within a specified time period. c. population most likely to develop a disease. d. rate of development of new cases.

b

Politics is simply described as: a. the ability to fund a special project. b. the art of influencing others. c. business conducted in the senate. d. interaction between the policymakers and the public.

b

Public health nursing is a specialty with a distinct focus and scope of practice and requires a special knowledge base different from other specialty areas of nursing. A public health nurse would first be interested in: a. drug treatments for diabetes. b. populations with the highest rate of diabetes. c. educational materials for individuals with diabetes. d. new technology for diabetic care.

b

The community health nurse is aware that lesbian, gay, bisexual, and transgender (LGBT) adults are more likely to experience which of the following conditions? a. Cardiovascular disease b. Poor mental health c. Obesity d. Poverty

b

The daughter of an 84-year-old client is concerned about her mother's ability to live at home alone. Which assessment or tool should the nurse complete? a. Recent life changes questionnaire b. Functional assessment c. Developmental assessment d. Life experiences survey

b

The harm reduction approach to substance abuse focuses on health promotion and disease prevention. A primary prevention strategy that can be used by the nurse to address substance abuse under this approach is to: a) assess for recreational drug use. b) destroy the myth of good drugs versus bad drugs. c) encourage children to "just say no." d) refer to an addiction treatment program.

b

The model of care delivered in the home setting which focuses on symptom management at the end of life is known as: a. hospice care. b. palliative care. c. personal care. d. transitional care.

b

The monitoring and public reporting of air quality in a local community to alert individuals with asthma or other respiratory conditions would illustrate: a. compliance and enforcement. b. environmental epidemiology. c. secondary prevention. d. toxicology.

b

The mother of a 2 year old asks the nurse about her child's cognitive development. Which response by the nurse best describes the normal cognitive development of a 2-year-old child? a. At this age children begin thinking intuitively. b. Two year olds use magical thinking. c. At this age children can solve concrete problems. d. Two year olds use abstract thinking.

b

The nurse at the adult daycare center notices bruises on the wrists of a 90-year-old client. Besides the physical assessment of the client, the nurse should: a) confront the daughter when she arrives to pick the father up. b) discuss the findings with the caregivers to determine the cause of the injuries. c) educate the staff about indications of elder abuse. d) make a referral to the primary-care provider for follow-up.

b

The nurse in community health is aware that HIV-infected children should attend school, because the benefit of attendance far outweighs the risk of transmitting or acquiring infections. School attendance should be reconsidered when there is evidence of: a. availability of homebound instruction. b. cases of measles. c. lack of handicapped access. d. prejudice of teachers and/or students.

b

The nurse is caring for a Spanish-speaking patient that speaks no English. What action should the nurse take when using an interpreter for communication with this patient? a) Ask a family member to interpret. b) Maintain eye contact with the patient. c) Ask fewer questions to prevent fatigue. d) Use as many medical terms as possible.

b

The nurse is conducting an admission interview with a client who was raped 2 weeks ago. When asked about the rape, the client becomes very anxious and upset and begins to sob. What should be the nurse's response to the client's reaction? a) Push gently for more information about the rape because the information needs to be documented. b) Acknowledge that the topic of the rape is upsetting and reassure the client that it can be discussed at another time when she feels more comfortable. c) Use silence as a therapeutic tool and wait until the client is done sobbing to continue discussing the rape. d) Reassure the client that anything she says to you will remain confidential.

b

The nurse is developing a community outreach program for patients with limited health care access. Which patient would be most likely to benefit from this program? a) A 65-yr-old upper class Hispanic man living in the city b) A 78-yr-old Native American man living on a reservation c) A 72-yr-old black retired attorney living in a condominium d) A 50-yr-old middle-class white woman living in a rural area

b

The nurse is gathering a history from a 72-year-old male patient being admitted to a nursing home. The patient requests a private room. The nurse understands that: a) The patient cannot be sexually active since he is moving into a nursing home. b) The patient may be requesting a private room to facilitate an intimate relationship with his partner. c) There is no need to take a sexual history since most older adults are uncomfortable discussing intimate details of their lives. d) Older adults in nursing homes usually do not participate in sexual activity.

b

The nurse is triaging a Latin-Caribbean patient who is behaving hysterically in the emergency room. The patient is crying, has uncontrollable spasms, and is trembling and shouting. What cultural bound syndrome should the nurse recognize these behaviors demonstrate? a) Loco de la cabeza b) Ataque de nervios c) Shenjing shaijo d) Neurasthenia

b

The recovery phase of a disaster can take a very long time. Nurses need to be aware that despite effective disaster preparedness and response efforts: a) environmental hazards are minimal. b) individuals must ultimately recover on their own. c) the government provides economic support. d) religious organizations must bear the burden of the community.

b

To ensure the success of a faith community's health ministry program, the parish nurse must ensure that the wellness committee addresses issues of: a) experiential preparation. b) financing and fund-raising. c) referrals. d) retired professionals.

b

Violence is a major public health problem in our communities that causes premature mortality and lifelong disability. Violence-related morbidity is a significant factor in: a) community deterioration. b) health care costs. c) juvenile delinquency. d) population density.

b

What is the first step in developing cultural competence? a. Create opportunities to interact with a variety of cultural groups. b. Examine the nurse's own cultural background, values, and beliefs about health and health care. c. Learn about a multitude of folk medicines and herbal substances that different cultures use for self-care. d. Learn assessment skills for different cultural groups, including cultural beliefs and practices and physical assessments.

b

What three structural components comprise a nursing diagnosis? a) Problem, outcome, intervention b) Problem, related factors, defining characteristics c) Unmet need, goal, outcome criterion d) Presenting symptom, treatment, goal

b

When communicating with a patient who speaks a language that the nurse does not understand, it is important to first attempt to a. have a family member interpret. b. use a trained medical interpreter. c. use specific medical terminology so there will be no mistakes. d. focus on the translation rather than nonverbal communication.

b

When final health care-related regulations are published, they often lead to changes in practice. After a period of draft review, public comment/hearing, further study if necessary, and then final redrafting, the regulations at both federal and state levels carry the weight of law and are published in the: a. ANA Code of Conduct. b. Code of Regulations. c. Patient Safety Act of 1997. d. Interstate Nurse Licensure Compact.

b

Which is an exemplar of a social/emotional developmental delay? a. Fragile X syndrome b. Separation anxiety disorder c. Developmental dyspraxia d. Cognitive impairment

b

Which of the following best describes a principle of care that the nurse should abide by when working with abusive families? a. Confront the abuser and shame him into penitence and a desire to change. b. Demonstrate respect for all family members, including the abuser. c. Exclude the abuser from family meetings because the abuser is the one creating problems. d. Notify the abuser's clergyman, boss, and others who can exert pressure for change.

b

While conducting a community health assessment, a nurse in community health meets with local religious leaders to understand the values, norms, perceived needs, and influence structures within the community. This process of data collection can best be described as: a. data gathering. b. data generation. c. data interpretation. d. problem identification.

b

a community health nurse is determining available and needed supplies in the event of a bio-terrorism attack. The nurse should be aware that community members exposed to anthrax will need access to which of the following medications? A) metronidazole B) ciprofloxacin C) zanamivir D) fluconazole

b

a newly hired public health nurse is reviewing the disaster management cycle. Which of the following actions is a component of disaster prevention? A) outlining specific roles of community agencies B) identifying community vulnerabilities C) prioritizing care of individuals D) providing stress counseling

b

a public health nurse is planning several initiatives for a city. Which of the following interventions should the nurse include as part of public health assurance? A) meeting with city officials to propose changes to health laws B) partnering with a laboratory company to provide free HIV screenings for the public C) reviewing data for incidence of influenza over a 25 year span D) providing medical facilities with information on accidental injury rates

b

The mother of a 7-month-old infant tells the nurse at the pediatric clinic that her baby has been fussy with occasional loose stools since she started feeding him fruits and vegetables. Which of the following responses by the nurse are appropriate? (Select all that apply.) A. "It might be good to add bananas, as they can help with loose stools." B. "Let's make a list of the foods he is eating so we can spot any problems." C. "Did the changes begin after you started one particular food?" D. "Has he been vomiting since he started these new foods?" E. "Most babies react with a little indigestion when you start new foods."

b,c,d

The problem of the working poor and uninsured places a major burden on the current health care system that affects those families and the community in general. Nurses in community health see this as a major: Select all that apply. a. behavioral issue. b. policy issue. c. health risk issue. d. social issue. e. nursing issue.

b,c,d

Which factors are considered social determinants of health? (Select all that apply.) a. Age b. Income c. Discrimination d. Education e. Sex f. Family history of heart disease

b,c,d

A nurse is caring for patients after a major disaster has occurred. What are the best actions in caring for these patients? (Select all that apply.) a. Avoid discussing the disaster that has occurred. b. Encourage patients to talk about their experiences. c. Empathize with patients and their emotions and experiences. d. Ask patients not to discuss the disaster until they are under the care of a psychologist. e. Reinforce their emotions and reactions as normal.

b,c,e

What are the core competencies of the nurse participating in surveillance and investigation activities? Select all that apply. a. Basic patient assessment skills b. Effective communication skills c. Ability to collaborate with community partners d. Advanced-practice nurse with secondary science degree e. Leadership and systems thinking

b,c,e

Rural residents appear to have a more persistent, endemic level of depression. The factors that may contribute to this level of depression may be related to which of the following? Select all that apply. a) Crisis intervention b) Gaps in continuum of mental health services c) Sufficient number of mental health services d) Tolerance for destructive coping behaviors e) Trust in the health care professionals

b,d

The nurse reviews the health history of a 48-year-old man and notes that he was started on medications for elevated blood pressure and depression at his last annual physical. He tells the nurse that over the past 6 months he is having difficulty sustaining an erection. The nurse understands that: (Select all that apply.) a) Nurses are not expected to discuss sexual issues with male patients and the physician should address this. b) Sexual function can be affected by some medications. c) Sexually transmitted infections (STIs) can cause complications such as erectile dysfunction and screening should be done. d) Some men with health issues experience erectile dysfunction. e) Medications used to treat hypertension and depression seldom interfere with sexual function.

b,d

A 53-year-old female being treated for breast cancer tells the nurse that she has no interest in sex since her surgery 2 months ago. The nurse is aware that: (Select all that apply.) a) Sexual issues are expected in a woman this age. b) Women experience sexual dysfunction more frequently than men. c) Hypoactive sexual desire disorder (HSDD) occurs in women over 65 years of age. d) Medical conditions such as cancer often contribute to HSDD. e) Disturbances in self-concept affect sexual functioning.

b,d,e

A nurse is reviewing the Centers for Disease Control and Prevention's (CDC's) immunization recommendations with the parents of an adolescent. Which of the following recommendations should the nurse include in this discussion? (Select all that apply.) A. Rotavirus B. Varicella C. Herpes zoster D. Human papilloma virus E. Seasonal influenza

b,d,e

A nurse is using an interpreter to communicate with a client. Which of the following are appropriate when communicating with a client and his family? (Select all that apply.) A. Talk to the interpreter about the family while the family is in the room. B. Ask the family one question at a time. C. Look at the interpreter when asking the family questions. D. Use lay terms if possible. E. Do not interrupt the interpreter and the family as they talk.

b,d,e

Family health can be defined as a dynamic, changing, relative state of well-being that includes the biological, psychological, sociological, cultural, and spiritual factors of a family system. This family health approach would best include which of the following underlying principles? Select all that apply. a. Assessment of the individual's health does not determine the overall family system's health. b. Family functioning affects the health of individuals. c. Family system assessment specifically addresses the individual's health. d. The individual's health affects family functioning. e. Simultaneous assessment of individual family members and the family system as a whole is important to family health.

b,d,e

Marijuana (Cannabis sativa or C. indica) is the most widely used illicit drug in the United States. The nurse should be aware that marijuana has which of the following characteristics? Select all that apply. a) Decreases appetite. b) May lead to tolerance. c) Is highly toxic. d) Has little quality control. e) Is a safe therapeutic agent.

b,d,e

Secondary prevention activities are the largest responsibility of the school nurse and may include which of the following? Select all that apply. a. Establishing an emergency plan when a child or staff member needs immediate care b. Giving medications to children during the school day c. Participating in developing an individual education plan (IEP) for students with long-term health needs d. Screening for vision, hearing, height and weight, oral health, TB, and scoliosis e. Teaching standard precautions to all staff

b,d,e

A Public Health Service nurse working for the Indian Health Service is working with a client diagnosed with cancer. The client uses sweat lodges to "cure the disease." The nurse understands that within the culture, disease is often perceived as disharmony with other forces, and clients may look to hot or cold treatments to resolve or cure a cancerous condition. The nurse is integrating her knowledge of the cultural organizing factor of: a) biological variations. b) communication. c) environmental control. d) space.

c

A community health nurse is developing strategies to prevent or improve mental health issues in the local area. In which of the following situations is the nurse implementing a tertiary prevention strategy? a. providing support programs for new parents b. screening a client whose partner recently died from suicide risk c. teaching a client who has schizophrenia about medication interactions d. discussing stress reduction techniques with employees at an industrial site

c

A community-oriented nurse is interested in studying the hospital discharge data for facilities that typically provide services to members of the community where the nurse practices. The nurse accesses the National Hospital Discharge Survey database of the Department of Health and Human Services (DHHS) to identify data at national, regional, and local levels for comparison purposes. The government health care function being used by the nurse is: a. direct services. b. financing. c. information. d. policy setting.

c

A father brings his stepdaughter to the family clinic for an immunization update before the new school year. The nurse notices the interaction between the young girl and her stepfather. The child appears tense and cautious and wraps her arms around herself in a protective manner. The child startles when touched by the stepfather and pulls away. The stepfather is overheard saying, "I'll leave you here if you don't behave and act nice." In this scenario, it would be important for the nurse to explore in her assessment the possibility of: a) child neglect. b) family secrets. c) father-daughter incest. d) impaired family functioning.

c

A nurse in community health is conducting an assessment on a family of four. During the course of the assessment, the nurse collects information about previous generations of the family and siblings. The results are used to create a diagram for the family that displays the family unit across generations. Further discussions occur regarding the patterns of health and illness that relate to biological health risks. The diagram is called: a. an ecomap. b. a family plan. c. a genogram. d. a risk plot.

c

A nurse is about to interview an older client whose glasses and hearing aid were placed in the bedside drawer for safe keeping. Before beginning the interview, which nursing intervention that will best facilitate data collection? a) Ask the client if she needs her glasses and hearing aid. b) Give the client her glasses and hearing aid. c) Assist the client in putting on glasses and hearing aid. d) Explain the importance of wearing her hearing aid and glasses.

c

A nurse is caring for a client who is crying while reading from his devotional book. Which of the following interventions is appropriate for the nurse to take? A. Contact the hospital's spiritual services. B. Ask him what is making him cry. C. Provide quiet times for these moments. D. Turn on the television for a distraction.

c

A nurse is caring for a client who shares the same religious background. The nurse should recognize that A. members of the same religion share similar feelings about their religion. B. a shared religious background generates mutual regard for one another. C. the same religious beliefs may influence individuals differently. D. they should discuss the differences and commonalities in their beliefs.

c

A nurse is completing an ecomap as part of a family assessment. Which of the following questions should the nurse plan to ask to gather appropriate data? A) "do you have a family history of heart disease?" B) "what kind of food does your family eat?" C) "is your family involved in any community organizations?" D) "how does your family cultural beliefs influence your health values?"

c

A nurse is explaining differences in the incidence, prevalence, mortality rate, and burden of diseases among specific population groups to community volunteers. The nurse is describing what concept? a) Stereotyping b) Ethnocentrism c) Health disparities d) Cultural competence

c

A nurse is preparing a community health program on communicable diseases. When discussing modes of transmission, the should include which of the following illnesses as airborne? A. Cholera B. Malaria C. Influenza D. Salmonellosis

c

A nurse is reviewing nutritional guidelines with the parents of a 2-year-old toddler. Which of the following parents' statements should indicate to the nurse that they understand the feeding guidelines for this age group? A. "I should keep feeding my son whole milk until he is 3 years old." B. "It's okay for me to give my son a cup of apple juice with each meal." C. "I'll give my son about 2 tablespoons of each food at mealtimes." D. "My son loves popcorn, and I know it is better for him than sweets."

c

A nurse is talking with an adolescent who describes having difficulty dealing with several issues. Which of the following problems the client verbalized should the nurse identify as the priority for further assessment and intervention? A. "I kind of like this girl in my class. She doesn't like me back, though, not that way." B. "I like hanging out with the guys in the science club, but the jocks pick on them." C. "I am so fat, i skip meals to lose weight" D. "My dad wants me to be a lawyer like him, but I don't want to learn all that stuff."

c

A nurse is talking with the father of a 4-year-old child who states that his daughter goes to bed at 8:30 p.m. and wakes up at about 7:30 a.m., but she often lies in bed talking to herself or gets up a few times before falling asleep 40 min later. At her preschool, the children take a 2-hr afternoon nap. Which of the following recommendations should the nurse make to help improve the child's sleep behavior? A. Offer the child a large snack B. Allow the child to watch an extra 30 min of TV in the evening. C. Have the child go to bed at a consistent time every day D. Increase physical activity before bedtime

c

A nurse is talking with the parents of a 10-year-old child who express concern that their son is suddenly becoming secretive, for example, closing the door when he showers, dresses, and does his homework in his room. Which of the following responses by the nurse is appropriate? A. "Perhaps you should try to find out what he is doing behind those closed doors." B. "Suggest that he leave the door ajar for his own safety." C. "At this age, children tend to become more modest and value their privacy." D. "Tell him it's okay to close the door when he is undressed, but he has to do his homework where you can see him."

c

A nurse is teaching the guardian of a 12-year-old male client about manifestations of puberty. The nurse should explain that which of the following physical changes occur first? a. Appearance of downy hair on the upper lip b. Hair growth in the axillae c. Enlargement of the testes and scrotum d. Deepening of the voice

c

A nurse new to the community evaluates the resources available to a father that has sought help with his escalating abuse and threats of violence to his family. After making the referral, the nurse approaches the local newspaper about running a series on the nature and extent of human abuse in the community. This strategy would: a) advocate for government programs to treat survivors. b) demonstrate the provider's commitment to address the need for services. c) increase awareness of community resources to address violence and abuse. d) increase the number of individuals identified as perpetrators.

c

A nurse participates with a community planning board addressing housing strategies and future community needs. The nurse is aware that the community has a population of homeless families served by local churches. The nurse is also aware that this agricultural community relies on migrant workers during seasonal harvesting of local produce. The nurse is concerned that these disenfranchised populations may be: a) complicated to address. b) costly to serve. c) invisible to the community. d) resilient to the community.

c

A nurse working in a large occupational health clinic knows that many of the workers at her company are marginalized and at risk for poor health outcomes. Which of the following individuals are most likely to be marginalized? a) Wives of the employees b) The head supervisors of the company c) Workers who have a high school education d) Workers employed for less than a year at the company

c

A school nurse is asked to assess a 13-year-old child because of excessive drowsiness and inattention in class. The nurse determines that this is a child of migrant workers on a local produce farm. Based on the nurse's knowledge of migrant worker families, the nurse should first explore the child's potential involvement in: a) delinquent behavior. b) drug use. c) field work. d) Migrant Education Program.

c

A school nurse is scheduling visits with a physical therapist for a child who has cerebral palsy. In which of the following roles is the nurse functioning? a. direct caregiver b. consultant c. case manager d. counselor

c

A school nurse is working with the Parent Teacher Organization (PTO) to improve the health status of preschool students in a lower socioeconomic urban community. Given the demographics of the community, the nurse is aware that this population is at greatest risk for: a. asthma. b. attention deficit disorder (ADD). c. childhood obesity. d. poisoning.

c

A staff member is orienting a new nurse to a health clinic that serves primarily vulnerable populations. Which of the following statements indicates a need for additional staff education? a. "If a client who does not speak English comes in, you must obtain an interpreter right away." b. "We try to take care of as many problems as possible in one visit, so when you interview the client ask about additional concerns." c. "You will like working with Hispanic immigrants because they have close-knit family structures." d. "You will need to assist the patient by scheduling any referral or follow-up appointments around their work schedules."

c

A young female client visits a local clinic, seeking treatment for a urinary tract infection (UTI). During the assessment, the nurse conducts an extensive sexual history/activity screening to determine the risk for a sexually transmitted disease and potential complication of: a. genital warts. b. herpes simplex virus 1. c. pelvic inflammatory disease (PID). d. primary syphilis.

c

An elementary classroom of 28 students has had 13 children who have developed chicken pox over the last 3 weeks. What is the pattern of occurrence? a. Common source outbreak b. Point source outbreak c. Continuous source d. Mixed outbreak

c

An occupational health nurse is caring for an employee who was exposed to an unknown dry chemical, resulting in a chemical burn. Which of the following interventions should the nurse include in the plan of care? A.Irrigate the affected area with running water. B.Wash the affected area with antibacterial soap. C.Brush the chemical off the skin and clothing. D.Apply a neutralizing agent.

c

An undocumented migrant farmworker has been diagnosed with tuberculosis (TB). The local health department initiates treatment by dispensing the first month's supply of medication and educates the client on the need to continue treatment for 6 to 12 months. A major challenge that the client may face related to ongoing treatment for TB is: a) affordable care. b) discrimination. c) fragmented services. d) language barriers.

c

It is important that nurses understand the nontraditional healing practices of their clients because: a) folk practices are usually ineffective. b) nurses can refer clients to the appropriate local folk healers. c) safe, effective nontraditional healing methods can be blended with Western medicine. d) the nurse must understand them to help the client give them up.

c

The nurse in the emergency department receives a call that an individual has been contaminated by an unknown substance and is 10 minutes away. How should the nurse prepare in anticipation of the patient's arrival? a) Get ready to take care of the patient in the emergency department. b) Put on double gloves, a mask, and an isolation gown. c) Get the disaster team dressed in the appropriate PPE. d) Notify the police about a possible contaminated victim.

c

The nurse is interested in developing her cultural competence. What behaviors can be adopted to do so? a) Develop an understanding of all ethnic groups. b) Identify the one culture about which she is interested in being competent. c) Have extended contact with a cultural group to enhance understanding of its values and beliefs. d) Understand the specific information about the patient's culture so the understanding can be applied to caring for the patient.

c

The nurse must ask about violence at each prenatal and postpartum visit, especially with vulnerable populations such as teenagers, as well as observe for signs of violence on each visit. The nurse should be aware that the peak for postpartum intimate partner violence may be observed at various times according to ethnic group, such as: a) 6 months for white mothers. b) 10 months for white mothers. c) 3 months for African American and Hispanic/Latino mothers. d) 12 months for African American and Hispanic/Latino mothers.

c

The occupational health nurse is aware that several employees from the accounting/finance departments are complaining about exhaustion, anxiety, and heartburn and notes an increase in absenteeism for these departments. On further exploration, the nurse learns that a new chief financial officer (CFO) has been in place for 1 month. The new CFO is demanding higher productivity and turnaround with expectations of working overtime and weekends to "get the job done" ahead of deadlines. The occupational health nurse, using the epidemiologic model, recognizes this as a psychological agent that can best be described as which of the following? a) Employment conditions b) Nonfatal violence c) Organizational culture d) Shift work

c

The primary prevention of hepatitis C virus (HCV) includes: a. counseling and follow-up of infected clients. b. routine testing for health care workers. c. screening of blood products. d. testing of high-risk individuals.

c

What is the primary difference between community and public health nursing? a. Public health nurses work with at-risk populations to prevent disease and protect health, whereas community health nurses' focus is on health promotion. b. Community health nursing focuses on care provided at the primary prevention level, whereas public health focuses on care provided at the tertiary prevention level. c. Public Health nurses work for a recognized public unit and are legally responsible for ensuring the public's health, whereas community health nurses work for community or faith-based agencies that are not affiliated with any government or political unit. d. Public health nursing focuses on assessment of population health needs and policy development to reduce health risks to populations, whereas community health nursing focuses on assuring that the population's health needs are met.

c

Which statement made by a mother should raise concerns about a developmental delay? a. "My 3 month old raises her head and chest when lying down." b. "My 7 month old transfers blocks from one hand to the other." c. "My 7 month old never seems to smile." d. "My 1 year old seems shy or anxious with strangers."

c

Within a state, counties designated as Health Professional Shortage Areas (HPSAs) tend to have a high proportion of racial minorities and fewer specialists. This factor may explain conflicting data within a state related to: a) adult immunization rates. b) chronic respiratory illness rates. c) maternal/infant morbidity rates. d) obesity rates.

c

You are a first responder on the scene of a disaster. You are implementing the SALT triage system. As you begin your first sorting of victims during step one, which victims are considered category two? a) Victims who can walk and talk b) Victims who have obvious injuries but can walk c) Victims who can wave or move d) Victims who are not moving and have obvious injuries

c

a community health nurse is implementing health programs with several populations in the local area. In which of the following situations is the nurse using primary prevention? A) performing a home safety check at a clients home B) teaching healthy nutrition to clients who have hypertension C) providing influenza immunizations to employees at a local preschool D) implementing a program to notify individuals exposed to a communicable disease

c

A nurse on a medical-surgical unit is informed that a mass casualty event occurred in the community and that it is necessary to discharge clients to make beds available for injur y victims. Which of the following clients can be safely discharged? (Select all that apply.) A.A client who is dehydrated and receiving IV fluid and electrolytes B.A client who has a nasogastric tube to treat a small bowel obstruction C.A client who is scheduled for a transurethral resection of the prostate (TURP) D.A client who is 24 hr postoperative following a mastectomy E.A client who is scheduled for an appendectomy

c,d

A nurse who recently graduated from nursing school is providing discharge instructions to a patient who suffered a myocardial infarction (MI). The nurse knows that sexual issues are common after an MI but feels uncomfortable bringing up this topic. What is the best way for the nurse to handle this situation? (Select all that apply.) a) Instruct the patient to discuss any sexual concerns with his or her partner after discharge. b) Avoid discussing the topic unless the patient brings it up. c) Ask a more experienced nurse to cover this with the patient and learn from the example. d) Plan to attend conferences or training soon on how to discuss such issues. e) Encourage the patient to discuss any personal concerns with the cardiologist.

c,d

It is estimated that one in 11 males becomes a father during his teen years. The nurse should be aware that many young men facing paternity have specific challenges such as: Select all that apply. a) acting as though they are interested when they are disinterested. b) avoiding prenatal care involvement. c) desiring and needing to be involved with their children. d) being rejected by the young woman's family. e) rejecting their role as a father.

c,d

a nurse is interviewing a group of people several weeks after a community tornado. Which of the following statements by a group member should the nurse identify as the emotional reaction of reconstruction? SAA A) "i am tired and don't think ill ever be able to fix everything" B) " i cant believe we survived. i keep telling everyone what happened" C) "things will never be the same, but we will find a way to go on" D) "our neighborhood is working together to make good changes" E)" my old hobbies don't seem interesting anymore since the tornado"

c,d

A nurse is planning diversionary activities for children on an inpatient unit. Which of the following should the nurse incorporate as appropriate play activities for a toddler? (Select all that apply.) A. Building simple models B. Working with clay C. Filling and emptying containers D. Playing with blocks E. Looking at books

c,d,e

The public health nurse deals with the examination of a community setting to determine the community's health status. Which of the following activities should be considered in the assessment phase? Select all that apply. a. Assisting communities to implement and evaluate plans and projects c. Building constituencies to work with the community c. Collecting, analyzing, and disseminating information d. Evaluating the social, economic, and environmental characteristics of the population e. Questioning the availability of health services to the community

c,d,e

a community health nurse is educating the public on the agents of bio-terrorism. Which of the following agents should the nurse include as category A biological agents? (SAA) A) hantavirus B) typhus C) plague D) tularemia E) botulism

c,d,e

A city uses the local media (radio, television, and newspapers) to post ratings of air quality on days when the air quality is poor. This notification is directed toward older adults, very young members of the community, and those with chronic breathing problems. These groups are an example of: a) disenfranchised populations. b) disadvantaged populations. c) vulnerability. d) vulnerable populations.

d

A community health nurse is developing an education program on substance use disorders for a group of adolescents. Which of the following information should the nurse include when discussing nicotine and smoking? a. smoking is the fifth-most preventable cause of death in the United States b. nicotine is a central nervous system depressant c. withdrawal effects from smoking are minimal d. tolerance to nicotine develops quickly

d

A community mental health nurse is working within the community to help prevent youth violence. Which of the following interventions would most likely be implemented by the nurse? a Recommending increased funding to prosecute and jail teens associated with violent activity b. Distributing literature that associates violence with a lack of intelligence c. Explaining to youth why youth violence is detrimental to society d. Partnering with associations to provide alternative activities that improve social skills

d

A disease outbreak of severe acute respiratory syndrome has occurred and has spread over several countries outside the United States. This level of occurrence is said to be: a. hyperendemic. b. sporadic. c. epidemic. d. pandemic.

d

A health care worker tells a nurse, "It does no good to try to teach those Medicaid patients about nutrition because they will just eat what they want to no matter how much we teach them." Which of the following is being demonstrated by this statement? a. Cultural imposition b. Ethnocentrism c. Racism d. Stereotyping

d

A home health nurse is planning care for a client following a stroke. The nurse plans to interview each member of the family to see how they might help the client progress towards recovery. The nurse is using which of the following approaches to family health? A) family as a component of society B) family as a system C) family as a client D) family as context

d

A home health nurse is working with a client who requires a catheter insertion and wound care. The nurse is also helping the client and family to develop positive coping skills and identify resources that will help the client to attain a state of optimal functioning. It is important for the nurse to specifically document nursing services provided because of which of the following? a. The agency is required to practice within the guidelines set up by regulatory agencies. b. Each criterion has minimum standards to which the program must adhere. c. Nurses are required to provide supervision of services. d. Reimbursement is dependent on the provision of skilled care.

d

A large industrial plant has recently laid off a significant portion of its workforce because of scalebacks in production. The occupational health nurse proposes education sessions with the remaining employees about effective strategies for managing stress during economic downturns. This suggestion to management is based on the nurse's understanding that increases in aggression and violence at home and work may be triggered by: a) competition. b) unemployment. c) survivor guilt. d) work-related stress.

d

A mother is concerned about her child's flulike symptoms. You learn from the health assessment that the mother practices use of "hot" and "cold" foods to treat ailments. Which of the following foods do you expect the mother to use to treat her child? a) Chicken b) Yogurt c) Fresh fruits d) Eggs

d

A nurse educator who teaches at the local community college takes the time to read and understand her community's disaster plans and participates in community mock disasters as a leader of the triage team. The best description of the nurse's activities would be: a) ARC disaster training. b) community preparedness. c) personal preparedness. d) professional preparedness.

d

A nurse in community health conducts quarterly mental health-promotion and depression-screening programs at the local senior center. The nurse is aware that older adults are at increased risk for developing depression. Using such an intervention also addresses the older adults': a) dependence on their primary-care provider. b) normal sensory losses. c) reduced social contacts. d) underutilization of the mental health system.

d

A nurse in community health decides to form a contract with a family. The contract states that the family will designate one night as a family night. The nurse is most likely using the contract to: a. make sure the family does what is expected. b. encourage the family to put plans in writing. c. let the family know that this is a legal agreement. d. shift the responsibility so that it becomes a shared effort.

d

A nurse in community health is conducting a parenting class for prospective parents that will focus on the development of new skills, identification of needed resources, planning, and other preparations for the arrival of a newborn. This intervention is addressing a potential risk associated with: a. biology. b. behavior. c. environment. d. transitions.

d

A nurse in community health is visiting with an older adult Asian woman for the first time. The nurse has not encountered many clients from this culture. An effective way to ensure client-centered care is performed is to: a) explain to the client how the nurse intends to fix the problem. b) focus on the differences between the two cultures. c) tell the client how Western medicine will fix her problem. d) listen to the client's perceptions of the problems.

d

A nurse in community health working in an inner city clinic with high poverty and unemployment rates recognizes the need for programs for pregnant women because these women often receive late or no prenatal care and deliver: a) at home. b) full term. c) identical twins or triplets. d) low-birthweight babies.

d

A nurse is developing a community health education program for a group of clients who have a new diagnosis of diabetes mellitus. Which of the following learning strategies should the nurse include for clients who are auditory learners? a. showing informational videos b. providing equipment to practice hands-on skills c. supplying outlines for note-taking d. facilitating small group discussions

d

A nurse is reviewing nutritional guidelines with the parents of an 11-year-old child. Which of the following parents' statements should indicate to the nurse that they understand the guidelines for school-age children? A. "She wants to eat as much as we do, but we're afraid she'll soon be overweight." B. "She skips lunch sometimes, but we figure it's okay as long as she has a healthy breakfast and dinner." C. "We limit fast-food restaurant meals to three times a week now." D. "We reward her school achievements with a point system instead of a pizza or ice cream."

d

A nursing instructor evaluates that a nursing student understands the concept of spirituality in nursing practice when the student makes which statement? a) There are currently no nursing diagnoses addressing spirituality to include in the plan of care. b) A lack of spirituality theories has contributed to the omission of this aspect of care. c) Spirituality assessment is not part of professional nursing care but should be included in holistic care. d) A lack of spirituality assessment can have a negative impact on patient care.

d

A patient tells the nurse, "I am not a religious person. I believe things happen in life out of pure coincidence." Which evaluation of this patient's spirituality is true? a) This patient is not a spiritual person. b) This patient is more likely to suffer from depression. c) This patient will experience difficulty coping with life changes. d) This patient experiences emotions and should be asked about effects of health changes.

d

A population-level tertiary prevention intervention typically performed by nurses and aimed at controlling communicable diseases is: a. HIV test counseling. b. needle-exchange program. c. partner notification. d. standard precautions teaching.

d

A public health nurse is giving a presentation on the recovery stage of a disaster to a group of nursing managers. The teaching has been effective when one of the nurse managers states: a. "The recovery stage involves the process of dealing with disasters." b. "The recovery stage deals with operations before a disaster." c. "The recovery stage deals with operations during a disaster." d. "The recovery stage deals with operations that occur after the disaster."

d

A security officer is reviewing actions to take in the event of a bomb threat by phone to a group of nurses. Which of the following statements by a nurse indicates understanding of proper procedure? A."I will get the caller off the phone as soon as possible so I can alert the staff." B."I will use overhead paging to alert the entire facility." C."I will not ask any questions and just let the caller talk." D."I will listen for background noises."

d

A young adult with a history of prior parental abuse recently has been diagnosed with a stress-related illness. The individual works at a local convenience store, earning a little more than the federal poverty level, but receives no health benefits. This individual is predisposed to the development of: a) poverty. b) resilience. c) risk. d) vulnerability.

d

According to the Minnesota Model of Public Health interventions, what is the first step of surveillance for the public health nurse? a. Organize the data. b. Analyze the data. c. Interpret and disseminate the data. d. Determine if surveillance is appropriate.

d

An academic medical center and a local senior living complex employ a parish nurse. The faith community nurse also holds a faculty position at the university's school of nursing. This nurse is practicing a type of parish nursing known as the: a) advanced-practice model. b) clinical specialty model. c) congregation-based model. d) institution-based model.

d

An example of the use of the nursing process within a faith community nursing practice is the: a) contractual agreement. b) evidence of a mature faith. c) polity of the faith community. d) use of a congregational member needs survey.

d

As the profession of nursing evolved to incorporate evidence-based practice, which statement is true about spirituality? a) Evidence-based care focuses solely on the physical effects of health and illness. b) An emphasis was placed on spirituality as nursing education moved into colleges and universities. c) Spirituality was incorporated back into care when a concrete definition had been established. d) Spirituality commonly encompasses a concept or belief about God and the inner person.

d

During the last stage of AIDS, many opportunistic infections proliferate in persons with weakened immune systems. HIV-infected individuals who live near one another in long-term care facilities, drug treatment facilities, and prisons should be carefully screened before admission because they are at greater risk for acquiring: a. fungal disease. b. invasive cervical cancer. c. oral candidiasis. d. pulmonary tuberculosis (TB).

d

In caring for a young adult from West Africa, the community nurse is introduced to another individual who is referred to as "auntie." A culturally competent nurse who is aware of the basic organizing factor of culture related to social organization would: a) assess the competence of the "auntie" to care for the young adult. b) assume that the "auntie" is related to one of the young adult's parents. c) declare that the young adult is capable of making personal health decisions. d) find out who is considered to be a member of the family.

d

Many families have financial resources that allow them to maintain themselves but limit the quality of their purchasing power. Food high in fat and calories may be affordable, whereas fresh fruits and vegetables may not be affordable. A federal program that attempts to promote healthier diets for vulnerable populations is: a. Medicaid. b. Medicare. c. Supplemental Security Income (SSI). d. Women, Infants, and Children (WIC).

d

Nursing interventions and approaches for helping individuals and families to assume an active role in their care should focus on empowerment rather than on enabling. The underlying principle to empowerment is: a. client dominance. b. decreased competence. c. professional dominance. d. professional-client partnership.

d

Since 2000, home health agencies have been paid by the federal government based on which type of reimbursement? a. Diagnostic-related groups b. Distributive care c. Episodic care d. Prospective payment system

d

The difference between the Occupational Safety and Health Administration (OSHA) and the National Institute for Occupational Safety and Health (NIOSH) can best be described as which of the following? a) NIOSH enforces workplace safety, and OSHA educates about occupational injury and illness prevention. b) NIOSH monitors work-related injury/illness incidence, prevalence, and prevention, and OSHA governs financial compensation under workers' compensation. c) OSHA is part of the Department of Labor, and NIOSH is part of the National Institutes of Health. d) OSHA sets the workplace safety standards, and NIOSH examines potential hazards of new work technologies and practices.

d

The family systems theory encourages nurses to view both the individual clients as participating members of a whole family. What is the major weakness of the systems framework? a. Views families from both a subsystem and a suprasystem approach. b. Defines the direction of interactions. c. Views the family as an agent of change. d. Focuses on the interaction of the family with other systems.

d

The federal act that grants authority to the Environmental Protection Agency (EPA) which controls the generation, transportation, treatment, storage, and disposal of hazardous waste and ultimately called for the phaseout of land disposal of hazardous waste under a later amendment was the: a. Emergency Planning and Community Right-to-Know Act (EPCRA). b. National Environmental Policy Act (NEPA). c. Pollution Prevention Act (PPA). d. Resource Conservation and Recovery Act (RCRA).

d

The future of school nursing is very strong and will be further enhanced by the future trend in which of the following? a. Development of an HIV/AIDS health curriculum b. Enhanced use of picture boards c. Improving the air quality of school buildings d. Telehealth and telecounseling

d

The goal of deinstitutionalization was to improve the quality of life for people with mental disorders by providing services in the communities where they lived rather than in large institutions. At what program level did this change in locus of care fail? a) Assessment level b) Design level c) Evaluation level d) Implementation level

d

The most critical strategy that can be used by nurses in community health to improve the health status of migrant workers that spend only a few months in a geographic location is to: a) conduct a comprehensive assessment and formulate a plan for treatment. b) establish a long-term trust relationship to prevent disappointment. c) schedule appointments for appropriate immunizations for the children. d) use every opportunity to teach about preventive health care.

d

The nurse best assesses the client's spiritual life by asking which question? a) "Do you practice a specific religion?" b) "To whom do you turn in times of crisis?" c) "Do you attend church regularly?" d) "What role does religion play in your life?"

d

The nurse has arrived at the scene of a natural disaster and is assigned to care for four patients. To which patient should the nurse provide care first? a. Patient with a closed head injury with no changes in level of consciousness b. Patient with a 3-cm laceration to the forearm c. Patient with a displaced wrist fracture d. Patient who is breathing 8 times per minute

d

The nurse in community health reviews the monthly and year-to-date health service use report for the local community to monitor trends as correlates of the community's health. The nurse is viewing community health through the dimension of: a. partnership. b. process. c. status. d. structure.

d

The nurse is assessing a family composed of a married couple with three children, one from the wife's previous marriage and two from the union of this couple. This couple would be considered what type of family? a. Nuclear family b. Same-sex family c. Single-parent family d. Married-blended family

d

The nurse is caring for a patient addicted to alcohol. This nurse is aware a family member is enabling the patient to continue drinking in which scenario? a. The spouse asks the nurse to explain why their partner's continued drinking is dangerous. b. The child threatens to leave home because they find the parent's behavior embarrassing. c. The teenage child turns to a favorite teacher for emotional support. d. The partner tells the boss that they are sick when they are actually inebriated.

d

The nurse is performing an assessment of a Chinese American patient wearing a jade bracelet on her left wrist. The nurse asks the patient about the significance of the bracelet and whether it can be removed before the scheduled diagnostic procedure. What behavior has the nurse demonstrated? a) Diversity b) Stereotyping c) Ethnocentrism d) Cultural competence

d

The nurse working with a family to prepare them for discharge of the father after a stroke would help them to address the things they can control. Which factor should the nurse include in the education? a. Economic state of society b. Maturity of individuals c. Genetic inheritance d. Psychological defenses

d

Two female adults have an established long-term relationship and are attending parenting classes in anticipation of finalizing the adoption of their first baby. This couple demonstrates understanding of potential effects on family dynamics when making which statement? a. "Our relationship with one another will not be affected." b. "Codependency is important to support each other." c. "Any stress will finally be over once the baby arrives." d. "Communication may be a challenge since we'll be busier."

d

Two nurses in community health schedule a day to ride through a low-income community to better understand the community and what factors affect the health of that community. This direct data collection method is often referred to as: a. composite database. b. participant observation. c. secondary analysis. d. windshield survey.

d

What question should the nurse ask to assess the function of a family? a. Who are the members of your family? b. How old are the members of your family? c. Who lives with you? d. Who does the grocery shopping?

d

When applying the nursing process to environmental health, the community health nurse would: a. conduct a focused assessment on the presenting problem. b. coordinate interventions with the physician only. c. examine criteria that include only the client's immediate response. d. include outcome measures that mitigate and eliminate the environmental factors.

d

When attempting to communicate with a patient who speaks a different language, the nurse should: a. Respond promptly and positively to project authority. b. Never use a family member as an interpreter. c. Talk to the interpreter to avoid confusing the patient. d. Provide as much privacy as possible.

d

When providing nutritional education for a Mexican-American patient with newly diagnosed hypertension, the nurse notes that the patient is nodding "yes" to everything that is being said. Which action by the nurse is appropriate? a) Call the patient's oldest male relative for help with decision making. b) Write everything down for the patient to refer to later. c) Call the recognized elder for this patient. d) Prompt the patient further to elicit additional questions or concerns.

d

Which nursing diagnosis for a psychiatric client is correctly structured and worded? a) Hopelessness related to severe chronic depression b) Spiritual distress as evidenced by client stating "God has abandoned me because I'm a bad person" c) Defensive coping related to lack of insight associated with illicit drug use d) Imbalanced nutrition: less than body requirements related to poor self-concept as evidenced by reporting "I'm not worthy of eating"

d

Which nursing intervention best illustrates a population health activity at the community level of practice? a. Revises the training requirements for school health aides b. Presents a petition to Congress for healthcare coverage for migrant workers c. Counsels an older adult about treatment of sexually transmitted infections d. Works with a coalition to develop a teen crisis hotline

d

Which of the following social science theories is used by public health nursing to describe how environments and systems outside of the family influence the development of a child over time? a. Life-cycle theory b. Family developmental theory c. Family systems theory d. Bioecological systems theory

d

Which response should the nurse provide a client who asks, "Why you need to conduct an assessment interview"? a) "I need to find out more about you and the way you think in order to best help you." b) "The assessment interview lets you have an opportunity to express your feelings." c) "You are able to tell me in detail about your past so that we can determine why you are experiencing mental health alterations." d) "We will be able to form a relationship together where we can discuss the current problems and come up with goals and a plan for treatment."

d

Which tool can the novice nurse might refer to when writing nursing outcomes? a) North American Nursing Diagnosis Association (NANDA) b) Joint Commission (formally JCAHO) c) Nursing Interventions Classification (NIC) d) Nursing Outcomes Classification (NOC)

d

An underlying current throughout the special population groups with health disparities is: a. poverty. b. aging. c. minority groups. d. children.

a

The mental status examination aids in the collection of what type of data? a) Covert b) Physical c) Objective d) Subjective

c

The major factor that has increased the danger of natural disasters is: a) El Niño. b) geography. c) trade winds. d) urbanization.

d

7. According to Piaget's cognitive theory, a 12-year-old child is most likely to engage in which of the following activities? (Select all that apply.) 1. Using building blocks to determine how houses are constructed 2. Writing a story about a clown who wants to leave the circus 3. Drawing pictures of a family using stick figures 4. Writing an essay about patriotism 5. Hanging out with a best friend

2,5

When using the health measure of death rates for working-age adults, the nurse could expect to find the highest rates in which areas? a) Large metropolitan areas b) Most rural and highly populated urban areas c) Most rural and suburban areas d) Small suburban and all urban areas

b

A nurse is preparing an educational program on cultural perspectives in nursing. The nurse should include that which of the following factors is influenced by an individual's culture? (Select all that apply.) A. nutritional practices B. Family structure C. Health care interactions D. Biological variations E. Views about illness

a,b,c,e

A widely recognized chemical health hazard in health care environments is which of the following? a) Burn-out b) Latex allergy c) Radiation d) Viruses

b