population health, final
When considering prevention for Infectious disease. An example of secondary prevention for infectious disease prevention is _________" Malaria chemoprophylaxis Pneumocystis carinii pneumonia (PCP) chemoprophylaxis for people with AIDS Quarantine Restaurant inspections
Quarantine
A nurse is investigating a potential bioterrorism attack. What evidence would the nurse most likely find if a bioterrorism attack occurred? A large number of cases of influenza in the fall and winter in Ohio. A case of cholera in a local politician following a trip to India. An unusual illness in a population. Dengue fever in a group of students who just returned from a mission trip.
An unusual illness in a population.
If you were a nurse employed in an industry, which of the following federal laws would affect you the most? A. National Child Abuse Act B. Freedom of Information/Privacy Act C. Occupational Safety and Health Act (OSHA) D. Patient Self-Determination Act
C. Occupational Safety and Health Act (OSHA)
When health care providers in the community refuse to accept Medicare clients, this implies reduced access to care, potential decreases in acceptable quality of services offered, and a form of health care rationing. Health care rationing becomes a public health and nursing issue because: A. Medicare reimbursement needs to be higher. B. proactive primary prevention orientation is cost effective. C. public health systems and nurses must ensure that essential clinical services are available. D. sufficient resources are available in the public health system to meet the unmet need.
C. public health systems and nurses must ensure that essential clinical services are available.
An intervention to improve access to health care for vulnerable populations would be: a. Create partnerships to provide free or reduced health care services b. Coordinate services at a central location c. Ensure the availability of translators with medical training d. All other options
D. All of the options are correct!
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. Distributive justice
Which of the following is a community health structure? Hospital County jail Infant mortality rate Crime rate
Hospital
confirmed case
lab confirmed clinical specimen
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 and E Ethnicity of community members Natural community boundaries Presence of public protection
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 as physical agents? a. Noise b. Age c. Lighting d. Viruses e. Stress
A and C Noise and Lighting
A nurse manager at a community agency is developing an orientation program for newly hired nurses. When discussing the differences between community-based and community oriented nursing, the nurse should include which of the following as examples of community-based nursing? (Select all that apply). 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 and C Wound care in the home and teaching a student about meds.
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 as a manifestation of child neglect? (Select all that apply) a. Underweight b. Healing spiral fracture of the arm c. Genital irritation d. Burns on the palms of the hands e. Poor hygiene
A and E. Underweight and Poor hygiene
A nurse is preparing an educational program on cultural perspective in nursing. The nurse should include that which of the following 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, and E Nutritional practices, family structure, health care interactions, and views about illness.
Which of the following interventions would be included when educating a family on environmental health? (select all that apply) a. Some plentiful sources of lead include playground equipment, vinyl mini-blinds, pottery, water, battery casings, and metal jewelry. b. Teach older children to wash hands when coming in from outside and prior to playing with the newborn. c. It is okay to keep toxic agents in an unlocked cabinet. d. Be certain to cook meats completely and to wash hands and sanitize countertops after preparing raw meats.
A, B, and D. sources of lead, hand washing and cooking safety
The nurse is preparing primary prevention activities for varied age groups. Which of the following are primary prevention activities? a. Educating about dental health b. Substance use prevention education c. Performing tuberculin skin tests d. Screening for lead exposure e. Discussing seat belt safety
A, B, and E Educating about dental health Substance use prevention Discussing seat belt safety
nurse has decided to increase the evidence base of current nursing practice in an agency. Which of the following describes a barrier that could be encountered by the nurse? (SELECT ALL THAT APPLY.) A. Colleagues who don't know how to search the literature or critique research. B. Dedication to the history and tradition of the agency C. Little or no research published in the clinical area of concern D. Several meta-analyses in the literature with inconsistent results
A. Colleagues who don't know how to search the literature or critique research. C. Little or no research published in the clinical area of concern
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. Centers for Disease Control and Prevention (CDC).
A nurse has decided to increase the evidence base of current nursing practice in an agency. Which of the following describes a barrier that could be encountered by the nurse? (SELECT ALL THAT APPLY.) A. Colleagues who don't know how to search the literature or critique research. B. Dedication to the history and tradition of the agency C. Little or no research published in the clinical area of concern D. Several meta-analyses in the literature with inconsistent result
A. Colleagues who don't know how to search the literature or critique research. C. Little or no research published in the clinical area of concern
A nurse is educating a local elementary school group on proper hand washing. He will repeat some of the slides that have essential points on them during the presentation. This demonstrates the nurse's understanding of what principle? A. Repetition B. Integration C. Participation D. Sequencing
A. Repetition
newly hired occupational health nurse at an industrial facility is performing an initial workplace assessment. Which of the following should the nurse determine when conducting a 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. Work practices of employees
A nurse in community health directly contacts a mammography clinic to arrange an appointment for a female migrant worker with limited English 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 ________? Advocacy FInancial assistance Partnership Social justice
Advocacy
The pulic health nurse functioning in the role of case management at the local health clinic. The patient has decided to halt life-saving treatment and asks the nurse to assist in talking with his family about this decision. This nurse is performing which essential skill for case managerment? Advocacy Conflect Management Collaboration Evidence Based Assessment
Advocacy
A nurse is caring for a client of another culture. Which of the following actions would be most appropriate for the nurse to take? Alter personal nonverbal behaviors to reflect the cultural norms of the client. Keep all behaviors culturally neutral to avoid misinterpretation. Rely on friendly gestures to communicate caring for the client. Avoid any pretense of prejudice by treating the client in the same way as any other client.
Alter personal nonverbal behaviors to reflect the cultural norms of the client.
A nursing staff has successfully screened for diabetes in the community. Which of the following might best persuade the health board to increase funding for diabetic clinics in this community? The incidence of diabetes is now higher than previously recognized in the community The prevalence of diabetes is now higher than previously recognized in the community An epidemic of diabetes is now recognized and must be addressed The risk for diabetes in the community could decrease if funding is received
An epidemic of diabetes is now recognized and must be addressed
A nurse is working with a community during the preparedness stage of disaster management/ Which of the following events would the nurse anticipate occurring? Heightened inspection and increased security in the community. Incorporation of provision of pets into local disaster plan. Purchase of personal protective equipment for all citizens. Assembly of disaster kits for home, workplace, and car.
Assembly of disaster kits for home, workplace, and car.
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 may impact the effectiveness of nursing actions. d. Gather information about previous client interactions with the health care system
B Gather data about the client's cultural health.
A nurse is creating partnerships to address health needs within the community. The nurse should be aware that which of the following characteristics must exist for partnerships to be successful? (Select all that apply) a. A leading partner with decision-making authority b. Flexibility among partners when considering new ideas c. Adherence of partners to ethical principles d. Varying goals for the different partners e. Willingness of partners to negotiate roles
B, C, and E Flexibility among partners, adherence to ethical principles, and a willingness to negotiate roles
A home health nurse is discussing portals of entry with a group of newly hired assistive personnel. Which of the following are portals of entry the nurse should discuss? (select all that apply) a. Respiratory secretions b. Skin c. Genitourinary tract d. Saliva e. Mucous membranes
B, C, and E. Skin Genitourinary tract Mucous membranes
When a community health nurse uses EBP to evaluate effectiveness, accessibility, and quality of personal and population-based services, the nurse is addressing the core public health function of: A. Assessment B. Assurance C. Policy development D. Research
B. Assurance
when a community health nurse uses EBP to evaluate effectiveness, accessibility, and quality of personal and population-based services, the nurse is addressing the core public health function of: A. Assessment B. Assurance C. Policy development D. Research
B. Assurance
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following findings is a manifestation of withdrawal? a. Decreased blood pressure b. Diaphoresis c. Pin-point pupils d. Bradycardia
B. Diaphoresis
A newly hired public health nurse is familiarizing himself with the levels of disaster management. 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. Identifying community vulnerabilities
A school nurse is planning health promotion and disease prevention activities for theupcoming school year. In which of the following situations is the nurse planning a secondary prevention strategy? A. Placing posters with images of proper hand hygiene near restrooms B. Routinely checking for pediculosis throughout the school year C. Implementing age-appropriate injury prevention programs for each grade level D. Working with a dietician to determine carbohydrate counts for students who have diabetes.
B. Routinely checking for pediculosis throughout the school year
A nurse practice act can be found in which of the following sources? A. Federal procedure B. State laws C. Judicial opinions D. State regulations
B. State laws
A nurse who questions whether a particular activity in her job description is within her scope of practice would look to which government jurisdiction or agency to seek the clarification? A. Federal system B. State system C. Department of Labor D. U.S. Department of Health and Human Services
B. State system
A nurse is reviewing the various roles of a community health nurse. Which of the following is an example of a nurse functioning as a consultant? a. Advocating for federal funding of local health screening programs b. Updating state officials about health needs of the local community c. Facilitating discussion of a client's ongoing needs with an interprofessional team d. Performing health screenings for high blood pressure at a local health fair
B. Updating state officials about health needs of the local community
A nurse attends a conference to learn more about public health surveillance. Why is it so important that the nurse be knowledgeable about this topic? Because nurses are employed in public health agencies. Because nurses are often the first to recognize and respond to a problem. Because nurses are responsible for ensuring that action is taken when necessary. Because nurses are typically the ones to interact with the public and the media.
Because nurses are often the first to recognize and respond to a problem.
Upon completing a community assessment, which of the following data WOULD NOT be included: a. Crime rate b. Curbside garbage pick up c. National statistics on prevalence of diabetes d. Public transportation
C National statistics on prevalence of diabetes.
A nurse working in the ED of a small rural hospital, discusses treatment over a secure video/audio line with a physician in a large city 2 hours away. This is an example of the use of: a. Occupational health nursing b. Informatics c. Telehealth d. Parish nursing
C Telehealth
Administering medications to treat the chronic condition of asthma is a: a. Primary prevention activity b. Secondary prevention activity c. Tertiary prevention activity d. Nursing only function
C Tertiary prevention activity
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 agents? (Select all that apply). a. Resource availability b. Ethnicity c. Toxins d. Bacteria e. Altered immunity
C and D Toxins and Bacteria!!
A nurse is preparing a community health program on communicable diseases. When discussing modes of transmission, the nurse should include which of the following as an airborne illness? A. Cholera b. Malaria c. Influenza d. Salmonella
C, Influenza
A nurse is providing an educational program about testicular self-examination (TSE). Which of the following would be the best learning objective for this program? A. Each participant will state why TSE is important and explain how to do it B. Each participant will describe how to do TSE and discuss the dangers of testicularcancer. C. 90% of the men will correctly demonstrate testicular self-examination. D. 100% of the men will do a testicular examination correctly on a model.
C. 90% of the men will correctly demonstrate testicular self-examination.
nurse is providing an educational program about testicular self-examination (TSE). Which of the following would be the best learning objective for this program? A. Each participant will state why TSE is important and explain how to do it B. Each participant will describe how to do TSE and discuss the dangers of testicularcancer. C. 90% of the men will correctly demonstrate testicular self-examination. D. 100% of the men will do a testicular examination correctly on a model.
C. 90% of the men will correctly demonstrate testicular self-examination.
hich of the following principles is central to the role of the parish nurse? A. Advanced nursing practice education and skills B. Faith consistent with all in the community and its leadership C. Focused on the spiritual dimension of care D. Providing pastoral services
C. Focused on the spiritual dimension of care
The nurse has developed a program to provide group therapy for clients with depression, which of the following issues for the vulnerable population are being addressed? a. Violence b. Poverty c. Mental health issues d. Homelessness
C. Mental health issues
A multisystem approach to community disease control would include interventions such as _____________? (Select all that apply.) Community action programs Control of vectors (course, route, trajectory) Improved surveillance systems Legislation Provision of (supplying) chemotherapy
Community action programs Control of vectors (course, route, trajectory) Improved surveillance systems Legislation Provision of (supplying) chemotherapy
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 ________? Assessment Case Management Geriatrics Tertiary prevention
Case Management
A child came to school coughing almost constantly. The next day, six other children in the same school room were coughing. Which of the following types of outbreak would the nurse suspect? Common source. Mixed. Propagated. Intermittent.
Common source.
Which of the following is NOT a function of the school health nurse? Give comprehensive nursing care to the children and their families, community members and the staff at the school. Coordinate the health education program of the school. Consult with OSHA on safe work practices. Coordinate the health care of many students in their schools with the health care that children receive from their own health care providers.
Consult with OSHA on safe work practices.
A Population Health Nurse plans her educational programs around factors that may contribute to vulnerability. Which of the following would she include ______? (Select all that apply.) Exercise habits Crime Peeling lead paint Social isolation Illiteracy
Crime Peeling lead paint Social isolation Illiteracy
At the community health center, many clients state that they take aloe vera for diabetes, do not trust medicine, and pray that God will keep them healthy. These are examples of what type of influence on health? Cultural Environmental Political Social
Cultural
A nurse is talking to a client who asks for additional information about hospice. Which of the following is an appropriate statement by the nurse? 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 symptoms."
D A component of hospice care is to control the client's symptoms.
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 signs and symptoms.
D. A component of hospice care is to control the client's signs and symptoms.
he nurse has been reading everything she can find on a particular clinical problem, using both the closes medical library and the Internet. Which of the following would be the most helpful source? A. A journal with a whole issue devoted to research on that clinical problem. B. A randomized controlled clinical trial related to that clinical problem. C. A researcher who has built a career on studying that clinical problem. D. A systematic review related to the clinical problem.
D. A systematic review related to the clinical problem.
the nurse has been reading everything she can find on a particular clinical problem, using both the closes medical library and the Internet. Which of the following would be the most helpful source? A. A journal with a whole issue devoted to research on that clinical problem. B. A randomized controlled clinical trial related to that clinical problem. C. A researcher who has built a career on studying that clinical problem. D. A systematic review related to the clinical problem.
D. A systematic review related to the clinical problem.
Which of the following examples best illustrates collaboration and partnership for health? A. Telling interagency council members that teenage pregnancy is the major health problem in their service area B. Helping a rural community council survey area water supplies C. Developing a volunteer program for local health and welfare agencies D. Helping a high school counselor and school nurse determine students' health
D. Helping a high school counselor and school nurse determine students' health
which of the following examples best illustrates collaboration and partnership for health? A. Telling interagency council members that teenage pregnancy is the major health problem in their service area B. Helping a rural community council survey area water supplies C. Developing a volunteer program for local health and welfare agencies D. Helping a high school counselor and school nurse determine students' health education needs
D. Helping a high school counselor and school nurse determine students' health education needs
A case management nurse at an acute care facility is conducting an initial visit with a client to identify needs prior to discharge home. After developing a working relationship with the client, the nurse is engaging in the referral process. Which of the following should be the first action by the nurse? a. Monitor the client's satisfaction with the referral b. Provide client information to referral agencies c. Review available resources with the client d. Identify referrals that the client needs
D. Identify referrals that the client needs
Which of the following federal agencies is most directly involved with the health and welfare of Americans? A. Department of Agriculture B. Department of Justice C. Department of Commerce D. U.S. Department of Health and Human Services E. Department of Defense
D. U.S. Department of Health and Human Services
the federal agency most responsible for improving the health status of the American people is the: A. Office of Health Preparedness. B. Office of Global Affairs. C. Food and Drug Administration. D. U.S. Department of Health and Human Services
D. U.S. Department of Health and Human Services
A client is back for his follow-up appointment and says to the nurse, "I know, I know. I drink to 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 _________? Denial Social drug use patterns Setting variable Coping
Denial
A strategy that may improve compliance with tuberculosis (TB) treatment is the_________ ? Directly observed therapy Increased tuberculosis testing protocols Increased confirmatory testing protocols Treatment compliance education
Directly observed therapy
The nurse of 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 ________? Confront the daughter when she arrives to pick the father up Discuss the findings with the caregivers to determine the cause of the injuries. Educate the staff about indications of elder abuse Make a referral to the primary-care provider for follow-up
Discuss the findings with the caregivers to determine the cause of the injuries.
Society bears the burden of infectious disease. That burden includes the effects of morbidity and mortality as well as the staggering ___________. Economic burden Fear burden Incidence burden Vulnerability burden
Economic burden
A nurse at an urban community health agency is developing an education program for city leaders about homelessness. Which of the following should the nurse include as the fastest growing segment of the homeless populations? Families with children Adolescent runaways Intimate partner abuse victims Older adults
Families with children
Health care-acquired infections (HAIs) are those acquired during hospitalization or developed within a hospital setting. Which of these statements is a correct statement regarding HAIs _________? Hand hygiene before approaching every client is critical in the hospital setting. HAIs involve patients in the surgical areas Infection control practitioners are responsible for decreasing infections There are few HAIs in the hospital setting
Hand hygiene before approaching every client is critical in the hospital setting.
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: Community deterioration Health care costs Juvenile delinquency Population density
Health care costs
A poor, older Native Alaskan women 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 clinical in a distant town for checkups. The woman is most at risk for ________? Disfranchisement Health disparities Loss of independence Resilience
Health disparities
Health education is often used as a strategy in working with vulnerable populations. The benefits of health education can be greatly affected by _________? Dependency cycle Health literacy Income level Race and ethnicity
Health literacy
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 abuses in the community. The strategy would _____? Advocate for government programs to treat survivors. Demonstrate the provider's commitment to address the need for services Increase awareness of community resources to address violence and abuse Increase the number of individuals identified as perpetrators
Increase awareness of community resources to address violence and abuse
For the homeless, health care is usually crisis orientated and found in emergency departments. The most difficult challenge for nurses treating this vulnerable population is to recognize the client's Limitations in following treatment protocols. Limited number of transient treatment facilities Transition to persistent poverty Use and abuse of tobacco, alcohol, and illicit drugs.
Limitations in following treatment protocols.
A nurse in community health located in Virginia is conducting as 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 ________? Migrant farmworkers Farmers Underinsured Undocumented aliens
Migrant farmworkers
A nurse in community health has determined that there is a need for a program for teenage fathers who want to learn about child care. The next step in the program management process would be to: Determine whether the fathers have benefited from this type of program before Conduct a survey to determine how many children the fathers have Meet with the community members to form a planning body Provide the fathers with community resources
Meet with the community members to form a planning body
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 _____________? Engage in physical activity during leisure time. Engage in preventive behaviors Perceive their overall health as less favorable Use seat belts
Perceive their overall health as less favorable.
A key characteristics of faith community nursing services is to facilitate collaborative health ministries in the faith communities by: Embracing individuals across the life span. Respecting diverse traditions of faith. Requiring statements of faith. Using a Judeo-Christian theological framework.
Respecting diverse traditions of faith.
The primary prevention of Hepatitis C virus (HCV) includes ________: Counseling and follow-up of infected clients. Routine testing for health care workers. Screening of blood products Testing of high-risk individuals
Routine testing for health care workers.
A nurse wants to find information about environmental threats that are present in the community. Which of the following would be the best source of data for the nurse? CINAHL National Library of Medicine State health department Closest local library
State health department
A nurse practice act can be found in which of the following sources? Federal procedure State laws Judicial opinions State regulations
State laws
After completing a needs assessment, the nurse is confident that he has identified the highest priority health programming need within the community. He presented his ideas at a community interest meeting, and the attendees show essentially no interest in being involved. Knowing that the health problem must be addressed he proceeds with implementation as planned. Which of the following is the most likely outcome of the program? (Select all that apply.) Community members will become increasingly positive about the new program. Others will recognize the importance of the program and become involved. The public health agency will both publicize and expand the program. The program will fail because of the community's lack of interest.
The program will fail because of the community's lack of interest. The public health agency will both publicize and expand the program.
The federal agency most responsible for improving the health status of the American people is the: Office of Health Preparedness Office of Global Affairs Food and Drug Administration U.S. Department of Health and Human Services
U.S. Department of Health and Human Services
A newly hired occupational health nurse at an industrial facility is performing an initial workplace assessment. Which of the following should the nurse determine when conducting a work site survey? Work practices of employees Past exposure to specific agents Past jobs of individual employees Length of time working in current role
Work practices of employees
non-point source
a major category related to air pollution; includes vehicles, water (cars, trucks, buses, toxic algae bloom)
epidemiologic triangle
a model that helps to explain complex relationships among host, agent and environment
The system that refers to "organized community efforts designed to prevent disease and promote health" is which of the following? a) Public health system b) Primary health care system c) Managed care system d) Primary care system
a) Public health system
A nurse is caring for a client of another culture. Which of the following actions would be most appropriate for the nurse to take? a. Alter personal nonverbal behaviors to reflect the cultural norms of the client. b. Keep all behaviors culturally neutral to avoid misinterpretation. c. Rely on friendly gestures to communicate caring for the client. d. Avoid any pretense of prejudice by treating the client in the same way as any other client
a. Alter personal nonverbal behaviors to reflect the cultural norms of the client.
A variety of symptoms and diseases in migrant farm workers, such as tuberculosis, gastroenteritis, and hepatitis, are highly correlated with which of the following? a. Crowded living conditions b. Poor field sanitation c. Pesticide exposure d. Automated machinery
a. Crowded living conditions
the nurse is preparing primary prevention activities for varied age groups. Which of the following are primary prevention activities? (Select all that apply) a. Educating about dental health b. Substance use prevention education c. Performing tuberculin skin tests d. Screening for lead exposure e. Discussing seat belt safety
a. Educating about dental health b. Substance use prevention education e. Discussing seat belt safety
A nurse at an urban community health agency is developing an education program for city leaders about homelessness. Which of the following should the nurse include as the fastest growing segment of the homeless populations? a. Families with children b. Adolescent runaways c. Intimate partner abuse victims d. Older adults
a. Families with children
A nurse is preparing an educational program on cultural perspectives in nursing. The nurse should include that which of the following 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. Nutritional practices b. Family structure c. Health care interactions e. views about illness
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 as a manifestation of child neglect? (Select all that apply) a. Underweight b. Healing spiral fracture of the arm c. Genital irritation d. Burns on the palms of the hands e. Poor hygiene
a. Underweight e. poor hygiene
A newly hired occupational health nurse at an industrial facility is performing an initial workplace assessment. Which of the following 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. Work practices of employees
Health care costs are influenced by factors related to demographic changes, new technology, resource intensity, and: a. chronic illness. b. market practices. c. nursing shortages. d. professional competition.
a. chronic illness.
ARC/MRC
aids in disaster response on a local or national level. volunteer from all areas of licensed and unlicensed personnel can be involved
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. Compile collected data into a database
a nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following findings is a manifestation of withdrawal? a. Decreased blood pressure b. Diaphoresis c. Pin-point pupils d. Bradycardia
b. Diaphoresis
Your client is best defined as a laborer whose principal employment is in agriculture on a seasonal basis, who has been so employed in the last 24 months, and who establishes for the purpose of such employment a temporary abode. Your client can be described as which of the following? a. Seasonal farm worker b. Migrant farm worker c. Transient worker d. Sharecropper
b. Migrant farm worker
A nurse is developing a plan to decrease the number of premature deaths in the community. Which of the following interventions would most likely be implemented by the nurse?a. Increase the community's knowledge about hospice care b. Promote healthy lifestyle behavior choices among the community members c. Encourage employers to have wellness centers at each industrial site d. Ensure timely and effective medical intervention and treatment for family members
b. Promote healthy lifestyle behavior choices among the community members
a community is experiencing the Honeymoon phase following a disaster. Which of the followingis most likely to occur in the community? a. First responders work tirelessly to save others b. Survivors share their stories c. Medical personnel experience exhaustion d. Community organizations rebuild the community
b. Survivors share their stories
A CHN is determining available needed supplies in the event of a bioterrorism attack. The nurse should be aware that community members exposed to anthrax will need access to which of the following medications? a. metronidazole (flagyl) b. ciproflaxin (Cipro) c. zanamivir (Relenza) d. fluconazole (diflucan
b. ciproflaxin (Cipro)
Of the four major factors that affect health care—personal behavior/lifestyle, environmental factors (physical, social, economic), human biology, and the healthcare system—medical services are said to have the least effect. Yet, the U.S. healthcare system remains reactionary with high-cost, high-technology, and disease-specific "sickness care." This statement supports the need for increased investment in: a. managed care. b. primary prevention. c. secondary prevention. d. tertiary prevention.
b. primary prevention.
A home health nurse is discussing portals of entry with a group of newly hired assistive personnel. Which of the following are portals of entry the nurse should discuss?SELECT ALL THAT APPLY. a. respiratory secretions b. skin c. genitourinary tract d. saliva e. mucous membranes
b. skin c. genitourinary tract e. mucous membranes
A nursing in community health has determined that there is a need for a program for teenage fathers who want to learn about child care. The next step in the program management process would be to: a. Conduct a survey to determine how many children that fathers have b. Determine whether the fathers have benefitted from this type of program before c. Meet with the community members to form a planning body. d. Provide the fathers with community resources
c. Meet with the community members to form a planning body.
he nurse has developed a program to provide group therapy for clients with depression, which of the following issues for the vulnerable population are being addressed? a. Violence b. Poverty c. Mental health issues d. Homelessness
c. Mental health issues
nurse demonstrates cultural desire to provide culturally competent care by: a. Relying on a textbook for information about an ethnic group b. Bringing a translator to the local community clinic c. Taking "Spanish for Healthcare" classes in the evening at a local college. d. Judging others using his or her own cultural values
c. Taking "Spanish for Healthcare" classes in the evening at a local college.
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 spouse recently died for suicide risk c. Teaching a client who has schizophrenia about medication interactions d. Discussing stress reduction techniques with employees at an industrial site
c. Teaching a client who has schizophrenia about medication interactions
4. A nurse is preparing a community health program on communicable diseases. When discussing modes of transmission, the nurse should include which of the following as an airborne illness? a. cholera b. malaria c. influenza d. salmonella
c. influenza
a community health nurse is educating the public on the agents of bioterrorism. Which of the following are Category A biological agents? (SELECT ALL THAT APPLY) a. hantavirus b. typhus c. plague d. tularemia e. botulism
c. plague d. tularemia e. botulism
the 1989 changes to Medicaid required states to provide care for children younger than 6 years and to pregnant women under 133% of the poverty level. These changes also ensured adequate access to qualified providers by: a. adding coverage for the medically indigent. b. reimbursing early periodic screening, diagnosis, and treatment (EPSDT) for those younger than 21 years. c. reimbursing pediatric and family nurse practitioners. d. reimbursing skilled and intermediate nursing home care.
c. reimbursing pediatric and family nurse practitioners.
The traditional reimbursement method for health care services is which of the following? a) Capitation b) Contracting c) Prospective d) Retrospective
d) Retrospective
An intervention to improve access to health care for vulnerable populations would be: a. Create partnerships to provide free or reduced health care services b. Coordinate services at a central location c. Ensure the availability of translators with medical training d. All other options
d. All other options
everal small communities have applied for grant funding from the state department of health to help decrease their teenage pregnancy rate. Which of the following communities should the nurse suggest receive funding first?a. Community A - with 23 single teenage pregnancies in a city of 500 4.6% b. Community B - with 45 single teenage pregnancies in a city of 1000 4.5% c. Community C - with 90 single teenage pregnancies in a city of 2000 4.5% d. Community D - with 90 single teenage pregnancies in a city of 1500 6%
d. Community D - with 90 single teenage pregnancies in a city of 1500 6%
A newly hired public health nurse is familiarizing himself with the levels of disaster management. Which of the following actions is a component of disaster prevention? a. Outlining specific roles of community agencies b. Prioritizing care of individuals c. Providing stress counseling d. Identifying community vulnerabilities
d. Identifying community vulnerabilities
A nurse is conducting a family assessment. Which of the following behaviors would the nurse recognize as suggestive of a family with problems? a. Before eating, the family prayed, expressing gratitude for their blessings b. During family play, jokes and laughter were heard c. Each person had a private room with a door for alone time d. Most of the conversation was between the father and eldest daughter
d. Most of the conversation was between the father and eldest daughter
community health nurse is developing an education program on substance use disorders for a group of adolescents. Which of the following 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. Tolerance to nicotine develops quickly
male nurse had a habit of sitting with the lower part of one leg resting over the knee of his opposite leg when collecting a client's history. He stopped doing this around Muslim clients after being told that Muslims were offended when he exposed the sole of his foot (shoe) to their face. Which of the following was exhibited by the nurse when he changed his behavior? a. Cultural accommodation b. Cultural imposition c. cultural repatterining d. cultural skill
d. cultural skill
Which of the following is a community health structure? a. Infant mortality rate b. Crime rate c. County jail d. hospital
d. hospital
mortality
death rate of a disease in a population during a specific time
pandemic
epidemic spread of the problem over several countries or continents
True or False: Approximately 50% of rural families live below the poverty level.
false
True or False: Persons who are members of vulnerable groups are not resilient.
false
True or False: Persons who are vulnerable experience this because of their personal deficiencies
false
True or False: Persons who are vulnerable experience this because of their personal deficiencies.
false
True or False: Rural environments are similar to those in urban areas
false
True or False: Vulnerable populations have no better or worse health outcomes than any other population group.
false
A case manager submits documentation that a nursing visit was completed at a client's home, but it was never performed. According to the general areas of legal risk, how would this action best be categorized? A. liability for managing care B. fraud / abuse C. negligent referral D. confidentiality / security
fraud / abuse
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: host and agent. morbidity and disease. host, agent, and environment. risk and causality.
host, agent, and environment.
morbidity
how often a disease (that is generally fatal) occurs in a specific area or period of time. can include attack rate (proportion of persons exposed who develop the disease)
bioterrorism
identified as onset of an unusual illness in the community: chemical, biological, etc.
incidence
measure of existing disease in a population at a particular time
FEMA
national comprehensive gov organization responsible for disaster mgmt
prevalence
number of NEW cases or events in a population at risk during a specified time
epidemic
occurrence of a disease within an area is in excess of expected levels
endemic
persistent/ usual presence of a disease with low to moderate numbers of cases
suspected case
s/s a person is exhibiting are consistent with a particular disease
TRUE or FALSE: Confidentiality is of utmost importance in parish nursing practice. True False
t
True or False: Health disparities refer to the wide variations in health services and health status among certain population groups.
true
True or False: Nursing assessment of vulnerable populations must be comprehensive while focusing only on information that the nurse needs and the client is willing to provide.
true
true or False: The timing of a disaster does not influence the types of injuries that will occur
true
True or False: Vulnerability results from the cumulative effects of limited physical, environmental, personal, and biopsychosocial resources.
ture
