Population Health Final Exam Review
A school nurse has identified a need for improved playground safety. Using a quality improvement process that mirrors the steps of evidence-based practice, which of the following steps should the nurse take before selecting change aimed at improving playground safety?
- Organizing an effort to work on improvement. - Planning the change - Clarifying current knowledge of the process
A nurse manager is discussing primary prevention measures to reduce infection rates with another nurse. Which of the following action should the nurse identify as an example of a primary preventative measure?
- Ensure that hand sanitizer is located throughout the facility. - Promote social distancing during activities. - Educate about the use of personal protective equipment (PPE).
A nurse notices that the age and gender of each family member has been recorded in a client's chart. This information is a characteristic of which of the following?
Family structure
A nurse in a community health clinic is planning a staff presentation about modes of transmission for infectious diseases. Which of the following modes of transmission should the nurse identify for malaria?
vector borne
A nurse and a team of community members are beginning to prioritize the data they have collected. Which of the following is true about prioritization of community-level data?
Prioritization at the community level must focus on needs impacting the community or subpopulations.
A nurse manager in a community clinic is using Healthy People 2030 to plan care for clients. Using the Healthy People 2030 guidelines, which of the following interventions should the nurse use to reduce health disparities?
Provide access to language services to clients.
A nurse is assessing a new parent and their newborn in a community health clinic. The parent reports that then have resumed smoking tobacco and eating fast food more frequently. Which of the following topics would be most important for the nurse to discuss with the parent?
Smoking cessation and the effects of secondhand smoke.
A nurse manager of a home health agency overhears, an employee referring to some of the facilities clients by saying, "You know how all of those people are, so noncompliant in their healthcare." The manager should identify the employee is exhibiting which of the following concepts of cultural competence?
Stereotyping
A community health nurse is developing an educational activity for clients who have type 2 diabetes mellitus. Which of the following activities would support a visual learner?
- Taking notes on when to check their blood glucose levels. - Watching a video presentation on healthy foods to prepare.
A nurse is teaching about palliative care with a client who has recently developed Parkinson's disease. Which of the following statements by the client indicates understanding?
"Palliative care services should begin at the beginning of my treatment."
A community health nurse is teaching a group of newly licensed nurses about the concept of culture. Which of the following statements should the nurse use to define culture?
" A culture is the beliefs, values, traditions, and customs that are shared by a group of people."
A school nurse is recommending a referral to a mentorship program for an adolescent who reports facing pressure and violence in school and is feeling depressed. Which of the following statements should the nurse include when discussing the reason for the mentorship program?
"A mentorship program can help you cope with challenges at school."
A community health nurse is working with a client to make long-standing, health-related changes using the transtheoretical method. Which of the following statements from the client indicates they are in the action stage?
"I have been jogging every morning for the last three months."
A nurse is caring for a 17-year-old adolescent who is being treated for depression. Which of the following statements by the adolescent should the nurse report to the provider immediately?
"Sometimes I think I should just drive my car off a cliff."
A public health nurse is teaching a newly licensed nurse how to determine the prevalence rate of the top diseases in the county. Which of the following information should the nurse provide to describe prevalence rate?
"The prevalence rate considers new cases of disease."
A public health nurse is conducting a home visit with new clients and completing a primary family assessment. Which of the following statements by a parent indicates the parent is experiencing caregiver role strain?
"We don't really have a routine; I feel sick and drained most of the time, so we can't keep up with a schedule."
A nurse working in a community health clinic is caring for a client who reports they have not slept for several days. Which of the following responses should the nurse give?
"What has made it difficult for you to sleep lately?"
A nurse is providing discharge instructions to a family member of a client who is postoperative from knee surgery. The family member informs the nurse that they are concerned that they will not be able to take care for the client because of their job. Which of the following responses should the nurse make?
"You can use FMLA that is available through your job."
A public health nurse is assessing a client for determinants of health. Which of the following questions should the nurse include in their assessment?
- "Do you have a family history of any medical conditions?" - "Where do you work?" - "What type of health insurance do you have?" - "How old are you?"
A nurse is reviewing the impact of US census bureau data on healthcare funding. The nurse should identify that which of the following are affected by census data?
- Children's Health Insurance Program (CHIP) - Medicare - Medicaid
A nurse is assessing a young adult client in the emergency room for abdominal pain. The client is accompanied by an unrelated person. The nurse should identify which of the following signs as a risk for human trafficking?
- The accompanying person refuses to leave the room during the assessment and examination. - The adolescent appears fatigued and anxious. - The adolescent states they are traveling and are not sure of the name of the city they are in.
Nurses and members of an interdisciplinary team on a college campus are preparing for the return of students to campus following summer break. Which of the following interventions would provide primary prevention against an outbreak of coronavirus (SARS-CoV-2)?
- Wearing masks indoors. - Requiring immunization
A nurse that I state public health department is preparing for an upcoming accreditation. Which of the following should they identify as a benefit of accreditation for their public health department?
Accreditation allows public health nurses to base decisions, care, and processes on national standards.
A nurse is asked to develop an impact report regarding a recent community health initiative program. Which of the following information is true regarding this type of report?
An impact report is a communication tool outlining the outcomes of a community project.
A nurse is caring for a client in an infectious disease clinic at the health department. The client is being treated for an STI and reports they have left an abusive partner. Which of the following is an example of patient-centered care?
Ask the client if they are comfortable with having an examination today.
A community health nurse is working with a client who decides to forego United States Preventative Services Task Force (USPSTF) recommended screenings. Which of the following ethical principles does the nurse uphold by supporting the clients decision?
Autonomy
A community health nurse is planning a health education initiative for a client who responds well to incentives. Which of the following learning theories should the nurse use when planning educational activities for the client?
Behavioral learning theory
A nurse is discussing immunizations with a group of new parents. The nurse encourages the parents to get their annual influenza immunization because infants cannot receive the vaccine until they are older than six months of age. Which of the following types of immunity is the nurse promoting?
Community immunity
A public health nurse is conducting a windshield survey in a new community they will be serving. Which of the following data should the nurse expect to collect?
Condition of roads and other infrastructure.
A public health nurse is beginning to work in a new community to improve their environmental health. Which of the following action should the nurse take first?
Conduct a windshield survey of the community.
A nurse is educating a nursing student about the leading cause of death from unintentional injuries and toddlers. The nurse knows teaching has been effective when the student correctly identifies, which of the following as the leading cause of death from unintentional, injuries and toddlers?
Drowning
A community health nurse is asking a client about any potential lead exposure that could affect children and the community. Which of the following techniques is the nurse using?
Environmental health assessment
A nurse is providing a presentation about individuals who made early contributions to public health nursing. Which of the following contributions should the nurse credit to Lillian Wald?
Establishment of the Henry Street Settlement.
A nurse is reviewing the data for the number of new colorectal cancer screenings. This data is for the six months, following a community campaign, stressing the importance of screening for color, actual cancer. The nurse should identify that this is an example of which of the following phases of the nursing process?
Evaluation
A nurse is working with a healthcare team to develop community partnerships. Which of the following action should the nurse take to assist with this development?
Focus on developing partnerships built on a foundation of pre-existing, trust-based relationships.
A nurse is reviewing a clients chart. Which of the following tools would assist the nurse and identifying family relationships and patterns over several generations?
Genogram
A community health nurse is planning an event for community members. Which of the following actions should the nurse take first?
Identify the target audience and their learning needs.
A public health nurse is working with a team to plan a community initiative. The nurse looks to national initiatives to drive community action. Which of the following outlines national objectives for health improvement and can be used to help drive community-specific objectives?
Healthy People 2030
Which of the following health promotion initiatives were launched to implement interventions for better overall health in the United States?
Healthy People 2030
An occupational health nurse is assessing the risk for workplace hazards and injuries at a manufacturing center. Which of the following preventative actions is the priority for the nurse to implement?
Improving access to and adherence of the use of personal protective equipment.
A nurse is caring for a client following a suicide attempt. The client has a history of depression, substance use disorder, and anorexia nervosa. Which of the following actions should the nurse take first?
Initiate suicide precautions
A community health nurse identifies clients who have potentially been exposed to a communicable diseases during a disaster. Which of the following actions should the nurse take first?
Isolate the clients away from others who have not been exposed.
A community health nurse is caring for a client who informs the nurse that then need a kidney transplant but their insurance has been discontinued. Which ethical principle should the nurse be aware of to provide resources for this client?
Justice
A community health nurse is leading a group of nurse volunteers to help with a mass casualty disaster. Which of the following actions is the priority for the volunteers to take?
Keep individuals safe and remove those in harm's way.
A community health nurse is preparing to give a presentation about heart health to a small group at a local community center. Which of the following is considered an educator-related barrier to learning?
Lack of expertise in the subject area.
A nurse is speaking with a client who is preparing to go on vacation in Africa. The client wants to know the name of the disease that is passed from mosquitoes to humans. Which of the following diseases should the nurse identify?
Malaria
A nurse is teaching about health insurance options with a young adult client who is recently become. The nurse should identify that the clients disability might make them eligible for which of the following health insurance programs?
Medicare
A nurse is caring for a client who is receiving inpatient hospice services and request additional pain medication. Which of the following actions should the nurse take?
Obtain a prescription to administer more analgesics.
A community health nurse is planning a public service campaign to decrease the transmission of influenza. Which of the following interventions should the nurse include as a primary prevention?
Obtaining an immunization.
A nurse is discussing an older adult client's care plan. The client mentions that both of their grandchildren currently live with them and, as a result, the client is frequently required to choose between paying bills and buying groceries for the household. Which of the following actions should the nurse take?
Offer appropriate resources related to food insecurity.
A public health nurse is working with a health coalition to address the high rates of preterm birth in the area. Coalition is discussing possible primary prevention techniques that could be implemented. Which of the following interventions is considered a primary prevention strategy to address preterm birth?
Public health campaigns that clearly show the public the risks to pregnant clients and the fetus from smoking during pregnancy.
A community health nurse is teaching a group of new nurses about their role in the recovery phase of the disaster management cycle. Which of the following activities should the nurse include in the teaching?
Refer community members to mental health services.
A public health nurse is discussing strategies to increase the number of nurses who are interested in working in public health with another nurse. Which of the following strategies should the nurse include in the discussion as an approach to increase the supply of public health nurses?
Restructuring pay and rewards for nurses who practice outside of acute care settings.
A home care nurse is visiting a client and their family to conduct an environmental assessment of their home. The nurse discovers peeling paint on the walls in the home which is over 50 years old. Using the nursing process, which of the following action should the nurse take next?
Review the data and make a hypothesis regarding the potential for lead in the home.
A home health nurse is preparing to make a referral to a diabetes educator for a client who has had several hospital readmissions regarding their diabetes and has developed a diabetic foot ulcer. The nurse should identify that this is an example of which of the following types of prevention?
Tertiary
A home-health nurse is caring for a client in their home. The nurse is concerned that the client may be at risk of neglect. The nurse should identify which of the following as relationship factors that can put the client at an increased risk for neglect?
The client does not receive visits from friends or family.
A home health nurse instructs the caregiver to administer pain medication to a nonverbal client in their home. Which of the following evaluative findings would indicate that the goal of pain relief had been met?
The client's face relaxes and stops grimacing.
A team of public health nurses is discussing a new healthcare law. The nurses should identify that which of the following entities is responsible for passing laws related to healthcare?
The legislative branch
A community health nurse is involved in community-engaged research about physical activity, levels of families who attend local schools. Using the nursing process, which of the following activities of the nurse represents the evaluation phase of the research?
The nurse and community residents present the findings at a school board meeting.
A nurse is in a newborn nursery in a rural community. The nurse notices new parents are often isolated at home with their newborns. Which is an example of how the nurse can promote prevention of child abuse in the community?
The nurse establishes a peer-to-peer new parenting class at the local church.
A community health nurse is planning to create a partnership within a community for the advancement of community initiatives. The nurse should identify which of the following as an important aspect of this partnership?
The promotion of health within a community should involve collaborative community efforts from a diverse group of community partners.
A client asks a nurse to help identify resources for a weight loss plan the client is developing. Which of the following theoretical frameworks might the nurse use in this situation?
Transtheoretical model
A public health nurse has been assigned to call a client who speaks a different language than the nurse. Which of the following actions by the nurse demonstrates cultural competency?
Use the organization's interpretation or translation service for this call.
A team of community health nurses is in the planning phase for community-engaged research. Which of the following describes a role the nurses should take during the planning phase using the nursing process?
Writing grants for funding of community-engaged research
A nurse understands that social determinants contribute to poor health, health disparities, and inequities. Which of the following is an example of a social determinant of health?
socio-economic status
A community health nurse is creating a handout for clients on methods to naturally enhance their immunity against infectious diseases. The nurse should identify that this information will target, which of the following links in the chain of infection?
susceptible host
A family has set goals and action steps for meeting an identified problem. Which of the following steps should the nurse take?
- Refer the family to community resources and agencies. - Develop a family-nurse contract. - Schedule the family's next visit.
A nurse manager of a public clinic is a evaluating health disparities among diverse groups in the community. The nurse should identify that which of the following factors has an impact on health disparities?
- Race - Ethnicity - Residential location - Income
A community health nurse is discussing disasters with a group of new nurses. Which of the following statements by one of the new nurses indicates an understanding of the information?
"Disasters often overwhelm the availability of local resources."
A nurse is performing an evaluation on an older adult couple who have been attending a caregiver support group for individuals taking care of loved ones who have Alzheimer's disease. Which of the following statements by the caregiver shows that the intervention has been successful?
"Even though it is a lot of work, I sleep well at night."
A nurse in a community clinic is assessing a client who is from a different culture than the nurse and reports having painful urination and a fever for 7 days. Which of the following comments should the nurse make when caring for the client?
- "What have you done about your problem?" - "What seems to make your symptoms better?" - "How can I help you today?"
A community health nurse is triaging victims at the site of a mass casualty incident. Which of the following victims should the nurse tag with the color red?
- A child victim who is unconscious and breathing spontaneously. - A victim who is conscious, has a sucking chest wound, and is breathing spontaneously.
A nurse is reviewing public health problems in their community. Which of the following should the nurse recognize as communicable public health problems?
- Foodborne diseases - Zoonotic diseases
A nurse is caring for a client who does not have proper understanding of a surgical procedure that is scheduled for the next day. The nurse notifies the client's provider. Which of the following concepts is the nurse demonstrating?
Client advocacy
A public health nurse is administering an influenza immunization to a client who asks about the extent of influenza in the community. Which of the following levels should the nurse identify if the rate of influenza cases is at the expected level for the current time of year?
Endemic
A nurse is caring for a group of clients. The nurse should identify that which of the following clients is a member of a vulnerable population?
- A client who has limited access to health care because they live in a rural area. - A veteran who just returned from an overseas tour of duty after being injured. - A client who has substance use disorder and tests positive for HIV. - A client who smokes and uses chewing tobacco daily.
A nurse is conducting a presentation for a group of student nurses related to the goals and objectives of Healthy People 2030. Which of the following does the nurse discuss as overarching goals of Healthy People 2030?
- Create social, physical, and economic environments that promote attaining the full potential for health and well-being for all. - Eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all. - Engage leadership, key constituents, and the public across multiple sectors to take action and design policies that improve the health and well-being of all.
Which of the following interventions might the occupational health nurse employ to promote health and safety in the workplace?
- Offer immunizations such as flu vaccines - Do a walkthrough inspection to check for safety in the work areas - Remind employees to use personal protective equipment (PPE) when handling harmful chemicals. - Arrange for the vendor to educate the employees on how to use new heavy-lifting equipment.
A nurse is caring for a client in an emergency department who is being seen for treatment of injuries sustained from their partner. The nurse should take, which of the following actions to provide care to this client?
- Provide a partner violence crisis number to the client. - Provide the client with information on healthy relationships. - Provide information on how people may experience abuse in relationships.
A public health nurse is discussing the principle of utilitarianism when responding to a disaster with a group of nurses. Which of the following actions is an example of utilitarianism?
Using resources on victims who are more likely to survive.
