Populations exam 5
A public health nurse is planning ways to improve the health care for diverse groups in the community. The nurse should identify that which of the following groups in the United States is at risk for the shortest life span?
black Americans
A home health nurse cares for a neighborhood of diverse clients. Which of the following aspects of cultural diversity should the nurse remember when caring for the clients?
caring for diverse clients will require balancing differences and needs
A nurse is caring for a client who practices the Muslim faith. Which of the following should the nurse identify as an acceptable dietary option for this client?
chicken
A nurse is assessing a 2-year-old child during a well-child visit. The child's parent asks the nurse if it is okay to turn the child's convertible car seat to the forward-facing position. Which of the following responses would be most appropriate from the nurse?
children should be secured in rear-facing car seats until they reach the weight or height limits listed by the car seat manufacturer
A school nurse is working with the public health department to help prevent tooth decay in school-age children. Which of the following primary prevention strategies is used in school and is shown to be effective in preventing 81% of tooth decay in the first 2 years after use?
dental sealant application
A community health nurse should know that individuals with low health literacy might encounter which of the following while navigating the health system?
difficulty filling out health forms difficulty managing chronic conditions giving an inaccurate health history to their provider
A community health nurse is making efforts to expand their cultural competence when working with clients. To develop cultural competence, the nurse must appreciate understand which of the following characteristics of their clients?
diversity
A nurse is educating the guardians of a child diagnosed with attention deficit hyperactivity disorder (ADHD) about the condition. Which of the following statements by the parents should indicate to the nurse an understanding of the teaching?
early intervention and therapy can enhance my child's ability to learn, improve their behavior and increase their social skills
A public health nurse is working with local health care providers on programs to improve the growth and development of children in their community. Which of the following describes a secondary prevention intervention for autism spectrum disorder (ASD)?
early intervention program screening children for developmental delays
A public health nurse is working with a local school to implement programs for the prevention of drug and alcohol use disorder. The nurse should identify which of the following interventions is an effective strategy for preventing drug and alcohol use disorder in children?
education and interventions early in childhood when children are more inclined to change
A nurse is teaching a 12-year-old child who is newly diagnosed with asthma about managing the condition to prevent asthma attacks. Which of the following statements by the child should indicate to the nurse that the teaching has been effective?
eliminating allergens that irritate my lungs can help me avoid getting an asthma attack
A nurse is preparing a presentation for a local community parent group about preventing children from contracting influenza. Which of the following should the nurse include as the most effective prevention measure?
encouraging the child to wash their hands frequently
A nurse is discussing the dimensions of the Leininger Sunrise Model with a newly licensed nurse. Which of the following dimensions includes the client's access to resources such as drinkable water and electricity?
environmental factors
A public health nurse is screening families for risks of child maltreatment at a local community clinic. Which of the following should the nurse consider a community-level risk factor for child maltreatment?
few recreational activities for young people
A community health nurse is preparing an educational activity that addresses the domains of learning. The nurse should know that the psychomotor domain involves which of the following?
fine motor skills gross motor skills autonomic reflexes
A public health nurse is working to identify vulnerable populations in the community. Which of the following statements most accurately describes the characteristics of vulnerable populations?
groups of people who are at a higher risk for poor health due to illness, disability, or barriers to obtaining resources
A nurse is reviewing data on the counties in the district. The data shows that one rural county is listed among the areas with persistent child poverty. Which of the following characteristics accurately describes persistent child poverty?
having a child poverty rate exceeding 20% for the past 30 years
Which of the following situations would the parish nurse likely find cultural differences or variations?
heritage nutrition death rituals
A nurse in a public clinic is researching health data on culturally diverse populations in the community. Which of the following population groups should the nurse anticipate having end-stage renal disease due to diabetes mellitus?
hispanic/latino
A community health nurse is reflecting on unconscious feelings they may have toward some of the clients they care for. The nurse should identify this as which of the following concepts of cultural competence?
implicit bias
A nurse manager of a community clinic is planning ways to increase the culturally competent care within the facility. The manager knows that which of the following benefits occur from providing culturally competent health care?
improved health outcomes for clients
A nurse is providing care to a client from a different culture during a health fair. Which action by the nurse indicates cultural competence?
interacts effectively in a multicultural context
A nurse is assessing a 2-month-old infant at a well-child visit. The guardian tells the nurse that they would like to postpone vaccinations until the child is older and can tolerate them better. Which of the following responses by the nurse would be appropriate?
it is important to follow the vaccination schedule as designed to protect children why they are most vulnerable, and their immune system is still developing
A community health nurse is organizing an event and is looking for community members to partner with. The nurse should understand that it is important to partner with community members for which of the following reasons?
it will help ensure that community members' concerns are heard and their ideas are incorporated into the planning of the event
A nurse manager is preparing a presentation on components of cultural competence. Which of the following definitions should the manager provide for the concept of cultural awareness?
knowledge of one's own thoughts and feelings about diversity
A nurse manager is preparing a presentation on cultural competence. Which of the following definitions should the manager provide for the concept of cultural humility?
knowledge that allows one to appreciate other cultures
A nurse manager at a public health clinic is working to expand diversity of the clinic's nursing staff. The manager knows that which of the following factors is a barrier to creating a diverse workforce?
male nurses are less than 10% of the national workforce
A nurse is preparing a presentation on common mental health disorders in children. Which of the following definitions should the nurse use to define mental health disorders among children?
mental health disorders are significant changes in the way children normally learn, behave, or deal with emotions
A nurse has been asked to identify interventions targeting the prevention of child poverty among those most at risk. Which of the following pediatric populations should the nurse identify as having the highest rate of child poverty?
non-hispanic black children
A nurse is working with local health care facilities to increase breastfeeding initiation rates in the local community. The nurse is preparing information packets for clients who are at high risk for not breastfeeding. Which of the following populations should the nurse prioritize as having the lowest rates of breastfeeding initiation?
non-hispanic black clients
A community health nurse is discussing goals and objectives with a group of community members. Which of the following statements is true regarding goals and objectives?
objectives are short-term outcomes completing objectives helps to achieve goals
A nurse is teaching the caregivers of an infant born at 30 weeks gestation regarding potential health complications of prematurity later in life. Which of the following statements by the caregivers indicates the teaching has been effective?
our child is at an increased risk for developing asthma
A community health nurse is researching social determinants of health in the differing populations they serve. The nurse should identify that which of the following factors place populations at the highest risk for negative health outcomes?
poverty
A nurse manager of a home health agency is training staff nurses to expand their cultural competence. In developing optimal cultural competence, the nurses will be able to interact with people who have differences in which of the following areas?
race ethnicity age
A major element of the health belief model is the likelihood that an individual will take action. Which of the following is an example of a cue to action?
receiving a text from their health care provider reminding them about an upcoming appointment watching a news program about how cholesterol affects the body noticing a billboard encouraging screening for sexually transmitted diseases discussing dietary changes with their family
A nurse is providing care to a client who is from a different culture. Which of the following statements is true regarding the cultural care theory?
the nurse should aim to provide culturally competent and congruent care
A community health nurse is discussing the Giger and Davidhizar Transcultural Assessment Model with a newly licensed nurse. Which of the following information should the nurse include when discussing the cultural dimension of time?
this dimension includes a focus on the past, present, or future
A nurse is discussing transcultural nursing with a newly licensed nurse. Which of the following statements should the nurse make when discussing the Kinship and Social Factors dimension of Leininger's Sunrise Model?
this dimension includes relationships with others and social supports
A community health nurse is teaching a group of clients at a diabetes mellitus clinic about carbohydrate counting. The nurse should encourage the group to recall their previous knowledge about carbohydrate counting for which of the following reasons?
to help them apply the knowledge they have gained to help them link new knowledge with their prior knowledge to determine if there are any areas they need help with
An emergency department nurse is discharging a toddler to home with family following an episode of choking. Which of the following instructions should the nurse include in the discharge teaching?
toddlers should only play with toys that are approved for their age group
A community health nurse wants to create an educational activity that will change the way clients think about their current eating habits. The nurse should know that which of the following learning theories focuses on reflection and evaluation of perspective?
transformative
Identifying Levels of Lead in Children's Blood that Require Intervention
3.5 mcg/dL
A nurse manager in a home health agency is planning a presentation on transcultural nursing for staff nurses. The nurse manager should identify that which of the following individuals is considered the founder of transcultural nursing?
Madeline leininger
A nurse manager in a community clinic is planning an in-service to increase staff nurses' knowledge on cultural diversity in health care. Which of the following information should the nurse manager include in the presentation?
The nurse manager should explain that it is important that the nurses understand how different cultural groups perceive health conditions and symptoms, how care is sought out, client preferences about treatments and procedures, treatment plans, decisions about who is included in decisions, and willingness to follow provider recommendations.
A community clinic recently added a bilingual nurse to their staff to provide better health teaching with their Hispanic and Latino clients. Which of the following is an indication of improved client health outcomes?
a client has stabilized their blood glucose levels
A public health nurse wants to implement interventions to help reduce the incidence of the leading cause of death among children aged 5 to 9 years. Which of the following prevention programs should the nurse choose to implement?
a program providing free car seats for families that have young children
A nurse manager in a community clinic is explaining the concept of culture to a newly licensed nurse. Which of the following statements should the nurse manager use to describe a subculture?
a subculture is a variation within an ethnic or cultural group
A community health nurse should understand that collaborating with a community and its members involves which of the following?
actively partnering with community members looking at health issues from the community member' perspective incorporating community member concerns into health education initiatives
A community health nurse is conducting a presentation about modifiable risk factors at a local community center. A community member asks a question and the nurse does not know the answer. Which of the following actions should the nurse take?
admit not knowing the answer to the question and advise they will follow up
A school nurse is preparing a presentation for students about racism. Which of the following examples should the nurse use to best describe racism?
assigning values based on physical characteristics and skin color
A nurse is discussing the six dimensions of Giger and Davidhizar's model with a group of other nurses. Which of the following does the nurse identify as the dimensions?
biological variations communication space social organization
A nurse in a public clinic is researching health data on culturally diverse populations in the community. Which of the following population groups should the nurse anticipate as having the highest mortality rate due to HIV?
black Americans
A nurse is asked which population group has the highest age-adjusted death rate in the United States. The nurse replies with which of the following?
black males
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? Which of the following is an example of how Healthy People 2030 addresses strategies to reduce health disparities?
consider the literacy level of clients using evidence-based interventions and strategies
A community health nurse is reviewing different learning concepts and approaches to incorporate into a health program that they are developing. Which of the following statements by the nurse is correct?
considering an individual's learning style helps them to better receive, process, remember, and apply information that they have learned
A community health nurse is working with a client to make long-standing, health-related changes using the transtheoretical model. Which of the following actions by the client indicates that they are in the preparation stage?
stocking their refrigerator and pantry with healthy foods reading about daily nutritional requirements purchasing running shoes signing up for a local smoking cessation program
A nurse is educating nursing students about the leading causes of death from unintentional injuries in infants. The nurse knows teaching has been effective when the students correctly identify which of the following as the leading cause of death from unintentional injuries in infants?
suffocation
A nurse working at a local pediatric clinic wants to help identify children who are at an increased risk of not receiving their well-child preventive care visits. Which of the following factors should the nurse consider when identifying a child who has decreased access to health care?
the child lives in a low-income, densely populated neighborhood
A nurse is educating nursing students about social factors that influence the health of children. The nurse should recognize that the teaching has been effective when the students correctly identify which of the following as a social determinant of health?
the child lives in a rural, isolated community
A community health nurse is preparing an educational activity that addresses the domains of learning. The nurse should know that the affective domain focuses on which of the following?
the learner's feelings, beliefs, and attitudes
