Public Health Units 4-7

25.9 Seven cases of hepatitis A are diagnosed in a community over a period of 2 weeks. An investigation results in a determination that all of the infected individuals ate at a local restaurant. Which of the following statements explains the possible connection between hepatitis A and a restaurant? a. The route of transmission for hepatitis A is fecal-oral. b. A food worker likely coughed on the customers. c. A food worker may have a bleeding wound. d. Hepatitis A is transmitted where people congregate.

The route of transmission for hepatitis A is fecal-oral.

29.4 A priority health education topic for school-age children is which of the following? a. Schoolyard safety b. Motor vehicle safety c. Sports safety d. Immunization schedules

a. Schoolyard safety

23.1 Rural residents in the United States compose more than _____% of the nation's poor. a. 50 b. 35 c. 20 d. 18

a. 50

17.4 HIV primarily affects women in which of the following ethnic populations? a. African Americans b. Hispanics c. Asians d. Caucasians

a. African Americans

28.5 What element of a community disaster plan investigates the citizen's reliance on telephone systems or cell phones during disasters? a. Authority b. Logistical c. Rescue d. Communication

d. Communication

25.7 Which of the following is classified as a vector of disease? a. Humans b. Door handles c. Water and food d. Mosquitoes

d. Mosquitoes

28.9 Which of the following is the purpose of the staging area in a disaster plan? a. A triage area outside the hospital, supplying first aid and transport to medical facilities b. A stage for entertainment to cheer up disaster victims c. To provide sheltered area for displaced victims to sleep, eat, and bathe d. To act as command station for disaster responders to report to and get assignments

d. To act as command station for disaster responders to report to and get assignments

24.4 Mr. S was recently hospitalized for a stroke. While in the hospital, he was also diagnosed with diabetes. As his nurse, you know he is at risk for which of the following? a. Panic disorder b. Depression c. Schizophrenia d. Bipolar disorder

b. Depression

30.7 All of the following are challenges currently facing occupational health nursing practice except: a. a younger workforce. b. escalating health care cost. c. increased number of women and minorities in the workforce. d. influence of a competitive international marketplace.

a. a younger workforce.

27.7 Nurses, including public health nurses, are at increased risk for workplace violence. Risk factors for violence in the workplace include all of the following except: a. working in pairs. b. access to medications. c. increased number of mentally ill patients. d. inadequate security.

a. working in pairs.

22.6 What group of homeless individuals is known for their involvement in survival sex? a.Young adult gay men b.Middle-aged women c. Adolescents d.Elderly men

c. Adolescents

32.1 Who is considered the founder of the modern parish nurse movement? a. John Wesley b. Florence Nightingale c. Jimmy Carter d. Granger Westberg

d. Granger Westberg

22.8 According to the vulnerability index, the individual at highest risk for death is: a. a 46-year-old person who has been homeless for 2 months and has HIV. b. a 22-year-old person who lives in a homeless shelter and is addicted to heroin. c. a 65-year-old person who is being evicted from his home after living there for 25 years. d. a 60-year-old person who has been homeless for 9 months.

d. a 60-year-old person who has been homeless for 9 months.

29.1 Healthy People 2020 addresses all of the following goals for children and adolescents except: a. physical activity. b. sex education and HIV prevention. c. smoking prevention. d. cardiovascular accidents, stroke, and diabetes.

d. cardiovascular accidents, stroke, and diabetes.

27.3 Child maltreatment cases are most frequently attributed to: a. sexual abuse. b. physical abuse. c. psychological abuse. d. neglect.

d. neglect.

16.1 The community health nurse is aware that one of the five leading causes of infant death in the U.S. is: a. respiratory distress. b. circulatory system disease. c. neonatal infections. d. sudden infant death syndrome (SIDS).

d. sudden infant death syndrome (SIDS).

26.6 All of the following outcomes may contribute to the diagnosis of substance abuse except: a. the substance use has placed someone in danger. b. the individual uses the substance despite negative consequences. c. the substance use interferes with the ability to function at work or at home. d. the client is without a job.

d. the client is without a job.

23.7 In contrast to people who live in urban areas, rural residents frequently describe their health by their ability to: a. avoid hospitalizations. b. maintain social connections. c. perform activities of daily living. d. work and be productive.

d. work and be productive.

16.4 Health prevention activities targeting the 13- to 18-year-old population must be based on the knowledge that a priority health threat faced by adolescents is: a. inadequate problem solving and coping skills. b. avoidance of preventive health services. c. engaging in risk-taking behaviors. d. sexual activity.

c. engaging in risk-taking behaviors.

16.9 Despite nursing activities and public awareness campaigns on this topic, many women face barriers to good health throughout their lives. The barriers to good health women face include the following: (Select all that apply.) a. racism. b. poverty. c. violence. d. living in a suburban area. e. lack of access to health care.

a. racism. b. poverty. c. violence. e. lack of access to health care.

30.3 Which of the following activities implemented by an occupational health nurse would be considered primary prevention? a. Annual blood pressure, cholesterol, and diabetes screenings b. Negotiation with an employer for an onsite fitness program for all employees c. Scheduling a mobile mammography van to see employees older than age 40 and their wives d. Overseeing a weight loss competition among workers who are considered to be morbidly obese

a. Annual blood pressure, cholesterol, and diabetes screenings

18.8 Public health nurses should be aware that factors that impede men's health include: (Select all that apply.) a. risk-taking behaviors. b. infrequent use of the health care system. c. gaps in preventative health behaviors. d. lack of male health care providers. e. financial ability.

a. risk-taking behaviors. b. infrequent use of the health care system. c. gaps in preventative health behaviors. e. financial ability.

30.5 Which of the following occupational health nursing interventions is an appropriate tertiary level strategy? a. Negotiation of workplace accommodation for a worker with a disability b. Work with an employer to build an onsite fitness center c. Providing health-screening programs to detect conditions that could aggravate the disability of worker d. Get automated external defibrillators AEDs for the workplace and train workers on how to use them

a. Negotiation of workplace accommodation for a worker with a disability

33.10 .Which of the following services are reimbursable home health care services under Medicare Title XVIII of the Social Security Act? (Select all that apply.) a. Nursing care b. Social services c. Nutritional services d. Physical therapy e. Occupational therapy

a. Nursing care b. Social services d. Physical therapy e. Occupational therapy

27.1 As a school nurse, you know the leading reason cited as the cause of school violence is: a. use of violence to handle disputes. b. an unhappy home life. c. overly protective parental situations. d. poor communication with authority figures.

a. use of violence to handle disputes.

29.3 A week before finals, a school nurse assesses a 15-year-old girl complaining of vague symptoms. All of the following symptoms or behaviors should result in an immediate request for parent or guardian conference and referral to a physician for further evaluation except: a. problems eating or sleeping. b. problems making decisions. c. frequent requests for a visit to the school nurse. d. inability to concentrate.

c. frequent requests for a visit to the school nurse.

20.6 A community health nurse needs to understand that most families in today's society can be described as which of the following? a. Blended b. Nuclear c. Extended d. Defined by its members

d. Defined by its members

20.1 Which of the following descriptions does NOT reflect a current definition of family? a. A social unit interacting with the larger society b. Individuals living together related by kinship, marriage, or choice c. Mother, father, and children interacting with extended family d. Two or more persons living together who share common interests

d. Two or more persons living together who share common interests

22.9 The U.S. Department of Education defines a homeless child as: a. a child abandoned in a hospital. b. a child in foster care. c. a child in a group home. d. a child living with a grandparent.

a. a child abandoned in a hospital.

18.9 A 50-year-old male client should be counseled to receive the following preventive health screenings: (Select all that apply.) a. blood pressure check every 2 years. b. dental examination every year. c. eye examination every 3 to 5 years. d. colorectal screening every 3 to 5 years. e. abdominal aortic aneurysm screening every 2 to 3 years.

a. blood pressure check every 2 years. b. dental examination every year. c. eye examination every 3 to 5 years. d. colorectal screening every 3 to 5 years.

16.2 Keeping in mind the Healthy People 2020 objectives, the community health nurse is aware that education and actions focused on one specific risk factor may result in a significant reduction in childhood deaths. This is because the leading cause of death for all children older than the age of 1 year is: a. unintentional injuries. b. drowning. c. choking. d. motor-vehicle related injuries.

a. unintentional injuries.

16.5 Children living below the poverty threshold account for what percentage of the U.S. population? a. 8% b. 22% c. 35% d. 44%

b. 22%

27.4 Which of the following clients is at highest risk for elder abuse? a. A 75-year-old nursing home client who is alert and has osteoporosis b. A 70-year-old client being with dementia cared for at home c. A 65-year-old client who has just had a hip replacement d. A 72-year-old client on a rehabilitation unit with bilateral above-the-knee amputations

b. A 70-year-old client being with dementia cared for at home

25.5 Which statement indicates that further teaching is needed for a patient involved in family planning? a. "I can't get human papilloma virus (HPV) from my boyfriend because he doesn't have genital warts." b. "I need to use condoms to prevent transmission of sexually transmitted diseases." c. "Even though I have no signs or symptoms, I still may have Chlamydia." d. "I can give my unborn baby warts during childbirth."

a. "I can't get human papilloma virus (HPV) from my boyfriend because he doesn't have genital warts."

32.6 A congregational health nurse is trying to establish a health program that is balanced across all levels of prevention (primary, secondary, and tertiary). An example of a secondary health intervention the nurse might consider would be: a. arranging for a mobile mammography unit to come to the church to provide low-cost mammograms. b. organizing a support group for widows and widowers. c. providing vaccinations against influenza to interested parishioners. d. setting up a system that would facilitate referrals to community providers for primary care.

a. arranging for a mobile mammography unit to come to the church to provide low-cost mammograms.

24.9 Ms. L is being treated for depression. Which of the following statements by her indicates a need for further education? a. "My medication will cure me of my depression." b. "A side effect of my medication (Prozac) may be gastrointestinal upset." c. "I need to keep my follow-up appointment for medication management." d. "I should not stop taking my medication without checking with my doctor first."

a. "My medication will cure me of my depression."

29.8 A school nurse evaluates the implementation of health promotion in a high school staff. Which of the following indicates a need for more education? a. A flyer advertising an ice cream and pizza party for the student awards program b. Condoms being provided in all restrooms of the school c. A decrease in missed days at school d. The discontinuation of the availability of soft drinks and candy in vending machines during school instructional hours

a. A flyer advertising an ice cream and pizza party for the student awards program

22.10 Public health policy in the United States is influenced by two types of justice, market justice and social justice. Examples of market justice include which of the following? (Select all that apply.) a. All people are entitled to the status they create for themselves. b. All people are entitled to a livable minimum wage. c. All people are entitled to happiness if they put forth enough effort. d. All people are entitled to the income they work for. e. All people are entitled to access to health care.

a. All people are entitled to the status they create for themselves. c. All people are entitled to happiness if they put forth enough effort. d. All people are entitled to the income they work for.

28.10 The community health nurse is working in an emergency shelter with displaced families. Which of the following clients have risk factors for posttraumatic stress disorder (PTSD)? (Select all that apply.) a. An 18-year-old client with a previous gunshot wound b. A 50-year-old client who saw people die in the disaster c. A 23-year-old client experiencing extreme fear d. A 60-year-old client who had little social support before the event e. A 35-year-old client with a history of schizophrenia

a. An 18-year-old client with a previous gunshot wound b. A 50-year-old client who saw people die in the disaster c. A 23-year-old client experiencing extreme fear e. A 35-year-old client with a history of schizophrenia

21.10 Which of the following are appropriate when working with people with disabilities? (Select all that apply.) a. Asking a wheelchair-dependent person if he or she needs help and how you can assist. b. Assuming that a person who is blind knows who is speaking or who is present; otherwise, you might embarrass the individual. c. Sitting or kneeling at eye level whenever possible when talking with someone who is wheelchair dependent. d. Speaking distinctly and a little slowly to someone who is hearing impaired. e. Petting a service dog and complimenting him on what a good boy he is.

a. Asking a wheelchair-dependent person if he or she needs help and how you can assist. c. Sitting or kneeling at eye level whenever possible when talking with someone who is wheelchair dependent. d. Speaking distinctly and a little slowly to someone who is hearing impaired.

20.10 Which of the following characteristics is demonstrated by healthy or energized families? (Select all that apply.) a. Communication is appropriate and clear. b. Support and respect are evident and appreciated. c. Roles are static and change only in times of crisis. d. Common beliefs and values are shared. e. Members play and share leisure time appropriately.

a. Communication is appropriate and clear. b. Support and respect are evident and appreciated. d. Common beliefs and values are shared. e. Members play and share leisure time appropriately.

23.2 Which of the following statements best describes the demographics of rural America? a. Despite the shrinking number of family farms and full-time farmers, agriculture continues to be an important part of the rural and U.S. economy. b. There has been a shift in the economic base of rural America as more communities are dependent on income generated from mining and construction. c. There has been a decline in diversity in rural America, with more Hispanics and youth moving to urban areas rather than rural communities and small towns. d. There are more positive health behaviors (e.g., less smoking, obesity, and drug use) among residents of rural America when compared with urban America.

a. Despite the shrinking number of family farms and full-time farmers, agriculture continues to be an important part of the rural and U.S. economy.

20.9 The community health nurse assesses the family as a system within the context of their environments using which approach? a. Ecological framework b. Social network framework c. Transaction model d. General systems theory

a. Ecological framework

25.10 Which of the following factors causes primary vaccine failure? (Select all that apply.) a. Inefficient storage b. An intramuscular vaccine injection given subcutaneously c. Waning immunity in immunocompromised patients d. Light-sensitive vaccines exposed to light e. Seroconversion

a. Inefficient storage b. An intramuscular vaccine injection given subcutaneously d. Light-sensitive vaccines exposed to light e. Seroconversion

20.4 The composition of the family is an example of which of the following? a. Internal structure b. External structure c. Subsystem d. Large system

a. Internal structure

21.6 Which of the following statements describes the social construct paradigm for disability (as opposed to the medical model)? a. It focuses on the modification of attitudinal, architectural, sensory, and economic barriers in the environment. b. It discourages full citizenship for people with disabilities. c. Health professionals prescribe interventions to remedy functional limitations of the ill person. d. It focuses on problems and solutions related to the individual.

a. It focuses on the modification of attitudinal, architectural, sensory, and economic barriers in the environment.

27.6 Which of the following statements about homicide in the United States is false? a. Most homicides are caused by stabbings. b. Homicide is the third leading cause of death for 1- to 4-year-old children. c. Blacks are more likely to be the victims of homicide than whites. d. Over 50% of homicide victims are killed by someone they knew.

a. Most homicides are caused by stabbings.

28.4 You teach a community disaster preparedness class on how to find shelter during and after a disaster situation. This is an example of what kind of prevention? a. Primary b. Secondary c. Tertiary d. Disaster

a. Primary

26.1. On discharge after treatment for alcoholism, a client plans to take disulfiram (Antabuse) as prescribed. When teaching the client about this drug, the nurse emphasizes the need to: a. avoid all products containing alcohol. b. adhere to concomitant vitamin B therapy. c. return for monthly blood drug level monitoring. d. limit alcohol consumption to a moderate level.

a. avoid all products containing alcohol.

30.8 An essential strategy to deal with the complexities of the workplace and workforce is for the occupational health nurse to do which of the following? a. Recognize the need to work as a part of an interdisciplinary team. b. Seek legal counsel to stay informed of the legislative mandates influencing the workforce. c. Engage in political action in order to have input into the revision of the Healthy People 2020 document. d. Participate in program planning to develop a model to ensure advanced education for all workers.

a. Recognize the need to work as a part of an interdisciplinary team.

24.6 Tony, age 16 years, comes to see you, the school nurse, with complaints of abdominal pain. You note that Tony exhibits signs and symptoms of depression, states he wishes he did not wake up today, and exhibits signs of anxiety. You would do which of the following? a. Refer him immediately for evaluation. b. See him back in your office next week. c. Refer him next month for evaluation. d. Do nothing; this is normal in a 16-year-old boy.

a. Refer him immediately for evaluation.

24.3 Mr. T has been admitted to the mental health floor for evaluation. You, the nurse, note that he has displayed hallucinations, disorganized thinking and speech, and bizarre behavior. He has a flat affect, lack of energy, and poor attention. You know that these are symptoms of what disorder? a. Schizophrenia b. Depression c. Anxiety d. Panic disorder

a. Schizophrenia

18.4 Mr. K, age 35 years, is in the nursing clinic for a follow-up health visit. Additional gender-specific educational information should be offered about which of the following subjects? a. Seat belt usage b. Falls c. Digital rectal exams d. Immunizations

a. Seat belt usage

22.7 Which model supports upstream thinking with the purpose to improve homelessness through reduction of structural conditions contributing to homelessness? a. Social justice b. Market justice c. Physical justice d. Mental justice

a. Social justice

18.1 Mr. H, an 85-year-old-man, has recently lost his wife. He comes to the local health department to have his blood pressure checked quite often. The nurse should recognize that Mr. H is at greater risk for what? a. Suicide b. Homicide c. Accidental injury d. HIV infection

a. Suicide

26.9 Which of the following statements about adolescent substance abuse is FALSE? a. Teen use of cigarettes and smokeless tobacco is increasing. b. Alcohol use among youth declined between 2010 and 2011. c. Most of the movement in teen substance abuse has been in the downward direction. d. Marijuana use among teens is increasing.

a. Teen use of cigarettes and smokeless tobacco is increasing.

27.8 Which of the following individuals should be evaluated for intimate partner violence (IPV)? (Select all that apply.) a. The 24-year-old white woman with low self-esteem b. The 33 year-old black divorced single mother c. The 18-year-old Hispanic gay man with multiple sexual partners d. The 50-year-old Asian man who is addicted to methamphetamine e. The 48-year-old black woman who was recently hospitalized for depression

a. The 24-year-old white woman with low self-esteem c. The 18-year-old Hispanic gay man with multiple sexual partners d. The 50-year-old Asian man who is addicted to methamphetamine e. The 48-year-old black woman who was recently hospitalized for depression

17.6 Jane, who is 12 weeks' pregnant, has been having preterm complications with her pregnancy, and her physician has placed her on bed rest. As a result, she will be unable to return to work. Which of the following laws will protect her future employment? a. The Family and Medical Leave Act (FMLA) b. Affordable Health Care Act (ACA) c. Social Security Act d. Public Health Service Act

a. The Family and Medical Leave Act (FMLA)

27.9 Which of the following assessment findings by the community health nurse would suggest that an elderly client may be the survivor of physical abuse by a caregiver? (Select all that apply.) a. The client has a laceration on her forehead that was sutured. b. The client has a flat affect. c. The client has bruises on her forearms in various stages of healing. d. The client withdraws from soft touch. e. The client is not sexually active but has a diagnosis of Chlamydia.

a. The client has a laceration on her forehead that was sutured. c. The client has bruises on her forearms in various stages of healing. e. The client is not sexually active but has a diagnosis of Chlamydia.

22.4 Which of these statements is true regarding income insufficiency in the United States? a. The poverty rate increased between 2007 and 2010. b. People who make minimum wage would not be categorized as impoverished. c. Alcoholism is the major reason for lack of employment. d. The median household income in 2011 was around $40,000.

a. The poverty rate increased between 2007 and 2010.

28.8 Chemical warfare agents such as pulmonary agents and cyanides are classified as which of the following? a. Weapons of mass destruction b. Computer-based attack weapons c. Recovery agents d. Prevention medications

a. Weapons of mass destruction

32.10 Faith community nurse activities related to end-of-life care include the following: (Select all that apply.) a. establishing health care surrogates. b. providing home visits to dying congregational members. c. providing emotional support to grieving family members. d. developing grief support groups. e. drawing up and notarizing living wills.

a. establishing health care surrogates. b. providing home visits to dying congregational members. c. providing emotional support to grieving family members. d. developing grief support groups.

26.10 Personality traits associated with an increased risk of alcohol abuse include: (Select all that apply.) a. impulsive. b. shy. c. withdrawn. d. disinhibited. e. aggressive.

a. impulsive. d. disinhibited.

19.10 The nurse is facilitating a support group for caregivers of parents with dementias. She discusses strategies to ensure safety of the client who wanders. These strategies include: (Select all that apply.) a. inform the local police of the potential problem. b. keep current pictures of the client available. c. consider restraining the client when left alone. d. place bells on doors. e. use childproof doorknobs.

a. inform the local police of the potential problem. b. keep current pictures of the client available. d. place bells on doors. e. use childproof doorknobs.

23.3 The number one health concern identified by the majority of rural health care leaders is: a. lack of health insurance. b. limited access to health care. c. increase in communicable diseases. d. social isolation of rural dwellers.

a. lack of health insurance.

29.10 A goal set by Healthy People 2020 includes education to middle, junior, and senior high school students in priority areas. These areas include: (Select all that apply.) a. lack of physical activity. b. poor nutrition. c. alcohol and drug use. d. poor organizational skills. e. injury and violence.

a. lack of physical activity. b. poor nutrition. c. alcohol and drug use. e. injury and violence.

18.10 Physiological gender differences that may account for increased mortality rates for men include all of the following except: (Select all that apply.) a. male immune systems are weaker than women's. b. men have higher levels of stored iron than women. c. men have fat stores in their abdomen. d. men'ss testosterone levels are cardiac protective. e. men'ss brain cells die faster than women's.

a. male immune systems are weaker than women's. b. men have higher levels of stored iron than women. c. men have fat stores in their abdomen. e. men'ss brain cells die faster than women's.

18.6 The community health nurse's commitment to health for all requires an increased awareness of men's health issues; however, men are less likely than women to be seen by a community health nurse. This is because: a. maternal and child care are the major focus of many public health departments. b. preventative reproductive health care is the only service available for men. c. community health nurses do not have the competencies to focus on men's health care needs. d. health department hours are flexible.

a. maternal and child care are the major focus of many public health departments.

18.7 Many barriers exist that prohibit positive male health behavior. One barrier that may exist for men is illness orientation. This is because: a. men may be aware of being ill, but they make a conscious decision not to seek health care to avoid being labeled as "sick" b. men do not have routine reproductive health checkups that include screening. c. men may be less willing to talk, may not recall health problems, and may lack a health vocabulary. d. male health concerns are addressed by specialists and generalists who have not received gender-specific training that would enable them to focus on men's health needs.

a. men may be aware of being ill, but they make a conscious decision not to seek health care to avoid being labeled as "sick"

31.10 All of the following factors contribute to the infection spread rate in a correctional setting: (Select all that apply.) a. overcrowding. b. poor ventilation. c. rapid movement of inmates in and out of jail. d. the number of minorities in the setting. e. an increase in undocumented immigrants in the correctional system.

a. overcrowding. b. poor ventilation. c. rapid movement of inmates in and out of jail.

17.8 A 35-year-old woman came to her appointment for her yearly mammogram and Pap smear. Her physician discussed with her the risk factors for developing breast cancer. The following are risk factors for breast cancer: (Select all that apply.) a. personal or family history of breast cancer. b. early age of menarche. c. late age at menopause. d. fibrocystic breast disease. e. multiparous.

a. personal or family history of breast cancer. b. early age of menarche. c. late age at menopause.

21.9 One strategy for the community health nurse in caring for people with disabilities is becoming a powerful advocate. This involves: a. providing information but allowing the person to make the decision. b. supporting the person's choice if it does not conflict with the nurse's. c. taking control of the person's life and health care. d. speaking on the person's behalf.

a. providing information but allowing the person to make the decision.

23.10 .A community health nurse is concerned about reducing the fatal injuries to America's rural children. To address this problem, the nurse organizes a community of solution (see Chapter 1). For this group, it would be important to have representatives from all of the following groups or organizations: (Select all that apply.) a. the Department of Public Highway and Safety. b. emergency department staff (both doctors and nurses) from local hospitals. c. teachers and coaches from area schools. d. area employers. e. city or county government.

a. the Department of Public Highway and Safety. b. emergency department staff (both doctors and nurses) from local hospitals. c. teachers and coaches from area schools. e. city or county government.

30.2 There was an increase in the number and voice of occupational health nurses during the years of 1938 to 1943. All of the following occurrences explain the rationale for this change except: a. the U.S. Department of Health and Human Services mandated occupational health nurses be hired for industrial settings that employed more than 350 people. b. a national association for the specialty of occupational health nursing was created. c. more women entered the workforce, changing the demographics of the workplace. d. the government demanded health services for defense contract workers.

a. the U.S. Department of Health and Human Services mandated occupational health nurses be hired for industrial settings that employed more than 350 people.

31.2 A 16-year-old young woman arrives at the local emergency department (ED) early Sunday morning and states, "I was on a date last night, and the last thing I remember was eating dinner with my boyfriend." She comments that she woke up in her bed with her clothes "messed up" and states, "I just don't feel right down there" as she points to her genital area. She appears medically stable. Which of the following health care providers would be most appropriate to conduct the physical examination? a. An experienced obstetrical nurse because the patient could be pregnant b. A SANE (sexual assault nurse examiner) c. The physician on call in the ED department d. An emergency nurse

b. A SANE (sexual assault nurse examiner)

32.7 Which of the following interventions is an example of primary prevention in parish nurse practice? a. Identifying individuals and families at risk b. Assessment and teaching about parenting c. Providing education programs d. Providing resources for rehabilitation

b. Assessment and teaching about parenting

30.10 Important historical events leading to the development of occupational health nursing as a specialty practice include which of the following? (Select all that apply.) a. Lillian Wald, the first public health nurse, established the Visiting Nurse Service of New York. b. Betty Moulder was employed by a group of companies to care for coal miners and their families. c. Ada Mayo Stewart was hired by the Vermont Marble Company to care for the company's workers. d. A nursing service was established for employees of the Frederick Loeser department store in Brooklyn, New York. e. Anna B. Duncan was employed by the John Wanamaker Company to visit sick employees at home.

b. Betty Moulder was employed by a group of companies to care for coal miners and their families. c. Ada Mayo Stewart was hired by the Vermont Marble Company to care for the company's workers. d. A nursing service was established for employees of the Frederick Loeser department store in Brooklyn, New York. e. Anna B. Duncan was employed by the John Wanamaker Company to visit sick employees at home.

20.2 Two unrelated heterosexual adults that share a housing unit with their three children is an example of which of the following? a. Nuclear family b. Cohabitation c. Internal structure d. External structure

b. Cohabitation

23.5 Based on the common illnesses and risky health behaviors among farmers, the community health nurse should implement which of the following health promotion activities? a. Partner with the local health department to offer smoking cessation classes for farmers and their spouses. b. Collaborate with health care providers and provide support and education for farmers with respiratory conditions and their families. c. Collaborate with health care providers to conduct skin assessments at a meeting of local farmers. d. Work with mental health consultations to outline a community-based program to address the high rate of suicide and depression among farmers. e. Plan, implement, and evaluate an outreach program designed to improve the cardiovascular status of farmers and their families.

b. Collaborate with health care providers and provide support and education for farmers with respiratory conditions and their families.

28.2 A family of five people presented to a hospital after the flooding of their urban home. These family members are classified as which of the following? a. Poverty victims b. Displaced persons c. Indirect victims d. Mass casualties

b. Displaced persons

20.7 A client provides information regarding medical and health history. This is an example of which of the following assessment tools? a. Genogram b. Family health tree c. Ecomap d. Ancestry mapping tool

b. Family health tree d. Ancestry mapping tool

20.8 The community health nurse understands that events such as divorce, remarriage, or separation of parents have the potential to affect the family and individuals within the family. This demonstrates the nurse's understanding of which family theory? a. Structure-function family theory b. Family systems theory c. Family communication theory d. Developmental theory

b. Family systems theory d. Developmental theory

32.2 Which of the following faith community nurse roles includes lobbying for beneficial health policy? a. Health educator b. Health advocate c. Integrator of health and healing d. Coordinator of volunteers

b. Health advocate

28.7 Which phase of the community response to disaster includes medical personnel contributing long hours of volunteer work helping unfamiliar people after a disaster? a. Honeymoon phase b. Heroic phase c. Reconstruction phase d. Disillusionment phase

b. Heroic phase

33.2 Which of the following does NOT accurately describe home health nursing as "officially" defined by the U.S. Department of Health and Human Services (USDHHS)? a. Home health care is a system of comprehensive health care for people in their homes. b. Home health care is provided to homebound or disabled people in any residence or medical facility. c. Home health care has as its purpose to promote, maintain, or restore a client's health. d. Home health care requires a coordinated plan of care provided by professional health care providers.

b. Home health care is provided to homebound or disabled people in any residence or medical facility.

33.6 .The primary purpose of hospice care is to do which of the following? a. Provide anticipatory grief support to the patient and family. b. Improve the quality of life for the terminally ill patients. c. Decrease the cost of traditional home health services. d. Coordinate the services reimbursed by Medicare for terminally ill patients

b. Improve the quality of life for the terminally ill patients.

17.1 A 41-year-old pregnant black client, who is at 35 weeks of gestation, has not seen a physician throughout her pregnancy. Which of the following factors places her most at risk for maternal mortality? a. Sexually transmitted infections and disorders b. Lack of prenatal care and advanced maternal age c. Cultural and ethnic influences d. Socioeconomic status and urban dwelling

b. Lack of prenatal care and advanced maternal age

24.10 Mr. B has been diagnosed with a severe mental illness. The nurse may expect Mr. B to exhibit which of the following? (Select all that apply.) a. Independence b. Low self-esteem c. Difficulty forming relationships d. Positive self-image

b. Low self-esteem c. Difficulty forming relationships

18.2 Which of the following statements comparing health risks between men and women is true? a. Men have a higher incidence rate for acute infective and parasitic diseases, digestive system conditions, and respiratory conditions than women. b. Men are at greater risk for higher morbidity and mortality rates for conditions that are the leading causes of death (e.g., heart disease, cancer, stroke) compared with women. c. Men are less likely than women to die from unintentional injuries. d. Men are less likely than women to be involved in criminal activities.

b. Men are at greater risk for higher morbidity and mortality rates for conditions that are the leading causes of death (e.g., heart disease, cancer, stroke) compared with women.

33.1 .Which of the following statements is true concerning home health nursing? a. Home health nursing is a new nursing specialty originating with the inception of Medicare in the 1960s. b. Florence Nightingale is credited with creating the idea of home health nursing. c. Home health nursing has as a purpose to provide nursing care to individuals and clients in their homes. d. Home health nursing has as a purpose to provide nursing care only for the referred individual patient.

c. Home health nursing has as a purpose to provide nursing care to individuals and clients in their homes.

22.3 What is the purpose of the Homeless Information Management System (HIMS)? a. Provides means to feed homeless people b. Obtains national data on homeless individuals c. Serves as a screening tool to obtain any history of criminal activity d. Provides homeless individuals with educational materials

b. Obtains national data on homeless individuals

30.9 Legislation passed in the early 1970s that requires employers to provide a place of employment free from recognized hazards to the employees is correctly referred to as the: a. Americans with Disabilities Act. b. Occupational Safety and Health Act. c. Workers' Compensation Act. d. Occupational Health and Safety Administration.

b. Occupational Safety and Health Act.

31.6 Joanne, a 37-year-old incarcerated woman, is reluctant to seek medical attention for a routine Pap smear. The correctional nurse knows which of the following? a. This is usual; women do not seek health services as much as men in this setting. b. Other factors may be influencing Joanne's hesitancy in seeking medical attention. c. Joanne is delaying the visit because she probably has a sexually transmitted disease or HIV. d. Because she is not sexually active, Joanne is not in need of a Pap smear at this time.

b. Other factors may be influencing Joanne's hesitancy in seeking medical attention.

23.4 Agricultural workers are at high risk for occupational injuries and illnesses. To reduce the most common cause of fatalities among youth on farms, which of the following is the most important strategy for the community nurse to implement? a. Planning a community media campaign advocating the use of helmets b. Partnering with the county extension agent to offer tractor safety classes c. Working with local health care providers to encourage use of personal protective equipment, such as hearing and respiratory protection d. Offering a class for local health care providers addressing the signs and symptoms of pesticide toxicity

b. Partnering with the county extension agent to offer tractor safety classes

31.8 Joe is released from the correctional facility to return to the community. The facility is required to do which of the following? a. Help with job placement. b. Provide his psychotropic medications until he sees his physician. c. Assist in finding housing. d. Provide health care for the first year out of prison.

b. Provide his psychotropic medications until he sees his physician.

29.5 A 6-year-old child fails a routine vision screening on a Snellen chart at a school-based health center. The appropriate action by the nurse is to do which of the following? a. Rescreen the child in the following year. b. Refer the child to an eye specialist. c. Use a Rosenbaum chart instead of a Snellen chart. d. Do an internal ophthalmologic examination.

b. Refer the child to an eye specialist.

30.6 Which of the following actions of the occupational health nurse is NOT mandated by state or federal regulations? a. Maintaining confidentiality of medical records b. Reporting accusations of sexual harassment to local police c. Recording and reporting occupational injuries and illnesses d. Providing personal protective equipment training

b. Reporting accusations of sexual harassment to local police

16.3 A school nurse performs all of the following activities. Which one demonstrates primary prevention? a. Establishing an after-school group for latch-key children b. Reviewing immunization records c. Obtaining grant funding to test for serum lead levels d. Vision and hearing screening

b. Reviewing immunization records

25.4 Investigating all contacts of a person infected with a sexually transmitted disease is an example of what? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Initial prevention

b. Secondary prevention

32.3 In the role of personal health counselor, the faith community nurse would do which of the following? a. Explain how to take a prescribed medication. b. Teach signs and symptoms of hypertension and stroke to the congregation. c. Train volunteers to work with the parish nurse program. d. Arrange for health screenings through the local health department.

b. Teach signs and symptoms of hypertension and stroke to the congregation.

26.2 A high school student is referred to the school nurse for suspected substance abuse. After the nurse's assessment and interventions, what would be the most desirable outcome? a. The student discusses conflicts over drug use. b. The student accepts a referral to a substance abuse counselor. c. The student agrees to inform his parents of the problem. d. The student reports increased comfort with making choices.

b. The student accepts a referral to a substance abuse counselor.

26.7 A survey done by The National Institute on Drug Abuse (NIDA) found that the most commonly abused prescription drug among high-school seniors is: a. OxyContin. b. Vicodin. c. Xanax. d. codeine.

b. Vicodin.

33.9 According to the American Nurses Association's (ANA) Scope and Standards of Home Health Nursing Practice, basic preparation for the generalist home health nurse is: a. an associate degree in nursing. b. a baccalaureate degree in nursing (BSN). c. a diploma in nursing. d. a master of science degree in nursing.

b. a baccalaureate degree in nursing (BSN).

19.3 The nurse is aware that a risk factor for elder abuse is: a. a caregiver with low income. b. an elder with urinary incontinence. c. an elder who is irritable and demanding. d. a caregiver with a strong need for control.

b. an elder with urinary incontinence.

24.8 Ms. W, 18 years old, presents at a community clinic describing vague complaints. She explains that she recently dropped out of high school and is having trouble keeping a job. She notes that she has difficulty concentrating and has used drugs (i.e., marijuana and alcohol) when riding motorcycles with friends. When conducting the initial assessment, the RN should include questions and tools that would screen for: a. depression. b. attention-deficit disorder/attention deficit hyperactivity disorder (ADD/ADHD). c. posttraumatic stress disorder. d. obsessive-compulsive disorder.

b. attention-deficit disorder/attention deficit hyperactivity disorder (ADD/ADHD)

16.10 Preterm birth and low birth weight are the most important predictors of infant health. Factors associated with preterm birth and low birth weight include: (Select all that apply.) a. age younger than 25 years. b. chronic stress. c. poverty. d. minority status. e. first pregnancy.

b. chronic stress. c. poverty. d. minority status.

21.8 Nurses can help parents and family members adjust to a child with a disability by: a. withholding some noncritical information about the condition to decrease the impact. b. establishing a partnership between the parent and health care team. c. making decisions on behalf of the child and the family. d. teaching the family to avoid social networks and support groups to refrain from co-dependency.

b. establishing a partnership between the parent and health care team.

19.6 In preparing a presentation for seniors and supportive family members, the nurse includes safety information. This is in response to the knowledge that the leading cause of death due to injuries for seniors is: a. fire. b. falls. c. heat or cold stress. d. motor vehicle accidents.

b. falls.

29.6 A school nurse knows that under the Family Educational Rights and Privacy Act, a student's health record can be released: a. if the student is not a minor. b. in an emergency. c. to educators not involved in the student's education. d. without the student's or guardian's permission.

b. in an emergency.

22.2 The Brown family is being evicted from their home and will be moving into a homeless shelter in 3 days. Under the Department of Housing and Urban Development (HUD) definition, the Brown family is: a. literally homeless. b. in imminent risk of homelessness. c. homeless under other federal statutes. d. fleeing or attempting to flee domestic violence.

b. in imminent risk of homelessness.

19.8 The community health nurse is reviewing the Healthy People 2020 objectives. She understands a primary goal for the elderly population is: a. decrease the proportion of older adults who have diabetes. b. increase the proportion of older adults with reduced physical or cognitive function who engage in light, moderate, or vigorous leisure-time physical activities. c. increase the proportion of older adults who qualify for Medicare benefits. d. increase the proportion of older adults who seek medical care for chronic conditions.

b. increase the proportion of older adults with reduced physical or cognitive function who engage in light, moderate, or vigorous leisure-time physical activities.

30.1 Occupational health nursing is best described as a specialty practice that focuses on: a. providing comprehensive health care service to workers and their families. b. promoting, preventing, and restoring health within the context of a safe and healthy environment. c. preventing adverse effects from occupational and environmental hazards at the workplace. d. planning, implementing, and evaluating safety programs for workers at the workplace.

b. promoting, preventing, and restoring health within the context of a safe and healthy environment.

25.8 A pathogen lives and multiplies in a __________ and transfers from one host to another by a __________. a. host, susceptible portal of entry b. reservoir, mode of transmission c. infectious agent, portal of exit d. mode of transmission, reservoir

b. reservoir, mode of transmission

27.10 The school nurse is interviewing a student who has been assaulted by another student. Both students proclaim to be gang members. The nurse understands the reasons most youth give for joining a gang include the following: (Select all that apply.) a. financial gain. b. sense of belonging. c. peer pressure. d. relative is in a gang. e. need for respect.

b. sense of belonging. c. peer pressure. e. need for respect.

23.6 Migrant and seasonal farm workers constitute a high-risk population due to their low income and migratory status. These workers lack adequate access to preventive services. The most important role of the rural community health nurse in meeting the health care needs of this vulnerable population is to: a. address the multiple communicable diseases of these farm workers. b. serve as an advocate working to gain health care access for these farm workers. c. participate in political activities with an emphasis on changing immigration laws. d. learn to speak Spanish to improve communication with this specific population.

b. serve as an advocate working to gain health care access for these farm workers.

17.7 American Cancer Society (ACS) (2012) recommendations for breast self-exam (BSE) include: (Select all that apply.) a. BSE should be taught to women beginning their 40s. b. the correct technique for BSE should be taught to improve detection of abnormalities. c. BSE should be performed monthly. d. women at higher risk of breast cancer may benefit from regular BSE. e. it is acceptable for women to choose not to perform BSE.

b. the correct technique for BSE should be taught to improve detection of abnormalities. d. women at higher risk of breast cancer may benefit from regular BSE. e. it is acceptable for women to choose not to perform BSE.

19.9 In the role of advocate, the community health nurse recognizes that compared with men in the same age range, women age 65 years and older are most at risk for: a. divorce. b. widowhood. c. social isolation. d. criminal victimization (e.g., robbery, burglary, assault).

b. widowhood.

21.1 According to the ICF (International Classification of Functioning, Disability, and Health), which of the following would be classified as a disability? a. Detached retina b. Need to use a powered wheelchair c. Spinal cord injury d. Amputation

b.Need to use a powered wheelchair

26.3 The community health nurse is trying to encourage a client to attend Alcoholics Anonymous meetings. When the client asks the nurse what he must do to become a member, the nurse should respond: a. "You must first stop drinking." b. "Your physician must refer you to this program." c. "Admit you are powerless over alcohol and that you need help." d. "You must bring along a friend who will support you."

c. "Admit you are powerless over alcohol and that you need help."

33.8 Which of the following statements would indicate that the hospice patient's caregiver understood the nurse's instructions related to pain management? a. "I didn't wake him (the patient) up last night for the 2:00 AM dose because he was sleeping." b. "I gave him (the patient) the ordered medicine whenever he complained of pain." c. "I gave the pain medicine every 3 hours as we planned even when he (the patient) didn't complain of pain." d. "I'm worried he (the patient) will become hooked on the medicine, so I only gave one-half of the dose."

c. "I gave the pain medicine every 3 hours as we planned even when he (the patient) didn't complain of pain."

19.2 A client who regularly participates in activities at the local senior center is celebrating his 65th birthday today. Without regard to gender, according to the U.S. average, how many additional birthdays can he anticipate celebrating? a. 10 b. 14 c. 18 d. 22

c. 18

28.1 Which of the following describes a NA-TECH (natural technological) type of disaster? a. A flood covering crops and recreational areas of a geographic area b. A terrorism attack causing major interruption of communication technologies c. A tornado resulting in flood and destruction of electrical systems for a community d. A nuclear accident at a power plant causing evacuation of people in an urban community

c. A tornado resulting in flood and destruction of electrical systems for a community

26.5 The wife of an alcoholic client is considering joining a support group to help her respond to her husband's condition in a healthy way. Where should the nurse refer this client? a. A psychiatrist for a referral to a suitable group b. Spouses Anonymous c. Al-Anon d. Alcoholics Anonymous

c. Al-Anon

24.7 Mr. H is a patient in the primary care center where you work as a staff nurse. He tells you that he is currently participating in a stress management program. You know that this is a form of which of the following? a. Individual therapy b. Couple therapy c. Behavioral therapy d. Family therapy

c. Behavioral therapy

33.3 The current home health care industry grew until the late 1990s, when the number of agencies and home health care services significantly declined. This decline was the result of which of the following? a. Failure of traditional home health services to change to meet the needs of clients with new needs such as AIDS patients, terminally ill patients, and increasing numbers of elderly b. Advanced technology that resulted in new procedures and equipment not possible for use in the home c. Changes in reimbursement that resulted from the implementation of the prospective payment system (PPS) for home health care, particularly for Medicare patients d. Changes in the official definition of what a home health care "skilled nursing visit" is by Social Security Amendment P.L. 98-21

c. Changes in reimbursement that resulted from the implementation of the prospective payment system (PPS) for home health care, particularly for Medicare patients

31.5 Which of the following nursing interventions is the most appropriate as an initial intervention for a prison inmate? a. Manage a chronic illness through needed education. b. Administer the routine medication ordered. c. Complete the medical history and physical assessment. d. Test for HIV and tuberculosis.

c. Complete the medical history and physical assessment.

29.9 While verifying compliance with immunization requirements, a school nurse notices that three students from the same family have not completed their immunizations. How should the nurse address this problem? a. Discuss with the principal the lack of immunizations b. Expel the children from school. c. Contact the parents and educate them about the immunization requirements. d. Pull the students from class and immunize them.

c. Contact the parents and educate them about the immunization requirements.

24.5 You work in a community clinic that specializes in pediatric mental health. Joy, age 12 years, has been diagnosed with depression. You know a major risk factor for depression in childhood is which of the following? a. Family history of diabetes b. Family history of abuse c. Family history of depression d. Family history of poverty

c. Family history of depression

28.3 Which agency has a mission to support citizens and first responders to ensure that as a nation everyone works together to build, sustain, and improve the capacity to prepare for, protect against, respond to, recover from, and mitigate all? a. American Red Cross (ARC) b. National Institute for Health (NIH) c. Federal Emergency Management Agency (FEMA) d. Centers for Disease Control and Prevention (CDC)

c. Federal Emergency Management Agency (FEMA)

25.1 Katie, a 2-year-old child, is brought to the doctor's office after 2 days of vomiting and diarrhea. Upon completion of the medical history, the mother tells the nurse that several of the other children at the daycare who played with the same toys as Katie have the same symptoms. The mode of transmission for the pathogen more likely was which of the following? a. Vector b. Direct c. Indirect d. Airborne

c. Indirect

21.5 Which of the following statements is true concerning the Individuals with Disabilities Education Act (IDEA)? a. It is designed to ensure a free, appropriate public education in the most restrictive setting. b. An IEP (Individualized Education Program) for a child is developed solely by the school professionals. c. It provides federal funding through state-administered programs from preschool through secondary education for children with disabilities. d. It removes guidelines that typically result in the termination of Medicaid and Medicare benefits for people with disabilities who return to work.

c. It provides federal funding through state-administered programs from preschool through secondary education for children with disabilities.

18.3 Higher mortality rates for male infants may be explained by which of the following? a. Male infants have a lower risk for prematurity. b. Male infants have a lower rate of respiratory distress syndrome. c. Male infants have a higher rate for infectious diseases. d. Male infants have a higher rate for musculoskeletal disorders.

c. Male infants have a higher rate for infectious diseases.

17.2 Which of the following statements is true? a. Women experience fewer disabilities resulting from chronic conditions than men do. b. Most women do not actively seek information that will allow them to be in control of their own health. c. Many factors that lead to morbidity and mortality among women are preventable. d. Women report a lower incidence of acute conditions than do males.

c. Many factors that lead to morbidity and mortality among women are preventable.

26.8 The community health nurse is visiting the home of a known substance abuser. The client is talking excessively and is excited and aggressive. The nurse notes that the patient's heart rate is 158 beats/min. The nurse recognizes the client is most likely high on which substance? a. PCP b. Alcohol c. Methamphetamine d. Inhalants

c. Methamphetamine

24.1 Mental illnesses adversely affect achievement of social justice. Which of the following statements related to marginalization of some populations because of mental illness is FALSE? a. About half of all inmates in jails and prisons have mental health problems. b. Mental illnesses can lead to employment difficulties, which adversely affects access to health insurance, thereby limiting treatment options. c. Most mental illnesses are caused by genetic factors; therefore, problems associated with them persist across generations and among certain racial and ethnic groups. d. Both natural and human-made disasters can adversely affect mental health; those with limited resources appear to be more directly impacted, and the effects persist longer.

c. Most mental illnesses are caused by genetic factors; therefore, problems associated with them persist across generations and among certain racial and ethnic groups.

33.4 Louisiana Health Care is a multistate home health organization consisting of 60 home health agencies. The company is a public company with stocks available on the open market. This is an example of what type of home health agency? a. Official agency b. Nonprofit agency c. Proprietary agency d. Certified agency

c. Proprietary agency

23.9 Which statement regarding the impact of managed care on rural public health departments is true? a. Managed care has expanded the safety-net role of many local health departments by funding primary care services. b. Medicaid's importance for rural areas is likely to decrease. c. The role of rural public health departments may increasingly narrow into areas that are currently without any type of reimbursement. d. Medicaid programs will continue to serve the rural communities on a fee-for-service basis.

c. The role of rural public health departments may increasingly narrow into areas that are currently without any type of reimbursement.

33.7 Which of the following statements differentiating hospice and traditional home health is NOT true? a. Hospice patients need not be homebound but must be certified as within the last months of life by a physician. b. Hospice services may be provided in the home, hospital, nursing home, or other health care site as appropriate. c. The type of hospice services are limited as in home health care to skilled nursing, social services, physical therapy, occupational therapy, and speech therapy. d. The hospice plan of care includes caring for the caregiver during and after the death of the patient.

c. The type of hospice services are limited as in home health care to skilled nursing, social services, physical therapy, occupational therapy, and speech therapy.

31.7 Which of the following is true of adolescents who have been convicted and incarcerated in adult facilities rather than in a juvenile facility? a. They are less likely to be sexually assaulted. b. They are usually not attacked by other inmates. c. They are more likely to commit suicide. d. They are less likely to be diagnosed with a mental illness.

c. They are more likely to commit suicide.

16.6 A community health nurse may work in a collaborative role with which program that provides nutritious foods, nutrition education, and referral to millions of American pregnant and nursing women and infants and small children? a. Medicaid b. School-based health services c. Women, Infants, and Children (WIC) d. Maternal and Child Health (MCH) Block

c. Women, Infants, and Children (WIC)

25.6 Transmission of an infectious disease can be efficiently controlled by: a. breaking all links in the transmission chain. b. destroying all reservoirs of infectious agents. c. breaking only one link in the transmission chain. d. maintaining high levels of herd immunity.

c. breaking only one link in the transmission chain.

16.8 All of the following contribute to obesity among lower income communities except: a. the high cost of healthy foods. b. food insecurity. c. decreased availability of fast food. d. lack of access to places to exercise.

c. decreased availability of fast food.

20.3 Family interviewing requires the community health nurse to understand or develop specific skills. All of the following demonstrate appropriate family interviewing skills or techniques except: a. introducing oneself by name and addressing the client appropriately, such as "Mr. Jones" b. planning the focus for the family visit in advance and engaging all family members present during the home visit. c. establishing the nursing goals based exclusively on the physician's orders. d. including time to identify family strengths and commend the family on these during the family assessment.

c. establishing the nursing goals based exclusively on the physician's orders.

18.5 Mr. C, age 40 years, has recently sustained an injury at work. The occupational health nurse knows that based on gender-specific socialization processes, Mr. C would more than likely comply with his medical regimen if he were to: a. remain off work for several weeks. b. retire from his job. c. go back to work in an altered capacity. d. start a new job.

c. go back to work in an altered capacity.

32.4 In the CIRCLE Model of Spiritual Care, the L represents: a.love. b.language. c.listening. d.life.

c. listening.

19.4 In long-range planning for community needs, the community health nurse considers that the fastest-growing segment of the senior population is the: a. young-old (ages 65-74 years). b. middle-old (ages 75-84 years). c. old-old (ages 85 years and older). d. elite old (more than 100 years old).

c. old-old (ages 85 years and older).

29.2 A comprehensive school health program should include all of the following except: a. health promotion for staff and health education. b. health services and health education. c. physical examinations and comprehensive health history. d. nutrition services and counseling.

c. physical examinations and comprehensive health history.

25.3 Women have a higher risk of contracting a sexually transmitted disease (STD) than men because: a. women usually have more sexual partners. b. women are less likely to use protection methods against STDs. c. the anatomical structure of women promotes transmission of STDs. d. treatment for STDs in women is usually ineffective.

c. the anatomical structure of women promotes transmission of STDs.

23.8 The greatest promise for improving health outcomes for rural residents is: a. the increase in health care providers migrating to rural areas. b. the expansion in Medicare services to rural hospitals and clinics. c. the increase in distribution of technology, providing more education and health services. d. the expansion of public transportation, allowing rural residents to travel to tertiary care hospitals for specialty services.

c. the increase in distribution of technology, providing more education and health services.

31.4 .It is vital that the forensic psychiatric nurse be knowledgeable about mental illnesses and personality disorders because: a. the nurse will be diagnosing many of the illnesses. b. the nurse will work in psychiatric facilities. c. the nurse may be an expert witness in court. d. the nurse will be identifying new cases

c. the nurse may be an expert witness in court.

33.5 The home health nurse receives a referral for an evaluation visit for a patient. The nurse notes that the patient's primary diagnosis is end-stage lung cancer and that the patient is currently receiving daily palliative radiation treatments for pain management. This is not an appropriate home health referral because: a. the patient is receiving palliative care. b. the patient's needs are too complex. c. the patient is not homebound. d. the patient does not have a skilled need.

c. the patient is not homebound.

21.3 In which era were people with mental disabilities labeled as "feebleminded" because they could not reach the minimum educational level? a. Biblical times b. 18th century c. 19th century d. 20th century

c.19th century

21.4 The landmark civil rights legislation that uses the authority of the federal government to guarantee equal opportunities for people with disabilities related to employment, transportation, public accommodations, public services, and telecommunications is the: a.Individuals with Disabilities Education Act (IDEA). b.Ticket to Work and Work Incentives Improvement Act (TWWIIA). c.Americans with Disabilities Act (ADA). d.Civil Rights Act.

c.Americans with Disabilities Act (ADA).

21.7 Which of the following would be considered a long-term disabling condition in which the person must learn to incorporate the modifications required for living into daily living and identity? a. A sprained ankle requiring the use of crutches b. A total knee replacement surgery requiring the use of a walker after surgery c. A car accident with a broken arm requiring surgery d. A cardiovascular accident (CVA) with paralysis to the right side of the body

d. A cardiovascular accident (CVA) with paralysis to the right side of the body

31.1 Forensic nursing is best defined as which of the following? a. A field of legal nursing in which the nurse works with or for lawyers b. A field of correctional nursing in which the nurse works with inmates c. Investigational nursing in which the nurse works with law enforcement d. A link among the health care system, the investigative process, and courts of law

d. A link among the health care system, the investigative process, and courts of law

30.4 .Which of the following occupational health nursing interventions would be appropriate secondary prevention strategies? a. Arrange for the collection of baseline liver function tests if the employee will be working with a chemical known to cause liver toxicity. b. Provide vision, blood pressure, hearing, and cancer screenings on an annual basis. c. Coordinate periodic evaluations to ensure workers are placed in the safest worksite setting. d. All of the above

d. All of the above

22.1 .Based on the Department of Housing and Urban Development (HUD) definitions of homelessness, which one of the following individuals would be considered homeless? a. An individual whose residence lacks access to public water and electricity b. An individual who has a permanent nighttime residence in the housing for mentally ill people c. An individual imprisoned or detained under an act of Congress or state law d. An individual who spends most nights at public or private places not designed for regular sleeping accommodations

d. An individual who spends most nights at public or private places not designed for regular sleeping accommodations

32.9 When providing care to vulnerable populations, the faith community nurse should do which of the following? a. Avoid involving the congregation in order to avoid legal issues. b. Deal with the issues alone, if possible. c. Refer the person to another resource and avoid getting involved. d. Assess the needs and work with the congregation to meet the health-related needs of the vulnerable population.

d. Assess the needs and work with the congregation to meet the health-related needs of the vulnerable population.

22.5 What official national organization provides financial housing assistance to low-income families? a. World Health Organization (WHO) b. Federation of National Organizations Working with the Homeless (FEANTSA) c. Robert Wood Johnson Foundation d. Department of Housing and Urban Development (HUD)

d. Department of Housing and Urban Development (HUD)

19.5 An elderly client expresses the following concerns to the community health nurse. Which of these concerns is a physiological change associated with the aging process? a. Increased saliva b. Decreased pain threshold c. Increased nightly sleep time d. Difficulty remembering new names

d. Difficulty remembering new names

27.5 As a visiting community health nurse, you must take precautions to avoid unsafe situations. To avoid putting yourself in danger, you would do which of the following? a. If you enter a house where a violent act is occurring, call 911 and wait inside for the police to arrive. b. Expect the client to control angry family members. c. Repeat the reason for your visit and stay and continue your task. d. Do not enter a home if you hear sounds of fighting.

d. Do not enter a home if you hear sounds of fighting.

17.3 Which of the following is the leading cause of maternal death in the first trimester of pregnancy? a. Spontaneous abortion b. Hydatidiform mole pregnancy c. Hyperemesis gravidarum d. Ectopic pregnancy

d. Ectopic pregnancy

29.7 A 10-year-old boy visits the nurse complaining of a headache and nausea. The nurse recognizes the boy from an earlier conference with a teacher about the boy's declining school performance. The nurse has been concerned because the boy's father and mother are recently divorced, and his mother works nights. An appropriate nursing intervention would be to investigate the boy's eligibility for which of the following? a. The Nutritional Education and Training Program (NET) b. Youth Risk Behavior Surveillance System c. Adult and Child Protective Services d. Federally funded breakfast and lunch program

d. Federally funded breakfast and lunch program

25.2 Four-month-old Lucy is in for immunizations at the local health department. The Vaccine Information Sheet is given to Lucy's mother, and informed consent is obtained. However, the mother then states, "Lucy did have a temperature around 99.1 degrees the night of her last immunizations." After this statement, the nurse should do which of the following? a. Consult the child's pediatrician. b. Delay the immunizations. c. Do not give the immunizations because of the contraindication. d. Give the immunizations.

d. Give the immunizations.

28.6 The nurse at the disaster site is using the SMART triage system. What color triage tag would be provided to an ambulatory individual with a superficial cut on the left elbow and bruise to the right hand? a. Red b. Yellow c. Black d. Green

d. Green

19.7 The home care nurse is caring for a client recently diagnosed with inoperable cancer. Which of the following best expresses the nurse's role related to end-of-life issues? a. Monitoring for the client to express interest in talking about these issues b. Asking the client whether an advance directive has been completed c. Exploring end-of-life issues with the client's family d. Initiating discussion and education

d. Initiating discussion and education

20.5 A client is having difficulty performing his activities of daily living. This means he is having difficulty with which of the following? a. Expressive functioning b. Affective functioning c. Emotional functioning d. Instrumental functioning

d. Instrumental functioning

31.9 Which of the following actions is inappropriate for a correctional nurse when testifying in court? a. Looking the jurors in the eye when answering questions b. Asking the attorney to repeat a question when not understood c. Practicing saying difficult medical terms before the court date d. Interrupting when necessary to verbalize correct medical information

d. Interrupting when necessary to verbalize correct medical information

24.2 You are working in a mental health facility as a nurse. You are involved with patients who have varied diagnoses. One of your patient's family members asks what biological problem causes all of these people to have mental illness. You respond that most experts believe which of the following? a. Brain structure is the problem. b. Neurotransmitters are the problem. c. Genetics are the problem. d. Many factors cause the problem.

d. Many factors cause the problem

16.7 What is the greatest threat to child health? a. Accidents b. Racism c. Burns d. Poverty

d. Poverty

32.8 Which of the following is true regarding elder abuse? a. Elder abuse is rare in the United States among elders active in faith communities. b. The parish nurse is not likely to be the first person to identify signs and symptoms of elder abuse in a congregation. c. Misuse of an elder's money is not considered elder abuse. d. Specific nursing interventions should be used by the parish nurse in cases of elder abuse.

d. Specific nursing interventions should be used by the parish nurse in cases of elder abuse.

19.1 In reviewing research related to client actions that may retard the aging process, the nurse is aware that such research is based on stochastic theories of aging. Why? a. Stochastic theories state that normal cells divide a specific number of times and the number of cell divisions is proportional to the life span of the species. b. Stochastic theories state that aging is a programmed decline in the functioning of the nervous, endocrine, and immune systems. c. Nonstochastic theories propose that aging is a result of a loss of self-regulation between the body and cells, resulting in an immune response that is not reversible or decelerating. d. Stochastic theories explain aging as the accumulation of random events over time; nonstochastic explain aging as a predetermined process and therefore not modifiable through individual actions.

d. Stochastic theories explain aging as the accumulation of random events over time; nonstochastic explain aging as a predetermined process and therefore not modifiable through individual actions.

27.2 Chronic stress characterizes the lives of people living with domestic violence. As the community health nurse, you recognize which of the following as a long-term effect of violence? a. Spontaneous disclosure of abuse to health care provider b. Not complaining of physical symptoms c. Having disturbed eating patterns, but sleeping well d. Suffering chronic fatigue and tension

d. Suffering chronic fatigue and tension

31.3 A 71-year-old man is brought to the emergency department by his daughter and states that he has fallen and appears to have a broken arm. He is alert and oriented and walks alone without difficulty. Which nursing intervention is most appropriate after he is seen and treated by the physician? a. Talk with the daughter about nursing home placement for the patient. b. Discuss the dietary needs and regimen with patient and family. c. Review the patient's current medications. d. Talk with the patient alone and question the possibility of elder abuse.

d. Talk with the patient alone and question the possibility of elder abuse.

17.5 Which legislative act prohibits discrimination against pregnant women or conditions involving childbirth or pregnancy? a. The Affordable Care Act (ACA) b. The Family and Medical Leave Act (FMLA) c. The Occupational Safety and Health Act d. The Civil Rights Act

d. The Civil Rights Act

26.4 When a client regularly takes a drug that is a central nervous system (CNS) stimulant, such as cocaine, what symptoms would the nurse expect to see when the client abstains from this substance? a. The client will have symptoms of CNS stimulation. b. The client will experience anxiety, insomnia, and tremors. c. Common symptoms include hallucinations and seizures. d. The client will feel depressed, somnolent, and lethargic.

d. The client will feel depressed, somnolent, and lethargic.

32.5 The faith community nurse must recognize which of the following to be correct concerning church law? a. The doctrine of separation of church and state exempts churches from discrimination laws. b. Ministers are required to disclose confidential information in court. c. Parish nurses are not required to document care given. d. Volunteers in a church are held to the same degree of accountability as paid employees.

d. Volunteers in a church are held to the same degree of accountability as paid employees.

21.2 A community health nurse is reviewing the results of SIPP (Survey of Income and Program Participation) used by the U.S. Census Bureau to collect disability data. Which of the following will the nurse find classified as an instrumental activity of daily living? a. Seeing b. Walking c. Dressing d. Preparing meals

d.Preparing meals