Unit 3 Exam: Master Set of Qs
Which of the following would the nurse include as reflecting the rural homeless population? A) Male gender B) Increased use of shelters C) Single D) Unemployed
A) Male gender
A community health nurse is implementing a family planning program near inner-city schools. The nurse is engaging in which type of health service? A) Preventive program B) Health protection C) Health promotion D) Injury prevention
A) Preventive program
When assessing a group of individuals for factors related to an increased risk for alcohol use disorders, which of the following would the nurse expect to find? A) Social anxiety difficulties B) Low level of antisocial behavior C) Decreased impulsivity D) Focused attention
A)Social anxiety difficulties
When evaluating a client's eligibility for Medicare-reimbursed home care, which of the following is crucial? A) Client needs visits by a homemaker B) Client is homebound C) Client is a veteran D) Client is terminally ill
B) Client is homebound
A local community health center is providing classes to childbearing families about the effects of alcohol use during pregnancy. During one of the classes, a community health nurse describes fetal alcohol spectrum disorder (FASD). Which of the following would the nurse include as a common finding in the newborn? A) Large for gestational age B) Facial abnormalities C) Hypoactive behavior D) Enhanced coordination
B) Facial abnormalities
As one aspect of ensuring adequate brain development in a child, a community health nurse would encourage the intake of which during the first 2 years of life? A) Vitamins B) Fats C) Protein D) Carbohydrates
B) Fats
Community health nurses have found that as an aggregate, rural elders are at special risk because of which of the following? A) The overwhelmingly poor health of rural elders B) Increased chronic diseases in conjunction with access barriers to specialists C) The increasing numbers of rural elderly seeking alternative housing arrangements D) Their refusal to use the community services needed to maintain them at home
B) Increased chronic diseases in conjunction with access barriers to specialists
Which of the following activities best exemplifies a community health nurse forging a relationship? A) Dealing with sensitive subjects B) Introducing oneself as a community health nurse C) Listening to more than just what is said D) Being aware of the long-term commitment to the client
B) Introducing oneself as a community health nurse
Which of the following factors would a community health nurse identify as a major contributing factor to homelessness? A) Lack of affordable health care B) Poverty C) Low-wage jobs D) Domestic violence
B) Poverty
A school nurse is describing the responsibilities associated with this specialty to a group of students. Which of the following would the school nurse identify as a primary responsibility? A) Providing care to children with special health needs B) Preventing illness among the school community C) Performing health screenings D) Assessing acute health problems
B) Preventing illness among the school community
A community health nurse is reviewing research related to women's health. Which of the following would the nurse use to obtain information about postmenopausal women's health? A) The Women's Health Study B) The Women's Health Initiative C) The Nurses' Health Study I D) The Nurses' Health Study II
B) The Women's Health Initiative
d
A current dramatic trend in nursing in community health involves: a. clinical surveillance. b. shifts in research focus. c. special needs programs. d. vulnerable population shifts.
d
A major emerging public health issue facing nursing in community health is: a. bioterrorism. b. health literacy. c. health ministries. d. welfare reform.
b
Home health care can be defined as a broad spectrum of health and social services offered in the home environment to recovering, disabled, or chronically ill persons. Participation in providing the needed maintenance care for the home care client is essential by which of the following? a. Chaplain b. Family caregivers c. Home health aides d. Physician
a. Primary
The school health nurse has enlisted the assistance of high school role models in the areas of sports and scholarship to provide an antidrug presentation to their peers. Which of the following levels of prevention is being implemented? a. Primary b. Secondary c. Tertiary d. Both primary and secondary
When describing children living with homeless parents, the nurse would identify that most are less than what age? A) 14 B) 10 C) 6 D) 4
C) 6
When reviewing the concept of universal design with a group of community developers, the community health nurse recognizes that emphasis on which of the following is the underlying theme? A) Disability needs B) Adaptation C) Access D) Safety
C) Access
Start Ch. 25 When assessing vulnerable populations, a community health nurse uses a model that involves environmental resources. Which of the following would the nurse include? A) Employment B) Social networks C) Access to health care D) Housing
C) Access to health care
A community health nurse is working with a political group to lobby for increased funding for a mental health promotion program. The nurse is functioning in which role? A) Educator B) Collaborator C) Advocate D) Case manager
C) Advocate
After teaching a class on urban health to a group of community health nursing students, the instructor determines that the teaching was successful when the students describe it as which of the following? A) Providing care to individuals living in ghettos B) Addressing the needs of immigrants living in large cities C) Considering effects of environment on the health of people living in large cities D) Ensuring the appropriate planning of attractive and equitable places
C) Considering effects of environment on the health of people living in large cities
Which of the following criteria must a nurse-managed health center meet to ensure designation as a federally qualified health center? A) Located in a densely populated area B) For-profit status C) Consumers on the board of directors D) Care provided to women and children
C) Consumers on the board of directors
After teaching a group of community health nursing students about urban sprawl and its effects, the instructor determines that additional teaching is needed when the students identify which of the following as an effect? A) Water pollution B) Heat islands C) Less exposure to pesticides D) Decreased air quality
C) Less exposure to pesticides
When developing community health programs targeting adult men, which of the following would the nurse need to integrate into the plan? A) Improved quality of education programs available for men B) Increased use of health services by men as compared to women C) Limited male-specific research D) Increased awareness of men's health issues
C) Limited male-specific research
Assessment of a client in the home reveals that his services will be paid by a government source. Which of the following would be a possible source of payment? A) Insurance company B) Health maintenance organization C) Medicare D) Preferred provider organization
C) Medicare
A community health nurse is speaking to a group of parents of incoming college freshmen who will be living in the dormitories. The focus of the program is on the college health program, health issues, and immunizations. Which immunization would the nurse most strongly encourage the students to receive if they have not received it previously? A) Varicella virus vaccine B) Human papillomavirus vaccine C) Meningococcal vaccine D) Influenza vaccine
C) Meningococcal vaccine
After teaching a group of community health students about public and private sector programs and initiatives aimed as combating homelessness, the instructor determines that they need additional teaching when they identify which of the following as a private sector organization? A) National Coalition for the Homeless B) National Alliance to End Homelessness C) National Resource Center on Homelessness and Mental Illness D) National Low-Income Housing Coalition
C) National Resource Center on Homelessness and Mental Illness
When developing plans for older adults in the community, the community health nurse would focus activities on which of the following? A) Survival B) Deficits C) Thriving D) Optimism
C) Thriving
c
Which of the following types of home health agencies emphasizes health promotion and illness prevention? a. Combination agencies b. Hospital-based agencies c. Official agencies d. Proprietary agencies
d. It provides a cost savings to the company.
10. Which of the following is the primary reason that large companies are becoming more involved in their employees' personal health and well-being?
b. Primary prevention
11. The occupational health nurse continually reminds employees to wear their safety goggles and ear plugs. Which of the following levels of prevention is being implemented?
c. Secondary prevention This does not meet the criteria for injury prevention because the injury has already occurred. The nurse is engaging in secondary prevention when providing treatment for the injury. Tertiary prevention strategies would follow treatment to prevent recurrence and to prevent more serious problems related to the foreign body from developing
12. An occupational health nurse is removing a foreign body from a patient's eye. Which of the following levels of prevention is being implemented?
b. Secondary prevention Secondary prevention involves health surveillance and periodic screening to identify an illness at the earliest possible moment in its course and elimination or modification of the hazard-producing situation
13. An occupational health nurse periodically conducts spirometry testing of employees who work around hazardous gases. Which of the following levels of prevention is being implemented?
d. To continue employment and income with limited duty as a rehabilitation effort after an injury
14. The occupational health nurse suggests that an employee work only half-days for three weeks and then return to full-time employment. Which of the following best describes the rationale for this suggestion?
b. To limit disability
15. An occupational health nurse is working with the manager to change the assignment of an employee from working with heavy metal to using machinery to assist with loading and unloading boxes at the truck dock. Which of the following best explains the rationale for this change?
d. "Where do you work and what do you do there?"
16. A nurse is completing a health history on a client during a routine physical exam. Which of the following questions, which is often omitted, should be asked by the nurse?
d. "Where were you previously employed and what did you do there?"
17. A nurse is interviewing a person who has stated on her entry health form that she is retired. Which of the following is the most crucial question for the nurse to ask?
c. This data will help identify patterns in the risk factors associated with a particular subgroup.
18. A nurse keeps ongoing documentation of all the clients seen at the community health clinic. The nurse enters the demographic data and the primary diagnoses into the computer to have a comprehensive perspective of the clinic's clients. Which of the following best explains why the nurse is collecting this data
d. To observe effectiveness of safety education and equipment
19. As the single occupational health employee at a company, a nurse is busy with safety programs and first aid when employees are hurt. However, the nurse still finds time to walk through the entire facility once a day. Which of the following best explains the rationale for this action by the nurse?
b. To compare the prospective employer's injury rate with similar employers' rates c. To learn more about the usual processes and products of the company as well as typical hazards
5. An occupational health nurse wants to know the NAICS code of a prospective employer. Which of the following best explains why the nurse would be interested in this information? (Select all that apply.)
cd
A parish nurse has been using pastoral activities when providing care to clients. Which of the following interventions is the nurse most likely using (Select all that apply.) a. Helping families plan healthy nutritious meals and get plenty of rest b. Giving health education classes to the congregation c. Using hymns and scripture as a source of guidance and comfort d. Helping identify spiritual strengths that may assist in coping
b
A parish nurse is evaluating health programs that provide holistic care across the life span. Which of the following methods would be the most appropriate approach? a. Bringing families together to plan programs to meet the needs of individuals b. Establishing a wellness committee to assist in the evaluation process c. Matching financial resources with program objectives and goals d. Revisiting assessment data to be certain that planning reflects actual problems observed
b
A parish nurse is implementing a primary prevention measure related to obesity among the school-age members of the church. Which of the following activities is most likely being used by the nurse? a. Establishing a walking program that is sufficiently challenging yet not too strenuous for those who are obese b. Partnering with youth camp cooks to ensure that food is nutritious c. Supervising height and weight measurements taken by clinic assistants d. Working with parents of obese children to implement family lifestyle changes
b
A parish nurse is using the institution-based model to plan care for a client with a chronic illness. Which of the following activities would the nurse most likely implement? a. Bringing in family members to work with the client and nurse in decision making b. Partnering with outlying health care centers for coordinating optimal care c. Pulling from the collective strengths of faith-based community members for social support for the client d. Relying on congregational prayer as a component of healing
When providing palliative care to a client receiving hospice care, which of the following would be important? Select all that apply. A) Assume nothing about what is wrong. B) Use the most complex interventions first. C) Believe what the client is reporting. D) Be persistent in trying different strategies. E) Wait until the symptoms recur to relieve them.
A) Assume nothing about what is wrong. C) Believe what the client is reporting. D) Be persistent in trying different strategies.
Which of the following would the community health nurse most commonly need to address when planning programs for children with chronic illness? A) Asthma control B) Autism education C) Diabetes regimens D) Seizure control
A) Asthma control
A community health nurse is preparing a presentation for a group of local community nurses about measures to decrease health disparities. Which of the following would be the least effective suggestion? A) Avoiding political involvement in issues B) Working with schools to reduce the dropout rate C) Organizing task forces to raise community awareness D) Holding community meetings to identify needs
A) Avoiding political involvement in issues
After teaching a group of students about the effects of homelessness on children, which of the following if stated by the students as a common problem indicates the need for additional teaching? A) Bipolar disorder B) Anxiety C) Depression D) Withdrawal
A) Bipolar disorder
A public health nurse is working with several communities to develop appropriate programs for health surveillance. Which agency would the nurse contact to obtain information on this topic? A) Centers for Disease Control and Prevention B) National Institutes of Health C) Agency for Health Care Research and Quality D) Food and Drug Administration
A) Centers for Disease Control and Prevention
A community health nurse is working to empower clients of a vulnerable population. Which of the following client behaviors indicates that the nurse is achieving this goal? A) Collaborate with their health care providers B) Demonstrate a reactive focus C) Hesitate to use resources D) View situations as non-changeable
A) Collaborate with their health care providers
A community health nurse is presenting a program to a local elementary parent-teacher association on the topic of pediculosis. The nurse determines that the group needs additional teaching when they identify which of the following as a likely mode of transmission? A) Coming into contact with an animal B) Combing hair with another child's comb C) Using a towel of an infected child D) Sleeping in a friend's bed who had lice
A) Coming into contact with an animal
Start of Ch. 24 When working with the older adult population in the community, which of the following would be most important for the community health nurse to do? A) Develop case management programs to channel clients to appropriate services B) Place older adults in skilled nursing facilities for the best care available C) Raise funds to meet the needs of the older adults in the community D) Emphasize tertiary prevention at this stage in the lives of older adults
A) Develop case management programs to channel clients to appropriate services
As part of a group exercise, students are to compare and contrast home care and hospice care. The instructor determines that the activity was successful when the students identify which of the following as reflective of home health care? A) Emphasis on rehabilitation B) Focus on health of the whole family C) Expert use of opioids for suffering D) Management of symptoms
A) Emphasis on rehabilitation
A pregnant woman with hypertensive disease comes to the community health center for follow-up. Which of the following would be appropriate to include when teaching the woman about controlling her blood pressure at this time? A) Ensuring rest periods with legs elevated B) Limiting her daily intake of fluid C) Restricting intake of fresh fruits D) Encouraging additional weight gain
A) Ensuring rest periods with legs elevated
A school nurse functions to promote a healthy school environment. Which of the following would be most appropriate for the nurse to do? A) Ensuring school breakfasts and lunches are provided B) Provide care for children with asthma C) Develop individualized health plans D) Engage in incidental teaching about scoliosis
A) Ensuring school breakfasts and lunches are provided
A school nurse is providing care to a group of children with severe food allergies. Which of the following would be most important for the nurse to include in the child's plan of care? A) Ensuring that the child has ready available access to an EpiPen® B) Advising teachers to call the child's parents in case of a reaction C) Teaching other students how to administer the EpiPen® D) Administering daily medication to control the allergies
A) Ensuring that the child has ready available access to an EpiPen®
When describing the population of migrant workers to a local community group, a community health nurse would identify the population as which of the following? A) Farm workers living in any state in the union, often remaining "invisible" B) Workers primarily located in the southern and western states that border Mexico C) Individuals working on farms owned by foreign corporations; not subject to U.S. laws D) Workers who farm in "migrant streams," avoiding farms worked by non-migrants
A) Farm workers living in any state in the union, often remaining "invisible"
When dealing with urban populations, which of the following issues would a community health nurse most likely face? Select all that apply. A) Health disparities in the population B) Lower levels of homelessness C) Increased cases of asthma D) High levels of poverty E) Major transportation issues
A) Health disparities in the population C) Increased cases of asthma D) High levels of poverty
A community health nurse working with urban populations integrates the concept of social justice into practice by demonstrating which of the following? A) Impartiality B) Paternalism C) Self-interest D) Inflexibility
A) Impartiality
When describing the importance of the WHO report to a group of students, the instructor would emphasize which of the following? A) Improvement in health outlook worldwide B) Reactive role in addressing health needs C) Tertiary prevention as the main focus D) Focus on those considered to be at high risk
A) Improvement in health outlook worldwide
A community health nurse is part of a group working with local and state legislators to expand health insurance coverage for those with inadequate or no insurance. Which outcome would the nurse hope to achieve if the group is successful? A) Increased use of early screenings B) Increased emergency room visits C) Increased episodic care D) Increased disparities in care
A) Increased use of early screenings
Start Ch. 31 An occupational and environmental health nurse recently treated approximately 20 employees for hand injuries. The employees all work on the factory assembly line. The nurse decides to implement a program for primary prevention. Which of the following activities would be appropriate? A) Institute an orientation for employees about the equipment. B) Conduct hearing screening tests of the employees. C) Institute whirlpool treatments for injured extremities. D) Ensure adherence to physical therapy regimen for injured workers.
A) Institute an orientation for employees about the equipment.
A community health nurse is applying the behavioral model for vulnerable populations when evaluating a local community. Which of the following would the nurse include as an enabling factor? A) Insurance B) Acculturation C) Knowledge of disease D) Marital status
A) Insurance
A community health nurse is providing a class for pregnant women about the dangers of alcohol consumption during pregnancy. Which of the following would the nurse include as an effect on the newborn? Select all that apply. A) Intellectual impairment B) Low birthweight C) Leukemia D) Respiratory distress E) Altered growth and development F) Childhood cancers
A) Intellectual impairment B) Low birthweight E) Altered growth and development
When developing a plan of care for a group of men experiencing erectile dysfunction, which of the following would the nurse expect to institute first? A) Lifestyle changes B) Adjustments to current medications C) Psychotherapy D) Behavior modification
A) Lifestyle changes
A community health nurse visits a local women's health center to provide teaching about the effects of smoking during pregnancy. After teaching the class, the nurse determines that the women have understood the teaching when they identify which of the following as a possible maternal or infant effect? A) Low-birthweight newborns B) Newborn feeding problems C) Genetic malformations D) Developmental delays
A) Low-birthweight newborns
Start Ch. 22 When providing safety education for parents of school-age children, the community health nurse would focus interventions on which of the following as the priority? A) Motor vehicle safety B) Water safety C) Fire safety D) Poisoning prevention
A) Motor vehicle safety
A patient comes to the community health clinic with complaints of changes in urination. Which of the following would lead the community health nurse to suspect that the patient has benign prostatic hypertrophy (BPH)? A) Nighttime frequency B) Dysuria C) Hematuria D) Flank pain
A) Nighttime frequency
A community health nurse implements the use of "promotoras" to promote health in migrant communities. Which of the following best describes a promotora? A) Nonprofessional community outreach worker B) Trained childbirth assistant C) Retired nurses knowledgeable about the area D) Translators
A) Nonprofessional community outreach worker
When describing public health research to a group of students, which of the following would the nurse emphasize as the ultimate goal? A) Obtain information to benefit the community B) Contribute to general knowledge base C) Test hypotheses D) Monitor the health status
A) Obtain information to benefit the community
When describing the characteristics of a typical rural population to a group of community health nurses, which of the following would the nurse include? A) Older, white, with a lower income and less formal education B) Young minorities with a lower income and less formal education C) Wealthier, more highly educated, older white Americans D) A reflection of the population as a whole
A) Older, white, with a lower income and less formal education
Which of the following activities best reflects a public health nurse's role in the public health function of assessment? A) Prioritizing the issues of a community to determine appropriate interventions B) Evaluating for potential safety hazards in a child care center C) Ensuring that children in a day care center are properly immunized D) Working with officials to develop a program for solving a problem
A) Prioritizing the issues of a community to determine appropriate interventions
When developing the plan of care for a client receiving home health care services, which of the following would be the most important goal? A) Promoting client independence B) Resolving the problem completely C) Detecting family conflicts D) Ensuring access to resources
A) Promoting client independence
b
As a result of recent social policy changes, public health agencies have shifted their emphasis from a focus on primary health care services to a focus on core public health activities because of new and re-emerging public health issues. A critical aspect of ensuring the public health system's ability to address these issues is: a. additional regulation. b. adequate funding. c. bioterrorism strategy. d. media coverage.
A
As congregations realize the need for care and care for one another, their individual and corporate relationships with their Creator often are enhanced, thereby increasing their resilience for future crisis situations. The characteristic of faith community nursing philosophy that best endorses this principle is that faith community nurse services: A. Emphasize strengths of individuals, families, and communities B. Focus on the faith community and its ministry C. Focus on the centrality of the spiritual dimension D. Consider health, spiritual health, and healing as an ongoing dynamic process
b. Community outreach
At the annual community health fair, the school health nurse displays a science booth that examines the hazards of ineffective hand washing. Which of the following best describes the nurse's role in this scenario? a. Consultant b. Community outreach c. Counselor d. Researcher
b. Primary prevention
At the end of each school term, the school nurse schedules an equipment safety assessment of each school playground in the district. The school nurse uses the guidelines of the U.S. Consumer Protection Safety Commission and prepares a report of the findings for the school board for planning purposes. This intervention by the school nurse is an example of which of the following? a. Community outreach b. Primary prevention c. Secondary prevention d. Tertiary prevention
The community health nurse is invited to speak to a group of students about clients with disabilities. As part of the class, the nurse intends to describe the International Classification of Functioning, Disabilities, and Health (ICF) and its attempts at standardized language. Which of the following would the nurse include as terminology that was standardized? Select all that apply. A) Disability impairment issues B) Body functions C) Handicapping conditions D) Activities E) Environmental factors F) Personal factors
B) Body functions D) Activities E) Environmental factors F) Personal factors
A school nurse is reviewing the population of school-age children for chronic conditions. Which of the following would the school nurse expect to find most often? Select all that apply. A) Rheumatoid arthritis B) Asthma C) Diabetes D) HIV/AIDS E) Tuberculosis F) Seizures
B) Asthma C) Diabetes F) Seizures
A nurse is considering public health nursing as a career. The nurse would need to obtain which of the following for entry-level practice? A) Associate's degree in nursing B) Bachelor's degree in nursing C) Master's degree in nursing D) Post-master's degree certification
B) Bachelor's degree in nursing
When describing the major functions of an occupational and environmental health nurse, which of the following would the nurse identify as being the most time-consuming? A) Activities involving safety education B) Care of injured employees C) Programs for improved working conditions D) Teaching activities for healthy nutrition
B) Care of injured employees
A community health nurse who will be working with a homeless population is planning care. Which of the following would the nurse need to do first? A) Develop trust with the population B) Clarify personal values and beliefs C) Focus on the issue of homelessness D) Visit the local shelter where the clients are
B) Clarify personal values and beliefs
As part of a community health program to address the needs of pregnant adolescents, the community health nurse provides a class on nutrition using a variety of teaching methods and then evaluates the results of each method. Which method would the community health nurse most likely identify as being the least effective? A) Small group activities B) Classroom lecture C) Video with discussion D) Pregnancy diaries
B) Classroom lecture
A community health nurse is working with local schools to prevent teen pregnancy. To best improve outcomes, the nurse would focus interventions on which of the following? A) Better use of contraceptives B) Decreased sexual activity C) Improved parenting skills D) Proper nutritional habits
B) Decreased sexual activity
A community health nurse is part of a group planning a research study to address vulnerable populations. Until recently, vulnerable populations were not included in research studies. The underlying reason for this was which of the following? A) Lack of adequate samples B) Desire to protect these clients C) Wide diversity of clients D) Difficulty in recruitment
B) Desire to protect these clients
A nurse is instructing the adult male members of a family on how to perform testicular self-examination. Which of the following would the nurse include? A) Perform the examination every 3 months. B) Do the exam right after a hot shower. C) Examine both testicles at the same time. D) Report a slight difference in size of one testicle.
B) Do the exam right after a hot shower.
When describing elder abuse to the families of older adults who are attending a local community presentation, which of the following would the community health nurse identify most commonly as the perpetrator? A) Elder's adult child B) Elder's partner C) Elder's neighbor D) Elder's grandchild
B) Elder's partner
A community health nurse meets with a group of adults at the local senior center. They range in age from 65 to 70 years. The nurse would recommend vision screening at which frequency? A) Every year B) Every 2 years C) Every 5 years D) Every 10 years
B) Every 2 years
When describing the differences between public health nursing and nursing in general, which of the following would an instructor include as a characteristic of public health nursing? Select all that apply. A) Grounded in a caring relationship B) Focus on the greater good C) Seeking out clients in need D) Community commitment E) Health restoration
B) Focus on the greater good C) Seeking out clients in need D) Community commitment
The family of a hospice client are holding a vigil at the client's bedside. During a visit, a hospice nurse participates in this vigil and encourages each of the family members to say their good-byes. The nurse is demonstrating which of the following? A) Palliative care B) Guided letting go C) Connecting D) Responsive use of self
B) Guided letting go
A home health care nurse is assigned to visit a client's home. The nurse identifies the area as a problem neighborhood. Which of the following would be most appropriate for the nurse to do? A) Perform the visit via telephone. B) Have another nurse come along. C) Reschedule the visit for another time. D) Leave the cell phone at home.
B) Have another nurse come along.
A community health nurse is working with a community-based organization to develop programs to provide quality, accessible health care to the homeless population. Which of the following would be the most appropriate source to seek funding for this program? A) Projects for Assistance in Transition from Homelessness (PATH) B) Health Care for the Homeless (HCH) C) Interagency Council on Homelessness D) U.S. Department of Housing and Urban Development
B) Health Care for the Homeless (HCH)
Which of the following agencies was instrumental in developing the first scope and standards of parish nursing practice? A) International Parish Nurse Resource Center B) Health Ministry Association C) American Nurses Association D) Parish Nurse Institute
B) Health Ministry Association
A community health nurse who is participating in a nutritional screening program with school-age children measures their body mass index (BMI). The majority of children fall within the 45th to 65th percentile for their age. The nurse would classify these children as which of the following? A) Underweight B) Healthy weight C) At risk for overweight D) Overweight
B) Healthy weight
When developing programs to assist individuals with disability and chronic illness, which of the following would be most important? A) Narrow focus B) Holistic practice C) Orientation to the present D) Episodic care
B) Holistic practice
Start Ch.28 When describing the concept of homelessness to a community group, which of the following would the community health nurse include? A) Estimates are obtained typically on a given day. B) Homelessness is defined differently by different agencies. C) The prevalence of homelessness is fairly accurate. D) The "hidden homeless" are typically found in shelters.
B) Homelessness is defined differently by different agencies.
When preparing a program to address violence among school-age children and adolescents, the community health nurse integrates knowledge of which of the following? A) Teen girls commit homicide more frequently than teen boys. B) Homicide is the second highest cause of death for all adolescents. C) Adolescents account for less than half of all firearm injuries treated. D) Serious youth violence is unrelated to drugs and guns.
B) Homicide is the second highest cause of death for all adolescents.
The community health nurse is using effect theory to design a prevention program for behavioral health. Which of the following would be the most likely place for the nurse to start? A) Identifying antecedent factors leading to the problem B) Identifying the specific health problem C) Determining the desired health problem impact D) Specifying the health problem outcome
B) Identifying the specific health problem
When assessing homeless children, the community health nurse would expect to find them in which living situation most likely? A) On the streets B) In shelters C) In parks D) In trailer parks
B) In shelters
An older adult comes to the community health center for a check-up. During the visit he mentions that he is somewhat constipated. Which of the following suggestions would be most appropriate? A) Use a laxative once or twice a week. B) Increase intake of fresh fruits and vegetables. C) Drink about four 8-oz glasses of fluid each day. D) Walk around the block once a week.
B) Increase intake of fresh fruits and vegetables.
A home health care nurse is invited as a guest speaker to talk to a group of students about the challenges of working in the home. As part of the discussion, the nurse describes medication safety. Which of the following would the nurse include as a measure to address this issue? A) Asking the client what he takes the drug for B) Throwing out any medications over 1 month old C) Reconciling drugs in the home with those on the discharge sheet D) Setting up medication boxes to organize medications
C) Reconciling drugs in the home with those on the discharge sheet
When creating a faith community nurse position, the nurse performs several steps. Place the steps below in their proper sequence. A. Seek support of key faith community members B. Conduct a needs assessment C. Identify possible activities D. Obtain formal approval from the governing body E. Negotiate aspects of position and services F. Obtain authorization for the practice
B. Conduct a needs assessment C. Identify possible activities A. Seek support of key faith community members D. Obtain formal approval from the governing body E. Negotiate aspects of position and services F. Obtain authorization for the practice
Order the following conditions managed at home, starting with the most common. A. Chronic skin ulcers B. Essential hypertension C. Heart failure D. Osteoarthritis E. Diabetes
B. Essential hypertension C. Heart failure E. Diabetes A. Chronic skin ulcers D. Osteoarthritis
After teaching a group of students about community nutrition programs, the instructor determines that the teaching has been successful when the students identify which of the following as a result of the WIC program? A) Increased expenditures for health care B) Decreased rates of large-for-gestational-age babies C) Reduced rates of infant iron deficiency anemia D) Drop in breastfeeding rates
C) Reduced rates of infant iron deficiency anemia
Which of the following would be least helpful to a novice community health nurse working with vulnerable populations who is feeling overwhelmed and somewhat guilty about her personal situation as compared to her clients? A) Setting up an community agency clothing drive B) Working for changes in community attitudes C) Sending a personal donation to an agency in the area D) Remaining grounded
C) Sending a personal donation to an agency in the area
An instructor reviews the definition of homelessness according to the McKinney Vento Homeless Assistance Act with a group of community health nursing students. The instructor determines that the students need clarification when they include which of the following as homeless? A) Someone living in a public shelter B) Someone living in a park C) Someone who is incarcerated D) Someone who lives in his car
C) Someone who is incarcerated
When assessing a group of men in their fifties and early sixties, the community health nurse determines that the men would need assistance with this stage of life when they exhibit which of the following? A) Ability to balance work and home B) Balanced dietary intake C) Sporadic exercise D) Pursuit of new hobbies
C) Sporadic exercise
A community health nurse is working with a group of pregnant women in the community to reduce risk factors associated with low-birthweight newborns and infant mortality. Which of the following would the nurse address? A) Multiparity B) College-level education C) Strenuous employment D) Singleton pregnancy
C) Strenuous employment
When visiting a client in the home for the first time, which of the following is critical to remember? A) There may be dangers lurking around every corner. B) Clients are glad to have the nurse in their home. C) The nurse is a guest in the client's home. D) The nurse knows what is best for the client.
C) The nurse is a guest in the client's home.
A community health nurse is working with a group of homeless individuals with severe mental illness. Which of the following would the nurse need to keep in mind about this population when planning programs? A) They remain homeless for a shorter period of time. B) There is usually some support from family. C) They experience greater difficulties with employment. D) The majority typically require institutionalization.
C) They experience greater difficulties with employment.
Which of the following would a community health nurse use to define vulnerable populations? A) Persons with higher mortality rates B) Individuals with lower life expectancy C) Those at increased risk for adverse health outcomes D) Individuals with chronic illness
C) Those at increased risk for adverse health outcomes
The community health nurse is explaining the reasons for health problems in the homeless population. Which of the following would the nurse identify as the most likely reason? A) Issues related to storage of medications B) Lack of transportation to keep appointments C) Time and energy focus on survival needs D) Limited access to health care services
C) Time and energy focus on survival needs
After teaching a group of students about leading health risks, the instructor determines that the teaching was successful when the students identify which of the following as the leading health risk? A) Unsafe sex B) High blood pressure C) Underweight D) Tobacco consumption
C) Underweight
A group of students are studying for a test on child health statistics. The students demonstrate that they are prepared for the test when they identify which of the following as a major cause of death in the 1- to 4-year-old population? A) Pneumonia B) Poverty C) Unintentional injuries D) Heart disease
C) Unintentional injuries
Which of the following measures would be most appropriate for a community health nurse to include when developing programs to address childhood obesity? A) Encouraging television watching for about 3 hours per day B) Suggesting that families eat fewer meals together at home C) Urging participation in physical activity for 30 minutes per day D) Limiting the intake of unsaturated oils in cooking
C) Urging participation in physical activity for 30 minutes per day
A community implements a plan to enforce the underage drinking law. The community health nurse interprets this action as reflecting which public health model? A) Primary prevention B) Behavioral prevention C) Environmental prevention D) Clinical prevention
C)Environmental prevention
After teaching a group of students about the federal agencies involved in public health, the instructor determines that the teaching was successful when the students identify which agency as the main organization? A) Environmental Protection Agency B) Department of Homeland Security C) Department of Agriculture D) Department of Health and Human Services
D) Department of Health and Human Services
Which of the following would a community health nurse expect to find in adolescents with an eating disorder? A) High levels of peer support B) Clear sense of self C) Feeling of being in control D) Distorted body image
D) Distorted body image
After teaching a group of students about the concept of social justice, which of the following, if stated by the group as a component, indicates effective teaching? A) Decreased burden borne by all B) Increased benefits obtained for all C) Narrow isolated view of health D) Diversity viewed as a strength
D) Diversity viewed as a strength
A community health nurse has prepared handouts that describe the need for annual gynecologic exams and is sending them to local health clinics that provide care for individuals with disabilities. The nurse is fulfilling which role? A) Advocate B) Coordinator C) Researcher D) Educator
D) Educator
When assessing a vulnerable population's relative risk, which of the following would the community health nurse identify as most likely to contribute to this risk? A) Well-balanced diet B) Up-to-date immunizations C) Use of seatbelts D) Exposure to abuse
D) Exposure to abuse
After reviewing statistics on homelessness, which of the following would a community health nurse identify as the fastest-growing segment of the homeless population? A) Children under age 18 years B) Single women C) African-American males D) Families with children
D) Families with children
A public health nurse is employed by the Indian Health Service. This nurse is working at which level? A) Local B) Community C) State D) Federal
D) Federal
When defining the term "frontier area," which of the following would the nurse include as the most common description? A) A population density of fewer than 1,000 people per square mile B) Population density of 1,000 people or more per square mile C) Fewer than 10,000 residents in the community D) Fewer than six people per square mile
D) Fewer than six people per square mile
Which of the following would the community health nurse use to describe resiliency? A) Support from friends B) Temperament C) Visits by nurses D) Recovery ability
D) Recovery ability
An instructor is reviewing the principles of the U.N. Convention on the Rights of Persons with Disabilities with a class. Which of the following would the nurse include? A) Limited participation of the society B) Male superiority over women C) Discrimination D) Respect for individual autonomy
D) Respect for individual autonomy
A community health nurse is developing a plan of care for a family who is providing round-the-clock care in their home for a daughter who is chronically ill. Which of the following would be most important for the nurse to integrate into the plan? A) Insurance limitations B) Skill teaching C) Flexible visiting D) Respite care
D) Respite care
Which of the following would be appropriate as secondary-level prevention activities focusing on child abuse and neglect? A) Prenatal parent preparation classes B) Public service announcements for positive parenting C) Education to improve family functioning D) Respite care for families with special needs children
D) Respite care for families with special needs children
A community health nurse is preparing a program for a local community group about homelessness. A portion of the program will address homeless men. Which of the following would the nurse include? A) Homeless men are looked down upon less than other groups. B) Homeless men typically are eligible for social services. C) Homeless men are perceived as blameless for their situation. D) Single low-income men get medical assistance only if disabled.
D) Single low-income men get medical assistance only if disabled.
Which of the following care options would be most appropriate for an older adult who experiences confusion, requires daily insulin injections and blood glucose monitoring, and needs assistance with bathing, dressing, and feeding? A) Personal care home B) Respite care C) Intermediate care facility D) Skilled nursing facility
D) Skilled nursing facility
Which activity would an occupational and environmental health nurse expect to perform in the future based on current trends? A) Supervise care for emergency illnesses B) Counsel employees about health risks C) Perform periodic health assessments D) Suggest cost-effective in-house health services
D) Suggest cost-effective in-house health services
A client will receive hospice care under the Medicare hospice benefit. The nurse understands that which of the following is true? A) The client denies terminal prognosis. B) The client has a prognosis of at least 6 months of life. C) The client chooses life-extending care. D) The hospice acts as clinical and financial case manager.
D) The hospice acts as clinical and financial case manager.
Which of the following would a faith community health nurse identify as being the same as all other professional nurses? A) Caring B) Listening C) Client mobilization D) Use of the nursing process
D) Use of the nursing process
A community health nurse is applying Gordon's classification of disease prevention model to address prevention of alcohol use during pregnancy and prevention of fetal alcohol syndrome. Which of the following populations would the nurse target using indicated prevention strategies? A) Local women in the community of childbearing age B) Women of childbearing age living in a city C) Women of childbearing age considered at risk D) Pregnant women who have a child with fetal alcohol syndrome
D)Pregnant women who have a child with fetal alcohol syndrome
Start Ch. 26 When working with the community to develop plans to meet the needs of people with disabilities, the community health nurse reviews the statistics involving individuals with disabilities. Which of the following would the nurse identify as accurately reflecting the number of persons with ongoing disability? A) 10 million people, less than 5% of the U.S. population B) 27 million people, about 10% of the U.S. population C) 54 million people, about 20% of the U.S. population D) 150 million people, almost 50% of the U.S. population
C) 54 million people, about 20% of the U.S. population
When assessing a population for health disparities, which of the following would the nurse be least likely to evaluate? A) Race B) Education C) Age D) Sexual orientation
C) Age
While working with another group of community health nurses, a nurse overhears one of the nurses saying, "That older man should just retire. He's 70 years old. How productive can he be?" The nurse interprets this statement as reflecting which of the following? A) Prejudice B) Bias C) Ageism D) Insight
C) Ageism
When developing appropriate programs for adult mental health promotion, the nurse incorporates knowledge about the most prevalent mental disorders. Which of the following would the nurse identify as the most prevalent? A) Major depression B) Bipolar disorder C) Anxiety disorders D) Schizophrenia
C) Anxiety disorders
A community health nurse is working with the local health department on screening teens for sexually transmitted infections. Which of the following would the nurse identify as the most common? A) Syphilis B) Gonorrhea C) Chlamydia D) Herpes simplex virus
C) Chlamydia
After discussing nurse-managed care centers with a group of community health nursing students, the instructor determines that the teaching was effective when the students identify which of the following as one of the main challenges? A) Ensuring adequate populations for services B) Exerting a positive influence on the community's health C) Continuing services after funding has stopped D) Managing the multitude of services provided
C) Continuing services after funding has stopped
After teaching a class about the International Classification of Functioning, Disability, and Health, the instructor determines that the teaching was successful when the students identify which of the following as a personal factor? A) Problems with ambulation B) Working C) Coping styles D) Amputation
C) Coping styles
A community health nursing instructor is developing a class plan about faith community nursing. Which of the following would the instructor expect to include? A) One of the oldest nursing specialties B) One of the newest means of health care delivery C) Diversity of activities and interventions D) Differences from parish nursing
C) Diversity of activities and interventions
A community health nurse is evaluating a population for socioeconomic resources. Which of the following would the nurse address? A) Quality of care provided B) Access to health care services C) Educational opportunities D) Adequacy of health care providers
C) Educational opportunities
After teaching a class to a group of students about the most common health problems affecting older adults in the community, which of the following if identified by the students would alert the instructor to the need for additional teaching? A) Arthritis B) Hypertension C) Emphysema D) Peripheral vascular disease
C) Emphysema
When providing care for migrant workers, which of the following would be most appropriate for the community health nurse to do? A) Maintain existing services B) Use standard methods of health care delivery C) Employ information tracking systems D) Use professionals for community outreach
C) Employ information tracking systems
After reviewing the various events associated with the history of home health care, the students demonstrate understanding of the events when they state which of the following as the most significant influence on the growth of home care agencies? A) Creation of the visiting nurse associations B) Era of the Medicare home health benefit C) Enactment of the Balanced Budget Act D) Discharge of nonacute clients
C) Enactment of the Balanced Budget Act
A community health nurse has completed a community assessment. Which of the following would be next? A) Decide on an intervention B) Locate an appropriate Healthy People 2010 goal C) Establish a community diagnosis D) Determine the level of prevention
C) Establish a community diagnosis
A corrections nurse is visiting a local nursing school to describe this career. Which of the following would the nurse include in the discussion? A) Lower salaries than other fields B) Primarily assessment-oriented C) Extensive employee benefits D) Low safety risk
C) Extensive employee benefits
Start Ch. 32 A home health care nurse is working with informal caregivers. Which of the following is most important? A) Include the client's spouse or significant other in the plan. B) Visit frequently to manage and maintain equipment. C) Focus on caretaker abilities, not limitations. D) Use intuition to determine what to teach first.
C) Focus on caretaker abilities, not limitations.
In the Surgeon General's "Call to Action to Improve the Health and Wellness of Persons with Disabilities," which of the following made this document unique? A) View that persons with disabilities can lead long healthy lives B) Implication that health care providers have the knowledge and tools C) Focus on personal responsibility for healthy lifestyle by persons with disabilities D) Concept that persons with disabilities can be independent
C) Focus on personal responsibility for healthy lifestyle by persons with disabilities
After teaching a class about the various approaches to older adult care, the instructor determines that the students have understood the teaching when they identify which of the following as the study of all aspects of the aging process? A) Geriatrics B) Case management C) Gerontology D) Gastrology
C) Gerontology
Which of the following would be most important for a community health nurse to do first when working with vulnerable populations? A) Help them to make choices B) Guide them to think things through C) Get them to interact with the nurse D) Provide honest feedback
C) Get them to interact with the nurse
A community health nurse is engaged in a community-wide program for promoting nutrition in adolescents. Which of the following would lead the nurse to target the program to adolescent girls? A) Girls eat more food than boys. B) Girls are more physically active than boys. C) Girls tend to diet inappropriately. D) Girls are more conscious about food nutrients.
C) Girls tend to diet inappropriately.
When developing teaching programs for a community of adult men and women, which of the following would the community health nurse identify as a key aspect for this community's ability to follow through with the teaching? A) Life expectancy B) Health disparity C) Health literacy D) Financial ability
C) Health literacy
When describing the philosophy of hospice care to a group of students, which of the following would the instructor include? A) The right to die and euthanasia B) Working with people in their last year of life C) Holistic and family-centered care to terminally ill clients D) Weaving hospice concepts around curative treatment
C) Holistic and family-centered care to terminally ill clients
A community health nurse is advocating for the development of school-based health centers in community high schools as a means to accomplish which of the following? A) Maintain the current absentee rate B) Provide contraceptive services C) Increase access to health care services D) Promote increased use of emergency services
C) Increase access to health care services
A corrections nurse is working to develop programs for inmates and reviews the demographics of this population to determine issues. Which of the following would the nurse expect to find? A) Greater portion of inmates who are white C) Increase access to health care services C) Equal distribution of socioeconomic backgrounds D) Incarceration primarily for minor crimes
C) Increase access to health care services
A community health nurse is integrating the Healthy People 2010 goals into programs for a local community. Which of the following goals would the nurse identify as having been met? A) Reduction in low-birthweight infants B) Reduction in preterm births C) Increased infants put to sleep in their back D) Increased proportion of mothers breastfeeding at 6 months
C) Increased infants put to sleep in their back
Start Ch. 21 A community health nurse is developing a program that would encourage mothers to breastfeed exclusively for the first 6 months. The nurse bases this program on the understanding about which of the following? A) Exclusive breastfeeding promotes better growth and development. B) Its lower cost provides more money for other needed items. C) Infant mortality would significantly decrease. D) It would aid in decreasing maternal mortality rates.
C) Infant mortality would significantly decrease.
A community health nurse working at a local women's health clinic is planning a teaching session for a group of women about menopause. Which of the following would the nurse include in the session? A) Menopause involves very noticeable and characteristic symptoms. B) The symptoms are usually temporary, lasting for a month or two. C) It can occur as early as age 30 but more commonly occurs at ages 45 to 55 years. D) Going 6 months without a period signals menopause.
C) It can occur as early as age 30 but more commonly occurs at ages 45 to 55 years.
After teaching a class about commonly used illicit substances, the instructor determines that the teaching was successful when the class identifies which of the following as the most commonly used illicit drug? A) Heroin B) Methamphetamine C) Marijuana D) Cocaine
C) Marijuana
After teaching a group of students about hospice and its view of end-of-life care, which statement by the students indicates a need for additional teaching? A) Care should attend to the body, mind, and spirit. B) Death is not considered a taboo topic. C) Medical technology should be used widely. D) Clients have a right to truthful discussion.
C) Medical technology should be used widely.
A rural community health nurse is a guest speaker at a nearby nursing school. The nurse is describing how rural community health nursing compares with community health nursing in urban and suburban areas. Which of the following would the nurse include about rural community health nurses? A) Salaries comparable with the other two areas B) More difficulty in initiating planned change C) Nurses viewed as active, highly respected community members D) Less physical isolation from professional opportunities
C) Nurses viewed as active, highly respected community members
A community health nurse is preparing a teaching program that addresses chronic diseases common among older adults. Which of the following would be most appropriate to include? A) Forty percent of older adults are diagnosed with diabetes. B) Weight-bearing exercises are related to increased cases of osteoporosis. C) Postural hypotension can be related to falls in elders. D) Older white men have the highest rates of hypertension.
C) Postural hypotension can be related to falls in elders.
A community health nurse is preparing a presentation about drug use and abuse for a group of adults. Which of the following would the nurse include as the one of the fastest-growing forms of drug abuse? A) Cocaine B) Alcohol C) Prescription drugs D) Heroin
C) Prescription drugs
Which of the following would an occupational and environmental health nurse need to keep in mind when selecting this field of nursing? A) The workplace is very similar to a health care institution. B) The nurse focuses on health, not workforce productivity. C) Production or service is a primary goal. D) The nurse functions in a supervisory position.
C) Production or service is a primary goal.
After presenting a program on homeless youth to a local community group, the community health nurse decides to review the material again when the group identifies which of the following as a factor contributing to homelessness in this population? A) Physical abuse B) Family addiction C) Prostitution D) Parental neglect
C) Prostitution
Start Ch. 30 As a guest speaker for a group of community health nurses who are considering corrections nursing as a career, a corrections nurse provides an overview of the history of corrections nursing. Which of the following would the nurse describe as the typical view? A) Health care to inmates occurred primarily as emergency treatment. B) Inmates were viewed as not deserving care paid for by public dollars. C) The emphasis was on corrections, not punishment. D) Prisons provided safe havens from communicable diseases.
B) Inmates were viewed as not deserving care paid for by public dollars.
A community health nurse is assessing an older adult's ability to perform activities such as shopping, doing the laundry, using the telephone, and handling finances. Which assessment tool would be most appropriate for the nurse to use? A) Barthel Index B) Instrumental Activities of Daily Living Scale C) Katz Index of Activities of Daily Living D) Modified Rankin Scale
B) Instrumental Activities of Daily Living Scale
After teaching a group of students about the socioeconomic gradient in health, the instructor determines that the students understand the concept when they state that the relationship between social class and health is which of the following? A) Direct B) Inverse C) Positive D) Unequal
B) Inverse
After reviewing the impact of the Supreme Court decision Estelle v. Gamble, the instructor determines that the students understand the material when they identify which of the following about this decision? A) It created the need for cleaner, less crowded facilities. B) It led to major reforms, including establishment of inmates' rights. C) It required the use of managed care organizations for service. D) It mandated that care be provided in a timely fashion.
B) It led to major reforms, including establishment of inmates' rights.
Which of the following would be the most likely source of funding for services provided in a comprehensive primary care center? A) Government grants B) Medical insurance plans C) Another nurse-managed care center D) Private contracts
B) Medical insurance plans
A community health nurse is compiling a list of organizations that serve persons with disabilities. Which of the following would the nurse categorize as a federal agency? A) National Organization on Disability B) National Council on Disability C) National Association of the Deaf D) American Foundation for the Blind
B) National Council on Disability
A community health nurse is planning to apply the International Classification of Functioning, Disability, and Health to clinical care in the community. The nurse could use this document as a basis for which of the following? A) Curriculum design B) Needs assessment C) Quality of life measures D) Policy design
B) Needs assessment
A community health nurse is working with an older adult population ranging in age from 75 to 85 years of age. The nurse correctly classifies this group as which of the following? A) Young-old B) Old-old C) Oldest-old D) Elite-old
B) Old-old
A community health nurse is developing a plan to address the nutritional needs of infants, toddlers, and preschoolers. Which of the following would the nurse need to incorporate as a major issue associated with nutritional problems? A) Poverty B) Overfeeding of infants C) Cultural food preferences D) Rapid growth spurts
B) Overfeeding of infants
When assessing a group of migrant farmworkers, the community health nurse notes that the group leaves their homebase for part of the year to travel to the same place along a route during the agricultural season, usually returning on a yearly basis. The community health nurse identifies this as which of the following? A) Restricted circuit migration B) Point-to-point migration C) Nomadic migration D) Migrant stream migration
B) Point-to-point migration
A community health nurse is planning activities to promote mental health. Which of the following outcomes would be the priority? A) Fulfilling relationships B) Productive activities C) Ability to cope with adversity D) Ability to adapt to change
B) Productive activities
A faith community nurse networks with a local transportation service to provide service to several clients who need rides to health care appointments. The nurse is functioning in which role? A) Developer of support groups B) Referral agent C) Advocate D) Health counselor
B) Referral agent
When working with community groups to develop appropriate programs for adolescent health promotion, the nurse integrates knowledge of the Healthy People 2010 objectives, keeping in mind that many of the objectives address which of the following? A) Self-esteem improvement B) Risk-taking behaviors C) Control of disease D) Behavioral issues
B) Risk-taking behaviors
A corrections nurse is proactively working with the institution to develop programs to address future trends. Which type of program would be most appropriate for the nurse to recommend? A) Treatment of typical disorders found in younger inmates B) Routine cervical cancer screening for female inmates C) Clinics to address acute disease conditions D) Education for release after shorter incarcerations
B) Routine cervical cancer screening for female inmates
A community health nurse is working with a grant-funded project to address stroke prevention nationwide. After reviewing statistics related to stroke, which area of the United States would the nurse identify as having the greatest need for this type of program? A) North-central B) Southeast C) Southwest D) Pacific Northwest
B) Southeast
Which of the following would a community health nurse expect to find in homeless men? A) Married status B) Substance abuse C) Permanent employment D) Frequent use of shelters
B) Substance abuse
After teaching a group of women in the community about common mental health disorders affecting them, the community health nurse determines the need for additional teaching when the group identifies which of the following as common in women? A) Anxiety disorders B) Suicide completion C) Mood disorders D) Eating disorders
B) Suicide completion
When describing the role of hospice nurses to a group of students, a hospice nurse identifies which of the following as most important? A) Speaking the truth B) Sustaining oneself C) Encouraging choice D) Strengthening the family
B) Sustaining oneself
Which of the following would the community health nurse implement as primary prevention efforts to reduce substance abuse? A) Assessing a person entering an alcohol treatment program for the amount of use B) Teaching teens about the genetic predisposition to alcohol addiction C) Determining the readiness of an individual for treatment and choice of intervention D) Planning a program to prevent drug use relapses
B) Teaching teens about the genetic predisposition to alcohol addiction
Which of the following health conditions would the corrections nurse expect to address as most prevalent? Select all that apply. A) Heart disease B) Tuberculosis C) Hepatitis C D) Asthma E) Substance abuse
B) Tuberculosis C) Hepatitis C E) Substance abuse
After teaching a group of community health nursing students about the trends affecting occupational and environmental health nursing, the instructor determines that more teaching is needed when the students identify which of the following as a trend? A) Continued escalation of health care costs B) Upturn in the global economy C) Increase in worldwide competition D) Increase in technological hazards
B) Upturn in the global economy
A community health nurse working with a group of vulnerable clients is focusing on empowering them. Which of the following would be most effective? A) Keeping the clients to a firm schedule of visits B) Viewing the clients as active partners in the process C) Having the clients cut through bureaucratic red tape D) Focusing on the clients' limitations
B) Viewing the clients as active partners in the process
A school nurse who is not a nurse practitioner works in an elementary school (K-4) with 1,200 students. Which of the following would the nurse engage in with this group? Select all that apply. A) Screening for scoliosis B) Vision and hearing screening C) Teaching basic health practices D) Monitoring chronic illnesses E) Ordering medications F) Providing primary care
B) Vision and hearing screening C) Teaching basic health practices D) Monitoring chronic illnesses
During a home visit to a family, a community health nurse encourages the mother, age 42, and grandmother, age 67, to have a clinical breast exam at which frequency? A) Monthly B) Yearly C) Every 2 years D) Every 3 years
B) Yearly
After teaching a group of students about the factors associated with vulnerable populations, the instructor determines the need for additional teaching when the students identify which as a factor? A) Homelessness B) Acute Illness C) Income D) Immigrant status
B) Acute Illness
Which of the following would the community health nurse identify as a major limitation for using biological markers for screening for substance use? A) Sensitivity of the test B) Cost of the test C) Factors influencing the test D) Ease of obtaining a specimen
B)Cost of the test
A
The public health administrator is in the process of hiring a new public health nurse. Which of the following statements made by an applicant would most likely result in the applicant not being hired? A. "I like to be the only person working on a project because individuals in teams have their own ideas and plans and the resulting debate slows progress." B. "I prefer to work in teams because no single person has too much responsibility because the burden is shared." C. "Teamwork is better than work done by individuals because teamwork incorporates different perspectives." D. "Whether teamwork is better than work done by individuals depends on the nature of the work being performed."
a
The home health nurse completes an initial assessment on a recently admitted home health client. The nurse should now analyze the assessment data and complete what step in the nursing process that is consistent with the standards of home health practice? a. Diagnosis b. Implementation c. Outcome identification d. Planning
b
The model of care delivered in the home setting which focuses on symptom management at the end of life is known as: a. hospice care. b. palliative care. c. personal care. d. transitional care.
a. "Federal legislation requires that the school make provisions for those with various challenges, so your child will be able to remain in school as long as he is able."
The mother of a high school student newly diagnosed with a condition that will require special health care services is concerned that the student will be required to be home-schooled away from the friends he has developed. Which of the following would be the most appropriate response by the school nurse? a. "Federal legislation requires that the school make provisions for those with various challenges, so your child will be able to remain in school as long as he is able." b. "I realize that this will be a difficult adjustment, but home-schooling has improved over recent decades and the Internet will allow your child to connect with friends." c. "Whether your child can remain in school will depend on state funding for those with disabilities. You might want to contact your congressman on this issue." d. "Your child may remain in school as long as he can manage the course requirements and doesn't flunk out."
c
The nurse in community health prepares a community assessment for the local planning commission and presents data that indicate an increase in violence among young children and teens within the community. The nurse projects the cost of care related to violence in ED visits, treatment of stabbing and gunshot wounds, and rehabilitation. The nurse also produces information on school absenteeism, graduation rates, and teenage rape and pregnancy. The planning commission creates a task force to explore the community outlets for child and teen recreation and the current community education programs available to families and students related to violence prevention, negotiation, and mediation. This can best be described as an example of: a. disparities in health care. b. outreach work. c. power of partnerships. d. social issues.
b
The nurse in community health serves as a bridge between the at-risk populations and the community's health care resources. This role is based on the nurse's responsibility to: a. collect and analyze data on programs. b. ensure that all populations have access to affordable, quality health care. c. monitor and assess critical health status indicators. d. provide evidence-based use of resources.
c. "Rumors are often inaccurate; let me follow up and see what happened and what needs to be done."
The principal of a school was upset over a rumor that one of the children had engaged in a violent activity that injured a younger sibling. The principal asked the nurse who the children were so that the involved teachers could both support the injured child and guard other children from the violent child. Which of the following would be the best response by the nurse? a. "I'll get the names to you and the involved teachers immediately." b. "Let me get the parents' consent, and then I'll get you the names." c. "Rumors are often inaccurate; let me follow up and see what happened and what needs to be done." d. "Why don't we coordinate a school-wide program on preventing accidents instead"
b
Which of the following is a potential advantage of hospital-based home health agencies over other types of home care agencies? a. Administration and management benefits are gained from the expertise of two boards of experts. b. Continuity of care is enhanced. c. Health promotion and illness prevention concerns take precedence over acute care and rehabilitation. d. They are eligible for tax exemptions through affiliated agencies.
a
Which of the following is a primary requirement for a client to be eligible for home health nursing and Medicare reimbursement of services? a. Must be homebound b. Must be living in a medically underserved area c. Must be indigent d. Must be insured or eligible for Medicare or Medicaid
b. Computer and technology use
Which of the following is most important for school nurses to master in order to prepare for health care delivery in the future? a. Complementary and alternative therapies such as acupuncture b. Computer and technology use c. Psychoanalytical techniques d. Self-defense techniques
b. Asthma
Which of the following is the leading cause of children being absent from school because of a chronic illness? a. Allergies b. Asthma c. Diabetes d. Upper respiratory infections
c
Which of the following is the primary focus of hospice care? a. Curing or controlling the client's chronic disease b. Decreasing the waste of acute care (hospital) resources c. Providing palliative care to maintain comfort until death d. Teaching the client and family how to care for themselves
B
Which of the following is the underlying science or area of study on which public health is based? A. Biostatistics B. Epidemiology C. Medicine D. Social sciences
a
Which of the following practices in the home is most crucial? a. Using good handwashing procedures b. Obtaining a puncture-resistant container for family to use for needles c. Putting all contaminated material directly into a trash bag d. Washing all surfaces with disinfectant
c
Which of the following principles is central to the role of the parish nurse? a. Advanced nursing practice education and skills b. Faith consistent with the community and its leadership c. Spiritual dimension of care d. Willingness to serve anyone in need
b
Which of the following should be the minimum requirement for a nurse to be prepared for home health nursing? a. An RN license and a baccalaureate degree in a health-related field b. A baccalaureate degree in nursing and RN licensure c. An associate's degree in nursing and RN licensure d. Eligibility for certification as a home health nurse
c
Which of the following statements best describes how clients and parish nurses typically perceive spiritual health? a. It exists at the point that cure is attained. b. It has a tangential relation to well-being. c. It is part of an ongoing dynamic process. d. It is usually unchanging across the life span.
b
Which of the following statements best describes the most essential difference between home health care and acute client care? a. Acute client care is individualized for the client and family. b. Home health care is provided in the client's environment. c. Reimbursement for home health care varies from that of care provided in institutions. d. The focus of acute client care is on community health.
c. Most school districts are unable to afford a nurse in every school.
Which of the following statements best explains why many school nurses are not able to ensure that all children receive needed health care in the schools? a. There is a shortage of baccalaureate-prepared nurses with national school health nurse certification. b. Most nurses prefer to be employed in hospitals giving direct care. c. Most school districts are unable to afford a nurse in every school. d. School districts and taxpayers see no need for nurses in schools.
b
Which of the following statements by a parish nurse exhibits a lack of understanding of the concept of pastoral care? a. "By working with my clients to help them identify their spiritual strengths, I am drawing on pastoral care aspects of practice." b. "To incorporate pastoral care, I should involve the pastor in ministering to the members of the congregation." c. "I use pastoral care when I emphasize the spiritual dimension of nursing when providing care." d. "When I lend support to my clients during times of joy, as well as during their times of sorrow, this illustrates an important aspect of pastoral care."
d
Which of the following statements suggests that faith community nursing is a nationally recognized specialty of nursing? a. Academic programs now offer a clinical specialty in parish nursing. b. Faith community nurses are increasingly receiving salaries for their efforts. c. Faith community nursing is being adapted in other countries and to non-Christian faiths. d. Scope and standards of faith community practice have been developed and revised.
A, C, D a. Cervical spine collars c. Epinephrine autoinjector kit d. Material for splints
Which of the following supplies or equipment should a nurse have available in the school health office (Select all that apply.) a. Cervical spine collars b. Complete emergency kit that fulfills American Hospital Association requirements c. Epinephrine autoinjector kit d. Material for splints
c. Create and share an emergency plan with all teachers and staff.
Which of the following would be the best way for the school nurse to fulfill his or her responsibilities in an emergency situation? a. Tell all staff to call 911 if the nurse is not in the building. b. Arrange to always be available, even if only by phone. c. Create and share an emergency plan with all teachers and staff. d. Wear a pager so that the nurse can come as soon as humanly possible.
Which of the following would a community health nurse include when describing the differential vulnerability hypothesis? A) Exposure to risk factors affects the population's social and human capital. B) Everyone is at risk because of stressful events occurring in life. C) A risk for a negative outcome increases with lower education and income levels. D) Certain groups are affected by stressful events more than others.
D) Certain groups are affected by stressful events more than others.
c. Emergency departments and psychiatric units
. In which of the following settings have nurses most often reported being the victims of violence, especially by patients and their families?
a. It is autonomous, because the occupational nurse works independently. b. The major focus is on the environment.
1. Which of the following describes how occupational health nursing differs from other nursing specialties? (Select all that apply.)
d. There is no "safe" occupation or profession. Most adults spend about one third of their time at work. Every single industry grapples with serious hazard. No work is completely risk free.
1. An occupational health nurse sees the various injuries and diseases that persons can acquire from employment. Which of the following recommendations would the nurse most likely provide about safety in the workplace?
a. Each sick nurse Each worker represents a host within the worker population group.
2. A nurse who works for a hospital in employee health notes that several nurses from one unit have missed work after contracting a communicable disease from a patient. Which of the following best describes the host factor?
a. A majority of new jobs will be in service-oriented employment. b. Employees will often have compressed work weeks, shift work, and reduced job security. d. Many employees will be older and suffer chronic health problems.
2. An occupational health nurse should be aware of which of the following trends in the marketplace? (Select all that apply.)
c. Having employees use safety measures and personal protective equipment
20. Which of the following interventions regarding worker safety would be the least effective?
b. To ensure safe and healthful working conditions
21. Which of the following best describes the mission of OSHA?
b. Companies have improved safety of working conditions because worker's compensation insurance premiums are now based on previous claims.
22. Which of the following statements best describes how workers' compensation legislation has changed employer behavior?
c. Exhaustive inventory of chemicals and industrial hazards is completed.
23. Which of the following would most likely be one of the first steps taken in employer disaster planning?
c. Effects of chemicals can be cumulative. d. Interactions of chemicals are typically unknown.
3. Which of the following explains why some occupational health specialists are very concerned about chemicals in the workplace? (Select all that apply.)
a. New workers employed less than 1 year The population group at greatest risk for experiencing work-related accidents with subsequent injuries is new workers with less than 1 year of experience on the current job. Because of the inherent risks, the nurse should spend extra time with this group to decrease risk.
3. Which of the following groups should the occupational health nurse devote the most time to regarding education and follow-up evaluation?
a. The chemical Agents represent potential dangers or risk to the health and safety of workers. If the flask had broken and glass got into the employee's eye, then the flask would be an agent. However, in the case given, the chemical itself caused the damage
4. An employee in a laboratory drops a flask, resulting in a chemical splash into the employee's eyes, which in turn results in burns to the eyes. Which of the following would be considered the agent?
b. To avoid the cost of liability suits, workers' compensation, etc. d. To meet legislated standards and avoid significant penalties for noncompliance
4. Which of the following are the primary reasons that employers have increasingly focused on ensuring a healthy and safe environment for workers? (Select all that apply.)
a
A nurse would like to maximize her autonomy in her parish nursing practice. Which of the following models of parish nursing would most likely be preferred by the nurse? a. Congregation-based model b. Institution-based model c. Teamwork model d. Partnership model
a. Housekeeping staff Transmission of tuberculosis (TB) within health care settings has reemerged as a major public health problem. Outbreaks of this type of TB have been reported in hospitals, and some workers have developed active drug-resistant TB. Many workers in these settings are employed as maintenance workers, security guards, aides, or cleaning people, who tend not to be well protected from inadvertent exposures, which include contaminated bed linen in the laundry, soiled equipment, and trash containing contaminated dressings or specimens.
5. Which of the following hospital employees are most at risk for being exposed to and possibly developing active drug-resistant TB?
d. Sprains and strains In 2010, sprains, strains, and tears were by far the most frequent disabling conditions, accounting for 46.9% of days away from work (Bureau of Labor Statistics, 2011).
6. Which of the following is the most common disabling condition when measured by days away from work?
a. Anxiety, depression, and exhaustion An estimated 10% of Americans do some form of shift work that has the potential to lead to a variety of psychological and physical problems, including exhaustion, depression, anxiety, and gastrointestinal disturbance. Strategies to minimize the adverse effects of shift work, such as rotating shifts clockwise, are beneficial
7. A nurse makes the suggestion that the 2-week shift rotations should be set up so that the next rotation in shifts is later rather than earlier. Which of the following is the nurse attempting to prevent through this suggestion?
a. Educate students about injury prevention measures
A nurse would like to implement a primary prevention effort to decrease the leading cause of death among children and teenagers. Which of the following actions would the nurse most likely take? a. Educate students about injury prevention measures b. Provide free condoms to sexually active students c. Screen for signs and symptoms of cancer d. Invite a guest speaker to talk about living with HIV
d
A hospital nurse wants to know why home health nurses often take more time with assessment than nurses do in the hospital. Which of the following is the best explanation for this? a. Home care assessment includes not only the client but the supplies and equipment the family may have available for use. b. The home environment is less organized and equipped for the nurse's use. c. Family members must also be assessed for possible problems that could interfere with the primary client's recovery. d. To be effective, the home health nurse must earn the family's trust and work in partnership with them.
B, D b. The school must continue to provide needed appropriate education for the child. d. The school should prepare an updated individualized education plan.
A child has multiple disabilities, and caring for the child has been both expensive and time consuming for the school. Once the child turns 16, which of the following actions should be taken by the nurse (Select all that apply.) a. As an adult, the child is no longer eligible for school services without charge. b. The school must continue to provide needed appropriate education for the child. c. The school can exclude the child from any extra special activities. d. The school should prepare an updated individualized education plan.
d. Meet with the assigned teachers to discuss classroom seating to enhance the child's learning experience.
A child with severe macular degeneration and some hearing loss will be attending the third grade in a local school. A tertiary prevention intervention the school nurse should perform would be which of the following? a. Assess the child's language skills, motor abilities, and social abilities. b. Ensure that a telephone is available for calling emergency personnel or parents. c. Lead educational programs to address coping strategies and stress management techniques. d. Meet with the assigned teachers to discuss classroom seating to enhance the child's learning experience.
D
A community health nurse is trying to decrease the incidence of emerging infections caused by drug-resistant organisms. Which of the following actions would be most appropriate for the nurse to implement? A. Lobby for increased use of antibiotics in the treatment and prevention of communicable diseases. B. Notify the Centers for Disease Control regarding any unusual signs and symptoms related to a communicable illness. C. Reinforce the importance of receiving vaccinations according to recommended schedules. D. Teach parents that antibiotics should not be used for treatment of viral infections or for prevention of bacterial infections.
C
A community mental health nurse is implementing a tertiary prevention activity. Which of the following interventions is most likely being completed? A. Disseminating information about mental health to community organizations B. Partnering with school health nurses for early identification of children who have evidence of mental health problems C. Providing case management services that link clients with serious mental illnesses to mental health and community support services D. Screening high-risk clients for the presence of mental disorders
ace
A current challenge for home health care is the issue of family responsibility for the role of caregiver. Which of the following statements reflects underlying factors that contribute to this home health care challenge? Select all that apply. a. Able family members with multiple obligations b. Debilitation of family members c. Number of women working outside the home d. Reimbursement to family e. Social support systems for caregivers
b. Continue to assess for shock and stress
A disaster has occurred in the community. Which of the following actions should be taken by the school nurse? a. Continue activities as much as possible as if nothing had happened b. Continue to assess for shock and stress c. Help teachers discuss the disaster with their class d. Maintain school routines and activities
c
A faith community nurse is partnering with a local public health department to develop programs for primary, secondary, and tertiary prevention activities. Which of the following should be used as the primary guide for development? a. Contemporary articles in nursing journals b. Evidence-based practice guidelines for treatment of disease c. Healthy People 2020 goals and objectives d. Preferences of partners who are funding the programs
cd
A family is concerned about the medical bills of their father, age 63, who is unemployed and has almost no savings. Which of the following statements by the nurse accurately explain how Medicaid and Medicare would work in this family's situation (Select all that apply.) a. "All your father's medical bills will be paid by whichever program is appropriate." b. "Choose any physician and just show them your Medicare or Medicaid card." c. "Your father must be homebound to qualify for Medicare assistance but less so for Medicaid." d. "Medicare is a federally funded program, but Medicaid is administered by your state."
d
A family member asks a home health nurse to explain the concept of hospice care. Which of the following would the nurse need to include as the fundamental underlying philosophy of hospice? a. Enabling the client to die at home b. Ensuring that the client's living will is upheld c. Placing experts in the position of power of attorney d. Providing comfort measures before death
d
A family shared their concerns, including sexual issues, in strictest confidence with a faith community nurse. When the nurse returned to the church office, the pastor asked why the family wanted to see her. Which of the following statements would be the best response by the nurse? a. "Because you are my supervisor, I will summarize what was said for you." b. "I will include that information in my report to our church's wellness committee." c. "They just wanted me to assess their health needs and make some suggestions." d. "The family had some issues they wanted to discuss in confidence, which I will keep in confidence."
d
A father confides to the parish nurse that his wife has been hurting their 3-year-old daughter. The nurse examines the daughter and finds evidence of physical abuse. In the parish nurse role, which of the following actions should the nurse take first? a. Contact the pastor for guidance in handling this situation. b. Recommend that the family be removed from the faith community. c. Refer the family to pastoral services for counseling. d. Report the findings to child protective services.
a. Base the program on the audience's development and maturity.
A group of nursing students are scheduled to present a program on healthy hearts to various community groups, with a daycare center being the first location. What of the following advice should be given to them by their instructor? a. Base the program on the audience's development and maturity. b. Bring (borrow if necessary) a model of the heart to help explain its functioning. c. Focus on entertaining the learners. d. Have lots of handouts to reinforce the lesson.
b
A group of parish nurses affiliated with a number of faith-based communities located in different regions across the state are attending a quarterly meeting. Which of the following statements made by one of them indicates a lack of understanding of parish nursing? a. "I always make sure to have new clients sign a release of information form to obtain their health record from their previous parish nurse." b. "Because I work for and within the church, I am immune from civil laws." c. "The pastor and I work together for the spiritual health of the community." d. "Yes, I am happy to pray with my clients and help them worship."
c
A home health nurse asks a client with arthritis to attend a demonstration in which an assistive device is used to put on shoes. Which phase of the nursing process is the nurse's current focus? a. Outcome identification b. Planning c. Implementation d. Evaluation
c
A home health nurse is caring for a client who has right-sided paresis secondary to a stroke. Which of the following would be the best approach for the nurse to take? a. Arrange for private duty nurses to assist the client with daily needs. b. Assist the client with activities of daily living. c. Teach the client to participate in self-care activities. d. Teach the family how to care for the client.
d
A home health nurse is working with a client who requires a catheter insertion and wound care. The nurse is also helping the client and family to develop positive coping skills and identify resources that will help the client to attain a state of optimal functioning. It is important for the nurse to specifically document nursing services provided because of which of the following? a. The agency is required to practice within the guidelines set up by regulatory agencies. b. Each criterion has minimum standards to which the program must adhere. c. Nurses are required to provide supervision of services. d. Reimbursement is dependent on the provision of skilled care.
B
A key characteristic of faith community nursing services is to facilitate collaborative health ministries in the faith communities by: A. embracing individuals across the life span. B. respecting diverse traditions of faith. C. requiring statements of faith. D. using a Judeo-Christian theological framework.
b. "If anything you tell me indicates that someone is in danger, the parents and school officials must be told."
A middle school student approaches the school nurse and asks, "Can I speak with you about something important?" The school nurse responds affirmatively but should also state which of the following? a. "Anything you tell me will be kept private and confidential." b. "If anything you tell me indicates that someone is in danger, the parents and school officials must be told." c. "It may be best for me to set up an appointment with the school counselor." d. "You can always speak to me if you are in trouble or when you need someone to talk to."
d
A new client has just been released from the hospital after intensive treatment for multiple injuries following a motorcycle accident. Which of the following types of care will he most likely receive? a. Home-based primary care b. Population-focused home care c. Proprietary home care d. Transitional care
c
A new role for public health that is used in widespread public emergencies is: a. communicable disease control. b. first responder. c. incident commander. d. professional triage.
A, D a. Call the parents or mail another reminder. d. Suggest to the parents that if they don't have health care insurance, they may qualify for programs that provide immunizations free.
A new student's parents had not yet submitted an immunization record, although the nurse had sent a reminder home with the student twice. Which of the following actions should be taken by the nurse to keep the child in school (Select all that apply.) a. Call the parents or mail another reminder. b. Report the problem to the teacher and the principal. c. Send the child home with a note saying the child cannot return until the immunization record is received. d. Suggest to the parents that if they don't have health care insurance, they may qualify for programs that provide immunizations free.
A
A nurse at a migrant clinic assists clients with completing the application process to receive supplemental food assistance. Which of the following roles of the nurse is being used? A. Advocate B. Case manager C. Outreach worker D. Primary caregiver
c
A nurse completes a self-assessment of performance as part of the home health nurse's annual evaluation. Which of the following terms best describes this activity? a. Collaboration b. Quality of care c. Performance appraisal d. Resource utilization
b
A nurse has just received word that Medicaid will reimburse for care provided to a homeless man with schizophrenia who is afraid to come to the clinic to receive health care. Which of the following best describes this type of nursing? a. Community-oriented nursing b. Home health nursing c. Hospice nursing d. Private duty nursing
a
A nurse is considering accepting the parish nursing position within his congregation. Which of the following educational preparation is crucial for the nurse to have received? a. Baccalaureate education including community health nursing experience b. Graduate education in community health nursing c. Passing the national certifying exam for parish health nursing d. Worship experiences for the process of ministry
B
A nurse is considering applying for a public health nurse position at a local health department. Which of the following minimum levels of educational preparation should the nurse have obtained? A. Associate degree in nursing B. Baccalaureate degree in nursing C. Master of science degree in nursing D. Training as a licensed practical nurse
D
A nurse is employed at the state department of public health. Which of the following is a fundamental principle guiding his practice? A. Decisions are made at the federal level, disseminated at the state level, and carried out at the community level. B. Health of populations is only as good as the health of individuals that live and work in the community. C. Oversight of community health departments is the most important function. D. The interaction of the local-state-federal partnership is critical to success.
ABD
A nurse is employed by a state public health department. Which of the following functions would most likely be completed by this agency (Select all that apply.) A. Delegating power to engage in certain activities such as quarantine B. Enforcing laws and regulations that protect public health C. Filing birth and death certificates whenever these occur within the state D. Monitoring health status of citizens within its geographic boundaries
B
A nurse is implementing a primary prevention activity to decrease the incidence of communicable disease. Which of the following actions is the nurse most likely taking? A. Identifying and treating clients in a sexually transmitted disease clinic B. Partnering with schoolteachers to teach and observe hand washing techniques in elementary school children C. Providing case management services that link clients with communicable diseases to health care and community support services D. Performing directly observed therapy (DOT) for clients with active tuberculosis
B
A nurse is working at a local health department. Which of the following would most likely be completed by this agency? A. Enforcement of laws and regulations related to public health nationwide B. Filing of a certificate for any birth or death in a community C. Providing experts in various specialties to answer questions and respond as needed D. Surveying the state's public health needs
a
A nurse orienting to the home health role states, "I don't understand why we have to collaborate with so many other disciplines; this conflicts with the concept of nurses providing all direct care to the client in the home" Which of the following would be the best response? a. "The nurse still provides direct care for the client; however, interdisciplinary collaboration is necessary to prevent fragmentation of care." b. "Direct nursing care is a concept applied to care in tertiary facilities, such as hospitals, where materials are centrally located in one facility. In home health, this is not possible." c. "Even though home health nursing does not provide as much direct care as other nursing specialties in the community, each discipline contributes to client needs from its special knowledge base." d. "Yes, it does create conflict, but Medicare mandates interdisciplinary collaboration."
a. Call in another nurse to care for this client.
A pregnant teen asks the school nurse to provide information on abortion and a list of health care providers who offer such services. If the school nurse has very strong personal beliefs against abortion, which of the following actions should be taken by the nurse? a. Call in another nurse to care for this client. b. Explain, from the nurse's perspective, all the reasons that abortion should be made illegal. c. Offer the student a combination of oral contraceptives to induce spontaneous abortion. d. Provide information on alternatives to abortion and give the client information on adoption agencies.
D
A public health nurse has reviewed the objectives of Healthy People 2020. Which of the following should be the focus for programming in the community related to communicable diseases? A. Encouraging community members to engage in healthy behaviors B. Identifying high-risk sexual behaviors among community members C. Monitoring the sexual activity of adolescents D. Providing information about the hazards of multiple sexual partners
B
A public health nurse traces sexual contacts of clients with sexually transmitted diseases for screening and treatment. Which of the following levels of prevention is being implemented? A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Secondary and tertiary prevention
a. CDC's Federal School Health Program
A school district in the Midwest has included health education, physical education, health services, nutrition services, and counseling, psychological, and social services as components of the student health services. Additionally, the district has integrated family/community involvement, staff health promotion, and a commitment to a healthy school environment in its program design. This school district has adopted the school health service program scope of which of the following? a. CDC's Federal School Health Program b. Healthy Schools, Healthy Communities program c. Healthy People 2020 d. School-linked program
b. Consultant
A school health nurse is requested by the board of education to assist in choosing new playground equipment for an elementary school that meets safety standards. Which of the following best describes the nurse's role in this scenario? a. Case manager b. Consultant c. Counselor d. Health educator
A, B, D a. Being a gang member b. Damaging property d. Mood swings
A school nurse describes to teachers the characteristics of an adolescent who may be thinking about drastic violence. Which of the following behaviors would suggest the adolescent was having such problems (Select all that apply.) a. Being a gang member b. Damaging property c. Leaving the scene if another student is being bullied or hurt d. Mood swings
c. Tertiary prevention
A school nurse has developed a special class for pregnant teens to teach them everything from anticipated body changes to methods for managing common pregnancy-associated problems. The classes also allow the nurse to be in close frequent contact with the students to monitor their health status. Which of the following levels of prevention is being used by the nurse? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Both primary and secondary prevention
a. A current drug reference should be available in case information is needed
A school nurse is administering medications at the school. Which of the following guidelines should be followed? a. A current drug reference should be available in case information is needed b. The nurse should administer medications brought in from home by the child c. Medications cannot be administered without a physician order d. Narcotics and controlled substances should be kept in a locked cabinet
c. Tertiary
A school nurse is demonstrating the use of a peak flow meter to help children with chronic asthma recognize when they need to use a rescue inhaler. Which of the following levels of prevention is being used by the nurse? a. Primary b. Secondary c. Tertiary d. Both primary and secondary
d. Notify the legal authorities.
A school nurse listens as one student talks about another student being upset because his father frequently spanks him with a leather belt that leaves big marks on the student's back. But the student begs the nurse not to tell anyone because he promised the friend that the information would never be shared. Which of the following actions should be taken by the nurse? a. Ask the student if abuse has occurred. b. Call in the named student and ask him to remove his shirt. c. Discuss the conversation with the student's parents. d. Notify the legal authorities.
a. Adolescent suicides
A school nurse suggests to teachers that they have a session on coping strategies and stress management techniques. The nurse also sets up a peer counseling program. Which of the following is the school nurse most likely trying to prevent? a. Adolescent suicides b. Bullying c. Obesity d. Teenagers engaging in violence
A, B, D A. Engaging parents in school activities. B. Creating a zero tolerance police for weapons on school property. D. Developing mentoring programs for at-risk youth
A school nurse would like to improve the safety of everyone at the school by creating policies to decrease the likelihood that violence will occur. Which of the following actions would the nurse likely take? (Select all that apply.) A. Engaging parents in school activities. B. Creating a zero tolerance police for weapons on school property. C. Encouraging children to participate in the after school program at a local community center. D. Developing mentoring programs for at-risk youth
a. Case manager
A second-grade child with cerebral palsy receives services from a physical therapist and occupational therapist during the child's academic day. The school nurse sets up the schedule to ensure that the therapists' visits do not unnecessarily affect the child's academic day negatively. This role of the school nurse is best described as which of the following? a. Case manager b. Counselor c. Consultant d. Direct caregiver
a. Alignment with the American Academy of Pediatrics (AAP) guidelines for providing health care to students
A unique characteristic of the standards of practice for school nurses is which of the following? a. Alignment with the American Academy of Pediatrics (AAP) guidelines for providing health care to students b. Requirement of bachelor's degrees in nursing and special certification in school nursing c. Restriction on delegation of care to other school personnel d. Use of research findings in the practice of school nursing
c
A young woman had been away from home several years before she returned home sick and disheartened. Her mother called a nurse to help. Which of the following behaviors would suggest that the caregiver who arrived was a parish nurse? a. Advanced nursing practice education and skills b. Compassionate, skilled, dedicated touch c. Offered a prayer with the daughter and mother d. Willingness to do whatever was needed by mother or daughter
Which of the following statements would alert a community health nurse to the need for education about older adults? A) "Older adults rarely have mental health problems." B) "Most older adults can lead independent lives." C) "Chronologic age doesn't reflect an older adult's functioning level." D) "The average age for retirement is moving upward."
A) "Older adults rarely have mental health problems."
When visiting a local senior center, a community health nurse engages several of the older adults in a discussion about immunizations. Which statement best reflects the importance of older adult immunization? A) "We're at greater risk of dying from the flu or pneumonia." B) "You don't get the flu from the flu shot." C) "The doctor told us that we should get it." D) "Many of us get the shot here at the center for free."
A) "We're at greater risk of dying from the flu or pneumonia."
When determining a target population for education about alcohol use, which age group would the community health nurse most likely plan to address? A) 18- to 25-year-olds B) 30- to 40-year-olds C) 45- to 55-year-olds D) 65 years of age and older
A) 18- to 25-year-olds
When explaining the concept of disability to a local community group, which of the following descriptions would be most appropriate for the nurse to include? A) A disability is a condition someone has, not something one is. B) The plan of care for two persons with the same disability would be the same. C) A disability refers to a person's inability to do something. D) Handicap and disability are two terms that go hand in hand.
A) A disability is a condition someone has, not something one is.
A community health nurse is working to develop programs to address the health status of migrant families. Which of the following would the nurse need to keep in mind when planning these programs? Select all that apply. A) A greater mortality from injuries, TB, respiratory and cerebrovascular diseases B) A dramatic increase in use of immunizations for migrant children C) An infant mortality rate that is 25% to 30% higher than for other infants in the U.S. D) Health needs compromised by limited access to health care and high mobility E) A much lower life expectancy than that of the general population
A) A greater mortality from injuries, TB, respiratory and cerebrovascular diseases C) An infant mortality rate that is 25% to 30% higher than for other infants in the U.S. D) Health needs compromised by limited access to health care and high mobility E) A much lower life expectancy than that of the general population
Which of the following roles would be critical for a faith community nurse to assume to achieve the goals of this practice? Select all that apply. A) Advocate B) Health educator C) Volunteer coordinator D) Health counselor E) Case manager F) Direct care provider
A) Advocate B) Health educator C) Volunteer coordinator D) Health counselor
After teaching a group of students about public health nursing and the U.S. Public Health Service Commissioned Corps, the instructor determines that the students need additional instruction when they state which of the following is necessary to qualify for a position in the Corps? A) Age over 45 years B) Bachelor's degree in nursing C) Valid nursing license D) U.S. citizenship
A) Age over 45 years
A community health nurse is involved in a screening program for alcohol use with an ethnically diverse population. Which of the following would be the best instrument to use? A) Alcohol Use Disorders Identification Test (AUDIT) B) CAGE questionnaire C) Michigan Alcoholism Screening Test (MAST) D) Drug Abuse Screening Test (DAST)
A) Alcohol Use Disorders Identification Test (AUDIT)
When preparing a plan of care for a group of women who are victims of intimate partner violence, the nurse develops interventions aimed at the primary level of prevention. Which of the following would be most appropriate for the nurse to include? A) Assisting them to locate a safe shelter B) Providing immunizations C) Screening for sexually transmitted infections D) Teaching about basic hygiene measures
A) Assisting them to locate a safe shelter
A community health nurse works to offer increased health care services to meet the needs of a local migrant population. Which of the following ideas will work well for this population? Select all that apply. A) Providing a mobile van clinic that comes to the farms during the day B) Offering a clinic at the migrant camp from 7 to 10 p.m. C) Asking local doctors to stay open until 6 p.m. during the summer D) Offering school-based health services for the children E) Providing a breakfast program for the children at school
A) Providing a mobile van clinic that comes to the farms during the day B) Offering a clinic at the migrant camp from 7 to 10 p.m. D) Offering school-based health services for the children E) Providing a breakfast program for the children at school
When providing home health care, which individual is responsible for coordinating the care? A) Registered nurse B) Social worker C) Physician D) Dietitian
A) Registered nurse
Start Ch. 23 A community health nurse is working with other professionals to develop preventive programs to address the leading cause of death in men and women. Which of the following would be appropriate? A) Risk reduction for heart disease B) Cancer screening C) Safety education D) Flu immunizations
A) Risk reduction for heart disease
A community health nurse is working with a group of parents who have infants and toddlers. Which of the following would the nurse include in a teaching plan for this group about reducing dental caries? A) Serving sugary foods at mealtimes and not snacks B) Providing juice in a sippy cup between meals C) Allowing the older infant to fall asleep with a bottle D) Permitting snacking throughout the day
A) Serving sugary foods at mealtimes and not snacks
While working in a community health clinic, a community health nurse interviews a 24-year-old client. Which of the following would lead the nurse to suspect that the client is binge eating? A) Significant weight loss from dieting last year B) Excessive exercise C) Exaggerated concern about body shape D) Severe emaciation
A) Significant weight loss from dieting last year
A community health nurse is working with local community agencies to provide services for children and adolescents with disabilities. Based on the nurse's knowledge of the most common disabilities affecting this group, the nurse would advocate for which of the following to address the largest group? A) Special education services B) Speech therapy services C) Mental health services D) Mental retardation services
A) Special education services
When working with school districts, which of the following would the community health nurse encourage as the most effective school-based approach to prevent teenage suicide? A) Suicide prevention programs with direct interventions B) Teachers assessing suicide risk among students C) Promotion of stronger parental control of teens D) Punitive treatment of teens by the school administration
A) Suicide prevention programs with direct interventions
Start Ch. 27 A community health nurse is meeting with a group of individuals who have been diagnosed with a serious mental illness. The nurse interprets this to mean which of the following? A) The clients have impaired functioning and quality of life, B) The clients' disorder is chronic and persistent, C) The clients have issues of impaired control and dependency, D) The clients have a significant behavior syndrome with present distress,
A) The clients have impaired functioning and quality of life,
When describing the changes occurring in the older adult population globally, which of the following would be most accurate? A) The over-80-years age group is the fasting-growing segment of the group. B) Males have a longer projected life expectancy compared with females. C) Most countries have adequate numbers of social programs for older adults. D) Adults over age 65 are expected to account for about 25% of the population by 2050.
A) The over-80-years age group is the fasting-growing segment of the group.
A community health nursing student is interviewing several occupational and environmental health nurses about their experiences. Each of the nurses works in a small organization and is the only nurse for the company. Which of the following would the student most likely note as being similar among the nurses? A) Use of critical thinking skills B) Collegial relationships with management C) Decrease in workload D) Role certainty
A) Use of critical thinking skills
When describing nurse-managed health centers to a group of students, which of the following would the instructor emphasize? A) Used as a vital "safety-net" health care provider B) An alternative to primary care for insured persons C) Focused on the individual in the community D) Affiliated with a local acute care facility
A) Used as a vital "safety-net" health care provider
An instructor is describing the various types of home health care agencies and uses the visiting nurse association as an example of which type? A) Voluntary nonprofit B) Hospital-based C) For-profit proprietary D) Noncertified
A) Voluntary nonprofit
A group of students are preparing for an examination focusing on the legislation associated with disabilities. The students demonstrate understanding of the material when they identify which of the following as the first piece of legislation? A) Voting Accessibility for the Elderly and Handicapped Act B) Fair Housing Act amendment C) Americans with Disabilities Act D) Telecommunications Act
A) Voting Accessibility for the Elderly and Handicapped Act
When developing programs for substance use prevention, the community health nurse engages in the following activities. Place the activities in the order in which they would occur, from first to last. A. Determine the trends related to substance use across different populations. B. Recognize the difference between legal and illegal substance abuse. C. Understand the consequences of substance use affecting the community as a whole. D. View the substance use from an environmental perspective.
A. Determine the trends related to substance use across different populations. B. Recognize the difference between legal and illegal substance abuse. C. Understand the consequences of substance use affecting the community as a whole. D. View the substance use from an environmental perspective.
c. Giving emergency care in the school or during school events
According to the American Academy of Pediatrics, which of the following activities are expectations for a school health nurse? a. Ensuring that children with health problems are accepted by their peers b. Driving children home if parents can't pick them up c. Giving emergency care in the school or during school events d. Giving medications as needed if children are ill
d
Although a particular congregation's need was obvious, there simply wasn't enough money to support a parish nurse position. Which of the following community groups would have most likely had a need and funds available to contribute to a shared parish nurse position? a. Childcare center b. Community elementary school c. Community high school d. Elderly housing complex
b. "Most lice are found in clean hair. Children often share combs. Let me tell you how to fix the problem."
An upset mother calls the school nurse and says, "How dare you say my child has lice My child is clean and I keep a clean house! You've obviously made an error." Which of the following would be the best response by the nurse? a. "I'm sorry you're upset, but your child cannot return to school until this problem is addressed." b. "Most lice are found in clean hair. Children often share combs. Let me tell you how to fix the problem." c. "You may have been traveling. Lice are often found in motels." d. "I'm sure you're correct; one of my volunteers probably made an error. I'll recheck."
b. The Affordable Care Act
An urban school-based clinic is located in a school district where many of the children lack health insurance. The school nurse continues to provide screening, assessment, first aid, and record keeping but can refer students who require additional services to the nurse practitioners that staff the school-based health center (SBHC) on the school grounds. The SBHC is federally funded under which of the following? a. CDC's Federal School Health Program b. The Affordable Care Act c. Healthy People 2010 d. School-linked program
D
An academic medical center and a local senior living complex employ a parish nurse. The faith community nurse also holds a faculty position at the university's school of nursing. This nurse is practicing a type of parish nursing known as the: A. advanced practice model. B. clinical specialty model. C. congregation-based model. D. institution-based model.
B
An effective program strategy for health promotion efforts guided by the Healthy People 2020 framework that can be used by the faith community is establishing: A. food pantries. B. health fairs. C. statements of faith. D. volunteer training.
D
An example of the use of the nursing process within a faith community nursing practice is the: A. contractual agreement. B. evidence of a mature faith. C. polity of the faith community. D. use of health appraisals.
A community health nurse is reviewing the effects of the Americans with Disabilities Act of 1990. Which of the following would the nurse identify as a major result of this legislation? A) Employers with five or more employees must abide by it. B) Architectural barriers must be removed from pathways so that they are accessible by wheelchair. C) The disabled are eligible to receive telephone services in their home at no cost. D) Individuals with disabilities who wish to vote must be provided transportation to polling places to vote.
B) Architectural barriers must be removed from pathways so that they are accessible by wheelchair.
A community health nurse is teaching a group of parents about attention-deficit/hyperactivity disorder. Which statement by the parents would indicate the need for additional teaching? A) "We probably will need to give him medication to help him in school." B) "We need to keep him away from foods that have additives in them." C) "This condition is most likely due to problems with genes and nerve receptors." D) "We'll be alert to the possibility of more injuries and accidents."
B) "We need to keep him away from foods that have additives in them."
A community health nurse is making a home visit to a family. The family has a son with a disability who requires a motorized wheelchair. The family asks for the nurse's assistance. Which response by the nurse would be most appropriate? A) "His disability should automatically cover the cost of the chair." B) "We'll need to check with the insurance company about coverage." C) "You'll probably be able to get it if you pay for half the cost." D) "You might be able to get a regular wheelchair, but a motorized one is impossible."
B) "We'll need to check with the insurance company about coverage."
An older adult interested in nutrition asks the community health nurse about the number of calories that he should eat every day. Which of the following would be most appropriate? A) 800 to 1,200 calories B) 1,200 to 1,600 calories C) 1,600 to 2,000 calories D) 2,000 to 2,400 calories
B) 1,200 to 1,600 calories
A community health nurse is involved in a screening program for lead exposure. The nurse would target this program primarily to which age group? A) Birth to 1.5-year-olds B) 1.5- to 3-year-olds C) 3- to 5-year-olds D) 5- to 7-year-olds
B) 1.5- to 3-year-olds
A community health nurse is providing immunizations to schoolchildren at a local health department. At which age would the nurse expect to administer the first dose of human papillomavirus (HPV) vaccine? A) 9 B) 11 C) 13 D) 15
B) 11
A home health care nurse makes an initial visit to a client and determines that the client meets the criteria for services with Medicare reimbursement. The nurse understands that this service will be reimbursed for which period? A) 30 days B) 60 days C) 90 days D) 120 days
B) 60 days
A community health nurse is preparing for a presentation on disabilities and is planning to include information about Healthy People 2010 goals. When addressing these goals, the nurse identifies differences from the goals addressed by Healthy People 2000. Which of the following would the nurse identify as different? A) Disability and chronic illness is addressed more widely in the 2000 goals. B) A majority of the focus areas for 2010 are related to chronic illness and disability. C) The goals for 2000 have an entire section on disability and secondary conditions. D) The goals of 2000 cited a lack of parity between disabled and nondisabled persons.
B) A majority of the focus areas for 2010 are related to chronic illness and disability.
When preparing a program about substance abuse prevention for adolescents, the community health nurse would focus on which substance as the most commonly used? A) Marijuana B) Alcohol C) Ecstasy D) Ketamine
B) Alcohol
After teaching a group of older adult women about preventing osteoporosis, which of the following if stated by the group indicates the need for additional teaching? A) "We should eat foods that are high in calcium and vitamin D." B) "We need to get bone density screenings regularly." C) "We should avoid activities that involve weight-bearing." D) "We need to maintain a healthy weight."
C) "We should avoid activities that involve weight-bearing."
After reviewing the history of nurse-managed health centers, the instructor determines that the teaching was successful when the students identify which of the following as when today's model began? A) 1920s B) 1940s C) 1960s D) 1980s
C) 1960s
A community health nurse is discussing alcohol use disorders and is explaining what is meant by a standard drink. Which of the following would the nurse include as an example? A) Two 12-oz cans of beer B) 5-ounce glass of wine C) 3 ounces of an 80-proof spirit D) 1.5 ounces of a cordial
C) 3 ounces of an 80-proof spirit
A community health nurse who is working with a program to foster early detection of prostate cancer recommends prostate-specific antigen testing and a digital rectal exam for men with average risk starting at which age? A) 40 years B) 45 years C) 50 years D) 55 years
C) 50 years
After teaching a group of pregnant women about the need for proper oral health during pregnancy, which of the following statements by the group indicates the need for additional teaching? A) "We should continue seeing the dentist like we always do." B) "Chewing sugar-free gum is okay during the pregnancy." C) "If we need dental work, we can postpone it until after the birth." D) "Flossing and brushing are just as important now as before."
C) "If we need dental work, we can postpone it until after the birth."
A community health nurse is teaching a group of older adults at a senior center about strategies for successful aging. Which of the following would the nurse include? A) "Limit alcohol drinks to one or two a month." B) "Avoid eating too many fruits and vegetables." C) "Keep in touch with friends and family." D) "Get up early in the morning."
C) "Keep in touch with friends and family."
A community health nurse is making a family home visit. The family consists of the mother, father, a 1-year-old, and a 4-year-old. The mother tells you that the 4-year-old, who is in preschool, had a cold last week, and now the 1-year-old has it. She asks the nurse if she can use the over-the-counter cold medication that she gave to the 4-year-old for the 1-year-old. Which response would be most appropriate? A) "It shouldn't be a problem if you use that same medication for the 1-year-old." B) "I don't know if the medicine will work, but you can try it and see." C) "That type of medicine should not be used in children under age 2." D) "You should use a smaller dose, but watch if it makes him irritable."
C) "That type of medicine should not be used in children under age 2."
During a home postpartum visit, a community health nurse suspects that the woman is experiencing depression. Which of the following responses would be most appropriate? A) "You should try drinking more caffeine so you'll be less tired." B) "Don't worry. Good mothers don't hurt their babies." C) "Try napping when the baby is napping." D) "Have a glass of wine after dinner to relax."
C) "Try napping when the baby is napping."
After presenting a seminar on disabilities to a local community group, the community health nurse determines that the seminar was successful when the group states which of the following? A) "Most persons with disabilities are already in poor health." B) "The major focus needs to be on preventing disabilities." C) "We need a clear definition of disability and people with disabilities." D) "Environment is of no significance in the disability process."
C) "We need a clear definition of disability and people with disabilities."
The community health nurse is reviewing the Healthy People 2010 priorities for rural residents. Rank the selected issues below, starting with the highest-priority issue. A. Heart disease and stroke B. Diabetes C. Access to health care D. Oral health E. Substance abuse F. Tobacco use
C. Access to health care A. Heart disease and stroke B. Diabetes D. Oral health F. Tobacco use E. Substance abuse
The following is a list of the top-five causes of unintentional injuries accounting for the majority of adult deaths due to injury. Order these in their proper sequence from first to fifth. A. Firearms B. Suffocation C. Motor vehicle crashes D. Poisoning E. Falls
C. Motor vehicle crashes A. Firearms D. Poisoning E. Falls B. Suffocation
A community health nurse is making a home visit to a family who has been providing care to an older adult member with Alzheimer disease for the past 6 months. During the visit, which of the following would be most important for the nurse to assess? A) Cognitive status B) Medication regimen C) Personality changes D) Caregiver's status
D) Caregiver's status
Which of the following roles would be most important for a community health nurse to assume at each level of prevention with the homeless population? A) Educator B) Care provider C) Counselor D) Case manager
D) Case manager
B
Communities of faith strive to be caring communities and strongly value the fellowship among members. The faith community nurse recognizes that sharing concerns with pastoral staff and fellow congregants gains valuable support to promote optimal healing. The ethical issue of concern in this matter is: A. group rights. B. individual rights. C. statements of faith. D. virtue ethics.
Which of the following would a community health nurse address as a means for enhancing the life of the public? A) Proper nutrition B) Healthy sleep patterns C) Use of community supports D) Creative outlets
D) Creative outlets
Quality measures are being determined for a home health care agency. For which of the following would the agency want to achieve higher percentage rates? A) Hospital admissions B) Urgent unplanned medical care C) Deteriorating wound status D) Decreased pain with movement
D) Decreased pain with movement
Which of the following statements by a women's group indicates that they have understood the teaching about heart disease and women? A) "More women die of breast cancer than heart disease." B) "Women experience similar symptoms as men." C) "Hormone replacement therapy protects the heart." D) "Heart disease is the number-one killer of women."
D) "Heart disease is the number-one killer of women."
A community health nurse implements a teaching program for new parents about ways to reduce infant mortality. Which suggestion would the nurse include as most important? A) "Never leave the infant alone on a dressing table or couch." B) "Check the temperature of the bath water before bathing." C) "Stay within an arm's length when the baby is in the tub." D) "Put the infant to sleep on his or her back."
D) "Put the infant to sleep on his or her back."
A community health nurse is part of community discussion group on alcohol. The nurse recommends that adult men should have less than: A) 6 standard drinks weekly B) 8 standard drinks weekly C) 10 standard drinks weekly D) 14 standard drinks weekly
D) 14 standard drinks weekly
While providing preconception counseling to a group of women, the community health nurse emphasizes the need for adequate weight gain during pregnancy based on the understanding of which of the following? A) Gaining too much weight during pregnancy can lead to premature birth. B) Inadequate weight gain increases the woman's risk for cesarean birth. C) Prolonged labor can occur with too little or too much weight gain. D) Adequate weight gain is positively correlated with normal birthweight.
D) Adequate weight gain is positively correlated with normal birthweight.
Which of the following programs would be least effective to institute for a community of school-age children who are experiencing dental caries? A) Ensuring that the drinking water is fluoridated B) Having the school institute a fluoride rinse program C) Encouraging parents to get their children's teeth sealed D) Advising parents to encourage the children to brush once daily
D) Advising parents to encourage the children to brush once daily
A school nurse is addressing dental health issues. Which activity would be most appropriate at the community level? A) Educating parents about the importance of oral health B) Teaching children how to brush and floss properly C) Finding resources for those without dental insurance D) Advocating for the fluoridation of drinking water
D) Advocating for the fluoridation of drinking water
After describing the various models for nurse-managed health centers, the instructor determines that the students understand the information when they identify which organization structure as being partnered legally with a human services organization? A) Academic nursing center B) Free-standing center C) Subsidiary center D) Affiliated center
D) Affiliated center
When reviewing the statistics about the racial and ethnic makeup of homeless populations in urban areas, the nurse would identify which group as constituting a large percentage of the population? A) Whites B) Native Americans C) Migrant workers D) African Americans
D) African Americans
A community health nurse is working with a group of homeless clients with substance abuse problems. Which of the following would be appropriate for the nurse to do at the tertiary level of prevention? A) Conduct mass screening for common communicable diseases B) Institute a mobile van to assist in early diagnosis of common illnesses C) Advocate for counseling programs to address high-risk behaviors and abuse D) Assist in ensuring participation in substance abuse rehabilitation programs
D) Assist in ensuring participation in substance abuse rehabilitation programs
Start Ch. 29 A local community has a significant population of migrant workers. In response, a community health nurse plans to present a program to the local community about this population. As part of the program the nurse plans to include information about Cesar Chavez, describing him as which of the following? A) A Mexican president who worked to keep people from crossing the border illegally B) A well-known actor who advocates for increasing the number of Latinos in Hollywood C) The senator who wrote the Children's Health Insurance Program (CHIP) bill D) Founder of the United Farm Workers, who spent his life fighting for social justice
D) Founder of the United Farm Workers, who spent his life fighting for social justice
As part of a health screening program, a community health nurse determines that a client is infected with the human papillomavirus (HPV). The nurse encourages the client to do which of the following? A) Get a mammogram immediately. B) Have her blood glucose level checked. C) Undergo testing for a breast cancer gene. D) Have a pelvic examination and Pap smear.
D) Have a pelvic examination and Pap smear.
Which of the following would a community health nurse recommend that adult men and women over age 50 receive yearly? A) Electrocardiogram B) Tetanus booster C) Flexible endoscopy D) Hemoccult stool testing
D) Hemoccult stool testing
A nursing instructor is preparing a group of students for a clinical rotation in a nurse-managed health center. Which of the following would the instructor include when describing the students' role? A) Clinical supervision B) Passive participation C) Use of tertiary-level activities D) Implementation of best practices
D) Implementation of best practices
An instructor is reviewing the vision, mission, and goal of the National Nursing Centers Consortium with a group of community health nursing students. The instructor determines that additional teaching is needed when the students identify which of the following as a goal? A) Providing national leadership in identifying, tracking, and advising health care policy development B) Positioning nurse-managed health centers as a recognized mainstream health care model C) Fostering partnerships with people and groups who share the same goals D) Instituting measures and methods to address population needs that reduce health disparities
D) Instituting measures and methods to address population needs that reduce health disparities
After teaching a group of students about participatory action research, the instructor determines that the students need additional teaching when they state which of the following as a main component? A) Problem inquiry B) Participant organization C) Awareness and action D) Issue identification
D) Issue identification
When assessing a population's vulnerability, which of the following would the community health nurse identify as a predisposing factor? A) Social support networks B) Crime rates C) Transportation D) Living conditions
D) Living conditions
After teaching a group of students about the major types of cancer affecting men and women, the instructor determines that the teaching was successful when the students identify which of the following as the number-one cause of cancer deaths among adults? A) Colon B) Pancreatic C) Esophageal D) Lung
D) Lung
When describing the causes of vulnerability to a group of students, which of the following would the instructor include? A) Vulnerable populations are fairly similar across the nation and globally. B) Statistics about vulnerable populations are highly accurate. C) The most important causative factor is race or ethnicity. D) Many of the factors and conditions suggesting vulnerability overlap.
D) Many of the factors and conditions suggesting vulnerability overlap.
A community health nurse is describing social capital and its impact on populations to a group of local community leaders. Which of the following would the nurse suggest as a way to improve the social capital of the community? A) Better job training B) Improved educational programs C) Expanded employment opportunities D) More community organizations
D) More community organizations
A community health nurse is working with a group of visually impaired individuals and is developing a program to promote self-confidence and self-respect. Which of the following organizations would be a valuable resource for the nurse? A) American Foundation for the Blind B) American Council of the Blind C) Guide Dogs for the Blind D) National Federation of the Blind
D) National Federation of the Blind
A rural community health nurse is acting in the role of a mentor. Which of the following activities would the nurse most likely be doing? A) Providing childbirth classes B) Contacting a specialist for a client C) Collecting immunization data for program development D) Orienting a new rural health nurse to the community
D) Orienting a new rural health nurse to the community
A community health nurse is working to improve the health of children of migrant families. Which of the following issues would be of least importance for the nurse to address? A) Adolescent substance abuse B) Exposure to domestic violence C) Mental health problems D) Participation in chores
D) Participation in chores
A community health nurse is providing an in-service program to the agency staff about effect theory, which will be used to develop behavioral intervention programs. The nurse determines that the staff needs additional teaching when they identify which of the following as a component of the theory? A) Determinant theory B) Intervention theory C) Impact theory D) Process theory
D) Process theory
A group of community health nurses who work in continuing care retirement centers are asked to talk to a group of seniors about what they do. Which of the following would the nurses identify as unique to this setting? A) Accept clients who primarily need skilled nursing services B) Are similar to board and care homes C) Are respite centers for family members of older adults D) Provide a variety of housing and care options that elders need as they age
D) Provide a variety of housing and care options that elders need as they age
A community health nurse is working with a group of school nurses to develop interventions for a 10-year-old girl exhibiting signs and symptoms of school refusal. Which of the following would be most appropriate? A) Limiting parental involvement in the school B) Exposing the child rapidly to the classroom C) Keeping the child at home for a while D) Providing relaxation training
D) Providing relaxation training
b
Each client in the Medicare home care program must be under the care of a doctor (medicine, podiatry, or osteopathy). The home health nurse must involve the doctor in developing a plan of care. The role of the doctor in the home health interdisciplinary team is to do which of the following? a. Achieve the optimal level of functioning by teaching b. Certify/recertify the medical necessity and plan of care c. Deal with the social, emotional, and environmental factors that affect well-being d. Provide maintenance, preventive, and restorative treatment for clients
a
Home health agency types, whether official, private and voluntary, combination, hospital based, or proprietary, are similar in terms of which of the following? a. Conditions of participation (COP) for Medicare and Medicaid b. Federal income tax exemption status or accreditation status c. Governance models and administrative structures d. Homemaker services or service contracting practices
b
In the agency, one of the nurses spent all available time visiting a group of persons with mental health problems who were trying to remain functional in the community. Which of the following types of assignments did the nurse most likely have? a. Home-based primary care b. Population-focused home care c. Proprietary home care d. Transitional care
c
Nonprofit home health agencies can be reimbursed for home health services through Medicare, Medicaid, and private insurance companies. A major difference between an official agency and a voluntary or private agency is that official agencies receive additional: a. client payments. b. charity support. c. public funding. d. third-party payments.
ABCDE
Nurses are reclaiming their tradition of healing and affirming the independent functions of nursing. A heritage of health and healing can also be found in the foundations of faith communities through activities such as: (select all that apply) Select all that apply. A. holding grief groups. B. providing meals to families in crisis. C. sponsoring health fairs. D. visiting the homebound. E. volunteering in community AIDS care groups.
c
Nurses come to home health from a variety of educational and practice settings. Based on educational level, nurses are prepared to practice at various levels. To ensure the public of competence and quality in a highly competitive health care environment, it may become necessary for nurses to seek which of the following? a. Accreditation b. Advanced degrees c. Certification d. Specialization
A
The faith community nurse role arose out of the challenges faced by families to succeed in meeting the demands of young children, teens, and aging parents as well as which of the following challenges? A. Inadequate training for caregivers B. Increased hospital length of stay C. Lack of consumer demand for health care decisions involvement D. Society's lack of accountability for health care decision making
ce
Public health programs are designed with the goal of improving a population's health status. Which of the following apply to public health? Select all that apply. a. It is a branch of medicine. b. It is funded at a local level. c. It is health status monitored at the state level. d. It is implemented at the federal level. e. It is an organized community approach.
D
Which of the following best describes the primary reason life spans have notably lengthened over the past 100 years? A. Advances in hospital care and procedures B. Advances in medicine and medical research C. Advances in nursing practice D. Advances in public health
a
Research reveals that people who pray more frequently score lower in physical functioning and score higher in their level of pain. Which of the following conclusions has been drawn from these findings? a. As persons become more disabled, they pray to retain their mental health and obtain comfort. b. Everyone prays more as they get older or become ill. c. Praying decreases physical functioning and increases pain. d. Research findings are sometimes inaccurate due to extraneous variables.
d. Telehealth and telecounseling
The future of school nursing is very strong and will be further enhanced by the future trend in which of the following? a. Development of an HIV/AIDS health curriculum b. Enhanced use of picture boards c. Improving the air quality of school buildings d. Telehealth and telecounseling
A, B, D, E a. Establishing an emergency plan when a child or staff member needs immediate care b. Giving medications to children during the school day d. Screening for vision, hearing, height and weight, oral health, TB, and scoliosis e. Teaching standard precautions to all staff
Secondary prevention activities are the largest responsibility of the school nurse and may include which of the following? (Select all that apply.) a. Establishing an emergency plan when a child or staff member needs immediate care b. Giving medications to children during the school day c. Participating in developing an individual education plan (IEP) for students with long-term health needs d. Screening for vision, hearing, height and weight, oral health, TB, and scoliosis e. Teaching standard precautions to all staff
d
Since 2000, home health agencies have been paid by the federal government based on which type of reimbursement? a. Diagnostic-related groups b. Distributive care c. Episodic care d. Prospective payment system
a
The board of directors is examining various submitted reports concerning its home health agency. Which of the following reports represents an example of benchmarking? a. A report by the administrator regarding how the home health agency's performance compares with that of other local and national home health agencies b. A report by the chief financial officer regarding a cost-benefit analysis related to technological advances c. A report by the chief nursing officer regarding client outcomes d. A report by the medical director regarding implementation of evidence-based practice into standards of care
d
The broad practice of public health requires a set of skills, knowledge, and attitudes in all disciplines. The baccalaureate level of entry for nursing is currently endorsed to achieve the core competencies of public health because of: a. core public health competencies typically being learned in the workplace. b. encouragement for nurses with an associate's degree to seek further degrees. c. financial planning and management skills learned at the master's level. d. rapid change and limited resources in public health.
c
The role/activity of the nurse in community health that was most important during the disasters of September 11, 2001, and the subsequent anthrax bioterrorism attack involved: a. assessment. b. client-level teaching. c. enhanced surveillance activities. d. free and low-cost immunization.
b. Secondary
The school nurse has arranged for volunteers to help check each child's hearing and vision. Any child that the volunteers feel did not "pass" will be sent to the nurse for follow-up. The nurse will then send a note to the parents that a physician should be seen. Which of the following levels of prevention is being implemented? a. Primary b. Secondary c. Tertiary d. Both primary and secondary
d
Which of the following best describes one of the outcomes of the incentives and pressures for cost control and improved health outcomes? a. Expansion in alternative health care agencies b. Improvements in client teaching materials c. Public pressure to improve health professionals' education d. Development and increased use of telehealth technology
c
To achieve the major goals of Healthy People 2020, increasing quality and years of healthy life and eliminating health disparities, the partnership between federal, state, and local agencies is critical, and local community coalitions are encouraged because the: a. federal government is ultimately responsible for the health status of the nation. b. public demands that the government protect the people. c. public health departments do not have the resources to accomplish these goals independently. d. state health department would require a universal approach to achieving objectives.
B
To ensure the success of a faith community's health ministry program, the parish nurse must ensure that the wellness committee addresses issues of: A. experiential preparation. B. financing and fundraising. C. referrals. D. retired professionals.
b
To help congregation members better meet their nutritional needs, the parish nurse organized members to participate in activities that focused on fellowship while providing healthy meals to homebound members and serving "healthy heart" church suppers. Which of the following activities is being completed? a. Entitlement programs b. Health ministries c. Partnerships d. Pastoral care practices
b. Care to others in the community
Which of the following best describes services that are offered at a school-based health center? a. Employee care at a discounted cost at the school b. Care to others in the community c. Sex education, birth control, family planning, and care throughout pregnancy d. Referral and networking with other health care services in the community
a
Which of the following best describes the primary difference between parish nursing and all other nursing positions? a. Affiliation with a church or congregation b. Incorporation of spiritual aspects into nursing care c. Provision of holistic nursing care d. Residence within the community of service
BCD
What did events after September 11, 2001, clearly demonstrate (Select all that apply.) A. A strong public health structure ready to respond effectively to a crisis B. Public health's need for additional funding and resources C. The unrecognized importance of nurses in lowering health care costs D. Lack of adequate vaccines to meet community's needs
c
When meeting with a client and family, the home health nurse says, "We have discussed your health problems and limitations. Now tell me what level of health and function you hope to achieve." In which of the following phases of the nursing process is the nurse engaging? a. Assessment b. Diagnosis c. Outcome identification d. Planning
ACD
Which of the following activities are addressed by most public health departments on the federal, state, and local levels (Select all that apply.) A. Collecting and analyzing various health statistics B. Fining or terminating business at any facility that engages in unsafe commercial practices C. Identifying and planning for high-risk populations D. Planning for and responding to emergencies
A, B, C a. Ensuring a healthy school environment b. Assisting teachers with education related to health c. Encouraging nutritious school meals
Which of the following activities are included in the Centers for Disease Control and Prevention's school health program (Select all that apply.) a. Ensuring a healthy school environment b. Assisting teachers with education related to health c. Encouraging nutritious school meals d. Giving immunizations to students, staff, teachers, and their families
C
Which of the following agencies are responsible for implementing and enforcing local, state, and federal public health codes and ordinances and providing essential public health programs to a community? A. Community health clinics B. Federal health agencies C. Local health agencies D. State health agencies
cd
Which of the following aspects of a home health agency would most likely be examined during the accreditation process (Select all that apply.) a. Cost of each service rendered b. Credentials of each employee c. Organizational structure d. Outcomes of care
C
Which of the following best describes how public health nurses (PHNs) differed from other health care professions in the early twentieth century? A. PHNs contributed without receiving any salary for doing so. B. PHNs created new settings where health care could be given. C. PHNs gave care to powerless groups. D. PHNs worked outside any organized health care system.
b. Because injuries are the leading cause of death in children and most injuries are preventable
Which of the following best describes the primary reason that school health nurses spend so much time on educational programs that teach children the importance of water and fire safety, using a seatbelt in the car, and wearing a helmet when biking or skateboarding? a. Because children won't know if someone doesn't tell them b. Because injuries are the leading cause of death in children and most injuries are preventable c. Because it is a dangerous world and someone has to warn children about the dangers d. Because teaching is easy and more fun than passing out bandages and documenting care
A
Which of the following best describes the role of nursing in community health? A. Application of nursing and public health theory in promoting, preserving, and maintaining health of individuals, families, or communities B. Health care provision offered in primary and secondary institutions or in the client's home C. Provision of health care services in institutions located in the community but outside the hospital D. Use of the nursing process and evidence-based practice to meet Healthy People 2020 objectives for community health improvement
d
Which of the following best describes when the home health nurse must document required Outcome and Assessment Information Set (OASIS-B1) data? a. Before any episode of hospitalization b. After each home health visit c. For all incidences of error or mistake in care d. On first admission to home health care
a
Which of the following best describes why it is helpful to be a member of a faith community? a. Belief and traditions help with coping. b. Members can ask others in the group for help. c. It is a social outlet. d. Members are able to get others to contribute to the causes they support.
c
Which of the following best describes why it is more challenging for most nurses to meet the needs of a dying child and his or her family than to meet the needs of a dying adult? a. Children don't understand what it means to die. b. A child's death is harder for anyone to accept. c. Society does not expect death to occur in children. d. Families are not prepared to deal with death.
d. Nurses have been enlisted in this role to help reduce risk factors for future health problems in school children.
Which of the following best explains why school nurses are involved in helping teachers with the task of teaching children how to practice problem solving, communication, and other life skills? a. Teacher shortages have required nurses to be increasingly involved in teaching life skills. b. Because so many nurses want to be employed in schools, this responsibility was assumed to increase employment opportunities. c. States are requiring nurses to screen and to teach life skills. d. Nurses have been enlisted in this role to help reduce risk factors for future health problems in school children.
B, D b. Attendance and learning are higher in schools with health clinics. d. Many children have no other source of health care services.
Which of the following best explains why the federal government is beginning to fund school-based health centers (Select all that apply.) a. These centers help young children avoid becoming addicted to drugs while still in elementary school. b. Attendance and learning are higher in schools with health clinics. c. These centers help keep children in school longer by distributing birth control and thus avoiding pregnancies. d. Many children have no other source of health care services.
a
Which of the following best explains why the home health nurse would essentially repeat the same information given to the client by the nurse in the hospital? a. Clients find it difficult to learn in the midst of the stress of the acute care setting and often don't remember what the hospital nurse taught. b. Hearing something from a different person, using different words and examples, can help ensure that learning is retained. c. Home health nurses often don't know what hospital-based nurses have already taught. d. Learning depends on receiving information more than once.
d
Which of the following clients over 65 years of age meets the criteria for Medicare reimbursement for home health nursing? a. The client who needs assistance with bathing and meal preparation b. The client who needs assistance with house cleaning and meal preparation c. The client who needs sitter services because she wanders from home and becomes lost d. The client whose family members need to learn how to care for his wound
a
Which of the following comments was most likely stated by a home health nurse? a. "Every time I see a client, it costs $80." b. "Health care costs are killing our economy." c. "I can't believe how much clients are charged for things." d. "Medicaid costs are such a large portion of our state's budget."
B
Which of the following dimensions is an essential component of parish nursing? A. Assertiveness B. Compassion C. Organizational skills D. Fiscal responsibility
d
Which of the following do community-based nurses typically use to organize, sort, and document pertinent client data? a. NANDA b. NIC NOC c. Nursing Diagnosis Taxonomy d. The Omaha System
c
Which of the following events led to the emphasis on home care nurses caring for acutely ill clients and the increased demands for extensive documentation? a. Advances in medical technology and pharmacology b. Increased number of lawsuits for substandard care c. Introduction of Medicare d. Social Security Act of the 1930s
A
Which of the following factors is causing nursing to change so quickly? A. Economic issues B. Increases in medical and nursing knowledge C. Legislative issues D. Technology changes
C
Which of the following federal agencies is most influential in public health activities? A. The Agency for Healthcare, Research, and Quality B. Centers for Disease Control and Prevention C. Department of Health and Human Services D. Food and Drug Administration
D
Which of the following is a core competency required of public health nurses? A. Knowledge in the use of high-technology diagnostics B. Knowledge of the implementation of electronic medical records C. Skill in the physical assessment of complex clients D. Skill in developing policy and planning programs
9. The occupational health nurse makes certain all employees have and know how to use personal protective equipment (PPE). Which of the following factors will most likely determine how effective the PPE is in keeping employees safe?
d. Psychosocial norms of the setting\The employee will only be safe if the employee uses the PPE. If the employee doesn't use the PPE or uses only part of the equipment, then the employee will be at risk. The primary determination of whether the PPE is used correctly and used all the time is the psychosocial norms of the setting. If others are careless in PPE use, then such carelessness is the norm. If everyone is extremely careful to use their PPE, then that is the norm in that setting.
