CH Unit 2: Master Set

The community health nurse is reviewing how managed care today has changed from its initial proposal. Which of the following would the nurse identify as an important change?

Current emphasis on cost containment

A community health nurse suspects that a client who was a victim of a disaster 3 months ago is experiencing post-traumatic stress disorder. Which of the following would the nurse expect to find? Select all that apply.

Hypervigilance Feelings of detachment Flashbacks

A community health nurse is involved in assessing the community's capacity to define strategies to enhance compliance with a policy. The nurse is working in which stage of the policy process?

Implementation

A community health nurse is part of a disaster response team that is first to respond to an earthquake. By evaluating the level of destruction and devastation, the team assesses which of the following?

Intensity

A community health nurse best demonstrates professional advocacy by which action?

Joining a professional organization

When developing a teaching plan for a class that describes health policy, which of the following would the instructor include as an example of a regulatory health policy?

Licensure of health professionals

A community health nurse is preparing a presentation for a group of local community health nurses about the impact of genetics and genetic engineering on community health nursing practice. Which of the following would the nurse include as potential cause of concern?

Long-term consequences from alteration

Why should a community health nurse collaborate with others in the community?

Maintain effective programs.

A community health nurse is preparing a presentation for a community group about agents of terrorism. Which of the following would the nurse include as an example of a bioweapon? Select all that apply.

Mustard gas Anthrax Smallpox

Which activity best reflects a community health nurse's population focus?

Obtaining epidemiologic data about the community

A community health nurse documents the progress of clients using a rating scale. The nurse most likely is using which of the following?

Omaha system

A community health nurse encourages clients to participate in self-care by learning about their insulin, administering it appropriately, and knowing how to monitor their blood glucose. This nurse is practicing within which model or theory?

Orem

A community health nurse integrates understanding of power and empowerment when working with clients by demonstrating which of the following?

Partnership with the clients

A community health nurse communicates with a policymaker about an important issue. Which method would be most effective?

Personal letter

A community health nurse is working with a community that is identifying risk factors for program development in case of a disaster. This community is in which phase of disaster management?

Prevention

When influencing policy, which of the following would be key for the community health nurse?

Be honest in promoting the cause

When applying Salmon's construct for public health nursing, the community health nurse would be engaged in which category of nursing intervention?

Engineering

When describing public health nursing to a group of community health nurses, which of the following would be identified as its foundation?

Social justice

A community health nurse working with an international agency in Australia would most likely encounter which type of health care system? A) Entrepreneurial B) Welfare-oriented C) Comprehensive D) Socialist

B) Welfare-oriented

A community health nurse is assisting the local community in preparing a disaster plan. Which of the following would the nurse expect to be addressed? Select all that apply.

Chain of command Routes for transportation Triage

When engaging in policy analysis, which of the following would the community health nurse do last?

Choose the approach

An instructor is preparing a plan for a class on the history of public health nursing advocacy. Which persons would the instructor expect to include? Select all that apply.

Clara Barton Lillian Wald Mary Mahoney

The major impact of King's theory for community health nursing involves which of the following?

Client as an equal partner

A community health nurse is searching the Internet for information about research on immunization practices. Which question would be least important to ask to determine the worth of the information?

"Are the first three sites listed because they put the best ones first?"

When analyzing health policy, which question would be most important for the community health nurse to ask?

"Who benefits from it?"

Which of the following would be appropriate actions for community health professionals to address the issues of bioterrorism? Select all that apply.

-Ensure that adequate surveillance systems are in place for early detection. -Educate all health care personnel about signs and symptoms of exposure. -Advocate for policies that will reduce adverse effects of disparities such as poverty.

A community health nurse who was involved in caring for casualties during a disaster participates in critical incident stress debriefing. Which time after the disaster would be the ideal time for this to occur?

1 to 3 days

A community health nurse uses Roy's model with a community that is dealing with a particular health issue. The nurse would focus community assessment on which of the following?

A community's coping mechanisms for use in adaptation

Which organization would be most appropriate for the community health nurse to contact for assistance when dealing with countries shattered by war and ethnic violence? A) Center for International Health and Cooperation B) CARE C) Global Health Council D) International Council of Nurses

A) Center for International Health and Cooperation

A community health nurse is preparing to work in a country in which women are viewed as weak and ineffectual. Which of the following would the nurse need to do first? A) Determine his or her own position and beliefs about this view B) Develop a basic plan to change the view of women C) Become aware of possible areas that might affect care D) Avoid situations involving the care of women

A) Determine his or her own position and beliefs about this view

When assessing a community's needs, which of the following would the nurse most likely complete first? A) Familiarization assessment B) Problem-oriented assessment C) Community subsystem assessment D) Comprehensive assessment

A) Familiarization assessment

A community health nurse identifies a community's needs, which must be translated into which of the following to give direction and meaning to the plan of action in the community? A) Goals B) Activities C) Outcomes D) Diagnoses

A) Goals

Which of the following interventions might a community health nurse be involved in to reduce the number of measles deaths worldwide? A) Integrated management of childhood illness (MCI) B) Global Alliance for Vaccine and Immunization C) Oral rehydration therapy D) Geographical information systems

A) Integrated management of childhood illness (MCI)

The community health nurse is determining the health of a community by examining status. Which of the following would the nurse examine? A) Leading causes of death and illness B) Adequacy of health services C) Socioeconomic distributions D) Strengths of the community

A) Leading causes of death and illness

When applying the Universal Imperatives of Care, which of the following would be the priority? A) Mortality B) Daily functioning C) Decision making D) Cost

A) Mortality

An instructor is describing pluralistic health care systems to a group of community health nursing students. Which of the following would the instructor be least likely to include? A) Permanent health workers B) Lay practices C) Household remedies D) Traditional healing systems

A) Permanent health workers

A community health nurse is evaluating a health plan using a formative evaluation. The nurse would focus on which of the following? A) Process during the actual intervention B) Outcomes of the interventions C) Development of performance standards D) Impact on the clients' health

A) Process during the actual intervention

A community health nurse is working as part of a health planning team to determine the needs of pregnant teenagers in the community. Which of the following population variables would be important to assess? Select all that apply. A) Rate of growth or decline of those in need B) Health needs and practices of subculture groups C) Geographic placement of proposed health services D) Functions of community organizations E) Social class of the community F) Level of agreement on community goals

A) Rate of growth or decline of those in need B) Health needs and practices of subculture groups E) Social class of the community

Which of the following community health nursing activities best reflects the concept of the community as the client? A) Speaking to city council members about the need for additional senior services B) Assisting a factory worker injured in an occupational accident C) Checking an elementary school child's hair for signs of lice and nits D) Counseling a young man about safe sex and the risk of contracting HIV/AIDS

A) Speaking to city council members about the need for additional senior services

A community health nurse is preparing a presentation for a community group about the current epidemic of tuberculosis. Which of the following would the nurse include? A) TB kills about 2 million people each year. B) Someone in the world is newly infected with TB every hour. C) Nearly 10% of the world's population is infected with TB each year. D) Half of the TB cases per year occur in Eastern Europe.

A) TB kills about 2 million people each year

After teaching a class of community health nursing students about the World Health Organization, the instructor determines that the teaching was successful when the class identifies which of the following as the highest governing body? A) World Health Assembly B) WHO collaborating centers C) European Union D) U.S. Agency for International Development

A) World Health Assembly

After teaching a group of students about agents associated with chemical warfare, the instructor determines that additional teaching is needed when the students identify which as an example?

Anthrax

When describing primary prevention activities for disaster prevention to a local community group, which of the following would the nurse include?

Any setting provides a place for primary prevention.

A instructor in community health nursing teaches a group of students about the role of the World Health Organization and global health, reviewing the importance of the Declaration of Alma-Ata. The instructor determines that the students have grasped the importance when they describe it as which of the following? A) The beginning of the Carter Center's work in disease prevention and agriculture B) A formal document written by 134 nations in 1978 to achieve "health for all" C) Participatory development activities, working in partnership with voluntary organizations D) Alliance building and communicating best practices for global health development

B) A formal document written by 134 nations in 1978 to achieve "health for all"

During which stage of the health planning process would the community health nurse create a plan? A) Assessment B) Analysis and design C) Implementation D) Evaluation

B) Analysis and design

A community health nurse obtains data about the community from primary sources, including which of the following? A) World Health Organization B) Community members C) State health department D) Other community health nurses

B) Community members

When applying community development theory, which of the following would most likely be considered the agent of change? A) Clients B) Nurse C) Families D) Community leaders

B) Nurse

When completing a community assets assessment, the community health nurse would gather information about which of the following? A) Key informants B) Strengths of the community C) Specific problem of the community D) Overall life of the community

B) Strengths of the community

A community health nurse instructs a local community group on how to prepare homemade oral rehydration solution. Which of the following ingredients would the nurse include? A) Sea water B) Table salt C) Baking soda D) Crushed bananas

B) Table salt

Which of the following would be important for a politically involved nurse to do? Select all that apply.

Communicate ideas effectively Get to know local representatives Stay current about health care issues

When reviewing statistics about illnesses worldwide, which of the following would the nurse identify as the most common and a leading cause of mortality? A) Tuberculosis B) Smallpox C) Acute respiratory tract infection D) Infectious diarrheal disease

C) Acute respiratory tract infection

A community health nurse is writing objectives to accomplish goals. Which of the following would be most important for the nurse to integrate about objectives? A) Should be comprehensive and inclusive of desired outcomes B) Need to focus on a nursing need C) Address a single idea with descriptive behavior D) Are kept broad and general to allow for unpredictable changes

C) Address a single idea with descriptive behavior

After a class on global health and the role of community health nurses, which of the following, if stated by the class as an important area, would indicate successful teaching? A) It is through community health nurses that the larger number of physicians do their work. B) Community health nurses work for lower wages than other professional health care groups. C) Community health nurses outnumber other professional groups for providing health services. D) Community health nurses are the primary group trusted by people in other countries for care.

C) Community health nurses outnumber other professional groups for providing health services.

A community health nurse involved in assessing community health needs is planning to get a group of approximately 10 similar individuals together to obtain information about opinions on first pregnancies. The nurse is using which assessment method? A) Survey B) Community forum C) Focus group D) Descriptive epidemiology

C) Focus group

A community health nurse is reviewing data about the leading causes of death worldwide in high-income countries and low- and middle-income countries. Which of the following would the nurse identify as a major cause? A) Alzheimer's disease B) Malaria C) Heart disease D) Chronic obstructive pulmonary disease

C) Heart disease

As part of an orientation for a group of newly hired nurses at a community agency, a community health nurse emphasizes which of the following as crucial to nursing process? A) Cyclic nature B) Client focus C) Interaction D) Flexibility

C) Interaction

The era of chronic long-term health conditions has resulted from which of the following? A) Emergence of multi-drug-resistant diseases B) Persistence of infectious disease C) Longer life expectancy due to decreased infectious diseases D) Urbanization with deforestation leading to infestation

C) Longer life expectancy due to decreased infectious diseases

When evaluating a community health plan, the nurse understands that this process is important for: A) Determining the nurse's effectiveness B) Eliminating unnecessary phases in the nursing process C) Measuring the effectiveness of goal attainment D) Producing additional goals and objectives for inclusion

C) Measuring the effectiveness of goal attainment

Students in a community health nursing course identified toxic waste disposal as a major problem in their community. The most cost-effective type of community assessment to determine the extent of the problem and the resources available to handle it would be a: A) Familiarization assessment B) Community subsystem assessment C) Problem-oriented assessment D) Comprehensive community assessment

C) Problem-oriented assessment

Which of the following would the community health nurse most likely identify as the most troubling issue in health care in the United States?

Cost

Data obtained from a community assessment and survey can be used as the basis for developing a plan to eliminate the risk of a toxic waste dump. A good way to begin program implementation would be to: A) Plan a cleanup committee made up of student nurses B) Petition the state government about the danger of genetic problems C) Write to a local news station or a national TV news show for public disclosure D) Ask the city council to hold a town meeting to discuss the problem

D) Ask the city council to hold a town meeting to discuss the problem

When building a coalition, which of the following would the community health nurse do first? A) Conduct a community assessment B) Identify key players C) Identify potential members D) Define objectives

D) Define objectives

When assessing a community and its health, the community health nurse investigates variables associated with social system. Which of the following would the nurse include? A) Geographic features B) Community boundaries C) Climate D) Economic systems

D) Economic systems

Community health nurses need to be knowledgeable about the World Health Organization because its mission reflects which of the following? A) Collaboration in health development to free the world from poverty B) Service as an independent agency providing economic and humanitarian assistance overseas C) Representation of the global interests and concerns of the nursing profession D) Global health promotion via direction and coordination of international health work

D) Global health promotion via direction and coordination of international health work

When developing community diagnoses, which of the following would the community health nurse do? A) Focus primarily on deficits of the community B) Use broad statements to guide a range of interventions C) Employ a revised nursing diagnosis format D) Identify factors with a potential to change

D) Identify factors with a potential to change

Communicable disease is a global health concern. Achieving the goal of eradicating communicable diseases worldwide would involve: A) Interrupting disease in a limited, defined geographic area B) Reducing the incidence and/or prevalence of communicable diseases C) Establishing primary health care services for all people on the globe D) Interrupting transmission and reservoir of infection to prevent further cases

D) Interrupting transmission and reservoir of infection to prevent further cases

A community health nurse has identified noise as an environmental hazard. Using the Blumenthal classification, the nurse would identify this as which class? A) Infectious agents B) Asphyxiates C) Poison D) Physical agents

D) Physical agents

When describing the global framework, which of the following would the community health nurse be least likely to include? A) Population B) Provider C) Procedure D) Physician

D) Physician

A community health nurse is reading a journal article about global health and communicable diseases. The article states that elimination is the goal. The nurse interprets this to mean which of the following? A) There are no further cases of the disease anywhere. B) No further preventive efforts are necessary. C) The disease is no longer a public health threat. D) The disease has been interrupted in a geographic area.

D) The disease has been interrupted in a geographic area.

A community health nurse avoids focusing care on illness and health problems, considering clients as which of the following? A) Aggregate B) Agent C) Community D) Total system

D) Total system

A group of students are reviewing for an examination on nongovernmental organizations that provide global interventions. The students demonstrate the need for additional study when they identify which of the following as an example? A) Global Health Council B) CARE C) Carter Center D) World Bank

D) World Bank

An instructor teaches a class about nursing theories and models. The instructor determines that the class needs additional instruction when they describe middle-range theories as which of the following?

Highly abstract theories

A community health nurse is working with people who have lost their homes in a tornado. The nurse would identify these people as which of the following?

Direct victims

In preparation for an examination, a group of students review class material about various nursing theories applicable to community health nursing. The students demonstrate a need for additional study when they identify which of the following as a major theme of Parse's theory?

Energy fields

A community health nurse is working with a population of refugees. Which of the following would the nurse identify as the primary reason for health problems?

Environment

When a community health nurse applies the principle of targeting all who might benefit from her or his practice, which of the following would the nurse include?

Examining policies to judge whether they are acceptable and meet clients' needs

Which of the following would a community health nurse expect to be contacted as the federal agency to assist with a disaster in the United States?

Federal Emergency Management Agency (FEMA)

Which of the following is an example of a distributive health policy?

Federal funds for nursing education

When applying Neuman's health care systems model, the community health nurse assesses a community's sense of responsibility for health. This assessment addresses which of the following?

Flexible line of resistance

A community health nurse identifies a problem of increased infant mortality with adolescent pregnancies. The nurse decides to address this problem with a health policy. The nurse is engaging in which stage of the policy process?

Formulation

Although other community health programs are in place, a community health nurse is focusing on ensuring that immunizations are available to all children regardless of their level of insurance. The community health nurse most likely is addressing which principle of public health nursing?

Giving priority to community needs

After teaching a class about theories and models, the instructor determines that the teaching was successful when the students identify early theories as which of the following?

Grand theories

A group of community health nurses are discussing health care policy in the United States. Which of the following reflects the consensus view?

Health care policy needs to change.

A community health nurse is engaged in primary prevention activities related to disasters. Which of the following would be examples of appropriate activities? Select all that apply.

Providing anticipatory guidance Practicing an escape plan Planning disaster drills

When involved in policy formulation, the community health nurse must keep in mind that which of the following should be the strongest influence?

Public need

After teaching a class about the factors that contribute to disasters, the instructor determines that the teaching was successful when the students identify which of the following as the agent?

Radiation

When performing triage during a disaster, which color would indicate that the victim is in urgent need of care?

Red

As part of secondary prevention, the community health nurse engages in crisis intervention to achieve which of the following?

Reestablish equilibrium to the lives of those involved

Community health nurses are attending an in-service program about health policy. Which of the following would the nurses expect to be included in the description?

Reflect a community's values

A community health nurse has tried numerous times to influence health policy in the local community. Which of the following might the nurse try as a last resort?

Run for office

Which of the following would be most appropriate for community health nurses to encourage when helping communities cope with the anxiety associated with terrorism?

Seeking positive individuals

When providing secondary prevention activities for individuals experiencing the psychological consequences of a disaster, which of the following would the nurse do as a general approach?

Teach about expected emotional reactions

A community health nurse is orienting a new group of nurses recently hired by the community agency. The nurse is describing the public health nursing practice model used by the agency. Which of the following would the nurse include?

Ten leading indicators for Healthy People 2010

A group of 10 people from a commune in the hills come into town dressed in robes with their faces covered. They have weapons hidden in their clothing and enter three banks in town to rob them. These actions can be classified as:

Terrorism

After a class on nursing and political activism, which statement indicates that the teaching was successful?

The ANA provides nurses with a collective political voice.

A community health nurse is responding to a disaster. Which of the following would most likely be the least appropriate area for the nurse to be?

The disaster site

A community health nurse working as a part of a disaster response team is told that the disaster is classified as a multiple casualty incident. The nurse would interpret this to mean which of the following?

The number of casualties is between 2 and 100.

A community health nurse responding to a disaster is caring for the bodies of the casualties who have died. Which of the following would be an appropriate method for documentation?

Using a toe tag for identification

The community health nurse integrates concepts of relationship-based care by which of the following?

Using listening skills to determine health care needs.

When using Pender's health promotion model with a community, the community health nurse assesses biologic factors that may be influencing a community's health. Which of the following would apply?

Weight