comm midterm sg
Which question is crucial to ask very early in a family interview?
"What do you all as a family hope to achieve during your time with me?"
A nurse is administering a unit of RBC 350mL over 3 hr to a client who has anemia. The nurse should set the IV pump to deliver how many mL/hr?
117 mL/hr
a nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. the nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero?
75 mL/hr
The nurse providing care in a community-based health care setting knows that prevention of disease and injury is a key component of the practice. Which of the following interventions best exemplifies disease prevention on the secondary level?
A nurse screens school-aged children for scoliosis
what is the definition of health?
A state of complete well-being physical, social, and mental
What are the most important factors in reducing disparities in health outcomes between different cultural groups? Select all that apply
Access to a health care provider. Health care insurance.
A community health nurse often provides health education for individual clients. Her office has a play center because some clients bring small children with them. She routinely offers her clients bottled water, juice, or soda. She works with her clients at a small table rather than at her desk. Which statement below best sums up her approach?
Adults learn better in a facilitative and nonrestrictive environment
Web of causation consists of what?
Agent, host, and environment
Which of the following mood-altering substances are considered acceptable to use by current Western society?
Alcohol Nicotine
Which of the following is most likely to determine if a health education program will create change?
Amount of input and participation by learners
A nurse is completing a first assessment interview with a family after entering the family's apartment for the first time. Which of the following would be crucial for the nurse to remember?
Be on best behavior with manners and courtesy, starting with a self-introduction
Which variable has a major influence on a community's health?
Behavior choices made by persons in the community
A client, accompanied by her son, spoke only Spanish while the nurse did not. Which of the following actions should be taken by the nurse to best meet the client's need?
Call until she finds a Spanish interpreter employed by the agency
Which group makes up about 25% of population?
Children
A man had managed not to drink for over 2 years, but today, when he was told his position was being eliminated, he drank himself into a stupor. Which approach should the nurse take with this client?
Consider the relapse a learning opportunity and discuss options for coping with problems
A nurse developing a community health program is determining barriers to community resource referrals. Which of the following factors should the nurse include as an example of a resource barrier?
Costs associated with services
A community health nurse needs to understand that most families in today's society can be described as which of the following?
Defined by its members
Which of following is an example of tertiary prevention activity?
Diabetic Retinopathy screening
Which of the following best describes one of the most fundamental nursing principles suggested by Nightingale?
Engage in health teaching.
Which of the following statements best describe why environmental health is more challenging than other variables related to an individual's health?
Environmental health requires social, economic, and political changes to improve.
Before interviewing a Hispanic family, what is the most important action for the nurse to take?
Establish rapport, and gain trust and confidence
Which of the following best describes the importance of discovering all of the variables that may be involved in creating a disease state in some persons?
Finding variables that are susceptible to prevention or early intervention is important.
What is considered a modifiable risk factor?
Food portion control Skydiving Smoking
A case management nurse is preparing to initiate referrals for a client as part of discharge planning. Which of the following actions should the nurse take first?
Identify referrals that the client needs
Which of following is an example of primary prevention activity?
Immunization Exercise class
Every 10 years, the U.S. Department of Health and Human Services publishes a national prevention initiative titled Healthy People. One of the new objectives for Healthy People 2020 is to:
Improve the nation's ability to prevent, prepare for, respond to, and recover from a major health incident.
What is the health issue causing the most concern in the United States today?
Increase in obesity
Which statement best describes what tobacco companies have done to counter their losses resulting from U.S. efforts to decrease smoking tobacco?
Increased international exports and targeted children
Which of the following is most closely associated with morbidity and mortality outcomes?
Insurance status
Which of the following statements is NOT true about the "thinking upstream" model of community health nursing practice?
It focuses the nurse on short-term, individual-based nursing interventions.
Which of the following best describes why community health education programs are important?
It provides a way to reinforce voluntary behavior changes.
A client meeting with a community health nurse inquires about diabetes education classes. The client's health records reveal the diagnosis of diabetes was made a little over 1 year ago. The client reports partial compliance with diet, gradual improvement in her exercise program, and a 15-pound weight loss. The client reports that she takes her medication as prescribed but rarely monitors her blood glucose level. Which statement best reflects the impact of initial diabetes education on this client?
Learning occurred, but additional support and education are needed.
Which of the following is an example of secondary prevention activity?
Mammogram
Which is crucial during the detoxification phase of the addiction process?
Managing the acute withdrawal symptoms
An older adult client who lives alone tells a clinic nurse that he is unable to drive himself to the store and is afraid to cook on the stove. Which of the following community resources should the nurse recommend for this client?
Meals on Wheels
A nurse has begun to lobby with politicians for changes to the health care system. Why is this involvement important?
Nurses are the largest group of health care providers.
A young couple is searching for a home in a new neighborhood. Which of the following neighborhoods would most likely promote a healthy lifestyle?
One with high walkability
Which of the following are cost effective preventive health services? ALL OF THEM
Osteoporosis screening Diet counseling Childhood immunization Folic acid screening
Nursing leader Lillian Wald is known for creating which of the following occupations
Public health nursing
Which action to reduce tobacco-related deaths and diseases is supported by the World Health Organization (WHO)?
Raises taxes on tobacco
A client has been sober for 2 years and now has started drinking again. What do nurses know about addiction?
Relapse is common
Which of the following statements best describes the relationship between the environment and health?
Research shows that a healthy environment increases quality of life and years of healthy living.
In which of the following ways is methamphetamine different from and more dangerous than other mood-altering substances?
Severe neurological changes occur in the brain very quickly, often even with the first dose.
The nurse working in community-based nursing explains to the student nurse how certain factors affect the delivery of nursing care in the community. Which of the following statements regarding communities is accurate?
Social determinants of health are shaped by economics and politics
Which would be the best example of service learning?
Student nurses volunteering at the free clinic doing health assessments
Which of the following interventions might the nurse perform in the home health care setting when providing tertiary prevention?
Teaching range-of-motion exercises to a client who is recovering from a stroke
Which of the following best explains why most states have the legal drinking age set at 21 years old?
The alcohol-related death rate rose alarmingly when drinking age was lowered to 18 years
Which of the following best explains why most states have the legal drinking age set at 21 years old?
The alcohol-related death rate rose alarmingly when drinking age was lowered to 18 years.
All of the following outcomes may contribute to the diagnosis of substance abuse except:
The client is without a job
Which trend in illicit drug use is being seen among adults over age 50?
The rate of illicit drug use is increasing.
A survey done by The National Institute on Drug Abuse (NIDA) found that the most commonly abused prescription drug among high-school seniors is:
Vicodin
Environmental health relates to the quality of?
Land , Air, and Water
Which drug is being widely manufactured in the United States?
Methamphetamine
The community health nurse is trying to encourage a client to attend Alcoholics Anonymous meetings. When the client asks the nurse what he must do to become a member, the nurse should respond:
"Admit you are powerless over alcohol and that you need help."
Which of the following statements best summarizes Wald and Brewster's approach to home nursing?
"Helping people to help themselves"
A nurse is asked, "Why are you so rarely in the department office?" Which of the following would be the most appropriate response?
"I have to be where the people are."
A man stated, "I used to work out at the exercise room at work, but now that I'm retired I sit and watch TV. My wife keeps nagging me to do something. What do you think I should be doing at my age?"
"You should try to exercise just as you did before. Is there a YMCA or club nearby?"
A baby was dehydrated because of diarrhea. The mother explained that she had finally gone to a folk healer who told her to give the baby herbal tea, which did seem to be helping a bit, but the baby still seemed ill. Which of the following statements would be the most appropriate reply by the nurse?
"Your healer is correct; fluids are crucial for your baby. Let me give you some special fluids for you to give the baby."
A nurse is preparing to administer dextromethorphan 30 mg PO. The amount available is dextromethorphan oral liquid 7.5mg/5mL. How many mL should the nurse administer?
20 mL
A client has refused to stop drinking alcohol. Which of the following actions should be taken by the nurse?
Attempt harm reduction to help the client reduce drinking.
Which of the following characteristics is demonstrated by healthy or energized families?Select all that apply. Communication is appropriate and clear. Support and respect are evident and appreciated. Roles are static and change only in times of crisis. Common beliefs and values are shared .Members play and share leisure time appropriately.
Communication is appropriate and clear. Support and respect are evident and appreciated. Common beliefs and values are shared. Members play and share leisure time appropriately.
Which is the most effective way to determine if healthy people 2020 is improving the health of Americans?
Comprehensive and systematically collected surveillance data on the health status of various population groups
A nurse is reviewing the various roles of a community health nurse. Which of the following is an example of a nurse functioning as a consultant?
Updating state officials about health needs of the local community
What is considered a non-modifiable risk factor?
Gender
A woman was bragging about her 12-year-old son who was quiet and spent a lot of his time in his room building model airplanes, gluing, and painting pieces. Which of the following may be concerning to the nurse?
He may be inhaling fumes from the aerosol paints and glues.
Which of the following statements best describes how the Centers for Disease Control and Prevention (CDC) differs from its many peer agencies?
It responds to health emergencies
The community health nurse is visiting the home of a known substance abuser. The client is talking excessively and is excited and aggressive. The nurse notes that the patient's heart rate is 158 beats/min. The nurse recognizes the client is most likely high on which substance?
Methamphetamine
In what way is the U.S. approach to primary health care inconsistent with the World Health Organization (WHO) approach?
Our primary health care system does not provide universal coverage to all citizens.
A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should the nurse include?
The client will walk for 30 min 5 days a week.
Which of the following statements best defines Leininger's term "culture universal"
The commonalities of values, norms, and life patterns that are held in all cultures
Which best explains what children of alcoholics do when they become adults with families?
They themselves are at high risk for becoming alcoholics.
Which of the following age groups has the highest prevalence of binge drinking and heavy drinking?
Young adults aged 18 to 25 years
When one woman asked her friend to stay while a painful procedure was done, it was explained that only one immediate family member could be in the room. The woman asked the nurse, "How do you define family?" Which of the following would be the best response by the nurse?
"Whoever you tell us is your family"
The nurse working with families in the community uses Maslow's Hierarchy of Needs theory when assessing family function. Which of the following is an example of the lowest level of needs that must be met before the person can move on to higher-level needs?
A mother breastfeeds her infant
Which of the following nurse leaders formulated the first theory-based conceptual model for nursing care?
Florence Nightingale
Which of the following best describes the reason why so many Americans are obese?
For many people, caloric intake is more than needed for their physical activity.
A young teenager was habitually engaging in binge drinking with friends on weekends. Which would be a long-term concern of this behavior?
Legal drug use almost always precedes use of illegal drugs.
a nurse is planning measures to reduce the incidence of obesity. Which of the following interventions affect the environment, according to the epidemiological triangle?
Provide low fat meal options at public schools
A community health nurse is implementing health programs with several populations in the local area. In which of the following situations is the nurse using primary preventions?
Providing influenza immunizations to employees at a local preschool
Which of the following is an example of an activity aimed at providing primary disease prevention?
Providing well-child care
Which of the following best explains why experts are now distinguishing between use and misuse?
Some persons may use drugs and not become dependent on them.
Which of the following preventable health problems is the cause of more deaths, illnesses, and disabilities than any other?
Substance abuse
The nurse working with a client to change behavior to maximize health asked the client to bring his family to the next visit. Which of the following best describes why the nurse wants the family to come with the client?
To evaluate the family's approval of the proposed changes
Nurses provide care for 3 different clients individuals, families, and communities
True
The link between health beliefs and practices is greatly influenced by and individuals culture.
True
spending additional dollars for cure in the form of health care services does little to improve the health of a population
True
Which of the following descriptions does NOT reflect a current definition of family?
Two or more persons living together who share common interests
A nurse is conducting health screenings at a statewide health fair and identifies several clients who require referral to a provider. Which of the following statements by a client indicates a barrier to accessing health care?
"I can't take off during the day and the local after-hours clinic is no longer in operation."
There are many ways the community health nurse can be engaged in health education in the community. Which are frequent roles or activities that the nurse can be expected to fulfill? (Select all that apply.) a. Advocate b. Consultant c. Collaborator d. Mediator c. Diagnostician
A. Advocate B. Consultant C. Collaborator D. Mediator
A woman who spoke English was an immigrant from the Middle East, attending the clinic for the first time with two female friends. When a male nurse attempted to get a health history, the woman refused to respond to his questions. Which of the following actions should be taken by the nurse?
Ask a female nurse to talk with the client
It is important for the community-based nurse to assess the family or kinship patterns of the groups within the community being served. Which of the following is the best method to assess family structure?
Ask the client who is in his or her family
A client has refused to stop drinking alcohol. Which action should be taken by the nurse?
Attempt harm reduction to help the client reduce drinking.
Which of the following is the most effective way to determine if healthy people is improving the health of Americans?
By looking every 10 years at the Comprehensive and systematically collected surveillance data on the health status of various population groups
Comparing a surgeon today with a surgeon of Nightingale's time, what would be the primary difference in how they operate on a patient?
Current physicians would carefully scrub between cases.
A registered nurse is discovered stealing a patient's narcotic medication for personal use. Which is most likely to happen to the nurse?
The nurse who shows acceptance of a drug problem may be allowed limited practice under supervision while undergoing treatment and monitoring.
Which of the following best describes the advantage of the web of causation model in comparison with the epidemiological triangle model?
The web of causation model shows the relationships among variables.
Which best explains why drug abusers so often relapse?
They lack a supportive environment.
