Community Chap 12

A. National Violent Death Reporting System

A nurse is reviewing car accident data to see how a city's statistics compare with state and national data. Which of the following would provide the most comprehensive database of information? A. National Violent Death Reporting System B. Vital Statistics C. Department of Motor Vehicles D. Department of Transportation

D. Reporting of wars and war crimes has increased.

A nurse is presenting a lecture about providing nursing and medical care during wars and in conflict areas. The nurse is discussing how war has changed in the last few decades. Which of the following statements is correct? A. There are more wars currently than in the past. B. War-related deaths have increased in the past decade. C. Fewer countries have weapons of mass destruction due to increased world condemnation of such weapons. D. Reporting of wars and war crimes has increased.

1. National Violent Death Reporting System

A PHN working at a large urban public health department is reviewing motor vehicle-associated mortality data to compare the city's mortality rate (MR) with state and national MRs. Which of the following would provide the most comprehensive database of information? 1. National Violent Death Reporting System 2. Vital Statistics 3. Department of Motor Vehicles 4. Department of Transportation

B. Promoting family relationships and increasing child monitoring

A group of nurses is looking to design a home visitation program for parents who are at high risk for child maltreatment. What factors should the nurses focus on? A. Parenting skills and access to educational support B. Promoting family relationships and increasing child monitoring C. Increasing access to nutrition and wellness programs D. Assisting with parental education and financial assistance programs as needed

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A nurse decides to use a Haddon Matrix to evaluate factors that may contribute to patient falls on the medical units of the hospital. What is the minimum number of boxes that should be drawn on the grid to be filled out? ____________________

D. Consider a collaborative relationship with the public health department and fire and police departments.

A nurse has seen an increase in infant injuries during motor vehicle accidents due to poor car seat installation. The nurse wants to consider upstream policies at the population level to address this issue but doesn't have the time to take on the project. How should the nurse proceed? A. Reconsider the project at a different time when the workload at his or her primary job lightens. B. Delegate some of the project tasks to an unlicensed assistive personnel (UAP). C. Quit the job to dedicate all of his or her time to the project. D. Consider a collaborative relationship with the public health department and fire and police departments.

4. Consider a collaborative relationship with the public health department and fire and police departments.

A nurse has seen an increase in infant injuries during motor vehicle crashes due to poor car seat installation. The nurse wants to consider upstream policies at the population level to address this issue but doesn't have the time to take on the project. How should the nurse proceed? 1. Reconsider the project at a different time when the workload at his or her primary job lightens. 2. Delegate some of the project tasks to an unlicensed assistive personnel (UAP). 3. Quit the job to dedicate all of his or her time to the project. 4. Consider a collaborative relationship with the public health department and fire and police departments.

2. Collective violence.

A nurse has volunteered with an organization treating women who were the victims of rape as a weapon of war in the Congo. This violence is considered: 1. Community violence. 2. Collective violence. 3. Stranger violence. 4. Interpersonal violence.

B. Collective violence

A nurse has volunteered with an organization treating women who were the victims of rape as a weapon of war in the Congo. This violence is considered: A. Community violence B. Collective violence C. Stranger violence D. Interpersonal violence

D. Refer her to a social worker and engage her in discussion about creating a safety plan.

A nurse is caring for a young woman in a same sex relationship. The woman frequently presents to the ER with vague injuries and the nurse is beginning to suspect that the woman is being physically abused by her partner. How should the nurse proceed? A. Inform the physician. B. Give her a pamphlet about escaping domestic violence. C. Notify the police. D. Refer her to a social worker and engage her in discussion about creating a safety plan.

3. Men under the age of 45

A nurse is educating new staff in the emergency department about the types of injuries and illness they might be treating. The nurse mentions that which population is at greatest risk for unintentional injuries? 1. Women under the age of 45 2. Women over the age of 45 3. Men under the age of 45 4. Men over the age of 45

C. Men under the age of 45

A nurse is educating new staff in the emergency department about the types of injuries and illness they might be treating. The nurse mentions that which population is at greatest risk for unintentional injuries? A. Women under the age of 45 B. Women over the age of 45 C. Men under the age of 45 D. Men over the age of 45

3. Community-wide CPR instruction.

A nurse is looking to implement new preventative measures to address the rate of drowning in young children in the community. All of the following policies are examples of primary prevention, except: 1. Swimming instruction for every child. 2. Mandatory installation of locked child-safety fences around all community and private pools. 3. Community-wide CPR instruction. 4. Mandatory use of life jackets for all children on boats.

D. All of the above

A nurse is performing a community assessment of an inner city neighborhood. The nurse is looking for physical risk factors in the community to determine if they might be contributing to the high level of violence and drug abuse in the neighborhood. Which of the following factors should be evaluated? A. Youth activity B. Dwelling types C. Physical layout of the community D. All of the above

3. Call the landlord directly to ensure the timely repair of the window guards and encourage the woman to keep the windows closed in the meantime.

A nurse is performing a home visit for a young mother that lives in the projects in Brooklyn, New York. There is a young child who is 3 years old living in the apartment as well. The nurse notices that the window guards on the bedroom window are hanging off the building. Which of the following is the best approach to addressing the safety issue? 1. Encourage the woman to call the landlord after the nurse leaves. 2. Call Child Protective Services to report an unsafe living situation. 3. Call the landlord directly to ensure the timely repair of the window guards and encourage the woman to keep the windows closed in the meantime. 4. Call the city to report a bad landlord and complete the paperwork to support evidence of the event.

1. Men

A nurse is providing fire prevention education to families in the community. Which of the following groups in the United States is not at a higher risk for suffering burns from a fire at home? 1. Men 2. Women 3. Children 4. Older adults

C. Call the landlord directly to ensure the timely repair of the window guards and encourage the woman to keep the windows closed in the meantime.

A nurse is performing a home visit for a young mother that lives in the projects in Brooklyn, New York. There is a young child who is three years old living in the apartment as well. The nurse notices that the window guards on the bedroom window are hanging off the building. How does the nurse proceed? A. Encourage the woman to call the landlord after the nurse leaves. B. Call Child Protective Services to report an unsafe living situation. C. Call the landlord directly to ensure the timely repair of the window guards and encourage the woman to keep the windows closed in the meantime. D. Call the city to report a bad landlord.

A. Men

A nurse is providing fire prevention education to families in the community. Which of the following groups in the United States is not at a higher risk for suffering burns from a fire at home? A. Men B. Women C. Children D. Older adults

D. None of the above

A nurse is reviewing the safety procedures and protections in place at the community center where he or she works. Which of the following should he or she be most concerned about? A. Presence of two regular doors next to the revolving door in the front of the center B. Brightly lit exit signs C. Absence of decorations on the walls D. None of the above

4. All of the above

A nurse is reviewing the safety procedures and protections in place at the community center. Which of the following show compliance with policies that were put in place to prevent fire-related deaths and injuries? 1. Presence of two regular doors next to the revolving door 2. Brightly lit exit signs 3. Absence of flammable decorations on the walls 4. All of the above

1. Age between 15 and 44 2. Poor mental health 3. Substance use

A nurse is teaching a class about emergency preparedness and violence. Which of the following factors are associated with an increased risk of being the victim of violence or intentional harm? (Select all that apply.) 1. Age between 15 and 44 2. Poor mental health 3. Substance use 4. Male gender 5. Low socioeconomic status

A. Age between 15 and 44 B. Poor mental health C. Substance abuse

A nurse is teaching a class about emergency preparedness and violence. Which of the following factors is associated with an increased risk of being the victim of violence or intentional harm? Select all that apply. A. Age between 15 and 44 B. Poor mental health C. Substance abuse D. Male gender E. Low socioeconomic status

4. Age

A nurse is teaching water safety at the local community pool and mentions that which of the following is the most significant risk factor for drowning? 1. Gender 2. Income 3. Education 4. Age

D. Age

A nurse is teaching water safety at the local community pool and mentions that which of the following is the most significant risk factor for drowning? A. Gender B. Income C. Education D. Age

C. Inform the school psychologist immediately and notify the boyfriend's parents.

A nurse is working at a high school when a young woman comes down to the nursing office concerned about her boyfriend whom she states is making suicidal comments. How does the nurse proceed? A. Counsel the young woman about relationship issues. B. Call the young woman's parents about her concerns. C. Inform the school psychologist immediately and notify the boyfriend's parents. D. Call the young man down to the nurse's office for a mental health evaluation.

3. Inform the school psychologist immediately and notify the boyfriend's parents.

A nurse is working at a high school when a young woman comes down to the nursing office concerned about her boyfriend whom she states is making suicidal comments. How does the nurse proceed? 1. Counsel the young woman about relationship issues. 2. Call the young woman's parents about her concerns. 3. Inform the school psychologist immediately and notify the boyfriend's parents. 4. Call the young man down to the nurse's office for a mental health evaluation.

A. Whether they have a means or a plan to commit suicide, including whether they have access to a weapon, such as a gun

A nurse is working at a suicide prevention hotline and is training new staff members. He or she informs the new nurses that the most important questions to ask callers include: A. Whether they have a means or a plan to commit suicide, including whether they have access to a weapon, such as a gun B. If they have been diagnosed with a mental illness C. If they suffer from addiction D. None of the above

1. A means or a plan to commit suicide, including whether he has access to a weapon, such as a gun.

A nurse is working at a suicide prevention hotline and receives a call from a man threatening to end his life. The most important thing for her to determine is whether the man has: 1. A means or a plan to commit suicide, including whether he has access to a weapon, such as a gun. 2. Been diagnosed with a mental illness. 3. A substance use disorder and is currently using alcohol or drugs. 4. None of the above.

0.08

A nurse is working in an emergency room and caring for a young woman who was admitted to the hospital after a motor vehicle accident. The policeman who accompanied the nurse requests a blood alcohol level and toxicology screen. The nurse knows that what minimum blood alcohol level is considered to be driving while impaired? ____________________

A. Proper labeling of all household chemicals and medications C. Storing all cleaning materials and medications out of the reach of children E. Informing parents not to share any medications with anyone whom the medication is not prescribed

A nurse is working with parents and community members to develop a chemical and medication safety class in their community. Techniques that they should discuss include which of the following? Select all that apply. A. Proper labeling of all household chemicals and medications B. Keeping household chemicals outside C. Storing all cleaning materials and medications out of the reach of children D. Encouraging disposal of medications into the toilet E. Informing parents not to share any medications with anyone whom the medication is not prescribed

1. Proper labeling of all household chemicals and medications 3. Storing all cleaning materials and medications out of the reach of children 5. Informing parents not to share any medications with anyone for whom the medication is not prescribed

A nurse is working with parents and community members to develop a chemical and medication safety class in their community. Techniques that they should discuss include which of the following? (Select all that apply.) 1. Proper labeling of all household chemicals and medications 2. Keeping household chemicals outside 3. Storing all cleaning materials and medications out of the reach of children 4. Encouraging disposal of medications into the toilet 5. Informing parents not to share any medications with anyone for whom the medication is not prescribed

1. Manual, cognitive, and visual

A nurse who has worked in a large urban emergency department for the past 20 years is precepting a new hire. She explains that there has been an increase in admissions due to motor vehicle crashes (MVC) and that there two of the main risk factors for MVC are driving while impaired and distracted driving. What are the three types of distracted driving? 1. Manual, cognitive, and visual 2. Behavioral, environmental, and manual 3. Cognitive, behavioral, and environmental 4. Manual, situational, and visual

4. Reporting of wars and war crimes has increased.

A nurse who is about to travel as part of an outreach medical team to a country that has experienced civil war does some research on the nature of war to better understand the context of the violence that has occurred due to war in this country. She learns that war has changed in the last few decades. Which of the following statements is correct? 1. There are more wars currently than in the past. 2. War-related deaths have increased in the past decade. 3. Fewer countries have weapons of mass destruction due to increased world condemnation of such weapons. 4. Reporting of wars and war crimes has increased.

A. Post-traumatic stress disorder

A young woman presents to a community clinic. She states that she is having severe anxiety and insomnia after suffering an acquaintance rape at school last year. She is unable to go back to college and her grades are suffering as a result. What does the nurse suspect that this young woman is suffering from? A. Post-traumatic stress disorder B. Generalized anxiety disorder C. Major depression D. Personality Disorder

1. Post-traumatic stress disorder

A young woman presents to a community clinic. She states that she is having severe anxiety and insomnia after suffering an acquaintance rape at school last year. She is unable to go back to college, and her grades are suffering as a result. What does the nurse suspect that this young woman is suffering from? 1. Post-traumatic stress disorder 2. Generalized anxiety disorder 3. Major depression 4. Personality disorder

3. Further assessment, appropriate referrals, and discussion of a safety plan

Michelle is conducting a routine well baby visit in the home. As part of her visit, she uses the DOVE tool to screen the mother for possible Intimate Partner Violence (IPV). The mother discloses that she is a victim of IPV. What actions are Michelle required to perform? 1. Further assessment, report to the physician, and discussion of a safety plan 2. Provide her with pamphlets on escaping domestic violence, appropriate referrals, and discussion of a safety plan 3. Further assessment, appropriate referrals, and discussion of a safety plan 4. Referral to a shelter for victims of IPV, and report to the physician

1. Promoting and reinforcing selective protective factors.

Sam, a PHN working in the maternal child division of an urban public health department, has been tasked with developing a child maltreatment home visitation prevention program. He has chosen to use the Nurse Family Partnership Model, which focuses on: 1. Promoting and reinforcing selective protective factors. 2. Identifying families at risk and referring for counseling. 3. Building resilience in children. 4. Improving the link between child protective services and the public health department.

4. Increasing the presence of law enforcement officers skilled in working with adolescents.

Together with members of the community, a PHN is helping to complete a community assessment of an inner-city neighborhood. One of the issues that has surfaced is the rising level of youth violence. The assessment team decides to work on the establishment of a program aimed at promoting youth development. Areas included in this approach according the CDC guide include: 1. Promoting family environments that support healthy development. 2. Creating protective community environments. 3. Connecting youth to caring adults and activities. 4. Increasing the presence of law enforcement officers skilled in working with adolescents.