community health exam 1
1. In the traditional public health prevention framework, what level of prevention include early detection to initiate treatment of early stage possible? A. Primary B. Secondary C. Tertiary
B. Secondary
57. Healthy people 2030 has identified priorities with greater emphasis on social determinants of health and quality of life. Statistics of healthy people 2020 indicates several priorities over the next 10 years. (Place in highest to lowest priority) Obesity, environmental quality, preventative health services, access to health services, and mental health and health disorders
1. Access to health services 2. Preventative health services 3. Environmental quality 4. Mental health and health disorders 5. Obesity
1. A PHN is completed a community assessment and found the obesity in one of the neighborhoods is higher in other neighborhoods. She suspected that is due to limited access full-service grocery stores and they lack of dedicated safe usage exercise. Assuming her conclusion is correct, what category or categories of social determinant of health within community fall into? A. Upstream determinant B. Downstream determinant C. Behavior D. Genetic
A. Upstream determinant
57. The home health nurse reviews her client's charts for the day. The nurse is providing tertiary care prevention care to which clients? (SATA) A. 26-year-old type I diabetic living in a homeless shelter, requiring a dressing change for a stage 2 ulcer B. 45-year-old migrant worker who needs diabetes education due to their recent Dx C. 89-year-old Caucasian client who was recently homeless but now lives with her grown children and needs a referral for home health D. 22-year-old pregnant woman in her 2nd trimester that needs to complete a glucose challenge test E. 54-year-old 1st generation American waiting to receive their shingles vaccination
A. 26-year-old type I diabetic living in a homeless shelter, requiring a dressing change for a stage 2 ulcer B. 45-year-old migrant worker who needs diabetes education due to their recent Dx C. 89-year-old Caucasian client who was recently homeless but now lives with her grown children and needs a referral for home health
1. A hospice nurse is admitting a client to the facility. During the admission, the family askes the nurse what a hospice nurse does. What is the best response? A. A hospice nurse educates, gives advice, provides emotional support to client and family, and helps them prepare for dying process B. A hospice provide treatment and educate and document plan of care C. A hospice nurse works with entire population providing education and resources D. A hospice nurse is educated patient on holistic intervention that will promote healing
A. A hospice nurse educates, gives advice, provides emotional support to client and family, and helps them prepare for dying process
1. An incarcerated women who is 34 weeks pregnant with type 1 DM. She is showing sign of hyperglycemia multiple time throughout the day. What is the most significant disparity the client faces? A. Access to health care B. Access to prenatal care C. Access to mental health D. Access to endocrinology
A. Access to health care
1. A PHN is trying to find ways to assist local vulnerable populations in their communities. After performing a community assessment, the nurse found a large number of homeless people were utilizing the local emergency department. their plan was to open a nurse managed clinic in the area so more people can have access to assessments, health education and nursing care. Which is the first step the PHN should consider taking? A. Apply for grant application to obtain funds for the clinic B. Do not apply for funds because many agencies are unwilling to provide services to vulnerable populations C. Identify what other agencies and organizations want to start a clinic so they know who their competition is D. Do not reveal the idea of starting a clinic to community members because they may receive opposition
A. Apply for grant application to obtain funds for the clinic
1. A discharge team is assessing an elderly client ability to return to the community following a fall after consuming alcohol. Which of the following intervention should the nurse initiate before discharge the client? A. Ask the client information current and prior alcohol use and during alcohol use in their lifetime B. Perform abuse assessment on the client to screen for relationship abuse C. Inform the client family to coordinate alcohol use intervention for the client D. Inform the client to take the prescription medication in the daytime and drink at night
A. Ask the client information current and prior alcohol use and during alcohol use in their lifetime
1. The maternal child nurse who fluent in Spanish is working a public health department located in a sanctuary city. She is conducting a home visit with a young mother from central America who arrived in the US in 2017 and now staying with a brother who is US citizen. The mother is very frightening. She fled her country because of violence she and her children experienced. She fears that they will not survive if they go back. Which of the following status is the mother eligible to apply for? A. Asylee B. Refugee C. Immigrant D. Permanent Resilience
A. Asylee
1. PHN works in a county with increase in measles. Use the natural history of disease framework to develop a primary prevention program in at preventing measle. What is the first step the nurse will? A. Conduct an outreach to all parents to have children vaccinated B. Educated health care provider on signs and symptoms of disease C. Start a screening program to identify person who has measle D. Provide education program for parents whose children has measle on the important keeping them from school and public places.
A. Conduct an outreach to all parents to have children vaccinated
1. A nurse is caring for group of clients in the community. Which of the following is identify is the underlying concept of optimal health? A. Equity B. Equality C. Health disparity D. Discrimination
A. Equity
1. A tornado has caused damaged to homes in a large section of rural city where immigrant families resided. Many individuals are without running water and electricity and food sources. Food sources are virtually nonexistence. In these circumstances, what is the positive approach to address health equity? A. Give the most to the least B. Focus on healthcare equity and community response C. Extend free clinic hours D. Create additional policy to address health and equity
A. Give the most to the least
1. A nurse is working on busy primary care clinic wondered Mr. Smith, 65-year-old insulin dependent recently diagnosed with DM keep coming back with elevated HgB A1C. The nurse knows has given Mr. Smith a literary on how manage type 2 DM and as time allow, review it with him. He does not know why Mr. Smith still struggling with his disease. What do you check first before providing Mr. Smith with more information? A. Health literary level B. Whether or not he can afford his med C. His eating habits D. Routine for checking his A1C
A. Health literary level
1. A home health nurse visits an elderly client with DM at a farm in a rural community. The nurse noticed PT ave a foul-smelling dressing on the left. The PT reports dress has not been changed since discharged from the hospital 2 weeks ago and missed follow up appointments. What is the appropriate response by the nurse? A. How do you get to the appointments? Is transportation a problem? B. If you don't take care of your foot, we will cut it off C. If you must not have insurance, I will refer you an insurance rep. D. We will not provide the best care if you do not show up to your appointment.
A. How do you get to the appointments? Is transportation a problem?
1. A nurse is caring for a group of migrant workers which is the potential health disparity for migrant population faces? A. Human trafficking B. Homeless C. HIV/AIDS D. Alcohol abuse
A. Human trafficking
1. A PT diagnosed with DM by books, read articles, talk with knowledge people, inform himself on how to improve his condition? What best describe his adult method of learning A. Humanism B. Pedagogy C. Andre gory D. Constructivism
A. Humanism
A nurse is looking to create a program with the community that addresses keys to promoting healthy aging. Which of the following should they considered that has a primary prevention focus? A. Immunization program B. Colorectal screening program C. Exercise program for patients with arthritis and joint problems D. A blood glucose monitoring program for individuals with type II diabetes
A. Immunization program
To assess the prevalence of a disease in a population, a PHN can use the prevalence pot to help better understand the occurrence of disease in the community. A prevalence pot is helpful in providing which of the following elements? A. Includes assessing the total number of cases in a disease taking into account all of the stages of the disease B. Is a method calculating the potential number of new cases in a population C. Determines the number of primary medications used to treat diseases in a certain population D. Includes assessing the number of cases of a disease in a specific neighborhood over one season
A. Includes assessing the total number of cases in a disease taking into account all of the stages of the disease
1. What is the most pressing issue from the public health perspective? A. Increase demand for long term care B. Increase community for further research C. Increase community for further exploration of development related to aging D. Decrease cost of medications
A. Increase demand for long term care
1. The school nurse works with a growing number of students and families from various cultures. What is the best way for the school nurse to providing cultural competence care for all students? A. Increase knowledge and skills through web-based resources. B. Ask students and family about expectation. C. Do not change or adapt D. Treat them all the same
A. Increase knowledge and skills through web-based resources.
57. A PHN works on a list of recommendations for policy makers regarding the health risks of locally incarcerated community members. What disparities should the nurse prioritize regarding this vulnerable community? A. Limited access to care B. Easily accessible information C. Stress of life in prison D. Diet
A. Limited access to care
1. During the intake process of patient Mr. Hernandez tells the clinic nurses he will not make his next visit because he is going to another state to work the crops. When the nurse reaches the intake options about work, what is the following the nurse will be most likely to enter as his occupation? A. Migrant Worker B. Day labor C. Ramp change D. Crop buster.
A. Migrant Worker
57. A nurse is caring for a group of clients in the community. The nurse should know that which of the following is NOT considered one of the 6 standards of practice for public health nursing? A. Mitigation B. Planning C. Outcome D. Identification
A. Mitigation
1. Several families within community are caregiver to loved one suffering with dementia and gather a support group section. What strategy is most helpful to review with family during the support group section regarding safety and supervision? A. Modify the environment similar to "child-proof" helps limit the exposure to potential harm B. Discussion frustration with frequently agitation C. Recommended install security system D. Notify neighbor about the individual with dementia in the event they wander off
A. Modify the environment similar to "child-proof" helps limit the exposure to potential harm
1. The nurse works on discharge plans for an individual who is homeless. What are the most difficult challenges for the nurse with regard to treating vulnerable populations. A. Understanding the limitation following treatment recommendations B. Understanding access to care is challenging C. Understanding how it is to live in persistence poverty D. Understanding vulnerability
A. Understanding the limitation following treatment recommendations
1. The nurse discharges an agricultural migrant worker recently hospitalized with a burn injury. As the nurse reviews discharge teaching with client, it is evident that the client may not follow up as recommended with outpatient burn clinic and PT. Which disparity puts the client at highest risk for re-admission? A. Poor housing B. Nature of work C. Language barriers D. Poverty
B. Nature of work
1. The nurse manager review nurse's notes regarding the review concern and comments of the primary nurse. After the reviewing the information provided, what is the best step the manager should take? Chart: A 68-year-old male presents to the clinic accompanied by his son Elvis Jr. Client A&O x2. Appear unkempt. Last shower was 3 days ago. Has not feeling well. The son stated he was out of town for a job over the road trucking. Vital stable. BP 156/86. PT is hesitated when asked about home health services. The son stated he cannot afford these services. The client is out of BP med for 3 days. Recommend client consider home health services to help manage medication and assist with ADL. Will share recommendations with providers and follow up if needed. A. Notify APS B. Wait for provider to decide next step C. Call 911 and report the case D. Recommended home health evaluation
A. Notify APS
1. A nurse is caring for a client with provided nurses noted documented. Based on the information in the chart noted from the public health perspective. What it the best action? Chart: 34-year-old male presented in Urgent Care today with concerns of V/D. Client speaks some English. Report of unable to keep foods and fluid in the past 30 hours. Client reports several individuals he lives with all have similar symptoms. He reports in the local farm as migrant workers. Reports of uncertain immunization status. He is A&O x3. BP 110/64. HR 110. RR 18. Generalized abdominal discomfort is 4 out of 10. 20 gauge IV started in the left AC, give NS bolus. Updated provider about client status and waiting for order and continue to monitor. A. Notify the state health department B. Notify the family about the client diagnosis C. Document the findings D. Provider work notes
A. Notify the state health department
1. Recent studies suggest that one in five members of LGBTQ community avoid medical cares because they are afraid of fear and discrimination. What is the most efficient way if individuals identify with LGTBQ community avoid discrimination? A. Offer LGBTQ community exclusive medical intake forms and treatments B. Avoid use of pronounce to identify clients. C. Use gender specific languages D. Avoid discussing concerns related to gender
A. Offer LGBTQ community exclusive medical intake forms and treatments
57. A respiratory illness outbreak has occurred twice in an assisted living facility. The environmental health worker has requested that an advanced PHN be included in the next inspection in the programs isolations procedures. According to the public health nursing standard of practice, the nurses goals are to perform which of the following? (SATA) A. Perform an assessment of the nursing home to identify why the outbreaks keep happening B. Create a plan to vaccinate the members of the nursing home who are not up to date C. Implement an intervention such as a vaccination station at the nursing home where clients can receive their pneumococcal vaccines D. Report concerns to the state E. Evaluate the success of the vaccine station by reviewing the number of clients that are current in their immunizations
A. Perform an assessment of the nursing home to identify why the outbreaks keep happening B. Create a plan to vaccinate the members of the nursing home who are not up to date C. Implement an intervention such as a vaccination station at the nursing home where clients can receive their pneumococcal vaccines E. Evaluate the success of the vaccine station by reviewing the number of clients that are current in their immunizations
1. A 65-year-old client present to the clinic for a well visit. The nurse reviews the client immunization records and verifies the client received one dose of Zoster vaccine at age 60, and current on tetanus and influenza. Which vaccine recommend for the client to receive today? A. Pneumococcal B. MMR C. Hep B
A. Pneumococcal
1. A nurse is caring for young man squatting in an abandoned factory a mile away from the clinic. Which of the following homelessness would the nurse documented? A. Primary B. Secondary C. Tertiary
A. Primary
57. The PHN is providing care at a free clinic. The next client is a Mexican migrant worker, who according to his daughter who is translating, has a Hx of type II diabetes, and hypertension, and now has a pressure ulcer on the right castaneous. The client is a pack/day smoker x25 years. Client is homeless, but occasionally stays with his daughter. He is recently unemployed and obtains food from the local food pantry. Which interventions performed by the nurse are tertiary preventions? (SATA) A. Provide free diabetic education, access to medication, testing supplies B. Provide smoking cessation resources C. Assess with homecare for wound D. Identify community resources for free socks, shoes, and toiletries E. Review immunization records and provide vaccines as indicated
A. Provide free diabetic education, access to medication, testing supplies B. Provide smoking cessation resources C. Assess with homecare for wound D. Identify community resources for free socks, shoes, and toiletries
57. The nurse recognizes the value of healthy people 2030 guidelines and the importance to the functioning of local health departments. What are the challenges related to public health infrastructure? (SATA) A. Public health workforce B. Provide affordable mental health services C. Access to IT D. Public health agencies capable of accessing and responding to public health needs E. Increasing the disparities between the poor and the wealthy
A. Public health workforce C. Access to IT D. Public health agencies capable of accessing and responding to public health needs
57. The community health nurse reviews the statistics regarding health disparities among the community. Which of the following would be considered upstream interventions and helping reduces rates of obesity in the community? (SATA) A. Remove high fat food options within the community B. Promote fresh healthy food options by opening farmer's market C. Work with local agricultural businesses and farmers to increase the amount of fresh produce in the area D. Teach individuals different aerobic exercises to encourage physical activity E. Educate parents of children with high BMI on the different types of healthy foods incorporated into their diets
A. Remove high fat food options within the community B. Promote fresh healthy food options by opening farmer's market C. Work with local agricultural businesses and farmers to increase the amount of fresh produce in the area
1. A nurse is about to interview a client, which of the following is most important for the nurse to consider before beginning the interview? Chart: 64-year-old Hispanic female admitted for dehydration. AxOx3. Vital stable. IV patent on the right AC. NS at 100 ml/hr. PT have traditional beliefs about health and illness. A. Only ask questions regard admission paperwork B. Ask PT if cultural healer should be contacted C. Explain hospital routine meals. rules, and visit protocol. D. Obtain information about PT's belief from the daughter
Ask PT if cultural healer should be contacted
57. A nurse is caring for a group of clients in a community. The nurse should know that which of the following scenarios is NOT an example of community collaboration? A. Local service groups working to organize disaster relief or tornado victims B. A city counsel passing an ordinance to stop smoking in restaurants C. An advocacy group working with the local churches to improve healthcare to the indigenous with mental health disorders D. A school working with the local health department to start a school clinic
B. A city counsel passing an ordinance to stop smoking in restaurants
1. The PHN is preparing a presentation on reducing risk factors for individuals with heart disease. Which of the following should the nurse EXCLUDE from the presentation? A. Limit saturated fats, foods high in sodium, foods with added sugar B. According to the CDC cardiovascular disease is the third leading cause in death C. Get moving aim for at least 30 to 60 minutes of activity daily D. Importance of managing stress with examples on how to do this
B. According to the CDC cardiovascular disease is the third leading cause in death
1. An elderly client confined to a wheelchair, is brought to the E.R by ambulance after falling down a flight of stairs. The client is found to have multiple bruises in various stages of healing. Abuse is suspected and a geriatric assessment instrument is performed. Which of the following is a risk factor that can lead to elder abuse? A. Independence B. Financial issues C. Improved physical health D. Community support
B. Financial issues
1. A nurse is studying high infant mortality rates in the community with the mean household income below the poverty line within the large community service the hospital. She looks into the problem further and find out that only prenatal clinic available that accept Medical or offering paying scale system are not located in the community and required 3 buses to get there? Which of the following is an example of lack of access to affordable prenatal care? A. Health disparity B. Health inequity C. Health inequality D. Social Justice
B. Health inequity
1. An ambulatory clinic has noticed an increase in missed follow-up appointments for individuals in the rural community with limited access to primary care clinic. What is the most effective approach to improve compliance with follow up individuals in the community? A. Hold the medication refills until the client is seeing back in the office B. Offer options to follow up including telehealth communication through health application C. Sending at least 3 reminder messages to client D. Schedule the client for the follow up appointment before they leave the clinic
B. Offer options to follow up including telehealth communication through health application
57. A nurse that is working in a community heath clinic, should be aware that healthy people 2030 includes fostering impact through public and private efforts. To improve health and wellbeing of people in the community what are examples to meet this goal? (SATA) A. Treat health conditions such as obesity B. Promote tobacco free environment C. Offer opportunities for individuals to access free food within the community D. Offer opportunities for all children to access learning at a public charter school E. Increasing number of bike paths and trails
B. Promote tobacco free environment C. Offer opportunities for individuals to access free food within the community D. Offer opportunities for all children to access learning at a public charter school E. Increasing number of bike paths and trails
1. A PHN is reviewing statistic from recent community health assessment and noticed a significant growth of older adult in the community. The nurse is interested in making recommendations to the community regarding opportunity to support wellness of the aging population. Which of the following recommendations is NOT supported for this population? A. Coordinate volunteering B. Recommended aerobics class at night C. Coordinate daytime walking group D. Start swimming exercise classes
B. Recommended aerobics class at night
1. Based on the recent studies on risk for disease, the nurse works on primary care clinic at poor urban community decided to develop an educational program on the important of including whole grain, fruit, and vegetables in the patient's diet. To help guide the development of the program, the nurse first reviews the availability of the fruits and vegie in the community. Which determine best reflect the decision to gather specific information firs? A. Ecological determinant of health B. Social determinant of health C. Individual determinant of health D. Genetic determinant of health
B. Social determinant of health
1. Which of the following client would be best candidates to implemented hospice care? A. A newly diagnosed 32-year-old female diagnosed with stage 3 breast cancer B. A 54-year-old client diagnosed with chronic stage 4 kidney disease C. A 42-year-old with autoimmune disease which no longer response to treatment D. A 65-year-old with Parkinson's disease
C. A 42-year-old with autoimmune disease which no longer response to treatment
1. A nurse beginning a new position with home care agency that provides hospice care. The nurse learns that the primary role of nurse providing hospice care is to do which of the following? A. Provide PT medical needs at the end of life B. Help the PT stay active until death C. Assist PT and family through the dying process toward a good death
C. Assist PT and family through the dying process toward a good death
1. A local ambulatory health care agent provided telehealth in person care to Native American community at an outreach clinic. The agency noticed 70% of the population does not compliance with health care visit. 60% failed at least one follow up appointment. What it the best strategy the agency can implement to improve compliance well visit and follow up? A. Recruit staff from Native American to work at the clinic B. Clinic is welcoming and set up for the community it does not make any sense that community is not accessing healthcare. C. Collaborate with local leaders to find out what constitute optimal health in their cultural and discuss opportunities to improve appointment compliance D. Afford additional time longer time and increase staffing
C. Collaborate with local leaders to find out what constitute optimal health in their cultural and discuss opportunities to improve appointment compliance
1. During an encounter with a Hispanic couple the nurse is communicating with the spouse of the client who acts as the translator to the wife who has been struggling with the management of type II diabetes. The spouse shares that although the A1C continues to rise now at 11.2, the last appt was 9.4 that the preference is to avoid injectable medications. Which of the following is a patient centered approach to address healthcare priorities for the client and best manage the client's diabetes? A. Inform the client that insulin is necessary and encourage the client to see an endocrinologist B. Refer the client to a diabetes support group since she is not coping well C. Continue to provide information and educate regarding diet exercise and meal planning to help reduce risks associated with type II diabetes D. Provide the client with online video resources of administering injectable medications so she can become less afraid
C. Continue to provide information and educate regarding diet exercise and meal planning to help reduce risks associated with type II diabetes
Americans are living longer today than any other time in history. Which of the following is NOT a factor for increase lifespan? A. Penicillin B. Improved plumbing and sanitation C. Greater distributions of wealth D. Cancer screening
C. Greater distributions of wealth
1. A nurse works with a family who decide to change the family to palliative care. Which of the following is NOT part of palliative care? A. Managing symptoms including pain as an important part of care B. Palliative care involved team of medical and non-medical providers C. Palliative care stops all the medical treatments D. Palliative care included whatever therapy and medically indicated and designed by the client
C. Palliative care stops all the medical treatments
57. The PHN is working at small local public health department. The nurse understands that based on federal mandates in the public health department. Which of the following actions would be OUTSIDE of their scope of practice? A. Disease surveillance B. Disease outbreak investigation C. Quarantine licensing of local hospitals
C. Quarantine licensing of local hospitals
1. Which of the following regarding health disparity among the LGBTQ community is INCORRECT? A. People LGBTQ population is at higher risk for poor health related to social inequity and stigma. B. People LGBTQ community are at risk for violence and depression C. Transgender youth are the lowest risk for homelessness D. LGBTQ elder often avoid sharing their sexual orientation to provider due to mistrust
C. Transgender youth are the lowest risk for homelessness
1. A nursing program integrate more opportunities for undergraduate and graduate students to address health equity and social determinants of health. Which of the following is NOT a change of curriculum to support social determinant of health? A. Clinical experiences primary in acute care setting B. Curriculum included multiple social determinants of health experiences C. Curriculum including community engagement in non-traditional clinical placement D. Experiential learning through interdisciplinary simulation and motivational interviewing experiences
Clinical experiences primary in acute care setting
1. A patients wife asks how much alcohol is safe for her 82-year-old husband to drink. Based on age related standards for alcohol consumption, what is the nurse's best response? A. It's best if you talk to your doctor about that, would you like me to schedule a follow-up appt B. At his age it doesn't really matter as long as he's not driving C. Less than 5 standard drinks/day or 14/week D. 3 standard drinks/day or 7/week
D. 3 standard drinks/day or 7/week
57. A lesbian couple has relocated to a rural community as part of a job relocation. Which factor DOES NOT influence vulnerability for LGBQT in rural communities? A. Employment status B. Housing C. Medical health conditions D. Abundance of access to care
D. Abundance of access to care
1. The international medical community is working to contain several worldwide pandemics. They will get WHO involved. Which of the following is the goal for WHO? A. The public health arms of the United Nations B. They work to improve the health and well-being for the global population C. Working with nurse to prevent health prevention. D. All of the above
D. All of the above
1. A client in the ambulatory care setting presented with multiple bruises in various healing stages and broken radius. The female client admitted that her partner is from a native country and women are viewed as inferior to men. What is in health equity placed client at highest risk? A. Educational B. Ethnicity C. Race D. Gender
D. Gender
1. A nurse case manager at an assisted living setting does route on residence as a way to offer connections to facilitate options of services to meet the residence health needs. What is the most important outcomes to improve the quality of life of the residence at this time? Read the chart: a RN visit 72-year-old male client at a assisted living settings. Client is AxOx2. Vital is stable. Client is scored an 8 on the PHQ9. Assessment is indicated PT is depression. PT reported his spouse passed away unexpectedly a month ago and he is struggling. RN recommended daily exercise to the client to encourage getting out of the apartment and to consider engaging playing card and BINGO once a week. Will continue to monitor and following up. A. Physical functioning B. Social functioning C. Emotional wellbeing D. Mental well-being
D. Mental well-being
1. A skill care facility has noticed an increased number of falls during the last quarter. What is the following is NOT supportive of reducing for fall? A. Implementing fall huddle which is performing immediately after the PT is stabilize B. Implement a standard fall program aim at reducing risk for falls C. Implementing an hourly route program D. Provide fall education with medication education during discharge
D. Provide fall education with medication education during discharge
1. A nurse is completing ages and stages of screen tool on a two-year-old child. The parents of the child asked the nurse, what is the purpose of performing screening? What is the best response by the nurse? A. Provide use screening as a diagnostic tool B. Screening is a form of primary prevention C. Screening can help provider better connected clients and family. D. Screening can help us identify unrecognized diseases
D. Screening can help us identify unrecognized diseases
1. A nurse is caring for group of clients in the community. Which of the following is the consider social and environmental conditions in which people live and work? A. Health and Equity B. Social Justice C. Social Capital D. Social Determinant of Health
D. Social Determinant of Health
57. The PHN presents information specific to healthy aging to members at a wellness fair. Which of the following topics would the nurse NOT include in the teaching session? A. Controlling hypertension B. Smoking cessation C. Staying physically active D. Traveling often
D. Traveling often
1. Results of a community health assessment indicated increasing obesity rate of residences as a top priority. Using ecological model, what is the least appropriate recommendation to focus on address growing obesity concern? A. Focusing nutritional health teaching B. Support agricultural subsidy C. Implement transportation policy D. Working with private section to introduce healthier options in local restaurants
Focusing nutritional health teaching
1. A nurse is working at community which of the following is the best example of upstream health care practice? A. Offering no cost prevention B. Offering free BP cuff for individuals with hypertension C. health care specialist who visits rural clinic D. offering weight loss scale to individual interested in weight loss
Offering no cost prevention
1. Chart: Visit with a male 65-year-old male with type 2 DM, blood glucose running between 90 and 140, current on vaccination, will review date on the next visit, feel generally well, few concern on bruising abdomen, related to insulin injection, review rotation site of insulin administration and medication safety. A home care nurse reviews a client chart prior to a home visit to address primary prevention. After reviewing the chart, which of the following would be consider an example primary prevention? A. PT able to demonstration site of insulin administration B. Repeated take medication provided by the provider C. provide example of low carb, snack, and meals. D. Vaccination
Vaccination
1. A community health nurse is teaching at university. The nurse should know which of the following are the first step for globalization of health care and is the arm of United Nations. A. Healthy people 2030 B. World Health Organization C. Increase work force D. Include diverse educational opportunities in curriculums
World Health Organization
57. A PHN sets up a booth near a mobile homeless shelter focused on health prevention strategies. What are the healthcare priorities that would be pertinent to homeless populations? (SATA) A. Free vaccination program B. Mobile screening clinics C. Free health clinics D. Distributions of free condoms E. Free dental clinic
all of the above
1. A public health team is focusing on implementing an initiative on reduce an equity associated with access to behavior health. Which of the best example for population level behavior health intervention? A. Data disaggregation B. Flexibility policy treatment and payment C. Federal Stimulus Opportunity D. Implement social distancing
flexibility policy treatment and payment
1. A nurse provides annual education to elementary age children. what is the most effective primary prevention intervention the nurse can focusing on to reduce the risk for disease? A. Physical activity recommendation B. Healthy sleep habit C. Heathy nutrition habit D. Hand hygiene
hand hygiene
The chart: Home visit for 77-year-old client recently diagnosed with terminal cancer. Reports feeling dizzy upon rising, 160/64, 120/66 on the left arm while laying down and 196/62 on the right arm and 98/64 on the left arm while seating. Held BP medication. And phoned the provider. She complained of dizziness. Nurse assists the client to lay back to drink 20 oz of water. 1. The following clients has been discharged from the hospital to home. The provider order home health care for client. Which of other services in the community would benefit the client the most? A. Church Group B. Recreational Area C. Hospice Services D. Refer to long term care
hospice services
1. A PHN focusing on primary prevention and distributing vaccines with the hope of keeping most of the population disease-free. After the reviewing the nursing notes, which category prevention the client belongs to? Chart: 64-year-old female received discharged teaching including ROM exercises, crutch walking, and cast care. The client demonstrated crutch walking and cast care, when to call provider, but struggled with demonstration of ROM exercise. She has a history of type 2 DM, and diet control for 12 years. Vital is stable and immunization review and current. Recommendation discharge coordinator to communicate recheck on ROM, exercise, and consideration of refer PT. A. Primary B. Secondary C. Tertiary
tertiary
1. A PHN put together an information handout for community members regarding vision and hearing screening. What is the important strategy can the nurse take when creating the information hands out? A. Use plain language B. Avoid pilgrim images C. Do not include contact information D. Avoid using technology
use plain language
