Community NCLEX exam 2
A nurse is planning an activity for older congregants. After reading Healthy People 2020 goals for older adults, which activity does the nurse design? a. Exercise program integrating movements from a sitting or standing position b. Classes to promote a healthy self-image c. Cooking classes highlighting various cuisines d. Monthly onsite access to biotouch and massage therapists
A
Physical agents associated with workplace hazards can best be addressed through engineering strategies and: a. practice of safe work habits. b. workplace redesign. c. blood-borne pathogen standards. d. material safety data sheets.
A
Which statement is true regarding Holistic health care as an approach to nursing care? a. Critical to a successful faith community nursing health ministry b. Inconsistent with many congregations' theologies c. Provided in clinics staffed by complementary and alternative medicine providers d. Separate from but complementary to parish nursing
A
A nurse practicing in a faith community engages in behaviors that support this practice mission. What activities does this nurse participate in? (Select all that apply.) a. Attend a weekend retreat focusing on developing one's faith. b. Be intentional about taking care of him- or herself. c. Find a faith community nurse to serve as a support system. d. Take time away to refresh and rejuvenate occasionally. e. Teach classes on self-help for overcoming spiritual distress.
A B C D
According to Ziebarth (2016), what are the five essential attributes of faith community nursing? (Select all that apply.) a. Accessing health care b. Coordinating c. Disease managing and health promoting d. Empowering e. Faith integrating
A B C D E
A nurse is the school district's single nurse overseeing 15 schools. Since the nurse cannot be at all schools on any given day, the district has asked for a cart with supplies for staff to use. What items does the nurse include in the cart? (Select all that apply.) a. Blunt scissors b. Casting material c. Disposable blankets d. Non-latex gloves e. Sharps container
A C D E
During routine nursing assessments, the nurse should ask clients about their current and past jobs, exposures to any agents that potentially relate to their symptoms and activities at work, and which of the following? (Select all that apply.) a. Disabling conditions b. Immunization history c. Lifestyle history d. Previous injuries e. Underlying illnesses
A C D E
When preparing a report on work-health interactions, the occupational health nurse should include which of the following information? (Select all that apply.) a. Accidental deaths and deaths associated with occupationally acquired illness b. Numbers of workers requiring vision correction while working c. Rates and types of injuries that occurred while workers were on the job d. Rates and causative factors for back injuries while working e. Worker illnesses potentially associated with workplace chemical agent exposure
A C D E
A faith community nurse is planning a strategy to carrying out the health education role. What activity would be most appropriate? a. Conducting prayer circles b. Organizing health fairs c. Planning congregational meals d. Providing volunteer training
B
In addition an industrial disaster plan, what other factor helps improve the effectiveness of the community response to a potential industrial disaster? a. Addressing activities for work areas that are at greater risk b. Conducting a response agency worksite walk-through c. Conducting an all-responders disaster drill every 5 years d. Training specific employees in fire brigade procedures
B
What are recent trends in the characteristics of the U.S. workforce that will present new challenges to protecting worker safety and health? a. Better job security, more equitable work hours, and compressed work weeks b. Decrease in the retirement age and increase in the number of people with chronic illness c. Increase in people with chronic illness, women, older workers, and racial diversity d. Increased racial diversity, longer period of productivity, and longer life expectancy of workers
C
Occupational and environmental health nursing can best be described as which of the following? a. Enforcement of Occupational Safety and Health Administration (OSHA) requirements b. Identification and management of health and safety cases in workplace settings c. Promotion of wellness in the workplace d. Promotion, prevention, and restoration of health in the workforce aggregate
D
The parish nurse works with a congregant with early stage Alzheimer's disease and with the individual's family to design a progressive quality-of-life plan that addresses the need for legal, financial, health care, and end-of-life decision-making strategies as the disease progresses. This approach to well-being for the individual can best be characterized as an example of the philosophy of faith community nursing that: a. considers the ongoing, dynamic nature of health, spiritual health, and healing. b. emphasizes strengths of individuals, families, and communities. c. emphasizes the spiritual dimension found in every person. d. focuses on the faith community and its ministry.
D
Which of the following best describes faith community nurses? a. Advanced practice nurses working in churches to provide holistic nursing care and spiritual healing b. Baccalaureate-prepared nurses volunteering in faith communities to assist in their health ministries c. Nurses coordinating congregational health outreach programs within geographically delineated faith communities d. Professional nurses partnering with faith communities focusing on spiritual and holistic care, and illness prevention
D
A nurse is designing a tertiary prevention intervention to address the leading cause of school absences related to chronic illness. Which illness does, the school nurse focus on? a. Asthma b. Attention-deficit hyperactivity disorder c. Diabetes mellitus d. Digestive system problems
a
The case manager role of the school nurse can best be described as which of the following? a. Coordinating health care for children with complex health problems b. Counseling students to choose workable solutions to their problems and conflicts c. Referring students to available resources d. Screening students for common health problems
a
The community health nurse visits the home of a pregnant teen who lives with her parents, one older brother, and two preteen sisters. The best strategy for meeting the objectives of Healthy People 2020 would be for the nurse to offer which of the following for the entire family? a. Anticipatory guidance addressing sexuality issues b. Assessment for financial assistance c. Assessment of family dynamics d. Environmental assessment addressing suitability for child rearing
a
Which term would best describe a person who is limited in independent living skills, economic self-sufficiency, and self-help ability? a. Developmentally disabled b. Dual-diagnosed c. Impaired d. Physically disabled
a
Depression among rural residents appears to be more persistent and endemic. Which of the following factors may contribute to this level of depression? (Select all that apply.) a. Elevated levels of poverty b. Geographic isolation c. Insufficient mental health services d. Lack of awareness e. Tolerance for destructive coping mechanisms
a b c
Major stressors frequently encountered by the APHN in the community include which of the following? (Select all that apply.) a. Conflicting expectations b. Liability c. Professional isolation d. Professional responsibilities e. Reimbursement issues
a b c d
State and federal statutes and regulations affect the health care specialties of home health and hospice practice. A primary motivator for nurses to become knowledgeable about these statutes and regulations is their impact on nursing practice in which of the areas below? (Select all that apply.) a. Documentation of client status and progress b. Documentation of services c. Living wills and advance directives d. Resident's rights in long-term care facilities e. Right to death with dignity
a b c d e
The National Association of School Nurses (NASN) and standards of practice for school nurses set forth which of the following principles? (Select all that apply.) a. School nurses should have a bachelor's degree in nursing and a specialty certification. b. School nursing uses the nursing process. c. Credentialing is recommended but not required. d. American Academy of Pediatrics governs the school nurse's practice. e. School nurses must ensure the safety of the children, including when delegating care.
a b e
The school nurse is present during an assault by an active shooter. After the crisis is over, what actions by the nurse are most appropriate? (Select all that apply.) a. Arrange for grief counseling services in the school. b. Conduct regular assessments for anxiety and post-traumatic stress. c. Evaluate the school's response to this emergency. d. Prescribe medication for anxiety or depression. e. Provide open routes of communications with all involved.
a b e
The nurse explains to the public which characteristics do advanced public health nurses (APHN) have in addition to being licensed? (Select all that apply.) a. Able to assume a leadership role in the community b. Baccalaureate degree prepared c. Focused on the health of the whole community d. Primarily conducts research e. Uses advance practice nursing knowledge
a c e
A middle school student approaches the school nurse and says, "Can I talk to you about something important?" The school nurse responds affirmatively but should clarify which topic? a. "Anything you tell me will be kept private and confidential." b. "If anything you tell me indicates that you or someone else is in danger, I must tell the parents and school officials." c. "It may be best for me to set up an appointment with the school counselor." d. "You can always speak to me if you are in trouble or when you need someone to talk to."
b
Which advanced practice role does the APHN use when solving problems for the poor elderly in collaboration with the community? a. Clinician b. Consultant c. Educator d. Researcher
b
Which major trend in the health care environment has implications for the roles and functions of the community nurse leader in ensuring high-quality care? a. Aging of the population b. Evidence-based practice c. New nursing educational models d. Nursing certification programs
b
The school nurse wishes to provide community outreach. What activity does the nurse plan? a. Arrange transportation for appointments. b. Conduct research on immunization reluctance. c. Organize a multi-disciplinary health fair. d. Provide service opportunities for students.
c
A community health nurse is prioritizing health-promotion activities with the local rural community. An understanding of the health status and health risks of the rural community would lead the nurse to give priority to which activity? a. Aerobic exercise classes b. English as a second language program c. Mentoring program to increase adult literacy d. Motor vehicle and farm accident prevention
d
1. According to the Home Health Care Scope and Standards, which should be the minimum requirements for entry into home care practice? a. Baccalaureate in nursing b. Baccalaureate in nursing and clinical nurse specialist (CNS) certification c. Master's in nursing d. Master's in nursing and CNS certification
a
A PHN in a maternal-child health clinic encounters a client from Ethiopia. The clinic typically sees Hispanic clients. Which assessment should the nurse conduct first? a. General cultural assessment b. Head-to-toe assessment c. In-depth cultural assessment d. Nonverbal communication assessment
a
A nurse case manager working with a 1 year old with special needs living in an impoverished neighborhood identifies a potential health outcomes concern. What assessment by the nurse takes priority? a. Developmental milestones b. Frequent colds and infections c. Mental health d. Nutritional status
a
A nurse in a nurse-managed health center providing a tertiary prevention intervention to a population of women who are HIV positive will most likely do which of the following? a. Educate about self-care and the women's rights as employees. b. Establish a partnership with a community to initiate a community health center. c. Help identify new cases and ensure that clients receive proper treatment. d. Teach how to lobby state legislators.
a
A nurse is caring for a rape victim/survivor who is initially displayed emotional withdrawal and silence, but now is repeatedly giving a description of the event. What action by the nurse is most beneficial? a. Assure the client that these reactions are normal for this event. b. Help the client process then move forward from the event. c. Offer the client short term anti-anxiety medications. d. Refer the client for posttraumatic stress disorder counseling.
a
A nurse is conducting a diabetes self-management group-education session for recent immigrants. When participants are asked to remove their shoes, two male clients look at the floor and leave their shoes and socks on their feet. What action by the nurse is best? a. Clarify that no one has to remove his or her shoes and continue the education. b. Explain that everyone must learn to do foot inspection to manage their diabetes. c. Slowly repeat the instructions for all participants to remove their shoes. d. Stop the group session, pull the two gentlemen aside, and apologize to them.
a
A nurse who is ethnocentric in interacting with a client of a different culture. Which statement is most likely true about this nurse? a. Most likely has little experience and is uncomfortable with people from other cultures. b. Is appreciative of and inquisitive about the client's cultural beliefs. c. Accommodates the client's cultural beliefs when planning care. d. Imposes the nurse's value system on the client for best care outcomes.
a
A nurse will be starting a new job serving a rural, Native American reservation. What supplies or equipment does the nurse anticipate having the highest need for? a. Diabetic testing supplies b. Oximeter and sensors c. Suicide prevention pamphlets d. Water purifiers
a
Bruising and swelling on a client's face and torso are noticed by a nurse during a prenatal examination. The client's exchange-student husband, who speaks for the client, tells the nurse his wife deserved the bruises. The client looks at the floor and shakes her head in agreement. The nursing student leaves the examination room angry and confused, experiencing what can best be described as: a. culture shock. b. prejudice. c. ignorance. d. racism.
a
Community health nurses conducting health education among populations vulnerable to HIV infection explain the natural history of the infection, including the fact that HIV infection may go undetected during the primary infection stage because of which issue? a. Antibody test results are typically negative. b. Antibody production by the immune system increases. c. Incubation period is prolonged. d. Symptoms include myalgias, sore throats, and rash.
a
During an Individuals with Disabilities Education Act (IDEA) screening to detect mental or psychological conditions in young school-age children, a child is identified as having a cognitive disability. The school nurse should now consider this child to be at greatest risk for which potential problem? a. Abuse or neglect b. Age-inappropriate friendships c. Embarrassment d. Physical inactivity
a
Professional nursing organizations recommend that all women be routinely screened for domestic violence. When is the most appropriate time for this screening? a. When they are in the ED with physical trauma. b. When they come to any health care setting. c. When they report increased stress in the home. d. When they visit the provider repeatedly for anxiety.
a
The relationship between nursing practice, health policy, and politics can best be described as nursing: a. advocacy. b. policy process. c. process. d. profession.
a
The role of the community-oriented nurse working with the special needs population is largely influenced by which of the following? a. Community awareness of and commitment to meeting the needs of people with disabilities b. Educational opportunities for nurses to learn about this population c. Number of people with disabilities in the community and the magnitude of their needs d. Nurse's attitude toward people with physical challenges
a
To develop effective nursing interventions, the nurse should evaluate clients and populations in which context? a. Environment b. Improvement of status c. Human dignity d. Nursing theories
a
What is the purpose of professional certification? a. Assure the public that advanced practice nurses have achieved an appropriate level of competence. b. Determine competency for graduation from a community health advanced practice nursing program. c. Establish a standardized national examination mandated for all community health advanced practice nurses. d. Meet state board requirements for licensure as an advanced practice nurse.
a
When planning a program for pregnant adolescents, the nurse should be aware that pregnant adolescents who decide to have a child experience an increased risk for which problem? a. Eating disorders b. Genetic diseases in their infants c. Reduced lifetime earning potential d. Weight gain
a
When working as content experts or clinician advisers to develop injury prevention programs, the forensic nurse is doing which of the following? a. Addressing injury as a public health concern b. Differentiating intentional or unintentional injury c. Providing care to both victims and perpetrators d. Providing expert consultation for personal injury cases
a
When working with battered women, the nurse needs to know that research suggests that the response to abuse is a process that moves from: a. commitment to the relationship to leaving. b. emotional degradation to dependence and dominance. c. heated arguments from hitting to battering. d. self-blame to fear then to terror.
a
community health nurse directly contacts a mammography clinic to arrange an appointment for a migrant worker with limited English language skills. The nurse communicates with the client through an interpreter to ensure that the appointment is scheduled to meet her needs and that the client understands the procedure to be performed. The role played by the nurse in this encounter with a member of a vulnerable population can best be described as: a. advocacy. b. empowerment. c. partnership. d. social justice.
a
A nurse is planning a training session for a new group of disability determination workers regarding the leading causes of severe disabilities in U.S. adults. What topics will the training address? (Select all that apply.) a. Arthritis b. Back problems c. Obesity d. Heart disease e. Lung disease f. Occupational injury
a b c d
The nurse case manager in a migrant farmworker clinic assesses this population for occupational and environmental risks related to which problems? (Select all that apply.) a. Contaminated water b. Fear of injury reporting c. Inadequate sewage d. Pesticide exposure e. Traffic accidents
a b c d
A nurse manager for a community health agency is teaching the staff ways to promote effective interprofessional collaboration. What strategies does the manager teach? (Select all that apply.) a. Be on time. b. Communicate in lay terms. c. Feel confident in your abilities. d. Know what other professionals do. e. Understand role theory.
a b c d e
Community and public health nurses (PHNs) practicing in rural locales consistently note which of the following characteristic of their practice environments? a. Broad scope of practice b. Independence and autonomy c. Inter-generational practice d. Opportunity for community involvement e. Respect and visibility
a b c d e
Which arenas might a forensic nurse practice in? (Select all that apply.) a. Courtrooms b. Correctional facilities c. Hospital risk-management departments d. Medical examiner offices e. Police departments
a b c d e
Effects of homelessness on health care outcomes can be devastating and may include which of the following? (Select all that apply.) a. Higher incidence of acute and chronic disease b. Higher risk of physical trauma c. Crisis-oriented health care, usually in emergency departments d. Reduced eligibility for entitlement/assistance programs e. Lack of awareness of care options
a b c e
Nurses have unique skills that can be applied in which of the following aspects of disaster management? (Select all that apply.) a. Registration as an ARC disaster responder b. Clinical management of blast lung injury c. Engagement of the BioWatch system d. Monitoring of the environment to contain infectious disease e. Planning and organization of mass prophylaxis and vaccine campaigns
a b d e
Which of the following measures reduce physical and emotional injury in a community? (Select all that apply.) a. Improving general health b. Lowering health risks c. Maintaining strict legal codes d. Mitigating poverty e. Reducing health disparity
a b d e
he nurse educates a group of students that which persons would be most at risk of reactivation of latent infections of tuberculosis (TB)? (Select all that apply.) a. Immunocompromised b. Substance abusers c. Individuals previously treated for TB d. Long-term cigarette smokers e. Diabetics
a b e
A woman comes to the community health center complaining of increasing lower abdominal pain, fever, and abnormal menses for several months. During the assessment, the client indicates that she is aware that her husband has had multiple sex partners in the past 2 years. Which interventions by the nurse are most appropriate? (Select all that apply.) a. Provide comprehensive STD screening. b. Call the health department to inquire about the spouse. c. Educate the client on ceftriaxone and azythromycin. d. Instruct the client on safer sex practices. e. Perform a serum pregnancy test.
a c d e
The nurse is following a pregnant teen who attends the local high school. The nurse will work with the teen and staff to address specific needs of pregnant girls. Which of the following areas will the nurse address? (Select all that apply.) a. Adequate hydration b. Avoiding all stairs c. Desk space d. Frequent bathroom breaks e. Need for frequent snacks
a c d e
A client diagnosed with HPV infection states, "I'm not concerned, I know the warts disappear after a while." The nurse should counsel the client regarding which of the following? (Select all that apply.) a. Link between HPV and cervical cancer b. Status of HPV infection as a reportable disease c. Need to eliminate the warts d. Serious complications of HPV infection for men e. Lack of cure for HPV infection
a c e
A district health nurse is assigned to two rural communities in the state. To achieve the best outcomes possible in reducing the health disparities for the large number of frail elderly clients in the two counties, the nurse should consider using what community-oriented nursing approach? a. Assessment b. Case management c. Geriatrics d. Tertiary prevention
b
A forensic nurse understands that which of the following health risks results from incidents of crime and victimization? a. Diabetes mellitus b. Distress c. Incarceration d. Unwanted pregnancy
b
A new group of migrant farmworkers has arrived in a community. What action by the public health nurse is most important prior to scheduling clinic services? a. Consult the public health staff regarding their schedule for large open time blocks. b. Learn about the farmworkers' concept of time and their work schedule. c. Review written materials about the farmworkers' culture of origin. d. Visit the farmworker camp and tell the camp leaders when clinic services will be available.
b
A nurse is assigned to teach clients STD prevention information. What information will the nurse include in the presentation? a. Always use spermicides with condoms to reduce the risk of contracting chlamydia or gonorrhea. b. Condoms can be effective in preventing infections transmitted by fluids from mucosal surfaces but are not always effective in preventing infections transmitted by skin-to-skin contact. c. Condoms should not be used during oral sex, because they are not effective in preventing transmission of infection. d. When genital ulcers are present, condoms should be used to prevent the spread of infectio
b
A nurse volunteering at a local homeless shelter notes that many of the clients have acute and chronic illnesses and are in need of primary health care services. Which strategy would the nurse consider most effective when working with these clients? a. Form a community partnership to establish a clinic for homeless persons. b. Create a trusting environment and establish a therapeutic relationship. c. Collaborate with the local united way to obtain funding for primary care services. d. Dialogue with local clergy to address the unmet primary care need for homeless persons.
b
A nurse working in a clinic in an inner city with high poverty and unemployment rates recognizes the need for programs for women because impoverished women are at higher risk for: a. decreased access to social services. b. poorer health status. c. exposure to environmental toxins. d. poorer academic success.
b
A public health nurse (PHN) has identified a need to make amendments to an existing health-related law. The nurse knows the amendment of any existing laws would ultimately be decided by which of the following? a. Executive branch of government b. Legislative branch of government c. Local representative d. Senate hearings
b
An unemployed individual with acquired immune deficiency syndrome (AIDS) develops recurrent opportunistic infections that require repeated visits to the health clinic and the purchase of various medications to combat the infections and treat their associated side effects. This best demonstrates how health status can be related to: a. barriers to access. b. chronic stress. c. cumulative risk. d. socially based inequity.
b
Children with chronic health problems face challenges in school because of which of the following issues? a. Difficulty gaining access to public school education b. Embarrassment and self-imposed social isolation c. Increased special education costs in public schools d. Psychological distress related to the severity of their disability
b
Health policy can best be defined as a set course of action to do which of the following? a. Administer public health programs for disaster preparedness, response, and recovery. b. Obtain a desired health outcome for an individual, family, group, community, or society. c. Support publicly funded health care programs at the local, state, and national levels. d. Support health care development and research to improve the health status of citizens.
b
In following the principles of nursing interventions with violent families, which action by the nurse takes priority? a. Avoid provoking the perpetrator by suggesting the victim leave. b. Indicate zero tolerance for any further violence, degradation, or exploitation. c. Provide assurances that the family's confidentiality will not be violated. d. Tell the family you will report child abuse to the authorities.
b
The health policy-making body of the World Health Organization (WHO) released a policy statement on nursing and midwifery in 2013. What is important for nurses to understand about WHO policy statements? Such statements: a. apply only to underdeveloped countries. b. are guides for in-country initiatives and priorities. c. carry the weight of international law. d. provide mandates for in-country legislatures.
b
The levels of government responsible for carrying out the five government health care functions of direct services, financing, information, policy setting, and public protection are: a. federal and state. b. federal, state, and local. c. all, but primarily state and local. d. all, but primarily federal and state.
b
The nurse knows that which individual would be considered correctly defined? a. Agricultural day laborer: A migrant or seasonal farmworker with a second part time job b. Migrant farmworker: Travels to do farm work unable to return to a permanent home in the same day. c. MSFW: A foreign worker employed seasonally in agriculture who is also a migrant d. Seasonal worker: Individual who travels around the country working crops in season
b
The population group that is likely to be the most vulnerable is which of the following? a. Children with a family history of sickle cell disease b. Homeless pregnant teens in a substance abuse program c. Native Americans at risk for diabetes d. Overweight children
b
Which factor is most associated with decreased sexual risk behaviors? a. Age-restricted discussion of sexual issues b. Good family health practices c. Strict parental rules on behaviors d. Membership in the white majority
b
Which is the most appropriate strategy for an APHN to consider when planning a population-focused health-promotion program? a. Contact the state health department to determine state-level health objectives. b. Develop a collaborative relationship with community groups, leaders, and members. c. Identify the target population and begin screening for participants. d. Meet with community members and tell them about the program.
b
Which of the following best represents the concept of homelessness as transitional? a. Man with chronic alcoholism and drug abuse living in a halfway house b. Recently unemployed man evicted from his apartment c. Teenager living on the streets and abusing drugs d. Woman with schizophrenia who is living in a shelter
b
Women with disabilities may be at higher risk for abuse because women with disabilities are: a. less exposed to multiple caretakers. b. less likely to have access to resources. c. more independent. d. socially unattractive.
b
he impact of poverty on the onset of disability can best be expressed by which of the following statements? a. Being underinsured through the workplace limits options for health care services. b. Low income can increase the risk of preventable disability. c. Successful insurance settlements for injury claims limit the financial impact of disability. d. Transportation for persons with limited mobility affects access to health care services.
b
he nurse teaches all clients primary prevention for STDs. Which topic does the nurse include? a. Partner notification b. Safer sex c. Standard precautions d. STD testing
b
A nurse conducting a home visit for a child with cerebral palsy observes the child gazing out of the window into the neighborhood. The nurse prepares to provide guidance to the parents regarding their child. What topics does the nurse include? (Select all that apply.) a. Adjusting the school schedule to keep the child occupied with studies b. Community attitudes about interacting with children with disabilities c. Opportunities and places for organized and spontaneous play d. Legislation regarding access rights for people with disabilities d. Physical activity needs to avoid obesity and its consequences
b c d e
Teens are at higher risk for becoming pregnant because of the presence of multidimensional factors that include such things as adolescent immaturity, low levels of contraceptive use, and which of the following other factors? (Select all that apply.) a. Discouragement of abortion b. Early age of initiation of sexual activity c. Parenting styles d. Peer pressure e. Sexual victimization
b c d e
When conducting a nursing assessment of a child, the nurse should be aware that indicators of potential or actual child abuse may include which of the following? (Select all that apply.) a. Cognitive impairment b. Evidence of general poor care c. Injuries not mentioned in history d. Seems to need to take care of the parent e. Unusual fear of the nurse and others
b c d e
A nurse planning a primary intervention program for adolescent pregnancy reviews trends in adolescent pregnancy, births, abortions, and adoption and notes that comparisons with other developed countries indicates which of the following? (Select all that apply.) a. Adolescent pregnancy rates continue to rise because of unreliable contraceptive methods. b. Use of contraceptives is improving among teens in the United States. c. Decreases in pregnancy among teens ages 15 to 17 have been attributed to reduced sexual activity. d. Female students are more likely to initiate sexual activity before the age of 13 years. e. Changes in parental notification or consent requirements for minors impacted rates of teen abortions.
b c e
Vulnerable population groups are those that, in comparison with the population as a whole, have which of the following characteristics? (Select all that apply.) a. Better access to health care services but poor health outcomes b. Greater likelihood of exposure to risk factors c. Multiple risk factors but equal health outcomes d. No difference in access or outcomes d. Worse health outcomes despite access
b d
Conditions that may lead to disability typically are the focus of primary prevention activities. However, all three levels of prevention apply to physically compromised clients, primarily because the focus should be on which of the following? (Select all that apply.) a. Addressing the client's perception of himself or herself in terms of the disability b. Establishing lifelong, health-promoting behaviors c. Integrating appropriate complementary and alternative medicine treatments d. Overcoming barriers to disease prevention activities e. Preventing complications from the effects of immobility and the disease process
b d e
What does a community-oriented nurse newly assigned to a rural community learn about the characteristics of rural and small town life? a. Fractured family and social systems b. Informal social and professional relationships c. Openness to people new to the community d. Role of churches as socialization centers e. Work of many residents in high-risk occupations
b d e
A PHN employed by the state's department of health is working on a team to develop local health policy. The nurse recognizes that policy development focuses on the level of the larger society and adopts strategies that require political actions such as lobbying and testifying. The reason that action in the policy arena comes most easily and naturally to nurses is the fact that the policy process is very similar to which of the following? a. Citizen action committee b. Nursing diagnosis c. Nursing process d. Socratic method
c
A client newly diagnosed with herpes simplex virus 2 (HSV-2) infection and syphilis asks, "Okay, so how do I get rid of all this stuff?" In developing a plan of care, the nurse recognizes that which topic is essential to address? a. Correct use of condoms to prevent transmission of all STDs. b. Cures for each of the STDs identified. c. Risk of skin-to-skin contact in transmitting the identified STDs. d. Safety of sexual contact in the absence of lesions.
c
A rural health nurse who is planning programs to address the population's needs should recognize that, in general, rural populations: a. engage in physical activity during leisure time. b. engage in preventive health behaviors. c. perceive their overall health as less favorable. d. use seat belts.
c
Because of the need for various knowledge, skills, and perspectives, successful functioning in the provision of services in home care requires which of the following? a. Certified advance practice home health nurses b. Integration of home health aide and homemaker roles c. Interprofessional teams d. Physician certification of the medical problem and plan of care
c
For the pregnant adolescent, which factors pose the greatest nutritional challenge? a. Chronological age and fetal growth b. Family support and teen attitude c. Lifestyle, growth, and development d. Need to limit weight gain
c
Hospice care would be an appropriate option to discuss with which of the following patients? a. Patient with stage II lung cancer who is undergoing chemotherapy. b. Patient with early Alzheimer's disease whose caregiver needs respite care. c. Patient with metastatic breast cancer who has discontinued chemotherapy. d. Patient with severe debilitating osteoporosis.
c
The nurse assesses a client with paraplegia and cataracts. The client holds a full-time job and engages in several hobbies. What does the nurse document about this client? a. Dual diagnoses b. Functional limitations and wheelchair bound c. Visual and physical limitations d. Visual impairment and physical disability
c
The nurse knows that which of the following is one of the primary contributors to vulnerability? a. Gender b. Race and ethnicity c. Resource limitations d. Urban or rural residency
c
The sexual assault nurse examiner (SANE) works in collaboration with the emergency department providers and which other community partner? a. Clergy b. Epidemiologists c. Law enforcement d. Psychiatric practitioner
c
To provide effective care and advocacy for individuals, families, and populations living in poverty, nurses must first: a. apply epidemiologic principles for prevention. b. develop resource expertise in the community. c. examine their personal beliefs, values, and experiences. d. understand the federal criteria and guidelines for poverty.
c
What does the nurse understand when considering whether a geographic area is rural or urban? a. Rural and urban areas occur on a continuum. b. Rural regions have fewer than six persons per square mile. c. Rural residents feel isolated. d. Rural areas are recreational communities.
c
What entity governs nursing practice? a. Boards of nursing established by the U.S. Department of Health and Human Services. b. Nurse practice acts promulgated by federal and state legislative boards. c. Nurse practice acts created by state legislatures and operationalized by state boards of nursing. d. Nurse practice acts written by the states in conformity with broad federal guidelines.
c
What is one of the concerns faced by nurse practitioners (NPs) because of their direct care role? a. Coping with staff nurse resentment of the advanced practice role b. Facing consumer group opposition to added complexity in the health care system c. Obtaining rewarding employment and role negotiation d. Obtaining institutional hospital privileges
c
forensic nurse works to provide care at the secondary level of prevention. What action by the nurse is most representative of this level of prevention? a. Developing a self-awareness and self-protection course for women b. Lobbying for random checks for seat belt use and lack of use being a misdemeanor c. Providing direct care to a victim of sexual assault in the Emergency Department d. Referring a victim of a home invasion and physical assault to a trauma counselo
c
Which of the following are community-level factors that influence violence and human abuse? (Select all that apply.) a. Bullying b. Corporal punishment c. Diversity d. Population density e. Sense of cohesiveness
c d e
A community-oriented nurse wants to develop strategies to reduce the effects of toxic stress on children. What activity would the nurse make a priority? a. Creating a space for therapeutic play b. Employing a child psychologist c. Hiring a full-time lactation consultant d. Offering stress-reduction counseling
c- Breastfeeding has been suggested as a toxic stress mitigator, beginning with the skin-to-skin contact immediately following birth. This mother/infant contact stimulates a rise in maternal oxytocin and prolactin and decreases cortisol, reducing infant allostatic load and inducing calm. Breastfeeding has been proven to aid in the establishment of maternal-infant attachment and lower the stress response in mothers and infants. A full-time lactation consultant would be most beneficial.
A clinic has received funds to pay for clinic visits for farm residents who live in frontier or rural, non-metropolitan statistical areas. Which of the following client(s) would qualify to receive this special funding? a. Apple grower who lives in a 100-square-mile county with a population of 19,900. b. Client who lives next to a ranch in a town of 1200 people. c. Soybean grower and spouse who live in a 400-square-mile county with a population of 39,200. d. 70-year-old client residing in an assisted living facility in a rural area.
d
A high school teen tells the school nurse that she wants to become pregnant. Which action by the nurse is most appropriate? a. Clarify the intent and inform the teen's parent(s) of the potential to influence her behaviors. b. Discourage the teen's interest in pregnancy when she has a full life ahead of her. c. Encourage the teen to use contraception if she intends to be sexually active. d. Provide preconception counseling and emphasize the need to achieve good health.
d
A home health nurse is assessing the parents of an infant. What information does the nurse consider most relevant when screening for child abuse? a. Lack of legal marital status b. Living in temporary housing c. Mother's history of adolescent depression d. Verbal aggressiveness toward spouse
d
A home health nurse is charged with identifying opportunities for health promotion and illness primary prevention. Which activity would the nurse do? a. Collaborate with the chaplain to address the spiritual needs of a hospice patient. b. Educate a school nurse on the care regime of a student newly diagnosed with asthma. c. Refer a newly diagnosed diabetic patient to the nutritionist for dietary teaching. d. Track the immunization status of the clients in his or her workload.
d
A new nurse is starting a job in public health working with vulnerable populations. What advice by the nurse manager would be most beneficial? a. "Be mindful of your documentation; we don't want reimbursement issues." b. "I'd encourage you to attend county board meetings." c. "It's important for you to get out there and network." d. "The first thing you need to do is to establish trust with clients."
d
A nurse asks a couple who are new parents for their baby's full name. The parents reply that in their culture they are only supposed to give the baby its first name. What response by the nurse is most appropriate? a. Tell the couple that they are the child's parents and it is up to them to name their baby. b. Explain that the Bureau of Vital Statistics has a deadline for completing the birth certificate. c. Give the couple the paperwork and ask when the baby will have a name. d. Express interest and ask the couple to share how their new baby will receive its name.
d
A nurse is among the first responders to a disaster. What action by the nurse takes priority? a. Arranging for shelter for disaster providers b. Beginning community assessment as soon as possible c. Beginning disease surveillance and planning health education d. Immediately developing plans for effective triage and client management
d
A nurse is assigned to provide community outreach to a small town that was partially destroyed by a tornado 3 years earlier and has been rebuilt. The first client is a family who lost their home and their best friend in the tornado. Which intervention by the nurse is best? a. Assessment of the family's home environment to rule out safety issues b. Avoidance of discussion of the disaster of 3 years ago c. Consideration that the family will have worked through the emotional aftermath by now d. Support of the family in preparing a personal disaster response plan
d
A nurse takes the time to read and understand the community's disaster plans and participates in mock disaster drills as a leader of the triage team. The nurse obtained disaster management training through the local Red Cross chapter and registered with the state as a disaster management nurse. Which description of the nurse's activities is accurate? a. American Red Cross disaster training b. Community preparedness c. Personal preparedness d. Professional preparedness
d
A school nurse is teaching students about the relationship between the risk of sexually transmitted disease (STD) and risk-taking behaviors. Which key point will the nurse include? a. All STDs are easily preventable with consistent condom use. b. Once a young woman is pregnant, she is no longer at risk for most STDs. c. STDs are most likely to be transmitted during a student's initial sexual encounter. d. Use of alcohol and drugs makes a student more likely to make risky decisions.
d
After establishing trust with a homeless LGBTQ youth, what assessment by the nurse takes priority? a. Immunization status b. Nutrition c. STD screening d. Trauma screening
d
The nurse demonstrating disaster-related recovery competencies would do which of the following? a. Determine local mental health resources. b. Establish a mass medication distribution center. c. Restock personal preparedness supplies. d. Write and distribute an after-action report.
d
To provide the most effective primary prevention intervention to reduce the incidence of child abuse, the nurse would do which of the following? a. Allow adolescent role playing the realities of parenting. b. Creating parenting and conflict-management classes for survivors of child abuse. c. Educating grandparents on the indicators of child abuse. d. Providing parenting classes for college students.
d
What causes nurses practicing in rural communities to often observe that protecting client confidentiality is a unique challenge? a. Close-knit atmosphere among residents b. Difficulty keeping one's business private c. "Everyone knows everything already" d. Social informality and respect
d
What connection does the nurse make between the older adult and poverty? a. Medical expenses often lead to bankruptcy. b. Older men have a higher poverty rate than women. c. Poverty for elders has risen overall since the 1960s. d. Staying out of poverty is a near-daily challenge.
d
What shift in viewpoint has had led to changes in the health care system and nursing? a. Educational preparation for advanced practice nurses b. Legislative initiatives c. Physician shortages d. Societal demands and needs
d
Which of the following is a population-level tertiary prevention intervention for those with HIV in the community? a. HIV test results counseling b. Needle exchange c. Partner notification d. Standard precautions education
d
client comes to the local clinic with acute symptoms of fever, nausea, lack of appetite, malaise, and abdominal discomfort. During the course of the assessment, the nurse inquires as to the client's employment and job duties. Which response would the nurse view as most important? a. Identifies as bi-sexual. b. Is a strict pesco-vegetarian. c. Occasionally uses intravenous drugs. d. Works in a daycare center and changes diapers.
d
The nurse working with migrant farmworkers and their families understands that which of the following are true statements regarding the health and well-being of the migrant children? (Select all that apply.) a. Are not eligible for Medicaid or state health insurance. b. Generally attend school despite moving frequently. c. Have a federal safety net of limited overtime until age 18. d. May be exposed to "take home" chemicals. e. Often suffer from anxiety-related problems.
d e
