final 2
The process of dynamic change with adaptation in the systems parts, and how community systems and subsystems interact is known as:
function of a community
a state of physical, mental, spiritual, and social functioning that realizes a persons potential and is experienced within a developmental context is known as
health
Using developmental theory, a community nurse assesses the community and determines that the majority of residents who are 45 years of age or older lead sedentary lives. Which of the following would be the priority for this nurse to promote?
health promotion activities
Which U.S. report is considered a landmark document in creating a global approach to health?
healthy people 2020
A nurse who is using Gordons functional health patterns is planning to assess its roles-relationships pattern. Which of the following questions would be most appropriate for the nurse to ask?
how are problems in the family resolved?
Which of the following would be described as a family structural component?
income earner of the house
A nurse who uses findings from a randomized, controlled trial on the care of Foley catheters to change practice at an institution is practicing:
evidence based medicine
The conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individuals is known as:
evidence based practice
A nurse has implemented a smoking cessation program for teenagers and is now evaluating the rate of teenage smoking in the community. Which of the following functions is being demonstrated by the nurse?
independent function
A major cause of death in the early twentieth century was:
infections
which of the following represents a method of primary prevention?
informational session about healthy lifestyles
Partnering with school-based clinics and local pediatric dentists so that children can have access to preventive dental care is an example of a(n):
interdependent function
A community believes many people in that community lead sedentary lives because they lack safe areas in which to exercise. What action should the nurse take in order to confirm or reject these beliefs?
interview members of the community
Building a partnership with an obese individual who is trying to lose weight requires the nurse to:
learn about the methods of weight loss
A mainstay of therapy for the management of chronic diseases is:
lifestyle changes
A hurricane has just caused extensive damage within a local community. Which of the following are community members at risk to experience?
outbreaks of acute respiratory infection
Over the last week, a person has had finger stick glucose levels of 127, 132, 140, 138, 143, 145, and 140. This information allows the nurse to characterize the persons function pattern by utilizing which area of focus?
pattern
a person with chronic back pain is cared for by her primary care provider as well as receives acupuncture. Which model of health does this person likely favor?
eudaemonistic model
A community nurse has collected rates of alcohol-related motor vehicle accidents involving teenagers. Which action should the nurse take next?
Diagnose the community with ineffective health management patterns related to the high levels of drunk driving
A nurse is caring for a family with an adolescent child. Which of the following problems would the nurse anticipate that the family would report?
Difficulty with open communication with the child
Which of the following demonstrates a nurse taking action to promote health and prevent disease?
Educating a person about the advantages of a heart-healthy diet during a home visit
Which of the following age groups is experiencing the greatest increase in suicide rates?
15-24
A nurse is determining if children with severe acute malnutrition (SAM) should receive facility-based or community-based care. Which of the following children should receive care in the community?
6-month-old female who has a good appetite and no underlying medical conditions
A nurse is using a genogram to represent a family. Which of the following statements is accurate?
A genogram can be used to make connections about family health patterns
Which factor may have the most influence in changing the health behavior of a single, adult woman who smokes and is the care provider for her mother, her own children, and granddaughter?
A gift card for $10 to a local grocery store for every week she is smoke free
A nurse is encouraging members of the community to advocate for the prevention of premature deaths in children under the age of 5 at the international level. Which of the following interventions would most likely be discussed by the nurse?
A nurse is encouraging members of the community to advocate for the prevention of premature deaths in children under the age of 5 at the international level. Which of the following interventions would most likely be discussed by the nurse?
A nurse is providing care to HIV positive clients living in sub-Saharan communities in Africa. When discussing prevention of the transmission of HIV, which of the following statements should be made by the nurse?
Alternative practices to traditional sexual cleansing should be considered after the death of a spouse
A client reports that her family will be moving because her husband is taking a new job in another state. She is very unhappy about the decision and doesnt want to move. What action should the nurse take next?
Assess the clients and familys coping mechanisms in handling stress
In a family in which the mother and the father differ on how to spend and save money, the parents are constantly arguing with each other. Which of the following interventions should the nurse include in the plan of care for this couple?
Assist them to develop strategies that are congruent with their values
A nurse is assessing a communitys exposure to pollutants by examining contaminated soil, air, water, and food. Which functional health pattern is being assessed by the nurse?
elimination pattern
The school nurse has been asked to present a workshop on CA-MRSA for high school teachers. Which of the following information would the nurse most likely include?
CA-MRSA is a potentially fatal skin infection that is difficult to treat
Assuming that an individuals own perspective is correct and shared by others is known as:
ethnocentrism
A nurse is making a final home visit with a family to evaluate the nursing care plan. Which of the following actions would the nurse most likely complete during this visit?
Collect data similar to that which was collected at the initial visit for comparison
Which of the following best describes the primary goal of community nurses?
Create a culture of health promotion/health protection with the community
A nurse is using the four-step public health approach to address violence in the community. Which of the following actions would the nurse take first?
Examine risk factors that have contributed to the violence
A nurse using the four-step public health approach to respond to violence. Which of the following actions would occur as the nurse identifies risk and protective factors?
Examining characteristics in the community where violence has not occurred
Which of the following statements best explains priorities related to preventative health care?
Global initiatives have been developed to respond to health care needs around the world
A 27-year-old woman has not received a Pap test in years. This assessment finding identifies an alteration in which functional pattern?
Health-perceptionhealth-management pattern
A nurse working on a post-partum unit of a large urban hospital has received a grant to begin a Baby-Friendly Hospital Initiative developed by WHO. Which of the following statements would the nurse most likely make when explaining the major premises of the initiative to the unit manager?
Improving nutrition by promoting breast-feeding of newborns through four months of age is what this program is all about
A parish nurse is concerned about the number of parishioners who smoke. How would the parish nurse best address this issue?
Invite local experts to participate in a health fair at the parish
Which of the following demonstrates the nurse using subjective data to indicate a health concern in the health-perceptionhealth-management pattern?
Listening to community members discuss the high smoking rate among teenagers
A client is experiencing an alteration in the health-perceptionhealth-management pattern and an alteration in the values-beliefs pattern. Which of the following best describes the behavior of this person?
Only sees a physician if not feeling well
A community is considering banning smoking in all schools. Based on the communitys current stage of change, which action should the nurse take next?
Point out positive outcomes associated with banning smoking such as maintenance of lung function
A community nurse develops a plan to address the problem of teenage pregnancies. Which of the following actions should the nurse take next?
Provide educational programs at local schools regarding pregnancy prevention
A nurse is employed by a local health department. Which of the following would be one of her primary responsibilities?
Providing education to the community about prevention of the flu
A nurse is working with UNAIDS to fight against HIV/AIDS at the global level. Which of the following activities would the nurse most likely be involved in?
Providing treatment access for all HIV-positive individuals who need medication
A nurse is providing follow-up care for a family who has recently had a baby. Which of the following topics should the nurse anticipate discussing with the family?
SIDS
Within a community there is an elevated high-school dropout rate and its high school students are experiencing a decreased sense of self-worth. Based on this data, the community is at highest risk to experience an alteration in which of the following functional health patterns?
Self-perceptionself-concept pattern
A nurse is planning a home visit for a family. Which of the following actions would be most appropriate for the nurse to take?
Study information regarding the family from agency records and other sources
Which of the following projects would most likely be administered by International Micronutrient Malnutrition Prevention and Control (IMMPaCT) Program?
Surveying various populations about consumption patterns
A nurse is advocating for improved disease prevention and health promotion within the local community. Which of the following interventions would the nurse most likely implement?
Talk with a state legislator about improved access to health care for the uninsured and underinsured
A primary care clinic is being established in a rural county that recently experienced a hurricane severely damaging its infrastructure for medical care. Which of the following considerations would be the priority when planning for this clinic?
The ability to provide mental health services to community members
A nurse is conducting a health promotion assessment for a family with a 9-month-old. Which of the following should be of most concern to the nurse?
The age of the house in which the family lives
A nurse is determining which family assessment tool would be best to implement with a family when planning home visits for health promotion. Which of the following criteria should the nurse use to evaluate these tools?
The amount of involvement that the family has in completing the tool
Which of the following health concerns should the nurse have as a priority when planning care for a community?
The lack of grocery stores within walking distance identified by the community
Which factor has the greatest implication for a community nurse when developing a health promotion program for church members?
The majority of members are African American
Which of the following statements about smallpox is accurate?
The rash associated with smallpox is most prominent on the face and extremities
The ecomap of a clients family has slashed lines drawn from the son to the family church. Based on this information, what conclusion can the nurse make?
The son has a stressful relationship with the church
A blended family has six children, ages 2, 4, 4, 5, 7, and 10. During a visit to the home, the nurse notices that the 7-year-old seems quiet and withdrawn, whereas the other children are playing loudly in the garage. Which of the following conclusions can the nurse make from this observation?
This child is one of multiple children closely spaced in age
The nurse is caring for a family who has 2-year-old twins. Which of the following health promotion advice would be included in the nurses plan of care for this couple?
Use caution around the family swimming pool
A nurse has developed a family nursing diagnosis. Which of the following best describes the purpose of this action?
Validates health problems with the family
A nurse is working in the emergency department (ED). Which of the following situations would cause the nurse to suspect bioterrorism?
When thirteen people, aged 24 to 33, come to the ED with ascending flaccid muscle paralysis
the nurse is working at a crisis hotline center. Which of the following callers would be most at risk for suicide?
a 50 yr old female who has a history of alcohol abuse
A nurse is using a functional focus to assess a person. Which of the following the nurse be evaluating?
ability to drive
The nurse is working with a middle-age married couple whose son has just graduated from college. Which developmental tasks would the nurse expect to find in this family?
acting as a launching center for their son
Which of the following best describes the nurses role in health promotion and disease prevention?
acting as a role model for the family
During a home visit, a nurse assists an individual to complete an application for disability services. The nurse is acting as a(n):
advocate
A nurse is assessing a community from both a developmental and risk perspective. Which of the following characteristics would be of most interest to the nurse?
age
A nurse is using the technique of mapping while implementing the nursing process in the community setting. The nurse is engaging in which aspect of the nursing process?
analysis
Which of the following information about anthrax is correct?
anthrax can cause skin lesions or pneumonia
A nurse is planning to deliver an educational program to individuals with diabetes. Which of the following should be the initial action taken by the nurse to ensure the success of the program?
assess the knowledge level of the individuals
A home care nurse is planning an intervention with a family focusing on decreasing susceptibility. Which of the following nursing interventions would be most appropriate to implement?
education about hand hygiene
in reviewing a persons medical claims, a nurse realizes that the individual with moderate persistent asthma has had several emergency department visits and is not on inhaled steroids as recommended by the NHLBI asthma management guidelines. The nurse discusses this with the persons primary care provider. In this scenario, the nurse is acting as a(n):
care manager
Which model of health is most likely used by a person who does not believe in preventive health care?
clinical model
A nurse is collecting data for a family assessment using Gordons functional health patterns. The nurse learns that the family has no books in the home to read to the preschool-age children. To which of the following functional health patterns does this information pertain?
cognitive-perceptual
Which functional health pattern provides information about problem-solving and decision-making within communities?
cognitive-perceptual pattern
A nurse is asked to provide an expert opinion about the development of an education program for newly diagnosed diabetics. In this scenario, the nurse is acting as a(n):
consultant
A nurse is working with a community that is experiencing an alteration in its values-beliefs pattern. Which of the following is most likely to result because of a disturbance in this functional health pattern?
coronary artery disease
During a home visit, a nurse discusses the dangers of smoking with an individual. In this scenario the nurse is acting as a(n):
educator
The study of a population is referred to as (a):
demography
A community is in the maintenance stage of change. Which of the following would be an appropriate intervention for the community health nurse?
develop strategies to prevent relapse
A nurse is assessing how a family will transition and adapt after their youngest child leaves for college. By using this framework, which of the following perspectives is the nurse implementing?
developmental
A nurse is working at a clinic in a third world country and suspects a child has severe acute malnutrition (SAM). Which of the following assessment findings would be expected?
distended abdomen
A nurse who is new to the area wants to get a feel for the community she will be working with. Which of the following would be the best way for the nurse to start learning about the community?
driving around the neighborhood
The school nurse is planning a workshop for high school students about interpersonal violence (IPV). Which of the following information would the nurse discuss as risk factors for IPV?
drug and alcohol abuse
which of the following represents a method of tertiary prevention?
physical and occupational therapy after a motor vehicle accident with head trauma
After assessing the community, the nurse concludes that the community is having difficulty meeting its nutritional-metabolic pattern. Which of the following findings would the nurse most likely have discovered during the assessment?
poor nutritional habits
The question, What is the experience of teenagers who lose a sibling to cancer? can best be answered by using which research methodology?
qualitative research
Which research methodology should be used to address the question, What is the difference in the infection rates between individuals who receive twice-a-day dressing changes versus once-a-day dressing changes?
quantitative research
The devaluing of beliefs, values, and customs of others is known as:
racism
A nurse is collecting data regarding the number of crosswalks within a community. Which perspective is being used to gather this data?
risk-factor perspective
Which of the following is most influenced by the social and economic environment of a community?
social health policies
which of the following best describes a client who has an illness?
someone with a headache
A nurse is interviewing members of a substance abuse unit at a local Veterans Administration (VA) hospital. Which of the following parts of a community is the nurse assessing?
subsystem of a community
Which of the following theories is an attempt to explain families as a set of interacting individuals with patterns of living that influence health decisions?
systems theory
An example of a Hispanic American nurse promoting cultural competency is:
taking a class about the Hispanic American culture
When assessing a persons nutritional-metabolic pattern, which objective finding would have implications for nursing intervention?
the persons dentition
the school nurse has been asked to present a workshop on how to prevent CA-MRSA spread in the school. which of the following interventions should be emphasized?
using correct hand washing techniques
A nurse states that many community members are concerned about the increasing number of natural disasters that have been occurring in the US. Which of the following would the community members be referring to?
wildfires and hurricanes
which of the following represents a method of secondary prevention?
yearly mammograms
