NUP 411 Community

The community health nurse is discussing family health nursing with a group of students. Which statement made by a student nurse indicates an effective teaching regarding family health nursing?

"The community health nurse is in a unique position to influence and promote family health."

You are conducting a program for a group of nurses working with Spanish-speaking migrant families. After describing this population and their health issues to your Caucasian group, you determine that additional teaching is necessary when the group identifies which situation as problematic?

"Yes, this group has a higher life expectancy than the general population, but it's because they work in the fresh air."

A community health nurse is explaining the chain of causation to a family that includes a child who has developed Lyme disease. The nurse correctly describes the opening in the child's skin caused by the actual tick bite as the:

Portal of entry

Activities that attempt to prevent disease-related complications are considered:

Primary prevention Secondary prevention

Which intervention by the nurse is most likely to have a positive influence on the client's adoption of a new healthy behavi

Providing feedback about what the client is doing correctly

When reporting the identification of a communicable disease and need for investigation, which organization would the community health nurse notify first?

Local health department

When a community health nurse is conducting a family assessment on an assigned family, which action would be most appropriate?

Make several visits and accumulate data from all family members

Employees working with hazardous chemicals have the "Right to Know" about the chemicals they are working with. Which resource teaches employees about information regarding the chemicals they may be exposed to?

Material Safety Data Sheet (MSDS)

The nursing student reads the textbook in preparation for a class meeting about primary, secondary, and tertiary prevention related to families in crisis. The student associates which statement as being most accurate regarding the levels of prevention?

Often people in crisis are temporarily helpless and unable to cope on their own but are receptive to outside influence.

The community health nurse is developing a plan of secondary prevention activities. Which actions would the nurse incorporate into the plan?

Participating in diabetes screening programs at health fairs

Actions to protect against disease and disability are:

Primary prevention

Which is the proper sequence of stages of change?

According to Lewin, change occurs in the following stages: unfreezing the old behavior, implementing the change, and then refreezing the new change in place to integrate it into the system

After teaching a group of students about factors associated with vulnerable populations, the instructor determines the need for additional teaching when the students identify which as a factor?

Acute illness

When fulfilling the function of assessment, which action would be most important for the community health nurse to take?

r: Secure the trust of the clients

The community health nurse is discussing the roles assumed by community health nurses with a student nurse. Which statement made by the student nurse demonstrates the correct interpretation of which role must be assumed in every situation?

"A community health nurse assumes the role of manager in each situation."

After teaching a group of nursing students about the similarities and differences between public health and community health, which statement by a nursing student would best describe the similarities and differences between public health and community health?

"Community health nursing can shape the quality of community health services and improve the health of the general public."

The community health nurse is discussing the importance of understanding the concept of culture in relation to delivering quality nursing care. Which statement made by the student indicates a need further education on the concept of culture?

"Culture is not a learned behavior."

After discussing the meaning of cultural diversity and its significance for community health nursing, the nursing instructor recognizes that some points need to be clarified when a student makes which comment?

"Dominant values are those held by the male head of the household in most American families."

Because you are a nurse, you have been asked to present a program to a local elementary parent-teacher association on the topic of pediculosis. You determine that the group needs additional teaching when some parents state which of the following?

"It all stems back to the petting show, when they brought the animals in."

The nurse educator is aware that the nursing student understands the importance of roles within a family when the nursing student states:

"Selection of specific roles to be played in any family depends on the family's structure, needs, and patterns of functioning."

Organize the following steps in the epidemiologic study from the first step to the last. (1. Collect the data. 2. Identify the problem. 3. Analyze the findings. 4. Disseminate the findings. 5. Review the literature. 6. Develop conclusions and applications. 7. Design the study.)

2, 5, 7, 1, 3, 6, 4 2) identify the problem 5) review the literature 7) design the study 1) collect the data 3) analyze the findings 6) develop conclusions and applications 4) disseminate the findings

Community health nurses practice within the three levels of prevention. In which actions would the community health nurse engage at the primary level of prevention for communicable disease control? Select the answer that does NOTT apply.

Administering prompt treatment for the symptoms of gonorrhea Encouraging parents to complete their children's immunizations Teaching kindergarten students to wash their hands Administering immunizations to senior citizens

A community health nurse arrives at a family's home. Which behaviors by the nurse would be nontherapeutic?

: Paging through paperwork for information

Community health nurses need to know that families are systems. Which attributes of systems are also attributes of families?

A change within the family system not only affects the individual member but all of the family members.

Which statements about family structures is not true?

A family consists of a husband, wife, and children living under one roof with the man as breadwinner and the woman as homemaker.

The term health can be described in many different ways. How the community health nurse would interpret health?

A holistic state of well-being

A community health nurse is conducting a program for local community leaders about rural and urban area needs. The nurse identifies the need for additional teaching based on which statement by the group?

A rural area has six or fewer persons per square mile.

Which of the following variables that occur in nature would not have a negative impact on humans?

Apples grow on trees.

The community health nurse is caring for a farm migrant worker client who reports difficulty in paying for his medications. Which action would the nurse take next to assist the client with acquiring their medication?

Ask the health care provider to prescribe a less expensive medication on behalf of the client.

When employing a population-oriented focus, which would the community health nurse do?

Assess the groups' relationships looking for a common need.

Which intervention by the community health nurse would be classified as a secondary prevention measure to combat homelessness?

Assist homeless clients in locating temporary shelter

A community health nurse is preparing a presentation for a group of local community nurses about measures to help decrease health disparities. Which suggestion would be the least effective?

Avoiding political involvement in issues

A prospective nursing student is interested in working in community health nursing after graduation. Which level of education would be most appropriate for this student to complete?

Baccalaureate degree

When working with different cultural groups in the area of health care practices, the nurse acts as an effective advocate for the client. Which action must the nurse take first?

Be knowledgeable about health care practices and choices

What is the most important reason for the nurse to conduct a cultural assessment?

Because understanding the values, beliefs, and practices of a designated cultural group is critical to effective nursing action

When preparing to conduct research on a vulnerable population, which of the following would the community health nurse attribute to the differential vulnerability hypothesis?

Certain groups are impacted by stressful events more than others.

A community health nurse is preparing to assess a family. Which characteristic would the nurse not integrate into the assessment as universal? (x4)

Characteristics universal to all families include that every family is a small social system, moves through stages in its life cycle, has its own cultural values and rules, has structure, and has certain basic functions.

Which action would the community health nurse take first when making an ethical decision?

Clarify one's values

A community health nurse who will be working with a homeless population is planning care. Which action would the nurse need to take first?

Clarify personal values and beliefs

A community health nurse is collecting data about the local community concerning a recognized health issues. Understanding there are various sources for the information, the nurse chooses to start with a primary source that would involve which entity?

Community members (Primary sources of information include community members, including formal leaders, informal leaders, and community members, and can frequently offer the most accurate insights and comprehensive information)

A community health nurse uses Roy's model with a community that is dealing with a particular health issue. The nurse would focus community assessment on which community action?

Coping mechanisms for use in adaptation

Which one of the statements about families is most accurate?

Culture explains why families behave as they do.

Which statement regarding mental illness and homelessness is most accurate?

Deinstitutionalization or being released from institutions into the community contributes to the number of persons who have a severe mental illness who are homeless.

Which statement about immunization is most accurate?

Immunization is the process of introducing a form of a disease-causing organism into a person's system to promote the development of antibodies that will resist the disease.

A community health nurse is working to change the focus of the public health department from one of needs oriented to one of being a partner and recognizing the community's strengths. Which nursing priority will help assist make the transition?

Determine available assets.

Which statement best describes the difference between health promotion and disease prevention?

Disease prevention differs from health promotion in that disease prevention is targeted toward a specific disease or diseases

How is tuberculosis (TB) spread?

Droplets

A community health nurse is developing a community diagnosis which addresses an issue that has been identified. What should the nurse remember to do when writing the diagnosis?

Employ a revised nursing diagnosis format. ???? i think I'm a lil confused on the right answer (week 5)

A community health nurse is preparing a presentation for a group of nursing students about community health nursing. Which description about community health nursing would the nurse most likely include in the presentation?

Encouraging clients to reach out to the nurse

Which activities would be associated with a community health nurse?

Examining infants in a city well-baby clinic

Which definition of family is most inclusive and yet the simplest?

Families are defined by the members.

A nursing instructor is discussing the fundamental concepts of community health nursing with a group of students. The instructor recognizes the students understand the discussion by identifying which entity as the primary client?

Host Agent → factor that contributes to health problem Environment

When applying the epidemiologic triad model to a community's plan of care, which would the community health nurse address?

Host, agent, and environment model.

Which statement made by a student would the nurse educator recognize as evidence that a student understands the health continuum?

Illness refers to a state of being relatively unhealthy

Which statement made by a student would the nurse educator recognize as evidence that a student understands the health continuum?

Illness refers to a state of being relatively unhealthy.

A community health nurse is part of a group working with local and state legislators to expand health insurance coverage for those with inadequate or no insurance. Which outcome would the nurse hope to achieve if the group is successful?

Increase use of early screenings

A community health nurse is developing a program that would encourage mothers to use breast-feeding exclusively for their babies' nutrition for the first 6 months. The nurse implements this program on the understanding about which concept?

Infant mortality would significantly decrease.

A community health nurse is conducting orientation for new nurses to the clinic. Which factor should the nurse emphasize as most important when dealing with the community?

Interaction

A group of community health nurses are assessing the current health status of the community and note certain individuals are not utilizing the services of the clinic. What is the best action for the nurses to take?

Investigate the situation to determine possible cause

Which of the following are reasons why it is difficult to estimate the number of persons who are homeless? (Select all that apply.) (x2)

It is difficult to estimate the number of people who are homeless, since homelessness is a temporary condition. It is difficult to locate and account for people who are homeless

Which statement about teaching at three levels of prevention is most accurate?

It is ideal to focus on the primary level of prevention.

A public health nurse using an upstream approach to improve heart health would most likely focus on which contributing factors to improving heart health?

Lack of safe places to exercise

Which would the community health nurse include when integrating epidemiology of wellness into practice?

Lifestyle with its self-created risks

An instructor is teaching a group of students about the history of public health nursing. The instructor recognizes the teaching is successful when the students identify which individual to use the term "public health nursing" first?

Lillian Wald

Activities that strive to identify and detect disease in its earliest stages or try to prevent the spread of communicable diseases are:

Secondary prevention

A group of community health nurses are evaluating the community to determine which issues should be addressed. As the group complete various assessments, they recognize an assets assessment will be important to evaluate which factor of the community?

Strengths of the community

A group of community health nurses are evaluating the community to determine which issues should be addressed. As the group complete various assessments, they recognize an assets assessment will be important to evaluate which factor of the community?

Strengths of the community (An assets assessment focuses on the strengths and capacities of a community)

An asthma action plan helps to: (x3)

Take the guesswork out of treating episodes by telling you what to do when you or your child has an asthma episode. Often, you can treat symptoms without going to the doctor's office or the hospital. Prevent or reduce the severity of episodes by letting you know what to watch for and how to treat the episode early. Control asthma symptoms so that you or your child continues to be active with fewer asthma problems

Which is the best example of a community health nurse focusing on the secondarylevel of prevention?

Teaching clients how to navigate the health care system to receive prompt treatment

While making a family health visit, an older relative who is visiting has beendrinking and becomes verbally abusive and increasingly loud. Which action by the community health nurse would be best?

Terminate the visit, making plans for another visit

A community health nurse is orienting a new group of nurses recently hired by the community agency. The nurse is describing the Public Health Nursing Practice model used by the agency. Which would the nurse include?

The Public Health Nursing Practice model integrates the Public Health Nursing Standards of Practice, the 10 Essential Public Health Services, the 12 Leading Health Indicators from Healthy People 2020,

Which statement about the steps of Evidence Based Practice is most accurate?

The first step in the EBP process is to cultivate a spirit of inquiry.

Which statement best represents an upstream focus?

The focus of an upstream approach is the institution and system level.

A community health nurse is designated as a "mandated reporter." Which best describes this designation?

The nurse must report any case of known or suspected abuse and neglect in children or elders.

As a nurse, you are designated as a "mandated reporter." Which best describes this designation?

The nurse must report any case of known or suspected abuse and neglect in children or elders.

Which principle guides and enhances family nursing practice?

The nurse should start where the family is at the present time and not the ideal level of functioning.

The nursing student is preparing a report for class relating to Healthy People 2020 and environmental health. Which should the nurse highlight in this report?

The overall goal is to promote health for all through a healthy environment

Determinants of health are (SATA) (x5)

The physical environment impacting individuals or populations. A person's individual characteristics and behaviors. A person's genetic makeup. The social factors impacting individuals or populations The economic factors impacting individuals or populations.

You are a health care worker at a County Health Department. You have been working closely with Juan, a 35-year-old Hispanic agricultural worker. Juan was diagnosed with TB about 2 months ago. You have been providing DOT to Juan at a local farm where he picks oranges. Orange season is coming to an end and you realize that Juan will soon be heading North to look for more work. You have spoken to him about where he will be going next. He tells you that he is going to a farm in the next state over. He is not exactly sure where it is, but he thinks he remembers the farm is located near a town called Jasper. What steps will you take before Juan leaves to ensure the continuity of care?

The state health department TB control officer should be contacted and made aware of the need for follow-up and the next possible destination of the patient

You are working to offer increased health care services to meet the needs of a local migrant population. Which idea would be most effective for the nurse to implement with this population? (Select all that apply.)

The van at the work site, services for children in school including a breakfast program, a late evening clinic at the camp would help the greatest number of migrant family members.

For which reason are homeless youth at higher risk for HIV, hepatitis, and sexually transmitted infections?

They lack education or job training skills and may resort to prostitution or survival sex, which increases their risk for HIV, hepatitis, and sexually transmitted infections.

How would a community health nurse define vulnerable populations?

Those with increased risk for adverse health outcomes

The home health nurse is making an initial home visit with a family and asks the family to identify their extended family and other persons/groups they interact with each week. Which statement provides the best rationale for asking the family this question?

To understand how the family operates as a social system

Which measure would be most appropriate for a community health nurse to include when developing programs to address childhood obesity?

Urging an increase in physical activity daily

When a community health nurse is planning to teach a group of new immigrants from a non -English-speaking country about the need for immunizations, the nurse should include which in his or her plans?

Using an interpreter

The community health nurse is leading a discussion with a group of students about the eight principles of public health nursing. When asked why following the principles is important, what is the best response?

an help achieve the most beneficial outcomes.

The community health nurse must apply the social determinants of health when caring for clients:

because the social determinants of health affect a wide range of health, functioning, and quality-of-life outcomes and risks.

Health promotion

behavior that is motivated by the desire to increase well-being and actualize human potential

A community health nurse is developing a community diagnosis which addresses an issue that has been identified. What should the nurse remember to do when writing the diagnosis?

conduct a community subsystem assessment to evaluate the situation

A community health nurse determines that it is time for teaching a family about health promotion activities one member states:

eaching health promotion activities should begin only after family members express an interest and recognize a need, such as the statement about eating right.

Factors that associated with vulnerable pops

education, age and gender, race and ethnicity, homelessness, chronic illness and disability, and immigration among others

A community health nurse is asked to be part of a community-wide effort to address the issue of teen parenthood. When planning appropriate programs, which would be important to include as the priority?

goals of Healthy People 2020, the priority is to reduce pregnancy rates among adolescent females.

Which are examples of a community health nurse providing health promotion teaching? (Select all that apply.)

he activities of teaching a class of kindergartners how to properly wash their hands, teaching a group of preschoolers about different fruits and vegetables that they might like to try, and teaching a mother and baby exercise group are focused on well-being and not a particular illness.

When assessing a population's vulnerability, which would the community health nurse identify as a predisposing factor?

living conditions

A public health nurse is collecting information to present at a meeting of community members who are trying to decide the best response to a local health care need. What information will be important for the nurse to include? Select all that apply.

nclude short-and long-term costs of the program, what the latest research says regarding the suggested solutions, and ways to either improve the existing programs or reasons to terminate them.

The school nurse is planning a meeting with family whose school-age child has asthma to develop an action plan to control or minimize the untoward effects of acute asthma episodes. Which level of prevention is the nurse implementing?

tertiary (The school nurse is working with a family who lives with chronic illness daily. The implementation of an asthma action plan is to control symptoms and perhaps minimize school absences related to acute episodes. This type of implementation would be classified as tertiary)

A community health nurse is engaged in a community-wide program for promoting nutrition in adolescents. Which information would lead the nurse to target the program to adolescent girls?

they have a tendency to diet inappropriately.

disease prevention/health protection,

which is behavior motivated by a desire to actively avoid illness, detect it early, or maintain functioning within the constraints of illness