NUR 442 Community Final Chapter 16-33

4. Louisiana Health Care is a multistate home health organization consisting of 60 home health agencies. The company is a public company with stocks available on the open market. This is an example of what type of home health agency?

a. Proprietary agency Correct

6. Tony, age 16 years, comes to see you, the school nurse, with complaints of abdominal pain. You note that Tony exhibits signs and symptoms of depression, states he wishes he did not wake up today, and exhibits signs of anxiety. You would do which of the following?

a. Refer him immediately for evaluation.

7. American Cancer Society (ACS) (2012) recommendations for breast self-exam (BSE) include: (Select all that apply.)

a. the correct technique for BSE should be taught to improve detection of abnormalities. b. women at higher risk of breast cancer may benefit from regular BSE. c. it is acceptable for women to choose not to perform BSE.

8. The greatest promise for improving health outcomes for rural residents is:

a. the increase in distribution of technology, providing more education and health services

5. The home health nurse receives a referral for an evaluation visit for a patient. The nurse notes that the patient's primary diagnosis is end-stage lung cancer and that the patient is currently receiving daily palliative radiation treatments for pain management. This is not an appropriate home health referral because:

a. the patient is not homebound. Correct

2. Keeping in mind the Healthy People 2020 objectives, the community health nurse is aware that education and actions focused on one specific risk factor may result in a significant reduction in childhood deaths. This is because the leading cause of death for all children older than the age of 1 year is:

a. unintentional injuries.

9. In the role of advocate, the community health nurse recognizes that compared with men in the same age range, women age 65 years and older are most at risk for:

a. widowhood

7. In contrast to people who live in urban areas, rural residents frequently describe their health by their ability to:

a. work and be productive.

7. Nurses, including public health nurses, are at increased risk for workplace violence. Risk factors for violence in the workplace include all of the following except:

a. working in pairs.

10. Which of the following characteristics is demonstrated by healthy or energized families? (Select all that apply.)

a. • Communication is appropriate and clear. Correct b. • Support and respect are evident and appreciated. Correct c. • Common beliefs and values are shared. Correct d. • Members play and share leisure time appropriately. Correct

9. A 50-year-old male client should be counseled to receive the following preventive health screenings: (Select all that apply.

a. • blood pressure check every 2 years. b. • dental examination every year. c. • eye examination every 3 to 5 years. d. • colorectal screening every 3 to 5 years.

10. A goal set by Healthy People 2020 includes education to middle, junior, and senior high school students in priority areas. These areas include: (Select all that apply.)

• lack of physical activity. • poor nutrition. • alcohol and drug use. • injury and violence

4. In the CIRCLE Model of Spiritual Care, the L represents:

• language. • listening

10. All of the following factors contribute to the infection spread rate in a correctional setting: (Select all that apply.)

• overcrowding. • poor ventilation. • rapid movement of inmates in and out of jail.

2. A comprehensive school health program should include all of the following except:

• physical examinations and comprehensive health history.

1. Occupational health nursing is best described as a specialty practice that focuses on:

• promoting, preventing, and restoring health within the context of a safe and healthy environment.

2. There was an increase in the number and voice of occupational health nurses during the years of 1938 to 1943. All of the following occurrences explain the rationale for this change except:

• the U.S. Department of Health and Human Services mandated occupational health nurses be hired for industrial settings that employed more than 350 people.

4. It is vital that the forensic psychiatric nurse be knowledgeable about mental illnesses and personality disorders because:

• the nurse may be an expert witness in court.

6. All of the following outcomes may contribute to the diagnosis of substance abuse except:

a. the client is without a job.

7. Which of the following interventions is an example of primary prevention in parish nurse practice?

• Assessment and teaching about parenting

3. In the role of personal health counselor, the faith community nurse would do which of the following?

• Teach signs and symptoms of hypertension and stroke to the congregation.

7.Which of the following is true of adolescents who have been convicted and incarcerated in adult facilities rather than in a juvenile facility?

• They are more likely to commit suicide.

9. Which of the following is the purpose of the staging area in a disaster plan?

• To act as command station for disaster responders to report to and get assignments

5. The faith community nurse must recognize which of the following to be correct concerning church law?

• Volunteers in a church are held to the same degree of accountability as paid employees.

8. Chemical warfare agents such as pulmonary agents and cyanides are classified as which of the following?

• Weapons of mass destruction

7. All of the following are challenges currently facing occupational health nursing practice except:

• a younger workforce.

6. A congregational health nurse is trying to establish a health program that is balanced across all levels of prevention (primary, secondary, and tertiary). An example of a secondary health intervention the nurse might consider would be:

• arranging for a mobile mammography unit to come to the church to provide low-cost mammograms.

1. Healthy People 2020 addresses all of the following goals for children and adolescents except:

• cardiovascular accidents, stroke, and diabetes.

10. Faith community nurse activities related to end-of-life care include the following: (Select all that apply.)

• establishing health care surrogates. • providing home visits to dying congregational members. • providing emotional support to grieving family members. • developing grief support groups.

3. A week before finals, a school nurse assesses a 15-year-old girl complaining of vague symptoms. All of the following symptoms or behaviors should result in an immediate request for parent or guardian conference and referral to a physician for further evaluation except:

• frequent requests for a visit to the school nurse.

6. A school nurse knows that under the Family Educational Rights and Privacy Act, a student's health record can be released:

• in an emergency.

10. Public health policy in the United States is influenced by two types of justice, market justice and social justice. Examples of market justice include which of the following? (Select all that apply.)

All people are entitled to the status they create for themselves. b. All people are entitled to happiness if they put forth enough effort. c. All people are entitled to the income they work for.

7. Mr. H is a patient in the primary care center where you work as a staff nurse. He tells you that he is currently participating in a stress management program. You know that this is a form of which of the following?

Behavioral therapy -Behavioral therapy uses learning principles to change thought patterns and behaviors systematically; it is used to encourage the individual to learn specific skills to obtain rewards and satisfaction. Stress management, biofeedback, and relaxation training are examples of behavior therapy. Individual therapy focuses on the client's current life and relationships within the family, social, and work environments. Couple therapy is used to develop the relationship and minimize problems through understanding how individual conflicts are expressed in the couple's interactions. Family therapy involves problem-solving sessions with members of a family.

5. What official national organization provides financial housing assistance to low-income families?

a. Department of Housing and Urban Development (HUD)

4. Mr. S was recently hospitalized for a stroke. While in the hospital, he was also diagnosed with diabetes. As his nurse, you know he is at risk for which of the following?

a. Depression

3. The community health nurse is trying to encourage a client to attend Alcoholics Anonymous meetings. When the client asks the nurse what he must do to become a member, the nurse should respond:

a. "Admit you are powerless over alcohol and that you need help."

5. Which statement indicates that further teaching is needed for a patient involved in family planning?

a. "I can't get human papilloma virus (HPV) from my boyfriend because he doesn't have genital warts."

8. Which of the following statements would indicate that the hospice patient's caregiver understood the nurse's instructions related to pain management?

a. "I gave the pain medicine every 3 hours as we planned even when he (the patient) didn't complain of pain

9. Ms. L is being treated for depression. Which of the following statements by her indicates a need for further education?

a. "My medication will cure me of my depression."

2. A client who regularly participates in activities at the local senior center is celebrating his 65th birthday today. Without regard to gender, according to the U.S. average, how many additional birthdays can he anticipate celebrating?

a. 18

3. In which era were people with mental disabilities labeled as "feebleminded" because they could not reach the minimum educational level?

a. 19th century

5. Children living below the poverty threshold account for what percentage of the U.S. population?

a. 22%

1. Rural residents in the United States compose more than _____% of the nation's poor.

a. 50

4. Which of the following clients is at highest risk for elder abuse?

a. A 70-year-old client being with dementia cared for at home

7. Which of the following would be considered a long-term disabling condition in which the person must learn to incorporate the modifications required for living into daily living and identity?

a. A cardiovascular accident (CVA) with paralysis to the right side of the body

2. Which of the following statements best describes the demographics of rural America?

a. Despite the shrinking number of family farms and full-time farmers, agriculture continues to be an important part of the rural and U.S. economy.

6. What group of homeless individuals is known for their involvement in survival sex?

a. Adolescents

4. HIV primarily affects women in which of the following ethnic populations?

a. African Americans

5. The wife of an alcoholic client is considering joining a support group to help her respond to her husband's condition in a healthy way. Where should the nurse refer this client?

a. Al-Anon

4. The landmark civil rights legislation that uses the authority of the federal government to guarantee equal opportunities for people with disabilities related to employment, transportation, public accommodations, public services, and telecommunications is the:

a. Americans with Disabilities Act (ADA).

1. Based on the Department of Housing and Urban Development (HUD) definitions of homelessness, which one of the following individuals would be considered homeless?

a. An individual who spends most nights at public or private places not designed for regular sleeping accommodations

10. Which of the following are appropriate when working with people with disabilities? (Select all that apply.)

a. Asking a wheelchair-dependent person if he or she needs help and how you can assist. b. Speaking distinctly and a little slowly to someone who is hearing impaired. c. Sitting or kneeling at eye level whenever possible when talking with someone who is wheelchair dependent

1. Mental illnesses adversely affect achievement of social justice. Which of the following statements related to marginalization of some populations because of mental illness is FALSE?

a. Most mental illnesses are caused by genetic factors; therefore, problems associated with them persist across generations and among certain racial and ethnic groups

3. The current home health care industry grew until the late 1990s, when the number of agencies and home health care services significantly declined. This decline was the result of which of the following?

a. Changes in reimbursement that resulted from the implementation of the prospective payment system (PPS) for home health care, particularly for Medicare patients

10. Preterm birth and low birth weight are the most important predictors of infant health. Factors associated with preterm birth and low birth weight include: (Select all that apply.)

a. Chronic stress poverty, minority status.

2. Two unrelated heterosexual adults that share a housing unit with their three children is an example of which of the following?

a. Cohabitation

5. Based on the common illnesses and risky health behaviors among farmers, the community health nurse should implement which of the following health promotion activities?

a. Collaborate with health care providers and provide support and education for farmers with respiratory conditions and their families.

6. A community health nurse needs to understand that most families in today's society can be described as which of the following?

a. Defined by its members

8. The community health nurse understands that events such as divorce, remarriage, or separation of parents have the potential to affect the family and individuals within the family. This demonstrates the nurse's understanding of which family theory?

a. Developmental theory b. Developmental theory is based on stages of family development and family life cycles. A basic premise of developmental theory is the understanding that specific life events, such as separation of parents, divorce, and remarriage, can affect the functioning of each family member and the entire family.

5. An elderly client expresses the following concerns to the community health nurse. Which of these concerns is a physiological change associated with the aging process?

a. Difficulty remembering new names

5. As a visiting community health nurse, you must take precautions to avoid unsafe situations. To avoid putting yourself in danger, you would do which of the following?

a. Do not enter a home if you hear sounds of fighting.

3. Which of the following is the leading cause of maternal death in the first trimester of pregnancy?

a. Ectopic pregnancy

6. In preparing a presentation for seniors and supportive family members, the nurse includes safety information. This is in response to the knowledge that the leading cause of death due to injuries for seniors is:

a. Falls

7. A client provides information regarding medical and health history. This is an example of which of the following assessment tools?

a. Family health tree

5. You work in a community clinic that specializes in pediatric mental health. Joy, age 12 years, has been diagnosed with depression. You know a major risk factor for depression in childhood is which of the following?

a. Family history of depression

2. Four-month-old Lucy is in for immunizations at the local health department. The Vaccine Information Sheet is given to Lucy's mother, and informed consent is obtained. However, the mother then states, "Lucy did have a temperature around 99.1 degrees the night of her last immunizations." After this statement, the nurse should do which of the following?

a. Give the immunizations

5. A client is having difficulty performing his activities of daily living. This means he is having difficulty with which of the following?

a. Instrumental functioning

4. The composition of the family is an example of which of the following?

a. Internal structure

6. The primary purpose of hospice care is to do which of the following?

a. Improve the quality of life for the terminally ill patients. Correct

1. Katie, a 2-year-old child, is brought to the doctor's office after 2 days of vomiting and diarrhea. Upon completion of the medical history, the mother tells the nurse that several of the other children at the daycare who played with the same toys as Katie have the same symptoms. The mode of transmission for the pathogen more likely was which of the following?

a. Indirect

10. Which of the following factors causes primary vaccine failure? (Select all that apply.)

a. Inefficient storage b. An intramuscular vaccine injection given subcutaneously c. Light-sensitive vaccines exposed to light d. Seroconversion

7. The home care nurse is caring for a client recently diagnosed with inoperable cancer. Which of the following best expresses the nurse's role related to end-of-life issues?

a. Initiating discussion and education

6. Which of the following statements describes the social construct paradigm for disability (as opposed to the medical model)?

a. It focuses on the modification of attitudinal, architectural, sensory, and economic barriers in the environment.

5. Which of the following statements is true concerning the Individuals with Disabilities Education Act (IDEA)?

a. It provides federal funding through state-administered programs from preschool through secondary education for children with disabilities.

1. A 41-year-old pregnant black client, who is at 35 weeks of gestation, has not seen a physician throughout her pregnancy. Which of the following factors places her most at risk for maternal mortality?

a. Lack of prenatal care and advanced maternal age

10. Mr. B has been diagnosed with a severe mental illness. The nurse may expect Mr. B to exhibit which of the following? (Select all that apply.)

a. Low self-esteem b. Difficulty forming relationships

3. Higher mortality rates for male infants may be explained by which of the following?

a. Male infants have a higher rate for infectious diseases.

2. You are working in a mental health facility as a nurse. You are involved with patients who have varied diagnoses. One of your patient's family members asks what biological problem causes all of these people to have mental illness. You respond that most experts believe which of the following?

a. Many factors cause the problem.

2. Which of the following statements is true?

a. Many factors that lead to morbidity and mortality among women are preventable.

2. Which of the following statements comparing health risks between men and women is true?

a. Men are at greater risk for higher morbidity and mortality rates for conditions that are the leading causes of death (e.g., heart disease, cancer, stroke) compared with women.

8. The community health nurse is visiting the home of a known substance abuser. The client is talking excessively and is excited and aggressive. The nurse notes that the patient's heart rate is 158 beats/min. The nurse recognizes the client is most likely high on which substance?

a. Methamphetamine

7. Which of the following is classified as a vector of disease?

a. Mosquitoes

6. Which of the following statements about homicide in the United States is false?

a. Most homicides are caused by stabbings.

1. According to the ICF (International Classification of Functioning, Disability, and Health), which of the following would be classified as a disability?

a. Need to use a powered wheelchair

10. Which of the following services are reimbursable home health care services under Medicare Title XVIII of the Social Security Act? (Select all that apply.)

a. Nursing care b. Social services c. Physical therapy d. Occupational therapy

3. What is the purpose of the Homeless Information Management System (HIMS)?

a. Obtains national data on homeless individuals

4. Agricultural workers are at high risk for occupational injuries and illnesses. To reduce the most common cause of fatalities among youth on farms, which of the following is the most important strategy for the community nurse to implement?

a. Partnering with the county extension agent to offer tractor safety classes

7. What is the greatest threat to child health?

a. Poverty

2. A community health nurse is reviewing the results of SIPP (Survey of Income and Program Participation) used by the U.S. Census Bureau to collect disability data. Which of the following will the nurse find classified as an instrumental activity of daily living?

a. Preparing meals

3. A school nurse performs all of the following activities. Which one demonstrates primary prevention?

a. Reviewing immunization records

3. Mr. T has been admitted to the mental health floor for evaluation. You, the nurse, note that he has displayed hallucinations, disorganized thinking and speech, and bizarre behavior. He has a flat affect, lack of energy, and poor attention. You know that these are symptoms of what disorder?

a. Schizophrenia

4. Mr. K, age 35 years, is in the nursing clinic for a follow-up health visit. Additional gender-specific educational information should be offered about which of the following subjects?

a. Seat belt usage

4. Investigating all contacts of a person infected with a sexually transmitted disease is an example of what?

a. Secondary prevention

7. Which model supports upstream thinking with the purpose to improve homelessness through reduction of structural conditions contributing to homelessness?

a. Social justice

9. The community health nurse assesses the family as a system within the context of their environments using which approach?

a. Social network framework

1. In reviewing research related to client actions that may retard the aging process, the nurse is aware that such research is based on stochastic theories of aging. Why?

a. Stochastic theories explain aging as the accumulation of random events over time; nonstochastic explain aging as a predetermined process and therefore not modifiable through individual actions

2. Chronic stress characterizes the lives of people living with domestic violence. As the community health nurse, you recognize which of the following as a long-term effect of violence?

a. Suffering chronic fatigue and tension

1. Mr. H, an 85-year-old-man, has recently lost his wife. He comes to the local health department to have his blood pressure checked quite often. The nurse should recognize that Mr. H is at greater risk for what?

a. Suicide

9. Which of the following statements about adolescent substance abuse is FALSE?

a. Teen use of cigarettes and smokeless tobacco is increasing.

8. Which of the following individuals should be evaluated for intimate partner violence (IPV)? (Select all that apply.)

a. The 24-year-old white woman with low self-esteem b. The 18-year-old Hispanic gay man with multiple sexual partners c. The 50-year-old Asian man who is addicted to methamphetamine d. The 48-year-old black woman who was recently hospitalized for depression

5. Which legislative act prohibits discrimination against pregnant women or conditions involving childbirth or pregnancy?

a. The Civil Rights Act

6. Jane, who is 12 weeks' pregnant, has been having preterm complications with her pregnancy, and her physician has placed her on bed rest. As a result, she will be unable to return to work. Which of the following laws will protect her future employment?

a. The Family and Medical Leave Act (FMLA)

9. Which of the following assessment findings by the community health nurse would suggest that an elderly client may be the survivor of physical abuse by a caregiver? (Select all that apply.)

a. The client has a laceration on her forehead that was sutured. b. The client has bruises on her forearms in various stages of healing. c. The client is not sexually active but has a diagnosis of Chlamydia

4. When a client regularly takes a drug that is a central nervous system (CNS) stimulant, such as cocaine, what symptoms would the nurse expect to see when the client abstains from this substance?

a. The client will feel depressed, somnolent, and lethargic.

9. Despite nursing activities and public awareness campaigns on this topic, many women face barriers to good health throughout their lives. The barriers to good health women face include the following: (Select all that apply.)

a. racism poverty. violence. lack of access to health care.

8. A pathogen lives and multiplies in a __________ and transfers from one host to another by a __________.

a. reservoir, mode of transmission

8. Public health nurses should be aware that factors that impede men's health include: (Select all that apply.)

a. risk-taking behaviors. b. infrequent use of the health care system. c. gaps in preventative health behaviors. d. financial ability.

4. Which of these statements is true regarding income insufficiency in the United States?

a. The poverty rate increased between 2007 and 2010.

9. Which statement regarding the impact of managed care on rural public health departments is true?

a. The role of rural public health departments may increasingly narrow into areas that are currently without any type of reimbursement.

9. Seven cases of hepatitis A are diagnosed in a community over a period of 2 weeks. An investigation results in a determination that all of the infected individuals ate at a local restaurant. Which of the following statements explains the possible connection between hepatitis A and a restaurant?

a. The route of transmission for hepatitis A is fecal-oral.

2. A high school student is referred to the school nurse for suspected substance abuse. After the nurse's assessment and interventions, what would be the most desirable outcome?

a. The student accepts a referral to a substance abuse counselor.

7. Which of the following statements differentiating hospice and traditional home health is NOT true?

a. The type of hospice services are limited as in home health care to skilled nursing, social services, physical therapy, occupational therapy, and speech therapy.

10. The school nurse is interviewing a student who has been assaulted by another student. Both students proclaim to be gang members. The nurse understands the reasons most youth give for joining a gang include the following: (Select all that apply.)

a. sense of belonging. b. peer pressure. c. need for respect.

1. Which of the following descriptions does NOT reflect a current definition of family?

a. Two or more persons living together who share common interests

7. A survey done by The National Institute on Drug Abuse (NIDA) found that the most commonly abused prescription drug among high-school seniors is:

a. Vicodin

6. Migrant and seasonal farm workers constitute a high-risk population due to their low income and migratory status. These workers lack adequate access to preventive services. The most important role of the rural community health nurse in meeting the health care needs of this vulnerable population is to:

a. serve as an advocate working to gain health care access for these farm workers.

6. A community health nurse may work in a collaborative role with which program that provides nutritious foods, nutrition education, and referral to millions of American pregnant and nursing women and infants and small children?

a. Women, Infants, and Children (WIC)

10. A community health nurse is concerned about reducing the fatal injuries to America's rural children. To address this problem, the nurse organizes a community of solution (see Chapter 1). For this group, it would be important to have representatives from all of the following groups or organizations: (Select all that apply.)

a. the Department of Public Highway and Safety. b. emergency department staff (both doctors and nurses) from local hospitals. c. teachers and coaches from area schools. d. city or county government.

3. Women have a higher risk of contracting a sexually transmitted disease (STD) than men because:

a. the anatomical structure of women promotes transmission of STDs.

8. According to the vulnerability index, the individual at highest risk for death is:

a. a 60-year-old person who has been homeless for 9 months.

9. According to the American Nurses Association's (ANA) Scope and Standards of Home Health Nursing Practice, basic preparation for the generalist home health nurse is:

a. a baccalaureate degree in nursing (BSN).

9. The U.S. Department of Education defines a homeless child as:

a. a child abandoned in a hospital.

3. The nurse is aware that a risk factor for elder abuse is:

a. an elder with urinary incontinence.

1. As a school nurse, you know the leading reason cited as the cause of school violence is:

a. an unhappy home life.

8. Ms. W, 18 years old, presents at a community clinic describing vague complaints. She explains that she recently dropped out of high school and is having trouble keeping a job. She notes that she has difficulty concentrating and has used drugs (i.e., marijuana and alcohol) when riding motorcycles with friends. When conducting the initial assessment, the RN should include questions and tools that would screen for:

a. attention-deficit disorder/attention deficit hyperactivity disorder (ADD/ADHD).

1. On discharge after treatment for alcoholism, a client plans to take disulfiram (Antabuse) as prescribed. When teaching the client about this drug, the nurse emphasizes the need to:

a. avoid all products containing alcohol.

6. Transmission of an infectious disease can be efficiently controlled by:

a. breaking only one link in the transmission chain.

8. All of the following contribute to obesity among lower income communities except:

a. decreased availability of fast food.

4. Health prevention activities targeting the 13- to 18-year-old population must be based on the knowledge that a priority health threat faced by adolescents is:

a. engaging in risk-taking behaviors

8. Nurses can help parents and family members adjust to a child with a disability by:

a. establishing a partnership between the parent and health care team.

3. Family interviewing requires the community health nurse to understand or develop specific skills. All of the following demonstrate appropriate family interviewing skills or techniques except:

a. establishing the nursing goals based exclusively on the physician's orders.

5. Mr. C, age 40 years, has recently sustained an injury at work. The occupational health nurse knows that based on gender-specific socialization processes, Mr. C would more than likely comply with his medical regimen if he were to:

a. go back to work in an altered capacity.

10. Personality traits associated with an increased risk of alcohol abuse include:

a. impulsive b. disinhibited

2. The Brown family is being evicted from their home and will be moving into a homeless shelter in 3 days. Under the Department of Housing and Urban Development (HUD) definition, the Brown family is:

a. in imminent risk of homelessness.

8. The community health nurse is reviewing the Healthy People 2020 objectives. She understands a primary goal for the elderly population is:

a. increase the proportion of older adults with reduced physical or cognitive function who engage in light, moderate, or vigorous leisure-time physical activities.

3. The number one health concern identified by the majority of rural health care leaders is:

a. lack of health insurance

10. Physiological gender differences that may account for increased mortality rates for men include all of the following except: (Select all that apply.)

a. male immune systems are weaker than women's. b. men have higher levels of stored iron than women. c. men have fat stores in their abdomen. d. men's brain cells die faster than women's.

6. The community health nurse's commitment to health for all requires an increased awareness of men's health issues; however, men are less likely than women to be seen by a community health nurse. This is because:

a. maternal and child care are the major focus of many public health departments.

7. Many barriers exist that prohibit positive male health behavior. One barrier that may exist for men is illness orientation. This is because:

a. men may be aware of being ill, but they make a conscious decision not to seek health care to avoid being labeled as "sick."

3. Child maltreatment cases are most frequently attributed to:

a. neglect

4. In long-range planning for community needs, the community health nurse considers that the fastest-growing segment of the senior population is the:

a. old-old (ages 85 years and older).

8. A 35-year-old woman came to her appointment for her yearly mammogram and Pap smear. Her physician discussed with her the risk factors for developing breast cancer. The following are risk factors for breast cancer: (Select all that apply.)

a. personal or family history of breast cancer. b. early age of menarche c. late age at menopause.

9. One strategy for the community health nurse in caring for people with disabilities is becoming a powerful advocate. This involves:

a. providing information but allowing the person to make the decision.

9. When providing care to vulnerable populations, the faith community nurse should do which of the following?

• Assess the needs and work with the congregation to meet the health-related needs of the vulnerable population.

10. The nurse is facilitating a support group for caregivers of parents with dementias. She discusses strategies to ensure safety of the client who wanders. These strategies include: (Select all that apply.)

inform the local police of the potential problem. keep current pictures of the client available. place bells on doors. use childproof doorknobs

1. The community health nurse is aware that one of the five leading causes of infant death in the United States is:

sudden infant death syndrome (SIDS).

2. A 16-year-old young woman arrives at the local emergency department (ED) early Sunday morning and states, "I was on a date last night, and the last thing I remember was eating dinner with my boyfriend." She comments that she woke up in her bed with her clothes "messed up" and states, "I just don't feel right down there" as she points to her genital area. She appears medically stable. Which of the following health care providers would be most appropriate to conduct the physical examination?

• A SANE (sexual assault nurse examiner)

8. A school nurse evaluates the implementation of health promotion in a high school staff. Which of the following indicates a need for more education?

• A flyer advertising an ice cream and pizza party for the student awards program

1. Forensic nursing is best defined as which of the following?

• A link among the health care system, the investigative process, and courts of law

1. Which of the following describes a NA-TECH (natural technological) type of disaster?

• A tornado resulting in flood and destruction of electrical systems for a community

10. The community health nurse is working in an emergency shelter with displaced families. Which of the following clients have risk factors for posttraumatic stress disorder (PTSD)? (Select all that apply.)

• An 18-year-old client with a previous gunshot wound • A 50-year-old client who saw people die in the disaster • A 23-year-old client experiencing extreme fear • A 35-year-old client with a history of schizophrenia

4. Which of the following occupational health nursing interventions would be appropriate secondary prevention strategies?

• Arrange for the collection of baseline liver function tests if the employee will be working with a chemical known to cause liver toxicity. • Provide vision, blood pressure, hearing, and cancer screenings on an annual basis. • Coordinate periodic evaluations to ensure workers are placed in the safest worksite setting. • All of the above

10. Important historical events leading to the development of occupational health nursing as a specialty practice include which of the following? (Select all that apply.)

• Betty Moulder was employed by a group of companies to care for coal miners and their families. • Ada Mayo Stewart was hired by the Vermont Marble Company to care for the company's workers. • A nursing service was established for employees of the Frederick Loeser department store in Brooklyn, New York. • Anna B. Duncan was employed by the John Wanamaker Company to visit sick employees at home.

5. What element of a community disaster plan investigates the citizen's reliance on telephone systems or cell phones during disasters?

• Communication

5. Which of the following nursing interventions is the most appropriate as an initial intervention for a prison inmate?

• Complete the medical history and physical assessment.

9. While verifying compliance with immunization requirements, a school nurse notices that three students from the same family have not completed their immunizations. How should the nurse address this problem?

• Contact the parents and educate them about the immunization requirements.

2. A family of five people presented to a hospital after the flooding of their urban home. These family members are classified as which of the following?

• Displaced persons

3. Which agency has a mission to support citizens and first responders to ensure that as a nation everyone works together to build, sustain, and improve the capacity to prepare for, protect against, respond to, recover from, and mitigate all?

• Federal Emergency Management Agency (FEMA)

7. A 10-year-old boy visits the nurse complaining of a headache and nausea. The nurse recognizes the boy from an earlier conference with a teacher about the boy's declining school performance. The nurse has been concerned because the boy's father and mother are recently divorced, and his mother works nights. An appropriate nursing intervention would be to investigate the boy's eligibility for which of the following?

• Federally funded breakfast and lunch program

1. Who is considered the founder of the modern parish nurse movement?

• Granger Westberg

6. The nurse at the disaster site is using the SMART triage system. What color triage tag would be provided to an ambulatory individual with a superficial cut on the left elbow and bruise to the right hand?

• Green

2. Which of the following faith community nurse roles includes lobbying for beneficial health policy?

• Health advocate

7. Which phase of the community response to disaster includes medical personnel contributing long hours of volunteer work helping unfamiliar people after a disaster?

• Heroic phase

2. Which of the following does NOT accurately describe home health nursing as "officially" defined by the U.S. Department of Health and Human Services (USDHHS)?

• Home health care is provided to homebound or disabled people in any residence or medical facility. Correct

Which of the following statements is true concerning home health nursing?

• Home health nursing has as a purpose to provide nursing care to individuals and clients in their homes.

9. Which of the following actions is inappropriate for a correctional nurse when testifying in court?

• Interrupting when necessary to verbalize correct medical information

5. Which of the following occupational health nursing interventions is an appropriate tertiary level strategy?

• Negotiation of workplace accommodation for a worker with a disability

3. Which of the following activities implemented by an occupational health nurse would be considered primary prevention?

• Negotiation with an employer for an onsite fitness program for all employees

9. Legislation passed in the early 1970s that requires employers to provide a place of employment free from recognized hazards to the employees is correctly referred to as the:

• Occupational Safety and Health Act.

6. Joanne, a 37-year-old incarcerated woman, is reluctant to seek medical attention for a routine Pap smear. The correctional nurse knows which of the following?

• Other factors may be influencing Joanne's hesitancy in seeking medical attention.

4. You teach a community disaster preparedness class on how to find shelter during and after a disaster situation. This is an example of what kind of prevention?

• Primary

8. Joe is released from the correctional facility to return to the community. The facility is required to do which of the following?

• Provide his psychotropic medications until he sees his physician.

8. An essential strategy to deal with the complexities of the workplace and workforce is for the occupational health nurse to do which of the following?

• Recognize the need to work as a part of an interdisciplinary team.

5. A 6-year-old child fails a routine vision screening on a Snellen chart at a school-based health center. The appropriate action by the nurse is to do which of the following?

• Refer the child to an eye specialist.

6. Which of the following actions of the occupational health nurse is NOT mandated by state or federal regulations?

• Reporting accusations of sexual harassment to local police

4. A priority health education topic for school-age children is which of the following?

• Schoolyard safety

8. Which of the following is true regarding elder abuse?

• Specific nursing interventions should be used by the parish nurse in cases of elder abuse.

3. A 71-year-old man is brought to the emergency department by his daughter and states that he has fallen and appears to have a broken arm. He is alert and oriented and walks alone without difficulty. Which nursing intervention is most appropriate after he is seen and treated by the physician?

• Talk with the patient alone and question the possibility of elder abuse.