Nursing 4250E--Public Health Nursing Test #1
A community health nurse is reinforcing teaching to new nurses on a scenario in which a nurse has forgotten to refer a client to a social worker, causing a delay in medication coverage for the client. Which of the following actions by the nurse demonstrates the element of responsibility and accountability under nursing's social contract? a.) The nurse requests to speak to their supervisor to discuss workload. b.) The nurse explains the reason why the delay occurred. c.) The nurse makes excuses for the delay. d.) The nurse accepts fault in the delay of the client's medication coverage.
d.) The nurse accepts fault in the delay of the client's medication coverage.
A community health nurse is working in a clinic that treats many clients who do not have homes and have mental health needs, but follow-up care is inadequate. How can the nurse implement Provision 9 of the American Nurses Association (ANA) Code of Ethics? a.) Take responsibility for improving the safety of mental health care at the community clinic. b.) Allow mental health caregivers to address the issue to avoid crossing professional boundaries. c.) Improve commitment to providing the best mental health care possible through continuing education. d.) Write a letter to the head of the clinic to report the need for mental health follow-up care.
d.) Write a letter to the head of the clinic to report the need for mental health follow-up care.
A nurse is discussing the timing of public health acts with a group of nursing students. The nurse should inform the students that, if placed chronologically from OLDEST TO NEWEST, the following acts would be listed in what order? (**OLDEST IS NUMBER ONE, NEWEST IS NUMBER FIVE**)
1.) The Sheppard-Towner Act 2.) The Social Security Act 3.) The Civil Rights Act 4.) The Medicare and Medicaid Act 5.) The Health Insurance Portability and Accountability Act
A nurse is reinforcing teaching to community nurses about the scope of nursing practice in the community. Which of the following statements by a nurse indicates understanding of the "what" part of the American Nursing Association's (ANA) description of the scope of practice? a.) "I will focus on being committed as I provide care to protect the health and well-being of my clients." b.) "I understand that scope of practice refers to staff such as LPNs, RNs, and APNs." c.) "It is important that I remember that nursing care is to be provided wherever it is needed." d.) "My goal is to collaborate with my colleagues effectively to create positive client outcomes."
a.) "I will focus on being committed as I provide care to protect the health and well-being of my clients."
A nurse is reinforcing teaching to a newly licensed nurse about client advocacy. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? a.) "I will make sure clients understand treatment options before they sign a consent form." b.) "I will make sure to speak to my client's adult children on deciding if a surgical procedure should be conducted." c.) "I will inform clients they should research health information so they do not bother providers with questions." d.) "I will not alert my client that they have access to their medical records via the patient portal."
a.) "I will make sure clients understand treatment options before they sign a consent form."
A nurse is preparing a presentation about health care delivery in the U.S. for a group of newly licensed nurses. Which of the following statements should the nurse include in the presentation to describe the U.S. health care system? a.) "The U.S. spends more on health care than other developed countries." b.) "The U.S. has better health outcomes than other developed countries." c.) "The U.S. health care delivery system is population-focused." d.) "The U.S. nursing workforce is expected to increase over the next decade."
a.) "The U.S. spends more on health care than other developed countries."
A nurse is providing a presentation about telehealth to a group of community health nurses who will soon be implementing telehealth practices within their community. Which of the following statements by one of the community health nurses indicates an understanding of the information? a.) "We can use video conferences as a method of telehealth to hold remote meetings with staff and clients." b.) "Text messaging can be used as a method of telehealth." c.) "Faxing prescriptions to the pharmacy is an example of telehealth." d.) "Sending email messages through commonly used email servers is one way to use telehealth."
a.) "We can use video conferences as a method of telehealth to hold remote meetings with staff and clients."
A nurse is interacting with a client who has a new diagnosis of diabetes mellitus. The client has attended multiple workshops about managing their condition but still has an A1C of 9 and admits to not using the meal plans to help with nutritional needs. Which of the following could the nurse at the community-based clinic do first to assist the client in adhering to the medical regimen? a.) Ask the client to discuss what barriers they perceive that prevent compliance. b.) Refer the client to the diabetic educator for more instructions. c.) Ask the case manager for community resources for programs like Meals on Wheels. d.) Assess the client's neighborhood to see if there is access to fresh fruits and vegetables.
a.) Ask the client to discuss what barriers they perceive that prevent compliance.
A nurse is requesting a referral for a case manager for a client who requires financial assistance for their medications. Which of the following forms of advocacy is the nurse demonstrating? a.) Client advocacy b.) Professional advocacy c.) Political advocacy d.) Community advocacy
a.) Client advocacy
A nurse is reviewing a client's medical record with a dietitian who is part of the client's interdisciplinary team. Which of the following elements of Nursing's Social Contract is the nurse demonstrating? a.) Collaboration b.) Responsibility and accountability c.) Progress and Development d.) Ethical Practice
a.) Collaboration
A nurse is providing a presentation about individuals who made early contributions to public health nursing. Which of the following contributions should the nurse credit to Lillian Wald? a.) Establishment of the Henry Street Settlement b.) Establishment of the Stillman House c.) Establishment of the Frontier Nursing Service (FNS) d.) Establishment of the American Red Cross
a.) Establishment of the Henry Street Settlement
A nurse is teaching a client who has asthma on the use of an inhaler. Which of the following resources should the nurse include in the teaching? a.) Give a demonstration of how to use the inhaler followed by the teach-back approach. b.) Provide only a video teaching about asthma. c.) Offer the phone number of the manufacturer of the inhaler. d.) Provide the client with a brochure to learn more about asthma.
a.) Give a demonstration of how to use the inhaler followed by the teach-back approach.
A public health nurse is reviewing the Leading Health Indicators (LHIs) developed for the Healthy People 2030 national health goals with a group of nurses. Which of the following LHIs should the nurse identify as pertaining to ALL age groups? (SATA) a.) Homicides b.) Obesity c.) Colorectal cancer screening d.) Drug overdoses e.) Influenza immunization
a.) Homicides d.) Drug overdoses e.) Influenza immunization
Which of the following interventions might the occupational health nurse employ to promote health and safety in the workplace? SATA a.) Offer immunizations such as flu vaccines. b.) Do a walkthrough inspection to check for safety in work areas. c.) Remind employees to use personal protective equipment when handling harmful chemicals. d.) Arrange for the vendor to educate the employees on how to use new heavy-lifting equipment. e.) Use I PREPARE to assess for environmental health exposure.
a.) Offer immunizations such as flu vaccines. b.) Do a walkthrough inspection to check for safety in work areas. c.) Remind employees to use personal protective equipment when handling harmful chemicals. d.) Arrange for the vendor to educate the employees on how to use new heavy-lifting equipment.
Which of the following actions should a community health nurse take to promote economic stability in the community? a.) Partner with local churches and write grants for childcare funding towards affordable daycares in the area. b.) Advocate for more transportation to health care facilities. c.) Work with a nonprofit organization for the local farmers' market to sell fresh produce twice a week. d.) Teach residents about the dangers of lead-based paint.
a.) Partner with local churches and write grants for childcare funding towards affordable daycares in the area.
Which of the following are stages of change in the transtheoretical model? SATA a.) Precontemplation b.) Maintenance c.) Interpersonal relationships d.) Action e.) Planning
a.) Precontemplation b.) Maintenance d.) Action e.) Planning
A nurse is arranging for flu vaccines to be administered to anyone who consents to it. Which of the following levels of prevention are guiding the nurse's actions? a.) Primary prevention b.) Secondary prevention c.) Tertiary prevention d.) Primordial prevention
a.) Primary prevention
A nursing program director is discussing the integration of the Quality and Safety Education for Nurses (QSEN) competencies into the curriculum with faculty. Which of the following competencies should the director include in the discussion as the competency that most students are the least prepared to address? a.) Quality improvement b.) Patient-centered care c.) Informatics d.) Teamwork and collaboration
a.) Quality improvement
A faith community nurse is conducting blood pressure screenings at a place of worship. Which of the following levels of prevention does this fall under? a.) Secondary b.) Primordial c.) Primary d.) Tertiary
a.) Secondary
A home health nurse instructs the caregiver to administer pain medication to a nonverbal client in their home. Which of the following evaluative findings would indicate that the goal of pain relief had been met? a.) The client's face relaxes and stops grimacing. b.) The client becomes more restless. c.) The client's family says that enough medicine has been given. d.) The client is still guarded near the area of pain.
a.) The client's face relaxes and stops grimacing.
A community health nurse reports that some families are in desperate need of basic preventative health care services. Which of the following principles supports providing resources to families in the community that are in need? a.) Justice b.) Beneficence c.) Autonomy d.) Nonmaleficence
b.) Beneficence
A nurse is caring for a client who does not have proper understanding of a surgical procedure that is scheduled for the next day. The nurse notifies the client's provider. Which of the following concepts is the nurse demonstrating? a.) Client education b.) Client advocacy c.) Accountability d.) Autonomy
b.) Client advocacy
A nurse is caring for a client who asks how their food choices might affect their blood pressure. To which of the following members of the interprofessional team should the nurse refer this client? a.) Kinesiologist b.) Dietitian c.) Social worker d.) Pharmacist
b.) Dietitian
A newly hired public health nurse is learning about the various duties of their role. Which of the following activities would the new nurse be involved with? a.) Providing wound care for a burn victim in the hospital b.) Educating the public about hand hygiene during an outbreak c.) Administering insulin to a patient in their home d.) Conducting an addiction therapy group at an outpatient center
b.) Educating the public about hand hygiene during an outbreak
A public health nurse is discussing climate change with a group of nurses who are interested in learning about global health concerns. Which of the following should the nurse include in the discussion as an issue associated with climate change? a.) Decreases in the mosquito population b.) Exacerbations in respiratory conditions c.) Reduced risk of exposure for clients who live in poverty d.) Improved access to clean water
b.) Exacerbations in respiratory conditions
Which of the following health promotion initiatives were launched to implement interventions for better overall health in the U.S.? a.) Paris Agreement b.) Healthy People 2030 c.) Sustainable Development Goals d.) Tennessee Valley Authority
b.) Healthy People 2030
A nurse in a community health clinic is discussing the impact of current trends in health care costs and quality with the staff. Which of the following trends should the nurse identify as the trend that will likely lower health care costs? a.) Aging of the population b.) Increased use of telehealth c.) Medicalization d.) Decreases in the workforce
b.) Increased use of telehealth
A public health nurse is providing an explanation to newly hired public health nurses on the standards of care along with the policies and procedures that reflect Nurse Practice Acts. Which of the following is imperative that the new nurses know about Nurse Practice Acts? a.) Nurse Practice Acts specify the scope and standards of practice for student nurses. b.) Nurse Practice Acts are the laws governing nursing practice. c.) Nurse Practice Acts specify the code of ethics to be used in hospital settings. d.) Nurse Practice Acts are governed by the federal government, not state law.
b.) Nurse Practice Acts are the laws governing nursing practice.
A nurse is speaking with the nursing supervisor about a staffing shortage and its implications for staff on their unit. Which of the following forms of advocacy is the nurse demonstrating? a.) Political and legislative advocacy b.) Professional advocacy c.) Community advocacy d.) Client advocacy
b.) Professional advocacy
A community health nurse is discussing the Nurse Training Act of 1943 with a group of nursing students. The community health nurse should include in the discussion that which of the following occurred as a direct result of the passage of this legislation? a.) Funding for maternal child care programs b.) Prohibition of racial discrimination in nursing organizations c.) Formation of training programs for school nurses d.) Establishment of the National Center for Nursing Research
b.) Prohibition of racial discrimination in nursing organizations
Which of the following Sustainable Development Goals would be achieved if nations implemented recycling programs in their major cities? a.) Reduction of inequalities b.) Responsible consumption and production c.) Affordable and clean energy d.) Clean water and sanitation
b.) Responsible consumption and production
A public health nurse is discussing strategies to increase the number of nurses who are interested in working in public health with another nurse. Which of the following strategies should the nurse include in the discussion as an approach to increase the supply of public health nurses? a.) Adding telehealth-related content to the nursing curricula b.) Restructuring pay and rewards for nurses who practice outside of acute care settings c.) Increasing nursing representation on community planning boards d.) Providing incentives for nurses nearing retirement age to continue working
b.) Restructuring pay and rewards for nurses who practice outside of acute care settings
A nurse is preparing to provide a presentation about population-focused care to a group of community health nurses. Which of the following should the nurse plan to include in the presentation as a required competency for nurses who are providing population-focused care? a.) The ability to develop individualized care plans b.) The ability to analyze large data sets c.) The ability to work independently d.) The ability to gather data about a client's personal support system
b.) The ability to analyze large data sets
A nurse is preparing an orientation for newly licensed community health nurses on the standards of professional practice. Which of the following is a critical thinking model that describes a competent level of nursing care? a.) Elements and Standards Model b.) The nursing process c.) The Minnesota Model for Public Health Nursing Practice d.) Professional Nursing Model
b.) The nursing process
A client asks a nurse to help identify resources for a weight loss plan the client is developing. Which of the following frameworks might the nurse use in this situation? a.) Health Belief Model b.) Transtheoretical Model c.) Social Cognitive Theory d.) Theory of Reasoned Action/Planned Behavior
b.) Transtheoretical Model
A nurse in a community health clinic is providing training to a group of newly hired nurses about partner violence. Which of the following statements made by one of the nurses indicates an understanding of partner violence? a.) "Women and men experience partner violence equally." b.) "Partner violence is the leading cause of death for women." c.) "Partner violence is underreported." d.) "Only physical abuse is considered partner violence."
c.) "Partner violence is underreported."
A nurse working at a community health center is caring for a client that reports disappointment and feeling ashamed of their weight. Which of the following responses should the nurse give? a.) "How about if you start tracking your caloric intake?" b.) "Many people struggle with weight loss." c.) "What has been bothering you the most about your weight?" d.) "Medications may be able to help you lose a lot of weight if you'd like to try that."
c.) "What has been bothering you the most about your weight?"
A nurse is discussing government organizations with a newly licensed nurse who is interested in working with clients who have been impacted by natural disasters. Which of the following organizations should the nurse include int he discussion as the organization that provides domestic and international disaster relief? a.) U.S. Public Health Service (USPHS) Commissioned Corps b.) Centers for Disease Control and Prevention (CDC) c.) American Red Cross d.) Health Resources and Services Administration (HRSA)
c.) American Red Cross
A nurse is caring for a client who is dying and wishes to discontinue taking their medications. Which of the following ethical principles is the nurse demonstrating by respecting the client's decision? a.) Nonmaleficence b.) Beneficence c.) Autonomy d.) Justice
c.) Autonomy
A community health nurse is reinforcing education on insulin administration to a client who has diabetes mellitus. Which of the following elements of Nursing's Social Contract is the nurse demonstrating? a.) Collaboration b.) Ethical practice c.) Autonomy of practice d.) Promotion of the health of the public
c.) Autonomy of practice
A newly licensed nurse is interested in finding information about health care benefits for clients who are disabled or have end-stage renal disease. The newly licensed nurse asks their preceptor where they can find this information. Which of the following organization websites should the preceptor encourage the newly licensed nurse to use to find the desired information? a.) National Institute of Health (NIH) b.) Centers for Disease Control and Prevention (CDC) c.) Centers for Medicare and Medicaid Services (CMS) d.) United States Public Health Service (USPHS) Commissioned Corps
c.) Centers for Medicare and Medicaid Services (CMS)
Which of the following terms describes a nurse who delivers care to the residents of a community in a local area focusing on disease and injury prevention? a.) Public health nurse b.) Population health nurse c.) Community health nurse d.) Home health nurse
c.) Community health nurse
A nurse working in the family planning clinic is working with an adolescent client who has expressed interest in birth control options. Which of the following is an example of how the nurse can practice with compassion and value the inherent dignity, worth, and unique, attributes of the client? a.) Take responsibility for recommending that the client use hormonal contraception. b.) Advocate for the right of the minor's parents to authorize prescribed birth control medication. c.) Establish a rapport by respecting the client's interests and providing education on all birth control options. d.) Promote the use of contraception among the client's peers at a community event.
c.) Establish a rapport by respecting the client's interests and providing education on all birth control options.
A nurse working in a campus health center is developing a smoking cessation program for the student body. Which of the following federal agencies should the nurse include in the program as the agency that regulates tobacco products? a.) Substance Abuse and Mental Health Services Administration (SAMHSA) b.) Agency for Toxic Substances and Disease Registry (ATSDR) c.) Food and Drug Administration (FDA) d.) Occupational Safety and Health Administration (OSHA)
c.) Food and Drug Administration (FDA)
A community health nurse is partnering with the local library in a small town to hold workshops on filling out paperwork for student funding for trade schools and colleges. The nurse should recognize that this action is supported by which of the following statements about the lack of affordability in higher education? a.) It decreases the residents' access to healthcare. b.) It decreases the residents' health literacy. c.) It decreases the local residents' chances of gaining skills and knowledge for various job opportunities. d.) It decreases the number of job opportunities in the local area.
c.) It decreases the local residents' chances of gaining skills and knowledge for various job opportunities.
Due to a rise in whooping cough cases among middle school-age students, the school board requires an additional dose of Tdap vaccine to attend the 7th grade. Which of the following community outreach actions should the school nurse use to promote this updated policy? a.) Recruit teachers to help spread the word about the immunization requirement. b.) Establish one-on-one counseling sessions for each of the students' families about immunizations. c.) Organize virtual educational sessions on immunizations within the school district. d.) Inform the students who will enter 7th grade of the required additional vaccine.
c.) Organize virtual educational sessions on immunizations within the school district.
A school nurse assesses a few students for injuries after they have been fighting. The nurse finds bruises in various stages of healing on one of the students. Which of the following interventions on the secondary level of prevention should the nurse implement? a.) Notify the parents that the student has been in a fight. b.) Apply bandages to the cuts found on assessment. c.) Report the findings to Child Protective Services (CPS). d.) Ask social services to arrange for extensive counseling for the student.
c.) Report the findings to Child Protective Services (CPS).
A nurse working at a community health clinic is reviewing the staff schedule and notices the clinic has been working short staffed for the past 3 months. Which of the following actions should the nurse take to address this issue? a.) Cancel and reschedule client appointments to times when staff are available. b.) Speak to clients and get feedback about the scheduling challenges. c.) Speak to the manager and advocate for a strategy that ensures adequate staffing. d.) Close the clinic early due to staffing concerns.
c.) Speak to the manager and advocate for a strategy that ensures adequate staffing.
A public health nurse is going to deliver a message to the residents in town about a primary preventive measure to stop the spread of a communicable disease during an outbreak. Which of the following could be included in the message? a.) Getting lab work done to screen for the disease b.) Completing the antibiotic regimen as prescribed c.) Speaking about hand hygiene and what kinds of products to use d.) Calling the physician if signs and symptoms should return
c.) Speaking about hand hygiene and what kinds of products to use
A nurse is discussing the impact that current community and public health trends have on health care delivery with a group of nursing students. Which of the following trends should the nurse identify as likely to decrease health care expenditures? a.) The medicalization of treatment for lifestyle-related conditions b.) The decreasing of the nursing workforce c.) The implementation of population health strategies d.) The increasing age of the American population
c.) The implementation of population health strategies
A public health nurse has been assigned to call a client who speak a different language than the nurse. Which of the following actions by the nurse demonstrates cultural competency? a.) Ask the client's family member to help with interpretation. b.) Ask the office receptionist who can speak multiple languages to help with interpretation. c.) Use the organization's interpretation or translation service for this call. d.) Speak slowly and use simple terms.
c.) Use the organization's interpretation or translation service for this call.
In order to support and mobilize communities and partnerships to improve the overall health of the local area, which of the following interventions might a public health nurse employ? a.) Hiring diverse and highly trained staff for the state health department b.) Posting information about domestic violence on the health department website c.) Working with a local hospital to become an immunization station during an epidemic d.) Sending a nurse epidemiologist to investigate a suspected outbreak
c.) Working with a local hospital to become an immunization station during an epidemic
A client who is in the maintenance phase of the Transtheoretical Model's Stages of Change admits to not following their diet plan after binging on salty and sugary snacks the past weekend. Which of the following questions should the nurse ask the client next? a.) "How does that make you feel?" b.) "Why did you do that?" c.) "Did you call someone from your support group before eating the snacks?" d.) "Have you had any stressful events in your life lately?"
d.) "Have you had any stressful events in your life lately?"
A nurse is providing education to a client who recently became eligible to receive Medicare benefits. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? a.) "Medicare Part A will cover all of my prescription medications." b.) "I can add dependents to my Medicare plan if needed." c.) "Medicare will pay for me to be in a long-term care facility if needed." d.) "I will have to pay for Medicare coverage if I choose to enroll."
d.) "I will have to pay for Medicare coverage if I choose to enroll."
A nurse working in a community health clinic is caring for a client who reports they have not slept for several days. Which of the following responses should the nurse give? a.) "Have you tried melatonin?" b.) "I have issues falling asleep every night as well." c.) "You need to stop drinking coffee." d.) "What has made it difficult for you to sleep lately?"
d.) "What has made it difficult for you to sleep lately?"
A nurse is planning to provide a presentation to a group of community members on how early discoveries in science have influenced the practice of community health. Which of the following individuals should the nurse include in the presentation as being credited with discovering penicillin? a.) Dr. John Snow b.) Dr. Edward Jenner c.) Lemuel Shattuck d.) Alexander Fleming
d.) Alexander Fleming
An occupational nurse has four clients to see. Which of the following clients should the nurse see first? a.) A maintenance person that slipped and fell an hour earlier b.) A new hire needing a drug screen test c.) An employee needing to be assessed to return to work d.) An employee complaining of burning eyes after being exposed to a chemical agent
d.) An employee complaining of burning eyes after being exposed to a chemical agent
A nurse is working with a community planning board to address the challenge of systemic racism in their community. Which of the following criteria should the nurse identify as essential to the success of a community plan addressing systemic racism? a.) Focusing on the outcomes of racial inequities b.) Placing those with power and resources in charge of the plan c.) Creating a day of remembrance to raise awareness of racial inequities d.) Budgeting financial resources fairly based on need
d.) Budgeting financial resources fairly based on need
A nurse educator is teaching a class on nursing history to a group of nursing students. Which of the following nurses should be identified as the first nurse who focused on environmental conditions? a.) Clara Barton b.) Mary Breckinridge c.) Jessie Sleet Scales d.) Florence Nightingale
d.) Florence Nightingale
A nurse is preparing to discharge a client with a newborn who has a tracheostomy and will require apnea monitoring at home. Which of the following resources should the nurse recommend to the client to assist with tracheostomy care and apnea monitoring? a.) Community center clinic b.) Ambulatory care clinic c.) Occupational health center d.) Home health care
d.) Home health care
A community health nurse is caring for a client who informs the nurse that they need a kidney transplant but their insurance has been discontinued. Which ethical principle should the nurse be aware of to provide resources for this client? a.) Veracity b.) Autonomy c.) Accountability d.) Justice
d.) Justice
A public health nurse working in the community center asks the nurse manager where nurses can obtain information on the competencies that public health nurses should possess. Which document should the nurse manager recommend? a.) The Minnesota Model for Public Health Nursing Practice b.) Nurse Practice Act (NPA) c.) American Nurses Association (ANA): Code of Ethics d.) Public Health Nursing Competencies
d.) Public Health Nursing Competencies
A public health nurse is observing a client who has been participating in the Directly Observed Therapy (DOT) program for the past month take their antitubercular medication for active tuberculosis. Which of the following actions should the nurse take first? a.) Document the care delivered to the client. b.) Check for any allergies before allowing the client to take the medication. c.) Reinforce the information concerning the medications' side effects. d.) Review the labs before having the client take the medication.
d.) Review the labs before having the client take the medication.
A public health nurse is providing an explanation to newly hired public health nurses on the concept of community health nursing as a population-based service. Which of the following interventions should the nurse include in the explanation? a.) Physical assessment prior to hospital admission b.) Intake interviews for long-term care placement c.) Develop policies for health benefits at a local factory d.) Screening and surveillance of communicable diseases
d.) Screening and surveillance of communicable diseases
A client reports that the initial exercise regimen in their weight loss program was ineffective, but that they have seen positive results since adopting a friend's regimen. Which of the following theories explains the client's change? a.) Health Belief Model b.) Theory of Reasoned Action/Planned Behavior c.) Transtheoretical Model d.) Social Cognitive Theory
d.) Social Cognitive Theory
