pulmonary

A nurse is caring for a child who was resuscitated following a near drowning in a home swimming pool. The child's parents ask what they can do to prevent another incident. Which of the following recommendations should the nurse make? (Select all that apply.) - Avoid drinking alcohol while supervising children who are swimming, unless multiple adults are present. - Avoid distracting activities like listening to music, using a cell phone, or reading books when supervising children who are near swimming pools or other bodies of water. - Gated isolation fences should separate any play area from the pool to keep children away from the water when not swimming. - All parents and caregivers should have certification in cardiopulmonary resuscitation (CPR). - Children should be supervised around pools and lakes only when they are in the water. - Formal swim lessons are recommended once children reach preschool age.

- Avoid distracting activities like listening to music, using a cell phone, or reading books when supervising children who are near swimming pools or other bodies of water. - Gated isolation fences should separate any play area from the pool to keep children away from the water when not swimming. - All parents and caregivers should have certification in cardiopulmonary resuscitation (CPR).

Which of the following interventions might the occupational health nurse employ to promote health and safety in the workplace? (Select all that apply.) - Offer immunizations such as flu vaccines. - Do a walkthrough inspection to check for safety in work areas. - Remind employees to use personal protective equipment when handling harmful chemicals - Arrange for the vendor the educate the employees on how to use new heavy-lifting equipment - Use I PREPARE to assess for environmental health exposure.

- Offer immunizations such as flu vaccines. - Do a walkthrough inspection to check for safety in work areas. - Remind employees to use personal protective equipment when handling harmful chemicals - Arrange for the vendor the educate the employees on how to use new heavy-lifting equipment

Which of the following are stages of change in the transtheoretical model? (Select all that apply.) - Precontemplation - Maintenance - Interpersonal relationships - Action - Planning

- Precontemplation - Maintenance - Action - Planning

A family has set goals and action steps for meeting an identified problem. Which of the following steps should the nurse take? (Select all that apply.) - Refer the family to community resources and agencies. - Develop a family-nurse contract. - Review the goals and action steps and change those that do not seem realistic. - Add additional goals and objectives based on what the provider thinks the family needs. - Schedule the family's next visit.

- Refer the family to community resources and agencies. - Develop a family-nurse contract. - Schedule the family's next visit.

The 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? 1. "The U.S. spends more on health care than other developed countries." 2. "The U.S. has better health outcomes than other developed countries." 3. "The U.S. health care delivery system is population-focused." 4. "The U.S. nursing workforce is expected to increase over the next decade."

1. "The U.S. spends more on health care than other developed countries."

A team of community health nurses is in the planning phase for community-engaged research. Which of the following describes a role the nurses should take during the planning phase using the nursing process? A- Writing grants for funding of community-engages research B- Deciding on the research topic for the community C- Identifying gaps in the health of the community D- dissemination results on the research

A

A nurse at a county public health department is developing a breast cancer screening program for a population of homeless individuals in the county. Which of the following resources should they use to find evidence-based information from government sources? (Select all that apply.) a- NIH ODP B- robert wood johnson foundation C- cochrane D- CDC E- PICOT

A; D

A nurse at a state public health department is preparing for an upcoming accreditation. Which of the following should they identify as a benefit of accreditation for their public health department

Accreditation allows public health nurses to base decisions care and processes on national standards

A nurse is caring for a 36-year-old client in a health clinic and notices that the client's genogram shows their mother had a history of breast cancer. Which of the following actions should the nurse take? (Select all that apply.) - Ask the client if they smoke. - Explain to the client that their 12-year-old daughter will not be at an increased risk of breast cancer. - Discuss with the client that they are at an increased risk for developing breast cancer. - Show the client a video of how to perform a breast self-examination. - Report this data to the state health department.

- Ask the client if they smoke. - Discuss with the client that they are at an increased risk for developing breast cancer. - Show the client a video of how to perform a breast self-examination.

A public health nurse is educating community leaders about the causes of adverse childhood experiences (ACEs). Which of the following should the nurse include as potential types of adverse childhood experiences? - Child maltreatment - Intimate partner violence - Chronic health problems - A parent who is incarcerated - Divorce - Developmental delay

- Child maltreatment - Intimate partner violence - A parent who is incarcerated - Divorce

A nurse is caring for an older adult client and is reviewing the health record. Which of the following findings should the nurse identify as a risk factor for chronic heart disease? - Ethnicity: Black American - Smoker - 1 pack per day - Occupation: Retired - BMI 30 - Residence: Rural - Lifestyle: Denies participating in aerobic activity

- Ethnicity: Black American - Smoker - 1 pack per day - BMI 30 - Lifestyle: Denies participating in aerobic activity

A nurse is working with a family to develop a family care plan that has four steps. Identify the correct order of steps when creating a family care plan. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) - Identify the problem. - Plan interventions with goals and objectives. - Develop family-centered interventions. - Evaluate the progress toward outcome measures.

- Identify the problem. - Plan interventions with goals and objectives. - Develop family-centered interventions. - Evaluate the progress toward outcome measures.

A nurse is admitting a 60-year-old client who has a history of chronic hypertension and hypercholesterolemia. The client reports that they live alone in a rural area, have been unemployed for six months, and have not been taking their medications as prescribed. Which factors should the nurse identify as placing the client at high risk for health care disparities? (Select all that apply.) - Male gender identity - Employment status - Having free time - Medical history - Residence - Socioeconomic status

- Male gender identity - Employment status - Medical history - Residence - Socioeconomic status

A nurse is admitting a client whose adult child provides full-time care for them. Which of the following tasks should the nurse anticipate the adult child provides for the client? (Select all that apply.) - Preparing meals - Maintaining safety - Performing procedures - Providing companionship - Bathing and dressing - Making health care decisions

- Preparing meals - Maintaining safety - Providing companionship - Bathing and dressing

A nurse is caring for a 2-year-old child who has been diagnosed with autism spectrum disorder (ASD). The parents ask the nurse what treatments are available to cure the disorder. Which of the following responses should the nurse make? a. "Autism spectrum disorder is a chronic condition with no known cure at this time. However, early intervention offers the best chance to help your child achieve optimal functioning." b. "Autism cannot be cured; however, a combination of diet and medication can help eliminate many symptoms of the disorder." c. "When your child is older, you can put them in schools that teach them to control their behavior." d. "Sometimes hiring a professional to give your child speech and physical therapy can reduce or eliminate the symptoms of the disorder."

a. "Autism spectrum disorder is a chronic condition with no known cure at this time. However, early intervention offers the best chance to help your child achieve optimal functioning."

A nurse is teaching about palliative care with a client who has recently developed Parkinson's disease. Which of the following statements by the client indicates understanding? a. "Palliative care services should begin at the beginning of my treatment." b. "I should start palliative care services if I have side effects of therapy." c. "I should start palliative care services if my treatment is not effective." d. "Palliative care services should begin 6 months following my treatment."

a. "Palliative care services should begin at the beginning of my treatment."

A nurse understands a family operates as a unit and that what impacts one family member can impact all members. Which of the following findings should the nurse identify as significant in relation to the family systems theory? a. A family member in the household was recently diagnosed with cancer. b. The client has an elevated blood pressure reading today. c. The client has recently quit smoking. d. The family has recently obtained a pet.

a. A family member in the household was recently diagnosed with cancer.

A nurse is discussing the domains within the Core Competencies in Disaster Nursing by the Council of Nurses with a group of nurses. In which of the following domains should the nurse include the action of reporting an event that might indicate an emergency? a. Assessment b. Intervention c. Recovery d. Communication

a. Assessment

A nurse in the emergency department is assisting with the care for an older adult client who lives with a family member. The client's family member reports the client has blood in their urine. Which action should the nurse suggest taking first? a. Determine the cause of the bleeding while asking about other social family concerns. b. Plan to refer the client to an outpatient urologist to address blood in the client's urine. c. Send the client home with their family member and inform the client to return to the ED if fever develops. d. Provide the client prescribed medication to manage their condition.

a. Determine the cause of the bleeding while asking about other social family concerns.

Which of the following are examples of natural disasters? (select all that apply) a. Earthquakes b. Acts of terrorism c. Hurricanes d. Sinkholes e. Blizzards

a. Earthquakes c. Hurricanes d. Sinkholes e. Blizzards

A nurse is working with a client who was recently diagnosed with type 1 diabetes mellitus. The nurse recommends that the client and their family attend diabetes education classes. Which of the following theories will assist the nurse in determining whether the client and their family will be receptive to this recommendation? a. Family life cycle theory b. Family systems theory c. Biological ecosystems theory d. Modeling and role modeling theory

a. Family life cycle theory

A nurse is completing a genogram on a client. Which of the following should the nurse expect to learn about the client from the genogram? a. Family structures, major family events, conflicts, and family patterns b. The strength of family relationships in the community c. The primary language of the client d. The ability of the family to respond to challenges and crisis

a. Family structures, major family events, conflicts, and family patterns

A community health nurse is helping community members with their disaster planning. Which of the following are objectives of Healthy People 2030 regarding disaster preparedness? (select all that apply) a. Increase awareness of local evacuation plans b. Decrease the number of human-made disasters that occur each year c. Increase the number of evacuation routes and shelters d. Increase the number of individuals who have a disaster plan e. Increase the number of individuals who are prepared for a disease outbreak

a. Increase awareness of local evacuation plans d. Increase the number of individuals who have a disaster plan e. Increase the number of individuals who are prepared for a disease outbreak

A nurse is discussing disaster preparedness and response with a newly licensed nurse. Which of the following information should the nurse include when discussing schools and places of worship? (Select all that apply) a. Public schools provide disaster preparedness education to students b. Places of worship receive state funding to provide disaster preparedness community education c. Places of worship can be used as sites for shelter during a disaster d. Private schools do not provide disaster drills for students because they are not federally funded e. Places of worship often provide food and supplies following a disaster

a. Public schools provide disaster preparedness education to students c. Places of worship can be used as sites for shelter during a disaster e. Places of worship often provide food and supplies following a disaster

A community health nurse is developing an educational activity for clients who have type 2 diabetes mellitus. Which of the following activities would support a visual leaner? (Select all that apply.) a. Taking notes on when to check their blood glucose levels b. Watching a video presentation on healthy foods to prepare c. Drawing up insulin in a syringe d. Having a discussion about the importance of daily exercise e. Setting up a glucometer

a. Taking notes on when to check their blood glucose levels b. Watching a video presentation on healthy foods to prepare

A nurse is assessing a 5-year-old child who reports tooth pain and has an elevated temperature. The nurse asks the child's guardian about the child's diet. Which of the following statements by the guardian indicates the child has an increased risk of dental caries? a. "I only allow him to drink water between meals." b. "He snacks on gummy fruit snacks every day between meals when he gets hungry." c. "I help him brush his teeth at night since he doesn't do a good job on his own." d."I don't like him to eat dessert, but he gets it as a treat when we eat with my parents on Sundays."

b. "He snacks on gummy fruit snacks every day between meals when he gets hungry."

A public health nurse is educating nursing students about pediatric obesity in rural areas. Which of the following statements made by a nursing student indicates that the teaching has been effective? a. "Rural areas have lower rates of pediatric obesity due to decreased physical activity and manual labor." b. "Rural areas have higher rates of pediatric obesity due to lack of healthy and nutritional food choices." c. "Rural areas have lower rates of pediatric obesity due to a lack of recreational areas and parks." d. "Rural areas have lower rates of pediatric obesity due to lack of local adequate grocery stores."

b. "Rural areas have higher rates of pediatric obesity due to lack of healthy and nutritional food choices."

A community health nurse is triaging victims of a mass casualty incident. Which of the following victims should the nurse tag with the color red? (select all that apply) a. A victim who has multiple facial lacerations and is able to walk b. A child victim who is unconscious and breathing spontaneously c. A victim who has a broken wrist and states that they are ok d. A victim who is conscious, has a sucking chest wound, and is breathing spontaneously e. A victim who has an open head injury and agonal breathing

b. A child victim who is unconscious and breathing spontaneously d. A victim who is conscious, has a sucking chest wound, and is breathing spontaneously

A nurse is caring for several clients in a community health clinic. Which of the following clients should the nurse identify as at risk for transmitting HIV? a. A client who uses contraceptives b. A client who has unprotected intercourse c. A client who lives with an adult who has HIV d. A client who participates in oral intercourse

b. A client who has unprotected intercourse

A nurse is caring for a client who has a terminal illness. Which of the following actions would be priority for the nurse? a. Ensure the client gets adequate rest. b. Encourage the client to make their own decisions about their care. c. Involve the client's family in all aspects of decision-making. d. Arrange for a chaplain visit if desired.

b. Encourage the client to make their own decisions about their care.

A nurse is reviewing a client's chart. Which of the following tools would assist the nurse in identifying family relationships and patterns? a. Ecomap b. Genogram c. Family APGAR d. Family SCREEM

b. Genogram

A nurse is collecting data on a 19-year-old client and notices that the client is up-to-date on immunizations. Which of the following family functions does this meet? a. Physical function b. Health promotion and self-care function c. Affective nurturance function d. Socialization function

b. Health promotion and self-care function

A community health nurse is reviewing the acts and initiatives that have been adopted to improve disaster preparedness and response. The nurse should identify that which of the following describes the National Health Security Strategy (NHSS)? a. It is an initiative that keeps disaster preparedness efforts separated by state to reduce confusion b. It is a collective effort of governments and includes national, state, territorial and local agencies c. Its focus is on naturally occurring disasters, not human made disasters d. It addresses only the aftermath of national emergencies and disasters

b. It is a collective effort of governments and includes national, state, territorial and local agencies

A nurse is working with the state health department to ensure children in the community have health insurance. The nurse should recognize that the caregivers of children who do not have health insurance are more likely to do which of the following? a. Attend regular well-child visits b. Over-use emergency care services c. Obtain treatment for chronic health conditions d. Experience lower rates of hospitalization for treatable conditions

b. Over-use emergency care services

A nurse is reinforcing the importance of screening for colorectal cancer with a group of older adult clients. The nurse should identify that this is an example of which of the following types of prevention? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Quaternary prevention

b. Secondary prevention

A nurse understands that social determinants contribute to poor health, health disparities, and inequities. Which of the following is an example of a social determinant of health? a. Gender b. Socio-economic status c. Age d. Genetic disorder

b. Socio-economic status

A community health nurse is working with a client who has a chronic condition that requires management. The nurse should use which of the following to determine the client's readiness to change? a. Health Belief Model b. Transtheoretical Model c. Cultural Care Theory d. Health Promotion Model

b. Transtheoretical Model

A nurse is reviewing community partnerships to help identify resources for families in the community. Which of the following is an example of a community partnership the nurse should expect? a. Working with the local news media b. Working with elected officials c. Creating a blog for community members d. Creating a health newsletter for community members

b. Working with elected officials

A community health nurse is working with a client to make long-standing, health-related changes using the transtheoretical model. Which of the following statements from the client indicates they are in the action stage? a. "I know that I need to start exercising again" b. "I have signed up with a community walking group that meets three times a week" c. "I have been jogging every morning for the last three months" d. "Over the last year, I have increased my intake of fresh fruits and vegetables"

c. "I have been jogging every morning for the last three months"

A school nurse is educating parents and students regarding effective strategies for reducing adolescent motor-vehicle crashes. Which of the following statements by a student indicates that the teaching has been effective? a. "Newly licensed drivers are at a decreased risk of being involved in a motor-vehicle crash." b. "Driving late at night or when I am tired can decrease my risk of being in a motor-vehicle crash." c. "Many states have a zero-tolerance law for anyone under the age of 21 driving under the influence of drugs or alcohol." d. "Driving with friends in the car can help me identify dangers and reduce my risk of being in a motor-vehicle crash."

c. "Many states have a zero-tolerance law for anyone under the age of 21 driving under the influence of drugs or alcohol."

A nurse is caring for a 17-year-old adolescent who is being treated for depression. Which of the following statements by the adolescent should the nurse report to the provider immediately? a. "I am tired of feeling sad all the time." b. "I don't think anyone would miss me." c. "Sometimes I think I should just drive my car off a cliff." d. "Sometimes I think everyone would be better off without me."

c. "Sometimes I think I should just drive my car off a cliff."

A nurse is caring for a non-Hispanic Black client who is experiencing preterm labor. When assessing the client for pregnancy complications, the nurse recognizes that pregnant clients who are non-Hispanic Black have an increased risk for which of the following? a. Cesarean delivery b. Hysterectomy c. Admission to the ICU d. Having a child with a congenital birth defect

c. Admission to the ICU

A nurse is discussing care options with the family of an older adult client who is currently living with them. The family is concerned that the client will fall at home while they are at work. Which resource should the nurse recommend for the family? a. Long term care facility placement b. Home health care c. Adult daycare d. Senior health center

c. Adult daycare

A nurse is caring for several clients who all have caregivers. Which of the following client should the nurse identify as most likely to have their caregiver experience caregiver stress? a .A middle-aged client whose caregiver is their parent who utilizes adult day care during the week b. An older adult client whose grandchild is the paid caregiver several days per week c. An older adult client whose caregiver is their middle-aged adult child who works full time and has a school aged child d. An older adult client with a chronic condition whose caregiver is their spouse who is retired and has family that lives nearby

c. An older adult client whose caregiver is their middle-aged adult child who works full time and has a school aged child

A public health nurse is educating community members about the incidence of child maltreatment in the area at a local health fair. Which of the following should the nurse include as the most commonly reported type of child maltreatment? a. Sexual maltreatment b. Physical maltreatment c. Child neglect d. Emotional maltreatment

c. Child neglect

A nurse should understand that which of the following is an example of the socialization family function and structure? a. Family members learning how to budget and spend wisely b. Family members learning about relationship boundaries c. Family members learning how to interact with other members of society d. Family members learning how to take care of their health

c. Family members learning how to interact with other members of society

A nurse notices that the age and gender of each family member has been recorded in a client's chart. This information is a characteristic of which of the following? a. Family function b. Family dysfunction c. Family structure d. Family characteristics

c. Family structure

A community health nurse is preparing to give a presentation about heart health to a small group at a local community center. Which of the following is considered an educator-related barrier to learning? a. The nurse's age b. Having to do research prior to the presentation c. Lack of expertise in the subject area d. Not being able to answer a client's question

c. Lack of expertise in the subject area

A nurse is reinforcing the importance of adhering to their medication regimen with a client who has been diagnosed with a mental illness. The nurse should identify that this is an example of which of the following types of prevention? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Quaternary prevention

c. Tertiary prevention

A nurse is collecting data from an adolescent who is pregnant. Which of the following findings represents the greatest risk factor for the client? a. The client had their first prenatal visit in the third trimester. b. The client has an elevated blood pressure. c. The client reports being without housing. d. The client has a sexually transmitted infection.

c. The client reports being without housing.

A nurse is reviewing a client' s health record. Which of the following findings should the nurse identify as a risk factor for breast cancer? a. Family history of heart disease b. Receiving yearly mammograms c. Use of hormonal therapy d. Participation in aerobic activities three times weekly

c. Use of hormonal therapy

A nurse is communicating the definition of a genogram to a client. Which of the following statements should the nurse make to define a genogram? a. "A genogram is a tool for assessing the resources a family possesses to deal with challenges or a crisis." b. "A genogram is a visual illustration of the family in relation to other systems within the community, such as school, health care entities, work, and other social communities." c. "A genogram is a tool that is useful for assessing the ability of the family to respond to challenges and crises they may face." d. "A genogram contains all the information in a typical family tree, and also has details about family structure, timelines of major family events, conflicts, and documentation of family patterns."

d. "A genogram contains all the information in a typical family tree, and also has details about family structure, timelines of major family events, conflicts, and documentation of family patterns."

A clinic nurse is assessing a 6-year-old child during a well-child examination. The child's guardian asks the nurse how much longer the child will need to ride in a booster seat. Which of the following responses should the nurse make? a. "Children should ride in the back seat with a belt-positioning booster until they are at least 12 years old." b. "Children should ride in the back seat with a belt-positioning booster until they reach the maximum height and weight listed by the seat manufacturer." c. "Children should ride in the back seat with a belt-positioning booster until they are at least 4 feet tall." d. "Children should ride in the back seat with a belt-positioning booster until they are at least 4 feet 9 inches tall and are 8 to 12 years of age."

d. "Children should ride in the back seat with a belt-positioning booster until they are at least 4 feet 9 inches tall and are 8 to 12 years of age."

A nurse is educating a group of new parents and guardians about safe sleep practices for infants. Which of the following statements by a guardian indicates an understanding? a. "My baby should sleep on a soft mattress." b. "My baby should sleep in my bed with me until they are at least 6 months old." c. "My baby can sleep on their stomach for naps." d. "There should not be any pillows or toys in the bed with my baby."

d. "There should not be any pillows or toys in the bed with my baby."

A community health nurse is assisting with disaster preparedness and is following the eight domains of Core Competencies in Disaster Nursing by the International Council of Nurses. Which of the following actions should the nurse identify as part of the domain of intervention? a. Obtaining a translator when caring for clients who speak a different language than the nurse b. Participating in drills with other community members c. Updating a community's disaster plans and policies d. Collaborating with disaster response team members to provide surge capacity care

d. Collaborating with disaster response team members to provide surge capacity care

A nurse is preparing an in-service about methods to remove barriers to health care. Which of the following information should the nurse include? a. Attend an antidiscrimination rally held in the local community. b. Provide free food at a food bank. c. Support an initiative to add more homeless shelters to the community. d. Establish a mobile clinic to provide services for clients in rural communities.

d. Establish a mobile clinic to provide services for clients in rural communities.

A nurse is working with a family in which a few members have a chronic disease. Which of the following tools should the nurse use to gain insight into the strengths and vulnerabilities of a family who has chronic disease? a. Family APGAR b. Family genogram c. Family ecomap d. Family SCREEM

d. Family SCREEM

A nurse who works in a low socioeconomic status neighborhood where most families live below the poverty line finds that many of the children suffer from malnutrition. The nurse should identify that which of the following aspects of poverty increases a child's risk for malnutrition? a. Access to health care b. Inability to pay for medications c. Environmental exposures d. Housing insecurity

d. Housing insecurity

A public health nurse is educating nursing students about pediatric lead exposure. The teaching has been effective when the nursing students identify which of the following interventions as the most effective method of preventing children from environmental lead exposure? a. Home visits to identify sources of lead exposure when a child has elevated lead levels b. Administration of lead exposure questionnaires at well-child health care exams c. Lead blood screening for children at high risk for lead exposure d. Removal of lead from the environment before the child can be exposed

d. Removal of lead from the environment before the child can be exposed

A public health nurse is discussing the principle of utilitarianism when responding to a disaster with a group of nurses. Which of the following actions is an example of utilitarianism? a. Reusing personal protective equipment (PPE) to increase its availability b. Providing care to the youngest victims first c. Providing treatment to victims in the order of their arrival to the emergency department (ED) d. Using resources on victims who are more likely to survive

d. Using resources on victims who are more likely to survive

A nurse manager is preparing an in-service about vulnerable populations for nursing staff. Which of the following information should the nurse include? a. Population-based community health nursing interventions are focused only on those individuals who seek health care services. b. Childhood poverty does not increase the risk for poorer health across the lifespan. c. Pre-existing illness and age are social factors that can lead to vulnerability. d. Vulnerable populations experience more adverse health outcomes than the general population.

d. Vulnerable populations experience more adverse health outcomes than the general population.

A nurse at an urgent care clinic is discharging a child who was diagnosed with pediculosis. The child's guardian asks how their child could have developed this condition. Which of the following responses should the nurse make? a. "Pediculosis is transmitted through direct contact with saliva or feces from an infected person or indirect contact with contaminated surfaces." b. "Pediculosis is transmitted through direct contact with feces from an infected person or through ingesting contaminated food or water." c. "Pediculosis is transmitted through direct contact with blood from an infected person or animal or indirect contact with contaminated surfaces." d. "Pediculosis is transmitted through direct hair-to-hair contact or indirect contact with the personal belongings of an infected person."

"Pediculosis is transmitted through direct hair-to-hair contact or indirect contact with the personal belongings of an infected person."

A home health nurse is conducting a home visit for a client and their caregiver. Which of the following statements by the caregiver indicates stress? (select that apply.) - "I've been depressed lately." - "I'm tired most of the day." - "I'm very detailed oriented." - "I often blame myself for things." - "I am hopeful about the future." - "I've been keeping to myself lately."

- "I've been depressed lately." - "I'm tired most of the day." - "I often blame myself for things." - "I've been keeping to myself lately."

A nurse in a community health clinic is discussing the impact of current 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? 1. Aging of the population 2. Increased use of telehealth 3. Medicalization 4. Decreases in the workforce

2. Increased use of telehealth

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? 1. The ability to develop individualized care plans 2. The ability to analyze large data sets 3. The ability to work independently 4. The ability to gather data about a client's personal support system

2. The ability to analyze large data sets. Population-focused care requires nurses to access and analyze large data sets in order to understand the health of specific populations.

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? 1. "Medicare Part A will cover all of my prescription medications." 2. "I can add dependents to my Medicare plan if needed." 3. "Medicare will pay for me to be in a long-term facility if needed." 4. "I will have to pay for Medicare coverage if I choose to enroll."

3. "I will have to pay for Medicare coverage if I choose to enroll." Medicare is federally funded however, it is not free and clients who choose to enroll pay a monthly premium.

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? 1. National Institutes of Health (NIH) 2. Centers for Disease Control and Prevention (CDC) 3. Centers for Medicare and Medicaid Services (CMS) 4. United States Public Health Service (USPHS) Commissioned Corps

3. Centers for Medicare and Medicaid Services (CMS) CMS is the organization that oversees Medicare, a federal government-funded health care plan that provides health care benefits to clients age 65 years and older, younger clients who have disabilities, and clients with end-stage renal disease.

A nurse is working in a campus health center and 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? 1. Substance Abuse and Mental Health Services Administration (SAMHSA) 2. Agency for Toxic Substances and Disease Registry (ATSDR) 3. Food and Drug Administration (FDA) 4. Occupational Safety and Health Administration (OSHA)

3. Food and Drug Administration (FDA). The nurse should include in the program that the FDA is the federal agency that regulates tobacco products

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? 1. Focusing on the outcomes of racial inequities 2. Placing those with poser and resources in charge of the plan 3. Creating a day of remembrance to raise awareness of racial inequities 4. Budgeting financial resources fairly based on need

4. Budgeting financial resources fairly based on need. Essential to the success of a plan to address systemic racism is budgeting financial resources fairly based on need. Therefore, the nurse should include this as criteria essential for addressing racial inequities.

A community health nurse is preparing an educational program about Healthy People 2030 that will be presented at a local community center. What coals should the nurse include as part of a presentation about Healthy People 2030: (select all that apply) A-Give government the responsibility of designing policies to improve the health of the public B-Eliminate all chronic health conditions C-Promote healthy development and behaviors across all life stages D-Achieve health equity and attain health literacy to improve health and well-being

C; D

A nurse in a public health department is searching Healthy People 2030 for objectives with evidence-based interventions related to social determinants of health. Which of the following is a type of Healthy People objective that includes reliable baseline data and evidence-based interventions? A- Policy B- Developmental C- Research D- Core

D- Core

A nurse at a clinic is assessing a client who is apart of a vulnerable population. Which of the following actions should the nurse take? (Select all that apply.) - Ensure the environment is comfortable and nonthreatening. - Provide the client with financial advice. - Discuss client care with other members of the interprofessional team. - Provide culturally appropriate health care. - Offer the client personal medical advice.

- Ensure the environment is comfortable and nonthreatening. - Discuss client care with other members of the interprofessional team. - Provide culturally appropriate health care.

A nurse is reinforcing teaching with the family of a client who has a terminal illness. Which health care management options should the nurse include for discussion? (Select all that apply.) - Hospice care in an acute care facility - Hospice care in a rehabilitation center - Hospice care in the home - Hospice care in an inpatient hospice center - Hospice care arranged through the physician's office - Hospice care at an outpatient center

- Hospice care in an acute care facility - Hospice care in the home - Hospice care in an inpatient hospice center - Hospice care arranged through the physician's office

A public health nurse is working in a low-income neighborhood composed primarily of non-Hispanic Black families. The nurse is developing a teaching plan for parents about common pediatric health concerns. When compared to non-Hispanic Whites, for which of the following health concerns are low-income, non-Hispanic Black children at a greater risk? (Select all that apply.) - Obesity - Autism - Asthma - Diabetes - Preterm birth - Child mortality

- Obesity - Asthma - Diabetes - Preterm birth - Child mortality

A group of community health nursing students is preparing a presentation about lead toxicity in children. Which of the following characteristics of children should the students include as factors that increase a child's susceptibility to environmental lead exposure? (Select all that apply.) - Children eat less food and drink more water per pound of bodyweight than adults. - Children's organ systems grow at a slower rate than adults. - Children breathe at a faster rate and inhale less air than adults. - Young children frequently place objects in their mouths. - Children spend a greater amount of time close to the ground and soil. - Children have more years of life ahead of them than adults.

- Young children frequently place objects in their mouths. - Children spend a greater amount of time close to the ground and soil. - Children have more years of life ahead of them than adults.

A community health nurse is working with clients to make long-standing, health-related changes using the transtheoretical model. Place the stages of the transtheoretical model in order from first to last. (Move the stages into the box on the right, placing them in order from first to last. Use all the stages.) 1. Precontemplation 2. Contemplation 3. Preparation 4. Action 5. Maintenance

1. Precontemplation 2. Contemplation 3. Preparation 4. Action 5. Maintenance

A nurse is reviewing the need to include community gatekeepers in community partnerships. Which of the following statements describes the importance of this inclusion? a. Community gatekeepers are people who have an impact on community members, and the support of community gatekeepers can be pivotal in moving initiatives forward b. Community gatekeepers hold all of the authority in a community, and their support is necessary to ensure approval are granted for community projects c. Community gatekeepers have the largest impact on the youth of the community d. Community gatekeepers represent the underserved sectors of the population and should be included in partnerships

a. Community gatekeepers are people who have an impact on community members, and the support of community gatekeepers can be pivotal in moving initiatives forward

A nurse is working with a health care team to develop community partnerships. Which of the following actions should the nurse take to assist with this development? a. Focus on developing partnerships built on a foundation of pre-existing, trust based relationships b. Avoid adding partners as the organization becomes operational, as this can erode trust c. Identify that building trust throughout the process is not a priority, as trust can be assumed d. Change the core membership frequently to ensure new ideas are brought to the group

a. Focus on developing partnerships built on a foundation of pre-existing, trust based relationships

A nurse and a community team are examining the University of Kansas toolkit to see if it could inform their work. Which of the following steps should the nurse and the team focus on as their first action? a. Identification of key stakeholders b. Description of initiative framework or model c. Delegation of tasks d. Description of evaluation design

a. Identification of key stakeholders

A nurse is creating an impact report on a community initiative that has been in progress for the past six months. Which of the following is true about an impact report? a. It should be transparent and widely disseminated among community members b. It should be shared only with those who had a direct influence in the creation of the report c. Impact reports are only useful during the planning stages of a community program d. Impact reports should not be published

a. It should be transparent and widely disseminated among community members

A nurse is assisting with a presentation about the importance of stress reduction techniques with a group of veterans. The nurse should identify this as an example of which of the following types of prevention? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Quaternary prevention

a. Primary prevention

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 Rationale: The goal for activities like promoting vaccinations is to implement interventions that will prevent conditions of poor health from occurring.

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 Rationale: This an example of a secondary level of prevention as the focus is on the at-risk population. The other options do not apply.

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 fo 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. Rationale: Signs and symptoms that are opposite of those for pain are usually good indicators that pain relief has been achieved. The nurse should look to the nonverbal client's expressions as the main source of evaluation for meeting pain goals.

A community health nurse is discussing how to draw up and inject insulin with a group of clients at a diabetes mellitus clinic. Which of the following is true regarding the teach-back method? (select all that apply.) a. The teach back method is most effective as a short term evaluation method b. The teach back method is better for return demonstration of a new skill c. The teach back method might not be practical for long term evaluation d. Using the teach back method allows the nurse to clarify misconceptions by the client e. The client should recite what the nurse said during the session

a. The teach back method is most effective as a short term evaluation method c. The teach back method might not be practical for long term evaluation d. Using the teach back method allows the nurse to clarify misconceptions by the client

A nurse is reviewing various roles within the community. The nurse should identify which of the following information is correct about the role of public health nurse? a. a public health nurse uses evidence based care to promote health, prevent disease, and mitigate health risks within a community setting b. a public health nurse acts in an independent way, not influenced by other disciplines, but relying solely on the nursing perspective to foster primary prevention of disease within the community c. a public health nurse does not rely on the nursing process, as the nursing process is only used in a hospital or clinical setting d. the focus of a public health nurse is typically the care of an individual or small group of clients at the bedside

a. a public health nurse uses evidence based care to promote health, prevent disease, and mitigate health risks within a community setting

A public health nurse is collaborating with a community team to identify key health needs through comprehensive, methodical collection and analysis of data. Which of the following assessment models should the nurse recommend? a. The ecological model b. A community health assessment c. Windshield survey d. Primary data

b. A community health assessment

A community health nurse is collaborating with a community team and wants to use a data collection tool and planning resource to guide community partners in assessment and prioritization of community improvement initiatives. Which of the following tools should the nurse recommend? a. Ecological model b. CHANGE model c. CHNA d. Built environment assessment tool manual

b. CHANGE model

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 Rationale: The Healthy People initiative was launched in 1980 to help the United States set goals for a healthier society.

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 Rationale: Implementing recycling programs in major cities is an example of responsible consumption and production. Recycling programs reduce waste in the environment and provide a chance to reuse those materials in other products, decreasing the usage of natural resources.

A nurse and a community team are looking at the High 5 Initiative, as they are having similar issues in their community. Which of the following statements by the nurse indicates an understanding of the initiative and its applications? a. "It is a national initiative and likely not useful at the local level" b. "This initiative should be followed in our community exactly as outlined in the report" c. "This is a local initiative that could be adapted to our community's needs" d. "This initiative will ensure improvement of our local environment"

c. "This is a local initiative that could be adapted to our community's needs"

A nurse and a community team are working with the Strategic Prevention Framework. Which of the following describes the Strategic Prevention Framework? a. A guiding principle of the framework is homogeneity b. The framework should focus on culturally homogenous subpopulations c. A guiding principle of the framework is cultural competence d. The first step in the process is planning

c. A guiding principle of the framework is cultural competence

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 Rationale: The focus of a community health nurse is on the community as a whole.

A nurse and a community team are trying to increase interest within the community for the community program they are working to implement. Which of the following is a key strategy used to give community members a reason they should care about a community program goal? a. Craft a clear message b. Identify outreach methods c. Identify incentives d. Define goals

c. Identify incentives

A community health nurse is teaching a group of clients at a diabetes mellitus clinic about carbohydrate counting. Which of the following should the nurse include as an example of a long-term client outcome? a. Demonstrating how to check their blood pressure b. Listing foods to avoid hyperglycemia c. No hospital readmissions over the next 14 months d. Explaining in their own words how to count carbohydrates correctly

c. No hospital readmissions over the next 14 months

A community health nurse and a community team are prioritizing community-level data. They want to use a simple method of prioritization strategy that involves an open or secret vote. The nurse should use which of the following? a. The criteria weighting method b. The simplex method c. The quick and colorful approach d. Nominal group planning

c. The quick and colorful approach

A community health nurse and a community team are using the simplex method. Which of the following statements is true about the simplex method? a. The simplex method uses open-ended questions b. The simplex method prioritizes data with lower-scoring items c. The simplex method uses close-ended questions d. The simplex method is used to gather data in the community

c. The simplex method uses close-ended questions

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 Rationale: This public health essential service addresses supporting any partnerships the health department develops to utilize their resources and skills to address health issues affecting the public as a whole.

A population health nurse is researching evidence-based strategies for decreasing pollution caused by industrial waste. Which of the following does the nurse identify as a reason to use a Cochrane review as a resource to obtain information?

cochran contains systematic reviews if the synthesized evidence

A client who is int he 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?" Rationale: During the maintenance phase, clients might go back to old habits when stressors appear in their life. The nurse should determine what prompted the client to regress.

A public health nurse and community team are assessing the community using the Community Health Needs Assessment (CHNA) model. The nurse should identify that which of the following is true about this model? a. The model includes five sectors, of which the team should pick and choose only those sectors that pertain to their initiative b. There should be limited community representation for refinement of single objectives. c. The model focuses on both strengths and weaknesses of the community d. A guiding principle of the model includes evidence-based interventions

d. A guiding principle of the model includes evidence-based interventions

A public health nurse is working with a team to plan a community initiative. The nurse looks to national initiatives to drive community action. Which of the following outlines national objectives for health improvement and can be used to help drive community-specific objectives? a. The CHANGE model b. Community health assessment c. The Centers for Disease Control and Prevention d. Healthy People 2030

d. Healthy People 2030

Which of the following is true about the National Notifiable Disease Surveillance System? a. Reporting is voluntary; states can choose to opt in or out of the national reporting b. The list of national notifiable diseases is consistent throughout the US and does not vary from state to state c. Reporting to the national database only provides a way of tracking disease and is not used in the prevention of outbreaks of certain diseases d. It is a legal requirement for states to report on national notifiable diseases

d. It is a legal requirement for states to report on national notifiable diseases

A community health nurse is planning to create a partnership within a community for the advancement of community initiatives. The nurse should identify which of the following as an important aspect of this partnership? a. A partnership should involve a system in which community leaders dictate policy and community activities to enhance the wealth of a community b. The concept of community as partner recognizes the importance of relying on community health care provider to lead all aspects of community initiatives c. A partnership should be limited to community financial leaders to ensure feasibility of initiatives d. The promotion of health within a community should involve collaborative community efforts from a diverse group of community partners

d. The promotion of health within a community should involve collaborative community efforts from a diverse group of community partners

A school nurse is developing a program for nutritional needs for school-aged children. Which of the following will the nurse include as an evidence-based objective of Healthy People 2030?

eliminate very low food security among children in US house holds

A nurse is educating a group of students about calculating body mass index (BMI) related to age when determining obesity in children. The nurse should include that obesity in children is defined as having a BMI for age that is greater than which of the following percentiles? a. 95th percentile b. 85th percentile c. 90th percentile d. 97th percentile

a. 95th percentile

A community health nurse is planning an event for community members. Which of the following actions should the nurse take first? a. Decide on a topic to present b. Identify the target audience and their learning needs c. Create goals and learning objectives d. Pick a venue to host the event

b. Identify the target audience and their learning needs

A community health nurse is teaching a group of newly licensed nurses about emotional phases experienced during a disaster. Place the emotional phases of a disaster in the correct order. (Move the phases into the box on the right, placing them in the order they are experienced. Use all the phases) 1. Heroic phase 2. Honeymoon phase 3. Disillusionment phase 4. Reconstruction phase

1. Heroic phase 2. Honeymoon phase 3. Disillusionment phase 4. Reconstruction phase

A nurse is conducting an assessment on a 7-year-old child. The guardian reports the child frequently displays trouble with organization, is easily distracted, has difficulty paying attention, and is overly active. The nurse should recognize that these symptoms are commonly associated with which of the following pediatric health problems? a. Autism spectrum disorder (ASD) b. Attention deficit hyperactivity disorder (ADHD) c. Depression d. Anxiety

b. Attention deficit hyperactivity disorder (ADHD)

A nurse notices on a client's intake form that there is a history of heart disease in their family. Which of the following risk factors should the nurse identify this information as? a. Behavioral b. Environmental c. Biological d. Cultural

c. Biological

A community health nurse is developing an education activity for a client who is a tactile-kinesthetic learner. Which of the following activities would support a tactile-kinesthetic learner? a. Practicing taking their own blood pressure measurements b. Looking at pictures demonstrating basic exercise moves c. Listening to a presentation about nutrition d. Writing down key points during a presentation about diabetic foot exams

a. Practicing taking their own blood pressure measurements

A nurse is caring for a client who is receiving inpatient hospice services and requests additional pain medication. Which of the following actions should the nurse take? a. Provide distraction measures. b. Obtain a prescription to administer more analgesics. c. Inform the client that more medication is not indicated. d. Administer a prescribed sedative for the client.

b. Obtain a prescription to administer more analgesics.

A public health nurse is discussing wellness initiatives to assist with wellness promotion by the Department of Health and Human Services with a newly hired nurse. Which of the information should the nurse discuss? a. Medicare b. Healthy People 2030 c. Medicaid d. National Institute on Aging

b. Healthy People 2030

A nurse educator is presenting information to a group of community health nurses about using evidence-based practice sources when planning care for a community. In what order will the nurse discuss types of evidence, from most robust to least robust? (Move the steps into the box on the right, placing them in the order of strength of evidence. Use all the steps.) A- expert opinion and expert committee repots B- case control and cohort studies C- controlled trials without randomization D- systematic reviews of all randomized, controlled trials

D; C; B; A

A nurse and community team are using the Strategic Prevention Framework. Which of the following is true about this framework? a. A leader should be assigned b. Planning is an important step in the process c. The framework uses a three-step process d. Decision-making relies heavily on team opinion

b. Planning is an important step in the process

A nurse and a community team are using Strategic Prevention Framework. Which of the following is true about the Strategic Prevention Framework? a. It is a linear process b. It is opinion driven c. It uses a team approach d. It is a static, concise process

c. It uses a team approach

A community health nurse is planning a health education initiative for a client who responds well to incentives. Which of the following learning theories should the nurse use when planning education activities for the client? a. Social learning theory b. Cognitive learning theory c. Experiential learning theory d. Behavioral learning theory

d. Behavioral learning theory

A nurse is caring for a client following a suicide attempt. The client has a history of depression, substance use disorder, and anorexia nervosa. Which of the following actions should the nurse take first? a. Administer a depression assessment tool. b. Review the client's laboratory report. c. Make a contract with the client regarding their eating behavior. d. Initiate suicide precautions.

d. Initiate suicide precautions.

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 Rationale: Social Cognitive Theory explains that individuals will learn and adopt changes in habit when observing others who have mastered the behavior with positive results. The other theories focus on other aspects of lifestyle changes.

A school nurse has identified a need for improved playground safety. Using a quality improvement process that mirrors the steps of evidence-based practice, which of the following steps should the nurse take before selecting changes aimed at improving playground safety? A- organizing an effort to work on improvement B- planning the change C- doing it, executing the plan D- studying and analyzing new data and checking results E- clarifying current knowledge of the process

A, B, E

A nurse is reviewing discharge planning for several older adult clients. Which of the following clients should the nurse identify as most likely to require additional health care services? a. A client who has severe arthritis and lives alone. b. A client who has diabetes mellitus and lives alone. c. A client who has a cognitive disorder and lives with their family. d. A client who is scheduled for discharge to an acute rehab facility.

a. A client who has severe arthritis and lives alone.

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. Rationale: Parents who are working need affordable daycare for their children.

A community health nurse is working with clients to make long-standing, health-related changes. The nurse should know that the health belief model is used to determine which of the following? a. A client's knowledge and skill level b. A client's self-efficacy c. A client's readiness to change d. A client's motivation

d. A client's motivation

A community health nurse is involved in community-engaged research about physical activity levels of families who attend local schools. Using the nursing process, which of the following activities of the nurse represents the evaluation phase of the research?

The nurse and community residents present the findings at a school board meeting.

A nurse is reviewing Medicare Part B with a client. Which of the following statements by the client indicates understanding? a. "This covers admission to a long-term care facility." b. "This covers diagnostic testing and preventative treatment." c. "This will reduce my out- of-pocket costs." d. "This covers my prescription medications."

b. "This covers diagnostic testing and preventative treatment."

A nurse and a community team are assessing their community using the CHANGE model. The team recognizes they should consider which of the following as a sector of their model? a. Community population b. Health care c. Political leaders d. Individual

b. Health care

A team of home health nurses is searching for data about pressure Injury or protocols for use in the home setting. Which of the follow should they use to find pressure injury protocols? A- Robert wood johnson foundation B- Cochrane C- national institutes of health (NIH) office of disease prevention (ODP) D- healthy people 2030

B

A nurse at a public health department is presenting information about Healthy People 2030 to a group of community health the following categories will the nurse discuss specific, evidence-based interventions of Healthy People 2030? A- Mission B- Objectives C- Goals D- Vision

B- Objectives

A nurse is part of a team at a public health department that is preparing for accreditation. Which resource should the nurse suggest that the team use for guidance about accreditation criteria?

CDC

A nurse is working at a local school when a possible gas leak occurs in the building during lunch. Which of the following actions should the nurse take? a. Evacuate everyone from the building b. Shelter everyone in place c. Lock everyone down in the building d. Dismiss students immediately after lunch

a. Evacuate everyone from the building

A nurse in a public health clinic is leading a discussion about decreasing the risk for depression among older adult clients. Which of the following interventions should the nurse recommend? a. Organize an exercise program at the local community center. b. Encourage clients to move to a nursing facility to be around others their age. c. Watch for signs of depression. d. Encourage clients to focus on their strengths rather than their weaknesses.

a. Organize an exercise program at the local community center.

A community health nurse is discussing disasters with a group of new nurses. Which of the following statements by one of the new nurses indicates an understanding of the information? a. "Human-made disasters are always intentional" b. "Disasters often overwhelm the availability of local resources" c. "Mass casualty incidents are always the results of human-made events" d. "Disasters affect everyone equally"

b. "Disasters often overwhelm the availability of local resources"

A community health nurse is working with adolescents living in a shelter for people without housing. The nurse should recognize that frequent moving leaves these adolescents at an increased risk for which of the following? a. Developmental delays b. Asthma c. Diabetes d. Alcohol and drug use disorder

d. Alcohol and drug use disorder

A community health nurse is teaching a group of new nurses about their role in the recovery phase of the disaster management cycle. Which of the following activities should the nurse include in the teaching? a. Identify vulnerabilities in the community b. Educate community members on stockpiling food, water, and medication c. Mobilize first responders to a disaster site d. Refer community members to mental health services

d. Refer community members to mental health services

A nurse is working in a community clinic and observes that numerous clients have come to the clinic reporting nausea, vomiting, and blisters on their skin. Which of the following conditions should the nurse suspect? a. Smallpox b. Tuberculosis c. Radiation exposure d. Sarin exposure

c. Radiation exposure

A public health nurse is working with a health coalition to address the high rates of preterm birth in their area. The coalition is discussing possible primary prevention techniques that could be implemented. Which of the following interventions is considered a primary prevention strategy to address preterm birth? a. Pregnancy nutrition programs aimed at pregnant clients who have gestational diabetes b. Public health campaigns that clearly show the public the risks to pregnant clients and the fetus from smoking during pregnancy c. Free screenings at prenatal care clinics to help providers identify pregnant clients who are at an increased risk of preterm delivery d. Home visitation program for clients placed on bed rest during pregnancy for the prevention of preterm labor

b. Public health campaigns that clearly show the public the risks to pregnant clients and the fetus from smoking during pregnancy

A nurse is assisting with a community group presentation about the needs of vulnerable groups. Which of the following statements by the nurse indicates an understanding of the unique needs of vulnerable groups? a. "I always address the problem that the client believes is the most significant." b. "I avoid asking clients for income or financial information, because this is an invasion of privacy." c. "I include the client's cultural traditions as I complete my assessment." d. "I make sure to do a complete assessment, since we often don't know when the person will return to the

c. "I include the client's cultural traditions as I complete my assessment."

A nurse case manager is caring for a client who is a member of a vulnerable population. Which of the following actions should the nurse take? a. Set a time limit for the client to become self-sufficient. b. Take control of the client's care decisions. c. Attempt to develop a long-term relationship with the client. d. Rotate client caseloads frequently.

c. Attempt to develop a long-term relationship with the client.

A nurse is educating a nursing student about the leading causes of death from unintentional injuries in toddlers. The nurse knows teaching has been effective when the student correctly identifies which of the following as the leading cause of death from unintentional injuries in toddlers? a. Poisoning b. Suffocation c. Drowning d. Motor-vehicle crashes

c. Drowning

A community health nurse identifies clients who have potentially been exposed to a communicable disease during a disaster. Which of the following actions should the nurse take first? a. Have a discussion with the clients about their exposure to the communicable disease b. Schedule the clients for laboratory and diagnostic testing c. Isolate the clients away from others who have not been exposed d. Refer the clients to an infectious disease specialist

c. Isolate the clients away from others who have not been exposed

A nurse is discussing care options with the family of an older adult client who has dementia. The family states they will provide care for the client by using available family members. Which of the following family members should the nurse identify as most likely to be the client's full-time caregiver? a. The client's grandchild who is a young adult part-time college student b. The client's son who who is of middle-age and is currently employed c. The client's daughter who who is of middle age and is currently employed d. The client's sibling who is of middle age and is currently employed

c. The client's daughter who who is of middle age and is currently employed

A nurse is planning care for a client who was admitted one week ago for alcohol misuse disorder. The nurse asks the client if they live alone or with family or friends. The nurse asks this question for which of the following purposes? a. To plan an exercise program for the client b. To build rapport with the client by finding common interests c. To identify the client's potential support systems d. To determine the client's history of depression

c. To identify the client's potential support systems

A nurse is reinforcing dietary teaching iwth a 45-year-old client whose sibling died from colon cancer. Which of the following statements by the client indicates an understanding of the teaching? a. "I can eat grilled steak and a baked potato for dinner." b. "I can eat broiled chicken breast and a cup of blueberries for dinner." c. "I can eat beef stew and a cup of boiled rice for dinner." d. "I can eat a salami sandwich and a cup of yogurt for dinner."

b. "I can eat broiled chicken breast and a cup of blueberries for dinner."

A nurse is assisting with the care of multiple clients at a community health center. For which of the following clients should the nurse anticipate a referral for a social worker? a. A client who has asthma and reports increased need for inhaler use b. A client who has diabetes mellitus and reports inadequate medical supplies at home c. A client who has depression and reports inability to sleep at night d. A client who has hypertension and reports recent weight gain

b. A client who has diabetes mellitus and reports inadequate medical supplies at home

A nurse is preparing to discuss palliative care with nurses caring for a minority population group. Which of the following information should the nurse include? a. Minority groups are more likely to utilize palliative care services. b. Minority groups are less likely to access palliative care services. c. Minority groups are less likely to experience death in a hospital setting. d. Minority groups do not have disparities in palliative care services.

b. Minority groups are less likely to access palliative care services.

A community health nurse is gathering data to plan an event in the community. Which of the following activities are ways to collect primary data? (select all that apply.) a. Conducting a windshield survey b. Researching mortality rates c. Observing and interacting with community members d. Interviewing a local priest e. Reading the notes from a recent town hall

a. Conducting a windshield survey c. Observing and interacting with community members d. Interviewing a local priest

A community health nurse is reviewing disaster preparedness. Which of the following actions should the nurse plan to take when providing care during a disaster? (select all that apply.) a. Perform ongoing data collection as the disaster situation evolves b. Practice the principle of utilitarianism when responding to a disaster c. Intervene as needed to provide care to others, even if the action is outside the nurses scope of practice d. Report potential risks concerning safety and security to disaster response supervisors e. Consider the need for their own physical and psychological support

a. Perform ongoing data collection as the disaster situation evolves b. Practice the principle of utilitarianism when responding to a disaster d. Report potential risks concerning safety and security to disaster response supervisors e. Consider the need for their own physical and psychological support

A community health nurse is at the site of a mass casualty incident and is triaging victims. The nurse is evaluating an adult victim who is unconscious and not breathing spontaneously. Which of the following actions should the nurse take first? a. Reposition the victim's airway b. Tag the victim with the color black c. Check the victim's radial pulse d. Place the victim in a side-lying position

a. Reposition the victim's airway

A nurse is providing discharge instructions to a family of a client who is postoperative from knee surgery. A family member informs the nurse that they are concerned that they will not be able to care for client because of employment. Which of the following responses should the nurse make? a. "Maybe we can ask the doctor to let the client stay in the hospital longer." b. "You can use FMLA that is available through your job." c. "You can hire someone to help care for them while you work." d. "I'm sorry you are concerned about that. Here is a referral to a support group."

b. "You can use FMLA that is available through your job."

A public health nurse is conducting a home visit with new clients and completing a primary family assessment. Which of the following statements by a parent indicates the parent is experiencing caregiver role strain? a. "I frequently ask a family member to come over and help me take care of the children so I can get some rest." b. "My partner and I argue about money, and they don't think we need to be paying someone to help when I am capable of taking care of the children." c. "We don't have a lot of friends or family in the area, and money is tight, so we mostly go to the park to get out of the house." d. "We don't really have a routine; I feel sick and drained most of the time, so we can't keep up with a schedule."

d. "We don't really have a routine; I feel sick and drained most of the time, so we can't keep up with a schedule."

A school nurse is implementing a quality improvement process for medication adherence in adolescent children who have asthma. Using a quality improvement process that mirrors the steps of evidence-based practice, in what order will the following steps be the nurse's process as the implement a program to increase medication adherence in this population? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps) A- Clarify current knowledge about medication adherence in adolescent children who have asthma. B- Plan the change for increasing medication adherence in adolescent children who have asthma. C- Do the change; execute the plan tor increasing medication adherence in adolescent children who have asthma. D- Select changes aimed at increasing medication adherence in adolescent children who have asthma E- Act to sustain the gains that increase medication adherence in adole

B; A; C; F; D: E

A school nurse is researching information about the effects of homelessness on immunization rates in school-age children. In what order will the nurse examine each item, from most robust type of evidence to least robust? (Move the steps into the box on the right, placing them in the order or Strengtn or evidence. Use all the steps. A- An expert opinion presented in a conference in the current year from a pediatric immunologist B- Observational cohort studies about immunization rates performed with a population of homeless school-age children during the last 3 years c- Systematic reviews of all randomized controlled trials published within the last 5 years about the effects of homelessness on immunization rates in children D- A randomized controlled trial about the effects of homelessness on immunization rates on one state's population of school-age children

C; D; B; A

A nurse is conducting a presentation for a group of student nurses related to the goals and objectives of healthy people 2030. Which of the following does the nurse discuss as overarching goals of healthy people 2030? A- Reduce blood lead levels in children ages 1 to 5 years B- Increase the proportion of adolescents who receive treatment for their depression C- create social, physical, and economic environments that promote attaining the full potential for health and well-being for all D-eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all E- engage leadership, key constituents, and the public across multiple sectors to take action and design policies that improve the health and well being of all F- increase the proportion of children and adolescents who play sports

C; E

A community member is asking a community health nurse why evaluation of a program is important. Which of the following responses should the nurse make? a. "Program evaluation should be completed by a community influencer, such as an elected official" b. "Evaluation is done to appraise the outcomes of an initiative and to inform ongoing implementation of community initiatives" c. "Evaluation should take place at a set time and occur only once at the end of a project" d. "Program evaluation should include limited data for simplicity and quantification"

b. "Evaluation is done to appraise the outcomes of an initiative and to inform ongoing implementation of community initiatives"

A nurse and a community team are collaborating with the Healthy People 2030 initiative. Which of the following is the vision of Healthy People 2030? a. To promote, strengthen and evaluate the nation's efforts to improve the health and wellbeing of all people b. A society in which all people can achieve their full potential for health and wellbeing across the lifespan c. Promotion of health and wellbeing and preventing disease through linked efforts that encompass physical, mental, and social health dimensions d. Investment to achieve the full potential for health and well-being for all, providing valuable benefits to society

b. A society in which all people can achieve their full potential for health and wellbeing across the lifespan

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 Rationale: The focus of any public health professional is the population. While the nurse may provide care for an individual's needs, such as for immunizations, the nurse primarily focuses on groups for health promotion and disease prevention and usually in a community setting.

A client asks a nurse to help identify resources for a weight loss plan the client is developing. Which of the following theoretical 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 Rationale: This model is good for formulating individualized plans for change towards healthier behaviors.

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 Rationale: This is an example of a primary level of prevention. Screening is secondary level while the other two instructions are on the tertiary level.

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. A employee needing to be assessed to return to work d. A employee complaining of burning eyes after being exposed to a chemical agent

d. A employee complaining of burning eyes after being exposed to a chemical agent Rationale: Chemical exposures, particularly to eyes or mucous membranes, require immediate attention with interventions that are time sensitive. This person would need to be seen first.

A Public health nurse is collaborating with a community team and considering which assessment tool looks at health as a broad, multifaceted concept and considers health as impacted by individual, community, social, political, and physical elements. Which of the following tools should the nurse recommend? a. CHANGE model b. Built environment assessment tool c. CHNA d. Ecological model

d. Ecological model

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? 1. "We can use video conferences as a method of telehealth to hold remote meetings with staff and clients." 2. "Text messaging can be used as a method of telehealth." 3. Faxing prescriptions to the pharmacy is an example of telehealth." 4. Sending email messages through commonly used email servers is one way to use telehealth."

1. "We can use video conferences as a method of telehealth to hold remote meetings with staff and clients."

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? 1. Establishment of the Henry Street Settlement 2. Establishment of the Stillman House 3. Establishment of the Frontier Nursing Service (FNS) 4. Establishment of the American Red Cross

1. Establishment of the Henry Street Settlement.

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? (Select all that apply) 1. Homicides 2. Obesity 3. Colorectal Cancer Screening 4. Drug Overdoses 5. Influenza Immunizations

1. Homicides 4. Drug Overdoses 5. Influenza Immunizations

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 student are the least prepared to address? 1. Quality Improvement 2. Patient-Centered Care 3. Informatics 4. Teamwork and Collaboration

1. Quality Improvement The director should include in the discussion that quality improvement is the QSEN competency that most students report as being the least prepared to address.

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 in chronological order from oldest to newest, the following acts would be listed in what order? The Sheppard-Towner Act The Civil Rights Act The Medicare and Medicaid Act The Social Security Act The Health Insurance Portability and Accountability Act

1. The Sheppard-Towner Act (1921) 2. The Social Security Act (1935) 3. The Civil Rights Act (1964) 4. The Medicare and Medicaid Act (1965) 5. The Health Insurance Portability and Accountability Act (1996)

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? 1. Decrease in the mosquito population 2. Exacerbations in respiratory conditions 3. Reduced risk of exposure for clients who live in poverty 4. Improved access to clean water

2. Exacerbations in respiratory conditions Extreme weather and temperatures create significant health risks to all by exacerbating heart and respiratory conditions.

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? 1. Funding for maternal child care programs 2. Prohibition of racial discrimination in nursing organizations 3. Formation of training programs for school nurses 4. Establishment of the National Center for Nursing Research

2. Prohibition of racial discrimination in nursing organizations. The U.S. Cadet Nurse Corps prohibited discrimination in nursing organizations and was a direct result of the Nurse Training Act of 1943. Therefore, the nurse should include this in the discussion.

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? 1. Adding telehealth-related content to the nursing curricula. 2. Restructuring pay and rewards for nurses who practice outside of acute care settings 3. Increasing nursing representation on community planning boards 4. Providing incentives for nurses nearing retirement age to continue working.

2. Restructuring pay and rewards for nurses who practice outside of acute care settings

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? 1. "Women and men experience partner violence equally." 2. "Partner violence is the leading cause of death for women." 3. "Partner violence is underreported." 4. "Only physical abuse is considered partner violence."

3. "Partner violence is underreported." This is an accurate statement and should be identified as an understanding of partner violence.

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 in the discussion as the organization that provides domestic and international disaster relief? 1. U.S. Public Health Services (USPHS) Commissioned Corps 2. Centers for Disease Control and Prevention (CDC) 3. American Red Cross 4. Health Resources and Services Administration (HRSA)

3. American Red Cross The American Red Cross is a nonprofit organization dedicated to providing domestic and international disaster relief. Therefore, the nurse should include the American Red Cross in the discussion.

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? 1. The medicalization of treatment for lifestyle-related conditions. 2. The decreasing of the nursing work force 3. The implementation of population health strategies 4. The increasing age of the American population

3. The implementation of population health strategies.

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? 1. Dr John Snow 2. Dr. Edward Jenner 3. Lemuel Shattuck 4. Alexander Fleming

4. Alexander Fleming He discovered Penicillin in 1928 1. Dr John Snow one of the founders of epidemiology because of his work with Cholera epidemic in London 2. Dr Edward Jenner credited with the discovery of the smallpox vaccine 3. Lemuel Shattuck discovered the connection between illness and sanitation.

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? 1. Clara Barton 2. Mary Breckinridge 3. Jessie Sleet Scales 4. Florence Nightingale

4. Florence Nightingale The nurse should identify Florence Nightingale as the first nurse who focused on environmental conditions, which improved outcomes of care on battlefields and in hospitals during the 1800s

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 fruits and vegetables

a. Ask the client to discuss what barriers they perceive that prevent compliance Rationale: While all of the other options may be interventions that could be used to encourage compliance, the nurse does not have enough data to determine the next course of action. More assessment on the reasons for possible noncompliance is needed before anything else can be done.

A community health nurse is working on an educational program focused on health promotion and disease prevention. Which of the following strategies should the nurse plan to implement? (Select all that apply) a. Give short, curt responses, so they can get through all of the clients questions b. Provide literature that is translated in the language in which the client is proficient c. Keep written literature, such as brochures and flyers, at no more than a fifth grade level d. Limit supplemental instructional methods, such as videos and pictures e. Limit the amount of content covered to prevent overwhelming the client

b. Provide literature that is translated in the language in which the client is proficient c. Keep written literature, such as brochures and flyers, at no more than a fifth grade level e. Limit the amount of content covered to prevent overwhelming the client

A nurse is asked to develop an impact report regarding a recent community health initiative program. Which of the following information is true regarding this type of report? a. An impact report should not be shared on public websites b. An impact report is a private report used for agencies to identify issues c. An impact report is a communication tool outlining the outcomes of a community project d. An impact report is generated to guide assembly of community organizers

c. An impact report is a communication tool outlining the outcomes of a community project

A nurse and a community team are working on a situation statement. Which of the following describes the purpose of a situation statement? a. To provide a list of available resources b. To identify key stakeholders c. To outline geographic boundaries d. To provide definition of issues in which community awareness and support are sought after

d. To provide definition of issues in which community awareness and support are sought after

A team of public health nurses wants to implement a practice change related to use of surgical masks by nurses during community immunization clinics from September to January. When searching for scientific evidence about the use of effects of surgical masks on the incidence of influenza among nurses, in what order will the nurses format their PICOT question? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) A- nurses who administer immunizations during community events B- Incidence of influenza C- use of surgical mask D- No use of mask E- September to January

A, C, D, B, E

A community health nurse is reporting their findings from research conducted about the need for primary care clinics in a community. According to Wilder's community-engagement research model, which of the following activities would the nurse report if the community was engaged in the research in the collaborator role? (Select all that apply.) A- residents filled out questionnaires on the survey tool B- residents attended information sessions presented by the nurse during the research process C- Residents suggested the questions that should be included on the survey tool D- residents volunteered to count the number of completed surveys returned each day E- Residents developed informational brochures for the community before the research process began F- residents donated the data collection supplies

A,D, F

The nurse educator for the county public health department Is planning a course about building community partnerships for local community health nurses. Which of the following does the nurse educator recognize as a benefit of including information about evidence-based practice: A- Strengthened standards of care B- Increased job satisfaction of the nurse C- Increased efficiency with which nurses locate objective evidence D- increased use of ritualistic care E- Increased health care quality

A; B; C; E

A community health nurse is Involved in community-engaged research about employer-provided health benefits in a small, rural community. Which of the following are potential ethical concerns related to recruitment of participants or confidentiality of information? A- The leader of the data collection team recruits their family members for the research B-The Mayor offers use of a conference room in city hall for Informational sessions C- A member of the data collection team volunteers to collect data from their family-owned restaurant employees D-A local primary care provider offers to supply information about residents during the data collection process E- The owner of a factory offers bonuses to employees who participate in the research

A; C; D; E

A public health nurse is facing challenges with the local public health team while implementing evidence-based interventions in an immunization program. Which of the following statements by team members should the nurse identity as knowledge-related barriers to implementation of evidence-based practice? (Select all that apply. A- "I do not really know how to use the computer for anything other than checking email and updating the spreadsheets" B-"I barely have time to get everything done, because my caseload has grown by 50 percent this year" C- "The supervisor said that the way we do things has worked for years, and there is no reason to change" D- "I took a statistics course in college, but i have not really used any of it since then" E- "I am not really sure where to look for new evidence" F- " The last time we tried to present new evidence, the director discouraged it

A; D; E

A team of community health nurses has been formed to address the low immunization rate of the adult population in a rural community. Using a quality improvement process that mirrors the steps of evidence-based practice, in what order will the following steps be included in the nurses' process as they implement a program to increase immunization rates in this population? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) A-Clarify current knowledge B-Find a process to improve C-Select changes aimed at performance improvement D-Study new data and check results E-Do it; execute the plan

B; A; C; E; D

A community health nurse is planning a health education initiative and wants to incorporate the humanistic learning theory. Which of the following are principles of the humanistic learning theory? (Select all that apply.) a. Learning a holistic process b. Knowledge should be formally evaluated c. The learner should feel physically, mentally, and emotionally safe d. Incentives are necessary to motivate the learner e. The learner needs to have behaviors modeled for them

a. Learning a holistic process c. The learner should feel physically, mentally, and emotionally safe

A nurse and team of community members are beginning to prioritize the data they have collected. Which of the following is true about prioritization of community-level data? a. Prioritization at the community level must focus on needs impacting the community or subpopulations b. Prioritization of community data should be left to formal community leaders, such as a mayor or councilperson c.Prioritization is not important; all community data should be treated equally, and focus should be put on all initiatives in an equal fashion d. Prioritization should focus solely on community needs

a. Prioritization at the community level must focus on needs impacting the community or subpopulations

A community health nurse is working on an educational program focused on health promotion and disease prevention. Which of the following statements is true regarding health literacy? a. The nurse should provide a list of definitions for medical jargon b. The nurse should use plain language c. Clients who have college education do not require assistance d. Asking a client for return demonstration is not necessary if they say they understand

b. The nurse should use plain language

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. Rationale: When there's not enough funding for schools or affordable education, the local residents' chances at increasing their wage-earning potential are decreased.

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 founds 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). Rationale: Per mandatory reporting laws, the nurse would need to notify CPS immediately for investigation and possible removal of the student from the situation. This is a secondary level of prevention under early treatment.

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 mediation.

d. Review the labs before having the client take the mediation. Rationale: While all of these tasks need to be completed, checking the labs before administering medication takes priority.

A community health nurse is planning to host a local health fair. Which of the following statements is true regarding community engagement? a. Health education initiatives do not need to provide funding b. Education initiatives should be focused on what the nurse believes to be important for the community members to learn c. Nurses partnering with community members can convince them to view health issues from their perspective d. Underserved communities are often left out of decision-making

d. Underserved communities are often left out of decision-making

A home health nurse is searching for Evidence-based information about the benefits of caregiver support groups. Which of the following sources is the best sources for systematic reviews and recommendations about this topic? A- Cochrane B- PICOT C- healthy people 2030 D- Robert wood johnson foundation

A

A community health nurse is planning a health education initiative for clients who have type 2 diabetes mellitus. The nurse should identify which of the following as the goal of client education? a. Behavioral change b. Knowledge retention c. Modifying beliefs and values d. Learning new skills

a. Behavioral change

A public health nurse wants to implement a local prevention program to help with mental health disorders among adolescents. Which of the following primary prevention strategies is effective in addressing mental health disorders in adolescents? (Select all that apply.) - Educating parents of children who have depression about recognizing concerning behaviors - Adolescent programs for safe dating and healthy relationship skills - Programs for treatment and support of alcohol and drug use disorder - Establishing partnerships between primary pediatric health care organizations and mental health providers - Programs to strengthen household financial security - Programs for early childhood home visitation

- Adolescent programs for safe dating and healthy relationship skills - Programs to strengthen household financial security - Programs for early childhood home visitation

A nurse is educating a group of parents and guardians about promoting health body weight during childhood. Which of the following statements by a parent indicates that the teaching has been effective? a. "Family activities such as trail walking and bike riding can help encourage my child to be active." b. "I should encourage my child to look for food they like to eat when eating lunch at school." c. "My child should visit their primary care pediatric health provider when ill." d. "If my child looks like they are not gaining weight, I should limit what they eat and only let them drink water."

a. "Family activities such as trail walking and bike riding can help encourage my child to be active."

A nurse is caring for a group of clients. The nurse should identify that which of the following clients is a member of a vulnerable population? (Select all that apply.) - A client who has substance use disorder and tests positive for HIV - A client who smokes and uses chewing tobacco daily - A client who recently had a baby and requests information about child care - A client who has limited access to health care because they live in a rural area - A veteran who just returned from an overseas tour of duty after being injured

- A client who has substance use disorder and tests positive for HIV - A client who smokes and uses chewing tobacco daily - A client who has limited access to health care because they live in a rural area - A veteran who just returned from an overseas tour of duty after being injured Rationale: Vulnerable populations include clients who have low socioeconomic status, are without housing, have special needs, have mental illness, have substance use disorder, and have been incarcerated. Vulnerable populations can include adolescents who are pregnant, migrant workers and immigrants, and individuals who are at risk for or have communicable diseases.