Test 3 Community

21 A community health nurse is working with other professionals to develop preventive programs to address the leading cause of death in men and women. Which of thefollowing would be appropriate? A) Risk reduction for heart disease B) Cancer screening C) Safety education D) Flu vaccine immunization

Ans: A

22 When describing the changes occurring in theolder adult population globally, which of the following would be most accurate? A) The over-80 years age group is the fastestgrowing segment of the group. B) Males have a longer projected life expectancywhen compared with females. C) Most countries have adequate numbers of social programs for older adults. D) Adults over age 65 are expected to account for about 25% of the population by 2050.

Ans: A

25 A community health nurse is meeting with a group of individuals who have been diagnosed with a serious mental illness. The nurse interprets this to mean which of the following? A) The clients have impaired level of functioning and quality of life. B) The clients' disorder is chronic and persistent. C) The clients have issues of impaired control and dependency. D) The clients have a significant behavior syndrome with present distress.

Ans: A

A community health nurse implements the use of promotoras to promote health in migrant communities. Which of the following best describes a promotora? A) Nonprofessional community outreach worker B) Trained childbirth assistant C) Retired nurses knowledgeable of the area D) Language translators

Ans: A

A community health nurse is applying the Behavioral Model for Vulnerable Populations when evaluating a local community. Which of the following would the nurse include as an enabling factor? A) Insurance B) Acculturation C) Knowledge of disease D) Marital status

Ans: A

A community health nurse is involved in a screening program for alcohol use with an ethnically diverse population. Which of the following would be the best instrument touse? A) Alcohol Use Disorders Identification Test (AUDIT) B) CAGE questionnaire C) Michigan Alcoholism Screening Test (MAST) D) Drug Abuse Screening Test (DAST)

Ans: A

A community health nurse is part of a disaster response team that is first to respond to an earthquake. The team evaluates the level of destruction and devastation, identifying thisas which of the following? A) Intensity B) Scope C) Casualty D) Range of effect

Ans: A

A community health nurse is part of a group working with local and state legislators to expand health insurance coverage for those with inadequate or no insurance. Which outcome would the nurse hope to achieve ifthe group is successful? A) Increase use of early screenings B) Increase emergency room visits C) Increase episodic care D) Increase disparities in care

Ans: A

When explaining the concept of disability to a local community group, which of the following descriptions would be mostappropriate for the nurse to include? A) A disability is a condition someone has, not something one is. B) The plan of care for two persons with the same disability would be the same. C) A disability refers to a person's inability to do something. D) Handicap and disability are two terms that go hand in hand.

Ans: A

When performing triage during a disaster, which color would indicate that the victim is in urgent need of care? A) Red B) Yellow C) Green D) Black

Ans: A

When working with the older adult population in the community, which of the following would be most important for the community health nurse to do? A) Develop case management programs to channel clients to appropriate services B) Place the older adult in skilled nursing facilities for the best care available C) Raise funds to support the needs of the older adults in the community D) Emphasize tertiary prevention at this stage in the lives of the older adult

Ans: A

Which of the following are characteristics of healthy older adults? A) They are able to perform functional activities of daily living. B) They are able to adapt, to continue to handle stress, and to be active in life and living. C) They maintain the maximum degree of physical, mental, and social vigor. D) They are likely to be dependent on others. E) They reside in institutions.

Ans: A

Which of the following reasons is most likely to force a rural hospital to close? A) Rural hospitals have a high risk for financial problems and closures. B) Rural hospitals do not have access to high tech equipment and services. C) Rural hospitals are able to attract many specialty physicians. D) Many rural residents depend heavily on public health department services.

Ans: A

Which of the following statements about disaster planning is most accurate? A) Disaster planning is essential for a community, business, or hospital. B) A disaster plan must be lengthy and detailed. C) A disaster plan should be created by the person responsible for the emergency management of the community. D) It is assumed that all professionals have addressed their personal preparation.

Ans: A

Which one of the following statements about coronary heart disease and stroke are most accurate? A) Cardiovascular disease kills more women than men. B) Stroke kills more men than women. C) White persons are more likely to have their first stroke earlier than Black persons. D) Risk factors for cardiovascular disease are not

Ans: A

Which one of the following statements about elder abuse is most accurate? A) Elder abuse is a problem that is under recognized and underreported. B) It is more common for elderly men to be abused rather than elderly women. C) If there is long-term domestic violence in an elderly couple, it is not considered elder abuse for the perpetrator to continue to abuse thevictim. D) Self-neglect is not considered to be a form of mistreatment.

Ans: A

Which one of the following statements about life expectancy is most accurate?A) The life expectancy for White women is 4 years greater than for Black women. B) The life expectancy for Black men is 6 years greater than for White men. C) In the United States, life expectancy continues to decline. D) There is a gap in life expectancy between women and men of more than 6 years.

Ans: A

Which organization would be most appropriate for the community health nurse to contact for assistance when dealing with countries shattered by war and ethnic violence? A) Center for International Humanitarian Cooperation B) CARE C) Global Health Council D) International Council of Nurses

Ans: A

While working in a community health clinic, a community health nurse interviews a 24- year-old client. Which of the following would lead the nurse to suspect that the client isbinge eating? A) Significant weight loss from dieting last year B) Participation in excessive exercise C) Exaggerated concern about body shape D) Severe emaciation

Ans: A

Women who are victims of intimate partner violence, the nurse develops interventions aimed at the primary level of prevention. Which of the following would be mostappropriate for the nurse to include? A) Assisting them to locate a safe shelter B) Providing immunizations C) Screening for sexually transmitted infections D) Teaching about basic hygiene measures

Ans: A

A community health nurse is preparing a presentation for a community group about possible agents of terrorism. Which of the following would the nurse include as an example of a bioweapon? Select all thatapply. A) Mustard gas B) Sarin C) VX gas D) Nerve agents E) Bombs

Ans: A, B, C

When assessing vulnerable populations, a community health nurse uses a popular model that contains three related concepts. Which of the following would the nurse include? Select all that A) Resource availability B) Relative risk C) Health status D) Housing E) Education

Ans: A, B, C

Which of the following are necessary components of a nurse's personal preparedness? Select all that apply. A) Workplace and community disaster planshave been reviewed by the nurse. B) An individual disaster plan for the nurse's own family has been developed. C) The nurse participated in disaster drills at the workplace and had a family disaster drill to practice what actions to take in the event of adisaster. D) It is not necessary for the nurse to bring copies of their nursing license and driver's license. E) In the case of an actual disaster, the nurse will be able to use equipment made available to them.

Ans: A, B, C

An older adult interested in nutrition asks the community health nurse about the number of calories that he or she should eat every day. Which of the following would be most appropriate? A) 800 to 1,200 calories B) 1,200 to 1,600 calories C) 1,600 to 2,000 calories D) 2,000 to 2,400 calories

Ans: B

Community-based organization to develop programs to provide quality accessible health care to the homeless population. Which of the following would be the most appropriate source from which to seek funding for this program? A) Projects for Assistance in Transition fromHomelessness (PATH) B) Health Care for the Homeless (HCH) C) The Interagency Council on Homelessness D) U.S. Department of Housing and Urban Development

Ans: B

During a home visit to a family, a community health nurse encourages the mother, aged 42, and grandmother, aged 67, to have a clinicalbreast exam at which frequency? A) Monthly B) Yearly C) Every 2 years D) Every 3 years

Ans: B

For which reason are homeless youth at higher risk for HIV, hepatitis, and sexually transmitted infections? A) They are not likely to receive treatment for HIV, hepatitis, and sexually transmitted infections. B) They lack education or job training skills and may resort to prostitution or survival sex, which increases their risk for HIV, hepatitis,and sexually transmitted infections. C) Homeless adolescents may have difficulty accessing emergency shelter because of shelter policies that prohibit older youth fromthe facility. D) It is not uncommon for homeless youth to bearrested for running away, breaking curfews, or being without supervision.

Ans: B

The community health nurse is using effect theory to design a prevention program for behavioral health. Which of the following would be the most likely place for the nurse to start? A) Identifying antecedent factors leading to the problem B) Identifying the specific health problem C) Determining the desired health problem impact D) Specifying the health problem outcome

Ans: B

When assessing a group of migrant farmworkers, the community health nurse notes that the group leaves their home base for part of the year to travel to the same place along a route during the agricultural season, usually returning on yearly basis. The community health nurse identifies this as which of the following? A) Restricted circuit migration B) Point-to-point migration C) Nomadic migration D) Migrant stream migration

Ans: B

When describing elder abuse to the families of older adults who are attending a local community presentation, which of the following would the community health nurse identify most commonly as the perpetrator? A) Elder's adult child B) Elder's partner C) Elder's neighbor D) Elder's grandchild

Ans: B

When describing primary prevention activities that would occur in the preparedness phase of a terrorist attack involving biologic weapons like smallpox or anthrax to a local community group, which of the followingwould the nurse include? A) Investigating outbreaks to determine source B) Administering vaccines C) Screening suspected cases D) Treating persons who have been infected

Ans: B

When developing programs to assist individuals with disability and chronic illness, which of the following would be most important? A) Narrow focus B) Holistic practice C) Orientation to the present D) Episodic care

Ans: B

When would the nurse expect the response phase of a disaster to occur? A) When no disaster is expected or anticipated B) Immediately after the onset of the disastrous event C) Long-term phase occurring after the disastrous event D) Prior to the disastrous event

Ans: B

Which of the following activities best exemplifies a community health nurse forging a relationship? A) Dealing with sensitive subjects B) Introducing one's self as a community health nurse C) Listening to more than just what is said D) Being aware of the long term commitment to the client

Ans: B

Which of the following federal agencies would a community health nurse expect to be contacted to assist with a disaster in the United States? A) American Red Cross B) Federal Emergency Management Agency (FEMA) C) WHO's Emergency Relief Operations D) Pan American Health Organization

Ans: B

Which of the following is a major difference between Healthy People 2010 and Healthy People 2020 with respect to people with disabilities? A) Healthy People 2010 emphasized the disparities that persons with disabilities experience. B) The emphasis on "secondary conditions" in Healthy People 2020 has been replaced in Healthy People 2020 with a concern for health disparities for people with disabilities. C) People with disabilities do not experience health disparities any more than people in the general population. D) Healthy People 2020 continues to emphasizesecondary conditions.

Ans: B

Which of the following statements about the World Health Organization is accurate? A) The World Health Organization does not provide technical support for interventions or provide assistance developing nursingknowledge and skills. B) The World Health Organization can help a member state determine the drugs that are essential and will assist in developing healthpolicy, project plans, and programs. C) The World Health Organization provides medicines and other tangible resources to its member states. D) The World Health Organization focuses on professional issues to support the development of particular health-relatedpractitioners, such as nurses.

Ans: B

Which of the following statements about theNational Alliance on Mental Illness (NAMI) is most accurate? A) NAMI focuses on the needs of the peoplewho actually have mental illness. B) NAMI is committed to enhance the care of those with mental illness and improve the quality of life of those who are affected. C) The NAMI Web site contains some information that is intended to be used exclusively by care providers. D) All services of NAMI are provided at themain headquarters.

Ans: B

Which of the following statements regarding WHO Collaborating Centers is most accurate? A) One or two Regional Nursing Advisors carryout the work of a region that might be the home to thousands of nursing personnel. B) The World Health Organization Collaborating Centers in Nursing and other fields focus on specific areas of expertise and carry out thework of the member countries in these areas. C) It is referred to a philosophy, a movement, away of thinking, a setting for health services, or a set of principles. D) It focuses on professional issues to supportthe development of particular health-related practitioners.

Ans: B

Which of the following would a community health nurse expect to assess in the population of homeless men? A) Marital status B) Substance abuse C) Permanent employment D) Frequent use of shelters

Ans: B

Which of the following would be most appropriate for community health nurses to encourage when helping communities cope with the anxiety associated with terrorism? A) Maintaining high levels of alertness and fear B) Spending time with children and young people C) Spending more time indoors D) Keeping a fear journal

Ans: B

Which of the following would the community health nurse identify as a major limitation for using biological markers for screening forsubstance use? A) Sensitivity of the test B) Cost of the test C) Factors influencing the test D) Ease of obtaining a specimen

Ans: B

Which one of the following factors has resulted in the Era of Chronic Long-Term Health Conditions? A) Decreased usage of tobacco by youngpopulations B) Despite programs of control, many infectious diseases persist with many people surviving to experience chronic, long-term conditionssecondary to the infectious disease. C) Shorter life expectancies due to chronic diseases D) Death from infectious diseases results in a decrease in degenerative diseases.

Ans: B

17 A community health nurse is working with people who experienced a tornado and have been forced to leave their homes to escape the effects of a disaster. The nurse would identify these people as which of the following? A) Indirect victims B) Refugees C) Displaced persons D) Casualties

Ans: C

23 Which of the following would a community health nurse use to define vulnerable populations? A) Those persons with higher mortality rates B) Individuals with lower life expectancy C) Those with increased risk for adverse health outcomes D) Individuals with chronic illness

Ans: C

A community health nurse has completed a community assessment. Which of the following would be next? A) Decide on an intervention B) Locate an appropriate the specific focus area in Healthy People 2020C) Establish a community diagnosis D) Determine the level of prevention

Ans: C

A community health nurse is preparing a presentation about drug use and abuse for a group of adults. Which of the following would the nurse include as the one of thefastest growing forms of drug abuse? A) Cocaine B) Alcohol C) Prescription drugs D) Heroin

Ans: C

A community health nurse is preparing ateaching program that addresses chronic diseases common among older adults. Which of the following would be most appropriate to include? A) Forty percent of older adults are diagnosedwith diabetes. B) Weight-bearing exercises are related toincreased cases of osteoporosis. C) Postural hypotension can be related to falls inelders. D) Older White men have the highest rates ofhypertension.

Ans: C

A community health nurse is teaching a group of older adults at a senior center about strategies for successful aging. Which of thefollowing would the nurse include? A) Limit drinking alcohol to once or twice a month B) Avoid eating too many fruits and vegetables C) Keep in touch with friends and family D) Get up early in the morning

Ans: C

A community health nurse is working with a political group to lobby for changes in funding for a mental health promotion program. The nurse is functioning in whichrole? A) Educator B) Collaborator C) Advocate D) Case manager

Ans: C

A community health nurse working in a local women's health clinic is planning a teaching session for a group of women about menopause. Which of the following would the nurse include in the session? A) Menopause involves very noticeable and characteristic symptoms. B) The symptoms are usually temporary lasting for a month or two. C) It can occur as early as age 30 but more commonly ages 45 to 55 years. D) Going 6 months without a period signals menopause.

Ans: C

A community health nurse, who is working with a program to foster early detection of prostate cancer, recommends prostate-specific antigen testing and a digital rectal exam for men with average risk starting at which age? A) 40 years B) 45 years C) 50 years D) 55 years

Ans: C

A community implements a plan to enforce the underage drinking law. The community health nurse interprets this action as reflectingwhich public health model? A) Primary prevention B) Behavioral prevention C) Environmental prevention D) Clinical prevention

Ans: C

A nurse is describing how rural community health nursing compares with community health nursing in urban and suburban areas. Which of the following would the nurse include about rural community health nurses? A) Salaries comparable with the other two areas B) More difficulty in initiating planned change C) Nurses viewed as active, highly respected community members D) Less physical isolation from professional

Ans: C

After teaching a class about the International Classification of Functioning, Disability, and Health (ICF), the instructor determines that the teaching was successful when the students identify which of the following as a personal factor? A) Problems with ambulation B) Working C) Coping styles D) Amputation

Ans: C

After teaching a class on urban health to a group of community health nursing, the instructor determines that the teaching was successful when the students describe it as which of the following? A) Providing care to those individuals who are living in ghettos B) Addressing the needs of immigrants living in large cities C) Considering effects of environment on the health of large cities D) Ensuring the appropriate planning of attractive and equitable places

Ans: C

After teaching a group of community health nursing students about urban sprawl and its effects, the instructor determines that additional teaching is needed when the students identify which of the following as an effect? A) Water pollution B) Heat islands C) Less exposure to pesticides D) Decreased air quality

Ans: C

After teaching a group of community health students about public and private sector programs and initiatives aimed at combating homelessness, the instructor determines that they need additional teaching when they identify which of the following as a privatesector organization? A) National Coalition for the Homeless B) National Alliance to End Homelessness C) National Resource Center on Homelessness and Mental Illness D) National Low Income Housing Coalition

Ans: C

After teaching a group of older adult women about preventing osteoporosis, which of the following if stated by the group indicates theneed for additional teaching? A) We should eat foods that are high in calcium B) We need to get bone density screenings regularly C)We should avoid activities that involve weight bearing D) We need to make sure that maintain a healthy weight

Ans: C

After teaching a group of students about agents associated with chemical warfare, the instructor determines that additional teaching is needed when the students identify which as an example? A) Explosives B) Nerve Agents C)Anthrax D) Jet Fuel

Ans: C

After teaching a group of students about leading health risks, the instructor determines that the teaching was successful when the students identify which of the following as the#1 leading health risk? A) Unsafe sex B)High blood pressure C) Underweight D) Tobacco consumption

Ans: C

After teaching a group of students about the most common health problems affecting older adults in the community, which of the following if identified by the students would alert the instructor to the need for additional teaching? A) Arthritis B) Hypertension C) Emphysema D) Peripheral vascular disease

Ans: C

Ch 24 Develop effective plans to meet the needs of people with disabilities, the community health nurse reviews the statistics involving individuals with disabilities. Which of the following would the nurse identify as accurately reflecting the number of personswith ongoing disability? A) 10 million peopleless than 5% of the USpopulation B) 27 million peopleabout 10% of the USpopulation C) 36 million peopleabout 12% of the USpopulation D) 150 million peoplealmost 50% of the USpopulation

Ans: C

Ch 26 An instructor reviews the definition of homelessness according to the McKinney V ento Homeless Assistance Act with a group of community health nursing students. The instructor determines that the students need clarification when they include which of thefollowing as homeless? A) Someone living in a public shelter B) Someone living in a park C) Someone who is incarcerated D) Someone who lives in his or her car

Ans: C

Population for socioeconomic resources. Which of the following would the nurse address? A) Quality of care provided B) Access to health care services C) Educational opportunities D) Adequacy of health care providers

Ans: C

The community health nurse is explaining the reasons for health problems in the homeless population. Which of the following would thenurse identify as the most likely reason? A) Issues related to storage of medications B) Lack of transportation to keep appointments C) Time and energy focus on survival needs D) Limited access to health care services

Ans: C

The nurse educator is aware that the nursing student has a grasp of the major health problems of adults when the nursing student makes which one of the following statements? A) "Morbidity and mortality among adults does not vary much by age, gender, and race/ethnicity" B) The six leading cause of death in adults include suicide, Alzheimer's disease, and homicide C) "Diseases of the heart and cerebrovascular diseases are the first and third causes of death in adults D) Malignant neoplasms, chronic lower respiratory diseases, unitentional injuries, and diabetes mellitus are not among the six lading causes of death in adults

Ans: C

27 When describing the term "frontier area" which of the following would the nurse include as the most common description? A) A population density of fewer than 1,000people per square mile B) Population density of 1,000 people or more per square mile C) Fewer than 10,000 residents in the community D) Fewer than six people per square mile

Ans: D

A community health nurse has identified noise as an environmental hazard. Using the Blumenthal classification, the nurse would identify this as which of the following class? A) Infectious agents B) Asphyxiates C) Poison D) Physical agents

Ans: D

A community health nurse is applying the Institute of Medicine model based on Gordon's Classification of Disease Prevention model to address prevention of alcohol use during pregnancy and prevention of fetal alcohol syndrome. Which of the following populations would the nurse target indicated prevention strategies? A) Local women in the community of childbearing age B) Women of childbearing age living in a city C) Women of childbearing age considered at risk D) Pregnant women who have a child with fetal alcohol syndrome

Ans: D

A community health nurse is describing social capital and its impact on populations to a group of local community leaders. Which of the following would the nurse suggest as a way to improve the social capital of the community? A) Better job training B) Improved educational programs C) Expanded employment opportunities D) More community organizations

Ans: D

A community health nurse is developing a plan of care for a family who is providing round-the-clock care in their home for a daughter who is chronically ill. Which of the following would be most important for thenurse to integrate into the plan? A) Insurance limitations B) Skill teaching C) Flexible visiting D) Respite care

Ans: D

A community health nurse is making a home visit to a family who is providing care to an older adult member with Alzheimer's disease for the past 6 months. During the visit, which of the following would be most important forthe nurse to assess? A) Cognitive status B) Medication regimen C) Personality changes D) Caregiver's status

Ans: D

A community health nurse is part of community discussion group on alcohol. The nurse recommends that adult males shouldhave less than A) 6 standard drinks weekly. B) 8 standard drinks weekly. C) 10 standard drinks weekly. D) 14 standard drinks weekly.

Ans: D

A community health nurse is preparing a program for a local community group about homelessness. A portion of the program will address homeless men. Which of thefollowing would the nurse include? A) Homeless men are not looked down upon less than other groups. B) Homeless men are usually eligible for social services. C) Homeless men are perceived as blameless for their situation. D) Single, low-income men only qualify for medical assistance if disabled.

Ans: D

A community health nurse is providing an in- service program to the agency staff about effect theory, which will be used to develop behavioral intervention programs. The nurse determines that the staff needs additional teaching when they identify which of thefollowing as a component of the theory? A) Determinant theory B) Intervention theory C) Impact theory D) Process theory

Ans: D

A community health nurse is providing information handouts that describe the need for annual gynecologic exams to local health clinics that provide care for individuals with disabilities. The nurse is fulfilling which role? A) Advocate B) Coordinator C) Researcher D) Educator

Ans: D

A community health nurse is reading a journal article about global health and communicable diseases. The article states that elimination is the goal. The nurse interprets this to meanwhich of the following? A) There are no further cases of the diseaseanywhere. B) No further preventive efforts are necessary. C) The disease is no longer a public health threat. D) The disease has been interrupted in a geographic area.

Ans: D

A community health nurse is working to improve the health children of migrant families. Which of the following issues would be of least importance for the nurse to address? A) Adolescent substance abuse B) Exposure to domestic violence C) Mental health problems D) Participation in chores

Ans: D

A community health nurse is working with a group of homeless clients with substance abuse problems. Which of the following would be appropriate for the nurse to do at the tertiary level of prevention? A) Conduct mass screening for common communicable diseases B) Institute a mobile van to assist in early diagnosis of common illnesses C) Advocate for counseling programs to address high risk behaviors and abuse D) Assist in ensuring participation in substance abuse rehabilitation programs

Ans: D

A community health nurse is working with a group of visually impaired individuals and is developing a program to promote self- confidence and self-respect. Which of the following organizations would be a valuableresource for the nurse? A) American Foundation for the Blind B) American Council of the Blind C) Guide Dogs for the Blind D) National Federation of the Blind

Ans: D

A group of community health nurses who work in continuing care retirement centers are asked to talk to a group of seniors about what they do. Which of the following would thenurses identify as unique for this setting? A) Accept clients who primarily need skilled nursing services B) Are similar to board and care homes C) Are respite centers for family members of older adults D) Provide a variety of housing and care options that elders need as they age

Ans: D

A group of students are reviewing for an examination on nongovernmental organizations that provide global interventions. The students demonstrate the need for additional study when they identifywhich of the following as an example? A) Global Health Council B) CARE C) Carter Center D) World Bank

Ans: D

Which of the following would a community health nurse include when describing the differential vulnerability hypothesis? A) Exposure to risk factors affects thepopulation's social and human capital. B) Everyone is at risk because of stressful eventsoccurring in life. C) A risk for a negative outcome increases withlower education and income levels. D) Certain groups are impacted by stressfulevents more than others.

Ans: D

Which of the following would a community health nurse recommend adult men and women over the age of 50 receive yearly? A) Electrocardiogram B) Tetanus booster C) Flexible endoscopy D) Hemoccult stool testing

Ans: D

Which of the following would likely provide the best estimate of the number of persons who are homeless? A) Counting the number of homeless people on aparticular day B) Counting the persons who are homeless in a given week C) Counting the number of persons who are homeless at a specific time on a specific date D) The number of people who have been homeless over the course of a year

Ans: D

Which one of the following are the primary roles that the community health nurse must use to understand and serve populations withmental illness? A) Advocate B) Educator C) Case manager D) Consumer of epidemiologic data

Ans: D

Which one of the following statements about nonprofit organizations that serve those withmental health issues is most accurate? A) They are all associated with the government. B) A for-profit organization that promotes mental health is Mental Health America, which was established in 1909. C) The organization National Mental HealthAssociation is a scam. D) They focus on advocacy, education, service,and funding research endeavors.

Ans: D

Which one of the following statements about poliomyelitis is the most accurate? A) Polio is not endemic in any countries at present. B) Polio has been eliminated worldwide. C) Rotary International has contributed no funds but many hours of manpower to eradicate polio. D) Polio has been eliminated from the Western hemisphere.

Ans: D

After teaching a class about commonly used illicit substances, the instructor determines that the teaching was successful when the class identifies which of the following as themost frequently reported illicit drug? A) Heroin B) Methamphetamine C) Marijuana D) Cocaine Ans: C

After teaching a class about commonly used illicit substances, the instructor determines that the teaching was successful when the class identifies which of the following as themost frequently reported illicit drug? A) Heroin B) Methamphetamine C) Marijuana D) Cocaine Ans: C

A community health nurse is preparing a presentation for a community group about tuberculosis (TB) and its current epidemic status. Which of the following would the nurse include in the presentation about this disease? A) TB kills about 1.7 million people each year. B) All persons who are infected by the causative organism become ill and can spread the causative organism to others throughout the remainder of their lifetime. C) Three fourths of the world's population is thought to be currently infected by the causative organism. D) The highest number of deaths is in Eastern

Ans: A

A community health nurse is preparing a presentation for a group of local community nurses about measures to help decrease health disparities. Which of the following would be the least effective suggestion? A) Avoiding political involvement in issues B) Working with schools to reduce the dropout rate C) Organizing task forces to raise community awareness D) Holding community meetings to identify needs

Ans: A

A community health nurse is preparing to work in a country in which women are viewed as weak and ineffectual. Which of thefollowing would the nurse need to do first? A) Determine his or her own position and beliefs about this viewB) Develop a basic plan to change the view of womenC) Become aware of possible areas that might impact careD) Avoid situations involving the care of women

Ans: A

A community health nurse is responding to a disaster. Which of the following would most likely be the least appropriate area for thenurse to be located? A) The disaster site B) Triage C) Victim treatment area D) Local hospitals

Ans: A

A community health nurse is working to empower clients of a vulnerable population. Which of the following client behaviors indicates that the nurse is achieving this goal? A) Collaboration with their health care providers B) Demonstration of a reactive focus C) Hesitancy in the use of resources D) Viewing of situations as nonchangeable

Ans: A

A community health nurse is working with a community that is involved with identifying risk factors for program development in case of a disaster. This community is in whichphase of disaster management? A) Prevention B) Preparedness C) Response D) Recovery

Ans: A

A community health nurse working with urban populations integrates the concept of social justice into practice by demonstrating which of the following? A) Impartiality B) Paternalism C) Self-interest D) Inflexibility

Ans: A

A patient comes to the community health clinic with complaints of changes in urination. Which of the following would lead the community health nurse to suspect that the patient has benign prostatic hypertrophy(BPH)? A) Nighttime frequency B) Dysuria C) Hematuria D) Flank pain

Ans: A

After teaching a class of community health nursing students about the World Health Organization, the instructor determines that the teaching was successful when the class identifies which of the following as thehighest governing body? A) World Health Assembly B) WHO Collaborating Centers C) The European Union D) U.S. Agency for International Development

Ans: A

As part of secondary prevention, the community health nurse engages in crisis intervention to achieve which of thefollowing? A) Reestablish equilibrium to the lives of those involved B) Prevent the crisis altogether C) Involve as many people as possible in the resolution D) Triage clients during the recovery phase of the crisis

Ans: A

Help achieve a reduction in the number of measles deaths worldwide? A) Integrated Management of Childhood Illness(MCI) B) Global Alliance for Vaccine and Immunization C) Oral rehydration therapy D) Geographical information systems

Ans: A

The nurse educator is aware that the nursing student needs further instruction on the terminology related to rural, frontier, migrant, and urban issues when the nursing students identifies which of the following? A) A rural area has six or fewer persons per square mile. B) There are many factors that are considered when determining if a community is rural or frontier other than population density. C) Urban areas are much more densely populatedthan urban areas. D) An urban area consists of at least 2,500 people per square mile with at least 1,500 of those who reside outside institutional groupquarters.

Ans: A

The nurse educator knows the nursing student understands the effect of homelessness on the health of children when the nursing studentidentifies which of the following? A) Homeless children are four times more likely to become ill B) While approximately 87% of homeless children are enrolled in school, only about 77% attend regularly C) Fewer than 25% of homeless children graduate from high school D) Homeless children are twice as likely as their housed counterparts to repeat a grade in school

Ans: A

When applying the Universal Imperatives of Care, which of the following would be the priority? A) Mortality B) Daily functioning C) Decision making D) Cost

Ans: A

When attempting to describe the characteristics of a typical rural population to a group of community health nurses, which ofthe following would the nurse include? A) Older, White, with a lower income and less formal education B) Young minorities with a lower income and less formal education C) Wealthier, more highly educated, older White Americans D) A reflection of the population as a whole

Ans: A

When describing the importance of the World Health Report to a group of students, the instructor would emphasize which of the following? A) It challenged the world community to focus more attention on unhealthy behaviors that lead ultimately to chronic disease, disability,and early mortality. B) Lifestyle choices are not one of the keycontributors to morbidity and mortality levels in either affluent or poor countries. C) Infectious disease is the major threat .D) Malnutrition is the only threat.

Ans: A

When determining a target population for education about alcohol use, which age group would the community health nurse mostlikely plan to address? A) 18- to 25-year-olds B) 30- to 40-year-olds C) 45- to 55-year-olds D) 65 years of age and older

Ans: A

When developing a plan of care for a group of male patients experiencing erectile dysfunction, which of the following would thenurse expect to institute first? A) Lifestyle changes B) Adjustments to current medications C) Psychotherapy D) Behavior modification

Ans: A

Which of the following are the three areas has Healthy People identified for public health action for the year 2020 using the International Classification of Functioning,Disability, and Health? Select all that apply. A) Improve the conditions of life for persons with disabilities B) Address the inequitable distribution of resources among people with disabilities and those without disabilities C) Expand the knowledge base and raiseawareness about determinants of health for people with disabilities D) Ensure the health of people with disabilities by influencing many social and physical factors E) Public health activities need to focus only on preventing disability

Ans: A, B, C

Which of the following statements about the International Council of Nurses (ICN) are accurate? Select all that apply. A) ICN represents the global interests andconcerns of the nursing profession. B) The mission of ICN is to maintain the role of nursing in health care through its global voice. C) ICN has, as members, nursing organizations from 130 countries representing 13 million nurses. D) ICN is a governmental organization. E) ICN employs Regional Nursing Advisors.

Ans: A, B, C

When addressing homeless children and youth, which of the following situations are also considered homeless according to the education subtitle of the McKinneyVento Homeless Assistance Act? Select all that apply. A) Children who share housing with others due to economic hardship or loss of housing B) Children who are abandoned in hospitals C) Children who are awaiting placement in foster care D) Children who are living in motels, trailer parks, or camping groundsE) Children who are living apart from one or more of their parents

Ans: A, B, C, D

Which of the following are reasons why it is difficult to estimate the number of persons who are homeless? Select all that apply. A) It is difficult to estimate the number of people who are homeless, since homelessness is a temporary condition. B) It is difficult to locate and account for peoplewho are homeless. C) Some people are unable to access shelters where they would be counted as homeless because the shelter is already overcrowdedand there is limited capacity. D) In rural areas, there are fewer housing options and resources for the homeless and as a result people may be forced to live temporarily withfriends or family. E) Homelessness is increasing due to poverty and the growing shortage of affordable rental housing.

Ans: A, B, C, D

Which of the following are subpopulations that are more likely to be sheltered homeless in urban areas? Select all that apply A) Adult males B) African Americans C) Veterans D) Disabled E) Migrant workers

Ans: A, B, C, D

Which of the following are types of health disparities that are due to inequities that can be corrected? Select all that apply. A) Patients feel that they are unable to trust the information given to them and may not follow it as explained. B) Limited access to appropriate level of care C) Poor access to quality care D) Overt discrimination E) Health-damaging behaviors that are chosen by an individual despite health education and counseling efforts

Ans: A, B, C, D

Which of the following comprise the primary criteria for effective programs for older adults? A) Coordination B) Accessibility C) Comprehensive D) Complex E) Quality

Ans: A, B, C, E

Which of the following statements about Healthy People 2020 and reducing substance use and addressing mental health needs ismost accurate? Select all that apply. A) After a diagnosis is established, the nurse can decide on an intervention that can address the specific public health issue identified in the diagnosis using the Healthy People 2020 objectives. B) It could be considered a priority as two of thetop ten health indicators relate to substance use and mental health. C) Target benchmarks and data derivation foreach objective can be used to guide program development. D) Reducing substance abuse and addressing mental health needs are not priority with Healthy People 2020. E) The goals are to improve mental health through prevention and to reduce substance abuse to protect the health, safety, and qualityof life for all, especially children.

Ans: A, B, C, E

Which of the following vulnerable populations have been subjected to perceived poor quality of care and access to care? Select all that apply. HIV-infected persons A) HIV- infected persons B) Persons who use illicit drugs C) People of non-white race/ethnicity D) People of white race/ethnicity E) Homeless persons

Ans: A, B, C, E

A community health nurse is engaged in primary prevention activities related to disasters. Which of the following would be examples of appropriate activities? Select all that apply. A) Providing anticipatory guidance B) Practicing an escape plan C) Providing emergency assistance D) Planning disaster drills E) Providing immediate response F) Reducing the degree of disability

Ans: A, B, D

A community health nurse is preparing for a presentation on disabilities and is planning to include information about Healthy People 2020 goals. When addressing these goals, the nurse identifies differences from the goals addressed by Healthy People 2000. Which of the following would the nurse identify asdifferent? Select all that apply. A) Rather than individuals with disabilities and/ or chronic illnesses being defined by their limiting conditions, they are viewed as having the potential to meet and exceed health promotion and disease prevention goals setfor the nation's population as a whole. B) The approach to disability now emphasizes the principles of health promotion and disease prevention for those currently experiencingdisabilities and/or chronic illness. C) The goals for Healthy People 2000 have an entire section on disability and secondary conditions. D) A growing realization that healthy life-years for persons with disabilities equate to decreased health costs at local, state, and national levels, just as they do for persons without disabilities.

Ans: A, B, D

A community health nurse works to offer increased health care services to meet the needs of a local migrant population. Which of the following ideas will work well for thispopulation? Select all that apply. A) Providing a mobile van clinic that comes to the farms during the day B) Offering a clinic at the migrant camp from 7 to 10 PM C) Asking local doctors to stay open until 6 PM during the summer D) Offering school-based health services for the children E) Providing a breakfast program for the children at school

Ans: A, B, D, E

A community health nurse is reviewing research related to women's health. Which of the following would the nurse use to obtain information about postmenopausal women's health? A) The Women's Health Study B) The Women's Health Initiative C) The Nurses' Health Study I D) The Nurses' Health Study II

Ans: B

A nursing student is considering a career in international community health nursing. Which of the following statements are accurate regarding the context of international community health nursing? Select all that apply. A) Global community health care is complex and is affected by multiple factors relating to geography, history, politics, culture, religion,and economy. B) The types of services that can be provided include a range from providing clinical services to policy making at an internationallevel. C) People's conception of health, wellness, and illness are static from culture to culture. D) By looking through a computer window, the student is able to see almost anyplace, connect to about any person, and accessinformation about almost any concept. E) The ways in which people view nurses and other health care providers are affected by their attitudes toward women, their culture,and belief systems.

Ans: A, B, D, E

Which of the following have a direct and negative influence on the vulnerability of migrant workers? Select all that apply. A) Many are undocumented aliens and live infear of deportation. B) They are often deprived of safe workingconditions. C) Their children are deprived of a qualityeducation. D) They often lack adequate sanitation andhousing. E) They often have poor nutrition because ofpoverty.

Ans: A, B, D, E

When assessing a group of individuals for factors related to an increased risk for alcohol use disorders, which of the following would the nurse expect to find? Select all that apply. A) Academic engagement/achievement B) Antisocial peer affiliations C) Decreased impulsivity D) Positive motherchild/fatherchild relationships E) Stressful life events

Ans: A, B, E

Which of the following are involved in accessing and using epidemiologic data to understand and serve populations with mentalillness? Select all that apply. A) Identifying the incidence and prevalence of mental disorders B) Understanding that all data are accurate C) Examining the causes and risk factors associated with mental illness D) Identifying the needs of people with mental disorders

Ans: A, C, D

A community health nurse is working to develop programs to address the health status of migrant families. Which of the following would the nurse need to keep in mind when planning these programs? Select all that apply. A) A greater mortality from injuries, TB, respiratory diseases, and cerebrovascular diseases B) A dramatic increase in use of immunizationsfor migrant children C) An infant mortality rate that is 25% to 30% higher than for other infants in the United States D) Health needs compromised by limited accessto health care and high mobility E) A much lower life expectancy than that of the general population

Ans: A, C, D, E

Which of the following examples of disasters are natural disasters? Select all that apply. A) The Earthquake and tsunami in Japan in 2011 B) The 2008 shootings at Virginia Tech C) The terrorist attacks on the United States on September 11, 2001 D) Wildfires that affected California in October 2007 E) The oil spill in the gulf coast in 2010 that threatened hundreds of species of wildlife

Ans: A, D

Which of the following statements are common misconceptions about older adults? Select all that apply. A) It is normal for older adults to become more confused and childlike, forgetful, and lose contact with reality as they age. They become "senile" B) As older adults age, they become more different and less alike other older adults. C) Older people are very capable of learning new things. D) As age increases, older adults withdraw, become inactive, and cease being productive.

Ans: A, D

A community health nurse is assisting the local community in preparing a disaster plan. Which of the following would the nurse expect to be addressed? Select all that apply. A) Chain of command B) Routes for transportation C) Triage D) Basic equipment E) Copies of licenses

Ans: A,B,C

Which of the following are reasons for the increase in poverty rates over recent years? Select all that apply. A) Declining wages B) Decline in public assistance C) Loss of jobs that offer security and carry benefits D) A decline in manufacturing jobs in favor of lower paying service jobs E) Globalization and outsourcing F) Homelessness

Ans: A,B,C,D,E

Which of the following are included in a comprehensive set of services? Select all that apply. A) Adequate financial support B) Health education C) Encouragement to spend much time alone D) Adult day care programs E) Access to high quality health care services F) In-home services

Ans: A,B,D,E,F

When dealing with urban populations, which of the following issues would a community health nurse most likely face? Select all that apply. A) Health disparities in the population B) Lower levels of homelessness C) Increased cases of asthma D) High levels of poverty E) Major transportation issues

Ans: A,C,D

A community health nurse instructs a local community group on how to prepare homemade oral rehydration solution. Which of the following ingredients would the nurse include? A) Sea water B) Table salt C) Baking soda D) Crushed bananas

Ans: B

A community health nurse is assessing an older adult's ability to perform activities such as shopping, doing the laundry, using the telephone, and handling finances. Which assessment tool would be most appropriatefor the nurse to use? A) Barthel Index B) Instrumental Activities of Daily Living Scale C) Katz Index of Activities of Daily Living D) Modified Rankin Scale

Ans: B

A community health nurse is compiling a list of organizations that serve the needs of persons with disabilities. Which of the following would the nurse categorize as a federal agency? A) National Organization on Disability B) National Council on Disability C) National Association of the Deaf D) American Foundation for the Blind

Ans: B

A community health nurse is making a home visit to a family. The family has a son with a disability who requires a motorized wheelchair. The family asks for the nurse's assistance. Which response by the nursewould be most appropriate? A)His disability should automatically cover the cost of the chair B) well need to check with the insurance company about coverage C) You'll probably be able to get it if you pay for half the cost D) You might be able to get a regular wheelchair, but a motorized one is impossible

Ans: B

A community health nurse is planning to apply the International Classification of Functioning, Disability, and Health to clinical care in the community. The nurse could use this document as a basis for which of the following? A) Curriculum design B) Needs assessment C) Quality of life measures D) Policy design

Ans: B

A community health nurse is reviewing the effects of the Americans with Disabilities Act of 1990. Which of the following would the nurse identify as a major result of thislegislation? A) Employers with five or more employees must abide by the American with Disabilities Act. B) Architectural barriers must be removed from pathways so that they are accessible by wheelchair. C) The disabled are eligible to receive telephone services in their home at no cost to them. D) Individuals with disabilities who wish to vote must be provided transportation to polling places to vote.

Ans: B

A community health nurse is working with a community that is involved with improving community and individual reaction and responses, so that the effects of a disaster are minimized. This community is in which phaseof disaster management? A) Prevention B) Preparedness C) Response D) Recovery

Ans: B

A community health nurse is working with a grant funded project to address stroke prevention nationwide. After reviewing statistics related to stroke, which would the nurse identify as having the greatest need forthis type of program? A) North central B) Southeast C) Southwest D) Pacific northwest

Ans: B

A community health nurse is working with an international agency in Australia. The nurse would most likely encounter which type ofhealth care system? A) Entrepreneurial B) Welfare-oriented C) Comprehensive D) Socialist

Ans: B

A community health nurse is working with an older adult population ranging in age from 75 to 85 years. The nurse correctly classifies thisgroup as which of the following? A) Young-old B) Old-old C) Oldest-old D) Elite-old

Ans: B

A community health nurse meets with a group of adults at the local senior center. They range in age from 65 to 70 years. The nurse would recommend vision screening at which frequency? A) Every year B) Every 2 years C) Every 5 years D) Every 10 years

Ans: B

A community health nurse responding to a disaster is involved with caring for the bodies of the casualties who have died. Which of the following would be an appropriate method for documentation? A) Making a note on the triage tag B) Using a toe tag for identification C) Placing the name on a casualty list D) Recording the name on the victim's body

Ans: B

A community health nurse who will be working with a homeless population is planning care. Which of the following wouldthe nurse need to do first? A) Develop trust with the population B) Clarify personal values and beliefs C) Focus on the issue of homelessness D) Visit the local shelter where the clients are

Ans: B

A community health nurse working as a part of a disaster response team is told that the disaster is classified as a multiple-casualty incident. The nurse would interpret this tomean which of the following? A) There is more than 1 but less than 10 casualties. B) The number of casualties is between 2 and 100. C) Casualties number over 100. D) There are too many casualties to count.

Ans: B

A community health nurse working with a group of vulnerable clients is focusing on empowering them. Which of the followingwould be most effective? A) Keeping the clients to a firm schedule of visits B) Viewing the clients as active partners in the process C) Having the clients cut through bureaucratic red tape D) Focusing on the clients' limitations

Ans: B

A group of ten people from the commune in the hills come into town dressed in robes and have their faces covered. They have weapons hidden in their clothing and begin entering the three banks in town to rob them. These actions can be classified as which of the following? A) Natural disaster B) Terrorism C) Casualty D) Adventitious crisis

Ans: B

A nurse is instructing the adult male members of a family on how to perform testicular self examination. Which of the following wouldthe nurse include? A) Performing the examination every 3 months B) Completing the exam right after a hot shower C) Examining both testicles at the same time D) Reporting a slight difference in size of one testicle

Ans: B

After teaching a class about the factors that contribute to disasters, the instructor determines that the teaching was successful when the students identify which of the following as the agent? A) Population's age B) Radiation C) Level of preparedness D) Flood-prone location

Ans: B

After teaching a group of students about factors associated with vulnerable populations, the instructor determines the need for additional teaching when thestudents identify which as a factor? A) Homelessness B) Acute illness C) Income D) Immigrant status

Ans: B

After teaching a group of students about the socioeconomic gradient in health, the instructor determines that the students understand the concept when they state that the relationship between social class and health is which of the following? A) Direct B) Inverse C) Positive D) Unequal

Ans: B

After teaching a group of women in the community about common mental health disorders affecting them, the community health nurse determines that the teaching has been effective when the group identifies which one of the following? A) Anxiety disorders and mood disorders occur twice as frequently in men as in women. B) Women of color, women on welfare, poor women, and uneducated women are more likely to experience depression than womenin the general population. C) The three main types of eating disorders affect more men than women. D) The three main types of eating disorders include undereating due to food unavailability.

Ans: B

An instructor in community health nursing teaches a group of students about the role of the World Health Organization and global health, reviewing the importance of the Declaration of Alma-Ata. The instructor determines that the students have grasped the importance when they describe it as which ofthe following? A) The beginning of the Carter Center's work indisease prevention and agriculture B) A formal document written by 134 nations in 1978 to achieve "health for all" C) Participatory development activities, workingin partnership with voluntary organizations D) Alliance building and communicating bestpractices for global health development

Ans: B

An older adult comes to the community health center for a checkup. During the visit, he or she mentions that he or she is somewhat constipated. Which of the following suggestions would be most appropriate? A) Use a laxative about once or twice a week B) Increase your intake of fresh fruits and vegetables C) Drink about four 8-oz. glasses of fluid each day D) Walk around the block once a week

Ans: B

Which one of the following statements about mental health issues and homeless young people is most accurate? A) 87% of homeless children has sufferedemotional disturbances due to the effects of traumatic stress and violence. B) Homeless youth suffer disproportionately from anxiety, depression, conduct disorders, posttraumatic stress, and low self-esteem. C) It is not common for homeless youths to bearrested for running away, breaking curfews, or being without supervision. D) Homeless youth are persons under age 18 who lack parental, foster, or institutional care.

Ans: B

Which one of the following statements about relative risk is most accurate? A) Lifestyle, behaviors, and choices do not relate B) Relative risk refers to exposure to risk factors identified from a substantial body of research. C) Relative risk means that if a risk exists, the illness or adverse event will occur. D) Any factor that is likely to cause increased risk is considered relative risk.

Ans: B

Which one of the following statements aboutthe benefits of universal design for all persons is the most accurate? A) It is the right thing to do to allow access to the built environment for all persons including persons with disabilities. B) A healthier population may be achieved with attention to the environmental barriers that impede healthy lifestyles for all persons, including those with chronic or disablingconditions. C) The built environment refers to the naturally occurring features of the planet. D) Access implies universal design.

Ans: B

Which one of the following statements is most accurate when differentiating hospice from palliative care? A) Both palliative care and hospice focus on cure; however, hospice focuses on terminal illnesses, and palliative care focuses ondiseases that are more chronic in nature. B) Palliative care consists of comfort and symptom management and is often a part of hospice care. C) Hospice is more of a specific place than aconcept of care, whereas palliative care is more of a concept of care. D) Hospice is intended for people who have a projected life expectancy of 6 months or more, and palliative care is intended forpeople who are actively dying.

Ans: B

Which one of the following statements is true regarding social capital? A) Social capital includes investments in individuals' capabilities and skills. B) Social capital includes marital status and family structure. C) Social capital includes jobs, income, housing, and education. D) Examples of social capital are education and job training.

Ans: B

Which one of the following statements is true regarding the socioeconomic gradient of health? A) The behavior of smoking is lowest among those who have low income and low educational levels. B) The socioeconomic gradient of health hasbeen found in populations around the world. C) All persons who have a low socioeconomic status will develop particular health problems. D) The socioeconomic gradient of health is universal.

Ans: B

Which one of the following statements regarding mental illness and homelessness is most accurate? A) 75% of the sheltered homeless report a severe mental illness. B) Deinstitutionalization or being released from institutions into the community contributes to the number of persons who have a severemental illness who are homeless. C) Mental illness only contributes to homelessness because poor mental health adversely affects an individual's ability to make sound judgments, solve problems, andmake wise decisions. D) Mental illness and substance abuse are not often comorbid conditions that contribute to homelessness.

Ans: B

Which time after the disaster would be the ideal time for this to occur? A) Within 18 hours B) 1 to 3days C) 4to6days D) 7to10days

Ans: B

immunization is true? A) The World Health Organization estimates thata billion more lives could be saved each year with immunizations. B) Vaccines are one of the most cost-effectiveinterventions found in public health. C) Half of the world's children are being reachedwith essential vaccines. D) In the United States, toddlers are thoroughlyvaccinated.

Ans: B

A community health nurse is discussing alcohol use disorders and is explaining what is meant by a standard drink. Which of the following would the nurse include as anexample? Select all that apply. A) Two 12-oz. cans of beer B) 5-oz. glass of wine C) 1.5 oz. of an 80-proof spirit D) 3 oz. of a cordial E) Two bottles of wine cooler

Ans: B, C, D

A community health nurse suspects that a client who was a victim of a disaster 3 months ago is experiencing post-traumatic stress disorder. Which of the following would thenurse expect to find? Select all that apply. A) Diminished startle response B) Hypervigilance C) Feelings of detachment D) Flashbacks E) Full range of affect

Ans: B, C, D

Healthy People 2020 objectives focus on tobacco, alcohol, and illicit drug use education. Which of the following are steps in the process to providing this education?Select all that apply. A) Identifying the impact of substance use on theenvironment B) Identifying trends of substance use to develop a prevention program C) Understanding the consequences of substance use that affect a community as a whole D) Differentiating between legal and illegal substance use E) There are no differences in prevention programs for different populations

Ans: B, C, D

Which of the following are factors that influence populations' perceptions of health and health status and their receptivity to community health nursing programs? Select all that apply A) Their perceptions of healthy food B) Their attitudes toward women C) Their culture D) Their belief systems E) Their geographic location

Ans: B, C, D

Which of the following are barriers to access to health care that may be experienced by rural clients? Select all that apply. A) Adequate numbers and types of providers B) Unpredictable and hazardous weather conditions C) Lack of transportation D) Physical distance between the residence and the location of health care services E) Less high-tech health care equipment and services available

Ans: B, C, D, E

The community health nurse is invited to speak to a group of students about clients with disabilities. As part of the class, the nurse intends to describe The International Classification of Functioning, Disabilities, and Health (ICF) and its attempts at standardized language. Which of the following would the nurse include as terminology that was standardized? Select all that apply. A) Disability impairment issues B) Body functions C) Handicapping conditions D) Activities E) Environmental factors F) Personal Factors

Ans: B, D, E, F

Which of the following would a community health nurse address as a means for enhancing the life A) Proper nutrition B) Healthy sleep patterns C) Use of community supports D) Creative outlets

Ans: D

The nurse is using the epidemiological triad to explain the factors contributing the disaster. Which one of the following statements aboutthe environment factors that contribute to disasters is most accurate? A) The environment is the natural or technologic element that causes the disaster. B) The environment is the human being who experiences the disaster. C) Factors that could potentially contribute to or mitigate a disaster are environmental. D) Examples of environmental factors that causea disaster are high winds of a hurricane and the lava of an erupting volcano.

Ans: C

When assessing a population for health disparities, which of the following would the nurse least likely evaluate? A) Race B) Education C) Age D) Sexual orientation

Ans: C

When developing appropriate programs for adult mental health promotion, the nurse incorporates knowledge about the most prevalent mental disorders. Which of the following would the nurse identify as themost prevalent? A) Major depression B) Bipolar disorder C) Anxiety disorders D) Schizophrenia

Ans: C

When developing community health programs target to adult men, which of the following would the nurse need to integrateinto the plan? A) Improved quality of education programs available for men B) Increased access of health services by men as compared to women C) Limited male-gender specific research D) Increased awareness of men's health issues

Ans: C

When providing care for migrant workers, which of the following would be most appropriate for the community health nurse to do? A) Maintain existing services B) Use standard methods of health care delivery C) Employ information tracking systems D) Use professionals for community outreach

Ans: C

When providing secondary prevention activities for individuals experiencing psychological consequences of a disaster, which of the following would the nurse do as a generic approach? A) Providing situational support for stress relief B) Conveying warmth and concern for the client C) Teaching about expected emotional reactions D) Reunifying family members who were separated

Ans: C

When reviewing statistics about illnesses worldwide, which of the following would the nurse identify as the most common and aleading cause of mortality? A) Tuberculosis B) Smallpox C) Acute respiratory tract infection D) Infectious diarrheal disease

Ans: C

When reviewing the concept of universal design with a group of community developers, the community health nurse recognizes that the emphasis is on which ofthe following as the underlying theme? A) Disability needs B) Adaptation C) Access D) Safety

Ans: C

When visiting a local senior center, a community health nurse engages several of the older adults in a discussion about immunizations. Which statement best reflects the importance of older adult immunization? A) We're at greater risk of dying from the flu or pneumonia B) You don't get the flu from the flu shot C) The doctor told us that we should get it D) Many of us get the shot here at the center for free

Ans: C

Which of the following would be least helpful to a novice community health nurse working with vulnerable populations who is feeling overwhelmed and somewhat guilty about his or her personal situation as compared to his orher clients? A) Setting up an community agency clothingdrive collection B) Working for changes in community attitudes C) Sending a personal donation to an agency in the area D) Remaining grounded

Ans: C

Which of the following would be most important for a community health nurse to do first when working with vulnerable populations? A) Helping them to make choices B) Guiding them to think things through C) Getting them to interact with the nurse D) Providing honest feedback

Ans: C

Which of the following would the community healthnurse identify as a key aspect for this community's ability to follow through with the teaching? A) Life expectancy B) Health disparity C) Health literacy D) Financial ability

Ans: C

Which one of the following statements about migrant workers and their families most accurately describes their lifestyle? A) They are usually paid fairly and treated justlyby their employers. B) Often the men are the only ones who perform the migrant work C) They often work 6 days a week from sunrise to sunset. D) Their earning power is dependent only upon their skill level.

Ans: C

Which one of the following statements best describes the role of the community health nurse in promoting the health of adult men 35to 65 years of age? A) Anticipatory guidance to men approaching each stage and help them with ways to manage life more effectively. B) Men of this age do not need to enhance theirself-care skills. C) A positive attitude toward aging is not helpful to men at this time in their lives. D) Men of this age should exercise sporadically.

Ans: C

Which one of the following statements regarding the etiology of substance use disorders is most accurate? A) It is believed that nurture has substantiallymore influence on the development of substance use disorders than nature. B) With the mapping of the human genome, hope has decreased that the genes related to substance use disorders could be identified. C) Alcohol dependence is thought to be a multigenomic disorder influenced by the environment (geneenvironment interaction). D) Only genetic heritability is involved in the etiology and course of substance use disorders.

Ans: C

While working with another group of community health nurses, a nurse overhears one of the nurses saying "that older man should just retire. He's 70 years old. How productive can he be? The nurse interprets this statement as reflecting which of the following? A) Prejudice B) Bias C) Ageism D) Insight

Ans: C

Which of the following are livability principles that have been identified by the Partnership for Sustainability Communities? Select all that apply. A) Diminish economic competitiveness B) Disassemble existing communities C) Coordinate and leverage federal policies and investment D) Provide more transportation choices E) Promote equitable, affordable housing

Ans: C, D, E

The following is a list of the top five causes of unintentional injuries accounting for the majority of adults deaths due to injury. Order these in their proper sequence from first to fifth. A) Fire arms B) Suffocation C) Motor vehicle crashes D) Poisoning E) Falls

Ans: C,A,D,E,B

16 When describing the global framework,which of the following would the community health nurse be least likely to include? A) Population B) Provider C) Procedure D) Physician

Ans: D

A local community has a significant population of migrant workers. In response, a community health nurse plans to prevent a program to the local community about this population. As part of the program the nurse plans to include information about Cesar Chavez, describing him as which of the following? A) A Mexican president who worked to keep people from crossing the border illegally B) A well-known actor who advocates for increasing the number of Latinos in Hollywood C) The senator who wrote the Children's HealthInsurance Program (CHIP) bill D) Founder of the United Farm Workers who spent his life fighting for social justice

Ans: D

A rural community health nurse is acting in the role of a mentor. Which of the following activities would the nurse most likely be doing? A) Providing childbirth classes B) Contacting a specialist for a client C) Collecting immunization data for program development D) Orienting a new rural health nurse to the community

Ans: D

After reviewing statistics on homelessness, which of the following would a community health nurse identify as the fastest growingsegment of the homeless population? A) Children under age 18 years B) Families headed by a female single parent C) Families headed by a male single parent D) Families with children

Ans: D

After teaching a group of students about the major types of cancer affecting men and women, the instructor determines that the teaching was successful when the students identify which of the following as the number one cause of cancer deaths among adults? A) Colon B) Pancreatic C) Esophageal D) Lung

Ans: D

An instructor is reviewing the principles that resulted from the 2011 reassessment of global progress on addressing disability with a class. Which of the following would the nurse include? A) The government must focus solely on seeking improvement in the lives of individuals andfamilies living with disability. B) Government must play the only role in addressing disability. C) It is unimportant for service providers, academic institutions, the private sector, communities, and people with disabilities andtheir families to address disability. D) The importance of all persons, including those with disabilities to participate in their country's development.

Ans: D

As part of a health screening program, a community health nurse determines that a client is infected with the human papilloma virus (HPV). The community health nurse encourages the client to do which of the following? A) Get a mammogram immediately B) Have her blood glucose level checked C) Undergo testing for a breast cancer gene D) Have a pelvic examination and Pap smear

Ans: D

Communicable disease is a global health concern with a primary goal of eradicating communicable diseases worldwide.Achievement of this goal would involve A) interrupting disease in a limited, defined geographic area. B) reducing the incidence and/or prevalence of communicable diseases. C) establishing primary health care services for all people on the globe. D) interrupting transmission and reservoir of infection to prevent further cases.

Ans: D

Community health nurses need to be knowledgeable about the World Health Organization because its mission reflectswhich of the following? A) Collaboration in health development to free the world from poverty B) Service as an independent agency providing economic and humanitarian assistance overseas C) Representation of the global interests and concerns of the nursing profession D) Global health promotion by supporting development efforts of governments, organizations, and universities throughout theworld

Ans: D

Concept of social justice, which of the following if stated by the group as a component indicates effective teaching? A) Decreased burden borne by all B) Increased benefits obtained for all C) Narrow isolated view of health D) Diversity viewed as a strength

Ans: D

The nurse educator is aware that the nursing student has a grasp of the primary prevention needs of older adults when the nursing studentmakes which of the following comments? A) It is unnecessary for older adults to receive immunizations. B) All older adults must restrict their sodium intake. C) Older adults don't need to drink as much fluid as they are often less thirsty. D) The oral health of older adults is often neglected and so it is important that they see a dentist regularly.

Ans: D

When assessing a population's vulnerability, which of the following would the community health nurse identify as a predisposing factor? A) Social support networks B) Crime rates C) Transportation D) Living conditions

Ans: D

When assessing a vulnerable population's relative risk, which of the following would the community health nurse identify mostlikely as contributing to this risk? A) Well-balanced diet B) Up-to-date immunizations C) Enabling factors D) Exposure to abuse

Ans: D

When describing the causes of vulnerability to a group of students, which of the followingwould the instructor include? A) Vulnerable populations are fairly similar across the nation and globally. B) Statistics about vulnerable populations are highly accurate. C) The most important causative factor is race or ethnicity. D) Many of the factors and conditions suggest vulnerability overlap.

Ans: D

Which of the following care options would be most appropriate for an older adult who experiences confusion, requires daily insulin injections and blood glucose monitoring, and needs assistance with bathing, dressing, andfeeding? A) Personal care home B) Respite care C) Intermediate care facility D) Skilled nursing facility

Ans: D

Which of the following statements about the personal and professional perceptions that nurses bring to providing community health nursing interventions within an international context is most accurate? A) Community health nurses are not susceptible to preconceived perceptions and biases. B) It is not necessary for community health nurses to face their own beliefs. C) Community health nurses are universally opposed to female circumcision, the use of nonlicensed personnel to carry out medical treatments, and the use of Western interventions used simultaneously with othermethods of treatment. D) It is critical for community health nurses to face their own beliefs when confronting female circumcision, the use of nonlicensed personnel to carry out medical treatments, and the use of Western interventions used simultaneously with other methods oftreatment.

Ans: D

Which of the following statements by a women's group indicates that they have understood the teaching about heart diseaseand women? A) Most women die of breast cancer than heart disease B) Women experience similar symptoms as men C) Hormone replacement therapy protects the heart D) Heart disease is the number one killer of women

Ans: D

In Healthy People 2020, what is the emphasis of the categories of objectives that relate to the goal of "Disability and Health to promote the health and well being of people with disabilities A) A growing emphasis on a holistic approach that recognizes life satisfaction is just as important to health and well-being aspreventative services B) A growing realization that healthy-life years for persons with disabilities do not equate to decreased health costs at local, state, and national levels, unlike they do for personswithout disabilities C) Focus on personal responsibility for healthy lifestyle by persons with disabilities D) Concept that persons with disabilities are always dependent on others

ans: A