Care of Pop Final Practice Questions
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 This model is good for formulating individualized plans for change towards healthier behaviors.
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 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.
Which of the following are stages of change in the transtheoretical model? (Select all that apply.) A. Precontemplation B. Maintenance C. Interpersonal relationships D. Action E. Planning
A, B, D, E Precontemplation is correct. All of the choices are part of the stages of change except interpersonal relationships. Maintenance is correct. All the choices are part of the stages of change except interpersonal relationships. Action is correct. All of the choices are part of the stages of change except interpersonal relationships. Planning is correct. All of the choices are part of the stages of change except interpersonal relationships.
A nurse is reviewing public health problems in their community. Which of the following should the nurse recognize as communicable public health problems? (Select all that apply.) A. Foodborne diseases B. Injury due to firearms C. Hypertension D. Zoonotic diseases E. Cancer
A, D Foodborne diseases is correct. The nurse should recognize that communicable and infectious diseases are a public health problem due to their potential for spread of disease through foodborne pathogens, such as norovirus, salmonella, or Staphylococcus aureus, and have the capacity to cause severe burdens through health, wellness, and economic impacts. Zoonotic diseases is correct. The nurse should recognize that zoonotic diseases are considered communicable or infectious diseases due to their ability to spread between people and/or animals. Examples include influenza and West Nile virus. Zoonotic diseases have the capacity to cause severe burdens through health, wellness, and economic impacts.
A nurse is preparing a presentation about health care delivery in the U.S. for a group of newly licensed nurses. Which of the following statements should the nurse include in the presentation to describe the U.S. health care system? A. "The U.S. spends more on health care than other developed countries." B. "The U.S. has better health outcomes than other developed countries." C. "The U.S. health care delivery system is population-focused." D. "The U.S. nursing workforce is expected to increase over the next decade."
A. "The U.S. spends more on health care than other developed countries." The nurse should include in the presentation that the U.S. spends more on health care than other developed countries.
A nurse is reviewing a client's medical record with a dietitian who is part of the client's interdisciplinary team. Which of the following elements of Nursing's Social Contract is the nurse demonstrating? A. Collaboration B. Responsibility and accountability C. Progress and Development D. Ethical Practice
A. Collaboration The nurse is discussing the client's medical record with the dietitian, which is a demonstration of Collaboration. Collaboration with members of the interdisciplinary team is critical in providing effective care so that each aspect of the client's needs will be met.
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. Parents who are working need affordable daycare for their children.
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 The goal for activities like promoting vaccinations is to implement interventions that will prevent conditions of poor health from occurring.
A nurse is discussing the AACN's five Core Competencies of Cultural Competence with a newly licensed nurse. Which of the following should the nurse identify as one of these competencies? A. Promote achievement of safe and quality outcomes. B. Participate in a variety of diverse activities. C. Acquire knowledge and skills about different cultures. D. Collect relevant cultural data.
A. Promote achievement of safe and quality outcomes. Promoting achievement of safe and quality outcomes for diverse populations is one of the AACN's five Core Competencies of Cultural Competence.
A home health nurse instructs the caregiver to administer pain medication to a nonverbal client in their home. Which of the following evaluative findings would indicate that the goal of pain relief had been met? A. The client's face relaxes and stops grimacing. B. The client becomes more restless. C. The client's family says that enough medicine has been given. D. The client is still guarded near the area of pain.
A. The client's face relaxes and stops grimacing. 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 nurse in a community health clinic is planning a staff presentation about modes of transmission for infectious diseases. Which of the following modes of transmission should the nurse identify for malaria? A. Vector-borne B. Direct C. Vehicle-borne D. Airborne
A. Vector-borne Vectors are living organisms, such as bats, mosquitoes, and ticks, that are involved in the indirect transmission of an agent from a reservoir to a host. Mosquitoes are the vector responsible for the transmission of malaria.
A community health nurse reports that some families are in desperate need of basic preventative health care services. Which of the following principles supports providing resources to families in the community that are in need? A. Justice B. Beneficence C. Autonomy D. Nonmaleficence
B. Beneficence The nurse is demonstrating the ethical principle of beneficence. Beneficence is doing what is in the best interest of the client and protecting them from harm.
A charge nurse changes nursing assignments to accommodate the request for a female nurse from a Muslim client who is female. Which of the following qualities does this action by the charge nurse demonstrate? A. Cultural humility B. Cultural awareness C. Cultural diversity D. Cultural safety
B. Cultural awareness The nurse should understand that this action is an example of cultural awareness, which is being knowledgeable about one's own thoughts and feelings and having an appreciation of the diversity of others for their culture.
A public health nurse conducts an evaluation of a health promotion program. Which of the following ethical principles does the nurse uphold by ensuring that the program does not result in any harm to participants? A. Beneficence B. Nonmaleficence C. Autonomy D. Justice
B. Nonmaleficence When evaluating outcomes to ensure that a health promotion program does not result in any harm to participants, the nurse is upholding the ethical principal of nonmaleficence.
A nurse manager at a public health clinic is working to expand the diversity of the clinic's nursing staff. Which of the following factors should the nurse identify as a barrier to creating a diverse workforce? A. Distrust of the health care system B. Nurses of color making up less than 28% of the national workforce C. Male nurses making up approximately 40% of the national workforce D. Decrease in diverse populations
B. Nurses of color making up less than 28% of the national workforce The nurse manager should identify that less than 28% of the national workforce consists of nurses of color. This underrepresentation is a barrier to creating a racially and ethnically diverse workforce.
A nurse is preparing to provide a presentation about population-focused care to a group of community health nurses. Which of the following should the nurse plan to include in the presentation as a required competency for nurses who are providing population-focused care? A. The ability to develop individualized care plans B. The ability to analyze large data sets C. The ability to work independently D. The ability to gather data about a client's personal support system
B. The ability to analyze large data sets Population-focused care requires nurses to access and analyze large sets of data in order to understand the health of specific populations. Therefore, the nurse should include this as a competency necessary to provide population-focused care.
A community health nurse is preparing an in-service for staff to define the conditions of causation in epidemiological studies. Which of the following descriptions should the nurse use to define biological plausibility to establish causation? A. "The exposure must come before the disease develops." B. "Increased exposure increases the risk of developing the disease." C. "A relationship is biologically possible, and it makes sense." D. "When the exposure is decreased or eliminated, the risk of disease declines or is eliminated."
C. "A relationship is biologically possible, and it makes sense." When generating solutions, the nurse should plan to explain that biological plausibility is a condition in which the relationship is biologically possible, and it makes sense to establish causation.
A community health nurse has just presented an education session to local citizens about West Nile virus. Which of the following statements by one of the participants indicates an understanding of the teaching? A. "Most people who have West Nile virus will be very sick and need to be hospitalized." B. "If I have West Nile virus, my healthcare provider will give me antibiotics to treat it." C. "I can prevent West Nile virus by wearing long sleeves and long pants." D. "The risk for severe illness with West Nile virus is highest for younger individuals."
C. "I can prevent West Nile virus by wearing long sleeves and long pants." Primary prevention methods include wearing long sleeves and pants to prevent mosquito bites from occurring, as mosquitoes are the vector of transmission for West Nile virus.
A nurse working at a community health center is caring for a client that reports disappointment and feeling ashamed of their weight. Which of the following responses should the nurse give? A. "How about if you start tracking your caloric intake?" B. "Many people struggle with weight loss." C. "What has been bothering you the most about your weight?" D. "Medications may be able to help you lose a lot of weight if you'd like to try that."
C. "What has been bothering you the most about your weight?" This is the most appropriate response by the nurse because it acknowledges the client's expressed concerns, is open-ended, and encourages further discussion.
A nurse is caring for a client who is dying and wishes to discontinue taking their medications. Which of the following ethical principles is the nurse demonstrating by respecting the client's decision? A. Nonmaleficence B. Beneficence C. Autonomy D. Justice
C. Autonomy The nurse is demonstrating the ethical principle of autonomy by respecting the client's wishes. Autonomy is the ability to be able to make informed decisions independently.
A community health nurse is reinforcing education on insulin administration to a client who has diabetes mellitus. Which of the following elements of Nursing's Social Contract is the nurse demonstrating? A. Collaboration B. Ethical practice C. Autonomy of practice D. Promotion of the health of the public
C. Autonomy of practice The nurse is demonstrating the element of autonomy of practice of nursing's social contract. Autonomy of practice involves providing education of disease management and insulin administration within the scope and standards of practice for a community health nurse.
A newly licensed nurse is interested in finding information about health care benefits for clients who are disabled or have end-stage renal disease. The newly licensed nurse asks their preceptor where they can find this information. Which of the following organization websites should the preceptor encourage the newly licensed nurse to use to find the desired information? A. National Institutes of Health (NIH) B. Centers for Disease Control and Prevention (CDC) C. Centers for Medicare and Medicaid Services (CMS) D. United States Public Health Service (USPHS) Commissioned Corps
C. Centers for Medicare and Medicaid Services (CMS) The preceptor should encourage the newly licensed nurse to use the CMS website to find the desired information. 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 who have end-stage renal disease. Incorrect Answers: The NIH conducts research to expand knowledge related to enhancing life for all ages. The CDC is the government organization that is charged with protecting the health of the public through data-driven interventions aimed at reducing illness and infectious diseases. The USPHS is a uniformed service that focuses on providing care in underserved areas.
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 The focus of a community health nurse is on the community as a whole.
A nurse executive is incorporating the National Standards for Culturally and Linguistically Appropriate Services (CLAS) to achieve better outcomes for clients of the facility. The nurse executive should identify that which of the following is a function of CLAS? A. Teaching leadership skills to promote culturally diverse nursing care B. Providing memberships to nursing associations that promote cultural competence C. Increasing awareness of diverse cultural identities D. Offering linguistic services to improve outcomes
C. Increasing awareness of diverse cultural identities The nurse should identify that the functions of CLAS are a way to assist all health care professionals to increase awareness of diverse cultural identities, which leads to better client outcomes.
A school nurse assesses a few students for injuries after they have been fighting. The nurse finds bruises in various stages of healing on one of the students. Which of the following interventions on the secondary level of prevention should the nurse implement? A. Notify the parents that the student has been in a fight. B. Apply bandages to the cuts found on assessment. C. Report the findings to Child Protective Services (CPS). D. Ask social services to arrange for extensive counseling for the student.
C. Report the findings to Child Protective Services (CPS). 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 has been assigned to call a client who speaks a different language than the nurse. Which of the following actions by the nurse demonstrates cultural competency? A. Ask the client's family member to help with interpretation. B. Ask the office receptionist who can speak multiple languages to help with interpretation. C. Use the organization's interpretation or translation service for this call. D. Speak slowly and use simple terms.
C. Use the organization's interpretation or translation service for this call. Language barriers can lead to miscommunication, and use of an interpretation or translation service can help to improve satisfaction, quality, and safety of care.
A nurse in a community health clinic is planning a staff presentation on modes of transmission for infectious diseases. The nurse should include that salmonella uses which of the following modes of transmission? A. Direct B. Vector-borne C. Vehicle-borne D. Airborne
C. Vehicle-borne Vehicle-borne transmission comes from inanimate objects, such as food, water, and fomites, that serve as the intermediator of the pathogen. Salmonella is spread indirectly via contaminated food.
A nurse is providing education to a client who recently became eligible to receive Medicare benefits. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? A. "Medicare Part A will cover all of my prescription medications." B. "I can add dependents to my Medicare plan if needed." C. "Medicare will pay for me to be in a long-term care facility if needed." D. "I will have to pay for Medicare coverage if I choose to enroll."
D. "I will have to pay for Medicare coverage if I choose to enroll." Medicare is a federally funded program. However, it is not free and clients who choose to enroll pay a monthly premium. The nurse should identify this statement as an indication of understanding by the client.
A nurse is planning to provide a presentation to a group of community members on how early discoveries in science have influenced the practice of community health. Which of the following individuals should the nurse include in the presentation as being credited with discovering penicillin? A. Dr. John Snow B. Dr. Edward Jenner C. Lemuel Shattuck D. Alexander Fleming
D. Alexander Fleming Alexander Fleming is credited with discovering penicillin in 1928.
A nurse is discussing immunizations with a group of new parents. The nurse encourages the parents to get their annual influenza immunization because infants cannot receive the vaccine until they are older than 6 months of age. Which of the following types of immunity is the nurse promoting? A. Innate immunity B. Acquired immunity C. Passive immunity D. Community immunity
D. Community immunity Parents and caregivers can provide community or herd immunity by ensuring they are immunized against influenza to protect infants who cannot be immunized yet.
A nurse educator is teaching a class on nursing history to a group of nursing students. Which of the following nurses should be identified as the first nurse who focused on environmental conditions? A. Clara Barton B. Mary Breckinridge C. Jessie Sleet Scales D. Florence Nightingale
D. Florence Nightingale 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 preparing to discharge a client with a newborn who has a tracheostomy and will require apnea monitoring at home. Which of the following resources should the nurse recommend to the client to assist with tracheostomy care and apnea monitoring? A. Community center clinic B. Ambulatory care center C. Occupational health center D. Home health care
D. Home health care The home health care agency will provide services to the client by assisting with education on tracheostomy care and on using the apnea machine properly for the newborn.
A community health nurse is caring for a client who informs the nurse that they need a kidney transplant but their insurance has been discontinued. Which ethical principle should the nurse be aware of to provide resources for this client? A. Veracity B. Autonomy C. Accountability D. Justice
D. Justice The nurse is demonstrating the ethical principle of justice, which refers to fairness. Community and public health nursing agree to strive for justice in health care and resources for all clients' well-being.
A nurse is assigned to debrief a group of nursing students after a clinical rotation at a community center. One of the students asks how racism impacts public health. Which of the following responses should the nurse make? A. Racism leads to decreases in health disparities among underrepresented populations. B. Racism is the result of health illiteracy which negatively impacts health outcomes. C. Racism's impact on health is limited to areas that have a lack of access to healthy foods and safe housing. D. Racism can negatively impact the mental and physical health of communities.
D. Racism can negatively impact the mental and physical health of communities. The nurse needs to be aware that racism contributes to the presence of health disparities. According to the CDC, racism can have lasting effects on mental and physical health of diverse communities, families, and nations.
A public health nurse is providing an explanation to newly hired public health nurses on the concept of community health nursing as a population-based service. Which of the following interventions should the nurse include in the explanation? A. Physical assessment prior to hospital admission B. Intake interviews for long-term care placement C. Develop policies for health benefits at a local factory D. Screening and surveillance of communicable diseases
D. Screening and surveillance of communicable diseases A key role of the community/public health nurse involves disease and health event investigation, as well as surveillance, screening, and community outreach for diseases including communicable and non-communicable diseases. Surveillance involves assessment of the population health prior to and following health events. Screening is employed to identify disease cases within the population.
A nurse should recognize that which of the following factors contributes to the increasing burden of chronic diseases in public health? A. Increased population mobility B. Lack of preventive strategies C. Ineffective treatments D. The aging population
D. The aging population The nurse should recognize the increasing number of the aging population will contribute to a growing number of individuals who have chronic diseases that occur with age.
A community health nurse is providing teaching to a client who is being enrolled in an epidemiological cohort study. Which of the following statements by the client indicates an understanding of the teaching? A. "The study will last for 10 years. You will contact me annually for an interview and blood work." B. "I will not know if I am going to be in the intervention or control group." C. "The survey will take an hour to complete and then I'll be done." D. "You'll need to find other participants like me but who do not have this disease."
A. "The study will last for 10 years. You will contact me annually for an interview and blood work." When evaluating outcomes, the nurse should recognize that this statement by the client indicates an understanding of a cohort study in which participants are asked to answer questions or submit blood or urine samples at regular intervals.
A nurse is providing a presentation about telehealth to a group of community health nurses who will soon be implementing telehealth practices within their community. Which of the following statements by one of the community health nurses indicates an understanding of the information? A. "We can use video conferences as a method of telehealth to hold remote meetings with staff and clients." B. "Text messaging can be used as a method of telehealth." C. "Faxing prescriptions to the pharmacy is an example of telehealth." D. "Sending email messages through commonly used email servers is one way to use telehealth."
A. "We can use video conferences as a method of telehealth to hold remote meetings with staff and clients." Video conferencing is one method of delivering telehealth. Therefore, this statement indicates an understanding of the information.
A nurse is interacting with a client who has a new diagnosis of diabetes mellitus. The client has attended multiple workshops about managing their condition but still has an A1C of 9 and admits to not using the meal plans to help with nutritional needs. Which of the following could the nurse at the community-based clinic do first to assist the client in adhering to the medical regimen? A. Ask the client to discuss what barriers they perceive that prevent compliance. B. Refer the client to the diabetic educator for more instructions. C. Ask the case manager for community resources for programs like Meals on Wheels. D. Assess the client's neighborhood to see if there is access to fresh fruits and vegetables.
A. Ask the client to discuss what barriers they perceive that prevent compliance. 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 public health nurse is completing an institutional review board (IRB) application for an analytic study in a community hospital following an outbreak of Escherichia coli. Which of the following stages of the analytic study is the nurse engaged in? A. Conduct/implementation B. Conceptualization/design C. Data analysis D. Interpretation of findings
A. Conduct/implementation When taking the action of completing an IRB application, the nurse should recognize that securing IRB oversight is part of the conduct/implementation stage of analytic studies.
A nurse is discussing cultural competency with a newly licensed nurse. The nurse should include that nurses should have the ability to communicate with clients across which of the following sociocultural barriers to be culturally competent? A. Different sexual orientations B. Different social statuses C. Different professsional roles D. Different religious beliefs
A. Different sexual orientations Nurses must be able to communicate with clients across different races, ethnicities, ages, sexual orientations, and abilities to provide culturally competent care.
A nurse is discussing methods of disease transmission with a newly licensed nurse. Which of the following methods of transmission describes congenital infections that are passed from the birthing parent to their newborn? A. Direct B. Airborne C. Vehicle D. Vector
A. Direct The nurse should recognize direct transmission occurs when an infected person is in direct contact with other individuals. Direct transmission of congenital infections can occur by the direct spread of droplets or through the placenta.
A nurse is providing a presentation about individuals who made early contributions to public health nursing. Which of the following contributions should the nurse credit to Lillian Wald? A. Establishment of the Henry Street Settlement B. Establishment of the Stillman House C. Establishment of the Frontier Nursing Service (FNS) D. Establishment of the American Red Cross
A. Establishment of the Henry Street Settlement The establishment of the Henry Street Settlement should be credited to Lillian Wald who founded the settlement in 1893 in Lower Manhattan, New York.
A nurse is teaching a client who has asthma on the use of an inhaler. Which of the following resources should the nurse include in the teaching? A. Give a demonstration of how to use the inhaler followed by the teach-back approach. B. Provide only a video teaching about asthma. C. Offer the phone number of the manufacturer of the inhaler. D. Provide the client with a brochure to learn more about asthma.
A. Give a demonstration of how to use the inhaler followed by the teach-back approach. The nurse should use informative communication, including effective verbal and nonverbal skills, when teaching a client who has asthma on the proper use of an inhaler. Teaching the information and then asking the client to demonstrate the use of an inhaler will ensure understanding of the instructions.
A nursing program director is discussing the integration of the Quality and Safety Education for Nurses (QSEN) competencies into the curriculum with faculty. Which of the following competencies should the director include in the discussion as the competency that most students are the least prepared to address? A. Quality improvement B. Patient-centered care C. Informatics D. Teamwork and collaboration
A. Quality improvement 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 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 well-being of all people B. A society in which all people can achieve their full potential for health and well-being across the lifespan C. Promotion of health and well-being 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 well-being across the lifespan The nurse should identify this as the vision of Healthy People 2030.
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 The nurse should identify that the Community Health Assessment and Group Evaluation (CHANGE) model uses a data collection tool and planning resource to guide community partners in assessment and prioritization of community improvement initiatives. Incorrect Answers: The ecological model looks at health as a broad, multifaceted concept. This model considers health as impacted by individual, community, social, political, and physical elements. A community health needs assessment (CHNA) is an assessment conducted by local, tribal, territorial, or state entities in which key health issues and demands are identified through systematic, in-depth data collection and analysis. The built environment assessment tool manual, provided by the CDC, is a manual that helps measure and understand the built environment. The physical foundation of where a community resides, works, recreates, and learns is considered the built environment.
A community health nurse is discussing the Nurse Training Act of 1943 with a group of nursing students. The community health nurse should include in the discussion that which of the following occurred as a direct result of the passage of this legislation? A. Funding for maternal child care programs B. Prohibition of racial discrimination in nursing organizations C. Formation of training programs for school nurses D. Establishment of the National Center for Nursing Research
B. Prohibition of racial discrimination in nursing organizations 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 community health nurse is explaining to a newly licensed nurse the difference between an observational and experimental study. Which of the following explanations should the nurse provide? A. "No variable is manipulated in observational studies as occurs in experimental studies." B. "Experimental studies run longer than observational studies." C. "Observational studies require fewer participants than experimental studies." D. "Observational studies do not require informed consent as experimental studies do."
C. "Observational studies require fewer participants than experimental studies." Some observational studies, such as the Behavioral Risk Factor Surveillance Survey (BRFSS), have thousands of participants. There are not necessarily more participants required for an experimental study than an observational study. The number of participants is dependent on what is being studied, and what is currently known about the topic.
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." The High 5 Initiative is a local initiative with the goal of the removal of trash and debris from the Chesapeake Bay, increasing recycling efforts, and monitoring water quality. A community experiencing a similar issue can adapt the initiative to meet the needs of their local community.
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. The nurse should identify that an impact report is a communication tool used to outline the outcomes of a community project.
A nurse working in a campus health center is developing a smoking cessation program for the student body. Which of the following federal agencies should the nurse include in the program as the agency that regulates tobacco products? A. Substance Abuse and Mental Health Services Administration (SAMHSA) B. Agency for Toxic Substances and Disease Registry (ATSDR) C. Food and Drug Administration (FDA) D. Occupational Safety and Health Administration (OSHA)
C. Food and Drug Administration (FDA) The nurse should include in the program that the FDA is the federal agency that regulates tobacco products.
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. When there's not enough funding for schools or affordable education, the local residents' chances at increasing their wage-earning potential are decreased.
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 This is an example of a primary level of prevention. Screening is secondary level while the other two instructions are on the tertiary level.
A nurse is discussing the impact that current community and public health trends have on health care delivery with a group of nursing students. Which of the following trends should the nurse identify as likely to decrease health care expenditures? A. The medicalization of treatment for lifestyle-related conditions B. The decreasing of the nursing work force C. The implementation of population health strategies D. The increasing age of the American population
C. The implementation of population health strategies The nurse should identify that the implementation of population health strategies is a trend that should lead to decreases in health care spending.
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. The nurse should identify that the simplex method involves key stakeholders completing a questionnaire with close-ended questions about the issues being prioritized.
A community health nurse is planning a public service campaign to decrease the transmission of influenza. Which of the following interventions should the nurse include as a primary prevention? A. Going to the hospital for dehydration after getting influenza B. Staying home when sick C. Getting tested for influenza when you have symptoms D. Obtaining an immunization
D. Obtaining an immunization The nurse should include obtaining an influenza immunization as an example of a primary prevention, as it is implemented to prevent a disease from occurring.
A community health nurse is participating on a task force working to decrease opioid overdoses in the county. Which of the following strategies should the nurse recognize as secondary prevention? A. Providing rapid fentanyl test strips B. Scheduling targeted education sessions for providers who prescribe opioids C. Creating a syringe exchange program D. Offering naloxone distribution to first responders and people who use opioids
D. Offering naloxone distribution to first responders and people who use opioids Naloxone is an opioid antagonist that can safely and quickly reverse a potentially fatal opioid overdose. Naloxone is distributed to people at high risk of experiencing or witnessing an overdose, such as people who have opioid use disorder and first responders. This is an example of secondary prevention, as naloxone provides early treatment of an opioid overdose.
A nurse is preparing a workshop on preventing common communicable and infectious diseases in the community. Which of the following prevention methods should the nurse include to target diseases that are transmitted indirectly? A. Contact tracing B. Isolation C. Vaccination D. Pest control
D. Pest control Pest control is a public health intervention that targets communicable diseases transmitted indirectly from ticks and mosquitoes.
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 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.