ch. 15, 19, 20, 22, 23, 24, 26, 27, 28

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

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

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

50%

The student accepts a referral to a substance abuse counselor.

A high school student is referred to the school nurse for suspected substance abuse. After the nurse's assessment and interventions, what would be the most desirable outcome? The student discusses conflicts over drug use. The student accepts a referral to a substance abuse counselor. The student agrees to inform his parents of the problem. The student reports increased comfort with making choices.

Vicodin

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

Which characteristics are demonstrated by healthy or energized families? (Select all that apply.) A. Communication is appropriate and clear. B. Support and respect are evident and appreciated. C. Roles are static and change only in times of crisis. D. Common beliefs and values are shared E. Members play and share leisure time appropriately.

A. Communication is appropriate and clear. B. Support and respect are evident and appreciated D. Common beliefs and values are shared E. Members play and share leisure time appropriately.

The community health nurse assesses the family as a system within the context of their environments using which approach? A. Ecological framework B. social network framework C. transaction model D. general systems theory

A. Ecological framework

A female veteran has just given birth to her first child. Which resource is most appropriate for this veteran at this time? A. PC3 B. VHA C. CHAMPVA D. TRICARE

A. PC3

Which criteria is required in order for veterans to receive U.S. Department of Veterans Affairs(VA)benefits? (Select all that apply.) A. Serving in active duty for 24 consecutive months B. Serving for a half period of call in the Reserves C. Committing to the Guard for 12 months D. Being separated under any condition other than dishonorable E. Being deployed overseas for 6 months

A. Serving in active duty for 24 consecutive months D. Being separated under any condition other than dishonorable

The U.S. Department of Education defines a homeless child as A. a child abandoned in a hospital. B. a child in foster care. C. a child in a group home. D. a child living with a grandparent.

A. a child abandoned in a hospital.

Public health policy in the United States is influenced by two types of justice, market justice and social justice. Examples of market justice include (Select all that apply.) A. all people are entitled to the status they create for themselves. B. all people are entitled to a livable minimum wage. C. all people are entitled to happiness if they put forth enough effort. D. all people are entitled to the income they work for. E. all people are entitled to access to health care.

A. all people are entitled to the status they create for themselves. C. all people are entitled to happiness if they put forth enough effort. D. all people are entitled to the income they work for.

The nurse is facilitating a support group for caregivers of parents with dementias. She discusses strategies to ensure safety of the client who wanders. These strategies include (Select all that apply.) A. inform the local police of the potential problem. B. keep current pictures of the client available. C. consider restraining the client when left alone. D. place bells on doors. E. use childproof doorknobs.

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

The composition of the family is an example of A. internal structure. B. external structure C. subsystem D. large system

A. internal structure.

A veteran has a traumatic brain injury (TBI), hearing impairment, and an amputated arm. The nurse knows that this patient is suffering from A. polytrauma. B. posttraumatic stress disorder. C. military sexual trauma. D. substance use disorder.

A. polytrauma.

By the middle of the 21st century, the world population is expected to A. reach almost 10 billion B. reach 8 billion C. be largely unchanged from the 20th century D. show a slight decline

A. reach almost 10 billion

A single white male veteran served two tours in Afghanistan. The veteran has returned home from Afghanistan where he lives alone, begins drinking alcohol daily around 11 am, and watches television from rising until bedtime. This veteran is at high risk for A. suicide. B. cognitive impairment C. chronic pain D. unresolved conflict

A. suicide.

the client is without a job

All outcomes may contribute to the diagnosis of substance abuse except the substance use has placed someone in danger. the individual uses the substance despite negative consequences. the substance use interferes with the ability to function at work or at home. the client is without a job

use of violence to handle disputes.

As a school nurse, you know the leading reason cited as the cause of school violence is use of violence to handle disputes. an unhappy home life. overly protective parental situations. poor communication with authority figures.

remain outside if you hear sounds of fighting in a home.

As a visiting community health nurse, you must take precautions to avoid unsafe situations. To avoid putting yourself in danger, you would enter a house where a violent act is occurring and call 911. expect the client to control angry family members. always carry a concealed weapon. remain outside if you hear sounds of fighting in a home.

A client provides information regarding medical and health history. This is an example of which assessment tool? A. Genogram B. Family health tree C. ecomap D. ancestry mapping tool

B. Family health tree

A veteran was awarded VA disability compensation for a medical condition he contracted in 1965 while serving in Vietnam. Which condition did this veteran most likely have? A. Cardiac dysrhythmia B. Parkinson disease C. Diabetes type 1 D. Irritable bowel syndrome

B. Parkinson disease

The nurse is aware that a risk factor for elder abuse is A. a caregiver with low income. B. an elder with urinary incontinence. C. an elder who is irritable and demanding. D. a caregiver with a strong need for control.

B. an elder with urinary incontinence.

Two unrelated heterosexual adults that share a housing unit with their three children is an example of A. nuclear family. B. cohabitation. C. internal structure. D. external structure.

B. cohabitation

In preparing a presentation for seniors and supportive family members, the nurse includes safety information. This is in response to the knowledge that the leading cause of death because of injuries for seniors is A. fire. B. falls. C. heat or cold stress. D. motor vehicle accidents.

B. falls.

The community health nurse is reviewing the Healthy People 2020 objectives. She understands a primary goal for the elderly population is A. decrease the proportion of older adults who have diabetes. B. increase the proportion of older adults with reduced physical or cognitive function who engage in light, moderate, or vigorous leisure-time physical activities. C. increase the proportion of older adults who qualify for Medicare benefits. D. increase the proportion of older adults who seek medical care for chronic conditions.

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

Posttraumatic stress disorder (PTSD) can develop due to (Select all that apply.) A. having recurring nightmares. B. viewing a dead body. C. having a history of mental illness. D. surviving a natural disaster. E. experiencing chronic pain.

B. viewing a dead body. C. having a history of mental illness. D. surviving a natural disaster.

In the role of advocate, the community health nurse recognizes that compared with men in the same age range, women age 65 years and older are most at risk for A. divorce. B. widowhood. C. social isolation. D. criminal victimization (e.g., robbery, burglary, assault).

B. widowhood.

A client who regularly participates in activities at the local senior center is celebrating his 65th birthday today. Without regard to gender, according to the U.S. average, how many additional birthdays can he anticipate celebrating? A. 10 B. 14 C. 19 D. 22

C. 19

Which statement regarding military sexual trauma (MST) is true? A. MST is more common among male veterans. B. MST is always perpetrated by a stranger. C. MST is associated with diabetes. D. MST is associated with mild PTSD.

C. MST is associated with diabetes.

Family interviewing requires the community health nurse to understand or develop specific skills. All demonstrate appropriate family interviewing skills or techniques except A. introducing oneself by name and addressing the client appropriately, such as "Mr. Jones." B. planning the focus for the family visit in advance and engaging all family members present during the home visit. C. establishing the nursing goals based exclusively on the physician's orders. D. including time to identify family strengths and commend the family on these during the family assessment.

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

population overcrowding can result in A. increased productivity B. improved education C. increased incidence of disease D. decreased mortality

C. increased incidence of disease

In long-range planning for community needs, the community health nurse considers that the fastest-growing segment of the senior population is the A. young-old (ages 65 to 74 years). B. middle-old (ages 75 to 84 years). C. old-old (ages 85 years and older). D. elite-old (more than 100 years old).

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

neglect

Child maltreatment that allows the child to use drugs and alcohol is an example of sexual abuse. physical abuse. psychological abuse. neglect

Suffering chronic fatigue and tension

Chronic stress characterizes the lives of people living with domestic violence. As the community health nurse, you recognize which as a long-term effect of violence? Spontaneous disclosure of abuse to health care provider Not complaining of physical symptoms Having disturbed eating patterns, but sleeping well Suffering chronic fatigue and tension

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

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

The nurse is assisting Sargeant Earl in applying for VA benefits. Which statement made by Sargeant Earl indicates he understands VA benefits? A. "This is a wonderful health insurance program that will cover all of my health care needs." B. "I can see any provider I wish under the VA health insurance plan." C. "I still need to carry private insurance to assist with the most expensive treatments." D. "My primary care copay is $15 a visit and outpatient specialist copays are $50 per visit."

D. "My primary care copay is $15 a visit and outpatient specialist copays are $50 per visit."

The community health nurse understands that events such as divorce, remarriage, or separation of parents have the potential to affect the family and individuals within the family. This demonstrates the nurse's understanding of which family theory? A. Structure-function family theory B. Family systems theory C. Family communication theory D. Developmental theory

D. Developmental theory

Veterans with a substance use disorder (SUD) are most likely to suffer from A. TBI B. MST C. VHA D. PTSD

D. PTSD

In reviewing research related to client actions that may retard the aging process, the nurse is aware that such research is based on stochastic theories of aging. Why? A. Stochastic theories state that normal cells divide a specific number of times and the number of cell divisions is proportional to the life span of the species. B. Stochastic theories state that aging is a programmed decline in the functioning of the nervous, endocrine, and immune systems. C. Nonstochastic theories propose that aging is a result of a loss of self-regulation between the body and cells, resulting in an immune response that is not reversible or decelerating. D. Stochastic theories explain aging as the accumulation of random events over time; nonstochastic explain aging as a predetermined process and therefore not modifiable through individual actions.

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

Which description does not reflect a current definition of family? A social unit interacting with the larger society B. Individuals living together related by kinship, marriage, or choice C. Mother, father, and children interacting with extended family D. Two or more persons living together who share common interests

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

A veteran is a person who has served in the military. Which statement about veterans is correct? A. There are 5 million veterans in the United States today. B. Employees of the National Aeronautics and Space Administration (NASA) are considered veterans. C. People who were honorably discharged from the military are still considered veterans. D. Veterans include those that have served in the active military, naval, or air service.

D. Veterans include those that have served in the active military, naval, or air service.

According to the vulnerability index, the individual at highest risk for death is A. a 46-year-old person who has been homeless for 2 months and has HIV. B. a 22-year-old person who lives in a homeless shelter and is addicted to heroin. C. a 65-year-old person who is being evicted from his home after living there for 25 years. D. a 60-year-old person who has been homeless for 9 months.

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

A community health nurse needs to understand that most families in today's society can be described as A. blended. B. nuclear. C. extended. D. defined by its members.

D. defined by its members.

A client is having difficulty performing his activities of daily living. This means he is having difficulty with A. expressive functioning. B. affective functioning. C. emotional functioning. D. instrumental functioning

D. instrumental functioning

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

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

working in pairs.

Nurses, including public health nurses, are at increased risk for workplace violence. Risk factors for violence in the workplace include all except working in pairs. access to medications. increased number of mentally ill patients. inadequate security.

avoid all products containing alcohol

On discharge after treatment for alcoholism, a client plans to take disulfiram (Antabuse) as prescribed. When teaching the client about this drug, the nurse emphasizes the need to avoid all products containing alcohol adhere to concomitant vitamin B therapy. return for monthly blood drug level monitoring. limit alcohol consumption to a moderate level.

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

Partnering with the county extension agent to offer tractor safety classes

impulsive disinhibited

Personality traits associated with an increased risk of alcohol abuse include (Select all that apply.) impulsive. shy. withdrawn. disinhibited. aggressive.

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

The community health nurse is trying to encourage a client to attend Alcoholics Anonymous meetings. When the client asks the nurse what he must do to become a member, the nurse should respond "You must first stop drinking." "Your physician must refer you to this program." "Admit you are powerless over alcohol and that you need help." "You must bring along a friend who will support you."

Methamphetamine

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

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

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

sense of belonging. peer pressure need for respect.

The school nurse is interviewing a student who has been assaulted by another student. Both students proclaim to be gang members. The nurse understands the reasons most youth give for joining a gang include the following: (Select all that apply.) financial gain. sense of belonging. peer pressure. relative is in a gang. need for respect.

Al-Anon

The wife of an alcoholic client is considering joining a support group to help her respond to her husband's condition in a healthy way. Where should the nurse refer this client? A psychiatrist for a referral to a suitable group Spouses Anonymous Al-Anon Alcoholics Anonymous

The client will feel depressed, apathetic, and lethargic.

When a client regularly takes a drug that is a central nervous system (CNS) stimulant, such as cocaine, what symptoms would the nurse expect to see when the client abstains from this substance? The client will have symptoms of CNS stimulation. The client will experience anxiety, insomnia, and tremors. Common symptoms include hallucinations and seizures. The client will feel depressed, apathetic, and lethargic.

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

Which assessment findings by the community health nurse would suggest that an elderly client may be the survivor of physical abuse by a caregiver? (Select all that apply.) The client has a laceration on her forehead that was sutured. The client has a flat affect. The client has bruises on her forearms in various stages of healing. The client withdraws from soft touch. The client is not sexually active but has a diagnosis of Chlamydia.

A 70-year-old client with dementia who is cared for at home

Which client is at highest risk for elder abuse? A 75-year-old nursing home client who is alert and has osteoporosis A 70-year-old client with dementia who is cared for at home A 65-year-old client who has just had a hip replacement A 72-year-old client on a rehabilitation unit with bilateral above-the-knee amputations

Teen use of cigarettes and smokeless tobacco is increasing

Which statement about adolescent substance abuse is false? Teen use of cigarettes and smokeless tobacco is increasing Alcohol use among youth declined increased between 2010 and 2015. Most of the movement in teen substance abuse has been in the downward direction. Marijuana use among teens is decreasing.

Most homicides are caused by stabbings.

Which statement about homicide in the United States is false? Most homicides are caused by stabbings. Homicide is the third leading cause of death for 1- to 4-year-old children. Blacks are more likely to be the victims of homicide than whites. Over 50% of homicide victims are killed by someone they knew.

Professional intervention is needed to change the abusers' behavior.

Which statement about intimate partner violence (IPV) is true? It occurs only in poor, uneducated, minority households. It only occurs in heterosexual relationships. Victims can change the abusers' behavior. Professional intervention is needed to change the abusers' behavior.

10.Which of the following factors causes primary vaccine failure? (Select all that apply.) a. Inefficient storage b. An intramuscular vaccine injection given subcutaneously c. Waning immunity in immunocompromised patients d. Light-sensitive vaccines exposed to light e. Seroconversion

a,b,d,e

5.Which statement indicates that further teaching is needed for a patient involved in family planning? a. "I can't get human papilloma virus (HPV) from my boyfriend because we're not having intercourse." b. "I need to use condoms to prevent transmission of sexually transmitted diseases." c. "Even though I have no signs or symptoms, I still may have Chlamydia." d. "I can give my unborn baby warts during childbirth."

a. "I can't get human papilloma virus (HPV) from my boyfriend because we're not having intercourse."

which diseases contribute to higher mortality rates in developing countries? (select all) a. AIDS b. hepatitis c c. cancer d. parasitic infection e. dengue fever

a. AIDS d. parasitic infection e. dengue fever

Which model supports upstream thinking with the purpose to improve homelessness through reduction of structural conditions contributing to homelessness? a. Social justice b. Market justice c. Physical justice d. Mental justice

a. Social justice

Which of these statements is true regarding income insufficiency in the United States? a. The poverty rate from 2010 to 2015 did not differ statistically. b. People who make minimum wage would not be categorized as impoverished. c. Alcoholism is the major reason for lack of employment. d. The median household income in 2015 was around $40,000.

a. The poverty rate from 2010 to 2015 did not differ statistically.

9. Seven cases of hepatitis A are diagnosed in a community over a period of 2 weeks. An investigation results in a determination that all of the infected individuals ate at a local restaurant. Which of the following statements explains the possible connection between hepatitis A and a restaurant? a. The route of transmission for hepatitis A is fecal-oral. b. A food worker likely coughed on the customers. c. A food worker may have a bleeding wound. d. Hepatitis A is transmitted where people congregate.

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

the concept of "health for all by the year 2020" was initially introduced by which international organization? a. world health organization b. centers for disease control c. united nations international children emergency fund d. national institutes of health (NIH) healthy people 2020

a. world health organization (WHO)

What is the purpose of the Homeless Information Management System (HIMS)? a. Provides means to feed homeless people b. Obtains national data on homeless individuals c. Serves as a screening tool to obtain any history of criminal activity d. Provides homeless individuals with educational materials

b. Obtains national data on homeless individuals

which environmental stressor directly assaults human health? a. global warming b. air pollution c. noise d. litter

b. air pollution

The Brown family is being evicted from their home and will be moving into a homeless shelter in 3 days. Under the Department of Housing and Urban Development (HUD) definition, the Brown family is a. literally homeless. b. in imminent risk of homelessness c. homeless under other federal statutes. d. fleeing or attempting to flee intimate partner violence.

b. in imminent risk of homelessness

the life-threatening parasitic disease that causes nearly 500,000 deaths annually is a. AIDS b. malaria c. tuberculosis d. hepatitis

b. malaria

8.A pathogen lives and multiplies in a __________ and transfers from one host to another by a __________. a. host, susceptible portal of entry b. reservoir, mode of transmission c. infectious agent, portal of exit d. mode of transmission, reservoir

b. reservoir, mode of transmission

4.Investigating all contacts of a person infected with a sexually transmitted disease is an example of what? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Initial prevention

b. secondary prevention

What group of homeless individuals is known for their involvement in survival sex? a. Young adult gay men b. Middle-aged women c. Young women d. Elderly men

c. Young women

6.Transmission of an infectious disease can be efficiently controlled by: a. breaking all links in the transmission chain. b. destroying all reservoirs of infectious agents. c. breaking only one link in the transmission chain. d. maintaining high levels of herd immunity.

c. breaking only one link in the transmission chain.

3. Which statement regarding STDs is correct? a. the rate of STDs is decreasing because of effective medication therapies b. women are less likely to use protection methods against STDs. c. half of the STD rate in the US falls within 15-24 age range d. treatment for STDs in women is usually ineffective.

c. half of the STD rate in the US falls within 15-24 age range

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

c. indirect

the global health organization that works for children's survival, development, and protection is the a. world health organization b. centers for disease control c. united nations international children emergency fund d. pan american health organization

c. united nations international children emergency fund

after the implementation of various policies to reduce tobacco use, the tobacco industry has begun targeting (Select all that apply.) a. elderly people b. Hispanics c. youths and young adults d. African Americans e. international markets

c. youths and young adults e. international markets

Based on the Department of Housing and Urban Development (HUD) definitions of homelessness, which individual would be considered homeless? a. An individual whose residence lacks access to public water and electricity b. An individual who has a permanent nighttime residence in the housing for mentally ill people c. An individual imprisoned or detained under an act of Congress or state law d. An individual who spends most nights at public or private places not designed for regular sleeping accommodations

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

What official national organization provides financial housing assistance to low-income families? a. World Health Organization (WHO) b. Federation of National Organizations Working with the Homeless (FEANTSA) c. Robert Wood Johnson Foundation d. Department of Housing and Urban Development (HUD)

d. Department of Housing and Urban Development (HUD)

An elderly client expresses the following concerns to the community health nurse. Which of these concerns is a physiological change associated with the aging process? a. Increased saliva b. Decreased pain threshold c. Increased nightly sleep time d. Difficulty remembering new names

d. Difficulty remembering new names

The home care nurse is caring for a client recently diagnosed with inoperable cancer. Which best expresses the nurse's role related to end-of-life issues? a. Monitoring for the client to express interest in talking about these issues b. Asking the client whether an advance directive has been completed c. Exploring end-of-life issues with the client's family d. Initiating discussion and education

d. Initiating discussion and education

The first nurse to establish international links and networks was: a. clara bartion b. mary breckenridge c. dorothea dix d. florence nightingale

d. florence nightingale

2.Four-month-old Lucy is in for immunizations at the local health department. The Vaccine Information Sheet is given to Lucy's mother, and informed consent is obtained. However, the mother then states, "Lucy did have a temperature around 99.1 degrees the night of her last immunizations." After this statement, the nurse should do which of the following? a. Consult the child's pediatrician. b. Delay the immunizations. c. Do not give the immunizations because of the contraindication. d. Give the immunizations.

d. give the immunizations

people who live in developing countries are at risk for a variety of health threats as a result of all factors except a. limited sanitation facilities b. increased chance of exposure to communicable diseases, including AIDS, tuberculosis, and hepatitis B. c. higher rates of tobacco use compared with most developed countries. d. lack of interest in health issues and health care

d. lack of interest in health issues and health care

7.Which of the following is classified as a vector of disease? a. Humans b. Door handles c. Water and food d. Mosquitoes

d. mosquitoes

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

lack of health insurance

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

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

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

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

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

work and be productive