CHN part 2
195. A public health nurse is faced with an ethical dilemma. Which question should the nurse consider first when deciding how to resolve the dilemma? A) "What exactly is the ethical dilemma?" B) "What are the alternative courses of action?" C) "What are the consequences of each alternative courses of action?" D) "How should this dilemma be solved?"
A) "What exactly is the ethical dilemma?"
140. 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 as preventative 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 persons without disabilities C) Focus on personal responsibility for healthy lifestyle by persons with disabilities D) Concept that persons with disabilities are always dependent on others
A) A growing emphasis on a holistic approach that recognizes life satisfaction is just as important to health and well-being as preventative services
169. A school nurse functions to promote a healthy school environment. Which of the following would be most appropriate for the nurse to do? A) Advocating for proper nutrition and exercise to prevent and reduce the incidence of obesity in school-age children B) Providing care for children with asthma C) Developing individualized health plans D) Engaging in incidental teaching about scoliosis
A) Advocating for proper nutrition and exercise to prevent and reduce the incidence of obesity in school-age children
159. When preparing a plan of care for a group of 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 most appropriate 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
A) Assisting them to locate a safe shelter
192. At which time did the focus of district nursing broadened to include the health and welfare of the general public? A) Beginning of 20th century B) In the late 19th century C) Prior to the 1850s D) By the early 1970s
A) Beginning of 20th century
155. When addressing homeless children and youth, which of the following situations are also considered homeless according to the education subtitle of the McKinney-Vento 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 grounds E) Children who are living apart from one or more of their parents
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 grounds
184. Which of the following are core values of professional behavior that are unique to public health nursing? Select all that apply. A) Community/population as client B) Prevention C) Rehabilitation D) Partnership E) Healthy environment F) Diversity
A) Community/population as client B) Prevention D) Partnership E) Healthy environment F) Diversity
132. Which of the following comprise the primary criteria for effective programs for older adults? A) Coordination B) Accessibility C) Comprehensive D) Complex E) Quality
A) Coordination B) Accessibility C) Comprehensive E) Quality
136. 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
A) Develop case management programs to channel clients to appropriate services
189. Which of the following activities would be associated with a community health nurse? Select all that apply. A) Examining infants in a city well-baby clinic B) Caring for elderly stroke victims in their homes C) Providing emergency care in an acute care facility D) Carrying out epidemiologic research E) Participating in health policy analysis
A) Examining infants in a city well-baby clinic B) Caring for elderly stroke victims in their homes D) Carrying out epidemiologic research E) Participating in health policy analysis
139. Which of the following vulnerable populations have been subjected to perceived poor quality of care and access to care? Select all that apply. 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
A) HIV-infected persons B) Persons who use illicit drugs C) People of non-White race/ethnicity E) Homeless persons
168. Which of the following health conditions would the corrections nurse expect to address as most prevalent? Select all that apply. A) Heart disease B) Tuberculosis C) Hepatitis C D) Asthma E) Substance abuse
A) Heart disease B) Tuberculosis C) Hepatitis C E) Substance abuse
152. Which of the following are involved in accessing and using epidemiologic data to understand and serve populations with mental illness? 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
A) Identifying the incidence and prevalence of mental disorders C) Examining the causes and risk factors associated with mental illness D) Identifying the needs of people with mental disorders
141. 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 raise awareness 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
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 raise awareness about determinants of health for people with disabilities
108. A community health nurse is asked to be part of a community-wide effort to address the issue of teen parenthood. When planning appropriate programs, which of the following would be important to include as the priority? A) Increased focus on preventing teen pregnancy B) Increased insurance coverage for contraception C) Increased male involvement in teen pregnancies D) Increased access to prenatal services
A) Increased focus on preventing teen pregnancy
130. When developing a plan of care for a group of male patients experiencing erectile dysfunction, which of the following would the nurse expect to institute first? A) Lifestyle changes B) Adjustments to current medications C) Psychotherapy D) Behavior modification
A) Lifestyle changes
176. After teaching a community group about the Medicaid program, which of the following would indicate to the nurse that additional teaching is necessary? A) Medicaid has a monthly fee that recipients must pay. B) Medicaid is administered individually by each state. C) Medicaid focuses on preventative services. D) It is possible to be on both Medicare and Medicaid.
A) Medicaid has a monthly fee that recipients must pay.
165. 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
A) Nonprofessional community outreach worker
138. 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
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
142. 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 as different? 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 set for 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 experiencing disabilities 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.
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 set for 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 experiencing disabilities and/or chronic illness. 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.
197. When providing home health care, which individual is responsible for coordinating the care? A) Registered nurse B) Social worker C) Physician D) Dietician
A) Registered nurse
122. A community health nurse is working with a group of parents who have infants and toddlers. Which of the following would the nurse include in a teaching plan for this group about reducing dental caries? A) Serving sugary foods at mealtimes and not snacks B) Providing juice in a sippy cup between meals C) Allowing the older infant to fall asleep with a bottle D) Permitting snacking throughout the day
A) Serving sugary foods at mealtimes and not snacks
125. A community health nurse is working with local community agencies to provide services for children and adolescents with disabilities. Based on the nurse's knowledge of the most common disabilities affecting this group, the nurse would advocate for which of the following to address the largest group? A) Special education services B) Speech therapy services C) Mental health services D) Mental retardation services
A) Special education services
170. A corrections nurse is proactively working with the institution to develop programs for the facility to address problems to address the trends for the future. Which type of program would be most appropriate for the nurse to recommend? A) Treatment of typical disorders found in younger inmates B) Dealing with older, sicker, and longer periods of incarceration for many inmates C) Clinics to address acute disease conditions D) Education for release after shorter incarcerations
A) Treatment of typical disorders found in younger inmates
175. A community health nursing student is interviewing several occupational and environmental health nurses about their experiences. Each of the nurses works in a small organization and is the only nurse for the company. Which of the following would the student most likely note as being similar among the nurses? A) Use of critical thinking skills B) Collegial relationships C) Decrease in workload D) Role certainty
A) Use of critical thinking skills
100. 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 the highest governing body? A) World Health Assembly B) WHO Collaborating Centers C) The European Union D) U.S. Agency for International Development
A) World Health Assembly
186. Organize the following steps in the epidemiologic study from the first step to the last. A) Collect the data. B) Identify the problem. C) Analyze the findings. D) Disseminate the findings. E) Review the literature. F) Develop conclusions and applications. G) Design the study.
B E G A C F D
112. A community health nurse determines that it is time for teaching a family about health promotion activities when they say which of the following? A) "Is there a place we can go for the medicine?" B) "It's time we do something about eating right." C) "When are you coming back to visit?" D) "Our grandchildren visit every summer."
B) "It's time we do something about eating right."
126. A community health nurse is providing immunizations to school-age children at a local health department. At which age would the nurse expect to administer the first dose of human papilloma virus (HPV) vaccine? A) 9 B) 11 C) 13 D) 15
B) 11
181. A home health care nurse performs an initial visit to a client and determines that the client meets the criteria for services with Medicare reimbursement. The nurse understands that this service will be reimbursed for which period? A) 30 days B) 60 days C) 90 days D) 120 days
B) 60 days
146. 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 this legislation? 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.
B) Architectural barriers must be removed from pathways so that they are accessible by wheelchair.
173. When describing the major functions of an occupational and environmental health nurse, which of the following would the nurse identify as being the most time consuming? A) Activities involving safety education B) Care of injured employees C) Programs for improved working conditions D) Teaching activities for healthy nutrition
B) Care of injured employees
158. A community health nurse who will be working with a homeless population is planning care. Which of the following would the 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
B) Clarify personal values and beliefs
129. A nurse is instructing the adult male members of a family on how to perform testicular self examination. Which of the following would the 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
B) Completing the exam right after a hot shower
109. When working with gay and lesbian families, which of the following is the most important challenge? A) Determining if the union is legal in the state that the family resides B) Creating an environment in which the family feels confident, relaxed, and comfortable C) Addressing the usual parental fears and concerns related to their children D) Planning additional services to address the delayed development of each of the children
B) Creating an environment in which the family feels confident, relaxed, and comfortable
107. After teaching a class about the functions of a family, the instructor determines that the class needs further instruction when they identify which of the following statements as true of family functions? A) One family function is providing affection. B) Family functions include ensuring the happiness of all family members. C) In the United States, certain social institutions help perform some aspects of traditional family functions. D) An important family function is providing socialization for the young members of the family.
B) Family functions include ensuring the happiness of all family members.
113. Which of the following would a community health nurse use when conducting an outcome evaluation? A) Organization B) Family progress C) Timing D) Performance
B) Family progress
123. As one aspect of ensuring adequate brain development in a child, a community health nurse would encourage the intake of which during the first 2 years of life? A) Vitamins B) Fats C) Protein D) Carbohydrates
B) Fats
188. A community health nurse working with a group of families who come to local community health care center tells them that she is going to be setting up child care so that the families can participate in the various classes being offered by the center. Three months have passed, and the nurse still has not instituted the child care program. The nurse has violated which ethical principle? A) Veracity B) Fidelity C) Justice D) Respect
B) Fidelity
144. 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
B) Holistic practice
103. 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 the nurse expect to find? Select all that apply. A) Diminished startle response B) Hypervigilance C) Feelings of detachment D) Flashbacks E) Full range of affect
B) Hypervigilance C) Feelings of detachment D) Flashbacks
166. 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
B) Introducing one's self as a community health nurse
137. 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
B) Inverse
162. Which one of the types of services that may be available in a school-based health center may be controversial and not be supported by all parents and community members? A) On-site sexually transmitted infections testing and treatment B) On-site provision of contraceptives C) Well-child care D) Sick-child care
B) On-site provision of contraceptives
120. A community health nurse is developing a plan to address the nutritional needs of infants, toddlers, and preschoolers. Which of the following would the nurse need to incorporate as a major issue associated with nutritional problems? A) Life in the culture of poverty B) Overfeeding of an infant C) Cultural food preferences D) Rapid growth spurts
B) Overfeeding of an infant
135. 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 on diseases 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 a concept 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 for people who are actively dying.
B) Palliative care consists of comfort and symptom management and is often a part of hospice care.
128. When working with community groups to develop appropriate programs for adolescent health promotion, the nurse integrates knowledge of the Healthy People 2020 objectives, keeping in mind that many of the objectives address which of the following? A) Self-esteem improvement B) Risk-taking behaviors C) Control of disease D) Behavioral issues
B) Risk-taking behaviors
177. Which of the following would the community health nurse identify as a drawback to retrospective reimbursement? A) Spending was limited to the most necessary tests and treatments. B) Services for sickness were encouraged rather than wellness. C) Consumers had to bear the increased accountability for cost containment. D) Payments for services were based on rates calculated from predictions.
B) Services for sickness were encouraged rather than wellness.
106. 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
B) Spending time with children and young people
199. When describing the role of hospice nurses to a group of students, a hospice nurse identifies which of the following as most important? A) Speaking the truth B) Sustaining oneself C) Encouraging choice D) Strengthening the family
B) Sustaining oneself
104. 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
B) Terrorism
102. Which of the following statements regarding WHO Collaborating Centers is most accurate? A) One or two Regional Nursing Advisors carry out 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 the work of the member countries in these areas. C) It is referred to a philosophy, a movement, a way of thinking, a setting for health services, or a set of principles. D) It focuses on professional issues to support the development of particular health-related practitioners.
B) The World Health Organization Collaborating Centers in Nursing and other fields focus on specific areas of expertise and carry out the work of the member countries in these areas.
101. 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 nursing knowledge and skills. B) The World Health Organization can help a member state determine the drugs that are essential and will assist in developing health policy, 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-related practitioners, such as nurses.
B) The World Health Organization can help a member state determine the drugs that are essential and will assist in developing health policy, project plans, and programs.
174. After teaching a group of community health nursing students about the trends affecting occupational and environmental health nursing, the instructor determines that more teaching is needed when the students identify which of the following as a trend? A) Continued escalation of health care costs B) Upturn in the global economy C) Increase in worldwide competition D) Increase in technologic hazards
B) Upturn in the global economy
183. A community health nurse works in a busy community health nursing practice. Today, the nurse is devoting the day to the educator role. With which of the following activities would the nurse be involved? Select all that apply. A) Planning seven home visits today B) Working on a new curriculum for high-risk teens C) Meeting with colleagues to discuss organizational changes in the office D) Ordering pamphlets over the Internet to be used in a parenting class E) Tabulating data from surveys distributed to elders during a flu-shot clinic F) Going to social services to speak up for a family in his or her caseload
B) Working on a new curriculum for high-risk teens D) Ordering pamphlets over the Internet to be used in a parenting class
111. During a home visit and assessment of an infant and new mother, the nurse determines that the infant looks healthy. The mother asks several questions and listens attentively. One question she asks is whether the nurse is going to visit her again. Which response would be most appropriate? A) "Your baby looks healthy. You should not have any further questions." B) "The agency limits the number of visits I can make; I will let you know." C) "I plan to visit again. What would you like to accomplish at the next visit." D) "I can come weekly for the next 16 weeks, and then a staff nurse will visit."
C) "I plan to visit again. What would you like to accomplish at the next visit."
121. A community health nurse is making a family home visit. The family consists of the mother, father, 1-year-old, and 4-year-old. The mother states that the 4-year-old who is in preschool had a cold last week and now the 1-year-old has it. She asks the nurse if she can use the over-the-counter cold medication that she gave to the 4-year-old for the 1-year-old. Which response would be most appropriate? A) "It shouldn't be a problem if you use that same medication for the 1-year-old." B) "I don't know if the medicine will work, but you can try it and see." C) "That type of medicine should not be used in children under age 2." D) "You should use a smaller dose but watch if it makes him irritable."
C) "That type of medicine should not be used in children under age 2."
118. During a home postpartum visit, a community health nurse suspects that the woman is experiencing depression. Which of the following responses would be most appropriate? A) "You should try drinking more caffeine to help you be less tired." B) "Don't worry. Good mothers don't hurt their babies." C) "Try napping when the baby is napping." D) "You should be able to achieve perfection with housekeeping tasks while you are still on maternity leave."
C) "Try napping when the baby is napping."
150. 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 which role? A) Educator B) Collaborator C) Advocate D) Case manager
C) Advocate
147. Which one of the following statements regarding the etiology of substance use disorders is most accurate? A) It is believed that nurture has substantially more 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 (gene-environment interaction). D) Only genetic heritability is involved in the etiology and course of substance use disorders.
C) Alcohol dependence is thought to be a multigenomic disorder influenced by the environment (gene-environment interaction).
105. 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
C) Anthrax
187. After teaching a class on ethical principles, the instructor determines that the class needs additional instruction when they identify which of the following as an ethical principle? A) Respect B) Autonomy C) Morality D) Justice
C) Morality
191. A community health nurse is involved in a project to evaluate the health of a city. Which of the following findings would suggest that the city would most likely need additional programs? A) Citizens are actively involved in the city's department of recreation and after-school programs. B) The construction of affordable organized housing developments and communities is nearing completion. C) Approximately one third of the people are recently unemployed due to closure of the automotive factory. D) Several new recreational facilities for adults and children have been created at several locations.
C) Approximately one third of the people are recently unemployed due to closure of the automotive factory.
153. Place in order, the steps involved in creating a faith community nursing position within a faith community. A) Seek support of the faith community members and staff. B) Seek formal approval from the organization's governing body. C) Assess the community the nurse plans to serve and identify the health needs of the faith community and the roles of the faith community nurse that meet those needs. D) Solicit input from the staff and spiritual leaders of the faith community
C) Assess the community the nurse plans to serve and identify the health needs of the faith community and the roles of the faith community nurse that meet those needs. A) Seek support of the faith community members and staff. D) Solicit input from the staff and spiritual leaders of the faith community B) Seek formal approval from the organization's governing body.
180. When working with immigrant groups in community health care, which of the following would be least appropriate for the community health nurse to do? A) Permit ample time for interviewing to allow time to evaluate beliefs B) Develop educational programs to correct misconceptions C) Assume that the client has a basic understanding of health issues D) Ensure an appropriate interpreter for communication if needed
C) Assume that the client has a basic understanding of health issues
185. When using descriptive epidemiology, which type of study would the community health nurse expect to include? A) Prevalence study B) Case-control study C) Cohort study D) Count study
C) Cohort study
167. 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
C) Considering effects of environment on the health of large cities
194. Which of the following most accurately reflects the response of community health nursing to economic forces? A) Decreased competition with other community health service providers B) Reduction in available programs and services C) Development of new services for generating revenue D) Switch to a more illness-oriented philosophy for service
C) Development of new services for generating revenue
171. A corrections nurse is visiting a local nursing school to describe this career. Which of the following would the nurse include in the discussion? A) Lower salaries than other fields B) Primarily assessment oriented C) Extensive employee benefits D) Low safety risk
C) Extensive employee benefits
196. A home health care nurse is working with informal caregivers. Which of the following is most important? A) Include the client's spouse or significant other in the plan B) Visit frequently to manage and maintain equipment C) Focus on caretaker abilities, not their limitations D) Use nurse's intuition to determine what to teach first
C) Focus on caretaker abilities, not their limitations
178. Which of the following about the educational preparation for occupational and environmental health nursing is most accurate? A) Any licensed nurse can provide the services necessary. B) Because it is a specialty of nursing, a Bachelor's degree in nursing is required. C) Ideally, a nurse would be prepared for these specialties at the graduate level. D) This career option is restricted to advanced practice nurses.
C) Ideally, a nurse would be prepared for these specialties at the graduate level.
193. Which of the following actions by the community health nurse exemplifies the societal influence of causality on the practice of community health nursing? A) Using computer-based education programs for client education B) Engaging in video conferencing to share research findings C) Identifying multiple factors associated with promoting wellness D) Developing a plan to address the rapid increase in older adult population
C) Identifying multiple factors associated with promoting wellness
161. A community health nurse is advocating for the development of school-based health centers in the community high schools as a means to accomplish which of the following? A) Maintain the current absentee rate B) Provide contraceptive services C) Increase ready access to health care services D) Promote increased use of emergency services
C) Increase ready access to health care services
127. A community health nurse is speaking to a group of parents of incoming college freshmen students who will be living in the dormitories. The focus of the program is on the college health program, health issues, and immunizations. Which immunization would the nurse most strongly encourage the students to receive if they have not received it previously? A) Varicella virus vaccine B) Human papilloma virus vaccine C) Meningococcal vaccine D) Influenza vaccine
C) Meningococcal vaccine
157. 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 private sector 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
C) National Resource Center on Homelessness and Mental Illness
164. A rural community health nurse is a guest speaker at a nearby nursing school. The 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 opportunities
C) Nurses viewed as active, highly respected community members
119. After teaching a group of students about various community nutritional programs, the instructor determines that the teaching has been successful when the students identify which of the following as a result of the WIC program? A) Increased expenditures for health care B) Decreased rates of large for gestational age babies C) Reduced rates of infant iron deficiency anemia D) Drop in breast-feeding rates
C) Reduced rates of infant iron deficiency anemia
154. An instructor reviews the definition of homelessness according to the McKinney Vento Homeless Assistance Act with a group of community health nursing students. The instructor determines that the students need clarification when they include which of the following 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
C) Someone who is incarcerated
182. Which of the following is included in the most accurate description of school nursing? A) This is one community health setting where the role is static. B) The primary role of school nurses is clinician. C) The practice of school nurses is widening. D) School nurses rarely act as advocates.
C) The practice of school nurses is widening.
190. The term health can be described in many different ways. A community health nurse would view health as which of the following? A) The absence of disease B) The potential to lead a productive life C) An environment free of toxins D) A holistic state of well-being
D) A holistic state of well-being
172. A school nurse is addressing the dental health issues of the local community of school children. Which activity would be most appropriate at the community level? A) Educating parents about the importance of oral health B) Teaching children how to brush and floss properly C) Assisting with finding resources for those without dental insurance D) Advocating for the fluoridation of drinking water
D) Advocating for the fluoridation of drinking water
160. 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
D) Assist in ensuring participation in substance abuse rehabilitation programs
179. When working with different cultural groups in the area of health care practices, the nurse acts as an effective advocate for the client. Which of the following must the nurse do first? A) Prepare to teach clients about the limits and benefits of cultural health practices B) Assess the client or family adequately to ascertain their belief system and choices C) Individualize caregiving for the client within his or her culture D) Be knowledgeable about health care practices and choices
D) Be knowledgeable about health care practices and choices
151. Which one of the following are the primary roles that the community health nurse must use to understand and serve populations with mental illness? A) Advocate B) Educator C) Case manager D) Consumer of epidemiologic data
D) Consumer of epidemiologic data
124. Which of the following would a community health nurse expect to assess in the adolescent population with an eating disorder? A) High levels of peer support B) Clear sense of self C) Feelings of being in control D) Distorted body image
D) Distorted body image
163. After teaching a group of students about the 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
D) Diversity viewed as a strength
145. 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
D) Educator
117. A community health nurse is developing a plan of care for families in crisis. Which of the following would be most appropriate for the nurse to include? A) Encourage clients to suppress feelings to minimize pain B) Avoid correcting distorted facts to reduce stress C) Allow clients to blame others for the crisis D) Help clients confront crisis
D) Help clients confront crisis
116. Which of the following would be least appropriate for a community health nurse to include in a plan of care at the secondary prevention level for families who may need to respond in a case of crisis in the future? A) Teaching social problem-solving skills B) Helping women develop assertiveness skills C) Providing parenting classes D) Helping to reestablish as sense of safety
D) Helping to reestablish as sense of safety
131. 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
D) Hemoccult stool testing
110. When a community health nurse is conducting a family assessment on an assigned family, which of the following would be most appropriate? A) Use quantitative data only to maintain and preserve objectivity B) Interview one family member to avoid confusion and repeated information C) Use a checklist format, completing the tool in the family's presence D) Make several visits and accumulate data from all family members
D) Make several visits and accumulate data from all family members
115. A community health nurse is providing a community education program about suicide. Which of the following would the nurse include as a common method used by women? A) Hanging B) Firearms C) Vehicle crash D) Overdose
D) Overdose
149. 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
D) Pregnant women who have a child with fetal alcohol syndrome
148. 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 the following as a component of the theory? A) Determinant theory B) Intervention theory C) Impact theory D) Process theory
D) Process theory
133. 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 the nurses 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
D) Provide a variety of housing and care options that elders need as they age
143. 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 the nurse to integrate into the plan? A) Insurance limitations B) Skill teaching C) Flexible visiting D) Respite care
D) Respite care
134. 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, and feeding? A) Personal care home B) Respite care C) Intermediate care facility D) Skilled nursing facility
D) Skilled nursing facility
198. A client will receive hospice care under the Medicare Hospice Benefit. The nurse understands that which of the following is true? A) The client denies terminal prognosis. B) The client has a prognosis of at least 6 months of life. C) The client chooses life-extending care. D) The hospice acts as clinical and financial case manager.
D) The hospice acts as clinical and financial case manager.
156. 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 a particular 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
D) The number of people who have been homeless over the course of a year
114. A community health nurse is designated as a "mandated reporter." Which of the following best describes this designation? A) The nurse must witness abuse and neglect before being mandated to report. B) The nurse commands that battered women report the abuse. C) The supervising community health nurse is responsible for reporting only known cases of elder abuse. D) The nurse must report any case of known or suspected abuse and neglect in children or elders.
D) The nurse must report any case of known or suspected abuse and neglect in children or elders.
