Com3
The community health nurse is coordinating the supplies required after a natural disaster. Which government agency is responsible for managing the Strategic National Stockpile?
CDC centers for Disease control
The community health nurse is preparing a community assessment. Which data source would be appropriate to access when measuring the dimension of people?
Census data, tourist bureau, civic groups, churches
The community health nurse is reviewing the disaster plan for a local community to verify that all populations are represented in the plan. Which vulnerable population is often overlooked during a disaster?
Children in childcare facilities
The community health nurse is working with a group of clients who were victims of a terrorist act. Which statement by the nurse would best facilitate recovery?
Describes some plans that you have made since the event
The community health nurse is developing a community-based education program. Which action will the nurse plan to take first?
Determine the population
When developing a community based education program
Determine the population the education is meant to be developed for
Surveillance reduces
Morbidity and mortality
The community health nurse is developing a program for a group of migrant workers. Which program would meet the Healthy People 2020 objectives for environmental health?
Promoting strategies to decrease pesticides exposure
When designing an educational program, which action should the nurse take to develop a clear educational session?
Provide handouts that highlight the key points
Primary prevention of abuse is
Public education programs that can educate communities about different forms of violence and ways to get help and intervene
The structure approached to improving performance
Quality improvement
The community health nurse is implementing tertiary intervention for disaster management. Which action will the nurse plan to take?
Rebuilding signage that indicates evacuation routes
A passive system
Relies on healthcare providers to report any issues
The agency for healthcare research and quality
Responsible for improving quality and safety of healthcare
Tracer method think same
Same disease Same stage of illness Similar lifestyle Similar intervention Same community
Native Americans are very past oriented
Set up their appointments before they leave do not ask them to call back in three weeks and make an appointment
Evaluating QI programs
Structure phase = The nurse will determine if the philosophy and objectives are aligned with job descriptions and organizational standards
When determining if a program has enough resources to continue the nurse is evaluating the programs
Sustainability
Utilitarianism
The action must justify the means
The community health nurse is developing a mass casualty exercise involving local community management agencies. Which outcome is a priority to evaluate when conducting the exercise?
The amount of time for the emergency response to be activated
The nurse is reviewing the plan of care for a client who has a prescription to be discharged home. Which information is a priority for the nurse report to the nurse case manager?
The client requires the use of home oxygen
The community nurse is reviewing the medical records for a group of clients. The nurse should understand which client has the highest risk for developing occupation related respiratory conditions?
The client who works in constructions
The community health nurse is prioritizing community problems based on the priority criteria. Which information indicates a problem is a priority?
The community residents are motivated to address the problem
The community health nurse is evaluating the usefulness of a website. Which criteria would indicate to the nurse the use of the website for the collection of data?
The data listed is about the community
The community health nurse is calculating the cause specific mortality rate for a population. Which formula for the calculation will the nurse use?
The number of deaths divided by the total risk population
The nurse is reviewing an epidemiology study that reports the risk of cancer in a specific population. Which statement describes the meaning of the term risk?
The probability that cancer will occur in the population
Primary prevention strategy aimed at an ECONOMIC ISSUE is:
To work with the insurance company to provide the necessary coverage
Tertiary quality of prevention
Tracking the community incidences of complications from vaccine preventable diseases
The community health nurse is reviewing the emergency response plan for a local government. Which function is the role of the National Response Framework to provide? Select all that apply.
Transportation, temporary housing, medical resources, search and rescue, firefighting
The community health nurse is preparing an education session using an affective domain for a group of clients with diabetes. Which topic would be most appropriate?
Understanding interventions that prevent complications
During a community assessment for data generation
Values Beliefs Social norms
The community health nurse is assessing the environmental risk for a client who has small children. Which statement made by the client would require immediate follow up?
We have started renovations on the kitchen
The community health nurse is preparing an education conference about natural disasters. Which type of disaster will the nurse plan to include in the teaching? Select all that apply.
Earthquakes, communicable disease epidemic, droughts, hurricanes
The community health nurse is designing an epidemiological study. Which study would be best for a first-time study?
Ecologic
Feminist ethics advocate for equality
Economic Social Political
The community health nurse is reviewing a research study of a viral outbreak based on epidemiology. Which finding should the nurse expect from the study?
Who was affected by the outbreak
Any STD can cause damage to a
Fetus
Immigrants and influences and healthcare access
Financial constraints Language barriers Traditional practices Lack of healthcare provider knowledge Family conflicts
Mixed outbreak
Flu
Affective learning
Focuses on changing values and exploring feelings
The case manager is responsible and promoting self determination when avocating for a client following the nursing process
Following the nursing process when assessing/diagnosing Advocacy compares through exchange information Gathering data and highlighting values Priority the nurse should alert the case manager if the client doesn't have in-home medical necessary equipment like oxygen
Intermittent outbreak
Food poisoning
The nurse is preparing to conduct a community health assessment. Which describes the most significant challenge for the nurse?
Gaining acceptance
The community health nurse is planning teaching strategies for a group of adult clients who are members of Generation X. Which strategy would be appropriate for these clients?
Group activity Self directed and they like to work in teams
The community health nurse is assessing the environmental health risks of a client. Which question would be most appropriate for the nurse to ask?
How often do you eat fish
The community health nurse performs a home assessment for a client recently discharged from the hospital. Which statement made by the client indicates that the client is experiencing health illiteracy?
I have my daughter create pictures to go with my discharge instructions
The community health nurse is reviewing the plan for a public outbreak of a virus. Which statement describes the priority responsibility of the public health team?
Identify factors that place the public at risk
Vaccines
If parents say their children don't need vaccines because they are against them they need evaluation and therapeutic communication you're telling me you don't need vaccination correct? Children of minority and ethnic groups are more at risk for having incomplete immunization
The nurse is developing a research study using the epidemiologic triangle as the framework. Which factor will the nurse identify as a host?
Immunological status
Evidence based practice
Improves both nursing practice and client outcomes Biggest barrier is willingness to embrace EBP
The community health nurse is delegating roles to a group of nurses during the implementation of an educational program. Which describes the roles of the task specialist?
Keep the group focused on the outcome
When developing a community base program
Look at who the population is
When developing a quality improvement program to improve client satisfaction of tangible service
Make sure the staff focuses on customer service
The community health nurse is preparing to evaluate the outcome of a health promotion program through secondary analysis. Which sources of data will the nurse plan to review?
Meeting minutes
Beneficence
Minimizing risk while maximizing benefits
PATCH model
Mobilize the community to act
REMEMBER YOUR OWN BIASESS
***
The community health nurse is teaching a group of clients about preparing a disaster ready kit. Which instruction will the nurse include? I
***Identify how to turn off the utilities to your house*** Enough food for 3 days Review every 6 months Ensure all members of family know where the kit is
The community health nurse is preparing a program that will meet the Healthy People 2020 objectives related to disaster mitigation. Which program would be appropriate for the nurse to implement?
**An emergency alert system that works on different platforms Preparing, alerting, caring and emergency messages such as amber alerts
The community health nurse has taught a client how to perform colostomy care. Which action by the nurse would best evaluate if teaching was effective?
**Instruct the client to demonstrate how to preform care** This is called the teach back method
The community health nurse is reviewing the Sheppard Towner Act. Which provision does the law provide regarding the development of public health nursing? Select all that apply.
*Create standards for early developmental screenings, *providing health services to women and children by nurses, * defines the role of government in research, * * *designates client education as essential *Develop system for collecting national health statistics
The community health nurse is developing a community-based program. Which program is an example of an active community partnership?
A business providing low-cost snacks to an after-school program
Reasons for liability concerns of case managers
A duty to provide reasonable care through an act or omission to act Injury or damage to client
Windshield survey
A method of collecting data Must know boundaries of the community to ensure adequate observation
The nurse is preparing to interview key informants during a community assessment. Which community member should the nurse include in the interview? Select all that apply.
A pastor, the mayor, the president of a healthcare clinic
Which describes a service provided by the World Health Organization? Select all that apply.
ABCDE
During a community assessment for data gathering
Age Race Health organizations
The nurse is reviewing the role of governmental agencies. Which agency is responsible for improving the quality and safety of healthcare?
Agency for Healthcare research and Quality
The community health nurse providing care at a shelter following a natural disaster is approached by a member of the media and requested to give a statement. Which response by the nurse is most appropriate?
At this time, it is best to speak with the information officer
Which describes a specific focus of the goals of Healthy People 2020?
Attaining a high quality life, and living a longer life free of preventable disease
Hispanics
Avoid negative expression Do use eye contact and physical touch
The purpose of observation is to
Assess public health status Identify trends of disease patterns Set priorities for scarce resources Develop programs for rapid response
Refugees
Need access to therapy priority for the nurse when planning care
The nurse case manager is developing a program to meet the Healthy People 202 case management strategies. Which action would be appropriate for the nurse to take?
Partner with a fitness facility to offer low-cost classes to clients with diabetes
The community health nurse planning an education session is using the Health Belief Model. Which component of the model will the nurse include in the planning?
Perceived barrier
Community refers to the dimensions of
Person Place Function
When measuring the dimensions of people assess these data sources
Politics Education economics Recreation Religion
man-made disaster
Pollution Warfare Fires Water supply contamination
