Community Exam 2

Which of the following is is true about children's vulnerabilities to environmental contaminants? A. Children spend more time on the floor or ground. B. Kidney functioning in childhood protects against contaminants. C. Children that are breastfed have decreased risk of exposure to contaminants. D. Children breathe in less air than adults.

A. Children spend more time on the floor or ground.

While doing a community assessment, the public health nurse has noted a data gap in an analysis of crime statistics. What is the next step the nurse should take to determine if there is a pattern or trend that exists in the statistics? A. Compare objective and subjective data. B. Chose only one of the data sources to make inferences. C. Resident input invalidates the data. D. Check the reliability of the data sources.

A. Compare objective and subjective data.

Community analysis is the study and examination of data. Analysis leads to which of the following next step? A. Development of a community nursing diagnosis. B. Determinantion community health needs. C. Appraisal of trends in health care use. D. Understanding of patterns of health responses.

A. Development of a community nursing diagnosis.

Recognition of early signs and symptoms of pesticide poisoning is an example of which level of prevention? A. Secondary Prevention B. Primary Prevention C. Tertiary Prevention D. Health Promotion

A. Secondary Prevention

There are five pollutant mechanisms of particular concern to our environment. Which statement accurately describes the pollutant mechanism of bioaccumulation? A. The accumulation of a pollutant greatly exceeds the rate at which an organism eliminates it. B. Generally accomplished by the way of wind patterns or aquatic system. C. Simultaneous action of separate substances that produce a greater total effect than the sum of individual effects. D. The mechanism by which toxic substances are introduced into ecologic food systems.

A. The accumulation of a pollutant greatly exceeds the rate at which an organism eliminates it.

Which of the following is an example of the use of a tertiary prevention strategy that can be used to assist in keeping the environment clean? Select all that apply. A. Treat and monitor chronic disorders caused by environmental exposures. B. Monitor for signs of hazardous environmental exposures such as blood level screenings. C. Participate in political activity that reduces harmful environmental hazards. D. Educate community members on how to avoid environmental hazards

A. Treat and monitor chronic disorders caused by environmental exposures. AND C. Participate in political activity that reduces harmful environmental hazards.

An occupational health nurse has been working with a factory's administration to develop strategies to minimize employees' risk to harmful gases in accordance with EPA regulations. Which public health nursing function does this best describe? A. assurance B. policy development C. assessment D. problem solving

A. assurance

Which ethical strategy describes the work to decrease the inequitable burden of environmental risks on vulnerable populations? A. environmental justice B. distributive justice C. egalitarian justice D. social justice

A. environmental justice

Interruption of person-to-person transmission and limitation of the reservoir of infection so that no other public health preventive measures are required is referred to as which of the following? A. eradication B. herd immunity C. worldwide control D. elimination

A. eradication

The Perez family recently moved from a rural community to the city due to better job opportunities. This movement is an example of which of the following? A. out-migration B. in-migration C. population density D. natural increase

A. out-migration out-migration: residents moving out of rural communities into urban places in-migration: increase in residents moving into rural communities

A public health nurse working in a developing country is teaching first time mothers when to seek medical attention for their infants. This would be considered which of the following level of health promotion? A. primary B. secondary C. tertiary

A. primary

What is the most common type of elder abuse that is reported to Adult Protective Services? A. self-neglect B. financial abuse C. emotional abuse D. physical abuse

A. self-neglect

In high income countries, which of the following is the number one risk factor cause of disability-adjusted life year? A. tobacco use B. obesity C. High blood pressure D. alcohol abuse

A. tobacco use Worldwide: #1 is children underweight; #2 unsafe sex, #3 alcohol use, #4 unsafe water and sanitation, #5 high blood pressure High income countries: #1 is tobacco use, #2 alcohol use, #3, overweight and obesity, #4 high blood pressure, #5 high blood glucose

A public health nurse is designing a health education program for seniors at a local senior center. The nurse understands at which point does the evaluation of the health program need to take place? A. Before the health program is implemented. B. At any time during the development and implmentation of the health program. C. During the implementation of the health program. D. After the implementation of the health program.

B. At any time during the development and implmentation of the health program.

Which of the following reimbursement mechanisms pays for limited custodial care home care for seniors? A. Medicare Part A B. Medicaid waiver programs C. Affordable Care Act D. SCHIP

B. Medicaid waiver programs

What is missing from the following community nursing diagnosis: "Ineffective community coping related to deficits in community social support services." A. A description of the problem, response, or state. B. Signs and symptoms that are characteristic of the problem. C. Nothing is missing, it is a complete community nursing diagnosis. D. Identification of factors etiologically related to the problem.

B. Signs and symptoms that are characteristic of the problem.

A public health nurse has noticed a recent decline in attendance in health education classes at a local community center. Which evaluation approach would the nurse take to better understand the reasons for the decline in attendance? A. summative B. formative C. short term outcome D. impact

B. formative

A public health nurse is doing a home safety assessment for seniors living in their own homes. Which of the following would be considered a priority fall risk? A. hot water pipes not covered B. no tub seat in the shower C. mirror's height is not appropriate D. toilet paper is within reach of the toilet

B. no tub seat in the shower

Which of the following immunizations does the CDC recommend that all adults over 50 receive? A. shingles, polio, and pneumonia B. shingles, influenza and pneumonia C. hepatitis, shingles, and diptheria D. polio, influenza and measles

B. shingles, influenza and pneumonia

Which of the following represents a concentration of economic decline, job loss, and major health problems? A. urban planning B. urban health penalty C. urban inner cities D. food and urban deserts

B. urban health penalty

Migrant farmworkers are at high risk for which of the following communicable diseases? A. cholera B. hepatitis C. tuberculosis D. Measles

C. Tuberculosis

A well paved walking trail was added to a large green space area in a rural community. This represents a change to which of the following? A. urban sprawl B. physical environment C. heat island D. built environment

C. heat island (I still say it is built environment but whatever)

Which of the following health conditions are affecting populations in the Era of Social Health Conditions? A. osteoarthritis B. cardiovascular disease C. human trafficking D. cancer

C. human trafficking

Which of the following is the best indication that the community health nurse is applying the nursing process to environmental health? A. Conduct an assessment focused on the client's presenting problem. B. Examine criteria that are limited to the client's immediate responses. C. Coordinate nursing interventions with the client's primary care provider of record. D. Develp goals that involve mitigation and elimination of all known contributing risk factors.

D. Develp goals that involve mitigation and elimination of all known contributing risk factors.

A public health nurse will be doing an assessment visit to a home that has a basement. Which exposure would the nurse note if cracks were found on the basement floor? A. solvents B. arsenic C. formaldehyde D. radon

D. Radon

The public health nurse is doing a home visit with Ms. Salazar, age 75. She reports that her son lives with her and manages all her finances, drinks too much, curses and pushes her often. She asks you not to report this to anyone. You are aware that as a healthcare provider your actions would consist of which of the following? A. You cannot ethically report this since she told you this in confidence. B. Reporting this violates HIPAA regulations and her privacy concerns. C. You can immediately file a report with your supervisor who must then report it to the police. D. Reporting signs or suspicions of elder abuse are mandatory requirements for healthcare providers, including nurses.

D. Reporting signs or suspicions of elder abuse are mandatory requirements for healthcare providers, including nurses.

Which of the following represents the fastest growing population in the United States in every location? A. women age 35 and older B. children age 12 and younger C. children and teenagers age 12 and older D. elderly persons age 65 and older

D. elderly persons age 65 and older

Unsafe contaminated drinking water is a major cause of morbidity and mortality in poor countries throughout the world. Relative to the parts of the epidemiological triangle, where would unsafe contaminated drinking water fit? A. host B. vector C. agent D. environment

D. environment The Environment—"Where" The environment is the favorable surroundings and conditions external to the host that cause or allow the disease to be transmitted. Some diseases live best in dirty water. Others survive in human blood. Other environment factors include the season of the year (in the U.S., the peak of the flu season is between November and March, for example).

A public health nurse will be doing an educational session to seniors on the proper disposal of pharmaceutical waste. Inappropriate disposal of medication can negatively impact which of the following? A. agriculture B. food C. air D. water

D. water

The Precautionary Principle states that in the absence of clear data that indicate the safety of an action, chemical or material that poses a threat to human health, the nurse should go forward with using product. True or False

FALSE; do not go forward with using this product.