Community Exam 3
Which do terrorists hope to accomplish by causing mass destruction and violence toward innocent persons going about their daily lives? a. Create fear to intimidate and coerce to accomplish a political goal b. Encourage others with similar beliefs to join them and their cause c. Obtain publicity for themselves and their goals d. Obtain increased negotiating power and respect
A
Which group would most need adult daycare services? a. Caregivers who work all day b. Elderly who are bored staying home alone c. Elderly in whom Alzheimer's has been diagnosed d. Older men who want an opportunity to meet older women e. Older women who want to engage in arts and crafts activities
A
Which is the most common reason for visual impairment in older adults? a. Cataracts b. Glaucoma c. Macular degeneration d. Presbyopia
A
Which is the most prevalent type of substance use problem among male and female veterans? a. Binge drinking b. Overuse of prescription drugs c. Marijuana use d. Use of smokeless tobacco
A
Which person would be called chronically homeless? a. A person has been homeless for more than a year b. A person who lives with a roommate when between jobs c. A person who has been staying with friends or family for an extended period of time d. A person has been residing each night in a homeless shelter for almost 3 month
A
Which underlying factor most likely contributes to homelessness? a. Substance abuse b. Unemployment c. Posttraumatic stress syndrome (PTSD) d. Depression
A
Who should create a disaster plan including emergency supplies and where to meet in case of an emergency? a. All families b. All government officials c. All public health employees d. Members of Congress and the Supreme Court
A
A spouse of a veteran inquires as to if he will qualify for the Civilian Health and Medical Program of the Department of Veteran's Affairs (CHAMPVA). Which describes what criteria will need to be met? (Select all that apply.) a. The veteran has been rated permanently and totally disabled for a service-connected disability by a VA regional office b. The spouse is a survivor of a veteran who died from a VA-rated service-connected disability c. The veteran has been diagnosed with PTSD by a VA regional office d. The spouse is a survivor of a veteran who died in the line of duty e. The spouse has been diagnosed with a terminal illness f. The veteran has been diagnosed with a terminal illness
A B D
Which disasters are considered natech (natural-technological) disasters? (Select all that apply.) a. Constant rain led to mud slides, and whole neighborhoods were buried. b. An earthquake caused structural collapse of bridges and highways in the area. c. People stampeded out of the overcrowded arena, trampling people who had fallen. d. River flooding resulted in overflow of the sewage plant and contaminated drinking water throughout the city. d. The tsunami washed out all the power and telephone lines throughout the downtown area of the city. e. Volcanic eruption covered the town with ash, making it difficult to breathe.
A B D E
A son did not know what to get his mother for her birthday. She refused most gifts, saying they were just something more for her to take care of. Assuming the mother did not have these, which would be a very helpful gift? (Select all that apply.) a. Purchase a new front door with a large peephole so she can see who is ringing the doorbell b. Arrange for Social Security check to be deposited directly into the bank c. Add bars on all the house windows for added security d. Buy a shredder for the mother to use on all personal documents e. Install caller ID on her telephone f. Have strong deadbolts installed on all outside doors
A B D E F
An elderly woman shared that she had six different physicians, each focusing on one particular health problem. Which would be of immediate concern for the home health nurse? (Select all that apply.) a. Whether the client has a family physician who was coordinating her care b. Whether the physicians communicate with each other c. If each physician was prescribing medications, what drug interactions might be occurring? d. Were all these health care providers licensed physicians? e. Who was helping her with transportation to all these physicians? f. Would all these physician visits add up to more than what Medicare would reimburse the client?
A C
Which best describes the term "literally homeless"? (Select all that apply.) a. Lacking a fixed, regular, and adequate nighttime residence b. Lacking a family residence c. Living in a place not typically used for human sleeping d. Living in a temporary living accommodation such as a hotel e. Living full-time in a recreational vehicle f. Sleeping in an extended-care facility or hospital
A C
A woman admitted, "I did fall once, but it was an accident that I'm sure won't happen again." Which responses would be most appropriate for the nurse? (Select all that apply.) a. "Are you getting lots of calcium and vitamin D? Are you drinking milk or taking calcium pills?" b. "Do you have a couple glasses of wine each evening to relax you before you go to bed?" c. "Do you live in a one-story house and are your floors even without rugs to trip you up?" d. "Let me give you some balance and leg muscle exercises to practice at home each day." e. "Remember that if you start to fall, fall sideways if you can to minimize injury." f. "Review what medications you are taking."
A C D F
A family member tells the nurse that she is worried about her grandmother driving. Which would be most appropriate for the nurse to suggest? (Select all that apply.) a. Avoid rush hour traffic. b. Buy and drive a very large heavy car. c. Do not converse with any passengers. d. Drive more slowly. e. Drive only during daylight. f. Leave the radio turned off.
A C E F
A nurse always reviewed the medications taken by elderly clients on each home visit. Which best explains the rationale for the nurse's action? (Select all that apply.) a. Age-related changes and polypharmacy make elderly clients vulnerable to drug interactions and dangerous adverse reactions. b. Elderly clients are known to sue if medications taken do not make them feel better, and lawsuits are to be avoided, if possible. c. Folk or herbal medicines are often the same as the generic medications prescribed by health care providers, so elderly often have overdoses. d. Older adults are known to consume many over-the-counter medications, as well as folk or herbal remedies. e. The elderly are known to be particularly noncompliant with pharmaceutical prescriptions. f. With the high prevalence of chronic diseases, elderly clients are taking a large number of medications.
A D F
Which best describes the military culture? (Select all that apply.) a. A strong sense of service b. Altruism c. Egalitarianism d. A hierarchal class system e. Problem-focused actions f. Solutions-focused actions
A D F
As a nurse and a citizen, what is the nurse's additional responsibility in relation to disasters? a. Assume the nurse will be asked to volunteer to assist the American Red Cross with helping care for disaster victims b. Be aware if there is an unusual increase in the number of people seeking care with similar symptoms c. Expect and plan for the possibility of being called to report to work for additional work efforts in caring for the sick and injured d. Expect to be a role model iUn preparing for and reacting to a disaster
B
Do you have any advice?" a young woman asked. "I'm eating lunch with my dad but he can't hear and he won't wear his hearing aid." Which suggestion should be made by the nurse? a. Encourage your dad to wear his hearing aid—if only for you b. Find a very quiet place with good lighting and very little background noise for lunch c. Repeat yourself several times using exactly the same words and gestures d. Talk very loudly while facing him directly
B
Which action should be taken during a biological attack? a. Close doors and windows and turn off all ventilation b. Seek medical attention if you become sick c. Develop a family emergency plan d. Keep a written record of everything that you have eaten
B
Which agency should develop a community disaster plan, have emergency drills to test the plan, and determine the proper response? a. Federal Emergency Management Agency (FEMA) b. Office of Emergency Management c. State Disaster Office d. The National Disaster Relief Agency
B
Which best describes how a community will know whether its disaster plan is adequate? a. After a disaster occurs and reports of deaths and injuries are fairly accurate b. By following practice drills involving various feasible scenarios as an initial step of planning c. When federal experts have reviewed and approved the plan d. When state officials have reviewed and approved the plan
B
Which best describes why grandparents would be the primary caregivers for their grandchildren? a. Because they fell in love with the newborn and wanted that small person to be a part of their lives b. Because the parents were drug abusers or in the prison system c. Raising a grandchild is easier because grandparents have already been experienced parents d. Raising a child gives purpose to life for the grandparents
B
Which describes a dimension of the social determinants of health (SDH) defined within Healthy People 2020?a. Employment b. Education c. Gender d. Income
B
Which best explains why all family members should want their aged relatives to have a living will? a. To confirm that the attorney is serving as guardian and family members do not have to be responsible b. To fulfill the federal Patient Self-Determination Act requirements c. To help family members know what their loved one does or does not want if he or she becomes incapacitated d. To keep physicians from writing a do-not-resuscitate order
C
Which factor would prevent a homeless person from accepting employment adequate to pay for housing? a. Could not complete an employment application because of lack of mailing address b. Hope for a better position than the service positions available c. Lack of adequate resources to pay for other necessities d. Prefer to receive a handout than to have to work
C
Which factors are most likely to contribute to homelessness? a. Intimate partner violence and substance abuse b. Scarcity of support systems and recent job loss c. Shortage of affordable housing and insufficient income d. Substance abuse and serious mental illness
C
Which group of people is most likely to experience homelessness? a. Those who have a supportive family b. Those who have recently become unemployed c. Those who have substance abuse problems d. Those who frequently change jobs
C
Which is the most useful way to discuss aging? a. By divisions—young-old, middle-old, old-old, and elite-old b. Chronological age c. Functional age d. Number of chronic comorbidities
C
Which person will have the most difficulty in obtaining adequate support services to find a long-term home? a. An alcoholic homeless person b. A homeless person who has a limited support system and is unemployed c. A homeless person who has a mental illness and is an alcoholic d. A mentally ill homeless person
C
Which statement best reflects the model of justice U.S. health care is based on? a. All people are entitled to minimum standards of care. b. All people are responsible to help their neighbors. c. All people have a right to whatever their own efforts allow them to purchase. d. Like firefighting, police protection, libraries, and roads and highways, health care must be supported by tax money for the good of all who need such services.
C
Which step should the nurse take first when triaging a victim of a disaster? a. Assess mental status b. Assess perfusion c. Assess respirations d. Assess blood pressure
C
Which type of behaviors would a nurse expect to see when a disaster first strikes a community? a. A sense of all being okay and that one can rebuild and go on b. Anger and despair that help being offered is insufficient, slow, and inadequate c. Everyone trying to help strangers, as well as their neighbors, survive d. People involved sharing their stories and reliving what occurred
C
Which type of maps is crucial to be included in any disaster plan? a. Communication map showing telephone wires and cell phone towers b. Geographic map showing, for example, roads, highways, and train routes c. Resource map showing potential resources in persons and supplies d. Response maps showing sites of first responders, such as fire stations and police stations
C
Who is responsible for ensuring the safety and welfare of communities? a. Federal government b. Federal Emergency Management Agency c. Local government d. State government
C
Which strategies have been used to improve the collection of prevalence data for the homeless population? (Select all that apply.) a. Urban Institute study b. Homeless Assistance Report c. Continuum of Care (CoC) concept d. Homeless Information e. Management System (HMIS) e. Census Bureau f. Education for Homeless Children and Youth program
C D
Which statements about veteran suicide are accurate? (Select all that apply.) a. Veteran suicides most likely occur from prescription drug overdose. b. An average of 50 veterans each day die by suicide. c. The suicide rate of veterans is higher than that of the general population. d. The majority of veterans who die from suicide are age 50 or older. e. The age group that has the highest suicide rate among female veterans is age 18 to 29 years old. f. The age group that has the highest suicide rate among male veterans is age over age 50.
C D E
Which best describes why earthquakes would be more frightening than floods to many people, even though both can cause extensive damage? (Select all that apply.) a. Death rate and scope are higher in earthquakes. b. There is a higher frequency of earthquakes. c. Imminence of earthquakes is unknown. d. It is not possible to prevent an earthquake. e. The intensity of earthquakes is higher. f. The predictability of earthquakes is lower.
C D F
Which disorders are experienced at a higher rate by homeless adults when compared with the general population? (Select all that apply.) a. Hepatitis b. Diabetes c. Asthma d. HIV/AIDS e. Hypertension f. Alcoholism
C E F
A wife explained to the nurse that her husband was becoming awfully forgetful, and now he's started getting lost on the way home from the golf club. She's scared he may be getting Alzheimer's disease. Which would be most appropriate action for the nurse to take? a. Ask the husband to explain why he thinks he got lost coming home b. Explain that all elderly persons get a little forgetful and not to worry c. Ask the husband to count backwards by 7 from 100 d. Hand the husband pencil and paper and ask him to draw a clock
D
Which best describes the problem with the Section 8 housing program? a. Direct access to an apartment in a public housing facility is faster and easier. b. Most renters prefer the program to make direct payment to apartment owners willing to rent to them. c. Section 8 housing is essentially slum housing, and no one wants to live there. d. Supply is vastly less than the demand.
D
Which best describes the recent trends in homelessness? a. The number of homeless individuals in school is decreasing. b. The number of homeless individuals is increasing. c. The number of homeless families is increasing. d. The number of homeless families is decreasing.
D
Which best describes the role of the suicide prevention coordinator (SPC) at the VHA center? a. Serve as a hotline responder for the National Veterans Crisis Line b. Create a suicide prevention safety plan for the client c. Provide counseling for suicidal veterans d. Assist veterans to access timely mental health care
D
Which factor is the primary motivator for young (homeless) women engaging in survival sex? a. Peer influence b. Pursuit of drugs c. Coercion by perpetrators d. Desperation to meet basic needs
D
Which individual would be described as being "doubled up"? a. An individual who has two chronic conditions b. An individual who has recently been released from prison c. An individual who maintains two jobs to avoid being homeless d. An individual who is forced to live with friends
D
Which is an example of a nonstochastic theory of aging? a. Cross-link theory b. Error theory c. Free radical theory d. Immunologic theory e. Somatic mutation theory f. Wear and tear theory
D
Which is the largest branch of the U.S. military? a. Navy b. Marine Corps c. Coast Guard d. Army
D
Which represents the largest group of homeless adults? a. Minorities b. Disabled c. Females d. Males
D
Which statement about military sexual trauma (MST) is accurate? a. MST is more common among male veterans. b. The majority of women who report MST state the perpetrator was an intimate partner. c. An Army veteran is at greatest risk to report MST. d. Insomnia is more severe among veterans who report a history of MST.
D
Which statement best describes how the American Red Cross (ARC) is different from the Federal Emergency Management Agency (FEMA) or the National Incident Management System? a. Funding includes only voluntary contributions. b. It emphasizes being prepared for emergencies, not just reacting to them. c. It has only volunteers as staff. d. It is a nongovernmental volunteer agency.
D
Which veteran is most likely to experience homelessness? a. A 40-year-old single female b. A recently divorced 25-year-old male c. A recently divorced 30-year-old female d. A 35-year-old single male
D
A veteran is receiving veteran's health care benefits. Which department directly coordinates these benefits? a. Veterans Benefits Administration (VBA) b. Veterans Health Administration (VHA) c. U.S. Department of Veterans Affairs (VA) d. Civilian Health and Medical Program of the Department of Veteran's Affairs (CHAMPVA)
B
When does disaster management begin? a. Before a disaster occurs b. Immediately after the disaster c. Throughout the disaster period d. When the disaster begins
A
A veteran has received special training to provide recovery-oriented support to other veterans within the VHA health system. Which role will the veteran most likely fulfill? a. Peer counselor b. Suicide hotline responder c. Suicide prevention coordinator d. Peer support specialist
D
Which best describes a major difference between women who have always had shelter and women who have been homeless? a. Educational opportunities and attainment b. History of gender relationships (marriages, divorces) c. Level of involvement with physical and/or sexual abuse d. Skills necessary for paid employment
C
"I don't understand," a woman said. "I know I'm eligible for Medicare part A and it's free. Part B isn't free. When will I ever use it?" Which would be the most appropriate response by the nurse? a. "Part A is only for hospital bills. Most care is given on an outpatient basis. Part B pays a large portion of those costs." b. "Part A is a benefit because you paid into Social Security for more than 10 years. In comparison, part B is optional if you want that additional insurance." c. "Part B is easy to pay for; they take the cost out of your Social Security check each month." d. "Researchers have found that people don't waste health care resources if they have to pay a bit for them."
A
"My health problems are too much to handle," said an elderly woman at her annual clinical checkup. "What's most important for me to do?" Which would be the most appropriate response by the nurse? a. "Focus on eating properly and staying active." b. "Get the shingles immunization along with your flu shot this year." c. "Keep active mentally—do you do crossword puzzles or Sudoku puzzles?" d. "Stay involved with others. Do you ever go to the senior citizens center?"
A
A client is describing the time period that he served in the National Guard. Which statement would he be most likely to make? a. "I completed monthly drills and 2-week annual trainings." b. "I achieved the rank of officer and was promoted to the U.S. Army." c. "I served overseas based on decisions made by the federal government." d. "I selected Japan as my destination for my overseas tour of duty."
A
A clinic nurse is completing a patient intake interview with a noncommissioned veteran who has recently transitioned to civilian life. Which would be the most appropriate for the nurse to ask to assess how the veteran is transitioning from military to civilian life? a. Have you been able to use your military experience to find a civilian job? b. Have you been able to find a leadership position in a local company? c. What hobbies have you been able to enjoy since leaving the military? d. What support have you recently received from the Veterans Benefits Administration?
A
A daughter tells the nurse that her mother is frequently confused, but what is really upsetting is that she is incontinent during the night. "All I do is watch her and wash sheets," the daughter says. Which suggestion should the nurse provide to the daughter? a. Explain about respite care or the need to ask other family members to help so the daughter can have some time off. b. It's time to have her mother go into a nursing home where they can give her the care she needs. c. Refer the daughter to Adult Protective Services so responsibility for her mother's care may be assumed by an agency prepared for such tasks. d. Teach the daughter how to establish a toileting routine for the mother to help control the incontinence.
A
A nurse explained that the elderly are twice as likely to die in a home fire as younger persons and therefore suggested some safety measures. Which strategy would most likely have been suggested by the nurse? a. Have smoke detectors installed in the house b. Invite a family member to sleep in the house at night c. Practice escaping quickly from the house in case of an emergency d. Program your phone so the fire department can be reached by pushing only one button
A
A nurse is caring for a veteran who served in Vietnam. Which exposure is the client most likely to report? a. Agent Orange b. Chromium c. Mustard gas d. Burn pits
A
A nurse is interviewing a client to determine if she is eligible for VA benefits. Which question would assist the nurse in determining the requirement of service? a. "Did you serve active duty for 24 consecutive months?" b. "Which branch of the military service did you serve?" c. "Were you dishonorably discharged?" d. "How long has it been since yoSu left the military?"
A
A nurse overheard an adult woman, shaking her head in exasperation as she said, "Dad, you're being unreasonable. It's not safe!" Which is the most likely reason for this argument? a. The dad wants to keep driving. b. The dad wants to keep cooking his own meals. c. The dad wants to keep taking care of himself each day without assistance. d. The dad wants to marry some young woman who may just want his money.
A
A woman said, "I've never been retired before. I didn't plan it but it's OK. I'm still doing what I used to do otherwise; I go to church, make quilts for charity, and babysit my grandkids. Do you think I should be trying to find another job for a few years?" Which would be the most appropriate response by the nurse? a. "For lots of people, retirement, even if unplanned, is much like life has always been." b. "It's okay to slow down at your age; why look for problems?" c. "You really need to get out of your house more and be more active, even if you don't get paid at the position." d. "Without a job, you really don't have an identity. Have you been to the unemployment office?"
A
An ambulance medic reported a client was on the way with a traumatic brain injury (TBI). Which symptom would the nurse expect this client to display? a. Blurred vision and a headache b. Hypotension and tachycardia c. Irregular heart rate d. Fecal incontinence
A
An elderly gentleman was shoveling his snow when you arrived for a home visit. You notice that when he comes inside he is very pale, is shivering, and seems a bit confused. His skin is very cold when you touch it. Which action would be most appropriate for the nurse to take first? a. Apply warm moist towels to his head, neck, chest, and groin b. Give him hot coffee with sugar to drink c. Have him get in a tub of very hot water immediately d. Call 911
A
In the supermarket checkout, a young woman complained to her friend, "Old people think we taxpayers should pay for them to bSe inNa nursing home. Seems like a waste of money." Which would be the most appropriate response by the nurse? a. "Did you know more than 90% of all the elderly live in their own homes while fewer than 5% live in care facilities?" b. "Those old people built our society; we owe it to them to support them now." c. "Would it be better to put each person to sleep when they reach a certain age such as 80 years?" d. "You know, you'll get old someday too. Won't you want someone to take care of you when you can't anymore?"
A
Which best describes the purpose of the Vulnerability Index? a. To identify those most at risk of becoming homeless b. To determine the underlying cause of homelessness among vulnerable populations c. To identify and prioritize the need for housing among the homeless d. To determine what resources should be provided for vulnerable population
C
Which best describes what happens when persons who work full-time and receive the typical minimum wage seek an apartment? a. Few clean and decent low-rent apartments exist. b. People do not like to rent to low-income persons. c. To afford housing, they need a job that pays at least three times minimum wage. d. There are not many trailer parks near their employment.
C
A veteran has recently been diagnosed with posttraumatic stress disorder (PTSD). Which information obtained from the client during a health history would align with this diagnosis? a. The client reports that he has a history of hypertension and hyperlipidemia. b. The client states that he served as a sniper during the Gulf War. c. The client states that he was stationed in Japan. d. The client reports that his wife has a substance abuse problem.
B
A veteran has been diagnosed with chronic multisymptom illness. Which would most likely be part of the client's health history? a. History of active duty service during the Vietnam War b. Unexplained cognitive dysfunction c. History of severe hypertension d. Frequent episodes of dysuria
B
A man walked to the staging area after an earthquake crying that he was hurt. A triage nurse noted he had cuts, abrasions, and an open (bone was seen) fractured arm. Which action should be taken next? a. Put a green tag on his shirt and he can get in line to wait his turn for medical treatment b. Put a yellow tag on his shirt and then await transport to a medical facility c. Put a black tag on his shirt and give him a chair to rest in until something can be done d. Put a green tag on his shirt and ask him to use his good arm to help others make it to the staging area
B
A nurse completed the health assessment but needed to use the elderly woman's bathroom. The nurse noticed perineal pads under the sink. Which question would the nurse most likely ask the woman? a. "Can you tell me why you need to have perineal pads?" b. "Do you know how to do Kegel exercises to help control your urine?" c. "Does another woman live with you or visit often?" d. "Why do you have perineal pads? Are you bleeding down there?"
B
A nurse is assessing a female veteran for military sexual trauma (MST). Which would be the most appropriate question for the nurse to ask? a. During your military service, were you ever raped? b. Did anyone ever use force or threat of force to have sexual contact with you against your will? c. Can you describe any incidents of sexual harassment that you have been involved in? d. How long did you serve in the military?
B
Which disaster would most likely cause the most long-lasting mental health concerns for its victims? a. For the fourth year in a row a flood hit an area, demolishing several houses, but families heard the warning siren and evacuated in time. b. A forest fire was deliberately set but was not a major concern until the fire suddenly changed direction and people attempting to evacuate at the last minute were burned in their cars. c. A tsunami hit the beach with unbelievable force, water sweeping over the entire harbor, although most boats had been moved to deep water. d. A volcano erupted and lava destroyed the main road to the village where several houses burned, but no one died in the erupt
B
Which person meets the legal definition of a veteran? a. A 32-year-old male who has been dishonorably discharged from the Army b. A 50-year-old female who retired from the Navy c. A 65-year-old male who served in the National Guard d. A 22-year-old female who is currently serving in the Air Force
B
Which statement best describes how a disaster is the same as or different from an emergency? a. A disaster is personal, whereas an emergency is community wide. b. An emergency is personal, whereas a disaster is community wide. c. Both emergencies and disasters are devastating. d. Both emergencies and disasters are failures resulting in extensive insurance claims.
B
Which situations best describe when a person would most likely be very unhappy and perhaps ill after retirement? (Select all that apply.) a. If their family total income is now less than when he or she was employed b. If the retirement was involuntary c. If the person's self-image was based on job role and status d. If the person has no outside interests or leisure activities e. If his or her spouse did not appreciate input into their schedules or activities f. If the person believes others are now taking credit for his or her achievement
B C D E
A veteran has been diagnosed with a mild traumatic brain injury (mTBI). Which symptoms would most likely be reported to the nurse? (Select all that apply.) a. Diarrhea b. Headaches c. Appetite loss d. Dizziness e. Increased thirst f. Memory problems
B D F
Which best describes how the Continuum of Care (CoC) concept determines the number of homeless? (Select all that apply.) a. By asking local police departments to visit areas where the homeless hide and report the number of people found there each March b. By conducting a point-in-time (PIT) homeless persons count every other January c. By making an educated guess based on anecdotal data d. By completing a statistical analysis of the Census Bureau data e. By reporting the number of homeless persons who use emergency shelters or transitional housing during the year f. By sending CoC personnel into the community to try to find hidden homeless
B E
A veteran reports to the nurse that she believes that she may be suffering from PTSD. Which would the nurse anticipate the client experiencing during the past month? (Select all that apply.) a. Restless leg syndrome b. Difficulty sleeping c. Death of a parent d. Heightened awareness of her surroundings e. Negative feelings about oneself f. Avoiding communication with others from her troop
B E F
A veteran is receiving treatment for posttraumatic stress disorder (PTSD). As part of the therapy, the veteran identifies negative thoughts and emotions while focusing on specific sounds and movements. Which trauma-focused therapy is the client receiving? a. Cognitive processing therapy b. Prolonged exposure therapy c. Eye movement desensitization and reprocessing d. Cognitive behavioral therapy
C
A family will most likely lose their primary nighttime residence within the next week. Which term best describes their situation in relation to homelessness? a. Homeless under other federal statutes b. Literally homeless c. Imminent risk of homelessness d. Fleeing/attempting to flee intimate partner violence
C
A hospital emergency department received a call that multiple casualties were on their way, primarily burns from a large factory fire. Which action should the hospital take immediately? a. Ask the governor of the state to declare the area a disaster area so state help can be obtained b. Call surrounding hospitals to set up burn units, because there will be too many patients for one hospital to manage c. Call in physicians and nursing staff who are experts in burn care d. Get in touch with the American Red Cross to assist families of the victims
C
A man stated, "I used to work out at the exercise room at work, but now that I'm retired I sit and watch TV. My wife keeps nagging me to do something. What do you think I should be doing at my age?" Which would be the most appropriate response by the nurse? a. "I think you should try to please your wife. What is it she wants you to do?" b. "It's okay to slow down at your age; why look for problems?" c. "You should try to exercise just as you did before. Is there a YMCA or club nearby?" d. "You've worked all your life; you have a right to rest now."
C
A nurse is caring for a veteran who has suffered a polytraumatic injury. Which would be the primary consideration for the nurse when working with this client? a. Use of an assistive device for ambulation may be necessary. b. Diagnosis of posttraumatic stress disorder will be likely. c. Physical and cognitive abilities to complete ADLs independently may be lacking. d. A psychiatric referral will be needed.
C
A nurse is making the first home visit to a recently discharged elderly client. Which should the nurse most likely expect to find? a. A client who is unhappy with the disorganization of the house b. A client who will expect the nurse to do everything now that the nurse is at his or her house c. A client who may have hearing or vision problems or both d. A client who is upset with being discharged while still so ill and having to take on problems at home
C
A school nurse was asked to see Lisa, a student in the fourth grade who was rumored to be living in a car with her mother. Which would most likely have caused the teacher to become concerned? a. Lisa is not always respectful of the teacher. b. Lisa has not been doing her homework. c. Lisa is developmentally delayed. d. Lisa has behaved in a sexually inappropriate manner.
C
A veteran tells the nurse that he hates the VA health insurance program and wishes that he would be allowed to see the local doctor instead of traveling to the VA clinic. Which statement would be most appropriate to be made by the nurse? a. "I will check to see if your local doctor can be added to the list of approved providers." b. "Yes, you pay premiums for this health insurance and should be able to have a choose what providers you see." c. "The VA does not provide health insurance, rather this is a benefit that you receive for compensation for your service to our country." d. "The VA provides different benefit plans. Let me see if the local doctor is a provider on a different benefit plan."
C
Eight patients were burned in a factory fire. Shortly thereafter, four firefighters were seen with possible smoke inhalation problems. Which best describes how these patients are different from the first patients to arrive? a. Burn patients probably have skin damage, whereas the firefighters have lung damage. b. Burn patients will need extensive care over time, whereas the firefighters can probably stay the night with oxygen treatment and then be discharged. c. The burn patients were direct victims, whereas the firefighters are indirect victims. e. The second set of victims may have scarring, shortness of breath, and persistent hoarseness for the next few days.
C
The male home health nurse parked his marked car in preparation for visiting the next client when a young female walked over to the car and asked him if he would like to have some fun. Which provides the best explanation for this behavior? a. The girl was skipping school and wanted money for entertainment. b. The male nurse was extremely young and attractive and looked like he had money. c. The girl may have hoped a nurse would give her enough money to eat. d. Young girls often engage in thrilling, if high-risk, behaviors.
C
A client reports hearing loss and tinnitus following military duty in the Gulf War. Which term would best describe this client's injury? a. Posttraumatic stress disorder b. Polytrauma c. Traumatic brain injury e. Service-connected disability
D
A friend who was raped and beaten appeared to be coping well. However, she recently dropped out of school and shared with the nurse that she is having nightmares where it happens all over again, and these nightmares are becoming impossible to live with. Which would be the concern of the nurse? a. A late psychological reaction of despair and hopelessness b. Depression that no one rescued her and saved her from the traumatic event c. Guilt and concern over what she could possibly have done to invite such an event d. Posttraumatic stress syndrome disorder (PTSD)
D
A male nurse is enjoying a very hot summer day at the zoo when he notices a family approaching. An elderly member of the family is moving very slowly and being scolded by another adult, saying "You are not sick. Let's keep moving." The nurse touches the elderly adult who has a flushed face and notices clammy and moist skin. What should the nurse say to the adult? a. "I'm a nurse, and your family member needs to go to the emergency department right now." b. "I'm a nurse, and your family member has heat stroke. I'm calling 911." c. "Take your family member to the air-conditioned restaurant, and have him drink a cold soda immediately." d. "Take your family member to the air-conditioned restaurant, and let your family rest for a while."
D
A nurse is using an upstream intervention when working with the homeless population. Which public health intervention will the nurse most likely use? a. Case management b. Outreach c. Surveillance d. Community organizing
D
A nurse needed to do a quick assessment of a client's lifestyle behaviors to counsel appropriately. Which strategy would be the easiest way to determine the elderly woman's nutritional status? a. Ask the woman to keep a food diary for 2 weeks and bring it to the clinic b. Have the clinic dietitian interview the woman about her eating habits c. Quiz the woman verbally as to her usual meals during the day d. Use the DETERMINE mnemonic
D
A son explained to the home health nurse that since his mother died, his father did not seem to have any interest in life and had even told his son he was considering suicide. Which would be the most appropriate response by the nurse? a. "If he really wants to kill himself, he will, and there really isn't anything you can do to stop him." b. "If you talk to him about it, you're strengthening the idea." c. "People who talk about suicide rarely do it, so don't worry." d. "Suicide is a serious concern; let's talk to his doctor about what you've noticed."
D
A veteran has been diagnosed with an immersion foot injury. Which finding should the nurse anticipate when completing an assessment on the client? a. A foot that is deformed b. A foot that is unable to tolerate immersion in water c. A foot that the client is unable to bear weight on d. A foot that has occasional numbness
D
A wife, who had just come home after major abdominal surgery, explained to the home health nurse that she was really worried about her husband. He had not been sleeping well or eating well, seemed to have no energy, and did not seem to enjoy anything including activities he used to love. Which suggestion should the nurse give to the client? a. Ask what medications the husband is taking, because many medications can affect mood b. Explain her husband has probably been worried sick about her and the surgery, and she should reassure him frequently that she is OK c. Point out that many people get sad during the winter months and he should be fine when spring arrives, but in the meantime put full-spectrum light bulbs in all the household lamps d. Share that her husband seems depressed and that they should see his doctor immediately
D
An earthquake has hit and buildings are knocked down; people are injured and crying for help. Looters have already started grabbing essential resources. Which action should the community take first? a. Send in ambulances to transport injured persons to medical facilities b. Send in media personnel to share the event and begin efforts to obtain donations for the injured c. Send in medical personnel to administer first aid and triage the injured d. Send in law officials to secure the area and ensure the safety of the victims
D
On the basis of all the work done by social scientists, approximately how many homeless persons should be expected and tolerated in our society? a. No more than 5% b. No more than 10% c. No more than 15% d. There should not be homeless persons in America.
D
When would the National Guard become involved in a disaster? a. When the Federal Emergency Management Agency requests such assistance b. When the local government requests help keeping order in the community c. When the president has declared the area a national disaster d. When the state has been asked to help an overwhelmed community
D
Which U.S. agency is responsible for overseeing the actions of protecting against, responding to, recovering from, and preventing the effects of disaster? a. American Red Cross (ARC) b. The Department of Homeland Security (DHS) c. Federal Emergency Management Agency (FEMA) d. The National Incident Management System (NIMS)
D
Which accounts for the largest source of per capita family income? a. Employment income b. Pensions c. Savings d. Social Security
D
Which are the most frequent problems suffered by the chronically homeless? a. Chronic conditions such as hypertension, bronchitis, and emphysema b. HIV/AIDS and other sexually transmitted diseases, tuberculosis, and hepatitis C c. Respiratory infections, trauma, and skin disorders d. Severe mental illness and substance abuse disorders
D
Which best describes a downstream intervention to solve the problem of homelessness? a. Improved use of community resources b. Increased employment opportunities c. Increased affordable housing d. Improved treatment of mental illness
D
Which best describes how health care professionals are involved in the problem of homelessness? a. Homeless persons make everyone uncomfortable when they beg for handouts. b. Homeless persons often live in emergency departments and clinics. c. Poverty leads to crimes, and health care professionals can be attacked and robbed outside health care facilities. d. Serious illnesses or disability creates high medical bills, which may lead to homelessness.
D
Which best describes the mission of the U.S. Department of Homeland Security (DHS)? a. To consolidate all existing agencies, groups, and organizations into a single department b. To distribute federal financial aid to disaster-stricken areas c. To enable appropriate response to assist a state having a disaster Td. o prevent terrorism and ensure resilience to disasters
D
Which are the responsibilities of the Centers for Disease Control and Prevention (CDC) in relation to disasters? (Select all that apply.) a. Contacting family members with up-to-date information regarding victims and their condition b. Coordinating local services to prevent duplication and fragmentation c. Delivering first aid and arranging for prescription medications that were lost to be replaced d. Detecting disease outbreaks, their cause, and risk factors, and implementing interventions for control e. Ensuring that drinking water, food, shelter, and medical care are available to victims f. Setting up safe and comfortable disaster shelters (emergency housing) for families
D E
Which set of symptoms would be unexpected after a disaster? a. Confusion, disorientation, indecisiveness, and memory loss b. Depression, fear, or just numbness c. Fatigue with headaches, nausea, and dizziness d. Irritable, suspicious, argumentative, and inappropriate e. No unusual feelings or behavior
E
Which would be a problem for an older adult with a hearing loss? (Select all that apply.) a. Difficulty in finding a hearing aid that is unobtrusive b. Embarrassment at having to wear a hearing aid c. Hearing is not part of a routine health screening d. Long delays in getting an appointment to see an audiologist or otolaryngologist e. Medicare does not cover the costs of hearing aids f. The adult may withdraw, become isolated, and depressed
E F
