Community Exam 4
20.The occupational health nurse is a member of the emergency planning committee in the workplace. The nurse is helping to formulate an emergency plan for the facility. Which key components should the nurse include in the emergency plan? (Select all that apply.) A) Alarms B) Phones C) Reporting D) Communication E) Evacuation
A,C,D,E
Which risk factors are associated with committing gun-related homicide? (Select all that apply.) A) Low income B) Lack of education C) Female gender D) Being a victim of discrimination E) Lack of employment opportunities
A B D E
Which are among the key categories of indicators of health presented in Healthy People 2020? (Select all that apply.) A) Physical activity B) Exposure to allergens C) Responsible sexual behavior D) Tobacco use E) Occupation
A C D
The nurse investigates a family's health routines and rituals as part of the overall family assessment. Which exemplify family health routines? (Select all that apply.) A) Siblings all brushing their teeth together before bed every night B) Parents taking their 9-month-old child to the health clinic when he has a fever C) Entering a 5K run/walk charity event each year as a family D) Taking a walk together around the neighborhood after dinner each evening E) The mother having a mammogram performed every year
A D
4.Which exemplifies a physical hazard? A) Infectious agents B) Hazardous drug and toxin exposures C) Electric and magnetic fields D) Sexual harassment
C) Electric and magnetic fields
1.Which is the most accurate definition of an exposure pathway? A) The total amount of a contaminant that comes in direct contact with the body B) Factor that determines a person's level of exposure to a contaminant C) Method by which people are exposed to an environmental contaminant D) Process to determine whether exposure to an environmental contaminant has occurred
C) Method by which people are exposed to an environmental contaminant
3.The occupational and environmental health nurse quickly obtains the information needed for accurate assessment and zoom in on the critical aspects of a problem in response to a client situation. The nurse uses highly developed clinical and managerial skills in the work environment. At which American Association of Occupational Health Nurses (AAOHN) competency level in occupational and environmental health nursing is this nurse functioning? A) Advanced beginner B) Competent C) Proficient D) Expert
C) Proficient
Which accurately defines femicide? A) A homicide of a female that occurs in the context of intimate partner violence B) Violence that targets people or groups of people on the basis of their gender C) A pattern of assaultive and coercive behaviors D) A suicide by a female that occurs in the context of intimate partner violence
A
Which exemplifies a nuclear family? A) First-degree relatives who live together B) First- and second-degree relatives who live together C) First- and second-degree relatives who live in the same neighborhood D) Individuals who are not blood relatives but share a common locale of origin or culture
A
Which exemplifies cultural diversity? A) People from South Korea, Brazil, and Nigeria all living in the same apartment complex B) A town in which everyone speaks Spanish, is originally from the same region in Mexico, and prepares similar types of food C) A university where all of the professors share the same political views D) A workplace in which accountants, lawyers, marketing executives, information technologists, and maintenance workers are all employed
A
16.Children may be more vulnerable to environmental exposures than adults. There are several factors that increase children's vulnerability. Which factors should be considered with children? (Select all that apply.) A) Their body systems are still rapidly developing. B) They eat less, drink less, and breathe more in proportion to their body size than do adults. C) Their bodies may be less able to break down and excrete contaminants. D) Their behaviors can expose them to more contaminants. E) Their breathing zone is further from the ground.
A) Their body systems are still rapidly developing. C) Their bodies may be less able to break down and excrete contaminants. D) Their behaviors can expose them to more contaminants.
16.As a member of a disaster team, the nurse responds to a confirmed outbreak of the plague. The nurse understands that the pneumonic plague has a high mortality rate. The decision to meet the needs of the public on a wide scale includes: A)Administration of antibiotics via PODs B)Administration of antivirals via PODs C)Door-to-door visits to administer preventative medication D)Isolating designated hospitals to prevent spread of the plague
A)Administration of antibiotics via PODs
5. Response to a disaster is in its final phase. Although still in the recovery phase of the response, an evaluation meeting is arranged. The purpose of the evaluation meeting is to: A)Analyze the strengths and weaknesses of the response and submit a plan to improve response in the future B)Create a report that emphasizes the cohesiveness of the departmental response to the disaster C)Analyze the effectiveness of the disaster relief teams from respondent states D)Create a postdisaster report for FEMA
A)Analyze the strengths and weaknesses of the response and submit a plan to improve response in the future
4. Five weeks after a category 4 hurricane, a town in southern Louisiana continues to battle for survival. The flood waters have now receded. The nurse is part of the disaster recovery team. Epidemiologic analysis of this town includes factors that influence the health status of this community. Which data may be included in the epidemiologic analysis report? (Select all that apply.) A)Continuing death B)Population shift C)Contamination of water supplies D)Limited access to places of worship E)Collapse of access to healthcare
A)Continuing death B)Population shift C)Contamination of water supplies E)Collapse of access to healthcare
20.The disaster is over and the team prepares to return to normal operations. Before disbandment of the team, it is essential to create a safe environment for the staff. The staff will participate in: A)Critical incident stress debriefing B)Support group to foster recovery C)Information debriefing for prevention purposes D)Interrogation process to identify unsafe behaviors
A)Critical incident stress debriefing
The nurse cares for a woman who is in her 39th week of gestation and who recently revealed that she is being physically abused by her partner. Which conditions associated with intimate partner violence (IPV) should the nurse look for in this client and in her child now and in the coming weeks? (Select all that apply.) A) Depression in the mother B) Low-birth weight infant C) Down syndrome in the infant D) Gestational diabetes in the mother E) Cleft palate in the infant
A B
The community health nurse is reviewing guidelines for the 15-minute assessment to keep the interview focused and family centered. Which questions and considerations for the family assessment can be asked for the question "Who is part of the family?" (Select all that apply.) A) What is the nature of individuals' connections to one another? B) Does the individual live alone or have no living family members? C) What influences from the family of origin are present in daily life? D) Do members speak independently or is an interpreter present? E) What observations can be made about the interpersonal dynamics between members?
A B C
The nurse suspect a 16-year-old client is being physically abused by her boyfriend. Compared with adolescent girls with no abuse history, this client is at significantly increased risk for: (Select all that apply.) A) Smoking cigarettes B) Anorexia C) Becoming pregnant D) Assaulting her siblings E) Theft
A B C
The nurse assesses a family in which the wife and mother has recently been diagnosed with breast cancer. Which factors will likely affect the family's response to the health risk that this diagnosis presents? (Select all that apply.) A) What the husband and wife learned about dealing with serious illness in their families of origin B) Whether the family is covered by health insurance C) How the children tend to cope with stressful situations D) The response of fellow members of the family's mosque E) The incidence rate of breast cancer in the family's community
A B C D
The nurse is selecting a health appraisal related to alcoholism to assess health risk in a client. Which are examples of information that should be included in the appraisal? (Select all that apply.) A) Signs and symptoms of alcoholism B) Recommended daily limit of alcoholic drinks consumed per day C) Examples, such as frequently drinking an alcoholic beverage in the morning D) Incidence rates of alcoholism in the United States E) Information on local substance abuse programs
A B C E
Which instance would be considered child abuse and neglect according to the federal Child Abuse and Prevention and Treatment Act? A) A father leaving a child in the back seat of a car on a hot August day B) A mother not feeding a 5-year-old child all day C) A mother allowing her boyfriend to punch her daughter D) A caregiver smacking away a toddler's hand when she reaches for a hot stove E) A neighbor touching the private parts of a 12-year-old boy
A B C E
Which are included in the five types of health risk factors that affect families? (Select all that apply.) A) Genetics B) Age C) Intelligence D) Personal health habits and lifestyle E) Environment
A B D E
After examining a young woman, the nurse asks her questions about some bruises on her back. The client confides that her husband has started hitting her when they argue. The nurse makes recommendations about getting help; the client dismisses them and states, "It's just a few bruises. I think I can handle it." Which long-term consequences of exposure to violence, according to Healthy People 2020, should the nurse discuss with this client? (Select all that apply.) A) Premature death B) Breast cancer C) Disability D) Lost productivity E) Obesity
A C D
Which statements by a caregiver would indicate the presence of risk factors for violence and should cause the nurse to have significant concern for the safety of children? (Select all that apply.) A) "My boyfriend says that one day he'll put a bullet through my head if I don't stop nagging him." B) "My 3-year-old daughter cries when my partner and I argue." C) "My husband sometimes makes our son come into our bedroom and watch as he hits me." D) "The last time we fought, he threatened to go pull out his shotgun." E) "My husband got upset with how much our daughter was texting and took her phone away from her for a month."
A C D
The nurse is completing a lethality assessment with a female client. Which are appropriate lethality risk questions? (Select all that apply.) A) Is there a gun in your house? B) Are you using drugs or drinking excessively? C) Has your partner ever been arrested? D) What is the worst thing your partner has ever done to you? E) Do you feel that the partner is capable of hurting you?
A C D E
Reasons blended families are becoming more widespread include an increase in the number of: (Select all that apply.) A) People who remarry following a divorce B) People who remain single after being widowed C) Recognized gay and lesbian relationships D) Married couples having children E) Couples cohabiting with children from prior relationships
A C E
6. According to the U.S. Bureau of Labor Statistics, how many workers in all industries, including state and local governments, had a reportable injury or illness in 2011? A) 3.8 of 100 B) 4.2 of 100 C) 5.8 of 100 D) 6.2 of 100
A) 3.8 of 100
21.The occupational health nurse works in facility located in a region that is highly prone to tornadoes. Which intervention should the nurse make sure is included in the facility's emergency plan to address this potential threat? A) A shelter-in-place policy and procedure B) Personal protective equipment C) Evacuation drills D) Decontamination procedures
A) A shelter-in-place policy and procedure
20.Changes to water supplies and increased flooding, which are believed to result from climate change, may make some areas more vulnerable to diseases. Which diseases are expected to become more prevalent as a result of climate change? (Select all that apply.) A) Asthma B) Lung cancer C) Diarrhea D) Malaria E) Dengue fever
A) Asthma C) Diarrhea D) Malaria E) Dengue fever
12.The occupational health nurse for a hydroelectric plant uses root cause analysis to investigate a recent accidental electrocution of a plant worker. The nurse currently is defining the characteristics of the case. In which step of the root cause analysis is the nurse? A) Define the problem B) Collect data C) Identify possible causal factors D) Identify the root cause
A) Define the problem
10.Bioavailability is the amount of the contaminant that: A) Is absorbed into the body and becomes available at the site of physiological activity B) Initially escapes a container and becomes available for contact with living organisms C) Is airborne and available for inhalation D) Is waterborne and available for skin contact
A) Is absorbed into the body and becomes available at the site of physiological activity
3.. The nurse visits the home of client in a low-income community and notices that paint is flaking off the walls and forming a dust in the corners of some rooms. The nurse asks the client when the house was built, and she responds that it was built in 1959. Which contaminant should the nurse expect to find in this home? A) Lead B) Radon C) Asbestos D) Pesticide
A) Lead
7. A line operator in a manufacturing facility comes in to the on-site clinic reporting numbness in his hands after excessive exposure to the toxin benzene. Applying the epidemiologic triad to this scenario, which is the host? A) Line operator B) Manufacturing facility C) Benzene D) Hands
A) Line operator
12.The nurse asks a client, ìDo you wear the clothes you wear at work to home?î This is an example of which subject on the exposure history? A) Present work B) Past work C) Home/residence D) Concerns
A) Present work
The community health nurse is using a genogram to aid in the family assessment. What aspect of family connections and relationships is included in the genogram? A) Influence of other systems on families B) Influence of groups on families C) Family relationships and their vital connections D) Relationships across two or more generations
D
17.The nurse is a member of a disaster team responding to a chemical disaster. The nurse assesses clients in a systematic fashion, concentrating on their ability to breathe. When entering the evacuation site, before the physical assessments, the nurse should: A)Don PPE B)Interview the client C)Report to the hot zone D)Request a HAZMAT expert to witness the client assessment
A)Don PPE
3.The management team is in the process of identification of hazards associated with the ice storm that is expected to disable electrical service to the city. To identify areas most vulnerable to damage and plan for an effective response, which data or methods of data collection may be used? (Select all that apply.) A)Geographic information B)Satellite imagery C)Census data D)Historical data on previous events E)Planning board declarations
A)Geographic information B)Satellite imagery D)Historical data on previous events
13.The nurse applies the nursing process to a case in which a client has been exposed to an environmental contaminant. The nurse considers the question, ìHas the exposure pathway been interrupted?î This question would be considered during which phase of the nursing process to examine the impact of the environment on human health? A) Assessment B) Planning C) Intervention D) Evaluation
D) Evaluation
2.The occupational and environmental health nurse provides leadership in developing occupational safety and health policy within the organization and function in an upper management role. The nurse has served as a consultant to both business and government and has designed and conducted significant research. At which American Association of Occupational Health Nurses (AAOHN) competency level in occupational and environmental health nursing is this nurse functioning? A) Advanced beginner B) Competent C) Proficient D) Expert
D) Expert
9.The nurse visits a community along a creek where residents have begun to report upper respiratory illnesses and asthma. After investigating, the nurse learns that several miles upstream is a hazardous material disposal site. In addition, chemicals have leached through the soil into the creek water and have been carried downstream to this community. Although children are not allowed into the creek, they do often play along the bank. Which represents the route of exposure in this situation? A) Creek water B) Chemicals C) Bank of the creek D) Inhalation
D) Inhalation
17.Environmental justice is most accurately described as the belief that: A) Those who violate the environment should be required to pay significant fines or face extensive prison sentences. B) All the harms humans have committed against the environment will one day result in divine judgment. C) All people should have equal access to the environment. D) No group should suffer more from environmental health consequences than others.
D) No group should suffer more from environmental health consequences than others.
6.There are different methods for conducting risk assessment for environmental contaminants. Which formula determines the amount of risk? A) Hazard = exposure ◊ risk B) Exposure = risk ◊ hazard C) Risk = contaminant presence ◊ exposure D) Risk = hazard ◊ exposure
D) Risk = hazard ◊ exposure
10.A newly hired health and safety officer works for a large manufacturing facility. One of the officer's first jobs is to conduct a complete survey of the workplace to determine what hazards are present, the location of entries and exits, the availability of emergency equipment, and potential trouble spots. Which interventions should the officer implement to accomplish this goal? A) Ergonomics B) Occupational health history C) Root cause analysis D) Workplace walk-through
D) Workplace walk-through
21.An outbreak of foodborne botulism has occurred in the community, and the nurse is on the disaster management team to address it. Which intervention should the nurse expect to implement in this situation? A)Administration of antivirals B)Administration of antibiotics C)Distribution of personal protective equipment (PPE) D)Administration of antitoxins
D)Administration of antitoxins
An injury prevention objective of Healthy People 2020 is: A) Prevention of drug-related deaths B) Identification of improper chemical storage in homes C) Decreased incidents of homicide, child maltreatment, and physical assaults D) Elimination of alcohol possession by adolescents on school property
C
Who is in the best position to recognize both children being victimized and children perpetrating violence? A) Pediatric primary care provider B) Parent C) School nurse D) Next door neighbor
C
10.Which are advantages of disaster management JITT for nurses? (Select all that apply.) A)Is cost-effective because it requires the least amount of resources to produce the final result B)Provides the nurse with comprehensive knowledge of how to respond to many different types of disaster C)Shortens the period of time between learning and application D)Includes classroom sessions and on-site presentations E)Is offered online for easy access
A)Is cost-effective because it requires the least amount of resources to produce the final result C)Shortens the period of time between learning and application D)Includes classroom sessions and on-site presentations E)Is offered online for easy access
7.The nurse is a member of the emergency and disaster preparedness committee for an organization. The nurse's role is to head the data collection subcommittee. What are the key areas that would be included in your plan? A)Morbidity, mortality, mental health, and infectious disease B)Morbidity, mortality, displacement, and community infrastructure C)Morbidity, mortality, mental health, and chronic illness D)Morbidity, mortality, displacement, and healthcare workers
A)Morbidity, mortality, mental health, and infectious disease
13.The nurse is in charge of implementing a personal protective equipment (PPE) program at the hospital, in response to a chemical terrorist attack. Which components should be included in this program? (Select all that apply.) A)Selection, maintenance, and use of PPE B)Training of employees in PPE use C)Identification of hazards present D)Identification of commodities to be distributed via POD emergency supply centers E)Clinical assessment and triage drills
A)Selection, maintenance, and use of PPE B)Training of employees in PPE use C)Identification of hazards present
13.A newly hired health promotion specialist works at a meat-processing facility. The specialist is in charge of developing a program that encourages a balance among work, family, personal, health, and psychosocial concerns. Which components are appropriate to include in this program? (Select all that apply.) A) Signage that demonstrates safe lifting techniques B) Free screening for HIV C) Diagnosis of potentially malignant skin lesions D) Clinic on proper use of safety goggles and other equipment E) Monitoring of noise levels within the facility
A,D,E
19.The occupational health nurse is a member of the emergency planning committee in the workplace. The nurse is helping to formulate an emergency plan for the facility. Which goals should the nurse keep in mind while developing the plan? (Select all that apply.) A) Establish clear reporting instructions for employees. B) Provide instructions on safe lifting techniques. C) Identify hazardous substances that workers are exposed to in their daily work. D) Name key personnel who will assume necessary tasks. E) Establish emergency escape routes.
A,D,E
During a home visit of a client with high blood pressure with whom the nurse has developed a strong therapeutic relationship, the nurse learn that the client keeps a large salt shaker near the stove and heavily salts whatever he is cooking. He also keeps a salt shaker on the dinner table and adds more salt when eating. The nurse suggests removing the salt shaker near the stove and only lightly salting food when eating as a way to help reduce the client's sodium intake. This intervention would most likely achieve the goals for assessment associated with which nursing theory? A) Science of Unitary Beings B) Health as Expanding Consciousness C) Roy Adaptation Model D) Self-care Agency
B
In comparison with other generations, members of generation X: A) Respect authority, but want recognition for their individual contributions B) Are likely to multitask and have more than one career in their lifetimes C) Prefer authoritarian leadership and direct personal interaction with superiors and others D) Are goal oriented and focused people who desire guidance
B
The nurse assesses a new client and performs a standard screening for intimate partner violence. Which is the most appropriate question to ask first? A) "Are you in danger now?" B) "It's normal for couples to disagree about things. What happens when you and your partner disagree?" C) "Do you ever think about hurting yourself, cutting, stopping eating, or purging food?" D) "Have you ever thought about or been granted a restraining order?"
B
There are several approaches to family assessment that use particular concepts that nurses typically encounter in practice. These models provide an organized framework with which to conduct a family assessment. Which is the aim of the family assessment in the Life Span Development approach? A) To identify family routines and rituals that could influence family health B) To identify family health practices within a social and historical context C) To assess health patterns in 11 areas of family health D) To engage the family as a way to identify its strengths, with attention to family dynamics and concerns related to health and illness
B
Which best describes the function of the grand nursing theory in nursing practice? A) Presents a systematic view of related statements to describe, explain, predict, or prescribe a phenomenon of interest B) Relates human experience to nursing practice and nursing care C) Assesses health patterns in 11 areas of family health D) Engages the family as a way to identify its strengths with attention to family dynamics and concerns related to health and illness
B
Which most accurately defines gender-based violence? A) A homicide of a female that occurs in the context of intimate partner violence B) Violence that targets people or groups of people on the basis of their gender C) A pattern of assaultive and coercive behaviors perpetrated against an individual by one who is, was, or wishes to be in an intimate relationship with the victim D) A type of violence typically committed by one gender but not the other
B
n a 15-minute family interview, after asking a question, the nurse pauses and remains silent while the grandmother, whose English is limited, replies to the question. The nurse makes eye contact with her and nods while she talks. When she is finished, the nurse asks a few follow-up questions. Which principle to maximize information during an interview is demonstrated in this behavior? A) Manners B) Use of therapeutic conversation C) Use of therapeutic questions D) Acknowledgment of family strengths
B
The nurse is conducting a 15-minute interview with a family. On the basis of the five leading principles for interviewing, appropriate actions for the nurse to take include: (Select all that apply.) A) Having family members share their family history with you, going back several generations B) Listening actively as the family members speak C) Constructing an ecomap of the family D) Asking family members to prioritize their needs and to express their expectations regarding nursing care E) Pointing out the strong relationships they enjoy in their family and explaining how they will help them cope with the health issue of concern
B C D E
A nurse is preparing to make a mandatory report of intimate partner violence (IPV) with regard to the caregiver of a pediatric client. Which actions are appropriate? (Select all that apply.) A) Tell the child about the possibility of filing a mandatory report B) Determine whether it will be safe to inform the child about the report C) Ask about the child's incidence of using drugs D) Ask the victim whether she has a plan to keep herself and the child safe E) Ask the victim if she would like to file a report at the same time as you file yours
B D E
Intimate partner violence is a pattern of assaultive and coercive behaviors. This definition includes: (Select all that apply.) A) Emotional injury B) Sexual assault C) Progressive social interaction D) Physical injury E) Deprivation
B D E
11.The nurse conducts biomonitoring of residents of a community exposed to mercury vapor from a manufacturing facility nearby. Which form of biomonitoring is the method for the purpose of determining exposure to this contaminant? A) Measuring heart rate B) Collecting blood or urine C) Assessing respiratory rate D) Obtaining body weight and composition measures
B) Collecting blood or urine
1.The occupational and environmental health nurse faces many different practice issues every day and can function comfortably in roles as a clinician, coordinator, and case manager following company procedures, using assessment checklists and clinical protocols to provide treatment. At which American Association of Occupational Health Nurses (AAOHN) competency level in occupational and environmental health nursing is this nurse functioning? A) Advanced beginner B) Competent C) Proficient D) Expert
B) Competent
2.The nurse travels to Nigeria with a humanitarian aid organization to assess and treat members of a remote community. The children all have high levels of lead in their blood, as a result of exposure to lead dust created by gold mining. Many children are dying. The nurse has never witnessed such a phenomenon in the United States. Which are the most likely reasons for this discrepancy? (Select all that apply.) A) Larger mining operations than in the United States B) Lack of environmental regulations or of their enforcement C) Lack of knowledge concerning environmental dangers D) Weaker immune systems than in the United States E) Need of the miners to earn a living and fewer work options
B) Lack of environmental regulations or of their enforcement C) Lack of knowledge concerning environmental dangers E) Need of the miners to earn a living and fewer work options
15.The occupational health nurse with a construction company is responsible for filling out a record of accidents and illnesses that occur on the company's work sites. Which source should the nurse consult to acquire the proper record-keeping form and guidelines? A) FMLA B) OSHA C) HIPAA D) NORA
B) OSHA
1. The public health nurse works in New England during the winter months. An ice storm cripples the city, and electrical outages affect the power grid. Trees and frozen power lines are down throughout the city, and the timeline for restoration of power is 7 to 10 days. The management team should classify this occurrence as: A)An emergency B)A natural disaster C)Terrorism D)An accidental disaster
B)A natural disaster
15.The nurse is notified that a possible anthrax exposure occurred at the local military base. Civilian workers are routed to the local hospital's emergency department. The nurse's responsibility is to set up PODs in the community. The function of the PODs in response to the anthrax exposure is to: A)Distribute decontaminated food B)Administer prophylactic medications C)Distribute decontaminated water D)Provide triage
B)Administer prophylactic medications
6.A tornado touched down in the city. The public health nurse is a member of the disaster management team. The nurse's role includes: (Select all that apply.) A)Search and rescue B)Clinical assessment and triage C)Provision of health education D)Hazardous materials management E)Protection of property
B)Clinical assessment and triage C)Provision of health education
18.The community health nurse works in a receiving station after a radiological disaster. The nurse wears the requisite PPE and notes that the majority of the victims have blast injuries. A volunteer worker reports that many of the victims have dust on their clothes. The nurse's response to the dust is to: A)Recognize that the dust is common with blast injuries B)Consider it radioactively contaminated and notify HAZMAT C)Consider the dust a biological agent and therefore a contaminant D)Flush all wounds to prevent chemical contamination
B)Consider it radioactively contaminated and notify HAZMAT
18.The occupational health nurse for a multinational corporation compares aggregate data on the occurrence of lung cancer in workers in a factory in Brazil with workers in a factory in Hong Kong. Which type of epidemiologic study is this nurse most likely conducting? A) Prospective, cohort B) Case-control C) Ecological D) Cohort case-control
C) Ecological
4.Several important pieces of legislation have helped highlight the importance of environmental health and environmental protection. Which best describes Superfund? A) National program to control the damaging effects of air pollution B) Program that protects and enhances the quality of the nation's air by regulating stationary and mobile sources of air emissions C) Environmental program established to address abandoned hazardous waste sites D) Comprehensive framework of standards, technical tools, and financial assistance to address the many causes of pollution and poor water quality
C) Environmental program established to address abandoned hazardous waste sites
14.Which most accurately describes environmental epidemiology? A) Focuses on the amount of a contaminant that is absorbed into the body B) Involves monitoring the results of medical tests to determine whether a person has been exposed to a contaminant C) Focuses on the incidence and prevalence of disease or illness in a population from exposures in their environments D) Involves monitoring the number of adverse effects of chemical, physical, or biological agents on people, animals, and the environment
C) Focuses on the incidence and prevalence of disease or illness in a population from exposures in their environments
12.After a hurricane, the nurse is placed on a planning committee to meet the direct needs of the community. Most of the clean-up and rescue work has been completed, and several members of the community are living in shelters and are homeless. One of the foremost priorities of the committees is to establish: A)Ecumenical centers for long-term worship B)Home repair resources C)POD emergency supply centers D)Financial aid centers
C)POD emergency supply centers
2.The national weather service warns of an impending ice storm that may have crippling effects on the community. Widespread electrical outages are predicted as well as freezing temperatures. The community health nurses are mobilized to establish emergency living quarters and clinics for those without heat. The nurses' actions are occurring during which phase of the disaster? A)Impact B)Postimpact C)Preimpact D)Preparedness
C)Preimpact
Preventing intimate partner violence (IPV) and recurrence of violence requires targeting efforts at all three levels of prevention: primary, secondary, and tertiary. Which is a tertiary prevention strategy? A) Adding a question to the standard health history form that asks whether the client is currently experiencing abuse B) Putting up posters around the health provider's office that give tips on what to do if one is in an abusive relationship C) Screening a woman for evidence of abuse who has several risk factors for IPV D) Providing a woman who is being abused by her husband the number to an abuse hotline so that she can get help leaving him
D
The case manager for two families with children who have type 2 diabetes is struck by the differences between the families. In one family, the parents are intentional about providing fruits and vegetables for their child to eat, regularly remind him to check his blood glucose level, and make sure that he engages in some sort of outdoor activity every afternoon. In the other family, the kitchen is stocked primarily with potato chips and processed snack foods, the child does not monitor her glucose level consistently, and she spends her afternoons texting or watching videos on the sofa. By this comparison, the case manager realizes how critical the family is in forming the attitude the child has toward caring for his or her own health. Which grand nursing theory does this experience best illustrate? A) Science of Unitary Beings B) Health as Expanding Consciousness C) Roy Adaptation Model D) Self-care Agency
D
The nurse assesses a 77-year-old woman who has been caring for her husband who has Alzheimer disease in their home for the past 8 years. The client complains of exhaustion and depression. Which stressors should the nurse most suspect as the cause of this client's symptoms? A) Marital strain B) Caregiver burden C) Spillover D) Interfamily strain
D
The nurse helps a client who is a victim of intimate partner violence (IPV) with safety planning. The client worries about what to do if her partner becomes violent again. A safety suggestion for the when the client is at home is for her to go to the: A) Kitchen because it is well-lit B) Bathroom because it is a small space C) Basement because there are places to hide D) Living room because there are windows
D
Which is a relationship risk factor for intimate partner violence? A) Emotional dependence and insecurity B) Belief in strict gender roles C) Desire for power and control D) Unhealthy family interactions
D
Which is a societal risk factor for intimate partner violence? A) Experiencing poor parenting B) Marital instability C) Unwillingness of neighbors to intervene when violence is witnessed D) Traditional gender roles
D
5.Which is the most accurate definition of a risk assessment? A) Assessment of the adverse effects of chemical, physical, or biological agents on people, animals, and the environment B) Process to help determine whether an individual has been exposed to environmental contaminants C) Assessment of factors that determine a person's level of exposure to an environmental contaminant D) Determination of the likelihood of adverse effects in a group exposed to an environmental contaminant
D) Determination of the likelihood of adverse effects in a group exposed to an environmental contaminant
8.Which is an example of a radiological contaminant? A) Lead B) Mercury C) Ricin D) Radon
D) Radon
9.Which industry has the highest number of fatal injuries? A) Agriculture B) Construction C) Mining D) Transportation
D) Transportation
8.The public health nurse is a first responder in a community disaster, secondary to a flood. One section of the town has experienced a loss of water and electricity for 4 days. The nurse's first action to meet the needs of the community at this time should be to: A)Refer the members of the community to a spiritual outreach program B)Provide access to safe food and water C)Inform the fire department of potential risks within the community setting D)Provide an immunization program
B)Provide access to safe food and water
9.The nurse cares for a client who has symptoms of high fever and unexplained bleeding. After receiving blood test results, the client's primary care provider diagnoses the client with Ebola hemorrhagic fever. What interventions should the nurse anticipate implementing for this client? (Select all that apply.) A)Administration of an antiviral B)Strict infection control C)Isolation of the client D)Rinsing of the client's eyes E)Administration of an antitoxin
B)Strict infection control C)Isolation of the client
14.The nursing team cares for victims of a possible anthrax white powder investigation. Which information must be documented by the nurse scribe? (Select all that apply.) A)Victims' names B)Time and place C)Name of the Incident Commander D)General assessment of the field E)Victims' health histories
B)Time and place C)Name of the Incident Commander D)General assessment of the field
Preventing intimate partner violence (IPV) and recurrence of violence requires targeting efforts at all three levels of prevention: primary, secondary, and tertiary. Which is a secondary prevention strategy? A) Creating and broadcasting a public service announcement that raises awareness about IPV B) Putting up posters around the health provider's office that give tips on what to do if one is in an abusive relationship C) Screening a woman for evidence of abuse who has several risk factors for IPV D) Providing a woman who is being abused by her husband the number to an abuse hotline so that she can get help leaving him
C
The community health nurse has limited time for family assessments because of demanding caseloads or staffing shortages. Using your knowledge that focused family interviews of 15 minutes or less can yield a wealth of information, which is an example of an activity that will acknowledge the family's strengths? A) Ask family members if they see an area that could be changed B) Allow everyone present to voice observations, insights, or concerns before offering how they could change the situation C) Share any genograms and ecomaps that illustrate relationships with family members D) Collaborate with the family to set priorities, plan care, and evaluate goals
C
The community health nurse is assessing stressful life events in a family. Which exemplifies a life event related to illness and family care strains? A) A history of police reports of a 23-year-old man's hitting his girlfriend B) A couple in their 40s divorcing C) A 63-year-old woman's sense of responsibility as the oldest among her siblings for taking care of her chronically ill parents D) A 35-year-old woman not speaking to her sister for 5 years after not being invited to her wedding
C
11.The nurse is responsible for triage in a setting where a natural disaster has occurred. The triage is expected to last for an extended period of time. Which triage model would be most effective in this scenario? A)Simple triage and rapid treatment (START) B)Prehospital triage C)JumpSTART triage D)Start/Save triage
D)Start/Save triage
15.The information gained from environmental epidemiologic studies can be very helpful in trying to identify whether an exposure or what particular exposures have made people ill. Major challenges to most environmental epidemiology studies include: (Select all that apply). A) Resource intensive in terms of personnel and money B) Period between exposure and illness can be very short C) Weak ability to identify outbreaks of infectious disease D) Limited availability of data on many contaminants and their effect on people's health E) Time consuming to perform
A) Resource intensive in terms of personnel and money D) Limited availability of data on many contaminants and their effect on people's health E) Time consuming to perform
8.Which injury has the highest incidence rate among occupational injuries and illnesses that result in days away from work? A) Sprains B) Broken bones C) Cuts D) Carpal tunnel syndrome
A) Sprains
16.Which data are tracked under epidemiologic workplace surveillance? (Select all that apply.) A) Injuries B) Illness C) Hazards D) Exposures E) Productivity
A,B,C,D
5.Which exemplify biological hazards? (Select all that apply.) A) Contaminated body fluids B) Poisonous plants C) Diesel exhaust D) Venomous snakes E) Aerosols
A,B,D
18.Environmental justice is an important consideration when working with tribal communities. In which way is traditional tribal practices most often directly affected by contaminated land and water? A) Spiritual practices B) Dietary practices C) Work opportunities D) Exercise opportunities
B) Dietary practices
14.The occupational health nurse for a computer manufacturer is required to conduct a physical examination of each new hire. The rationale for this action is to: A) Screen for cardiac defects the worker may be unaware of. B) Ensure the worker's fitness for the job. C) Determine possible causes of the worker's chief complaint. D) Provide a baseline for future comparison. E) Determine the worker's eligibility for the company health insurance plan.
B) Ensure the worker's fitness for the job.
7.Which exemplify environmental media and transport mechanisms within an exposure pathway? (Select all that apply.) A) Mercury B) Groundwater C) Pond D) Air E) Subsurface soil
B) Groundwater C) Pond D) Air E) Subsurface soil
17.The occupational health nurse at a company has seen three different employees in one week who have all reported similar upper respiratory symptoms. Which rate should the nurse consider calculating to understand the severity of this problem and to determine whether a cluster or cohort is forming? A) Productivity rate B) Incidence rate C) Prevalence rate D) Ratio of affected to unaffected
B) Incidence rate
11.The occupational health nurse for an electronics factory compiles an occupational health history for each worker. Which should be included? (Select all that apply.) A) Location of facility exits and entries B) Chronological record of all past work and potential exposures C) An occupational exposure inventory D) List of exposures in the home or community E) Availability of emergency equipment
B,C,D
Pediatric providers face special issues in screening for intimate partner violence (IPV) in a caregiver who is accompanying a child. Which are appropriate strategies for addressing this screening issue? (Select all that apply.) A) Asking the mother directly, with the child present B) Asking the child directly, while the mother is out of the room C) Asking the mother indirectly, with a written questionnaire or computer survey D) Screening for the safety and dangerousness of the situation before deciding whether to ask the mother E) Informing parents about mandatory reporting law after asking questions
C D
A 50-year-old woman recently underwent a divorce and has two teenaged children. She has an associate's degree from her local community college and earns an annual salary of $22,000. Which risk factors place this woman at risk for intimate partner violence (IPV)? (Select all that apply.) A) Age of 50 years B) Education at associate's degree level C) Recent divorce D) Having two teenaged children E) Annual salary of $22,000
C E
19.. In the United States, most citizens have access to clean water and sanitation services and often take these services for granted. Worldwide, however, clean water and sanitation are not standard. How many people worldwide in 2010 lacked access to improved water sources? A) 7 million B) 78 million C) 783 million D) 7.8 billion
C) 783 million
19.The nurse is appointed to be a member of the risk communication team during a disaster response situation. During an evacuation, the nurse is informed that an increasing number of individuals are reluctant to leave their homes. To complete an orderly evacuation, it is necessary to: A)Involve the armed forces B)Declare martial law C)Create an environment of trust and credibility D)Disseminate information regarding the necessity of the evacuation
C)Create an environment of trust and credibility
A client is fearful of being infected with the Ebola virus. To which reliable source of family risk reduction information should this client turn? A) A report from the client's neighbor whose daughter was recently infected with the Ebola virus B) Information the client's wife reported from a newspaper article about the Ebola virus that she read C) Data from an Internet site that the client's daughter conveyed D) A conversation the client has with his healthcare provider
D
