Community Final Review
A nurse is teaching a client who has asthma on the use of an inhaler. Which of the following resources should the nurse include in the teaching?
Give a demonstration of how to use the inhaler followed by the teach-back approach
A community health nurse is researching health policy administration. The nurse should identify that which of the following is administered at the state government level?
Medicaid
A nurse is caring for a client who asks how their food choices might affect their blood pressure. To which of the following members of the interprofessional team should the nurse refer this client?
Dietitian
A nurse educator is teaching a class on nursing history to a group of nursing students. Which of the following nurses should be identified as the first nurse who focused on environmental conditions?
Florence Nightingale
A community health nurse is educating a newly licensed nurse about sensitivity and specificity using a two-by-two table. Which of the following statements by the newly licensed nurse indicates an understanding of the table related to true negatives?
"True negatives are represented in the table cell that indicates the person does not have the disease and the test does not indicate disease."
A nurse is explaining health care barriers to a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of a client who is underinsured?
"A client who is underinsured has health insurance but is likely to assume significant financial risk for medical expenditures."
A school nurse is recommending a referral to a mentorship program for an adolescent who reports facing pressure and violence in school and is feeling depressed. Which of the following statements should the nurse include when discussing the reason for the mentorship program?
"A mentorship program can help you cope with challenges at school."
A community health nurse is preparing an in-service for staff to define the conditions of causation in epidemiological studies. Which of the following descriptions should the nurse use to define biological plausibility to establish causation?
"A relationship is biologically possible, and it makes sense."
A nurse is reviewing data from a group of clients. Which of the following clients is more likely to experience structural inequity?
A Hispanic client with low income
A nurse is counseling a client who is trying to get out of a gang situation. Which of the following referrals should the nurse make to the client?
Boys & Girls Club of America
A nurse is discussing cultural competence with a group of newly licensed nurses. Which of the following can occur when there is a lack of cultural understanding?
Ineffective communication
A community health nurse is planning a public service campaign to decrease the transmission of influenza. Which of the following interventions should the nurse include as a primary prevention?
Obtaining immunization
A community health nurse is providing teaching to a client who is being enrolled in a case-control study. Which of the following statements by the client indicates an understanding of the teaching?
"You'll need to find other participants like me but who do not have this disease."
An occupational nurse has four clients to see. Which of the following clients should the nurse see first?
A employee complaining of burning eyes after being exposed to a chemical agent
Which of the following health promotion initiatives were launched to implement interventions for better overall health in the U.S.?
Healthy People 2030
A nurse should recognize that which of the following factors contributes to the increasing burden of chronic diseases in public health?
The aging population
A public health nurse is educating a newly licensed nurse about sensitivity and specificity using a two-by-two table. Which statement by the newly licensed nurse indicates understanding of the table related to false positives?
"False positives are represented in the table cell that indicates the person does not have the disease and the test indicates disease."
A community health nurse is explaining to a newly licensed nurse the difference between an observational and experimental study. Which of the following explanations should the nurse provide?
"No variable is manipulated in observational studies as occurs in experimental studies."
A nurse is reviewing public health problems in their community. Which of the following should the nurse recognize as communicable public health problems? (Select all that apply.)
-Foodborne disease -Zoonotic Diseases
A nurse is providing teaching to a client who inquired about utilizing private managed care insurance to cover medical expenses. Which of the following statements should the nurse include in the teaching?
"Clients pay a monthly fee to an insurance provider to cover medical expenses, including supplemental policies."
A nurse and a community team are assessing their community using the CHANGE model. The team recognizes they should consider which of the following as a sector of their model?
Health care
A community health nurse has just presented an education session to local citizens about West Nile virus. Which of the following statements by one of the participants indicates an understanding of the teaching?
"I can prevent West Nile virus by wearing long sleeves and long pants."
A nurse is performing an evaluation on an older adult couple who have been attending a caregiver support group for individuals taking care of loved ones who have Alzheimer's disease. Which of the following statements by the caregiver shows that the intervention has been successful?
"Even though it is a lot of work, I sleep well at night."
A nurse manager of a public clinic is evaluating health disparities among diverse groups in the community. The nurse should identify that which of the following factors has an impact on health disparities? (Select all that apply.)
-Race -Ethnicity -Residential location -Income
A public health nurse is calculating the attack rate following a food-borne illness outbreak after a community picnic. Which of the following groups of people should the nurse include in the denominator of the attack rate calculation?
All people who ate the specific food item
A nurse is caring for a client who has a history of socioeconomic issues. Which of the following client statements indicates that the client is experiencing very low food security?
"My job is inflexible without consideration for my personal needs. My budget is tight and I often skip meals to save money."
A public health nurse is reviewing laboratory results for a client who is being screened for HIV. The results yield low specificity. Which of the following statements by the client indicates an understanding of the laboratory results?
"I understand that the screening test may result in a false positive because it has low specificity.
A nurse in a community health clinic is preparing an in-service for staff to define the conditions of causation in epidemiology studies. Which of the following descriptions should the nurse use to define a dose-response relationship to establish causation?
"Increased exposure increases the risk of developing the disease."
A nurse in a community clinic is interviewing a client about their asthma diagnosis. Which of the following questions by the nurse represents point prevalence?
Do you have asthma now?
A public health nurse is compiling infant mortality statistics for a state epidemiology report. Which mortality measure should the nurse use?
Age-Specific mortality
A nurse is caring for a client who is dying and wishes to discontinue taking their medications. Which of the following ethical principles is the nurse demonstrating by respecting the client's decision?
Autonomy
A nurse is part of a team at a public health department that is preparing for accreditation. Which resource should the nurse suggest that the team use for guidance about accreditation criteria?
CDC
A team of home health nurses is searching for data about pressure injury protocols for use in the home setting. Which of the following resources should they use to find pressure injury protocols?
Cochrane
An occupational health nurse is presenting information to county government leaders. Which of the following occupations should the nurse include as having higher health hazards and exposures?
Outdoor landscaper
A nurse is arranging for flu vaccines to be administered to anyone who consents to it. Which of the following levels of prevention are guiding the nurse's actions?
Primary prevention
A nurse and a team of community members are beginning to prioritize the data they have collected. Which of the following is true about prioritization of community-level data?
Prioritization at the community level must focus on needs impacting the community or subpopulations.
A community health nurse is giving a presentation to a group of students about collecting data on a community's environments. Which of the following environments should the nurse include? (Select all that apply.)
-Physical -Social -Occupational
A nurse is discussing client education with a newly licensed nurse. Which of the following statements regarding the Teach Back Method of client education should the nurse include in the discussion?
"This method makes sure the client understands all of the instructions given."
A nurse is discussing cultural competency with a newly licensed nurse. The nurse should include that nurses should have the ability to communicate with clients across which of the following sociocultural barriers to be culturally competent?
Different sexual orientations
A nurse case manager is teaching a client about Health Savings Accounts (HSA). Which of the following client statements indicates an understanding of the teaching?
The HSA can be used for out-of-pocket medical expenses
A team of public health nurses is discussing a new health care law. The nurses should identify that which of the following entities is responsible for passing laws related to health care?
The legislative branch
A nurse proposes an evidence-based improvement project in partnership with the Workforce Innovation and Opportunity Act to mitigate the effects of the coronavirus (SARS-CoV-2) lockdown restrictions on physical and mental health. Which of the following factors should the nurse identify as the priority to address with the project?
The lockdown led to an uncertainty of resources for several families within the community.
A nurse at a state public health department is preparing for an upcoming accreditation. Which of the following should they identify as a benefit of accreditation for their public health department?
Accreditation allows public health nurses to base decisions, care, and processes on national standards.
A nurse and a community team are using the Strategic Prevention Framework. Which of the following is true about the Strategic Prevention Framework?
It uses a team approach.
A public health nurse is assessing a client for determinants of health. Which of the following questions should the nurse include in their assessment? (Select all that apply.)
-"Do you have a family history of any medical conditions?" -"What type of health insurance do you have?" -"How old are you?" -"Where do you work?"
A community health nurse is reinforcing education on insulin administration to a client who has diabetes mellitus. Which of the following elements of Nursing's Social Contract is the nurse demonstrating?
Autonomy of practice
A nurse is requesting a referral for a case manager for a client who requires financial assistance for their medications. Which of the following forms of advocacy is the nurse demonstrating?
Client advocacy
A home health nurse is searching for evidence-based information about the benefits of caregiver support groups. Which of the following sources is the best source for systematic reviews and recommendations about this topic?
Cochrane
A population health nurse is researching evidence-based strategies for decreasing pollution caused by industrial waste. Which of the following does the nurse identify as a reason to use a Cochrane review as a resource to obtain information?
Cochrane contains systematic reviews of synthesized evidence.
A nurse is reviewing a client's medical record with a dietitian who is part of the client's interdisciplinary team. Which of the following elements of Nursing's Social Contract is the nurse demonstrating?
Collaboration
A nurse is reviewing the need to include community gatekeepers in community partnerships. Which of the following statements describes the importance of this inclusion?
Community gatekeepers are people who have an impact on community members, and the support of community gatekeepers can be pivotal in moving initiatives forward.
A nurse is speaking with the nursing supervisor about a staffing shortage and its implications for staff on their unit. Which of the following forms of advocacy is the nurse demonstrating?
Professional advocacy
A community health nurse is discussing the Nurse Training Act of 1943 with a group of nursing students. The community health nurse should include in the discussion that which of the following occurred as a direct result of the passage of this legislation?
Prohibition of racial discrimination in nursing organizations
A nurse is discussing the AACN's five Core Competencies of Cultural Competence with a newly licensed nurse. Which of the following should the nurse identify as one of these competencies?
Promote achievement of safe and quality outcomes
A home care nurse is visiting a client and conducting an environmental assessment of their home. Which of the following should lead the nurse to be concerned about lead poisoning?
Peeling or flaking paint in the residence
A nurse is preparing a workshop on preventing common communicable and infectious diseases in the community. Which of the following prevention methods should the nurse include to target diseases that are transmitted indirectly?
Pest control
A nurse and a community team are using the Strategic Prevention Framework. Which of the following is true about this framework?
Planning is an important step in the process.
A community health nurse is making recommendations for illness surveillance measures in public schools to a local school board. Which of the following core functions of epidemiology is the nurse engaged in?
Policy development
A nurse is interviewing a client who has three small children and has a history of interventions with Child Protective Services. Which of the following client statements should the nurse identify as an indication that family relationships are positive and further interventions are unnecessary?
"My kids and I attend virtual therapy sessions twice each month."
A community health nurse is using the United States Preventive Services Task Force (USPSTF) guidelines to recommend health screenings for a client. The nurse should identify that which of the following descriptions applies to Grade A screenings?
"Research indicates this screening exam is beneficial. I would like to offer it to you."
A community health nurse is using the United States Preventive Services Task Force (USPSTF) guidelines to recommend health screenings for a client. The nurse should identify that which of the following descriptions applies to Grade D screenings?
"Research indicates this screening is not warranted at this time and may, in fact, be harmful."
A public health nurse is teaching a newly licensed nurse how to determine the prevalence rate of the top diseases in the county. Which of the following information should the nurse provide to describe prevalence rate?
"The prevalence rate considers new cases of disease."
A community health nurse is providing teaching to a client who is being enrolled in an epidemiological cohort study. Which of the following statements by the client indicates an understanding of the teaching?
"The study will last for 10 years. You will contact me annually for an interview and blood work."
A nurse manager in a community health clinic is teaching about the practice of cultural humility among staff members. Which of the following principles of cultural humility should the nurse include in the teaching? (Select all that apply.)
-Self-awareness -Openness
A nurse and a community team are looking at the High 5 Initiative, as they are having similar issues in their community. Which of the following statements by the nurse indicates an understanding of the initiative and its applications?
"This is a local initiative that could be adapted to our community's needs."
Which of the following actions should a community health nurse take to promote economic stability in the community?
Partner with local churches and write grants for childcare funding towards affordable daycares in the area
Which of the following are stages of change in the transtheoretical model? (Select all that apply.)
Precontemplation Maintenance Action Planning
A nurse is teaching a client about Medicare Part D. The nurse should include that this program covers which of the following?
Prescription medications
Which of the following is true about the National Notifiable Diseases Surveillance System?
It is a legal requirement for states to report on national notifiable diseases.
Which of the following Sustainable Development Goals would be achieved if nations implemented recycling programs in their major cities?
Responsible consumption and production
A nurse is reviewing the harmful effects the environment can have on human health. Which of the following health conditions should the nurse attribute to environmental factors? (Select all that apply.)
-Malaria -Asthma -Lead Poisoning
A nurse manager is discussing primary preventive measures to reduce infection rates with another nurse. Which of the following actions should the nurse identify as an example of a primary preventative measure? (Select all that apply.)
-Ensure that hand sanitizer is located throughout the facility. -Promote social distancing during activities. -Educate about the use of personal protective equipment (PPE).
A community health nurse reports that some families are in desperate need of basic preventative health care services. Which of the following principles supports providing resources to families in the community that are in need?
Beneficence
A nurse manager at a public health clinic is working to expand the diversity of the clinic's nursing staff. Which of the following factors should the nurse identify as a barrier to creating a diverse workforce?
Nurses of color make up less than 28% of the national workforce
A nurse at a public health department is presenting information about Healthy People 2030 to a group of community health workers. In which of the following categories will the nurse discuss specific, evidence-based interventions of Healthy People 2030?
Objectives
A nurse is reviewing the history of government-funded health programs in the U.S. Which of the following should the nurse identify as the president who enacted law to create the Medicare program in 1965?
Lyndon B Johnson
A nurse is caring for a client who frequently uses pesticides. The nurse should understand that which of following is true about pesticides? (Select all that apply.)
-They can cause illness through genetic mutations or cancer development. -They can enter the air and cause lung irritation when inhaled. -Their residue seeps into the ground and can harm drinking water
A nurse is preparing a cultural assessment for a client who is from a different racial and ethnic background than the nurse. In completing the cultural assessment, which of the following pieces of data should the nurse collect about the client's cultural practices? (Select all that apply.)
-Values -Beliefs -Lifestyle behaviors -Language
A nurse is conducting a presentation for a group of student nurses related to the goals and objectives of Healthy People 2030. Which of the following does the nurse discuss as overarching goals of Healthy People 2030? (Select all that apply.)
-Create social, physical, and economic environments that promote attaining the full potential for health and well-being for all. -Eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all. -Engage leadership, key constituents, and the public across multiple sectors to take action and design policies that improve the health and well-being of all.
A community health nurse is preparing an in-service about transcultural nursing for a group of staff nurses. The nurse should identify which of the following phases as part of Leininger's Sunrise Model? (Select all that apply.)
-Culture care maintenance/preservation -Culture care negotiation/accommodation -Culture care restructuring/repatterning
A public health nurse conducts an evaluation of a health promotion program. Which of the following ethical principles does the nurse uphold by ensuring that the program does not result in any harm to participants?
Nonmaleficence
A public health nurse is listing all causes of death in the county to determine the percentage each cause contributes to the overall death rate. Which of the following mortality measures should the nurse use to calculate this data?
Proportionate mortality
A community member is asking a community health nurse why evaluation of a program is important. Which of the following responses should the nurse make?
"Evaluation is done to appraise the outcomes of an initiative and to inform ongoing implementation of community initiatives."
A nurse manager in a community clinic is using Healthy People 2030 to plan care for clients. Using the Healthy People 2030 guidelines, which of the following interventions should the nurse use to reduce health disparities?
Provide access to language services to clients
A nurse is asked to develop an impact report regarding a recent community health initiative program. Which of the following information is true regarding this type of report?
An impact report is a communication tool outlining the outcomes of a community project.
A nurse is working with a community planning board to address the challenge of systemic racism in their community. Which of the following criteria should the nurse identify as essential to the success of a community plan addressing systemic racism?
Budgeting resources fairly based on need
A public health nurse is facing challenges with the local public health team while implementing evidence-based interventions in an immunization program. Which of the following statements by team members should the nurse identify as knowledge-related barriers to implementation of evidence-based practice? (Select all that apply.)
-"I do not really know how to use the computer for anything other than checking email and updating the spreadsheets" -"I took a statistics course in college, but I have not really used any of it since then" -"I am not really sure where to look for new evidence"
A county public health nurse is planning to implement evidence-based practice interventions for a communicable airborne disease. Which of the following statements by the nurse indicates understanding of the appropriate uses of the Intervention Wheel developed by the Minnesota Department of Health? (Select all that apply.)
-"We can use the Intervention Wheel as a resource for implementing guidelines for screening and testing." -"We can use the Intervention Wheel as a resource for implementing an outreach program to educate the public about where to obtain masks." -"We can use the Intervention Wheel as a resource for collaborating with other health professionals in the county"
A community health nurse is involved in community-engaged research about employer-provided health benefits in a small, rural community. Which of the following are potential ethical concerns related to recruitment of participants or confidentiality of information? (Select all that apply.)
-A member of the data collection team volunteers to collect data from their family-owned restaurant employees. -A local primary care provider offers to supply information about residents during the data collection process. -The owner of a factory offers bonuses to employees who participate in the research. -The leader of the data collection team recruits their family members for the research.
In a rural community setting, a health care organization is attempting to create an institutional framework in their approach to eliminate health disparities. Which of the following policies should the facility institute to reduce health disparities? (Select all that apply.)
-Demonstrate culturally competent practices and protocols. -Maintain a diverse workforce. -Cultivate cross-cultural communication and awareness.
A nurse in a community clinic is assessing a client who is from a different culture than the nurse and reports having painful urination and a fever for 7 days. Which of the following comments should the nurse make when caring for the client? (Select all that apply.)
-How can I help you today? -What seems to make your symptoms better? -What have you done about your problem?
A local school has had an outbreak of salmonella. Which of the following primary prevention strategies should a nurse identify as interventions for prevention of future foodborne illnesses? (Select all that apply.)
-Individuals should wash their hands with soap and water for 20 seconds before, during, and after preparing food. -Different cutting mats should be used to prepare meats and raw vegetables. -Thaw frozen foods in the refrigerator, cold water, or the microwave. -Meat should be cooked to the appropriate temperature.
A school nurse has identified a need for improved playground safety. Using a quality improvement process that mirrors the steps of evidence-based practice, which of the following steps should the nurse take before selecting changes aimed at improving playground safety? (Select all that apply.)
-Organizing an effort to work on improvement -Planning the change -Clarifying current knowledge of the process
A community health nurse is preparing an educational program about Healthy People 2030 that will be presented at a local community center. What goals should the nurse include as part of a presentation about Healthy People 2030? (Select all that apply.)
-Promote healthy development and behaviors across all life stages. -Achieve health equity and attain health literacy to improve health and well-being.
A community health nurse is conducting research about emergency preparedness in a community. According to Wilder's community-engagement research model, which of the following activities indicate to the nurse that the community is engaged in the research in the leader role? (Select all that apply.)
-Residents conduct door-to-door surveys -A group of residents begins to develop questions for a survey
A community health nurse is reporting their findings from research conducted about the need for primary care clinics in a community. According to Wilder's community-engagement research model, which of the following activities would the nurse report if the community was engaged in the research in the collaborator role? (Select all that apply.)
-Residents filled out questionnaires on the survey tool is correct. -Residents volunteered to count the number of completed surveys returned each day is correct -Residents donated the data collection supplies is correct
The nurse educator for the county public health department is planning a course about building community partnerships for local community health nurses. Which of the following does the nurse educator recognize as a benefit of including information about evidence-based practice? (Select all that apply.)
-Strengthened standards of care -Increased job satisfaction of the nurse -Increased efficiency with which nurses locate objective evidence -Increased health care quality
A nurse at a county public health department is developing a breast cancer screening program for a population of homeless individuals in the county. Which of the following resources should they use to find evidence-based information from government sources? (Select all that apply.)
-The CDC -National Institutes of Health (NIH) Office of Disease Prevention (ODP)
A public health nurse is investigating a food-borne illness outbreak following a community picnic attended by 107 people. Of the 98 people who ate watermelon, 24 became ill. What attack rate should the nurse calculate for the watermelon? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
24/98=25%
A public health nurse is collaborating with a community team to identify key health needs through comprehensive, methodical collection and analysis of data. Which of the following assessment models should the nurse recommend?
A community health assessment
A community health nurse is teaching a group of newly licensed nurses about the concept of culture. Which of the following statements should the nurse use to define culture?
A culture is the beliefs, values, traditions, and customs that are shared by a group of people.
A nurse and a community team are working with the Strategic Prevention Framework. Which of the following describes the Strategic Prevention Framework?
A guiding principle of the framework is cultural competence.
A public health nurse and a community team are assessing the community using the Community Health Needs Assessment (CHNA) model. The nurse should identify that which of the following is true about this model?
A guiding principle of the model includes evidence-based interventions.
A nurse is reviewing various roles within the community. The nurse should identify which of the following information is correct about the role of a public health nurse?
A public health nurse uses evidenced-based care to promote health, prevent disease, and mitigate health risks within a community setting.
A nurse and a community team are collaborating with the Healthy People 2030 initiative. Which of the following is the vision of Healthy People 2030?
A society in which all people can achieve their full potential for health and well-being across the lifespan
A nurse is making recommendations to the school board regarding necessary improvements at a high school located in a low-income area in order to improve health outcomes. The nurse notes there is a lack of school lunch programs and audio-visual equipment, a gymnasium that cannot be used because it requires repairs, and there are a number of students who are experiencing mental and emotional health issues, such as eating disorders, anxiety, and depression. Which of the following interventions should the nurse recommend as the priority for the school board to address?
Add a counselor to the school facility
A charge nurse is teaching a group of newly licensed nurses about ways to increase quality of care for diverse populations based on the AACN's Core Competencies of Cultural Competence. Which of the following actions should the nurse include in the teaching?
Advocate for social justice on behalf of vulnerable populations
A nurse is creating a poster with examples of health care disparities for a community health care conference. Which of the following statements should the nurse use as an example of a health care disparity?
African Americans have the highest rates of high blood pressure and hypertension compared to any other population worldwide.
A community health nurse is preparing a presentation on the cause of death among a group of adults aged 18 to 24 years in a specific county. Which of the following mortality measures should the nurse use to obtain this data?
Age-specific mortality
A public health nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse identify that the client is at high risk for adverse health outcomes?
An older adult widow who has diabetes mellitus and has been unemployed for the past 6 months
A community health nurse is working with a client who decides to forego United States Preventive Services Task Force (USPSTF) recommended screenings. Which of the following ethical principles does the nurse uphold by supporting the client's decision?
Autonomy
A nurse is working in a community health clinic that serves a culturally diverse population. The nurse should recognize that which of the following cultures is most likely to have a distrust of the health care system based on past abuses?
Black American
A community health nurse is collaborating with a community team and wants to use a data collection tool and planning resource to guide community partners in assessment and prioritization of community improvement initiatives. Which of the following tools should the nurse recommend?
CHANGE model
A nurse is discussing cultural competence theories with another nurse. Which of the following models should the nurse identify as having a five-step process?
Campinha-Bucote's Model
A community health nurse is discussing the pathophysiology of disease with a newly licensed nurse. Which of the following conditions, according to a Yale University study published by the Center for Effective Government, should the nurse report are caused by environmental pollutants?
Cardiovascular disease and lung disease
A nurse is discussing immunizations with a group of new parents. The nurse encourages the parents to get their annual influenza immunization because infants cannot receive the vaccine until they are older than 6 months of age. Which of the following types of immunity is the nurse promoting?
Community immunity
A public health nurse is completing an institutional review board (IRB) application for an analytic study in a community hospital following an outbreak of Escherichia coli. Which of the following stages of the analytic study is the nurse engaged in?
Conduct/implementation
A nurse in a public health department is searching Healthy People 2030 for objectives with evidence-based interventions related to social determinants of health. Which of the following is a type of Healthy People objective that includes reliable baseline data and evidence-based interventions?
Core
A charge nurse changes nursing assignments to accommodate the request for a female nurse from a Muslim client who is female. Which of the following qualities does this action by the charge nurse demonstrate?
Cultural awareness
A public health nurse is providing a report to county legislators regarding health outcomes of children attending poorly performing schools. Which of the following conditions should the nurse include in the report?
Delayed brain development
A nurse is discussing methods of disease transmission with a newly licensed nurse. Which of the following methods of transmission describes congenital infections that are passed from the birthing parent to their newborn?
Direct
A public health nurse is collaborating with a community team and considering which assessment tool looks at health as a broad, multifaceted concept and considers health as impacted by individual, community, social, political, and physical elements. Which of the following tools should the nurse recommend?
Ecological model
A school nurse is developing a program for nutritional needs for school-aged children. Which of the following will the nurse include as an evidence-based objective of Healthy People 2030?
Eliminate very low food security among children in U.S. households.
A public health nurse is administering an influenza immunization to a client who asks about the extent of influenza in the community. Which of the following levels should the nurse identify if the rate of influenza cases is at the expected level for the current time of year?
Endemic
A community health nurse is asking a client about any potential lead exposure that could affect children in the community. Which of the following techniques is the nurse using?
Environmental health assessment
A case management nurse is using the Purnell Model for Cultural Competence as an assessment tool to evaluate variations of cultural practices. Which of the following cultural domains should the nurse include from this this model?
Family roles and organization
A nurse is working with a health care team to develop community partnerships. Which of the following actions should the nurse take to assist with this development?
Focus on developing partnerships built on a foundation of pre-existing, trust-based relationships.
A public health nurse is working with a team to plan a community initiative. The nurse looks to national initiatives to drive community action. Which of the following outlines national objectives for health improvement and can be used to help drive community-specific objectives?
Healthy People 2030
A nurse in a community health clinic is reviewing statistics of recent population growth in the United States. Which of the following racial and ethnic populations should the nurse identify as having the largest recent growth rate?
Hispanic and Latino
A community health nurse is providing teaching to a group of adults preparing for a mission trip to a country where mosquito-borne illness is endemic. The nurse instructs the group members to wear long pants and long sleeve shirts. Which of the following parts of the epidemiologic triangle does this recommendation reflect?
Host
A public health nurse discovers that a low-income community is lacking access to primary care and health insurance. Which of the following actions should the nurse take to address this concern?
Host an educational session in the community for health care registration and screenings
A nurse and a community team are examining the University of Kansas toolkit to see if it could inform their work. Which of the following steps should the nurse and the team focus on as their first action?
Identification of key stakeholders
A nurse and a community team are trying to increase interest within the community for the community program they are working to implement. Which of the following is a key strategy used to give community members a reason they should care about a community program or goal?
Identify incentives
A community health nurse is caring for a 19-year-old unemployed client who is pregnant and has had an uncomplicated pregnancy. The client missed a prenatal appointment for the third time in a row related to the inability to obtain transportation to the visits. Which of the following interventions should the nurse prioritize for this client?
Implementing an alternate prenatal schedule for clients who have low-risk pregnancies
An occupational health nurse is assessing the risk for workplace hazards and injuries at a manufacturing center. Which of the following preventative actions is the priority for the nurse to implement?
Improving access to and adherence of the use of personal protective equipment
A nurse is assessing the needs of a school-age child. Which of the following risk factors should the nurse identify as placing the child at risk for social support issues?
Incarcerated family members
A nurse executive is incorporating the National Standards for Culturally and Linguistically Appropriate Services (CLAS) to achieve better outcomes for clients of the facility. The nurse executive should identify that which of the following is a function of CLAS?
Increase awareness of diverse cultural identities
A community health nurse is caring for a client who tested positive for an infectious disease but is not yet exhibiting manifestations. Which of the following stages of illness in the natural history of disease model is the client in?
Incubation period
A public health nurse is participating in an interdisciplinary team to identify the origin of an outbreak of Legionnaires' disease. Which of the following essential public health services is the nurse performing?
Investigate, diagnose, and address health problems and hazards affecting the population.
A nurse is creating an impact report on a community initiative that has been in progress for the past six months. Which of the following is true about an impact report?
It should be transparent and widely disseminated among community members.
A public health nurse provides expert testimony to a city development board about the negative health consequences of living near a landfill. Which of the following ethical principles does the nurse uphold by advocating for a new landfill to be constructed in a different area of the city?
Justice
A community health nurse is leading a group of nurse volunteers to help with a mass casualty disaster. Which of the following actions is the priority for the volunteers to take?
Keep individual's safe and remove those in harm's way
A nurse is speaking with a client who is preparing to go on vacation in Africa. The client wants to know the name of the disease that is passed from mosquitos to humans. Which of the following diseases should the nurse identify?
Malaria
A nurse is discussing an older adult client's care plan. The client mentions that both of their grandchildren currently live with them and, as a result, the client is frequently required to choose between paying bills and buying groceries for the household. Which of the following actions should the nurse take?
Offer appropriate resources related to food insecurity.
A community health nurse is participating on a task force working to decrease opioid overdoses in the county. Which of the following strategies should the nurse recognize as secondary prevention?
Offering naloxone distribution to first responders and people who use opioids
A nurse is planning a presentation for state legislators about the impact of depression on student health outcomes at a low-performing school. Which of the following information should the nurse include in the presentation?
Students experiencing depression and attending a low-performing school are more likely to develop a chronic illness.
A nurse is documenting a cultural assessment of a client. Which of the following information should the nurse include?
Primary language
A school nurse at a poorly performing high school is planning interventions to address a current outbreak of mononucleosis. Which of the following interventions should the nurse implement to improve the health outcomes of the students?
Provide students with preventative tips
A nurse is assigned to debrief a group of nursing students after a clinical rotation at a community center. One of the students asks how racism impacts public health. Which of the following responses should the nurse make?
Racism can negatively impact the mental and physical health of communities.
A nurse manager is preparing a presentation on components of cultural competence. Which of the following definitions should the manager provide for the concept of cultural diversity?
Recognition of differences in race, color, ethnicity, or nationality that exist among individuals
Nurses and members of an interdisciplinary team on a college campus are preparing for the return of students to campus following summer break. Which of the following interventions would provide primary prevention against an outbreak of coronavirus (SARS-CoV-2)? (Select all that apply.)
Requiring immunization, wearing masks indoors
A nurse is speaking with a client who wants to know the name of the chemical compound used to kill mice. Which of the following terms should the nurse provide?
Rodenticide
A nurse manager is preparing a presentation on components of cultural competence. Which of the following definitions should the manager provide for the concept of cultural safety?
Self-reflection and critique of power imbalances that allow health inequities
A county health nurse is reviewing the morbidity and mortality reports for areas within the county. The nurse should recognize that which of the following findings in the report is an example of a client health outcome that can result from living in a cycle of poverty?
Sexually transmitted infections (STIs)
A nurse is assessing a new parent and their newborn in a community health clinic. The parent reports that they have resumed smoking tobacco and eating fast food more frequently. Which of the following topics would be most important for the nurse to discuss with the parent?
Smoking cessation and the effects of secondhand smoke
A home health nurse is assessing a client who was recently hospitalized for pneumonia and no longer reports shortness of breath on ambulation. The nurse should identify that the client is in which of the following stages of the natural history of disease model?
Stage of recovery, disability, or death
A nurse manager of a home health agency overhears an employee referring to some the facility's clients by saying, "You know how all those people are, so noncompliant in their health care." The manager should identify the employee is exhibiting which of the following concepts of cultural competence?
Stereotyping
A community health nurse is creating a handout for clients on methods to naturally enhance their immunity against infectious diseases. The nurse should identify that this information will target which of the following links in the chain of infection?
Susceptible host
A nurse is reviewing the insurance coverage of an older adult client who lives in a nursing home that is paid for by a private insurance company, as well as a government-provided program. Which of the following statements should the nurse identify as describing the client's coverage?
The client has Medicare with supplemental insurance provided by Medigap
A community health nurse is involved in community-engaged research about physical activity levels of families who attend local schools. Using the nursing process, which of the following activities of the nurse represents the evaluation phase of the research?
The nurse and community residents present the findings at a school board me
A school nurse is researching information about the effects of homelessness on immunization rates in school-age children. In what order will the nurse examine each item, from most robust type of evidence to least robust? (Move the steps into the box on the right, placing them in the order of strength of evidence. Use all the steps.)
The nurse should identify that a systematic review of all randomized controlled trials is the highest level of evidence, followed by a randomized controlled trial, then observational cohort studies, then an expert opinion.
A nurse educator is presenting information to a group of community health nurses about using evidence-based practice sources when planning care for a community. In what order will the nurse discuss types of evidence, from most robust to least robust? (Move the steps into the box on the right, placing them in the order of strength of evidence. Use all the steps.)
The nurse should identify that a systematic review of all randomized controlled trials is the highest level of evidence, followed by controlled trials without randomization, then case control and cohort studies, then expert opinions and expert committee reports.
A team of community health nurses has been formed to address the low immunization rate of the adult population in a rural community. Using a quality improvement process that mirrors the steps of evidence-based practice, in what order will the following steps be included in the nurses' process as they implement a program to increase immunization rates in this population? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
The nurse should identify that the order of the steps is: find a process to improve, clarify current knowledge, select changes aimed at performance improvement, do it; execute the plan, study new data and check results.
A team of public health nurses wants to implement a practice change related to use of surgical masks by nurses during community immunization clinics from September to January. When searching for scientific evidence about the use of effects of surgical masks on the incidence of influenza among nurses, in what order will the nurses format their PICOT question? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
The nurses should identify that their research question in the PICOT format is: In nurses who administer immunizations during community events (P), how does the use of surgical masks (I) compared to no use of masks (C) affect the incidence of influenza (O) from September to January (T)?
A community health nurse is planning to create a partnership within a community for the advancement of community initiatives. The nurse should identify which of the following as an important aspect of this partnership?
The promotion of health within a community should involve collaborative community efforts from a diverse group of community partners.
A community health nurse and a community team are prioritizing community-level data. They want to use a simple method of prioritization strategy that involves an open or secret vote. The nurse should use which of the following?
The quick and colorful approach
A school nurse is implementing a quality improvement process for medication adherence in adolescent children who have asthma. Using a quality improvement process that mirrors the steps of evidence-based practice, in what order will the following steps be included in the nurse's process as they implement a program to increase medication adherence in this population? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
The relevance of quality improvement programs and planning in community and public health agencies. A framework for quality improvement is PDSA. Within this process the acronym PDSA stands for: Plan the change; analyze current data and predict the results; Do it—execute the plan; Study (analyze) the new data and check the results; Act—take action to sustain the gains.
A community health nurse and a community team are using the simplex method. Which of the following statements is true about the simplex method?
The simplex method uses close-ended questions.
A nurse is discussing transcultural nursing with a newly licensed nurse. Which of the following statements should the nurse make when discussing the Religious and Philosophical dimension of Leininger's Sunrise Model?
This dimension includes spiritual practices and beliefs
A nurse and a community team are working on a situation statement. Which of the following describes the purpose of a situation statement?
To provide definition of issues in which community awareness and support are sought after
A public health nurse is working with a group of clients who are concerned about malaria in their town. They ask the nurse about effective ways to help prevent the spread of malaria. Which of the following strategies should the nurse suggest?
Use insecticide-treated mosquito nets
A community health nurse is providing teaching to a group of college students who are preparing for a cultural immersion trip to a country where malaria is endemic. The nurse recommends the students spray a mosquito insecticide in their sleeping quarters before bedtime each night. Which of the following parts of the epidemiologic triangle does the nurse's recommendation reflect?
Vector
A nurse in a community health clinic is planning a staff presentation about modes of transmission for infectious diseases. Which of the following modes of transmission should the nurse identify for malaria?
Vector-borne
A nurse in a community health clinic is planning a staff presentation on modes of transmission for infectious diseases. The nurse should include that salmonella uses which of the following modes of transmission?
Vehicle-borne
A team of community health nurses is in the planning phase for community-engaged research. Which of the following describes a role the nurses should take during the planning phase using the nursing process?
Writing grants for funding of community-engaged research
A faith community nurse is conducting blood pressure screenings at a place of worship. Which of the following levels of prevention does this fall under?
Secondary
A nurse is using an electronic database to research government funding of health care. What percentage of public health care in the United States should the nurse identify as being funded by the gross domestic product (GDP)?
17%
A nurse is reviewing health coverage programs with a newly licensed nurse. Which of the following should the nurse identify as a public sector health care program that provides coverage to clients over 65 years old
Medicare
A nurse is discussing the timing of public health acts with a group of nursing students. The nurse should inform the students that, if placed chronologically from oldest to newest, the following acts would be listed in what order? (Move the options into the box on the right, placing them in the order of earliest to most recent. Use all the options.)
-The Sheppard-Towner Act -The Social Security Act -The Civil Rights Act -The Medicare and Medicaid Act -The Health Insurance Portability and Accountability Act (HIPAA)
A public health nurse is delivering a presentation about health care resources. Which of the following organizations should the nurse include as an example of a health care resource in the private sector?
St. Jude Children's Network
A newly hired public health nurse is learning about the various duties of their role. Which of the following activities would the new nurse be involved with?
Educating the public about hand hygiene during an outbreak
A nurse is discussing eligibility for Medicare coverage with a newly licensed nurse. Which of the following should the nurse identify as an example of a client who would be eligible for Medicare coverage? (Select all that apply.)
-A 60-year-old client who has a disability -A client who is 70 years old -A young adult client who has chronic kidney disease Medicare is for clients who are 65 years of age or older, or have a chronic condition or disability
A nurse is discussing strategies for achieving optimal health in their community with a group of nurses. Which of the following interventions should the nurse include in the discussion? (Select all that apply.)
-Collaborate with community leaders -Measure levels of radon in community buildings -Provide immunization in the community
A nurse is providing a presentation about individuals who made early contributions to public health nursing. Which of the following contributions should the nurse credit to Lillian Wald?
Establishment of Henry Street Settlement
A public health nurse is discussing climate change with a group of nurses who are interested in learning about global health concerns. Which of the following should the nurse include in the discussion as an issue associated with climate change?
Exacerbations in respiratory conditions
A nurse is reviewing the impact of U.S. Census Bureau data on health care funding. The nurse should identify that which of the following are affected by census data? (Select all that apply.)
-Medicare -Medicaid -Children Health Insurance Program (CHIP)
A nurse is reviewing the history of U.S. health care reforms. The nurse should identify that the following reforms were implemented in what order? (Move the options into the box on the right, placing them in the order of earliest to most recent. Use all the options.)
-Medicare -Substance Abuse and Mental Health Services Administration. (SAMHSA) -Children's Health Insurance Program (CHIP) -Affordable Care Act (ACA)
A nurse in a community health clinic is discussing the impact of current trends in health care costs and quality with the staff. Which of the following trends should the nurse identify as the trend that will likely lower health care costs?
Increased use of Telehealth
A nurse is interacting with a client who has a new diagnosis of diabetes mellitus. The client has attended multiple workshops about managing their condition but still has an A1C of 9 and admits to not using the meal plans to help with nutritional needs. Which of the following could the nurse at the community-based clinic do first to assist the client in adhering to the medical regimen?
Ask the client to discuss what barriers they perceive that prevent compliance
A public health nurse is planning to obtain a grant to implement a community-wide nutrition program. To which of the following organizations should the nurse apply? (Select all that apply.)
-National Institutes of Health (NIH) -United States Health Resources and Services Administration (HRSA)
A nurse is discussing the impact that current community and public health trends have on health care delivery with a group of nursing students. Which of the following trends should the nurse identify as likely to decrease health care expenditures?
The implementation of population health strategies
A nurse in a community health clinic is providing training to a group of newly hired nurses about partner violence. Which of the following statements made by one of the nurses indicates an understanding of partner violence?
Partner violence is underreported
A nurse is researching an electronic database for the cost of taxpayer funded Medicare expenses. Which of the following should the nurse identify as the amount of taxpayer funded Medicare expenses in 2019?
799.4 billion dollars
A public health nurse working in the community center asks the nurse manager where nurses can obtain information on the competencies that public health nurses should possess. Which document should the nurse manager recommend?
Public Health Nursing Competencies
A public health nurse is collaborating with city officials to implement community sponsored programs to decrease health care costs for all. Which of the following types of health program services should the nurse recommend? (Select all that apply.)
-Secondary prevention interventions -Tertiary prevention interventions -Primary prevention interventions
A nurse is sharing information with a group of newly licensed nurses about public sector health programs. Which of the following should the nurse identify as the source of funding for Medicare?
Taxpayer contributions
A client asks a nurse to help identify resources for a weight loss plan the client is developing. Which of the following theoretical frameworks might the nurse use in this situation?
Transtheoretical Model
A client who is in the maintenance phase of the Transtheoretical Model's Stages of Change admits to not following their diet plan after binging on salty and sugary snacks the past weekend. Which of the following questions should the nurse ask the client next?
Have you had any stressful events in your life lately?
A nurse in a community clinic is teaching a parent about the Children's Health Insurance Program (CHIP). Which of the following client statements indicates an understanding of the teaching? (Select all that apply.)
-My 18-year-old is eligible for CHIP -We can use CHIP for primary care and hospital care
Which of the following interventions might the occupational health nurse employ to promote health and safety in the workplace? (Select all that apply.)
-Offer immunizations such as flu vaccines. -Do a walkthrough inspection to check for safety in work areas. -Remind employees to use personal protective equipment when handling harmful chemicals. -Arrange for the vendor to educate the employees on how to use new heavy-lifting equipment
A community health nurse is reporting to community leaders about the effects of health policies that have been implemented. Which statement should the nurse make when describing the purpose of health policies?
A health policy involves intentional actions to influence health outcomes in the community
A school nurse assesses a few students for injuries after they have been fighting. The nurse finds bruises in various stages of healing on one of the students. Which of the following interventions on the secondary level of prevention should the nurse implement?
Report. the findings to Child Protective Services (CPS)
A nurse is planning to provide a presentation to a group of community members on how early discoveries in science have influenced the practice of community health. Which of the following individuals should the nurse include in the presentation as being credited with discovering penicillin?
Alexander Fleming
A nurse is discussing government organizations with a newly licensed nurse who is interested in working with clients who have been impacted by natural disasters. Which of the following organizations should the nurse include in the discussion as the organization that provides domestic and international disaster relief?
American Red Cross
A public health nurse is researching information from governmental organizations to guide evidence-based practice. Which of the following should the nurse identify as a governmental organization?
Centers for Disease Control and Prevention (CDC)
A newly licensed nurse is interested in finding information about health care benefits for clients who are disabled or have end-stage renal disease. The newly licensed nurse asks their preceptor where they can find this information. Which of the following organization websites should the preceptor encourage the newly licensed nurse to use to find the desired information?
Centers for Medicare and Medicaid Services (CMS)
A nurse is caring for a client who does not have proper understanding of a surgical procedure that is scheduled for the next day. The nurse notifies the client's provider. Which of the following concepts is the nurse demonstrating?
Client Advocacy
A nurse is caring for a client who does not have proper understanding of a surgical procedure that is scheduled for the next day. The nurse notifies the client's provider. Which of the following concepts is the nurse demonstrating?
Client advocacy
Which of the following terms describes a nurse who delivers care to the residents of a community in a local area focusing on disease and injury prevention?
Community health nurse
A nurse is preparing to provide a presentation about population-focused care to a group of community health nurses. Which of the following should the nurse plan to include in the presentation as a required competency for nurses who are providing population-focused care?
The ability to analyze large data sets
A nurse is reviewing private sector health insurance options. Which of the following should the nurse identify as an example of private sector health insurance?
Employee-sponsored health plan
A nurse working in the family planning clinic is working with an adolescent client who has expressed interest in birth control options. Which of the following is an example of how the nurse can practice with compassion and value the inherent dignity, worth, and unique attributes of the client?
Establish a rapport by respecting the client's interests and providing education on all birth control options
A community health nurse is educating a community group about regulation of health care in the public sector. Which of the following entities should the nurse describe as making the majority of decisions about health care regulation in the public sector?
Federal government
A nurse working in a campus health center is developing a smoking cessation program for the student body. Which of the following federal agencies should the nurse include in the program as the agency that regulates tobacco products?
Food and Drug Administration (FDA)
A nurse is preparing to discharge a client with a newborn who has a tracheostomy and will require apnea monitoring at home. Which of the following resources should the nurse recommend to the client to assist with tracheostomy care and apnea monitoring?
Home health care
A public health nurse is reviewing the Leading Health Indicators (LHIs) developed for the Healthy People 2030 national health goals with a group of nurses. Which of the following LHIs should the nurse identify as pertaining to all age groups? (Select all that apply.)
Homicides Drug overdoses Influenza Immunization
A nurse is reinforcing teaching to community nurses about the scope of nursing practice in the community. Which of the following statements by a nurse indicates understanding of the "what" part of the American Nursing Associations's (ANA) description of the scope of practice?
I will focus on being committed as I provide care to protect the health and well-being of my clients
A nurse is providing education to a client who recently became eligible to receive Medicare benefits. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching?
I will have to pay for Medicare coverage if I choose to enroll
A nurse is reinforcing teaching to a newly licensed nurse about client advocacy. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
I will make sure clients understand treatment options before they sign a consent form
A community health nurse is partnering with the local library in a small town to hold workshops on filling out paperwork for student funding for trade schools and colleges. The nurse should recognize that this action is supported by which of the following statements about the lack of affordability in higher education?
It decreases the local residents' chances of gaining skills and knowledge for various job opportunities
A community health nurse is caring for a client who informs the nurse that they need a kidney transplant but their insurance has been discontinued. Which ethical principle should the nurse be aware of to provide resources for this client?
Justice
A public health nurse is discussing strategies to increase the number of nurses who are interested in working in public health with another nurse. Which of the following strategies should the nurse include in the discussion as an approach to increase the supply of public health nurses?
Restructuring pay and rewards for nurses who practice outside of acute care settings
A home health nurse instructs the caregiver to administer pain medication to a nonverbal client in their home. Which of the following evaluative findings would indicate that the goal of pain relief had been met?
The client's face relaxes and stops grimacing
A public health nurse is conducting research about the scope of practice for public health nurses. Which of the following is responsible for establishing the scope of practice for nurses?
Lawmakers
A nurse is teaching about health insurance options with a young adult client who has recently become disabled. The nurse should identify that the client's disability might make them eligible for which of the following health insurance programs?
Medicare
A public health nurse is providing an explanation to newly hired public health nurses on the standards of care along with the policies and procedures that reflect Nurse Practice Acts. Which of the following is imperative that the new nurses know about Nurse Practice Acts?
Nurse Practice Acts are the laws governing nursing practice
An occupational health nurse is developing workplace wellness programs for which employees can use their health savings account as a form of payment. Which of the following programs should the nurse identify as an example of a secondary prevention intervention?
Online nutrition education for employees who have new onset hypertension
Due to a rise in whooping cough cases among middle school-age students, the school board requires an additional dose of Tdap vaccine to attend the 7th grade. Which of the following community outreach actions should the school nurse use to promote this updated policy?
Organize virtual educational sessions on immunizations within the school district
An occupational health nurse is evaluating the cost-effectiveness of interventions that were implemented to decrease sick days during flu season. Which of the following actions should the nurse identify as a secondary prevention intervention?
Provide testing for influenza at the employee health clinic
A nursing program director is discussing the integration of the Quality and Safety Education for Nurses (QSEN) competencies into the curriculum with faculty. Which of the following competencies should the director include in the discussion as the competency that most students are the least prepared to address?
Quality Improvement
A public health nurse is observing a client who has been participating in the Directly Observed Therapy (DOT) program for the past month take their antitubercular medication for active tuberculosis. Which of the following actions should the nurse take first
Review the labs before having the client take the medication
A public health nurse is providing an explanation to newly hired public health nurses on the concept of community health nursing as a population-based service. Which of the following interventions should the nurse include in the explanation?
Screening and surveillance of communicable diseases
A client reports that the initial exercise regimen in their weight loss program was ineffective, but that they have seen positive results since adopting a friend's regimen. Which of the following theories explains the client's change?
Social Cognitive Theory
A nurse working at a community health clinic is reviewing the staff schedule and notices the clinic has been working short staffed for the past 3 months. Which of the following actions should the nurse take to address this issue?
Speak to the manager and advocate for a strategy that ensures adequate staffing
A public health nurse is going to deliver a message to the residents in town about a primary preventive measure to stop the spread of a communicable disease during an outbreak. Which of the following could be included in the message?
Speaking about hand hygiene and what kinds of products to use
A home health nurse is preparing to make a referral to a diabetes educator for a client who has had several hospital readmissions regarding their diabetes and has developed a diabetic foot ulcer. The nurse should identify that this is an example of which of the following types of prevention?
Tertiary prevention
A public health nurse is preparing a presentation about health care resources. Which of the following organizations should the nurse include as an example of a health care resource in the public sector?
The Department of Health and Human Services (HHS)
A public health nurse is reviewing newly approved vaccines for prevention of a communicable disease. The nurse should identify that which of the following entities is responsible for the approval of manufactured pharmaceuticals?
The Food and Drug Administration (FDA)
A nurse is preparing a presentation about health care delivery in the U.S. for a group of newly licensed nurses. Which of the following statements should the nurse include in the presentation to describe the U.S. health care system?
The U.S spends more on healthcare than other developed countries
A community health nurse is reinforcing teaching to new nurses on a scenario in which a nurse has forgotten to refer a client to a social worker, causing a delay in medication coverage for the client. Which of the following actions by the nurse demonstrates the element of responsibility and accountability under nursing's social contract?
The nurse accepts fault in the delay of the client's medication coverage
A nurse is preparing an orientation for newly licensed community health nurses on the standards of professional practice. Which of the following is a critical thinking model that describes a competent level of nursing care?
The nursing process
A public health nurse is reviewing characteristics common to health care organizations in both the public and private sector. Which of the following should the nurse identify as a similarity between public and private health care organizations?
They are subject to governmental oversight
A team of public health nurses is delivering a presentation to community leaders about funding for health care programs. Which of the following organization's data should the team include during the presentation as having a direct effect on funding?
U.S Census Bureau
A nurse is discussing terms used to describe environmental influences with a client. The nurse should include that which of the following terms describes an environmental influence that occurs prior to an agent reaching a host?
Upstream
A public health nurse has been assigned to call a client who speaks a different language than the nurse. Which of the following actions by the nurse demonstrates cultural competency?
Use the organization's interpretation of translation service for the call
A nurse is providing a presentation about telehealth to a group of community health nurses who will soon be implementing telehealth practices within their community. Which of the following statements by one of the community health nurses indicates an understanding of the information?
We can use video conferences as a method of Telehealth to hold remote meetings with staff and clients
A nurse working at a community health center is caring for a client that reports disappointment and feeling ashamed of their weight. Which of the following responses should the nurse give?
What has been bothering you the most about your weight?
A nurse working in a community health clinic is caring for a client who reports they have not slept for several days. Which of the following responses should the nurse give?
What has made it difficult for you to sleep lately?
In order to support and mobilize communities and partnerships to improve the overall health of the local area, which of the following interventions might a public health nurse employ?
Working with a local hospital to become an immunization station during an epidemic
A community health nurse is working in a clinic that treats many clients who do not have homes and have mental health needs, but follow-up care is inadequate. How can the nurse implement Provision 9 of the American Nurses Association (ANA) Code of Ethics ?
Write a letter to the head of the clinic to report the need for mental health follow-up care
