community health exam 1
public health acts in order
-sheppard towner act -social security act -civil rights act -Medicare and medicaid act -HIPPA act
a community health nurse psi caring for a 19 year old unemployed client who is pregnant and has an uncomplicated pregnancy. the client missed a prenatal appointment of 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. a. implementing an alternate prenatal schedule for clients who have low risk pregnancies b. setting up telemedicine visits c. referring to the client to a career counseling group d. educating the client on the importance of prenatal care
a
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 a. secondary b. primordial c. primary d. tertiary
a
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 a. client advocacy b. professional advocacy c. political advocacy d. community advocacy
a
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 a. a 60 year old client who has a disability b. a client who is 70 years old c. a young adult client who has chronic kidney disease d. a middle adult client who is the head of household and has income below poverty level e. a 20 year old client who is seeking asylum
a, b, c
a nurse manager is discussing primary preventative measures to reduce infection rates with another nurse. which of the following actions shoud the nurse identify as an example of a primary preventative measure a. ensure that hand sanitizer is located throughout the facility b. promote social distancing c. educate about PPE d. isolate individuals who have illness e. test individuals who have been exposed to the infection
a, b, c
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 a. TRICARE b. medicaid c. employer sponsored health plan d. medicare
c
a charge nurse changes nursing assignments to accommodate the request for a female nurse from a muslim client. which of the following qualities does this action by the charge nurse demonstrate a. cultural humility b. cultural awareness c. cultural diversity d. cultural safety
b
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 a. health belief model b. transtheoretical model c. social cognitive theory d. theory of reasoned action/planned behavior
b
a community health nurse is discussing the pathophysiology of disease with a newly license nurse. which of the following conditions should the nurse report are caused by environmental pllutants a. asthma and arthritis b. cardiovascular disease and lung disease c. dementia and fatigue syndrome d. pulmonary fibrosis and diabetes melltus
b
a nurse manager at a public health clinic is working to expand the diversity of the clinics nursing staff. which of the following factors should the nurse identify as a barrier to creating a diverse workforce a. distrust of the healthcare system b. nurses of color making up less than 28% of the national workforce c. male nurses making up approximately 40% of the national workforce d. decrease in diverse populations
b
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 afforadilibity in higher education a. it decreases the residents access to healthcare b. it decreases the residents health literacy c. it decreases the local residents changes of gaining sills and knowledge for various job opportunities d. it decreases then number of job opportunities in the local area
c
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 a. office of the president b. contributions form congress c. taxpayer contributions d. accounts established by corporations
c
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 a. hiring diverse and highly trained staff for the state health department b. posting information about domestic violence on the health department website c. working with a local hospital to become an immune ovation station during an epidemic d. sending a nurse epidemiologist to investigate a suspected outbreak
c
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 a. public health nurse b. population health nurse c. community health nurse d. home health nurse
c
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 (selecta ll that apply) a. diagnosis related groups b. hospital consumer assessment of healthcare providers and systems c. secondary prevention interventions d. tertiary prevention interventions e. primary prevention interventions
c, d, e
a client reports act the initial exercise regimen in their weight loss program was ineffective, but that they have seen positive results since adopting a friends regiment. which of the following theories explains the clients change a. health belief model b. theory of reasoned action/planned behavior c. transtheoretical model d. social cognitive theory
d
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 a. veracity b. autonomy c. accountability d. justice
d
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 a. focusing on the outcomes of racial inequities b. placing those with power and resources in charge of the plan c creating a day of remembrance to raise awareness of tactical inequities d. budgeting financial resources fairly based on need
d
a home health nurse instructs the caregiver to administer pain medication to a nonverbal client in their home. with of the following evaluative findings would indicate that the goal of pain relief had been met a. the clients face release and stops grimacing b. the client becomes more restless c. the clients fail says that enough medicine has been given d. the client is still guarded near the area of pain
a
a nurse is teaching a client who has asthma on the use on an inhaler. which of the following resources should the nurse include in the teaching a. give a demonstration of how to use the inhaler followed by the teach back approach b. provide only a video teaching about asthma c. offer the phone number of the manufacturer of the inhaler d. provide the client with a brochure to learn more about asthma
a
a nursing program director is discussing the integration of the quality and safety education for nurses competencies into the curriculum with faculty. which of the following competencies should the director include in the discussion as the competency that most student are the lease prepared to address a. quality improvement t b. patient centered care c. informatics d. teamwork and collaboration
a
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 a. lawmakers b. code of ethics c. the community d. the national council of state boards of nursing
a
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 a. the ability to develop individualized care plnas b. the ability to analyze large data sets c. the ability to work independently d. the ability to gather data about a clients personal support system
b
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 a. justice b. benefience c. autonomy d. nonmaleficence
b
a nurse is couseling a client who is trying to get out of a gang situation. which of the following referrals should the nurse make to the client a. OSHA b. the health teen network c. boys and girls club of america d. nurse family partnership
c
a public health nurse is reviewing newly approved vaccines prevention of a communicable diseases. the nurse soul identify that which of the following entities is responsible for the approval of manufactured pharmaceuticals a. centers for medicare and medicaid services b. the american medical association c. pharmaceutical companies d. FDA
d
a nurse is crating 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 a. the implementation of a new treatment has reduced the diabetes rates among the latino population of a community so that it is in line with other groups b. ovarian cancer rates across the various populations of a community are proportional according to the demographics of the area c. african americans have the highest rates of high blood pressure and hypertension compared to any other population worldwide d. a new health care clici has opened near a reservation to treat client form the local indigenous community, which is traditionally an underserved community
c
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 a. recruit teachers to help spread the word about the immunization requirement b. establish one on one counseling sessions for each of the students families about immunizations c. organize virtual educational sessions on immunizations within the school district d. informs eh student who will enter 7th grade of the required additional vaccine
c
a nurse educator is teaching a class on nursing history to a group of nursing students. which of the following nurses shoud be identified as the first nurse who focused on environmental conditions a. clara barton b. mary breckinridge c. jessie sleet scales d. florence nightingale
d
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 a. racism leads to decreases in health disparities among underrepresented populations b. racism is the result of health illiteracy which negatively impacts health outcomes c. racisms impact on health is limited to areas that have a lack of access to healthy foods and safe housing d. racism can negatively impact the mental and physical health of communities
d
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 a. although i am home on disability leave and am not working at the moment, my mother in law makes dinner for our family every night b. i am able to pay most of my bills, but sometimes i do have to make payment plans with my creditors c. although i do not have steady weekly income, i do budget my bills with the royalities ive earned form a book deal once every 3 months d. my job is inflexible without consideration for my personal needs. my budget is tight and i often skin meals to save money
d
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 a. a family with a toddler who own a single family home in which one of the partners works in construction for 10 months out of the year b. a single working mother who manager hypertension with diet and exercise and utilizer her aunt for childcare for her three children c. a client who lives in a rural area who walks 4 miles every day to and from work d. an older adult widow who had diabetes mellitus and has been unemployed for the past 6 months
d
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 a. the minnesota model for public health nursing b. nurse practice act c. american nurses associate code of ethics d. public health nursing competencies
d
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. a mentorship program will teach self defense tactics b. a mentorship program can help with the selection of another school to attend c. a mentorship program will asses for any special academic needs d. a mentorship program can help you cope with challenges at school
d
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 a. urban design architect b. customer service phone operator c. computer programmer d. outdoor landscaper
d
a nurse is arranging for flu vaccine to be administered to anyone who consents to it. which of the following levels of prevention are guiding the nurses actions a. primary prevention b. secondary prevention c. tertiary prevention d. primordial prevention
a
a nurse is discussing an older adult clients 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 next a. offer appropriate resources related to food insecurity b. question the current living arrangements c. make a referral to an assisted living facility d. offer home health aide services
a
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 a. NIH b. diagnosis related group c. hospital consumer assessment of healthcare providers and systems d. HIPAA e. united states health resources and services administration
a, e
a nurse in a community clinic is teaching a parent about the childrens health insurance program. which of the following client statements indicates an understanding of the teaching a. my 18 year old is eligible for CHIP b. medicaid is for elderly people only c. my employer will withhold a portion of my pay for CHIP d. we have to enroll in medicaid to be eligible for CHIP e. we can use CHIP for primary care and hospital care
a, e,
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 a. limiting indoor smokin g b. improving access to and adherence of the use of PPE c. planning an education program for employees on safety awareness d. updating outdated policies
b
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 a. funding for maternal child care programs b. prohibition of racial discrimination in nursing organizations c. formation of training programs for school nurses d. establishment of the national center for nursing research
b
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 a. providing wound care for a burn victim in the hospital b. educating the public about hand hygiene during an outbreak c. administering insulin to a patient in their home d. conducting gan addiction therapy group at an outpatient center
b
a nurse in a community health clinic is discussing the impact of current health 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 a. aging of the population b. increased use of telehealth c. medicalization d. decreases in the workforce
b
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 sou ld the nurse identify as a seondary prevention intervention a. provide onsite influenza vaccine clinics b. provide testing for flu at the employee health clinic c. place hand washing posters throughout the workplace d. offer discounted medications to manage flu symptoms
b
which of the following health promotion initiatives were launched to implement interventions for better overall health in the US a. paris agreement b. healthy people 2030 c. sustainable development goals d. tennessee valley authority
b
which of the following sustainable development goals would be achieved if nations implemented recycling programs in their major cities a. reduction of inequalities b. responsible consumption and production c. affordable and clean energy d. clean water and sanitation
b
a nurse is reviewing the impact of US census bureau data on health care funding. the nurse should identify that which of the following are affected by census data a. health savings accounts b. medicaid c. childrens health insurance program d. medicare e. HIPAA
b, c, d
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 a. knowledge of ones won thoughts and feelings about diversity b. knowledge that allows one to appreciate other culutres c. recognition of differences in race, color, ethnicity, or nationality that exist among individuals d. self reflection and critique of power imbalances that allow health inequities
c
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 a. how about if you start tracking your caloric intake b. many people struggle with weight loss c. what has been bothering you most about your weight d. medications may be able to help you lose a lot of weight if you'd like to try that
c
a community health nurse is working in a clinic that treats many client who do not have home and have mental health needs, but follow up care is inadequate. how can the nurse implement provision 9 of the american nurses associate code of ethics a. take responsibility for improving the safety of mental health care at the community client b. allow mental health caregivers to address the issue to avoid crossing professional boundaries c. improve commitment to providing the best mental health care possible through continuing education d. write a letter to the head of the clinic to report the need for mental health follow up care
d
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 form living aid a cycle of poverty a. sickle cell anemia b. schizophrenia c. cystic fibrosis d. STIs
d
a nurse care manager is teaching a client about health savings accounts. which of the following client statements indicates an understanding of the teaching a. the HSA must be set up through my bank b. the HSA is funded by the government c. the HSA will be funded after taxes are withdrawn from my paycheck d. the HSA can be used for out of poclket medical expenses
d
a nurse is assessing the needs of a school aged child. which of the following risk factors should the nurse identify as placing the child at risk for social support issues a. neighborhood social cohesion b. household with too guardians present c. low crime neighborhood d. incarcerated family members
d
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 requires repairs, and there are a number of students who are expressing mental and environmental heath issues, such as eating disorders, anxiety, depression. which of the following interventions should the nurse recommend as the priority for the school board to address a. provide more audio visual equipment for studnets b. write a letter to local school board members to address the need for a new snack bar c. implement repairs to the gymnasium d. add a counselor to the school faculty
d
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. a. the government provides basic coverage and the client is required to pay for supplemental insurance b. the government pays for coverage including insurance policies that typically are considered supplemental c. clients pay for health care coverage partially in the form of income tax and partially as a monthly fee to an insurance provider d. clients pay a monthly fee to an insurance provider to cover medical expenses, including supplemental policies
d
a nurse is teaching a client about the medicare part D plan. the nurse should include that this program covers which of the following a. inpatient hospital stays b. vistis to PCP c. home health visits d. prescription medications
d
a nurse manger of a home health agency overhears an employee referring to some of the facilities 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 a. implicit bias b. color discrimination c. cultural humility d. sterotyping
d
a nurse proposes an evidence based improvement projection partnership with the workforce innovation and opportunity act to mitigate the effect of the coronavirus lockdown restriction on physical and mental health. which of the following factors should the nurse identify as the priority to address with the project a. constant feel laden media reports led to an increased incidence of people being unwilling to cooperate with health officials b. the threat of being infected with a deadly virus led to an inability to cope among various parts of the population c. the educational challenges of distance learning contributed to students failing more classes d. the lockdown led to an uncertainty of resources for several families within the community
d
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 a. have you tried melatonin b. i have issues falling asleep every night as well c. you need to stop drinking coffee d. what has made it difficult for you to sleep lately
d
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 health care resource in the private sector a. department of veterans affairs b. FDA c. NIH d. st jude childrens network
d
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 a. ask the client to discuss what barriers they perceive that prevent compliance b. refer the client to the diabetic educator for more instructions c. ask the case manager for community resources for programs like meals on wheels d. assess the clients neighborhood to see if there is access to fresh fruits and vegetables
a
a nurse is preparing a presentation about health care delivery in the US for a group of newly licensed nurses. which of the following statements should the nurse include in the presentation to describe the US health care system a. the us spends more on health care than other developed countries b. the us has better health outcomes than other developed countries c. the us health care delivery system is population focused d. the us nursing workforce is expected to increase over the next decade
a
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 a. establishment of the Henry street settlement b. establishment of the stillman house c. establishment of the frontier nursing service d. establishment of the american red cross
a
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 a. we can use video conference as a method of telehealth to hold remote meetings with staff and clients b. text messaging can be used as a method of telehealth c. faxing prescriptions to the pharmacy is an example of telehealth d. sending email messages through commonly used email services is one way to use telehealth
a
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 a. 799.4 billion dollars b. 1.9 trillion dollars c. 229 million dollars d. 500 billion dollars
a
a nurse is preparing an orientation for newly license 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 a. elements and standards model b. the nursing process c. the minnesota model for public health nursing practice d. professional nursing model
b
a nurse is explaining health care barriers to a newly licensed nurse. which of the following statement by the newly license nurse indicates an understanding of a client who is underinsured a. a client who is underinsured does not have health insurance but is able to pay for medical expenditures on their own b. a client tho is underinsured is not covered by any form of health insurance and cannot pay for medical expenditures c. a client who is underinsured has health insurance but is likely to assume significant financial risk for medical expenditures d. a client who is underinsured has more than one form of health insurance, which leads to duplications or discrepancies in covering medical expenditures
c
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 that have a distrust of the healthcare system based on past abuses a. muslim b. white c. black american d. jewish
c
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 a. students experiencing depression and attending a low perfuming school are less likely to become infected with STIs b. students experiencing depression and attending a low perfuming school are half as likely to become chronically truant c. students experiencing depression and attending a low perfuming school are more likely to suffer congenital defects such as spina bifida d. students experiencing depression and attending a low perfuming school are more likely to develop a chronic illness
d
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 a. different sexual orientations b. different social statuses c. different professional roles d. different religious beliefs
a
a nurse is discussing the AACN's 5 core competencies of cultural competence with a newly licensed nurse. which of the following should the nurse identify as one of these competencies a. promote achievement of safe and quality outcomes b. participate in a variety of diverse activities c. acquire knowledge and skills about different cultures d. collect relevant cultural data
a
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 associates description of the scope of practice a. i will focus on being committed as a provide care to protect the health and well being of my clients b. i understand that scope of practice refers to staff such as LPNs, RNs, and APNs c. it is important that i remember that nursing care is to be provided wherever it is needed d. my goal is to collaborate with my colleagues effective to create positive client outcomes
a
a nurse is reviewing a clients medical record with a dietitian who is part of the clients interdisciplinary team. which of the following elements of nursing social contract is the nurse demonstrating a. collaboration b. responsibility and accountability c. progress and development d. ethical practice
a
a nurse is reviewing data from a group of clients. which of the following clients is more likely to experience structural inequity a. a hispanic client with low income b. a client who has three children c. a female client with moderate income d. a client who is 18 year old
a
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 program that provides coverage to clients over 65 years old a. medicare b. affordable care act c. health saving account d. united states health resources and services administration
a
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 clients coverage a. the client has medicare with supplemental insurance provided by medigap b. the client has insurance that is solely under the medicare program c. the client has managed care insurance provided by both medicare and medicaid d. the client has insurance from a private provider with a supplemental policy that the client pay for themselves
a
which of the following are stages of change in the transtheoretical model (select all that apply) a. pre contemplation b. maintenance c. interpersonal relationships d. action e. planning
a, b, d, e
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 inter professional team should the nurse refer this client a. kinesiologist b. dietitian c. social worker d. pharmacist
b
a nurse is caring for accent who does not have proper understanding of a surgical procedure that is scheduled for the next day. the nurse notifies the clients provider. which of the following concepts is the nurse demonstrating a. client education b. client advocacy c. accountability d. autonomy
b
a nurse is discussing cultural competence theories with another nurse. which of the following models should the nurse identify as have a five step process a. prunells model b. camping bucotes model c. giger and davihizars model d. madeline ledningers sunrisse model
b
a nurse is interviewing a client who has three small children and has a history of interventions with CPS. which of the following client statements should the nurse identify as an indication that family relationships are positive and further interventions are unnecessary a. since i started working, i have so many caregivers for my kids that i cannot remember them all b. my kids and i attend virtual therapy sessions twice each month c. my partner has unexpectedly moved out of our home d. i feel overwhelmed because my oldest son just got out of jail last week
b
a nurse is reviewing the history of government funded health programs in the US. which of the following should the nurse identify as the president who enacted law to create the medicare program in 1965 a. john f kennedy b. lyndon Johnson c. richard nixon d. dwight eisenhower
b
a nurse is speaking with the nursing supervisior about a staffing shortage and its implications for staff on their unit. which of the following forms of advocacy is the nurse demonstrating a. political and legislative advocacy b. professional advocacy c. community advocacy d. client advocacy
b
a puclic 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 int he public sector a. american red cross b. the department of health and human services c. shriners hospital for children d. physician owned outpatient surgery clinics
b
a team of public health nurses is delivering a presentation to community leaders about funding for health care programs. which of the following organizations data should the team include during the presentation as having a direct effect on funding a. health care savings account b. US census bureau c. US department of health and human services d. hospital consumer assessment of healthcare providers and systems
b
a community health nurse is reinforcing education on insulin administration to a client who has diabetes mellitus. which of the following elements of nursing social contract is the nurse demonstrating a. collaboration b. ethical practice c. autonomy of practice d. promotion of the health of the public
c
a home care nurse is planning to teach a client about their medications. which of the following is a tool the nurse can use to determine the health literacy of the client a. teach back identifies which expenses were not covered by the clients insurance b. teach back helps to determine which medications should be prescribed to continue the clients care c. this method makes sure the client understand all of the instructions given d. this method assess the care the client has received and identifies possible areas for improvement
c
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 a. healthy eating and weight manangemtn b. postpartum depression and self care c. smoking cessation and the effects of secondhand smoke d. on demand feeding schedules
c
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 alzheimers disease. which of the following statements by the caregiver shows that the intervention has been successful a. i dont enjoy socializing with my friends anymore b. i am just so exhausted. i am always tired and sometimes cannot get my work complete c. even though it is a lot of work, i sleep well at night d. over the last 6 months i have gained 30 pounds, and now my doctor says i am prediabetic
c
a public health nurse is speaking with a guru of newly hired school nurses about issues facing poorly performing schools. which of the following statements by a newly hired school nurse demonstrates their understanding of the issues a. poorly performing schools have an adequate number of conselors available b. schools located in zip code areas that have high homeowner rates receive less money c. the majority of school funding comes from property taxes d. school nurses in poorly performing schools will not be able to make a difference in the childrens health outcomes
c
a school nurse assesses a few student 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 a. notify the parents that the student has been in a fight b. apply bandages to the cuts found on assessmen t c. report the findings to child protective services d. ask social services to arrange for extensive counseling for the student
c
a school nurse at a poorly perforation 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 then studnets a. set up a patient portal for virtual visits b. establish a lunch program for the school c. provide students with preventative tips d. prove access to medigap policies
c
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 a. Dr. John Snow b. Dr. Edward Jenner c. Lemuel Shattuck d. Alexander Fleming
d
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 recommends to he client to assist with tracheostomy care and apnea monitoring a. community center clinic b. ambulatory care center c. occupational health center d. home health care
d
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 a. medicare part A will cover all my prescription medications b. i can add dependents to my medicare plan if needed c. medicare will pay for me to be in a long term care facility if needed d. i will have to pay for medicare coverage if i choose to enroll
d
a public health nurse is providing an explaining 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 a. physical assessment prior to hospital admission b. intake interviews for long term care placement c. develop policies for health benefits at a local factory d. screening and surveillance of communicable diseases
d
a public health nurse is providing care for a client who has a recent diagnosis of active TB. which o the following actions should the nurse take to assist this client with managing their own healthcare a. review the clients laboratory results before having the client take the medication b. review precautions to decrease risk of infecting members of the clients household c. reinforce the information concerning the medications adverse effects d. make a referral for the client to the Directly observed therapy program in the community
d
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 a. their budgets are determined by federal law b. their funding is primarily generated by income from providing goods and services c. they have no legal constraints on funding d. they are subject to governmental oversight
d
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 a. online nutrition education for employees who has new onset of hypertension b. onsite exercise program for employees at risk for developing hypertension c. online healthy cooking program for employees at risk for prevent chronic conditions d. onset rehab for employees who have had cardiac surgery
a
which of the following actions should a community health nurse take to promote economic stability in the community a. partner with local churches and write grants for childcare funding toward affordable daycares in the area b. advocate for more transportation to health care facilities c. work with a nonprofit organization for the local farmers market to sell fresh produce twice a week d. teach residents about the dangers of lead based paint
a
a public health nurse is reviewing the leading health indicators 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 a. homicides b. obesity c. colorectal cancer screening d. drug overdoses e. influenza immunization
a, d, e
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 int he discussion as an approach to increase the supply of public health nurses a. adding telehealth related content b. restructruing pay and rewards who practice outside of acute care settings c. increasing nursing represntiation on community planning boards d. providing incentives for nurses nearing retirement age to continue working
b
a public health nurse is providing an explanation to newly hired public health nurses on the standards of care along with policies and procedures that reflect Nurse practice acts. which of the following is imperative that the new nurses know about nurse practice acts a. nurse practice acts specify the scope and standards of practice for student nurses b. nurse practice acts are the laws governing nursing practice c. nurse practice acts specify the code of ethics to be used in hospital setting d. nurse practice acts are governed by the federal government, not state law
b
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. a health policy guarantees the protection of the health of community members b. a health policy provides a theoretical framework for the protection of the health of vulnerable populations c. a health policy involves intentional actions to influence health outcomes in the community d. a health policy is categorized yb the levels of prevention used by health care workers to achieve health
c
a newly licenssse nurse is interested in finding information about health care benefits for clients who are disabled or have end stage renal disease. the newly listened 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 a. national institues of health b. CDC c. centers for medicare and medicaid services d. united states public health service commissioned corps
c
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 a. cancel and reschedule client appointments to times when staff are available b. speak to clients and get feedback about the scheduling changes c. speak to the manager and advocate for a strategy that ensures adequate staffing d. close the clinic early due to staffing concerns
c
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 a. medicaid b. food and drug regulation c. the US deparemtn of verbenas affairs d. the bureau of indian affairs
a
a nurse is reinforcing teaching a newly licensed nurse about client advocacy. which of the following statements by the newly licensed nurse indicates an understanding of the teaching a. i will make sure clients understand treatment options before they sign a consent form b. i will make sure to speak to my clients adult children on deciding if a surgical procedure soul be conducted c. i will inform clients they should research health information so they do not bother providers with quesitons d. i will not alert my client that they have access to their medical records via the patient portal
a
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 a. CDC b. american red cross c. american academy of pediatric dentistry d. united health group
a
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 a. demonstrate culturally competent practices and protocols b. maintain a diverse workforce c. cultivate cross cultural communication and awareness d. encourage holistic care that includes all cultures e. develop rules and policies that are congruent with the community
a, b, c, e
a nurse is teaching about health insurance options with a young adult who has recently become disabled. the nurse should identify that the clients disability might make them eligible for which of the following health insurance programs a. diagnosis related group b. united states health resources and services administration c. medicare d. TRICARE
c
a nurse executive is incorporating the national standards for culturally linguistically appropriate services to achieve better outcomes for clients of the facility. the nurse executive should identify that which of the following is a function of CLAS a. teaching leadership skills to promote culturally diverse nursing b. providing memberships to nursing associations that promote cultural competence c. increasing awareness of diverse cultural identities d. offering linguistic services to improve outcomes
c
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 a. ask the clients daily member to help with interpretation b. ask the office receptionist who can speak multiple languages to help with interpretation c. use the organizations interpretation or translation service for this call d. speak slowly and use simple terms
c
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 communicable disease during an outbreak. which of the following could be included in the message a. getting lab work done to screen for the disease b. completing the antibiotic regimen as prescribed c. speaking about hand hygiene and what kinds of products to use d. calling the physician if signs and symptoms should return
c
an occupational nurse is reviewing recent incidence rates and notes an increase in back injuries. which of the following would be a population health intervention the nurse could employ to address this issue a. require all employees to wear a back brace b. provide workers with information on local pain clinics c. meet individually with workers reporting a back injury to determine the cause d. offer educational sessions to all workers regarding the prevention of back injuries
d
which of the following interventions might the occupation health nurse employ to promote health and safety in the workplace (select all that apply) a. offer immunizations such as the flu vaccine b. do a walkthrough inspection to check for safety in work areas c. remind employees to use PPE when handling harmful chemicals d. arrange for the vendor to educate the employees on how to use the new heavy lifiting equipment e. use I PREPARE to assess for environmental health exposure
a, b, c, d
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 clients decision a. nonmaleficence b. beneficence c. autonomy d. justice
c
a nurse is discussing government organizations with a newly licensed nurse who is interested in working with client 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 a. US public health service commissioned corps b. center for disease control and prevention c. american red cross d. health resources and services administration
c
a client who is in the maintenance phase of the transtheoretical models stages of change admits to not following their diet plan after binging on salty and sugary snacks the past weeknd. which of the following questions should the nurse ask the client next a. how does that make you feel b. why did you do that c. did you call someone from your support group before eating the snack d. have you had any stressful events in your life lately
d
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 a. large corporations b. employer based health plans c. small businesses d. federal government
d
a nurse is 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 a. women and men experience partner violence equally b. partner violence is the leading cause of death for women c. partner violence is underreported d. only physical abuse is considered partner violence
c
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 a. the medicalization of treatment for lifestyle related conditions b. the decreasing of the nursing force c. the implementation of population health strategies d. the increasing age of the american population
c
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 coal 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 nursings social contract a. the nurse requests to speak to their supervisor to discuss workload b. the nurse explains the reason why the delay occured c. the nurse makes excuses for the delay d. the nurse accepts fault in the delay of the clients medication coverage
d
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 a. decreases in the mosquito population b. exacerbations in respiratory conditions c. reduced risk of exposure for clients who live in poverty d. improves access to clean water
b
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. a. substance about and mental health services administration b. agency for toxic substances and disease registry c. food and drug administration d. occupational safety and health administration
c
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 a. take responsibility for recommending that the client use hormonal contraception b. advocate for the right of the minors parents to authorize prescribed birth control medication c. establish a rapport by respecting the clients interests and providing education on all birth control options d. promote the use of contraception among the clients peers at a community event
c
