Community Health Exam #4 (Final)

A nurse defines environmental health and the associated factors. The Nurse recognizes that all factors are related to environmental health with the exception of? a) Chemical b) Biological c) Physical d) Mental

Mental

An occupation nurse is starting a position with a new company with 35 employees, the nurses ask to see the OSHA 300 form but is told that the company is not required to use that form. How does the nurse replay? a) "Your right, The OSHA 300 logs are voluntary" b) "Your right, The OSHA 300 logs should be kept when the company has 50 employees" c) "That's incorrect, The OSHA 300 logs should be kept when the company has 10 employees" d) "Each employee is required to keep their own logs and report injuries as applicable"

"That's incorrect, The OSHA 300 logs should be kept when the company has 10 employees"

A nurse recognizes which of the following are challenges relating to healthcare within in rural communities? SATA a) Language barriers b) Access c) Funding d) Staffing e) PPE

- Access - Funding - Staffing

A NP staffs and owns a nurse managed health center, which of the following is considered to be benefit of care provided at a nurse managed health center? SATA a) Affordable care b) High Quality Care c) Care provision for non US residence d) Training for future NP's e) Provides specialty care

- Affordable care - High-Quality Care - Training for future NP's

An Occupational health nurse assist a large corporation with an emergency preparedness of planning, which of the following are basic questions relevant to basic assessment of emergency preparedness? SATA a) What is the level of housekeeping needed on site? b) Are fire plans up to date c) What emergency supplies are needed d) What type of PPE is appropriate for the employees e) What type of injuries are anticipated on site?

- Are fire plans up to date - What emergency supplies are needed

A PHN obtains a new role working within an urban community, the nurse recognizes that which health factor influences the health of urban community SATA? ** drag and drop a) Crime rates b) Psychosocial distress c) Lack of health care providers d) Funding e) Air quality

- Crime rates - Psychosocial distress - Air quality

A PHN recognized that climate change can have an, significant impact on human health, for example rising temperatures can contribute to severe weather. Severe weather can contribute to which of the following human health issues? SATA a) Malnutrition b) Injuries c) Mental health impacts d) Cardiovascular disease e) Fatalities

- Injuries - Mental health impacts - Fatalities

A school nurse addresses the controversial topic of sex education with student, which of the following factors plays into the decision of what content should be taught in the school SATA? ** do not choose "staff opinion" a) Student demographics b) Parental concerns c) Public health prevention concerns d) Role of Education system and public health prevention e) School funding

- Parental concerns - Public health prevention concerns - Role of Education system and public health prevention

There are several criteria that need to be met for a client to be considered to meet a disability. which of the following are criteria of a disability? SATA. ** Drag and Drop a) Physical or mental impairment that affects life activities b) Legally bankrupt c) Disease considered incurable d) Record of impairment e) Ability to perform job is not possible without accommodations

- Physical or mental impairment that affects life activities - Record of impairment - Ability to perform job is not possible without accommodations

A school in conjunction with educators recognize the issue of cyber bullying between students. What role does a school nurse play in terms of addressing cyberbullying? SATA a) Implement internet filters b) Prevention c) Early identification d) Discipline for violators e) Treatment for victims

- Prevention - Early identification - Treatment for victims

A school Health nurse has a number of roles and responsibilities, which of the following are within the scope a of the school health nurse? SATA a) Provide care coordination b) Advocated for quality student care c) Review student medical changes d) Provide well child services e) Bridge health care and education

- Provide care coordination - Advocated for quality student care, - Provide well-child services - Bridge health care and education

An occupational health nurse utilized the hierarchy of controls in order to help control and prevent workplaces hazards and injury. which level of control in the hierarchy of controls is considered most affective? a) Engineering b) Warning c) Elimination/Substitution d) PPE

Elimination/Substitution

The ANA principles were designed in order to help support the nurse in their role of health activist for the environment, which of the following are principles related to a healthy and safe environment? SATA. a) understanding legislation related to environmental health b) knowledgeable of the role of individual health, c) Assessment for environmental health hazards d) advocacy e) Utilizing risk communication strategies

All the above - understanding legislation related to environmental health - knowledgeable of the role of individual health, - Assessment for environmental health hazards - advocacy - Utilizing risk communication strategies

A primary health care nurse, which of the following is one of the most effective health promotion and protection efforts that can be conducted in primary health care? a) Smoking cessation programs b) Administration of vaccines c) Free Exercise programs d) Depression screening

Administration of vaccines

A nurse working in case manager role is assisting client with their health care needs. The nurse assists a homeless client with a substance abuse diagnosis get into an addiction clinic program. The nursing action represents role of the case manager? ** might have different answer selection a) Assessment b) Planning c) Efficacy d) Advocacy

Advocacy

A nurse evaluates the degrees of air pollution in their community, which of the following is measure of air pollution in this specific area? a) ambient air b) Air variability c) Air quality index d) National ambient quality standards

Air quality index

A role of the school nurse is health protection for the students this element involves which of the following? a) Calling parents about low academic grades b) Conducting classes on healthy eating c) Admin STI vaccines d) Challenges school leaders to add additional carbs in kids diets

Conducting classes on healthy eating

A nurse is preparing a lecture about caring for the needs of the American workforce, which of the following statements is true? a) The American workforce se slowly coming less stressful b) Approximately 43% of teenagers are employed and in their first job by the age of 19 years c) Emerging issues are tied to trends of shorter work hours d) The American workplace is becoming more and more active

Approximately 43% of teenagers are employed and in their first job by the age of 19 years

While doing physical assessment of an older adults the nurse is concerned about the patient's history of work exposure to toxic chemical over his lifetime. Based on reports level of toxins where within normal limits but the patient had worked in the plant for 50 years. What aspect of exposure is the nurse most worried about? a) Latency period b) Half life c) Bioaccumulation/Accumulation d) Exposure

Bioaccumulation/Accumulation

A nurse studies environmental hazard for children in urban setting in their community, which of the following is a relevant hazard for a child in an urban setting? a) Broken playground equipment b) Risk of injury from farm equipment c) Environmental tobacco use smoke d) Substances crossing the placenta barrier

Broken playground equipment

A new school nurses is reviewing procedure put in place by prior nurse. A woman with more than 30 years of experience the nurse notices that a school wide scoliosis screening occurs every fall. How does the new nurse proceed? a) Continuing to preform scoliosis screening each year b) Only continue scoliosis screening on students who are symptomatic d) Eliminate scoliosis screening all together d) Check state screening guidelines to see what is required for school nurses in the state.

Check state screening guidelines to see what is required for school nurses in the state.

A nurse is among the first responders to a mass causality incidence and does not know what type of PPE is needed. Which of the following actions should the nurse take? a) Wait until the type of equipment needed is known b) Decontaminate victims before intervening c) Choose the highest level of protection equipment available d) Uses a dosimeter to measure the level of radiation in the area before intervening.

Choose the highest level of protection equipment available

A PHN works with a local developer in order to establish affordable housing options within a community for low-income clients with disabilities, this is an example of which of the following nurse roles? a) Community based participatory research b) Coalition building c) Community Partnership d) Urban Agglomeration

Community Partnership

A challenge for nursing regarding primary care, is how to engage primary prevention at individual and family levels, which of the following is most helpful in order to make a plan assist in primary prevention measures? a) Education b) Community assessment c) Case management d) Vaccination schedule

Community assessment

A nurse is working with several community members in inter-city environment to help address broken windows and damaged buildings within the community they had several residents volunteered to form a group that will repair the damages and keep the community well cared for. This is an example of? a) Community organization b) Community empowerment c) Community research d) Community partnerships

Community organization

A PHN works within the community in order to identify common goal, and implement strategies for reaching their goals, which action is the nurse achieving? a) Community empowerment b) Community organizing c) Coalition d) Urban agglomeration

Community organizing

Case management is considered a collaborative process of the assessment, planning and facilitation and advocacy for options and services to meet individual health needs through communication and available resources to promote quality cost-effective outcomes, the nurse is working with a client who had a recent ED visit that does not have health insurance and gets the medication they need for discharge through a compassionate care program. Which objective in the definition of Case management is achieved through this actions? a) Collaboration b) Quality outcomes c) Cost effective outcomes d) Planning

Cost effective outcomes

A PHN works to prevent bioterrorism in their community, which of the following would be considered to be primary prevention method regarding bioterrorism? a) Creating a bioterrorism response plan b) Educating the community regarding the management of disease c) Implanting decontamination measures d) Administering vaccines as available

Creating a bioterrorism response plan

A nurse reviews the American nurses association (AMNA) principles of environmental health for guidance in becoming health activist in their community, which of the following principles is not relevant to nursing? a) Advocacy b) Assessing environmental hazards c) Creating environmental policy d) Understanding environmental role in public health

Creating environmental policy

Health disparities in rural communities are largely affected by which of the following factors? a) Large percentage of elderly clients b) Difficulty recruiting health care providers c) Lack of up to date tech d) Centralized healthcare systems

Difficulty recruiting health care providers

The Purpose of this to prevent or reduce risk and adverse consequences posed by natural or man-made disasters? a) Mitigation b) Response c) Disaster planning d) Recovery

Disaster planning

A PHN responds to a biological event within their community of a widely distributive E. coli contamination and is planning on the appropriate response action. which of the following PHN roles does this action follow? a) Disease surveillance b) Disaster preparedness c) Case Management d) Quality improvement

Disaster preparedness

A public health nurse works to advocate for legislation in order to protect the environment the nurse recognizes that the environment regulations are often in confect with which of the following at the industry level? a) Economic benefits b) Employee health benefits c) Industry safety standards d) OSHA Regulations

Economic benefits

An occupational Health nurse recognizes that job stress is a psychological hazard within a workplace setting. Which of the following can help assist employees to discuss work, financial or social issues in a confidential setting to help ease job stress? a) Health risk appraisal b) Employee assistance program c) Case management d) Material safety data sheet

Employee assistance program

A school nurse prepares for a potential life-threatening event at a school. which of the following actions by the school nurse is not relevant to preparing for emergency in the school? a) Training staff in CPR b) Coordinate a practice of the emergency plan day c) Ensure there are an appropriate amount of AEDs at the school d) Ensure crash carts available on site

Ensure crash carts available on site

A nurse uses a process to evaluate the extent to which a community may suffer health effects from an environmental exposure, what is the name of this process? a) Exposure risk assessment b) Point sources c) Community environmental health assessment d) Environmental sustainability

Exposure risk assessment

This can result in elevated body temp in relation to hyperthermia? a) Heat b) Extreme cold c) Hurricane d) Extreme heat

Extreme heat

The nurse implemented a community wide program to raise awareness about dangers of nicotine use, created a support group aimed at teens to quit smoking, which prevention is this activity? a) Heath Promotion b) Health Protection c) Risk reduction d) Tertiary prevention

Health promotion

A school nurse works as an advocate for various policies within the school, which of the following is an example of local regulation? a) Federal funding is given for students with disabilities within a school setting b) A nurse must have a minimum bachelor's degree to be a school nurse c) Vision screenings must be completed for each student prior to the school year d) Implement district policy and wellness programs

Implement district policy and wellness programs

An occupational health nurse implements a new workplace health promotion strategy, inclusive of discounted health club membership for company employees. Which of the following goals does the implementation of a discounted health club membership meet? a) Reduction in healthcare cost b) Increased productivity c) Absenteeism d) Improves sense of well-being

Improves sense of well-being

Student with disabilities have unique needs within a school environment. which of the following is not a potential need for a student with a disability that can be met by the school nurse? a) Medication administration b) Emergency care planning development c) Health counseling d) Insurance coverage advocacy

Insurance coverage advocacy

A client recently enrolled in their employers' health promotion program in order to help cope with job stress. which of the following is not an intervention that can help address workplace stress? a) Physical exercise b) Job sharing c) Meditation d) Relaxation

Job sharing

A school nurse provides health screening in order to address potential health problems of students. which of the following is not a health screening for school nurse would not be expected to conduct. a) Vision b) Audiometric c) Mental health d) Obesity

Mental health

A nurse working the evening shift in the ED has been assigned the patient who has arrived with a chief complaint of difficulty breathing after mixing house whole cleaning products. The nurse recognizes that this patient is suffering from exposure to which type of environmental hazards? a) Biological b) Mixed exposure c) Physical d) Chemical

Mixed exposure

A nurse is moving to rural area and beginning work at a health clinic. The nurse is preforming a basic community assessment to prepare for working with this new community. The nurse knows that which of the following is not catachrestic of the needs of a role population? a) Most likely to smoke tobacco and drink alcohol b) Have less education and higher rates of poverty c) Most likely to have increased dental problems d) More likely to have a higher life expectancy

More likely to have a higher life expectancy

A nurse looks to contact the organization responsible for helping to protect the public by enforcing federal guidelines in the workplace environment. Which organization should the nurse contact? a) NORA b) OSHA c) NIOSH

OSHA

A nurse practices nursing within a faith community, which has their own scope and stand of practice, which types of nursing is this nurse practicing? a) Rural b) Urban c) Nursing within a nursing health center d) Parish nursing

Parish nursing

A nurse cares for a client who recently had a hazard exposure in the workplace. The client has been exposed to excessive cold temperatures causing frostbite on their hands. Which of the following categories of exposure is most relevant? a) Physiologic b) Biological c) Physical d) Chemical

Physical

A family survived a dangerous weather event but now they are suffering through another part of environmental risk. They are now feeling stress, pain and anxiety what are these elements considered? a) Physical agents b) Mixed exposures c) Psychosocial d) Biological agents

Psychosocial

A PHN is helping to manage an decrease in air quality from chemical plant, which is a source that shows that there is a decrease in air quality? a) Point source b) Mobile source c) Community source d) Area source

Point source

A school nurse is updating the designated medical emergency response plan. What recommendation should the school nurse make regarding this plan? a) Notify the school board of poor planning actions b) Campaign for more funds c) Email a copy of the plan to each student d) Practice the plan a number of times each year.

Practice the plan a number of times each year.

A nurse assesses a client who has been affected by a hazardous substance for adverse effects which of the following factors should not be included in the nurse's assessment? a) Substance toxicity b) Previous hazardous substance contact c) The amount of substance present d) If the substance reaches susceptible organs

Previous hazardous substance contact

A nurse is describing the employee health prevention measures available to the members of the hospital staff. What level of prevention is the use of PPE? a) Primary b) Secondary c) Tertiary d) Quintenary

Primary

A nurse works with a school system to develop an anti-smoking campaign, in order to help prevent smoking related health conquests what level of health care is the nurse practicing? a) Primary b) Secondary c) Tertiary

Primary

An occupational health nurse works to promote health and safety, in a workplace environment the nurse implements appropriate PPE for the employees. Which of the following prevention measures is reflected by the nurse actions? a) Primary b) secondary c) Teritary

Primary

The WHO works to provides quality global access to health care, which of the following levels of care does the WHO primarily promote? a) Primary b) secondary c) Teritary d) Emergency Health

Primary

The PH department reached out to all the primary care provider to encourage all of their unvaccinated patients to get vaccinated and to encourages parents of unvaccinated children to get thier vaccines up to date, what type of public health initiatives is this activity? a) Secondary prevention approached related to screening b) Primary prevention approached focused on health protection c) Primary health prevention approached focused on health promotion d) A primary prevention approached focused on screening

Primary prevention approach focused on health protection

Which of the following is school nurse role in terms of immunizations? a) Admin all school age vaccinations b) Promote vaccinate administration c) Update Influenza vaccine recommendations nationally

Promote vaccinate administration

A PHN organizes a community-based participatory research program, which individual serve as the best resources for community based participatory research? a) Hospital nurse b) School nurse c) Advanced practice nurse d) Public health nurse (PHN)

Public health nurse (PHN)

here are many factors that play role in risk for environmental attributable disease, which of the following should not a factor involved in environmental attributable disease? a) Age b) Gender c) Noncommunicable disease d) Race

Race

A PHN prepares for a home visit for the family with a child who has a high blood lead level, which of the following is not an objective of a home visit? a) Environmental assessment of the home b) Education regarding dietary actions to reduce lead poisoning c) Help with the baitment in the home d) Reduce lead in drinking water in the home

Reduce lead in drinking water in the home

A school nurses knows that violence prevention within dating context is important specifically for HS student, which of the following interventions is a primary prevention method in dating violence? a) Screening with high-risk behaviors for teen dating violence b) Sexual transmitted infection treatment c) Counseling for victims of violents d) Sex education for students

Screening with high-risk behaviors for teen dating violence

A PHN is volunteering at clinic that provides care to migrant workers who work in the fields and in their community in addition to routine health assessments what work related potential health issues would be important for the nurse to include as part of their routine screening? a) Hearing loss b) Skin cancer c) Diabetes d) Heart failure

Skin cancer

A PHN works in rural community would not be expected to assist with the following roles? a) Planning b) Social justice reform c) Diagnosis d) Community assessment

Social justice reform

A new primary care nurse is creating a pamphlet of the 5 functions and attributes of a medical home after showing it to charge nurse she is made aware of an errors she made in the literature, which of the following elements does not fit into the medical home model? a) Specialized focus care b) Committed to quality and safety c) Patient centered care d) Population focuses care

Specialized focus care

A nurse is considering entering the specialty of Parish nursing. Nurses working within this field preform which of the following activities specific to that of a parish nurse? a) Advocating for individuals who belong to the parish b) Spiritual health counseling and prayer c) Provide health education

Spiritual health counseling and prayer

What is a primary characteristics of collaboration? a) The primary care physician maintains strict control overall elements of patient care b) The nurse partners with key individuals group coalitions and organizations. c) Social services only called in severe abuse cases d) Case managers are not part of the healthcare team

The nurse partners with key individuals group coalitions and organizations.

A school nurse is assessing a report on the health education components of the whole school, whole community, and whole child WSSC program at one of the elementary school the nurse covers. which of the following element should she point out that is NOT a component on the WSSC? a) A qualified trained person teaches the program b) The program is run for children is run for children 1st thru 5th grade c) It assist children in maintaining and improving health d) The comprehensive health education curriculum

The program is run for children is run for children 1st thru 5th grade

A nurse conducts an environmental health history in order to protect the health of their community. Which of the following components should be included in the initial assessment of the environmental health history? ** might be worded differently a) Liability b) Policy c) Time (time & location) d) Route

Time (time & location)

True or False? The hazard communication standard policies requires both an employee and employer to be knowledgeable about hazards?

True

Which of the following nursing actions is important to address for the health care needs specific to a rural community? a) Use cultural competency while planning interventions b) Enhance parenting skills that can prevent young people from feeling the need to run away c) Assist clients in finding ways to meet long term shelter needs d) Screen to detect mental health disorders

Use cultural competency while planning interventions

A nurse works with minority clients within the workplace in order who are exposed to poor working conditions. which of the following is a most appropriate nursing action to assist these clients? a) Assist in follow up community mental health resources b) Utilizing cultural competence when planning care c) Connect families with respite care and counseling d) Provide safe environment for clients to discuss concerns

Utilizing cultural competence when planning care

An occupation Health nurse preforms a workplace assessment in order to observe operations taking place at a workplace facility. Which of the following questions is not important to be addressed during a workplace assessment? a) WHat hazardous exposures are present at the work site b) What PPE is present at the work site c) What mechanisms are present at the work site d) What are Primary business expenses at the work site

What are Primary business expenses at the work site

John, the nurse manager, in a large urban ED, was alerted to several patients who have come in with possible exposure to toxic substance. What would be used in the epidemiological triangle help him understand? a) How it's not possible for the agent and host to have a connection b) What the interaction is between the host and the environment c) There is no role of water air and waste in the environmental health d) How the environment does not play a role in the health of individuals, health, and families of communities

What the interaction is between the host and the environment

A nurse has been volunteering at free clinic located at a community center in a rural area twice monthly for several years. Over the last few months, the nurses noticed that the patient load has increased as the population of this community has aged it is not fees able for the nurse to spend more time at this center. What might be the most fess able action she could take to continue to serve needs of the community? a) try to hire a nurse to work at the free clinic b) set up a telehealth arrangement so that the nurse can answer simple questions from home c) set up scheduling and triage system so the nurse only sees the neediest patients d) consider closing the free clinic and opining a fee for service center

set up a telehealth arrangement so that the nurse can answer simple questions from home