Community Quiz 5
A nurse has collected a urine specimen from a client for drug testing. Which of the following best describes the purpose of a urinalysis? a. To assess whether a certain drug has been used in the recent past b. To determine the degree of intoxication c. To assess the extent of performance impairment d. To determine how much alcohol was consumed
A. To assess whether a certain drug has been used in the recent past
A nurse is caring for a client who has a history of chronic alcohol abuse. Which of the following medical problems should the nurse anticipate? (Select all that apply.) a. Gastrointestinal disturbances b. Cardiac dysrhythmias c. Depression d. Organic brain syndrome e. Hepatitis B
A. Gastrointestinal disturbances B. Cardiac dysrhythmias C. Depression D. Organic brain syndrome
A nurse is providing tertiary prevention. Which of the following interventions should be included? a. Education b. Prevention c. Referral d. Detection
C. Referral
A nursing student would like to become involved by working at a nursing center. Which of the following would be an appropriate role for a nursing student? a. Leader b. Follower c. Advocate d. Researcher
c. Advocate
Which statement about rape is true? a. Rural areas are high-risk areas for rape to occur. b. Most rapes occur in the winter. c. Male victims suffer more emotional trauma than females. d. College women are at high risk for experiencing rape.
D. College women are at high risk for experiencing rape.
A nurse working at a battered woman's shelter is counseling a pregnant woman who has just entered the shelter. When assessing the client's history, which information would the client most likely report? a. A history of abuse before pregnancy b. A history of child abuse c. A history of multiple pregnancies d. A history of substance abuse
a. A history of abuse before pregnancy
The greatest risk factor for suicide in adult women is: a. divorce. b. unemployment. c. intimate partner violence. d. terminal illness.
c. intimate partner violence.
What is the focus of a special care nursing center? a. A particular demographical group or those with special care needs b. An affiliation with a school of nursing c. Providing services while maintaining a not-for-profit status d. Providing fee-for-service care with designated Health Maintenance Organization (HMO) providers
a. A particular demographical group or those with special care needs
A nurse is performing the role of researcher in a nurse center. Which of the following types of data would most likely be collected by a nurse in this setting? (Select all that apply.) a. Client use of services b. Trends in community characteristics c. Staff compliance with HIPAA d. Client satisfaction e. Morbidity rates
a. Client use of services b. Trends in community characteristics d. Client satisfaction
A nurse executive would like to hire a neighborhood resident who is trained in community outreach to work at the nursing center. Which of the following would most likely be the title of this position? a. Community health worker b. Support staff member c. Clinical specialist d. Specialty care provider
a. Community health worker
A nurse is implementing the harm reduction model. Which of the following will be the focus of nurse when using this approach? a. Education b. Law enforcement c. Scare tactics d. Rehabilitation
a. Education
A nurse is caring for adolescents who have experienced substance abuse. Which of the following should the nurse recognize as a major influence in this population? a. Family-related factors b. Positive media messages c. Socioeconomic level d. Peer pressure
a. Family-related factors
A nurse is looking for financial support when developing a nursing center. Which of the following would be an appropriate source for funding? (Select all that apply.) a. Grant funding b. Charitable organizations c. Private pledges d. Foundations e. State and federal agencies
a. Grant funding b. Charitable organizations c. Private pledges d. Foundations
Homicide is the second leading cause of death among which population? a. Individuals between 15 and 24 years of age b. Native American infants c. Caucasian women between 25 and 34 years of age d. African American children between 15 and 19 years of age
a. Individuals between 15 and 24 years of age
A nurse is providing education to a parent-teacher organization about substance use and abuse among children. Which of the following information would the nurse most likely include in this presentation? a. Inhalants are among the first drugs that young children use. b. Implementing the Drug Abuse Resistance Education (DARE) program is the most effective way to prevent drug use. c. Underage drinking is not a problem in most communities. d. Early experimentation with substances decreases the likelihood of future abuse.
a. Inhalants are among the first drugs that young children use.
A nurse needs to make the final decision about establishing a nursing center in the local community. Which of the following factors would be the most important for the nurse to consider? a. Legal and regulatory considerations b. Community involvement c. Nursing interest d. Potential grant funding
a. Legal and regulatory considerations
A nurse is assisting with community planning. Which of the following facilities should the nurse encourage be developed to reduce the potential for crime and violence in the community? (Select all that apply.) a. Playgrounds b. Movie theaters c. Swimming pools d. Shopping malls e. Restaurants
a. Playgrounds b. Movie theaters c. Swimming pools
A nurse helps the community to take a stand against violence and advocates for elected officials and local media to make nonviolence a priority. Which of the following levels of prevention is being implemented? a. Primary b. Secondary c. Tertiary d. Primary care
a. Primary
A nurse lobbies with legislators for the passage of legislation to prohibit smoking of tobacco products in public places. Which of the following levels of prevention is being implemented? a. Primary b. Secondary c. Tertiary d. Health promotion
a. Primary
A school nurse is coordinating the implementation of a drug education program in the school. Which of the following levels of prevention is being implemented? a. Primary level of prevention b. Secondary level of prevention c. Tertiary level of prevention d. Primary health care prevention
a. Primary level of prevention
A nurse is working with a recent rape survivor. Which of the following actions would be most appropriate for the nurse to implement? a. Provide continuous care once the victim enters the health care system b. Examine evidence for its authenticity c. Work with the criminal justice system to find the rapist d. Provide long-term therapy for psychological trauma
a. Provide continuous care once the victim enters the health care system
Which characteristic is common among all nursing centers? a. Provision of community-based culturally competent care b. Services provided by physicians and health care providers c. Focus on the biological factors contributing to the development of disease d. Fee-for-service reimbursement model
a. Provision of community-based culturally competent care
A nurse has recently completed a research study in a nursing center. Based on the historical pattern of research in nursing centers, what would likely have been the focus of this research? a. The development and characteristics of nursing centers b. The effects of nursing models of care in nursing centers c. Client outcomes d. Managed competition in nursing centers
a. The development and characteristics of nursing centers
A nurse is making a home visit to a low-income, frail, older person's home. Which of the following would most likely cause the nurse to suspect adult maltreatment? a. The older person reports giving money to family members on a regular basis. b. The windows of the house are in need of repair. c. The older person spends a great deal of time watching television. d. There are dogs running loose in the yard of the home.
a. The older person reports giving money to family members on a regular basis.
A nurse is providing care to a child who has been abused. Which characteristics are most likely present in this child's family? (Select all that apply.) a. The parents are unemployed. b. There is no support network willing to offer assistance. c. The parents are not knowledgeable about child development. d. The mother seems frightened of her partner. e. There is no primary caregiver in the home.
a. The parents are unemployed. b. There is no support network willing to offer assistance. c. The parents are not knowledgeable about child development. d. The mother seems frightened of her partner.
A nursing center is going to be placed in a rural community. Which of the following would have the most power and influence on model development and team composition? a. The rural community b. The mayor c. The nursing executive d. The center's staff
a. The rural community
A nurse is employed by a nursing center. Which of the following types of services will be provided here? a. Illness-oriented care b. Direct access to nursing services c. Free services d. Physician diagnosis of health problems
b. Direct access to nursing services
What type of abuse is occurring when a child does not receive the basic nurturing and caring needed for healthy development? a. Sexual abuse b. Emotional neglect c. Physical neglect d. Child abuse
b. Emotional neglect
A nursing faculty member is discussing the importance of joining a professional organization as a registered nurse with a group of undergraduate students. Which of the following statements would be most appropriate for the faculty member to include in this discussion? a. "All nurses should be members of the American Nurses Association." b. "Membership in a professional organization helps nurses organize around critical health issues." c. "Dues for professional organizations are expensive, so it is important to set aside money to pay these dues." d. "Membership in a professional organization will foster change in legislation."
b. "Membership in a professional organization helps nurses organize around critical health issues."
A nurse develops a plan to describe the development and direction of the nursing center and identifies how the center will meet its goals. Which of the following best describes this plan? a. Feasibility study b. Business plan c. Strategic plan d. Organizational framework
b. Business plan
A nurse is providing care for a family in which a nonaddict is experiencing a stress-induced preoccupation with an addict's life, leading to extreme dependence on the addict. Which of the following best describes what is happening? a. Obsession b. Codependency c. Enabling d. Addiction
b. Codependency
A public health nurse (PHN) is working in a community where there have been multiple closures of large factories, leaving many individuals without employment. Which of the following is this population most at risk for? a. Becoming an abuser at home b. Committing violence in and outside the home c. Developing addictive behaviors d. Neglecting the needs of their children
b. Committing violence in and outside the home
A client has not yet made a commitment to take action to change his health behaviors. Which stage of change is the client experiencing? a. Precontemplation b. Contemplation c. Preparation d. Action
b. Contemplation
What was the overarching concept upon which Healthy People 2020 was built? a. Establish nursing centers for the purpose of health promotion b. Create partnerships among individuals, communities, and systems c. Eliminate disease in lesser-developed countries d. Further the agenda of the World Health Organization (WHO)
b. Create partnerships among individuals, communities, and systems
A nurse is examining the strengths, limitations, and capacity of an organization and the community to support the establishment and viability of a nursing center. Which of the following best describes what the nurse has completed? a. Data collection b. Feasibility study c. Focus groups d. Community forums
b. Feasibility study
A nurse is completing a community assessment. Which of the following community characteristics would be identified as a factor for violence? a. Lack of family cohesion b. High crime rate c. Social isolation d. Substance abuse
b. High crime rate
A nurse is developing a community program to prevent violence. Which of the following should be the first action taken by the nurse? a. Talk to people who are victims of violence for their opinion b. Identify factors that lead to violence c. Develop a plan of action to combat violence d. Evaluate current community programs
b. Identify factors that lead to violence
The nurse is interviewing a client who reports that he drinks alcohol when snorting cocaine. Which of the following best describes what is happening with this client? a. Drug addiction b. Polysubstance use c. Substance abuse d. Indiscriminate drug use
b. Polysubstance use
A nurse is giving advice using the acronym FRAMES. Which of the following actions would most likely be taken by the nurse? a. Offer a suggestion as to how the behavior should change b. Provide clear guidance to change risky behavior c. Refer the client to a local support group d. Emphasize the need for others to support the client's change
b. Provide clear guidance to change risky behavior
A nurse assists an injured victim in finding a safe location to live after being abused. Which of the following levels of prevention is being implemented? a. Primary b. Secondary c. Tertiary d. Primary care
b. Secondary
A nurse working at a nursing center has been asked to develop materials about a health promotion topic that can be used at the center. Which of the following topics would the nurse most likely select? a. Advanced care of the chronically ill elderly at home b. Smoking cessation and weight management techniques c. How to access specialty services d. Providing financial support for nursing students
b. Smoking cessation and weight management techniques
Which factor has contributed to the problem of substance abuse? a. Increased knowledge about the use of drugs b. Social acceptability of certain drugs c. Recognition of substance abuse as a health problem d. Control of the content and strength of illegal drugs
b. Social acceptability of certain drugs
What happened in the United States as a result of prohibition? a. Substance abuse declined b. Violent crime and corruption increased c. The need for community health nurses declined d. Facilities to treat substance abuse improved
b. Violent crime and corruption increased
A client would like to enroll in a smoking cessation program. Which of the following types of nursing centers would be most likely to provide this type of programming? a. Academic Nursing b. Wellness c. Comprehensive Primary Care d. Special Care
b. Wellness
Which group has the highest rate of violence? a. Older, Caucasian men b. Young, minority men c. Young, Caucasian women d. Older, minority women
b. Young, minority men
The leading cause of birth defects in the United States is: a. cigarette smoking. b. fetal alcohol syndrome. c. marijuana use. d. HIV from sharing needles.
b. fetal alcohol syndrome.
Dependence is a term that refers to the: a. presence and severity of withdrawal symptoms. b. necessary use of drugs to prevent withdrawal symptoms. c. level of intoxication associated with addiction. d. amount of substance needed to satisfy cravings.
b. necessary use of drugs to prevent withdrawal symptoms.
The use of any substance that threatens a person's health or impairs his or her social or economic functioning is: a. drug dependence. b. substance abuse. c. drug addiction. d. illegal.
b. substance abuse.
Individuals, families, groups, organizations, policy makers, and staff who are involved in community collaboration are known as: a. nursing center workers. b. policy makers. c. stakeholders. d. diversity.
c. stakeholders.
A nurse is caring for a client who is experiencing a drug addiction. Which of the following is the client most at risk for having? a. Infant with a high birth weight b. Easily cured illness or disease c. Accident or committing suicide d. Problem finding employment
c. Accident or committing suicide
A nurse is using the Health Insurance Portability and Accountability Act (HIPAA). Which of the following situations is the nurse most likely in? a. Counseling an employee that his insurance will remain the same after changing jobs b. Supervising staff to ensure that all work has been completed c. Adhering to client confidentiality when providing care d. An employee takes additional time off of work to care for a sick family member
c. Adhering to client confidentiality when providing care
A nurse recommends to a school board that other methods besides the "just say no" approach be considered when providing drug use prevention education to the elementary students. Which of the following best describes the rationale for this recommendation? a. Children do not like to hear the word "no," and the approach is too negative. b. Project DARE is more effective and has decreased drug use. c. Children are naturally curious and may experiment with drugs. d. "Just say no" to drugs does not include smoking and alcohol abuse.
c. Children are naturally curious and may experiment with drugs.
Which type of nursing center operates under a service model? a. Free-standing center b. Affiliated center c. Comprehensive primary care center d. Proprietary
c. Comprehensive primary care center
A nurse is assessing a client for addiction. Which of the following primary symptoms of addiction should the nurse recognize? a. Anger b. Apathy c. Denial d. Violence
c. Denial
A nurse executive reports that the nursing center receives reimbursement through contracted rates. Which of the following types of reimbursement mechanism is being used? a. Fee-for-service b. Federally Qualified Health Center (FQHC) c. HMO provider d. Third-party reimbursement
c. HMO provider
A child has reported to the school nurse that he is being bullied. Which of the following is most likely happening to this child? a. Difficulty talking to the guidance counselor b. Inclusion in group activities c. Intimidation by a peer d. Discipline from parents at home
c. Intimidation by a peer
A nurse would like to improve the ability of the nursing center to be responsive to the needs of the community. Which of the following best describes how this can be accomplished? a. Having staff examine the needs of the community b. Determining the services to be provided by the center c. Involving the community in assessing its own needs d. Addressing the problems in the community
c. Involving the community in assessing its own needs
A nurse is caring for a child who lives in extreme poverty. Which of the following types of abuse is this child at greatest risk for? a. Sexual abuse b. Emotional neglect c. Physical neglect d. Child abuse
c. Physical neglect
A nurse is assessing a school-age child whose parents have reported recent violent activity from the child that is atypical from this child. Which of the following may have contributed to the child's change in behavior? a. Getting a new pet b. Watching too much television c. Playing violent video games d. Having a new sibling at home
c. Playing violent video games
A nurse is working with a client during a smoking cessation program. The client has developed an action plan for smoking cessation, but has not yet implemented it. Which stage of change is the client experiencing? a. Precontemplation b. Contemplation c. Preparation d. Action
c. Preparation
A nurse is counseling a client who has been abusive toward a spouse. Which of the following experiences has the client most likely had in the past? a. Perceived or actual crisis b. History of social isolation c. Previous exposure to violence d. Long-term marital strain
c. Previous exposure to violence
A nurse is assessing an individual who has been the victim of domestic violence. Which part of the body should the nurse assess first? a. Front of the body b. Back of the body c. Proximal parts of the body d. Distal parts of the body
c. Proximal parts of the body
A community health nurse visits a home and notices multiple bruises on a 4-year-old child. The mother reports that her husband is an alcoholic and is currently sleeping. What is the most appropriate action for the nurse to take? a. Question the mother about sexual abuse b. Initiate interventions directed at family violence c. Report the case of suspected child abuse to authorities d. Refer the mother to a social worker or Al-Anon group
c. Report the case of suspected child abuse to authorities
A community health center conducts blood lead screenings on a regular basis for children under 6 years old. Which of the following best describes the level of prevention that is being used? a. Tertiary prevention b. Primary prevention c. Secondary prevention d. Health education
c. Secondary prevention
A nurse is caring for a woman who has been battered for a number of years. Which of the following has the client most likely seen an increase in over the years? a. Self-blame b. Remorse by the man c. Severity of the abuse d. Emotional strength
c. Severity of the abuse
Which statement about nicotine and smoking is accurate? a. Cigars contain higher doses of nicotine than cigarettes. b. Tolerance to nicotine takes days to develop. c. Sidestream smoke contains more toxic compounds than mainstream smoke. d. The harsher smoke of pipes and cigars is more hazardous than cigarette smoke.
c. Sidestream smoke contains more toxic compounds than mainstream smoke.
Which term addresses the multiple levels of intervention required for bringing about and sustaining change? a. Community collaboration b. Community assessment c. Strategic planning d. Partnership
c. Strategic planning
Which health problem causes more deaths, illnesses, and disabilities than any other in the United States? a. Tobacco addiction b. Alcohol abuse c. Substance abuse d. Caffeine addiction
c. Substance abuse
A nurse partners with multiple agencies in the community to create a support group for those diagnosed with addiction in the community. Which of the following levels of prevention is being implemented? a. Primary b. Secondary c. Tertiary d. Health promotion
c. Tertiary
Why must nurses examine their attitudes about alcohol, tobacco, and other drug (ATOD) abuse and addiction before working with individuals with this health problem? a. Working with clients who have addiction problems often puts the nurse at risk for violence. b. The population of persons with drug and alcohol addiction is found in low-income neighborhoods. c. To be therapeutic, a nurse must develop a trusting nonjudgmental relationship with clients. d. Nurses are the primary persons who treat addiction problems.
c. To be therapeutic, a nurse must develop a trusting nonjudgmental relationship with clients.
The oldest and most widely used psychoactive drug in the world is: a. marijuana. b. heroin. c. alcohol. d. cocaine.
c. alcohol.
How much alcohol can the liver metabolize in an hour? a. 1 oz of whiskey b. 3 oz of wine c. 5 oz of wine d. 12 oz of beer
d. 12 oz of beer
Which type of nursing center actively integrates service, education, and research in its model? a. Special care b. Free-standing c. Fee-for-service d. Academic
d. Academic
The nurse is providing community health education about how alcohol affects the body. Which of the following individuals would the nurse describe as being most likely to have the lowest blood alcohol concentration? a. An individual who consumes a drink with a high concentration of alcohol b. An individual who drinks without consuming food c. An individual of the female gender d. An individual with a high body weight
d. An individual with a high body weight
A nurse executive publishes information about the effectiveness of a prenatal program. Which of the following describes this essential step of evaluation of this program? a. Focusing on design b. Engaging stakeholders c. Ensuring use and sharing lessons learned d. Gathering credible evidence
d. Gathering credible evidence
A nurse is assessing the drug use patterns of a client. Which of the following questions would be most appropriate for the nurse to ask? a. Where was the drug acquired? b. Who gave the drug to you? c. Why do you use the drug? d. How often do you use the drug?
d. How often do you use the drug?
A nurse is working with a group and would like to facilitate successful collaboration. Which of the following would be the most important factor for the nurse to consider? a. Focus of the group b. Planned change that will occur c. Decisions made by executive director d. Open and frequent communication
d. Open and frequent communication
A nurse executive is managing a nursing center. Which of the following would be an expected responsibility of a nurse in this role? a. Managing the business operations b. Managing the data systems c. Providing patient care and referral d. Overseeing contracts and grants
d. Overseeing contracts and grants
A nurse refers a client to alcoholics anonymous (AA). Who will play the most important role in the treatment of alcoholism at this support group? a. Self b. Spouses c. Children d. Peers
d. Peers
A nurse is caring for a client who has had long-term marijuana use. Which of the following physical effects should be of priority concern to the nurse? a. Constipation b. Cardiac dysrhythmia c. Abdominal pain d. Respiratory tract damage
d. Respiratory tract damage
What factor associated with crime and violence is particularly important to community health nursing practice? a. Violence is a universal problem. b. Violence impacts everyone in the United States. c. Nurses must spend a great deal of time on the results of violence. d. Significant mortality and morbidity result from violence.
d. Significant mortality and morbidity result from violence.
A nurse is assessing the community for potential settings of drug experiences. Which of the following describes what the nurse would most likely identify? a. A back alley or abandoned building where people are using crack b. An area at the local high school where students are known to smoke cigarettes c. The individuals using the drug, including that individual's expectations d. The physical, social, and cultural environment within which the use occurs
d. The physical, social, and cultural environment within which the use occurs
A nurse is presenting information to community members about the potential development of a retail care clinic in the neighborhood. Which of the following information would the nurse include in this presentation? a. These clinics are typically staffed by physicians. b. These clinics are usually located in community centers. c. These clinics focus on providing information related to health promotion. d. These clinics are often owned by for-profit organizations.
d. These clinics are often owned by for-profit organizations.
A nurse is providing comprehensive education about HIV transmission for an injection drug user (IDU). Which of the following would be the most important information to include? a. How and where to acquire needles b. Proper needle usage and possible injection sites c. Spreading of the virus via homosexual activities d. Using bleach between needle uses
d. Using bleach between needle uses
A nurse is working with children who may be at risk for experiencing abuse. In which situation is child abuse most likely to occur? a. When the parents have high expectations for their children b. When the parents' sense of control is threatened c. When the parents are sensitive to their children's needs d. When the parents lack a social support network
d. When the parents lack a social support network
The most widely used illicit drug in the United States is: a. alcohol. b. heroin. c. cocaine. d. marijuana.
d. marijuana.
Homicides are least likely to be perpetrated by a(n): a. friend. b. acquaintance. c. family member. d. stranger.
d. stranger.