Module 1 Quiz: Introduction to Community, Population, Public, and Global Health

Which of the following interventions might the occupational health nurse employ to promote health and safety in the workplace? (Select all that apply.) - Offer immunizations such as flu vaccines. - Do a walkthrough inspection to check for safety in work areas. - Remind employees to use personal protective equipment when handling harmful chemicals - Arrange for the vendor the educate the employees on how to use new heavy-lifting equipment - Use I PREPARE to assess for environmental health exposure.

- Offer immunizations such as flu vaccines. - Do a walkthrough inspection to check for safety in work areas. - Remind employees to use personal protective equipment when handling harmful chemicals - Arrange for the vendor the educate the employees on how to use new heavy-lifting equipment

Which of the following are stages of change in the transtheoretical model? (Select all that apply.) - Precontemplation - Maintenance - Interpersonal relationships - Action - Planning

- Precontemplation - Maintenance - Action - Planning

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 client's neighborhood to see if there is access to fruits and vegetables

a. Ask the client to discuss what barriers they perceive that prevent compliance Rationale: While all of the other options may be interventions that could be used to encourage compliance, the nurse does not have enough data to determine the next course of action. More assessment on the reasons for possible noncompliance is needed before anything else can be done.

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 towards 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. Partner with local churches and write grants for childcare funding towards affordable daycares in the area. Rationale: Parents who are working need affordable daycare for their children.

A nurse is arranging for flu vaccines to be administered to anyone who consents to it. Which of the following levels of prevention are guiding the nurse's actions? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Primordial prevention

a. Primary prevention Rationale: The goal for activities like promoting vaccinations is to implement interventions that will prevent conditions of poor health from occurring.

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. Secondary Rationale: This an example of a secondary level of prevention as the focus is on the at-risk population. The other options do not apply.

A home health nurse instructs the caregiver to administer pain medication to a nonverbal client in their home. Which of the following evaluative findings would indicate that the goal fo pain relief had been met? a. The client's face relaxes and stops grimacing. b. The client becomes more restless. c. The client's family says that enough medicine has been given. d. The client is still guarded near the area of pain.

a. The client's face relaxes and stops grimacing. Rationale: Signs and symptoms that are opposite of those for pain are usually good indicators that pain relief has been achieved. The nurse should look to the nonverbal client's expressions as the main source of evaluation for meeting pain goals.

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 an addiction therapy group at an outpatient center

b. Educating the public about hand hygiene during an outbreak Rationale: The focus of any public health professional is the population. While the nurse may provide care for an individual's needs, such as for immunizations, the nurse primarily focuses on groups for health promotion and disease prevention and usually in a community setting.

Which of the following health promotion initiatives were launched to implement interventions for better overall health in the U.S.? a. Paris Agreement b. Healthy People 2030 c. Sustainable Development Goals d. Tennessee Valley Authority

b. Healthy People 2030 Rationale: The Healthy People initiative was launched in 1980 to help the United States set goals for a healthier society.

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. Responsible consumption and production Rationale: Implementing recycling programs in major cities is an example of responsible consumption and production. Recycling programs reduce waste in the environment and provide a chance to reuse those materials in other products, decreasing the usage of natural resources.

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. Transtheoretical Model Rationale: This model is good for formulating individualized plans for change towards healthier behaviors.

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. Community health nurse Rationale: The focus of a community health nurse is on the community as a whole.

A community health nurse is partnering with the local library in a small town to hold workshops on filling out paperwork for student funding for trade schools and colleges. The nurse should recognize that this action is supported by which of the following statements about the lack of affordability in higher education? a. It decreases the residents' access to healthcare. b. It decreases the residents' health literacy. c. It decreases the local residents' chances of gaining skills and knowledge for various job opportunities. d. It decreases the number of job opportunities in the local area.

c. It decreases the local residents' chances of gaining skills and knowledge for various job opportunities. Rationale: When there's not enough funding for schools or affordable education, the local residents' chances at increasing their wage-earning potential are decreased.

A school nurse assesses a few students for injuries after they have been fighting. The nurse finds bruises in various stages of healing on one of the students. Which of the following interventions on the secondary level of prevention should the nurse implement? a. Notify the parents that the student has been in a fight. b. Apply bandages to the cuts founds on assessment. c. Report the findings to Child Protective Services (CPS). d. Ask social services to arrange for extensive counseling for the student.

c. Report the findings to Child Protective Services (CPS). Rationale: Per mandatory reporting laws, the nurse would need to notify CPS immediately for investigation and possible removal of the student from the situation. This is a secondary level of prevention under early treatment.

A public health nurse is going to deliver a message to the residents in town about a primary preventive measure to stop the spread of a communicable disease during an outbreak. Which of the following could be included in the message? 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. Speaking about hand hygiene and what kinds of products to use Rationale: This is an example of a primary level of prevention. Screening is secondary level while the other two instructions are on the tertiary level.

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 immunization station during an epidemic d. Sending a nurse epidemiologist to investigate a suspected outbreak

c. Working with a local hospital to become an immunization station during an epidemic Rationale: This public health essential service addresses supporting any partnerships the health department develops to utilize their resources and skills to address health issues affecting the public as a whole.

A client who is int he maintenance phase of the Transtheoretical Model's Stages of Change admits to not following their diet plan after binging on salty and sugary snacks the past weekend. Which of the following questions should the nurse ask the client next? 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 snacks?" d. "Have you had any stressful events in your life lately?"

d. "Have you had any stressful events in your life lately?" Rationale: During the maintenance phase, clients might go back to old habits when stressors appear in their life. The nurse should determine what prompted the client to regress.

An occupational nurse has four clients to see. Which of the following clients should the nurse see first? a. A maintenance person that slipped and fell an hour earlier b. A new hire needing a drug screen test c. A employee needing to be assessed to return to work d. A employee complaining of burning eyes after being exposed to a chemical agent

d. A employee complaining of burning eyes after being exposed to a chemical agent Rationale: Chemical exposures, particularly to eyes or mucous membranes, require immediate attention with interventions that are time sensitive. This person would need to be seen first.

A public health nurse is observing a client who has been participating in the Directly Observed Therapy (DOT) program for the past month take their antitubercular medication for active tuberculosis. Which of the following actions should the nurse take first? a. Document the care delivered to the client. b. Check for any allergies before allowing the client to take the medication. c. Reinforce the information concerning the medications' side effects. d. Review the labs before having the client take the mediation.

d. Review the labs before having the client take the mediation. Rationale: While all of these tasks need to be completed, checking the labs before administering medication takes priority.

A client reports that the initial exercise regimen in their weight loss program was ineffective, but that they have seen positive results since adopting a friend's regimen. Which of the following theories explains the client's change? a. Health Belief Model b. Theory of Reasoned Action/Planned Behavior c. Transtheoretical Model d. Social Cognitive Theory

d. Social Cognitive Theory Rationale: Social Cognitive Theory explains that individuals will learn and adopt changes in habit when observing others who have mastered the behavior with positive results. The other theories focus on other aspects of lifestyle changes.