WorksheetsNR442 Exam 1 Review
Total questions: 51
Worksheet time: 29mins
The nurse is caring for a minority client. When assessing for social inequities, which social determinants would be most appropriate for the nurse to consider? Select all that apply.
Age
Gender
Living conditions
Working conditions
Access to health care
_____________ describes and monitors health events through ongoing and systematic collection, analysis, and interpretation of health data for the purpose of planning, implementing, and evaluating public health interventions.
Outreach
Surveillance
Screening
Collaboration
The nurse is caring for a minority client. When assessing for social inequities, which social determinants would be most appropriate for the nurse to consider? Select all that apply.
Familial support
Access to education
Environmental safety
Living in a populated city
Access to transportation
The nurse is working in a very busy outpatient clinic that cares primarily for uninsured clients. The nurse plans care, knowing that the most likely reason for this clinic being so busy is which factor?
The clients are unemployed.
The clinic has payment options.
The clients lack access to preventive health care.
The clinic can qualify them for Medicaid coverage.
A community health nurse working as a school health nurse conducted a community assessment and determined that the focus of programs and health education for the academic year should address the problem of childhood obesity. In planning, it is important for the nurse to allow time for individual nursing assessment and education for children who are overweight or obese and to plan classroom education programs. The nurse is demonstrating an understanding of which important community health nursing concept?
Health planning
Aggregate health care
Community as client
Use of the nursing process
The population health nurse is planning to use a "web of causation" to explain the development of a health problem in a group of clients. What should the nurse use as an example of the web of causation?
Oil refinery, flare emissions, and asthma.
Mosquitoes, West Nile virus, and decreased mosquito spraying.
Adolescent pregnancy rate, lower socioeconomic status and education, and close friends with infants.
Access to alcohol, decreased enforcement of minors, and attractive media portrayal of alcohol that contributes to adolescent alcohol usage.
The population health nurse notes that the number of cases of diabetes in a community remained stable during the last year. However in January, ten new diagnoses of diabetes were confirmed. What type of data is the nurse analyzing?
Incidence.
Morbidity.
Prevalence.
Case fatality rate.
The health of a community is determined by community resources and the well-being of its residents. Which factor is essential to the health of a community?
Availability of medical specialists
Individuals having health insurance
Everyone having access to health care
Public Health Nurses working in the community
The population health nurse attends a seminar on health care economics. What should the nurse realize as one of the biggest concerns influencing the economic health status of the United States?
Aging of citizens.
Declining birth rate.
Rise in asthma among children.
Rise of adolescent mental health problems.
One dimension of a community, which looks at personal characteristics and risks of a group, is called
Aggregate of people
Location in space and time
Social system
Census tract
As part of a school district health program for students, the nurse visits students diagnosed with asthma at home. Which home environment factor should the nurse identify as contributing to the development of this respiratory disease?
Pesticides.
Peeling paint.
Secondhand smoke.
A fuel source for cooking.
A city has adopted the policy of banning smoking in all public parks. When evaluating the policy, which issues should the nurse identify as potentially problematic? (Select all that apply.)
Park maintenance crews will have less smoking debris to clean.
Individuals who smoke may argue that their personal rights are being affected.
The park employs two full-time and one part-time employee for 20 square miles.
City dwellers will not be exposed to second-hand smoke while enjoying the park.
Individuals who smoke will no longer utilize the services available through the park.
After a hurricane has devastated an area, the United States Public Health service sends a group of health care workers to open satellite clinics in the area. This action is best considered:
Preventing epidemics and the spread of disease.
Preventing injury.
Ensuring quality and accessibility of needed health care services.
Promoting healthy behavior and good mental health.
The population health nurse is reviewing information to include in a presentation on the economics of health care. Which statements should the nurse include in this presentation? (Select all that apply.)
Health insurance guarantees a healthy workforce.
Educational level is associated with health outcomes.
Society benefits from an employed and healthy workforce.
Chronic illness in a stable workforce does not impact productivity.
Lost productivity from illness has minimal effect on societal outcomes.
Due to budget cuts, a community has reduced its garbage pickup frequency from twice a week to once a week. Because of this the population health nurse should be MOST concerned about the potential increase in:
Making the area look unsightly.
Animal pests that could spread disease.
The amount of trash generated per household.
Spreading weeds from uncollected grass clippings.
The population health nurse receives a report that provides statistics on the increasing number of telephone calls made to the poison control hotline. Based on this information, what should the nurse do?
Enforce local ordinances for selling household chemical agents.
Target homes for poisons contained in household cleaning agents.
Promote legislation for restricting hazardous materials in the home.
Educate the public about the hazards of household chemicals and medications and their proper storage.
A community health nurse would include which in the assessment of environmental health? (Select all that apply.)
Work-related exposures
Atmospheric quality
Families
Job availability
Radiation risks
When completing a community assessment, the nurse invites community members to a meeting to discuss thoughts and concerns about a particular issue. The nurse is using which method of data collection?
An opinion survey
A community forum
A demographic assessment
An observation of participants
Identify the nursing intervention that reflects tertiary health-care delivery. Select all that apply.
Providing emotional support to family members after the death of a relative
Teaching a client how to use a wheelchair after a stroke
Implementing a prescribed hemodialysis treatment
Administering an influenza vaccine
Changing a dressing after surgery
Which factor is essential to promote healthy lifestyles and behaviors within the community setting?
An entire family must be committed to making changes.
There must be resources available to support the desired changes.
The focus must be on the community as a whole, not on individuals.
A primary health-care provider’s prescription is necessary before care can be provided.
The rationale behind the Affordable Care Act was to
put individuals, families, and small business owners in control of their health care.
increase federal aid to states for hospital facilities.
improve the quality of care in rural areas and introduce systematic statewide health care planning.
force the implementation of health maintenance organizations.
The Affordable Care Act of 2010 included several elements that involve health planning. These elements include (Select all that apply.)
Reducing premium costs for millions of working families and small businesses
Capping out-of-pocket expenses
Prohibiting denial of coverage because of a preexisting condition
Covering the cost of preventive care
Establishing regional cooperative arrangements among medical schools, research institutions, and hospitals to improve the health manpower and facilities available to the communities.
In the United States today, where are most personal health care services provided?
The private sector
The public sector
The nonprofit sector
The community health sector
Services provided in the private subsystem include all except
health promotion.
disease prevention.
heath care regulation.
treatment of disease.
Investigating all contacts of a person infected with a sexually transmitted disease is an example of what?
Primary prevention
Secondary prevention
Tertiary prevention
Initial prevention
A pathogen lives and multiplies in a __________ and transfers from one host to another by a __________.
host, susceptible portal of entry
reservoir, mode of transmission
infectious agent, portal of exit
mode of transmission, reservoir
A once prosperous and thriving neighborhood has become run-down and its residents have a lower socioeconomic status. There is greater unemployment in this neighborhood and the police have seen a rise in crime in unemployed young adults. The population health nurse determines this as being an effect of a declining:
Built environment.
Social environment.
Natural environment.
Ecological environment.
The population health nurse is attending a community town hall meeting where an elected official is discussing the importance of extending tax cuts for the upcoming fiscal year. What should the nurse consider as the impact of these cuts on health care? Select all that apply.
Scarcity of health resources.
Reduction in chronic diseases.
Increased number of care providers.
Improved access to health care services.
Negative effects on the health of the population.
The nurse is a member of the state nursing organization and is asked to speak before a state senate committee about a proposed bill to increase funding to outpatient mental health clinics to improve health outcomes for the mentally ill. Public policy development by this route is known as:
Legislation.
Administrative decision.
Judicial decision.
Regulation.
West Nile virus has been diagnosed in the state. The state health department has ordered mosquito spraying in the affected area and public service announcements are being broadcast in the local media to alert the population to drain water from loose tires and other areas where there may be stagnant water. What obligations are being addressed by the state health department? Select all that apply.
Prevent epidemics and the spread of disease.
Protect the public from environmental hazards.
Prevent injury.
Promote healthy behavior and good mental health.
Respond to disasters and assist.
The population health nurse is aware of many young couples with children purchasing and renovating older community homes. What action uses primary prevention to ensure the safety of these families?
Screen all members for lead levels.
Monitor lead levels in the family members.
Encourage the safe removal of lead-based paint in the homes.
Institute chelating measures for lead removal in the family members.
An epidemiologist has written a summary of a food poisoning outbreak, including its cause and ways to prevent it from occurring in the future. Which phrase best describes what has been done?
Analytic epidemiology
Descriptive epidemiology
Prospective cohort study
Retrospective studies
A student athlete receives a screening examination before being active in school sports. Which level of prevention is being used?
Health prevention
Primary prevention
Secondary prevention
Tertiary prevention
The nurse working in the community is aware that there are different models for studying the epidemiology of a health condition in a population. One model of investigation of the interrelationships and characteristics of disease is the epidemiological triangle. This model analyzes what three elements?
Incidence, prevalence, and etiology
Agent, host, and environment
Person, place, and time
Virus, bacteria, and fungus
A nurse is aware the transmission of an infectious disease can be efficiently controlled by
Breaking all links in the transmission chain.
Destroying all reservoirs of infectious agents.
Breaking only one link in the transmission chain.
Maintaining high levels of herd immunity.
Which would be the most therapeutic response for the mother of a 6-month-old who tells the nurse she does not want her infant to have the DTaP vaccine because the infant had localized redness the last time she received the vaccine?
“I will let the physician know, and we will not administer the DTaP vaccination today.”
“Every child has that allergic reaction, and your child will still get the DTaP today.”
“I will let the physician know that you refuse further immunizations for your daughter.”
“Would you mind if we discussed your concerns?”
Community/public health nursing is different from all other specialties in that community/public health nursing has the goal of: (Choose the best answer.)
Assessing clients in their own home environment.
Caring for whole families, not just individuals.
Improving health over the long term for families.
Striving for social betterment.
How did Florence Nightingale help bring about community health nursing? (Select all that apply.)
She convinced socially prominent wealthy women to volunteer to give care.
She focused on all soldiers and their environment.
She interacted with each individual person, assessing his or her needs and acting to meet those needs.
She kept careful records on what was done and what were the results.
Access to health care is determined by the circumstances of the individual that obstruct the means to obtain desired health care. Which is not a barrier to health care access?
Preexisting conditions
Nonparticipating physician
Inability to communicate
Personal avoidance of a health problem
A public health nurse is determining what type of programming should be developed for the community. Which of the following is the most crucial factor that will influence program development?
Comprehensive assessment and planning done in the community
Documented needs of the local community
Federal funding for priority diseases or groups
Nursing staff’s expertise and skills
A community health nurse in the assessment phase of the nursing process conducted research to identify the distribution pattern of breast cancer within a population and the associated risk factors. This is called:
statistical analysis.
needs assessment.
census collection.
epidemiology.
A nurse is advocating for local leaders to place a newly-approved community health clinic in an area of the city that has fewer resources than other areas. The nurse is advocating for the leaders to uphold which of the following ethical principles?
Distributive justice
Fidelity
Respect for autonomy
Veracity
A public health nurse is reviewing the outcome of an exercise program at various locations. Which of the following aspects of care does this finding evaluate?
Timelines
Client-Centered
Equity
Safety
A public health nurse is planning several initiatives for a city. Which of the following interventions should the nurse include as part of public health insurance?
Meeting with city officials to propose changes to health laws
Partnering with a laboratory campaign to provide free HIV screening for the public
Reviewing date for incidence of influenza over a 25-year period.
Providing medical facilities with information on accidental injury rates.
A community health nurse is implementing health programs with several populations in the local area. In which of the following situations is the nurse using primary prevention?
Performing a home safety check at a client's home
Teaching healthy nutrition to clients who have hypertension
Providing influenza immunizations to employees at a local preschool
Implementing a program to notify individuals exposed to a communicable disease
A nurse is preparing an education program on disease transmission for employees at a local day care facility. When discussing the epidemiological triangle, the nurse should include which of the following factors as agents? (Select all that apply)
Resource availability
Ethnicity
Toxins
Bacteria
Altered immunity
A nurse is preparing a community health program on communicable diseases. When discussing modes of transmission, the nurse should include which of the following illnesses as airborne?
Cholera
Malaria
Influenza
Salmonellosis
A community health nurse is assessing a client with concerns about respiratory symptoms. The nurse uses the I PREPARE mnemonic during the assessment. Which of the following questions corresponds to the “R” component?
“Do you use pesticides or other chemicals at work?”
“Have you recently renovated or remodeled your home?”
“What are your hobbies or recreational activities?”
“Have you been trained to handle hazardous materials at work?”
A nurse teaching a group of public health students explains how to use the I PREPARE mnemonic to assess environmental exposure. Which of the following best describes the purpose of the mnemonic?
To identify barriers to patient-centered care
To organize a home safety inspection
To evaluate the social determinants of health
To guide a structured environmental exposure history
A nurse is counseling a client who says, “I know I need to quit smoking, but I’m just not ready yet.” Based on the Transtheoretical Model, which stage of change is this client in?
Precontemplation
Contemplation
Preparation
Action
A community health nurse is working with a group of clients who are in the preparation stage of the Transtheoretical Model. Which of the following interventions are appropriate? (Select all that apply.)
Help the client set a quit date for smoking.
Provide strategies for managing cravings and withdrawal.
Explore the pros and cons of quitting.
Reinforce lifestyle changes they have already made.
Assist in identifying social support and resources.
