question

Which of the following groups should be used to determine the community's pregnancy rate?

answer

Women between 15 and 45 years old in the community

question

A student athlete receives a screening examination before being active in school sports. Which of the following levels of prevention is being used?

answer

Secondary prevention

question

A nurse conducted a study of two skin lotions: (1) an inexpensive one and (2) an expensive one. The nurse found that there was a relative risk of 0.7 for skin sores using the inexpensive one and a relative risk of 1.2 using the expensive one. Which skin lotion should the nurse use?

answer

The inexpensive lotion

question

When trying to determine whether the swine flu outbreak was getting worse, which of the following rates should be carefully observed?

answer

The swine flu incidence rate

question

Which of the following research studies would determine the attributable risk of a sedentary lifestyle in cardiac disease?

answer

Subtracting the rate of cardiac disease among athletes from the rate of cardiac disease among nonathletes

question

Which of the following would be the best method to increase the positive predictive value of a screening test?

answer

Test a group at high risk for the health problem

question

A researcher is examining potential risk factors in comparison with disease at a specific time through collecting data regarding current exercise, sleep patterns, and current health status among 12-year-olds. Which of the following research studies would be most appropriate?

answer

Cross-sectional study

question

A researcher, interested in the onset of early menses, compared the life experiences and history of 1000 14-year-old girls, half of whom had monthly periods and half of whom did not, to determine what variables might be observed. Which of the following would be the most appropriate categorization of this study?

answer

Retrospective study

question

A researcher wanted to engage in the best possible research design to obtain reliable information about the possible cause(s) of a disease. Which of the following designs would the researcher choose?

answer

Prospective study

question

On the basis of findings related to elevated blood levels of cholesterol, a researcher wanted to determine whether a new drug would notably lower the blood levels of cholesterol in otherwise healthy persons. Which of the following studies would the researcher most likely use?

answer

Experimental study

question

Which of the following statements best describes why the incidence and prevalence of gonorrhea is unknown?

answer

Gonorrhea is not a reportable condition.

question

Which of the following is the most effective way to determine if Healthy People 2020 is improving the health of Americans?

answer

Comprehensive and systematically collected surveillance data on the health status of various population groups

question

A client has developed pellagra because of a lack of certain B vitamins. Which of the following best describes the classification of the nutritional deficiency?

answer

Agent factor

question

Which of the following factors are necessary to assume there might be a cause-effect relationship between a particular variable A and a specific illness? (Select all that apply.)

answer

Research studies consistently demonstrate a relationship between variable A and the illness The more of variable A present, the sicker the person becomes. It is easy to understand how the variable A could lead to the illness.

question

A community health nurse determined exactly how many cases of a particular disease were currently occurring in the community. Which of the following actions should the nurse take before determining what interventions should be planned?

answer

Compare the current rate with the previous rate of disease

question

In a particular community, the rate of new cases of diabetes and the rate of new cases of flu during the month of January were precisely the same. Which disease would have the higher prevalence rate?

answer

As a chronic condition, diabetes would have the higher prevalence rate.

question

Which of the following information must be analyzed to derive an adequate explanation of disease? (Select all that apply.)

answer

Description of commonalities among those who became ill Depiction of the possible pathogen Portrayal of the geographic area where people became ill

question

Which of the following best describes the importance of discovering all of the variables that may be involved in creating a disease state in some persons?

answer

Finding variables that are susceptible to prevention or early intervention is important.

question

One famous study followed a cohort of nurses over their lives, collecting data and health histories as they aged. Which of the following would be the most appropriate categorization of this study?

answer

Prospective study

question

For which of the following would a screening test be most appropriate?

answer

Disease B, which can be controlled if caught early in the disease process

question

Which of the following medications can a school nurse expect to most frequently administer?

answer

ADHD meds

question

The school nurse only had the resources for one education program for all the students' teachers and support staff. Which one is most important to address?

answer

Asthma

question

Which of the following best describes how Lillian Ward helped encourage the idea of school nurses in schools?

answer

She demonstrated that school nurses decreased absenteeism by 50%.

question

Which of the following is one of the most frequent health complaints of school aged children?

answer

Dental caries

question

Which of the following screenings are typically administered in the school setting?

answer

Blood Pressure Visual and hearing acuity Height and Weight Scoliosis

question

Which of the following best describes how schools can determine what their school health education priorities can include?

answer

Provide opportunities for students to practice decision making skills Make priorities consistent with the six topics identified by Healthy People 2020 Choose priorities according to which behaviors lead to avoidable problems

question

In addition to their homes, where are children most likely to be injured?

answer

At school on playgrounds

question

Which of the following variables create differences from school to school regarding health services that are available?

answer

Student's needs State legislative requirements Community resources School leadership preferences

question

Which of the following best explains why the school nurse and principal athletic director of the school would frequently be working together?

answer

Both are extremely concerned with the typical students' low amount of physical exercise and want to create an intervention plan

question

Which of the following does the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) service include in its routine screening that may not be included in a typical private physician preschool physical?

answer

Lead toxicity screenings

question

Every day a child came into the school nurse's office with vague complaints, but sometimes it seemed to the nurse that the child just wanted to talk and be listened to for a while. Unfortunately, the child took up almost 15 minutes of the nurse's day. Which of the following actions should be taken?

answer

Continue to listen while assessing for possible underlying problems

question

Which of the following is the most commonly used illegal drug among children and adolescents in US?

answer

Marijuana

question

Which of the following led to school nurses moving beyond the role of screening, assessment, intervention, and exclusion of children for communicable diseases?

answer

Political movements such as temperance, which led schools to educate about the effects of alcohol and tobacco

question

Which of the following is the single leading preventable cause of death in the US?

answer

Tobacco Use

question

A female coach walks into your office and shares that one student concerns her. The student will not change into her gym clothes and does not seem to "move right". Which of the following actions would be most appropriate for the nurse to take next?

answer

Meet with the student and ask directly about sexual or physical abuse

question

Which of the following health problems continue to increase in school aged and adolescent children?

answer

Obesity and related problems (diabetes)

question

A school nurse is conducting a program with high school students about adolescent sexuality. Which of the following information would the school nurse most likely include?

answer

Teenage mothers are less likely to complete high school and often remain single and live in poverty

question

Everyone is talking about the disaster that has been widely seen on the news programs. Which of the following suggestions would be most appropriate for the nurse to make at this time?

answer

That they school should develop an emergency management plan

question

Everyone in a high school was very upset that one of the students had shot and killed another student. The nurse decided that this was an appropriate time to establish a program to help prevent violence. Which of the following groups of students should receive the program first?

answer

Elementary school grades: 4, 5, 6

question

A community health nurse is assigned to cover a school health office when the school nurse is ill. A child is waiting for the nurse's arrival, saying a particular medication is needed. Which of the following can the nurse expect to find in the school health office? (Select All)

answer

Medications clearly labeled with name, as well as med info A nursing policy book Written request from student's parents Written request from health care provider

question

Which of the following health problems has been reduced in school-aged and adolescent children?

answer

Contagious diseases

question

A new school nurse was concerned about being accepted, as the previous nurse had been at the school for more than 20 years. Which would be appropriate for the nurse to take?

answer

Set up workshops on exercises, nutrition, and weight management and perhaps ongoing blood pressure screenings for school staff

question

A principal called the school nurse into his office and asked "Will this student be able to attend our school?" after handing over the med record of a severely handicapped student. What is the most appropriate response?

answer

Legally all students have a right to public education in the least restrictive environment possible, so let me think how we can manage

question

Which of the following best describes why the numbers of children seen by the school health nurse is increasing?

answer

Lack of another source of regular health care

question

A student had been absent 4 days out of the last 3 weeks. When the school nurse asked what was wrong, the student replied, "Headaches" in an angry tone. The student had previously been heard to complain that school was boring and it was hard to concentrate on such dumb stuff. Which of the following actions would be most appropriate for the nurse to take?

answer

Express concern that the student was under a lot of stress and offer to help if possible

question

In a nationwide survey, which of the following was identified by school health nurses as the most crucial research priority for their specialty?

answer

Obesity and nutrition

question

Which of the following has been determined to be a major variable in transmission of sexually transmitted infections?

answer

the environment in which the hosts live

question

One famous study followed a cohort of nurses over their lives, collecting data and health histories as they aged. Which of the following would be most appropriate categorization?

answer

Prospective study

question

In a particular community, the rate of new cases of diabetes and the rate of new cases of flu during the month of January were precisely the same. Which disease would have the higher prevelance rate?

answer

As a chronic condition, diabetes would have the higher prevalence rate

question

Which of the following best describes the importance of discovering all of the variables that may be involved in creating a disease state in some persons?

answer

Finding variables that are susceptible to prevention or early intervention is important

question

Which of the following statements best describes why the incidence and prevalence of gonorrhea is unknown?

answer

Gon. is not a reportable condition

question

Which of the following would be the best method to increase the positive predictive value of a screening test?

answer

Test a group at high risk for the health problem

question

A researcher has limited time and funds. Which of the following research designs would be most appropriate?

answer

retrospective study

question

A newspaper published an article stating that the athletic banquet at the local high school had approximately 1000 family members in attendance. Exactly 650 persons became ill within 24 hours, complaining of severe diarrhea, vomiting, and cramping. Which of the following best describes the attack rate?

answer

650:1000

question

Which of the following best describes a model that demonstrates the progression of disease from prepathogenesis through disease outcomes?

answer

Natural history model

question

Which of the following best describes the Tuskegee Syphillis Study?

answer

It implemented unethical and racist treatment of uninformed subjects

question

A client has developed pellagra because of a lack of certain B vitamins. Which of the following best describes the classification of the nutritional deficiency?

answer

Agent factor

question

A researcher is examining potential risk factors in comparison with disease at a specific time through collecting data regarding current exercise, sleep patterns, and current health status among 12-year-olds. Which of the following research studies would be most appropriate?

answer

Cross sectional study

question

Which of the following best describes the advantage of the web of causation model in comparison with the epidemiological triangle model?

answer

The web of causation model shows the relationships among variables

question

Which of the following information must be analyzed to derive an adequate explanation of disease?

answer

Depiction of the possible pathogen Description of commonalities among those who become ill Portrayal of the geographic area where people became ill

question

Which of the following is the most effective way to determine if Healthy People 2020 is improving the health of Americans?

answer

Comprehensive and systematically collected surveillance data on the health status of various population groups

question

A researcher, interested in the onset of early menses, compared the life experiences and history of 1000 14 year old girls, half of whom had monthly periods and half of whom did not, to determine what variables might be observed. Which of the following would be the most appropriate categorization of tis study?

answer

Retrospective study

question

Which of the following groups should be used to determine the community's pregnancy rate?

answer

Women between 15 and 45 years old in the community

question

A student athlete receives a screening examination before being active in school sports. Which of the following levels of prevention is being used?

answer

Secondary prevention

question

Which of the following research studies would determine the attributable risk of a sedentary lifestyle in cardiac disease?

answer

Subtracting the rate of cardiac disease among athletes from the rate of cardiac disease among nonathletes

question

When trying to determine whether the swine flu outbreak was getting worse, which of the following rates should be carefully observed?

answer

The swine flu incidence rate

question

When trying to determine whether the swine flu outbreak was getting worse, which of the following rates should be carefully observed?

answer

The swine flu incidence rate

question

Which of the following best describes the advantage of the ecosocial epidemiology model over both the web of causation model and the epidemiological triangle model?

answer

It emphasizes the role of complex political and economic context It decreases the focus on the individual person Its use suggests possible public policy interventions

question

A nurse wanted a screening test that was sensitive in determining who might have a particular illness. What might be a problem with using such a sensitive test?

answer

Persons who do not have the illness are told that they might, which leads to anxiety, as well as time and cost of follow-up diagnostic tests Such a test may have lower specificity, so some persons with the disease are told they are disease free and hence do not receive care

question

An epidemiologist has written a summary of a food poisoning outbreak, including its cause and ways to prevent it from occuring in the future. Which of the following best describes what has been done?

answer

Descriptive epidemiology

question

Which of the following is a major factor in determining which people or groups are most likely to be helpful to a particular individual?

answer

Environmental proximity

question

An individual lives in a healthy community. Which of the following characteristics would the community most likely have?

answer

Ability to adapt and respond to changes

question

Which of the following provides the most accurate way to explain community health nursing?

answer

Focusing care on the community as a whole

question

Which of the following best describes how care can be approximately given in a community?

answer

Consider the community itself as the "Client"

question

A community health nurse wants to obtain an overview of the community, but has limited time. Which method should the nurse use?

answer

Engage in a windshield survey

question

A community health nurse has completed a community assessment and is now writing a community diagnosis for the problem. Which component of the diagnosis will be used to summarize the assessment data?

answer

Identification of the health risk

question

Which of the following best describes show leather epidemiology?

answer

Traveling throughout the community to absorb an overall impression of it

question

A nurse was debating about which approach to use to both obtain data about community needs and encourage community participation. Which would be effective in meeting both goals?

answer

Establishing focus groups with selected participants

question

A nurse is helping a community develop its capacity to address future problems. Which activity is the nurse most likely to implement?

answer

Developing community competence

question

Which of the following best describes the aspects central to the definition of community?

answer

Persons who band together to address a shared problem Geographic boundaries at a point in time The name the people have given themselves

question

All of the needed objective data on a specific health problem are available for the community health nurse. Which of the following best describes why the nurse would also interview community residents about the health problem?

answer

To obtain the residents' personal insights and beliefs about the problem

question

Which of the following best describes how the US Census Bureau surveys are helpful to a community health nurse?

answer

They provide the distribution of age, sex, race, and ethnicity in the community

question

A nurse begins to collect information about a particular health problem from community residents. Which of the following potential problems would most likely arise?

answer

Residents might begin to expect service to be given to address the problem

question

Which of the following best describes what community members receive from each other?

answer

Socialization and role fulfillment

question

Which of the following are considered the most important determinants of a healthy community?

answer

Child friendly neighborhoods Low crime rates

question

A public health nurse wanted stats on the disability, illness, and other health related variables for the state. Which of the following would be the best resource for the nurse to obtain the most extensive data?

answer

The National Center for Health Stats

question

A community health nurse is trying to determine the success of a planned intervention. Which of the following would the nurse most likely examine?

answer

Current problem data to compare with baseline data

question

The nurse is interviewing community members as part of a community assessment. Which of the following groups of people would the community health nurse most likely want to interview?

answer

Long time residents who were informal leaders in the community

question

Which of the following activities would be most helpful to a person in whom a serious chronic illness has been diagnosed?

answer

Join a support group

question

Which of the following from vital stat records is useful to community health nurses?

answer

Indication of whether the total population is growing or declining Documentation of the mortality and morbidity Records of occurrence of malformations

question

Which of the following is a central function unique to community health nursing? (Select all that apply.)

answer

Incorporating epidemiological approaches throughout the nursing process Gathering appropriate comprehensive assessment data on the community Being willing to contribute to health policy development

question

Which of the following best describes when a community health nurse would try to collect data on a health issue?

answer

When there is no source of previously collected data

question

A community health nurse found a very small number of families in the community who were desperately in need of basic preventive health services. Which of the following ethical approaches supports expending agency resources on these few, but needy, families?

answer

Beneficence suggests focusing on the most needy, so resources should be expended on these families.

question

Which of the following provides the most accurate way to explain community health nursing?

answer

Focusing care on the community as a whole

question

Which of the following best describes how people typically respond when asked of what community are they a member?

answer

Geographic community (neighborhood or city)

Comm Health Module 2 Test Bank – Flashcards

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