Community Health Nursing Book Questions – Flashcards
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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? a. Performing a home safety check at a client's home b. Teaching healthy nutrition to clients who have hypertension c. Providing influenza immunizations to employees at a local preschool d. Implementing a program to notify individuals exposed to a communicable disease
answer
c
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A nurse is preparing an educational program on cultural perspectives in nursing. The nurse should include that which of the following are influenced by an individual's culture? (Select all that apply.) a. Nutritional practices b. Family structure c. Health care interactions d. Biological variations e. Views about illness
answer
a, b, c, e
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A nurse is caring for a client who is from a different culture than himself. When beginning the cultural assessment, which of the following actions should the nurse take first? a. Determine the client's perception of his current health status. b. Gather data about the client's cultural beliefs. c. Determine how the client's culture may impact the effectiveness of nursing actions. d. Gather information about previous client interactions with the health care system.
answer
b
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A nurse is using the I PREPARE mnemonic to assess a client's potential environmental exposures. Which of the following is an appropriate question for the nurse to ask to assess for "A" in the mnemonic? a. "What do you like to do for fun?" b. "What year was your residence built?" c. "What jobs have you had in the past?" d. "What industries are near where you live?"
answer
a
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A nurse is conducting health screenings at a statewide health fair and identifies several clients who require referral to a provider. Which of the following statements by a client indicates a barrier to accessing health care? a. "I don't drive, and my son is only available to take me places in the mornings." b. "I can't take off during the day and the local after-hours clinic is no longer in operation." c. "Only one doctor in my town is a designated provider by my health maintenance organization." d. "I would like to schedule an appointment with the local doctor in my town who speaks Spanish and English."
answer
b
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A nurse is interviewing for a position at the local health department. When preparing for the interview, the nurse should find that which of the following are responsibilities of this agency? (Select all that apply.) a. Managing the Women, Infants, and Children program b. Providing education to achieve community health goals c. Coordinating directives from state personnel d. Reporting communicable diseases to the CDC e. Licensing of registered nurses
answer
b, c
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A nurse is preparing to conduct a windshield survey. Which of the following data should the nurse collect as a component of this assessment? (Select all that apply.) a. Ethnicity of community members b. Individuals who hold power within the community c. Natural community boundaries d. Prevalence of disease e. Presence of public protection
answer
a, c, e
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A nurse is completing a needs assessment and beginning analysis of data. Which of the following actions should the nurse take first? a. Determine health patterns within collected data. b. Compile collected data into a database. c. Ensure data collection is complete. d. Identify health needs of the local community.
answer
b
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A nurse is planning a community health program. Which of the following should the nurse include as part of the evaluation plan? a. Determine availability of resources to initiate the plan. b. Gain approval for the program from local leaders. c. Establish a timeline for implementation of interventions. d. Compare program impact to similar programs.
answer
d
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A nurse is conducting a community assessment. Which of the following data collection methods is the nurse using when having direct conversations with individual members of the community? a. Key informant interviews b. Participant observation c. Focus groups d. Health surveys
answer
a
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A nurse is collecting data to identify health needs in the local community. Which of the following are examples of secondary data the nurse should review? (Select all that apply.) a. Birth statistics b. Previous health survey results c. Windshield survey d. Community forum e. Health records
answer
a, b, e
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A nurse is talking to a client who asks for additional information about hospice. Which of the following is an appropriate statement by the nurse? a. "Clients who require skilled nursing care at home qualify for hospice care." b. "One function of hospice is to provide teaching to clients about life-sustaining measures." c. "Hospice assists clients to develop the skills needed to care for themselves independently." d. "A component of hospice care is to control the client's symptoms."
answer
d
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An occupational health nurse is consulting with senior management of a local industrial facility. When discussing work-related illness and injury, the nurse should include which of the following as physical agents? (Select all that apply.) a. Noise b. Age c. Lighting d. Viruses e. Stress
answer
a,c
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A newly hired occupational health nurse at an industrial facility is performing an initial workplace assessment. Which of the following should the nurse determine when conducting a work site survey? a. Work practices of employees b. Past exposure to specific agents c. Past jobs of individual employees d. Length of time working in current role
answer
a
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A school nurse is scheduling visits with a physical therapist for a child who has cerebral palsy. In which of the following roles is the nurse functioning? a. Direct caregiver b. Consultant c. Case manager d. Counselor
answer
c
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A school nurse is planning health promotion and disease prevention activities for the upcoming school year. In which of the following situations is the nurse planning a secondary prevention strategy? a. Placing posters with images of appropriate hand hygiene near restrooms b. Routinely checking students for pediculosis throughout the school year c. Implementing age-appropriate injury prevention programs for each grade level d. Working with a dietician to determine carbohydrate counts for students who have diabetes mellitus
answer
b
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A nurse at a community clinic is conducting a well-child visit with a preschool-age child. The nurse should identify which of the following as a manifestation of child neglect? (Select all that apply.) a. Underweight b. Healing spiral fracture of the arm c. Genital irritation d. Burns on the palms of the hands e. Poor hygiene
answer
a, e
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A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following findings is a manifestation of withdrawal? a. Decreased blood pressure b. Diaphoresis c. Pin-point pupils d. Bradycardia
answer
b
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A community health nurse is developing an education program on substance use disorders for a group of adolescents. Which of the following should the nurse include when discussing nicotine and smoking? a. Smoking is the fifth-most preventable cause of death in the United States. b. Nicotine is a central nervous system depressant. c. Withdrawal effects from smoking are minimal. d. Tolerance to nicotine develops quickly.
answer
d
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A community health nurse is developing strategies to prevent or improve mental health issues in the local area. In which of the following situations is the nurse implementing a tertiary prevention strategy? a. Providing support programs for new parents b. Screening a client whose spouse recently died for suicide risk c. Teaching a client who has schizophrenia about medication interactions d. Discussing stress reduction techniques with employees at an industrial site
answer
c
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A nurse at an urban community health agency is developing an education program for city leaders about homelessness. Which of the following should the nurse include as the fastest-growing segment of the homeless population? a. Families with children b. Adolescent runaways c. Intimate partner abuse victims d. Older adults
answer
a
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A nurse is preparing a community health program on communicable diseases. When discussing modes of transmission, the nurse should include which of the following as an airborne illness? a. Cholera b. Malaria c. Influenza d. Salmonellosis
answer
c
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A home health nurse is discussing portals of entry with a group of newly hired assistive personnel. Which of the following are portals of entry the nurse should discuss? (Select all that apply.) a. Respiratory secretions b. Skin c. Genitourinary tract d. Saliva e. Mucous membranes
answer
b, c, e
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A newly hired public health nurse is familiarizing himself with the levels of disaster management. Which of the following actions is a component of disaster prevention? a. Outlining specific roles of community agencies b. Identifying community vulnerabilities c. Prioritizing care of individuals d. Providing stress counseling
answer
b
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A community health nurse is educating the public on the agents of bioterrorism. Which of the following are Category A biological agents? (Select all that apply.) a. Hantavirus b. Typhus c. Plague d. Tularemia e. Botulism
answer
c, d, e
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A community health nurse is determining available and needed supplies in the event of a bioterrorism attack. The nurse should be aware that community members exposed to anthrax will need access to which of the following medications? a. Metronidazole (Flagyl) b. Ciprofloxacin (Cipro) c. Zanamivir (Relenza) d. Fluconazole (Diflucan)
answer
b
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A nurse is creating partnerships to address health needs within the community. The nurse should be aware that which of the following characteristics must exist for partnerships to be successful? (Select all that apply.) a. A leading partner with decision-making authority b. Flexibility among partners when considering new ideas c. Adherence of partners to ethical principles d. Varying goals for the different partners e. Willingness of partners to negotiate roles
answer
b, c, e
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A nurse is reviewing the various roles of a community health nurse. Which of the following is an example of a nurse functioning as a consultant? a. Advocating for federal funding of local health screening programs b. Updating state officials about health needs of the local community c. Facilitating discussion of a client's ongoing needs with an interprofessional team d. Performing health screenings for high blood pressure at a local health fair
answer
b
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A case management nurse at an acute care facility is conducting an initial visit with a client to identify needs prior to discharge home. After developing a working relationship with the client, the nurse is engaging in the referral process. Which of the following should be the first action by the nurse? a. Monitor the client's satisfaction with the referral. b. Provide client information to referral agencies. c. Review available resources with the client. d. Identify referrals that the client needs.
answer
d
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A nurse developing a community health program is determining barriers to community resource referrals. Which of the following is an example of a resource barrier? a. Costs associated with services b. Decreased motivation c. Inadequate knowledge of resources d. Lack of transportation
answer
a
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A nurse is working with a client who has systemic lupus erythematosus and recently lost her health insurance. Which of the following is an appropriate action by the nurse in the implementation phase of the case management process? a. Coordinating services to meet the client's needs b. Comparing outcomes with original goals c. Determining the client's financial constraints d. Clarifying roles of interprofessional team members
answer
a
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