Community test 3 practice questions – Flashcards
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Vulnerable population groups are those that, in comparison with the population as a whole, have which of the following characteristics? A. Better access to health care services but poor health outcomes B. Greater likelihood of exposure to risk factors C. Multiple risk factors but equal health outcomes D. Few health conditions
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B. Greater likelihood of exposure to risk factors
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To provide effective care and advocacy for individuals, families and populations living in poverty, nurses must first: A. Apply epidemiological principles for prevention B. Develop resource expertise in the community C. Examine their personal beliefs, values, and experiences D. Understand the federal criteria and guidelines for poverty
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C. Examine their personal beliefs, values, and experiences
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Which of the following best represents the concept of homelessness as crisis poverty? A. Man with chronic alcoholism and drug abuse living in a halfway house B. Recently unemployed man evicted from his apartment C. Teenager living on the streets and abusing drugs D. Woman with schizophrenia who is living in a shelter
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B. Recently unemployed man evicted from his apartment
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An undocumented migrant farm worker, who can speak some English, has been diagnosed with TB. The local health department, using a Spanish translator, initiates tx by dispensing the first month's supply of medication and educates the client on the need to continue tx for 6-12m. A major challenge that client may face to ongoing tx for TB is: A. Affordable care B. Discrimination C. Fragmented services D. Language Barriers
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C. Fragmented services
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A group of migrant farmworkers has arrived in a community. The local public health nurse realizes that an important step before scheduling clinic services is to: A. Consult the public health staff regarding their scheduling preferences B. Learn about the farmworkers' concept of time and their work schedule to determine when and how services can best be scheduled C. Review written materials about the farmworkers' culture of origin D. Visit the farmworker camp and tell the camp leaders when clinic services will be available.
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B. Learn about the farmworkers' concept of time and their work schedule to determine when and how services can best be scheduled
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A nurse is implementing a population-focused model of home care delivery. Which of the following actions would most likely be taken by the nurse? A. use an assessment protocol when conducting visits B. Collaborate with other disciplines C. Provide care for a specific population D. Apply high-intensity interventions
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A. use an assessment protocol when conducting visits
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A nurse is coordinating care to ensure a comfortable and peaceful death. Which of the following factors should be an important consideration for the nurse? A. The unique stress dying patients often experience B. Cultural values, expectations, and preferences of the family C. The communication style of each family member D. The abilities of the nurse and health care team
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B. Cultural values, expectations, and preferences of the family
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A nurse has referred a home care client to hospice care. Which of the following best explains the rationale for this referral? A. To provide comfort and peace at a difficult time B. To reduce the cost of care for the terminally ill C. To keep clients at home until the end of life D. To provide care for terminally ill clients expected to live longer than 6 months
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A. To provide comfort and peace at a difficult time
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The nurse provides direct care services to a stroke victim to avoid complications. Which of the following levels of prevention is being implemented A. primary intervention B. secondary intervention C. tertiary intervention D. assessment
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C. tertiary intervention
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PHNs are challenged to respond to public health-related trends of the twenty-first century, which include: A. racial, ethnic, and economic health disparities; rise of drug-resistant pathogens; unequal access to health care; violence B. violence; availability of health care for all; and increasing life expectancy C. health disparities, access issues, and adequate mental health program funding D. rise of drug-resistant organisms, increased life-expectancy, societal violence, and more effective disease survelliance
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A. racial, ethnic, and economic health disparities; rise of drug-resistant pathogens; unequal access to health care; violence
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State public health agency responsibilities include: A. conducting community health assessments B. enforcing public health codes C. monitoring health status D. Providing expertise that facilitates EBP
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C. monitoring health status
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What is the goal of local public health departments? A. monitor communicable diseases B. improve health status of communities C. To offer services for the uninsured D. enforce environmental codes and laws
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B. improve health status of communities
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A PHN assists a client in identifying the services needed the most at the least cost. Which of the following best describes the role that the nurse is being used? A. Role Model B. Advocate C. Counselor D. Case manager
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D. Case manager
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A PHN is working with uninsured individuals. Which of the following is the most-appropriate action for the nurse to take? A. providing direct care for this population in times of acute illness B. advocating for federal policy changes for this population C. Assisting this population to access necessary health care services D. Encouraging lifestyle changes for this population
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C. Assisting this population to access necessary health care services
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A nurse is working in an occupational health setting. Which of the following roles will the nurse most likely have? A. Administrator B. Clinicians/practitioner C. Consultant D. Educator
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B. Clinicians/practitioner
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The nurse is doing a walk-through to identify workplace hazards. Which of the following levels of prevention is being implemented? A. Primary B. Secondary C. Tertiary D. Assessment
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A. Primary
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Secondary prevention in the occupational health arena may include: A. Providing education on safety in the workplace to prevent injury B. Working with chronically diabetic workers to ensure appropriate medication C. Screening for hearing loss resulting from noise levels in the plants D. Ensuring that a person with CV disease attends rehab programs
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C. Screening for hearing loss resulting from noise levels in the plants
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An occupational health nurse is involved in disaster planning. Which of the following actions would be most appropriate for the nurse to take: A. Assess for possible disasters B. Prevent injuries and death of workers C. Store Medical Data Sheets in a safe place D. Collaborate with government authorities to plan disaster management
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B. Prevent injuries and death of workers
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In the course of a single day, a PHN may engage in all three levels of preventive practice. Here is a list of activities she participated in just yesterday. Which of the following represents secondary prevention? A. Touched base with homebound student and her mother about child's needs B. Created and distributed take-home pamphlets on an after-school vaccination program C. Helped teach a substance abuse prevention class D. Conducted visual screening tests for 2nd graders
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D. Conducted visual screening tests for 2nd graders
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A faith community nursing program is creating in an individual community of faith. The nurse is paid by the congregation and is accountable to the congregation and its governing body. Which model of faith community nursing is being used? A. paid congregational B. paid institutional C. Unpaid congregational D. Unpaid institutional
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A. paid congregational
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Which dimension is central to the practice of parish nursing? A. physical B. Psychological C. Spiritual D. Social
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C. Spiritual
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A faith community nurse encourages participation in political activities that impact the health and wellbeing of the faith community. Which of the following roles is the nurse implementing? A. Counselor B. Developer of support groups C. Integrator of faith and health D. Advocate
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D. Advocate
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The scope of practice of the parish nurse would likely include which of the following independent nursing functions? Select all that apply. A. Completing a physical exam and instructing a client regarding the best OTC med to choose for back pain B. Conducting a health education session about clients' self-care regiments for HTN< including med and self-monitoring of BP C. Initiating a bereavement support group D. Providing a health risk appraisal and intervention plan for an elderly couple E. Providing spiritual care during a time of severe illness
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B. Conducting a health education session about clients' self-care regiments for HTN including med and self-monitoring of BP C. Initiating a bereavement support group D. Providing a health risk appraisal and intervention plan for an elderly couple E. Providing spiritual care during a time of severe illness
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A school nurse is providing health info to school administrators, teachers, and parent-teacher groups. Which of the following roles is being implemented? A. Health Educator B. Case manager C. Consultant Correct D. Counselor
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A. Health Educator
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A site that provides primary health care services to children and youths by NPs in the school setting is a: A. primary care clinic B. School-based health center C. School health services D. Child health improvement plan
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B. School-based health center
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A nurse identifies a child who may be abused or receives information from a teacher that a child may have been abused. Which of the following actions must the nurse take? A. Call the police immediately to take the child to a safe place B. Contact the parents and ask about it C. Contact the legal authorities as well as the school's principal D. Examine the child to see if the abuse really occured
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C. Contact the legal authorities as well as the school's principal
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A nurse is developing a community-based exercise program for a group of women who have CV disease. Which of the following levels of prevention is being used? A. primary B. secondary C. tertiary D. health promotion
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C. tertiary
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To develop a baseline for a presentation at the local women's club about the status of women's health in the community, a community-oriented nurse researches national vital statistics to establish the leading cause of women's death in the US. In the US, the leading cause for death is: A. cancer B. Heart disease C. Stroke D. Infectious disease
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B. Heart disease
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The population that best represents the differential vulnerability hypothesis is a group of: A. Children with family history of sickle cell and HTN B. homeless pregnant teens in substance abuse program C. Native Americans at risk for DM D. overweight children
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B. homeless pregnant teens in substance abuse program
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In an effort to decrease health disparities and improve life expectancy, the Social Security Act was amended in 1998 to provide federal funding to: A. Assure access for health care to elderly Americans B. Build hospitals to care for the medically indigent C. Insure children without health insurance D. Provide supplementary income for citizens with disabilities
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C. Insure children without health insurance
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Vulnerability is multidimensional, and one of the primary contributors to vulnerability is: A. Gender B. Race and ethnicity C.Resource limitations D. urban and rural residency
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C.Resource limitations
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A nurse providing a tertiary prevention intervention to a population of women who are HIV positive will most likely: A. Educate about self-care and the women's rights as employees B. establish a partnership with a community to initiate community health center C. Help identify new cases and ensure that clients receive proper tx D. teach how to lobby state legislators
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A. Educate about self-care and the women's rights as employees
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After performing an assessment of a client seeking treatment for hypertension at the local free clinic, the nurse informs the client that the family's children may qualify for enrollment in the state children's health insurance program. The nurse provides the enrollment forms and reviews them with the client, emphasizing how to apply for the benefits. This best exemplifies which principle for intervening with vulnerable populations? A. Carry out primary prevention B. Setting family-center, culturally sensitive goals C. Trying to minimize "hassle factor" D. Using the MAP-IT approach
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C. Trying to minimize "hassle factor"
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A community health nurse directly contacts a mammography clinic to arrange an appointment for a migrant worker with limited English language skills. The nurse communicates with the client through an interpreter to ensure that the appointment is scheduled to meet her needs and that the client understands the procedure to be performed. The role played by the nurse in this encounter with a member of a vulnerable population can best be described as: A. Advocacy B. Empowerment C. Partnership D. Social Justice
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A. Advocacy
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Health education is often used as a strategy in working with vulnerable populations. The benefits of health education can be greatly affected by the individual's or group's: A. Cycle of dependency B. Health Literacy C. Level of income D. Race and ethnicity
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B. Health Literacy
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Congress passed the Balanced Budget Act of 1997 with provisions intended to ensure the appropriateness of home health services for those who received them; however, the act may have increased health disparities for vulnerable populations such as: A. Frail older adults B.Low-income families with newborns C. Poor clients d/c from acute care D. Clients requiring IV antibiotics
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A. Frail older adults
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An unemployed individual with AIDS develops recurrent opportunistic infections that require repeated visits to the health clinic and the purchase of various medications to combat the infections and treat their associated side effects. This best demonstrates how the stress caused by poor health status can be related to: A. Barriers to access B. Cascade effects C. Cumulative risk D. Socially based inequity
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B. Cascade effects
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Vulnerable population groups are those that, in comparison with the population as a whole, have which of the following characteristics (select all that apply)? A. Better access to health care but poor outcomes B. Greater likelihood of exposure to Risk factors C. Multiple risk factors but equal outcomes D. Worse health outcomes
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B. Greater likelihood of exposure to Risk factors D. Worse health outcomes
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A nurse volunteering at a local homeless shelter notes that many of the clients have acute and chronic illnesses and are in need of primary health care services. The most effective strategy to consider when networking with homeless individuals, families or populations is to: A. Form a community partnership to establish a clinic for homeless persons. B. Create a trusting environment and establish a therapeutic relationship C. Collaborate with the local United Way to obtain funding for primary care services. D. Dialogue with local clergy to address the unmet primary care need for homeless persons
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B. Create a trusting environment and establish a therapeutic relationship
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Which of the following best represents the concept of homelessness as crisis poverty? A. Man with chronic alcoholism and drug abuse living in a halfway house. B. Recently unemployed man evicted from his apartment. C. Teenager living on the streets and abusing drugs. D. Woman with schizophrenia who is living in a shelter.
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B. Recently unemployed man evicted from his apartment.
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Deinstitutionalization of chronically ill individuals from publicly funded psychiatric hospitals had the unintended consequence of: A. Moving clients to readily available community-based care. B. Shortening hospital stays in mental health facilities. C. Increasing the funding for community-based services. D. Increasing the number of homeless persons.
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B. Shortening hospital stays in mental health facilities.
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Within the impoverished older adult population, the most vulnerable group may be: A. Elderly couples living in poverty with serious chronic illnesses. B. Elderly men with alcoholism and limited incomes. C. Homeless older adults. D. Newly widowed, low-income elderly women.
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C. Homeless older adults.
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A nurse working in a clinic in an inner city with high poverty and unemployment rates recognizes the need for programs for pregnant women because these women are at higher risk for: A. Home delivery and lack of prenatal care. B. Delivery of infants with low birth weight and birth defects. C. Multiple births and school dropout. D. Premature delivery and eligibility for participation in the Women, Infants, and Children program.
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B. Delivery of infants with low birth weight and birth defects.
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A recent movie release portrays a female drug user living with her abusive boyfriend, who has two children by different women, in a rundown inner city neighborhood with high levels of poverty and unemployment. This portrayal best describes the influence of which class of factors on societal responses to poverty and homelessness? A. Cultural B. Environmental C. Political D. Social
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A. Cultural
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A nurse case manager identifies a potential health outcomes concern for a 1-year-old with special needs living in an impoverished neighborhood, because this child is at increased risk for: A. Developmental delays. B. Ear infections. C. Frequent colds and infections. D. Irritability.
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A. Developmental delays.
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When working with the poor or homeless, to develop effective nursing interventions the nurse should evaluate clients and populations in the context of: A. Environment. B. Improvement in the quality of services. C. Human dignity. D. Nursing theories.
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A. Environment.
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To provide effective care and advocacy for individuals, families, and populations living in poverty, nurses must first: A. Apply epidemiologic principles for prevention. B. Develop resource expertise in the community. C. Examine their personal beliefs, values, and experiences. D. Understand the federal criteria and guidelines for poverty.
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C. Examine their personal beliefs, values, and experiences.
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To provide effective care and advocacy for individuals, families, and populations living in poverty, nurses must first: A. Apply epidemiologic principles for prevention. B. Develop resource expertise in the community. C. Examine their personal beliefs, values, and experiences. D. Understand the federal criteria and guidelines for poverty.
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C. Examine their personal beliefs, values, and experiences.
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Effects of homelessness on health care outcomes can be devastating and may include which of the following (select all that apply)? A. Higher incidence of acute and chronic disease. B. Higher risk of physical trauma. C. Crisis-oriented health care, usually in emergency departments. D. Reduced eligibility for entitlement/assistance programs. E. Lack of awareness of care options.
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A. Higher incidence of acute and chronic disease. B. Higher risk of physical trauma. C. Crisis-oriented health care, usually in emergency departments. E. Lack of awareness of care options.
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A high school teen tells the school nurse that she wants to become pregnant. The most appropriate nursing action is to: A. Clarify the intent and inform the teen's parent(s) of the potential to influence her behaviors. B. Discourage the teen's interest in pregnancy when she has a full life ahead of her. C. Encourage the teen to use contraception if she intends to be sexually active. D. Provide preconception counseling and emphasize the need to achieve good health.
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D. Provide preconception counseling and emphasize the need to achieve good health.
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When planning a program for pregnant adolescents, the nurse should be aware that pregnant adolescents who decide to have a child experience an increased risk for: A. Reduced lifetime earning potential. B. Eating disorders. C. Genetic diseases in their infants. D. Weight gain.
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A. Reduced lifetime earning potential.
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The challenges faced by a pregnant teen when attempting to establish paternity may be impacted by: A. Beliefs that impregnating a women proves masculinity. B. Demands for involvement in the child's birth. C. Denial of paternity because of associated financial obligations. D. Involvement of the legal system to acknowledge paternity.
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D. Involvement of the legal system to acknowledge paternity.
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For the pregnant adolescent, the factors that pose the greatest nutritional challenge are: A. Chronological age and fetal growth. B. Family support and teen attitude. C. Lifestyle, growth, and development. D. Need to limit weight gain and increase exercise.
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C. Lifestyle, growth, and development.
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The community health nurse visits the home of a pregnant teen who lives with her parents, one older brother, and two preteen sisters. The best strategy for meeting the objectives of Healthy People 2020 would be for the nurse to offer which of the following for the entire family? A. Anticipatory guidance addressing sexuality issues. B. Assessment for financial assistance. C. Assessment of family dynamics. D. Environmental assessment addressing suitability for child rearing.
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A. Anticipatory guidance addressing sexuality issues.
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Teens are at higher risk for becoming pregnant because of the presence of multidimensional factors that include such things as adolescent immaturity, low levels of contraceptive use, and: A. Early age of initiation of sexual activity, sexual victimization, and peer pressure. B. Parenting styles, family structure, and paternity issues. C. Partner pressure, discouragement of abortion, and poor nutrition. D. Poor nutrition, preterm delivery, and late-term prenatal care.
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A. Early age of initiation of sexual activity, sexual victimization, and peer pressure.
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Adolescents who feel competent as parents have enhanced self-esteem, which, in turn, positively influences their relationship with their child and response to the child's cues signaling basic needs or distress. It is important for the nurse to initiate parenting education for both parents as early as possible to increase the teens' understanding of their child's growth, development, and needs in order to reduce the risk for: A. Academic behavior problems in the future. B. Abusive parenting. C. Limited verbal communication with the infant. D. Negative parenting feedback.
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B. Abusive parenting.
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Factors that are associated with decreased sexual risk behaviors in teens include higher levels of parental education and: A. Age-restricted discussion of sexual issues. B. Good family health practices. C. Strict parental rules on behaviors. D. Membership in the white majority versus other racial groups.
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B. Good family health practices.
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The nurse is following a pregnant teen who attends the local high school. The nurse plans to discuss self-care activities that will be important for the teen during her pregnancy and assist in keeping the teen in school. The nurse's interventions will involve the teen and the staff and teachers at the local high school. These interventions should address specific needs related to: A. Adequate hydration and screening for depression. B. Desk space and desk location in the classroom. C. Frequency of bathroom breaks and modifications to bookbag weight. D. Use of the stairs and consumption of high-carbohydrate sodas for snacks.
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C. Frequency of bathroom breaks and modifications to bookbag weight.
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A nurse planning a primary intervention program for adolescent pregnancy reviews trends in adolescent pregnancy, births, abortions, and adoption and notes that comparisons with other developed countries indicates which of the following (select all that apply)? A. Adolescent pregnancy rates continue to rise because of unreliable contraceptive methods. B. Use of contraceptives is limited among teens in the United States. C. The U.S. population is generally ambivalent about providing comprehensive sexuality education at home and at school. D. Female students are more likely to initiate sexual activity before the age of 13 years. E. Changes in parental notification or consent requirements for minors impacted rates of teen abortions.
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B. Use of contraceptives is limited among teens in the United States. C. The U.S. population is generally ambivalent about providing comprehensive sexuality education at home and at school. E. Changes in parental notification or consent requirements for minors impacted rates of teen abortions.
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The most effective primary prevention intervention to reduce the incidence of child abuse is: A. Adolescent role playing of the realities of parenting. B. Education of grandparents on the risk factors and indicators of child abuse. C. Provision of parenting classes for college students. D. Provision of parenting and conflict-management classes for survivors of child abuse.
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D. Provision of parenting and conflict-management classes for survivors of child abuse.
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Nurses must be aware of the incidence of incest, its signs and symptoms, and the psychological and physical trauma it causes. One fact relevant to comprehensive nursing assessment is that incest: A. Occurs in all races, religious groups, and socioeconomic classes. B. Often occurs in father-son relationships. C. Occurs only in father-daughter relationships. D. Never occurs in stepparent-child relationships.
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A. Occurs in all races, religious groups, and socioeconomic classes.
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In conducting a nursing assessment of new parents the nurse should be aware of the warning signs of actual or potential abuse, including: A. History of adolescent depression and suicidal thoughts. B. Intermittent religious affiliations. C. Lack of legal marital status. D. Verbal aggressiveness or detachment.
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D. Verbal aggressiveness or detachment.
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In caring for a rape victim/survivor, the nurse should be aware that the client will initially exhibit: A. Anger and fear with repeated recounting of the sequence of events during the assault. B. Crying, shouting, and hysteria followed by helplessness and self-blame. C. Different responses that vary from client to client and may include emotional withdrawal, silence, and/or repeated verbal description of the event. D. Symptoms of early onset posttraumatic stress disorder.
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C. Different responses that vary from client to client and may include emotional withdrawal, silence, and/or repeated verbal description of the event.
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Professional nursing organizations recommend that all women be routinely screened for domestic violence when they: A. Come to the emergency department with physical trauma. B. Come to any health care setting. C. Repeatedly visit their primary care provider with symptoms of depression or anxiety. D. Report increased financial stress in the home.
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B. Come to any health care setting.
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In following the principles of nursing interventions with violent families, nurses should: A. Avoid provoking the perpetrator by initially suggesting that the victim leave the relationship. B. Indicate zero tolerance for any further violence, degradation, or exploitation of family members. C. Provide assurances that the family's confidentiality will not be violated. D. Threaten to report child abuse to the authorities.
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B. Indicate zero tolerance for any further violence, degradation, or exploitation of family members.
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Community-level factors that influence violence and human abuse are: A. Bullying, gangs, and corporal punishment. B. Job boredom and unemployment rate. C. Population density, sense of cohesiveness, and diversity. D. Poverty, recreational facilities, access to health care.
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C. Population density, sense of cohesiveness, and diversity.
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Violent crimes in the United States include rape, robbery, homicide, and assault. Although rates are decreasing, the long-term consequences of victimization reveal troubling trends that best support the realization that violence must be addressed as which of the following? A. Community and public health problem. B. Legal and political concern. C. Medical and health care concern. D. Nursing concern.
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A. Community and public health problem.
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When working with battered women, the nurse needs to know that research suggests that the response to abuse is a process that moves from: A. Commitment to the relationship to leaving to start a new life. B. Emotional degradation to financial dependence to dominance. C. Heated argument to hitting to battering. D. Self-blame to fear to terror.
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A. Commitment to the relationship to leaving to start a new life.
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When conducting a nursing assessment of an older adult living with a daughter's family, the nurse should be aware that indicators of potential or actual elder abuse in the older adult may include which of the following (select all that apply)? A. Cognitive impairment. B. Fear of a relative or caregiver. C. Unexplained genital infections. D. Unmet basic needs. E. Withdrawal and passivity.
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B. Fear of a relative or caregiver.Correct C. Unexplained genital infections.Correct D. Unmet basic needs.Correct E. Withdrawal and passivity.Correct
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The advanced public health nurse is a licensed nurse and: A. Baccalaureate degree prepared to apply the science of public and community health. B. Master's or doctoral degree prepared to apply advanced practice nursing knowledge in the care of individuals and families in a fixed setting. Incorrect C. Master's or doctoral degree prepared to assume a leadership role in working with individuals, families, groups, or communities to improve the health of the whole community. D. Primarily employed as a public health research leader, educator, and coordinator.
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C. Master's or doctoral degree prepared to assume a leadership role in working with individuals, families, groups, or communities to improve the health of the whole community.
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An advanced public health nurse (APHN) problem solves in partnership with a community to solve health care access issues for the poor elderly in the community. The advanced practice role that best describes this intervention is: A. Clinician. B. Consultant. C. Educator. D. Researcher.
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B. Consultant.
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The strategy that is most appropriate for an advanced public health nurse to consider when planning a population-focused health promotion program is to: A. Contact the state health department to determine state-level health objectives. B. Develop a collaborative relationship with community groups, leaders, and members. C. Identify the target population and begin screening for participants. Incorrect D. Meet with community members and tell them about the program.
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B. Develop a collaborative relationship with community groups, leaders, and members.
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The statement that best reflects the Center for Medicare and Medicaid Services (CMS) model for direct reimbursement of nurse practitioners (NPs) as Medicare providers is: A. Certified family nurse practitioners (CFNPs) and certified pediatric nurse practitioners (CPNPs) require the supervision of a physician. B. NPs in federally qualified rural clinics qualify for direct reimbursement. C. Regardless of the geographic setting, NPs receive 85% of the scheduled CMS fees for physicians. D. NPs receive a sliding fee schedule based on local third-party payer practices.
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C. Regardless of the geographic setting, NPs receive 85% of the scheduled CMS fees for physicians.
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In proactively managing the role stressor of expanded liability, the Advanced Public Health Nurse (APHN) must understand that: A. Which liability standard is applied depends on the scope of the nurse practitioner (NP)'s or APHN's authority. B. Malpractice insurance carriers for advanced practice nurses offer similar policies. C. Nurses functioning with a physician on site are more vulnerable. D. Liability/malpractice insurance is required to practice as an NP or APHN.
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A. Which liability standard is applied depends on the scope of the nurse practitioner (NP)'s or APHN's authority.
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One of the concerns faced by nurse practitioners (NPs) because of their direct care role is: Facing consumer group opposition to added complexity in the health care system. B.Obtaining employment and role negotiation. Incorrect C. Obtaining institutional hospital privileges. D. Coping with staff nurse resentment of the advanced practice role and independent practice.
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C. Obtaining institutional hospital privileges.
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The purpose of professional certification is to: A. Assure the public that advanced practice nurses have achieved an appropriate level of competence. B. Determine competency for graduation from a community health advanced practice nursing programs. C. Establish a standardized national examination mandated for all community health advanced practice nurses. D. Meet state board requirements for licensure as an advanced practice nurse.
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A. Assure the public that advanced practice nurses have achieved an appropriate level of competence.
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A nurse practitioner (NP) is employed at a small rural primary health clinic on a Hopi reservation in the Southwest as a member of the National Health Service Corps. This practice arena for the advanced practice nurse can best be described as: A. Governmental. B. Independent. C. Industrial. D. Private/joint.
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A. Governmental.
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Changes in the health care system and nursing have occurred in the past few decades because of a shift in: A. Educational preparation for advanced practice nurses. B. Legislative initiatives. C. Physician shortages. D. Societal demands and needs.
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D. Societal demands and needs.
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Major stressors frequently encountered by the advanced public health nurse (APHN) in the community include which of the following (select all that apply)? A. Conflicting expectations. B. Liability. C. Professional isolation. D. Professional responsibilities. E. Reimbursement issues.
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A. Conflicting expectations. B. Liability. C. Professional isolation. D. Professional responsibilities.
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The shift of home care away from its charitable and public health-oriented roots toward current models in use can be attributed to: A. Consolidation of voluntary and official home health agencies. B. Expansion of home care to include community health needs. C. Integration of home care into benefit programs. D. Passage of the Medicare prospective payment system.
answer
C. Integration of home care into benefit programs.
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Medicare regulations, professional organizations, and state licensing boards dictate the responsibilities and functions of health professionals in providing home care, and a variety of specialized services can be included in home care either through direct care service, staff education, or consultation. Because of this need for various knowledge, skills, and perspectives, successful functioning in the provision of services requires: A. Certified advance practice home health nurses. B. Integration of home health aide and homemaker roles. C. Interprofessional teams. D. Physician certification of the medical problem and plan of care.
answer
C. Interprofessional teams.
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Hospice care would be an appropriate option to discuss with which of the following patients? A. Patient with stage II lung cancer who is undergoing chemotherapy. B. Patient with early Alzheimer's disease whose caregiver needs respite care. C. Patient with metastatic breast cancer who has discontinued chemotherapy and radiation treatment. D. Patient with severe debilitating osteoporosis.
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C. Patient with metastatic breast cancer who has discontinued chemotherapy and radiation treatment.
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The minimum requirements for entry into home care practice should be: A. Baccalaureate in nursing. B. Baccalaureate in nursing and clinical nurse specialist (CNS) certification. C. Master's in nursing. D. Master's in nursing and CNS certification.
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A. Baccalaureate in nursing.
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The incentives and pressures for cost control and improved health outcomes have promoted the development of technologies that are simpler, more reliable, and: A. More acceptable to the patient. B. Less expensive. C. More expensive. D. Safer for home use.
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D. Safer for home use.
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The Omaha System was initially designed to the address the concerns of nurses practicing in the community in the following areas (select all that apply): A. Documentation. B. Information management. C. Nursing practice. D. Telehealth. E. Specialty certification.
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A. Documentation. B. Information management. C. Nursing practice.
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In home health care, the use of performance improvement programs, evidence-based practice guidelines, and appropriate communication, documentation, and telehealth technologies are strategies to address the issue of: A. Agency accreditation. B. Professional performance standards. C. Malpractice risk reduction. D. Regulatory compliance.
answer
C. Malpractice risk reduction.
