Community/Public Health Nursing-Final And Hesi Prep: Practice Questions Actual Exam With Questions And Correct Verified Answers Graded A+ || 100% Guaranteed Pass Newest Version

COMMUNITY/PUBLIC HEALTH NURSING-FINAL AND HESI PREP: PRACTICE QUESTIONS ACTUAL EXAM WITH QUESTIONS AND CORRECT VERIFIED ANSWERS GRADED A+ || 100% GUARANTEED PASS NEWEST VERSION A nurse educator who teaches at the local community college takes the time to read and understand her community's disaster plans and participates in community mock disasters as a leader of the triage team. The best description of the nurse's activities would be: a. ARC disaster training. b. community preparedness. c. personal preparedness. d. professional preparedness. - Answer ️d. professional preparedness. The nurse who is professionally prepared is aware of and understands the disaster plans at the workplace and in the community. Adequately prepared nurses can serve as leaders and assist others to have a smoother recovery phase. To maintain effective disaster preparedness, nurses working in the community can play a critical role in providing an updated record of: a. immunizations. b. active tuberculosis (TB) cases. c. WIC enrollees. d. vulnerable populations. - Answer ️d. vulnerable populations. When calamity strikes, disaster workers must know what kinds of populations they are attempting to assist. Accurate information regarding the location of a retirement village, nursing home, childcare center, rehabilitation center, individuals cared for in the home who are dependent on critical medical equipment, or locations with special populations is crucial. A nurse in community health in California has been working with a 6-year-old child that was rescued from a mudslide. The nurse will observe the child for which of the following stress effects? Select all that apply. a. Bed-wetting episodes b. Desire to return to school c. Fantasies of denial d. Increased playfulness with peers e. Thumb sucking - Answer ️a. Bed-wetting episodes c. Fantasies of denial e. Thumb sucking The effects of disasters on children can be especially disruptive. They can resort to regressive behaviors such as sucking their thumb, wetting their bed, crying, and clinging to parents or have nightmares and fantasies that the disaster never occurred. School-related problems may also develop, and the child may not be able to concentrate or may even refuse to attend school. Which of the following statements accurately describe the stress reaction phases a community may experience during a disaster response? Select all that apply. a. Disillusionment and reconstruction is most associated with response efforts. b. During the Heroic phase, there is overwhelming need for people to do whatever they can to help others survive the disaster. c. In the Honeymoon phase, survivors may be rejoicing in that their lives and the lives of loved ones have been spared. d. Disillusionment is the longest phase in the stress reaction process. e. The Disillusionment phase occurs after time elapses and people begin to notice that additional help and reinforcement may not be immediately forthcoming. - Answer ️b. During the Heroic phase, there is overwhelming need for people to do whatever they can to help others survive the disaster. c. In the Honeymoon phase, survivors may be rejoicing in that their lives and the lives of loved ones have been spared. e. The Disillusionment phase occurs after time elapses and people begin to notice that additional help and reinforcement may not be immediately forthcoming. The first two phases, the Heroic and Honeymoon phases, are most often associated with response efforts. The latter two phases, Disillusionment and Reconstruction, are most often linked with recovery. In the event of a disaster, shelters are generally the responsibility of which of the following entities? a. Centers for Disease Control and Prevention (CDC) b. Federal Emergency Management Agency (FEMA) c. Public Health Service (PHS) d. Red Cross chapter - Answer ️d. Red Cross chapter Shelters are generally the responsibility of the local Red Cross chapter, although in massive disasters the military may set up "tent cities" or bring in trailers for the masses who need temporary shelter. Nurses, because of their comfort with delivering aggregate health promotion, disease prevention, and emotional support, make ideal shelter managers and team members. What are the core competencies of the nurse participating in surveillance and investigation activities? Select all that apply. a. Basic patient assessment skills b. Effective communication skills c. Ability to collaborate with community partners d. Advanced-practice nurse with secondary science degree e. Leadership and systems thinking - Answer ️b. Effective communication skills c. Ability to collaborate with community partners e. Leadership and systems thinking According to the Minnesota Model of Public Health interventions, what is the first step of surveillance for the public health nurse? a. Organize the data. b. Analyze the data. c. Interpret and disseminate the data. d. Determine if surveillance is appropriate. - Answer ️d. Determine if surveillance is appropriate. The Minnesota Model of Public Health Interventions: Applications for Public Health Nursing Practice (Centers for Public Health Nursing 2001, pp. 15, 16) suggests that surveillance is one of the interventions related to nursing practice in public health. The model provides seven basic steps of surveillance for nurses to follow The hospital infection control practitioner reports new cases of tuberculosis to the public health department. Of what type of surveillance system is this an example? a. Passive b. Active c. Sentinel d. Special - Answer ️a. Passive Surveillance systems in use today are defined as passive, active, sentinel, and special. In the passive system, case reports are sent to local health departments by health care providers (i.e., physicians, nurses) or laboratory reports of disease occurrence are sent to the local health department. In the active system, the nurse, as an employee of the health department, may begin a search for cases through contacts with local health providers and health care agencies. In the sentinel system, trends in commonly occurring diseases or key health indicators are monitored. Special systems are developed for collecting particular types of data; these may be a combination of active, passive, and/or sentinel systems. Which of the following systems of surveillance is used to monitor trends in commonly occurring diseases? a. Active b. Passive c. Sentinel d. Syndronic - Answer ️c. Sentinel In the sentinel system, trends in commonly occurring diseases or key health indicators are monitored. What is the purpose of using an algorithm in the surveillance process? a. Tells the nurse who to call in the event of an outbreak. b. Provides the nurse with a step by step plan to identify events needing investigation. c. Provides the nurse with a system for telephone triage in an outbreak. d. It is a visual reminder of the epidemiologic triangle. - Answer ️b. Provides the nurse with a step by step plan to identify events needing investigation. A quality surveillance system requires collaboration among a number of agencies and individuals: federal agencies, state and local public health agencies, hospitals, health care providers, medical examiners, veterinarians, agriculture, pharmaceutical agencies, emergency management, and law enforcement agencies, as well as 911 systems, ambulance services, urgent care and emergency departments, poison control centers, nurse hotlines, school, and industry. A disease outbreak of severe acute respiratory syndrome has occurred and has spread over several countries outside the United States. This level of occurrence is said to be: a. hyperendemic. b. sporadic. c. epidemic. d. pandemic. - Answer ️d. pandemic. Pandemic refers to the epidemic spread of the problem over several countries or continents (such as severe acute respiratory syndrome [SARS] outbreak). If a problem is considered hyperendemic, there is a persistently (usually) high number of cases. Sporadic problems are those with an irregular pattern with occasional cases found at irregular intervals. Epidemic means that the occurrence of a disease within an area is clearly in excess of expected levels (endemic) for a given time period What are the purposes of disease surveillance in public health? Select all that apply. a. Tries to identify terrorist attacks before they occur. b. Provides a means for nurses to monitor disease trends. c. Generates knowledge about disease or outbreak patterns. d. Allows the nurse to advocate for policy changes. e. Reduces morbidity and mortality and improves health through disease trend monitoring. - Answer ️b. Provides a means for nurses to monitor disease trends. c. Generates knowledge about disease or outbreak patterns. e. Reduces morbidity and mortality and improves health through disease trend monitoring. Surveillance is a critical role function for nurses practicing in the community. It is important because it generates knowledge of a disease or event outbreak patterns (including timing, geographic distribution, and susceptible populations). Surveillance provides a means for nurses to monitor disease trends to reduce morbidity and mortality and to improve health. The public health nurse is most likely to use what types of surveillance systems? Select all that apply. a. Active b. Passive c. Sentinel d. Syndronic - Answer ️a. Active b. Passive Although all of the systems are important, the public health nurse is most likely to use the active or passive systems. A passive system may use the state reportable disease system to complete a community assessment or MAPPS. The active system is used when several schoolchildren become ill after eating lunch in the school cafeteria or at the local hot dog stand, to investigate the possibility of food poisoning, or to follow up the contacts of a newly diagnosed client with tuberculosis or a sexually transmitted infection (STI) at the local homeless shelter. The deliberate release of viruses, bacteria, or other germs with the intent of causing illness or death is: a. event outbreak. b. chemical terrorism. c. biological terrorism. d. surveillance. - Answer ️c. biological terrorism. An elementary classroom of 28 students has had 13 children who have developed chicken pox over the last 3 weeks. What is the pattern of occurrence? a. Common source outbreak b. Point source outbreak c. Continuous source d. Mixed outbreak - Answer ️c. Continuous source Intermittent or continuous source cases may be exposed over a period of days or weeks, as in the recent food poisonings at a restaurant chain throughout the United States as a result of the restaurant's purchase of contaminated green onions. A common source outbreak refers to a group exposed to a common noxious influence such as the release of noxious gases. In a point source outbreak all persons exposed become ill at the same time, during one incubation period. A mixed outbreak (which was described while investigating a foodborne gastroenteritis caused by a Shigella sonnei virus) is a common source followed by secondary exposures related to person-to-person contact, as in the spreading of influenza.