COMMUNITY AND PUBLIC HEALTH NURSING EXAM 2 ACTUAL TEST PAPER QUESTIONS
CORRECT ANSWERS GRADED A PLUS
Question:
poverty, nurses must first:
Answer:
Examine their personal beliefs, values, and experiences Which of the following best represents the
concept of homelessness as crisis poverty? - ✓✓B. Recently unemployed man evicted from his
apartment 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: - ✓✓Fragmented services
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. -✓✓B. Learn about the farmworkers' concept of time
and their work schedule to determine when and how services can best be scheduled 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 -✓✓A. use an assessment protocol when conducting visits 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 -✓✓B. Cultural values,
expectations, and preferences of the family 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
-✓✓A. To provide comfort and peace at a difficult time 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 -✓✓C. tertiary intervention 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 -✓✓A. racial, ethnic, and economic health
disparities; rise of drug-resistant pathogens; unequal access to health care; violence 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 -✓✓C.
monitoring health status 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 -✓✓B. improve health status of communities 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 -✓✓D. Case manager 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 -✓✓C. Assisting this population to access necessary health care
services 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
-✓✓B. Clinicians/practitioner 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 -✓✓A. Primary 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 -✓✓C. Screening for hearing loss resulting from noise levels in the plants 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 -✓✓B. Prevent injuries and death of workers 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 -✓✓D. Conducted visual
screening tests for 2nd graders 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 -✓✓A. paid
congregational Which dimension is central to the practice of parish nursing? A. physical B.
Psychological C. Spiritual D. Social -✓✓C. Spiritual 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 -✓✓D. Advocate 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 -✓✓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 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 -✓✓A.
Health Educator 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 -✓✓B. School-based health center 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 -✓✓C. Contact the legal
authorities as well as the school's principal 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 -✓✓C. tertiary 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 -✓✓B. Heart disease 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 -✓✓B. homeless pregnant teens in substance abuse program 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 -✓✓C. Insure children without health insurance
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 -✓✓C.Resource
limitations 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 -✓✓A.
Educate about self-care and the women's rights as employees After performing an assessment of a
client seeking treatment for hypertension at the local free clinic, the nurse informs the client that the
CORRECT ANSWERS GRADED A PLUS
Question:
poverty, nurses must first:
Answer:
Examine their personal beliefs, values, and experiences Which of the following best represents the
concept of homelessness as crisis poverty? - ✓✓B. Recently unemployed man evicted from his
apartment 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: - ✓✓Fragmented services
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. -✓✓B. Learn about the farmworkers' concept of time
and their work schedule to determine when and how services can best be scheduled 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 -✓✓A. use an assessment protocol when conducting visits 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 -✓✓B. Cultural values,
expectations, and preferences of the family 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
-✓✓A. To provide comfort and peace at a difficult time 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 -✓✓C. tertiary intervention 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 -✓✓A. racial, ethnic, and economic health
disparities; rise of drug-resistant pathogens; unequal access to health care; violence 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 -✓✓C.
monitoring health status 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 -✓✓B. improve health status of communities 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 -✓✓D. Case manager 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 -✓✓C. Assisting this population to access necessary health care
services 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
-✓✓B. Clinicians/practitioner 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 -✓✓A. Primary 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 -✓✓C. Screening for hearing loss resulting from noise levels in the plants 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 -✓✓B. Prevent injuries and death of workers 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 -✓✓D. Conducted visual
screening tests for 2nd graders 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 -✓✓A. paid
congregational Which dimension is central to the practice of parish nursing? A. physical B.
Psychological C. Spiritual D. Social -✓✓C. Spiritual 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 -✓✓D. Advocate 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 -✓✓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 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 -✓✓A.
Health Educator 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 -✓✓B. School-based health center 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 -✓✓C. Contact the legal
authorities as well as the school's principal 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 -✓✓C. tertiary 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 -✓✓B. Heart disease 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 -✓✓B. homeless pregnant teens in substance abuse program 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 -✓✓C. Insure children without health insurance
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 -✓✓C.Resource
limitations 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 -✓✓A.
Educate about self-care and the women's rights as employees After performing an assessment of a
client seeking treatment for hypertension at the local free clinic, the nurse informs the client that the
