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Exam (elaborations)

Community & Public Health Nursing - exam 1

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Community & Public Health Nursing - exam 1 Vulnerable population groups are those that, in comparison with the population as a whole, have which of the following characteristics? Ans- Greater likelihood of exposure to risk factors To provide effective care and advocacy for individuals, families and populations living in poverty, nurses must first: Ans- Examine their personal beliefs, values, and experiences Which of the following best represents the concept of homelessness as crisis poverty? Ans- 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: Ans- 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. Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- A. paid congregational Which dimension is central to the practice of parish nursing? A. physical B. Psychological C. Spiritual D. Social Ans- 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 Ans- 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 OT

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Community & Public Health Nursing -
exam 1
Vulnerable population groups are those that, in comparison with the population as a whole, have which
of the following characteristics? Ans- Greater likelihood of exposure to risk factors



To provide effective care and advocacy for individuals, families and populations living in poverty, nurses
must first: Ans- Examine their personal beliefs, values, and experiences



Which of the following best represents the concept of homelessness as crisis poverty? Ans- 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: Ans- 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. Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- 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 Ans- B. Prevent injuries and
death of workers

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