TEST BANK FOR COMMUNITY AND PUBLIC HEALTH NURSING

11. A local community has a significant population of migrant workers. In response, a community health nurse plans to prevent a program to the local community about this population. As part of the program the nurse plans to include information about Cesar Chavez, describing him as which of the following? A) A Mexican president who worked to keep people from crossing the border illegally B) A well-known actor who advocates for increasing the number of Latinos in Hollywood C) The senator who wrote the Children's Health Insurance Program (CHIP) bill D) Founder of the United Farm Workers who spent his life fighting for social justice Ans: D Feedback: Cesar Chavez founded the United Farm Workers (UFW), the first union in agricultural labor history that successfully organized migrant farmworkers. Chavez fought for social justice and is an example of a migrant hero. He was not a senator, well-known actor, or Mexican president. 12. When providing care for migrant workers, which of the following would be most appropriate for the community health nurse to do? A) Maintain existing services B) Use standard methods of health care delivery C) Employ information tracking systems D) Use professionals for community outreach Ans: C Feedback: Employing information tracking systems is necessary due to the mobility of this population and the need for continuity of care. The nurse should improve the existing services, use unique methods of health care delivery to reach this population, and use lay personnel for community outreach. 13. A community health nurse works to offer increased health care services to meet the needs of a local migrant population. Which of the following ideas will work well for this population? Select all that apply. A) Providing a mobile van clinic that comes to the farms during the day B) Offering a clinic at the migrant camp from 7 to 10 PM C) Asking local doctors to stay open until 6 PM during the summer D) Offering school-based health services for the children E) Providing a breakfast program for the children at school Ans: A, B, D, E Feedback: The van at the work site, services for children in school including a breakfast program, a late evening clinic at the camp would help the greatest number of migrant family members. Migrant workers are in the fields until dark. In the summer that may be 9 PM; thus, a physician who stays open until 6 PM will not help. 14. When dealing with urban populations, which of the following issues would a community health nurse most likely face? Select all that apply. A) Health disparities in the population B) Lower levels of homelessness C) Increased cases of asthma D) High levels of poverty E) Major transportation issues Ans: A, C, D Feedback: Health disparities are very evident in the populated urban setting. There are increased levels of asthma and higher levels of poverty. Homelessness is more evident, yet transportation issues are not as great as in suburban or rural areas. 15. After teaching a group of community health nursing students about urban sprawl and its effects, the instructor determines that additional teaching is needed when the students identify which of the following as an effect? A) Water pollution B) Heat islands C) Less exposure to pesticides D) Decreased air quality Ans: C Feedback: Encroachment of housing areas into natural habitats or farmlands can lead to wider human exposure to pesticides, herbicides, and other things such as mosquito-borne illnesses. Urban encroachment into agricultural areas creates problems with air and water pollution, access to health care, and heat islands. 16. Which of the following are livability principles that have been identified by the Partnership for Sustainability Communities? Select all that apply. A) Diminish economic competitiveness B) Disassemble existing communities C) Coordinate and leverage federal policies and investment D) Provide more transportation choices E) Promote equitable, affordable housing Ans: C, D, E Feedback: The six livability principles include (1) provide more transportation choices, (2) promote equitable, affordable housing, (3) enhance economic competitiveness, (4) support existing communities, (5) coordinate and leverage federal policies and investment, and (6) value communities and neighborhoods. 17. concept of social justice, which of the following if stated by the group as a component indicates effective teaching? A) Decreased burden borne by all B) Increased benefits obtained for all C) Narrow isolated view of health D) Diversity viewed as a strength Ans: D Feedback: Social justice occurs when a society provides for the health needs and health care issues of all people by treating people fairly, regardless of where they live or who they are. It deals with concepts of inclusion, participation, empowerment, and the recognition that diversity is a strength. Social justice involves an equal bearing of the burdens and equal reaping of the benefits. Community health nurses who practice social justice have broad and holistic views of health. 18. A community health nurse working with urban populations integrates the concept of social justice into practice by demonstrating which of the following? A) Impartiality B) Paternalism C) Self-interest D) Inflexibility Ans: A Feedback: Social justice requires impartiality, that is, ensuring that interventions are just and the outcome is fair when viewed by an uninvolved outsider. Paternalism reflects an individual focus rather than the population focus of social justice. Self-interest and inflexibility would interfere with impartiality and, subsequently, social justice. 19. is describing how rural community health nursing compares with community health nursing in urban and suburban areas. Which of the following would the nurse include about rural community health nurses? A) Salaries comparable with the other two areas B) More difficulty in initiating planned change C) Nurses viewed as active, highly respected community members D) Less physical isolation from professional opportunities Ans: C Feedback: Rural community health nurses are active members of their community and are highly respected professionals. Salaries typically are lower than that of urban nurses in comparable positions. However, because the system of health care is smaller, it can be easier to understand the system and initiate planned change. Rural community health nurses may experience the challenge of physical isolation from personal and professional opportunities associated with urban areas. Traveling to cities for basic and continuing education can be a barrier. In addition, rural nurses may feel isolated in clinical practice because of the scarcity of professional colleagues.