1. A nurse manager is developing a new staffing plan for a busy
medical-surgical unit. Which of the following factors should the nurse
manager prioritize to ensure safe staffing levels?
A. Budget limitations
B. Patient acuity levels
C. Staff seniority
D. Unit location within the hospital
Answer: B. Patient acuity levels
Rationale: The primary factor in determining staffing levels should be
patient acuity, as this directly impacts the amount of care needed for
each patient. Adequate staffing ensures that patients' needs are met
safely and effectively. While budget and other factors like seniority or
unit location can influence staffing decisions, they should not take
precedence over patient acuity.
2. A nurse is working in a community health setting and is conducting
a needs assessment for a population in a rural area. Which of the
following should the nurse include in the assessment?
A. Only health care services currently available
B. Only health-related behaviors and risk factors
C. Demographic data, health status, and available resources
D. Opinions of healthcare providers in the area
Answer: C. Demographic data, health status, and available resources
Rationale: A comprehensive community health needs assessment
should include demographic data, health status, and the resources
available to the community. This information allows the nurse to
,identify health needs and gaps in services, and it provides a foundation
for designing interventions and services.
3. A nurse is facilitating a community education program on reducing
the risk of hypertension. Which of the following should the nurse
include as part of the education?
A. Reducing sodium intake and maintaining a healthy weight
B. Avoiding physical activity and maintaining stress
C. Encouraging a diet high in saturated fats and cholesterol
D. Reducing fluid intake and increasing alcohol consumption
Answer: A. Reducing sodium intake and maintaining a healthy weight
Rationale: Reducing sodium intake and maintaining a healthy weight
are key strategies for preventing or managing hypertension. These
lifestyle modifications can help lower blood pressure and reduce the
risk of related health problems. The other options promote unhealthy
behaviors that could worsen hypertension.
4. A nurse is working with a healthcare team to improve patient safety
on a hospital unit. Which of the following actions is most likely to
promote a culture of safety among staff?
A. Holding staff accountable for all patient errors
B. Fostering open communication about safety concerns
C. Using punitive measures to address unsafe practices
D. Limiting staff training to new hire orientation only
Answer: B. Fostering open communication about safety concerns
Rationale: A culture of safety is promoted when staff feel comfortable
reporting safety concerns without fear of retribution. Open
,communication allows for the identification and mitigation of potential
hazards before they cause harm. Holding staff accountable or using
punitive measures can discourage reporting and negatively affect the
safety culture.
5. A community health nurse is planning an educational program for a
group of elderly clients on fall prevention. Which of the following
strategies should the nurse implement to ensure the program is
effective?
A. Use medical jargon to explain the risks of falls
B. Provide handouts in a small, difficult-to-read font
C. Ensure the information is clear, concise, and culturally appropriate
D. Limit the program to a one-time session
Answer: C. Ensure the information is clear, concise, and culturally
appropriate
Rationale: To be effective, health education materials should be clear,
concise, and appropriate for the target audience. This includes
considering cultural, linguistic, and literacy needs. Using complicated
language or hard-to-read materials can hinder understanding, and one-
time sessions may not be sufficient for long-term behavior change.
6. A nurse is caring for a patient who is homeless and needs to follow
up on a chronic condition. Which of the following should the nurse
prioritize in the community health plan?
A. Referring the patient to a private healthcare provider for consistent
care
B. Ensuring the patient has access to shelter and basic needs
,C. Providing the patient with a list of local hospitals for care
D. Encouraging the patient to seek healthcare through an emergency
department
Answer: B. Ensuring the patient has access to shelter and basic needs
Rationale: Addressing basic needs like shelter and food is a priority
when working with homeless populations. These needs must be met
before the patient can effectively manage chronic health conditions.
Once basic needs are stabilized, the nurse can help with referrals and
ongoing health management.
7. A nurse manager is preparing for a staff meeting to discuss the
implementation of a new electronic health record (EHR) system.
Which of the following strategies would best support the staff during
this transition?
A. Provide training on the new system only after it has been
implemented
B. Involve staff in the decision-making process before implementation
C. Limit communication about the new system to avoid confusion
D. Reduce the workload of staff to account for the change
Answer: B. Involve staff in the decision-making process before
implementation
Rationale: Involving staff early in the decision-making process fosters a
sense of ownership and reduces resistance to change. Training and clear
communication are essential for a successful implementation, and
involving staff helps address their concerns and ensures smoother
adoption of the new system.
,8. A nurse is assessing a community for signs of a mental health crisis
following a natural disaster. Which of the following is the best
indication that the community may need mental health intervention?
A. Increased demand for physical health care services
B. High levels of substance use and domestic violence
C. Requests for information about the disaster's impact
D. Decreased need for community support services
Answer: B. High levels of substance use and domestic violence
Rationale: Following a disaster, signs of a mental health crisis may
include increased substance use, domestic violence, and other coping
issues. These behaviors indicate that individuals may be struggling to
process the trauma and are in need of mental health interventions.
Increased demand for physical care may reflect the aftermath of the
disaster but is not a primary sign of mental health distress.
9. A nurse is working with a local health department to improve
immunization rates in a low-income community. Which of the
following strategies is most likely to improve vaccine coverage in this
population?
A. Providing free immunizations at convenient locations and times
B. Offering immunizations only at primary care clinics
C. Requiring proof of income for vaccine eligibility
D. Offering vaccines only during specific hours of the workday
Answer: A. Providing free immunizations at convenient locations and
times
Rationale: To improve immunization rates, especially in low-income
communities, accessibility is key. Offering vaccines for free and at
, convenient locations/times helps remove barriers to access, such as
transportation and scheduling conflicts. Limiting availability to specific
settings or requiring proof of income may exclude those who need
vaccines the most.
10. A nurse leader is promoting teamwork among a diverse group of
healthcare professionals in a hospital setting. Which of the following
strategies would best foster collaboration and respect among the
team?
A. Emphasizing the hierarchy and roles of each team member
B. Encouraging open dialogue and valuing each team member’s
perspective
C. Allowing team members to work independently without coordination
D. Assigning tasks based solely on professional titles
Answer: B. Encouraging open dialogue and valuing each team
member’s perspective
Rationale: Effective teamwork in diverse healthcare settings is built on
open communication, mutual respect, and recognizing the unique
contributions of each team member. Encouraging dialogue and valuing
different perspectives fosters collaboration and improves patient
outcomes. Emphasizing hierarchy or assigning tasks based solely on
titles can create division rather than unity.
11. A community health nurse is working with a local school to
develop a health promotion program aimed at preventing childhood
obesity. Which of the following strategies would be the most effective
in promoting healthy behaviors?
medical-surgical unit. Which of the following factors should the nurse
manager prioritize to ensure safe staffing levels?
A. Budget limitations
B. Patient acuity levels
C. Staff seniority
D. Unit location within the hospital
Answer: B. Patient acuity levels
Rationale: The primary factor in determining staffing levels should be
patient acuity, as this directly impacts the amount of care needed for
each patient. Adequate staffing ensures that patients' needs are met
safely and effectively. While budget and other factors like seniority or
unit location can influence staffing decisions, they should not take
precedence over patient acuity.
2. A nurse is working in a community health setting and is conducting
a needs assessment for a population in a rural area. Which of the
following should the nurse include in the assessment?
A. Only health care services currently available
B. Only health-related behaviors and risk factors
C. Demographic data, health status, and available resources
D. Opinions of healthcare providers in the area
Answer: C. Demographic data, health status, and available resources
Rationale: A comprehensive community health needs assessment
should include demographic data, health status, and the resources
available to the community. This information allows the nurse to
,identify health needs and gaps in services, and it provides a foundation
for designing interventions and services.
3. A nurse is facilitating a community education program on reducing
the risk of hypertension. Which of the following should the nurse
include as part of the education?
A. Reducing sodium intake and maintaining a healthy weight
B. Avoiding physical activity and maintaining stress
C. Encouraging a diet high in saturated fats and cholesterol
D. Reducing fluid intake and increasing alcohol consumption
Answer: A. Reducing sodium intake and maintaining a healthy weight
Rationale: Reducing sodium intake and maintaining a healthy weight
are key strategies for preventing or managing hypertension. These
lifestyle modifications can help lower blood pressure and reduce the
risk of related health problems. The other options promote unhealthy
behaviors that could worsen hypertension.
4. A nurse is working with a healthcare team to improve patient safety
on a hospital unit. Which of the following actions is most likely to
promote a culture of safety among staff?
A. Holding staff accountable for all patient errors
B. Fostering open communication about safety concerns
C. Using punitive measures to address unsafe practices
D. Limiting staff training to new hire orientation only
Answer: B. Fostering open communication about safety concerns
Rationale: A culture of safety is promoted when staff feel comfortable
reporting safety concerns without fear of retribution. Open
,communication allows for the identification and mitigation of potential
hazards before they cause harm. Holding staff accountable or using
punitive measures can discourage reporting and negatively affect the
safety culture.
5. A community health nurse is planning an educational program for a
group of elderly clients on fall prevention. Which of the following
strategies should the nurse implement to ensure the program is
effective?
A. Use medical jargon to explain the risks of falls
B. Provide handouts in a small, difficult-to-read font
C. Ensure the information is clear, concise, and culturally appropriate
D. Limit the program to a one-time session
Answer: C. Ensure the information is clear, concise, and culturally
appropriate
Rationale: To be effective, health education materials should be clear,
concise, and appropriate for the target audience. This includes
considering cultural, linguistic, and literacy needs. Using complicated
language or hard-to-read materials can hinder understanding, and one-
time sessions may not be sufficient for long-term behavior change.
6. A nurse is caring for a patient who is homeless and needs to follow
up on a chronic condition. Which of the following should the nurse
prioritize in the community health plan?
A. Referring the patient to a private healthcare provider for consistent
care
B. Ensuring the patient has access to shelter and basic needs
,C. Providing the patient with a list of local hospitals for care
D. Encouraging the patient to seek healthcare through an emergency
department
Answer: B. Ensuring the patient has access to shelter and basic needs
Rationale: Addressing basic needs like shelter and food is a priority
when working with homeless populations. These needs must be met
before the patient can effectively manage chronic health conditions.
Once basic needs are stabilized, the nurse can help with referrals and
ongoing health management.
7. A nurse manager is preparing for a staff meeting to discuss the
implementation of a new electronic health record (EHR) system.
Which of the following strategies would best support the staff during
this transition?
A. Provide training on the new system only after it has been
implemented
B. Involve staff in the decision-making process before implementation
C. Limit communication about the new system to avoid confusion
D. Reduce the workload of staff to account for the change
Answer: B. Involve staff in the decision-making process before
implementation
Rationale: Involving staff early in the decision-making process fosters a
sense of ownership and reduces resistance to change. Training and clear
communication are essential for a successful implementation, and
involving staff helps address their concerns and ensures smoother
adoption of the new system.
,8. A nurse is assessing a community for signs of a mental health crisis
following a natural disaster. Which of the following is the best
indication that the community may need mental health intervention?
A. Increased demand for physical health care services
B. High levels of substance use and domestic violence
C. Requests for information about the disaster's impact
D. Decreased need for community support services
Answer: B. High levels of substance use and domestic violence
Rationale: Following a disaster, signs of a mental health crisis may
include increased substance use, domestic violence, and other coping
issues. These behaviors indicate that individuals may be struggling to
process the trauma and are in need of mental health interventions.
Increased demand for physical care may reflect the aftermath of the
disaster but is not a primary sign of mental health distress.
9. A nurse is working with a local health department to improve
immunization rates in a low-income community. Which of the
following strategies is most likely to improve vaccine coverage in this
population?
A. Providing free immunizations at convenient locations and times
B. Offering immunizations only at primary care clinics
C. Requiring proof of income for vaccine eligibility
D. Offering vaccines only during specific hours of the workday
Answer: A. Providing free immunizations at convenient locations and
times
Rationale: To improve immunization rates, especially in low-income
communities, accessibility is key. Offering vaccines for free and at
, convenient locations/times helps remove barriers to access, such as
transportation and scheduling conflicts. Limiting availability to specific
settings or requiring proof of income may exclude those who need
vaccines the most.
10. A nurse leader is promoting teamwork among a diverse group of
healthcare professionals in a hospital setting. Which of the following
strategies would best foster collaboration and respect among the
team?
A. Emphasizing the hierarchy and roles of each team member
B. Encouraging open dialogue and valuing each team member’s
perspective
C. Allowing team members to work independently without coordination
D. Assigning tasks based solely on professional titles
Answer: B. Encouraging open dialogue and valuing each team
member’s perspective
Rationale: Effective teamwork in diverse healthcare settings is built on
open communication, mutual respect, and recognizing the unique
contributions of each team member. Encouraging dialogue and valuing
different perspectives fosters collaboration and improves patient
outcomes. Emphasizing hierarchy or assigning tasks based solely on
titles can create division rather than unity.
11. A community health nurse is working with a local school to
develop a health promotion program aimed at preventing childhood
obesity. Which of the following strategies would be the most effective
in promoting healthy behaviors?
