Community Health -NCLEX Questions & Answers; Chapters 9, 10, 12, 13, 14, 15, 18, 46

Community Health -NCLEX Questions & Answers; Chapters 9, 10, 12, 13, 14, 15, 18, 46 The three components of the Intervention Wheel are: A) Communities, systems, and individuals/families. B) Interventions, color wedges, and levels of practice. C) Population base, levels of practice, and public health interventions. D) Populations at risk, populations of interest, and levels of practice. C Public health nursing practice is guided by the community's priorities as identified by community: A) Assessment. B) Diagnosis. C) Interventions. D) Planning. A Collaboration is an intervention that would be located where in the Intervention Wheel? A) Red wedge at the individual/family level of practice. B) Blue wedge at the community level of practice. C) Orange wedge at the community level of practice. D) Green wedge at the systems level of practice. C The intervention used to influence the knowledge, attitudes, values, beliefs, behaviors, and practices of the population of interest is referred to as: A) Advocacy. B) Coalition building. C) Consultation. D) Social marketing. D Promotion of the creation of immunization registries that combine immunization information from different sources into a single electronic record to provide official immunization records for schools, daycare centers, health departments, and clinics is a goal of: A) Community-level practice. B) Family-level practice. C) Individual-level practice. D) Systems-level practice. D When confirmed cases of the mumps, a vaccine-preventable disease, emerged on college campuses in fall 2006, public health nurses conducted outreach at campuses and collaborated with student health officials to increase the number of students with full immunization compliance. This is an example of: A) Community-level practice. B) Family-level practice. C) Individual-level practice. D) Systems-level practice. A A nursing diagnosis of Increased risk for delayed development, injury, and disease because of inadequate parenting by a primary parent experiencing depression would most likely indicate that the nursing process is being applied at the _______ level of practice and the _______ level of prevention. A) Individual/family + secondary. B) Community + primary. C) Community + secondary. D) Individual/family + primary. A After consulting with the health department director, a public health nurse collaborates with a housing advocate service and legal counsel on behalf of the nurse's clients who live in substandard housing under fear of eviction. The nurse is applying the _______ component of the nursing process to a _______ level of practice. A) Evaluation + systems. B) Assessment + community. C) Implementation + systems. D) Diagnosis + community. C A community-level intervention designed to increase the sense of belonging among older community residents at risk for social isolation was implemented by opening a senior center every other Wednesday at a local church that provided lunch and social programs. At the end of 6 months, the attendees were surveyed to determine their experience with the program, barriers to attendance, expansion of their social networks, and involvement in other community activities. This survey allowed the community health nurse to _______ the program and design program improvements. A) Evaluate the effectiveness of. B) Assess the expansion needs of. C) Identify problems with D) Implement the expansion of. A Factors related to the determinants of health identified in Healthy People 2020 include which of the following (select all that apply)? A) Education and literacy. B) Genetic endowment. C) Gender. D) Culture. E) Social status. A,B,C,D,E A nurse identifies higher-than-normal levels of lead when screening a 3-year-old child. The nurse works with the local health department to put together a team to address the environmental issues responsible for the child's abnormal lead level. Team members should include the following specialists: A) Epidemiologist, pediatric specialist, and sanitarian. B) Laboratory specialist, contractor whose bid for lead reduction work is the lowest, and public health lead reduction specialist. C) Public health sanitarian, pediatric generalist, and plumbing inspector. D) Specially trained housing inspector, pediatric specialist, lead-based paint intervention team, and laboratory specialists to test the child's home and the surrounding neighborhood. D An occupational health nurse practitioner's physical assessment of a factory worker identifies an acute-onset pruritic dermatitis extending over the face, hands, neck, and forearms. The nurse's priorities should be to: A) Contact factory senior management, educate workers about their exposure, and clean the area. B) Contact the Occupational Safety and Health Administration immediately and remove the offending chemical in the work environment. C) Immediately evacuate the worker's nearby workspace and treat the worker and other exposed workers. D) Treat the client and obtain a comprehensive exposure history; if an onsite environmental exposure is suspected as the cause, screen other at-risk workers and ensure that the environmental risk is identified and eliminated. D A college health nurse is working with students, faculty, and staff to improve environmental air quality. To address the primary cause of air pollution on campus, the nurse plans a precautionary intervention. Which of the following interventions best demonstrates an appropriate approach? A) Encourage the use of electric cars and scooters on campus. B) Increase the use of bicycles, foot-powered scooters, rollerblades, and walking as the primary mode of transportation on campus. C) Make the entire campus a no-smoking zone. D) Establish a policy to reduce electricity consumption in university buildings by raising the thermostat to 78 degrees in the summer and lowering the thermostat to 70 degrees in the winter. B Campaigns to decrease the inequitable burden of environmental risks on the poor and people of color in the United States strive to apply the ethical principle of: A) Societal justice. B) Nonmaleficence. C) Compliance and enforcement of the Environmental Protection Agency Regulatory Act. D) Environmental justice. D A community health nurse manager has integrated exposure history elements into the assessment practices of the health department that are relevant to the urban industrial community served. This strategy indicates that the nurse manager is aware of the relationship between: A) Community strengths and weaknesses. B) Environment and human health/disease. C) Toxicology studies conducted by the Environmental Protection Agency and the environment. D) Federal and state environmental regulations. B The Superfund Amendments and Reauthorization Act (SARA) increased the involvement of the states and their citizens in the cleanup of toxic waste sites and stressed the importance of permanent remedies and innovative treatment technologies. Another important aspect of this federal legislation was that it: A) Provided for the appointment of state emergency response commissions. B) Increased focus on the human health problems related to hazardous waste sites. C) Established a new safety standard of reasonable certainty of no harm that is to be applied to all pesticides used on food. D) Reduced the amount of pollution by mandating cost-effective changes in production, operation, and raw materials use. B The monitoring and public reporting of air quality in a local community to assist individuals with asthma or other respiratory conditions best illustrates the application of: A) Compliance and enforcement. B) Environmental epidemiology. C) Secondary prevention. D) Toxicology. B When applying the nursing process to environmental health, the nurse would: A) Conduct an assessment focused on the client's presenting problem. B) Coordinate interventions with the primary care provider of record. C) Examine criteria that are limited to the client's immediate responses. D) Include outcome measures that involve mitigation and elimination of the contributing factors. D When a nurse evaluates the completeness and accuracy of information made available to community residents regarding the impact of rezoning of land parcels for industrial use, the nurse can best be described as: A) Advocating for ethical choices. B) Communicating risk. C) Controlling environmental damage. D) Volunteering for service on state boards. A The role of the nurse who wants to become more active in environmental health could include which of the following (select all that apply)? A) Assessing farmworkers for pesticide exposure and providing pesticide risk education. B) Conducting epidemiologic investigations as a public health nurse. C) Developing corporate policy to protect workers from unsafe levels of toxic agents. D) Organizing the local community to encourage landlords to remove lead-based paint. E) Working as a skilled risk communicator for a local chemical manufacturer. A,B,C,D,E Which of the following article titles include(s) an example of epidemiologic distribution and determinants (select all that apply)? A) Can Operating Room Nurses Measurably Reduce Patient Anxiety? B) Characteristics of Patients Newly Diagnosed with Tuberculosis C) Comparison of Postinsecticide Exposure Incidence of Atopic Dermatitis in Migrant Farmworkers and Land-Owning Farmers in Southwestern Utah D) Postpartum Nurses' Reaction to Rotating Shifts Compared with Assigned Stable Shift C A state public health region reported 39 cases of meningitis in children 15 years of age and younger to date this year. Seven of those children died. The total population of the region is 780,000, of whom 84,000 are children age 15 years old and younger. What is the prevalence proportion of meningitis in this region thus far in the current year? A) 4.1/100,000 B) 5/100,000 C) 46/100,000 D) 50/100,000 C A state public health region reported 39 cases of meningitis in children 15 years of age and younger to date this year. Seven of those children died. The total population of the region is 780,000, of whom 84,000 are children 15 years old and younger. What is the age-specific meningitis death rate for children age 15 years and younger for this region to date this year? A) 0.08/1000 B) 0.46/1000 C) 1/1000 D) 8/1000 A A state public health region reported 39 cases of meningitis in children 15 years of age and younger to date this year. Seven of those children died. The total population of the region is 780,000, of whom 84,000 are children age 15 years old and younger. Only four cases of meningitis were reported in the public health region during the previous year. No other public health region in the state has an incidence of meningitis that is higher than expected for that region. Based on the information given, the relative frequency of meningitis in the region at this time can best be described as: A) Endemic. B) Epidemic. C) Pandemic. D) Sporadic. B John Snow played a critical role in the development of modern disease surveillance when he: A) Devised a more statistically valid method of analyzing epidemiologic data. B) Discovered causal agents for anthrax, tuberculosis, and cholera. C) Tracked the incidence of tuberculosis in the tenements of New York City. D) Used geographic mapping to demonstrate the connection between water supply and cholera.