COMMUNITY HEALTH NURSING EXAM 1 WITH CORRECT QUESTIONS AND ANSWERS 100%

A community health nurse is training new nurses about the development of public health programs to benefit community members. The nurse explains that even though primary care focuses on caring for an individual, health promotion activities need to focus on: a) The family. b) Each individual patient. c) Good medical care. d) The community. - ANSWERS-d) The community. .A new school nurse is reviewing the procedures put in place by the prior nurse, a woman with over 30 years of experience. The nurse notices that a school-wide scoliosis screening occurs every fall. How does the new nurse proceed? a) Continue performing the scoliosis screenings each year. b) Only continue scoliosis screening on students who are symptomatic. c) Eliminate scoliosis screenings altogether. d) Check state screening guidelines to see what is required for school nurses in the state. - ANSWERS-d) Check state screening guidelines to see what is required for school nurses in the state. .A new strain of flu has emerged, and the CDC has released a new vaccine that is for use in high-risk populations. Which population is most apt to be high-risk? a) Pregnant women b) Older adults c) Children d) All of the above - ANSWERS-d) All of the above .A nurse encounters a young woman with her child in the community. They do not speak English, but the nurse is fluent in Spanish and is able to communicate with them in their native language. The woman is very frightened and states that she can't go back to her country because the local government will harm her and her child if she does not convert to Catholicism. The nurse takes the woman to the local immigration office to apply for what status? a)Asylee b) Refugee c) Immigrant d) Permanent resident - ANSWERS-a)Asylee .A nurse has been contacted to consult with the coordinating health organization of the U.N. This means that the nurse will be working with: a) WHO b) Global Health Center c) World Bank d) CDC - ANSWERS-a) WHO .A nurse has observed that a particular fifth grade student visits the office two to three times each week with stomach aches, headaches, and vague complaints of not feeling well. This has been continuing for several months. What is the most appropriate action for the nurse to take? a) Refuse to see the child anymore. b) Call his parents to discuss his symptoms and the need to be evaluated by his pediatrician. c) Send the child home until he obtains medical clearance to return. d) Refer him to the school psychiatrist for mental evaluation. - ANSWERS-b) Call his parents to discuss his symptoms and the need to be evaluated by his pediatrician. .A nurse has worked at a community health center for many years. Over the last several months, the nurse has noticed a significant decline in community members using the resources available at the clinic. What is the first thing the nurse should do? a) Begin offering daycare services and free transportation to the clinic to make it more convenient. b) Reach out to former patients to determine why they are no longer returning to the clinic. c) Perform a community assessment. d) Begin offering a new patient reduced fee rate. - ANSWERS-b) Reach out to former patients to determine why they are no longer returning to the clinic. .A nurse is assisting a primary health clinic in a rural South American country in establishing a quality and inclusive primary care program. The nurse reviews the WHO components of primary health care for guidance. Which of the following components are included in the WHO guide? a) Diminish social disparities in health. b) Improve maternal and child health care. c) Better organize health care around the needs of the community. d) Improve funding for primary-care programs. e) Increase collaborative relationships and stakeholder participation in public policy development. - ANSWERS-a) Diminish social disparities in health. c) Better organize health care around the needs of the community. e) Increase collaborative relationships and stakeholder participation in public policy development. .A nurse is caring for a young homeless man on the medical floor of the local hospital. He was admitted several days ago to safely detox from alcohol. He reports having nowhere to go once he is discharged. Who should be involved in his discharge planning? a) Social worker b) Addiction specialist c) Psychiatrist d) All of the above - ANSWERS-d) All of the above .A nurse is caring for a young man in the emergency department. He presents with severe headache, a rash, joint pain, and a fever of 10c.5° F. He reports having traveled to India recently. What does the nurse suspect? a) Leishmaniasis b) Dengue fever c) Severe acute respiratory syndrome d) Malaria - ANSWERS-b) Dengue fever .A nurse is caring for a young man who is squatting in an old factory a mile away. The nurse documents that he is experiencing what type of homelessness? a) Primary b) Secondary c) Tertiary d) He is not homeless because he has an indoor shelter in which to sleep. - ANSWERS-a) Primary .A nurse is counseling a young woman with a new diagnosis of gonorrhea. What should be included in her care? a) The nurse will need to contact all of the woman's prior sexual partners to inform them of her diagnosis. b) Since filing a partner management report with the state health department is mandated, the nurse should inform the patient that she will be sending a report. c) All of the above d) None of the above - ANSWERS-b) Since filing a partner management report with the state health department is mandated, the nurse should inform the patient that she will be sending a report. .A nurse is educating emergency department nurses about the symptoms of Avian influenza, as there is some evidence of infection overseas. The nurse wants the staff to be aware of the symptoms so they can closely monitor for the virus. Which of the following symptoms should be included? a) Eye infections b) Pneumonia c) Fever d) Muscle weakness and paralysis e) Cough - ANSWERS-a) Eye infections b) Pneumonia c) Fever e) Cough .A nurse is evaluating the global issues surrounding nutrition and accessibility of health food options. One unintended health consequence of the globalization and industrialization of food production has been a(n): a) Increase in noncommunicable diseases such as diabetes and heart disease in LICs. b) Decrease in maternal and child health issues in LICs. c) Shift in the distribution of deaths from older populations to younger populations in LICs. d) Decline in noncommunicable diseases, especially in areas where communicable disease is declining. - ANSWERS-a) Increase in noncommunicable diseases such as diabetes and heart disease in LICs. .A nurse is giving a lecture about public policy and policy changes. A student wants to know about the rights of individuals when setting public health policy. How should the nurse respond? a) The rights of individuals always outweigh the collective good. b) The collective good always outweighs the rights of individuals. c) Public health policy is based on governmental interests and not the collective good or individual rights. d) Public health policy is based on the assumption that society has the right to collectively assure conditions for healthy people while taking into account the rights of individuals. - ANSWERS-d) Public health policy is based on the assumption that society has the right to collectively assure conditions for healthy people while taking into account the rights of individuals. .A nurse is having a discussion with a patient about who should be responsible for overseeing the public health system and the health of American citizens. The patient states that each person should be responsible for his or her own health. The nurse replies that the American Constitution gives this power to: a) Federal government. b) State governments. c) Local governments. d) Private insurance companies - ANSWERS-b) State governments. .A nurse is looking at reasons why members of a community are more likely to die from heart disease. The nurse finds several studies that suggest that social factors, such as ____, are more important than behavioral choices. a) Lack of exercise b) Smoking c) Poverty d) High-fat or high-sugar diets - ANSWERS-c) Poverty .A nurse is looking for international volunteer opportunities working with women to promote reproductive health. Which organization is a good place to contact? a) Catholic Relief service b) USAID c) CDC d) WHO - ANSWERS-b) USAID .A nurse is looking to create policies that would reduce the rate of tobacco use by teenagers in the local community. Who would be the most important group to consult with when performing a community assessment? a) Physicians and educators b) Local teenagers c) Public health and tobacco experts d) Local shop owners and community council members - ANSWERS-b) Local teenagers .A nurse is looking to reduce the number of teen smokers in her community. The nurse implements a community-wide program to raise awareness about the dangers of nicotine use and creates a support group specifically aimed at teens looking to quit smoking. This is an example of: a) Health protection. b) Health promotion. c) Risk reduction. d) Tertiary prevention. - ANSWERS-b) Health promotion. .A nurse is organizing a round table presentation at a conference. The nurse asks the other participants for suggestions on actions that nurses can take to reduce national health disparities. Which of the following suggestions are known to be effective measures for the reduction of health disparities? Select all that apply. a) Support initiatives that increase physical education classes and healthy school meals. b) Discuss social and health disparity information with coworkers to promote awareness. c) Volunteer with an international organization that supports building infrastructure in underdeveloped areas. d) Design and create research studies that address inequities and support vulnerable populations. e) Act as advocates for patients, families, and communities in reducing inequities. - ANSWERS-a) Support initiatives that increase physical education classes and healthy school meals. b) Discuss social and health disparity information with coworkers to promote awareness. d) Design and create research studies that address inequities and support vulnerable populations. e) Act as advocates for patients, families, and communities in reducing inequities. .A nurse is performing a pelvic exam on a woman in her mid-twenties who has self-identified as a lesbian. The nurse asks the woman what type of birth control she uses and the woman asks her why she would need birth control since she is not at risk for becoming pregnant. How should the nurse respond? a) "That's correct, you do not need contraception." b) "You should consider contraception anyway, just in case you ever decide to be intimate with a man." c) "You still need to use a barrier contraceptive because of the risk of sexually transmitted infections." d) "Hormonal contraceptives might be a good option for you." - ANSWERS-c) "You still need to use a barrier contraceptive because of the risk of sexually transmitted infections." .A nurse is performing an assessment of a very economically diverse community and realizes that while comparing income to health outcomes, the nurse must be careful to: a) Evaluate only the poorest health outcomes and where they land on the income spectrum. b) Recognize that income and outcomes exist on a scale, and look across the entire spectrum. c) Compare only the outcomes of the richest community members to the outcomes of the poorest community members. d) Evaluate only the poorest community members and their health outcomes. - ANSWERS-b) Recognize that income and outcomes exist on a scale, and look across the entire spectrum. .A nurse is preparing a class on caring for the homeless population. The nurse asks the class to brainstorm some risk factors for becoming homeless. Which of the following should the class list as known risk factors for homelessness? Select all that apply. a) Young families b) Caucasians c) Single men d) African Americans e) Having a mental disorder - ANSWERS-c) Single men d) African Americans e) Having a mental disorder .A nurse is preparing to volunteer with a charity organization working in India that provides medical care to underserved communities. The nurse is performing a cultural and community assessment and determines that their per capita income is $2,97c. This classifies the country as: a) Low income b) Lower middle income c) Upper middle income d) High income - ANSWERS-b) Lower middle income .A nurse is presenting a lecture about global health and life expectancy and states that in America, the biggest reason for the increase in life expectancy is: a) Better public health practices b) Increased education c) Decreased crime d) Improved housing - ANSWERS-a) Better public health practices .A nurse is sitting in a community clinic and chatting with a South American patient. He reports that other members of the community are rude to him and his family and act as if he and his family are not part of the community. He mentions that this is a common experience among the South American population living in town. The nurse knows that: a) This likely plays no role in his health or health status. b) This family is being stigmatized. c) The family needs to focus on bonding with their South American community. d) Marginalization can lead to increased vulnerability and health disparities. - ANSWERS-d) Marginalization can lead to increased vulnerability and health disparities. .A nurse is speaking with politicians about the need to modify the poverty threshold to be fairer to people living in poverty and people living just over the poverty line. Which of the following are potential ways that the poverty threshold could be amended to be more accurate or fair? Select all that apply. a) Amend it to reflect increased spending on healthcare and transportation. b) Amend it to reflect increased housing costs. c) Amend it to reflect increased need and cost of childcare. d) Amend it to reflect increased spending on food. e) Amend it to reflect regional cost of living. - ANSWERS-a) Amend it to reflect increased spending on healthcare and transportation. b) Amend it to reflect increased housing costs. c) Amend it to reflect increased need and cost of childcare. e) Amend it to reflect regional cost of living. .A nurse is studying the increased infant mortality rate at a local hospital in a largely African American community. The nurse notes that there are very few options for prenatal care in the community and recognizes that this is an example of: a) Health disparity. b) Social determinant of health. c) Health inequity. d) Health injustice. - ANSWERS-c) Health inequity. .A nurse is teaching a class about different models of care. The nurse explains that ____ is the most important person in the primary health-care model. a) The individual/family b) The population c) The primary-care physician d) The medical specialist - ANSWERS-a) The individual/family .A nurse is teaching a class about the effect of socioeconomic status on health outcomes. The nurse explains that socioeconomic status is related to: a) Income. b) Occupation. c) Education. d) All of the above. - ANSWERS-d) All of the above. .A nurse is teaching an in-service for new nurses on the importance of cultural sensitivity when caring for patients. Which of the following statements is incorrect? a) Ethnic diversity of health-care staff plays little role in the reduction of health-care inequalities. b) Translators should always be used when a patient does not speak English as a primary language. c) Nurses and other health-care workers may often display discriminatory behavior without realizing it. d) Nurses must always work as patient advocates to make sure that the patient is receiving culturally sensitive care. - ANSWERS-a) Ethnic diversity of health-care staff plays little role in the reduction of health-care inequalities. .A nurse is training for a new job at a community clinic after moving to Central California, an area rich in agriculture and migrant workers. The nurse asks about specific social and health issues that the migrant worker population faces and the nurse supervisor replies: Select all that apply. a) They have difficulty establishing residency in a single location, making them ineligible for government benefits. b) Most of them lack access to workers compensation or disability insurance. c) Frequent travel and location changes make it difficult for them to establish continuity of care with a single provider. d) Illegal immigration status is often a problem. e) Language is often a barrier. - ANSWERS-a) They have difficulty establishing residency in a single location, making them ineligible for government benefits. b) Most of them lack access to workers compensation or disability insurance. c) Frequent travel and location changes make it difficult for them to establish continuity of care with a single provider. e) Language is often a barrier. .A nurse is working at a local community health center. The nurse is speaking with an elderly Native American man who lives on a nearby reservation. He reports that many members of his tribe are unable to afford health care and many have an alcohol use disorder and/or type 2 diabetes. What program should the nurse suggest that the gentleman contact? a) Indian Health Services b) Medicaid c) Medicare d) Alcoholics Anonymous - ANSWERS-a) Indian Health Services .A nurse is working at a very crowded hospital in Southeast Asia. There are not enough staff members or supplies for the nurse to properly care for many of the patients. How can the nurse handle the immediate situation? a) Post ads to recruit new health-care staff. b) Close the hospital to further patients until the staffing situation improves. c) Delegate routine care and hygiene tasks to family members who are staying with their loved ones. d) Develop continuing education programs about caring for culturally diverse populations for the nurses to complete in their spare time. - ANSWERS-c) Delegate routine care and hygiene tasks to family members who are staying with their loved ones. .A nurse is working in a community clinic in Bangladesh treating many members of the medically-indigent population. A young man comes into the clinic with a large ulcerated lump on the back of his leg. He reports having noticed a fly bite at that spot a few days ago. What does the nurse suspect? a) Leishmaniasis b) Malaria c) Dengue fever d) Severe acute respiratory syndrome (SARS) - ANSWERS-a) Leishmaniasis .A nurse is working in a prison health center with female prisoners. The nurse is anticipating having to manage which of the following conditions is three to five times higher in women prisoners than rates in the general population? a) Cognitive disorders b) HIV c) Dental problems d) Mental disorders - ANSWERS-d) Mental disorders .A nurse is working with a community center that primarily serves a nearby Native American tribe. The nurse knows that many of the tribe members suffer from type 2 diabetes. Which of the following interventions is an example of a tertiary prevention? a) Teaching school aged children healthy exercise. b) Conducting a blood glucose screening program for the adults in the community. c) Actively encouraging patients diagnosed with type 2 diabetes to have foot, eye, and hemoglobin A1C screening tests every three months. c) Publishing a culturally grounded guide about preventing diabetes using input from the tribal leaders and distributing it to all persons who come to the clinic. - ANSWERS-c) Actively encouraging patients diagnosed with type 2 diabetes to have foot, eye, and hemoglobin A1C screening tests every three months. .A nurse is working with a local community group in a LIC with a serious problem from lack of adequate nursing staff. How can nurses be encouraged to stay within the community? a) Recruit more nurses from the local, rural community. b) Institute continuing education programs for nurses to continue their learning. c) Provide education for nurses working in these areas about issues related to working with the limited resources they have available. d) All of the above - ANSWERS-d) All of the above .A nurse is working with an organization that has established objectives to assist LICs within their purview to achieve the Millennium Development Goals (MDGs). They need additional funding, though, to help them reach their policy goals. Which organization might they contact for help? a) WHO b) PAHO c) World Bank d) CDC - ANSWERS-c) World Bank .A nurse is working with local government officials and political lobbyists to prompt a vote to improve the school lunch program. The nurse knows that this is an example of: a) Advocacy. b) Public health policy. c) Health equity. d) Public health economics. - ANSWERS-a) Advocacy. .A nurse is working with the local government to determine where best to spend money obtained from a new funding program. The nurse is looking for particularly vulnerable communities. Which of the following communities might be best served by the increased funding? a) A primarily Hispanic community that is rich in culture and community b) A low socioeconomic Caucasian community that is facing abnormally high levels of lung cancer c) A middle class African American community with an obesity rate of 15 percent d) An upper class community where there is an outbreak of hand, foot, and mouth disease - ANSWERS-b) A low socioeconomic Caucasian community that is facing abnormally high levels of lung cancer .A nurse is working with the local representative to pass a law raising the legal age for purchasing tobacco to 21 years old. It has been passed into the committee phase of the legislative process. How should the nurse prepare for the next step? a) Contact all of the local legislators to lobby for passing of the bill. b) Encourage local citizens to vote on the bill and promote a local grassroots campaign base in the community. c) Prepare evidence-based research and current clinical studies to support their position and educate committee members about the medicine behind nicotine addiction in youths. d) Inform local store owners about the impending change in the law. - ANSWERS-c) Prepare evidence-based research and current clinical studies to support their position and educate committee members about the medicine behind nicotine addiction in youths. .A nurse is working within a community clinic on the Mexican-Californian border. The nurse frequently takes care of refugee families when they first arrive in the United States. When meeting with a new family, the nurse makes sure to inform them that they are eligible for which of the following services? a) Medicaid eligibility b) Free health insurance for 1 year c) Housing and food support d) Free English classes - ANSWERS-c) Housing and food support .A nurse manager has been working in a community health center for many years. In the recent months, the nurse manager has noticed a dramatic increase in the number of Hispanic clients coming into the center with uncontrolled diabetes. Which of the following is the best way to address the situation? a) Speak with local providers about decreasing the length of time between follow-up visits. b) Involve pharmacists in counseling newly diagnosed patients about their insulin regimen. c) Develop several educational handouts about managing diabetes and have them translated into Spanish. Correct! d) Perform a community assessment to determine why community members seem unsuccessful in care management. - ANSWERS-d) Perform a community assessment to determine why community members seem unsuccessful in care management. .A nurse received funding to start a mobile health unit to serve the health needs of the homeless population. In addition to having a good understanding of noncommunicable diseases, what other specialty areas would be helpful in caring for this population? a) Treatment of substance use disorders b) Treatment of communicable diseases c) Treatment of mental health disorders d) All of the above - ANSWERS-d) All of the above .A nurse takes a new job in an inner city community health clinic. The nurse discusses with the families she sees how to achieve a healthy lifestyle without seeing any change. She finally discusses this with one mother whose children are struggling with obesity. The mother states that she is unable to find fresh fruits and vegetables in their neighborhood and resorts to the use of fast food. This information makes the nurse wonder if this is true for other families. What would be the nurse's next step? a) Ask families she sees to keep a food journal to see what food substitutions could be made. b) Perform a community assessment to determine what stores and food sources are available in the community. c) Arrange for free bussing from the community center to the closest supermarket. d) Refer them to the local supplemental nutrition assistance program (SNAP) office to help them obtain benefits. - ANSWERS-b) Perform a community assessment to determine what stores and food sources are available in the community. .A nurse working in a clinic in South America suspects that a patient, a young woman, has Chagas. What contraindications should the nurse screen for before initiating treatment? a) Liver disease b) Renal disease c) Bleeding abnormalities d) Pulmonary disease e) Pregnancy - ANSWERS-a) Liver disease b) Renal disease e) Pregnancy .A nurse working in a primary health-care setting is reviewing the patient education materials they keep in the office. How should the nurse consider updating the forms? a) Review for medical accuracy and update as needed. b) Perform a cultural assessment to see how the population has changed since the forms were created. c) Translate into the languages of cultural groups who frequently use the community center. d) All of the above - ANSWERS-d) All of the above .A nursing instructor describes one approach to conducting an assessment as a collection of data about the populations living within the community; an assessment of the assets within the community, such as the local health department capacity; and the identification of problems and issues in the community, such as unmet needs and health disparities and opportunities for action. The instructor explains that this type of approach is called a: a) Rapid needs assessment b) Comprehensive community assessment c) Population focused assessment d) Health impact assessment - ANSWERS-b) Comprehensive community assessment .A nursing instructor explains to a nursing student that information about a community's health services and resources includes all of the following factors except: a) Service use patterns b) Treatment data c) Insurance costs d) provider/client ratios - ANSWERS-c) Insurance costs .A nursing instructor is giving a lecture on community participation in an ecological public health system. She teaches that the benefits of this collaboration for participants in the community's public health are that their efforts increase effectiveness and productivity, empower the participants, strengthen social engagement, and ____. a) Increase the number of medical facilities b) Decrease disease rates c) Monitor childhood illnesses d) Ensure accountability - ANSWERS-d) Ensure accountability .A nursing student is listening to a lecture on poor health outcomes. Based on research by the Institute of Medicine (IOM), the instructor says that for an individual with a non-communicable disease less knowledge of chronic disease management and performance of fewer health promotion activities at home, most likely reflects: a) Low health literacy b) Lack of adequate health insurance c) Limited access to medical services d) Few prevention programs within the community - ANSWERS-a) Low health literacy .A nursing student is studying preventable causes of death. In 2011, what was not one of the four leading at-risk behaviors that were underlying causes of disease and preventable death? a) Tobacco use b) Falls c) Alcohol use d) Lack of exercise or physical activity e) Poor nutrition - ANSWERS-b) Falls .A nursing student is studying the seven priorities of the National Prevention Strategy. The student correctly identifies which one of the following interventions as not reflecting any of the seven priorities in this plan? a) Conducting a smoking cessation clinic b) Assisting low-income families to sign up for health-care insurance c) Providing nutrition classes which offer weekly fill-in guides for grocery shopping d) Building a health and exercise center in a hospital near the physical and occupational therapy areas - ANSWERS-b) Assisting low-income families to sign up for health-care insurance .A parent has called the school nurse's office to discuss her daughter's new diagnosis of type 1 diabetes. The parent is inquiring about what role the nurse will play in managing her care while the girl is in school. How does the nurse respond? a) "As a nurse, I can help her if she becomes ill in class, but I can't help her manage her diabetes." b) "I can help her adjust her insulin dosing as needed to ensure that she stays at a proper blood glucose level." c) "I will help regulate her diet so that she doesn't consume too much sugar." d) "I can help administer the prescribed insulin dose, perform blood glucose testing, and manage symptoms of hypoglycemia." - ANSWERS-d) "I can help administer the prescribed insulin dose, perform blood glucose testing, and manage symptoms of hypoglycemia." .A patient diagnosed with diabetes buys books, reads articles, talks with knowledgeable people, informs himself about what he can do to improve his health, and takes action. The nurse recognizes this method of adult learning as: a) Pedagogy b) Andragogy c) Constructivism d) Humanism - ANSWERS-d) Humanism .A PHN encourages her public health department to use the Mobilizing for Actions through Planning and Partnerships (MAPP) strategic model because the six phases of the MAPP process includes: a) Financial planning b) Mortality review c) The full scope of health planning d) Geographic data collection - ANSWERS-c) The full scope of health planning .A PHN goes to a factory to find out why employees are missing so many work days. What type of assessment would be the most appropriate in this case? a) Setting specific assessment b) Health impact assessment c) Problem or health issue based assessment d) Population focused assessment - ANSWERS-a) Setting specific assessment .A PHN is assigned to an area to do a community assessment. The demographic data the nurse collects includes: a) Insurance company preference b) Vaccination rates c) Educational levels d) Medical results - ANSWERS-c) Educational levels .A PHN is looking for a tool to help conduct a community assessment. The nurse can get such a tool from the: a) National institute of occupational safety and health (NIOSH) b) Affordable care act (ACA) c) Institute of Medicine (IOM)'s report The future of public health d) Centers for Disease Control and Prevention (CDC) Community Health Assessment and Group Evaluation (CHANGE) - ANSWERS-d) Centers for Disease Control and Prevention (CDC) Community Health Assessment and Group Evaluation (CHANGE) .A PHN is presenting a lecture to a nursing class about the Millennium Development Goals (MDGs) and progress in meeting them. Which of the following statements is correct? a) The goal is to achieve them by 2020. b) The selected outcomes are used to measure progress in each country. c) Each goal and its outcome criteria is independent of the other objectives within the MDGs. d) There was significant progress in meeting some of the goals, but there was a lack of progress for other goals. - ANSWERS-d) There was significant progress in meeting some of the goals, but there was a lack of progress for other goals. .A PHN is teaching a class about international health policy. In that class, what does primary health care refer to? a) The first point of contact within the health-care system b) The essential care needed for health, both in individuals and within the community c) The acute care setting d) The coordinator of more specialized care - ANSWERS-b) The essential care needed for health, both in individuals and within the community .A PHN is teaching a class about the global health issues that face the world's population. Many of the students express frustration at the lack of progress and ask what they can do. The nursing instructor responds that which of the following may be the most effective, long-term solution? a) Regular volunteer work and mission trips to foreign countries b) Financial contributions to organizations providing health services c) Promoting health literacy and increasing health education d) Increasing the number of nursing education programs - ANSWERS-c) Promoting health literacy and increasing health education .A PHN is using the MAPP model to conduct an assessment within the community and has reached Phase 3, performing the four assessments. The analysis of the legislation, technology, and other external positive and negative influences that have an impact on the promotion and protection of the public's health is called a: a) Community themes and strengths assessment b) Forces of change assessment c) Community health status assessment d) Local public health system assessment - ANSWERS-b) Forces of change assessment .A PHN was asked to come to a town that was having some noticeable health problems. Driving through town, the nurse noted that there were many for-sale signs, as well as very little green space and some trash in the street. This preassessment phase is called a: a) Community themes and strengths assessment b) Community health assessment and group evaluation (CHANGE) c) Community health status assessment d) Windshield survey - ANSWERS-d) Windshield survey .A public health nurse (PHN) is starting a study of different populations in the community to see which groups have faced marginalization, and to what degree. The PHN is looking for evidence that: a) A group has been discriminated against based on their race or ethnicity. b) A group has been treated as if they are not important or of little consequence to the rest of society. c) A group has been labeled by society as possessing a particular characteristic that is not valued, leading to a loss of status. d) A group has been assigned a negative or positive belief that is believed to apply to the entire group. - ANSWERS-b) A group has been treated as if they are not important or of little consequence to the rest of society. .A public health nurse (PHN) is teaching a class about global health issues when a student asks why the health of other countries is relevant to the United States. The nurse replies: a) "Because of the global world we live in, the health of one country can profoundly affect the health, economy, and security of the rest of the world." b) "It doesn't, but being aware of health issues in other countries allows nurses who are interested to volunteer their services internationally." c) "Being aware of health issues in other countries gives us information about what not to do as public health nurses." d) "Looking at global health issues gives us information about how to treat medical emergencies here." - ANSWERS-a) "Because of the global world we live in, the health of one country can profoundly affect the health, economy, and security of the rest of the world." .A public health nurse (PHN) notices the rising incidence of H1N1 (swine flu) in a geographic area. The nurse considers possible interventions, knowing that the preclinical phase of H1N1 lasts: a) One to two days b) Two to four days c) Three to four days d) Five to seven days - ANSWERS-a) One to two days