Community Health Nursing Exam Verified Questions and Answers

Community Health Nursing Exam Verified Questions and Answers Community Health Nursing Exam Verified Questions and Answers Community Health Nursing Exam Verified Questions and Answers 1. The levels of practice encompassed by the Intervention Wheel are a. communities, individuals and families, and systems. b. communities, populations, and aggregates. c. assessment, diagnosis, and evaluation. d. primary, secondary, and tertiary. ANS: A 2. A nurse is involved in identifying individuals with unrecognized health risk factors or asymptomatic disease. Which of the following public health interventions is being applied? a. Health teaching b. Screening c. Surveillance d. Referral and follow-up ANS: B 3. John Snow is called the "father of epidemiology" because of his work with which disease? a. Cholera b. Malaria c. Smallpox d. Polio ANS: A 4. Why is it important for nurses to understand the premises of environmental health? a. Many Americans live in areas that do not meet current national air quality standards b. Toxicologists often consult nurses about environmental pollutants. c. Nurses should be able to assess risks and advocate for policies that support healthy environments. d. Pollutant exposures such as lead are reported by nurses to the Environmen- tal Protection Agency (EPA). ANS: C 5. Exposure to lead-based paint can cause premature births, learning disabil- ities in children, hypertension in adults, and other health problems. The lead in our environment would be classified as a. a neurotoxin. b. a pesticide. c. an infectious agent. d. a PCB. ANS: A 6. A PHN is implementing the public health intervention of health teaching at the systems level of practice. Which of the following interventions is most likely being implemented by the nurse? Select one: a. Participating in the "Great American Smokeout" marathon b. Working with a major local employer to provide smoking cessation educa- tion c. Advocating for increased taxes on tobacco products d. Providing one-on-one counseling to smokers ANS: B 7. The cornerstones of public health nursing practice include which of the following? Select one: a. Provide a framework for ethical decision making b. Reflect community priorities and needs c. Focus on the health of the entire population d. Promote health through strategies driven by epidemiological evidence e. Establish caring relationships with families, individuals, communities, and systems that constitute the populations PHNs serve f. A,B,C,D,E : F 8. Which statement is true about the origins of the Intervention Wheel? Select one: a. It was a result of a qualitative analysis carried out by the State Boards of Nursing. b. A panel of nurses from Iowa, Minnesota, North Dakota, South Dakota, and Wisconsin developed and refined the Intervention Wheel. c. It was conceived by a group of international nurses from Norway, Kaza- khstan, and Japan. d. It resulted from a grounded theory process carried out by public health consultants at the Minnesota Department of Health. ANS: D 9. Which statement about the Intervention Wheel is true? Select one: a. It describes in detail the components of public health nursing. b. It is a framework used by all health departments in the United States. c. It provides a graphic illustration of population-based public health practice. d. It demonstrates the practice of community health nurses for policy and lawmakers. ANS: C 10. Epidemiology: Select one: a. is a science that studies the poisonous effects of chemicals. b. helps nurses understand the strength of the association between exposure and health effects. c. is a method for tracking the prevalence of health outcomes. d. explains the association between learning disabilities and exposure to lead-based paint at the cellular level. ANS: B 11. The nurse is teaching a new diabetic client how to give himself an insulin injection. Which of the following domains would be used? Select one: a. Affective b. Psychomotor c. Cognitive d. Developmental ANS: B 12. A nurse makes clinical judgments based upon trial and error and past clinical experiences. Which of the following problems can result from using these data sources in clinical decision making? Select one: a. Not all sources of information are reliable. b. Trial and error has led to poor outcomes. c. Ethical knowledge is not taken into account. d. Authority always leads to faulty decision making. ANS: A 13. Which type of research is defined as the gold standard of evidence in evidence-based practice and is the highest level of evidence? Select one: a. Clinical expertise b. Case studies c. Systematic review d. Randomized controlled trials ANS: D 14. Conditions in which people are born, grow up, live, work, and age, including their health; these circumstances are in turn shaped by a wider set of forces: economics, social policies, and politics is : Select one: a. health disparities b. social determinants c. health equity ANS: B 15. A public health nurse (PHN) would like to incorporate evidence-based practice into the clinical practice at the health department. According to Melnyk and Fineout-Overholt et al., which of the following steps should the nurse take first? Select one: a. Asking clinical questions b. Searching for the best evidence c. Integrating the evidence with clinical expertise d. Cultivating a spirit of inquiry ANS: D 16. The cognitive domain includes: Select one: a. the performance of skills. b. memory, recognition, understanding, reasoning, and problem solving. c. changes in attitudes and the development of values. d. memorization of one set of skills before moving on to the next. ANS: B 17. A nurse provides counseling to an obese client about the importance of good nutrition and regular exercise with the intention of helping the client avoid future chronic diseases associated with obesity. What client system and focus of care are being applied in this situation? Select one: a. Family level health promotion b. Individual level health promotion c. Aggregate level illness prevention d. Individual level illness prevention ANS: D 18. Which of the following statements is correct? Select one: a. Genes, biology, and health behavioral choices account for 75% of popula- tion health. b. Genes, biology, and health behavioral choices account for 25% of popula- tion health. c. Physical and social environments account for 75% of population health. d. Medical care accounts for 25% of population health. ANS: B 19. A health educator is trying to change a client's attitudes about smoking. Which of the following domains would be used? Select one: a. Cognitive b. Psychomotor c. Developmental d. Affective ANS: D 20. A nurse is looking for evidence-based practice to support the methods used to facilitate smoking cessation. Which of the following types of evidence would be the best for the nurse to examine? Select one: a. Scientific literature found in systematic reviews b. Quasi-experimental studies c. Expert opinion Double-blind randomized controlled trial ANS: A