NCLEX Questions Chapter 1-4 Questions and Answers with complete solutions

NCLEX Questions Chapter 1-4 Questions and Answers with complete solutions 1. Jennifer is a community health nurse in a large metropolitan area. According to the American Nurses Association's Code of Ethics (2001), community health nurses must align themselves with public health programs that promote and preserve the health of populations by influencing: a. socioeconomic issues. b. psychosocial issues. c. sociocultural issues. d. developmental issues. - ANS- C 1.In which of the following historical ages would people have had an increased risk for contracting salmonella, anthrax, Q fever, or tuberculosis from the proximity of domesticated animals and herds? a. Hunting and gathering stage b. Settled village stage c. Preindustrial cities stage d. Industrial cities stage - ANS- b 1.Receiving immunizations, regular health screenings, and physical exams is an example of: a. health promotion. b. health protection. c. secondary prevention. d. health maintenance. - ANS- b 1.Which of the following statements is NOT true about the "thinking upstream" model of community health nursing practice? a. It is a conceptual model to assist the nurse in community health planning. b. It helps to focus the time, energy, and programmatic resources available to community health nursing clients. c. It focuses the nurse on short-term, individual-based nursing interventions. d. It focuses the nurse on long-term, "bigger picture" issues related to community health practice, such as social justice or power. - ANS- c 10. Lillian Wald and Mary Brewster's Henry Street Settlement was a model of modern health care. Which of the following services was provided to people living in the Lower East Side of New York City by the Henry Street Settlement nurses? (Select all that apply.) a. Emergency care and first aid b. Home visits to ill mothers and children c. School health services d. Industrial health services to local workers e. Support programs for immigrants - ANS- b.c.d.e 10.The use of theory in population-focused community health nursing encourages which of the following? (Select all that apply.) a. A reactive approach to care b. A proactive approach to care c. Development of population-focused programs d. Development of individual-focused health protocols for community use - ANS- b,c 10.Which of the following is an example of a modifiable risk factor? (Select all that apply.) a. Air pollution b. Cigarette smoking c. Gender d. Sexual practices e. Diet - ANS- b,d,e 2. Mary is a nursing student doing her senior project in community health. Part of her assignment is to conduct an activity that illustrates "social health" within a group in her community. The most appropriate activity for Mary to organize would be a: a. neighborhood block party. b. food bank in a local church. c. community yard sale. d. school fundraiser for the school band. - ANS- b 2.A microscopic approach to the community health problem of childhood obesity would focus on: a. asking an obese child and his or her parent(s) to complete a 24-hour food diary. b. analyzing aggregate Body Mass Indexes (BMIs) of school-age children in a school. c. advocating for a change in health policy related to school lunches. d. exploring changing cultural changes and societal values related to activity. - ANS- a 2.During the Renaissance period, much was learned about health and disease. The Elizabethan Poor Law was enacted during this time to: a. govern personal and community hygiene such as contagion, disinfection, and sanitation. b. make local parishes responsible for caring for the poor in the community. c. enforce hygienic codes from Leviticus and establish leper houses. d. legislate social reform, addressing issues such as child welfare and factory management. - ANS- b 2.Which of the following "determinants of health" refers to factors that are experienced with the senses-things that can be seen, touched, heard, and smelled? a. Biology b. Behaviors c. Social environment d. Physical environment - ANS- d 3.Edwin Chadwick's Report on an Inquiry into the Sanitary Conditions of the Laboring Population of Great Britain greatly contributed to the development of the: a. National Organization for Public Health Nursing. b. American Medical Association. c. General Board of Health for England. d. National Institute. - ANS- c 3.It has been estimated that individual behaviors and environmental factors are responsible for what percentage of all premature deaths in the United States? a. 20% b. 40% c. 50% d. 70% - ANS- C 3.Which of the following "determinants of health" would include predisposition to prostate cancer and a history of depression? a. Biology b. Behaviors c. Social environment d. Physical environment - ANS- a 3.Which of the following theories is based on the assumption that individual needs and related activities are the focus of nursing care? a. Orem's self-care deficit theory b. The health belief model c. Milio's framework d. Critical social theory - ANS- a 4. Early public health nurse Lillian Wald and her associates were successful in addressing health and disease in the immigrant community by: a. supporting political activities to improve social and environmental conditions of immigrant families. b. administering bedside nursing care to immigrants and their families. c. teaching the immigrant family members to provide health care in the home. d. obtaining and administering medications to the immigrants and their family members. - ANS- A 4.A community health nurse explores a group of teenagers' beliefs about the seriousness of eating disorders and their related susceptibility. The nurse is applying principles from which theory? a. Orem's self-care deficit theory