CHW Community Health Exam 1
Questions & Answers
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 pro- mote and preserve the health of populations by
influencing:
A. socioeconomic issues.
B. psychosocial issues.
C. sociocultural issues.
D. developmental issues.
Answer: C. Sociocultural Issues
The Code of Ethics of the American Nurses Association (2001) promotes
social reform by focusing on health policy and legislation to positively
affect accessibility, quality, and cost of health care. Community health
nurses must align themselves with public health programs that promote
and preserve the health of populations by influencing sociocultural
issues, such as human rights, homelessness, violence, and stigma of
illness. Directing care toward socioeconomic issues, psychosocial
issues, or developmental issues focuses on individuals, families, or
groups, which in turn contributes to the health of the total population.
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.
Answer: B. Food bank in a local church Social health is a positive
interaction among groups with an emphasis on health
promotion and illness prevention. The correct choice is a food bank in a
local church because a food program alleviates problems with hunger
and nutrition that affect health. The other options do not relate to
health.
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%
Answer: C. 50%
According to Orleans and Cassidy (2011), 50% of all premature deaths
in the United States are a result of individual behaviors and
environmental factors. According to Mokdad, Marks, Stroup, and
,Gerberding (2004), tobacco use leads the list of "actual causes of
death" at almost 20% of annual deaths in the United States.
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
condi- tions 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.
Answer: A. Supporting political activities to improve social and
environmental conditions of immigrant families
These early public health nurses saw that neither administering bedside
clinical nursing, including obtaining and administering medication, nor
teaching family members to deliver care in the home adequately
addressed the true determinants of health and disease. They resolved
that collective political activity should focus on advancing the health of
aggregates and improving social and environmental conditions by
addressing the social and environmental determinants of health. Wald
and her colleagues (1971) impacted the health of the community by
organizing the community, establishing school nursing, and taking
impoverished mothers to testify in Washington, DC.
, 5.Disease prevention activities protect people from disease and the effects
of disease. An example of primary disease prevention is:
A. teaching people with diabetes how to prevent complications.
B. administering vaccines to children before kindergarten.
C. checking the skin of farm workers for signs of skin cancer.
D. identifying and testing individuals exposed to someone with tuberculosis.
Answer: B. Administering vaccines to children before kindergarten
Primary prevention activities prevent a problem before it occurs; an
immunization is given to prevent a disease before it occurs. Secondary
prevention refers to early detection and prompt intervention during the
period of early disease pathogenesis, such as checking the skin for
signs of skin cancer or identifying and treating individ- uals who have
been exposed to contagious diseases. Aims of tertiary prevention are to
keep health problems from getting worse, reduce the effects of disease
and injury, and restore individuals to their optimal level of functioning.
Examples of tertiary prevention include teaching prevention of
complications from disease or referring a patient with a stroke for
rehabilitation.
6.Every 10 years, the U.S. Department of Health and Human Services
pub- lishes a national prevention initiative titled Healthy People. One of
the new objectives for Healthy People 2020 is to:
A. achieve access to preventive services of all Americans.
B. improve the nation's ability to prevent, prepare for, respond to, and recove
Questions & Answers
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 pro- mote and preserve the health of populations by
influencing:
A. socioeconomic issues.
B. psychosocial issues.
C. sociocultural issues.
D. developmental issues.
Answer: C. Sociocultural Issues
The Code of Ethics of the American Nurses Association (2001) promotes
social reform by focusing on health policy and legislation to positively
affect accessibility, quality, and cost of health care. Community health
nurses must align themselves with public health programs that promote
and preserve the health of populations by influencing sociocultural
issues, such as human rights, homelessness, violence, and stigma of
illness. Directing care toward socioeconomic issues, psychosocial
issues, or developmental issues focuses on individuals, families, or
groups, which in turn contributes to the health of the total population.
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.
Answer: B. Food bank in a local church Social health is a positive
interaction among groups with an emphasis on health
promotion and illness prevention. The correct choice is a food bank in a
local church because a food program alleviates problems with hunger
and nutrition that affect health. The other options do not relate to
health.
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%
Answer: C. 50%
According to Orleans and Cassidy (2011), 50% of all premature deaths
in the United States are a result of individual behaviors and
environmental factors. According to Mokdad, Marks, Stroup, and
,Gerberding (2004), tobacco use leads the list of "actual causes of
death" at almost 20% of annual deaths in the United States.
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
condi- tions 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.
Answer: A. Supporting political activities to improve social and
environmental conditions of immigrant families
These early public health nurses saw that neither administering bedside
clinical nursing, including obtaining and administering medication, nor
teaching family members to deliver care in the home adequately
addressed the true determinants of health and disease. They resolved
that collective political activity should focus on advancing the health of
aggregates and improving social and environmental conditions by
addressing the social and environmental determinants of health. Wald
and her colleagues (1971) impacted the health of the community by
organizing the community, establishing school nursing, and taking
impoverished mothers to testify in Washington, DC.
, 5.Disease prevention activities protect people from disease and the effects
of disease. An example of primary disease prevention is:
A. teaching people with diabetes how to prevent complications.
B. administering vaccines to children before kindergarten.
C. checking the skin of farm workers for signs of skin cancer.
D. identifying and testing individuals exposed to someone with tuberculosis.
Answer: B. Administering vaccines to children before kindergarten
Primary prevention activities prevent a problem before it occurs; an
immunization is given to prevent a disease before it occurs. Secondary
prevention refers to early detection and prompt intervention during the
period of early disease pathogenesis, such as checking the skin for
signs of skin cancer or identifying and treating individ- uals who have
been exposed to contagious diseases. Aims of tertiary prevention are to
keep health problems from getting worse, reduce the effects of disease
and injury, and restore individuals to their optimal level of functioning.
Examples of tertiary prevention include teaching prevention of
complications from disease or referring a patient with a stroke for
rehabilitation.
6.Every 10 years, the U.S. Department of Health and Human Services
pub- lishes a national prevention initiative titled Healthy People. One of
the new objectives for Healthy People 2020 is to:
A. achieve access to preventive services of all Americans.
B. improve the nation's ability to prevent, prepare for, respond to, and recove
