Final Community Health nursing/Public health Exams (complete solution 1st ,2nd & 3rd)

1st 1. Which of the following best describes community-based nursing? a. Providing care with a focus on the group's needs b. A practice in which care is provided for individuals and Families c. Value system in which all clients receive Optimal Care d. Giving care with a focus on the aggregates needs 2. A nurse is assessing the status of a community's health. Which of the following will the nurse examine? a. Health Facilities b. Healthcare manpower c. Community awareness d. Vital statistics 3. Primary, secondary, and tertiary levels of prevention help reduce risk, identify, and limit disabilities, and reduce complications of mental health problems. Which exemplifies a primary prevention strategy for mental health problems? a. Initiate health promotion activities as a part of Rehabilitation Services b. Promote support groups for people with mental health disorders c. Educate families and Community groups about mental health issues, symptoms of stress, and barriers to seeking help d. Screen for mental health disorders 4. A public health nurse is compiling information about goals and objectives in the United States to promote early detection of breast cancer in women. Which resource would most likely provide useful information about this topic? a. Healthy people 2020 b. Patient protection and Affordable Care Act c. Scope and standards of Public Health nursing practice d. The future of Public Health 5. The community health nurse learns that there are statistically high levels of obesity and elevated cholesterol in the community. In addition, the community has a disproportionately high number of fast food restaurants, compared with surrounding communities which would be the most appropriate Next Step, based on this data? a. Target education and support programs b. Create local exercise programs c. Gather support in the community to ban fast foods d. Gather further information regarding trans fat 6. An older client who lives alone tells a clinic nurse that he is unable to drive himself to the store and is afraid to cook on the stove. Which of the following Community Resources should the nurse recommend to this client? a. Temporary assistance for needy families b. Hospice care c. A rehabilitation facility d. Meals on Wheels 7. A nurse at a community health clinic is caring for a client who reports a headache and stiff neck. Which of the following actions should the nurse take first ? a. Administer an oral analgesic b. Perform a complete blood count c. Evaluate the client's neurological status d. Check the clients temperature 8. A public health nurse is promoting routine papanicolaou test to young adult women at a community-based preventive care health fair. Which level of preventative care is a Pap test ? a. Tertiary b. Self-care ability c. Primary d. Secondary 9. The mother of a child asks a clinic nurse how to safety proof the home. What should the nurse recognize as the most effective means to prevent accidental poisoning? a. Tell children where toxic substances are and instruct them not to go there b. Scan the home from the child's eye level and remove accessible toxins c. Store poisons in the garage rather than in the home d. Keep the Poison Control Center phone number near the phone 10. A nurse just accepted a position in community health and has been assigned to the neighborhood she lives in which also happens to be where she grew up. Which of the following best describes the rationale for this assignment? a. To maximize convenience and minimize commuting time for the nurse b. To ensure that the nurse would care about her intervention outcomes c. The nurse has Insider status and may have already developed trust with the community members d. To save gasoline in these difficult Economic Times 11. The public health nurse is performing glucose screening at a local health fair for those diagnosed with COPD. This is an example of which of the following? a. Primary prevention b. Primary and secondary prevention c. Tertiary prevention d. Secondary prevention 12. The community health nurse made a visit to a client who has a known diagnosis of hypertension. Which of the following medications will likely be in his medication regimen? a. Amlodipine b. Xanax c. Warfarin d. Insulin 13. The nurse often has to make resource allocation decisions. Which of the following best describes the Criterion the nurse should use in such cases? a. The needs of the community rather than a few individuals b. The most rational probable outcome c. The specific moral or ethical principle related to the situation d. The cheapest, most economical approach 14. Which client would have been most likely to receive care from the frontier nursing service? a. A woman in labor in a rural area b. A homebound, elderly male living in the city c. A child with a broken femur in school d. An injured Soldier 15. A community health nurse is completing a client’s history and physical examination. Which of the following information about the nurse consider subjective data? a. Petechiae b. Cyanosis c. Nausea d. Blood pressure 16. A nurse has invited community members to participate as full partners in creating changes to improve the health of the community. Which of the following may be unexpected consequences of this action? a. A change in the distribution or redistribution of power and influence b. An increase in awareness of the importance of health c. Continued ongoing interest in community health activities d. Improved family functioning and involvement in health activities 17. Implementing a community-level program, such as walking for exercise, to assist citizens in improving health behaviors is an example of which level of prevention? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Disease promotion 18. Which of the following nurses is famous for creating public health nursing in the United States? a. Florence Nightingale b. Mrs. Solomon Loeb c. Frances Root d. Lillian Wald 19. Which of the following behaviors, if performed by a nurse, is an example of tertiary prevention? a. The nurse implements an exercise program at the local senior center b. The nurse educates a group of teenage mothers about proper nutrition c. The nurse is at a local homeless shelter performing blood pressures and BMI screenings d. The nurse is educating a patient regarding his TB medication regimen 20. A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention? a. Testing new nurses for exposure to tuberculosis b. Performing screening for sexually transmitted infections c. Providing treatment for clients who have chronic obstructive pulmonary disease d. Administering influenza immunizations at a local health fair 21. A public health nurse is providing education on the importance of monitoring blood sugar and counting carbohydrates prior to eating lunch. This is an example of which level of prevention? a. Assessment b. Secondary c. Tertiary d. Primary 22. A high school graduate has decided to pursue a career in public health nursing. Which represents the minimum educational credential that this student will need to obtain entry into public health nursing practice? a. Doctorate b. Baccalaureate c. Associate’s d. Master’s 23. A nurse centers his practice around the principle of doing the greatest good fro the greatest number. Which of the following ethical principles is being applied? a. Utilitarianism b. Health disparities c. Social justice d. Distributive justice 24. Making sure that essential community oriented health services are available defines which of the following core public health functions? a. Assessment b. Scientific knowledge based care c. Policy development d. Assurance 25. A public health nurse identifies that a child has pediculosis capitis and educates the client’s parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching? a. Toys that cant be dry cleaned or washed must be thrown out b. All recently used clothing, bedding, and towels must be washed in hot water c. My child is not able to go to school for 1 month d. I will treat all the family members to be on the safe side 26. A nurse is giving a presentation at a community center about chronic bronchitis. Which of the following information should the nurse include in effective for preventing this disorder? a. Maintenance of ideal weight b. Smoking cessation c. Regular moderate exercise d. Annual influenza immunization 27. The community health nurse understands that the first nursing intervention in a quadreplegic client who is experiencing autonomic dysreflexia has to do with which of the following? a. Administer Phentolamine 5-10mg intravenously b. Start chest compressions c. Elevate the head as high as possible d. Loosen all clothing, check skin for pressure sores and check for toe damage 28. A nurse is providing education to the patient on swing through crutch gait. Which of the following statements indicates that the patient has an understanding of the teaching? a. Swing through crutch gout is done by advancing my legs first, followed by advancing both crutches b. Swing through crutch gout is done by advancing the right crutch first followed by my legs moving past the level of crutches c. Swing through crutch gout is done by advancing the left crutch first followed by my legs moving past the level of the crutches d. Swing through crutch gout is done by advancing both crutches together first, followed by my legs moving past the level of crutches 29. Which of the following behaviors, if performed by a nurse, is an example of tertiary prevention? a. The nurse is educating a patient regarding his TB medication regimen b. The nurse is at a local homeless shelter performing blood pressure and BMI screenings c. The nurse implements an exercise program at the local senior center d. The nurse educates a group of teenage mothers about proper nutrition 30. A nurse is teaching a class on health promotion and illness prevention. The nurse should include which of the following is an example of secondary prevention? a. Referring a client who has had a mastectomy to a support group b. Teaching foot care to a client who has diabetes c. Performing monthly breast self-examinations d. Providing a community program on stress reduction 31. Which of the following best describes community oriented nursing? a. Having the goal of health promotion and disease prevention b. Providing care to manage acute or chronic conditions c. Focusing on the provision of care to individuals and families d. Giving direct care to ill individuals within their family setting 32. A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention? a. Testing new nurses for exposure to tuberculosis b. Administering influenza immunizations at a local health fair c. Performing screenings for sexually transmitted infections d. Providing treatment for clients who have chronic obstructive pulmonary disease 33. Which of the following is the primary focus of public health nursing? a. Families and groups b. Health care of communities and population c. Individuals within the family unit d. Illness-oriented care 34. A new nurse is overwhelmed with the needs of the community. Which of the following should be the first priority of the nurse? a. A problem that affects the most disadvantaged residence in the community b. A problem that is of high concern to the community c. A problem in an area in which the nurse has a great deal of expertise d. A problem that is very easy and inexpensive to address 35. Primary prevention strategies are useful for the school nurse to use to prevent violence in the school and community? a. Create support groups for bullied kids b. Provide referrals to appropriate Community organizations c. Organize a violence screening day d. Provide education about different forms of violence and ways to get help and intervene 36. In the United States, the current system of the local government's responsibility for providing care disenfranchised emerged from which of the following? a. Public Health Service b. Federal emergency relief Administration c. Florence Nightingale d. Elizabethton poor law 37. A registered nurse was just employed as a public health nurse. Which questions would be the most relevant for the nurse to ask? a. With which nursing assistants will a partner the most b. Which patients should I see first as I begin my day c. Which groups are at greatest risk for problems d. With which Physicians will I be most closely collaborating 38. The new community health nurse introduces herself to the local Minister and attends various neighborhood meetings. The nurse learns about the ethics, values, and culture of the neighborhood. The community is vocal about the need for Public Safety in the care of the homeless, especially in the winter. Which is the best rationale for considering all of the influence in the neighborhood affecting their health and well-being? a. It will help the nurse create a controlled clinical environment b. The information can be use to obtain funds to create shelters for the homeless c. The information will help to effectively assess the community and start the plan for change d. A neighborhood watch may be created with police support 39. Educating the family about proper diet and regular exercise is an example of which level of prevention? a. Secondary prevention b. Disease management c. Primary prevention d. Tertiary prevention 40. A community health nurse drives through her assigned Community before visiting the community group scheduled for the day. He then drives through the community which of the following best describes the nurses reason for driving to the community twice in the same day? a. Driving through twice allows the nurse to see the community when many residents are at work or at school and then again when most are at home b. On the second trip, the nurse can carefully confirm the results of the first assessment c. Repeating the experience ensures that the nurse absorb all the relevant details d. When leaving in the evening the nurse has more time to write down the results of an earlier assessment 41. A nurse is considering applying for a position as a public health nurse. Which of the following would be a reason this position would be appealing? a. Its autonomy and Independence b. Its flexibility and higher wages c. Its focus on acute care and immediately visible outcomes d. Its collaboration with other health care professionals 42. An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy? a. Teach plant workers about proper lifting techniques b. Set up an influenza immunization campaign c. Help plant workers screen for carpal tunnel syndrome d. Collaborate with physical therapist to develop programs for injured employees to return to work 43. A community health nurse is completing a client's history and physical examination. Which of the following information should the nurse include as subjective data? a. Blood pressure b. Cyanosis c. Petechiae d. Nausea 44. A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 of NPH given subcutaneously at breakfast daily. What is the total number of units that the nurse should prepare in the insulin syringes? a. 42 units ← b. 32 units c. 28 units d. 14 units 45. The nurse who compares the rate of teenage pregnancy in various areas of the city is practicing which of the following? a. Prevention b. Assessment c. Policy development d. Assurance 46. A PHN collects data and monitors the health status of the population. Which of the following core Public Health functions is being implemented? a. Prevention b. Assurance c. Policy development d. Assessment 47. A nurse is caring for a child with left femur fracture placed in Bryant traction. The parents of the child inquire why the leg is elevated in this position. Which of the following statements should the nurse make? a. Being in this position prevents pain and swelling at the fracture site b. The reason for this position is because your child weight is an adequate to provide sufficient countertraction so his entire body must be used c. He must be in this position to prevent pulmonary emboli d. Being in this position prevents a decubitus ulcer from forming at the buttocks 48. The public health nurse is performing a STI screening at a local Health Clinic. What is this an example of a. Primary prevention b. Quartenary prevention c. Secondary prevention d. Tertiary prevention 49. Which of the following Public Health nurses most clearly fulfills the responsibilities of this role? a. The nurse who spent the day collaborating with community members to implement change b. The nurse who talked to individual people about their particular health concerns c. The nurse who watch the city council meeting on local cable television d. The nurse who treated an individual in the hospital setting 50. Primary prevention consists of which of the following a. Health promotion and disease prevention b. Disease prevention and Rehabilitation c. Early diagnosis and prompt treatment d. Rehabilitation and case management Second of All... 1. A homeless family brought their father to the public health clinic after he reported bleeding when he went to the bathroom. Which of the following nursing actions would be most appropriate? a. Suggest that the family take him to an urgent care center immediately b. Begin test to determine the cause of bleeding while asking about other family concerns from nutrition to shelter for the night c. Treat the urinary infection and give the man medication to prevent the return of infection d. Prefer the man to a urologist to address the urinary bleeding 2. A male IV drug abuser admits to the nurse that he has no desire to stop using drugs, so rather than lecture him on the dangers of drug addiction, the nurse counsels him on how to sterilize his needles. Which of the following prevention efforts is the nurse attempting to achieve? a. Primary prevention by avoidance of future legal complications b. Tertiary prevention to reduce the transmission of blood-borne diseases c. Primary prevention by educating about safe injections d. Secondary prevention to reduce the risk for infection or other complications 3. Primary prevention consists of which of the following? a. Health promotion and Rehabilitation xxxx b. Health screening and early diagnosis c. Health promotion and specific protection ????????????? b/c vaccines are specific protection?????? d. Early diagnosis and prompt treatment xxxx 4. A charge nurse has access to the facilities electronic client records. It is appropriate for the charge nurse to share their password with whom? a. The nurse manager b. Nursing student who is completing a preceptorship on the unit c. The unit clerk d. No one 5. The community health nurse has limited time for family assessment because of demanding cases or Staffing shortages. Using your knowledge that focused family interviews can be 5 minutes or less can use a wealth of information, which is an example of an activity that will acknowledge the family strengths objectively ? a. Collaborate with the family to set priorities, plan care, and evaluate goals b. Genogram and ecomap that illustrate relationships with family members c. Allow everyone present to voice observations, insides, or concerns before offering how they could change the situation d. Ask family members if they see an area that could be changed 6. A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect? a. Nystagmus b. Hypersomnia c. Depression d. Dilated pupils 7. Making sure that Essential community-oriented Health Services are available defines which of the following core Public Health principles? a. Assurance b. A practice in which care is provided for individuals c. Assessment d. Scientific knowledge based care 8. A school health nurse is asked by a parent group to explain risk factors for alcoholism. Which of the following information should the nurse include? a. Alcoholism is determined partly by genetic factors b. Alcoholism is determined primarily by the person's occupation c. Persons who are alcoholics are usually women d. Persons born with fetal alcohol syndrome are alcoholics from birth 9. The nurse is providing education on safe sex practices to a person diagnosed with COPD, hypertension, and hyperlipidemia. This is an example of which level of prevention? a. Policy development b. Primary c. Tertiary d. Secondary 10. Nurses examine their attitudes about Alcohol, Tobacco, and Other Drug (ATOD) abuse and addiction before working with individuals with this health problem? a. To be therapeutic, a nurse must develop a trusting non judgemental relationship with clients b. The population of persons with drug and alcohol addiction is found in low-income neighborhoods c. Nurses are the primary persons who treat addiction problems d. Working with clients who have addiction problems often puts the nurse at risk for violence 11. The community oriented nurse is providing a workshop on implementing a no sodium diet for patients that has been diagnosed with hypertension. This is an example of which level of prevention? a. Primary b. Secondary c. Tertiary d. Policy development 12. A nurse is caring for a migrant Farm worker who has been working in the agricultural industry for the past 10 years. When questioned about environmental hazards, client reports regular exposure to pesticides. Which of the following disorders is the client most at risk for? a. Cancers of the skin on respiratory system b. Headaches c. Memory loss d. Skin rashes 13. A male nurse is assigned to care for a female client who was admitted to the hospital for treatment of injuries following a domestic abuse incident. The client tells the nurse manager she does not want a male nurse as her caregiver. Which of the following responses should the nurse manager make? a. I can arrange for a female assistive Personnel to do your personal hygiene care b. Your doctor is a man, so it seems like this should not be a problem c. The nurse is assigned to care for you is very capable and cares for other women in this situation d. I can review the assignment and arrange a female nurse to care for you 14. A school nurse is providing ongoing care to a pregnant teenager. Which of the following levels of prevention is being used? a. Secondary prevention b. Policy development c. Primary prevention d. Tertiary prevention 15. Which of the following is the top risk factor for intimate partner homicide? a. The husband has made threats against wife before b. There is a knife in the house c. The wife has previously called 911 because of husband’s beating her d. A woman's young daughter also lives with them 16. A staff member is orienting a new nurse to a health clinic that serves primarily wild animal populations. Which of the following statements indicates a need for additional staff education ? a. You will like working with Hispanic immigrants because they have a close-knit family structure and they are all nice b. If a client who does not speak English comes in, you must obtain an interpreter right away c. We trying to take care of as many problems as possible in one visit, so when you interview the clients ask about additional concerns d. You will need to assist the client by scheduling any referral or follow-up appointments around their work schedules 17. The public health nurse makes a recommendation that a client be screened for intimate partner violence. Which level of prevention is being utilized? a. Primary b. Tertiary c. Secondary d. Core function 18. A nurse is using the technique of motivational interviewing when working with a client. Which of the following statements by the client indicates the client is ready to make the change? a. I should change b. I am willing and ready to change c. It's important to change d. I might want to change 19. A nurse is making a home visit to a low income, well, older persons home. Which of the following would most likely cause the nurse to suspect adult maltreatment? a. The windows of the house are in need of repair b. The older person reports giving money to family members on a regular basis c. The older person spends a great deal of time watching television d. There are dogs running loose in the yard of the home 20. A nurse is working to improve her self-awareness in order to provide better client-centered care to clients living in poverty. Which of the following question should the nurse ask herself? a. What can be done to get poor people motivated to work? b. What are my own beliefs and prejudices of those living in poverty? c. How can Community Resources assist those living in poverty? d. What would I do if I live in poverty? 21. A nurse is teaching a class on health promotion and illness prevention. The nurse should include that which of the following is an example of secondary prevention? a. Teaching foot care to a client who has diabetes b. Providing a community program on stress reduction c. Performing a monthly breast self-examination d. Referring a client who has had a mastectomy to a support group 22. Which of the following statements, made by a caregiver of an older client, should alert the nurse to assess for evidence of elder abuse? a. We have to feed mom pureed food now because she has trouble chewing and swallowing regular food b. Mom is always into something and can't seem to stay still, so I've been giving her half a Valium to get her to relax so I can get some rest c. She has not been having incontinence problems since we have been taking her to the toilet every 2 to 3 hours when she is awake d. Mom wanted to stay at her home, but we were scared for her safety, so we moved some of her personal things into our home and brought her to live with us 23. Two nurses in public health clinic schedule a day to ride through a low-income Community to better understand the community and its boundaries, Trends, Rhythm, stability, and changes that can affect the health of that Community. This direct data collection method is often referred to as: a. Windshield survey b. Composite database c. Participant observation d. Secondary analysis 24. Which of the following is the primary cause of vulnerability? a. Prejudice b. Lack of resources c. Social isolation d. Breakdown of family structures 25. The nurse is making a postpartum visit to a teenage mother and her month old infant. Which of the following assessment should be most important? a. Assessing whether the baby's father is being helpful to the mother b. Assessing how much the teenage mothers own mother is helping her cope with childcare c. Assessing for mother's knowledge about normal infant growth and development d. Assessing for mother's ability to fulfill her own growth and development tasks 26. Which of the following statements accurately describes why methadone is used to treat heroin addiction? a. Methadone prevents further dependence on drugs b. Methadone blocks the effects of heroin and reduces the craving c. Addicts come to prefer methadone instead of heroin d. Methadone gives an enjoyable high, so addicts continue treatment 27. An individual who no longer has an emotional connection with any group in particular or society as a whole is suffering from which of the following? a. Resiliency b. Web of causation model c. Disenfranchisement d. STI 28. A mother confided to the nurse that her live-in boyfriend knocked down her two-year-old child because he was crying too much. She begs the nurse not to tell anyone because her boyfriend has agreed to take anger-management issues. Which of the following actions should the nurse take? a. Abide by the mother's wishes because this information was provided in confidence b. Encourage the mother to take the child and find alternative housing right away c. Report the incident to Child Protective Services or other appropriate legal Authority d. Arrange for counseling for the boyfriend at the earliest possible availability 29. A nurse invited all the teenagers who were newly diagnosed with diabetes to a group meeting to discuss issues they had in common. One teenager replied, I don't know if I want to share all the problems I'm having with strangers. Which of the following should the nurse use to respond? a. No one will require you to do anything you don't want to do b. The purpose of the group is to have a safe place to share problems with others who may be having similar problems c. I can understand what you are saying d. Don't share anything with anyone until you're comfortable doing so 30. A charge nurse is making a room assignment for a client who has scabies. Which of the following should the nurse place the client? a. A private room b. A negative pressure isolation room c. A semi-private room with a client who has pediculosis capitis d. Positive pressure isolation room 31. A nurse is implementing a primary prevention strategy to address abuse in the community. Which of the following actions is the nurse most likely taking? a. Encouraging others to interfere when they see children hit or hurt in a public place b. Educating community members on effective ways to cope with the stress c. Screening each pregnant woman privately for intimate partner abuse d. Best friend caregivers to community respite centers if abuse is beginning to occur 32. The nurse is scheduled to teach carbohydrate counting to middle-aged adults nearly diagnosed with diabetes. Which of the following actions will the nurse need to take when teaching his population? a. Explain how cultural considerations will no longer be relevant b. Recognize that this onions will be unable to read and write c. Emphasized that anyone with diabetes must know this information d. Appeal to the need for autonomy and choice 33. A nurse is studying developmental stages. In which of the following states should a nurse expect clinical manifestations of autism? a. Toddler b. Geriatric c. Neonate d. Middle-aged 34. A nurse is working with a family to reduce the incidence of Home violence. Which of the following actions by the nurse would most likely have a positive effect? a. Focusing attention on family weaknesses that need to be fixed before healing can begin b. Soliciting ideas from the family regarding what they feel will improve their situation c. Assertive and taking control of decisions because family members cannot be expected to have this ability d. Pointing out things that victims should do differently to avoid antagonizing the abuser 35. Which of the following is the most rapidly growing group of those that are homeless? a. Single men b. Adolescence c. Families for children d. Persons in crisis 36. A school health nurse is conducting drug screening to detect drug used by students before problems develop. Which of the following levels of prevention does this action represent? a. Secondary prevention b. Primary prevention c. Tertiary prevention d. Primary and secondary prevention 37. The public health nurse educates high school students regarding safe sexual practices in the importance of monogamous relationships. This is an example of which of the following? a. Secondary prevention b. Tertiary prevention c. Quaternary prevention d. Primary prevention 38. A nurse is planning an educational program about cardiovascular disease. Which of the following would be the optimal time for the nurse to elicit feedback from program participants? a. At the beginning of the program b. At the program midpoint c. Throughout the program d. Immediately following program completion 39. Which of the following is an accurate concern about the use of marijuana? a. Marijuana has painful withdrawal symptoms b. Marijuana quickly leads to psychological and physiological dependence c. Marijuana can often reduce refuse to prescribe it d. Marijuana may damage the respiratory tract 40. Which of the following terms is used to describe Aggregates who are at high risk for having poor health outcomes because of limited resources? a. Resilient populations b. Disadvantaged families c. Vulnerable populations d. Multi problem families 41. The public health nurse is performing glucose screenings at a local health fair for those diagnosed with COPD. This is an example of which of the following? a. Primary prevention b. Tertiary prevention c. Primary and secondary prevention d. Secondary prevention 42. A nurse is caring for a client following a suicide attempt. The client has a history of depression, substance abuse, and anorexia nervosa. Which of the following actions is the nurse's priority? a. Initiating suicide precautions b. Reviewing the client's toxicology laboratory report c. Making a contract with the client for eating Behavior d. The Hamilton depression scale 43. Which of the following is the most likely reason for a man to rape a woman? a. Provoked by the woman's dress and behavior b. Because the woman was asking for it c. For power and control d. Sexual pleasure and release 44. A teacher asked the school health nurse to assess a child for neglect. Which of the following assessment findings should indicate neglect? a. Failure of parent to attend parent-teacher conferences or return teacher phone calls b. Bruises in various stages of healing c. Lack of weight gain and wearing dirty clothes daily d. Diagnosis of type 2 diabetes 45. Which of the following statements made by the client indicates an understanding of how the nurse performs the Romberg test? a. You want me to stand with my feet together and eyes closed for a short time b. I'm going to walk five or six steps on my toes only then my heels c. I need to touch my toes without bending my knees if possible d. You want me to bend over so you can inspect my spine for curvature 46. An older client is Seeking a fourth befell on a prescription for benzodiazepines. The nurse is concerned that the client may be developing a tolerance for the drug. Which comment by the client would most confirm this concern? a. Lately I've had to double up on my dose just for it to be effective b. The medicine has been wonderful, I think one more refill should do it for me c. I ran out of pills a week ago and have felt sweaty and agitated ever since d. I feel like I just can't function without the medicine 47. Which exemplifies a nuclear family? a. First and second-degree relatives who live together b. First and second-degree relatives who live in the same neighborhood c. Individuals who are not blood relatives but share a common locale of origin or culture d. First degree relatives who live together 48. An individual who is able to persevere despite living under the vulnerable population group and having all odds against them is displaying which of the following? a. The nature of learning b. Web of causation model c. Vulnerability d. Locus of control 49. A nurse is implementing a tertiary prevention strategy related to pesticide exposure. Which of the following activities would the nurse complete? a. Assess farm Workers for evidence of unsafe handling of pesticides b. Treat a client who has pesticide exposure to prevent complications c. Provide teaching on how to protect themselves to sun exposure d. Screen farmworkers for pesticide exposure 50. Preventing intimate partner violence and recurrence of violence requires targeting efforts at all three levels of prevention: primary, secondary, and tertiary. Which is a secondary prevention strategy? a. Screening a woman for evidence of abuse who has several risk factors for ipv b. Providing a woman who is being abused by her husband the number to an abuse hotline so that she can get leaving him c. Creating and broadcasting a public service announcement that raises awareness about ipv d. Posters around the health providers office that give tips on what to do if one is in an abusive relationship Third of All… 1. A nurse is assessing potential environmental health risks in the community. Which of the following would be the first step that the nurse takes? a. Conduct a health risk assessment of randomly selected individuals b. Review permits and consumer confidence reports c. Surveys community members d. Perform a windshield survey 2. A nurse is investigating a bacterial illness that has caused a health problem in the community. Some of the people exposed to the bacteria have become ill. Which of the following factors best explains why this would have happened? a. Chemical agent factors b. Physical agent factors c. Environmental factors d. Successful interaction amongst host, agent, and environment 3. A nurse is teaching a group of newly licensed nurses on effective techniques for counseling clients about sexually transmitted infections. Which of the following statements should the nurse include in the teaching? a. A client's reproductive health history is not needed for counseling purposes b. Use closed-ended questions when obtaining the health history c. Ask about the clients exposure to any past or present STIs d. Refer the client to genetic counseling if he has had an STI 4. A nurse is preparing to care for a client who has suspected exposure to plague as a result of bites from infected fleas. Which of the actions should the nurse plan to take first? a. Decontaminate the client b. Initiate contact precautions c. Notify the Centers for Disease Control and prevention d. Prepare for drainage of lesions 5. Which of the following behaviors, if performed by a nurse, is an example of tertiary prevention? a. The nurse is at a local homeless shelter performing blood pressure and BMI screenings b. The nurse educates a group of teenage mothers about proper nutrition c. The nurse Implement an exercise program at the local Senior Center d. The nurse is educating a patient regarding his TB medication regimen 6. The nurse is responsible for the construction of an isolation unit during an H5 and one outbreak. The unit is designated only for those with confirmed diagnosis of H5N1. Which unit would be easily adapted to client needs? a. 8 room unit with four code carts b. 12 room unit with negative air pressure units c. 12 room unit with four to six air changes per hour d. 15 room unit with a portable supply of PPE 7. How are ethics and public policies similar? a. Abstract principles that often differ in actual practice b. Both use general principles in making decisions c. Both are best achieved by persons in high political office who can affect change d. Strive for the public good 8. A nurse meets with a senator to lobby for passage of a bill to increase funding for interpreter Services. Which of the following branches of the government is the nurse working with? a. Executive branch of government b. Constitutional branch of government c. Legislative branch of government d. Judicial branch of government 9. Four employees at a local restaurant have positive purified protein derivative (PPD) tuberculin skin tests and have been diagnosed with latent tuberculosis (TB). Which employee would be at the greatest risk of contracting active TB disease? a. Works two jobs b. Vacations in South America c. Takes immunosuppressant d. Cooks the food 10. Which rate measures the number of people in a given population who have influenza at a given point in time? a. Incidence b. Specific c. Prevalence *** PAGE 24*** d. Adjusted 11. A nurse is caring for a child who has been physically abused by a family member. Which of the following statements should the nurse say to the child? a. It is not your fault that this happened b. Let's discuss what happened with your family c. I promise I won't tell anyone about this d. Your family is bad for doing this to you 12. A physician refuses to order pain medication for drug addict who has been severely injured in a car accident. When reminded by the nurse that pain medication has not been ordered, the physician merely replies that the patients suffering from the pain of his injuries will build character that the addicted patient needs to get off drugs. Which of the following ethical challenges is the nurse facing? a. Moral distress b. Sequential ism c. Deontological ethics d. Communitarianism 13. Which formula should we use to calculate an incidence rate? a. Number of new cases in a period of time / Total population X base multiple of 1000 ******PAGE 24******* b. Number of the true positives / number of true positives + number of false negatives c. Number of old cases in a period of time / the total population X base multiple of 1000 d. Number of two negatives / number of two negatives plus number of false positives 14. A nurse wishes to develop cultural competence. Which of the following actions should the nurse take first? a. Invite a family from another culture to join the nurse for an event b. Studying the beliefs and traditions of persons living in other cultures c. Complete a survey of all the various ethnicities represented in the nurses community d. Consider how the nurses own personal beliefs and decisions are reflective of his or her culture 15. African American females have a higher mortality rate from breast cancer than white females. This is an example of which of the following? a. Projection b. Disparity c. A sentinel event d. Racism 16. A public health nurse is determining whether a non-compliant TB patient will be isolated against their will. To which type of law will the nurse refer? a. Judicial law b. Constitutional law c. Police power under common law d. Legislation and regulation 17. A nurse is caring for a client who has a mental illness. Which of the following actions by the nurse demonstrates the ethical concept of autonomy? a. Explaining unit rules and policies regarding unacceptable behaviors b. Making sure the client understands expectations for client participation c. Supporting the clients wish to refuse prescribed medications d. Encouraging client feedback about satisfaction with the facility experience 18. The public health nurse is educating the teen mother about immunity. Which statement made by the mother indicates an understanding of the teaching? a. Active immunization occurs when I breastfeed my baby and will protect her from certain diseases b. My baby will automatically acquire natural immunity the minute she is born c. Passive immunity occurs when I breastfeed my baby and will protect her from certain diseases for a period of time d. I am breastfeeding my baby, I will never need to immunize her 19. When an infectious agent enters the host and begins to multiply, and infection occurs. The time between exposure to an infectious agent and the manifestation of symptoms in the host is known as what term? a. Carrier time b. Incubation Period c. Culmination d. Latent period 20. 20. 21. A school nurse wants to decrease the incidence of obesity in elementary school children. Which of the following describes a secondary prevention intervention that the nurse could implement? a. Students to identify those who are overweight b. Putting students on a diet if they weigh greater than 20% of their ideal weight c. Designing a game in which students select healthy food choices d. Giving a presentation on the importance of exercise and physical fitness 22. A case management nurse is preparing to initiate referrals for a client as part of discharge planning. Which of the following actions should the nurse take first? a. Consider the client satisfaction with the referral b. Review available resources with the client c. Verify referrals that the client needs d. Provide the client information to referral agencies 23. Community-oriented nurse has identified obesity as a problem in the elementary school student. This describes the public health core function of a. Distributive justice b. Assessment c. Policy development d. Assurance 24. The nurse is assigned to the county committee on disaster preparedness. What would be the goal as the nurse helps write the disaster plan? a. Clear lines of authority to prevent confusion in the field b. Keep the plan simple, realistic, and flexible to implement c. Be as detailed and specific as possible regarding who does what, and where d. Differentiate the defined the roles of the first responders in the field 25. Client reports symptoms of severe abdominal cramps. Bloody diarrhea, and vomiting after eating commercially packaged spinach. The nurse should suspect which of the following? a. Pneumonia b. Escherichia coli (E Coli) c. Salmonella d. Botulism 26. A nurse is preparing to administer ciprofloxacin to a client. The nurse should identify that the medication is treatment for exposure to which of the following? a. Gangrene b. Anthrax c. Botulism d. Varicella 27. Which of the following best describes the cost of Healthcare in the United States? a. Childcare costs are low which has resulted in poor health outcomes b. Healthcare costs and indicators of health are the highest in the world c. Healthcare costs are kept low and the indicators of Health are among the best worldwide d. Healthcare costs on a highest in the world but the indicators of Health are not the best worldwide 28. A woman comes to the Community Health Care Facility with a bag of medication. Those medications Social Security. Which state? a. These medications are important. Do your best to pay for them b. Let's see if we can get some help from Medicare to help you pay for these medications c. Let's go to these medications and see which ones we can delete d. You can get these medications at this clinic for free 29. A client was clearly very relieved when an HIV test came back negative. "thank goodness. I've had sex several times without a condom, and when one of my friends said he was sick, I think I panicked”. Which of the following would be most important to emphasize to the client immediately? a. Sex should be restricted to one partner b. The test will not cover any recent infection, so if the client has had recent unprotected sex, the tests should be repeated in 3 months. c. Abstinence is the only way to be certain you are HIV free d. The chest could be wrong in the client might still have an HIV infection 30. You have heard rumors in the hospital where you work of an a Bola outbreak in your community and you would like to investigate it further. Which of the following should be your first step in the investigation? a. Formulate and test hypotheses as to the most probable causative factors b. Establish the existence of an outbreak c. Verified the names of the people infected by the virus d. Implement a plan for control of the outbreak 31. A nurse is teaching a client who has a new diagnosis of genital herpes. Which of the following statements by the client indicates the need for further teaching? a. Antiviral medications will not cure the infection b. Abstaining from sexual activity reduces the risk of transmission of the disease c. The use of condoms for reduce the risk of transmission d. Transmission of the disease will not occur when my lesions are gone 32. In researching cases of West Nile virus in the community, the nurse explains how the interactions among people infected with this virus, mosquitoes, and the environment they share contribute to outbreaks of this disease. Which epidemiological model is used in this case? a. Wheel of causation b. Web of causation c. Natural History d. Epidemiological triangle 33. Public health nurse is educating a client regarding chlamydia. Which of the following statements, if made by the client, indicates the need for further teaching? a. Cause me to have lesions in my genital area b. I should tell my partner that I have chlamydia c. I may become infertile from chlamydia if it goes untreated d. Chlamydia is healed with a course of antibiotic 34. Which of the following factors make up the epidemiological triangle (select all that apply) a. Surveillance b. Environment c. Infectious agent d. Host 35. An occupational health nurse at a local Factory is using primary prevention strategies to reduce the environmental health risk among the employees. Which of the following activities with the nurse most likely implement? a. Irrigating the eyes of an employee who has had a chemical Splash to the face b. Checking radiation detectors to monitor for unsafe levels of radiation exposure c. Using spirometry to roll out obstructive or restrictive lung disease for workers who will be wearing masks respirators d. Teaching new employees who will work Outdoors about the signs and symptoms of heat-related illness 36. A nurse is in despair. Earlier in the week, she carefully taught a patient from a different culture exactly how much medication to take and emphasized the importance of taking the correct amount. However, the patient is back in the hospital today with symptoms of an overdose although the patient denies taking more than the label indicated. Which is the most likely explanation? a. The patient truly did not understand and thought the dose being taken was correct b. The patient was also taking folk medicines that had many of the same effects and perhaps some of the same ingredients as a prescribed medication c. The patient was taking more medication and hope of getting well faster d. The patient had a unique response to the medication and should have a smaller dose ordered 37. An occupational nurse in the clinic of an industrial plant is developing a guidebook for Clinic workers. Which of the following actions should the nurse initiate as a tertiary prevention strategy? a. Set up an influenza immunization campaign b. About proper lifting techniques c. Collaborate with physical therapies to develop programs for injured employees to return to work d. identify signs of carpal tunnel syndrome 38. A nurse is caring for an older client who has a terminal illness and is ventilator-dependent. The client is alerted oriented and he wants to discontinue use of the ventilator. The nurse should be aware that continued treatment against the client wishes is a violation of which of the following ethical principles? a. Autonomy b. Fidelity c. Veracity d. Justice 39. Which of the following agencies oversees the Health and Welfare of US citizens ? a. US Department of Health and Human Services (USDHHS) b. Agency for healthcare research and quality (AHRQ) c. Centers for Disease Control and prevention (CDC) d. World Health Organization (WHO) 40. Four employees at a local restaurant have positive purified protein derivative (PPD) tuberculin skin test and have been diagnosed with latent tuberculosis () infection. Which employee would be at the greatest risk for Contracting active TB disease? a. Takes immunosuppressant b. Cooks the food c. Vacations in South America d. Works two jobs 41. Recently, 20 cases of severe diarrhea were reported to the health department by people who had just eaten at the restaurant during the month of June. The health department has received a few complaints of diarrhea within the last couple of months. The public health nurse Begins the investigation and it is revealed that, and in April they had only been one complaint. The public health nurse takes it a step further and investigates the whole year. The nurse discovers that the average complaint of diarrhea and by patient has been two cases per year. What is the current in the month of June? a. Pandemic b. Epidemic c. Endemic d. Herd immunity 42. Following best describes the characteristic appearance of lesions of human papillomavirus (HPV)? a. Vesicles that ulcerate and Crest within 1 to 4 days b. Thin-walled hostels that rupture to form honey-colored crust c. Elevated borders and a central depression d. A cauliflower appearance 43. A family from Mexico comes to the public health department. No one in the family speaks English, and nobody at the health department speaks Spanish. Which of the following actions should be taken by the nurse? a. Attempt communication using an English Spanish phrasebook b. Call the local hospital and arrange a referral c. Request interpreter Services either by phone or in person d. Empathetically state “no hablo espanol” (I don't speak English) 44. When treating a newly diagnosed hiv-positive patient, what questions do you need to ask with regard to contact tracing? a. Names and is ethnicities of all partners b. This is a HIPAA violation and patient should not be asked any questions c. Names and locations of all partners d. Names and ages of all partners 45. A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse’s priority? a. Platelets 150,000/mm^3 b. WBC 2000/mm^3 c. CD4-T Cell count 100 cells/mm3 d. Positive Western blot test 46. A nurse is preparing a presentation on bioterrorism. Which of the following findings should the nurse include as an indication of potential bioterrorism? a. A Health Department reports cases of influenza in October b. Nationwide incidence of pneumonia is higher than the prior-year c. Most of the clients diagnosed with pneumonia have an elevated white blood cell count d. A large number of otherwise healthy adults are dying from sepsis 47. A nurse administers medication to a client. Following an assessment of the client. Determines that the client has experienced unintended effects as a result of the medication. The nurse does not complete an incident report because no harm came to the client. Which of the following ethical principles did the nurse violate? a. Beneficence b. Autonomy c. Veracity d. Confidentiality 48. Which of the following statements about children and environmental hazards is correct? a. Children are more susceptible to environmental toxins because of their smaller size b. Children are more susceptible to cancer if they have a family history of the disease c. The prevalence of autism is directly related to the increase in environmental toxins d. The incidence of asthma among children has been decreasing 49. The correctional health nurse is doing a quick assessment on a newly admitted inmate who is hiv-positive. Which of the following diseases should the inmate receive screening for immediately? a. Herpes zoster b. Tuberculosis c. Hepatitis C d. Hepatitis B 50. A male client arrives to the clinic complaining of yellow, green discharge from his penis. Which of the following STIs has the client most likely contracted? a. Human papillomavirus b. Syphilis c. Gonorrhea d. Herpes complex virus 2 Procty Procty Proct 1. A NCLEX Vaccines to a 1 year old MMR, Varicella, DtAP, NOT HPV S/S: Increased HR, BP, Palpitations Bath Salts or Heroin? A nurse is caring for a pregnant female and is being seen for a check up. What level of prevention is the check up? Tertiary Lilian Wald Established Henry St Settlement in 1893 Which patient do you see first? Urinary retention causes OR Altered level of Consciousness Diabetes mellitus Foot care & ulcer → tertiary A faith nurse is caring providing counseling for a pregnant female, what level of prevention is the care? Tertiary How do you prevent domestic abuse Primary Primary cause of vulnerability is Lack of resources Occupational health nurse is working at an industrial plant Carpal tunnel A 78 year old has lipid panel with COPD, what is the level of prevention Secondary Bit by a tick and gets infected with Lyme disease, what is the mode of transmission? Vector A patient with hypertension is tested for fecal occult. What level of prevention is this? Secondary Which statement is true about African American nurses in public health? Certificate and graduate education are more difficult to obtain A woman comes to the Community Health Care Facility with a bag of medication. Those medications Social Security. Which state? Let's see if we can get some help from Medicare to help you pay for these medications A client was clearly very relieved when an HIV test came back negative. "thank goodness. I've had sex several times without a condom, and when one of my friends said he was sick, I think I panicked”. Which of the following would be most important to emphasize to the client immediately? The test will not cover any recent infection, so if the client has had recent unprotected sex, the tests should be repeated in 3 months. A manager tells an employee regarding Limited duty program at work. What level of prevention is this? Tertiary? Ozone People could be at risk for basal cell carcinoma (BBC) A nurse is caring for a child with left femur fracture placed in Bryant traction. The parents of the child inquire why the leg is elevated in this position. Which of the following statements should the nurse make? The reason for this position is because your child weight is an adequate to provide sufficient countertraction so his entire body must be used A male IV drug abuser admits to the nurse that he has no desire to stop using drugs, so rather than lecture him on the dangers of drug addiction, the nurse counsels him on how to sterilize his needles. Which of the following prevention efforts is the nurse attempting to achieve? Tertiary prevention to reduce the transmission of blood-borne diseases Which of the following statements made by the client indicates an understanding of how the nurse performs the Romberg test? You want me to stand with my feet together and eyes closed for a short time The community health nurse understands that the first nursing intervention in a quadreplegic client who is experiencing autonomic dysreflexia has to do with which of the following? Elevate the head as high as possible Stroke victim Tertiary- at risk for dysphagia-will need treatment Develop and Implement Policy Development A nurse is implementing a tertiary prevention strategy related to pesticide exposure. Which of the following activities would the nurse complete? Treat a client who has pesticide exposure to prevent complications The community health nurse made a visit to a client who has a known diagnosis of hypertension. Which of the following medications will likely be in his medication regimen? Amlodipine You suspect elder abuse, what do you do Document or give hotline or report to CPS Comatose Choose nursing diagnosis of airway