Community Health Nursing NCLEX Questions and Answers with verified solutions

Community Health Nursing NCLEX Questions and Answers with verified solutions "Public health services are given free of charge". Is this statement true or false? A. The statement is true; it is the responsibility of government to provide haste services B. The statement is false; people pay indirectly for public health services C. The statement may be true or false; depending on the Specific service required D. The statement may be true or false; depending on policies of the government concerned. - ANS- Answer: (B) Community health services, including public health services, are prepaid paid services, through taxation, for example. A business firm must employ an occupational health nurse when it has at least how many employees. A. 21 B. 101 C. 201 D. 301 - ANS- Answer: (B) Based on R.A. 1054, an occupational nurse must be employed when there are 30 to 100 employees and the workplace is more than 1 km. away from the nearest health center. A mother brought her 10 month old infant for consultation because of fever which started 4 days prior to consultation. To determine malaria risk, what will you do? A. Do a tourniquet test B. Ask where the family resides C. Get a specimen for blood smear D. Ask if the fever is present everyday - ANS- Answer: (B) Ask where the family resides Because malaria is endemic, the first question to determine malaria risk is where the client's family resides. If the area of residence is not a known endemic area, ask if the child had traveled within the past 6 months, where he/she was brought and whether he/she stayed overnight in that area. A nurse in a health care clinic is preparing to conduct a nutritional session with a group of culturally diverse pregnant women. At the first session the nurse will be meeting with each client individually. The nurse prepares a list of items to be included in the session and lists which item as the first priority? A. Review the MyPyramid food guide. B. Weigh each client and ask the client to document the weight on a progress chart. C. Discuss the costs of food items. D. Identify the food preferences and methods of food preparation for each client. - ANS- Answer: D Identify the food preferences and methods of food preparation for each client. In order to determine each client's nutritional status and needs, the first priority of the nurse is to identify each client's food preferences. Cultural background and knowledge about nutrition are important factors influencing food choices and nutritional status. Although options 1,2 and 3 may be a component of the sessions, option 4 is the first priority. According to C.E. Winslow, which of the following is the goal of Public Health? A. For people to attain their birthrights of health and longevity B. For promotion of health and prevention and diseases C. For people to have access to basic health services D. For people to be organized in their health efforts - ANS- Answer: (A) For people to attain their birthrights of health and longevity According to Winslow, all public health efforts are for people to realize their birthrights of health and longevity. An indicator of success in community organizing is when people are able to: A. Participate in community activities for the solution of a community problem B. Implement activities for the solution of the community problem C. Plan activities for the solution of the community problem D. Identify the health problem as a common concern - ANS- Answer: (A) Participate in community activities for the solution of a community problem Participation in community activities in resolving a community problem may be in any of the processes mentioned in the other choices. CHN (Community Health Nursing) is a community-based practice. Which best explains this statement? A. The service is provided in the natural environment of people B. The nurse has to conduct community diagnosis to determine nursing needs and problems C. The service are based on the available resources within the community D. Priority setting is based on the magnitude of the health problems identified - ANS- Answer: (B) The nurse has to conduct community diagnosis to determine nursing needs and problems Community-based practice means providing care to people in their own natural environments: the home, school and workplace, for example. In correcting misconception and myths about certain diseases and their management, the health worker should first: A. Identify the myths and misconceptions prevailing in the community B. Identify the source of these myths and misconceptions C. Explain how and why these myths came about D. Select appropriate strategies to correct them. - ANS- Answer: A Identify the myths and misconceptions prevailing in the community Isolation of a child with measles belongs to what level of prevention? A. Primary B. Secondary C. Intermediate D. Tertiary - ANS- Answer: (A) Primary The purpose of isolating a client with a communicable disease is to protect those who are not sick (specific disease prevention). One of the participants in a hilot training class asked you to whom she should refer a patient in labor who develops a complication. You will answer, to the; A. Public health nurse B. Rural health midwife C. Municipal health officer (Physician) D. Any of these health professionals - ANS- Answer: (C) Municipal health officer (Physician) A public health nurse and rural health midwife can provide care during normal childbirth. A physician should attend to a woman with a complication during labor. Population- focused nursing practice requires which of the following processes? A. Community organizing . B. Nursing, process C. Community diagnosis D. Epidemiologic process - ANS- Answer: (C) Community diagnosis Population-focused nursing care means providing care based on the greater need of the majority of the population. The greater need is identified through community diagnosis. Primary health care is a total approach to community development. Which of the following is an indicator of success in the use of the primary health care approach?