Community Health Midterm Questions And
Answers Graded A+ 2024/25.
A father confides to the parish nurse that his wife has been really hurting their 3-year-
old daughter. The nurse examines the daughter and finds evidence of physical abuse.
In the parish nurse role, what will the nurse do first? - correct answer. Report the
findings to child protective services
A nurse who works for a hospital in employee health notes that several nurses from one
unit have missed work after contracting a communicable disease from a patient. In this
scenario, the host is which of the following? - correct answer. Each sick nurse
Which of the following statements are accurate descriptions of current social and
economic trends in the United States? Select all that apply. - correct answer. Many
families are seeing decreases in family income
Massive and unexpected social and economic changes have occurred.
What do demographic figures suggest about the ways in which the population of the
United States is changing? Select all that apply - correct answer. Approximately 12%
of the U.S. population was born in a different country
Hispanics are the largest minority group population
Mortality for both genders in all age-groups declined.
Life expectancy increased dramatically during the twentieth century, primarily because
of: - correct answer. Sanitation and other public health activities
The family of a client diagnosed with terminal cancer has been informed the client is not
expected to live more than 2 months. Which statement made by a family member
indicates to the nurse that the family understands the client's prognosis? - correct
answer. "Hospice nurses are going to help care for him to make him more
comfortable."
,What would be the best approach for a home health nurse to help a client who has
right-sided paresis secondary to a stroke? - correct answer. Teach the client to
participate in self-care activities
A nurse orienting to the home health role states, "I don't understand why we have to
collaborate with so many other disciplines. Doesn't this conflict with the concept of
nurses engaging in holistic nursing practice?" What would be the best response? -
correct answer. "The nurse still functions holistically; however, interdisciplinary
collaboration is necessary to prevent fragmentation of care."
A 90-yearl old client expresses a wish to die at home after being told that an
esophageal stricture prevents swallowing. The client refuses a feeding tube. The family
fully supports this decision. What would be the most appropriate resource for the nurse
to call? - correct answer. Hospice care
The school health nurse is interested in promoting safety in the high school population.
In planning safety education for this age group and their parents, the nurse would
recognize the need to address which developmental risk factor for adolescents? -
correct answer. Feelings of immortality related to perception of being invulnerable to
risks that affect others
What is the preferred public health approach to avoid premature deaths in America? -
correct answer. Influencing Americans' lifestyle behavior choices
Which hospital employees are most at risk for being exposed to and possibly
developing active drug-resistant TB? - correct answer. The housekeeping staff
The occupational health nurse is preparing to administer a purified protein derivative
(PPD) tuberculin skin test to an employee. Before administration, the nurse should take
which actions? - correct answer. Ensure that the employee has not had a positive test
result in the past
A family shared their concerns, including sexual issues, in strictest confidence with a
faith community nurse. When the nurse returned to the church office, the pastor asked
why the family wanted to see her. What should be the nurse's response? - correct
answer. "The family had some issues
they wanted to discuss in confidence, which I will keep in confidence."
Which of the following are evidence that the U.S. health care system is in crisis? Select
all that apply. - correct answer. Full-time employees may not have health insurance as
a benefit.
Long work hours and provider fatigue are a major factor in medical errors.
What is a useful first step in assessing potential environmental health risks in a
community? - correct answer. Performing a windshield survey
,What single factor is most closely correlated with poor health? - correct answer. Low
socioeconomic status
What should a nurse caring for clients of another culture be sure to do? - correct
answer. Alter personal nonverbal behaviors to reflect the cultural norms of the client.
A nurse states, "The best way to treat a client from another country is to care for them
the same way we would want to be cared for. After all, we are all humans with the same
wants and needs." What does this statement reflect in relation to culture? - correct
answer. Blindness
A nurse wants to have a greater understanding of the physiological effects of selected
chemicals. From whom would the nurse be most likely to find useful information? -
correct answer. Toxicologist
Of the four main factors that affect health, which is the least important? - correct
answer. Health care system
What is the law in relation to clinical practice by nursing students? - correct answer.
Students are expected to meet the same standard of care as the professional nurse
What is the relationship between ethics and a community health nursing practice? -
correct answer. Ethics is constantly involved in nurses' clinical decisions
A nurse says, "I'm not going to change the way I practice nursing based on where the
client is from, because research shows that Western health care technology and
research is best." What is such a belief called? - correct answer. Ethnocentrism
The state board of nursing can write regulations to clarify in a more concrete manner
what the nurse practice act allows and requires. What type of effect do these
regulations have on the individual nurse? - correct answer. Major, since these rules
and regulations have the effect of law and must be obeyed
How does the government inadvertently encourage low-income persons to use
emergency departments as their primary care provider? - correct answer. Legally,
emergency departments must see clients even if clients can't pay.
A physician refuses to order pain medication for a drug addict who has been severely
injured in a car accident. When reminded by nurses that pain medication has not been
ordered, the physician merely replies that the patient's suffering from the pain of his
injuries will build character and that the addicted patient needs to get off drugs. What
ethical theory is the physician using (or misusing)? - correct answer.
Consequentialism
, Who is responsible for determining the scope of practice for registered nurses? -
correct answer. State legislators
What is the dominant issue in ethical debate around an issue such as continuing or
withdrawing treatment in acute health care? - correct answer. Upholding ethical
principles
A nurse wants to help keep the community environment safe. What is the best action he
can take? - correct answer. Reduce, reuse, and recycle.
In what way could Florence Nightingale be considered an epidemiologist? - correct
answer. She demonstrated that a safer environment resulted in decreased mortality
rate.
In which of the following activities is the nurse acting in the role of a nurse
epidemiologist? - correct answer. Evaluating the number of clients presenting with
similar diseases
The nurse gives a very informative and engaging presentation and then gives everyone
in the audience a handout that outlines the presentation. Later, the nurse discovers that
many of the handouts were thrown away before the audience left the building. What
might the nurse have forgotten? - correct answer. Many Americans do not have a high
reading level.
A group of teenagers with diabetes is arguing over whether to have meetings during
summer vacation. Which response, by the nurse, represents an understanding of group
dynamics? - correct answer. Admit that it is difficult for everyone to agree on
everything; then ask whether the group can try to decide how to agree on the issue and
ask whether group members think there are other issues involved.
Of the following educational objectives, which example best meets all necessary criteria
for a well-written objective? - correct answer. By the end of the class, 80% of children
in the course will correctly identify two vegetables on a page of food pictures
Based on research, what is the best way to increase the number of persons who come
to their screening test appointments? - correct answer. Client reminders via
telephone, e-mail, or mail
Statistics clearly demonstrate that there are significantly more cases of a disease in one
particular neighborhood than in all the rest of the city. Assuming all else is the same,
what is the most likely explanation for a single neighborhood having such a different
pattern of illness? - correct answer. A cultural or ethnic concentration in the
neighborhood
Research demonstrates that exercise is important for general wellness and weight
control. How might the school nurse use this information to implement primary
Answers Graded A+ 2024/25.
A father confides to the parish nurse that his wife has been really hurting their 3-year-
old daughter. The nurse examines the daughter and finds evidence of physical abuse.
In the parish nurse role, what will the nurse do first? - correct answer. Report the
findings to child protective services
A nurse who works for a hospital in employee health notes that several nurses from one
unit have missed work after contracting a communicable disease from a patient. In this
scenario, the host is which of the following? - correct answer. Each sick nurse
Which of the following statements are accurate descriptions of current social and
economic trends in the United States? Select all that apply. - correct answer. Many
families are seeing decreases in family income
Massive and unexpected social and economic changes have occurred.
What do demographic figures suggest about the ways in which the population of the
United States is changing? Select all that apply - correct answer. Approximately 12%
of the U.S. population was born in a different country
Hispanics are the largest minority group population
Mortality for both genders in all age-groups declined.
Life expectancy increased dramatically during the twentieth century, primarily because
of: - correct answer. Sanitation and other public health activities
The family of a client diagnosed with terminal cancer has been informed the client is not
expected to live more than 2 months. Which statement made by a family member
indicates to the nurse that the family understands the client's prognosis? - correct
answer. "Hospice nurses are going to help care for him to make him more
comfortable."
,What would be the best approach for a home health nurse to help a client who has
right-sided paresis secondary to a stroke? - correct answer. Teach the client to
participate in self-care activities
A nurse orienting to the home health role states, "I don't understand why we have to
collaborate with so many other disciplines. Doesn't this conflict with the concept of
nurses engaging in holistic nursing practice?" What would be the best response? -
correct answer. "The nurse still functions holistically; however, interdisciplinary
collaboration is necessary to prevent fragmentation of care."
A 90-yearl old client expresses a wish to die at home after being told that an
esophageal stricture prevents swallowing. The client refuses a feeding tube. The family
fully supports this decision. What would be the most appropriate resource for the nurse
to call? - correct answer. Hospice care
The school health nurse is interested in promoting safety in the high school population.
In planning safety education for this age group and their parents, the nurse would
recognize the need to address which developmental risk factor for adolescents? -
correct answer. Feelings of immortality related to perception of being invulnerable to
risks that affect others
What is the preferred public health approach to avoid premature deaths in America? -
correct answer. Influencing Americans' lifestyle behavior choices
Which hospital employees are most at risk for being exposed to and possibly
developing active drug-resistant TB? - correct answer. The housekeeping staff
The occupational health nurse is preparing to administer a purified protein derivative
(PPD) tuberculin skin test to an employee. Before administration, the nurse should take
which actions? - correct answer. Ensure that the employee has not had a positive test
result in the past
A family shared their concerns, including sexual issues, in strictest confidence with a
faith community nurse. When the nurse returned to the church office, the pastor asked
why the family wanted to see her. What should be the nurse's response? - correct
answer. "The family had some issues
they wanted to discuss in confidence, which I will keep in confidence."
Which of the following are evidence that the U.S. health care system is in crisis? Select
all that apply. - correct answer. Full-time employees may not have health insurance as
a benefit.
Long work hours and provider fatigue are a major factor in medical errors.
What is a useful first step in assessing potential environmental health risks in a
community? - correct answer. Performing a windshield survey
,What single factor is most closely correlated with poor health? - correct answer. Low
socioeconomic status
What should a nurse caring for clients of another culture be sure to do? - correct
answer. Alter personal nonverbal behaviors to reflect the cultural norms of the client.
A nurse states, "The best way to treat a client from another country is to care for them
the same way we would want to be cared for. After all, we are all humans with the same
wants and needs." What does this statement reflect in relation to culture? - correct
answer. Blindness
A nurse wants to have a greater understanding of the physiological effects of selected
chemicals. From whom would the nurse be most likely to find useful information? -
correct answer. Toxicologist
Of the four main factors that affect health, which is the least important? - correct
answer. Health care system
What is the law in relation to clinical practice by nursing students? - correct answer.
Students are expected to meet the same standard of care as the professional nurse
What is the relationship between ethics and a community health nursing practice? -
correct answer. Ethics is constantly involved in nurses' clinical decisions
A nurse says, "I'm not going to change the way I practice nursing based on where the
client is from, because research shows that Western health care technology and
research is best." What is such a belief called? - correct answer. Ethnocentrism
The state board of nursing can write regulations to clarify in a more concrete manner
what the nurse practice act allows and requires. What type of effect do these
regulations have on the individual nurse? - correct answer. Major, since these rules
and regulations have the effect of law and must be obeyed
How does the government inadvertently encourage low-income persons to use
emergency departments as their primary care provider? - correct answer. Legally,
emergency departments must see clients even if clients can't pay.
A physician refuses to order pain medication for a drug addict who has been severely
injured in a car accident. When reminded by nurses that pain medication has not been
ordered, the physician merely replies that the patient's suffering from the pain of his
injuries will build character and that the addicted patient needs to get off drugs. What
ethical theory is the physician using (or misusing)? - correct answer.
Consequentialism
, Who is responsible for determining the scope of practice for registered nurses? -
correct answer. State legislators
What is the dominant issue in ethical debate around an issue such as continuing or
withdrawing treatment in acute health care? - correct answer. Upholding ethical
principles
A nurse wants to help keep the community environment safe. What is the best action he
can take? - correct answer. Reduce, reuse, and recycle.
In what way could Florence Nightingale be considered an epidemiologist? - correct
answer. She demonstrated that a safer environment resulted in decreased mortality
rate.
In which of the following activities is the nurse acting in the role of a nurse
epidemiologist? - correct answer. Evaluating the number of clients presenting with
similar diseases
The nurse gives a very informative and engaging presentation and then gives everyone
in the audience a handout that outlines the presentation. Later, the nurse discovers that
many of the handouts were thrown away before the audience left the building. What
might the nurse have forgotten? - correct answer. Many Americans do not have a high
reading level.
A group of teenagers with diabetes is arguing over whether to have meetings during
summer vacation. Which response, by the nurse, represents an understanding of group
dynamics? - correct answer. Admit that it is difficult for everyone to agree on
everything; then ask whether the group can try to decide how to agree on the issue and
ask whether group members think there are other issues involved.
Of the following educational objectives, which example best meets all necessary criteria
for a well-written objective? - correct answer. By the end of the class, 80% of children
in the course will correctly identify two vegetables on a page of food pictures
Based on research, what is the best way to increase the number of persons who come
to their screening test appointments? - correct answer. Client reminders via
telephone, e-mail, or mail
Statistics clearly demonstrate that there are significantly more cases of a disease in one
particular neighborhood than in all the rest of the city. Assuming all else is the same,
what is the most likely explanation for a single neighborhood having such a different
pattern of illness? - correct answer. A cultural or ethnic concentration in the
neighborhood
Research demonstrates that exercise is important for general wellness and weight
control. How might the school nurse use this information to implement primary
