NUR 513 WEEK 1,2,3,4,5,& 6 QUIZ
QUESTIONS & ANSWERS (LATEST
UPDATE) best NUR 513 WEEK 6 QUIZ
QUESTIONS
. .When .implementing .interventions .at .the .systems-level .of .practice, .the .public .health
.nurse .would:
a. Involve .the .entire .community .in .solving .the .health .problem.
b. Identify .health .problems .in .the .community.
c. Change .laws, .policies, .and .practices .that .influence .population-based .issues.
d. Provide .outreach .services .to .populations .at .risk. .- .ANSANS: .C
Systems-level .practice .consists .of .changing .laws, .policies, .and .practices .that
.influence .population-based .issues.
. .Which .statement .regarding .mutations .is .true?
a. Mutations .in .the .DNA .sequence .occur .on .a .regular .basis.
b. Mutagens .are .a .result .of .a .mutation.
c. Environmental .factors .can .be .linked .to .many .mutations.
d. Spontaneous .mutations .occur .because .of .environmental .exposure. .- .ANSANS: .C
A .large .number .of .agents .are .known .to .cause .mutations. .These .mutations .are
.attributed .to .known .environmental .causes. .DNA .replication .is .very .accurate, .thus,
.mutations .do .not .occur .on .a .regular .basis. .Mutagens .are .the .factors .that .cause
.mutations.
Spontaneous .mutations .occur .naturally .during .DNA .replication.
1. A .home .health .case .manager .is .charged .with .identifying .opportunities .for
.health .promotion .and .illness .prevention. .The .fulfillment .of .this .charge .would
.best .be .demonstrated .when .the .case .manager:
a. collaborates .with .a .local .chaplain .to .ensure .that .the .spiritual .needs .of .cancer
.clients .are .addressed.
b. refers .a .new .diabetic .client .to .a .nutrition .counselor .for .dietary .teaching.
c. teaches .a .school .nurse .how .to .care .for .a .client .who .will .be .returning .to .school .and
.will .require .new .asthma .treatments.
d. tracks .the .immunization .status .of .clients .and .facilitates .access .to .immunization
,.when .needed. .- .ANSANS: .D
Case .management .involves .assessment—in .this .case, .screening—and .arrangement
.for .delivery .of .services. .Primary .prevention .includes .case .management .to .identify .at-
risk .clients .and .arrange .for .services .to .prevent .disease. .Through .nurse .management
.activities, .general .community .deficiencies .in .the .quality .or .quantity .of .health .services
.are .often .discovered. .Case .management .activities .with .individual .clients .and .families
.will .reveal .the .broader .picture .of .health .services .in .and .health .status .of .the
.community.
Community .assessment, .policy .development, .and .assurance .activities .that .frame .the
.core .functions .of .public .health .actions .are .often .the .logical .next .step .in .the .nurse
.case .manager's .practice .to .intervene .at .the .community .level .to .make .changes.
.Therefore, .the .core .components .of .case .management .and .the .nursing .process .are
.complementary.
The .nursing .process .function .of .assessment .is .complementary .to .the .case
.management .process .function .of .case .finding .and .includes .such .activities .as
.applying .screening .tools .according .to .program .goals .and .objectives.
,1. A .nurse .is .assigned .to .provide .community .outreach .to .a .small .town .that .was
.partially .destroyed .by .a .tornado .3 .years .earlier .and .has .been .rebuilt. .The .first .client
.is .a .family .who .lost .their .home .and .their .best .friend .in .the .tornado. .The .best
.intervention .would .include:
a. assessment .of .the .family's .home .environment .to .rule .out .safety .issues.
b. avoidance .of .discussion .of .the .disaster .of .3 .years .ago.
c. consideration .that .the .family .will .have .worked .through .the .emotional .aftermath
.by .now.
d. support .of .the .family .in .preparing .a .personal .disaster .response .plan. .- .ANSANS: .D
The .approach .of .relief .activities .needs .to .shift .from .short-term .aid .to .long-term
.support. .Promoting .individual, .family, .and .community .preparedness .increases .safety
.in .the .event .of .disaster .and .can .help .children .and .adults .feel .empowered. .This .builds
.on .the .resilience .of .the .individual, .family, .and/or .community. .Individuals .and .families
.still .need .to .be .assessed .for .indications .of .mental .distress .(case .finding) .and
.referred .to .a .mental .health .professional .if .the .need .exists. .Open .discussions .of .the
.family's .response .to .the .slow .process .of .recovery .or .long-term .results .of .living .under
.adverse .conditions .can .uncover .lingering .mental .distress .or .exacerbations .of .chronic
.conditions .that .require .attention. .During .the .initial .stages .of .recovery .environmental
.safety .issues .should .have .been .addressed.
1. A .nurse .performing .home .hospice .case .management .notes .the .increasing .number
.of .hospice .clients .who .lack .caregivers .in .the .home .environment. .The .nurse .identifies
.the .potential .need .for .a .hospice .house .facility .to .meet .the .needs .of .these .clients.
.The .case .management .process .frequently .reveals .larger .picture .issues .such .as
.which .of .the .following?(Select .all .that .apply.)
a. Community .cost .concerns
b. Community .conflict .resolution .skills
c. Community .satisfaction
d. Community .weaknesses .in .quality .of .services
e. Community .weaknesses .in .quantity .of .services .- .ANSANS: .D, .E
Case .management .activities .with .individual .clients .and .families .very .often .reveal .the
.larger .picture .of .health .services .and .health .status .of .a .community. .General
.community .weaknesses .in .the .quality .and .quantity .of .services .often .are .discovered.
.The .nurse .can .then .intervene .at .the .community .level .to .initiate .changes. .In .this .case,
.the .nurse .identified .a .deficiency .in .the .quality .of .hospice .services .to .individuals .who
.did .not .have .a .caregiver .in .the .home .environment .and .the .parallel .concern .of .the
.lack .of .hospice- .related .facilities .to .meet .the .needs .of .these .clients .to .achieve .a
.quality .dying .process.
1. A .nurse .volunteering .at .a .local .homeless .shelter .notes .that .many .of .the .clients
.have .acute .and .chronic .illnesses .and .are .in .need .of .primary .health .care .services.
.The .most
, effective .strategy .to .consider .when .networking .with .homeless .individuals, .families, .or
.populations .is .to:
a. form .a .community .partnership .to .establish .a .clinic .for .homeless .persons.
b. create .a .trusting .environment .and .establish .a .therapeutic .relationship.
c. collaborate .with .the .local .United .Way .to .obtain .funding .for .primary .care .services.
d. dialogue .with .local .clergy .to .address .the .unmet .primary .care .need .for
.homeless .persons. .- .ANSANS: .B
Nurses .need .to .be .able .to .work .with .poor .and .homeless .clients .to .promote, .maintain,
.and .restore .health. .Nurses .must .be .prepared .to .look .at .the .whole .picture: .the
.person, .the .family, .and .the .community .interacting .with .the .environment. .In .working
.with .the .homeless, .it .is .important .to .create .a .trusting .environment. .Trust .is .essential
.to .the .development .of .a .therapeutic .relationship .with .poor .or .homeless .persons.
.Many .clients .and .families .have .been .disappointed .by .interactions .with .health .care
.and .social .systems. .They .are .now .mistrustful .and .see .little .hope .for .change.
.Establishing .a .trusting .relationship .lays .the .foundation .for .a .more .comprehensive
.assessment .of .clients' .perception .of .their .health .care .needs .and .a .determination .of
.factors .that .may .contribute .to .their .current .health .status .issues.
1. A .school .nurse .is .teaching .a .class .of .sophomores .about .the .relationship .between
.the .risk .of .sexually .transmitted .disease .(STD) .and .risk-taking .behaviors. .A .key .point
.to .include .is:
a. all .STDs .are .easily .preventable .with .consistent .condom .use.
b. once .a .young .woman .is .pregnant, .she .is .no .longer .at .risk .for .most .STDs.
c. STDs .are .most .likely .to .be .transmitted .during .a .student's .initial .sexual .encounter.
d. use .of .alcohol .and .drugs .makes .a .student .more .likely .to .make .decisions .that .result
.in .exposure .to .and .infection .with .STDs. .- .ANSANS: .D
Drug .use .is .linked .to .STD .transmission .because .drugs .such .as .alcohol .lower
.inhibitions .and .impair .judgment .about .engaging .in .risky .behaviors. .Addictions .to
.drugs .may .cause .individuals .to .acquire .the .drug .or .money .to .purchase .the .drug .by
.performing .sexual .favors. .This .increases .both .the .frequency .of .sexual .contacts .and
.the .chances .of .contracting .STDs. .Adolescents .are .particularly .at .risk. .Not .all .STDs
.are .preventable .through .condom .use. .The .challenge .of .preventing .human
.papillomavirus .(HPV) .infection .(genital .warts) .is .that .condoms .do .not .necessarily
.prevent .infection .because .warts .may .grow .in .areas .that .barriers .such .as .condoms
.do .not .cover .and .skin-to-skin .contact .may .occur
1. Advantages .of .community .health .program .planning .include .ensuring .that
.available .resources .are .used .to .meet .the .needs .of .the .population .and:
a. applying .for .grants.
b. identifying .clients .and .soliciting .board .members' .support.
c. identifying .resources, .activities, .and .needs.
d. increasing .the .visibility .of .the .program. .- .ANSANS: .C
QUESTIONS & ANSWERS (LATEST
UPDATE) best NUR 513 WEEK 6 QUIZ
QUESTIONS
. .When .implementing .interventions .at .the .systems-level .of .practice, .the .public .health
.nurse .would:
a. Involve .the .entire .community .in .solving .the .health .problem.
b. Identify .health .problems .in .the .community.
c. Change .laws, .policies, .and .practices .that .influence .population-based .issues.
d. Provide .outreach .services .to .populations .at .risk. .- .ANSANS: .C
Systems-level .practice .consists .of .changing .laws, .policies, .and .practices .that
.influence .population-based .issues.
. .Which .statement .regarding .mutations .is .true?
a. Mutations .in .the .DNA .sequence .occur .on .a .regular .basis.
b. Mutagens .are .a .result .of .a .mutation.
c. Environmental .factors .can .be .linked .to .many .mutations.
d. Spontaneous .mutations .occur .because .of .environmental .exposure. .- .ANSANS: .C
A .large .number .of .agents .are .known .to .cause .mutations. .These .mutations .are
.attributed .to .known .environmental .causes. .DNA .replication .is .very .accurate, .thus,
.mutations .do .not .occur .on .a .regular .basis. .Mutagens .are .the .factors .that .cause
.mutations.
Spontaneous .mutations .occur .naturally .during .DNA .replication.
1. A .home .health .case .manager .is .charged .with .identifying .opportunities .for
.health .promotion .and .illness .prevention. .The .fulfillment .of .this .charge .would
.best .be .demonstrated .when .the .case .manager:
a. collaborates .with .a .local .chaplain .to .ensure .that .the .spiritual .needs .of .cancer
.clients .are .addressed.
b. refers .a .new .diabetic .client .to .a .nutrition .counselor .for .dietary .teaching.
c. teaches .a .school .nurse .how .to .care .for .a .client .who .will .be .returning .to .school .and
.will .require .new .asthma .treatments.
d. tracks .the .immunization .status .of .clients .and .facilitates .access .to .immunization
,.when .needed. .- .ANSANS: .D
Case .management .involves .assessment—in .this .case, .screening—and .arrangement
.for .delivery .of .services. .Primary .prevention .includes .case .management .to .identify .at-
risk .clients .and .arrange .for .services .to .prevent .disease. .Through .nurse .management
.activities, .general .community .deficiencies .in .the .quality .or .quantity .of .health .services
.are .often .discovered. .Case .management .activities .with .individual .clients .and .families
.will .reveal .the .broader .picture .of .health .services .in .and .health .status .of .the
.community.
Community .assessment, .policy .development, .and .assurance .activities .that .frame .the
.core .functions .of .public .health .actions .are .often .the .logical .next .step .in .the .nurse
.case .manager's .practice .to .intervene .at .the .community .level .to .make .changes.
.Therefore, .the .core .components .of .case .management .and .the .nursing .process .are
.complementary.
The .nursing .process .function .of .assessment .is .complementary .to .the .case
.management .process .function .of .case .finding .and .includes .such .activities .as
.applying .screening .tools .according .to .program .goals .and .objectives.
,1. A .nurse .is .assigned .to .provide .community .outreach .to .a .small .town .that .was
.partially .destroyed .by .a .tornado .3 .years .earlier .and .has .been .rebuilt. .The .first .client
.is .a .family .who .lost .their .home .and .their .best .friend .in .the .tornado. .The .best
.intervention .would .include:
a. assessment .of .the .family's .home .environment .to .rule .out .safety .issues.
b. avoidance .of .discussion .of .the .disaster .of .3 .years .ago.
c. consideration .that .the .family .will .have .worked .through .the .emotional .aftermath
.by .now.
d. support .of .the .family .in .preparing .a .personal .disaster .response .plan. .- .ANSANS: .D
The .approach .of .relief .activities .needs .to .shift .from .short-term .aid .to .long-term
.support. .Promoting .individual, .family, .and .community .preparedness .increases .safety
.in .the .event .of .disaster .and .can .help .children .and .adults .feel .empowered. .This .builds
.on .the .resilience .of .the .individual, .family, .and/or .community. .Individuals .and .families
.still .need .to .be .assessed .for .indications .of .mental .distress .(case .finding) .and
.referred .to .a .mental .health .professional .if .the .need .exists. .Open .discussions .of .the
.family's .response .to .the .slow .process .of .recovery .or .long-term .results .of .living .under
.adverse .conditions .can .uncover .lingering .mental .distress .or .exacerbations .of .chronic
.conditions .that .require .attention. .During .the .initial .stages .of .recovery .environmental
.safety .issues .should .have .been .addressed.
1. A .nurse .performing .home .hospice .case .management .notes .the .increasing .number
.of .hospice .clients .who .lack .caregivers .in .the .home .environment. .The .nurse .identifies
.the .potential .need .for .a .hospice .house .facility .to .meet .the .needs .of .these .clients.
.The .case .management .process .frequently .reveals .larger .picture .issues .such .as
.which .of .the .following?(Select .all .that .apply.)
a. Community .cost .concerns
b. Community .conflict .resolution .skills
c. Community .satisfaction
d. Community .weaknesses .in .quality .of .services
e. Community .weaknesses .in .quantity .of .services .- .ANSANS: .D, .E
Case .management .activities .with .individual .clients .and .families .very .often .reveal .the
.larger .picture .of .health .services .and .health .status .of .a .community. .General
.community .weaknesses .in .the .quality .and .quantity .of .services .often .are .discovered.
.The .nurse .can .then .intervene .at .the .community .level .to .initiate .changes. .In .this .case,
.the .nurse .identified .a .deficiency .in .the .quality .of .hospice .services .to .individuals .who
.did .not .have .a .caregiver .in .the .home .environment .and .the .parallel .concern .of .the
.lack .of .hospice- .related .facilities .to .meet .the .needs .of .these .clients .to .achieve .a
.quality .dying .process.
1. A .nurse .volunteering .at .a .local .homeless .shelter .notes .that .many .of .the .clients
.have .acute .and .chronic .illnesses .and .are .in .need .of .primary .health .care .services.
.The .most
, effective .strategy .to .consider .when .networking .with .homeless .individuals, .families, .or
.populations .is .to:
a. form .a .community .partnership .to .establish .a .clinic .for .homeless .persons.
b. create .a .trusting .environment .and .establish .a .therapeutic .relationship.
c. collaborate .with .the .local .United .Way .to .obtain .funding .for .primary .care .services.
d. dialogue .with .local .clergy .to .address .the .unmet .primary .care .need .for
.homeless .persons. .- .ANSANS: .B
Nurses .need .to .be .able .to .work .with .poor .and .homeless .clients .to .promote, .maintain,
.and .restore .health. .Nurses .must .be .prepared .to .look .at .the .whole .picture: .the
.person, .the .family, .and .the .community .interacting .with .the .environment. .In .working
.with .the .homeless, .it .is .important .to .create .a .trusting .environment. .Trust .is .essential
.to .the .development .of .a .therapeutic .relationship .with .poor .or .homeless .persons.
.Many .clients .and .families .have .been .disappointed .by .interactions .with .health .care
.and .social .systems. .They .are .now .mistrustful .and .see .little .hope .for .change.
.Establishing .a .trusting .relationship .lays .the .foundation .for .a .more .comprehensive
.assessment .of .clients' .perception .of .their .health .care .needs .and .a .determination .of
.factors .that .may .contribute .to .their .current .health .status .issues.
1. A .school .nurse .is .teaching .a .class .of .sophomores .about .the .relationship .between
.the .risk .of .sexually .transmitted .disease .(STD) .and .risk-taking .behaviors. .A .key .point
.to .include .is:
a. all .STDs .are .easily .preventable .with .consistent .condom .use.
b. once .a .young .woman .is .pregnant, .she .is .no .longer .at .risk .for .most .STDs.
c. STDs .are .most .likely .to .be .transmitted .during .a .student's .initial .sexual .encounter.
d. use .of .alcohol .and .drugs .makes .a .student .more .likely .to .make .decisions .that .result
.in .exposure .to .and .infection .with .STDs. .- .ANSANS: .D
Drug .use .is .linked .to .STD .transmission .because .drugs .such .as .alcohol .lower
.inhibitions .and .impair .judgment .about .engaging .in .risky .behaviors. .Addictions .to
.drugs .may .cause .individuals .to .acquire .the .drug .or .money .to .purchase .the .drug .by
.performing .sexual .favors. .This .increases .both .the .frequency .of .sexual .contacts .and
.the .chances .of .contracting .STDs. .Adolescents .are .particularly .at .risk. .Not .all .STDs
.are .preventable .through .condom .use. .The .challenge .of .preventing .human
.papillomavirus .(HPV) .infection .(genital .warts) .is .that .condoms .do .not .necessarily
.prevent .infection .because .warts .may .grow .in .areas .that .barriers .such .as .condoms
.do .not .cover .and .skin-to-skin .contact .may .occur
1. Advantages .of .community .health .program .planning .include .ensuring .that
.available .resources .are .used .to .meet .the .needs .of .the .population .and:
a. applying .for .grants.
b. identifying .clients .and .soliciting .board .members' .support.
c. identifying .resources, .activities, .and .needs.
d. increasing .the .visibility .of .the .program. .- .ANSANS: .C
