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1. A nurse manager at a community agency is developing an orientation program for newly hired nurses. When
discussing the differences between community-based and community-oriented nursing, the nurse should include
which of the following as examples of community-based nursing? (Select all that apply.)
A. A home health nurse performing wound care for a client who is immobile B. An occupational health nurse
providing classes on body mechanics at a local industrial plant
C. A school nurse teaching a student who has asthma about medications
D. A parish nurse teaching a class on low-sodium cooking techniques
E. A mental health nurse discussing stress management techniques with a support group: A, C
2. A nurse is advocating for local leaders to place a newly approved community health clinic in an area of the city
that has fewer resources than other areas. The nurse is advocating for the leaders to uphold which of the following
ethical principles?
A. Distributive justice
B. Fidelity
C. Respect for autonomyD. Veracity: A
3. A public health nurse is reviewing the outcomes of an exercise program at various locations. Which of the
following aspects of care does this finding evaluation?
A. TImeliness
,B. Client-centered
C. Equity
D. Safety: C
4. A public health nurse is planning several initiatives for a city. Which of the following interventions should the
nurse include as part of public health assurance?
A. Meeting with city officials to propose changes to health laws
B. Partnering with a laboratory company to provide free HIV screenings for the public
C. Reviewing data for incidence of influenza over a 25-year span
D. Providing medical facilities with information accidental injury rates: B
5. A community health nurse is implementing health programs with several populations in the local area. In which
of the following situations is the nurse using primary prevention?
A. Performing a home safety check at a client's home
B. Teaching healthy nutrition to clients who have hypertension
C. Providing influenza immunizations to employees at a local preschool
D. Implementing a program to notify individuals exposed to a communicable disease: C
6. A nurse is preparing an educational program on cultural perspective in nursing. The nurse should include that
which of the following factors are influenced by an individual's culture? (Select all that apply)
A. nutritional practices
B. Family structure
C. Health care interactions
D. Biological variations
,E. Views about illness: A, B, C, E
7. A nurse is caring for a client who is from a different culture than the nurse. When beginning the cultural
assessment, which of the following actions should the nurse take first?
A. Determine the client's perception of their current health status
B. Gather data about the client's cultural beliefs
C. Determine how the client's culture can affect the effectiveness of nursing actions
D. Gather information about previous client interactions with the health care system: B
8. A nurse is using the I PREPARE mnemonic to assess a client's potential environmental exposures. Which of the
following questions should the nurse ask when assessing for "A" in the mnemonic?
A. "What do you like to do for fun?"
B. "What year was your residence built?"
C. "What jobs have you had in the past?"
D. "What industries are near where you live?": A
9. A nurse is reviewing information about the local health department to prepare for an interview. Which of the
following services should the nurse expect the local health department to provide? (Select all that apply)
A. managing the Women, Infants, and Children program
B. Providing education to achieve community health goals
C. Coordinating directives from state personnel
D. Reporting communicable diseases to the CDC
E. Licensing of registered nurses: B, C
10. A nurse is conducting health screenings at a statewide health fair and identifies several clients who require
referral to a provider. Which of the following statements by a client indicates a barrier to accessing health care?
, A. "I don't drive, and my son is only available to take me places in the mornings."
B. " I can't tale off during the day, and the local after-hours clinic is no longer operation."
C. "Only one doctor in my town is a designated provider by my health mainte-nance organization"
D. "I would like to schedule an appointment with the local doctor in my town who speaks Spanish and
English": B
11. A nurse is preparing an education program on disease transmission for employees at a local day care facility.
When discussing the epidemiological triangle, the nurse should include which of the following factors as agents?
(select all that apply)
A. resources availability
B. ethnicity
C. toxins
D. bacteria
E. altered immunity: C, D
12. A nurse is preparing a community health program on communicable diseases. When discussing modes of
transmission, the nurse should include which of the following illnesses as airborne?
A. Cholera
B. Malaria
C. Influenza
D. Salmoellosis: C
13. A nurse is planning measures to reduce the incidence of obesity. Which of the following interventions affects the
environment, according to the epidemiological triangle?