NUR 460 Exam 2 Questions With Complete Solutions
1. The role of the nurse who wants to become more active in
environmental health could include which of the following?
(Select all that apply.)
a. Assessing farmworkers for pesticide exposure and providing
pesticide risk education
b. Conducting epidemiologic investigations as a public health
nurse (PHN)
c. Developing corporate policy to protect workers from unsafe
levels of toxic agents
d. Organizing the local community to encourage landlords to
remove lead-based paint
e. Working as a skilled risk communicator for a local chemical
manufacturer Correct Answers A, B, C, D, E
1. Vulnerable population groups are those that, in comparison
with the population as a whole, have which of the following
characteristics? (Select all that apply.)
a. Better access to health care services but poor health outcomes
b. Greater likelihood of exposure to risk factors
c. Multiple risk factors but equal health outcomes
d. No difference in access or outcomes
d. Worse health outcomes despite access Correct Answers b.
Greater likelihood of exposure to risk factors
d. No difference in access or outcomes
3. A nurse is conducting a diabetes self-management group-
education session for recent immigrants. When participants are
asked to remove their shoes, two male clients look at the floor
,and leave their shoes and socks on their feet. What action by the
nurse is best?
a. Clarify that no one has to remove his or her shoes and
continue the education.
b. Explain that everyone must learn to do foot inspection to
manage their diabetes.
c. Slowly repeat the instructions for all participants to remove
their shoes.
d. Stop the group session, pull the two gentlemen aside, and
apologize to them. Correct Answers a. Clarify that no one has
to remove his or her shoes and continue the education.
3. After establishing trust with a homeless LGBTQ youth, what
assessment by the nurse takes priority?
a. Immunization status
b. Nutrition
c. STD screening
d. Trauma screening Correct Answers d. Trauma screening
5. After performing an assessment of a client seeking treatment
for hypertension at the local free clinic, the nurse informs the
client that the family's children may qualify for enrollment in the
state children's health insurance program. The nurse provides the
enrollment forms and reviews them with the client, emphasizing
how to apply for the benefits. This best exemplifies which
principle for intervening with vulnerable populations?
a. Carrying out primary prevention
b. Setting family-centered, culturally sensitive goals
c. Trying to minimize the "hassle factor"
d. Using the MAP-IT approach Correct Answers c. Trying to
minimize the "hassle factor"
, A business executive develops flu-like symptoms 1 day after
returning by air from a trans-Atlantic 2-day conference that
involved lengthy meetings. The scenario best illustrates the
interaction of:
a. host and agent.
b. host, agent, and environment.
c. risk and causality.
d. morbidity and disease. Correct Answers b. host, agent, and
environment.
A college health nurse is working to improve environmental air
quality on campus. Using the precautionary principal, what
action does the nurse take?
a. Develop a bike-rental program for students, staff, and faculty.
b. Install "smart thermostats" and motion-generated lights in
buildings.
c. Make the entire campus a smoke-free zone.
d. Raise the parking fees to discourage people from driving to
campus. Correct Answers b. Install "smart thermostats" and
motion-generated lights in buildings.
A community health nurse directly contacts a mammography
clinic to arrange an appointment for a migrant worker with
limited English language skills. The nurse communicates with
the client through an interpreter to ensure that the appointment is
scheduled to meet her needs and that the client understands the
procedure to be performed. The role played by the nurse in this
encounter with a member of a vulnerable population can best be
described as:
a. advocacy.
1. The role of the nurse who wants to become more active in
environmental health could include which of the following?
(Select all that apply.)
a. Assessing farmworkers for pesticide exposure and providing
pesticide risk education
b. Conducting epidemiologic investigations as a public health
nurse (PHN)
c. Developing corporate policy to protect workers from unsafe
levels of toxic agents
d. Organizing the local community to encourage landlords to
remove lead-based paint
e. Working as a skilled risk communicator for a local chemical
manufacturer Correct Answers A, B, C, D, E
1. Vulnerable population groups are those that, in comparison
with the population as a whole, have which of the following
characteristics? (Select all that apply.)
a. Better access to health care services but poor health outcomes
b. Greater likelihood of exposure to risk factors
c. Multiple risk factors but equal health outcomes
d. No difference in access or outcomes
d. Worse health outcomes despite access Correct Answers b.
Greater likelihood of exposure to risk factors
d. No difference in access or outcomes
3. A nurse is conducting a diabetes self-management group-
education session for recent immigrants. When participants are
asked to remove their shoes, two male clients look at the floor
,and leave their shoes and socks on their feet. What action by the
nurse is best?
a. Clarify that no one has to remove his or her shoes and
continue the education.
b. Explain that everyone must learn to do foot inspection to
manage their diabetes.
c. Slowly repeat the instructions for all participants to remove
their shoes.
d. Stop the group session, pull the two gentlemen aside, and
apologize to them. Correct Answers a. Clarify that no one has
to remove his or her shoes and continue the education.
3. After establishing trust with a homeless LGBTQ youth, what
assessment by the nurse takes priority?
a. Immunization status
b. Nutrition
c. STD screening
d. Trauma screening Correct Answers d. Trauma screening
5. After performing an assessment of a client seeking treatment
for hypertension at the local free clinic, the nurse informs the
client that the family's children may qualify for enrollment in the
state children's health insurance program. The nurse provides the
enrollment forms and reviews them with the client, emphasizing
how to apply for the benefits. This best exemplifies which
principle for intervening with vulnerable populations?
a. Carrying out primary prevention
b. Setting family-centered, culturally sensitive goals
c. Trying to minimize the "hassle factor"
d. Using the MAP-IT approach Correct Answers c. Trying to
minimize the "hassle factor"
, A business executive develops flu-like symptoms 1 day after
returning by air from a trans-Atlantic 2-day conference that
involved lengthy meetings. The scenario best illustrates the
interaction of:
a. host and agent.
b. host, agent, and environment.
c. risk and causality.
d. morbidity and disease. Correct Answers b. host, agent, and
environment.
A college health nurse is working to improve environmental air
quality on campus. Using the precautionary principal, what
action does the nurse take?
a. Develop a bike-rental program for students, staff, and faculty.
b. Install "smart thermostats" and motion-generated lights in
buildings.
c. Make the entire campus a smoke-free zone.
d. Raise the parking fees to discourage people from driving to
campus. Correct Answers b. Install "smart thermostats" and
motion-generated lights in buildings.
A community health nurse directly contacts a mammography
clinic to arrange an appointment for a migrant worker with
limited English language skills. The nurse communicates with
the client through an interpreter to ensure that the appointment is
scheduled to meet her needs and that the client understands the
procedure to be performed. The role played by the nurse in this
encounter with a member of a vulnerable population can best be
described as:
a. advocacy.
