Chamberlain university NR 442 exam 2

Chamberlain university NR 442 exam 2 A nurse is collecting data for a community assessment. Which of the following methods is the nurse using when having direct conversations with individual community members? A. Participant observation B. Key informant interviews C.Windshield surgery - ANS B Which of the following actions should the nurse include when planning a community health program as part of the evaluation plan? A. Determine availability of the resources to the plan B. Keep all programs the same C. Compare program impact to similar programs - ANS C The purpose of environmental health is to ensure conditions of human health and provide healthy environments for people to live in, to work in, and to play in. Which statement best describes how this purpose is accomplished? a. Risk assessment, prevention, and intervention b. Investigation referrals c. Surveys - ANS A Which statement best describes why environmental health is more of a challenge than any other variables related to an individual's health? A. Environmental health depends on social neighborhoods as well as geography B. Environmental health depends on the number of clinics C. Environmental health requires social, economic, and political changes to improve - ANS C Which statement best describes the relationship between health and the environment? A. A healthy environment increases years of healthy living and quality of living according to research B.Health does not correlate with the environment C. The environment decreases years of healthy living and quality of living according to research - ANS A The girl scouts had a clean up day so they could canoe in a stream that was full of trash. Which actions should be taken by the nurse in the local community? A. Discuss with community members about the problem, and its effect on the environment B. Fight for harsher penalties and do not trash laws C. Call local officials - ANS A Which of the following statements describes a food desert? a. A The inability to store foods at an acceptable temperature b. A geographical area, or neighborhood, with little or no access to healthy food C.An area that lacks water - ANS B A community health nurse is attempting to gain funds for a new youth program for violence prevention. Which of the following best describes why the community should care about young people joining gangs? A. Gangs are beginning to be seen in suburban areas B Gangs can permit as much as 90% of the crime in the area C. Gangs are not harmful D. Gangs help kids learn friends - ANS B Which activity will the community health nurse include when planning secondary prevention activities for a community? A. Arrange a health fair when blood pressure, hearing and cholesterol screenings are carried out B. immunization pamphlets Health fair - ANS A A nurse works for a home health agency and is assessing an older adult male client. Which of he following findings is the priority for the nurse to address? a. Urinary hesitancy b. Dysphagia C. polyphasic - ANS B A case management nurse in an acute healthcare facility is conducting an initial visit with a client to identify their needs prior to discharge home. After developing a working relationship with the client, the nurse engaging in the referral process. Which of the following actions should the nurse take first? a. Review available resources with the client b. Identify referrals that the client needs C. The nurse should leave, the patient should've been listening - ANS B 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. Providing influenza immunizations at a local preschool B.Screening for breast cancer C. Teach a diabetic patient how to control his sugar - ANS A Which of the following acts as an example of a nurse functioning as a consultant to influence health policy? A. Advocating for federal funding of local health screening programs B. Agreeing with the families wants and not the patient C. Updating state officials about health needs of the local community D. Ignoring the patients wishes - ANS C A nurse knows factors influencing community health include understanding culturally competent care. Acculturation includes which of the following? a. Self-awareness of one's own cultural background, biases, and differences B. Ignoring other cultures and focussing on only yours C. The process of merging with or adapting to the traits of different cultures - ANS C A nurse is caring for a client who is from a different culture than himself. When beginning the cultural assessment which of the following actions should the nurse take first? A.Gather data about the client's cultural beliefs B. Determine the client's perception of his current health status C. Compare the clients culture and the nurses - ANS A A nurse is developing a community health program and needs to determine barriers to community resource referrals. Which of the following factor is an example of a resource barrier? a. Service cost associated with the resources b. Decreased motivation c. Abundance of funds - ANS A Which statement is true concerning tobacco and health risk? A. It prolongs your life B. There are no concern C. Most common in less educated populations and those living below the poverty line. - ANS C A nurse is becoming frustrated, it has been 2 weeks, and the client verbalized that the best time of day to take a 15-minute walk was early in the morning. The client has not begun to exercise. The community health nurse understands the principles of the TTM model include: a. continue to stress to the client how important exercise is B. Decision to act always occurs before the action begins, and behavior change is difficult and takes time - ANS B Nurses should be knowledgeable about healthcare funding. Which of the following statements best describes why this is beneficial? a. Be able to be an effective employee for the insurance companies b. To better serve as a patient advocate in policy making for funding c. To tell clients what kind of care they can and can't afford - ANS B A nurse wants to be more involved in her state politics but is unable to be actively involved in attending meetings at the state level. Which of the following actions will be more useful for the nurse? a. Communicating with their stands on proposed legislation via email telephone, or post mail to the legislators b. Asking students to remained informed regarding propose to bill C. Windshield survey - ANS A A nurse is caring for a client who's from a different culture than himself. When including factors in the cultural assessment, which action should be taken? a. Gather information about previous client interactions with the healthcare system b. Gather data about the client's cultural beliefs C. Gather data from clients neighbors - ANS B A nurse at a community clinic is conducting a well child visit with a preschool age child. Which of the following manifestations are possible indications of child neglect? SATA a. Poor hygiene b. Healing spiral fracture of the arm c. Genital pain d. Burns on the palms of the hands e. Underweight f. Different stages of bruises healing on the arm - ANS A&E A community health nurse develops an educational program on substance use disorder for adolescents. Which of the following information should the nurse include when discussing nicotine and smoking? a. Withdraw effects from smoking are minimal b. Tolerance to nicotine develops quickly C. E cigs are better - ANS B Which of the following best explains why the nurse should review medications taken by elderly clients in a clinic visit? a. Elderly clients are known to sue if medications do not make them feel better b. Because they do not take their medication c. Age related changes and polypharmacy - ANS C A patient's adult daughter is talking to the nurse about how her father seems to have no interest in life and told her he was considering suicide since his wife died. What will be the most appropriate response by the nurse? a. Suicide is a serious concern. Let's talk to the doctor about what you noticed b. If he really wants to kill himself, he will, and there isn't anything you could do to stop them c. He was just joking - ANS A Which of the following strategies would the community health nurse recommend as a home safety measure for an elderly client? SATA A Program the phone so that the fire department can be called by pushing one button B. Rugs around to make the house look nice C. Dim lighting D. Installing smoke detectors in the home - ANS A&D In which of the following clinical areas are nurses most at risk for workplace violence? SATA a. A rehab unit b. Psychiatry units c. Geriatric units d. Emergency departments e. Community health clinics f. Acute cate/ICU - ANS B,C,D A nurse is establishing health promotion goals for a female client who smokes cigarettes, has HTN, and a BMI of 26. Which of the following goals should the nurse include? A. The client will walk for 30 min per day 5 days per week B. A client will list foods that are high in calcium which should be avoided C. The client will say what HTN is - ANS A A community health nurse is reviewing the levels of disease prevention. Which of the following activities are an example of tertiary prevention? A. Providing treatment for clients who have COPD B. Screening for TB C. Flu shot - ANS A A nurse is discussing culturally competent care at a nursing staff in-service. Which of the following information should the nurse include when discussing client's culture? a. Nonverbal communication is important in a few cultures b. Nurses should focus on the client's culture rather than ethnicity when providing care c. Nurse should focus on their own culture - ANS B Which of the following risk factors are least subject to be modified by the individual? A. Environment exposure B. Weather C. Year - ANS A Which of the following has been effective in reducing problems related to alcohol abuse? a. Abstinence education in elementary schools b. Enforcement of ban on sales of alcohol to minors c. Alcohol abuse seminars for pregnant women - ANS B The community health nurse is working to develop programs to include goals of healthy people 2020 cultural perspective. He knows that the reason this initiative was started was SATA: a. To develop a set of national health targets, thus eliminating racial and ethnic disparities in health b. Embrace and focus ways to close the gaps in health outcomes c. Lower the cost of healthcare for vulnerable populations d. Allow free screening for minority groups and new immigrants e. Mandate individual states to set up small free clinics specifically to serve vulnerable groups in the community f. Focus on disparities among racial and ethnic minorities, women, youth, older adults, people of low income and education, and people with disabilities - ANS A&F Which defines the judgement of another culture solely by the values and standards of one's own culture a. Egocentric b. Ethnocentrism C. Community - ANS B What is the best way for the nurse to advocate for a client that is form a different culture? A. Ask the client about their belief practices and cultural norms B. Assume what they want C. Google their usual preferences - ANS A A nurse is planning to discharge a client who is quadriplegic to his home. The nurse suggests the family might need respite care services. When a family member asks how respite care can help, which of the following responses should the nurse provide? a. Respite care provides holistic support and care for a client who is terminally ill b. Respite care is the step before hospice c. The respite care allows the primary caregiver time away from day-to-day responsibilities - ANS C Risk reduction is of high importance in the U.S. today. Which of the following statements best describes this importance? a. Family members suffer when family members die from avoidable deaths b. Cause of avoidable death are all related to lifestyle choices c. Deaths recently have been happening randomly - ANS B A nurse is working with a client to exercise on a regular basis. Which of the following would be the easiest way for the nurse to determine if the client will engage in this activity according to the theory of recent action? a. The client's perception of the illness if he does not exercise regularly b. The client's intention to exercise regularly c. The client says they will - ANS B Which of the following statements best describes the rationale behind a community public health nurse asking a client how she has been sleeping? a. Many adults report sleep problems, occasional lack of sleep b. The interventions for sleep problems are common sense c. To be nosey - ANS A A nurse reviews information before a meeting with residents of a community who are going to attend a program on healthful living. Which of the following best describes the action by the nurse? a. Disease prevention b. Health promotion c. Risk promotion - ANS B Which form of government primarily establishes regulation and provides funding for healthcare? A. Federal government B. Judiciary government C. Executive government - ANS A Which activity would be a responsibility of the local health department? a. Providing free health screenings b. Ensuring quality of nursing education programs in the state c. Putting clients on ventilators - ANS A Which has led to a more recent collaboration and focus between the federal and state level in relation to public health? a. Healthy people 2020 b. Bioterrorism threat c. Covid - ANS B Which of the following questions would be the most important for the nurse to ask when assessing potential health problems using an environmental perspective? a. Can you tell me how you have been feeling? b. Can you tell me what you do at work? c. What brings you here today? d. What problems have you been having? - ANS B A nurse is developing a community health program and needs to determine barriers to community resource referrals. Which of the following factors is an example of a resource barrier? A. Lack of participants B. All barriers can overcome C. Service costs associated with the resource - ANS C