Community & Public Health Nursing - exam 1 Questions and Answers

Community & Public Health Nursing - exam 1 Questions and Answers Vulnerable population groups are those that, in comparison with the population as a whole, have which of the following characteristics? Greater likelihood of exposure to risk factors To provide effective care and advocacy for individuals, families and populations living in poverty, nurses must first: Examine their personal beliefs, values, and experiences Which of the following best represents the concept of homelessness as crisis poverty? B. Recently unemployed man evicted from his apartment An undocumented migrant farm worker, who can speak some English, has been diagnosed with TB. The local health department, using a Spanish translator, initiates tx by dispensing the first month's supply of medication and educates the client on the need to continue tx for 6-12m. A major challenge that client may face to ongoing tx for TB is: Fragmented services A group of migrant farmworkers has arrived in a community. The local public health nurse realizes that an important step before scheduling clinic services is to: A. Consult the public health staff regarding their scheduling preferences B. Learn about the farmworkers' concept of time and their work schedule to determine when and how services can best be scheduled C. Review written materials about the farmworkers' culture of origin D. Visit the farmworker camp and tell the camp leaders when clinic services will be available. B. Learn about the farmworkers' concept of time and their work schedule to determine when and how services can best be scheduled A nurse is implementing a population-focused model of home care delivery. Which of the following actions would most likely be taken by the nurse? A. use an assessment protocol when conducting visits B. Collaborate with other disciplines C. Provide care for a specific population D. Apply high-intensity interventions A. use an assessment protocol when conducting visits A nurse is coordinating care to ensure a comfortable and peaceful death. Which of the following factors should be an important consideration for the nurse? A. The unique stress dying patients often experience B. Cultural values, expectations, and preferences of the family C. The communication style of each family member D. The abilities of the nurse and health care team B. Cultural values, expectations, and preferences of the family A nurse has referred a home care client to hospice care. Which of the following best explains the rationale for this referral? A. To provide comfort and peace at a difficult time B. To reduce the cost of care for the terminally ill C. To keep clients at home until the end of life D. To provide care for terminally ill clients expected to live longer than 6 months A. To provide comfort and peace at a difficult time The nurse provides direct care services to a stroke victim to avoid complications. Which of the following levels of prevention is being implemented A. primary intervention B. secondary intervention C. tertiary intervention D. assessment C. tertiary intervention PHNs are challenged to respond to public health-related trends of the twenty-first century, which include: A. racial, ethnic, and economic health disparities; rise of drug-resistant pathogens; unequal access to health care; violence B. violence; availability of health care for all; and increasing life expectancy C. health disparities, access issues, and adequate mental health program funding D. rise of drug-resistant organisms, increased life-expectancy, societal violence, and more effective disease survelliance A. racial, ethnic, and economic health disparities; rise of drug-resistant pathogens; unequal access to health care; violence State public health agency responsibilities include: A. conducting community health assessments B. enforcing public health codes C. monitoring health status D. Providing expertise that facilitates EBP C. monitoring health status What is the goal of local public health departments? A. monitor communicable diseases B. improve health status of communities C. To offer services for the uninsured D. enforce environmental codes and laws B. improve health status of communities A PHN assists a client in identifying the services needed the most at the least cost. Which of the following best describes the role that the nurse is being used? A. Role Model B. Advocate C. Counselor D. Case manager D. Case manager A PHN is working with uninsured individuals. Which of the following is the most-appropriate action for the nurse to take? A. providing direct care for this population in times of acute illness B. advocating for federal policy changes for this population C. Assisting this population to access necessary health care services D. Encouraging lifestyle changes for this population C. Assisting this population to access necessary health care services A nurse is working in an occupational health setting. Which of the following roles will the nurse most likely have? A. Administrator B. Clinicians/practitioner C. Consultant D. Educator B. Clinicians/practitioner The nurse is doing a walk-through to identify workplace hazards. Which of the following levels of prevention is being implemented? A. Primary B. Secondary C. Tertiary D. Assessment A. Primary Secondary prevention in the occupational health arena may include: A. Providing education on safety in the workplace to prevent injury B. Working with chronically diabetic workers to ensure appropriate medication C. Screening for hearing loss resulting from noise levels in the plants D. Ensuring that a person with CV disease attends rehab programs C. Screening for hearing loss resulting from noise levels in the plants An occupational health nurse is involved in disaster planning. Which of the following actions would be most appropriate for the nurse to take: A. Assess for possible disasters B. Prevent injuries and death of workers C. Store Medical Data Sheets in a safe place D. Collaborate with government authorities to plan disaster management B. Prevent injuries and death of workers In the course of a single day, a PHN may engage in all three levels of preventive practice. Here is a list of activities she participated in just yesterday. Which of the following represents secondary prevention? A. Touched base with homebound student and her mother about child's needs B. Created and distributed take-home pamphlets on an after-school vaccination program C. Helped teach a substance abuse prevention class D. Conducted visual screening tests for 2nd graders D. Conducted visual screening tests for 2nd graders A faith community nursing program is creating in an individual community of faith. The nurse is paid by the congregation and is accountable to the congregation and its governing body. Which model of faith community nursing is being used? A. paid congregational B. paid institutional C. Unpaid congregational D. Unpaid institutional A. paid congregational Which dimension is central to the practice of parish nursing? A. physical B. Psychological C. Spiritual D. Social C. Spiritual A faith community nurse encourages participation in political activities that impact the health and wellbeing of the faith community. Which of the following roles is the nurse implementing? A. Counselor B. Developer of support groups C. Integrator of faith and health D. Advocate D. Advocate The scope of practice of the parish nurse would likely include which of the following independent nursing functions? Select all that apply. A. Completing a physical exam and instructing a client regarding the best OTC med to choose for back pain B. Conducting a health education session about clients' self-care regiments for HTN including med and self-monitoring of BP C. Initiating a bereavement support group D. Providing a health risk appraisal and intervention plan for an elderly couple E. Providing spiritual care during a time of severe illness B. Conducting a health education session about clients' self-care regiments for HTN including med and self-monitoring of BP C. Initiating a bereavement support group D. Providing a health risk appraisal and intervention plan for an elderly couple E. Providing spiritual care during a time of severe illness A school nurse is providing health info to school administrators, teachers, and parent-teacher groups. Which of the following roles is being implemented? A. Health Educator B. Case manager C. Consultant Correct D. Counselor A. Health Educator A site that provides primary health care services to children and youths by NPs in the school setting is a: A. primary care clinic B. School-based health center C. School health services D. Child health improvement plan B. School-based health center A nurse identifies a child who may be abused or receives information from a teacher that a child may have been abused. Which of the following actions must the nurse take? A. Call the police immediately to take the child to a safe place B. Contact the parents and ask about it C. Contact the legal authorities as well as the school's principal D. Examine the child to see if the abuse really occured C. Contact the legal authorities as well as the school's principal A nurse is developing a community-based exercise program for a group of women who have CV disease. Which of the following levels of prevention is being used? A. primary B. secondary C. tertiary D. health promotion C. tertiary To develop a baseline for a presentation at the local women's club about the status of women's health in the community, a community-oriented nurse researches national vital statistics to establish the leading cause of women's death in the US. In the US, the leading cause for death is: A. cancer B. Heart disease C. Stroke D. Infectious disease B. Heart disease The population that best represents the differential vulnerability hypothesis is a group of: A. Children with family history of sickle cell and HTN B. homeless pregnant teens in substance abuse program C. Native Americans at risk for DM D. overweight children B. homeless pregnant teens in substance abuse program In an effort to decrease health disparities and improve life expectancy, the Social Security Act was amended in 1998 to provide federal funding to: A. Assure access for health care to elderly Americans B. Build hospitals to care for the medically indigent C. Insure children without health insurance D. Provide supplementary income for citizens with disabilities C. Insure children without health insurance Vulnerability is multidimensional, and one of the primary contributors to vulnerability is: A. Gender B. Race and ethnicity C.Resource limitations D. urban and rural residency C.Resource limitations A nurse providing a tertiary prevention intervention to a population of women who are HIV positive will most likely: A. Educate about self-care and the women's rights as employees B. establish a partnership with a community to initiate community health center C. Help identify new cases and ensure that clients receive proper tx D. teach how to lobby state legislators A. Educate about self-care and the women's rights as employees 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. Carry out primary prevention B. Setting family-center, culturally sensitive goals C. Trying to minimize "hassle factor" D. Using the MAP-IT approach C. Trying to minimize "hassle factor" 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 B. Empowerment C. Partnership D. Social Justice A. Advocacy Health education is often used as a strategy in working with vulnerable populations. The benefits of health education can be greatly affected by the individual's or group's: A. Cycle of dependency B. Health Literacy C. Level of income D. Race and ethnicity B. Health Literacy Congress passed the Balanced Budget Act of 1997 with provisions intended to ensure the appropriateness of home health services for those who received them; however, the act may have increased health disparities for vulnerable populations such as: A. Frail older adults B.Low-income families with newborns C. Poor clients d/c from acute care D. Clients requiring IV antibiotics A. Frail older adults An unemployed individual with AIDS develops recurrent opportunistic infections that require repeated visits to the health clinic and the purchase of various medications to combat the infections and treat their associated side effects. This best demonstrates how the stress caused by poor health status can be related to: A. Barriers to access B. Cascade effects C. Cumulative risk D. Socially based inequity B. Cascade effects 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 but poor outcomes B. Greater likelihood of exposure to Risk factors C. Multiple risk factors but equal outcomes D. Worse health outcomes B. Greater likelihood of exposure to Risk factors D. Worse health outcomes 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 B. Create a trusting environment and establish a therapeutic relationship Which of the following best represents the concept of homelessness as crisis poverty? A. Man with chronic alcoholism and drug abuse living in a halfway house. B. Recently unemployed man evicted from his apartment. C. Teenager living on the streets and abusing drugs. D. Woman with schizophrenia who is living in a shelter. B. Recently unemployed man evicted from his apartment.