Community Health Exam 2 Questions and Answers correct

Community Health Exam 2 Questions and Answers correct A Public health nurse working with a family living in poverty recognizes that they are more likely to be exposed to environmental hazards because they have (select all that apply): A.) Limited funds to pay for health care B.) Poorer nutrition c.) Homes more likely located closer to hazardous waste sites D.) Less education E.) Cleaner than average air A.) Limited funds to pay for health care B.) Poorer nutrition c.) Homes more likely located closer to hazardous waste sites D.) Less education Why is it important for nurses to understand the premises of environmental health? A.) Nurses should be able to assess risks and advocate for policies that support healthy environments. B.) Toxicologists often consult nurses about environmental pollutants. C.) Pollutant exposures such as lead are reported by nurses t the Environmental Protection Agency. D.) Many Americans live in areas that do not meet current national air quality standards A.) Nurses should be able to assess risks and advocate for policies that support healthy environments. An example of secondary prevention is : A.) Screening children for lead poisoning B.) working with communities on emergency preparedness plans C.) Developing social networking interventions t modify community norms D.) Educating patients with strokes as rehab centers to help organize to help optimize their functioning A.) Screening children for lead poisoning Which example contains the components necessary to form an epidemiologic triangle? A.) Pesticides, water, food B.) Lead, mercury, soil C.) trichloroethylene, water, infants D.) Children under 12, elderly, temperature C.) trichloroethylene, water, infants Material safety data sheets (MSDSs) are written by the chemical manufacturer and made available to any employee or their representative as required by the Occupational Safety and Health Administration (OSHA). This is an example of environmental health approach of: A.) Environmental exposure history B.) Environmental health assessment C.) Right to know D.) Risk assessment C.) Right to know A community health nurse asks her client "When was residence built?" The nurse is asking this question because she is conducting the client's: A.) Environmental health assessment B.) Environmental history C.) Risk assessment D.) Risk community B.) Environmental history Good lead surveillance programs help with early detection of rising blood levels in children. This activity can best be described as public health: A.) Primary prevention B.) Risk exposure history C.) Secondary prevention D.) Tertiary prevention C.) Secondary prevention Which activity demonstrates the use of a tertiary prevention strategy? A.) Providing immunizations B.) Conducting lead screening activities for children C.) Providing case management services for clients with chronic illness D.) Identifying and treating clients in a TB clinic C.) Providing case management services for clients with chronic illness John snow played a critical role in the development of modern disease surveillance when he: A.) Devised a more statistically valid method of analyzing epidemiologic data B.) Discovered casual agents for anthrax, tuberculosis, and cholera C.) Tracked the incidence of tuberculosis in the tenements of New York City D.) Used geographic mapping to demonstrates the connection between water supply and cholera D.) Used geographic mapping to demonstrates the connection between water supply and cholera A new group of migrant farmworkers has arrived in an 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 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 farmworkers' concept of time and their work schedule to determine when and how services can best be scheduled A nurse takes the time to read and understand the community's disaster plans and participates in mock disaster drills as a leader of the triage team. The nurse obtained disaster management training through the local Red Cross chapter and registered with the state as a disaster management nurse. The best description of the nurse's activities is: A.) American Red Cross Disaster training B.) Community preparedness C.) Personal preparedness D.) Professional Preparedness B.) Community preparedness A newly hired public health nurse is familiarizing himself with the levels of disaster management. Which of the following actions is a component of disaster preparedness? A.) Outlining specific roles of community agencies B.) Identifying community vulnerabilities C.) Prioritizing care of individuals D.) Providing stress counseling A.) Outlining specific roles of community agencies 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.) 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 D.) Support of the family in preparing a personal disaster response plan The highest priority for a nurse who is among the first responders to a disaster is: A.) arranging for shelter disaster providers B.) Beginning community assessment as soon as possible to ensure a rapid recovery C.) Beginning surveillance and planning needed health education for disaster survivors D.) Immediately developing plans for effective triage and client management D.) Immediately developing plans for effective triage and client management A nurse is working with a disaster medical assistance team as it responds to a disaster. A new team member excitedly instincts that its personnel can exceed their 12-hour shifts and do not need breaks. The best intervention on the part of the nurse is to A.) Arrange for the team members to be transferred to another unit B.) Arrange for the team member to leave duty, return home, and talk with his or her pastor C.) educate the rescuer about necessary stress-management techniques and offer to pair up with the individual so that each can monitor the other's stress level D.) Help the team member to call home to speak with his or her family C.) educate the rescuer about necessary stress-management techniques and offer to pair up with the individual so that each can monitor the other's stress level A nurse wishes to become actively involved in disaster management and is extremely interested in providing first aid and delivering aggregate health promotion, disease prevention, and emotional support. It would be ideal for the nurse to train and volunteer as which of the following? A.) Community emergency response team member B.) Disaster medical assistance team member C.) Member of the Medical Reserve Corps D.) Red Cross shelter manager D.) Red Cross shelter manager Vulnerable population groups are those that, in comparison with the population as a whole, have which of the following characteristics? 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.) Few health conditions B.) Greater likelihood of exposure to risk factors To provide effective care and advocacy for individuals, families, and population living in poverty, nurses must first: A.) Apply epidemiologic principles for prevention B.) Develop resource expertise in the community C.) Examine their personal beliefs, values experiences D.) Understand the federal criteria and guidelines for poverty C.) Examine their personal beliefs, values experiences Health education s 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 An undocumented migrant farm worker, who can speak some English, has been diagnosed with TB. The local health department, using a Spanish translator, initiates treatment by dispensing the first month's supply of medication and educates the client on the need to continue treatment for 6 to 12 months. A major challenge the the client may face to ongoing treatment for TB is: A.) Affordable care B.) Discrimination C.) Fragmented Services D.) Language barriers C.) Fragmented Services A nurse volunteering as 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 a 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 is an example of an agent in the epidemiologic triangle? A.) Human population distribution B.) Salmonella C.) Genetic susceptibility D.) climate B.) Salmonella The time interval between invasion by an infectious agent and the first appearance of signs and symptoms of the disease is called: A.) Communicable period B.) Incubation period C.) Infectiousness D.) Pathologic reaction B.) Incubation period West Nile Virus is an example of which of the following types of illness? A.) Foodborne B.) Vectorborne C.) Waterborne D.) Zoonoses B.) Vectorborne To understand the causes of health and disease, epidemiology studies: A.) Individuals B.) Families C.) Groups D.) Populations D.) Populations Which example contains the components necessary to form an epidemiologic triangle? A.) Pesticides, water, food B.) Lead, mercury, soil C.) Trichloroethylene, water, infants D.) Children under 12, elderly, temperature C.) Trichloroethylene, water, infants A public health nurse wanting to know what caused severe nausea, vomiting, and diarrhea in a large group of people on a cruise ship would be using: A.) Descriptive epidemiology B.) Analytic epidemiology C.) Distribution D.) Determinants B.) Analytic epidemiology Which would be considered a serious epidemic of influenza? A.) 50 cases B.) 100 cases C.) 500 cases D.) Unable to determine D.) Unable to determine A public health nurse understands that the emergence of a new infectious diseases is influenced by the: A.) increased availability of immunizations B.) Globalization of food supplies C.) Decreased use of child care facilities D.) Creation of sanitation systems in third world countries B.) Globalization of food supplies An example of a vertical transmission of a disease is through: A.) Breast milk B.) Sexual transmission C.) Mosquitoes D.) Contaminated food A.) Breast milk Match each term with the correct example. A.) endemic B.) Pandemic C.) Epidemic 1.)Malaria is present in Africa at all times because of the presence of infected mosquitoes. Malaria is _________ in Africa. 2.) The Ebola virus in parts of Africa is in excess of what is expected for this region. This virus is a/an _________ 3.) HIV/AIDS is one of the worst global diseases in history. It is a/an ________ (1,A) (2,C) (3,B) Emerging infectious diseases may arise as a result of factors operating singly or in combination and these factors may include which of the following (select all that apply)? A.) Environmental changes B.) Host behavior C.) Improved surveillance D.) Microbial adaption E.) Public health infrastructure deterioration A.) Environmental changes B.) Host behavior D.) Microbial adaption E.) Public health infrastructure deterioration The nurse teaches food handlers to wash utensils after contact with raw meat. This prevention focus on the: A.) Agent B.) Host C.) Environment D.) Food Handler C.) Environment Which information is important for the nurse to know about preventing and controlling parasitic infections? A.) The medication to prescribe to treat infections B.) The nature and symptoms of all parasitic illnesses C.) What specimens to collect and how and when to collect them D.) Public policy about parasitic infections C.) What specimens to collect and how and when to collect them An example of a bacterial STD is: A.) Trichomonas B.) HIV C.) Syphilis D.) Genital warts C.) Syphilis A client comes to the local clinic with acute symptoms of fever, nausea, lack of appetite, malaise, and abdominal discomfort. During the course of the assessment, the nurse determines that the client is a health care aide working at a daycare center. These facts are important because: A.) Acute hepatitis B is self limiting B.) Hepatitis A outbreaks commonly occur in facilities where staff change diapers C.) Hepatitis C is a "silent stalker" D.) Individuals with chronic liver disease are greater risk for hepatitis A B.) Hepatitis A outbreaks commonly occur in facilities where staff change diapers