Exam 2 V2: NSG 3480 / NSG3480 (Latest 2026 / 2027) Nursing Practice – Community Health | 100% Correct Questions & Answers - Galen

Exam 2 V2: NSG 3480 / NSG3480 (Latest 2026 / 2027) Nursing Practice – Community Health | 100% Correct Questions & Answers - Galen Question: Which factor is most responsible for the population growth of the United States? a. A decrease in the death rate b. Ongoing immigration c. An increase in the birth rate d. Lengthening of the normal life span b. Ongoing immigration Which statement best defines Leininger's term "culture universal"? a. The preference to be cared for by someone from their own cultural group for maximum ease and comfort b. The commonalities of values, norms, and life patterns that are held in all cultures c. The particular values, beliefs, and patterning of behavior that is universal within a particular culture d. The health care roles, norms, and behaviors that are involved when illness or injury occurs b. The commonalities of values, norms, and life patterns that are held in all cultures A patient had wrapped a tummy band around her newborn's abdomen. What should the nurse say to the new mother? a. "Can you explain to me the purpose of wrapping a band around the baby's tummy?" b. "In the hospital, we prefer to expose the umbilical cord to air so it's easier to put medication on it as it dries up." c. "Let me put some medication on the baby's cord, and then I'll put the tummy band back." d. "Please remove that band; it is not helpful as the umbilical cord needs to be kept clean and dry." a. "Can you explain to me the purpose of wrapping a band around the baby's tummy?" A baby was dehydrated because of diarrhea. The mother explained that she had finally gone to a folk healer who told her to give the baby herbal tea, which did seem to be helping a bit, but the baby still seemed ill. Which statement would be the most appropriate reply by the nurse? a. "Folk healers cannot cure such problems; let me give you appropriate fluids for your baby." b. "Let's go back to feeding the baby formula and see how the baby does." c. "You continue to give the baby herbal tea, but let's put some sugar and salt in the tea." d. "Your healer is correct; fluids are crucial for your baby. Let me give you some special fluids for you to give the baby." d. "Your healer is correct; fluids are crucial for your baby. Let me give you some special fluids for you to give the baby." A nurse carefully explained that the medication had to be taken three times a day, with each meal. The patient came to the clinic with symptoms of medication overdose. How should the nurse respond? a. "Can you explain what you believe happened to make you so ill now?" b. "Can you tell me when in the day you and your family eat?" c. "Please review with me when I taught you to take your medication." d. "Why did you take more medication than we suggested?" b. "Can you tell me when in the day you and your family eat?" Which action should be taken by a male nurse when a female immigrant from the Middle East refuses to participate in a health history at the initial clinic visit? a. Ask a female nurse to talk with the client. b. Ensure that the client has privacy, with the two female friends waiting outside before trying again. c. Explain that the woman cannot see a physician until the nurse obtains a health history and does an initial examination. d. Stress that the clinic is free, and she does not have to pay extra to see both the nurse and the physician. a. Ask a female nurse to talk with the client. When the nurse begins explaining alternative treatment approaches, the client responded, "The doctor will choose the best treatment. Do whatever the doctor says." Which action should be taken next by the nurse? a. Ask if the client would like to discuss the choices with her family. b. Explain that the client has to decide, and wait for the client's decision. c. Explain that physicians cannot decide; perhaps the client could just flip a coin. d. Nothing; simply accept that some fatalistic-oriented clients literally do not know how to choose. e. Suggest that the client discuss the situation with her ancestors and wait for guidance. d. Nothing; simply accept that some fatalistic-oriented clients literally do not know how to choose. Two days after missing a follow-up appointment a client presents at the clinic explaining that "something came up." Which action should be taken by the nurse next? a. Explain that patients are seen by appointment only, and set up another appointment for the client. b. Reinforce the need to plan ahead before arranging another appointment. c. Stress that health is the number one priority, and try to fit the client in sometime the same day. d. Understand that some clients are present oriented, and fit the client in so care can be given. d. Understand that some clients are present oriented, and fit the client in so care can be given. A nurse reviewed the treatment the surgeon recommended for a woman's breast lump and suggests admission to the hospital for immediate surgery. Which action would be most appropriate for the nurse to take when the husband thanks the nurse and says they would get back in touch after they speak with other family members? a. Ask if there was some reason the woman could not be immediately admitted for treatment. b. Explain to the woman why postponing the surgery was dangerous. c. Point out it that it's the woman's decision, and stress that she should go to the hospital immediately. d. Recognize that the husband and other family members may need to have input into this decision. d. Recognize that the husband and other family members may need to have input into this decision. The clinic asked the nurse, "How do you define family?" Which would be the best response by the nurse? a. "A person's husband, wife, or children" b. "Anyone related to you by law or by blood ties" c. "Someone who lives with you and has ties of commitment" d. "Whoever you tell us is your family" d. "Whoever you tell us is your family" In a client's culture it is exceedingly rude to ask any questions about income or wealth. Which action should be taken by the nurse to draw conclusions about the client's socioeconomic status (SES)? a. Ask about the client's education or employment position. b. Ask his or her religious leader to share such information with the nurse. c. Let the financial office deal with the problem. d. Refer the issue to the social worker who has better sources of information. a. Ask about the client's education or employment position. A nurse working at a clinic in a multicultural neighborhood was responsible for setting up a health fair with free pizza being served during lunch. Which action should the nurse take when noting a group of attendees not eating the available food? a. Assume it was a religious fast day, and not worry about it. b. Discuss with the supervisor what are traditional foods in that neighborhood. c. Offer to let those who did not eat take the leftover pizza home for a meal later in the day. d. Talk to the group, and ask what foods might have been more acceptable. d. Talk to the group, and ask what foods might have been more acceptable. Before interviewing a newly immigrated Hispanic family, what is the most important action for the nurse to take to best assure effective intercommunication? a. Complement each member on some visible asset. b. Establish rapport, and gain trust and confidence. c. Greet them in Spanish even if badly spoken and accented. d. Recognize the male as the authority figure in the family. b. Establish rapport, and gain trust and confidence. A woman stood very close to the nurse and asked a question about her husband's condition. The nurse took a step back and shared the requested information. No other questions were asked. What basic reflection should result from this interaction? a. The nurse should not answer any questions about a client, even if the wife is the one asking. b. The woman and the nurse had different perceptions of personal space. c. The woman sought information, received it, and had no further questions. d. The nurse was knowledgeable and able to respond appropriately. b. The woman and the nurse had different perceptions of personal space. A nurse felt very positive that an Asian client had responded positively to the discharge instructions given until overhearing a conversation where he stated that there no way he could implement the suggestions. Which rationale best explains the client's behavior? a. Polite response may not equal agreement. b. Men do not take instruction from women. c. His culture may value harmonious relationships over expressing disagreement. d. The nurse told him what to do but did not ask if he could do it. c. His culture may value harmonious relationships over expressing disagreement. A nurse becomes frustrated when the client takes a long pause before answering each interview question. Which action should be taken by the nurse? a. Accept the hesitation before receiving an answer. b. Ask the client what their silence after each question means. c. Copy the client's behavior; insert a pause before asking the next question. d. Recognize that the client was distracted, and reschedule the home visit. b. Ask the client what their silence after each question means. A client, accompanied by an adult child, speaks only Spanish. Which action should be taken by the non-Spanish speaking nurse to best meet the client's need? a. Ask the client if it's OK if the adult child acts as translator. b. Request a Spanish interpreter employed by the agency. c. Let the adult child translate since they are obviously informed about the problem. d. Use gestures and pantomime to make oneself clear. b. Request a Spanish interpreter employed by the agency. At a military base, a Moslem family comes to the prenatal clinic to confirm a pregnant. Which provider would be the most appropriate choice for this client? a. A male obstetrician, expert in high-risk pregnancies b. The female nurse midwife c. The male obstetrician with a female nurse always in the room with the wife d. Whichever provider was on duty until the pregnancy was confirmed b. The female nurse midwife After being given negative news about a health problem, the client tearfully asks, "Why did this happen to me?" Which is the most appropriate response by the nurse? a. "Could someone have cursed you?" b. "Do you feel your life is out of balance?" c. "God has a plan for each of us even if we do not understand it." d. "Why do you think it might have happened?" d. "Why do you think it might have happened?" A nurse making a home visit for prenatal care and teaching notes the Asian woman is having a lunch of hot, spicy foods. When the nurse suggests a cold drink with the meal, the woman looked horrified and distrusting. Which rationale best describes what happened during this situation? a. The interference with eating seemed incredibly intrusive and inappropriate. b. The nurse was giving advice when advice had not been sought. c. The patient thought the nurse was offering an alcoholic beverage. d. The yin and yang theory requires only hot food be eaten when female yin energy is dominant, such as during pregnancy. d. The yin and yang theory requires only hot food be eaten when female yin energy is dominant, such as during pregnancy. A nurse is called by a friend who reports symptoms of a common cold. Which response would be the most appropriate by the nurse? a. Ask the friend what they usually do for a cold and suggest that be done. b. Tell the friend to go to the urgent care center for assistance. c. Suggest that the friend make an appointment to see their health care provider. d. Point out to the friend that nurses are unable to treat patients. a. Ask the friend what they usually do for a cold and suggest that be done. A nurse is assigned to create and implement a community diabetic education program focused on the Hispanic population. Since the nurse does not speak Spanish and is unfamiliar with the Hispanic culture, which approach should the nurse to take to effectively present the material? a. Be sure to use appropriate images in the handouts. b. Copy literature and procedures found successful in other Hispanic communities. c. Tell the supervisor the nurse is not competent for this task. d. Try to find Hispanic volunteers who may be able to do the actual teaching. d. Try to find Hispanic volunteers who may be able to do the actual teaching. Which helps to balance the fact that poverty is typically a major factor in certain groups having poorer health? a. A strong community health center in the neighborhood b. Intact families where fathers are married to children's mothers c. Strong family and community support for healthy behaviors d. The large number of programs available to be of assistance in fighting poverty c. Strong family and community support for healthy behaviors Which action has been taken by the federal government to help improve health disparities among minorities? a. Created scholarships and traineeships only for minority applicants b. Created the National Center on Minority Health and Health Disparities c. Established grants that funded only minority health projects d. Legislated funds to create new colleges for preparing health professionals in minority neighborhoods b. Created the National Center on Minority Health and Health Disparities Which action would be the most helpful for the nurse to take when caring for multicultural clients? a. Ask to have a nurse from that culture assigned to the patient even if the nurse must be obtained from a different clinical area. b. Be aware of cultural similarities and differences between the nurse and the client. c. Explain that the patient must follow the rules of the hospital while a patient. d. Verbalize the nurse's own discomfort, and ask for assistance with surmounting the cultural differences. b. Be aware of cultural similarities and differences between the nurse and the client. An unidentified patient involved in a hit-and-run accident is being assessed for injuries. When questioned, the patient looks very confused and responds in a language the nurse did not recognize. Which initial action should the nurse take next? a. Look closely at the person, try to determine the patient's ethnic background, and then seek someone fluent in his language. b. Report the language barrier to administration, and let them handle the problem. c. Tell the unit supervisor so various translators can be brought to the floor until the language is recognized and communication can be established. d. Use gestures and pantomime until the nurse is able to determine what language the patient is speaking. d. Use gestures and pantomime until the nurse is able to determine what language the patient is speaking. The clinic is seeing a great number of Hmong immigrants from the mountainous regions of the Far East. When the nurse cannot obtain a translator, which action would be most effective? a. Require each patient to bring a family member fluent in English. b. Start teaching Hmong patients English on each clinic visit. c. Suggest Hmong patients might be more comfortable seeking care elsewhere. d. Try to make flash cards with common phrases used during clinic visits. d. Try to make flash cards with common phrases used during clinic visits. Which statements best describes the challenges when providing care to someone from a minority group? (Select all that apply.) a. Communication, both words and gestures, may be unfamiliar. b. Few members of the minority group are nurses themselves. c. Immigrants will soon adapt to the mainstream culture, but in the meantime, many are clinging to "the old ways." d. So few patients are minority group members that it is difficult to remember how they prefer to receive care. e. The nurse may have to confront personal values and beliefs. a. Communication, both words and gestures, may be unfamiliar. b. Few members of the minority group are nurses themselves. e. The nurse may have to confront personal values and beliefs. Which factors are most important in reducing disparities in health outcomes between different cultural groups? (Select all that apply.) a. A strong family structure b. Access to a health care provider c. Access to transportation d. Health care insurance e. Having ongoing employment f. Owning one's own home b. Access to a health care provider d. Health care insurance A family will most likely lose their primary nighttime residence within the next week. Which term best describes their situation in relation to homelessness? a. Homeless under other federal statutes b. Literally homeless c. Imminent risk of homelessness d. Fleeing/attempting to flee intimate partner violence c. Imminent risk of homelessness Which best describes the recent trends in homelessness? a. The number of homeless individuals in school is decreasing. b. The number of homeless individuals is increasing. c. The number of homeless families is increasing. d. The number of homeless families is decreasing. d. The number of homeless families is decreasing. On the basis of all the work done by social scientists, approximately how many homeless persons should be expected and tolerated in our society? a. No more than 5% b. No more than 10% c. No more than 15% d. There should not be homeless persons in America. D. There should not be homeless persons in America. Which represents the largest group of homeless adults? a. Minorities b. Disabled c. Females d. Males d. Males Which best describes the problem with the Section 8 housing program? a. Direct access to an apartment in a public housing facility is faster and easier. b. Most renters prefer the program to make direct payment to apartment owners willing to rent to them. c. Section 8 housing is essentially slum housing, and no one wants to live there. d. Supply is vastly less than the demand. d. Supply is vastly less than the demand. Which best describes what happens when persons who work full-time and receive the typical minimum wage seek an apartment? a. Few clean and decent low-rent apartments exist. b. People do not like to rent to low-income persons. c. To afford housing, they need a job that pays more than minimum wage. d. There are not many trailer parks near their employment. c. To afford housing, they need a job that pays more than minimum wage. Which factor would prevent a homeless person from accepting employment adequate to pay for housing? a. Could not complete an employment application because of lack of mailing address. b. Hope for a better position than the service positions available. c. Lack of adequate resources to pay for other necessities. d. Prefer to receive a handout than to have to work. c. Lack of adequate resources to pay for other necessities Which group of people is most likely to experience homelessness? a. Those who have a supportive family b. Those who have recently become unemployed c. Those who have substance abuse problems d. Those who frequently change jobs c. Those who have substance abuse problems Which best describes how health care professionals are involved in the problem of homelessness? a. Homeless persons make everyone uncomfortable when they beg for handouts. b. Homeless persons often live in emergency departments and clinics. c. Poverty leads to crimes, and health care professionals can be attacked and robbed outside health care facilities. d. Serious illnesses or disability creates high medical bills, which may lead to homelessness. d. Serious illnesses or disability creates high medical bills, which may lead to homelessness. Which factors are most likely to contribute to homelessness? a. Intimate partner violence and substance abuse b. Scarcity of support systems and recent job loss c. Shortage of affordable housing and insufficient income d. Substance abuse and serious mental illness c. Shortage of affordable housing and insufficient income Which underlying factor most likely contributes to homelessness? a. Substance abuse b. Unemployment c. Posttraumatic stress syndrome (PTSD) d. Depression a. substance abuse Which individual would be described as being "doubled up"? a. An individual who has two chronic conditions b. An individual who has recently been released from prison c. An individual who maintains two jobs to avoid being homeless d. An individual who is forced to live with friends d. An individual who is forced to live with friends Which person will have the most difficulty in obtaining adequate support services to find a long term home? a. An alcoholic homeless person b. A homeless person who has a limited support system and is unemployed c. A homeless person who has a mental illness and is an alcoholic d. A mentally ill homeless person c. A homeless person who has a mental illness and is an alcoholic Which best describes a major difference between women who have always had shelter and women who have been homeless? a. Educational opportunities and attainment b. History of gender relationships (marriages, divorces) c. Level of involvement with physical and/or sexual abuse d. Skills necessary for paid employment c. Level of involvement with physical and/or sexual abuse Which factor is the primary motivator for young (homeless) women engaging in survival sex? a. Peer influence b. Pursuit of drugs c. Coercion by perpetrators d. Desperation to meet basic needs d. Desperation to meet basic needs A school nurse was asked to see Lisa, a student in the fourth grade who was rumored to be living in a car with her mother. Which would most likely have caused the teacher to become concerned? a. Lisa is not always respectful of the teacher. b. Lisa has not been doing her homework. c. Lisa is developmentally delayed. d. Lisa has behaved in a sexually inappropriate manner. c. Lisa is developmentally delayed. The male home health nurse parked his marked car in preparation for visiting the next client when a young female walked over to the car and asked him if he would like to have some fun. Which provides the best explanation for this behavior? a. The girl was skipping school and wanted money for entertainment. b. The male nurse was extremely young and attractive and looked like he had money. c. The girl may have hoped a nurse would give her enough money to eat. d. Young girls often engage in thrilling, if high-risk, behaviors. c. The girl may have hoped a nurse would give her enough money to eat. Which person would be called chronically homeless? a. A person has been homeless for more than a year b. A person who lives with a roommate when between jobs c. A person who has been staying with friends or family for an extended period of time d. A person has been residing each night in a homeless shelter for almost 3 months a. A person has been homeless for more than a year Which best describes the purpose of the Vulnerability Index? a. To identify those most at risk of becoming homeless b. To determine the underlying cause of homelessness among vulnerable populations c. To identify and prioritize the need for housing among the homeless d. To determine what resources should be provided for vulnerable populations c. To identify and prioritize the need for housing among the homeless Which are the most frequent problems suffered by the chronically homeless? a. Chronic conditions such as hypertension, bronchitis, and emphysema b. HIV/AIDS and other sexually transmitted diseases, tuberculosis, and hepatitis C c. Respiratory infections, trauma, and skin disorders d. Severe mental illness and substance abuse disorders d. Severe mental illness and substance abuse disorders Which statement best reflects the model of justice U.S. health care is based on? a. All people are entitled to minimum standards of care. b. All people are responsible to help their neighbors. c. All people have a right to whatever their own efforts allow them to purchase. d. Like firefighting, police protection, libraries, and roads and highways, health care must be supported by tax money for the good of all who need such services. c. All people have a right to whatever their own efforts allow them to purchase. Which best describes a downstream intervention to solve the problem of homelessness? a. Improved use of community resources b. Increased employment opportunities c. Increased affordable housing d. Improved treatment of mental illness d. Improved treatment of mental illness A nurse is using an upstream intervention when working with the homeless population. Which public health intervention will the nurse most likely use? a. Case management b. Outreach c. Surveillance d. Community organizing d. Community organizing Which best describes the term "literally homeless"? (Select all that apply.) a. Lacking a fixed, regular, and adequate nighttime residence b. Lacking a family residence c. Living in a place not typically used for human sleeping d. Living in a temporary living accommodation such as a hotel e. Living full-time in a recreational vehicle f. Sleeping in an extended-care facility or hospital a. Lacking a fixed, regular, and adequate nighttime residence c. Living in a place not typically used for human sleeping Which strategies have been used to improve the collection of prevalence data for the homeless population? (Select all that apply.) a. Urban Institute study b. Homeless Assistance Report c. Continuum of Care (CoC) concept d. Homeless Information Management System (HMIS) e. Census Bureau f. Education for Homeless Children and Youth program c. Continuum of Care (CoC) concept d. Homeless Information Management System (HMIS) Which best describes how the Continuum of Care (CoC) concept determines the number of homeless in a community? (Select all that apply.) a. By asking local police departments to visit areas where the homeless hide and report the number of people found there each March b. By conducting a point-in-time (PIT) homeless persons count every other January c. By making an educated guess based on anecdotal data d. By completing a statistical analysis of the Census Bureau data e. By reporting the number of homeless persons who use emergency shelters or transitional housing during the year f. By sending CoC personnel into the community to try to find hidden homeless b. By conducting a point-in-time (PIT) homeless persons count every other January e. By reporting the number of homeless persons who use emergency shelters or transitional housing during the year Which disorders are experienced at a higher rate by homeless adults when compared with the general population? (Select all that apply.) a. Hepatitis b. Diabetes c. Asthma d. HIV/AIDS e. Hypertension f. Alcoholism c. Asthma e. Hypertension f. Alcoholism Which best describes the recent population trend in rural America between 2016 and 2017? a. The number of residents in rural areas of the United States is at one of its lowest levels ever recorded. b. The gap between urban and rural population rates increased significantly. c. Nonmetro population rates have been steadily and significantly increasing. d. Population growth in rural areas has increased slightly. d. Population growth in rural areas has increased slightly. Which best explains why there are so few hospitals in rural areas? a. Few nurses and physicians enjoy the rural lifestyle. b. Historically, hospitals began in large urban areas and have slowly expanded outward but have not yet reached all rural areas. c. Rural areas have very low population density. d. Rural residents do not trust hospitals, preferring to receive care from neighbors and friends. c. Rural areas have very low population density. Which causes are rural residents twice as likely to die from in comparison with urban residents? a. Chronic diseases, especially cardiac problems and cancers b. Diabetes from the higher incidence of obesity c. Respiratory diseases (from pesticides and herbicides) d. Unintentional injuries d. Unintentional injuries Which factor would cause a geographic area to be called a frontier area? a. Arbitrary distinction recognizing the Great Plains, Intermountain areas, and Alaska b. Geographically located in the West, specifically the Great Plains states c. High death rate from use of guns (homicide or suicide) d. Population of fewer than six persons per square mile d. Population of fewer than six persons per square mile Which best describes the purpose of the core-based statistical areas (CBSA) system? a. To reflect trends in population distribution across the county b. To differentiate between urban and metropolitan areas c. To emphasize the importance of non-care areas d. To report the demographic characteristics of those living in the area a. To reflect trends in population distribution across the county Which compositional factor influences rural health needs? a. Demographics of the people living in an area b. Local environment c. The geography of the area d. The political and social institutions in the community a. Demographics of the people living in an area Which describes what has been identified by public health experts as the number one priority in rural areas? a. Access to health care b. Access to education c. Access to telecommunications d. Access to better-paying employment opportunities a. Access to health care Which would be true for a county to be defined as having persistent poverty? a. Being in poverty over the last 10 years b. Being in poverty over the last 20 years c. Being in poverty over the last 25 years d. Being in poverty over the last 30 years d. Being in poverty over the last 30 years Which fact is noteworthy about adolescent males who are driving without a license in the countryside? a. Most had driver's education classes but have not yet earned the money to pay for their driver's license test. b. Most were Hispanic or black from a rural area. c. Most were practiced in driving large farm machinery and were just going from one section of the farm to another section. d. Most were practicing their driving skills with their parent in the car. b. Most were Hispanic or black from a rural area. Which is particularly prevalent in rural areas (more so than in urban areas) of the South? a. Falls and motor vehicle accidents b. Less use of seatbelts and more drinking of alcohol c. Obesity and sedentary lifestyle d. Suicide and homicide c. Obesity and sedentary lifestyle Which statement best describes how firearm injuries are different in rural areas as compared with urban areas? a. In rural areas, firearm deaths occur more frequently because of purposeful, rather than accidental, shooting. b. In rural areas, firearm injuries occur more frequently in the home. c. In rural areas, firearm injuries occur more frequently during official hunting season, whereas the frequency does not vary in urban areas. d. In rural areas, firearm injuries are more frequently fatal than in urban areas. b. In rural areas, firearm injuries occur more frequently in the home. Which group is the fastest-growing component of the rural population? a. Disabled adults b. Elderly women c. Hispanic children d. Retirees c. Hispanic children Which best explains why companies do not build workplaces in rural areas where people are anxious to find full-time employment? a. Employers need highly educated and skilled employees. b. Managers do not want to be transferred into a rural area where they will not fit in and will not be comfortable. c. Rural persons do not work as hard as urban dwellers. d. Smells emanating from farms are unacceptable to persons working inside. a. Employers need highly educated and skilled employees. Which employment opportunities are among the most dangerous? a. Food processing, textiles, and transportation b. Highway construction, ranching, and public utilities c. Large mechanized factory positions d. Mining, forestry, and fishing d. Mining, forestry, and fishing A public health nurse is working in a rural clinic. On the basis of risk, which would be the priority group for care? a. African American adults b. Adolescents c. Elderly women who live alone d. Migrant and seasonal farmworkers (MSFW) d. Migrant and seasonal farmworkers (MSFW) As a concerned citizen and professional, a nurse encourages the local senators and representatives to support expansion of health clinics for the poverty stricken. Which location is in most desperate need? a. Rural areas where migrant and seasonal farmworkers (MSFW) labor b. Inner city poverty-stricken neighborhoods c. Near elderly low-income housing units d. Inside high schools in poverty-stricken neighborhoods a. Rural areas where migrant and seasonal farmworkers (MSFW) labor Which is the most frequent cause of farm fatalities and nonfatal injuries? a. Manure pits (methane poison) b. Power take-off augers c. Storage silos d. Tractors e. Very old and barely functioning trucks d. Tractors Which statement best describes how working on a farm is different from working in a factory? a. Factories have more dangerous dust than farming dust. b. Farm chemicals are more immediately fatal than most industrial chemicals. c. The worksite and the home are the same. d. Workers on farms, unlike those in factories, can bring dangerous substances home on their clothing, which expose their families. c. The worksite and the home are the same. A seasonal worker stumbles into the rural health clinic and reports having an incredible headache. The client is sweating and has begun vomiting into the wastebasket by the intake nurse's desk. Which diagnosis should be anticipated by the nurse? a. Acute adult panic disorder b. Acute alcohol intoxication c. Acute appendicitis d. Acute meningitis e. Acute pesticide poisoning e. Acute pesticide poisoning A nurse is explaining why migrant farmworkers experience cultural barriers when trying to receive care. Which would the nurse include in this explanation? a. "As illegal immigrants, they are not eligible for tax-paid health care." b. "Families who travel in isolation seeking agricultural work do not mix with their employers or other members of the community." c. "Mexicans who speak primarily Spanish and cannot understand English." d. "Usually perceived as outsiders, since they are from many countries and cultures." d. "Usually perceived as outsiders, since they are from many countries and cultures." A nurse was becoming very frustrated at the ongoing stream of farmworkers with respiratory problems each spring. Which action should be taken by the nurse? a. Provide community education on herbicides and other chemicals spread each spring with information on self-protective measures, such as respirators. b. Fight to get farmers to quit spreading chemicals on their fields each spring. c. Suggest that farmers spray water on the fields immediately after the chemicals are spread to reduce dust in the air. d. Tell farm workers to obtain different employment. e. Try to get farmers to reduce the amount of chemicals used on their fields. a. Provide community education on herbicides and other chemicals spread each spring with information on self-protective measures, such as respirators. A nurse was trying to decrease the amount of respiratory illness in the community. Which approach should be used by the nurse? a. Attend each farmworkers' meeting and listen to how they perceive and discuss their problems. b. Offer to teach the farmers' spouses how to protect their families, such as having the farmer shower and change clothes before coming into the house. c. Suggest the community work together to obtain a community college so farmworkers could be educated for other employment opportunities. d. Teach children in the school system the importance of seeking employment in cities rather than staying on the farm. a. Attend each farmworkers' meeting and listen to how they perceive and discuss their problems. Which best describes a proposed strategy to address the lack of health care professionals in rural communities? a. Advertise that there are more men than women in many rural areas to attract female nurses who want to be wives and mothers. b. Offer free housing and office space to a professional who will come to live in the community. c. Pay extremely high salaries to professionals willing to relocate. d. Support local students obtaining an education while continuing to live at home. d. Support local students obtaining an education while continuing to live at home Which difference is found in parish nursing in a rural area as opposed to parish nursing in an urban area? a. Rural parish nurses are less likely to be involved in case management or care coordination than their urban counterparts. b. Rural residents are more grateful for the nurse's assistance because there are so few health resources in rural areas. c. Rural residents are typically less committed to traditional values or a strong religious faith. d. Rural residents may discuss health concerns with the nurse wherever they meet, whether in church or the local market. d. Rural residents may discuss health concerns with the nurse wherever they meet, whether in church or the local market. A nurse saw there was a need for a hospice facility in a rural area, because so many of the residents were quite elderly and death was common. Which best explains why the community would not immediately see the wisdom of the nurse's suggestion? a. Change is always difficult; the nurse just needs to keep reinforcing the need for such a facility. b. The nurse did not tell residents how much their taxes would need to go up to support such a facility. c. Residents were fearful of confronting death in such an open way.d. Rural residents prefer to use their informal social support networks when help is needed. d. Rural residents prefer to use their informal social support networks when help is needed. Which intervention would most likely be provided by a local health department in a rural community? a. Collaborating with local health clinics to provide outreach services b. Funding a local research project c. Establishing the poverty guidelines for the area d. Building a free-standing migrant health clinic a. Collaborating with local health clinics to provide outreach services Which best describes how the federal government tries to both encourage and support rural health clinics under the Community Health Centers (CHC) program? a. Allowing tax deductions for charitable contributions to rural health clinics (RHCs) b. Donating equipment and supplies to establish such clinics c. Reimbursing both Medicare and Medicaid at a higher rate than otherwise d. Requiring recipients to serve in a rural health clinic for 3 years in exchange for financial assistance while in school c. Reimbursing both Medicare and Medicaid at a higher rate than otherwise Which best describes how Migrant Health Clinics (MHCs) under the Migrant Health Program are often different from other clinics? a. Care is restricted to those who can document that they are employed in agriculture. b. They are much better funded than typical rural clinics. c. Staff are typically bilingual and bicultural. d. They welcome illegal immigrants to receive care. c. Staff are typically bilingual and bicultural. Which factors result in rural residents having less access to health care than urban dwellers? (Select all that apply.) a. Employment opportunities may be low paying and seasonal. b. There are greater distances to travel and limited choice of health care providers. c. Health care providers prefer to work in higher-paying urban settings. d. Rural residents are less likely to have health insurance. e. Rural persons' economic resources are tied up in land, not easily accessible cash. f. Rural persons believe in self-sufficiency and self-care, not asking others for help. a. Employment opportunities may be low paying and seasonal. b. There are greater distances to travel and limited choice of health care providers. c. Health care providers prefer to work in higher-paying urban settings. d. Rural residents are less likely to have health insurance. In comparison with mental health care in urban areas, which best describes how mental health care in rural areas differs? (Select all that apply.) a. Access to care is more limited or not available at all locally. b. Cost for treatment is typically reimbursed at a lower rate. c. Depression is frequently not recognized or is not treated. d. Ethnic and racial disparities exist. e. Primary health care professionals accept responsibility for mental health treatment. f. The suicide rate is notably higher. a. Access to care is more limited or not available at all locally. c. Depression is frequently not recognized or is not treated. e. Primary health care professionals accept responsibility for mental health treatment. f. The suicide rate is notably higher. Which best describes why for-profit managed care organizations (MCOs) have not begun to move into rural areas to increase the number of persons served? (Select all that apply.) a. High startup and administrative costs are needed. b. A large number of elderly are on Medicare or Medicaid, which results in low reimbursement. c. Managed care has not yet had time to go beyond major population centers. d. MCOs are waiting until federal reimbursements for underserved rural health areas become higher. e. The population is too small and too spread out. f. Rural health areas are too geographically unattractive and lack any recreational possibilities for managers to want to work there. a. High startup and administrative costs are needed. b. A large number of elderly are on Medicare or Medicaid, which results in low reimbursement. c. Managed care has not yet had time to go beyond major population centers. e. The population is too small and too spread out. A nurse has written a research proposal studying how technology can be used in innovative ways in rural areas to improve patient outcomes. Which should the nurse contact about funding opportunities? (Select all that apply.) a. Research Centers Program b. Health and Human Services Department (HHS) c. Health Resources and Services Administration (HRSA) d. Federal Office of Rural Health Policy e. Rural Health Research Gateway f. The Center for Rural Health at a local university a. Research Centers Program d. Federal Office of Rural Health Policy f. The Center for Rural Health at a local university Which best describes why there are more long-term consequences (such as death) to a driver injured in a truck accident in a rural area than a driver injured in a truck accident in an urban area? (Select all that apply.) a. Rural drivers are more likely to speed over long distances than urban drivers. b. Rural drivers are not as skilled with vehicles as urban drivers, so they are more severely injured in a crash. c. The urban driver is taken immediately for care, whereas the rural driver might be injured on an isolated field and not found by anyone for hours. d. Urban drivers are more likely to use their seat belts than rural drivers. e. Urban drivers are probably rushed to an emergency department, whereas the rural driver lives far away from emergency services, often over bad roads and possibly through severe weather. f. Urban drivers trade their vehicles in rather frequently, whereas rural drivers keep their vehicle a. Rural drivers are more likely to speed over long distances than urban drivers. c. The urban driver is taken immediately for care, whereas the rural driver might be injured on an isolated field and not found by anyone for hours. d. Urban drivers are more likely to use their seat belts than rural drivers. e. Urban drivers are probably rushed to an emergency department, whereas the rural driver lives far away from emergency services, often over bad roads and possibly through severe weather. Which do expert rural nurses report as benefits of their work? (Select all that apply.) a. Ability to develop close relationships and give holistic care b. Being able to practice in the community where one lives c. Constant challenges d. Continual growth as an expert generalist e. Higher salary than in urban areas f. Intensity of purpose a. Ability to develop close relationships and give holistic care b. Being able to practice in the community where one lives c. Constant challenges d. Continual growth as an expert generalist f. Intensity of purpose The community health nurse has determined how many cases of the disease are currently occurring in the community. Which of the following actions should the nurse take before planning interventions? Comparing the current rate with the previous rate The community health nurse gather in data to determine which factors may lead to disease with data from the box below should the nurse get about to gather. Demographic characteristics, the geographic data, when the disease began The community health nurse is preparing an education conference on decreasing global infectious disease to community nurses, which of the following statements if made by a participants indicates a correct understanding of the conference? Malaria treatment with treated nets and anti-malaria medications are low cost treatments The public health nurse is reviewing various epidemiological models for community health and which if the following circumstances would be more helpful for the nurse to use the wheel model instead of the epidemiological triangle model? When there are multiple causes for a chronic disease because its more useful for more complex things. When preparing to examine epidemiologic statistics for a community, the nurse decides to use the web of causation model. When compared to the epidemologic triangle,t the nurse advantage of the web causation model is that it is? Better at showing relationships among variables A community health nurse is examining potential risk factors in comparison with disease at a specific time for collecting data regarding current exercise, sleep patterns, and current health status among 12 year olds. Which of the following research studies could the nurse use? Cross sectional study You're exploring the triangle with investigating the local outbreak of disease. Which of the following component below will the nurse research? Host, agent, environment The community health nurses volunteering in a developing country overseas. Which of the following is the biggest threat faced by developing countries that are trying to grow economically and make a better life? Large population The community health nurse is reviewing the U.S principles of a market-based healthcare system. Which of the following statements does the nurse recognize as true regarding these principles? There is more profit in treating disease A community health nurse is preparing a presentation in international influences in global public health. The nurse includes information that the United Nations implements its policies by? Using its moral authority and world opinion the community health nurse is providing education to a group of nurses on the difference between private and public sector health policies. The nurse states private sector policies are? Based on economics and market trends The public health nurse is choosing to participate in healthcare policy lobbying.Which of the following will the nurse identify as the mist crucial step in policy formation? Defining the issue and placing it on the agenda So the community health nurse is considering a physician with a nursing association for a political action committee. Which statements will the nurse consider when identifying disadvantage of the past? Financial contribution for special interest legislation So a community health nurse suggest that group of nursing students attend a nurses association meeting where the community health nurse is an officer. Which of the following provides the best rationale for this action? Role models are typically the major influence on nurses choosing to become politically active The public health nurse is examining the National health care spending statistics. Which of the following will the nurse identifies the first step that the United States government took to try to stop the rising cost of healthcare? The payment reimbursement was based on diagnosis and client characteristics granted on the treatment given So nurses partnering with the community mental health services to provide education about the impact of the Affordable Care Act on mental health services. Which of the following statement will they include in the teaching? Mental health and substance use conditions are reimbursed in the same manner of medical or surgical care. The community health nurse is studying the epidemiology of local and National infectious diseases. Which of the following statements will the nurse use to describe what is happening with infectious diseases in the United States? The rate of infection varies extensively by income and ethnicity groups The nurse us caring for the following clients. Which client should the nurse identify as an example of someone who has acquired passive immunity? A newborn who's being breastfed the school nurse is working with the school to ensure all children are vaccinated. The state allows parents to withhold vaccinations for religious reasons. Two children have been diagnosed with measles. The nurse recognizes this it is? Infection is dependent on the maturity and strengths of the immune system In meeting health is reviewing the incidence of disease in the population of communities. Which of the following examples would you review if you're looking for new cases? The hospital just reported 15 new cases of E Coli this week The nurse is preparing to give a live vaccine to a client. After providing education, the client tells the nurse, I feel like I might be coming down with something, I don't have a fever, but I just feel under the weather. How should the nurse respond? Mild illness does not interfere with this type of vaccine The nurse is caring for a female client who develops a fungal vaginal infection after being treated with antibiotics for strep throat. Which component of the chain of transmission is primarily responsible? Host The nurse is caring for a group of clients admitted with or suspected to have infectious disease. Which of the following nursing actions will the nurse perform to control the reservoir when breaking the chain of transmission? Placing the client in quarantine who has been exposed The community health nurse is attempting to prevent the spread of the disease. The nurse recognizes the first step is to? Define what the disease looks like in confirmed or probable cases The nurse is preparing to admit test a vaccination to a client. Which of the following actions should the nurse establish as a priority? Proving the client with the vaccine information statement The nurse manager is observing a newly hired nurse caring for the following clients who need to be vaccinated. It would require immediate intervention if the manager saw what? 20 year old that symptomatic HIV getting the MMR vaccine Community health nurse is conducting a teaching session about factors that influence homelessness. Which of the following statements indicate that teaching has been effective? There needs to be more affordable housing and better income opportunities for those who are vulnerable The nurse is reviewing the vulnerability index to determine client risk of death. the nurse recognizes the client with the highest risk of death is? A 60-year-old homeless fir nine months and smokes a pack per day The nurse working in a rural health clinic has noticed an increasing trend with respiratory problems in local farm workers. Which of the following actions should the nurse plan to take? Provide education regarding the use of self-protected equipment As a concerned citizen and professional, a nurse encourages the local senators and representatives to support expansion of health clinics for the poverty stricken. Which of the following locations is in most desperate need? Rural areas where migrant and seasonal farmworkers (MSFW) labor Community health nurse learns that a family will most likely lose their primary residence within the next week. which of the following terms will the nurse use when documenting the situation in relation to homelessness? Imminent risk of homelessness Community health nurse is working on a committee focused on cultural goals. Which of the following actions will the nurse suggest healthcare agencies to assist in meeting the cultural goals of Healthy People 2020? Improve the access to healthcare by establishing clinics closer to low income housing. A nurse is working with a new group of immigrants and wants to learn more about their culture. Which method of cultural assessment should then reuse perform in order to gain a long term understanding of the culture? Participate in their community Which of the following statement from the box will the nurse find during community research to learn more about suicide rate and disparities within the community? - females have more suicidal thoughts than males -suicide rates vary greatly among different populations subgroups - substance abuse increases the risk of suicide (1,2,3) The home care nurse is preparing to visits and older female with impaired cognition. She levied with her Hispanic son in his house in a affluent communiy, which of the following risk factors for elder abuse will the nurse identify as the most concerning? The client has impaired cognitive status The community health nurse is evaluating the rate of gang violence. Which of the following motivation from box below will the nurse identify as primary reason for the establishment of gangs in the community? A need for protection A nurse manager is investigating a report made by a staff nurse. The nurse states that a visitor backed the nurse up against the wall and was verbally abusive but did not tonight the nurse. How should the nurse describe this incident to the HR director? Even though they were not touched, it is still violence against the nurse because there was a treat threat there A CNO is contacted by the supervision on a Saturday night because of a problem in the ED. the supervisor said an unlicensed assistant personable was assaulted. The CNO understands that workplace violence is? Is more likely to occur in the ED The intensive care unit there was scheduling error, which was not communicated to the staff. The staff is also caring for a client who's family has been verbally abused or been threatening. The manager notes an increase in absenteeism with the staff during the past two days. Which of these distractions is the absenteeism most likely related to? The Decius up staff morality to a hostile environment The public health nurse is planning primary intervention aimed at preventing individual and community violence. Which of the following actions from the box below will the nurse develop? - establishing a community crisis line -developing respite care service for caregivers A nurse is assisting with the logistical stage of disaster management. Which of the following maps should be included in this stage? Resource map The nurse is planning a staff development conference about disaster preparedness and management. Which of the following information should the nurse include regarding actions to take with the biological attack? Wash the affected are of the body with soap and water The nurse is working at an elementary school when a shelter in place has been called in response to gas emissions from a local industrial plant. After getting all students and staff inside the school,which of the following actions should the nurse take next? Have everyone report to designated shelter areas that have supply kits A new community health nurse is understanding the role and responsibilities of local, state, and national government. Who will the nurse identify as being responsible for ensuring the safety and welfare of communities? Local government A community health nurse is working on a disaster preparedness. Which of the following agencies would develop a community disaster plan, have emergency drill to test plan and determine the proper response? Office of Emergency Management The community nurse wants to valuation the efficacy of the community disaster plan. Which of the following best describes how a community will know whether its plan is adequate? Following practice drills involving various feasbible scenarios as an initial step of planning A client witnessed a disaster involving a large numbers of injuries. The client appears upset but states that he feels capable of dealing with his emotions. Which of the following actions should the nurse first take? Encourage them to return to normal social role when appropriate The different and similarities between emergencies and disasters. which of the following statement would the manager include? Emergency is personal and a disaster is community wide An earthquake has hit and the buildings are knocked down, people are injured and crying for help, looters have already started. teh responding community health nurse will send in? Medical personnel for first and and triage or peach officers to secure the area So a community health nurse is reviewing various types of disasters that have occurred over the last year. Which if the following disaster will be immersed while classified as an ATEC, where it's natural technological? Constraint rain led to mudslides leaving the neighborhood buried