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Community Health Exam 2 Questions And
Complete Answers
what parameters indicate the perinatal period? - answer 20 weeks gestation to 28th day of newborn life a community health nurse is caring for a 32-year-old patient that is at 25 weeks gestation and is experiencing preterm labor symptoms. After receiving treatment in the hospital, and managing the symptoms, the patient is being discharged with an order for strict bedrest. She states that she is worried about following these instructions, since she is the primary caretaker for her two young children. What is the best response by the nurse? - answer I understand that you are feeling worried about caring for your children while on bedrest. Would you like me to provide you some resources for cost-free childcare? which of the following risk factors may contribute to child abuse? - answer living in poverty and residential instability how can the community health nurse contribute to the care of abused children? - answer recognizing, identifying, and assessing children and adolescents when planning care for a patient with down syndrome, what should the nurse do? - answer assess the patients current developmental level and plan care accordingly where may a disability be present? - answer a. mobility, perception, or memory b. speech, hearing, or eyesight c. continence, dexterity, or physical coordination what are the comorbidities of Alzheimer's Disease? - answer depression, psychosis, aggression what is the role of the community health nurse for a patient with Alzheimer's? - answer provide emotional support, respite care, ADLs people who live with blindness are at an increased risk for which illnesses? - answer falls, anxiety, major depressive disorder you are beginning your freshman year at Clemson and notice one of your classmates is
visually impaired. Name interventions, specific to visual impairment most likely to promote her wellness and success? - answer using assistive technology, such as "text to speech" and "screen reading" software what is a meeting that a family member could attend to learn more about MDD or addiction? - answer NAMI what age is the prevalence for depression highest? - answer 18- what is the most common reason for hospitalization of the homeless population? - answer mental illness the homeless mortality rate is ____ times higher than those who are not homeless - answer 4- True or False: you are a nurse in a free clinic. A Hispanic man comes into your clinic seeking treatment for nausea and vomiting. While collecting his health history, you discover he is an undocumented immigrant. You are required to report his presence in the US to local immigration authorities. - answer False you are caring for a 47-year-old male in the emergency department for a severe rash. He tells you he manages his own lettuce farm. What is the priority screening question to ask him specific to his rash? - answer do you wear gloves when handling insecticides on your farm? are vulnerable populations at increased risk for maternal disease like gestational diabetes?
- answer Yes! Many factors, such as lack of access to healthcare, poor nutrition, and environmental risks created in low-income houses, contribute to the likelihood of maternal disease for this population which nursing diagnosis is not a priority for the maternal-child health population? - answer risk of impaired faith process the community health nurse knows what is an important concern when caring for a child in foster care? - answer childhood trauma and lack of stability contributes to developmental, physical, mental, and psychosocial problems what does The Family First Prevention Services Act work to improve the foster care system? - answer moves the initial focus of social work to preventing the child's home and environment from becoming so bad that the child needs to be removed instead of removing the child immediately from their home
provisions for children? - answer yes what are some problems affecting Rural, Migrant, and Immigrant workers? - answer malnutrition, hypertension, lack of insurance the strongest risk factors during childhood pointing to involvement in serious but not necessarily violent criminal behavior - answer physical aggression True or False: the vulnerable populations conceptual model includes demographic, social, and health belief variables - answer false (it addresses resource availability, relative risk, and health status) True or False: measuring the prevalence of vulnerable populations is difficult - answer true (vulnerable populations are not distinct and overlap) global health is determined by a number of factors. Which factors are considered part of the social and physical environment? (select all that apply) a. individual biology b. neighborhood crime c. number of abandoned houses d. individual behavior e. personal choice f. policies and laws - answer b. neighborhood crime c. number of abandoned houses f. policies and laws
which lifestyle choices or behaviors most strongly determine long-term health outcomes in developed nations? - answer smoking and alcohol consumption a nurse works in a program supported by the world health organization (WHO). What best describes the role of a nurse in a tuberculosis initiative? - answer to administer vaccinations a public health nurse begins work in a new community. Which is the best first step in working towards community change? - answer building relationships with community members and leaders a nurse develops a program in an at-risk population as a result of disability related life year (DALY) health data. Which program goal best targets a reduction in DALY risk factors?
- answer client will increase exercise to 3 days a week a community nurse is preparing to develop a plan to work with families as the clients in a local community. What reasons would a family assessment need to be completed with the families prior to developing the plan? (select all that apply) a. community health nurses must first gauge the actual need of all members of the local community b. community health nurses sometimes make visits to clients and their families c. members usually rally around families to ensure the health of the community d. families are a significant building block of the local community e. families often have unique values and needs - answer b. community health nurses sometimes make visits to clients and their families d. families are a significant building block of the local community e. families often have unique values and needs
health nurse include? - answer how do family members cope the transitions and attachments within the family? a public health nurse is developing a program based on the goals of Health People 2020. What is a health indicator that nurse may use as a part of the program? (select all that apply) a. technology usage b. environmental quality c. tobacco usage d. exercise frequently e. substance abuse - answer c. tobacco usage d. exercise frequently e. substance abuse a public health nurse is developing an educational brochure on diabetes for the community clinic. Which group has a higher propensity toward the health disparities of cancer and diabetes? - answer African American a community health nurse is working with the nearby American Indian reservation to develop a program to reduce health disparities. What is a known health disparity of the American Indian that the nurse will want to address? - answer diabetes while working in the free clinic, the public health nurse is assessing a migrant farm worker who has an infection of the right hand. The nurse cleans the wound, applies antibiotic cream, and wraps the area to keep it clean. The nurse is conducting an assessment to determine if the client has any contributing factors related to health disparities. Which of these are contributing factors to health disparities? (select all the apply) a. language barriers
b. educational obtainment c. a diagnosis of schizophrenia d. part-time employment e. no means of transportation - answer a. language barriers c. a diagnosis of schizophrenia e. no means of transportation which group is more susceptible to health disparities and discrimination in health care systems? (select all the apply) a. runaway teenagers b. ethnic or racial minorities c. people who did not finish high school d. individuals in drug treatment programs e. unemployed persons - answer a. runaway teenagers b. ethnic or racial minorities e. unemployed persons which of these locations of strategies would be an effective way for the nurse to communicate the dangers of diabetes to introverts? - answer pamphlets what outreach method includes the nurse reaching out to individuals and families through home visits, churches, or school meetings? - answer direct outreach which statements reflect the teen pregnancy situation in the case study at Montrose High School? (select all that apply)
e. Income - answer a. Relative risk b. Health status d. Resource availability e. Income What statement is true about social justice? Social justice refers to: - answer Sharing common burdens and advantages The nurse is asked what is meant by "vulnerability" in the context of community health nursing. What is the best response? - answer Vulnerability is any factor that increases the chances for poor health What intervention can be used to prevent adverse health consequences and empower vulnerable populations through the sharing of knowledge, skills, and information? - answer Health teaching What statement about children and adolescent populations is true? - answer Of all children who are poor, ⅓ are African American What are the benefits of the National Incident Management System (NIMS)? (select all that apply): a. To enable global disaster management b. To integrate personnel, facilities, and equipment c. To allow for a common organizational structure d. To enable state lead disaster management e. To facilitate disaster preparation - answer b. To integrate personnel, facilities, and equipment
c. To allow for a common organizational structure e. To facilitate disaster preparation The ___________ of a disaster is the range of its effect, either geographically or in terms of the number of people impacted. - answer Scope A nurse is in a disaster preparedness training course. The nurse best demonstrates knowledge of disasters by which statement? - answer "Disasters are unexpected events requiring support from outside the community" What best describes primary prevention of a disaster? - answer Team-based disaster planning A nurse wants to understand the potential intensity of a recent disaster on a community. What is the best question to ask when determining intensity? - answer How destructive was the disaster to the infrastructure? What correctly identifies a public health nurse's role in the prevention of a disaster? (select all that apply): a. Identifying community risk factors b. Developing a disaster plan c. Organizing a disaster drill for the community d. Triage during the disaster e. Public health disease surveillance - answer a. Identifying community risk factors b. Developing a disaster plan c. Organizing a disaster drill for the community
A nurse is anticipating the response for a flu outbreak. Where is the response expected to begin? - answer Local A new nurse is working in a community setting. The nurse is concerned about the possibility of a disaster affecting the community. Which statement reflects understanding of the best next step? - answer "I should find out if the community has a disaster preparedness plan" What type of education does the Community Emergency Response Team (CERT) program provide? - answer Disaster preparedness for hazards that may impact their area A nurse is studying the community's disaster preparedness plan. What are key features of an effective disaster plan? (select all that apply): a. Developing communication networks b. Developing leadership c. Establishing transportation routes d. Establishing clear authority e. Evaluating local governments - answer a. Developing communication networks c. Establishing transportation routes d. Establishing clear authority The nurse admits a client to the emergency room without health insurance. The client is considered part of what type of population? - answer Vulnerable The nurse is involved in supervision using the Incident Command System (ICS). The nurse should recognize the following are functional areas of the system. (select all that apply): a. Operations
b. Command c. Partnering d. Leadership e. Logistics - answer a. Operations b. Command e. Logistics A nurse wants to better understand the Incident Command System (ICS). Where should the nurse look for courses related to the ICS? - answer Federal Emergency Management Agency Website What is an operational incident management or resource allocation plan? - answer Incident Command System The nurse is aware that environmental factors can mitigate or exacerbate disasters. What are environmental factors? (select all that apply) a. Air temperature b. Political unrest c. Building stability d. Scope and intensity e. Coastal flooding - answer a. Air temperature b. Political unrest c. Building stability e. Coastal flooding
a. Community participation b. Public policy c. Sanitation reform d. Assurance e. Assessment - answer b. Public policy d. Assurance e. Assessment Which are examples of personal services and home visits for people that are at risk? (select all that apply): a. Disease surveillance b. Treatment services for targeted conditions c. Leadership and policy planning d. Clinical preventive services e. Primary care for unserved and underserved people - answer b. Treatment services for targeted conditions d. Clinical preventive services e. Primary care for unserved and underserved people Following a disaster, a nurse assesses high psychological distress among coworkers. What is the best response of the nurse addressing the nurse's colleagues? - answer "We should look into professional debriefing as a group" The nurse is employed at a public health clinic in an urban setting. The nurse is in charge of triaging clients when they enter the clinic for walk-in hours. What is the best response by the nurse when describing this role in terms of public health service? - answer "I'm
performing assessment of clients" A nurse is performing triage during a disaster. This nurse should identify which client as needing immediate transportation to a hospital? - answer A client who is burned over 50% of his body ________ racial/ethnic groups tend to have poorer health status - answer Minority ________ report higher metabolic and vascular disease, as well as cognitive impairment. - answer Blacks/Hispanics ______ accounted for 44% new HIV infections and carry the "most severe burden of HIV of all racial/ethnic groups." - answer Blacks Preterm births and infant mortality higher in _____ - answer Blacks Life expectancy is consistently lower for _______ races - answer minority Refers to sharing common burdens and advantages. Refers to the fair and equitable distribution of wealth, economic opportunity, and access to privileges in society and is tied to human rights. The "view that everyone deserves equal economic, political and social rights and responsibilities." - answer social justice ________________ are a MAJOR cause of death in migrant workers. - answer Accidents and injuries Migrant workers have more ________ conditions - answer chronic
likely to drop out. - answer adolescents Poor _____________ are more likely to have children with complications. - answer teen women Poor are less likely to use _________ services. - answer Preventative Poor are more likely to use __________services - answer in-patient Mental illness and homeless relationship - answer 23% of homeless are mentally ill but deinstitutionalization has forced them back on the street. -Stable economy, wide range of industry and technology -Leading cause of death is chronic disease: CVD, CA, CVA -Ischemic heart disease, stroke, lung cancer, self-harm, alzheimer's disease, cirrhosis, COPD, colorectal cancer, lower respiratory infections, road injuries - answer Industrialized countries/developed country -Not stable regarding economy or industry -Infectious diseases remain the leading cause of death -Antibiotics and improved sanitation has helped to that developed countries don't have as many issues with this -Lower respiratory infections, ischemic heart disease, stroke, diarrhea, HIV/AIDs, preterm birth, malaria, road injuries, neonatal encephalitis, congenital - answer Developing Countries/less developed
_______ is the leading cause of death for children up to age 5 - answer Pneumonia Environmental related killers in children under age 5 - answer Diarrhea, Indoor air pollution, Malaria, Unintentional physical injuries Major causes of death for those under age 5 - answer prematurity, birth trauma/asphyxia, pneumonia, & diarrheal diseases 98% of maternal deaths occur in ________ countries: Infection, Hemorrhage, Eclampsia, Unsafe abortion, Obstructed labor/ruptured uterus - answer developing Infections of disease, Chronic long term health conditions, social conditions - answer The Eras of health conditions Communicable diseases—5 of 10 leading causes of death, major preventive measure is __________ - answer immunization Interventions for "era of infections of disease" - answer integrated management of childhood illness (IMCI), polio endgame, and oral rehydration therapy With decrease in infectious disease, increased life expectancy→ _________ - answer degenerative disease replacement of infectious disease morbidity and mortality with that of chronic disease - answer Epidemiologic transition Global research project that incorporates prevalence of certain disease or risk factor and
