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Community NRS 430 EXAM 1
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A. Sociocultural issues - CORRECT ANSWER -Jennifer is a community health
nurse in a large metropolitan area. According to American Nurses Association's Code of Ethics (2015), community health nurses must align themselves with public health programs that promote and preserve the health of population by influencing? A. Socioeconomic issues B. Psychosocial issues C. Sociocultural issues D. Developmental issues
B. Food bank in a local church - CORRECT ANSWER -Mary is a nursing student
doing her senior project in community health. Part of her assignment is to conduct an activity that illustrates "social health" within a group in her community. The most appropriate activity for Mary to organize would be a A. Neighborhood block party B. Food bank in a local church C. Community yard sale D. School fundraiser for the school band
C. 50% - CORRECT ANSWER -It has been estimated that individual behaviors
and environmental factors are responsible for what percentage of all premature deaths in the United States? A. 20% B. 40% C. 50% D. 70% A. Supporting political activities to improve social and environmental conditions of
immigrant families - CORRECT ANSWER -Early public health nurse Lillian Wald
and her associates were successful in addressing health and disease in the immigrant community by A. Supporting political activities to improve social and environmental conditions of immigrant families B. Administrating bedside nursing care to immigrants and their families C. Teaching the immigrant family members to provide health care in their home D. Obtaining and administrating medications to the immigrants and their family members
B. Administrating vaccines to children before kindergarten - CORRECT
ANSWER -Disease prevention activities protect people from disease and the effects
of disease. An example of primary disease prevention is A. Teaching people with diabetes how to prevent complications B. Administrating vaccines to children before kindergarten C. Checking the skin of farm workers for signs of skin cancer D. Identifying and testing individuals exposed to someone with TB B. Improve the nation's ability to prevent, prepare for, respond to, and recover from a
major health incident - CORRECT ANSWER -Every 10 years, the U.S.
Department of Health and Human Services publishes a national prevention initiative titled Healthy People. One of the new objectives for Healthy People 2020is to A. Achieve access to preventive services of all Americans B. Improve the nation's ability to prevent, prepare for, response to, and recover from a a major health incident C. Reduce health disparities among Americans D. Increase independence of older Americans C. An RN reviewing school clinic records to determine which children are not up to date
on their immunizations - CORRECT ANSWER -Which is an example of
"community health nursing" rather than "community-based nursing"? A. An RN assisting a doctor in a pediatrician's office B. An RN visiting a home-bound patient to monitor for congestive heart failure C. An RN reviewing school clinic records to determine which children are not up to date on their immunizations D. An RN dispensing medications in a nursing home
C. Public health system - CORRECT ANSWER -Which entity strives to improve
the health of all the public by promoting healthy lifestyles, preventing disease and injury, and protecting the health of communities? A. Managed care organizations (MCOs) B. Medicare C. Public health system D. Affordable care act A. Morbidity B. Mortality D. Life expectancy
E. Cancer incidence rates - CORRECT ANSWER -A variety of health indicators
are used by health providers, policy makers, and community health nurses to measure the health of the community. Indicators that illustrate the health status of a community and may be useful in analyzing health patterns over time include (Select all that apply.) A. morbidity
C. Seeking causes of water and air pollution "upstream" from cities D. Trying to understand how or why someone got ill
C. The heath care system is not meeting the client's perceived needs - CORRECT
ANSWER -A client did not attend the clinic for required follow-up care after his
extensive surgery. Using the Health Belief Model, which would be the most appropriate conclusion for the nurse to make? A. The client is noncompliant B. The client is suffering from self-neglect C. The health care system is not meeting the client's perceived needs D. The health care system is not accessible for the client E. The nurse has not motivated the client appropriately
D. Providing testimony to legislators concerning proposed legislation - CORRECT
ANSWER -A nurse is using a macroscopic approach when providing care. Which
would the nurse mostly likely demonstrate? A. Emphasizing behaviors that will help in healing B. Examining the family's responses to illness C. Explaining how these actions will help in healing D. Providing testimony to legislators concerning proposed legislation
B. Promote legislation to increase taxation on unhealthy food choices - CORRECT
ANSWER -A nurse is using Milio's framework to promote healthy eating choices
among members of the community. Which intervention would the nurse most likely implement? A. Provide community education about healthy food choices. B. Promote legislation to increase taxation on unhealthy food choices. C. Lobby for health insurance providers to pay for participation in health promotion programs. D. Encourage community members to be responsible for making healthy choices. C. Empowers decision-making based on both individual and community goals, needs, and priorities E. Encourages allocation of time for population-focused preventive efforts -
CORRECT ANSWER -A nurse has a broad, aggregate focus when providing
care to clients. Which best describes how this approach will help improve client outcomes? (Select all that apply.) A. Ensures that collaborative efforts of many professionals will be use B. Confirms the individual's responsibility for resolving the health problem C. Empowers decision-making based on both individual and community goals, needs, and priorities D. Enables the nurse to ask for assistance from other community professionals E. Encourages allocation of time for population-focused preventive efforts F. Upholds professional nursing standards of care
B. Health promotion - CORRECT ANSWER -A nurse reviewed information
before meeting with the community residents who were attending a program on healthful living. Which best describes the action by the nurse? A. Disease prevention B. Health promotion C. Health improvement D. Specific protection
C. Complete state of well-being - CORRECT ANSWER -Which is the best
definition of health? A. A goal and a resource for living B. A lack of disease or illness C. Complete state of well-being D. Freedom from pain or discomfort
D. To evaluate the family's approval of the proposed changes - CORRECT
ANSWER -The nurse working with a client to change behavior to maximize health
asked the client to bring his family to the next visit. Which best describes why the nurse wants the family to come with the client? A. To analyze the family's beliefs about health B. To determine the family's support of the client C. To establish the family's communication patterns D. To evaluate the family's approval of the proposed changes
B. Assess the risk, including identifying any toxic substance - CORRECT
ANSWER -It is rumored that there is something in the workplace that is causing
persons employed there to feel ill. Which action would be most appropriate for the nurse to take? A. Ask researchers to set up a study to confirm the health hazard in the environment. B. Assess the risk, including identifying any toxic substance. C. Confirm the extent to which the illness resulted from intergroup agreement on the illness and cause. D. Insist that the media not further spread stories of possible sick buildings until the truth of the situation can be studied
C. The leading causes of death are all related to lifestyle choices - CORRECT
ANSWER -Which best describes why risk reduction is of such importance in the
United States today? A. Families suffer when family members die from avoidable causes. B. Risk reduction activities will decrease insurance costs to individuals and their employers. C. The leading causes of death are all related to lifestyle choices. D. Risk reduction can decrease the ongoing rise in national health care expenditures.
F. What one's family and peers believe should be done - CORRECT ANSWER -
A nurse is using Pender's model to explain what influences individuals to pursue health promotion activities. Which factors would be examined? (Select all that apply.) A. A belief that one can change one's behaviors B. Environmental choices possible C. Fear of negative consequences if action is not taken D. The rewards one believes will result if action is taken E. The threat of an early death if behavior is not changed F. What one's family and peers believe should be done
B. Descriptive epidemiology - CORRECT ANSWER -An epidemiologist has
written a summary of a food poisoning outbreak, including its cause and ways to prevent it from occurring in the future. Which best describes what has been done? a. Analytic epidemiology b. Descriptive epidemiology c. Prospective cohort study d. Retrospective cross-sectional survey C. Finding variables that are susceptible to prevention or early intervention is important -
CORRECT ANSWER -Which best describes the importance of discovering all of
the variables that may be involved in creating a disease state in some persons? A. People want an explanation of why they are ill. B. Knowing causes helps obtain funds for research to try to create a cure. C. Finding variables that are susceptible to prevention or early intervention is important. D. It is important to educate communities on how to avoid any risk factors. D. The web of causation model shows the relationships among variables -
CORRECT ANSWER -Which best describes the advantage of the web of
causation model in comparison with the epidemiological triangle model? A. The web of causation model is easier to understand and use. B. The web of causation model is more widely known and publicized. C. The web of causation model is more recent and current. D. The web of causation model shows the relationships among variables.
B. Compare the current rate with the previous rate of disease - CORRECT
ANSWER -A community health nurse determined exactly how many cases of a
particular disease were currently occurring in the community. Which action should the nurse take before determining what interventions should be planned? A. Analyze whether the disease was a priority to the nurse's agency B. Compare the current rate with the previous rate of disease C. Determine what resources are available to intervene D. Share the findings with the public health agency leadership
C. The swine flu incidence rate - CORRECT ANSWER -When trying to determine
whether the swine flu outbreak was getting worse, which rate should be carefully observed? A. The crude death rate B. The age-specific death rate C. The swine flu incidence rate D. The swine flu prevalence rate
C. 650:1000 - CORRECT ANSWER -A newspaper published an article stating
that the athletic banquet at the local high school had approximately 1000 family members in attendance. Exactly 650 persons became ill within 24 hours, complaining of severe diarrhea, vomiting, and cramping. Which best describes the attack rate? A. 650 persons B. 1000 persons C. 650: D. 6.5%
A. Gonorrhea is not a reportable condition. - CORRECT ANSWER -Which
statement best describes why the incidence and prevalence of gonorrhea is unknown? A. Gonorrhea is not a reportable condition. B. Gonorrhea can vary in how long the infection remains in the body. C. Gonorrhea can be cured with antibiotics, so people do not remain infected. D. People are ashamed to admit they have gonorrhea.
D. Women between 15 and 45 years old in the community - CORRECT
ANSWER -Which group should be used to determine the community's pregnancy
rate? A. All persons between 15 and 45 years old in the community B. The total population of the community C. The total population of women in the community D. Women between 15 and 45 years old in the community
C. Secondary prevention - CORRECT ANSWER -A student athlete receives a
screening examination before being active in school sports. Which level of prevention is being used? A. Health prevention B. Primary prevention C. Secondary prevention D. Tertiary prevention B. Disease B, which can be controlled if caught early in the disease process -
CORRECT ANSWER -For which would a screening test be most appropriate?
A. Disease A, which must be caught early because society punishes those known to have the disease
D. Health protection measures taken E. Length of the disease process F. When disease struck the area A. It decreases the focus on the individual person. C. It emphasizes the role of complex political and economic context.
F. Its use suggests possible public policy interventions. - CORRECT ANSWER -
Which best describes the advantage of the ecosocial epidemiology model over both the web of causation model and the epidemiological triangle model? (Select all that apply.) A. It decreases the focus on the individual person. B. It demonstrates the usefulness of molecular epidemiology in disease prevention. C. It emphasizes the role of complex political and economic context. D. It is more useful in public policy campaigns in explaining what people need to do to protect themselves. E. It reflects the current emphasis on ecology and the environment. F. Its use suggests possible public policy interventions.
