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NRS 430 Exam 1 – Community Nursing
Quiz Questions (Evolve Format).
B. Comprehensive and systematically collected surveillance data on the health status
of various population groups - <<Answers ✅✅Which is the most effective way to determine if Healthy People 2020 is improving the health of Americans?
A. Availability of relatable data on total population's health problems
B. Comprehensive and systematically collected surveillance data on the health status of various population groups
C. Increased financing to allow ongoing collation of information
D. Willingness of individuals to share health information with the federal government
A. Cross-sectional study - <<Answers ✅✅A researcher is examining potential risk factors in comparison with disease at a specific time through collecting data regarding current exercise, sleep patterns, and current health status among 12-year- olds. Which research study would be most appropriate?
A. Cross-sectional study
B. Prospective study
C. Retrospective study
D. True experiment
A. Demographic characteristics
C. Geographic data
F. When disease struck the area - <<Answers ✅✅An epidemiologist is gathering data to determine which factors may lead to disease. Which data will be gathered? (Select all that apply.)
A. Demographic characteristics
B. Disease characteristics
C. Geographic data
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. - <<Answers ✅✅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.
A. Sociocultural issues - <<Answers ✅✅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 - <<Answers ✅✅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% - <<Answers ✅✅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%
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 - <<Answers ✅✅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 - <<Answers ✅✅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
B. mortality
C. birth rates
D. life expectancy
E. cancer incidence rates
B. A mobile immunization clinic
C. Condemning or repairing unsafe housing
E. Airing a weekly public service announcement to remind women to do breast self- examination - <<Answers ✅✅Public health efforts focus on prevention and promotion of population health. The local level of the health care system provides direct services to community members through community and personal health services. An example of a health service that targets the larger community, rather than individuals, is (Select all that apply.)
A. providing well-infant care.
B. a mobile immunization clinic
C. condemning or repairing unsafe housing.
D. encouraging family planning
E. airing a weekly public service announcement to remind women to do breast self- examination.
B. Practice from a population focus - <<Answers ✅✅Modern community health nursing requires the nurse to _____________, which empowers people to understand and address their health issues and disease
A. Focuses on the individual and family
B. Practice from a population focus
C. Adopt a medical model of care
D. Return to earlier models of prevention
B. Support programs for immigrants
C. Home visits to ill mothers and children
D. Industrial health services to local workers
E. School health services - <<Answers ✅✅Lillian Wald and Mary Brewster's Henry Street Settlement was a model of modern health care. Which services were provided to people living in the Lower East Side of New York City by the Henry Street Settlement nurses? (Select all that apply.)
A. Emergency and first aid care
B. Support programs for immigrants
C. Home visits to ill mothers and children
D. Industrial health services to local workers
E. School health services
A. Modifying economic, political, and environmental factors - <<Answers ✅✅Which statement best describes "thinking upstream"?
A. Modifying economic, political, and environmental factors
B. Preparing for nursing career long-term goals by planning now
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 - <<Answers
✅✅A client did not attend the clinic for required follow-up care after his extensive
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 - <<Answers ✅✅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 - <<Answers ✅✅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 - <<Answers ✅✅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 - <<Answers ✅✅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 - <<Answers ✅✅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.
C. Per day, no more than one drink for women and two drinks for men - <<Answers
✅✅During a health history, the client looked confused and said, "But everybody drinks, like at parties and such. How much drinking do you think is too much?" Which would be most appropriate response by the nurse?
A. "Alcohol should be used only in moderation."
B. "It's okay as long as you don't binge, and you eat food with your drinks."
C. "Per day, no more than one drink for women and two drinks for men."
D. "Total abstinence is the only healthy choice."
B. For many people, caloric intake is more than needed for their physical activity -
<<Answers ✅✅Which best describes the reason why so many Americans are obese?
A. Culture requires eating at celebrations and holidays.
B. For many people, caloric intake is more than needed for their physical activity.
C. Physical education is no longer a required subject in most elementary and secondary schools.
D. The expected portion size in restaurants has vastly increased over time.
C. One with high walkability - <<Answers ✅✅A young couple is searching for a home in a new neighborhood. Which neighborhood would most likely promote a healthy lifestyle?
A. One near a large active military base
B. One with excellent health facilities nearby
C. One with high walkability
D. One with superb recreational facilities
C. Finding variables that are susceptible to prevention or early intervention is important - <<Answers ✅✅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 - <<Answers
✅✅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 - <<Answers ✅✅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 - <<Answers ✅✅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 - <<Answers ✅✅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. - <<Answers ✅✅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 - <<Answers ✅✅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 - <<Answers ✅✅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 - <<Answers ✅✅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
