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Quiz on 407 exam 1 part 2, created by India Curenton on 30/04/2019.

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407 exam 1 part 2

Question 1 of 36

1

A public health nurse (PHN) reports an attack rate. which of the following has most likely been reported?

Select one of the following:

  • The number id beef cattle inoculated against mad-cow disease on a farm

  • The number of people who died of ebola in a given year

  • Proportion of people becoming ill after eating at a fast food resturant

  • Number of cases of cancer recorded at a medical center

Explanation

Question 2 of 36

1

To better address emerging public health issues, a public health nurse enrolls in a course addressing which content area?

Select one of the following:

  • Communication

  • Ethics

  • Leadership

  • Finance

Explanation

Question 3 of 36

1

A nurse is advocating for local leaders to place a newly approved community health clinic in an area. The nurse is advocating for the leaders to uphold which of the following ethical principles?

Select one of the following:

  • Respect for autonomy

  • veracity

  • fidelity

  • Distributive justice

Explanation

Question 4 of 36

1

A nurse is teaching members of the community about vertical transmission of a disease. Which of the following would the nurse mot likely discuss?

Select one of the following:

  • Transmission through contaminated food

  • Transmission through sexual contact

  • Transmission through breast milk

  • Transmission from mosquito bite

Explanation

Question 5 of 36

1

Medicare and medicaid are

Select one of the following:

  • available to any citizen who wishes to enroll

  • funded by the state government

  • private insurance providers

  • two federal programs that provide insurance to special groups

Explanation

Question 6 of 36

1

A nurse is educating intravenous (IV) drug users about sharing equipment. Which of the following information would be most appropriate for the nurse to include in this education?

Select one of the following:

  • Tell the client to throw away their equipment after one use

  • Suggest limiting the number of people who share the equipment

  • provide clean needles and syringes to whoever wants them

  • Educate the clients on using full-strength bleach on their drug paraphernalia for 30 seconds

Explanation

Question 7 of 36

1

Neighborhood centers that provided health care, education, and social welfare programs were called:

Select one of the following:

  • Nurse-managed clinics

  • Settlement houses

  • Public health services

  • Nursing care centers

Explanation

Question 8 of 36

1

Which ethical principle requires "doing no harm"?

Select one of the following:

  • Distributive justice

  • beneficence

  • Non-maleficence

  • Respect for autonomy

Explanation

Question 9 of 36

1

A 35-year old man from Russia come to the United States seeking asylum because of religious persecution in his native country. Which of the following best describes this type of immigrant?

Select one of the following:

  • Unauthorized immigrant

  • lawful permanent resident

  • Refugee

  • Legal immigrant

Explanation

Question 10 of 36

1

A nursse is applying the knowledge of processes of ethics to the examination of ethical problems in the healthcare. Which of the following describes the actions of the nurse?

Select one of the following:

  • Values

  • ethics

  • Bioethics

  • morality

Explanation

Question 11 of 36

1

A nurse is examining the income levels and social networks of individuals in a community. Which of the following is the nurse investigating?

Select one of the following:

  • Determinants

  • Community

  • Development

  • Culture

Explanation

Question 12 of 36

1

The public health nurse must participate in the essential services of public health. These include

Select one of the following:

  • Informing, educating, and empowering people about health issues

  • working in law enforcement to regulate health and ensure safety

  • diagnosing and investigating health problems in the world

  • monitoring health status by completing a community assessment

Explanation

Question 13 of 36

1

What task would have been a responsibility of a nurse who was employed by the Marine Hospital Service?

Select one of the following:

  • Providing health care for merchant seamen

  • identifying and improving environment condition

  • Setting policy on quarantine legislation for immigrants

  • Establishing hospital-based programs to care for the sick at home

Explanation

Question 14 of 36

1

An epidemiologist wants to know what caused severe diarrhea and vomiting in several people at a local banquet.

Select one of the following:

  • Distribution

  • descriptive epidemiology

  • Determinants

  • Analytic epidemiology

Explanation

Question 15 of 36

1

A public health nurse (PHN) conducts an immunization clinic for measles. Which of the following is being implemented?

Select one of the following:

  • Primary prevention

  • Secondary prevention

  • Health promotion

  • Tertiary prevention

Explanation

Question 16 of 36

1

An intervention that focuses on the tertiary level of prevention is implemented by the nurse? Which of the following did the nurse most likely complete?

Select one of the following:

  • Parenting education

  • Rehabilitative job training

  • Testicular self-examination

  • family counseling

Explanation

Question 17 of 36

1

The health priorities in HEALTH21 are based on the concept of:

Select one of the following:

  • provisions for the creation of the united nations children;s fund (UNICEF)

  • social justice and solidarity with an emphasis on the responsibility for health

  • world trade and knowledge sharing about health concerns

  • eradication of communicable disease worldwide.

Explanation

Question 18 of 36

1

A community health nurse has recently become involved in surveillance. Which of the following describes the situation that the nurse is in?

Select one of the following:

  • Educating clients about influenza immunizations

  • Collecting information about occurrence of measles

  • evaluating the effectiveness of an HIV/AIDS prevention program

  • Advocating for changes in the national disease reporting requirements

Explanation

Question 19 of 36

1

An employee is able to receive health insurance from a former employer after changing jobs. Which of the following best describes the legislation that makes this possible?

Select one of the following:

  • Social security act of 1935

  • Health Insurance Portability and Accountability Act (HIPPA)

  • Balanced budget act of 1997

  • Omnibus budget Reconciliation act

Explanation

Question 20 of 36

1

Residents of rural communities report that they must travel for long distances to obtain health care services. As a result, they seek health care only for emergencies and severe illnesses. Which aspect of the health care system in the United states is illustrated in this situation?

Select one of the following:

  • Cost

  • Access to care

  • Quality

  • Advances in technology

Explanation

Question 21 of 36

1

A screening for diabetes revealed 20 previously diagnosed diabetics and 10 probable new cases were later confirmed, for a total of 30 cases. Which of the following best describes what is being measured?

Select one of the following:

  • Prevalence

  • Incidence

  • Attack rate

  • Morbidity rate

Explanation

Question 22 of 36

1

which statement is true about mortality rates? Mortality rates:

Select one of the following:

  • Reveal the risk of getting a particular disease

  • provide information about the existing disease in the population

  • are calculated using a population estimate at year-end

  • are informative only for fatal disease

Explanation

Question 23 of 36

1

A nurse is caring for a client whois from different culture than him/herself. When beginning the cultural assessment, which of the following actions should the nurse take first?

Select one of the following:

  • gather data about the client's cultural belief.

  • Determine the clients perception of his current health status

  • Determine how the client's culture may impact the effectiveness of nursing actions

Explanation

Question 24 of 36

1

which of the following is the most prominent feature of public health nursing?

Select one of the following:

  • services are provided free of charge to people within the catchment area

  • it involves providing home care to sick people who are not confined in the hospital

  • The public nurse functions as part of a team providing a public health nursing service

  • Public health nursing focuses on preventive, not curative service

Explanation

Question 25 of 36

1

Factors that influence health care costs include which of the following? (Select all that apply)

Select one or more of the following:

  • Demographics--the aging population

  • type of health care insurance

  • chronic illness

  • technology and intensity

Explanation

Question 26 of 36

1

A community health nurse reviews Healthy People 2020 when considering the health needs that will be addressed in the community. Which goal would the nurse find in this document?

Select one of the following:

  • provide primary care to all citizens

  • promote healthy behaviors for children

  • cure cancer

  • Eliminate health disparities

Explanation

Question 27 of 36

1

A nurse is preparing an educational program on cultural perspectives in nursing. The nurse should include that which of the following are influenced by an individual's culture? (select all that apply)

Select one or more of the following:

  • Nutritional practices

  • Family structure

  • views about illness

  • health care interactions

  • biological variations

Explanation

Question 28 of 36

1

African American females have a high mortality rate from breast cancer than Caucasian females. This is an example of:

Select one of the following:

  • a sentinel event

  • projection

  • Disparity

  • racism

Explanation

Question 29 of 36

1

A public health nurse (PHN) is reviewing healthy people 2020 to determine where to prioritize programming for the county health department. Based on Healthy people 2020, which of the following areas would the nurse most likely plan to implement programming?

Select one of the following:

  • Reduce deaths from gonorrhea

  • Reduce the rate of HIV transmission among adults and adolescents

  • Eliminate sexually transmitted diseases (STDs) from developed countries

  • Increase awareness about HIV in lesbian females

Explanation

Question 30 of 36

1

The nurse refers a client with a neuromuscular disease to a vocational rehabilitation program. Which of the following best describes the action of the nurse?

Select one of the following:

  • Health promotion

  • secondary prevention

  • Tertiary prevention

  • Primary prevention

Explanation

Question 31 of 36

1

A nurse offers a screening for hearing defects at a local community center.. Which of the following best describes the action of the nurse?

Select one of the following:

  • primary prevention

  • secondary prevention

  • tertiary prevention

  • health promotion

Explanation

Question 32 of 36

1

which statement about the reimbursement of health service for nurses is accurate?

Select one of the following:

  • Nursing care reimbursed separately from medical care in outpatient setting

  • Nursing care is separate budget item in determining hospital service costs

  • Nurse practitioners and clinical nurse specialists are reimbursed for Medicare Part B services

  • Reimbursement for healthcare services can be directed only to physicians

Explanation

Question 33 of 36

1

If a 25 year old woman visits a community health center to obtain a gynecological examination and birth control pills, these activities are termed_____ care.

Select one of the following:

  • primary health

  • specialized care

  • tertiary health

  • public health

Explanation

Question 34 of 36

1

The nurse teaches the family of an AIDS client about managing symptomatic illness by preventing deteriorating conditions, such as diarrhea, skin breakdown, and inadequate nutrition. Which of the following best describes the action taken by the nurse?

Select one of the following:

  • primary prevention

  • secondary prevention

  • Tertiary prevention

  • primary healthcare

Explanation

Question 35 of 36

1

A public health nurse provides a clinic for HIV-positive citizens in the community. This is an example of:

Select one of the following:

  • Policy making

  • Secondary prevention

  • Tertiary prevention

  • Primary prevention

Explanation

Question 36 of 36

1

A nurse is uncomfortable discussing such topics as sexual behavior and sexual orientation when counseling clients and avoids this topic with clients. Which of the following is the most likely outcome of avoidance?

Select one of the following:

  • Clients will develop a trusting relationship with healthcare providers

  • Potential risks and risky behaviors will not be identified

  • The nurse will be violating the laws in several states

  • Transmission of STDs will remain unchanged.

Explanation