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Community Exam 1 Part 1

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Quiz on Community Exam 1 Part 1, created by breana Carraway on 30/04/2019.
breana Carraway
Quiz by breana Carraway , updated more than 1 year ago
breana Carraway
Created by breana Carraway almost 5 years ago
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Resource summary

Question 1

Question
Which nursing action demonstrates advocacy?
Answer
  • Lobbying for health care reform
  • Conducting home visits
  • Screening for hypertension
  • Offering a smoking cessation program

Question 2

Question
Which is an example of the primary goal of public health?
Answer
  • Conducting an infant car seat safety check
  • Ensuring that a newly diagnosed 40-year-old hypertensive man takes his medication
  • Finding home care for a 70-year old client recuperating from a hip replacement
  • Contacting a local hospice to admit a terminally ill 60-year-old woman

Question 3

Question
The necessary basic preparation for public health nursing is a(n) _____ in nursing.
Answer
  • Baccalaureate degree
  • Associate's degree
  • Master's degree
  • Doctoral degree

Question 4

Question
The nurse who compares the rate of teenage pregnancy in various areas of the city is practicing the public health core function of:
Answer
  • Policy development
  • Assurance
  • Assessment
  • Prevention

Question 5

Question
A nurse who is studying chronic disease considers the multifactorial etiology of illness. What does this imply?
Answer
  • Focus should be on the factors or combinations and levels of factors contributing to disease.
  • Single organisms that cause a disease. such as cholera, must be studied in more detail
  • The recent rise in infectious disease is the main focus.
  • Genetics and molecular structure of disease is paramount.

Question 6

Question
A nurse takes action to protect the health, safety, and welfare of citizens, such as requiring immunizations of children before admission to school. Which of the following levels of power is being used?
Answer
  • Legislative
  • Judicial
  • Executive
  • Police

Question 7

Question
The public health nurse (PHN) must participate in the essential services of public health. Which of the following most accurately describes one of the essential services of public health?
Answer
  • 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

Question 8

Question
Public health nursing is a specialty because:
Answer
  • It performs interventions at the acute care level
  • It has a distinct focus and scope of practice
  • It must be done by a registered nurse with a master's degree
  • It is focused on disadvantaged citizens

Question 9

Question
A nurse administers a rabies immunization post-exposure to an animal bite. Considering the interventions used with infectious disease, which of the following levels of prevention is being used?
Answer
  • tertiary prevention
  • secondary prevention
  • assessment
  • primary prevention

Question 10

Question
A nurse is providing information to a local newspaper about the presence of infectious diseases in the United States. Which of the following statements by the nurse is accurate?
Answer
  • It is the goal of the WHO to prevent the transmission of the plague by avoiding direct contact with inflicted individuals
  • Rabies is easily spread by contact with animals
  • The onset of tularemia is characterized by a distinct skin lesion often called a bull's-eye lesion
  • The United States is a certified polio free country

Question 11

Question
A nurse is conducting health screenings at a statewide health fair and identifies several clients who require referral to a provider. Which of the following statements by a client indicates a barrier to accessing health care?
Answer
  • "I would like to schedule an appointment with the local doctor in my town who speaks Spanish and English."
  • "I don't drive, and my son is only available to take me places in the morning."
  • "I can't take off during the day and the local after-hours clinic is no longer in operation."
  • "Only one doctor in a my town is a designated provider by my health maintenance organization."

Question 12

Question
An orderly process that considers ethical principles, client values, and professional obligation is:
Answer
  • Code for Nursing Practice
  • Ethical decision making
  • Accountability
  • Moral principles

Question 13

Question
The nurse is counseling a female who has recently tested positive for HIV. Which of the following will the nurse educate that the client is responsible for? (Select all that apply.)
Answer
  • Consider the risk of perinatal transmission
  • Inform health care providers about the HIV infection
  • Donate blood and plasma to others who are positive for the disease
  • Have regular medical evaluations and follow-ups
  • Disclose her HIV infection to her employer

Question 14

Question
A Public Health Nurse (PHN) implements a primary prevention intervention in the community. Which of the following is most likely being implemented?
Answer
  • physical therapy
  • pap smear
  • diet and exercise
  • blood pressure screening

Question 15

Question
A nurse is interviewing for a position at the local health department. When preparing for the interview, the nurse should find that which of the following are responsibilities of this agency? SATA
Answer
  • immunizations against infectious diseases
  • providing education to achieve community health goals
  • recording and analysis of health data
  • licensing of registered nurses
  • reporting communicable diseases to the CDC

Question 16

Question
A nurse is providing care to an individual who has Medicaid. Which of the following would most likely describe this individual?
Answer
  • An 85 year old female who has hypertension
  • A 70 year old male who is hearing impaired
  • A 25 year old female who is pregnant and is a member of an HMO
  • A 50 year old male who is blind

Question 17

Question
A 66 year old woman is retired and no longer has health insurance through her place of employment. Which program would be appropriate for her health insurance needs?
Answer
  • Medicaid
  • Economic Opportunity Act
  • Medicare
  • Social Security

Question 18

Question
Which health problem is in need of control in developed countries?
Answer
  • Malaria
  • Polio
  • Smallpox
  • Hepatitis

Question 19

Question
The public health nurse analyzes data related to the number and type of United States Environmental Protection agency air quality standards that a community failed to meet. This data is an example of using which community health profile indicator?
Answer
  • Health risk factor
  • Functional status
  • Sociodemographic characteristics
  • Health status

Question 20

Question
A community health nurse is implementing health programs with several populations in the local area. In which of the following situations is the nurse using primary prevention?
Answer
  • Teaching healthy nutrition to clients who have hypertension
  • Implementing a program to notify individuals exposed to a communicable disease
  • Performing a home safety check at a client's home
  • Providing influenza immunizations to employees at a local preschool

Question 21

Question
One case of smallpox in a population in which it was considered to be previously eliminated. Which of the following best describes what has occurred?
Answer
  • Endemic
  • Infectivity
  • Epidemic
  • Pandemic

Question 22

Question
Which statement about race is true?
Answer
  • No social significance is usually placed on race
  • In the US, children of biracial parents are usually assigned the race of the father
  • Ethnicity and race are synonymous terms
  • Individuals may be of the same race but of different cultures

Question 23

Question
In the US, the majority of health care dollars are spent on:
Answer
  • Physician services
  • Public health services
  • Hospital care
  • Prescription drugs

Question 24

Question
An 80 year old woman comes to the community health center with a large bag of medications. She tells the nurse she can no longer afford these medications because her only income is Social Security. Which statement is the best response by the nurse?
Answer
  • "These medications are important. Do your best to pay for them."
  • "Let's go through these medications and see which ones we can delete."
  • "You can get these medications at this clinic for free."
  • "Let's see if we can get some help from Medicare to pay for these medications. I will refer you to our social worker."

Question 25

Question
Which of the following groups would be most likely to receive an injection of prophylactic immune globulin for possible exposure to hepatitis A?
Answer
  • All health care workers
  • All those who had household or sexual contact with a persons with hepatitis A
  • Those who ate at the same restaurant as the person with hepatitis A
  • Persons who have had direct contact with blood

Question 26

Question
The ability of an agent to produce a severe pathologic reaction is known as:
Answer
  • antigenicity
  • invasiveness
  • toxicity
  • virulence

Question 27

Question
A community health nurse is caring for a client with MRSA. Which of the following should the nurse be aware of?
Answer
  • MRSA is a hospital-acquired infection and not often seen in the community
  • MRSA is becoming more common in the community
  • Persons with MRSA usually have a chronic illness
  • VRE follows MRSA

Question 28

Question
Collecting data and monitoring the health status of the population defines which of the core public health functions?
Answer
  • Assessment
  • Prevention
  • Assurance
  • Policy development

Question 29

Question
Public health practice is an appealing specialty to nurses because of its:
Answer
  • Interactions with wealthy contributors to secure funding
  • Autonomy and independence of practice
  • Ability to locate the source of diseases and cure patients
  • Opportunities to meet a variety of people

Question 30

Question
The primary purpose of the World Health Organization is to:
Answer
  • Coordinate surveillance at the global level
  • Provide humanitarian support in times of disaster
  • Prevent the transmittal of communicable disease among nations of the world
  • Prevent outbreaks of disease

Question 31

Question
The state leaders decide not to tell the citizens of a poor town about chemicals in the water that could produce harmful efforts. Which principle are they violating?
Answer
  • Caring
  • Policy
  • Advocacy
  • Virtue

Question 32

Question
The federal agency of the public health system that is most involved with the health and welfare of the US citizens is the:
Answer
  • Centers for Medicaid and Medicare Services
  • Secretary for Health
  • Department of Health and Human Services
  • Public Health Services

Question 33

Question
Public health practitioners prepared at the graduate level should be able to:
Answer
  • Diagnose and treat disease and have prescriptive authority
  • Assess and intervene successfully at the aggregate level
  • Teach public and community health nursing
  • Run for political office as experts in public health policy

Question 34

Question
A nurse is reviewing the various roles of a community health nurse. Which of the following is an example of a nurse functioning as a consultant?
Answer
  • Advocating for federal funding of local health screening programs
  • Updating state officials about health needs of the local community
  • Facilitating discussion of a client's ongoing needs with an interprofessional team
  • Performing health screenings for high blood pressure at a local health fair

Question 35

Question
A public health nurse is examining several issues with daily practice. Which of the following issues would be considered an ethical dilemma?
Answer
  • Applying the principles of Florence Nightingale in Bangladesh
  • Deciding to withdraw care on a hospice patient
  • Whether or not to establish a community health center in a rural area
  • Allocating resources in a natural disaster
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