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Advanced Public Health Nursing Solved Exam Questions - 1214 Verified Questions

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Advanced Public Health Nursing Solved Exam Questions

Course Introduction

Advanced Public Health Nursing focuses on the application of advanced nursing and public health science to promote and protect the health of populations. This course prepares students to assess health trends, analyze population-based health problems, and design, implement, and evaluate interventions at the community and systems level. Emphasis is placed on evidence-based practice, leadership, policy advocacy, cultural competence, and collaboration with diverse populations and multidisciplinary teams. Students develop skills in epidemiology, program planning and evaluation, and the development of strategies to address health disparities and improve population outcomes.

Recommended Textbook

Public Health Nursing Population Centered Health Care in the Community 9th Edition by Stanhope

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46 Chapters

1214 Verified Questions

1214 Flashcards

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Chapter 1: Community and Prevention-Oriented,

Population-Focused Practice: The Foundation of

Specialization in Public Health Nursing

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Sample Questions

Q1) Which of the following describes the consequence of the successful implementation of the Affordable Care Act?

A) Americans will pay closer attention to their health status.

B) The majority of the population will be covered by insurance.

C) Public health departments will need to increase the number of nursing positions.

D) The prevalence of obesity will decrease.

Answer: B

Q2) Which of the following are considered barriers to public health nursing? (Select all that apply.)

A) The mindset that the only role for the nurse is at the bedside

B) The structures within which nurses work and the process of role socialization within those structures

C) Few nurses receive graduate-level preparation in the concepts and strategies of the disciplines basic to public health

D) The steady decline in the number of job opportunities in the area

E) The inability to equally distribute the increasing funds

Answer: A,B,C

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Chapter 2: History of Public Health and Public and Community Health Nursing

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Sample Questions

Q1) Which of the following best describes one of the health trends that occurred in the United States between 1900 and 1955?

A) There was a rise in chronic diseases such as heart disease and cancer.

B) There was a rise in communicable disease.

C) The crude mortality rate increased dramatically.

D) The life span after diagnosis remained the same.

Answer: A

Q2) Local health departments were formed in urban areas in the late 1800s to:

A) target environmental hazards associated with crowded living conditions.

B) facilitate interdisciplinary efforts and promote "practical nursing."

C) provide immunizations and health care services to all citizens.

D) offer public health education to nurses who had finished basic training.

Answer: A

Q3) Current threats to health in the United States that community health nurses are faced include:

A) diphtheria, cholera, and hepatitis.

B) HIV, H1N1 influenza, and bioterrorism.

C) avian flu, tuberculosis (TB), and radiation.

D) polluted water and air.

Answer: B

Page 4

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Chapter 3: The Changing USHealth and Public Health Care Systems

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Sample Questions

Q1) The number of uninsured Americans has dramatically increased because:

A) Medicare took over payment of health care costs.

B) with a declining population, the costs for health care rose.

C) nursing salaries greatly increased, causing health care costs to rise.

D) health insurance coverage was dropped from employment-based health plans.

Answer: D

Q2) A nurse is employed by the Department of Homeland Security.Which of the following actions would be expected by this department?

A) Prevention and protection against terrorist attacks

B) Regulation of licensure of medical personnel

C) Inspection of the safety of food and cosmetics

D) Regulation of managed care organizations

Answer: A

Q3) According to the 1999 Institute of Medicine report,as many as 98,000 deaths each year could be attributed to:

A) cardiovascular disease.

B) obesity.

C) medical error.

D) drug overdose.

Answer: C

Page 5

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Chapter 4: Perspectives in Global Health Care

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Sample Questions

Q1) A nurse is examining the income levels and social networks of individuals in a community.Which of the following is the nurse investigating?

A) Culture

B) Development

C) Community

D) Determinants

Q2) A nurse is advocating for increased funding for an international agency.Which of the following best describes how these funds will likely be used?

A) Development and installation of technology

B) Food relief, worker training, and disaster relief

C) Support of dictatorships and corrupt governments

D) Funding of local private organizations

Q3) A community health nurse is utilizing the health care system in the United Kingdom.Which of the following expectations should the nurse have?

A) An equal employer-citizen share in cost of health care

B) Ownership and operation of the system by the government

C) Nurse practitioners as the primary providers of care in the system

D) Primary care provided in hospitals

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Chapter 5: Economics of Health Care Delivery

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Q1) A characterization of the fourth developmental phase of the health services delivery framework is:

A) nurses in the United States being predominantly women.

B) the expansion of the number and type of health care facilities.

C) dependence on technology for patient care.

D) the discovery and development of pharmacological advances.

Q2) A nurse is using the principles of supply and demand in daily practice.Which of the following best describes this phenomenon?

A) The demand for nurses in public health is low, but the supply is high.

B) Few goods or services are available, the price tends to rise.

C) Supplies are low, nurses must find alternate resources.

D) Lesser-developed countries receive supplies from other countries.

Q3) The allocation of scarce resources within the health care sector and the focus on resource allocation issues related to producing and distributing health care is called: A) economics.

B) health economics.

C) public health economics.

D) microeconomic theory.

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Chapter 6: Application of Ethics in the Community

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Sample Questions

Q1) A nurse is applying the knowledge and processes of ethics to the examination of ethical problems in health care.Which of the following describes the actions of the nurse?

A) Values

B) Morality

C) Ethics

D) Bioethics

Q2) A nurse has used the steps of the ethical decision-making process when making a decision.Which of the following is most similar to this process?

A) Healthy People 2010

B) Deontology

C) The nursing process

D) Advocacy

Q3) A nurse is applying the ethical principle of non-maleficence.Which of the following describes the action that the nurse is taking?

A) Administering medications using the "five rights"

B) Allowing clients to be active participants in their care

C) Providing patient privacy when delivering care

D) Referring a client to a physical therapist

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Chapter 7: Cultural Diversity in the Community

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Sample Questions

Q1) A client comes into the clinic and tells the nurse he goes to an acupuncturist for pain.The nurse says he should take pain medication instead.Which of the following best describes the action taken by the nurse?

A) Cultural conflict

B) Cultural blindness

C) Cultural relativism

D) Cultural imposition

Q2) A city council discusses how former city laws promoted segregation in the community years ago.Which of the following was being demonstrated when segregation occurred?

A) Prejudice

B) Cultural imposition

C) Racism

D) Stereotyping

Q3) Which statement about the nursing workforce is true?

A) The nursing workforce is overwhelmingly white.

B) The number of minority nurses meets the needs of the country's demographics.

C) The nursing workforce is becoming increasingly diverse with increasing minorities.

D) Refugees make up a large part of the nursing workforce in some areas.

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Chapter 8: Public Health Policy

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Sample Questions

Q1) One effect of the use of block grants was a:

A) reduction of federal expenditures.

B) decreased ability of states to spend money on programming.

C) guaranteed continuation of programs with demonstrated effectiveness.

D) shift from hospital-based to community-based nursing care.

Q2) 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?

A) Executive

B) Legislative

C) Judicial

D) Police

Q3) A nurse would like to propose legislation requiring all schools to employ a registered nurse.Which of the following would be the first step taken as the nurse implements the legislative process?

A) Introducing the bill to the legislature

B) Moving the bill to the other house

C) Developing the policy option into a bill

D) Hearings, testimony, and lobbying

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Chapter 9: Population-Based Public Health Nursing

Practice: The Intervention Wheel

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Sample Questions

Q1) A PHN is developing a measurable outcome health status indicator that can be used at the individual level of practice.Which of the following would the nurse most likely use?

A) A 50-year-old woman receives annual mammograms

B) School absences in a community decline

C) Teachers have increased awareness of health problems

D) Those in poverty utilize the free mammogram program

Q2) A nursing student develops a teaching plan about hand washing to present to a group of elementary school children at the local school.Which of the following public health interventions is being implemented?

A) Collaboration

B) Surveillance

C) Health teaching

D) Screening

Q3) Since the Intervention Wheel was first published in 1998,it has:

A) guided national policy.

B) been used as a tool in deciding licensure issues for State Boards of Nursing.

C) been incorporated into the public health curricula of many nursing programs.

D) gained wide acceptance internationally.

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Chapter 10: Environmental Health

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Sample Questions

Q1) A nurse works at the individual level to reduce pollution in the environment.Which of the following actions would most likely be taken by the nurse?

A) Provide a tax incentive to factories that do not pollute

B) Make laws related to allowed levels of pollution in the area

C) Recycle paper, glass, cans, and plastic

D) Move to an area with less pollution

Q2) A public health nurse (PHN)is working with a migrant farm worker who has experienced an exposure to a pesticide.When researching pesticides,the nurse looks at the "family" of the chemical.What similarities are found among chemicals that have been placed in the same family?

A) Route of entry into the body

B) Actions and associated risks

C) Effects that they have on the body

D) Potency and toxicity

Q3) The greatest single source of air pollution in the United States is from:

A) waste incineration.

B) power plants.

C) motor vehicles.

D) molds.

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Page 12

Chapter 11: Genomics in Public Health Nursing

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Sample Questions

Q1) The father of genetics is:

A) Charles Darwin.

B) Gregor Mendel.

C) James Watson.

D) Francis Galton.

Q2) A clinic nurse working in the 1970s was employed by a primary care physician.Which of the following describes how the nurse would have applied genetic concepts?

A) Providing genetic counseling to those with genetic disorders

B) Educating clients about using genetic testing for risk identification

C) Explaining the purposes of the Human Genome Project to clients

D) Facilitating referrals for specialized genetic services for clients

Q3) A nurse is assisting a family in compiling a family health history.Which of the following statements would be most appropriate for the nurse to make?

A) "When you have completed this history, it will not need to be updated."

B) "Looking back at two generations of biological relatives will be sufficient."

C) "The purpose of completing a family history is to decrease genetic susceptibility."

D) "A family history is a useful tool when considering your future health risks."

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Page 13

Chapter 12: Epidemiology

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Sample Questions

Q1) An epidemiologist wants to know what caused severe diarrhea and vomiting in several people at a local banquet.Which of the following principles is being applied in this situation?

A) Descriptive epidemiology

B) Analytic epidemiology

C) Distribution

D) Determinants

Q2) 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?

A) Rehabilitative job training

B) Parenting education

C) Testicular self-examination

D) Family counseling

Q3) A public health nurse (PHN)reports an attack rate.Which of the following has most likely been reported?

A) Number of cases of cancer recorded at a medical center

B) Number of people who died of Ebola in a given year

C) Number of beef cattle inoculated against mad-cow disease on a farm

D) Proportion of people becoming ill after eating at a fast-food restaurant

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Page 14

Chapter 13: Infectious Disease Prevention and Control

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Sample Questions

Q1) A community health nurse is caring for a client with methicillin-resistant Staphylococcus aureus (MRSA).Which of the following should the nurse be aware of?

A) Persons with MRSA usually have a chronic illness.

B) MRSA is a hospital-acquired infection and not often seen in the community.

C) Vancomycin-resistant Staphylococcus aureus (VRE) follows MRSA.

D) MRSA is becoming more common in the community.

Q2) Requirements for disease reporting in the United States are mandated by:

A) the Centers for Disease Control and Prevention (CDC).

B) federal laws.

C) state laws and regulations.

D) the World Health Organization (WHO).

Q3) The most common vector-borne disease in the United States is:

A) malaria.

B) yellow fever.

C) Lyme disease.

D) Rocky Mountain spotted fever.

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Chapter 14: Communicable and Infectious Disease Risks

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Sample Questions

Q1) In comparison with HIV infection in adults,HIV infection in infants and children:

A) has the same signs and symptoms.

B) has a shorter incubation period.

C) has a longer survival period.

D) is detected by using the same tests.

Q2) 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 this avoidance?

A) Potential risks and risky behaviors will not be identified.

B) Transmission of STDs will remain unchanged.

C) Clients will develop a trusting relationship with health care providers.

D) The nurse will be violating the laws in several states.

Q3) A nurse screens blood products,donor organs,and tissues for the hepatitis C infection.Which of the following best describes this nursing action?

A) Primary prevention

B) Secondary prevention

C) Tertiary prevention

D) Health promotion

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Chapter 15: Evidence-Based Practice

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Sample Questions

Q1) A nurse is looking for evidence-based practice to support the methods used to facilitate smoking cessation.Which of the following types of evidence would be the best for the nurse to examine?

A) Scientific literature found in systematic reviews

B) Double-blind randomized controlled trial

C) Quasi-experimental studies

D) Expert opinion

Q2) A summary of the research evidence that relates to a specific question and to the effects of an intervention is:

A) evidence-based practice.

B) meta-analysis.

C) systematic review.

D) narrative review.

Q3) A nurse providing care in the 1970s follows a process when making clinical decisions.Which of the following processes would have been used?

A) Evidence-based nursing practice

B) The science of medicine

C) Evidence-based medicine

D) Research utilization

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Chapter 16: Changing Health Behavior Using Health

Education with Individuals, Families, and Groups

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Sample Questions

Q1) A nurse is working with an individual who has a low literacy level.Which of the following barriers to learning should the nurse anticipate?

A) Asking for additional clarification of materials

B) Requesting to read the information later

C) Having a high level of anxiety

D) Being overly dependent on others

Q2) A nurse is planning to evaluate an individual's progress toward a health goal.Which of the following components should be included in the evaluative process?

A) Type of teaching strategy used

B) Recognition of accomplishments in the group

C) Conflict that occurred in the group

D) The type of leadership in the group

Q3) The cognitive domain includes:

A) changes in attitudes and the development of values.

B) the performance of skills.

C) memory, recognition, understanding, reasoning, and problem solving.

D) memorization of one set of skills before moving on to the next.

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Page 18

Chapter 17: Building a Culture of Health through Community Health Promotion

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Sample Questions

Q1) The National Prevention Strategy provides:

A) recommendations on what can be done to improve population health.

B) assistance in interpreting Healthy People 2020.

C) a basis for public health nursing practice.

D) health risk appraisal instruments.

Q2) A nurse using the integrative model for community health promotion.Which of the following best describes how the nurse would apply the dimension of client system?

A) Concentrating on individual health behaviors

B) Studying client-centered initiatives

C) Providing multidimensional nursing care among various levels of clients

D) Focusing on disease-oriented care

Q3) Which of the following statements is correct?

A) Genes, biology, and health behavioral choices account for 75% of population health.

B) Medical care accounts for 25% of population health.

C) Physical and social environments account for 75% of population health.

D) Genes, biology, and health behavioral choices account for 25% of population health.

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Chapter 18: Community as Client: Assessment and Analysis

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Q1) What is the purpose of writing a community nursing diagnosis?

A) To assist with developing the evaluation measures for program planning

B) To clearly describe the strengths and weaknesses of the community

C) To lead to the outcomes and strategies to address and improve the identified health problem

D) To increase the likelihood that the problem will be solved

Q2) A nurse centers his practice around the principle of doing the greatest good for the greatest number.Which of the following ethical principles is being applied?

A) Distributive justice

B) Utilitarianism

C) Social justice

D) Health disparities

Q3) A nurse is using health status indicators to complete a community assessment.Which of the following best explains what the nurse is doing?

A) Interviewing key informants in the community

B) Examining morbidity and mortality rates in the community

C) Surveying local businesses in the community

D) Observing community members

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Chapter 19: Population-Centered Nursing in Rural and Urban Environments

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Q1) A nurse is planning interventions that will be used when providing care for a rural client.Which of the following characteristics of rural life should the nurse anticipate? (Select all that apply.)

A) Lack of anonymity

B) Higher prevalence of high-risk occupations

C) Churches and schools as socialization centers

D) Preference for interacting with outsiders

E) Increased mobility

Q2) A nurse builds a vacation home in a remote area having fewer than six people per square mile so he can "get away from it all." Which of the following best describes the classification of this area?

A) Standard metropolitan statistical area

B) Metropolitan county

C) Frontier

D) Rural area

Q3) Which is a characteristic of nursing practice in rural environments?

A) Anonymity

B) Less autonomy

C) Professional isolation

D) Faster pace

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Chapter 20: Promoting Health Through Healthy

Communities and Cities

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Q1) A nurse was involved in the initial implementation of the Healthy Communities and Cities initiative in the United States.Which of the following problems would have most likely been addressed?

A) Reduction to the amount of pollutants released into the environment

B) Provision of fire and police protection

C) Creation of a coalition to address health disparities

D) Elimination of crime and violence from the community

Q2) The Healthy Communities and Cities initiative supports the idea that:

A) healthy cities and communities must be both environmentally and socially sustainable.

B) healthy public policy is the responsibility of elected officials.

C) physical environments cannot be changed, thus strategies must be developed in order to cope with them.

D) the World Health Organization (WHO) is the primary source of information for cities.

Q3) The goal of the Healthy Communities and Cities initiative is to:

A) promote health through community participation.

B) reorganize the current health care system.

C) maximize the cost-benefit ratio of health care.

D) improve the quality of care in communities.

Page 22

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Chapter 21: The Nurse-led Health Center: A Model for Community Nursing Practice

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Q1) A nurse is examining the strengths,limitations,and capacity of an organization and the community to support the establishment and viability of a nursing center.Which of the following best describes what the nurse has completed?

A) Data collection

B) Feasibility study

C) Focus groups

D) Community forums

Q2) A nurse is working with a group and would like to facilitate successful collaboration.Which of the following would be the most important factor for the nurse to consider?

A) Focus of the group

B) Planned change that will occur

C) Decisions made by executive director

D) Open and frequent communication

Q3) Which type of nursing center operates under a service model?

A) Free-standing center

B) Affiliated center

C) Comprehensive primary care center

D) Proprietary

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Chapter 22: Case Management

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Q1) An enduring process in which a manager establishes systems and monitors the health status,resources,and outcomes for a targeted aggregate of the population is called:

A) case management.

B) care management.

C) disease management.

D) demand management.

Q2) A case manager is fulfilling the role of coordinator.Which of the following nursing interventions would most likely be completed?

A) Providing information to all parties about the situations affecting the client

B) Educating the client and providers in order to make informed decisions

C) Supporting all parties to work toward mutual goals

D) Arranging, regulating, and balancing needed health services for the client

Q3) The process of moving conflicting parties toward an outcome is called:

A) negotiation.

B) conflict management.

C) problem-purpose expansion method.

D) brainstorming.

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24

Chapter 23: Public Health Nursing Practice and the Disaster Management Cycle

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Q1) A riverfront community builds a retaining wall to divert flood water away from the town.Which term describes what has happened?

A) Mitigation

B) A natural disaster

C) Community resilience

D) Rapid needs assessment

Q2) A nurse responds to a natural disaster.Which of the following is the nurse most likely responding to?

A) Transportation accident

B) Pollution

C) Communicable disease epidemic

D) Fire

Q3) A nurse is examining the future of disaster management.Which of the following should the nurse anticipate?

A) Vague and unorganized future due to constant emergence of new disasters

B) Increasing sophistication in technology and surveillance

C) Lack of involvement by national and state officials

D) Decreasing need for public health workers to provide care

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Chapter 24: Public Health Surveillance and Outbreak Investigation

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Q1) Which problem does a health department usually have the legal authority to investigate?

A) Pandemics

B) Unusual clusters of illness

C) World trends of disease

D) Cases of the common cold and pneumonia

Q2) What information is shared among agencies when they collaborate to implement a quality surveillance system?

A) How to use algorithms to identify which events should be investigated

B) Who is to blame for a disease outbreak

C) What shelters will be used and by whom

D) How political action will be necessary to ensure public health

Q3) Which is a feature of public health surveillance?

A) Sharing of the results with others

B) Defining public health policy

C) Evaluating interventions

D) Planning national programs

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Page 26

Chapter 25: Program Management

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Sample Questions

Q1) A nurse uses a key informant interview as part of completing a needs assessment.Which of the following describes the primary advantage of using this tool?

A) Low cost

B) Provides a picture of services needed

C) Identifies the perspectives of a large number of persons

D) Indicates the extent of services offered by existing programs

Q2) A nurse completes a program evaluation to identify if the objectives of the program were met.Which of the following describes what the action of the nurse?

A) Assessment

B) Evaluation

C) Formative or process evaluation

D) Summative or impact evaluation

Q3) Which program planning stage defines the problem based on the existing health status of the population to be served?

A) Preactive

B) Reactive

C) Inactive

D) Interactive

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Chapter 26: Quality Management

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Sample Questions

Q1) A public health nurse (PHN)is providing the core function of assurance to the community.Which of the following describes what the nurse is doing?

A) Providing the same services to all citizens

B) Maintaining quality in the public health workforce

C) Eliminating low-quality services

D) Contracting with outside agencies to evaluate effectiveness

Q2) A nurse is concerned that there is an overuse of services by clients receiving care from a local physician.Which of the following statements describes what is occurring in this situation?

A) Treatment decisions are made conservatively.

B) Disability and mortality are being reduced.

C) Disparities in quality of care provided are increasing.

D) Unnecessary tests, surgeries, and treatments are being ordered.

Q3) A nurse is using the specific approach to QI.Which of the following describes the action that would be taken by the nurse?

A) Evaluate an agency's ability to meet criteria or standards

B) Implement the plan-do-check-act cycle

C) Provide care to individual citizens

D) Use criteria set forth by regulatory agencies

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Page 28

Chapter 27: Working with Families in the Community for Healthy Outcomes

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Sample Questions

Q1) Which theory views the family as a whole with boundaries that are affected by the environment?

A) Family developmental and life cycle theory

B) Bioecological systems theory

C) Microsystems

D) Family systems theory

Q2) A nurse is using the termination component of the nurse-family relationship.Which of the following strategies would the nurse use?

A) Increasing sessions with the nurse

B) Making referrals when appropriate

C) Providing a formative evaluation of the relationship

D) Refusing additional communication with the family

Q3) A nurse is demonstrating how a family relates to the other units in the community.Which of the following assessment instruments would be appropriate for the nurse to use?

A) Family intervention

B) Family assessment

C) Genogram

D) Ecomap

29

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Chapter 28: Family Health Risks

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27 Verified Questions

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Sample Questions

Q1) A nurse is using a genogram when assessing a family risk.Which of the following types of risks is being assessed?

A) Biological

B) Economic

C) Lifestyle

D) Social

Q2) A family has experienced a family crisis.Which of the following best describes this situation?

A) Husband loses job and family is now homeless

B) Child dies and parents go to grief counseling

C) Mother is hospitalized for 2 weeks and neighbors help care for the children

D) Nurse goes to home to give chemotherapy to child with cancer

Q3) A client is experiencing a social risk.Which of the following best describes this risk?

A) Inadequate housing

B) Lack of education

C) High-crime neighborhood

D) Lack of insurance

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Chapter 29: Child and Adolescent Health

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21 Verified Questions

21 Flashcards

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Sample Questions

Q1) Which statement about sudden infant death syndrome (SIDS)is true?

A) SIDS occurs most often in female infants.

B) Maternal cigarette smoking increases risk.

C) Most deaths occur between 2 and 8 months of age.

D) Most victims had a previous episode of cyanosis or apnea.

Q2) Which statement is true about the role of nurses in community health?

A) The nurse provides direct services to children and their families.

B) A major role of community health nurse is the provision of immunizations.

C) Children are not the primary focus of community health, since they are often acutely ill.

D) Complementary therapies and environmental toxins are often the focus of the health care of children.

Q3) A nurse is using motivational interviewing when communicating with a family about improving their eating habits.Which of the following questions would the nurse most likely ask when using this technique?

A) "Do you feel comfortable restricting foods your child eats?"

B) "Why do you choose unhealthy snacks?"

C) "What changes would you like to make to improve your diet?"

D) "Where do you do your grocery shopping?"

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Page 31

Chapter 30: Major Health Issues and Chronic Disease

Management of Adults Across the Life Span

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29 Verified Questions

29 Flashcards

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Sample Questions

Q1) A nurse is caring for a client who is considered obese.Which of the following best describes this client?

A) An individual with a body mass index (BMI) of 15

B) An individual with a BMI of 20

C) An individual with a BMI of 30

D) An individual with a BMI of 25

Q2) Which of the following factors has the largest impact on health disparities among all populations?

A) Ethnicity

B) Education level

C) Lifestyle choices

D) Poverty

Q3) A nurse is providing home care for several elderly clients in the community.Which of the following situations would most likely be indicative of elder abuse?

A) A daughter refuses to visit her mother due to work commitments.

B) A child runs around a grandparent's house breaking items.

C) A young man repeatedly steals money from his grandmother.

D) An older person demands that the family come for dinner.

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Chapter 31: Disability Health Care Across the Life Span

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) A nurse is working to improve the health and wellness of persons with disabilities.Which of the following actions should be taken by the nurse?

A) Treat the whole person, not just the disability

B) Focus on the disability and the related illnesses

C) Acknowledge the ability, not the disability

D) Ensure persons with disabilities have access to home health care

Q2) A nurse is caring for a disabled individual and her family.Which of the following may be a potential effect on the family?

A) High out-of-pocket expenses to receive necessary services

B) Alteration of self-concept and self-esteem

C) Compliance with necessary legislation to maintain services

D) Provision of health care services by the health department

Q3) A congressional mandate for the addition of folic acid to cereals in the United States to reduce neural tube defects in infants has been implemented.Which of the following levels of prevention has been addressed?

A) Primary prevention

B) Secondary prevention

C) Tertiary prevention

D) Assessment

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Page 33

26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/8686

Sample Questions

Q1) A nurse is developing a one-stop service to meet the needs of a vulnerable group.Which of the following would the nurse most likely create?

A) Wrap-around services where mental services are linked

B) Giving all immunizations on a single clinic visit

C) Providing multiple services during a single clinic visit

D) Providing free services to the medically indigent

Q2) A nurse is working with a 17-year-old pregnant cocaine addict who is homeless.Which of the following best describes this client?

A) At risk

B) A special population

C) A Healthy People 2020 target group

D) A vulnerable individual

Q3) A client is self-employed as a mechanic and has no health insurance coverage.Which of the following best describes the legislation that will assist this client in obtaining health insurance?

A) Balanced Budget Act

B) Health Insurance Portability and Accountability Act (HIPAA)

C) Patient Protection and Affordable Care Act (ACA)

D) Social Security Act

Page 34

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Chapter 33: Poverty and Homelessness

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28 Verified Questions

28 Flashcards

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Sample Questions

Q1) Which statement about poverty is true?

A) All cultures view poverty as a pitiful existence.

B) Most cultures want to improve the plight of the poor.

C) Dangerous environments are present in all cultures.

D) Western cultures view poverty negatively.

Q2) Which group has the highest rate of poverty?

A) Children

B) Teenagers

C) Women

D) Older adults

Q3) Why is it difficult to know the exact number of homeless persons? (Select all that apply.)

A) Homeless people refuse to provide demographic information.

B) Many homeless people refuse to be interviewed.

C) It is difficult to generalize from one location to another.

D) Some persons experience short intervals of homelessness.

E) Homeless individuals are most likely hiding within the community.

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Page 35

Chapter 34: Migrant Health Issues

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) A nurse is implementing a primary prevention strategy.Which of the following activities would the nurse most likely implement?

A) Urine screening for pesticide exposure

B) Tuberculosis (TB) skin testing

C) Treatment of lead poisoning

D) Reduction of pesticide exposure

Q2) A nurse is polite and non-confrontational when working with the family of a migrant worker.Which of the following concepts is the nurse demonstrating?

A) Simpatía

B) Respeto

C) Dignidad

D) Personalismo

Q3) A nurse is working from a client who is part of the Mexican culture and is experiencing a folk illness.Which of the following actions by the client should the nurse anticipate?

A) Prefer to seek care with a folk healer

B) Consult the female leader of the family

C) Rely on Western medicine to cure the ailment

D) Become isolated and not seek care

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Page 36

Chapter 35: Teen Pregnancy

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) What is the cause of teen pregnancy?

A) Changing moral attitudes

B) Sexual code

C) Economic circumstances

D) No uniform reason

Q2) A nurse is counseling an adolescent female about prevention of iron deficiency anemia.Which of the following would be the most appropriate nursing intervention?

A) Provide information about appropriate weight gain during puberty

B) Educate about consuming foods containing vitamin C

C) Instruct on drinking at least eight glasses of water each day

D) Emphasize the need to follow up with a dietician

Q3) According to the 2013 Youth Risk Behavior Surveillance System,fewer teens reported engaging in which behavior?

A) Riding in a car with a driver who had been drinking

B) Current alcohol usage

C) Trying marijuana

D) Episodic heavy drinking

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Chapter 36: Mental Health Issues

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28 Verified Questions

28 Flashcards

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Sample Questions

Q1) According to the Surgeon General's report,how can people receive assistance for mental health problems? (Select all that apply.)

A) Specialty mental health systems

B) General medical or primary care sectors

C) Human service sectors

D) Voluntary support networks

E) Community agencies

Q2) A nurse is involved with a group who advocates for improved and effective psychiatric services and consumer empowerment.Which of the following groups is the nurse most likely working with?

A) NAMI Consumer Council

B) National Mental Health Consumer's Association (NMHCA)

C) National Association of Psychiatric Survivors (NAPS)

D) Consumer/Survivor Mental Health Research and Policy Work Group

Q3) Which factor has influenced the advancement in the treatment of mental illness?

A) The movement of clients out of mental institutions to the community

B) A better understanding of the neurobiology of mental illness

C) More interest in helping persons with mental illness

D) A change in the culture about what constitutes mental illness

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Page 38

Chapter 37: Alcohol, Tobacco, and Other Drug Problems

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33 Verified Questions

33 Flashcards

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Sample Questions

Q1) A nurse partners with multiple agencies in the community to create a support group for those diagnosed with addiction in the community.Which of the following levels of prevention is being implemented?

A) Primary

B) Secondary

C) Tertiary

D) Health promotion

Q2) A nurse lobbies with legislators for the passage of legislation to prohibit smoking of tobacco products in public places.Which of the following levels of prevention is being implemented?

A) Primary

B) Secondary

C) Tertiary

D) Health promotion

Q3) The oldest and most widely used psychoactive drug in the world is:

A) marijuana.

B) heroin.

C) alcohol.

D) cocaine.

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Page 39

Chapter 38: Violence and Human Abuse

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) What type of abuse is occurring when a child does not receive the basic nurturing and caring needed for healthy development?

A) Sexual abuse

B) Emotional neglect

C) Physical neglect

D) Child abuse

Q2) A child has reported to the school nurse that he is being bullied.Which of the following is most likely happening to this child?

A) Difficulty talking to the guidance counselor

B) Inclusion in group activities

C) Intimidation by a peer

D) Discipline from parents at home

Q3) Homicide is the second leading cause of death among which population?

A) Individuals between 15 and 24 years of age

B) Native American infants

C) Caucasian women between 25 and 34 years of age

D) African American children between 15 and 19 years of age

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Chapter 39: The Advanced Practice Nurse in the Community

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) Which is most likely to be a major stressor for an APHN?

A) Autonomy of practice

B) Professional isolation

C) Flexible work hours

D) Collaboration

Q2) An NP recently obtained licensure and certification as an advanced RN.Where would the nurse find information about prescriptive privileges?

A) Reimbursement policies

B) Certification requirements

C) Educational preparation

D) Nurse practice acts

Q3) A nurse is performing a population-focused intervention.Which of the following activities is the nurse most likely completing?

A) Setting up a health fair with nursing students at a local university

B) Teaching a new mother how to breastfeed

C) Completing a physical examination on a preschool child

D) Contacting local officials about the rise in crime in one area of the city

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Page 41

Chapter 40: The Nurse Leader in the Community

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) Which information is included in an action plan? (Select all that apply.)

A) Time frame for completing the activities

B) Identification of team members who created the plan

C) Program goals and objectives

D) Evidence-based practice literature

E) Client goals

Q2) A nurse leader is using critical thinking skills to address the problem of limited access to health care by low-income families in a community.Which of the following actions would most likely be taken by the nurse?

A) Use assertiveness when working with community leaders

B) Read an evidence-based practice article about the problem

C) Form a coalition to brainstorm effective methods to address the problem

D) Promote diversity in the workplace by hiring minorities

Q3) A nurse leader would like to create a motivating workplace.Which of the following interventions would most likely be implemented?

A) Discuss with employees their personal life and home commitments

B) Provide regular feedback to employees

C) Allow employees to take off work whenever necessary

D) Complete spot checks of employee's work without notice

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Page 42

Chapter 41: The Nurse in Home Health, Palliative Care, and Hospice

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23 Verified Questions

23 Flashcards

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Sample Questions

Q1) Which organization publishes the current scope and standards of home care practice?

A) Centers for Medicare and Medicaid Services

B) American Nurses Association (ANA)

C) Robert Wood Johnson Foundation

D) Visiting Nurse Association

Q2) A nurse is providing a skilled nursing service.Which of the following best describes the intervention the nurse is performing?

A) Teaching the client and family about medication administration

B) Consulting with other nurses about the care of a client in the home

C) Coordinating services for maximum benefit at minimal cost

D) Reviewing nursing assistant charting at the end of each day

Q3) Which concepts are used to evaluate client outcomes when using the Omaha System Problem Rating Scale for Outcomes?

A) Problem, Intervention, and Outcome

B) Knowledge, Behavior, and Status

C) Knowledge, Skill, and Attitude

D) Problem, Category, and Modifiers

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Chapter 42: The Nurse in the Schools

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/8696

Sample Questions

Q1) A school nurse is implementing strategies to prevent violence in the school setting.Which of the following interventions would most likely be used? (Select all that apply.)

A) Support policies of zero tolerance for weapons on school property

B) Facilitate student connectedness to the school community

C) Encourage students to lock up and protect their personal property

D) Serve as a positive role model

E) Encourage students to play club sports outside of school

Q2) A school nurse develops emergency plans for students who may need immediate care while at school.Which of the following elements should be included in this plan? (Select all that apply.)

A) When to call 911 for local emergency personnel

B) Education about standard precautions for staff members

C) Role children may play in providing basic first aid

D) How to maintain confidentiality and privacy of injured students

E) Where the shelter areas are located at the school

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Chapter 43: The Nurse in Occupational Health

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/8697

Sample Questions

Q1) An occupational health nurse is assessing the need for MSDSs at the worksite.Which of the following items would require an MSDS?

A) Hand soap

B) Eye goggles

C) Aprons

D) Earplugs

Q2) Which is a requirement of the Superfund Amendment and Reauthorization Act (SARA)?

A) Applying stricter rules to determine Superfund sites

B) Sharing written disaster plans with key resources in the community

C) Authorizing each industry to write their own disaster plan

D) Evaluating the effectiveness of a written disaster plan

Q3) An occupational health nurse refers an employee to an employee assistance program.Which of the following problems would most likely be addressed?

A) Obesity

B) Smoking

C) Alcohol abuse

D) Lack of exercise

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Chapter 44: Forensic Nursing in the Community

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/8698

Sample Questions

Q1) A nurse assesses the factors that may place a client at risk for injury from a violent act by considering the role these factors play before,during,and after the violent act.The work of which theorist is being applied?

A) Matrix

B) Maslow

C) Haddon

D) Hammer

Q2) A forensic nurse plans to collaborate with another professional to provide care to the client.Which of the following professionals would the nurse be most likely to collaborate with?

A) Social worker

B) Corrections officer

C) Clinic manager

D) Dietician

Q3) What is the extent of the economic burden of injuries in the United States?

A) It is extensive, including medical treatment and lost productivity.

B) It is minimal, as limited funds are spent treating injuries.

C) It varies depending on the extent of the injury.

D) It has been reduced through risk reduction strategies.

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Page 46

Chapter 45: The Nurse in the Faith Community

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/8699

Sample Questions

Q1) A faith community nurse encourages participation in political activities that impact the health and wellbeing of the faith community.Which of the following roles is the nurse implementing?

A) Counselor

B) Developer of support groups

C) Integrator of faith and health

D) Advocate

Q2) A faith community nurse makes arrangements for Meals on Wheels for the homebound.Which of the following roles is the nurse implementing?

A) Counselor

B) Coordinator

C) Integrator of faith and health

D) Advocate

Q3) A nurse is employed as a faith community nurse.Which of the following elements of practice should be considered at all times?

A) Confidentiality

B) Personal faith

C) Health care needs

D) Fellowship

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Page 47

National Levels

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/8700

Sample Questions

Q1) Which is an example of a federal agency? (Select all that apply.)

A) The U.S. Department of Health and Human Services (USDHHS)

B) The Centers for Disease Control and Prevention (CDC)

C) The Health Resources and Services Administration (HRSA)

D) The Pentagon

E) The Congress

Q2) The PHN aims to change behaviors such as poor hand washing skills and unsafe sex practices.Which of the following best describes the role that the nurse is using?

A) Case manager

B) Advocate

C) Educator

D) Role model

Q3) A nurse is providing services for uninsured women.Which of the following best describes the role that the nurse is using?

A) Role model

B) Primary caregiver

C) Outreach worker

D) Case manager

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