Community-Based Nursing Practice
Solved Exam Questions
Course Introduction
Community-Based Nursing Practice explores the principles and practices of providing holistic and culturally competent care within diverse communities. The course emphasizes health promotion, disease prevention, and the management of chronic conditions outside of traditional hospital settings. Students will learn to assess community health needs, develop and implement community-focused interventions, and collaborate with interdisciplinary teams to improve health outcomes. Through case studies, field experiences, and service-learning projects, learners will gain practical skills in advocacy, patient education, and resource coordination, preparing them to deliver effective nursing care in a variety of community settings.
Recommended Textbook
Public Health Nursing Population Centered Health Care in the Community 8th Edition by Marcia
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2
Chapter 1: Population-Focused Practice: The Foundation of Specialization in Public Health Nursing
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) Collecting data and monitoring the health status of the population defines which of the core public health functions?
A) Assessment
B) Prevention
C) Assurance
D) Policy development
Answer: A
Q2) Public health nurses who develop and implement local public health policies through partnerships with agencies,organizations,and consumers within the community are using which core public health function?
A) Assessment
B) Prevention
C) Assurance
D) Policy development
Answer: D
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Page 3
Chapter 2: History of Public Health and Community Health
Nursing
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The Elizabethan Poor Law of 1601 is similar to which current law?
A) Welfare
B) Food Stamps
C) Medicaid
D) Medicare
Answer: C
Q2) 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?
A) Medicare
B) Medicaid
C) Social Security
D) Economic Opportunity Act
Answer: A
Q3) Public health practice is an appealing specialty to nurses because of its:
A) Interactions with wealthy contributors to secure funding
B) Autonomy and independence of practice
C) Ability to locate the source of diseases and cure patients
D) Opportunities to meet a variety of people
Answer: B
Page 4
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Chapter 3: Public Health and Primary Care Systems and
Health Care Transformation
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) What initiative began as a result of a resolution adopted by the World Health Organization (WHO)in 1977?
A) Declaration of Alma Ata
B) Medicare
C) Healthy People
D) Primary health care movement
Answer: D
Q2) One of the benefits that a public health agency will experience by choosing to implement the electronic health record is:
A) Facilitation of interprofessional care
B) Improved client compliance with medical regimens
C) Cost-savings to the agency
D) Compliance with JACHO standards
Answer: A
Q3) When compared to public health care,primary care is:
A) Focused on individuals
B) Provided by specialists
C) Self-reliant
D) Community focused
Answer: A
Page 5
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Chapter 4: Perspectives in Global Health Care
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Sample Questions
Q1) An example of a philanthropic organization is:
A) International Red Cross
B) Carnegie Foundation
C) Nestlé
D) Johnson & Johnson
Q2) An example of a successful campaign against which of the following communicable diseases was carried out during the 1960s and 1970s?
A) Tetanus
B) Measles
C) Pertussis
D) Smallpox
Q3) Population health is an approach and perspective that focuses on:
A) Control of the spread of the HIV virus worldwide
B) The broad range of factors and conditions that influence health
C) Community-based care for all citizens
D) Prevention and diagnosis of disease worldwide
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Chapter 5: Economics of Health Care Delivery
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Sample Questions
Q1) Which is an example of a service offered at the federal government level?
A) Family planning
B) Counseling
C) Policy making
D) Prevention of communicable diseases
Q2) A characterization of the fourth developmental stage 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
Q3) An example of a macroeconomics issue faced by nurses is:
A) The evaluation of client access to services
B) A health policy that makes the development of a new program possible
C) Informing clients and others of the cost of service
D) The referral of clients to available services
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Chapter 6: Application of Ethics in the Community
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Sample Questions
Q1) Which core function supports the belief that all Americans should receive basic health care services?
A) Assessment
B) Assurance
C) Policy development
D) Advocacy
Q2) Which ethical principle requires "doing no harm"?
A) Respect for autonomy
B) Non-maleficence
C) Beneficence
D) Distributive justice
Q3) An example of an ethical dilemma is:
A) Whether or not to set up a community health center in a rural area
B) Allocating resources in a natural disaster
C) Deciding to withdraw care on a hospice patient
D) Applying the principles of Florence Nightingale in Bangladesh
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Chapter 7: Cultural Diversity in the Community
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Sample Questions
Q1) Asians may perceive illness as disharmony with other forces and that medicine is only able to relieve the symptoms rather than cure the disease.They may look to naturalistic solutions and acupuncture to resolve or cure health problems.This is an example of cultural variations of:
A) Communication
B) Space
C) Social organization
D) Environmental control
Q2) A client shares that her grandparents immigrated to the United States from Germany.She has disclosed her:
A) Multiculturalism
B) Ethnicity
C) Race
D) Culture
Q3) A nurse demonstrates cultural desire to provide culturally competent care by:
A) Relying on a textbook for information about an ethnic group
B) Bringing a translator to the local community clinic
C) Taking Spanish classes in the evening at a local college
D) Judging others using his or her own cultural values
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Page 9
Chapter 8: Public Health Policy
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) The state orders a person newly diagnosed with tuberculosis to be quarantined.What type of law allows the state to do this?
A) Constitutional
B) Common
C) Judicial
D) State
Q2) The agency most heavily involved with the health and welfare concerns of United States citizens is the:
A) Unites States Department of Health and Human Services (DHHS)
B) Public Health Service
C) Health Resources and Services Administration
D) World Health Organization
Q3) While researching various health care services that are provided in prisons,a nursing student learns that these services:
A) Are funded by the Department of Defense
B) Focus on health promotion interventions
C) Must be provided at an adequate level
D) Are available to those diagnosed with a chronic illness
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10
Chapter 9: Population-Based Public Health Nursing
Practice: the Intervention Wheel
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23 Verified Questions
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Sample Questions
Q1) A nurse promotes alliances among organizations for a common purpose.Which public health intervention is being implemented?
A) Health teaching
B) Coalition building
C) Surveillance
D) Referral and follow-up
Q2) A social marketing campaign urging community members to avoid driving motorized vehicles after consuming alcohol is implemented in a local community.This intervention is occurring the _____-level of practice.
A) Individual/family
B) Systems
C) Community
D) Government
Q3) Public health nurses use a common set of interventions to:
A) Describe the proper order of implementation.
B) Emphasize surveillance as the main focus of public health practice.
C) Guide practice and generate agency protocols.
D) Improve the health status of communities, systems, individuals, and families.
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Chapter 10: Environmental Health
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Sample Questions
Q1) Epidemiology:
A) Is a science that studies the poisonous effects of chemicals
B) Explains the association between learning disabilities and exposure to lead-based paint at the cellular level
C) Helps nurses understand the strength of the association between exposure and health effects
D) Is a method for tracking the prevalence of a disease
Q2) A public health nurse working with a family living in poverty recognizes that they are more likely to be exposed to environmental hazards because they have (select all that apply):
A) Limited funds to pay for health care
B) Poor nutrition
C) Homes located closer to hazardous waste sites
D) Less education
Q3) If a nurse wanted more information on indoor air quality,which website would be most helpful?
A) The National Institutes of Health ( NIH )
B) The American Lung Association
C) "Right to Know"
D) The Occupational Safety and Health Administration ( OSHA )
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Chapter 11: Genomics in Public Health Nursing
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A nurse is counseling a client who has just learned that she is a carrier of the BRCA-2 gene.What are potential reactions by this client?
A) Feelings of guilt
B) Fear of loss of insurance coverage
C) Feelings of anxiety
D) Fear for children
Q2) A nurse is counseling a client whose genetic test results show a genetic susceptibility for breast cancer.The most appropriate statement by the nurse would be:
A) "You should discuss hormone replacement therapy with your physician."
B) "You are at an increased risk to develop breast cancer."
C) "You should have a bilateral mastectomy as soon as possible."
D) "You should tell all of your siblings and children to get tested."
Q3) One of the main goals of the Human Genome Project was:
A) Providing physicians with a national database for information related to genetic disorders
B) Developing new medications that can be used in genetics research
C) Addressing ethical, legal, and social issues related to this research
D) Improving the ability to accurately test for genetic disorders
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13
Chapter 12: Epidemiology
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Sample Questions
Q1) A nurse is told that a screening test has high specificity.This means that the test:
A) Provides precise and consistent readings
B) Accurately identifies those with the condition or trait
C) Accurately identifies those without the trait
D) Has a high level of false positives
Q2) A screening for diabetes revealed 20 previously diagnosed diabetics and 10 probable new cases,which were later confirmed,for a total of 30 cases.This is called:
A) Prevalence
B) Incidence
C) Attack
D) Morbidity
Q3) As a result of an outbreak of influenza in a community,a nurse encourages members of the community to receive the influenza vaccine.Which level of prevention is being used?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Multifactorial prevention
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14
Chapter 13: Infectious Disease Prevention and Control
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27 Verified Questions
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Sample Questions
Q1) 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 )
Q2) The ability of an agent to produce a severe pathologic reaction is known as:
A) Antigenicity
B) Invasiveness
C) Toxicity
D) Virulence
Q3) What is the best method for preventing hospital-acquired infections?
A) Perform good hand washing before and after approaching every patient.
B) Prevention is almost impossible due to the high infection rates in hospitals.
C) Isolate every patient having surgery.
D) Use contact isolation for every patient at risk.
Q4) An example of an agent is:
A) Host resistance
B) Virus
C) Infectiousness
D) Bug bite
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Chapter 14: Communicable and Infectious Disease Risks
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Sample Questions
Q1) Which group should receive an injection of prophylactic immune globulin for possible exposure to hepatitis A?
A) Persons who have had direct contact with blood
B) Those who ate at the same restaurant as the person with hepatitis A
C) All health care workers
D) All those who had household or sexual contact with persons with hepatitis A
Q2) The case rate of tuberculosis ( TB )is highest among which ethnicity in the United States?
A) African American
B) Native American
C) Hispanic
D) Asian
Q3) Which type of hepatitis would likely be found where sanitation is inadequate?
A) A
B) B
C) C
D) D
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Chapter 15: Evidence-Based Practice
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Evidence-based public health is:
A) An integration of the best available nursing expertise
B) Derived from community principles to fit the area where it is practiced
C) A health endeavor that makes informed use of evidence
D) Comprised of only public health records
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) Action research
C) Systematic review
D) Best practices
Q3) Which type of research is defined as the gold standard of evidence in evidence-based practice?
A) Clinical expertise
B) Randomized controlled trials
C) Case studies
D) Systematic review
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17
Chapter 16: Using Health Education and Groups to Promote
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Sample Questions
Q1) A nurse is teaching a client about how to complete a dressing change of a wound.The nurse knows that what conditions must be met before learning will occur?
A) Must be able to memorize the instructions, relay this information to a partner, and demonstrate the dressing change
B) Must master the dressing change at the time it is taught, repeat the demonstration for the nurse, and teach another person
C) Must be able to speak the language of the nurse, have time to practice the dressing change, and master the dressing change in a short time
D) Must have the necessary ability, a sensory image of how to carry out the dressing change, and an opportunity to practice the dressing change
Q2) Which behavior would the nurse anticipate when working with an individual with low literacy?
A) Asking for additional clarification of materials
B) Requesting to read the information later
C) Having a high level of motivation
D) Being overly dependent on others
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Chapter 17: Promoting Healthy Communities Using Multilevel Participatory Strategies
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23 Verified Questions
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Sample Questions
Q1) A 5-feet,6-inch,25-year-old woman who weighs 120 pounds runs 5 miles a day because it improves her mood and energy level.Which term best describes this example?
A) Health promotion
B) Illness prevention
C) Health maintenance
D) Health protection
Q2) When using Anderson and McFarlane's model to complete a community health assessment,a nurse would collect information about the _____ the community.
A) Resources available to promote health in
B) Interactions among subsystems in
C) Physical environment of
D) Demographics of
Q3) The Guide to Clinical Preventive Services provides:
A) The most recent recommendations for preventive interventions
B) Assistance in interpreting Healthy People 2020
C) A basis for public health nursing practice
D) Health risk appraisal instruments
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Chapter 18: Community As Client: Assessment and Analysis
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Sample Questions
Q1) What intervention would be the most appropriate for the nurse to use when trying to develop community partnerships?
A) Involve only the community residents.
B) Use nurses as the source of information and leadership.
C) Rely on the power of local officials.
D) Include a variety of disciplines.
Q2) A nurse schedules an appointment with a physician who has a practice in the community to learn more about the community's beliefs regarding childhood immunizations.This is known as:
A) Informant interview
B) Participant observation
C) Secondary analysis
D) Windshield survey
Q3) A group of nursing students forms a student nursing association to provide support while they are enrolled in a nursing program.This is known as a community of:
A) Place
B) Special interest
C) Problem ecology
D) Function
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Page 20
Chapter 19: Population-Centered Nursing in Rural and Urban Environments
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21 Flashcards
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Sample Questions
Q1) A nurse visits a client living on a farm residency.Which area did the nurse visit?
A) A region that has fewer than six persons per square mile
B) A home outside areas zoned as "city limits"
C) A county in a metro area with fewer than 1 million people
D) An area adjacent to a highly populated city
Q2) A nurse is planning to conduct research in a rural setting.Which area of research may be of most importance to rural nursing practice?
A) Information about residents living in the intermountain and Midwestern regions
B) Information on the stressors and rewards of rural practice
C) Studies related to moving from rural environments to urban ones
D) Studies about the effects of air pollution
Q3) A nurse who provides care to rural adults recognizes that they are more _____ than urban adults.
A) Likely to have health insurance
B) Likely to have access to health care providers
C) Concerned about their health status
D) Likely to experience mobility limitations
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Page 21
Chapter 20: Promoting Health Through Healthy
Communities and Cities
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17 Verified Questions
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Sample Questions
Q1) When the Healthy Communities and Cities concept was brought to the United States:
A) The cities chosen for the initial work were Los Angeles and New York City.
B) Canada adopted the program at the same time for continuity across borders.
C) The same strict guidelines that were implemented in Europe were used.
D) Smaller communities and localities were targeted instead of large cities.
Q2) A nurse is leading a team responsible for evaluating the health of a community using the Community Health Promotion Model.Based on this model,which step would you expect the nurse to complete?
A) Ensuring high technological access before the plan can be implemented
B) Soliciting the consent of every member of the community
C) Assessing the community
D) Restructuring the public health policy in the community
Q3) According to the Ottawa Charter for Health Promotion,the areas for health promotion action include (select all that apply):
A) Creating supportive environments
B) Developing personal skills
C) Building healthy public policy
D) Reorienting health services
E) None of above
Page 22
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Chapter 21: The Nursing Center: A Model for Nursing
Practice in the Community
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Sample Questions
Q1) A nursing faculty member is discussing the importance of joining a professional organization as a registered nurse with a group of undergraduate students.Which statement would be most appropriate for the faculty member to include in this discussion?
A) "All nurses should be members of the American Nurses Association."
B) "Membership in a professional organization helps nurses organize around critical health issues."
C) "Dues for professional organizations are expensive, so it is important to set aside money to pay these dues."
D) "Membership in a professional organization will foster change in legislation."
Q2) What type of services will a client receive when visiting a nursing center?
A) Illness-oriented care
B) Direct access to nursing services
C) Free services
D) Physician diagnosis of health problems
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Page 23
Chapter 22: Case Management
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Sample Questions
Q1) The process of moving conflicting parties toward an outcome is called:
A) Negotiation
B) Conflict management
C) Problem-purpose expansion method
D) Brainstorming
Q2) 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) Advocacy
D) Continuity of care
Q3) Which are examples of knowledge domains used in case management?
A) Legal issues, malpractice recognition, and community involvement
B) Teaching, counseling, and education skills
C) Advocacy, political campaigning and legislative change
D) Grant application, bargaining contracts, and securing funding
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24
Chapter 23: Public Health Nursing and the Disaster Management Cycle
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Sample Questions
Q1) An example of community preparedness for a disaster is:
A) Assembling emergency supplies
B) Understanding the workplace disaster plan
C) Taking a disaster training course
D) Developing an evacuation plan to remove individuals from danger
Q2) What is anticipated to happen in the future with disaster management?
A) Vague and unorganized future because 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
Q3) What would most likely occur during the preparedness stage of disaster management?
A) Heightened inspection and increased security in the community
B) Incorporation of provision of pets into local disaster plans
C) Purchase of personal protective equipment for all citizens
D) Assembly of disaster kits for the home, workplace, and car
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Chapter 24: Public Health Surveillance and Outbreak Investigation
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Sample Questions
Q1) Which are the objectives of a disease investigation? Select all that apply.
A) To enhance the knowledge of the nurse working in public health
B) To control and prevent disease and death
C) To identify factors that contribute to the disease outbreak/even occurrence
D) To implement measures to prevent occurrences
Q2) What occurs during biological terrorism?
A) The intentional release of hazardous chemicals into the environment
B) Environmental and occupational exposure to biological toxins
C) Immunity to toxins related to repeated exposures
D) An intentional release of viruses, bacteria, or their toxins
Q3) What does each state do with the information that it receives about notifiable diseases?
A) Keeps its own records for surveillance purposes
B) Reports the information to the local branch of the World Health Organization
C) Transmits the data electronically, weekly, to the CDC
D) Does nothing with the information
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Chapter 25: Program Management
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Sample
Questions
Q1) A nurse completes a cost accounting study on a program which targets obese adults,helping them to adopt healthier lifestyle choices.The nurse would like to compare the cost of the program to the cost-savings in the health care system by preventing the occurrence of chronic illnesses.Which type of study would be most appropriate to use in this situation?
A) Cost-accounting study
B) Cost-benefit study
C) Cost-effectiveness study
D) Cost-efficiency study
Q2) Focus groups are used to determine the method of cleanup for contaminated groundwater in a neighborhood.What is a disadvantage of this needs assessment tool?
A) Technically demanding
B) Expensive
C) Bias of leaders
D) Time consuming
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Chapter 26: Quality Management
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Sample Questions
Q1) A nurse implements the Institute of Medicine's definition of quality health care when providing care that is:
A) Licensed-all health care workers must have a license
B) Safe-avoiding injuries to patients from the care intended to help them
C) Timely-no waiting or delay for health care
D) Innovative-new innovations must be used when they become available
Q2) A nurse is concerned that there is an overuse of services by clients receiving care from a local physician.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 a concurrent audit to review documentation following home health visits.Why is this type of audit most appropriate in this situation?
A) It is less costly than a retrospective audit.
B) It represents the total picture of care that the client receives.
C) It provides more accurate data for planning corrective action.
D) It identifies problems at the time that care is given.
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Chapter 27: Family Development and Family Nursing Assessment
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Sample Questions
Q1) Why is it imperative that the nurse keep informed and up-to-date about demographic trends pertaining to families and all types of households?
A) To understand the demographics of the areas they are serving
B) To provide safe care to the public
C) To predict the needs of families within the community
D) To identify households where children may need special attention
Q2) Which nursing action best illustrates how a public health nurse works with families and communities?
A) Learning about the core competencies for public health professionals
B) Facilitating a client discharge from an inpatient facility
C) Assessing the structure of a family
D) Assisting clients who are uninsured in finding resources and services
Q3) A nurse displays pertinent family information in a multigenerational family tree format.This is called a(n):
A) Family intervention
B) Family assessment
C) Genogram
D) Ecomap
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Chapter 28: Family Health Risks
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Sample Questions
Q1) Using a behavioral health risk survey and identifying the factors leading to obesity in the family is an example of which level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Assessment
Q2) Which situation is considered a family crisis?
A) Husband loses job and family is now homeless.
B) Child dies and parents go to grief counseling.
C) Mother is hospitalized for two weeks and neighbors help care for the children.
D) Nurse goes to home to give chemotherapy to child with cancer.
Q3) An example of social risk is:
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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Sample Questions
Q1) A nurse is using motivational interviewing when communicating with a family about improving their eating habits.Which question 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?"
Q2) The rising incidence of abusive head trauma (AHT)alerts the community nurse to focus on:
A) Taking at-risk babies out of violent households
B) Placing babies under the care of community health nurses
C) Educating and providing support to new parents
D) Helping those affected seek proper legal representation
Q3) The group with the lowest injury death rate is:
A) Infants
B) Toddlers and preschoolers
C) School-age children
D) Adolescents
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Chapter 30: Major Health Issues and Chronic Disease
Management of Adults Across the Life Span
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Q1) Which indicator would a nurse most likely use to learn more about the overall health of a population?
A) Life expectancy
B) Health status
C) Morbidity rate
D) Prevalence
Q2) Which goal does the nurse plan to obtain when providing contraceptive counseling to a female?
A) Encourage the individual to choose abstinence.
B) Ensure the individual is educated to make an informed choice about reproduction.
C) Advocate for increased funding for reproductive services.
D) Reduce the health risks of the individual.
Q3) Which person would be considered obese?
A) An individual with a body mass index (BMI) of 10
B) An individual with a BMI of 20
C) An individual with a BMI of 30
D) An individual with a BMI of 40
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Page 32
Chapter 31: Special Needs Populations
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Q1) When providing care for a family who has a child with a disability,who would most likely to report high levels of stress,anxiety,and depression?
A) Mother
B) Father
C) Teacher
D) Home health nurse
Q2) Which is the correct way to refer to someone with a disability?
A) A handicapped person
B) A person with an amputation
C) An amputee
D) A wheelchair-bound afflicted person
Q3) The nurse,with agreement from the family,arranges for families to see social workers on the same day that they bring their children for follow-up care in a pediatric cardiology clinic.The role being performed is:
A) Caregiver
B) Coordinator
C) Collaborator
D) Case finder
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26 Verified Questions
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Sample Questions
Q1) An example of a health disparity is:
A) Childhood immunization rates
B) High dropout rates
C) Unemployment
D) Income below poverty level
Q2) A mental health nurse working in the 1960s received additional education to provide care for the severely mentally ill in the community because of which legislation?
A) Community Mental Health Centers Act
B) Stewart B. McKinney Homeless Act
C) National Health Planning and Resource Development Act
D) Patient Protection and Affordable Care Act
Q3) Which interventions are completed as a nurse "sets the stage" when assessing members of vulnerable population groups? Select all that apply.
A) Creating a comfortable, non-threatening environment
B) Providing culturally and linguistically competent assessment
C) Collaborating with others as appropriate
D) Providing financial and legal advice
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Page 34
Chapter 33: Poverty and Homelessness
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Q1) Which action should a nurse take before working with homeless clients?
A) Change personal views about homelessness.
B) Understand the concepts of homelessness.
C) Receive special training about where to locate homeless people.
D) Have experience in mental health nursing and counseling.
Q2) A person who is already homeless and receives shelter is using which type of housing?
A) Low income
B) Supportive
C) Emergency
D) Adequate
Q3) A nurse refers a client to an assistance program that requires the individual to find a job and/or enroll in job training program.Which program is being used?
A) Aid to Families with Dependent Children ( AFDC )
B) Medicaid
C) Temporary Assistance to Needy Families ( TANF )
D) Women, Infants, and Children ( WIC )
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Chapter 34: Migrant Health Issues
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Q1) Which factor may limit access to care for migrant farm workers?
A) Unwillingness to seek affordable health care
B) Lack of knowledge regarding services
C) Availability of 24-hour health care services
D) Adequate transportation
Q2) How can nurses be political advocates for the migrant population?
A) Upholding immigration laws and deporting illegal aliens
B) Passing laws to improve the living conditions of migrant farm workers
C) Educating communities about the health problems of migrant farm workers
D) Learning to speak Spanish for better communication with migrant farm workers
Q3) In the Mexican culture,when a client experiences a folk illness,the client may:
A) Prefer to seek care with a folk healer.
B) Return to Mexico for care.
C) Rely on Western medicine to cure the ailment.
D) Become isolated and not seek care.
Q4) Primary prevention for migrant workers includes activities such as:
A) Caring for persons afflicted with pesticide exposure
B) Setting up clinics for persons with human immunodeficiency virus (HIV)
C) Doing research in the field related to heat stress
D) Educating about prevention of such illnesses as HIV and infectious diseases
Page 36
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Chapter 35: Teen Pregnancy
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Q1) According to the 2007 Youth Risk Behavior Surveillance System,fewer teens reported engaging in which behavior?
A) Current cigarette usage
B) Current alcohol usage
C) Trying marijuana
D) Episodic heavy drinking
Q2) Which are therapeutic approaches for the nurse to use in working with adolescent clients? Select all that apply.
A) Creating a caring and understanding atmosphere
B) Using neutral words in eliciting symptoms
C) Insisting that teens use appropriate terminology when expressing their concerns
D) Paying attention to what the teen verbalizes and fails to verbalize
Q3) Which statement about a young man's reaction to the pregnancy of his partner is true?
A) His reaction often depends on the nature of the relationship before the pregnancy.
B) Most young men believe that fathering a child can make them feel manly.
C) Most young men are not interested in their partner's pregnancy.
D) His reaction often includes blaming the partner.
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Chapter 36: Mental Health Issues
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Q1) Which role would be most appropriate for an undergraduate-level prepared nurse working with a mental health population?
A) Prescribe medications and have hospital admission privileges.
B) Work as a case manager for large groups of persons with mental illness.
C) Assess clients in acute psychiatric hospital settings.
D) Provide basic primary, secondary, and tertiary services.
Q2) An example of primary prevention concerning mental health is:
A) Group psychotherapy
B) Stress reduction education
C) Case management
D) Monitoring illness symptoms
Q3) The first major piece of legislation to influence mental health services in the United States was the:
A) National Mental Health Act
B) Mental Health Study Act
C) Social Security Act
D) Protection and Advocacy for Mentally Ill Individuals Act
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Chapter 37: Alcohol, Tobacco, and Other Drug Problems
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Q1) A nurse caring for adolescents who have experienced substance abuse recognizes that they are most influenced by:
A) Family-related factors
B) Positive media messages
C) Socioeconomic level
D) Peer pressure
Q2) Which action would the nurse take when giving advice using the acronym FRAMES?
A) Offer a menu of options or choices.
B) Provide clear guidance to change risky behavior.
C) Support the client's ability to change the behavior.
D) Emphasize the client's responsibility for change.
Q3) Dependence is a term that refers to the:
A) Presence and severity of withdrawal symptoms
B) Necessary use of drugs to prevent withdrawal symptoms
C) Level of intoxication associated with addiction
D) Amount of substance needed to satisfy cravings
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Chapter 38: Violence and Human Abuse
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Q1) A nurse working in a correctional facility recognizes that the majority of women who experience violence in prison:
A) Are violent themselves
B) Have committed homicides
C) Have a history of experiencing multiple types of abuse
D) Are in prison for child abuse
Q2) When assessing a community,the nurse identifies which factor as a community characteristic for violence?
A) Lack of family cohesion
B) High crime rate
C) Social isolation
D) Substance abuse
Q3) Why is violence a concern for community health nursing practice?
A) Violence is a universal problem.
B) Violence impacts everyone in the United States.
C) Nurses must spend a great deal of time on the results of violence.
D) Significant mortality and morbidity results from violence.
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Chapter 39: The Advanced Practice Nurse in the Community
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Q1) Which statement about advanced public health nurses and nurse practitioners is correct?
A) They often work in similar settings.
B) They have identical educational preparation.
C) Their practices have become more similar during the past decade.
D) The clinical nurse specialist role always involves prescriptive practice.
Q2) An advanced practice nurse is pursuing professional certification.Who will the nurse need to contact to obtain certification?
A) American Nurses Association
B) National League for Nursing
C) State board of nursing
D) Department of Health and Human Services
Q3) An advanced public health nurse is more likely than a nurse practitioner to be involved with:
A) Diagnosing health problems
B) Managing chronic disease
C) Limiting disability
D) Conducting community assessments
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Chapter 40: The Nurse Leader in the Community
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Q1) When developing a plan to coordinate health care services in the community,which action would be most appropriate for the nurse leader to take?
A) Apply a team approach to assure all points of view are represented.
B) Monitor that the plan is correctly implemented.
C) Organize the plan in a sequential manner.
D) Create a shared vision, goals, and measurable objectives.
Q2) Which action would a nurse manager most likely take when evaluating the performance of an organization?
A) Examine best practices for organizational evaluation.
B) Analyze how the core functions of public health have been implemented.
C) Develop a standardized nursing language to be used within the organization.
D) Review the standards held by accrediting bodies and the guidelines for practice.
Q3) Which intervention would a nurse leader implement to create a motivating workplace?
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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Chapter 41: The Nurse in Home Health and Hospice
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Q1) What is the primary objective of hospice programs?
A) To provide comfort and peace at a difficult time
B) To reduce the cost of care for the terminally ill
C) To keep clients at home until the end of life
D) To provide care for terminally ill clients expected to live longer than 6 months
Q2) A nurse employed in home health nursing practice provides:
A) Intermittent nursing visits
B) Custodial care
C) Family caregiving
D) Palliative care
Q3) Which are categories of classifying interventions according to the Omaha System Intervention Scheme? Select all that apply.
A) Health education
B) Case management
C) Treatments and procedures
D) Direct care services
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43
Chapter 42: The Nurse in the Schools
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Q1) A school nurse is teaching a group of teenagers about the dangers of using "club drugs." The nurse provides information that which drug may cause a very high body temperature leading to death?
A) GHB
B) Rohypnol
C) Alcohol
D) Ecstasy
Q2) When a nurse identifies a child who may be abused or receives information from a teacher that a child may have been abused,which action must the nurse take?
A) Call the police immediately to take the child to a safe place.
B) Contact the parents and ask about it.
C) Contact the legal authorities as well as the school's principal.
D) Examine the child to see if the abuse really occurred.
Q3) The National Association of School Nurses recommends which educational preparation for school nurses?
A) Licensed practical nursing
B) Bachelor of science in nursing and certification in school nursing
C) School nurse practitioner
D) Master of science in nursing with specialization in school nursing
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Page 44
Chapter 43: The Nurse in Occupational Health
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Q1) Which population is at greatest risk for experiencing work-related accidents with subsequent injuries?
A) Workers of childbearing age
B) Workers with less than 1 year of experience
C) Workers with diminished sensory abilities
D) Workers with chronic illnesses
Q2) An occupational health nurse has conducted a walk through assessment and has identified potential hazards in the workplace.The nurse recognizes that it will be easiest to modify exposure to which hazard?
A) Bacteria
B) Aerosols
C) Noise
D) Burnout
Q3) Which is the best method an occupational health nurse can use when assessing workplace hazards?
A) Review incident reports.
B) Walk through the worksite.
C) Interview key employees.
D) Read the Standard Industrial Classification Code.
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Page 45
Chapter 44: Forensic Nursing in the Community
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Q1) Which is the most appropriate action for a nurse to take when providing emergency care to an assault victim?
A) Support the privacy of the victim.
B) Assess the socioeconomic status of the victim.
C) Question the victim about the details of the assault.
D) Educate the victim about violence prevention.
Q2) A forensic nurse assesses a child who has injuries that indicate possible abuse.What is the best way to document the assessment findings?
A) Tape recorded statements from the child
B) Digital photographs of injuries
C) Video recording to record statements and show injuries
D) Written documentation and photography
Q3) A forensic nurse is most likely to collaborate with which professional?
A) Social worker
B) Corrections officer
C) Clinic manager
D) Dietician
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Chapter 45: The Nurse in the Faith Community
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Q1) A nurse would like to engage in the role of a faith community nurse.According to the Faith Community Nursing: Scope and Standards of Practice,which is the preferred minimum educational preparation for a nurse in this setting?
A) An associate's degree
B) A baccalaureate degree
C) A master's degree
D) Certification
Q2) Which activity would be classified as the implementation of a primary prevention strategy by the faith community nurse?
A) Providing health assessments and counseling during a home visit for a person who just had surgery
B) Writing house of worship newsletter articles about healthy food choices
C) Assisting in making behavior changes for a person who is abusing alcohol
D) Doing blood pressure screenings after church one Sunday
Q3) What is the goal of a nurse practicing in faith community nursing?
A) To enhance spirituality of communities
B) To initiate primary prevention activities
C) To develop and sustain health ministries
D) To act as a health referral source for churches
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Page 47
National Levels
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Q1) Which activity demonstrates the use of a tertiary prevention strategy?
A) Providing immunizations
B) Conducting lead screening activities for children
C) Providing case management services for clients with chronic illness
D) Identifying and treating clients in a TB clinic
Q2) Which principles are included in the Scope and Standards of Public Health Nursing Practice? Select all that apply.
A) The client or "unit of care" is the population.
B) Primary prevention is given priority.
C) All processes must include partnering with representatives of the people.
D) Government agencies mandate requirements for public health.
Q3) What is the goal of local public health departments?
A) To monitor communicable diseases
B) To improve the health status of communities
C) To offer services for the uninsured
D) To enforce environmental codes and laws
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