Community-Based Nursing Practice
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Course Introduction
Community-Based Nursing Practice explores the principles and roles of nursing within community settings, emphasizing health promotion, disease prevention, and the management of chronic conditions outside traditional hospital environments. This course focuses on cultural competence, health education, epidemiology, and public health frameworks as they relate to diverse populations across the lifespan. Students learn to assess community needs, plan and implement interventions, collaborate with interdisciplinary teams, and advocate for vulnerable groups, preparing them to deliver holistic care that addresses social determinants of health and enhances well-being at the community level.
Recommended Textbook
Public Health Nursing Population Centered Health Care in the Community 9th Edition by Stanhope
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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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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A public health staff nurse has a clear understanding of population-focused practice.Which of the following characteristics would the nurse most likely display?
A) Volunteering for a local community action coalition
B) Able to perform interventions with individuals in the community
C) Able to improve the effectiveness of care provided
D) Considered a PHN specialist
Answer: C
Q2) A nurse provides for the availability of essential personal health services for people who would otherwise not receive health care.Which of the public health core functions is being used?
A) Assessment
B) Prevention
C) Assurance
D) Policy development
Answer: C
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Chapter 2: History of Public Health and Public and Community Health Nursing
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29 Verified Questions
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Sample Questions
Q1) A nurse is providing public health education based on the teachings of Lillian Wald.Which of the following topics will the nurse most likely discuss?
A) Taking and recording blood pressures accurately
B) Safe and sanitary baby and child care
C) Environmental pollutants and their effects on lung disease
D) Time management: balancing factory work and the home
Answer: B
Q2) A 66-year-old woman is retired and no longer has health insurance through her place of employment.Which of the following programs would be appropriate for her health insurance needs?
A) Medicare
B) Medicaid
C) Social Security
D) Economic Opportunity Act
Answer: A
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Page 4
Chapter 3: The Changing USHealth and Public Health Care Systems
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Sample Questions
Q1) One of the goals of the World Health Organization (WHO)is to:
A) provide PHC services to everyone.
B) prevent outbreaks of disease.
C) prevent the transmittal of communicable disease among nations of the world.
D) provide humanitarian support in times of disaster.
Answer: A
Q2) What initiative began as a result of a resolution adopted by the WHO in 1977?
A) Declaration of Alma Ata
B) Medicare
C) Healthy People
D) PHC movement
Answer: D
Q3) 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
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Chapter 4: Perspectives in Global Health Care
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Sample Questions
Q1) 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
Q2) A nurse is working to improve the health status of a population in a lesser-developed country.Which of the following interventions would the nurse most likely support?
A) Decrease the number of people who need outside resources
B) Increase the number of children who can attend school
C) Increase the monetary resources that can be used to treat disease and illness
D) Improve the ability to pay debt to more developed countries
Q3) A nurse is caring for a client who has been diagnosed with tuberculosis (TB).Which of the following medications would the nurse most likely administer?
A) Isoniazid
B) Nevirapine
C) Amodiaquine
D) Bacille Calmette-Guérin (BCG)
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Page 6
Chapter 5: Economics of Health Care Delivery
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Sample Questions
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 Medicare recipient has elected to pay a monthly premium for Medicare that will cover expenses,such as laboratory services and equipment.Which of the following parts of Medicare is being described?
A) Part A
B) Part B
C) Part C
D) Part D
Q3) Which statement about the Medicare program is accurate?
A) Part A provides coverage for hospitalization.
B) Part A requires payment of a monthly premium for coverage.
C) Part B provides payment for home health services and extended care facilities.
D) Part B is available without cost to all elderly people who have paid social security taxes.
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Chapter 6: Application of Ethics in the Community
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Sample Questions
Q1) Which of the following are ethical tenets that underlie the core function of assessment? (Select all that apply.)
A) Competency: the persons assigned to develop community knowledge are prepared to collect data on groups and populations
B) Moral character: the persons selected to develop, assess, and disseminate community knowledge possess integrity
C) Service to others over self: a necessary condition of what is "good" or "right" policy
D) "Do no harm": disseminating appropriate information about groups and populations is morally necessary and sufficient
E) Providers of public health services should be competent and available
Q2) A nurse refers to the Code of Ethics for Nurses or the Public Health Code of Ethics.Which of the following describes why the nurse has referred to this document?
A) To provide answers for ethical dilemmas
B) To guide professional practice related to ethics
C) To increase moral leadership in ethics
D) To find a framework for ethical decision making
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Chapter 7: Cultural Diversity in the Community
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Sample Questions
Q1) A nurse will be using an interpreter during a client encounter.Which of the following considerations should be made by the nurse? (Select all that apply.)
A) It is appropriate to use family members as interpreters.
B) Written materials should be available in the client's primary language.
C) Observe the interpreter's gestures to assure client understanding.
D) The gender, age, and educational level of the interpreter should be evaluated.
E) The nurse should face the interpreter when speaking.
Q2) 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.Which of the following types of cultural variations is being demonstrated?
A) Communication
B) Personal space
C) Social organization
D) Environmental control
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9
Chapter 8: Public Health Policy
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Sample Questions
Q1) A nurse is employed by the U.S.Department of Health and Human Services (USDHHS).Which of the following branches of government is the nurse working for?
A) Judicial
B) Executive
C) Legislative
D) Health
Q2) States have certain continuing education requirements for persons to renew a nursing license.Which of the following best describes the type of law that is being used?
A) Constitutional law
B) Legislation and regulation
C) Judicial and common law
D) Police power
Q3) A nurse provides health services for women and children in the community.Which of the following provides the provisions to offer these services?
A) Sheppard-Towner Act
B) Public Protection of Maternity and Infancy program
C) Early Periodic Screening and Developmental Testing (EPSDT) program
D) Women, Infants, and Children (WIC) program
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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 using collaboration,coalition building,and community organizing to develop a new program in the community.Which of the following strategies is the nurse most likely using?
A) Providing case management, referral, and follow-up services with individuals
B) Carrying out collective action at the systems or community levels of practice
C) Conducting a community assessment
D) Implementing primary and secondary prevention strategies
Q2) A PHN utilizes the nursing process at all levels of practice.Which of the following demonstrates how this is accomplished?
A) Including specific goals for community health nurses
B) Developing an accurate nursing diagnosis
C) Analyzing the needs of the community, systems, individuals, and families
D) Utilizing primary, secondary, and tertiary prevention
Q3) A nurse promotes alliances among organizations for a common purpose.Which of the following public health interventions is being implemented?
A) Health teaching
B) Coalition building
C) Surveillance
D) Referral and follow-up
Page 11
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Chapter 10: Environmental Health
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Sample Questions
Q1) Why is it important for nurses to understand the premises of environmental health?
A) Nurses should be able to assess risks and advocate for policies that support healthy environments.
B) Toxicologists often consult nurses about environmental pollutants.
C) Pollutant exposures such as lead are reported by nurses to the Environmental Protection Agency (EPA).
D) Many Americans live in areas that do not meet current national air quality standards.
Q2) A PHN is organizing a multidisciplinary team to address the issue of water pollution in the community.The most likely members that would be invited to address this issue would be:
A) physicians, water sanitation workers, and occupational therapists.
B) pharmacologists, radiologists, and epidemiologists.
C) nurse practitioners, pharmacologists, and environmentalists.
D) geologists, meteorologists, and chemists.
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Chapter 11: Genomics in Public Health Nursing
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Sample Questions
Q1) A nurse considers that clients may not want to have genetic testing done because of the impact that it may have on future life decisions.Which of the following best describes how the nurse is incorporating genetics/genomics into practice?
A) Assessment
B) Identification
C) Referral
D) Provision of education, care, and support
Q2) While collecting a medical history,a client reports having a family history positive for Huntington's disease.However,the client states he does not want to have genetic testing performed.Which of the following best describes why the client may refuse genetic testing?
A) Impact it may have on obtaining health insurance in the future
B) Legal consequences that may result
C) Inaccuracy of the results that are obtained
D) Decreased quality of life that may occur if the results are positive
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Chapter 12: Epidemiology
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Sample Questions
Q1) A nurse is considering the potential for selection bias.Which of the following best describes the situation that is the nurse has encountered?
A) Determining the population to be studied
B) Considering how the participants will enter the study
C) Studying cause and effect relationships
D) Documenting results of the study
Q2) The proportion of persons with positive test results who actually have a disease,interpreted as the probability that an individual with a positive test result has the disease,is the:
A) sensitivity.
B) specificity.
C) positive predictive value.
D) negative predictive value.
Q3) The interaction between an agent,a host,and the environment is called:
A) natural history of disease.
B) risk.
C) web of causality.
D) the epidemiologic triangle.
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14
Chapter 13: Infectious Disease Prevention and Control
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Sample Questions
Q1) The nurse teaches food handlers to wash utensils after contact with raw meat.Which of the following best describes the focus of this education?
A) Agent
B) Host
C) Environment
D) Food handler
Q2) The ability of an agent to produce a severe pathologic reaction is known as:
A) antigenicity.
B) invasiveness.
C) toxicity.
D) virulence.
Q3) Immunity is a characteristic of the:
A) agent factor.
B) host factor.
C) environmental factor.
D) epidemiologic triad.
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Chapter 14: Communicable and Infectious Disease Risks
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26 Verified Questions
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Sample Questions
Q1) A nurse is caring for a client who has been diagnosed with a bacterial sexually transmitted infection (STI).Which of the following infections does this client most likely have?
A) Trichomonas
B) HIV
C) Syphilis
D) Genital warts
Q2) A nurse is examining the route of HIV transmission for a newly diagnosed HIV client.Which of the following would most likely be discovered by the nurse?
A) Having contact with an HIV-positive individual who is coughing
B) An infant receiving breast milk from an HIV-positive mother
C) Receiving a mosquito bite while in Africa
D) Being near an HIV-positive individual who is sneezing
Q3) The most common reportable infectious disease in the United States is:
A) gonorrhea.
B) syphilis.
C) herpes.
D) chlamydia.
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16
Chapter 15: Evidence-Based Practice
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Sample Questions
Q1) A PHN uses a published systematic review to determine which exercises should be incorporated into a newly developed older adult exercise program.Which of the following resources would most likely contain this information?
A) Evidence-Based Practice for Public Health Project
B) PubMed
C) Cochrane Public Health Group (PHRG)
D) Task Force on Community Preventive Services
Q2) A nurse who is working in a community setting applies evidence-based practice when planning community health education.Which of the following should the nurse use in order to enrich the application of this evidence?
A) Randomized clinical trials
B) Qualitative studies
C) Quantitative studies
D) Multiple research methods
Q3) Evidence-based public health (EBPH)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.
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Page 17
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 a group of clients diagnosed with diabetes and is teaching a class about avoiding the long-term effects of diabetes.The nurse begins the class by reviewing the basic physiology of diabetes,which was taught the week before.Which of the following principles of effective education is the nurse using?
A) Stimulating recall of prior learning
B) Gaining attention
C) Presenting the material
D) Providing learning guidance
Q2) A nurse is using the educational process of selecting appropriate educational methods when planning a community health program.Which of the following steps of the nursing process does this action most resemble?
A) Assessment
B) Evaluation
C) Implementation
D) Planning
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Page 18
Chapter 17: Building a Culture of Health through
Community Health Promotion
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Sample Questions
Q1) A nurse is educating the community about modifiable behaviors.Which of the following is the nurse most likely to discuss?
A) Smoking, poor diet, and alcohol consumption
B) Cancer, emphysema, and cardiovascular disease
C) Age and gender
D) Genetic abnormalities
Q2) A 5-feet,6-inch,25-year-old female who weighs 120 pounds walks 5 miles a day because she has a long family history of early death from heart attacks and is refraining from a sedentary lifestyle.Which of the following best describes this example?
A) Health promotion
B) Illness prevention
C) Health maintenance
D) Health protection
Q3) According to Leavell and Clark,primary prevention consists of:
A) health promotion and rehabilitation.
B) health promotion and specific protection.
C) early diagnosis and prompt treatment.
D) health maintenance and early diagnosis.
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Chapter 18: Community as Client: Assessment and Analysis
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Sample Questions
Q1) A nurse is engaging in the evaluation phase of community health program planning.Which of the following would be part of effective completion of this phase?
A) Demonstrate the ability to improve the health of the participants
B) Develop measureable objectives and goals before implementation
C) Encourage full participation by community members
D) Improve the health of the population through the program
Q2) A community health nurse is conducting informant interviews in a small community.Which of the following would the nurse most likely contact?
A) The state department of health for death records
B) A local priest for congregation information
C) Surrounding communities for crime comparison
D) The Centers for Disease Control and Prevention (CDC) for illnesses in the area
Q3) 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
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Chapter 19: Population-Centered Nursing in Rural and Urban Environments
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Sample Questions
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) In comparison with urban adults,rural adults:
A) seek medical care more often.
B) have poorer overall health status.
C) are less likely to identify a usual source of medical care.
D) are usually seen by a specialist rather than a general practitioner.
Q3) 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
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Chapter 20: Promoting Health Through Healthy
Communities and Cities
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Sample Questions
Q1) 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.
Q2) A nurse is implementing the Community Health Promotion Model.Which of the following underlying principles should the nurse use in order to facilitate active participation?
A) Individuals should work in groups to complete necessary tasks.
B) Individuals participating should represent all segments of the population.
C) People will work together if they like the leadership.
D) People will participate when they see the issues as worthy of their time.
Q3) A nurse uses the Community Health Promotion Model to address the problem of increasing teenage pregnancy rates in the community.Which of the following steps would be used by the nurse? (Select all that apply.)
A) Identifying interest in the topic through use of community forums
B) Building a partnership with parents of teenagers to address this problem
C) Counseling teenagers about effective birth control methods
D) Contacting other cities with similar problems and issues
E) Referring teenagers to Planned Parenthood
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Chapter 21: The Nurse-led Health Center: A Model for Community Nursing Practice
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Sample Questions
Q1) A nurse executive is managing a nursing center.Which of the following would be an expected responsibility of a nurse in this role?
A) Managing the business operations
B) Managing the data systems
C) Providing patient care and referral
D) Overseeing contracts and grants
Q2) A client would like to enroll in a smoking cessation program.Which of the following types of nursing centers would be most likely to provide this type of programming?
A) Academic Nursing
B) Wellness
C) Comprehensive Primary Care
D) Special Care
Q3) Which type of nursing center actively integrates service,education,and research in its model?
A) Special care
B) Free-standing
C) Fee-for-service
D) Academic
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Chapter 22: Case Management
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Sample Questions
Q1) A nurse is working as a case manager and is in the process of performing interdisciplinary,family and client conferences.Which of the following phases of the nursing process is being implemented?
A) Assessment
B) Diagnosis
C) Planning for outcomes
D) Implementation
Q2) A bachelor's prepared nurse is providing case management services.Which of the following activities would most likely be provided by this nurse?
A) Working with community aggregates
B) Working with systems of disease
C) Working with individuals
D) Working with outcomes management processes
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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Chapter 23: Public Health Nursing Practice and the Disaster Management Cycle
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Sample Questions
Q1) A bioterrorism attack has occurred in the United States.Which of the following programs would be used to provide large quantities of medications to the American public?
A) Cities Readiness Initiative
B) Strategic National Stockpile (SNS)
C) Public Health Information Network (PHIN)
D) Project BioShield
Q2) Which statement about disasters is true?
A) They can be natural or human-made.
B) They can be relieved without assistance.
C) There is always injury and death when a disaster occurs.
D) The timing of a disaster does not influence the types of injuries that will occur.
Q3) Which populations are at greatest risk for disruption after a disaster? (Select all that apply.)
A) Single-parent families
B) Children
C) Substance abusers
D) Middle-class families
E) Young adults
25
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Chapter 24: Public Health Surveillance and Outbreak Investigation
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Q1) What does each state do with the information that it receives about notifiable diseases?
A) Uses the information for surveillance purposes
B) Reports the information to the local branch of the World Health Organization (WHO)
C) Transmits the data electronically, weekly, to the Centers for Disease Control and Prevention (CDC)
D) Does nothing with the information
Q2) A large amount of data related to hypertension rates is collected in a community.The data is analyzed.Which of the following describes the next step in the surveillance process?
A) Collecting data from multiple valid sources
B) Evaluating the impact on the surveillance system
C) Interpreting the data and disseminating it to decision makers
D) Asking political officials to finance a hypertension clinic
Q3) 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 other toxins
Page 26
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Chapter 25: Program Management
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Q1) A nurse matches client needs,provider strengths and competence,and agency resources.Which of the following types of planning is being used?
A) Strategic planning
B) Program planning
C) Management planning
D) Process planning
Q2) A nurse is implementing basic program planning.Which of the following would occur during the formulating stage?
A) The client and provider analyze available solutions.
B) The best plan for funding is presented to administrators.
C) The provider group identifies solutions.
D) The client identifies problems.
Q3) Focus groups are used to determine the method of cleanup for contaminated groundwater in a neighborhood.Which of the following 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) What is the purpose of implementing total quality management (TQM)?
A) Provide quality care within an organization
B) Provide cost-efficient care across all age groups
C) Provide necessary care to clients in a cost-effective system
D) Provide efficient systems of primary care
Q2) An elderly female client was receiving home care after hospitalization for a cerebrovascular accident.After several weeks of physical and speech therapy,the client showed few signs of progress.The utilization review committee considered the client's condition to be stable and declined reimbursement for further home care.Which of the following describes the process that could be used by the client to reverse the decision?
A) Prospective utilization review
B) Retrospective utilization review
C) Concurrent utilization review
D) Medicare reversal process
Q3) Which statement about the quality assurance process is accurate?
A) Processes are implemented to maintain quality.
B) Community needs are assessed while implementing quality programs.
C) Accountability of the provider is the primary concern.
D) Standards for care are established and evaluated.
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Page 28
Chapter 27: Working with Families in the Community for Healthy Outcomes
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Q1) A nurse strives to meet the health care needs of diverse and changing families.Which of the following best describes the consideration that should be made by the nurse?
A) Provide culturally competent care
B) Understand family dynamics
C) Recognize that two-income parent households are less stressful
D) Learn how to care for people in their homes
Q2) Government actions that have a direct or indirect effect on families are called _____ policy.
A) social
B) family
C) public
D) financial
Q3) A nurse makes a visit to a home where there are a number of people.The client says that several people are in her family who are not related.Which of the following describes what should be done by the nurse?
A) Ask the client why they are living in her home
B) Ask each member to identify his or her health needs
C) Tell the client that these people are not considered family
D) Accept the client's definition of family
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Chapter 28: Family Health Risks
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Sample Questions
Q1) A nurse uses the term family policy.Which of the following explains what the nurse is describing?
A) Anything that is done by the government that directly or indirectly affects families
B) Laws that affect families and family living
C) Requirements for immunizations for the entire family
D) Healthy People 2020 guidelines for healthy families
Q2) A nurse assists a family to obtain food stamps.Which of the following best describes the purpose of this resource?
A) Provide support for basic needs
B) Offer insurance for the uninsured
C) Provide health-related services to families
D) Allow nongovernmental agencies to operate more effectively
Q3) Which statement is true about transitions?
A) Transitions are stressful events for all families.
B) Transitions require coping skills, which must be taught to some families.
C) Transitions address the family skills necessary to meet developmental goals.
D) Transitions present new situations and demands for families.
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Chapter 29: Child and Adolescent Health
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/8683
Sample Questions
Q1) A nurse is assessing a child with chronic health problems and his family.Which of the following factors should be taken into account?
A) The ability of the family to pay for expensive equipment
B) The degree of impairment to the child's ability to develop
C) How often recreational activities will take place
D) Special needs "camp" placement for the child in the summer
Q2) A nurse is working with a child who lives in poverty.Which of the following best describes this child?
A) A child who has poor academic performance
B) A child whose parents have a college education
C) A child of Caucasian descent
D) A child living in a single-parent household
Q3) A nurse is providing anticipatory guidance to parents who have a child under 1 year of age.Which of the following would be the most important topic to discuss?
A) Occluded airway
B) Burns
C) Poisoning
D) Falls
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Chapter 30: Major Health Issues and Chronic Disease
Management of Adults Across the Life Span
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/8684
Sample Questions
Q1) A nurse is caring for a client who has designated someone else to make health care decisions when he or she is unable to do so.Which of the following is being used by the client?
A) An advanced medical directive
B) A living will
C) A durable medical power of attorney
D) The Patient Self-Determination Act
Q2) What is the purpose of adult day health centers?
A) Provide support of life until death occurs
B) Provide assistance to people who may need help with activities of daily living (ADLs)
C) Provide treatment for those needing rehabilitation
D) Provide respite care relief for caregivers
Q3) 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
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Chapter 31: Disability Health Care Across the Life Span
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/8685
Sample Questions
Q1) A nurse is planning nursing interventions for disabled individuals living in poverty.Which of the following factors should be taken into consideration? (Select all that apply.)
A) This population may have difficulty securing employment.
B) This population may have less access to health care.
C) This population is better able to use community resources.
D) This population may make healthier lifestyle choices.
E) This population is more independent.
Q2) A nurse is working with individuals who meet the definition of work disability as defined by the United State Census Bureau.Which of the following best describes these individuals? (Select all that apply.)
A) An individual who has resigned from a position because of discrimination
B) An individual who has retired or left a job for health reasons
C) An individual who did not work because of long-term mental illness
D) An individual who did not work in the past 12 months because of illness
E) An individual who has recently been terminated
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8686
Sample Questions
Q1) A nurse is promoting social justice.Which of the following actions would the nurse most likely take?
A) Contacting lawmakers about environmental health issues
B) Assisting at homeless shelters
C) Advocating for policies to improve social conditions
D) Serving on a local coalition to prevent obesity
Q2) A nurse considers an audience's ability to read,comprehend,and act on medical instructions while preparing health education materials.Which of the following factors is the nurse considering?
A) Health literacy
B) Resilience
C) Social justice
D) Health disparity
Q3) The wide variations in health services and health status between certain population groups are called:
A) vulnerable population groups.
B) health disparities.
C) disadvantaged populations.
D) risk markers.
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Chapter 33: Poverty and Homelessness
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/8687
Sample Questions
Q1) A nurse is implementing an intervention at both the primary and tertiary levels of prevention.Which of the following best describes the nursing intervention?
A) Providing emergency shelter housing
B) Offering physical and mental health services
C) Developing a targeted case management program
D) Establishing a needle exchange program
Q2) Which statement regarding the effects of homelessness on health is accurate?
A) Peripheral vascular disease and hypertension are lessened by this lifestyle.
B) The incidence and virulence of infections are decreasing.
C) Trauma is a significant cause of death and disability.
D) Crowded living conditions result in decreased risk for exposure to infections.
Q3) A nurse is working in the community during the industrial revolution.Which of the following population groups would have been least likely to receive community assistance?
A) Widowed women
B) Orphaned children
C) Mentally ill
D) Injured laborers
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Chapter 34: Migrant Health Issues
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8688
Sample Questions
Q1) Which statement about migrant and seasonal farm workers is true?
A) The economic status of migrant workers has improved over the last decade.
B) This is a transient population that does not need nursing care.
C) Most migrant workers are eager to accept health care services.
D) Availability of food in the United States depends on these individuals.
Q2) What effect does alcohol consumption have on migrant farm workers?
A) Provides relaxation and is important for migrant workers' well-being
B) Adds additional risks to pesticide exposure
C) Poses safety hazards for farm workers
D) Allows migrant workers to sleep better, thus improving daytime productivity
Q3) A nurse is assessing the occupational health risks of a migrant farm worker.Which health risk is the nurse most likely to find?
A) Denial of care when going to the emergency room
B) Difficulty obtaining affordable health insurance
C) Increased exposure to chemicals and work-related injuries
D) Episodic violence from farm owners and employers
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Chapter 35: Teen Pregnancy
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/8689
Sample Questions
Q1) What are reasons that adolescents may not seek care for health problems? (Select all that apply.)
A) Access to care may be hindered because there are not enough professionals with expertise in dealing with the teen population.
B) Cost of care or availability of insurance may limit services.
C) Teenagers do not care about their health.
D) Health care professionals may not be able to discuss sensitive topics in a non-judgmental way.
E) Parents are unaware of the services available for adolescents.
Q2) A nurse is providing education to teenagers about prevention of unintended pregnancy.Which of the following principles should the nurse understand as to why some of these teenagers may get pregnant?
A) They often feel invincible and do not recognize risks related to their behaviors.
B) They enjoy engaging in sexual activity and want children.
C) They influence each other and succumb to peer pressure.
D) They have realistic attitudes about school, work, parenting, and socializing.
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Chapter 36: Mental Health Issues
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/8690
Sample Questions
Q1) 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.
Q2) A nurse categorizes mental illness as a biopsychosocial disorder.What is meant by this classification?
A) Mental illness is an abnormal brain vasculature that can be detected with angiography.
B) Antipsychotic drugs can be used for all types of mental illness.
C) Experience and psychosocial factors affect the etiology and treatment of mental illness.
D) Mental illness can be cured with the right drugs and therapy.
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
Source URL: https://quizplus.com/quiz/8691
Sample Questions
Q1) A nurse is providing comprehensive education about HIV transmission for an injection drug user (IDU).Which of the following would be the most important information to include?
A) How and where to acquire needles
B) Proper needle usage and possible injection sites
C) Spreading of the virus via homosexual activities
D) Using bleach between needle uses
Q2) The most widely used illicit drug in the United States is:
A) alcohol.
B) heroin.
C) cocaine.
D) marijuana.
Q3) A school nurse is coordinating the implementation of a drug education program in the school.Which of the following levels of prevention is being implemented?
A) Primary level of prevention
B) Secondary level of prevention
C) Tertiary level of prevention
D) Primary health care prevention
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Chapter 38: Violence and Human Abuse
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8692
Sample Questions
Q1) A nurse is counseling a client who has been abusive toward a spouse.Which of the following experiences has the client most likely had in the past?
A) Perceived or actual crisis
B) History of social isolation
C) Previous exposure to violence
D) Long-term marital strain
Q2) A nurse is completing a community assessment.Which of the following community characteristics would be identified as a factor for violence?
A) Lack of family cohesion
B) High crime rate
C) Social isolation
D) Substance abuse
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
Source URL: https://quizplus.com/quiz/8693
Sample Questions
Q1) An APHN is offering classes on breast self-exam.Which of the following levels of prevention is being implemented?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Assessment
Q2) An APHN wants to establish an independent practice.Which is the best method to achieve this goal?
A) Act as a legal expert
B) Learn complex assessment skills
C) Market a service package
D) Serve as a liaison for community programs
Q3) An APHN has been working with multiple agencies to establish a nursing center in the community.What is the purpose of creating a nursing center?
A) To provide opportunities for collaborative relationships
B) To offer specialized care for certain medical conditions
C) To promote the autonomy of NPs
D) To focus on primary prevention for the community
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Chapter 40: The Nurse Leader in the Community
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/8694
Sample Questions
Q1) A nurse is working with a clinical microsystem.Which of the following best describes what the nurse is working with?
A) Evidence-based practices
B) Managed care organizations
C) Electronic health records
D) Registries
Q2) Which skills will be demonstrated by a nurse who has effective communication? (Select all that apply.)
A) Active listening
B) Restatement of the main points
C) Use simple, direct words
D) Maintain eye contact
E) Speak slowly
Q3) A nurse is implementing a secondary prevention intervention.Which of the following is most likely being completed?
A) Developing policies and procedures for referral programs
B) Designing protocols for lead screening
C) Serving as a chair to organize a smallpox vaccination program
D) Monitoring implementation of performance-improvement activities
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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) A nurse has discovered that a client should be receiving Meals on Wheels.Which of the following steps of the nursing process is the nurse performing?
A) Diagnosis
B) Planning
C) Assessment
D) Implementation
Q2) Which historical event caused dramatic changes in home care nursing?
A) Passage of Medicare legislation
B) Establishment of Visiting Nurse Associations
C) Creation of the Montefiore Hospital Home Care Program
D) Provision of funds by the Civil Works Administration
Q3) A nurse has referred a home care client to hospice care.Which of the following best explains the rationale for this referral?
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
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Page 43
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 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) Gamma hydroxybutyrate (GHB)
B) Rohypnol
C) Alcohol
D) Ecstasy
Q2) The nurse is caring for children when they need health care.Which of the following levels of prevention is being used?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion
Q3) A nurse is providing ongoing care to a pregnant teenager.Which of the following levels of prevention is being used?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion
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Page 44
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 workplace hazards.Which of the following would be the best method for the nurse to use?
A) Review incident reports
B) Walk through the worksite
C) Interview key employees
D) Read the Standard Industrial Classification (SIC) Code
Q2) An employee has come into contact with a biological agent.Which of the following considerations should be made by the nurse?
A) The biological agent may cause accidents in the work environment.
B) The biological agent is commonly found in the agriculture industry.
C) The biological agent may potentiate stress in the workplace.
D) The biological agent indicates exposure to bacteria, viruses, fungi, or parasites.
Q3) A nurse is conducting an occupational health assessment.Which of the following best describes the rationale for this assessment?
A) It is required by OSHA.
B) It is required by NIOSH.
C) It helps to identify agent and host factors that place employees at risk.
D) It helps to educate workers about potential hazards.
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45
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 is providing emergency care to an assault victim.Which of the following would be the most appropriate action for the nurse to take?
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) What is the main purpose of the National Center for Injury Prevention and Control?
A) Assist victims of violence
B) Maintain records of the incidence of injuries
C) Coordinate the prevention of injuries, violence, and their consequences
D) Encourage collaboration among professionals from various disciplines
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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 is available for health counseling with teens before and after youth activities.Which of the following levels of prevention is being implemented?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Assessment
Q2) Which statement about faith community nurses is true? Faith community nurses:
A) create caring congregations that support the holistic health of its members.
B) work with clergymen to foster deeper spiritual beliefs.
C) take care of a congregation of people in case of illness.
D) provide holistic care and make decisions about congregational policies.
Q3) A faith community nurse is implementing a primary prevention strategy.Which of the following activities would the nurse most likely implement?
A) Providing health assessments and counseling during a home visit for a client who just had surgery
B) Writing house of worship newsletter articles about healthy food choices
C) Assisting in making behavioral changes for a person who is abusing alcohol
D) Doing blood pressure screenings after church one Sunday
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Chapter
National Levels
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/8700
Sample Questions
Q1) After reviewing the objectives of Healthy People 2020,the PHN determines the focus for the programming for communicable diseases in the community.Which of the following would the nurse most likely select as the focus?
A) Encouraging community members to engage in healthy behaviors
B) Identifying high-risk sexual behaviors among community members
C) Monitoring the sexual activity of adolescents
D) Providing information about the hazards of multiple sexual partners
Q2) A nurse is working in a public health department.Which of the following would most likely be the focus of the care that is provided?
A) Home visiting and hospice care
B) Care of communicable diseases
C) Health maintenance and health promotion
D) Illness prevention
Q3) Which agency delegates the authority of the local health department?
A) The federal government
B) The state
C) Local authorities
D) Regional governing boards
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