Community Health Nursing
Solved Exam Questions
Course Introduction
Community Health Nursing focuses on the promotion and preservation of health in individuals, families, and communities through preventive, curative, and rehabilitative services. This course emphasizes the principles and practices of nursing in community settings, addressing health disparities, health education, epidemiology, and environmental health factors. Students learn to assess community health needs, implement evidence-based interventions, collaborate with interdisciplinary teams, and advocate for policies that support public health. Clinical experiences and case studies prepare students to engage effectively with diverse populations and contribute to the overall well-being of the communities they serve.
Recommended Textbook
Health Promotion Throughout the Life Span 8th Edition by Edelman
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25 Chapters
700 Verified Questions
700 Flashcards
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Chapter 1: Health Defined: Objectives for Promotion and Prevention
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Sample Questions
Q1) A major cause of death in the early twentieth century was:
A) cancer.
B) cerebrovascular disease.
C) heart disease.
D) infections.
Answer: D
Q2) A state of physical, mental, spiritual, and social functioning that realizes a person's potential and is experienced within a developmental context is known as:
A) growth and development.
B) health.
C) functioning.
D) high-level wellness.
Answer: B
Q3) The devaluing of beliefs, values, and customs of others is known as:
A) ethnocentrism.
B) racism.
C) cultural competency.
D) empathy.
Answer: B
Page 3
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Chapter 2: Emerging Populations and Health
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Sample Questions
Q1) A nurse would like to improve his cultural competence. Which of the following is the best strategy to use?
A) Explore complementary and alternative medicine practices used by other cultures.
B) Discuss cultural differences with coworkers.
C) Provide care to diverse populations.
D) Participate in continuing education programs about cultural diversity.
Answer: D
Q2) A health care professional is providing culturally competent care. Which of the following actions is being performed by the professional? (select all that apply)
A) Recognizing and accepting cultural diversity
B) Respecting the patient's values, beliefs, and expectations
C) Understanding the pathophysiology of disease processes
D) Providing health care services that are respectful of the individual's cultural beliefs
Answer: B, D
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Chapter 3: Health Policy and the Delivery System
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Sample Questions
Q1) The country with the highest life expectancy for women in 2011 was:
A) France
B) Germany
C) Sweden
D) the United States
Answer: A
Q2) What is the most effective policy a staff nurse can implement to help decrease medical errors on the unit?
A) Forgo opportunities for continuing education so the unit is never understaffed.
B) Foster a collaborative working environment on the unit.
C) Check all medications a minimum of three times before administering them.
D) Develop a policy that mandates the firing of any nurse who commits an error.
Answer: B
Q3) Which nurse is at risk of making a medical error?
A) Working overtime
B) Works in a hospital that advocates multidisciplinary care
C) Caring for four clients during the shift
D) Attends regular continuing education programs
Answer: A
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Page 5
Chapter 4: The Therapeutic Relationship
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Sample Questions
Q1) A nurse is working with a person to increase his daily exercise and activity. Which of the following statements by the nurse best demonstrates the use of reflection?
A) "I have also struggled with finding time to exercise on a regular basis."
B) "Regular exercise plays an important role in preventing many health problems."
C) "You said that you have difficulty making time in your day for exercise."
D) "It may be helpful if we developed a goal related to daily exercise. "
Q2) An individual reveals to the nurse that he is having an affair with his wife's best friend. Which of the following statements will enhance effective therapeutic communication between him and the nurse?
A) "You know that what you are doing is wrong."
B) "Why would you want do something like that?"
C) "How could you do that to your wife and children?"
D) "This affair seems to be troubling you."
Q3) Which of the following statements about nonverbal communication is true?
A) Nonverbal behavior is not usually contextual.
B) Nonverbal behavior is culturally and situationally bound.
C) Nonverbal communication is the most important type of communication.
D) Nonverbal communication is easy to interpret.
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6
Chapter 5: Ethical Issues Related to Health Promotion
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Sample Questions
Q1) Which concept is aimed at interrupting potential ethical problems before they develop?
A) Feminist ethics
B) Preventive ethics
C) Metaethics
D) Normative ethics
Q2) Which of the following types of ethical theories tells us how people act toward each other and their environments and what they believe are good or moral actions?
A) Descriptive value theories
B) Normative theories
C) Consequentialism theory
D) Duty-based theories
Q3) A nurse believes that it is his responsibility to ensure the safety of the public by administering flu shots to everyone in the community. Which ethical theory is being used by the nurse?
A) Descriptive value theory
B) Normative theory
C) Consequentialism theory
D) Duty-based theory
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Page 7
Chapter 6: Health Promotion and the Individual
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Sample Questions
Q1) When assessing a client's activity-exercise pattern, which subjective finding has implications for nursing practice?
A) A person's decreased muscle tone
B) A person's amount of leisure time
C) A person's decreased range of motion
D) A person's use of a cane
Q2) Who authored the framework which provides the foundation for nursing assessment and diagnosis using the functional health patterns?
A) Erikson
B) Gordon
C) Newman
D) Nightingale
Q3) During a health history, a person reports getting 5 hours of sleep a night. What does this information indicate to the nurse?
A) The person is not receiving enough sleep.
B) The person is receiving adequate sleep.
C) The nurse must determine where the person sleeps.
D) The nurse must ask additional questions.
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8
Chapter 7: Health Promotion and the Family
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Sample Questions
Q1) A nurse is conducting a health promotion assessment for a family with a 9-month-old. Which of the following should be of most concern to the nurse?
A) The age of the house in which the family lives
B) Genetic diseases in the family
C) Driving practices in the family
D) Toilet training for the child
Q2) A nurse is using a genogram to represent a family. Which of the following statements is accurate?
A) A genogram identifies the genetic disorders of the family.
B) A genogram includes information about the past two generations.
C) A genogram can be used to make connections about family health patterns.
D) A genogram begins with a circle in the center of the page.
Q3) A nurse is planning a home visit for a family. Which of the following actions would be most appropriate for the nurse to take?
A) Study information regarding the family from agency records and other sources.
B) Make a contract with the family that states specific goals and objectives.
C) Identify how the home visit will be financed.
D) Understand the situation from the family's perspective.
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Chapter 8: Health Promotion and the Community
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Sample Questions
Q1) A nurse is employed by a local health department. Which of the following would be one of her primary responsibilities?
A) Providing appropriate treatment for the flu to an elderly man
B) Providing education to the community about prevention of the flu
C) Ensuring that the family members of the man with the flu get tested for the flu
D) Ensuring that the family members of the man with the flu receive the flu vaccine
Q2) A nurse is interviewing members of a substance abuse unit at a local Veterans Administration (VA) hospital. Which of the following parts of a community is the nurse assessing?
A) Structure of a community
B) Subsystem of a community
C) Supra system of a community
D) Interaction of a community
Q3) Which of the following best describes the primary goal of community nurses?
A) Create charts/graphs of data collected.
B) Create plans for community health promotion programs.
C) Create evaluation tools for health promotion programs.
D) Create a culture of health promotion/health protection with the community.
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Chapter 9: Screening
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Sample Questions
Q1) A nurse is creating a hypertension screening program. Which of the following methods would be the best way to design a successful program?
A) Work with stakeholders to conduct a community assessment.
B) Purchase state-of-the-art sphygmomanometers to measure blood pressures.
C) Use the program developed at a previous place of employment.
D) Contact a local church to see if the program can be implemented there.
Q2) During a screening, a test with a high specificity and low sensitivity is utilized. Which of the following issues could arise by using this test?
A) Ethical issues
B) Race issues
C) Gender issues
D) Cultural issues
Q3) The Denver Developmental Screening Test (DDST) has been said to have excellent test specificity. What does this statement mean?
A) Rarely identifies children who have developmental delays
B) Rarely identifies children who do not actually have developmental delays
C) Has a large number of false positive results
D) Has a large number of false negative results
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11
Chapter 10: Health Education
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Sample Questions
Q1) A nurse would like to assist Americans in improving their health. Which strategy would be most beneficial to improve the health of the American public?
A) Encourage Americans to stop smoking.
B) Lobby for state-of-the-art magnetic resonance imaging machines in all hospitals.
C) Provide free medications for Americans.
D) Offer free condoms to teenagers.
Q2) A nurse is developing learning objectives for an individual who is becoming more physically active. Which of the following is an example of an appropriately written affective learning objective?
A) The individual will understand the importance of daily exercise.
B) The individual will demonstrate the importance of daily exercise.
C) The individual will verbalize the importance of daily exercise.
D) The individual will believe in the importance of daily exercise.
Q3) The primary objective of social marketing is to:
A) plan behavior.
B) analyze behavior.
C) limit behavior.
D) change behavior.
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Chapter 11: Nutrition Counseling for Health Promotion
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Sample Questions
Q1) A nurse is working with a family that is experiencing food insecurity. Which of the following statements best describes this family?
A) Members of this family are susceptible to food-borne illness.
B) This family's access to adequate food is limited by lack of money.
C) This family is unable to purchase fresh fruits and vegetables.
D) Members of this family are obese.
Q2) A 37-year-old woman asks the nurse if she should take a daily nutritional supplement. Which of the following would be the best reply by the nurse?
A) "Postmenopausal women should take a calcium supplement to prevent osteoporosis."
B) "Many people use supplements as drugs instead of as supplements."
C) "Supplements can enhance the medications that you take."
D) "The best way to obtain nutrients is by eating a variety of foods."
Q3) Which of the following individuals would be at greatest risk to develop Type 2 diabetes?
A) White, 50-year-old woman, obese, second child weighed 10 pounds at birth
B) African American, 55-year-old man, hypertension, exercises regularly
C) Hispanic, 22-year-old woman, healthy weight, family history of diabetes
D) White, 75-year-old man, history of prostate cancer and high triglycerides
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13
Chapter 12: Exercise
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Sample Questions
Q1) A nurse is caring for a man who states he is ready to start exercising. Which of the following actions should the nurse take next?
A) Do nothing because he has already made the decision to implement a change.
B) Provide him with information on the benefits of exercising.
C) Develop an exercise prescription with him.
D) Schedule a follow-up in 2 months to see if he still feels the same way.
Q2) A nurse is educating a 35-year-old woman about the best exercises to engage in to prevent bone loss. Which of the following exercises would the nurse recommend?
A) Walking
B) Swimming
C) Weight training
D) Bike riding
Q3) A nurse is providing care to a person who has lower back pain. Which of the following exercises would the nurse recommend to assist with pain reduction?
A) Walking
B) Pilates
C) Swimming
D) Bike riding
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14
Chapter 13: Stress Management
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Sample Questions
Q1) A nurse is explaining the concept of "presence." The nurse should include that presence means that the person:
A) is in the same room as another.
B) multitasks in order to examines all aspects of a situation.
C) sets goals in response to what another is saying.
D) practices active listening and focuses on what is being said.
Q2) The nurse is assisting a person to develop a positive attitude toward exercise. Which of the following nursing interventions would be most successful when working with this person?
A) Educate the person that 60 minutes of moderate to strenuous exercise a day is required to lower the risk of heart disease.
B) Suggest that the person participate in a formal exercise program that has been demonstrated to produce the best results.
C) Educate the person that exercise patterns established in young adulthood are more effective than those established later in life.
D) Suggest that the person walk at a moderate pace for 30 minutes a day, 5 days a week for improvement in physical and psychological health.
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Page 15
Chapter 14: Complementary and Alternative Strategies
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Sample Questions
Q1) The nurse is assisting an individual who is interested in music therapy. Which of the following statements made by the person indicates an understanding of this type of therapy?
A) "I will select the music I listen to carefully. Energetic or rap music is not a good choice."
B) "I will need to find someone who has specialized in this type of therapy for best results."
C) "Chants, electronic sounds, or 'designer music' is generally the best choice."
D) "The music I choose may be different than what my spouse prefers."
Q2) An individual asks the nurse to explain yoga. Which of the following statements would be made by the nurse?
A) Yoga requires the ability to assume and maintain certain poses.
B) There are many different types of yoga.
C) Yoga is the most strenuous of the movement therapies.
D) The major benefit of yoga is an increase in physical exercise and flexibility.
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16
Chapter 15: Overview of Growth and Development Framework
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Sample Questions
Q1) A nurse is attending a continuing education program about growth and development. Why is it necessary that nurses are well educated about this content? (select all that apply)
A) Have a better understanding of genetics and genomics
B) Can meet the requirements of Healthy People 2010
C) Can provide more effective health education
D) Can deliver anticipatory guidance to families
Q2) A high school sophomore engages in risky behavior to fit in with his peers. According to Erikson's theory of human development, which of the following developmental conflicts is this student facing?
A) Initiative versus guilt
B) Industry versus inferiority
C) Identity versus role confusion
D) Intimacy versus isolation
Q3) Kohlberg's theory of moral development is based on:
A) Erikson's theory of psychosocial development
B) Piaget's theory of cognitive development
C) Vygotsky's theory of cognitive development
D) Gilligan's theory of moral development
Page 17
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Chapter 16: The Prenatal Period
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Sample Questions
Q1) A nurse is assessing the nutritional-metabolic patterns of a pregnant woman. Which of the following findings would be of concern to the nurse?
A) The woman drinks about 1 gallon of water a day.
B) The woman works out at the gym daily.
C) The woman does not like vegetables.
D) The woman usually eats three meals a day in addition to two snacks a day.
Q2) A woman usually eats an 1800-calorie diet. She is now in the second trimester of her pregnancy. Which of the following best describes the caloric nutritional needs for this woman during the second and third trimester?
A) 1800 calories
B) 2100 calories
C) 2400 calories
D) 2700 calories
Q3) During which week would pregnancy begin to pose health concerns for the fetus?
A) 36 weeks
B) 38 weeks
C) 40 weeks
D) 42 weeks
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18
Chapter 17: Infant
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Sample Questions
Q1) The mother of an 8-month-old asks what the minimum recommended amount of fat intake is for her 10-kg infant. Which of the following would be the minimum recommended fat intake?
A) 18 grams a day
B) 28 grams a day
C) 38 grams a day
D) 48 grams a day
Q2) A nurse is developing an educational program about SIDS for a new mothers' support group in the community. Which of the following information would be included in this presentation?
A) Parents are encouraged to place their infants in the supine sleeping position.
B) SIDS is the leading cause of death among infants age 6 months to 1 year old.
C) SIDS is associated with infants who have had difficulty sleeping at night.
D) Parents are encouraged to limit the amount of "tummy time" of their infant.
Q3) Where do most accidents occur?
A) In the home
B) In the car
C) At day care
D) On the playground
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Page 19
Chapter 18: Toddler
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Sample Questions
Q1) At a well-child visit, a 2-year-old toddler measures 2 feet 8 inches tall. The nurse estimates the toddler's approximate final adult height to be:
A) 4 feet 8 inches.
B) 5 feet.
C) 5 feet 2 inches.
D) 5 feet 4 inches.
Q2) A mother is concerned because her 22-month-old has been skipping meals lately. Which of the following actions should the nurse recommend to the mother?
A) Put the child in time out whenever he skips a meal.
B) Offer him foods he likes such as cookies and chips.
C) Limit the child's consumption of juices and cookies.
D) Talk to the child about how important it is to eat three meals a day.
Q3) Approximately how much sleep do toddlers require each day?
A) 10 hours
B) 11 hours
C) 12 hours
D) 13 hours
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Chapter 19: Preschool Child
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Sample Questions
Q1) Which sleep ritual is age appropriate for a preschooler?
A) Asking for every light in the home to be turned on at bedtime
B) Saying good night to all 20 stuffed animals in the room before going to sleep
C) Going right to sleep
D) Asking the parent to read all books on the bookshelf before going to bed
Q2) A 4-year-old boy had an episode of enuresis. Which of the following actions should be taken by the parents?
A) Have him change his own pajamas before going to bed.
B) Take away one video game.
C) Tell his 6-year-old sister about the incident.
D) Make him wear his diaper to bed.
Q3) The nurse is conducting a physical exam on a 3-year-old child. Which of the following would be the best way for the nurse to approach the child during the exam?
A) Let the child listen to the nurse's heart with the stethoscope.
B) Tell him to sit quietly while the nurse examines him.
C) Ask his parents to leave the room to minimize distractions.
D) Ask another nurse to hold him while the nurse examines him.
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21
Chapter 20: School-Age Child
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Sample Questions
Q1) A parent asks the nurse working in a pediatric clinic how she can help her 6-year-old child feel good about himself. Which of the following statements should be made by the nurse?
A) "Doing most things for your child will give them a sense of security, and they will have a positive self-image."
B) "Having your child help around the house with tasks such as setting the table will increase self-esteem."
C) "Make sure to highly praise even the smallest effort your child makes at completing a task."
D) "There is little you can do to increase your child's self-esteem. Their peers have much more of an influence than parents at this age."
Q2) According to the American Heart Association, at what age should blood pressure screening begin?
A) 3
B) 6
C) 9
D) 12
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Chapter 21: Adolescent
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Sample Questions
Q1) Which of the following behaviors is most reflective of a teenager?
A) Riding an ATV without a helmet
B) Not skiing for fear of falling and getting hurt
C) Obeying a new parental rule without a challenge
D) Walking away from a group of friends who are smoking cigarettes
Q2) Which of the following teenage behaviors is cause for concern?
A) Has difficulty waking up in the morning and naps during the day
B) Goes to bed late and naps during the day
C) Takes frequent naps and states it is because he is bored
D) Participates in after school activities and has difficulty waking up
Q3) Parents recently discovered that their teenage daughter has been consuming alcohol on a regular basis. They ask the nurse for advice on how to best help their daughter. Which of the following recommendations should the nurse give to the parents?
A) Talk to their daughter at length regarding the dangers associated with drinking.
B) Tell their daughter she will not be allowed to use her cell phone if this continues.
C) Enroll their daughter in a peer support group focused on teenage drinking.
D) Provide their daughter with literature regarding the dangers of drinking.
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Chapter 22: Young Adult
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Sample Questions
Q1) A nurse is planning a community health education program for young adults. Which of the following considerations should be made by the nurse?
A) The age span encompassing young adulthood is between 20 to 30 years of age.
B) The number one cause of death for young adults is injury.
C) The number of young adults in the United States is increasing.
D) The maternal mortality rate is at its lowest point since 1980.
Q2) Which of the following young adults exemplifies Kohlberg's postconventional level of moral reasoning?
A) 28-year-old person who calls in sick so as to help a friend move to a new location
B) 22-year-old man who uses marijuana on the weekends with friends
C) 30-year-old woman who volunteers at a soup kitchen one day a month
D) 35-year-old who works long hours so as to be considered for a promotion
Q3) Which of the following circumstances accounts for one of the leading cause of death in young adults?
A) Tobacco use
B) Binge drinking and driving
C) Illegal drug use
D) HIV infection
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Page 24
Chapter 23: Middle-Age Adult
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Sample Questions
Q1) A 35-year-old person asks the nurse working in a dermatology clinic what causes skin to wrinkle. Which of the following statements would be most appropriate way for the nurse to reply?
A) "There is really nothing you can do to prevent a lot of wrinkles. It is part of aging."
B) "As we age, we lose fat beneath the skin so wrinkles appear. There is nothing we can do to prevent it."
C) "Wrinkles appear for a number of reasons, including loss of fat beneath your skin and too much sun exposure."
D) "Wrinkles are caused by genetic factors."
Q2) A 45-year-old client who has experienced a ten pound weight gain during the past year asks the nurse if she thinks iron supplements would help increase her energy. Which of the following would be the most appropriate action for the nurse to take?
A) Ask the client to describe her daily activity and diet
B) Leave a note requesting an iron supplement on the client's chart for the doctor
C) Provide the client with information related to aerobic exercise classes
D) Ask the client if she is still menstruating
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Chapter 24: Older Adult
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Sample Questions
Q1) Which of the following interventions will have the greatest impact on reducing constipation in older adults? (select all that apply)
A) Offering pureed foods that are easy to digest
B) Encouraging fluids between meals
C) Administering laxatives on a daily basis
D) Assisting with ambulation
Q2) A nurse is planning to write a grant for a health promotion project in the community. Which of considerations should the nurse make when determining the appropriate population for this project?
A) The fastest growing population is children under the age of 12.
B) The fastest growing population is young Black American adults.
C) The fastest growing population is White middle-age adults.
D) The fastest growing population is non-White older adults age 65 and older.
Q3) Which of the following nursing diagnoses is a priority related to the problem of urinary incontinence?
A) Risk for social isolation
B) Risk for impaired skin integrity
C) Risk for inadequate fluid intake
D) Risk for impaired coping
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Page 26
Chapter 25: Health Promotion in the Twenty-First Century
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Sample Questions
Q1) A nurse is working at a clinic in a third world country and suspects a child has severe acute malnutrition (SAM). Which of the following assessment findings would be expected?
A) Distended abdomen
B) Bulging eyes
C) Large tears when crying
D) Lethargy
Q2) The school nurse has been asked to present a workshop on CA-MRSA for high school teachers. Which of the following information would the nurse most likely include?
A) CA-MRSA is a common viral infection that responds well to antiviral meds.
B) CA-MRSA is a serious bacterial infection that does not spread easily.
C) CA-MRSA is a fungal infection common in school settings.
D) CA-MRSA is a potentially fatal skin infection that is difficult to treat.
Q3) The nurse is working at a crisis hotline center. Which of the following callers would be most at risk for suicide?
A) A 16-year-old girl who broke up with her boyfriend
B) A 26-year-old male who has been laid off from his job
C) A 50-year-old female who has a history of alcohol abuse
D) A 40-year-old male whose brother died suddenly
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Page 27