Environmental Health Nursing Exam Bank
Course Introduction
Environmental Health Nursing focuses on the identification, assessment, and management of environmental factors that influence human health, with an emphasis on the nurse's role in promoting healthy environments. This course explores the impact of physical, chemical, biological, and social environmental agents on population and community health, including issues such as air and water quality, occupational health, environmental toxins, and climate change. Students learn strategies for risk communication, advocacy, policy development, and interdisciplinary collaboration to address environmental health challenges. Through case studies and community-based projects, students develop practical skills for assessing environmental risks and implementing interventions that promote safe, healthy environments for individuals and populations.
Recommended Textbook
Public Health Nursing Population Centered Health Care in the Community 9th Edition by Stanhope
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46 Chapters
1214 Verified Questions
1214 Flashcards
Source URL: https://quizplus.com/study-set/473
Page 2
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
Source URL: https://quizplus.com/quiz/8655
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) Which of the following statements about public health is accurate?
A) Prevention of early deaths can be more effectively accomplished by medical treatment than by public health approaches.
B) Expenditures and resources for public health have increased in recent years.
C) Historically, gains in the health of populations have been related largely to changes in safety, sanitation, and personal behavior.
D) Reform of the medical insurance system is the single change needed to improve the health of Americans.
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
29 Flashcards
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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) Which of the following best describes one of the health trends that occurred in the United States between 1900 and 1955?
A) There was a rise in chronic diseases such as heart disease and cancer.
B) There was a rise in communicable disease.
C) The crude mortality rate increased dramatically.
D) The life span after diagnosis remained the same.
Answer: A
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4
Chapter 3: The Changing USHealth and Public Health Care Systems
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8657
Sample Questions
Q1) A nursing student is researching advanced practice nursing options.Which of the following discoveries would most likely be made by the nursing student?
A) Nurse practitioners may work independently depending on the state practice act.
B) Certified nurse midwives have limited prescriptive authority.
C) Clinical nurse specialists typically provide primary care services.
D) The Doctorate in Nursing Practice emphasizes the importance of research.
Answer: A
Q2) A nursing program has initiated a recruitment campaign focusing on increasing the minority students in its program.Which of the following best describes the rationale for this program?
A) The number of minority versus non-minority nurses should be equal.
B) Minority health care professionals who share the same culture with the clients may provide more effective care.
C) The profession should be more diverse.
D) Minority nurses can mentor other nurses when providing care for diverse populations.
Answer: B
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5
Chapter 4: Perspectives in Global Health Care
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The health priorities in HEALTH21 are based on the concept of:
A) eradication of communicable disease worldwide.
B) social justice and solidarity with an emphasis on the responsibility for health.
C) world trade and knowledge sharing about health concerns.
D) provisions for the creation of the United Nations Children's Fund (UNICEF).
Q2) A nurse is working in a lesser-developed country and is caring for the women in the local community.Which of the following would be an important consideration for the nurse?
A) They are at risk for a vitamin D deficiency.
B) They are likely to have one child.
C) They are at risk for death during pregnancy and childbirth.
D) They are viewed as the leader of the family unit.
Q3) A nurse is working with a religious organization to provide food to starving people in a lesser-developed country.Which of the following organizations is the nurse most likely working with?
A) International Red Cross
B) Church World Service
C) Maryknoll Missionaries
D) Catholic Relief Services
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Page 6
Chapter 5: Economics of Health Care Delivery
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/8659
Sample Questions
Q1) A nurse implements a teen pregnancy prevention program in a high school that has been shown to decrease the rate of teen pregnancy.Which of the following best describes the nurse's action?
A) Effectiveness
B) Efficiency
C) Microeconomics
D) Production
Q2) The allocation of scarce resources within the health care sector and the focus on resource allocation issues related to producing and distributing health care is called:
A) economics.
B) health economics.
C) public health economics.
D) microeconomic theory.
Q3) Which statement regarding poverty and health insurance is true?
A) Millions of people in the United States are without health insurance.
B) The poor in the United States are as healthy as persons with higher incomes.
C) Persons with money or health insurance are less likely to seek health care.
D) The poor are more likely to receive health care through private agencies.
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7
Chapter 6: Application of Ethics in the Community
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8660
Sample Questions
Q1) A nurse is providing care using the idea of "servicing citizens,not customers." Which of the following ideas is being applied by the nurse?
A) Ethical tenets of policy development
B) Basic concepts of the feminist theory
C) Underlying premise of virtue ethics
D) Components of distributive justice
Q2) The growing multiculturalism of American society can contribute to ethnicity conflicts when:
A) providing care to different cultural groups.
B) individual values align with the cultural norms.
C) ethnic groups overburden the health care system.
D) the greater community's values are jeopardized by specific ethnic values.
Q3) According to Leininger and Watson,the moral ideal of nursing is:
A) caring.
B) advocacy.
C) responsibility.
D) accountability.
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8
Chapter 7: Cultural Diversity in the Community
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A nurse implements nursing interventions considering the uniqueness of the person's culture.Which of the following best describes this action?
A) Cultural diversity
B) Cultural knowledge
C) Cultural competence
D) Cultural awareness
Q2) A nurse is working with a population that exhibits a large amount of diversity.The nurse recognizes that skin color of individuals within this population is an example of:
A) multiculturalism.
B) ethnicity.
C) race.
D) culture.
Q3) A nurse is observing behaviors that may be defined by culture.Which of the following is the nurse most likely to observe?
A) Speaking a dialect of a language in a local region
B) Standing when an older adult gets on the bus to give him a seat
C) Immigrating to the United States and seeking work
D) An organizational structure of a cultural group
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9
Chapter 8: Public Health Policy
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/8662
Sample Questions
Q1) The practices of physicians,nurses,and other health care providers are differentiated by which of the following?
A) Health Resource and Services Administration (HRSA)
B) State board of nursing
C) Scope of practice
D) USDHHS
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 supported the passage of needlestick legislation.Which of the following best describes the role of employers because of this legislation?
A) Use Universal Precautions when dealing with all patients
B) Select safer needle devices as they became available
C) Provide needle disposal boxes
D) Incinerate all infectious waste, including needles
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Chapter 9: Population-Based Public Health Nursing
Practice: The Intervention Wheel
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/8663
Sample Questions
Q1) PHNs utilize registries to identify children with delayed or missing immunizations.They subsequently follow up with families by phone calls or home visits.Which of the following levels of practice is being implemented?
A) Systems
B) Community
C) Policy
D) Individual
Q2) A nurse is involved in identifying individuals with unrecognized health risk factors or asymptomatic disease.Which of the following public health interventions is being applied?
A) Screening
B) Referral and follow-up
C) Surveillance
D) Health teaching
Q3) Since the Intervention Wheel was first published in 1998,it has:
A) guided national policy.
B) been used as a tool in deciding licensure issues for State Boards of Nursing.
C) been incorporated into the public health curricula of many nursing programs.
D) gained wide acceptance internationally.
Page 11
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Chapter 10: Environmental Health
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/8664
Sample Questions
Q1) A nurse works at the individual level to reduce pollution in the environment.Which of the following actions would most likely be taken by the nurse?
A) Provide a tax incentive to factories that do not pollute
B) Make laws related to allowed levels of pollution in the area
C) Recycle paper, glass, cans, and plastic
D) Move to an area with less pollution
Q2) Environmental health is important to nurses because chemical,biological,and radiological materials are:
A) a major cause of global warming.
B) often found in the air, water, and products we use.
C) frequently linked to the development of chronic illnesses.
D) products that nurses work with on a daily basis.
Q3) 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 health outcomes.
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Page 12
Chapter 11: Genomics in Public Health Nursing
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/8665
Sample Questions
Q1) A public health nurse (PHN)is implementing the objectives related to genetics from Healthy People 2020.Which of the following best describes the action that is being taken by the nurse?
A) Educating clients that multiple factors influence the development of disease
B) Counseling clients about the results of genetic testing
C) Lobbying for legislation to support genetic research
D) Providing screening and genetic testing for specific groups of individuals
Q2) The Genetic Information Nondiscrimination Act (GINA):
A) protects individuals from discrimination based on their genetic information.
B) allows health insurance companies to deny coverage for preexisting conditions.
C) states employers may collect genetic information from employees as needed.
D) requires employees to report genetic disorders to their employer.
Q3) A nurse learns more about the Human Genome Project to better counsel families about the process of genetic testing.Which of the following terms best describes what the nurse is learning?
A) Genetics
B) Genomics
C) Genes
D) Genetic susceptibility
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Page 13
Chapter 12: Epidemiology
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/8666
Sample Questions
Q1) An intervention that focuses on the tertiary level of prevention is implemented by the nurse? Which of the following did the nurse most likely complete?
A) Rehabilitative job training
B) Parenting education
C) Testicular self-examination
D) Family counseling
Q2) A PHN conducts an immunization clinic for measles.Which of the following is being implemented?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion
Q3) A nurse is investigating a serious epidemic of influenza.Which of the following best describes the amount of cases that are being examined?
A) 50 cases
B) 100 cases
C) 500 cases
D) Unable to determine
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14
Chapter 13: Infectious Disease Prevention and Control
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/8667
Sample Questions
Q1) A PHN would like to increase the immunization coverage of infants and toddlers.Which of the following strategies would be appropriate for the nurse to use?
A) Read the Mortality and Morbidity Weekly Report to learn about vaccinations
B) Require that children have all their immunizations before going to public school
C) Track children known to be at risk for underimmunization
D) Lead teams of health care workers to enforce laws related to immunizations
Q2) The most common vector-borne disease in the United States is:
A) malaria.
B) yellow fever.
C) Lyme disease.
D) Rocky Mountain spotted fever.
Q3) A community health nurse is caring for a client with methicillin-resistant Staphylococcus aureus (MRSA).Which of the following should the nurse be aware of?
A) Persons with MRSA usually have a chronic illness.
B) MRSA is a hospital-acquired infection and not often seen in the community.
C) Vancomycin-resistant Staphylococcus aureus (VRE) follows MRSA.
D) MRSA is becoming more common in the community.
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Page 15
Chapter 14: Communicable and Infectious Disease Risks
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8668
Sample Questions
Q1) A public health nurse (PHN)is reviewing Healthy People 2020 to determine where to prioritize programming for the county health department.Based on Healthy People 2020,which of the following areas would the nurse most likely plan to implement programming?
A) Reduce the rate of HIV transmission among adults and adolescents
B) Eliminate sexually transmitted diseases (STDs) from developed countries
C) Reduce deaths from gonorrhea
D) Increase awareness about HIV in lesbian females
Q2) A nurse is caring for a client who is HIV positive.Which of the following roles of the nurse would be the most important for the nurse to implement?
A) Advocate, lobbying for AIDS research
B) Counselor, discussing implications of future sexual activity
C) Role model, providing supportive care
D) Policy maker, addressing laws governing privacy rights of HIV-positive persons
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16
Chapter 15: Evidence-Based Practice
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/8669
Sample Questions
Q1) A nurse is reading a systematic review when researching the best practices to promote increased safety among toddlers.Which of the following information would the nurse most likely find?
A) Results of randomized controlled trials
B) A description of the methods used to search for evidence
C) Data compiled on a particular question
D) An in-depth review of the literature completed by one person
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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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/8670
Sample Questions
Q1) A nurse is teaching a group of clients newly diagnosed with diabetes how to give themselves injections.Which of the following formats would be most appropriate for the nurse to use?
A) Demonstration
B) Health fair
C) Lecture
D) Non-native language session
Q2) The nurse is teaching a new diabetic client how to give himself an insulin injection.Which of the following domains would be used?
A) Developmental
B) Cognitive
C) Affective
D) Psychomotor
Q3) A nurse uses Healthy People 2020 as a guide when planning health education in the community.Which of the following actions would be taken by the nurse?
A) Focus on avoiding cigarette smoking and using alcohol in moderation
B) Educate clients using primary and secondary levels of prevention
C) Use Bloom's taxonomy when planning educational objectives
D) Design health fairs aimed at individuals
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Chapter 17: Building a Culture of Health through
Community Health Promotion
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/8671
Sample Questions
Q1) The biomedical model defines health as the:
A) avoidance of illness.
B) absence of disease.
C) promotion of healthy behaviors.
D) protection from illness and disease states.
Q2) A nurse is utilizing a disease-oriented approach when providing care to a client.Which of the following interventions will the nurse most likely provide?
A) Promotion of a greater level of positive health
B) Education about common disease processes
C) Acute care management of chronic disease
D) Education about medication compliance
Q3) The health-oriented perspective views:
A) health as the absence of disease.
B) human lifestyle based on one's prescribed regime.
C) humans as complex and interconnected with the environment.
D) community education as the role of the registered nurse.
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Chapter 18: Community as Client: Assessment and Analysis
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/8672
Sample Questions
Q1) A nurse reads the local community newspaper to gather data about the community.Which method of data collection is being used?
A) Informant interview
B) Focus group
C) Participant observation
D) Windshield survey
Q2) A nurse lives in a community that demonstrates commitment.Which of the following would most likely be supported within this community?
A) Creation of a community club by the city council to facilitate community involvement
B) Collaboration among area restaurant owners to develop healthier menus
C) Collaboration with the health department to build a new recreation center
D) Development of a cooperative agreement with a neighboring city to share needed services
Q3) The main characteristics of partnership are:
A) awareness, flexibility, and distribution of power.
B) rights, responsibilities, and consensus.
C) commitment, participation, and articulation.
D) collaboration, advocacy, and utility.
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Chapter 19: Population-Centered Nursing in Rural and Urban Environments
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/8673
Sample Questions
Q1) A nurse is providing care for at-risk minority groups in rural America.Which of the following health care needs are appropriate for the nurse to address? (Select all that apply.)
A) Field sanitation
B) Infectious diseases
C) Maternal care services
D) Oral/dental care
E) Chronic diseases
Q2) A nurse builds a vacation home in a remote area having fewer than six people per square mile so he can "get away from it all." Which of the following best describes the classification of this area?
A) Standard metropolitan statistical area
B) Metropolitan county
C) Frontier
D) Rural area
Q3) The percentage of U.S.residents living in rural settings is about:
A) 5%.
B) 15%.
C) 20%.
D) 40%.
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Chapter 20: Promoting Health Through Healthy
Communities and Cities
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/8674
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) 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.
Q3) According to the Ottawa Charter for Health Promotion,which of the following are included in the areas for health promotion action? (Select all that apply.)
A) Creating supportive environments
B) Developing personal skills
C) Building healthy public policy
D) Reorienting health services
E) Developing community partnerships
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Chapter 21: The Nurse-led Health Center: A Model for Community Nursing Practice
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/8675
Sample Questions
Q1) A community health center conducts blood lead screenings on a regular basis for children under 6 years old.Which of the following best describes the level of prevention that is being used?
A) Tertiary prevention
B) Primary prevention
C) Secondary prevention
D) Health education
Q2) A nurse is examining the strengths,limitations,and capacity of an organization and the community to support the establishment and viability of a nursing center.Which of the following best describes what the nurse has completed?
A) Data collection
B) Feasibility study
C) Focus groups
D) Community forums
Q3) What was the overarching concept upon which Healthy People 2020 was built?
A) Establish nursing centers for the purpose of health promotion
B) Create partnerships among individuals, communities, and systems
C) Eliminate disease in lesser-developed countries
D) Further the agenda of the World Health Organization (WHO)
Page 23
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Chapter 22: Case Management
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/8676
Sample Questions
Q1) A nurse upholds a client's right to make a choice and to act on the choice.Which of the following best describes the action being taken by the nurse?
A) Affirming
B) Supporting
C) Informing
D) Amplifying
Q2) A nurse's excessive attention to cost containment impairs the nurse's duty to provide measures to improve health.Which of the following ethical principles is being influenced?
A) Autonomy
B) Beneficence
C) Veracity
D) Nonmaleficence
Q3) A case manager uses effective collaboration and team strategies to make arrangements for services.Which of the following roles is being applied?
A) Broker
B) Negotiator
C) Liaison
D) Facilitator
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24
Chapter 23: Public Health Nursing Practice and the Disaster Management Cycle
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A nurse is participating in the preparedness stage of disaster management.Which of the following describes what is happening?
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
Q2) A public health worker had displayed a competency in disaster medicine and public health.Which of the following describes what the worker has done?
A) Communicate effectively with others
B) Get involved in the chain of command
C) Use a set of preplanned activities for every disaster
D) Implement a community assessment
Q3) What is the purpose of the National Incident Management System (NIMS)?
A) Create a new branch of government that deals with bioterrorism
B) Establish a way for the Red Cross to carry out its mission
C) Develop a nationwide all-hazards approach to domestic incident management
D) Extend presidential power to act quickly upon acts of bioterrorism
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Page 25
Chapter 24: Public Health Surveillance and Outbreak Investigation
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A nurse is using surveillance to collect outcome data.What information would most likely be collected?
A) Number of clinic services which use evidence-based protocols
B) Proportion of the population vaccinated against influenza
C) Incidence of breast cancer in the population
D) Probability of a bioterrorism attack occurring in the community
Q2) Which problem does a health department usually have the legal authority to investigate?
A) Pandemics
B) Unusual clusters of illness
C) World trends of disease
D) Cases of the common cold and pneumonia
Q3) What information is included in a case definition?
A) The precise point of contact
B) Laboratory confirmation
C) Source of contamination
D) Clinical symptoms
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Page 26
Chapter 25: Program Management
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/8679
Sample Questions
Q1) It is projected that the incidence of diabetes will increase in the future and therefore creates a need for more diabetic health educators.Which of the following approaches was used to identify this need?
A) Preactive
B) Reactive
C) Inactive
D) Interactive
Q2) A nurse surveys program participants after completion of a wellness program to determine if the participants have increased their involvement in daily exercise.Which of the following describes the action of the nurse?
A) Assessment
B) Evaluation
C) Formative or process evaluation
D) Summative or impact evaluation
Q3) What is the purpose of performing a cost-accounting study?
A) To detect what percentage of clients recover
B) To measure how long it takes for clients to see a provider
C) To note how many cases are associated with other major risk factors
D) To find the actual cost of a program
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Chapter 26: Quality Management
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8680
Sample Questions
Q1) A PHN in the 1960s is measuring quality assurance.Which of the following resources would the nurse most likely have used?
A) American Nurses Association (ANA) Standards of Practice
B) JCAHO Nursing Audit Criteria
C) Community Health Nursing Practice Standards
D) Phaneuf nursing audit method
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
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Chapter 27: Working with Families in the Community for Healthy Outcomes
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/8681
Sample Questions
Q1) A nurse is making an appointment with a family for a nursing visit.Which of the following best describes a barrier that the nurse may experience when trying to schedule this appointment?
A) The assessment cannot be done unless the extended family is present.
B) It may be difficult to find a convenient time for all family members to be present.
C) Nurses have limited time to do home visits.
D) Families are often scattered over a large area, making access difficult.
Q2) A nurse asks,"Where is this family on the continuum of the family cycle?" Which of the following theories is being used?
A) Bioecological systems
B) Family systems
C) Family developmental and life cycle
D) Capacity -building model
Q3) Nurses analyze family developmental changes and stressors when studying family: A) demographics.
B) functions.
C) structure.
D) nursing.
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Chapter 28: Family Health Risks
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/8682
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) The nurse asked the family about its financial resources and the demands on these resources.Which type of risk factor is being assessed?
A) Biological
B) Economic
C) Lifestyle
D) Social
Q3) A nurse is implementing the termination phase of a home visit.Which of the following nursing activities is most likely being demonstrated?
A) Conducting a physical assessment
B) Identifying household members
C) Summarizing accomplishments of the visit
D) Teaching about health
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Chapter 29: Child and Adolescent Health
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Sample Questions
Q1) A nurse is educating parents about sports safety.Which of the following information would be included in the education? (Select all that apply.)
A) Grouping children according to weight, size, and skill level
B) Providing adequate supervision by competent teenagers if adults are not available
C) Using appropriate-size equipment
D) Encouraging attendance at events by medical personnel
E) Having an automated external defibrillator (AED) onsite
Q2) A nurse is conducting a developmental screening to assess for domain-specific development,including gross and fine motor skills.Which developmental screening tool would the nurse most likely use?
A) Pediatric Symptom Checklist
B) Ages and Stages Questionnaire
C) Parents' Evaluation of Developmental Status
D) Denver II
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Chapter 30: Major Health Issues and Chronic Disease
Management of Adults Across the Life Span
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Sample Questions
Q1) The nurse is caring for an elderly client who has written advanced medical directives.Which of the following best describes what this means?
A) The client has made decisions regarding treatment if he becomes incapacitated.
B) The client has a living will.
C) The client has a Do Not Resuscitate order.
D) The client's family has decided on a medical treatment regimen.
Q2) A nurse is caring for a client who is considered obese.Which of the following best describes this client?
A) An individual with a body mass index (BMI) of 15
B) An individual with a BMI of 20
C) An individual with a BMI of 30
D) An individual with a BMI of 25
Q3) Which of the following characteristics indicates a man is at a higher risk for developing prostate cancer?
A) Being of Caucasian descent
B) Has not had a prostate-specific antigen (PSA) test
C) Has a father or brother who has had prostate cancer
D) Has benign prostatic hypertrophy (BPH)
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Chapter 31: Disability Health Care Across the Life Span
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Sample Questions
Q1) Which statement about physically compromised persons who are experiencing poverty is true?
A) They are more likely to have access to needed services.
B) They are at greater risk for more rapid progression of disease processes.
C) Their care is usually better coordinated.
D) They require more nursing in-home care than persons not living in poverty.
Q2) What is the most common disability occurring in the United States in persons aged 18 years and older?
A) Diabetes
B) Stroke
C) Arthritis
D) Cancer
Q3) 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
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Sample Questions
Q1) Resilience refers to the:
A) resistance of certain groups to risk factors.
B) increased susceptibility to cumulative risk factors among vulnerable groups.
C) variability in the effects of stressors according to socioeconomic status.
D) increased sensitivity of the very young and the very old to risk factors.
Q2) A nurse is working to remove barriers to receiving health care.Which of the following actions is the nurse most likely to support?
A) Discrimination against certain groups
B) Treatment of pets at the same facility
C) Provision of free food at a food bank
D) Providing services for a rural population by using a mobile clinic
Q3) A nurse is caring for a homeless population.Which of the following characteristics should the nurse anticipate as a need of this population?
A) Need more nursing care than other vulnerable groups
B) Have no desire to seek medical care
C) Have even fewer resources than poor people who have adequate housing
D) Are living in despair with no hope or resilience
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Page 34
Chapter 33: Poverty and Homelessness
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Sample Questions
Q1) A nurse is trying to break down the barriers between the health care professionals and people who live in poverty.Which of the following actions should be taken by the nurse?
A) Maintain a strict professional demeanor
B) Call the client by name
C) Keep client appointments as scheduled
D) Smile and be friendly to clients
Q2) A person is already homeless and is receiving shelter.Which type of housing is being used?
A) Low income
B) Supportive
C) Emergency
D) Adequate
Q3) A nurse is referring to the federal income guidelines.Which of the following best describes why the nurse is completing this action?
A) To determine financial eligibility for government assistance programs
B) To calculate statistical occurrences in the community
C) To identify those with inadequate resources for basic needs
D) To provide guidelines for reform of social programs
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Page 35
Chapter 34: Migrant Health Issues
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Sample Questions
Q1) A nurse is working with a client whose principal employment is in agriculture on a seasonal basis and has established temporary housing in the area while employed.Which of the following terms best describes this laborer?
A) Seasonal farm worker
B) Migrant farm worker
C) Transient worker
D) Share cropper
Q2) A nurse is caring for a migrant farm worker who has been working in the agricultural industry for the past 10 years.When questioned about environmental hazards,the client reports regular exposure to pesticides.Which of the following is the client at increased risk of developing?
A) Cancer
B) Memory loss
C) Skin rashes
D) Headaches
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Chapter 35: Teen Pregnancy
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Sample Questions
Q1) A teenage mother discusses with the school nurse the possibility of having a second child.Which of the following risk factors would place this client at risk for having a second pregnancy?
A) Remaining in school
B) Reporting an unplanned first pregnancy
C) Being from a small family
D) Having a disadvantaged background
Q2) 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.
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Chapter 36: Mental Health Issues
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Sample Questions
Q1) A nurse considers the effects of biology and environment,or nature and nurture,on the development of mental illness when providing care for clients with mental illness.Which nursing model/theory is being applied?
A) Community mental health model
B) Holistic model
C) Systems theory
D) Diathesis-stress model
Q2) A nurse has specialized knowledge and skills in mental health illness and problems in order to provide effective nursing care for this population.Which of the following best describes the need for this knowledge and skills?
A) Services for people with mental disorders are inadequate.
B) The effects of mental health are universal.
C) Mental health disorders affect small sectors of the population.
D) Current health objectives can be met without the influence of nursing.
Q3) Many clients with mental disorders were institutionalized because:
A) there was a continued fear of people with mental disorders.
B) the success rate was higher with hospital treatment.
C) it was easier to stabilize clients with psychotropic medications.
D) it provided a less stressful environment for clients to recuperate.
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Page 38
Chapter 37: Alcohol, Tobacco, and Other Drug Problems
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Q1) What happened in the United States as a result of prohibition?
A) Substance abuse declined
B) Violent crime and corruption increased
C) The need for community health nurses declined
D) Facilities to treat substance abuse improved
Q2) Which factor has contributed to the problem of substance abuse?
A) Increased knowledge about the use of drugs
B) Social acceptability of certain drugs
C) Recognition of substance abuse as a health problem
D) Control of the content and strength of illegal drugs
Q3) The oldest and most widely used psychoactive drug in the world is:
A) marijuana.
B) heroin.
C) alcohol.
D) cocaine.
Q4) The most widely used illicit drug in the United States is:
A) alcohol.
B) heroin.
C) cocaine.
D) marijuana.
Page 39
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Chapter 38: Violence and Human Abuse
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Sample Questions
Q1) A nurse is caring for a woman who has been battered for a number of years.Which of the following has the client most likely seen an increase in over the years?
A) Self-blame
B) Remorse by the man
C) Severity of the abuse
D) Emotional strength
Q2) Which group has the highest rate of violence?
A) Older, Caucasian men
B) Young, minority men
C) Young, Caucasian women
D) Older, minority women
Q3) A nurse is developing a community program to prevent violence.Which of the following should be the first action taken by the nurse?
A) Talk to people who are victims of violence for their opinion
B) Identify factors that lead to violence
C) Develop a plan of action to combat violence
D) Evaluate current community programs
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Chapter 39: The Advanced Practice Nurse in the Community
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Sample Questions
Q1) A student is pursuing a graduate nursing education with preparation as a generalist,functioning at the micro-systems level,and assuming accountability for health care outcomes for a specific group of clients.Which educational preparation is this student receiving?
A) Clinical nurse leader
B) APHN
C) NP
D) Doctor of Nursing Practice (DNP)
Q2) 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
Q3) A registered nurse (RN)would like to become an NP.Which level of education is required?
A) Bachelor of science in nursing degree
B) Master's or higher degree in nursing and NP education
C) Bachelor of science in nursing degree and completion of a formal NP program
D) Master's degree with a specialty in public health nursing
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Chapter 40: The Nurse Leader in the Community
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Sample Questions
Q1) A nurse is implementing the consultation process.Which of the following actions would the nurse take first?
A) Making initial contact with the client
B) Negotiating for higher fees
C) Applying interventions
D) Collecting data
Q2) Which statement about responsibility,accountability,and authority by the registered nurse (RN)when delegating tasks is correct?
A) The nurse has the responsibility to delegate selected tasks to unlicensed assistive personnel.
B) RNs are not accountable for tasks that have been indirectly delegated.
C) If a task has been delegated, it is the responsibility of the unlicensed assistive personnel to perform the task correctly.
D) Accountability for performing the task correctly is assumed by the RN.
Q3) Why are older adults in the community at high risk for medication errors?
A) They are not competent to take their own medications and need supervision.
B) They are often taking high-risk medications.
C) They are not motivated to take medications correctly.
D) They are in need of the assistance of community health nurses.
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Page 42
Chapter 41: The Nurse in Home Health, Palliative Care, and Hospice
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Sample Questions
Q1) A nurse is employed in home health nursing practice.Which of the following terms best describes the care that is being provided?
A) Intermittent nursing care
B) Custodial care
C) Family caregiving
D) Palliative care
Q2) A nurse is coordinating care to ensure a comfortable and peaceful death.Which of the following factors should be an important consideration for the nurse?
A) The unique stress dying patients often experience
B) The cultural values, expectations, and preferences of the family
C) The communication style of each family member
D) The abilities of the nurse and health care team
Q3) The nurse provides direct care services to a stroke victim to avoid complications.Which of the following levels of prevention is being implemented?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Assessment
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Chapter 42: The Nurse in the Schools
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Sample Questions
Q1) A nurse is implementing the Centers for Disease Control and Prevention (CDC)School Health Program within a school.Which components of school health will need to be evaluated? (Select all that apply.)
A) Health promotion for students
B) Nutrition services
C) Counseling, psychological, and social services
D) Health education
E) Community safety
Q2) 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
Q3) The leading cause of death in children and teenagers is:
A) leukemia.
B) injuries.
C) suicide.
D) diabetes.
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Page 44
Chapter 43: The Nurse in Occupational Health
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Sample Questions
Q1) 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.
Q2) An occupational health nurse refers an employee to an employee assistance program.Which of the following problems would most likely be addressed?
A) Obesity
B) Smoking
C) Alcohol abuse
D) Lack of exercise
Q3) What is the purpose of OSHA?
A) Educate occupational health and safety professionals
B) Identify and research occupational health and safety hazards
C) Distribute research findings relevant to occupational health and safety
D) Educate employers about occupational health and safety
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Chapter 44: Forensic Nursing in the Community
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Q1) A nurse collects evidence from a victim following a sexual assault.Which of the following levels of prevention is being used?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Assessment
Q2) Which setting is a forensic nurse most likely to be employed?
A) Physician's office
B) Urgent care center
C) School-based health center
D) Medical examiner's office
Q3) What is the extent of the economic burden of injuries in the United States?
A) It is extensive, including medical treatment and lost productivity.
B) It is minimal, as limited funds are spent treating injuries.
C) It varies depending on the extent of the injury.
D) It has been reduced through risk reduction strategies.
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Chapter 45: The Nurse in the Faith Community
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Q1) A faith community consults with a nurse to spearhead a committee to investigate the feasibility of starting a faith community nursing program in their church.The nurse contacts which organization for information,consultation,and reference packets about faith community nursing?
A) Parish Nurse Coordinator Center
B) International Parish Nurse Resource Center
C) American Nurses Association
D) National Center for Wellness
Q2) A faith community nurse would like to be certified in this specialty.Which of the following best describes the eligibility criteria for this exam?
A) Have served as a preceptor for faith community nurses
B) Have completed academic credits in the specialty area of faith community nursing
C) Have completed 1,000 practice hours in the specialty area of faith community nursing over the past 3 years
D) Have completed 20 hours of continuing education over the past 2 years
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Chapter
National Levels
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Sample Questions
Q1) 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
Q2) Which is an example of a federal agency? (Select all that apply.)
A) The U.S. Department of Health and Human Services (USDHHS)
B) The Centers for Disease Control and Prevention (CDC)
C) The Health Resources and Services Administration (HRSA)
D) The Pentagon
E) The Congress
Q3) A nurse considering working as a PHN refers to the American Public Health Association (APHA)Public Health Nursing Section to determine what level of educational preparation has been recommended.Which of the following best describes the educational preparation?
A) Associate degree
B) Baccalaureate degree
C) Master's degree
D) Certification
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