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Family and Community Health Nursing Exam Practice Tests - 459 Verified Questions

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Family and Community Health Nursing Exam Practice Tests

Course Introduction

Family and Community Health Nursing focuses on the principles and practices of promoting health, preventing disease, and enhancing the well-being of families and communities. The course explores the roles and responsibilities of nurses in various community settings, emphasizing health education, advocacy, and culturally competent care. Students learn to assess family and community health needs, develop care plans, implement health promotion strategies, and evaluate outcomes. Topics include epidemiology, environmental health, maternal and child health, communicable disease control, and collaboration with interdisciplinary teams to address public health challenges across diverse populations.

Recommended Textbook

Population and Community Health Nursing 6th Edition by Mary Jo Clark

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30 Chapters

459 Verified Questions

459 Flashcards

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Chapter 1: Population Health and Nursing

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) The population health nurse is meeting with school district administrators to discuss strategies to promote healthy behaviors in the students who attend schools in the district. Which strategy should the community nurse emphasize as being important for the schools to implement?

A) Provide fresh fruit for morning and afternoon snacks. 16)

B) Schedule scoliosis screening for all female students aged 12 through C) Examine the quality of repairs made to the school pool after a recent landslide.

D) Ensure safety equipment is available for all student use during sports activities.

Answer: A

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17 Verified Questions

17 Flashcards

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Sample Questions

Q1) The population health nurse is discussing the first organized approach to home nursing of the sick that was established in 1813 by the Ladies' Benevolent Society of Charleston, SC, in response to a yellow fever epidemic. What important aspect of the care provided by this organization should the nurse emphasize?

A) Restricted to women and children.

B) Directed to those residing in the Jewish community.

C) Restricted to those who were able to pay for services.

D) Nondenominational and nondiscriminatory in an era of racial discrimination.

Answer: D

Q2) The nurse is identifying events that can shape the future of population health nursing practice for a group of nursing students. Which event should the nurse emphasize?

A) International effort to eradicate smallpox.

B) Prospective payment for nursing services.

C) Surveillance of the CDC on population health.

D) Threat of terrorism to harm the public's health.

Answer: D

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Chapter 3: Epidemiology and Population Health Nursing

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Sample Questions

Q1) The population health nurse is identifying determinants of health to address the development of cancer in a small rural neighborhood. Which determinants should the nurse identify? (Select all that apply.)

A) Availability of health facilities.

B) Mean age of the male population.

C) Prevailing diet high in unprocessed foods and low fat.

D) High percentage of tobacco use among the male population.

E) Proximity of the community to chemical plants that have a poor history of regulating emissions.

Answer: C,D,E

Q2) The population health nurse is explaining the epidemiologic triad to a group of nursing students. What should the nurse use as an example of this triad?

A) Sun, beach, and sunburn.

B) Rural Mississippi, deer, and Lyme disease.

C) Potato salad, outdoor picnic, and food poisoning.

D) Standing water, mosquitoes, and warm weather.

Answer: C

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Page 5

Chapter 4: Environmental Influences on Population Health

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15 Verified Questions

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Sample Questions

Q1) After a series of heavy rains, the nurse in the local health department increases the water monitoring of the local beach because several upstream creeks flow into it. Why did the nurse increase the water monitoring?

A) Monitor the water purity of the creek flow.

B) Make sure that no debris is swept into the water.

C) Make sure that tidal currents are safe for swimming.

D) Monitor the water for potential microorganisms that could prevent safe swimming.

Q2) As part of a school district health program for students, the nurse visits students diagnosed with asthma at home. Which home environment factor should the nurse identify as contributing to the development of this respiratory disease?

A) Pesticides.

B) Peeling paint.

C) Secondhand smoke.

D) A fuel source for cooking.

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Chapter 5: Cultural Influences on Population Health

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Sample Questions

Q1) The nurse desires to improve cultural competence when providing patient care. What action should the nurse take first to develop this competency?

A) Understand the culture of the patient.

B) Identify the goals for culturally competent care.

C) Gain proficiency in another language beyond English.

D) Understand and recognize the nurse's own cultural background.

Q2) A patient sees a physician for health needs as well as a practitioner of Chinese medicine. Which standards should the nurse identify are being met by the practitioner of Chinese medicine to ensure for the patient's safety? (Select all that apply.)

A) Causing no additional stress on the patient.

B) Nationwide certification in Chinese medicine.

C) USDA standards in the herbal preparations used.

D) Safety, efficacy, and quality in the Chinese medicine practice.

E) No adverse interactions between herbal preparations used and any prescription medications the patient might be on.

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Chapter 6: Economic Influences on Population Health

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Sample Questions

Q1) The population health nurse is creating a tool to assess the economic status of a small rural neighborhood. What should the nurse include in this tool? (Select all that apply.)

A) Number of members who are unemployed.

B) Average income of neighborhood members.

C) Number of members who are at poverty level.

D) Average education level of neighborhood members.

E) Ways in which health care is funded by the members.

Q2) The population health nurse is preparing material for an educational seminar on the differences between Medicare and Medicaid. What should the nurse include in this teaching?

A) Medicare only covers health care services for people over age

B) Medicare does not cover preventive services, but Medicaid provides such coverage.

C) Medicare funding is solely on the federal level and Medicaid has no federal funding.

D) Medicare provides partial coverage for health services when eligible for Social Security benefits and Medicaid provides health services to the indigent. 65)

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Chapter 7: Health System Influences on Population Health

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Sample Questions

Q1) During a meeting held at the county health department the population health nurse learns that to change the culture of health care from one of disease treatment to health promotion three aims must be achieved. What actions should the nurse take to help achieve these aims? (Select all that apply.)

A) Teach the population ways to improve health.

B) Structure care delivery so that the patient experience is enhanced.

C) Critically analyze the utilization of resources when providing care.

D) Support the delivery of population health services at the state level.

E) Negotiate with voluntary agencies for grant moneys to help provide care.

Q2) West Nile virus has been diagnosed in the state. The state health department has ordered mosquito spraying in the affected area and public service announcements are being broadcast in the local media to alert the population to drain water from loose tires and other areas where there may be stagnant water. What obligations are being addressed by the state health department? (Select all that apply.)

A) Prevent epidemics and the spread of disease.

B) Protect the public from environmental hazards.

C) Prevent injury.

D) Promote healthy behavior and good mental health.

E) Respond to disasters and assist.

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Chapter 8: Global Influences on Population Health

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Sample Questions

Q1) The population health nurse has been appointed to a committee to identify actions to achieve the millennial goal of improving maternal health by reducing the maternal mortality ratio by 78%. Which strategy should the nurse recommend to assist in achieving this goal?

A) Explain dietary requirements to ensure a viable fetus.

B) Prepare educational materials about the need for prenatal care from conception.

C) Instruct women of childbearing age on the importance of receiving prenatal care.

D) Establish portable health clinics in underdeveloped countries to provide prenatal care.

Q2) A national health budget is developed to provide preventive health services to all segments of the population. The majority of the population lives in outlying rural areas. A dilemma for this health service is:

A) Reaching hard-to-serve populations.

B) Reconciling individual practice patterns with national standards and systems.

C) Balancing the need for regional and national coordination of health services.

D) Integration of primary care with hospital and specialty services.

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Chapter 9: Political Strategies

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Sample Questions

Q1) Compromise, negotiation, networking, and coalition building are essential activities in policy development while:

A) Implementing the program as a result of the developed policy.

B) Evaluating how well the policy has been implemented.

C) Formulating the goals and programs to result from the policy.

D) Setting the agenda to define the problem to be addressed by the policy.

Q2) A city has adopted the policy of banning smoking in all public parks. When evaluating the policy, which issues should the nurse identify as potentially problematic? (Select all that apply.)

A) Park maintenance crews will have less smoking debris to clean.

B) Individuals who smoke may argue that their personal rights are being affected.

C) The park employs two full-time and one part-time employee for 20 square miles.

D) City dwellers will not be exposed to second-hand smoke while enjoying the park.

E) Individuals who smoke will no longer utilize the services available through the park.

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Chapter 10: Community Empowerment

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) The nurse is determining the effectiveness of community empowerment efforts. What should the nurse use as the final measure for this effectiveness?

A) Budget was not overspent.

B) Community members were included in policy making.

C) Initial data was shown to be reliable.

D) Time schedules were met.

Q2) The population health nurse assists neighborhood residents to form a neighborhood watch to help control gang crimes. This best describes:

A) Vertical empowerment.

B) Internal empowerment.

C) Horizontal empowerment.

D) External empowerment.

Q3) The population nurse is completing a community assessment. In which way should the nurse use this information that supports the second general purpose of this assessment?

A) Information for change.

B) Stimulus for change.

C) Data needed for the change.

D) Information for empowerment.

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Chapter 11: Health Promotion and Health Education Strategies

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Sample Questions

Q1) The nurse is writing an evaluating tool for the use of the Internet for health-related information. What elements should the nurse include in the evaluation? (Select all that apply.)

A) Currency of information.

B) Purpose of the site.

C) Sources of financial support.

D) Owner of the site.

E) Popularity of the site.

Q2) The nurse is preparing an educational session for community members on bicycle safety. What strategies should the nurse keep in mind when preparing written materials for the presentation? (Select all that apply.)

A) Place material in bullet points.

B) Use a large type font with printed materials.

C) Avoid professional jargon and use simple terms with one or two syllables.

D) Place all written material on one sheet, limiting the amount of white space.

E) Write at a grade level 1 to 2 grades below the highest educational level of the participants.

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Chapter 12: Case Management

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Sample Questions

Q1) The nurse is managing the care of a client with end-stage renal failure, anemia, and chronic pain from osteoarthritis. Within the case management system, which tier should be used to guide this client's care?

A) Tier one-self-care support.

B) Tier two-high-risk disease management.

C) Tier three-complex needs to be addressed.

D) Tier four-rehabilitation and ancillary service needs.

Q2) The population health nurse case manager is determining a client's need for case management. Which indicators should the nurse identify as being social? (Select all that apply.)

A) History of drug abuse.

B) Homelessness.

C) Lack of insurance.

D) History of family violence.

E) Single parenthood.

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Chapter 13: Home Visits As a Population Health Nursing Strategy

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Sample Questions

Q1) After several home visits, the nurse and the client have agreed to improve the client's overall nutritional status. In order to achieve this outcome, the nurse should:

A) Assess the client's food preferences and methods of food preparation.

B) Plan menus for the client to prepare.

C) Accompany the client when food shopping.

D) Refer the client to a Meals-on-Wheels program.

Q2) The population health nurse is working with a client who is receiving hospice care. In which areas should the nurse collaborate with other health care team members in the care of this client? (Select all that apply.)

A) Management of pain control.

B) Assisting the family in adjusting to the eventual death of the client.

C) Ensuring that all services provided are able to be reimbursed.

D) Obtaining additional services for identified client needs.

E) Ensuring the client has arrangements made for burial.

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Chapter 14: Care of Families

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Sample Questions

Q1) The nurse observes that the family is exhibiting strengths in the face of a major unexpected adversity. What behavior should the nurse recognize this family is demonstrating?

A) Faith.

B) Resilience.

C) Projection.

D) Intellectualization.

Q2) The nurse has drawn an ecomap to assist the family who is experiencing some relationship difficulties. What purpose does the ecomap serve to this family? The ecomap:

A) Diagrams the family tree.

B) Demonstrates how healthy the family is.

C) Prioritizes family relationships.

D) Depicts the relationships within and outside the family.

Q3) The nurse is assisting a family with crisis interventions. Which family-focused intervention is the nurse implementing?

A) Health promotion.

B) Problem resolution.

C) Illness prevention.

D) Health restoration.

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Chapter 15: Care of Communities and Target Populations

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Sample Questions

Q1) The nurse is creating program objectives to address a population's health problem. Which program objective should the nurse provide the planning committee?

A) 75% of program participants will lose weight.

B) 32% of program participants will demonstrate how to administer insulin by the end of the third week.

C) 100% of program participants will understand the new food pyramid by the end of the second week.

D) 50% of program participants will quit smoking.

Q2) The nurse is reviewing the considerations needed when designing a program evaluation. What should the nurse keep in mind as the consideration that influences all other aspects of the evaluation process?

A) Who should conduct the evaluation.

B) The type of evaluation to be conducted.

C) The design to be utilized.

D) The purpose of the evaluation.

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Chapter 16: Care of Child and Adolescent Populations

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Sample Questions

Q1) The nurse is explaining how maintaining high rates of immunization among children not only protects individual children from disease, but also serves to protect other members of the population. This best describes:

A) Active immunity.

B) Passive immunity.

C) Acquired immunity.

D) Herd immunity.

Q2) The nurse is planning to teach a class about dental care to a group of expectant women. The nurse should teach that dental hygiene should begin:

A) At birth.

B) When the first tooth erupts.

C) When the child can hold a toothbrush.

D) When the child starts solid food.

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Chapter 17: Care of Men

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Sample Questions

Q1) The population health nurse is concerned that a male community member is at risk for recidivism for heroin use. What did the nurse observe to cause this concern?

A) Enrolling in college classes.

B) Spending time with family members.

C) Going out with friends who use heroin.

D) Attends substance abuse meetings every other day.

Q2) A male client is complaining of not being able to achieve and maintain an erection sufficient for sexual activity. The population health nurse realizes this client is experiencing a change in which determinant of health?

A) Biological.

B) Psychological.

C) Environmental.

D) Sociocultural.

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Chapter 18: Care of Women

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Sample Questions

Q1) The nurse is working with a group of abused women, trying to assist them in developing a sense of self so that they will avoid blaming themselves for the abuse. What is the goal that this intervention best relates to?

A) Promoting healthy behaviors.

B) Developing and maintaining healthy relationships and living conditions.

C) Developing adequate coping strategies.

D) Promoting healthy pregnancy outcomes.

Q2) A female client experiencing manifestations of menopause asks for nonpharmacological ways to help manage the symptoms. What should the population health nurse suggest to this client? (Select all that apply.)

A) Yoga.

B) Tai chi.

C) Qi gong.

D) Acupuncture.

E) Artificial hormones.

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Chapter 19: Care of the Older Population

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Sample Questions

Q1) The population health nurse is presenting a workshop about aging. The nurse is including information about longevity and declining endocrine and immune function. In what theory category does this information belong?

A) Psychological.

B) Biological.

C) Sociological.

D) Individualism.

Q2) A client is experiencing changes of aging to the musculoskeletal and nervous system. What should the nurse expect to assess in this client?

A) Loss of verbal ability and increased urine flow.

B) Decreased walking speed and increase in verbal memory.

C) Decreased reaction times and declining strength.

D) Slowed reaction time and loss of skeletal muscle.

Q3) The intervention that would be most appropriate for the client with functional incontinence would be to encourage the client:

A) To empty the bladder every two hours while awake.

B) Not to drink any liquids after 5:00 p.m. each evening.

C) To call for assistance when the urge to urinate is felt.

D) To wear an adult-type diaper during the daytime hours.

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Page 21

Chapter 20: Care of the Glbt Population

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Sample Questions

Q1) The population health nurse is assessing a community member who identifies with the GLBT community. When discussing sexual orientation the nurse knows that three aspects are being assessed which are: (Select all that apply.)

A) Identity.

B) Behavior.

C) Attraction.

D) Acceptance.

E) Coming out.

Q2) A client is recovering from MTF sexual reassignment surgery. What health teaching should the population health nurse provide to this client as a part of health restoration strategies? (Select all that apply.)

A) Having routine PSA levels drawn.

B) Actions to prevent the development of a stroke.

C) Explaining the risk of heart disease from hormone therapy.

D) Importance of completing monthly breast self-examination.

E) Discussing mammography as prescribed by the healthcare provider.

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22

Chapter 21: Care of Poor and Homeless Populations

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Sample Questions

Q1) The population health nurse notices that the population in the homeless shelters has increased, with a noticeable rise of pregnant women. The nurse coordinates with the shelter to provide meals that are more nutritionally adequate than the usual bologna sandwich, chips, and soda that is provided. This is considered:

A) Preventing illness and injury.

B) Preventing poverty and homelessness.

C) Resolving existing problems.

D) Health promotion.

Q2) The population health nurse realizes that many of the young adult members of the community have poor nutrition habits and knows that these are risk factors for diabetes and cardiovascular disease. These risk factors can affect their:

A) Future income and health potential.

B) Ability to obtain health care.

C) Ability to network social support systems.

D) Future potential to change their dietary habits.

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Chapter 22: Care of School Populations

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Sample Questions

Q1) The nurse is aware that most of the students prefer the fried food choices in the school cafeteria and that the many of the students are considered overweight by body mass index (BMI) standards. Strategies that the nurse can employ to ameliorate this concern include: (Select all that apply.)

A) Demanding that the food staff eliminate all fried foods.

B) Working with the food staff on menu planning and including healthier choices.

C) Presenting programs to the students about nutrition and healthy choices.

D) Presenting programs to families at parent-teaching association (PTA) meetings about school nutrition.

E) Assigning mandatory exercise programs to all students whose BMI's are considered overweight.

Q2) A student joins the school and the parent tells the nurse that the child has a learning disability. The nurse should ask the parent if the child has:

A) Other conditions that the nurse should be aware of.

B) An Individualized Education Plan (IEP).

C) Difficulty in making new friends.

D) Special equipment needs.

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Page 24

Chapter 23: Care of Employee Populations

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Sample Questions

Q1) A local company is attempting to decrease its insurance costs and embarks on several changes in its corporate attitude about health. It institutes low fat, heart-healthy food selections in the cafeteria, employs a fitness consultant for the workforce, and encourages the staff to use the stairs rather than the elevators for anything less than two floors. The scope of the company's changes would be considered:

A) Health promotion.

B) Eliminating hazardous conditions.

C) Comprehensive.

D) Family-oriented.

Q2) The nurse visits the company warehouse and notices that the majority of the forklift operators appear to be between the ages of 18 and

A) The younger forklift operators have better control of the machine.

B) The younger forklift operators should wear their helmets.

21) For which issue should the nurse assess?

C) The younger forklift operators may be more likely to be injured.

D) Older forklift operators are not as capable of maneuvering the machines as the younger operators.

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Chapter 24: Care of Correctional Populations

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Sample Questions

Q1) Screening activities in a correctional facility can include screening for: (Select all that apply.)

A) Communicable diseases.

B) Treatment motivation.

C) Chronic conditions.

D) Diagnostic services.

E) Emergency care.

Q2) Ensuring that the facility has adequate nutrition for its inmates, providing opportunities for rest and exercise, and controlling communicable diseases address:

A) The individual inmate's health.

B) Protecting the health of the whole rather than enhancing the health of the one.

C) Aspects of advocacy for the nurse in the correctional setting.

D) Needed aspects of care for a predominantly female inmate population.

Q3) Upon incarceration, female inmates should be asked for:

A) Their gynecologic history.

B) The names of their children.

C) The date of their last menstrual period.

D) The date of their last mammogram.

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Chapter 25: Care of Clients in Disaster Settings

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Sample Questions

Q1) The population health nurse lives in an area that is at great risk for hurricanes. The nurse is advocating for stricter building codes and for barriers such as seawalls or dams. What type of planning is this nurse advocating?

A) Health promotion.

B) Injury prevention.

C) Illness prevention.

D) Advocacy.

Q2) A group of community leaders is meeting to plan for the upcoming hurricane season. The leader reminds the group that the general intent of disaster preparedness is to:

A) Limit the morbidity and mortality that results from a disaster.

B) Decrease the cost of the disaster to the community.

C) Prepare the community for the impending effects.

D) Increase public awareness of the potential for the disaster.

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Chapter 26: Communicable Diseases

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Sample Questions

Q1) The population health nurse is planning strategies to prevent communicable diseases in a community. On which areas should the nurse focus? (Select all that apply.)

A) Postexposure prophylaxis.

B) Immunizations.

C) Screening.

D) Surveillance.

E) Monitoring.

Q2) A diabetic client is being screened for tuberculosis. The nurse administers the tuberculin skin test. Instructions related to the skin test should include:

A) The client must return within 24 to 36 hours to have the test assessed.

B) A positive reaction to the skin test is based upon redness around the injection site.

C) An induration area of 15 mm or greater is significant in this client.

D) An induration area of 10 mm or more is considered positive in this client.

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Chapter 27: Chronic Physical Health Problems

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Sample Questions

Q1) The population health nurse is preparing a community health program about women's health care issues. Which statement should the nurse include in the program?

A) Women have higher incidence rates for hypertension.

B) Women are more likely than men to die of chronic liver disease.

C) Women have a higher risk of death from stroke.

D) Women have a higher risk for arthritis than men.

Q2) The population health nurse is discussing the effects of obesity with a group of adolescents. Information the nurse should share with the group includes: (Select all that apply.)

A) Obesity may exacerbate the effects of arthritis.

B) Obesity can contribute to heart disease.

C) Obesity is associated with increased disability among people with chronic illnesses.

D) Obesity is decreasing among the younger population.

E) Obesity decreases with age.

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29

Chapter 28: Mental Health and Mental Illness

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Sample Questions

Q1) The population health nurse is working with a client who has a chronic mental illness. Which goal should be the nurse's priority?

A) Assess for circumstances that may contribute to mental health difficulties.

B) Maintain the client's level of function and prevent frequent hospitalizations.

C) Increase the client's ability to deal with challenges.

D) Assist the client to develop coping skills.

Q2) A client is taking second-generation antipsychotic medications for schizophrenia. The most appropriate teaching topic for this client is:

A) Diet and physical activity.

B) The need for regular blood work.

C) The probability of hair loss.

D) The need to take the medications on an empty stomach.

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Chapter 29: Substance Abuse

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Sample Questions

Q1) The community is conducting a series of forums about alcoholism. What information should the forums include?

A) Alcohol use is the tenth leading cause of death in the United States.

B) Ten percent of high school students engage in periodic heavy drinking.

C)5 million deaths worldwide.

D) Almost 1% of the United States population reports binge drinking.

E) Alcohol use contributes to

Q2) A mother is concerned that her son is demonstrating some behaviors that place him at risk for substance abuse. Which behavior should the population health nurse explain that contributes to problems of substance abuse?

A) Conformity.

B) Patience with failure.

C) Easily acknowledging feelings.

D) Tolerance of deviant behavior.

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Chapter 30: Societal Violence

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15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/71982

Sample Questions

Q1) The population health nurse notes that a community has taken action to prevent suicides. What environmental change did the nurse observe to come to this conclusion?

A) Sponsoring support groups in the school library.

B) Separating recyclables from other forms of trash.

C) Installing bridge barriers along bridge walkways.

D) Posting the telephone number for a crisis support line.

Q2) An important consideration for the population health nurse to address societal violence is to:

A) Assess for environmental factors that could lead to violence.

B) Ask all female members of the community if they have been abused.

C) Ensure that adolescent males in the community are aware of suicide risks.

D) Advocate for gun control in the community.

Q3) A client is concerned about abusing an elderly parent because of the violence he was subjected to as a child. What should the population health nurse recommend to prevent this client from committing elder abuse?

A) Advise the client to suppress the feelings.

B) Recommend that the client move to another city.

C) Discuss the need to report the client to the authorities.

D) Suggest that the client enroll the elderly parent in adult day care.

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