Global Health Nursing Exam Questions
Course Introduction
Global Health Nursing explores the roles and responsibilities of nurses in addressing health challenges that transcend national boundaries. This course examines determinants of health, major global health concerns such as infectious diseases, maternal and child health, non-communicable diseases, and health disparities, with an emphasis on the social, economic, political, and environmental factors influencing health worldwide. Students learn about culturally competent care, international health systems, and collaborative strategies for disease prevention, health promotion, and advocacy. The course prepares nursing students to engage in critical thinking and ethical decision-making within the global health context, equipping them to promote health equity and improve outcomes in diverse communities.
Recommended Textbook
Population and Community Health Nursing 6th Edition by Mary Jo Clark
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459 Verified Questions
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Page 2
Chapter 1: Population Health and Nursing
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Sample Questions
Q1) While working with a local community on an immunization program, the nurse is developing an evaluation tool that incorporates the standards of care for population health nursing practice. What standards should the nurse include in this tool? (Select all that apply.)
A) Advocacy.
B) Research.
C) Collegiality.
D) Autonomy.
E) Leadership.
Answer: A,B,C,E
Q2) The population health nurse is demonstrating behavior to be learned by a client and the family. In which focus and role is the nurse providing care?
A) Client-oriented and role model.
B) Delivery-oriented and educator.
C) Client-oriented and referral resource.
D) Population-oriented and collaborator.
Answer: A
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Sample Questions
Q1) The population health nurse is reviewing the recommendations within the Report of the Massachusetts Sanitary Commission drafted by Lemuel Shattuck. What should the nurse identify as being the most important effect of this document?
A) Establishing state boards of health.
B) Establishing workhouses for the sick poor.
C) Mobilizing social reform to sanitary engineering.
D) Refuting that poverty was the result of deficiencies in moral character.
Answer: A
Q2) 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
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Chapter 3: Epidemiology and Population Health Nursing
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Sample Questions
Q1) The population health nurse is reviewing data collected on a group of patients to determine which patients are experiencing the same health problem. In which step of the epidemiologic process is the nurse functioning?
A) Defining the condition.
B) Developing control strategies.
C) Identifying strategic points of control.
D) Determining the natural history of the condition.
Answer: A
Q2) The population health nurse is concerned that a group of lifeguards who refuse to use sunscreen might develop skin cancer. On what is the nurse focusing this concern?
A) Risk.
B) Cases.
C) Mortality.
D) Morbidity.
Answer: A
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Chapter 4: Environmental Influences on Population Health
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Sample Questions
Q1) The amount of trash collected in one community is overwhelming local resources to collect and store it. Which is the best approach for the population health nurse to take to help decrease the amount of generated trash?
A) Encouraging use of fewer polluting products.
B) Promoting recycling efforts in the community.
C) Discouraging overuse of materials that generate trash.
D) Educating the community about overbuying household products.
Q2) The population health nurse learns of an area within the community that floods after heavy rains. Flooding has been a problem since development of this region over the last several years. What should the nurse realize as the most accurate explanation for the standing water?
A) The drainage system has not been inspected regularly.
B) There are insufficient storm sewers to handle the increased development.
C) There has been an overall change in the precipitation patterns in the region.
D) The development has increased the amount of impervious surfaces that do not absorb the rain water.
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Chapter 5: Cultural Influences on Population Health
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Sample Questions
Q1) A hospital in an urban area has been identified as delivering culturally competent care. What characteristic will be obvious when entering this organization?
A) Being aware of personal perspectives.
B) Treating all who utilize its services in the same manner.
C) Having conscious adaptation of care to the cultural context.
D) Providing services that are accepting and respectful of diverse populations.
Q2) During a health history a patient states he is Asian American. What should the nurse realize this patient is describing?
A) Race.
B) Culture.
C) Ethnicity.
D) Nationality.
Q3) 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.
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7
Chapter 6: Economic Influences on Population Health
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Sample Questions
Q1) The population health nurse is participating in a discussion about the number of physicians in the United States being able to meet health care needs. What should the nurse identify as the primary reason for physicians contributing to escalating health care costs?
A) Decreased hospital beds nationwide.
B) Increased numbers of uninsured citizens.
C) The higher number of specialists than generalists.
D) More expensive prescription medications being prescribed.
Q2) The population health nurse is attending a community town hall meeting where an elected official is discussing the importance of extending tax cuts for the upcoming fiscal year. What should the nurse consider as the impact of these cuts on health care? (Select all that apply.)
A) Scarcity of health resources.
B) Reduction in chronic diseases.
C) Increased number of care providers.
D) Improved access to health care services.
E) Negative effects on the health of the population.
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8
Chapter 7: Health System Influences on Population Health
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Sample Questions
Q1) The population health nurse is preparing an educational seminar to be provided during the next community health fair that focuses on preventive health services. What topics should the nurse include in this educational session? (Select all that apply.)
A) The need to explore emotional issues.
B) The need for school-age children to have an annual eye examination.
C) The need for annual blood pressure assessments for people with hypertension.
D) The importance for older community members to receive annual influenza inoculations.
E) The importance for people with diabetes to have a specific set of preventive measures.
Q2) The client is experiencing nasal congestion from a cold. The client self-administers an over-the-counter cold product to alleviate symptoms. The best description of the health care system the client is using is:
A) Complementary health care.
B) Scientific health care.
C) Personal health care.
D) Popular health care.
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9
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) One of the feared outcomes of NAFTA was job loss within the United States to the other non-United States partners in NAFTA. The argument against this outcome cited the following advantages:
A) Promotion of economic growth through job creation in the other countries, thus improving health.
B) Decreasing the spread of communicable diseases due to improved technology.
C) Developing global health standards.
D) Improving environmental outcomes.
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Chapter 9: Political Strategies
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Sample Questions
Q1) 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.
Q2) After a natural disaster hits the community, a grassroots organization is formed to improve conditions post-recovery. The nurse joins the organization and volunteers to contact public officials about the organization's concerns. This role is best described as:
A) Politician.
B) Activist.
C) Citizen.
D) Researcher.
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Chapter 10: Community Empowerment
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Sample Questions
Q1) The population nurse is facilitating the operation stage of group development. In which stage of the nursing process is the nurse functioning?
A) Assessment.
B) Planning.
C) Implementation.
D) Evaluation.
Q2) The group of community activists is selecting its members, and identifying goals and purposes. These group tasks are congruent with which stages of the nursing process? (Select all that apply.)
A) Assessment.
B) Diagnosis.
C) Planning.
D) Implementation.
E) Evaluation.
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Chapter 11: Health Promotion and Health Education Strategies
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Sample Questions
Q1) The nurse is designing a health education program for the community. What action should the nurse take first?
A) Prioritize learning needs.
B) Write specific outcomes.
C) Assess the community.
D) Select teaching strategies.
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 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.
Q2) The nurse is making a referral for the client. What should be the nurse's first consideration for this referral?
A) Factors that might prevent the client from following through with the referral.
B) Client's eligibility for the service.
C) Cost of the referral services.
D) Acceptability of the referral to the client.
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Chapter 13: Home Visits As a Population Health Nursing Strategy
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Sample Questions
Q1) The home care nurse is using OASIS information to evaluate outcome measurements for client care. Which data should the nurse use for this evaluation?
A) Client's Braden Skin Assessment score is 12)
B) Client has a stage 2 pressure ulcer on the sacrum.
C) Client admission paperwork completed within 24 hours.
D) Client self-administers insulin and changes foot wound dressing independently.
Q2) During a visit to the home of a client newly diagnosed with diabetes the nurse notes that the client constantly answers the cell phone and has conversations with those callers, which interrupts teaching. The client apologizes after each call. What action should the nurse take?
A) Request that the client not answer the cell phone.
B) Leave some pamphlets for the client to read.
C) Have the client repeat back the information the nurse has given.
D) Ask the client if another time would be better to complete this teaching.
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Chapter 14: Care of Families
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Sample Questions
Q1) The nurse suspects that a family is experiencing a developmental crisis. What is occurring within the family for the nurse to make this clinical decision?
A) Oldest daughter getting married.
B) Grandfather diagnosed with an illness.
C) Uncle recently passed away.
D) The home was damaged by a tornado a week ago.
Q2) 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.
Q3) 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.
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Page 16
Chapter 15: Care of Communities and Target Populations
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Sample Questions
Q1) The nurse is planning a program to encourage exercise among high school students. Teachers and parents will be involved in implementing the program. Which activity best describes the third level of acceptance of this health care program?
A) Marketing the program to the high school students.
B) Convincing the principal of the benefits of the program.
C) Meeting with the teachers to explain the program.
D) Encouraging parents to promote the program.
Q2) The nurse is working in a weight control program and realizes that most of the participants want to lose weight, but they are unable to because of the difficulties involved in stopping an addictive behavior. This best demonstrates the theory of:
A) Processing.
B) Delineation.
C) Implementation.
D) Cause and effect.
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Chapter 16: Care of Child and Adolescent Populations
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Sample Questions
Q1) The mother asks the nurse when her infant should be screened for tuberculosis (TB). The nurse should explain that routine screening for TB usually occurs initially:
A) At birth.
B) At four months of age.
C) At three years of age.
D) When the child starts school.
Q2) The nurse is working with a family of five: the mother, father, and three children. The children are constantly exposed to hostility and aggressive behaviors by both parents. The nurse knows that these children will be more likely to:
A) Run away from home at the time of adolescence.
B) Commit suicide.
C) Display these same behaviors themselves.
D) Become submissive adults.
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18
Chapter 17: Care of Men
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Sample Questions
Q1) The nurse is trying to help the male client see the same situation in a different light. The best description of this technique is:
A) Processing.
B) Reframing.
C) Acknowledgement.
D) Cause and effect.
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 planning a class to promote women's health. It would be appropriate to include:
A) The leading cause of death among women in the United States is heart disease.
B) The risk of breast cancer decreases with age.
C) Rheumatoid arthritis is the most common chronic condition in women.
D) Women with disabilities report less symptoms than men with disabilities.
Q2) The population health nurse is identifying health restoration interventions for a female client with multiple sclerosis. Which intervention would be the most appropriate for this client?
A) Discuss methods to reduce unwanted pregnancy.
B) Analyze ways to address self-concept and eating disorders.
C) Provide names of companies who install chair lifts in the home.
D) Examine options to reduce the risk of sexually transmitted infections.
Q3) A woman, age 22, is admitted to the hospital in labor. She admits to having no prenatal care. She is among what percentage of pregnancies in the United States that have late or no prenatal care?
A) 6%.
B) 10%.
C) 15%.
D) 20%.
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Chapter 19: Care of the Older Population
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Sample Questions
Q1) The population health nurse is advocating for a screening service for older adults. Which type of activity is the nurse supporting for this population?
A) Health promotion.
B) Illness and injury prevention.
C) Problem resolution.
D) Health restoration.
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 population health nurse is teaching a group of elderly clients. What action should the nurse take to circumvent hearing loss?
A) Using a higher-pitched voice.
B) Employing verbal teaching techniques.
C) Facing the listener while speaking.
D) Using background music.
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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 recovering from MTG sexual reassignment surgery asks what can be done to change the sex and name on the client's driver's license. What should the population health nurse do to assist the client with this issue?
A) Nothing-birth gender cannot be legally changed.
B) Complete paperwork through the client's automotive club.
C) Recommend waiting until the surgery is considered successful.
D) Provide information to have gender identification legally changed.
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Chapter 21: Care of Poor and Homeless Populations
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Sample Questions
Q1) The population health nurse is planning teaching sessions for low-income community members. Which topics should the nurse include that focus on health promotion for this population? (Select all that apply.)
A) Importance of adequate rest.
B) Strategies to improve job search results.
C) Ways to ensure adequate nutrition on a fixed budget.
D) Interventions to prevent exacerbation of chronic illnesses.
E) Strategies to incorporate exercise into everyday activities.
Q2) The population health nurse is working with a runaway adolescent who has been living in a local shelter. The nurse and the adolescent have explored the possibility of the adolescent returning home, and the adolescent is amenable. The most appropriate nursing intervention is to:
A) Contact the family and arrange for a time when the adolescent can return.
B) Work with the shelter to improve conditions for adolescent residents.
C) Work with the community to improve programs that address adolescent concerns.
D) Arrange for counseling for the adolescent and family before and after the adolescent returns.
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Chapter 22: Care of School Populations
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Sample Questions
Q1) A ventilator-dependent student joins the school and does not need a personal care attendant. Before providing care to the student, the nurse should:
A) Research tracheostomy-suctioning procedures.
B) Teach the teacher how to provide appropriate tracheostomy care.
C) Review the student's Individualized Health Care Plan (IHP) for other aspects of care that the student may need in addition to tracheostomy care.
D) Ask to have a joint conference with the parents, teachers, and school administrators about caring for this student.
Q2) In the program that the school nurse developed to teach children about health, the teachers assume responsibility for teaching the health principles. The nurse becomes aware that program outcomes are not being achieved. What should the nurse do to resolve this?
A) Reinforce to the teachers the importance of teaching health concepts.
B) Plan to assume all teaching responsibilities for health in the school.
C) Ask for parental involvement to help teach health concepts.
D) Modify the program to include strategies to teach health in the classroom and the home.
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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 is employed by a white collar business in which the majority of the work is done on computers. Potential health and safety hazards include:
A) Computers that are obsolete in their design and function.
B) Workers who sit all day and become overweight.
C) Poor ergonomic designs of workspace leading to back and carpal tunnel injuries.
D) Insufficient break times that create pressure in employees and lead to stress.
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Chapter 24: Care of Correctional Populations
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Sample Questions
Q1) Diagnosis and treatment in a correctional setting can pose a challenge to the nurse because treatment considerations such as medication distribution must be balanced with the institution's security safeguards. Strategies to ensure success of medication administration include: (Select all that apply.)
A) Directly observed therapy.
B) Give the inmate a day's worth of medication to self-administer.
C) Place the inmate who will receive medication in the hospital wing of the facility.
D) Combine or simplify medication regimens for fewer doses.
E) Partner an inmate with another inmate receiving medication to ensure monitoring and compliance of medication administration.
Q2) Inmates can develop terminal illnesses while incarcerated and medical parole may not be indicated. Health restoration interventions for this population include:
A) Assistance from a personal care attendant.
B) Monitor for adverse effects of treatment.
C) Provide emotional and spiritual support.
D) Monitor treatment compliance.
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Chapter 25: Care of Clients in Disaster Settings
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Q1) The nurse is working in a clinic that provides counseling for victims of a recent flood. Which type of care is the nurse providing?
A) Health promotion.
B) Illness prevention.
C) Health restoration.
D) Mental health care.
Q2) The population health nurse is reviewing a disaster response plan. For which principles should the nurse evaluate this plan? (Select all that apply.)
A) Be written so specifically that they are not easily changed.
B) Be based on knowledge about how people generally behave in emergency situations.
C) Enlist the support and coordinate the efforts of the entire community.
D) Account for primarily the physical health needs of victims and helpers.
E) Be kept confidential until executed.
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Chapter 26: Communicable Diseases
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Sample Questions
Q1) The population health nurse is reviewing immunization records for a group of community members. For which clients should the nurse recommend an updated tetanus vaccination? (Select all that apply.)
A) Over the age of 65.
B) Smokes 1 ppd of cigarettes.
C) History of using injection drugs.
D) Being treated for type 2 diabetes.
E) Recovering from pacemaker insertion.
Q2) The population health nurse is working in a small rural community. For the last 12 months the community's population has experienced outbreaks of various gastrointestinal diseases. For which type of disease should the nurse plan care?
A) Epidemic.
B) Endemic.
C) Outbreak.
D) Pandemic.
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28
Chapter 27: Chronic Physical Health Problems
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Sample Questions
Q1) The population health nurse is identifying individuals with chronic health problems. For which health problems should the nurse recommend disease management to resolve the health issue? (Select all that apply.)
A) COPD.
B) Asthma.
C) Epilepsy.
D) Diabetes.
E) Cardiovascular disease.
Q2) The population health nurse is planning the care of a group of clients that addresses one of the three major foci of resolving existing chronic physical health problems. On what should the nurse focus this care?
A) Assisting the clients to adjust to a chronic condition.
B) Providing end-of-life care.
C) Screening for existing chronic conditions.
D) Monitoring health status.
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Chapter 28: Mental Health and Mental Illness
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Q1) The population health nurse is helping a client develop psychological flexibility. What actions should the nurse take to help this client? (Select all that apply.)
A) Mindfulness.
B) Develop coping skills.
C) Support effective parenting.
D) Attend programs outside of the home.
E) Acceptance and commitment therapy.
Q2) A client with a mental health problem asks the purpose of attending psychotherapy sessions. The population health nurse's response should include that the intent of psychotherapy is to:
A) Control one's behavior.
B) Develop an understanding of one's problems.
C) Promote medication compliance.
D) Promote normal behaviors.
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Chapter 29: Substance Abuse
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Sample Questions
Q1) A client is beginning treatment for alcohol abuse. The population health nurse should ensure that the client is instructed on which types of medications used for this treatment? (Select all that apply.)
A) Disulfiram.
B) Naltrexone.
C) Acamprosate.
D) Amitriptyline.
E) Buprenorphine.
Q2) The population health nurse suspects that a client is experiencing nicotine withdrawal. What manifestations did the nurse use to make this clinical decision? (Select all that apply.)
A) Anxiety.
B) Nervousness.
C) Disorientation.
D) Increased appetite.
E) Sleep disturbances.
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Chapter 30: Societal Violence
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Sample Questions
Q1) What should a population health approach to provide treatment for violent persons include?
A) Advocate for availability of treatment services and facilities.
B) Referral for necessary services.
C) Educate the public about factors that contribute to the risk of violence.
D) Remove victims of abuse to safe environments as needed.
Q2) The population health nurse is discussing child abuse with a group of new elementary teachers. One of the teachers asks who is most likely to be the perpetrator of child abuse. What should the nurse respond?
A) Strangers.
B) Babysitters.
C) Parents.
D) Siblings.
Q3) Advocating for available shelter and other resources and having a safety plan addresses which health restoration goal?
A) Provide treatment for victims of violence.
B) Identify persons at risk for violence.
C) Identify episodes of violence.
D) Provide safe environments.
To view all questions and flashcards with answers, click on the resource link above.
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