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Introduction to Public Health Exam Answer Key - 1214 Verified Questions

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Introduction to Public Health

Exam Answer Key

Course Introduction

Introduction to Public Health provides an overview of the core principles, concepts, and functions of public health. The course explores the history, mission, and key achievements of public health, introduces the organization and role of public health systems at local, national, and global levels, and examines the determinants of health, disease prevention, health promotion, and the social and environmental factors affecting health outcomes. Students will also gain insight into epidemiology, biostatistics, health policy, environmental health, and global health initiatives, preparing them to understand and address complex public health challenges in diverse communities.

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

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Chapter 1: Community and Prevention-Oriented,

Population-Focused Practice: The Foundation of

Specialization in Public Health Nursing

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36 Verified Questions

36 Flashcards

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Sample Questions

Q1) A public health department makes sure that the essential community-oriented health services are available in the community.Which of the following core public health functions is being implemented?

A) Policy development

B) Assessment

C) Assurance

D) Scientific knowledge-based care

Answer: C

Q2) Public health nursing is a specialty because:

A) it has a distinct focus and scope of practice.

B) it must be done by a registered nurse with a master's degree.

C) it is focused on disadvantaged citizens.

D) it performs interventions at the acute care level.

Answer: A

Q3) A population is best defined as a:

A) high-risk group.

B) those interacting within a school or institutional setting.

C) collection of individuals who share at least one common characteristic.

D) geographical location within a community.

Answer: C Page 3

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Page 4

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 PHN is compiling information about how to promote early detection of breast cancer in women.Which document would most likely provide useful information about this topic?

A) The Future of Public Health

B) Healthy People 2020

C) Patient Protection and Affordable Care Act

D) Scope and Standards of Public Health Nursing Practice

Answer: B

Q2) A nurse was employed by the Marine Hospital Service.Which of the following tasks would have most likely been the responsibility of the nurse?

A) Setting policy on quarantine legislation for immigrants

B) Establishing hospital-based programs to care for the sick at home

C) Identifying and improving environmental conditions

D) Providing health care for merchant seamen

Answer: D

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Page 5

Chapter 3: The Changing USHealth and Public Health Care Systems

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25 Verified Questions

25 Flashcards

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Sample Questions

Q1) Residents of rural communities report that they must travel for long distances to obtain health care services.As a result,they seek health care only for emergencies and severe illnesses.Which aspect of the health care system in the United States is illustrated in this situation?

A) Access to care

B) Cost

C) Quality

D) Advances in technology

Answer: A

Q2) A nurse works to promote the passage of a public health law to protect the health of the community.Which of the following would the nurse most likely be promoting?

A) Requiring all persons to have health insurance coverage

B) Administering flu shots in the late fall and early winter

C) Mandating immunizations for all children entering kindergarten

D) Monitoring and licensing nuclear power plants

Answer: C

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Chapter 4: Perspectives in Global Health Care

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Sample Questions

Q1) A nurse has promoted the introduction of health care technology into lesser-developed countries,but this has led to less-than-satisfactory results.Which of the following best describes why this has happened?

A) People do not want to use newer technology.

B) The cost is so high that they cannot afford to use new technology.

C) The community may not be ready for this technology.

D) Technology is too complex for people in lesser-developed countries.

Q2) A nurse is providing education for a client who is living in an area of the world where malaria is endemic.Which of the following interventions would be appropriate to include?

A) Receive a dose of intravenous (IV) quinine

B) Avoid direct contact with individuals who have malaria

C) Use insecticide-treated bed nets

D) Apply dichlorodiphenyltrichloroethane (DDT) spray

Q3) Which is a disease that was once isolated and rare but is now widespread throughout the world?

A) Acquired immunodeficiency syndrome (AIDS)

B) Smallpox

C) Malaria

D) Measles

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Chapter 5: Economics of Health Care Delivery

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33 Verified Questions

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Sample Questions

Q1) Factors that influence health care costs include which of the following? (Select all that apply.)

A) Technology and intensity

B) Demographics-the aging population

C) Chronic illness

D) Use of the health care system

E) Type of health care insurance

Q2) A nurse evaluates a smoking cessation program,the gained or increased financial income,the improvements in the community attributable to the program,and the costs that would result if the program was not offered.Which of the following best describes the action of the nurse?

A) Cost-effectiveness analysis

B) Cost-benefit analysis

C) Supply and demand

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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Chapter 6: Application of Ethics in the Community

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Sample Questions

Q1) A nurse is applying the knowledge and processes of ethics to the examination of ethical problems in health care.Which of the following describes the actions of the nurse?

A) Values

B) Morality

C) Ethics

D) Bioethics

Q2) The community leaders in a lesser-developed country decide not to tell the citizens of a small village about a chemical spill at a major industrial facility that could produce harmful effects.Which of the following principles is being violated?

A) Morality

B) Advocacy

C) Caring

D) Virtue

Q3) According to Leininger and Watson,the moral ideal of nursing is:

A) caring.

B) advocacy.

C) responsibility.

D) accountability.

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Page 9

Chapter 7: Cultural Diversity in the Community

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Sample Questions

Q1) The Refugee Act of 1980 had what effect on refugees who were immigrating into the United States?

A) Allowed specific provisions for refugees from Southern and Eastern Europe

B) Provided a uniform procedure for refugees to be admitted into the United States

C) Permitted refugees to set up communities in or around major metropolitan areas

D) Allowed refugees access to "green cards" that would allow them to work in the United States

Q2) Which of the following statements about race is true?

A) In the United States, children of biracial parents are usually assigned the race of the father.

B) Ethnicity and race are synonymous terms.

C) Individuals may be of the same race but of different cultures.

D) No social significance is usually placed on race.

Q3) A large portion of foreign-born residents of the United States:

A) work in service-producing and blue-collar sectors.

B) reside in rural areas.

C) have a high school education.

D) are refugees and nonimmigrants.

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Chapter 8: Public Health Policy

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33 Verified Questions

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Sample Questions

Q1) When planning,delivering,and financing responsibility for programs is shifted from the federal level to the state level,it is called:

A) evolution.

B) devolution.

C) block granting.

D) state administration.

Q2) The agency most heavily involved with the health and welfare concerns of United States citizens is the:

A) USDHHS.

B) PHS.

C) Health Resources and Services Administration.

D) WHO.

Q3) The state orders a person newly diagnosed with tuberculosis to be quarantined.Which of the following best describes the type of law that allows the state to do this?

A) Constitutional

B) Common

C) Judicial

D) State

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Page 11

Chapter 9: Population-Based Public Health Nursing

Practice: The Intervention Wheel

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23 Verified Questions

23 Flashcards

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Sample Questions

Q1) A PHN is using collaboration,coalition building,and community organizing to develop a new program in the community.Which of the following strategies is the nurse most likely using?

A) Providing case management, referral, and follow-up services with individuals

B) Carrying out collective action at the systems or community levels of practice

C) Conducting a community assessment

D) Implementing primary and secondary prevention strategies

Q2) A social marketing campaign urging community members to avoid driving motorized vehicles after consuming alcohol is implemented in a local community.Which of the following levels of practice is being demonstrated?

A) Individual

B) Systems

C) Community

D) Government

Q3) The levels of practice encompassed by the Intervention Wheel are:

A) communities, individuals and families, and systems.

B) assessment, diagnosis, and evaluation.

C) primary, secondary, and tertiary.

D) communities, populations, and aggregates.

Page 12

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Chapter 10: Environmental Health

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) 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.

Q2) The basic science applied to understanding the health effects associated with chemical exposures is:

A) toxicology.

B) pharmacology.

C) chemistry.

D) environmental epidemiology.

Q3) A nurse is completing an exposure history using the mnemonic I PREPARE.What data would a nurse collect when asking questions about the first "P"?

A) Present work

B) Potential exposures

C) Personal protective equipment use

D) Past work

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Chapter 11: Genomics in Public Health Nursing

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25 Verified Questions

25 Flashcards

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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) A clinic nurse working in the 1970s was employed by a primary care physician.Which of the following describes how the nurse would have applied genetic concepts?

A) Providing genetic counseling to those with genetic disorders

B) Educating clients about using genetic testing for risk identification

C) Explaining the purposes of the Human Genome Project to clients

D) Facilitating referrals for specialized genetic services for clients

Q3) The blueprint or code that is used to construct other components of cells is called the:

A) DNA.

B) gene.

C) chromosome.

D) base.

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Page 14

Chapter 12: Epidemiology

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32 Verified Questions

32 Flashcards

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Sample Questions

Q1) 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

Q2) As a result of an outbreak of influenza in a community,a nurse encourages members of the community to receive the influenza vaccine.Which of the following levels of prevention is being used?

A) Primary prevention

B) Secondary prevention

C) Tertiary prevention

D) Multifactorial prevention

Q3) A nurse examines birth and death certificates during an epidemiologic investigation.Which of the following data categories is being used?

A) Routinely collected data

B) Data collected for other purposes but useful for epidemiologic research

C) Original data collected for specific epidemiologic studies

D) Surveillance data

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Page 15

Chapter 13: Infectious Disease Prevention and Control

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27 Verified Questions

27 Flashcards

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Sample Questions

Q1) A nurse is discussing the role of a vector in the spread of disease.Which of the following is the nurse most likely referring to?

A) Contaminated water

B) A tick

C) A dirty needle

D) An infected person

Q2) A community health nurse investigates an outbreak of pinworm at a local day care center.In order to minimize the spread of infection,which of the following suggestions would the nurse provide to the day care workers?

A) Close the day care until all surfaces are cleaned.

B) No action is necessary because it is easily treated with oral vermicides.

C) Using good hand washing is important to prevent the transmission.

D) Every child in the day care should be treated because they all are probably infected.

Q3) Requirements for disease reporting in the United States are mandated by:

A) the Centers for Disease Control and Prevention (CDC).

B) federal laws.

C) state laws and regulations.

D) the World Health Organization (WHO).

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Chapter 14: Communicable and Infectious Disease Risks

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) A nurse is caring for a client who has been diagnosed with a bacterial sexually transmitted infection (STI).Which of the following infections does this client most likely have?

A) Trichomonas

B) HIV

C) Syphilis

D) Genital warts

Q2) Which part of the immunological system suffers the greatest damage as a result of HIV infection?

A) Dendrite cells

B) CD4+ T-lymphocytes

C) Macrophages

D) Monocytes

Q3) A person diagnosed with syphilis presents with signs and symptoms of rash,sore throat,and muscle and joint pain.Which of the following stages of syphilis is the client most likely experiencing?

A) Congenital

B) Primary

C) Secondary

D) Tertiary

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Chapter 15: Evidence-Based Practice

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) Which type of research is defined as the gold standard of evidence in evidence-based practice?

A) Clinical expertise

B) Randomized controlled trials

C) Case studies

D) Systematic review

Q2) A nurse providing care in the 1970s follows a process when making clinical decisions.Which of the following processes would have been used?

A) Evidence-based nursing practice

B) The science of medicine

C) Evidence-based medicine

D) Research utilization

Q3) A nurse is grading the strength of evidence when critiquing a research study.Which of the following domains will the nurse need to consider?

A) Randomness, sample size, and blinding

B) Selection, variables, and description

C) Nursing, medicine, and physiology

D) Quality, quantity, and consistency

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18

Chapter 16: Changing Health Behavior Using Health

Education with Individuals, Families, and Groups

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32 Verified Questions

32 Flashcards

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Sample Questions

Q1) A nurse tells a coworker that she has been working on a regular basis with a group that demonstrates cohesion.Which of the following groups is the nurse most likely to describe?

A) A group with several leaders

B) A group with diverse attitudes and values

C) A group with a common goal

D) A group with efficient members

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 group member has taken on the role of the "gatekeeper." Which of the following actions would most likely be taken by this member?

A) Seek and accept the authority or direction of others

B) Guide and direct the group activity

C) Control outsiders' access to the group

D) Focus the movement toward the main work of the group

Page 19

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Chapter 17: Building a Culture of Health through

Community Health Promotion

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23 Verified Questions

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Sample Questions

Q1) A 5-feet,6-inch,25-year-old female who weighs 120 pounds walks 5 miles a day because she has a long family history of early death from heart attacks and is refraining from a sedentary lifestyle.Which of the following best describes this example?

A) Health promotion

B) Illness prevention

C) Health maintenance

D) Health protection

Q2) Which community-based programs resulted in equally favorable health risk changes for both control and treatment groups? (Select all that apply.)

A) Framingham Heart Study

B) Stanford Five-City Heart Disease Prevention Program

C) North Karelia Study

D) Minnesota Heart Health Program

E) Dutch Heart Health Community Intervention

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.

Page 20

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Chapter 18: Community as Client: Assessment and Analysis

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31 Verified Questions

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Sample Questions

Q1) A nurse collects data about seat belt usage by interviewing key informants and observing behaviors in the community.Which of the following types of data is being collected?

A) Quantitative

B) Qualitative

C) Focus groups

D) Participant observation

Q2) A nurse is caring for the community as the client.Which of the following is most likely the focus of the nurse's care?

A) Providing care for aggregates living in the community

B) The collective good of the population

C) The provision of care for families in the home setting

D) Providing health education in the community

Q3) A collection of individuals who have one or more personal or environmental characteristics in common is the definition of a(n):

A) community.

B) group.

C) family.

D) aggregate.

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Page 21

Chapter 19: Population-Centered Nursing in Rural and Urban Environments

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Sample Questions

Q1) A nurse provides care to rural adults after working in an urban clinic for many years.Which of the following considerations should the nurse make when working with this population?

A) Rural adults are more likely to have health insurance.

B) Rural adults are more likely to have access to health care providers.

C) Rural adults are more concerned about their health status.

D) Rural adults are more likely to experience mobility limitations.

Q2) A nurse is providing care to a Native Alaskan client.Which of the following exposures should the nurse anticipate may require specialized community nursing care?

A) Exposure to toxic substances

B) Farmer's lung

C) Field sanitation

D) Black lung

Q3) Compared with urban Americans,rural residents:

A) are more likely to engage in preventive health behavior.

B) are less likely to be exposed to occupational and environmental hazards.

C) have a higher rate of chronic illness.

D) rate their overall health status more favorably.

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Chapter 20: Promoting Health Through Healthy

Communities and Cities

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17 Verified Questions

17 Flashcards

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Sample Questions

Q1) A nurse was involved in the initial implementation of the Healthy Communities and Cities initiative in the United States.Which of the following problems would have most likely been addressed?

A) Reduction to the amount of pollutants released into the environment

B) Provision of fire and police protection

C) Creation of a coalition to address health disparities

D) Elimination of crime and violence from the community

Q2) A nurse is involved in implementing the Community Health Promotion Model.Which of the following best describes the action being taken by the nurse?

A) Changing public policy

B) Establishing a team to plan and coordinate the work

C) Providing nursing diagnoses for the community

D) Revising an objective for Healthy People 2020

Q3) A nurse is implementing interventions to improve the health of the community.Which of the following approaches should be taken by the nurse?

A) A top-down approach with rational-empirical problem solving

B) A top-down approach with community practice planned by experts

C) A bottom-up approach with facilitation of communication

D) A bottom-up approach with multisectoral planning and action for health

Page 23

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Chapter 21: The Nurse-led Health Center: A Model for Community Nursing Practice

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Sample Questions

Q1) A nurse 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

Q2) Which type of nursing center operates under a service model?

A) Free-standing center

B) Affiliated center

C) Comprehensive primary care center

D) Proprietary

Q3) A nurse needs to make the final decision about establishing a nursing center in the local community.Which of the following factors would be the most important for the nurse to consider?

A) Legal and regulatory considerations

B) Community involvement

C) Nursing interest

D) Potential grant funding

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Chapter 22: Case Management

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Sample Questions

Q1) Which model addresses the structure and processes of using the population-based tools of disease management and critical pathways to offer care for client populations?

A) Client-focused

B) System-focused

C) Social service

D) Long-term care

Q2) A nurse is working as a case manager.Which of the following best describes the diagnoses that the case manager is most likely to encounter?

A) Bankruptcy, financial distress, and depression

B) Flu, colds, and frequent headaches

C) Malaria, bird flu, and Dengue fever

D) AIDS, spinal cord injury, and ventilator dependency

Q3) Which are examples of knowledge domains used in case management?

A) Legal issues, malpractice recognition, and community involvement

B) Teaching, counseling, and education skills

C) Advocacy, political campaigning and legislative change

D) Grant application, bargaining contracts, and securing funding

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25

Chapter 23: Public Health Nursing Practice and the Disaster Management Cycle

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Sample Questions

Q1) A nurse is volunteering on a disaster medical assistant team as a first responder.Which of the following tasks would the nurse be prepared to perform?

A) Set up immunization clinics

B) Assist in triaging disaster victims

C) Provide all the medical care for disaster victims

D) Complete a needs assessment of the community

Q2) Which statement about disasters is true?

A) They can be natural or human-made.

B) They can be relieved without assistance.

C) There is always injury and death when a disaster occurs.

D) The timing of a disaster does not influence the types of injuries that will occur.

Q3) A riverfront community builds a retaining wall to divert flood water away from the town.Which term describes what has happened?

A) Mitigation

B) A natural disaster

C) Community resilience

D) Rapid needs assessment

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Page 26

Chapter 24: Public Health Surveillance and Outbreak Investigation

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Sample Questions

Q1) The SARS (severe acute respiratory syndrome)outbreak was an epidemic that spread over several countries.Which of the following terms describes what happened?

A) Hyperendemic

B) Pandemic

C) Mixed outbreak

D) Holoendemic

Q2) A nurse is collecting morbidity data.Which of the following would be the source that the nurse would use?

A) Vital statistics reports

B) Birth records

C) Death certificates

D) Specialized disease registries

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 27

Chapter 25: Program Management

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Sample Questions

Q1) 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

Q2) A nurse completes a cost-accounting study on a program that targets obese adults,helping them to adopt healthier lifestyle choices.The nurse would like to compare the cost of the program to the cost savings in the health care system by preventing the occurrence of chronic illnesses.Which of the following types of studies would be most appropriate to use in this situation?

A) Cost-accounting study

B) Cost-benefit study

C) Cost-effectiveness study

D) Cost-efficiency study

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28

Chapter 26: Quality Management

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Sample Questions

Q1) A nurse implements the Institute of Medicine's definition of quality health care when providing care.Which of the following describes this care?

A) Licensed-all health care workers must have a license

B) Safe-avoiding injuries to patients from the care intended to help them

C) Timely-no waiting or delay for health care

D) Innovative-new innovations must be used when they become available

Q2) What is the purpose of implementing total quality management (TQM)?

A) Provide quality care within an organization

B) Provide cost-efficient care across all age groups

C) Provide necessary care to clients in a cost-effective system

D) Provide efficient systems of primary care

Q3) A nurse records the number of clients seen daily as well as the mode of transportation and miles driven.Which of the following types of records is being used?

A) Clinical record

B) Provider service record

C) Financial record

D) Central index system

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Chapter 27: Working with Families in the Community for Healthy Outcomes

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Sample Questions

Q1) A nurse organizes care for a family by focusing on the common tasks of family life and considering a longitudinal view of the family life cycle.Which of the following theories is being applied?

A) Family systems

B) Bioecological systems

C) Family developmental and life cycle

D) Capacity building model

Q2) What are the reasons for cohabitation? (Select all that apply.)

A) Cohabitants would marry, but do not for economic reasons.

B) Cohabitants are seeking a more egalitarian relationship.

C) Resources, such as food stamps and budget management, can be shared.

D) Cohabitants are using this as a trial period to assess whether to marry.

E) Resources can be received by multiple individuals.

Q3) Government actions that have a direct or indirect effect on families are called _____ policy.

A) social

B) family

C) public

D) financial

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Chapter 28: Family Health Risks

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Sample Questions

Q1) The process of assessing the presence of specific factors within each category that have been identified as being associated with an increased likelihood of an illness or an unhealthy event is called health:

A) risk reduction.

B) risk appraisal.

C) risk factors.

D) life-event risk.

Q2) 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

Q3) Which statement is true about transitions?

A) Transitions are stressful events for all families.

B) Transitions require coping skills, which must be taught to some families.

C) Transitions address the family skills necessary to meet developmental goals.

D) Transitions present new situations and demands for families.

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Chapter 29: Child and Adolescent Health

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Sample Questions

Q1) A nurse is counseling a family about the management of childhood obesity.Which of the following recommendations should be made by the nurse? (Select all that apply.)

A) Set goals related to having a healthier lifestyle, not dieting

B) Have low-calorie, nutritious snacks available and ready

C) Allow snacking in front of the TV for short periods of time

D) Decrease computer time and replace it with activities and chores

E) Invest in a gym membership at a local facility

Q2) A nurse is providing a health education program for the community about prevention of lead poisoning.Which of the following information would the nurse most likely include in the program?

A) Universal screening for all children ages 1 and 2 years is recommended.

B) Lead poisoning can lead to serious respiratory system complication.

C) The most common exposure to lead occurs when children play with imported toys.

D) Lead-based paints are found in all homes built before 1987.

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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) Which type of cancer is the second leading cause of cancer deaths in the United States?

A) Gastrointestinal

B) Prostate

C) Skin

D) Testicular

Q2) A nurse is investigating the overall health status of a population.Which of the following indicators would most likely be used by the nurse?

A) Life expectancy

B) Health status

C) Morbidity rate

D) Prevalence

Q3) 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.

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Chapter 31: Disability Health Care Across the Life Span

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Q1) A nurse is providing care to a family who has a child with a disability.Which of the following individuals would most likely report high levels of stress,anxiety,and depression?

A) Mother

B) Father

C) Teacher

D) Home health nurse

Q2) A nurse is working with low-income disabled families who have young children.Which of the following considerations should be made by the nurse?

A) The children who are at greatest risk for abuse have physical disabilities.

B) The children who are at greatest risk for abuse have developmental delays.

C) The children who are at greatest risk for abuse have mental retardation.

D) The children who are at greatest risk for abuse have cognitive disabilities.

Q3) Developmental disabilities,which continue throughout a person's lifetime,start before which age?

A) 7

B) 12

C) 17

D) 22

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Page 34

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26 Verified Questions

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Sample Questions

Q1) A nurse is working with a family who is unable to find adequate health care coverage for the children in the family.Which of the following pieces of legislation will assist in provision of health care coverage for these children?

A) Social Security Act

B) Balanced Budget Act

C) HIPAA

D) ACA

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) Which of the following is most likely to live in poverty?

A) Those who work in high-risk jobs

B) Those who have adequate nutrition

C) Those who effectively manage stress

D) Those who live in single family homes

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Chapter 33: Poverty and Homelessness

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Sample Questions

Q1) Why is it difficult to know the exact number of homeless persons? (Select all that apply.)

A) Homeless people refuse to provide demographic information.

B) Many homeless people refuse to be interviewed.

C) It is difficult to generalize from one location to another.

D) Some persons experience short intervals of homelessness.

E) Homeless individuals are most likely hiding within the community.

Q2) A nurse is working with a family who has an income above the federal income guidelines,but is unable to meet their living expenses.Which of the following terms best describes this family?

A) Persistent poverty

B) Near poor

C) Impoverished

D) Neighborhood poverty

Q3) Which statement regarding the effects of homelessness on health is accurate?

A) Peripheral vascular disease and hypertension are lessened by this lifestyle.

B) The incidence and virulence of infections are decreasing.

C) Trauma is a significant cause of death and disability.

D) Crowded living conditions result in decreased risk for exposure to infections.

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Page 36

Chapter 34: Migrant Health Issues

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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 educating migrant women to serve as links between the existing health care agencies and the migrant farm worker family.Which of the following best describes the role of these women?

A) Migrant head start workers

B) Outreach care workers

C) Physician assistants

D) Nurse aides

Q3) Which statement about migrant and seasonal farm workers is true?

A) There are more than 10 million working in the United States.

B) The majority are Mexican.

C) Most are employed in the Northeastern states.

D) Thirty-five percent are undocumented workers.

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Page 37

Chapter 35: Teen Pregnancy

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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) A nurse is working with adolescent clients.Which of the following describes therapeutic approaches that would be appropriate for the nurse to use when working with this population? (Select all that apply.)

A) Creating a caring and understanding atmosphere

B) Using neutral words in eliciting symptoms

C) Insisting that teens use appropriate terminology when expressing their concerns

D) Paying attention to what the teen verbalizes and fails to verbalize

E) Encouraging the teen to talk to the school guidance counselor about problems

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Chapter 36: Mental Health Issues

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Sample Questions

Q1) A nurse is counseling a client following an unexpected loss.If given adequate support and adaptation,which of the following best describes what will happen with the client?

A) Recover from the crisis and become mentally ill

B) Avoid the loss and potential mental illness

C) Be able to ignore the grief

D) Resume previous lifestyle in spite of sadness

Q2) An individual viewed physical and mental illness as interrelated,resulting from physical conditions.Which of the following best describes the era in which this individual lived?

A) Ancient times

B) Middle Ages

C) Colonial

D) Greco-Roman

Q3) A nurse is implementing relapse management.Which of the following interventions would most likely be used by the nurse?

A) Use a holistic view of the system

B) Identify triggers

C) Understand the individual's personality

D) Provide crisis intervention

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Page 39

Chapter 37: Alcohol, Tobacco, and Other Drug Problems

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Q1) A nurse is providing comprehensive education about HIV transmission for an injection drug user (IDU).Which of the following would be the most important information to include?

A) How and where to acquire needles

B) Proper needle usage and possible injection sites

C) Spreading of the virus via homosexual activities

D) Using bleach between needle uses

Q2) A nurse recommends to a school board that other methods besides the "just say no" approach be considered when providing drug use prevention education to the elementary students.Which of the following best describes the rationale for this recommendation?

A) Children do not like to hear the word "no," and the approach is too negative.

B) Project DARE is more effective and has decreased drug use.

C) Children are naturally curious and may experiment with drugs.

D) "Just say no" to drugs does not include smoking and alcohol abuse.

Q3) How much alcohol can the liver metabolize in an hour?

A) 1 oz of whiskey

B) 3 oz of wine

C) 5 oz of wine

D) 12 oz of beer

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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) A nurse is working with children who may be at risk for experiencing abuse.In which situation is child abuse most likely to occur?

A) When the parents have high expectations for their children

B) When the parents' sense of control is threatened

C) When the parents are sensitive to their children's needs

D) When the parents lack a social support network

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) An APHN is completing the process for certification renewal in the specialty.What time period has passed making renewal necessary?

A) 1 year

B) 3 years

C) 5 years

D) 7 years

Q2) 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)

Q3) In which role are the most differences seen between the APHN and the NP?

A) Administrator

B) Clinician

C) Consultant

D) Educator

42

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Chapter 40: The Nurse Leader in the Community

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Sample Questions

Q1) A nurse is working with a clinical microsystem.Which of the following best describes what the nurse is working with?

A) Evidence-based practices

B) Managed care organizations

C) Electronic health records

D) Registries

Q2) A nurse leader would like to create a motivating workplace.Which of the following interventions would most likely be implemented?

A) Discuss with employees their personal life and home commitments

B) Provide regular feedback to employees

C) Allow employees to take off work whenever necessary

D) Complete spot checks of employee's work without notice

Q3) Which skills will be demonstrated by a nurse who has effective communication? (Select all that apply.)

A) Active listening

B) Restatement of the main points

C) Use simple, direct words

D) Maintain eye contact

E) Speak slowly

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Chapter 41: The Nurse in Home Health, Palliative Care, and Hospice

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Sample Questions

Q1) After conducting a comprehensive client assessment,the nurse would organize information about the client's medication regimen into which domain of the Omaha System Problem Classification Scheme?

A) Environmental

B) Psychosocial

C) Physiological

D) Health-related behaviors

Q2) A nurse is using telehealth technology in the home setting.Which of the following best describes the intervention that is being used by the nurse?

A) Uses Web TV to teach clients about their health

B) Shares health information using electronic communications

C) Makes regular visits to clients to check the technology

D) Risks violation of the Health Insurance Portability and Accountability Act

Q3) Which historical event caused dramatic changes in home care nursing?

A) Passage of Medicare legislation

B) Establishment of Visiting Nurse Associations

C) Creation of the Montefiore Hospital Home Care Program

D) Provision of funds by the Civil Works Administration

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Chapter 42: The Nurse in the Schools

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Sample Questions

Q1) A nurse identifies a child who may be abused or receives information from a teacher that a child may have been abused.Which of the following actions must the nurse take?

A) Call the police immediately to take the child to a safe place

B) Contact the parents and ask about it

C) Contact the legal authorities as well as the school's principal

D) Examine the child to see if the abuse really occurred

Q2) A school nurse develops emergency plans for students who may need immediate care while at school.Which of the following elements should be included in this plan?

(Select all that apply.)

A) When to call 911 for local emergency personnel

B) Education about standard precautions for staff members

C) Role children may play in providing basic first aid

D) How to maintain confidentiality and privacy of injured students

E) Where the shelter areas are located at the school

Q3) Which statement about head lice is true?

A) Prevalence of head lice in U.S. schools is nearly 50%.

B) Most cases of head lice are found in white, middle-class children.

C) Having head lice is associated with living in an unclean home.

D) Most incidents of head lice occur in those with dirty hair.

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Page 45

Chapter 43: The Nurse in Occupational Health

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Sample Questions

Q1) The nurse is doing a walk-through to identify workplace hazards.Which of the following levels of prevention is being implemented?

A) Primary prevention

B) Secondary prevention

C) Tertiary prevention

D) Assessment

Q2) An employee has come into contact with a biological agent.Which of the following considerations should be made by the nurse?

A) The biological agent may cause accidents in the work environment.

B) The biological agent is commonly found in the agriculture industry.

C) The biological agent may potentiate stress in the workplace.

D) The biological agent indicates exposure to bacteria, viruses, fungi, or parasites.

Q3) The first industrial nurse is considered to be:

A) Betty Moulder.

B) Ada Mayo Stewart.

C) Lillian Wald.

D) Florence Nightingale.

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Chapter 44: Forensic Nursing in the Community

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Sample Questions

Q1) Which is considered a forensic environment? (Select all that apply.)

A) Crime scene

B) Courtroom

C) Mental health nursing unit

D) Prison

E) Emergency department

Q2) A nurse may need to use medical coercion with a client.Which of the following medical diagnoses would the client most likely have?

A) Human immunodeficiency virus (HIV)

B) Depression

C) Schizophrenia

D) Hypertension

Q3) A forensic nurse is applying the concept of distributive justice.Which of the following questions would be most appropriate for the nurse to ask?

A) How will limited funds be spent?

B) Who will benefit the most from the services?

C) How will an additional service benefit the population?

D) How will the privacy of the population be respected?

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Chapter 45: The Nurse in the Faith Community

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Sample Questions

Q1) Which person believed that congregations should play a key role in holistic health care and focused on implementing nurse-clergy teams to work with individuals and their families?

A) Pope John Paul

B) President Reagan

C) Rev. Granger Westburg

D) Lillian Wald

Q2) A nurse is practicing in faith community nursing.Which of the following best describes the goal of this type of practice?

A) Enhance spirituality of communities

B) Initiate primary prevention activities

C) Develop and sustain health ministries

D) Act as a health referral source for churches

Q3) A nurse is working as a faith community nurse.Which of the following best describes the emphasis of the care that is being provided?

A) Referral to community resources

B) Health promotion

C) Primary care

D) Direct caregiving

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Page 48

National Levels

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Sample Questions

Q1) A PHN collaborates with agencies to address the problem of obesity in the community.Who would be the most appropriate people to include in this collaborative partnership? (Select all that apply.)

A) Local health department staff members

B) Restaurant owners

C) Parks and recreation department staff members

D) Church representatives

E) Appliance store managers

Q2) Which event has the potential to weaken existing public health programs?

A) The shift in funding to support bioterrorism response efforts

B) The outbreaks of H1N1 influenza

C) The number of citizens with human immunodeficiency virus (HIV)

D) The lack of PHNs

Q3) A PHN is involved in disaster planning.Which of the following best describes why this is important?

A) To be most effective as a disaster responder

B) To anticipate the potential disasters that may occur

C) To educate the public about their responsibilities if a disaster occurs

D) To demonstrate the importance of community partnerships

Page 49

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