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Maternal and Child Health Nursing Midterm Exam - 1214 Verified Questions

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Maternal and Child Health Nursing

Midterm Exam

Course Introduction

Maternal and Child Health Nursing focuses on the comprehensive care of women throughout pregnancy, childbirth, and the postpartum period, as well as the health and development of infants, children, and adolescents. The course covers topics such as reproductive health, prenatal and postnatal care, labor and delivery management, family planning, newborn and pediatric care, growth and developmental milestones, and the prevention and management of common maternal and childhood diseases. Emphasis is placed on evidence-based practices, health promotion, patient education, and culturally sensitive approaches to support families and communities in achieving optimal maternal and child health outcomes.

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) Which of the following statements about public health is accurate?

A) Prevention of early deaths can be more effectively accomplished by medical treatment than by public health approaches.

B) Expenditures and resources for public health have increased in recent years.

C) Historically, gains in the health of populations have been related largely to changes in safety, sanitation, and personal behavior.

D) Reform of the medical insurance system is the single change needed to improve the health of Americans.

Answer: C

Q2) A nurse provides for the availability of essential personal health services for people who would otherwise not receive health care.Which of the public health core functions is being used?

A) Assessment

B) Prevention

C) Assurance

D) Policy development

Answer: C

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Chapter 2: History of Public Health and Public and Community Health Nursing

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29 Verified Questions

29 Flashcards

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Sample Questions

Q1) A 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 is providing public health education based on the teachings of Lillian Wald.Which of the following topics will the nurse most likely discuss?

A) Taking and recording blood pressures accurately

B) Safe and sanitary baby and child care

C) Environmental pollutants and their effects on lung disease

D) Time management: balancing factory work and the home

Answer: B

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Page 4

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) A nursing program has initiated a recruitment campaign focusing on increasing the minority students in its program.Which of the following best describes the rationale for this program?

A) The number of minority versus non-minority nurses should be equal.

B) Minority health care professionals who share the same culture with the clients may provide more effective care.

C) The profession should be more diverse.

D) Minority nurses can mentor other nurses when providing care for diverse populations.

Answer: B

Q2) A nurse is exploring a job opportunity at a community health center.Which of the following expectations would the nurse have about the center?

A) Would be located in a large metropolitan area

B) Provides care only to the economically disadvantaged

C) Offers comprehensive primary care services and supportive services

D) Is used for preventive services such as flu shots

Answer: C

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5

Chapter 4: Perspectives in Global Health Care

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Sample Questions

Q1) The health priorities in HEALTH21 are based on the concept of:

A) eradication of communicable disease worldwide.

B) social justice and solidarity with an emphasis on the responsibility for health.

C) world trade and knowledge sharing about health concerns.

D) provisions for the creation of the United Nations Children's Fund (UNICEF).

Q2) A nurse is caring for a client who has been diagnosed with tuberculosis (TB).Which of the following medications would the nurse most likely administer?

A) Isoniazid

B) Nevirapine

C) Amodiaquine

D) Bacille Calmette-Guérin (BCG)

Q3) A nurse is working in a lesser-developed country and is caring for the women in the local community.Which of the following would be an important consideration for the nurse?

A) They are at risk for a vitamin D deficiency.

B) They are likely to have one child.

C) They are at risk for death during pregnancy and childbirth.

D) They are viewed as the leader of the family unit.

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Chapter 5: Economics of Health Care Delivery

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33 Flashcards

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Sample Questions

Q1) Which statement about the Medicare program is accurate?

A) Part A provides coverage for hospitalization.

B) Part A requires payment of a monthly premium for coverage.

C) Part B provides payment for home health services and extended care facilities.

D) Part B is available without cost to all elderly people who have paid social security taxes.

Q2) Which statement about the reimbursement of health services for nurses is accurate?

A) Reimbursement for health care services can be directed only to physicians.

B) Nurse practitioners and clinical nurse specialists are reimbursed for Medicare Part B services.

C) Nursing care is a separate budget item in determining hospital service costs.

D) Nursing care is reimbursed separately from medical care in outpatient settings.

Q3) Medicare and Medicaid are:

A) available to any citizen who wishes to enroll.

B) two federal programs that provide insurance to special groups.

C) private insurance providers.

D) funded by the state government.

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Chapter 6: Application of Ethics in the Community

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Sample Questions

Q1) A nurse refers to the Code of Ethics for Nurses or the Public Health Code of Ethics.Which of the following describes why the nurse has referred to this document?

A) To provide answers for ethical dilemmas

B) To guide professional practice related to ethics

C) To increase moral leadership in ethics

D) To find a framework for ethical decision making

Q2) A nurse is applying the ethical principle of non-maleficence.Which of the following describes the action that the nurse is taking?

A) Administering medications using the "five rights"

B) Allowing clients to be active participants in their care

C) Providing patient privacy when delivering care

D) Referring a client to a physical therapist

Q3) A nurse believes that all Americans should receive basic health care services.Which of the following core functions supports this belief?

A) Assessment

B) Assurance

C) Policy development

D) Advocacy

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Chapter 7: Cultural Diversity in the Community

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Sample Questions

Q1) Hispanics tend to believe that the needs of the family take priority over those of the individual.Which of the following types of cultural variations is being demonstrated?

A) Communication

B) Personal space

C) Social organization

D) Environmental control

Q2) 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

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9

Chapter 8: Public Health Policy

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Sample Questions

Q1) A doctoral prepared nurse (PhD)at a university wants to submit a grant to study the impact of a nursing activity on patient outcomes.From which of the following federal agencies could this nurse potentially seek funding?

A) Centers for Disease Control and Prevention (CDC)

B) National Institute of Nursing Research (NINR)

C) USDHHS

D) WHO

Q2) Congress's legal base for actions in health care includes which of the following? (Select all that apply.)

A) Providing for the general welfare

B) Raising funds to support research

C) Regulating commerce among the states

D) Providing spending power

E) Increasing revenue by raising taxes

Q3) One effect of the use of block grants was a:

A) reduction of federal expenditures.

B) decreased ability of states to spend money on programming.

C) guaranteed continuation of programs with demonstrated effectiveness.

D) shift from hospital-based to community-based nursing care.

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Page 10

Chapter 9: Population-Based Public Health Nursing

Practice: The Intervention Wheel

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Sample Questions

Q1) PHNs utilize registries to identify children with delayed or missing immunizations.They subsequently follow up with families by phone calls or home visits.Which of the following levels of practice is being implemented?

A) Systems

B) Community

C) Policy

D) Individual

Q2) A nurse promotes alliances among organizations for a common purpose.Which of the following public health interventions is being implemented?

A) Health teaching

B) Coalition building

C) Surveillance

D) Referral and follow-up

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.

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Chapter 10: Environmental Health

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24 Flashcards

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Sample Questions

Q1) The greatest single source of air pollution in the United States is from:

A) waste incineration.

B) power plants.

C) motor vehicles.

D) molds.

Q2) Epidemiology:

A) is a science that studies the poisonous effects of chemicals.

B) explains the association between learning disabilities and exposure to lead-based paint at the cellular level.

C) helps nurses understand the strength of the association between exposure and health effects.

D) is a method for tracking the prevalence of health outcomes.

Q3) How have nurses historically learned to identify a possible relationship between environmental chemical exposures and their potential harm?

A) Extrapolation by toxicologists

B) Biomonitoring

C) Completing chemistry courses

D) Observing signs and symptoms in clients

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12

Chapter 11: Genomics in Public Health Nursing

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25 Flashcards

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Sample Questions

Q1) A nurse understands the significant impact that genetic testing can have on an individual and family.This competency is best described by which of the following organizations?

A) NCHPEG

B) Centers for Disease Control and Prevention (CDC)

C) American Nurses Association

D) International Council of Nurses

Q2) According to the CDC's "Genomic competencies for the public health workforce," which of the following should all public health workers be able to do? (Select all that apply.)

A) Demonstrate basic knowledge of the role that genomics play in disorders.

B) Make appropriate referrals to those with more genomic experience.

C) Counsel individuals about their genetic susceptibility for particular disorders.

D) Recommend appropriate genetic screening tests for clients.

E) Plan appropriate care for those who have positive genetic tests.

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13

Chapter 12: Epidemiology

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Sample Questions

Q1) A nurse is considering the potential for selection bias.Which of the following best describes the situation that is the nurse has encountered?

A) Determining the population to be studied

B) Considering how the participants will enter the study

C) Studying cause and effect relationships

D) Documenting results of the study

Q2) A nurse states that she has been reading about an epidemic that has been occurring in the world.Which of the following is she most likely referring to?

A) "Bird" flu in China

B) Adult obesity in the United States

C) An isolated case of smallpox in Africa

D) The nursing shortage in the United States

Q3) To understand the causes of health and disease,epidemiology studies:

A) individuals.

B) families.

C) groups.

D) populations.

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Chapter 13: Infectious Disease Prevention and Control

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27 Flashcards

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Sample Questions

Q1) What is the best method for preventing health care-associated infections?

A) Perform good hand washing before and after approaching every patient.

B) Prevention is almost impossible due to the high infection rates in hospitals.

C) Isolate every patient having surgery.

D) Use contact isolation for every patient at risk.

Q2) A nurse is caring for a client who has been diagnosed with West Nile Virus.Which of the following types of illness does the client have?

A) Food-borne

B) Vector-borne

C) Water-borne

D) Zoonoses

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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15

Chapter 14: Communicable and Infectious Disease Risks

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Sample Questions

Q1) A nurse is uncomfortable discussing such topics as sexual behavior and sexual orientation when counseling clients and avoids this topic with clients.Which of the following is the most likely outcome of this avoidance?

A) Potential risks and risky behaviors will not be identified.

B) Transmission of STDs will remain unchanged.

C) Clients will develop a trusting relationship with health care providers.

D) The nurse will be violating the laws in several states.

Q2) HIV transmission can occur through:

A) exposure to blood.

B) insect bites.

C) sharing of school supplies.

D) toilets.

Q3) Which type of hepatitis would likely be found where sanitation is inadequate?

A) A

B) B

C) C

D) D

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16

Chapter 15: Evidence-Based Practice

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15 Flashcards

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Sample Questions

Q1) Evidence-based public health (EBPH)is:

A) an integration of the best available nursing expertise.

B) derived from community principles to fit the area where it is practiced.

C) a health endeavor that makes informed use of evidence.

D) comprised of only public health records.

Q2) The term evidence-based was first used in:

A) Canada.

B) Great Britain.

C) the United States.

D) Australia.

Q3) A nurse who is working in a community setting applies evidence-based practice when planning community health education.Which of the following should the nurse use in order to enrich the application of this evidence?

A) Randomized clinical trials

B) Qualitative studies

C) Quantitative studies

D) Multiple research methods

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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 is implementing a community health education program at a local church.Which of the following educational principles should the nurse implement when providing this education?

A) Refer to trustworthy sources

B) Use an active voice

C) Create the best learning environment

D) Accentuate the positive health behaviors of the participants

Q2) A nurse is working with a group of clients diagnosed with diabetes and is teaching a class about avoiding the long-term effects of diabetes.The nurse begins the class by reviewing the basic physiology of diabetes,which was taught the week before.Which of the following principles of effective education is the nurse using?

A) Stimulating recall of prior learning

B) Gaining attention

C) Presenting the material

D) Providing learning guidance

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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 nurse is performing interventions at the individual level of care.Which of the following is the nurse most likely completing? (Select all that apply.)

A) Teaching well-balanced nutrition to a mother with a malnourished child

B) Providing a parent age-specific information for immunizations

C) Assessing the community for other cases of malnutrition

D) Assessing other families on the same street for similar problems

E) Planning a social marketing campaign about seat belt safety

Q2) Which of the following statements is correct?

A) Genes, biology, and health behavioral choices account for 75% of population health.

B) Medical care accounts for 25% of population health.

C) Physical and social environments account for 75% of population health.

D) Genes, biology, and health behavioral choices account for 25% of population health.

Q3) The National Prevention Strategy provides:

A) recommendations on what can be done to improve population health.

B) assistance in interpreting Healthy People 2020.

C) a basis for public health nursing practice.

D) health risk appraisal instruments.

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Page 19

Chapter 18: Community as Client: Assessment and Analysis

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Sample Questions

Q1) 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

Q2) A nurse focuses intervention strategies on the structural dimension of community health.Which of the following best describes the focus of these strategies?

A) Health services

B) Primary prevention

C) Health promotion

D) Secondary prevention

Q3) The main characteristics of partnership are:

A) awareness, flexibility, and distribution of power.

B) rights, responsibilities, and consensus.

C) commitment, participation, and articulation.

D) collaboration, advocacy, and utility.

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

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Sample Questions

Q1) 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.

Q2) Which of the following describes a barrier to obtaining care in a rural area?

A) Readily available transportation

B) Inadequate provider understanding about rural health needs

C) Short distances to health care facilities

D) Available specialists

Q3) A nurse is assisting with recruitment of health care providers to a primary care facility.Which of the following facts about the rural population and their patterns of seeking medical care should be considered?

A) Fewer rural adults seek medical care than urban adults.

B) There is a greater population to serve in rural areas.

C) Poor adults in urban areas have less access to care.

D) Rural adults do not want to seek care.

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Page 21

Chapter 20: Promoting Health Through Healthy

Communities and Cities

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Sample Questions

Q1) The goal of the Healthy Communities and Cities initiative is to:

A) promote health through community participation.

B) reorganize the current health care system.

C) maximize the cost-benefit ratio of health care.

D) improve the quality of care in communities.

Q2) A nurse performs a community assessment as part of the Community Health Promotion Model.Which of the following best describes the rationale for this action?

A) To become more acquainted with the multiple factors that influence health status

B) To survey the citizens in the community about their wants and needs

C) To allow special interest groups a say in health policy

D) To provide a narrow focus for the committee work

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

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Page 22

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

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Sample Questions

Q1) Which term addresses the multiple levels of intervention required for bringing about and sustaining change?

A) Community collaboration

B) Community assessment

C) Strategic planning

D) Partnership

Q2) A nurse is examining the strengths,limitations,and capacity of an organization and the community to support the establishment and viability of a nursing center.Which of the following best describes what the nurse has completed?

A) Data collection

B) Feasibility study

C) Focus groups

D) Community forums

Q3) Which type of nursing center operates under a service model?

A) Free-standing center

B) Affiliated center

C) Comprehensive primary care center

D) Proprietary

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Chapter 22: Case Management

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Sample Questions

Q1) A nurse is using life care planning when working with a client.Which of the following would be the most appropriate time for this to be used?

A) When organizing a timeline of life events

B) When documenting client information and requests

C) When assessing present and future client needs

D) When estimating future costs for medical care

Q2) A case manager provides a formal communication link among all parties concerning the plan of care management.Which of the following roles of the nurse is being implemented?

A) Facilitator

B) Liaison

C) Coordinator

D) Negotiator

Q3) A nurse upholds a client's right to make a choice and to act on the choice.Which of the following best describes the action being taken by the nurse?

A) Affirming

B) Supporting

C) Informing

D) Amplifying

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Page 24

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

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Sample Questions

Q1) A nurse is working in a community that is experiencing the Honeymoon Phase after a disaster.Which of the following is characteristic of this phase?

A) First responders work tirelessly to save others.

B) Survivors share their stories.

C) Medical personnel experience exhaustion.

D) Community organizations rebuild the community.

Q2) A bioterrorism attack has occurred in the United States.Which of the following programs would be used to provide large quantities of medications to the American public?

A) Cities Readiness Initiative

B) Strategic National Stockpile (SNS)

C) Public Health Information Network (PHIN)

D) Project BioShield

Q3) What is the purpose of the National Incident Management System (NIMS)?

A) Create a new branch of government that deals with bioterrorism

B) Establish a way for the Red Cross to carry out its mission

C) Develop a nationwide all-hazards approach to domestic incident management

D) Extend presidential power to act quickly upon acts of bioterrorism

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Chapter 24: Public Health Surveillance and Outbreak Investigation

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Sample Questions

Q1) What information is included in a case definition?

A) The precise point of contact

B) Laboratory confirmation

C) Source of contamination

D) Clinical symptoms

Q2) What does each state do with the information that it receives about notifiable diseases?

A) Uses the information for surveillance purposes

B) Reports the information to the local branch of the World Health Organization (WHO)

C) Transmits the data electronically, weekly, to the Centers for Disease Control and Prevention (CDC)

D) Does nothing with the information

Q3) Which problem does a health department usually have the legal authority to investigate?

A) Pandemics

B) Unusual clusters of illness

C) World trends of disease

D) Cases of the common cold and pneumonia

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Chapter 25: Program Management

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Sample Questions

Q1) A nurse is critiquing the program objective 'to decrease the incidence of early childhood disease in Center County by providing immunization clinics in all schools between August and December of 2005." Which of the following critiques is accurate?

A) It is accurate as written.

B) The results are ambiguous.

C) The action verb is not action oriented.

D) The purpose is not stated.

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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Chapter 26: Quality Management

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Sample

Questions

Q1) A nurse is using a clinical practice guideline.Which of the following describes the situations that the nurse may be facing? (Select all that apply.)

A) Recommending the administration of the influenza vaccination to a client

B) Creating agency policies and procedures

C) Developing a program targeting obesity prevention

D) Researching interventions that would improve care for a tuberculosis client

E) Documenting the assessment of a client with congestive heart failure

Q2) A nurse is profiling the clients who are served by an agency as well as documenting services requested and provided.Which of the following describes the type of record that would be appropriate to use?

A) Clinical record

B) Provider service record

C) Financial record

D) Central index system

Q3) 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

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Page 28

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

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Sample Questions

Q1) A nurse keeps informed and up-to-date about demographic trends pertaining to families and all types of households.Which of the following best describes why this is important?

A) To understand the demographics of the areas they are serving

B) To provide safe care to the public

C) To predict the needs of families within the community

D) To identify households where children may need special attention

Q2) The nurse asks,"What has changed between you and your spouse since your child's head injury?" Which of the following focuses of the family is being used?

A) The context

B) The client

C) A system

D) A component of society

Q3) The nurse visits a household that consists of an elderly person living with nonrelatives.Which of the following describes this type of household?

A) Single-family household

B) Family household

C) Nonfamily household

D) Family demographic trend

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Chapter 28: Family Health Risks

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Sample Questions

Q1) A nurse is in the beginning phase of contracting with a family.Which of the following activities will most likely occur during this phase?

A) Mutual division of responsibilities

B) Mutual development of a plan

C) Mutual setting of time limits

D) Mutual implementation of the plan

Q2) A nurse is completing an initial home visit with a family.Which of the following nursing actions is most important to include?

A) Explore the client's ideas and perceptions about the purpose of the visits

B) Identify with the client the contradictions in the client's words and health behaviors

C) Refer the client to others in the health team

D) Teach the client about solutions to his or her problems

Q3) Which is a main disadvantage to home visits?

A) Convenience for the client

B) Time spent with one client

C) Client control of the setting

D) Ability to individualize services

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Chapter 29: Child and Adolescent Health

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21 Verified Questions

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Sample Questions

Q1) A nurse is caring for a client who has a medical home.Which of the following best describes what is being used by the client?

A) A building that houses multiple primary care providers and specialists

B) A partnership between a community health nurse, a client, and a family

C) A system that meets the needs of the individual, family, and community

D) A collaboration of care provided by an interprofessional team

Q2) Which statement is true about the role of nurses in community health?

A) The nurse provides direct services to children and their families.

B) A major role of community health nurse is the provision of immunizations.

C) Children are not the primary focus of community health, since they are often acutely ill.

D) Complementary therapies and environmental toxins are often the focus of the health care of children.

Q3) A nurse is actively participating in efforts to reduce gun violence among young people.Which of the following actions is most likely being taken by the nurse?

A) Identifying populations at risk for violence

B) Passing legislation to support gun control

C) Searching lockers at school looking for weapons and contraband

D) Caring for clients who have sustained gunshot wounds

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Page 31

Chapter 30: Major Health Issues and Chronic Disease

Management of Adults Across the Life Span

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29 Verified Questions

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Sample Questions

Q1) A nurse is educating a client about reducing her risk factors for the development of colorectal cancer.Which of the following lifestyle changes should the nurse recommend?

A) Increase in consumption of dairy products

B) Reduction in consumption of processed meats

C) Decrease in exposure to the sun

D) Increase in sedentary lifestyle

Q2) Current research on hormone replacement therapy (HRT)has found that it:

A) does not prevent heart disease.

B) should be used to prevent osteoporosis.

C) is useful with complementary therapies.

D) causes breast cancer.

Q3) A nurse is working with incarcerated adults who are being released from prison.Which of the following nursing interventions would be most appropriate to implement?

A) Connect offenders with community-based mental health programs

B) Provide community supervision for mentally ill offenders

C) Advocate for increased prison time to decrease recidivism rates

D) Educate about available state resources

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Chapter 31: Disability Health Care Across the Life Span

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) A nurse is working to improve the health and wellness of persons with disabilities.Which of the following actions should be taken by the nurse?

A) Treat the whole person, not just the disability

B) Focus on the disability and the related illnesses

C) Acknowledge the ability, not the disability

D) Ensure persons with disabilities have access to home health care

Q2) A nurse is working with individuals who meet the definition of work disability as defined by the United State Census Bureau.Which of the following best describes these individuals? (Select all that apply.)

A) An individual who has resigned from a position because of discrimination

B) An individual who has retired or left a job for health reasons

C) An individual who did not work because of long-term mental illness

D) An individual who did not work in the past 12 months because of illness

E) An individual who has recently been terminated

Q3) How does Healthy People 2020 address persons with disabilities?

A) Suggests specific therapies and techniques for working with this population

B) Recognizes disabled individuals as productive citizens

C) Recommends the development of community health centers

D) Emphasizes increased access to services for this population

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Page 33

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) A nurse "sets the stage" when assessing members of vulnerable population groups.Which of the following interventions would be completed? (Select all that apply.)

A) Creating a comfortable, non-threatening environment

B) Providing culturally and linguistically competent assessment

C) Collaborating with others as appropriate

D) Providing financial and legal advice

E) Developing a free clinic in a low-income neighborhood

Q2) A nurse is working with a vulnerable population.Which of the following is the nurse most likely working with?

A) Families earning more than $50,000/year

B) Families earning less than $15,000/year

C) Residents of urban areas

D) African American physicians

Q3) A nurse is working with multiple vulnerable groups.Which of the following would be most sensitive to adverse effects?

A) Pregnant teenager living with her parents for financial support

B) Poor, older woman with no means of transportation

C) 2-year-old boy of underinsured parents

D) Recently unemployed father of five

Page 34

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Chapter 33: Poverty and Homelessness

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28 Flashcards

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Sample Questions

Q1) A nurse is implementing an intervention at both the primary and tertiary levels of prevention.Which of the following best describes the nursing intervention?

A) Providing emergency shelter housing

B) Offering physical and mental health services

C) Developing a targeted case management program

D) Establishing a needle exchange program

Q2) 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.

Q3) A nurse is providing primary prevention when working with the homeless.Which of the following best describes what is being implemented?

A) Providing emergency housing aid

B) Creating drug and alcohol treatment options

C) Offering effective job training programs

D) Evaluating comprehensive case management programs

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Page 35

Chapter 34: Migrant Health Issues

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26 Flashcards

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Sample Questions

Q1) A nurse is implementing a tertiary prevention strategy.Which of the following activities would the nurse most likely implement?

A) Diabetes screening

B) Rehabilitation for musculoskeletal injury

C) Birth control

D) Pregnancy testing

Q2) Which factor may limit access to care for migrant farm workers?

A) Unwillingness to seek affordable health care

B) Lack of knowledge regarding services

C) Availability of 24-hour health care services

D) Adequate transportation

Q3) A nurse plans to collect data about morbidity and mortality among migrant workers in a community.Which of the following barriers is the nurse most likely to encounter?

A) Difficulty securing a stable population

B) Lack of resources

C) Unwilling participants

D) Fear of deportation

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36

Chapter 35: Teen Pregnancy

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) A nurse is counseling a pregnant adolescent about her nutritional needs during pregnancy.Which of the following should the nurse use as the basis for providing the client information about nutritional needs?

A) Chronologic age

B) Gynecologic age

C) Age at menarche

D) Blood protein levels

Q2) A nurse is implementing an intervention at the primary level of prevention related to teen pregnancy.Which of the following would be most appropriate for the nurse to implement?

A) Teach well-baby classes to new mothers

B) Teach young people about sexual practices that will prevent untimely pregnancy

C) Provide services for pregnancy detection

D) Counsel a young couple about abortion and adoption

Q3) Which factor has been linked to the decrease in pregnancies among teens?

A) Fewer are becoming sexually active

B) More are using complementary alternative methods of birth control

C) More have tighter parental control at home

D) Fewer are engaging in risky behaviors

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Chapter 36: Mental Health Issues

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28 Verified Questions

28 Flashcards

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Sample Questions

Q1) Many clients with mental disorders were institutionalized because:

A) there was a continued fear of people with mental disorders.

B) the success rate was higher with hospital treatment.

C) it was easier to stabilize clients with psychotropic medications.

D) it provided a less stressful environment for clients to recuperate.

Q2) A nurse is working with persons with serious mental illness.Which of the following recognitions should be made by the nurse?

A) Persons with severe mental illness require institutionalization until they are functional. B) Inadequate community resources have caused problems with homelessness among this population.

C) Serious mental illness originates from childhood events and therapy is ineffective.

D) Motivation influences a person's ability to earn a living and purchase necessary medications.

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Chapter 37: Alcohol, Tobacco, and Other Drug Problems

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33 Verified Questions

33 Flashcards

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Sample Questions

Q1) A nurse is caring for a client who is experiencing a drug addiction.Which of the following is the client most at risk for having?

A) Infant with a high birth weight

B) Easily cured illness or disease

C) Accident or committing suicide

D) Problem finding employment

Q2) 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

Q3) A nurse refers a client to alcoholics anonymous (AA).Who will play the most important role in the treatment of alcoholism at this support group?

A) Self

B) Spouses

C) Children

D) Peers

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Chapter 38: Violence and Human Abuse

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) 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

Q2) A nurse is working with a recent rape survivor.Which of the following actions would be most appropriate for the nurse to implement?

A) Provide continuous care once the victim enters the health care system

B) Examine evidence for its authenticity

C) Work with the criminal justice system to find the rapist

D) Provide long-term therapy for psychological trauma

Q3) A public health nurse (PHN)is working in a community where there have been multiple closures of large factories,leaving many individuals without employment.Which of the following is this population most at risk for?

A) Becoming an abuser at home

B) Committing violence in and outside the home

C) Developing addictive behaviors

D) Neglecting the needs of their children

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Page 40

Chapter 39: The Advanced Practice Nurse in the Community

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Sample Questions

Q1) An advanced practice nurse is pursuing professional certification.Who will the nurse need to contact to obtain certification?

A) American Nurses Association

B) National League for Nursing

C) State board of nursing

D) Department of Health and Human Services

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) Which statement accurately describes how NP programs began?

A) Started as a physician's assistant program

B) Were an offshoot of midwifery

C) Have not always required a master's degree

D) Began in Europe and didn't reach the United States until 1970

Page 41

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Chapter 40: The Nurse Leader in the Community

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Sample Questions

Q1) Which statement about responsibility,accountability,and authority by the registered nurse (RN)when delegating tasks is correct?

A) The nurse has the responsibility to delegate selected tasks to unlicensed assistive personnel.

B) RNs are not accountable for tasks that have been indirectly delegated.

C) If a task has been delegated, it is the responsibility of the unlicensed assistive personnel to perform the task correctly.

D) Accountability for performing the task correctly is assumed by the RN.

Q2) 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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42

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

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Sample Questions

Q1) A nurse has discovered that a client should be receiving Meals on Wheels.Which of the following steps of the nursing process is the nurse performing?

A) Diagnosis

B) Planning

C) Assessment

D) Implementation

Q2) Which illegal and unethical activities have occurred in health care systems in the past? (Select all that apply.)

A) Inappropriate use of home health services

B) Inaccurate billing for services

C) Excessive administrative staff

D) "Kickbacks" for referrals

E) Primary care services provided in the home

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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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) Which school health practice may occur in the future?

A) Teaching health education using telehealth and telecounseling

B) Using robotic nurses in schools

C) Fulfilling the role of both classroom teacher and nurse by nurses

D) Developing private practices for treatment of the entire family

Q2) The leading cause of death in children and teenagers is:

A) leukemia.

B) injuries.

C) suicide.

D) diabetes.

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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Chapter 43: The Nurse in Occupational Health

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/8697

Sample Questions

Q1) A nurse in the occupational health arena is implementing a secondary prevention strategy.Which of the following best describes the action that was taken by the nurse?

A) Providing education on safety in the workplace to prevent injury

B) Working with chronically diabetic workers to ensure appropriate medications

C) Screening for hearing loss resulting from noise levels in the plants

D) Ensuring that a person with cardiovascular disease attends a rehab program

Q2) An occupational health nurse is educating employees about work-related hazards.Which of the following hazards would the nurse most likely discuss in the presentation?

A) Workplace stress leading to hypertension and cardiovascular disease

B) Asbestos, plastics, lead, and solvents leading to dermatitis

C) Cement dust and metals leading to bronchitis

D) Hormones and nitroglycerine leading to reproductive effects

Q3) What is the purpose of NIOSH?

A) Examine potential hazards of new work technologies and practices

B) Educate employees about environmental risks and hazards

C) Develop and maintain a database of work-related deaths

D) Set standards that regulate workers' exposure to potentially toxic substances

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Chapter 44: Forensic Nursing in the Community

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Source URL: https://quizplus.com/quiz/8698

Sample Questions

Q1) What is the main purpose of the National Center for Injury Prevention and Control?

A) Assist victims of violence

B) Maintain records of the incidence of injuries

C) Coordinate the prevention of injuries, violence, and their consequences

D) Encourage collaboration among professionals from various disciplines

Q2) A homicide has occurred in a community.To whom would this information need to be reported?

A) United States Public Health Service

B) World Health Organization (WHO)

C) Centers for Disease Control and Prevention (CDC)

D) National Violent Death Reporting System (NVDRS)

Q3) A nurse is caring for an individual who has been a victim of trauma.Which of the following most likely describes the client that the nurse is caring for?

A) A middle-class, Caucasian female

B) A middle-class, African American male

C) A low-income, Caucasian male

D) A low-income, African American female

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Chapter 45: The Nurse in the Faith Community

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/8699

Sample Questions

Q1) Where is faith community nursing practiced?

A) In all United States

B) Only in North America

C) In the United States and other countries

D) In every country in the world

Q2) A faith community nurse encourages participation in political activities that impact the health and wellbeing of the faith community.Which of the following roles is the nurse implementing?

A) Counselor

B) Developer of support groups

C) Integrator of faith and health

D) Advocate

Q3) 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

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Chapter 46: Public Health Nursing at Local, State, and

National Levels

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/8700

Sample Questions

Q1) A PHN is working with uninsured individuals.Which of the following is the most appropriate action for the nurse to take?

A) Providing direct care for this population in times of acute illness

B) Advocating for federal policy changes for this population

C) Assisting this population to access necessary health care services

D) Encouraging lifestyle changes for this population

Q2) A nurse considering working as a PHN refers to the American Public Health Association (APHA)Public Health Nursing Section to determine what level of educational preparation has been recommended.Which of the following best describes the educational preparation?

A) Associate degree

B) Baccalaureate degree

C) Master's degree

D) Certification

Q3) What is the goal of local public health departments?

A) To monitor communicable diseases

B) To improve the health status of communities

C) To offer services for the uninsured

D) To enforce environmental codes and laws

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