Nursing in the Community Exam Practice Tests
Course Introduction
Nursing in the Community focuses on delivering comprehensive healthcare services to individuals, families, and groups within diverse community settings. The course explores concepts such as health promotion, disease prevention, epidemiology, and the social determinants of health. Students will learn to assess community health needs, implement nursing interventions, and collaborate with interdisciplinary teams. Emphasis is placed on culturally competent care, health education, policy advocacy, and the development of public health initiatives that improve outcomes and promote wellness across populations. Through practical experiences and case studies, students gain the skills necessary to support community resilience and manage health challenges beyond the traditional clinical environment.
Recommended Textbook
Community Public Health Nursing Practice 5th Edition by Frances A. Maurer
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965 Verified Questions
965 Flashcards
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Chapter 1: Responsibilities for Care in Communitypublic
Health Nursing
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) When the nurse is caring for a family or a community,it is important that the nurse provide care that is
A)Similar to that described in the textbook or procedure manual
B)Consistent with agency policies
C)Inexpensive
D)Culturally congruent
Answer: D
Q2) How might case management be defined?
A)An incident that necessitates intervention
B)A synonym for cost containment
C)Developing and coordinating a plan of care for a client
D)Advocating for groups of clients who have a specific illness
Answer: C
Q3) Which ethical principle might be difficult for the community/public health nurse to implement?
A)Nonmaleficence
B)Beneficence
C)Justice
D)Respect for autonomy
Answer: C
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Chapter 2: Origins and Future of Communitypublic Health
Nursing
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A nurse working in 1965 wondered how passage of the Medicare and Medicaid legislation would change health care in the United States.Which of the following accurately describes an outcome of this legislation?
A)It decreased the separation between government funding and private physicians.
B)It provided federal intervention for previous state responsibilities.
C)It helped the public realize that some persons had not been getting care.
D)It allowed the federal government to finance health care services.
Answer: A
Q2) A public health nurse is discussing disaster planning in relation to bioterrorism preparedness with members of the county board of health.Which of the following topics is likely to be addressed?
A)Selection of drugs that should be stockpiled for future use
B)Limited resources for managing bioterrorism and day-to-day expenses
C)Inconsistencies in systems for distributing supplies to areas of need
D)Need for ongoing education for public health professionals
Answer: B
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Chapter 3: The United States Health Care System
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A client has a point-of-service health care plan.Why would the community/public health nurse need to consult this client's physician?
A)The physician is the budget officer,who makes decisions about the cost of care.
B)The physician is a collaborator,who is the leader of the health care team.
C)The physician is the expert medical diagnostician,who decides on interventions.
D)The physician is the primary care gatekeeper,who determines appropriate referrals.
Answer: D
Q2) A nurse has referred a client to the managed care service provided by the hospital.What is the purpose of this referral?
A)To confirm that care options chosen are the least expensive possible
B)To coordinate the care provided by professional specialists
C)To keep the focus on the individual patient's unique needs
D)To review care to eliminate unnecessary services
Answer: D
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5
Chapter 4: Financing of Health Care: Context for Communitypublic
Health Nursing
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A nurse educator teaches community/public health nursing students about how health care is financed in the United States.Why is it important that nursing students receive this information?
A)Nurses are expected to help patients find funding sources to pay for their care.
B)Nurses have to restrict their care to services that are financially reimbursed.
C)Health care organizations must charge patients for all supplies consumed while care is given.
D)Health care organizations must notify patients of the exact cost of the nursing services rendered.
Q2) Of the following,persons,who is most likely to receive Medicaid benefits if the family income is below the poverty level?
A)A 16-year-old child
B)A pregnant woman with a 3-year-old child
C)A single-parent family
D)A two-parent family in which the father is unemployed
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Chapter 5: Global Health
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Sample Questions
Q1) What were some of the "Top 10 Best Buys" of health interventions? (Select all that apply.)
A)Encouraging condom use and treating sexually transmitted diseases (STDs)
B)Enforcing traffic regulations and installing speed bumps
C)Giving nutrients to children and pregnant women
D)Imposing taxes on tobacco products
E)Providing insecticide-treated bed nets in malaria-endemic areas
F)Distributing prescription drugs for free to low-income persons
Q2) Which factor is primarily responsible for the differences in health care needs and health care outcomes among the various countries?
A)Economic development
B)Political system
C)Social-cultural system
D)Religious affiliation
Q3) Which of the following statements represents an example of the epidemiologic transition?
A)As economics improve,the life expectancy increases.
B)As education improves,the number of physicians and nurses increases.
C)As global funding increases,the incidence of communicable disease decreases.
D)As preventable diseases increase,the global infection rate decreases.
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Chapter 6: Legal Context for Communitypublic Health
Nursing Practice
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The nurse described the risks and benefits of immunization to an infant's mother and told her what immunization would be administered.The mother held the infant's leg as the nurse administered the injection.The next day the mother called the clinic supervisor and stated she was going to sue because the infant's leg was red,swollen,and clearly painful.Which of the following actions should the nurse take?
A)Explain that the symptoms,if given some time,will eventually resolve on their own.
B)Emphasize that this type of a reaction is rare and unpredictable.
C)Remind the mother that they had discussed immunizations and that she had held the infant's leg during the injection,and therefore informed consent had been given.
D)Stress that the infant has more immunity against the disease because of the immunization.
Q2) Which of the following is the best definition for "standard of care"?
A)What a reasonably prudent nurse would do in the same situation
B)What is currently being advocated in nursing textbooks
C)What has been outlined in the policies and procedures of the agency
D)What the customary traditional practices in the community are
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Chapter 7: Epidemiology: Unraveling the Mysteries of
Disease and Health
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) Incidence data are especially helpful for what purposes? (Select all that apply.)
A)Evaluating treatments that prolong life
B)Measuring the rate of new illnesses in a population
C)Assessing risks associated with particular illnesses
D)Determining health care personnel needs
E)Illustrating whether interventions are effective
F)Planning health care services and facilities
Q2) A nurse noted that 15 people became very ill while eating at the school banquet for the basketball team.To calculate the rate of illness,what other fact does the nurse need?
A)How many athletes were honored for being on the team
B)How many parents and family members attended the banquet
C)How many people ate at the banquet
D)How many people live in the school district
Q3) A rate might be accurately defined as
A)Another term for ratio.
B)A way of determining the incidence of disease in a group.
C)A way to make comparisons among equal-size populations.
D)The number of events divided by the number of persons at risk.
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Chapter 8: Communicable Diseases
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Sample Questions
Q1) Which of the following persons is probably most at risk for an infectious disease?
A)A member of the janitorial staff who cleans floors and equipment in the hospital
B)An adult male who is a firefighter and a trained paramedic
C)The family nurse practitioner who sees private clients for health teaching
D)The nurse who is a first assistant to the physician in the operating room
Q2) Which of the following is a major reason behind the continued increase in the incidence of tuberculosis? (Select all that apply.)
A)Concern over privacy means that many cases of infection are not identified.
B)Infectious agents are becoming drug-resistant and are not as susceptible to treatment.
C)Many persons are unwilling to name their contacts to public health nurses.
D)People are becoming very complacent about practicing good hygiene.
E)The environment in the United States is becoming increasingly dangerous.
F)Infected persons are not always compliant with the long,costly treatment regimen.
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Chapter 9: Environmental Health Risks: At Home, at Work, and in
the Community
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Sample Questions
Q1) Among other variables,upon what does damage from a specific chemical depend?
A)The dose
B)The environmental factors
C)The toxicology
D)The virulence and infectivity
Q2) To what does the term environmental justice refer?
A)Applying environmental laws equally throughout the country
B)Being fair (or just)in relation to how the costs of environmental pollution cleanup are distributed
C)Putting the most environmental pollution waste in the already polluted sites (known as Superfund sites)
D)Recognizing that environmental risks are disproportionately high for low-income and minority populations who live in more highly polluted neighborhoods
Q3) What is one of the most prevalent and noxious pollutants in modern America?
A)Noise
B)Sewage in septic tanks
C)Unsafe discarded medications
D)Unsafe water
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Chapter 10: Relevance of Culture and Values for
Communitypublic Health Nursing
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32 Flashcards
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Sample Questions
Q1) A nurse,who is of German descent,was told to watch a newly admitted African American client for any signs of cyanosis or pallor.Which of the following actions should be taken by the nurse? (Select all that apply.)
A)Applying pressure to the nail bed and observing how quickly color returns
B)Asking the visiting family members to tell the nurse if they notice such signs
C)Checking the palms of the hands and the soles of the feet
D)Consistently checking the blood pressure and pulse rate every 15 minutes
E)Looking between the strands of hair on the head for evidence
F)Telling the nurse in charge of the floor to have someone else,preferably an African American nurse,care for the client
Q2) The nurse was determined to become more culturally competent with at least one cultural group besides the nurse's own.Which of the following actions would be most useful for professional practice?
A)Buying groceries from a small ethnic grocery store in the neighborhood
B)Buying only items made outside the United States
C)Learning conversational Spanish
D)Moving into an apartment house owned by a member of another ethnic group
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Page 12
Chapter 11: Home Visit: Opening the Doors for Family Health
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Sample Questions
Q1) Which of the following would be appropriate to help ensure a nurse's safety?
A)Before leaving his or her car,he or she should check the immediate surroundings for anyone or any situation that makes the nurse uncomfortable.
B)The nurse should intervene immediately with a family whose fighting is starting to become physical,before it escalates further.
C)The nurse should visit a family over the weekend,when no one is expecting an outsider to drop by.
D)When approached on the street by an unknown person,the nurse should stop and tell them how to reach the agency to be formally accepted as a client.
Q2) The supervisor suggested that a nurse use a contract to confirm goals and plans with an elderly man who had recently moved into a self-care halfway house.Which of the following is an advantage of such a contract?
A)It documents the cost of each nursing service.
B)It protects the nurse if the nurse is ever sued for malpractice.
C)It is legally binding for both parties.
D)It clarifies who will do what,when,where,and why.
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Page 13
Chapter 12: A Family Perspective in Communitypublic Health Nursing
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20 Flashcards
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Sample Questions
Q1) What are the two phases that families experience after a major life event?
A)Asking for help and accepting assistance
B)Seeking assistance and relying on the family's own resources
C)Temporary adjustment and long-term adaptation
D)Reduction of stressors and adapting to reduce tensions
Q2) Which of the following nursing interventions can be implemented to assist families? (Select all that apply.)
A)Providing anticipatory guidance for growth and development needs
B)Assisting families with coping with illness or loss
C)Explaining the family's situation so that other people may offer assistance
D)Helping families cope with stressors or a crisis
E)Referring families to sources of assistance or support
F)Obtaining funds or supplies for the family in need
Q3) A community/public health nurse is working with a family who is having difficulty with communication.Which of the following behaviors would cause the nurse to be concerned?
A)Family members communicate through behaviors and verbal statements.
B)Family members use rules to regulate behaviors in the family.
C)Family members use double-bind messages.
Page 14
D)Family members communicate through metacommunication.
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Chapter 13: Family Case Management
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Sample Questions
Q1) A community/public health nurse is working with a family whose members are experiencing an incredible amount of stress.Which source of social support should the nurse encourage the family to use?
A)Family service workers from the agency
B)Close friends and neighbors
C)Family self-help groups
D)Mental health counseling centers
Q2) When a client's wife asked whether the nurse would like a tour of the yard and her gardens,the nurse agreed immediately.Considering the limited time the nurse had to spend with the family,why did the nurse agree to tour the gardens?
A)Accepting the invitation encourages the wife to speak privately to the nurse.
B)Completing the environmental assessment will assist with drawing a genogram.
C)Examining of the environment helps identify potential health or safety problems.
D)Touring the grounds allows the nurse to learn more about the family.
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15
Chapter 14: Multiproblem Families
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Sample Questions
Q1) Which of the following nursing interventions would be appropriate when a nurse is working with a multiproblem family? (Select all that apply.)
A)Assuring the family that the nurse will be there to help them with their problems
B)Describing how one person's thoughts and behaviors affect another family member
C)Expressing the nurse's own feelings about the family and its situation
D)Giving feedback on emotions and behavior and distinguishing between them
E)Role-modeling circular communication with adequate ambiguity and vagueness
F)Working toward small but achievable success in small areas
Q2) A community/public health nurse is assessing a family who is experiencing multiple problems.Which of the following observations is the nurse most likely to make if the family is experiencing a disturbance in internal dynamics? (Select all that apply.)
A)The family adapts to changing situations and problems.
B)Communication is indirect and sometimes inconsistent.
C)Family myths and secrets are shared among family members.
D)Achievement of tasks for the developmental stage is difficult.
E)Parental roles and functions are shared among the various family members.
F)Values are established and modifiable.
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Page 16
Chapter 15: Community Assessment
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Sample Questions
Q1) Which of the following conclusions would require the nurse to obtain more assessment data?
A)A major health problem is identified.
B)An identified subpopulation is seen to be at high risk for and vulnerable to medical problems.
C)Data that have been collected are incongruent and contradictory.
D)Strengths in the community outweigh the areas of weakness.
Q2) Which of the following would be the focus of a nurse who is using an epidemiologic framework to assess a community?
A)Interviewing health care professionals concerning the community
B)Researching findings from epidemiologic studies
C)Learning about the health of the community's population
D)Discovering groups among the community residents who are most at risk
Q3) What might be the implications of knowing where members of the community are employed (i.e.,their occupations)?
A)How or whether community members worship
B)How and when the community members prefer to engage in recreation
C)The diseases or injuries for which they may be at risk
D)Where residents do their grocery shopping and what they typically buy
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Page 17
Chapter 16: Community Diagnosis, planning, and Intervention
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Sample Questions
Q1) What was the result of the prospective payment system legislation?
A)Hospital stays were shortened,which placed a greater responsibility on family care.
B)Payments to the hospitals and physicians that fulfilled the new rules were higher.
C)Nursing staffing was increased to meet the needs of more acutely ill patients.
D)Diagnoses were more accurate and complete before clients were admitted to acute care.
Q2) Which of the following actions is a nurse most likely to perform in an approach to community health planning with the community empowerment model?
A)Motivating bankers and financial advisers to help the community in its development
B)Obtaining the best experts available to help the community develop
C)Using a grassroots approach and democratic decision making
D)Writing grants to obtain money for the community and health care programs
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18
Chapter 17: Evaluation of Nursing Care With Communities
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Sample Questions
Q1) Which of the following is useful to review in determining whether the goals of the community/public health nurse are appropriate?
A)The assessment of community members' health needs
B)The focus areas for the nation in Healthy People 2020
C)Goals established by other,similar community/public health agencies
D)Goals suggested by the public health research literature
Q2) How does summative evaluation help the community/public health nurse?
A)Analyzing the data and recognizing gaps
B)Determining long-term effect on health
C)Improving care as it is being delivered
D)Enhancing future offerings of the program
Q3) Which of the following questions is answered by completing a cost-benefit analysis?
A)Can similar outcomes be achieved with less cost?
B)Can unlicensed assistive personnel give care equally rapidly?
C)Was the care appropriate and given correctly?
D)Was the nurse as efficient and as skilled as possible?
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Chapter 18: Health Promotion and Risk Reduction in the Community
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Sample Questions
Q1) Which of the following is the best example of a risk reduction program?
A)At the senior citizens center,the nurse set up an exercise program for persons in wheelchairs.
B)The nurse appeared on the local public access television channel each Sunday afternoon to discuss good parenting skills.
C)The nurse worked with the local health maintenance organization (HMO)to make infant car seats available without charge to all first-time pregnant mothers.
D)The nurse wrote a weekly local newspaper column on healthy lifestyle behaviors,such as the importance of exercise.
Q2) A public health agency had enough funds to provide one more health-promotion program during the calendar year.In relation to nutrition and exercise,which of the following would be the best choice?
A)Elementary school program for children to which parents are invited
B)High school program for those who are involved in athletics
C)Young adult programs provided at the YMCA
D)Senior citizen programs offered during a free meal
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Chapter 19: Screening and Referral
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Sample Questions
Q1) The ability of a screening test to distinguish correctly between persons with and without a disease is known as
A)Sensitivity.
B)Validity
C)Reliability.
D)Specificity.
Q2) A woman was found to have a blood glucose reading of 320 mg/dL.What should be the nurse's next action?
A)Escort the woman to the next screening station and then prepare to test the blood glucose level of the next client.
B)Explain the blood glucose reading to the woman and ask whether she has a primary care provider.
C)Fill out the form,giving the results accurately for the health department's records.
D)Hand the woman culturally appropriate literature on diabetes and the dangers of lack of treatment.
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21
Chapter 20: Health Teaching
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Q1) Which of the following factors most influences a client's ability to learn from a health education program?
A)Client's belief that the information will be useful or enjoyable
B)Handouts given to the client
C)Nurse's ability to teach
D)Setting in which the educational program is given
Q2) A nurse began by asking the audience,"What do you want me to discuss?" All responses were written on the chalkboard and then,as specific points were discussed,the nurse erased the item.However,the nurse often added material that was not requested.Why would the nurse add more content?
A)Because the nurse believed the additional information was entertaining and lightened the mood
B)Because the nurse knew,on the basis of personal experience,other relevant information that the audience needed
C)Because the nurse knew so much about the subject and wanted to give all the details.
D)Because the nurse was sure that the audience meant to ask about it
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Chapter 21: Vulnerable Populations
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Q1) An uninsured child lives in a family which has an income level below the poverty level.Under which of the following programs can this child receive health care?
A)Children's "Health For All" initiative
B)"No Child Left Behind" Act
C)State Children's Health Insurance Program
D)Temporary Assistance to Needy Families Program
Q2) Which of the following is the primary reason that only a small percentage of those eligible participate in COBRA insurance?
A)COBRA is too costly for most eligible people.
B)They do not think it is important to have health care insurance.
C)Medicaid is a more effective choice to obtain health care.
D)They are healthy and are willing to not carry insurance.
Q3) Which of the following populations was most affected by the federal budget cuts made in 1996?
A)The upper and middle class
B)The wealthy
C)The lower-middle class
D)The poverty-stricken
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Chapter 22: Disaster Management: Caring for
Communities in an Emergency
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Q1) In a city where tornadoes have been known to strike,an emergency siren sounds,suggesting to its citizens that an emergency is imminent.What should a community/public health nurse do first?
A)Call every family member and tell them to come home immediately.
B)Call the local civil defense office for specific instructions for the nurse's agency.
C)Follow the disaster plan of the local emergency management agency.
D)Start driving to the hospital and prepare to care for the injured.
Q2) When is the term mass casualty incident used in a disaster or crisis?
A)Fewer than 100 victims,which strains resources
B)Man-made disaster events
C)More than 100 victims,which overwhelms resources
D)Natural disaster events
Q3) A disaster is occurring in a community.Which of the following actions should the nurse take first?
A)Calling all members of the nurse's family together at their home
B)Immediately driving to the hospital in preparation for giving care to victims
C)Remaining in place until the situation has stabilized
D)Contacting the emergency operations center to receive instructions
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Chapter 23: Violence: A Social and Family Problem
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Q1) Which of the following actions should a nurse take to help decrease violence against women? (Select all that apply.)
A)Conduct public health campaigns about violence.
B)Educate colleagues about the effects of violence against women.
C)Establish appropriate outcome measures.
D)Fight to publicize victim health records so others know the damage abusers cause.
E)Help create appropriate protocol and documentation guidelines with local agencies.
F)Support accreditation requirements for appropriate violence care.
Q2) Which of the following is a rationale as to why abusive parents continue to abuse their children?
A)Children are born evil and have to have sin beaten out of them.
B)Good parents care enough to use physical discipline to teach their children.
C)Most parents consider strong physical punishment merely good discipline.
D)There are no repercussions,and other people rarely interfere.
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Chapter 24: Adolescent Sexual Activity and Teenage
Pregnancy
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Q1) A teenager has just learned she is pregnant.Which of the following is the most expected response by the family?
A)The family will draw closer together as they confront this new family crisis.
B)The family will likely distance themselves from their daughter.
C)The family will be excited to play with the new baby.
D)The family will have unexpected economic and emotional pressure.
Q2) After the stress of having a child at such an early age,being in (or needing to be in)school,and having difficulties with employment,most young mothers
A)Are careful to use birth control to avoid further pregnancies.
B)Are so angry at men that they do not engage in sexual relationships.
C)Become pregnant again while still a teenager.
D)Postpone further childbearing until they are through school and have a good job.
Q3) Which of the following is a reason why teenage pregnancy is viewed as a community problem?
A)Teenage pregnancy is inconsistent with community values and norms.
B)Pregnant teenagers are poor role models for younger children.
C)The community pays financially for the consequences of teenage pregnancy.
D)There are cultural and social sanctions against adolescent sexuality.
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Chapter 25: Substance Use Disorders
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Q1) Which of the following characteristics is most likely experienced by children of impaired parents? (Select all that apply.)
A)Disorders of impaired attention
B)Social inadequacy
C)Difficulty with authority figures
D)Increased self-esteem
E)Decreased sense of responsibility
F)Increased risk of exposure to domestic violence
Q2) Which of the following clients demonstrates symptoms that would lead to a diagnosis of dependence?
A)Involvement in an auto accident in association with using substances while driving
B)Consumption of the substance on a regular basis,withdrawal symptoms when the substance is not used,and failure to successfully complete a treatment program
C)Inability to function appropriately and unsuccessful attempts to cut down or control use
D)Tolerance of the substance,presence of withdrawal symptoms,and continuation of use despite recurrent physical problems
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27
Chapter 26: Rehabilitation Clients in the Community
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Q1) A young woman,as a result of her mother's medication use during pregnancy,was born without arms.She used her feet to eat,engage in grooming,and correspond via computer.How might a nurse summarize this example?
A)A true success story in rehabilitation
B)Demonstrating great persistence
C)Evidence of the human spirit
D)Habilitation by the young woman
Q2) Which of the following interventions by a rehabilitation nurse would be appropriate in assisting clients to cope with a disability? (Select all that apply.)
A)Building on clients' assets
B)Encouraging hope
C)Encouraging clients to focus on the positive consequences of their disability
D)Helping identify social supports
E)Helping client and family cope with or modify the environment
F)Identifying the many opportunities to ask other people for assistance
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Chapter 27: Children in the Community
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Sample Questions
Q1) A nurse believed strongly that intervention for technology-dependent children was needed.What is the most useful intervention that could be implemented by the nurse?
A)Advocating for quality child care,especially respite care
B)Emphasizing with all the nurse's friends and neighbors the necessity of supporting parents with technology-dependent children
C)Lobbying insurance companies to pay as much for home care as for hospital care
D)Teaching young parents how to care for their technology-dependent children at home with minimal stress
Q2) What must a child achieve to legally become an adult?
A)Demonstrate adequate maturity and judgment.
B)Join the military.
C)Meet state law requirements based on chronologic age.
D)Obtain a driver's license or otherwise demonstrate responsibility.
Q3) Which of the following interventions is an example of primary prevention?
A)Assessing the neighborhood children for lead paint poisoning
B)Encouraging use of car seats and bicycle helmets
C)Facilitating a support group for divorced parents with children
D)Screening all the children for scoliosis at the local school
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Chapter 28: Older Adults in the Community
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Q1) How do most elderly people compare to younger people?
A)More elderly persons are socially isolated with few social contacts.
B)More elderly persons change jobs frequently.
C)More elderly persons are not pleased with their lives.
D)Most elderly persons engage in most normal activities.
Q2) On whom does most of the burden for family caregiving fall?
A)Middle-aged family members
B)Paid,nonprofessional caregivers
C)Paid,professional individuals
D)Professional caregiving organizations
Q3) Which of the following is an appropriate primary nursing intervention to help meet the health care needs of elderly people?
A)Advocacy by lobbying for appropriate community resources
B)Case management with the client and family in setting goals
C)Teaching the family how to care for the elderly person in the family
D)Screening applications for nursing home placement
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Chapter 29: State and Local Health Departments
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Q1) Under the U.S.Constitution,which level of government has primary responsibility for health care of American citizens?
A)County/district level of government
B)Federal level of government
C)State level of government
D)Town/city/village level of government
Q2) A public health nurse has been asked to be part of a coalition to promote legislation to ban smoking in public places in the state.Why is it important for the nurse to be part of this coalition?
A)The nurse can prioritize community health care needs to address the problem.
B)The nurse can determine the needs of others and the priority of any care needed.
C)The nurse can effectively communicate among various stakeholder groups.
D)The nurse can educate other people and enforce the legislation when it is passed.
Q3) For what population size are most local health departments responsible?
A)Populations of 50,000 or fewer
B)Very large populations of 100,000 or more
C)Very large populations of 250,000 or more
D)Populations of more than 1 million residents
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Chapter 30: School Health
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Q1) What might be a school health nurse's concern regarding the No Child Left Behind Act?
A)The law does not meet local needs as the school boards perceive them.
B)The law is based on erroneous assumptions.
C)The law meets the needs of urban states but not rural ones.
D)The law will divert funds from health services and physical education.
Q2) Why might the school nurse want to examine students' academic achievement?
A)Academic failure is a risk factor for adolescent drug use.
B)Some teachers may need the nurse's help to be effective in health education.
C)Students are easier to teach if divided into groups by academic ability.
D)The nurse may want to discuss the failure with the student's family and friends.
Q3) Why would a school nurse seek funds to implement a program to teach adolescents how to recognize depression and low self-esteem in their peers?
A)Funds are available for such mental health programs.
B)Such programs are a priority in Healthy People 2020.
C)The incidence of adolescents considering or attempting suicide is high.
D)The nurse has expertise in this area and wants to share this knowledge with others.
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Chapter 31: Home Health Care
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Q1) An elderly woman receiving care reimbursed by Medicaid was moving to a different state to stay with her daughter-in-law.The disabled woman asked about Medicaid reimbursement in her daughter's state.How should the nurse respond?
A)"Because you paid into Social Security (FICA),you are eligible for assistance no matter where you go."
B)"Just be sure to call a home care agency as soon as you arrive so that they can assess your daughter-in-law's house and make sure it is acceptable."
C)"Medicaid is a federal program,so the rules will be the same wherever you go."
D)"Medicaid is sponsored in part by the state,so the rules may be very different there."
Q2) Why did home care agencies expand in the 1980s?
A)Clients discovered they much preferred home care to hospital care.
B)The diagnostic-related group (DRG)system of reimbursement was phased into hospitals.
C)An increased number of elderly and poor persons became eligible for care because of federal legislation.
D)There was a lack of interest by American society in contributing to charitable causes.
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Chapter 32: Rural Health
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Q1) What was one purpose of Rural Health Clinic (RHC)Public Law 95-210?
A)To define rural areas as underserved and therefore eligible for many tax reductions
B)To encourage utilization of advanced practice nurses by providing reimbursement for their services under Medicare and Medicaid
C)To fund structures (building,equipment,supplies)for rural health care providers
D)To pay for physicians to serve in rural underserved areas
Q2) Why are children at risk on their own family's farm?
A)Children often help with the work without much regard for training or safety.
B)It is expected that children fulfill the roles that are assigned to them.
C)Machinery can injure someone faster than a parent can turn the machine off.
D)Parents are too busy completing their own tasks to supervise the children.
Q3) The registered nurse came to see many strengths and resources in the rural area.Among these were that rural residents are
A)Diverse,both in ethnic groups and in age groups.
B)Politically open to new ideas and approaches.
C)Very resourceful and self-reliant.
D)Willing to spend money to improve safety.
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Chapter 33: Community Mental Health
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Sample Questions
Q1) According to E.Fuller Torrey,where would a person most likely encounter a mentally ill person?
A)State mental hospital
B)State prison or jail
C)Grocery store
D)Living with a family member
Q2) A patient asks the community/public health nurse why there has been an increase in the number of self-help programs in the community.What was one factor that led to the popularity of these programs?
A)Community mental health centers wanted to avoid paying professionals to work as counselors.
B)Families were unhappy with professional care and helped their family members to "do it yourself."
C)There was a lack of professionals available to fulfill these needed responsibilities.
D)Patients chose to do this to give their lives meaning by making a difference to someone else through giving as well as receiving.
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