Nursing Leadership in Public Health Study Guide Questions
Course Introduction
This course explores the critical role of nursing leadership within public health systems, focusing on how nurse leaders influence health policy, promote evidence-based practice, and drive health equity in diverse communities. Students will examine leadership theories, advocacy skills, and ethical decision-making frameworks while analyzing the impact of social determinants on population health. Through the exploration of case studies and current public health challenges, learners will develop strategies for effective collaboration, communication, and management within multidisciplinary teams to improve health outcomes and shape public health initiatives at local, national, and global levels.
Recommended Textbook
Public Health Nursing Population Centered Health Care in the Community 9th Edition by Stanhope
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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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Sample Questions
Q1) A public health department is using the mission of public health as described by the Institute of Medicine when planning its health programming.Which of the following activities will most likely be implemented?
A) Tracking avian flu outbreaks and doing surveillance in the United States
B) Providing a flu shot for an elderly person at the health department
C) Keeping track of alternative therapies in use in the United States
D) Keeping snake antivenom at the Centers for Disease Control and Prevention in Atlanta
Answer: A
Q2) A nurse is implementing quality performance standards in a public health department.Which of the following best describes the importance of this action?
A) Quality performance standards are used to guide improvement in the public health system.
B) Quality performance standards rigidly control public health.
C) Quality performance standards guide administrators to monitor public health at the national level.
D) Quality performance standards can be used as hiring guidelines for nurses.
Answer: A
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Chapter 2: History of Public Health and Public and Community Health Nursing
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Q1) Local health departments were formed in urban areas in the late 1800s to:
A) target environmental hazards associated with crowded living conditions.
B) facilitate interdisciplinary efforts and promote "practical nursing."
C) provide immunizations and health care services to all citizens.
D) offer public health education to nurses who had finished basic training.
Answer: A
Q2) Current threats to health in the United States that community health nurses are faced include:
A) diphtheria, cholera, and hepatitis.
B) HIV, H1N1 influenza, and bioterrorism.
C) avian flu, tuberculosis (TB), and radiation.
D) polluted water and air.
Answer: B
Q3) In the past,population-centered nurses have been called:
A) district nurses.
B) almshouse nurses.
C) soldier nurses.
D) sisters.
Answer: A
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Chapter 3: The Changing USHealth and Public Health Care Systems
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Q1) A nurse is working in a state health department.Which of the following programs would the nurse most likely be working with?
A) Senior health
B) Dental services
C) HIV/AIDS service
D) Mental health Answer: C
Q2) 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
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Chapter 4: Perspectives in Global Health Care
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Q1) A government agency is planning a project in hopes of receiving funding from the World Bank.Which of the following projects would most likely receive this funding?
A) Development of a sanitation system
B) Improvement of roads and bridges
C) Creation of a national health insurance plan
D) Recovery efforts following a hurricane
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) The government is preparing for a bioterrorism event.Which of the following would be the best strategy to use?
A) Threaten lesser-developed countries so they don't develop biological weapons
B) Ban biological weapons worldwide
C) Effectively detect pathogens and manage services
D) Develop antidotes for biological agents
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Chapter 5: Economics of Health Care Delivery
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Q1) The allocation of scarce resources within the health care sector and the focus on resource allocation issues related to producing and distributing health care is called:
A) economics.
B) health economics.
C) public health economics.
D) microeconomic theory.
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) Public health economics focuses on the:
A) use of resources.
B) availability and usage of goods and services related to public health.
C) scarcity of resources in the health care industry.
D) management and use of monies to improve the health of populations.
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Chapter 6: Application of Ethics in the Community
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Q1) A nurse believes everyone is entitled to equal rights and equal treatment in society.Which of the following principles is being applied?
A) Distributive or social justice
B) Egalitarianism
C) Libertarian view of justice
D) Communitarianism
Q2) Which statement fits the Liberal Democratic Theory of John Rawls?
A) One should reject any idea that societies, states, or collectives of any form can be the bearers of rights or can owe duties.
B) Inequalities result from birth, natural endowment, and historic circumstances.
C) Everyone has a right to private property.
D) Government should be limited.
Q3) A nurse is demonstrating advocacy in his nursing practice.Which of the following actions best demonstrates this principle?
A) Offering a smoking cessation program
B) Screening for hypertension
C) Lobbying for health care reform
D) Conducting home visits
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Chapter 7: Cultural Diversity in the Community
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Q1) A 35-year-old man from Russia comes to the United States seeking asylum because of religious persecution in his native country.Which of the following best describes this type of immigrant?
A) Legal immigrant
B) Lawful permanent resident
C) Refugee
D) Unauthorized immigrant
Q2) A nurse demonstrates cultural desire to provide culturally competent care.Which of the following actions would be taken by the nurse?
A) Relying on a textbook for information about an ethnic group
B) Bringing a translator to the local community clinic
C) Taking Spanish classes in the evening at a local college
D) Judging others using his or her own cultural values
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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Q1) A nurse supported the passage of needlestick legislation.Which of the following best describes the role of employers because of this legislation?
A) Use Universal Precautions when dealing with all patients
B) Select safer needle devices as they became available
C) Provide needle disposal boxes
D) Incinerate all infectious waste, including needles
Q2) A local health department provides a hypertension screening to all individuals.Which of the following general categories of health care functions is being used?
A) Direct services
B) Financing
C) Information
D) Policy setting
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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Chapter 9: Population-Based Public Health Nursing
Practice: The Intervention Wheel
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Q1) 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.
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) A nurse is involved in identifying individuals with unrecognized health risk factors or asymptomatic disease.Which of the following public health interventions is being applied?
A) Screening
B) Referral and follow-up
C) Surveillance
D) Health teaching
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Chapter 10: Environmental Health
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Q1) A nurse is completing the first phase of a risk assessment.Which of the following questions would the nurse most likely try to answer?
A) Has the chemical been released into the environment?
B) How much and by which route of entry can the chemical enter the body?
C) Is the chemical known to be associated with a negative health effect?
D) What is the prediction for potential harm?
Q2) Employees working with hazardous chemicals have the "Right to Know" about the chemicals they are working with through the creation of the:
A) Material Safety Data Sheet (MSDS).
B) Consumer Confidence Report.
C) Hazard Communication Standard.
D) EPA.
Q3) A nurse fulfills the environmental health competency of "assessment and referral." Which of the following actions has the nurse most likely completed?
A) Advocating for public policy changes
B) Understanding policy framework and major pieces of legislation
C) Completing an environmental health history
D) Describing the scientific principles about environmental health
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Chapter 11: Genomics in Public Health Nursing
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Q1) A nurse is counseling a client whose genetic test results show a genetic susceptibility for breast cancer.Which of the following would be the most appropriate statement by the nurse?
A) "You should discuss hormone replacement therapy with your physician."
B) "You are at an increased risk to develop breast cancer."
C) "You should have a bilateral mastectomy as soon as possible."
D) "You should tell all of your siblings and children to get tested."
Q2) Which statement regarding mutations is true?
A) Mutations in the DNA sequence occur on a regular basis.
B) Mutagens are a result of a mutation.
C) Environmental factors can be linked to many mutations.
D) Spontaneous mutations occur because of environmental exposure.
Q3) The father of genetics is:
A) Charles Darwin.
B) Gregor Mendel.
C) James Watson.
D) Francis Galton.
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Chapter 12: Epidemiology
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Q1) An intervention that focuses on the tertiary level of prevention is implemented by the nurse? Which of the following did the nurse most likely complete?
A) Rehabilitative job training
B) Parenting education
C) Testicular self-examination
D) Family counseling
Q2) A nurse is studying the characteristics of an agent as part of the epidemiologic triangle.Which of the following is the nurse most likely studying?
A) Human population distribution
B) Salmonella
C) Genetic susceptibility
D) Climate
Q3) John Snow is called the "father of epidemiology" because of his work with:
A) cholera.
B) malaria.
C) polio.
D) germ theory.
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Chapter 13: Infectious Disease Prevention and Control
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Q1) 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
Q2) The ability of an agent to produce a severe pathologic reaction is known as:
A) antigenicity.
B) invasiveness.
C) toxicity.
D) virulence.
Q3) One case of smallpox occurs in a population in which it was considered to be previously eliminated.Which of the following best describes what has occurred?
A) Endemic
B) Epidemic
C) Pandemic
D) Infectivity
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Chapter 14: Communicable and Infectious Disease Risks
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Q1) A nurse is utilizing the provisions created by the Ryan White HIV/AIDS Treatment Extension Act.Which of the following interventions is the nurse most likely performing?
A) Increasing AIDS awareness in the community
B) Determining available health care services for HIV-infected individuals
C) Preventing the transmission of AIDS to children from their mothers
D) Allowing persons in the final stages of HIV to die with dignity
Q2) A nurse is examining the route of HIV transmission for a newly diagnosed HIV client.Which of the following would most likely be discovered by the nurse?
A) Having contact with an HIV-positive individual who is coughing
B) An infant receiving breast milk from an HIV-positive mother
C) Receiving a mosquito bite while in Africa
D) Being near an HIV-positive individual who is sneezing
Q3) Which of the following groups would be most likely to receive an injection of prophylactic immune globulin for possible exposure to hepatitis A?
A) Persons who have had direct contact with blood
B) Those who ate at the same restaurant as the person with hepatitis A
C) All health care workers
D) All those who had household or sexual contact with persons with hepatitis A
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Chapter 15: Evidence-Based Practice
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Q1) A nurse is using clinical experience and client preference to guide clinical decision making.Which of the following is being demonstrated by the nurse?
A) Evidence-based practice
B) Internal evidence
C) Research utilization
D) External evidence
Q2) A summary of the research evidence that relates to a specific question and to the effects of an intervention is:
A) evidence-based practice.
B) meta-analysis.
C) systematic review.
D) narrative review.
Q3) 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.
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Chapter 16: Changing Health Behavior Using Health
Education with Individuals, Families, and Groups
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Sample Questions
Q1) A nurse is implementing an educational program about the importance of being physically active.Which of the following steps would the nurse complete first?
A) Provide learning guidance
B) Present the stimulus
C) Gain the learner's attention
D) Ask learners to recall prior learning
Q2) A nurse is working with an individual who has a low literacy level.Which of the following barriers to learning should the nurse anticipate?
A) Asking for additional clarification of materials
B) Requesting to read the information later
C) Having a high level of anxiety
D) Being overly dependent on others
Q3) A leader controls members through rewards and often keeps members in the dark about the goals and rationale behind prescribed actions.What type of leadership does this describe?
A) Democratic
B) Patriarchal
C) Socialist
D) Paternal
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Chapter 17: Building a Culture of Health through
Community Health Promotion
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Q1) Which of the following describes one advantage of the Health Belief Model (HBM)?
A) It is one of the most recently developed models based on evidence-based practice principles.
B) It can reduce the incidence of diseases and disabilities.
C) It can assist with planning programs to increase an individual's motivation to take positive health action.
D) It promotes individual's participation in community-based screening programs.
Q2) A PHN collaborates with a physician's clinic to increase the number of infants and toddlers who receive lead screening.According to the integrative model,what client system and focus of care are being addressed?
A) Aggregate level health promotion
B) Aggregate level illness prevention
C) Family level illness care
D) Individual level health promotion
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.
Page 19
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Chapter 18: Community as Client: Assessment and Analysis
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Q1) A nurse has identified the boundaries of the community.Which of the following steps should the nurse take next when completing a community assessment?
A) Gather relevant existing data and generating missing data
B) Plan interventions that benefit the entire community
C) Formulate nursing diagnoses
D) Evaluate the interventions that were used
Q2) A nurse centers his practice around the principle of doing the greatest good for the greatest number.Which of the following ethical principles is being applied?
A) Distributive justice
B) Utilitarianism
C) Social justice
D) Health disparities
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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Chapter 19: Population-Centered Nursing in Rural and Urban Environments
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Q1) A nurse is providing care for at-risk minority groups in rural America.Which of the following health care needs are appropriate for the nurse to address? (Select all that apply.)
A) Field sanitation
B) Infectious diseases
C) Maternal care services
D) Oral/dental care
E) Chronic diseases
Q2) A nurse is planning interventions that will be used when providing care for a rural client.Which of the following characteristics of rural life should the nurse anticipate? (Select all that apply.)
A) Lack of anonymity
B) Higher prevalence of high-risk occupations
C) Churches and schools as socialization centers
D) Preference for interacting with outsiders
E) Increased mobility
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Chapter 20: Promoting Health Through Healthy
Communities and Cities
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Q1) When the Healthy Communities and Cities concept was brought to the United States:
A) the cities chosen for the initial work were Los Angeles and New York City.
B) Canada adopted the program at the same time for continuity across borders.
C) the same strict guidelines that were implemented in Europe were used.
D) smaller communities and localities were targeted instead of large cities.
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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Q1) 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
Q2) A nursing student would like to become involved by working at a nursing center.Which of the following would be an appropriate role for a nursing student?
A) Leader
B) Follower
C) Advocate
D) Researcher
Q3) What was the overarching concept upon which Healthy People 2020 was built?
A) Establish nursing centers for the purpose of health promotion
B) Create partnerships among individuals, communities, and systems
C) Eliminate disease in lesser-developed countries
D) Further the agenda of the World Health Organization (WHO)
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Chapter 22: Case Management
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Q1) What knowledge and skills are required in order to become a competent case manager? (Select all that apply.)
A) Knowledge of community resources and financing mechanisms
B) Written and oral communication skills
C) Proficient negotiation and conflict-resolving practices
D) Application of evidence-based practices and outcomes measurements
E) Experience with ethical decision making
Q2) 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
Q3) A public health nurse (PHN)is working with the chronically ill and families with young children needing age-specific health maintenance.Which of the following models of case management is being used?
A) Client-focused
B) System-focused
C) Social service
D) Long-term care
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Page 24
Chapter 23: Public Health Nursing Practice and the Disaster Management Cycle
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Q1) A nurse is developing and coordinating an emergency response plan for a community.With which of the following organizations would the nurse collaborate?
A) American Red Cross (ARC)
B) National Disaster Medical System (NDMS)
C) Centers for Disease Control and Prevention (CDC)
D) Emergency Management Agency (EMA)
Q2) Community preparedness is being used to plan for a disaster.Which of the following tasks is being implemented?
A) Assembling emergency supplies
B) Understanding the workplace disaster plan
C) Taking a disaster training course
D) Developing an evacuation plan to remove individuals from danger
Q3) A nurse responds to a human-made disaster.Which of the following describes what the nurse is responding to?
A) Structural collapse
B) Communicable disease epidemics
C) Mud slides
D) Floods
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Chapter 24: Public Health Surveillance and Outbreak Investigation
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Q1) A staff nurse has demonstrated the ability to be competent as a participant in surveillance and investigation activities.Which of the following skills would you expect that nurse to possess? (Select all that apply.)
A) The ability to identify appropriate data sources
B) The ability to communicate effectively using written reports
C) The ability to collaborate with community agencies
D) The ability to create a budget
E) The ability to interpret laboratory findings
Q2) A college student goes to the Student Health Center with an extremely swollen neck.The advanced practice nurse determines that he has mumps.His roommate also is experiencing malaise and a sore throat.Which of the following defines these two students?
A) Mixed outbreak
B) Common source
C) Point source
D) Propagated outbreak
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Chapter 25: Program Management
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Q1) A nurse matches client needs,provider strengths and competence,and agency resources.Which of the following types of planning is being used?
A) Strategic planning
B) Program planning
C) Management planning
D) Process planning
Q2) A nurse is planning a health program.Which of the following is the most critical action that should be taken by the nurse?
A) Assessing need of the community
B) Considering alternative solutions or options
C) Detailing the costs and resources needed
D) Weighing each alternative
Q3) A nurse wants to have a clear understanding of the overall health status of a community and to identify populations at risk.Which of the following actions should be taken by the nurse?
A) Complete a community assessment
B) Perform a population needs assessment
C) Evaluate past programs in the community
D) Develop program resources for the community
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Chapter 26: Quality Management
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Q1) A quality assurance manager does an audit and 6 months later returns to see if the problem has been eliminated.Which of the following describes this step?
A) It involves selecting explicit criteria for quality care.
B) It includes the review of records.
C) It requires a peer review of all cases that do not meet criteria.
D) It completes the audit process.
Q2) Which of the following statements about records is true? (Select all that apply.)
A) Records provide complete information about the client.
B) Records resolve legal issues in malpractice suits.
C) Records provide information for education and research.
D) Records allow anyone interested in a client's progress to view a chart.
E) Records allow for easy documentation of the client's assessment.
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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Q1) A nurse asks,"Where is this family on the continuum of the family cycle?" Which of the following theories is being used?
A) Bioecological systems
B) Family systems
C) Family developmental and life cycle
D) Capacity -building model
Q2) A nurse is using the provisions of the Family Medical Leave legislation.Which of the following actions would the nurse take?
A) Resigning from employment, but retaining health insurance
B) Sharing family information with colleagues
C) Providing Medicaid to a family who cannot afford health insurance
D) Taking a defined time off of work for family events without fear of job loss
Q3) Nurses analyze family developmental changes and stressors when studying family: A) demographics.
B) functions.
C) structure.
D) nursing.
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Page 29
Chapter 28: Family Health Risks
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Q1) Which are lifestyle habits that have been shown to decrease morbidity and mortality? (Select all that apply.)
A) Sleeping 7 to 8 hours daily
B) Eating breakfast
C) Eating between meals
D) Vigorous daily physical activity
E) Maintaining full-time employment
Q2) A client is experiencing a social risk.Which of the following best describes this risk?
A) Inadequate housing
B) Lack of education
C) High-crime neighborhood
D) Lack of insurance
Q3) Which behavioral risk factor is a major contributor to morbidity and mortality in the United States?
A) Homicide or suicide
B) Motor vehicle accidents
C) Chronic disease
D) Substance use and abuse
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Chapter 29: Child and Adolescent Health
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Q1) Which statement about sudden infant death syndrome (SIDS)is true?
A) SIDS occurs most often in female infants.
B) Maternal cigarette smoking increases risk.
C) Most deaths occur between 2 and 8 months of age.
D) Most victims had a previous episode of cyanosis or apnea.
Q2) A nurse is working with a child who lives in poverty.Which of the following best describes this child?
A) A child who has poor academic performance
B) A child whose parents have a college education
C) A child of Caucasian descent
D) A child living in a single-parent household
Q3) 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
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Chapter 30: Major Health Issues and Chronic Disease
Management of Adults Across the Life Span
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Q1) A nurse is implementing Wagner's Chronic Care Model (CCM).Which of the following actions would most likely be taken by the nurse?
A) Educate a community group about hypertension control
B) Create a budget for chronic disease management
C) Administer immunizations to community members
D) Conduct depression screenings in the community
Q2) What is the purpose of adult day health centers?
A) Provide support of life until death occurs
B) Provide assistance to people who may need help with activities of daily living (ADLs)
C) Provide treatment for those needing rehabilitation
D) Provide respite care relief for caregivers
Q3) A nurse is educating a community women's group about the importance of monthly breast self-exam and annual mammograms.Which of the following best describes why this community health education is important?
A) Increased screening will lead to a decreased incidence of breast cancer.
B) Early detection of breast cancer typically leads to a better prognosis.
C) The death rate of breast cancer continues to rise.
D) The potential harm from screening needs to be discussed.
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Chapter 31: Disability Health Care Across the Life Span
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Q1) Which statement about physically compromised persons who are experiencing poverty is true?
A) They are more likely to have access to needed services.
B) They are at greater risk for more rapid progression of disease processes.
C) Their care is usually better coordinated.
D) They require more nursing in-home care than persons not living in poverty.
Q2) Which of the following statements about disabilities is true?
A) Disability includes sickness.
B) Almost everyone will experience disability at some time during life.
C) Disabilities are limited to physical impairments.
D) Most disabled individuals require assistance with ADLs.
Q3) A nurse is caring for a disabled individual and her family.Which of the following may be a potential effect on the family?
A) High out-of-pocket expenses to receive necessary services
B) Alteration of self-concept and self-esteem
C) Compliance with necessary legislation to maintain services
D) Provision of health care services by the health department
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Q1) A client is self-employed as a mechanic and has no health insurance coverage.Which of the following best describes the legislation that will assist this client in obtaining health insurance?
A) Balanced Budget Act
B) Health Insurance Portability and Accountability Act (HIPAA)
C) Patient Protection and Affordable Care Act (ACA)
D) Social Security Act
Q2) Which of the following is a characteristic of a vulnerable population?
A) Have worse health outcomes and an increased sensitivity to risk factors than the general population
B) Have a single risk factor but experience worse health outcomes than the general population
C) Have multiple risk factors but equal health outcomes to the general population
D) Have worse outcomes with better access to health care than the general population
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34
Chapter 33: Poverty and Homelessness
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Q1) A nurse is conducting a community assessment in a poor neighborhood.Which of the following is the nurse most likely to find?
A) Fewer minority groups
B) Increased exposure to environmental hazards
C) More available health care services
D) Lower rates of crime and substance abuse
Q2) The public health nurse (PHN)is taking care of a poor family,whose parents,grandparents,and great-grandparents also have been poor.Which of the following terms best describes this family?
A) Near poor
B) Persistent poor
C) Impoverished
D) Neighborhood poverty
Q3) 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
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Page 35
Chapter 34: Migrant Health Issues
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Q1) Which legislation changed the availability of federal services accessible to certain immigrants to the United States?
A) Migrant Health Act of 1962
B) Supplemental Security Income (SSI)
C) Welfare reform legislation of 1996
D) Food stamps
Q2) 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.
Q3) Which of the following disorders has been identified as an occupational health risk for agricultural workers?
A) Stroke
B) Heart disease
C) Diabetes
D) Cancer
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Chapter 35: Teen Pregnancy
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Q1) 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
Q2) A nurse is providing adoption counseling to pregnant teenagers.Which of the following is an important concept for the nurse to keep in mind?
A) Have the father present as well during the counseling session.
B) When speaking of adoption, use the words "giving the child away."
C) Describe the details of raising a child in order to influence adoption decisions.
D) Do not impose opinions on the decision-making process of teen mothers.
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Chapter 36: Mental Health Issues
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Q1) A nurse considers the effects of biology and environment,or nature and nurture,on the development of mental illness when providing care for clients with mental illness.Which nursing model/theory is being applied?
A) Community mental health model
B) Holistic model
C) Systems theory
D) Diathesis-stress model
Q2) A nurse worked in a psychiatric institution during the hospital expansion era.Which of the following best describes the location where the nurse most likely worked?
A) Near small communities with access to families and activities
B) In rural areas removed from family and social activities
C) Near urban areas with access to families and low-paying jobs
D) In urban areas without access to families and jobs
Q3) According to the NIMH,which is the leading cause of disability among adults?
A) Schizophrenia
B) Major depression
C) Obsessive-compulsive disorder
D) Anxiety
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Chapter 37: Alcohol, Tobacco, and Other Drug Problems
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Q1) A nurse is assessing the drug use patterns of a client.Which of the following questions would be most appropriate for the nurse to ask?
A) Where was the drug acquired?
B) Who gave the drug to you?
C) Why do you use the drug?
D) How often do you use the drug?
Q2) A school nurse is coordinating the implementation of a drug education program in the school.Which of the following levels of prevention is being implemented?
A) Primary level of prevention
B) Secondary level of prevention
C) Tertiary level of prevention
D) Primary health care prevention
Q3) A nurse is assessing a client for addiction.Which of the following primary symptoms of addiction should the nurse recognize?
A) Anger
B) Apathy
C) Denial
D) Violence
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Chapter 38: Violence and Human Abuse
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Q1) The greatest risk factor for suicide in adult women is:
A) divorce.
B) unemployment.
C) intimate partner violence.
D) terminal illness.
Q2) A nurse is assessing a school-age child whose parents have reported recent violent activity from the child that is atypical from this child.Which of the following may have contributed to the child's change in behavior?
A) Getting a new pet
B) Watching too much television
C) Playing violent video games
D) Having a new sibling at home
Q3) A nurse is assessing an individual who has been the victim of domestic violence.Which part of the body should the nurse assess first?
A) Front of the body
B) Back of the body
C) Proximal parts of the body
D) Distal parts of the body
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Chapter 39: The Advanced Practice Nurse in the Community
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Q1) An APHN has recently been hired by a public health department.Which of the following best describes what the PHN will most likely be doing in this role?
A) Diagnosing health problems
B) Managing chronic disease
C) Limiting disability
D) Conducting community assessments
Q2) An NP recently began employment in an emergency department.What would the primary role of the NP be in this setting?
A) Triage clients
B) Manage nonemergent client problems
C) Assess medically uninsured clients
D) Provide health education about preventive health care
Q3) Which is most likely to be a major stressor for an APHN?
A) Autonomy of practice
B) Professional isolation
C) Flexible work hours
D) Collaboration
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Page 41
Chapter 40: The Nurse Leader in the Community
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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 is developing a plan to coordinate health care services in the community.Which of the following actions would be most appropriate for the nurse leader to take initially?
A) Apply a team approach to assure all points of view are represented
B) Monitor that the plan is correctly implemented
C) Organize the plan in a sequential manner
D) Create a shared vision, goals, and measurable objectives
Q3) A nurse is providing nursing leadership.Which of the following interventions would most likely be completed?
A) Monitoring the budget for an immunization program
B) Influencing the improvement of the health of clients
C) Coordinating an interdisciplinary team
D) Using resources when providing clinical services
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Chapter 41: The Nurse in Home Health, Palliative Care, and Hospice
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Q1) A nurse is trying to facilitate interprofessional collaboration.Which of the following actions should be taken by the nurse?
A) Understand who is in charge of the client's care
B) Make appropriate referrals
C) Recognize what other professionals do and how they view their roles
D) Request assistance when performing complex skills
Q2) A nurse is coordinating care to ensure a comfortable and peaceful death.Which of the following factors should be an important consideration for the nurse?
A) The unique stress dying patients often experience
B) The cultural values, expectations, and preferences of the family
C) The communication style of each family member
D) The abilities of the nurse and health care team
Q3) Which organization publishes the current scope and standards of home care practice?
A) Centers for Medicare and Medicaid Services
B) American Nurses Association (ANA)
C) Robert Wood Johnson Foundation
D) Visiting Nurse Association
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Chapter 42: The Nurse in the Schools
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Q1) A child's parents have requested that their child be exempt from obtaining the required immunizations for a religious reason.What action should a school nurse take related to this request in order to be compliant with the law?
A) Deny entry into school for children without the required immunizations
B) Educate the parents about the need for immunizations
C) Be aware of the state laws regarding acceptable reasons for exemption
D) Allow the student to attend school without the immunizations
Q2) The National Association of School Nurses (NASN)recommends which educational preparation for school nurses?
A) Licensed practical nursing
B) Bachelor of science in nursing (BSN) and certification in school nursing
C) School nurse practitioner
D) Master of science in nursing with specialization in school nursing
Q3) The leading cause of death in children and teenagers is:
A) leukemia.
B) injuries.
C) suicide.
D) diabetes.
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Chapter 43: The Nurse in Occupational Health
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Q1) Which population would have been the focus of care for an occupational health nurse in the early 1900s?
A) Injured workers
B) All workers
C) Families
D) The community
Q2) What is the purpose of OSHA?
A) Educate occupational health and safety professionals
B) Identify and research occupational health and safety hazards
C) Distribute research findings relevant to occupational health and safety
D) Educate employers about occupational health and safety
Q3) A nurse is pursuing certification as an occupational health nurse.Which organization will provide this certification?
A) American Board for Occupational Health Nurses
B) Occupational Safety and Health Education and Research Center
C) National Institute for Occupational Safety and Health (NIOSH)
D) Occupational Safety and Health Administration (OSHA)
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Chapter 44: Forensic Nursing in the Community
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Q1) A nurse assesses the factors that may place a client at risk for injury from a violent act by considering the role these factors play before,during,and after the violent act.The work of which theorist is being applied?
A) Matrix
B) Maslow
C) Haddon
D) Hammer
Q2) 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
Q3) A nurse is providing direct client care while working in a correctional setting.Which of the following levels of prevention is being used?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Assessment
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Chapter 45: The Nurse in the Faith Community
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Q1) 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
Q2) Which statement about faith community nurses is true? Faith community nurses:
A) create caring congregations that support the holistic health of its members.
B) work with clergymen to foster deeper spiritual beliefs.
C) take care of a congregation of people in case of illness.
D) provide holistic care and make decisions about congregational policies.
Q3) A nurse is working in a congregational community who gathers in a church and has common faith traditions.Which of the following best describes this community?
A) Health ministry
B) Faith community nursing
C) Faith community
D) Holistic care center
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Chapter
National Levels
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Q1) 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
Q2) Which agency delegates the authority of the local health department?
A) The federal government
B) The state
C) Local authorities
D) Regional governing boards
Q3) Which is a principle of good practice for community partnerships?
A) Partnerships are easily formed among those working in public health.
B) Partnerships use their own roles to accomplish tasks.
C) Partnerships are built on identified strengths and assets.
D) Partnerships are loose associations among people.
Q4) 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
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