Population and Community Health Nursing Exam Practice Tests - 459 Verified Questions

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Population and Community Health Nursing Exam Practice Tests

Course Introduction

Population and Community Health Nursing focuses on the principles and practices of promoting health and preventing disease within groups, families, and communities. The course explores the roles and responsibilities of nurses working in diverse community settings, covers epidemiological methods, and emphasizes the assessment of population health needs. Students learn about planning, implementing, and evaluating community-based interventions, with particular attention to vulnerable populations and health disparities. Cultural competence, policy development, disease surveillance, and resource coordination are integral components, preparing students to advocate for and contribute to healthier communities.

Recommended Textbook

Population and Community Health Nursing 6th Edition by Mary Jo Clark

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30 Chapters

459 Verified Questions

459 Flashcards

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Chapter 1: Population Health and Nursing

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) While working with a local community on an immunization program, the nurse is developing an evaluation tool that incorporates the standards of care for population health nursing practice. What standards should the nurse include in this tool? (Select all that apply.)

A) Advocacy.

B) Research.

C) Collegiality.

D) Autonomy.

E) Leadership.

Answer: A,B,C,E

Q2) The nurse is caring for a specific population within a community. Which nursing action should the nurse use to exemplify the population health nurse's case finding role?

A) Assess a client's need for education.

B) Advocate for a mother who is being seen in a clinic.

C) Carry out an investigation of meningitis cases.

D) Develop an educational plan for a group of adolescents.

Answer: C

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17 Verified Questions

17 Flashcards

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Sample Questions

Q1) The clinical trainer for a group of population health nurses is planning to present the historical events that shaped and formed the development of population nursing in the United States. Which events should the trainer include? (Select all that apply.)

A) Creation of district nursing.

B) Settlement house movement.

C) Passage of immigration limiting legislation.

D) Standardization of community nursing practice.

E) Passage of legislation specific to community nursing.

Answer: B

Q2) The population health nurse is researching the activities of Margaret Sanger for a school paper. The nurse should explain the actions of Ms. Sanger as combining social activism with nursing to her clients by:

A) Advocating for better care for the mentally ill.

B) Reducing rural childbirth morbidity and mortality rates.

C) Providing information about contraceptive services to women.

D) Providing education regarding improved nutrition for families.

Answer: C

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Chapter 3: Epidemiology and Population Health Nursing

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) After being diagnosed with cancer the patient tells the population health nurse that the disease is punishment from God. Which theory of disease causation is this patient using to explain the illness?

A) Environment.

B) Physical forces.

C) Specific organism.

D) Divine intervention.

Answer: D

Q2) After collecting information from patients about a health problem the population health nurse is analyzing the information to determine the natural history of the condition. What elements of the natural history should the nurse identify? (Select all that apply.)

A) Signs and symptoms of the health problem.

B) The effects that the health problem has on the body.

C) Length of time the health problem will affect the body.

D) Factors that contribute to the development of the health problem.

E) Outcomes and factors that affect the outcomes of the health problem.

Answer: A,B,D,E

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Page 5

Chapter 4: Environmental Influences on Population Health

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) The amount of trash collected in one community is overwhelming local resources to collect and store it. Which is the best approach for the population health nurse to take to help decrease the amount of generated trash?

A) Encouraging use of fewer polluting products.

B) Promoting recycling efforts in the community.

C) Discouraging overuse of materials that generate trash.

D) Educating the community about overbuying household products.

Q2) The population health nurse is aware of many young couples with children purchasing and renovating older community homes. What prevention measure should the nurse implement to ensure the safety of these families?

A) Screen all members for lead levels.

B) Monitor lead levels in the family members.

C) Encourage the safe removal of lead-based paint in the homes.

D) Institute chelating measures for lead removal in the family members.

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6

Chapter 5: Cultural Influences on Population Health

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Sample Questions

Q1) The nurse desires to improve cultural competence when providing patient care. What action should the nurse take first to develop this competency?

A) Understand the culture of the patient.

B) Identify the goals for culturally competent care.

C) Gain proficiency in another language beyond English.

D) Understand and recognize the nurse's own cultural background.

Q2) A local hospital has established outreach clinics in the community to provide health care. Several staff members within the clinic component refuse to go to some of the outreach clinics claiming that the clinics are in a bad section of the community and the residents there are not interested in health promotion. Which behavior is the staff demonstrating?

A) Cultural blindness.

B) Cultural incapacity.

C) Cultural destructiveness.

D) Cultural precompetence.

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Chapter 6: Economic Influences on Population Health

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14 Flashcards

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Sample Questions

Q1) The population health nurse is participating in a discussion about the number of physicians in the United States being able to meet health care needs. What should the nurse identify as the primary reason for physicians contributing to escalating health care costs?

A) Decreased hospital beds nationwide.

B) Increased numbers of uninsured citizens.

C) The higher number of specialists than generalists.

D) More expensive prescription medications being prescribed.

Q2) An older community member is concerned about the rising cost of prescription medications. Which part of Medicare should the population health nurse review with this individual?

A) Part A.

B) Part B.

C) Part C.

D) Part D.

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8

Chapter 7: Health System Influences on Population Health

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Sample Questions

Q1) The population health nurse is comparing the provisions of the Patient Protection and Affordable Health Care Act with the National Health Service approach used in the United Kingdom. What feature of both health care coverage approaches has been identified as a need?

A) Promote efficiency.

B) Implement research.

C) Reduce chronic illnesses.

D) Limit caregiver autonomy.

Q2) While reviewing the indicators of healthy life the population health nurse decides that additional attention is needed on individuals in the community with specific health problems. On which community members should the nurse focus to help improve these indicators? (Select all that apply.)

A) Persons being treated for cancer.

B) Families with members identified with obesity.

C) Individuals who have had myocardial infarctions and strokes.

D) Individuals who continue to smoke after being advised to stop.

E) Individuals with arthritis who have received joint replacements.

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9

Chapter 8: Global Influences on Population Health

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Sample Questions

Q1) As part of the NAFTA trade agreement, sister cities in Mexico and the United States have had cultural exchanges to learn and share health practices and treatments. This could best be described as an effort of:

A) Global health concerns.

B) International health.

C) Bilateral assistance.

D) Border protection.

Q2) The population health nurse is comparing global health with international health for a group of community members. What should the nurse use as an example of global health?

A) Peace Corps volunteers working in a Third World country helping to improve water quality in local villages.

B) Rotary volunteers working in Nigeria to immunize children against polio.

C) Doctors without Borders providing health care to war-torn areas in Indonesia.

D) The World Bank providing funding grants to Middle Eastern countries to improve their health infrastructure.

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10

Chapter 9: Political Strategies

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Sample Questions

Q1) A health policy proposed by the state Department of Health and Human Services addresses creating a charity health system in which all citizens can receive comprehensive preventive health care. While the health system is being debated in the legislature, which criteria for evaluation should be used to assess its potential effectiveness? (Select all that apply.)

A) Cost.

B) Feasibility.

C) Resource needs.

D) Location.

E) Reimbursement guarantees from private insurance.

Q2) As part of a public hearing on amending health policy in the state, the nurse is asked to present identified health issues that directly impact the community and to assess the current health policy. In this role, the nurse is operating as a(n):

A) Citizen.

B) Activist.

C) Politician.

D) Researcher.

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Chapter 10: Community Empowerment

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Sample Questions

Q1) The population health nurse is assisting community leaders in the implementation of the asset-based community development model. What action should the nurse take to help the leaders determine community strengths?

A) Assist with asset mapping.

B) Facilitate recognition of self-efficacy.

C) Strategize ways to increase competence.

D) Promote cooperation among community members.

Q2) The population nurse is completing a community assessment. In which way should the nurse use this information that supports the second general purpose of this assessment?

A) Information for change.

B) Stimulus for change.

C) Data needed for the change.

D) Information for empowerment.

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Chapter 11: Health Promotion and Health Education Strategies

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Sample Questions

Q1) The population health nurse is working with a group of hospital administrators to create a health education program to address obesity in the adolescent population. Which questions should the nurse have answered when designing the social marketing for this program? (Select all that apply.)

A) When should the program be provided to the adolescents?

B) Where should the program be provided to the adolescents?

C) Does the hospital have the resources to provide the program?

D) How many computers are available for the adolescents to use?

E) What follow-up is needed after the program to reinforce behaviors?

Q2) The population nurse is evaluating a health promotion program for effectiveness. What should the nurse evaluate first?

A) The characteristics of holism were evident.

B) The cost of the program.

C) The number of people who participated in the program.

D) The extent that the program was empowering for the beneficiaries.

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Chapter 12: Case Management

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Sample Questions

Q1) The population health nurse is reviewing the goals for managing the care of a client. Which goal should the nurse identify as being client-centered?

A) Cost containment and cost-efficiency.

B) Improved quality of life.

C) Decreased paperwork.

D) Financial viability.

Q2) The population health nurse is evaluating outcomes for a group of clients based upon the best possible achievable outcome. Which action is the nurse completing?

A) Assessing.

B) Screening.

C) Delegation.

D) Benchmarking.

Q3) The population nurse case manager is preparing a case management plan for a client. What should the nurse remember about this type of plan when creating it for the client?

A) It is generic.

B) It is static.

C) It is time-limited.

D) It is outcomes-based.

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Page 14

Chapter 13: Home Visits As a Population Health Nursing Strategy

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Sample Questions

Q1) The population health nurse is planning to terminate continuing home visits with a community member. Which actions should the nurse take to prepare the client for this termination? (Select all that apply.)

A) Review goals accomplished with the client.

B) Make referrals for continuing care if needed.

C) Plan for termination beginning with the first visit.

D) Explain to the client the length of time visits that will be provided.

E) Establish mutual goals with the client to meet identified needs.

Q2) The home health nurse is making the initial assessment visit to a new client. After doing the assessment for treatment, the nurse completes an OASIS assessment form. How will this form be utilized?

A) To ensure that the appropriate diagnosis-related group (DRG) is used for payment.

B) By home health agencies who have certification.

C) For reimbursement purposes in home health agencies with Medicare clients.

D) As a requirement for all home health and hospice agencies.

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Chapter 14: Care of Families

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Sample Questions

Q1) The population health nurse is making a home visit with a family who has a child who recently became a paraplegic. The nurse suggests some home modifications to accommodate the child's disability. Which family-focused intervention is the nurse using?

A) Illness prevention.

B) Problem resolution.

C) Health restoration.

D) Injury prevention.

Q2) The nurse suspects that a family is experiencing a developmental crisis. What is occurring within the family for the nurse to make this clinical decision?

A) Oldest daughter getting married.

B) Grandfather diagnosed with an illness.

C) Uncle recently passed away.

D) The home was damaged by a tornado a week ago.

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Chapter 15: Care of Communities and Target Populations

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Sample Questions

Q1) The nurse is planning a program to encourage exercise among high school students. Teachers and parents will be involved in implementing the program. Which activity best describes the third level of acceptance of this health care program?

A) Marketing the program to the high school students.

B) Convincing the principal of the benefits of the program.

C) Meeting with the teachers to explain the program.

D) Encouraging parents to promote the program.

Q2) Twelve new cases of the measles have been diagnosed last week in a particular county. In that same county, 20 children are currently under treatment for the measles. What should the population nurse identify as being the incidence rate of the measles infection?

A) 8.

B) 12.

C) 20.

D) Unknown.

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Chapter 16: Care of Child and Adolescent Populations

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Sample Questions

Q1) The nurse is teaching a class to recent nursing graduates who have decided to work in the area of pediatrics. The nurse explains that the most common cause of delayed motor development in this population is:

A) Lead poisoning.

B) Physical abuse.

C) Cerebral palsy.

D) Alcohol use during the third trimester.

Q2) The nurse is planning to teach a class about dental care to a group of expectant women. The nurse should teach that dental hygiene should begin:

A) At birth.

B) When the first tooth erupts.

C) When the child can hold a toothbrush.

D) When the child starts solid food.

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Chapter 17: Care of Men

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Sample Questions

Q1) The nurse is talking with a male client who is on a regimen of antihypertensive medications. The nurse knows that there are side effects that affect masculine roles associated with these medications. Those side effects include:

A) Impotence and hyperglycemia.

B) Impotence and dizziness.

C) Decreased tolerance for physical activity and tremors.

D) Erectile dysfunction and hoarseness.

Q2) The population health nurse is concerned that a male community member is at risk for recidivism for heroin use. What did the nurse observe to cause this concern?

A) Enrolling in college classes.

B) Spending time with family members.

C) Going out with friends who use heroin.

D) Attends substance abuse meetings every other day.

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Chapter 18: Care of Women

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Sample Questions

Q1) The population health nurse is identifying strategies to support health problem resolution for women in a community. Which strategies should the nurse focus for this population? (Select all that apply.)

A) Screening.

B) Diagnosis.

C) Treatment.

D) Rehabilitation.

E) Prevention.

Q2) A woman, age 22, is admitted to the hospital in labor. She admits to having no prenatal care. She is among what percentage of pregnancies in the United States that have late or no prenatal care?

A) 6%.

B) 10%.

C) 15%.

D) 20%.

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20

Chapter 19: Care of the Older Population

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Sample Questions

Q1) A client is experiencing changes of aging to the musculoskeletal and nervous system. What should the nurse expect to assess in this client?

A) Loss of verbal ability and increased urine flow.

B) Decreased walking speed and increase in verbal memory.

C) Decreased reaction times and declining strength.

D) Slowed reaction time and loss of skeletal muscle.

Q2) The population health nurse is writing a pamphlet to be used by graduate students as they plan health promotion classes for elderly clients. What should be included in the pamphlet?

A) Teaching sessions should be at least 30 minutes.

B) Teaching sessions should occur prior to a mealtime.

C) Older clients do not retain material as well as younger clients.

D) Lessons should proceed at a slower pace.

Q3) The population health nurse is advocating for a screening service for older adults. Which type of activity is the nurse supporting for this population?

A) Health promotion.

B) Illness and injury prevention.

C) Problem resolution.

D) Health restoration.

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Chapter 20: Care of the Glbt Population

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Sample Questions

Q1) A member of the GLBT community admits that anal intercourse is often conducted unprotected. What should the population health nurse recommend to reduce this client's risk of illness?

A) Always use a condom.

B) Have monthly HIV testing.

C) Alter the type of intercourse.

D) Consider a monogamous relationship.

Q2) An adolescent shares with the nurse that he is gay and that he is going to tell his parents. The nurse knows that parental response to the disclosure of homosexuality is strongly influenced by the: (Select all that apply.)

A) Strength of traditional gender role conceptions.

B) Perceptions of the probable attitudes of significant others in the family's network.

C) Parental age.

D) Parental education.

E) Parental race.

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Chapter 21: Care of Poor and Homeless Populations

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Sample Questions

Q1) Families who are living in a local shelter state that they fear their children may be subject to abuse from other residents in the shelter. Which solution should the population health nurse recommend for this issue?

A) Restrict who uses the shelter.

B) Have a separate family area in the shelter.

C) Search everyone who uses the shelter prior to entering.

D) Force the children to stay with their parents at all times.

Q2) The population health nurse is working with a runaway adolescent who has been living in a local shelter. The nurse and the adolescent have explored the possibility of the adolescent returning home, and the adolescent is amenable. The most appropriate nursing intervention is to:

A) Contact the family and arrange for a time when the adolescent can return.

B) Work with the shelter to improve conditions for adolescent residents.

C) Work with the community to improve programs that address adolescent concerns.

D) Arrange for counseling for the adolescent and family before and after the adolescent returns.

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23

Chapter 22: Care of School Populations

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Sample Questions

Q1) A student joins the school and the parent tells the nurse that the child has a learning disability. The nurse should ask the parent if the child has:

A) Other conditions that the nurse should be aware of.

B) An Individualized Education Plan (IEP).

C) Difficulty in making new friends.

D) Special equipment needs.

Q2) The nurse at the local high school is aware that students are particularly vulnerable during this developmental stage to many health challenges. What is an appropriate priority topic to support student self-development?

A) Educate about sexually transmitted diseases.

B) Provide strategies to minimize stress and promote self-esteem.

C) Hold in-service programs for teachers to identify students at risk.

D) Collaborate with the local mental health agency to refer students at risk.

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Chapter 23: Care of Employee Populations

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Sample Questions

Q1) The occupational health nurse learns of an emergency within a construction site. What interventions should the nurse expect to perform when responding to this emergency? (Select all that apply.)

A) Refer to outside medical assistance as needed.

B) Provide immediate first aid as needed.

C) Respond to individual physical or emotional emergencies.

D) Evaluate the health effects of occupational disasters.

E) Refer to continued treatment as needed.

Q2) The nurse who monitors the health of employees in a modern office building will need to be alert to what issue?

A) Air quality from the ventilation system.

B) Noise levels from the outside.

C) Injuries sustained from weekend activities.

D) The distance employees walk from the parking area to the building.

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Chapter 24: Care of Correctional Populations

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Sample Questions

Q1) Many inmates in correctional facilities have communicable diseases. The most important consideration for the nurse who works in a correctional facility is to:

A) Control the spread of communicable diseases through client education.

B) Advocate for programs that decrease the spread of communicable disease.

C) Use universal precautions when handling blood and body fluids.

D) Ensure that inmate immunizations are current.

Q2) The correctional facility nurse is planning diversion actions for individuals with mental illness. What needs to be created to support diversion for this population? (Select all that apply.)

A) Specialized mental health courts.

B) Crisis intervention team policing.

C) Increased frequency of medical evaluations.

D) Ongoing assessment of mental health problem.

E) Scheduled times for medication administration.

Q3) Inmates who are admitted to a long-term correctional facility should be:

A) Tested for hepatitis B.

B) Screened for mental health problems.

C) Assessed for HIV symptomatology.

D) Screened and tested for tuberculosis (TB).

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Page 26

Chapter 25: Care of Clients in Disaster Settings

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Sample Questions

Q1) The population health nurse is reviewing a community's disaster plan. What should the nurse ensure is clearly identified for rescue operations?

A) Documenting victims' names and ages.

B) Triaging victims as they are identified.

C) Identifying where the victims were located.

D) Removing victims from hazardous conditions.

Q2) The nurse was caring for a client who had a significant cardiac history. The client died from a myocardial infarction during a hurricane. This is an example of what type of disaster death?

A) Direct.

B) Indirect.

C) Disaster-related natural.

D) Coincidental.

Q3) The nurse is working in a clinic that provides counseling for victims of a recent flood. Which type of care is the nurse providing?

A) Health promotion.

B) Illness prevention.

C) Health restoration.

D) Mental health care.

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Chapter 26: Communicable Diseases

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Sample Questions

Q1) The population health nurse is following up on care provided to a client with a sexually transmitted disease. Which statement indicates that the client needs additional teaching?

A) "I need to practice safe sex at all times."

B) "Once treated I will never contract gonorrhea again."

C) "Even after treatment I can contract the same disease."

D) "Having had mumps does not increase my risk of developing a sexually transmitted illness."

Q2) The population health nurse is making a graph to show some of the common diseases that are transmitted through sexual contact. The diseases that should be on the graph are:

A) Chlamydia, hepatitis A, and human immunodeficiency virus.

B) Gonorrhea, hepatitis C, and hepatitis A.

C) Genital herpes, hepatitis B, and syphilis.

D) Syphilis, haemophilus influenzae type B, and gonorrhea.

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Chapter 27: Chronic Physical Health Problems

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Sample Questions

Q1) The population health nurse is identifying individuals with chronic health problems. For which health problems should the nurse recommend disease management to resolve the health issue? (Select all that apply.)

A) COPD.

B) Asthma.

C) Epilepsy.

D) Diabetes.

E) Cardiovascular disease.

Q2) The population health nurse is planning a program focusing on the societal effects of chronic kidney disease. The community members with which health problems should the nurse encourage attending this program? (Select all that apply.)

A) 64 year old male client with hypertension.

B) 17 year old male client being treated for asthma.

C) 78 year old female client diagnosed with osteoporosis.

D) 58 year old female client with type 2 diabetes mellitus.

E) 34 year old male client recovering from testicular cancer.

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Chapter 28: Mental Health and Mental Illness

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Sample Questions

Q1) The population health nurse becomes aware of a client being stigmatized after receiving treatment for a mental illness. Which actions should the nurse take to help with this client's health restoration? (Select all that apply.)

A) Monitoring adherence to treatment.

B) Assisting the client with treatment side effects.

C) Discussing ways for the client to deal with the stigma.

D) Contacting local lawmakers to support antidiscrimination laws.

E) Conducting a community program on mental health and illness.

Q2) A client with a mental health problem asks the purpose of attending psychotherapy sessions. The population health nurse's response should include that the intent of psychotherapy is to:

A) Control one's behavior.

B) Develop an understanding of one's problems.

C) Promote medication compliance.

D) Promote normal behaviors.

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Chapter 29: Substance Abuse

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Q1) City council asks the population health nurse to assist with preventing the relapse of substance abuse by community members returning from rehabilitation. What actions should the nurse take to help these community members? (Select all that apply.)

A) Create relapse prevention groups.

B) Alert law officials that community members are being released.

C) Work with community members to identify triggers for drug use.

D) Meet with family members to discuss relapse prevention strategies.

E) Encourage family members to participate in relapse prevention groups.

Q2) An adolescent who has been treated twice in the last three years for substance abuse has been warned by the court that further problems with the law will result in his incarceration. The population health nurse is trying to convince the client's mother to have the adolescent admitted to a local rehabilitative program. Which substance abuse treatment principle is the nurse implementing?

A) Multiple episodes of treatment may be necessary.

B) Medications in conjunction with other behavioral therapies are important to treatment.

C) No single treatment is appropriate for all individuals.

D) Treatment does not need to be voluntary to be effective.

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31

Chapter 30: Societal Violence

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Sample Questions

Q1) The unemployment rate has increased in the community. The population health nurse should:

A) Monitor whether more community members receive food assistance.

B) Monitor whether more community residents receive health services at the local health clinic.

C) Monitor for an increase in domestic violence and child abuse as frustrations rise over loss of income.

D) Monitor for an increase in liquor sales in the community.

Q2) The population health nurse is discussing child abuse with a group of new elementary teachers. One of the teachers asks who is most likely to be the perpetrator of child abuse. What should the nurse respond?

A) Strangers.

B) Babysitters.

C) Parents.

D) Siblings.

To view all questions and flashcards with answers, click on the resource link above.

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