Population and Community Health Nursing
Exam Questions
Course Introduction
Population and Community Health Nursing focuses on the principles and practices of promoting, preserving, and protecting the health of populations and communities. The course explores the roles of nurses in assessing community health needs, implementing public health interventions, and evaluating outcomes across diverse settings. Students will learn about epidemiology, health promotion, disease prevention, and the social determinants of health, gaining skills in community assessment, program planning, and health policy advocacy. Emphasis is placed on culturally competent care, interprofessional collaboration, and the ethical considerations essential in addressing health disparities and improving the well-being of populations at the local, national, and global levels.
Recommended Textbook
Population and Community Health Nursing 6th Edition by Mary Jo Clark
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Chapter 1: Population Health and Nursing
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Q1) The population health nurse is meeting with school district administrators to discuss strategies to promote healthy behaviors in the students who attend schools in the district. Which strategy should the community nurse emphasize as being important for the schools to implement?
A) Provide fresh fruit for morning and afternoon snacks. 16)
B) Schedule scoliosis screening for all female students aged 12 through C) Examine the quality of repairs made to the school pool after a recent landslide.
D) Ensure safety equipment is available for all student use during sports activities.
Answer: A
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Q1) The population health nurse is discussing the first organized approach to home nursing of the sick that was established in 1813 by the Ladies' Benevolent Society of Charleston, SC, in response to a yellow fever epidemic. What important aspect of the care provided by this organization should the nurse emphasize?
A) Restricted to women and children.
B) Directed to those residing in the Jewish community.
C) Restricted to those who were able to pay for services.
D) Nondenominational and nondiscriminatory in an era of racial discrimination.
Answer: D
Q2) The nurse is identifying events that can shape the future of population health nursing practice for a group of nursing students. Which event should the nurse emphasize?
A) International effort to eradicate smallpox.
B) Prospective payment for nursing services.
C) Surveillance of the CDC on population health.
D) Threat of terrorism to harm the public's health.
Answer: D
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Chapter 3: Epidemiology and Population Health Nursing
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Q1) The population health nurse is planning to use a "web of causation" to explain the development of a health problem in a group of patients. What should the nurse use as an example of the web of causation?
A) Oil refinery, flare emissions, and asthma.
B) Mosquitoes, West Nile virus, and decreased mosquito spraying.
C) Adolescent pregnancy rate, lower socioeconomic status and education, and close friends with infants.
D) Access to alcohol, decreased enforcement of minors, and attractive media portrayal of alcohol that contributes to adolescent alcohol usage.
Answer: D
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5
Chapter 4: Environmental Influences on Population Health
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Q1) After a hurricane has devastated a community, the population health nurse becomes involved in local recovery efforts. Which tertiary prevention measure should the nurse consider to aid in the recovery of this community?
A) Promote legislation to reduce pollutant emissions.
B) Promote replacement of hazard-producing industrial processes.
C) Screen for the effects of environmental changes that result from the hurricane.
D) Promote environmental policies to prevent recurrence of problems that result from environmental changes caused by the hurricane.
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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Chapter 5: Cultural Influences on Population Health
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Q1) The population health nurse is planning to develop cultural competence within a community. Which actions should the nurse take? (Select all that apply.)
A) Ensuring that all patients are treated in the same manner.
B) Recognizing subgroup differences within cultural groups.
C) Ensuring that health clinics employ minority staff to deliver care.
D) Engaging in community partnerships to help design culturally relevant services.
E) Maintaining an up-to-date demographic, cultural, and epidemiologic community profile.
Q2) The nurse is taking a class to become more culturally competent when providing care. In this class the nurse learns that the American work ethic is considered to be one that is hardworking and individualistic. The nurse should categorize the work ethic as being a part of:
A) Culture.
B) Ethnicity.
C) Nationality.
D) Acculturation.
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Chapter 6: Economic Influences on Population Health
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Q1) The population health nurse is preparing material for an educational seminar on the differences between Medicare and Medicaid. What should the nurse include in this teaching?
A) Medicare only covers health care services for people over age
B) Medicare does not cover preventive services, but Medicaid provides such coverage.
C) Medicare funding is solely on the federal level and Medicaid has no federal funding.
D) Medicare provides partial coverage for health services when eligible for Social Security benefits and Medicaid provides health services to the indigent.
65)
Q2) The population health nurse is explaining to a patient about the type of health services that are paid for by a third party such as private health insurance. What is the nurse explaining to this patient?
A) Capitation payment.
B) Deductible payment.
C) Prospective reimbursement.
D) Retrospective reimbursement.
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8
Chapter 7: Health System Influences on Population Health
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Q1) The "Tour for Cure" is an annual bike relay sponsored by the Multiple Sclerosis (MS) Society. Entrants are sponsored for each mile by voluntary donations, which go to the MS Society to fund research activities and provide services to those diagnosed with MS. The Tour highlights awareness and public education of the disease. As a voluntary health agency, which additional functions can the MS Society accomplish? (Select all that apply.)
A) Promote legislation through lobbying.
B) Health planning and organization.
C) Ensure sufficient health professionals to care for those with MS.
D) Enforce laws and regulations that help to diagnose and treat those with MS.
E) Hire individuals with chronic diseases to assist with fund-raising efforts.
Q2) The client is being treated for chronic headache pain in a local clinic. In addition to the medical care the client is receiving, the client also visits an acupuncture clinic and states that both therapies help the headache pain. This type of health care subsystem the client is employing is:
A) Complementary.
B) Personal.
C) Popular.
D) Alternative.
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Page 9
Chapter 8: Global Influences on Population Health
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Q1) A nurse in the maternity ward of a U.S. hospital has been asked to participate in a humanitarian mission to Haiti. What should the nurse do to support global health objectives in preparation for this mission?
A) Study the culture of Haiti.
B) Pack clothing appropriate for the climate of Haiti.
C) Contact the WHO office of Nursing and Midwifery.
D) Learn some common words and phrase that are used in Haiti.
Q2) The population health nurse is considering how best to educate the community about potential threats to health from terrorism. What is the best way to accomplish this? (Select all that apply.)
A) Raise community awareness about increased immigrants to the population.
B) Hold public forums to educate the community about coping with psychological effects.
C) Hold public forums to educate the community about taping windows in the event of a chemical attack.
D) Raise community awareness about the signs and symptoms of potential biologic agents.
E) Conduct training sessions to review preventive measures in the event of a biologic attack.
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Page 10
Chapter 9: Political Strategies
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Q1) The local homeless shelter has a policy that requires that residents have documentation regarding their tuberculosis exposure. A member of the community states that this violates an individual's right to privacy. What evaluation criterion would address this?
A) Resource needs.
B) Equity.
C) Quality.
D) Feasibility.
Q2) After working many years as a population nurse, the nurse seeks appointment to a statewide board that is in charge of developing strategies to improve health outcomes in the state. This role is best described as:
A) Citizen.
B) Activist.
C) Politician.
D) Researcher.
Q3) The most important criterion in evaluating health policy is its:
A) Ability to be implemented.
B) Ability to achieve the desired outcome on the target population.
C) Equitable distribution of the health care resources.
D) Effect on the target population.
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Chapter 10: Community Empowerment
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Q1) The population nurse is facilitating the operation stage of group development. In which stage of the nursing process is the nurse functioning?
A) Assessment.
B) Planning.
C) Implementation.
D) Evaluation.
Q2) A group of community leaders are planning to evaluate their organization's structure. What should the population nurse encourage the leaders to examine during this evaluation? (Select all that apply.)
A) If resources have been effectively mobilized.
B) If resources have been appropriately allocated.
C) If community leaders are able to foster participation.
D) If the structure facilitates decision-making participation.
E) If community leaders are able to facilitate problem resolution.
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Chapter 11: Health Promotion and Health Education Strategies
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Q1) The population health nurse is using a health promotion strategy that emphasizes changing negative behaviors to benefit the patient and society. Which strategy is the nurse using?
A) Empowerment.
B) Social marketing.
C) Health education.
D) Manipulation.
Q2) 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?
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Chapter 12: Case Management
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Q1) The population nurse is reviewing goals with a newly hired case manager. Which goal should the nurse identify as being system-centered?
A) Reduced duplication of services.
B) Better coordination of care.
C) Access to affordable services.
D) Ability to function independently.
Q2) The population health nurse case manager is assisting a client identify the closest facility to have a required diagnostic test completed. Which principle of case management is the nurse performing with the client?
A) Incorporating client advocacy.
B) Promoting optimal client safety.
C) Navigating the health care system.
D) Linking with community resources.
Q3) The nurse is deciding tasks to delegate to other caregivers. What should the nurse use to help making these delegation decisions?
A) Age.
B) Education.
C) Ability for self-care.
D) Ability to pay for services.
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Page 14
Chapter 13: Home Visits As a Population Health Nursing Strategy
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Q1) The population health care is planning to make a visit to the home of a new community member who is recovering from major surgery. What observations should the nurse identify as advantages to making this home visit? (Select all that apply.)
A) Client's home is neat, clean, and cheerful.
B) Client and spouse sit together in the living room.
C) Client ambulates safely with the use of a walker.
D) Client requests no further visits because the neighbors will know.
E) Client states that no care is needed because insurance won't cover it.
Q2) After several home visits, the nurse and the client have agreed to improve the client's overall nutritional status. In order to achieve this outcome, the nurse should:
A) Assess the client's food preferences and methods of food preparation.
B) Plan menus for the client to prepare.
C) Accompany the client when food shopping.
D) Refer the client to a Meals-on-Wheels program.
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Chapter 14: Care of Families
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Q1) The nurse assesses the father's role within the family to be primarily formal. What did the family explain as being his major functions within the family? (Select all that apply.)
A) Comforter.
B) Chauffeur.
C) Financial manager.
D) Caregiver.
E) Confidant.
Q2) The nurse observes that the family is exhibiting strengths in the face of a major unexpected adversity. What behavior should the nurse recognize this family is demonstrating?
A) Faith.
B) Resilience.
C) Projection.
D) Intellectualization.
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Chapter 15: Care of Communities and Target Populations
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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) After studying the community, the nurse reports widespread unemployment, lack of housing, and crowded living conditions as being major factors influencing community health. These factors are related to which determinant of health?
A) Environmental determinant.
B) Biological determinant.
C) Psychological determinant.
D) Behavioral determinant.
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Chapter 16: Care of Child and Adolescent Populations
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Q1) The mother asks the nurse when her infant should be screened for tuberculosis (TB). The nurse should explain that routine screening for TB usually occurs initially:
A) At birth.
B) At four months of age.
C) At three years of age.
D) When the child starts school.
Q2) While attempting to resolve an adolescent's current health problems the population nurse decides to screen for problems that could affect functioning in school. Which screenings should the nurse implement with this adolescent? (Select all that apply.)
A) Vision.
B) Hearing.
C) Substance use.
D) Driving safety.
E) Safety in sports.
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Chapter 17: Care of Men
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Q1) The population health nurse is preparing a seminar on men's health issues for a community organization. For the presentation the nurse should explain that men are ________ as likely as women to die from heart disease and ________ times more likely to commit suicide.
A) Three times, four.
B) Four times, two.
C) Twice, four.
D) Twice, six.
Q2) The population health nurse decides to screen the male population of a small rural community for the presence of suicide risks. On which risks should the nurse focus? (Select all that apply.)
A) Depression.
B) Unemployment.
C) Married.
D) Substance abuse.
E) Relationships with peers.
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Chapter 18: Care of Women
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Q1) The population health nurse is identifying health restoration interventions for a female client with multiple sclerosis. Which intervention would be the most appropriate for this client?
A) Discuss methods to reduce unwanted pregnancy.
B) Analyze ways to address self-concept and eating disorders.
C) Provide names of companies who install chair lifts in the home.
D) Examine options to reduce the risk of sexually transmitted infections.
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%.
Q3) The nurse is planning a class to promote women's health. It would be appropriate to include:
A) The leading cause of death among women in the United States is heart disease.
B) The risk of breast cancer decreases with age.
C) Rheumatoid arthritis is the most common chronic condition in women.
D) Women with disabilities report less symptoms than men with disabilities.
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Chapter 19: Care of the Older Population
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Q1) The population health nurse is teaching a group of elderly clients. What action should the nurse take to circumvent hearing loss?
A) Using a higher-pitched voice.
B) Employing verbal teaching techniques.
C) Facing the listener while speaking.
D) Using background music.
Q2) The population health nurse is assessing a 72-year-old client's ability to perform the basic activities of daily living (BADLs). For which activities is the nurse assessing? (Select all that apply.)
A) Walk at least 12 steps.
B) Dress oneself.
C) Bathe oneself.
D) Feed oneself.
E) Use the telephone.
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21
Chapter 20: Care of the Glbt Population
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Q1) A client recovering from MTG sexual reassignment surgery asks what can be done to change the sex and name on the client's driver's license. What should the population health nurse do to assist the client with this issue?
A) Nothing-birth gender cannot be legally changed.
B) Complete paperwork through the client's automotive club.
C) Recommend waiting until the surgery is considered successful.
D) Provide information to have gender identification legally changed.
Q2) The population health nurse is assessing a community member who identifies with the GLBT community. When discussing sexual orientation the nurse knows that three aspects are being assessed which are: (Select all that apply.)
A) Identity.
B) Behavior.
C) Attraction.
D) Acceptance.
E) Coming out.
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Chapter 21: Care of Poor and Homeless Populations
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Q1) The population health nurse is planning teaching sessions for low-income community members. Which topics should the nurse include that focus on health promotion for this population? (Select all that apply.)
A) Importance of adequate rest.
B) Strategies to improve job search results.
C) Ways to ensure adequate nutrition on a fixed budget.
D) Interventions to prevent exacerbation of chronic illnesses.
E) Strategies to incorporate exercise into everyday activities.
Q2) The population health nurse is aware that many members of the community, though they are employed, need to obtain additional foodstuffs every month from the local community food bank. The nurse knows that this indicates that:
A) There are insufficient employment opportunities in the community.
B) Poverty is increasing in the community.
C) Better information about food economy should be disseminated in the community.
D) The local grocery stores do not carry sufficient supplies.
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Chapter 22: Care of School Populations
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Q1) The school nurse is beginning an evaluation of the school-based health center as part of a school district annual report. Which tools should the nurse use that includes the eight components of the CDC model of a coordinated school health program? (Select all that apply.)
A) School Health Index (SHI).
B) Healthy School Report Card.
C) Health People 2020 objectives.
D) Health Education Curriculum Analysis Tool.
E) Physical Education Curriculum Analysis Tool.
Q2) The nurse performs vision and hearing screening at the school to identify students who may need referrals for further testing. A responsibility of the nurse in screening is to:
A) Monitor that students who need glasses wear them.
B) Send letters home to parents reminding the students to wear the glasses.
C) Follow up on referrals made to determine outcomes for those students with vision or hearing problems.
D) Ask the teachers if they are aware of any other problems with students in the classroom.
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Chapter 23: Care of Employee Populations
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Q1) 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.
Q2) The owner of a small business wants to improve the health of all employees. Which actions should the owner consider to meet this goal?
A) Drop health insurance for employees.
B) Provide on-site health care for employees.
C) Mandate that all vacation days are taken each year.
D) Reduce the number of sick days offered as a benefit.
Q3) The occupational health nurse is beginning an annual audiology screening with employees of a manufacturing company. For this organization the nurse is performing screening to:
A) Determine what first aid should be given.
B) Advocate for adequate health insurance.
C) Report and interpret findings for making referrals.
D) Develop disaster emergency response plans.
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Page 25
Chapter 24: Care of Correctional Populations
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Q1) The correctional nurse is meeting with county officials to review health promotion activities planned for a 150 person facility. Which activities should the nurse emphasize as being important for this population? (Select all that apply.)
A) Ensuring adequate nutrition.
B) Promoting stress reduction.
C) Educating on self-care actions.
D) Monitoring treatment compliance.
E) Planning for adequate rest and exercise.
Q2) Ensuring that the facility has adequate nutrition for its inmates, providing opportunities for rest and exercise, and controlling communicable diseases address:
A) The individual inmate's health.
B) Protecting the health of the whole rather than enhancing the health of the one.
C) Aspects of advocacy for the nurse in the correctional setting.
D) Needed aspects of care for a predominantly female inmate population.
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Chapter 25: Care of Clients in Disaster Settings
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Q1) The population health nurse lives in an area that is at great risk for hurricanes. The nurse is advocating for stricter building codes and for barriers such as seawalls or dams. What type of planning is this nurse advocating?
A) Health promotion.
B) Injury prevention.
C) Illness prevention.
D) Advocacy.
Q2) The population health nurse is reviewing a disaster response plan. For which principles should the nurse evaluate this plan? (Select all that apply.)
A) Be written so specifically that they are not easily changed.
B) Be based on knowledge about how people generally behave in emergency situations.
C) Enlist the support and coordinate the efforts of the entire community.
D) Account for primarily the physical health needs of victims and helpers.
E) Be kept confidential until executed.
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Chapter 26: Communicable Diseases
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Q1) 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.
Q2) A diabetic client is being screened for tuberculosis. The nurse administers the tuberculin skin test. Instructions related to the skin test should include:
A) The client must return within 24 to 36 hours to have the test assessed.
B) A positive reaction to the skin test is based upon redness around the injection site.
C) An induration area of 15 mm or greater is significant in this client.
D) An induration area of 10 mm or more is considered positive in this client.
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Chapter 27: Chronic Physical Health Problems
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Q1) The population health nurse is preparing a community health program about women's health care issues. Which statement should the nurse include in the program?
A) Women have higher incidence rates for hypertension.
B) Women are more likely than men to die of chronic liver disease.
C) Women have a higher risk of death from stroke.
D) Women have a higher risk for arthritis than men.
Q2) A community member returns home after having spinal fusion surgery for spinal stenosis. What recommendation should the population health nurse make to help with this client's health restoration?
A) Focusing on weight management activities.
B) Participating in rehabilitation to promote maximum physical functioning.
C) Encouraging to have needed vaccinations during the next care provider visit.
D) Requesting prescriptions from the care provider to ensure adequate pain management.
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Chapter 28: Mental Health and Mental Illness
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Q1) A client is taking second-generation antipsychotic medications for schizophrenia. The most appropriate teaching topic for this client is:
A) Diet and physical activity.
B) The need for regular blood work.
C) The probability of hair loss.
D) The need to take the medications on an empty stomach.
Q2) 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.
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Chapter 29: Substance Abuse
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Q1) During an assessment the population health nurse learns that a client is using blue velvet. For which substance should the nurse plan care for this client?
A) Codeine.
B) Demerol.
C) Opium.
D) Cocaine.
Q2) A mother is concerned that her son is demonstrating some behaviors that place him at risk for substance abuse. Which behavior should the population health nurse explain that contributes to problems of substance abuse?
A) Conformity.
B) Patience with failure.
C) Easily acknowledging feelings.
D) Tolerance of deviant behavior.
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Chapter 30: Societal Violence
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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) Advocating for available shelter and other resources and having a safety plan addresses which health restoration goal?
A) Provide treatment for victims of violence.
B) Identify persons at risk for violence.
C) Identify episodes of violence.
D) Provide safe environments.
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