Public Health Nursing Exam Materials
Course Introduction
Public Health Nursing focuses on the promotion and protection of the health of populations using knowledge from nursing, social, and public health sciences. This course examines the roles and responsibilities of public health nurses in assessing community health needs, planning and implementing interventions, and evaluating outcomes to improve health at the community and population levels. Emphasis is placed on health promotion, disease prevention, epidemiology, health education, and collaboration with diverse groups and organizations to address social determinants of health and reduce health disparities. Students learn to advocate for policy changes, utilize data-driven decision making, and apply ethical and culturally competent approaches in public health practice.
Recommended Textbook
Population and Community Health Nursing 6th Edition by Mary Jo Clark
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30 Chapters
459 Verified Questions
459 Flashcards
Source URL: https://quizplus.com/study-set/3624
Page 2
Chapter 1: Population Health and Nursing
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/71953
Sample Questions
Q1) The nurse holds community forums to gain input in determining the health needs for the community. Issues raised the forum focus on the need for nutrition education, but the nurse notices that many community members are outside smoking before entering the building. The nurse acknowledges the importance of nutrition education, but addresses the incorporation of smoking cessation education as part of a total lifestyle choice program. Which type of nursing is the nurse implementing?
A) Public health nursing.
B) Community-driven nursing.
C) Population-focused nursing.
D) Community-focused nursing.
Answer: C
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/71954
Sample Questions
Q1) The population health nurse is reviewing the recommendations within the Report of the Massachusetts Sanitary Commission drafted by Lemuel Shattuck. What should the nurse identify as being the most important effect of this document?
A) Establishing state boards of health.
B) Establishing workhouses for the sick poor.
C) Mobilizing social reform to sanitary engineering.
D) Refuting that poverty was the result of deficiencies in moral character.
Answer: A
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
Source URL: https://quizplus.com/quiz/71955
Sample Questions
Q1) A patient comes into the clinic with manifestations of an acute respiratory infection. When analyzing the natural history of the condition, the population health nurse identifies that this patient is in which stage?
A) Clinical.
B) Preclinical.
C) Resolution.
D) Susceptibility.
Answer: A
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
Source URL: https://quizplus.com/quiz/71956
Sample Questions
Q1) The population health nurse is working with city council members to identify environmental factors that negatively impact the health of community members. Which factors should the nurse call to the attention of the council members? (Select all that apply.)
A) Urban sprawl.
B) Gang violence.
C) Green space in communities.
D) Organized recreation programs.
E) Disparities in socioeconomic status.
Q2) During a health fair the population health nurse notes that a child of a family renovating an older home is demonstrating fatigue. What action should the nurse encourage the parents to take?
A) Eat more foods with protein.
B) Have the child go to bed earlier.
C) Screen the child for serum lead levels.
D) Screen the child for hearing difficulties.
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6
Chapter 5: Cultural Influences on Population Health
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/71957
Sample Questions
Q1) The health clinic staff is working on becoming culturally competent. Which strategies should the staff use when developing this competence? (Select all that apply.)
A) Increasing the diversity of the staff providing care.
B) Soliciting input from various cultural organizations.
C) Holding cultural training sessions for its staff members.
D) Developing a competence in the languages spoken by the patient population.
E) Concluding that their current method of care delivery needs little modification.
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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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/71958
Sample Questions
Q1) The population health nurse is reviewing information to include in a presentation on the economics of health care. Which statements should the nurse include in this presentation? (Select all that apply.)
A) Health insurance guarantees a healthy workforce.
B) Educational level is associated with health outcomes.
C) Society benefits from an employed and healthy workforce.
D) Chronic illness in a stable workforce does not impact productivity.
E) Lost productivity from illness has minimal effect on societal outcomes.
Q2) The population health nurse learns that the state of practice received a block grant to address a health problem. Which problem should the nurse advocate to receive this grant?
A) Developing public education programs to address smoking.
B) Developing a research program to address causes of poverty.
C) Increasing coverage for those meeting qualifications for Medicaid coverage.
D) Opening statewide immunization centers to provide childhood immunization coverage.
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8
Chapter 7: Health System Influences on Population Health
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The March of Dimes has instituted a public awareness campaign to decrease premature births. It has also conducted media campaigns to raise public awareness of this health problem in addition to research about prematurity and government lobbying efforts. Official government efforts to address prematurity include research and public awareness. As a voluntary agency the primary emphasis of the March of Dimes campaign is on:
A) Funding, research, and education.
B) Research, education, and policy development.
C) Education, policy development, and funding.
D) Policy development, research, and public health practice.
Q2) A member of the community with tuberculosis (TB) refuses to be compliant with prescribed TB treatment protocol and is sent to a minimum security correctional facility to ensure that the TB medications are done with directly observed therapy (DOT) by the medical personnel. The client initiates legal action to prevent this from happening but is overruled by the judge. Which government level of authority authorizes this power?
A) Local government.
B) County government.
C) State government.
D) Federal government.
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Chapter 8: Global Influences on Population Health
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/71960
Sample Questions
Q1) The population health nurse has been appointed to a committee to identify actions to achieve the millennial goal of improving maternal health by reducing the maternal mortality ratio by 78%. Which strategy should the nurse recommend to assist in achieving this goal?
A) Explain dietary requirements to ensure a viable fetus.
B) Prepare educational materials about the need for prenatal care from conception.
C) Instruct women of childbearing age on the importance of receiving prenatal care.
D) Establish portable health clinics in underdeveloped countries to provide prenatal care.
Q2) 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.
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Chapter 9: Political Strategies
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) 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.
Q2) After a natural disaster hits the community, a grassroots organization is formed to improve conditions post-recovery. The nurse joins the organization and volunteers to contact public officials about the organization's concerns. This role is best described as: A) Politician.
B) Activist.
C) Citizen.
D) Researcher.
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11
Chapter 10: Community Empowerment
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The nurse assists residents to collect information about pollution and to present a petition to the City Council requesting greater accountability from local businesses regarding pollution. This best describes:
A) Individual empowerment.
B) Community empowerment.
C) Community competence.
D) Individual accountability.
Q2) A small city is attempting to rejuvenate itself through housing and business development. Which concept of community is this city implementing?
A) Mobilization.
B) Organization.
C) Competence.
D) Development.
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Chapter 11: Health Promotion and Health Education Strategies
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/71963
Sample Questions
Q1) The population health nurse new to a community wants to provide an educational seminar to assist community members with smoking cessation. What learning principles should the nurse implement when preparing this program? (Select all that apply.)
A) The readiness of community members to learn smoking cessation.
B) The safety of the environment where mistakes can be freely made.
C) The types of activities to support multi-sensory needs when learning.
D) The cost to the community budget and community members to attend the program.
E) The accountability of the nurse and community members to achieve learning outcomes.
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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13
Chapter 12: Case Management
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/71964
Sample Questions
Q1) A client being case managed has become unstable. What should the nurse case manager do?
A) Delegate the care to assistive personnel.
B) Refuse to continue care.
C) Retain care of the client.
D) Make an automatic referral.
Q2) The nurse is making a referral for the client. What should be the nurse's first consideration for this referral?
A) Factors that might prevent the client from following through with the referral.
B) Client's eligibility for the service.
C) Cost of the referral services.
D) Acceptability of the referral to the client.
Q3) A client who has asthma is being assisted by the case manager to achieve control of the disease. Which type of care is the case manager providing to the client?
A) Case management.
B) Disease management.
C) Multidisciplinary care.
D) Risk management.
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14
Chapter 13: Home Visits As a Population Health Nursing Strategy
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/71965
Sample Questions
Q1) 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.
Q2) The nurse receives a referral to visit a client who neighbors fear is being abused by a spouse. The client allows the nurse inside but is obviously reluctant to have the nurse in the home. The nurse could best address the client's concerns by: (Select all that apply.)
A) Tactfully communicating the reason for the visit.
B) Establishing appropriate expectations for the visit for the client and nurse.
C) Starting to establish a rapport with the client.
D) Stating that the neighbors made the referral.
E) Informing the client that her name has been given to a local women's shelter.
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15
Chapter 14: Care of Families
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The nurse is completing an assessment on a 5-year-old child. One of the questions the nurse asks the mother is how many people live together in the house. The mother states that the father, two aunts, one uncle, three children, a nd she live together in the house. On the basis of the mother's answer, how should the nurse describe this family type?
A) Nuclear.
B) Extended.
C) Stepfamily.
D) Blended.
Q2) The nurse is educating the family regarding general needs for adequate nutrition, rest, and physical activity. Which type of care is the nurse providing to this family?
A) Health promotion.
B) Health protections.
C) Injury prevention.
D) Illness prevention.
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Chapter 15: Care of Communities and Target Populations
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/71967
Sample Questions
Q1) The nurse is reviewing factors that affect the health of a population. Which factors should the nurse identify as being sociocultural determinants? (Select all that apply.)
A) Language.
B) Annual birth rate.
C) Family composition.
D) Population density.
E) Transportation accessibility.
Q2) The nurse is working in a weight control program and realizes that most of the participants want to lose weight, but they are unable to because of the difficulties involved in stopping an addictive behavior. This best demonstrates the theory of:
A) Processing.
B) Delineation.
C) Implementation.
D) Cause and effect.
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Chapter 16: Care of Child and Adolescent Populations
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/71968
Sample Questions
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) An exacerbation of an adolescent child's chronic health problem has been addressed. What action should the population health nurse plan to promote adjustment of the child and family?
A) Discuss the child's health needs with the school nurse.
B) Encourage the family to see the routine Friday night movie.
C) Suggest the child attend counseling to help with the problem.
D) Schedule an assistant to help with child care while the parents take a weekend off.
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18
Chapter 17: Care of Men
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/71969
Sample Questions
Q1) The nurse is trying to help the male client see the same situation in a different light. The best description of this technique is:
A) Processing.
B) Reframing.
C) Acknowledgement.
D) Cause and effect.
Q2) The population health nurse is working with a community who is devoting a month to men's health. Which information should be included on marketing material for this event?
A) Men have lower rates of sexually transmitted diseases as compared to women.
B) Men are less likely to die from cancer as are women.
C) Men develop heart disease earlier and die more frequently than do women.
D) Worldwide, the most frequent cause of death in young and middle adult men is prostate cancer.
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Chapter 18: Care of Women
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/71970
Sample Questions
Q1) 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%.
Q2) The community health nurse is working with a 17-year-old mother of two. Evidence of spousal abuse is confirmed. The nurse knows that:
A) It is unethical to confirm the diagnosis with the client.
B) Part of the primary goal is to assist the woman to feel empowered.
C) The nurse should become a source of control in the client's life.
D) The nurse should make immediate decisions for the client.
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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Page 20
Chapter 19: Care of the Older Population
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/71971
Sample Questions
Q1) The intervention that would be most appropriate for the client with functional incontinence would be to encourage the client:
A) To empty the bladder every two hours while awake.
B) Not to drink any liquids after 5:00 p.m. each evening.
C) To call for assistance when the urge to urinate is felt.
D) To wear an adult-type diaper during the daytime hours.
Q2) The population health nurse is reviewing health information for a group of community members. Which client should the nurse identify as having comorbidities?
A) The 65-year-old client and his spouse both have diabetes mellitus.
B) The 72-year-old client is taking an antihypertensive medication that interferes with his asthma.
C) The 86-year-old client is the primary caregiver for his 90-year-old spouse.
D) The 67-year-old client does not experience the usual symptoms that are associated with emphysema.
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21
Chapter 20: Care of the Glbt Population
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Source URL: https://quizplus.com/quiz/71972
Sample Questions
Q1) A client who is a MTG transgender is considering feminizing genitoplasty. Which surgical procedures should the population health nurse include when instructing this client? (Select all that apply.)
A) Penectomy.
B) Vovoplasty.
C) Orchiectomy.
D) Vaginoplasty.
E) Reduction mammoplasty.
Q2) A therapist who works primarily with gay and lesbian couples is aware that the same kinds of stress that affect heterosexual relationships also affect gay and lesbian relationships. But the therapist knows that the stress is different with respect to:
A) Extended family involvement.
B) Inequalities of power.
C) Disparity in income.
D) Coming out.
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22
Chapter 21: Care of Poor and Homeless Populations
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/71973
Sample Questions
Q1) The population health nurse learns that efforts to improve the health of the poor and homeless in a community have not been effective. What should the nurse do to change this outcome going forward?
A) Campaign to change the hours of community health clinics.
B) Seek assistance from city council to meet the needs of the poor and homeless.
C) Work with the school district to improve the nutritional status of students in the community.
D) Focus programs on the national health objectives related to low-income individuals and families.
Q2) The population health nurse visits a family in the community and becomes aware that the family is facing loss of their house because of the primary income earner's recent illness, which depleted the household income. The nurse should intervene to aid the family by:
A) Referring them to their local church.
B) Contacting local social service agencies for emergency housing funds.
C) Finding employment for other family members.
D) Arranging for home health services for the primary income earner.
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Chapter 22: Care of School Populations
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Source URL: https://quizplus.com/quiz/71974
Sample Questions
Q1) 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.
Q2) A student has been diagnosed with a pulmonary condition that necessitates the use of continuous oxygen. The student's family has limited means and expresses concerns about being able to pay for the use of the oxygen. An important action the nurse can take is to:
A) Listen to the parents and express concern.
B) Educate the teachers about positioning the student for the most effective oxygen consumption.
C) Educate the school staff about the student's condition.
D) Refer the parents to the American Lung Association for possible financial help.
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Chapter 23: Care of Employee Populations
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15 Flashcards
Source URL: https://quizplus.com/quiz/71975
Sample Questions
Q1) The nurse is employed by a white collar business in which the majority of the work is done on computers. Potential health and safety hazards include:
A) Computers that are obsolete in their design and function.
B) Workers who sit all day and become overweight.
C) Poor ergonomic designs of workspace leading to back and carpal tunnel injuries.
D) Insufficient break times that create pressure in employees and lead to stress.
Q2) A new employee joins the workgroup and comes to the nurse to complain about one of the coworkers who makes inappropriate comments that make the employee uncomfortable. The other employees in the group identify this person to the nurse. What should the nurse tell the employee who made the complaint?
A) Ignore this coworker.
B) File a complaint against the coworker.
C) Go with the new employee to discuss this with the management.
D) Talk to the group to tell this coworker to cease making these comments.
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Chapter 24: Care of Correctional Populations
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Sample Questions
Q1) Upon incarceration, female inmates should be asked for:
A) Their gynecologic history.
B) The names of their children.
C) The date of their last menstrual period.
D) The date of their last mammogram.
Q2) Diagnosis and treatment in a correctional setting can pose a challenge to the nurse because treatment considerations such as medication distribution must be balanced with the institution's security safeguards. Strategies to ensure success of medication administration include: (Select all that apply.)
A) Directly observed therapy.
B) Give the inmate a day's worth of medication to self-administer.
C) Place the inmate who will receive medication in the hospital wing of the facility.
D) Combine or simplify medication regimens for fewer doses.
E) Partner an inmate with another inmate receiving medication to ensure monitoring and compliance of medication administration.
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Chapter 25: Care of Clients in Disaster Settings
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Sample Questions
Q1) A group of community leaders is meeting to plan for the upcoming hurricane season. The leader reminds the group that the general intent of disaster preparedness is to:
A) Limit the morbidity and mortality that results from a disaster.
B) Decrease the cost of the disaster to the community.
C) Prepare the community for the impending effects.
D) Increase public awareness of the potential for the disaster.
Q2) 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.
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Chapter 26: Communicable Diseases
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Sample Questions
Q1) The population health nurse is reviewing reporting requirements for communicable diseases. In which class should the nurse place the reporting of the common cold?
A) Extremely urgent.
B) Urgent.
C) To be reported in the next cycle.
D) Not to be reported.
Q2) The population health nurse is working in a community that has significant problems with sanitation and disposal of both human and animal feces. Which communicable diseases is the community most at risk for developing?
A) Hepatitis A, tetanus, and polio.
B) Hepatitis A, botulism, and tuberculosis.
C) Plague, malaria, and hepatitis E.
D) Diphtheria, varicella, and tetanus.
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28
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 student is preparing a presentation on common chronic diseases. Which definition should the student use for this presentation?
A) A condition that persists over a period of time that cannot be cured but can be controlled.
B) Problems in body function and structure such as significant deviation or loss.
C) A multidimensional phenomenon that results from the interaction between people and their physical and social environment.
D) Problems an individual may experience in life situations.
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Chapter 28: Mental Health and Mental Illness
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Source URL: https://quizplus.com/quiz/71980
Sample Questions
Q1) A client in the postpartum clinic is complaining of tearfulness, mood swings, feelings of guilt, and inability to cope. The population health nurse suspects that the client is suffering from which condition?
A) Substance abuse.
B) Postpartum psychosis.
C) Seasonal affective disorder.
D) Postpartum depression.
Q2) A client is complaining of episodes of intense fear without any identifiable basis. During the episodes the client says he experiences shortness of breath and palpitations. The population health nurse should suspect that this client is experiencing which disorder?
A) Panic disorder.
B) Bipolar disorder.
C) Schizophrenia.
D) Borderline personality disorder.
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Chapter 29: Substance Abuse
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Sample Questions
Q1) A client is beginning treatment for alcohol abuse. The population health nurse should ensure that the client is instructed on which types of medications used for this treatment? (Select all that apply.)
A) Disulfiram.
B) Naltrexone.
C) Acamprosate.
D) Amitriptyline.
E) Buprenorphine.
Q2) The population health nurse suspects that a client has psychoactive substance dependence. Which assessment made the nurse most suspicious?
A) Decreased tolerance to the substance.
B) Lack of the characteristic withdrawal symptoms.
C) Decreased substance use to decrease withdrawal symptoms.
D) Increased time spent recovering from the effects.
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Chapter 30: Societal Violence
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Sample Questions
Q1) The population health nurse is identifying strategies to reduce child abuse in a community. Which strategy supports a health promotion approach to this potential problem?
A) Recommend locations for caregiver respite care.
B) Hold a class to review appropriate forms of discipline.
C) Provide a list of babysitters available in the community.
D) Identify attorneys who represent domestic violence cases.
Q2) 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.
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