Community Health Flashcards
Which of the following patients would benefit the most from the community resource Meals on Wheels?
A. A 84yr old patient who is unable to drive himself to the grocery store
B. A 78yr old patient who is recovering from a major surgery in a rehab facility
C. A 35yr old terminally ill patient with dysphagia
D. A 76yr old patient who is struggling to pay their mortgage
Answer: A.
Meals on Wheels is a service for the delivery of meals to older adults who need them at a low or no cost to places like senior centers or directly to their homes.
A community health nurse is conducting and educational program on various environmental pollutants. The nurse should emphasize that clients who have which of the following disorders are especially vulnerable to these pollutants? (SATA)
A. Asthma
B. COPD
C. Hypothyroidism
D. Osteoarthritis
Answer: A and B
Clients who have respiratory disorders such as asthma and COPD are especially vulnerable because of the reduced lung function and increased risk for respiratory infections.
A nurse is teaching a community education course about the physical complications related to alcohol use. Which of the following disease processes would result from the use of this substance.
A. Addison’s disease
B. Cirrhosis of the liver
C. Hematoma
D. Increased bile production
Answer: B
Chronic alcohol use is one of the primary causes of liver cirrhosis
A community health nurse is helping to establish a community health program within a defined community. During the assessment phase the nurse can expect to:
A. Establish trust with the community
B. Assess what resources are available within the community
C. Analyze the data to determine health needs
D. Initiate intervention to achieve goals and objectives according to the program plan.
Answer: B
A = preplanning
C = diagnosis
D = implementation
Following a disaster within a community, which of the following emotional reactions are demonstrated when a person from an outside area rushes to help the potential survivors?
A. Reconstruction
B. Disillusionment
C. Honeymoon
D. Heroic
Answer: D
Reconstruction = new reality and rebuilding of the area
Disillusionment = depression and exhaustion
Honeymoon = bonding over shared experiences
Which of the following actions by the nurse demonstrates the R in the RACE acronym for a fire emergency?
A. Use of the extinguisher
B. Closes the door to the unit
C. Pulls the alarm
D. Moving clients to a safe location
Answer: D
R = rescue
A = alarm
C = contain
E = extinguish
As a new graduate nurse you are aware of the responsibility to report suspected abuse. Which of the following individuals should you report the suspected abuse to first?
A. The physician
B. The patient’s family
C. Your supervisor
D. Your favorite coworker
Answer: C
Nurses are required to report suspected cases of abuse to their supervisor. This might be a charge nurse or their manager as not ever specialty has a charge nurse position.
During a staff meeting, some nurses begin to report feeling dizzy while others say they smell a “gas odor”. Which of the following actions should be taking first?
A. Transport all staff members to the nearest hospital
B. Call 911 and have them come triage the group
C. Evacuate everyone to a safe area preferable outside with fresh air
D. Move those reporting symptoms outside
Answer: C
Facilitate evacuation to prevent further exposure of the gas
Which statement is true regarding the use of PPE during a MCI?
A. Decontaminate all victims before intervening
B. Know the level of radiation in the area before intervening to provide care
C. Wait until the type of equipment needed is known
D. Use the highest level of protection equipment available
Answer: D
The nurse should wear the highest level of PPE that is available since the status or situations of patients is unknown
True or False:
The nurse should focus on the client’s culture rather than ethnicity when providing care?
Answer: True
This is an example of culturally competent care.
Which of the following statements by a community health nurse is true regarding social determinants of health (SDOH)?
A. Identification of these factors increases disparities in healthcare
B. Are conditions in the environment that can affect their overall well-being
C. Are unable to be changed
D. Are determined by ethnic background
Answer: B
Identifying SDOH (economic stability, healthcare, education, nutrition) are factors within a community or defined location that affect a person’s health. By identifying these in venerable populations the goal is to reduce health disparities within a community by changing these determinants.
A new nurse is interested in the roles and responsibilities of case management. Which of the following statements best describes the role of the case manager? (SATA)
A. Link for managing resources for the patient to improve client outcomes
B. Reduce gaps and errors in care
C. Advocating for the client
D. Writing prescriptions for the client
Answer: A, B, and C
Case managers are responsible for managing resources, reviewing care delivery, and facilitating transfers for clients. Writing a prescription is a responsibility of the provider.
True of False:
As long as you wear gloves while touching a patient then handwashing is not recommended?
Answer: False
WASH YOUR HANDS!!
A nurse is performing triage. Who should be seen first?
A. A patient experiencing difficulty breathing due to a pneumothorax
B. A patient with a fracture
C. A patient with burns covering his trunk and legs
D. A patient with absent respirations
Answer: A
ABC’s this patient should be seen first.
A black tag would be placed on which of the following patients?
A. A patient with a closed femur fracture with a palpable distal pulse
B. A patient who has a weak pulse and remains apenic even after a repositioning of the airway
C. A client with burns covering over 80% of their body
D. A client who is unresponsive, pulse 45 bpm, resp 10 and cool to the touch
Answer: B
Only attempt to reposition the airway once and then move to the next client in need.
A nurse is caring for a client with a diagnosis of Lyme disease. The nurse knows what is true about reporting of this disease?
A. This is a nationally notifiable infectious disease
B. Lyme disease is used as a bioterrorism agent and should be reported to the FBI
C. Code Lyme is broadcasted to let all healthcare providers know of the disease in the hospital setting
D. This disease should be reported to the FDA
Answer: A
Lyme disease is a nationally notifiable infectious disease that should be reported to the CDC
A community health nurse is reviewing levels of prevention. Which of the following is an example of tertiary prevention?
A. Providing treatment for clients who have Cystic fibrosis
B. Early detection of breast cancer by performing monthly breast exams
C. Administering the COVID-19 immunization
D. Testing for RSV in babies within the community
Answer: A
Rehabilitate and treat to reduce complications and disabilities who already have a disorder or disease process.
B = secondary
C = primary
D = secondary
A nurse is reviewing the illnesses that would require the patient to be placed on droplet precautions. Which of the following are included in this precaution: (SATA)
A. Rubella
B. Diptheria
C. Pertussis
D. Influenza A&B
E. Pneumonia
Answer: All of the above
Remember SPIDERMAN
Which of the following are non-modifiable risk factors?
A. Diagnosis of Cystic fibrosis
B. Family history of diabetes mellitus
C. Age
D. Chronic use of cigarettes
Answer: D
A client can change or modify smoking behaviors
A nurse is prioritizing care. Who should they see first?
A. A client who complaints of swollen gums
B. A client who has new onset hives
C. A client who is unable to urinate after surgery 1 hour ago
D. A client who is eating lunch and keeps choking on his sandwich
Answer: D
Dysphagia would be seen first. ABCs and choking can result in aspiration
Which of the following precautions would require the use of a N95 mask when caring for clients?
A. Contact
B. Droplet
C. Airborne
D. Bleeding
Answer: C
Airborne precautions require the nurse to wear an N95
A child has been diagnosed with lice. Which of the following precautions should they be placed on?
A. Airborne
B. Droplet
C. Contact
D. Decontamination
Answer: C
Things like lice and fleas are times when they would be placed on contact precautions
