Community Health Exam 2 Practice Questions

Question 1

What is the goal of the local health department?

Answer 1

To improve the health status of communities, want it to be improved at the local level.

Question 2

State public health agency responsibilities include:

Answer 2

Monitoring health status

Question 3

In the course of a single day, a PHN may engage in all 3 levels of preventive practice. Here is a list of activities she participated in just yesterday. Which of the following represents secondary prevention?

Answer 3

Conducted visual screening test test for second graders.

Question 4

A PHN assist a client identifying the services needed the most at the least cost. Which of the following best describes the role that the nurse is using?

Answer 4

Case Manager

Question 5

A nurse working at a PHD received a phone call from am nurse who works on the L&D floor at the local hospital. The nurse reports that they are seeing many more women and their children coming tiny the hospital with inadequate nutrition. They wish to partner with the PHD on a project that addresses the issue. Where should they begin?

Answer 5

Preform a community and cultural assessment to understand the community in which they are working (Ex. Why are they not having good nutrition?)

Question 6

A PHN employed by the state department of health is working on a budget for the upcoming fiscal year. The nurse knows the budget must include funding of which program?

Answer 6

Medicaid

Question 7

Funding the health department fiscal year budget was dramatically reduced. Which factors most likely affected the health departments funding? SELECT ALL THAT APPLY:

Answer 7

Tax revenues for the coming year significantly decreased. Federal government drastically reduced funding. Funding through private and public grants became less available. (A, B, & C)

Question 8

A 62-year old male arrives at the emergency department with end-stage renal disease. He delayed getting medical treatment due to the high cost. Which of the following is the social worker most likely to recommend?

Answer 8

Medicare: 65+ year old elders and/or for people with End-Stage Renal Disease (ESRD)

Question 9

The primary reason the government intervenes in the health care system is to:

Answer 9

The primary reason the government intervenes in the health care system is to: To promote fairness for citizens who are unable to afford health care. Happens a lot in health care.

Question 10

A community’s decision to enforce universal motorcycle helmet laws is an example of which of the following?

Answer 10

Ethical implications of policy, promotes population health.

Question 11

A nurse is interested in becoming more politically active to advocate for more effective PH policies. Which nursing action influence health policy?

Answer 11

Joining a professional nursing organization, becoming a candidate for political office, volunteering with the campaign of a local candidate, meeting with a local policymaker, and learning more about the political process. (All are correct)

Question 12

Which is the primary purpose of the Patient Protection and Affordable Care Act (ACA) of 2010?

Answer 12

Improve access to affordable health coverage. (C) want to work on prevention and how to keep individuals healthy.

Question 13

PH departments provide direct care individually and at the community level. Which of the following is an example of direct individual care?

Answer 13

Well Baby Clinics

Question 14

A PHN is discussing how to improve client outcomes with county legislators. Which of the following interventions should the nurse recommend to improve outcomes for clients impacted by the cycle of poverty?

Answer 14

Opening a community health center in a underserved area. (1)

Question 15

A nurse manager at a community clinic is preparing a presentation for staff about the government’s legal responsibilities for health care. Which of the following statements should the nurse manager make?

Answer 15

“The government produces an annual budget.”

Question 16

A CHN asks her client, “when was residence built?” The nurse is asking this question because she is conducting the client’s:

Answer 16

Exposure History

Question 17

A PHN working with a family living in poverty recognizes that they are more likely to be exposed to environmental hazards because they have… SELECT ALL THAT APPLY.

Answer 17

Limited funds to pay for health care, poorer nutrition, home more likely located closer to hazardous waste sites, and less education. (A, B, C, & D)

Question 18

Which of the following explain why children are more vulnerable to toxins?

Answer 18

Children have faster metabolic rates than adults. (A)

Question 19

Which of the following is true about the gene environment interaction?

Answer 19

An individuals gene-environment interaction may positively or negatively influence disease risk. (B)

Question 20

The nurse suspects a client with chronic bronchitis has been exposed to air contaminants from a point source. Which of the following might be the source of his exposure?

Answer 20

The client attended a high school one-half mile from a power plant. (C)

Question 21

Material safety data sheets (MSDs) are written by the chemical manufacturer and male available to any employee or their representative as required by the occupational safety and health administration (OSHA). This is an example of environmental health approach of:

Answer 21

Right to Know

Question 22

Good lead surveillance programs help with early detection of rising blood levels in children. This activity can best be described as public health:

Answer 22

Secondary Prevention

Question 23

The percentage of all deaths attributable to the environment is approximately:

Answer 23

25%

Question 24

The CHN is conducting an environmental home assessment of a 2-year old with a blood lead level of 13 mcg/dL. The child lives in an apartment with his mother and 6 year old sister. The paint on the window sills, walls, and baseboards is chipped, and there are teeth marks on the window sills in the 2 year olds bedroom. The mother also told the nurse her sister and 3 month old infant live in the apartment next door. The nurse recognizes multiple interventions are necessary for which of the following reasons?

Answer 24

All tenements of the building are at risk for lead poisoning. (C)

Question 25

A 35 year old client is taking to the nurse at the community clinic. She states, “My lungs aren’t right. I can’t catch my breath, and I can’t stop coughing. I have two cats and live in an apartment over by the train station. I keep telling my boyfriend he cant’s smoke in the apartment, but he won’t go outside. He’s so stubborn. “Which of the following is the client regularly exposed to?

Answer 25

Chemical, Biological, and Physical agents (A)

Question 26

Determining risk of injury and violence is based on:

Answer 26

Risk factor for the type of injury, behavioral factors, environmental factors, and socioeconomic factors. (#2)

Question 27

The Haddon Matrix is:

Answer 27

A method is determining risk factors associated with injury events. (#3)

Question 28

Unintentional Injury:

Answer 28

Is the source of millions of emergency departments visits annually. (B)

Question 29

In the public health spectrum, violence is viewed as:

Answer 29

Strongly connected with mental health disorders and substance use. (C)

Question 30

During a community health fair, the PHN is educating a women about unintentional poisonings in children. Which statement indicates the need for further teaching?

Answer 30

“I keep bleach on the top shelf in the upper cabinet.” (B)

Question 31

Nurses at Community North Hospital are alarmed when there is a sudden and dramatic increase in the incidence of heat stroke among toddlers left in hot cars. The nurses’ best action to prevent further occurrences is to:

Answer 31

Mandate a “Look Before You Lock” class before discharge. (C)

Question 32

A nurse preforms home inspections to look for risk factors related to unintentional poisonings. Which findings indicate a need for further teaching? SELECT ALL THAT APPLY.

Answer 32

Cleaning products stored in an unlocked cabinet, Open medication bottles on the bathroom sink, and A non-working carbon monoxide detector. (#1, #2, & #3)

Question 33

There has been a significant increase in drive by shootings and assaults in the community due to gang actions. The nurse recognizes this as what type of violence?

Answer 33

Collective Violence; gang violence/group violence (#1)

Question 34

A women is brought to the emergency department with a fractured nose and facial contusions. She tells the nurse “My husband did this to me.” What is the nurse’s best response?

Answer 34

“Do you have a safe place to stay tonight?” (#1)

Question 35

The nurse visiting a family suspected of child maltreatment notices the child is very thin but there are no bruises or injuries. The mother states, “After I pay rent, I often don’t have enough money to buy food.” What is the nurse’s best action?

Answer 35

Refer the mother to the women’s resource center for job counseling. (#3)

Question 36

A nurse at a community clinic is conducting a well-child visit with a preschool-age child. The nurse should identify which of the following manifestations as a possible indication of child neglect? SELECT ALL THAT APPLY.

Answer 36

Underweight & Poor hygiene (A & E)

Question 37

A nurse is planning interventions for migrant farm workers in a rural area. Which of the following should the nurse include as part of primary prevention?

Answer 37

Establish food banks at locations throughout the community. (A)

Question 38

A nurse is an urban community health agency is developing an education program fro city leaders about homelessness. Which of the following groups should the nurse include as the fastest growing segment of the homeless population?

Answer 38

Families with children are the fastest growing segment of the homeless population. (A)

Question 39

Which of the following actions should Jamie take as the school nurse to address this issue?

Answer 39

Collaborate with the patient to assess the challenges faced in the home setting. (C)

Question 40

Which of the following actions should Jamie take as the school nurse to address the issue of students not having access to insurance?

Answer 40

Seek prescription assistance programs and resources for those who are not insured. (C)

Question 41

What agency should Jamie start with to identify evidence-based culturally sensitive information for nurses?

Answer 41

The CDC is a comprehensive resource of cultural sensitivity.

Question 42

Which of the following actions should Jamie take as the school nurse to address the issue of the student being at risk for substances use disorder?

Answer 42

Refer the student to a local community treatment center that works with adolescents. (A)

Question 43

Based on the objectives that Jamie has located, which objective is the most important to address first?

Answer 43

When using the greatest risk priority framework, the nurse should recognize that the reducing the rate of deaths in kids and adolescents aged 1 to 19 years should be addressed first. Children are among the most vulnerable group due to safety threats and lack of independence. (#2)