Exam 1 Quizzes

Question 1

Which of the following are representative of primary prevention?
Getting immunized and
practicing safe sex
Mammography
Stroke rehab program
Nutritional management for an individual with DM

Answer 1

Getting immunized and
practicing safe sex

Question 2

Which of the following variables have led to a stronger commitment to population-focused services? (Select all that apply.)
Emphasis on overall healthcare needs rather than only on acute care
treatment
Emergence of a new drug-resistant infectious disease
Threat of bioterrorism
Economic turmoil and demand for high-tech care

Answer 2

Emphasis on overall healthcare needs rather than only on acute care
treatment
Emergence of a new drug-resistant infectious disease
Threat of bioterrorism

Question 3

Which of the following variables have led to a stronger commitment to population-focused services? (Select all that apply.)
Staff members at the public health agency continue to increase in number
New services are organized where particular vulnerable populations live
Epidemiologic investigations examine the environment for health hazards
Partnerships are established with community conditions

Answer 3

New services are organized where particular vulnerable populations live
Epidemiologic investigations examine the environment for health hazards
Partnerships are established with community conditions

Question 4

The purpose of Healthy People 2030 is to:
Focus primarily on infant health and mortality
Evaluate accomplishments for years 2020-2030
Examine world health needs
Examine funding issues for healthcare

Answer 4

Evaluate accomplishments for years 2020-2030

Question 5

A nurse offers homeless clients yearly tuberculosis (TB) screening for TB. Which of the following levels of prevention is being used?
Primary prevention
Secondary prevention
Secondary and tertiary prevention
Tertiary prevention

Answer 5

Secondary prevention

Question 6

The occupational health nurse continually reminds employees to wear their safety goggles and ear plugs. Which of the following levels of prevention is being implemented?
Secondary prevention
Tertiary prevention
Primary prevention
Both secondary and tertiary prevention

Answer 6

Primary prevention

Question 7

How did Florence Nightingale help bring about community health nursing?
She stressed the importance of keeping the ill soldiers together so they could support each other emotionally
She interacted with each individual person, assessing their needs and
acting to meet those needs
She kept careful records on what was done and what were the results
She convinced socially prominent wealthy women to volunteer to give care

Answer 7

She kept careful records on what was done and what were the results

Question 8

What is an important reason for studying nursing history

Answer 8

Understand the present and plan for tomorrow

Question 9

The home health nurse reviews several cases referred from a local physician’s office. She must assess which services are eligible for home care coverage. Which one of the following will she select?
Patient teaching about DM and its management for an employed person
Homemaker services for a healthy homebound older woman who tires
Assessment of CV access patient who is able to drive
Care for a new wound that requires assessment and monitoring of
bed-bound pt

Answer 9

Care for a new wound that requires assessment and monitoring of
bed-bound pt

Question 10

A dying client may decide to receive comfort measures only. Which of the following are the focus of comfort measures?
Comfort focus care
Quality of life
Length of life
Cure as an attainable goal

Answer 10

Comfort focus care
Quality of life

Question 11

The school nurse is speaking with the mother of a 6yo child. Which statement by the mother should concern the nurse?
Sometimes my child acts bossy with his friends
The teacher says my child has to squint to see the board. I think they are
having trouble seeing
My child has recently lost both front top teeth
My child often cheats when we play board games

Answer 11

The teacher says my child has to squint to see the board. I think they are
having trouble seeing

Question 12

The leading cause of mortality among children of all ages is
Infection
Asthma
Injuries
Cancer

Answer 12

Injuries

Question 13

Which of the following is a major cause of morbidity in school aged children in the US
Cancer
Asthma
Heart disease
Congenital anomalies

Answer 13

asthma

Question 14

What is the most common form of cancer, regardless of gender
GI
Breast or prostate
Lung
Colorectal

Answer 14

lung

Question 15

A known hypertensive client comes to a blood pressure screening and tells the nurse she is going to use fresh lime juice in her water and take fresh garlic each day to take care of her high blood pressure like they do in her home country. The proper response from the nurse would be:
What a great idea!
Think about how much money you will save being you don’t need your medication
Anymore
That is ridiculous! You know that will never work
The limes and garlic may help but be sure to continue to take your blood pressure pills
as ordered

Answer 15

The limes and garlic may help but be sure to continue to take your blood pressure pills
as ordered

Question 16

A male client from Japan does not make eye contact with a nurse when she speaks. This non- verbal behavior is indicative of which of the following?
The client is exhibiting signs of fatigue
Further assessment is needed of the client’s culture and his feelings before a
determination can be made
The client has a negative attitude of the nurse
The client has self-esteem

Answer 16

Further assessment is needed of the client’s culture and his feelings before a
determination can be made

Question 17

A nurse overhears the doctor saying, “Let’s not give the client codeine, he’s Asian.” The nurse reflects on the comment and determines that the doctor is which of the following?
Prejudiced
Ethnocentric
Culturally competent
Unable to assess pain based on culture

Answer 17

Prejudiced

Question 18

To detect the presence of the leading cause of disease burden for women in the United States, a screening program for women would include:
BP screening, mammography, and dietary assessment
Pap smear, screening for smoking, and assessment for exposure to violence
Testing for HIV/AIDS and STDs
Questions about a family history of depression, employment status, and chronic disease

Answer 18

BP screening, mammography, and dietary assessment

Question 19

An elderly female client wants to know when she can stop doing breast exams. What can the nurse say to this client?
You can stop five years after menopause
Breast cancer can still develop when you get older
Probably in a month or two
It’s not really necessary at your age

Answer 19

Breast cancer can still develop when you get older

Question 20

A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should the nurse include?
The client will walk for 30 mins 5 days a week
The client will replace cigarettes with smokeless tobacco products
The client will list foods that are high in calcium, which should be avoided
The client will increase calorie intake by 200 calories per day

Answer 20

The client will walk for 30 mins 5 days a week

Question 21

A home health nurse receives a referral to educate an older adult client with diabetes in proper foot care. The nurse’s assessment of the client determines that the client has poor eyesight that may affect the client’s ability to learn and perform certain skills. Which educational principle is being examined?
Psychomotor domain
Cognitive domain
Affective domain
Principles of effective instruction

Answer 21

Psychomotor domain

Question 22

A client requests help to stop smoke. Which of the following methods would be the best for the nurse to suggest to the client?
Nicotine replacement products
Behavior modification through hypnosis
Acupuncture to reduce the nicotine cravings
A combination of interventions, beginning with changing the environment

Answer 22

A combination of interventions, beginning with changing the environment

Question 23

The community health nurse provided asthma education for school-aged children. Which of the following indicates an understanding of the teaching?
I will stay indoors during the cold weather or wear a scarf to cover my mouth
I should not play sports because it will make me tired
I should not get the flu shot because it might make me sick
I will use my rescue medication every day

Answer 23

I will stay indoors during the cold weather or wear a scarf to cover my mouth

Question 24

A nurse is assisting a 55-year old male client to understand the anatomy and physiology of the heart after a heart attack. What type of learning is taking place?
Pedagogy
Andragogy
Psychomotor
Affective

Answer 24

Andragogy

Question 25

A nursing student is identifying situations that involve the psychomotor domain of learning as part of a class project. Which are examples of learning activities that involve the psychomotor domain? (SELECT ALL THAT APPLY)
Teaching a family member how to give an injection
Teaching a patient the rationale for checking a drug’s blood level
Having a patient list the adverse effects of an antihypertensive drug
Discussing what foods to avoid while taking antilipemic drugs
Teaching a patient how to measure the pulse before taking a beta blocker
Teaching a patient how to self-administer eye drops

Answer 25

Teaching a family member how to give an injection
Teaching a patient how to measure the pulse before taking a beta blocker
Teaching a patient how to self-administer eye drops

Question 26

Differences in health and healthcare that occur due to factors that are avoidable, unnecessary, and unjust are known as:
Health inequities
Social justice
Health disparities
Social determinants of health

Answer 26

Health disparities

Question 27

A nurse is admitting a client who reports they are currently unemployed. Which of the following factors of the social determinants of health (SDOH) is challenging for the client?
Social and community context
Education
Neighborhood environment
Economic stability

Answer 27

Economic stability

Question 28

Economic and social conditions that influence health are called:
Social determinants of health
Health disparity
Social justice
Health inequity

Answer 28

Social determinants of health

Question 29

Looking deeper into the structural determinants such a social status, income, racism, and exclusion is considered:
Midstream swimming
Upstream swimming
Swimming against the current
Downstream swimming

Answer 29

upstream swimming

Question 30

Public health nursing practice is guided by the community’s priorities as identified by community
A. Planning
B. Diagnosis
C. Interventions
D. Assessment

Answer 30

D. Assessment

Question 31

While planning care with a client having a chronic illness, the parish nurse in the institution-based model would use which activity?
A. Bringing in family members to work with the client and nurse in decision making
B. Partnering with the healthcare center for coordinating optimal care
C. Pulling from the collective strengths of faith-based community members for social support for the client
D. Relying on congregational prayer as a component of healing

Answer 31

B. Partnering with the healthcare center for coordinating optimal care