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Community > Exam 3 > Flashcards

Exam 3 Flashcards

1
Q

The community health nurse is preparing a community assessment. Which data source would be
appropriate to access when measuring the dimension of people? Select all

A

Census data
tourist bureau
civic groups
churches

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2
Q

The community health nurse is developing a community-based program. Which program is an example of an active community partnership?

A

A business providing low-cost snacks to an after-school program

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3
Q

The community health nurse is preparing to evaluate the outcome of a health promotion program
through secondary analysis. Which sources of data will the nurse plan to review?

A

Meeting minutes

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4
Q

The nurse is preparing to interview key informants during a community assessment. Which community
member should the nurse include in the interview? Select all that apply

A

A pastor
the mayor
the president of a healthcare clinic

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5
Q

The community health nurse is evaluating the usefulness of a website. Which criteria would indicate to
the nurse the use of the website for the collection of data?

A

The data listed is about the community

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6
Q

The nurse is preparing to conduct a community health assessment. Which describes the most
significant challenge for the nurse?

A

Gaining acceptance

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7
Q

The community health nurse is prioritizing community problems based on the priority criteria. Which
information indicates a problem is a priority?

A

The community residents are motivated to address the
problem

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8
Q

The community health nurse is preparing an education conference about natural disasters. Which type
of disaster will the nurse plan to include in the teaching? Select all that apply

A

Earthquakes
communicable disease epidemic
droughts
hurricanes

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9
Q

The community health nurse is preparing a program that will meet the Healthy People 2020 objectives
related to disaster mitigation. Which program would be appropriate for the nurse to implement?

A

An emergency alert system that works on different platforms

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10
Q

The community health nurse is teaching a group of clients about preparing a disaster ready kit. Which
instruction will the nurse include?

A

Identify how to turn off the utilities to your house

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11
Q

The community health nurse is developing a mass casualty exercise involving local community
management agencies. Which outcome is a priority to evaluate when conducting the exercise?

A

The amount of time for the emergency response to be activated

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12
Q

The community health nurse is reviewing the emergency response plan for a local government. Which function is the role of the National Response Framework to provide? Select all that apply

A

Transportation,
temporary housing
medical resources
search and rescue
firefighting

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13
Q

The community health nurse providing care at a shelter following a natural disaster is approached by a
member of the media and requested to give a statement. Which response by the nurse is most appropriate?

A

At this time, it is best to speak with the information officer

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14
Q

The community health nurse is reviewing the plan for a public outbreak of a virus. Which statement
describes the priority responsibility of the public health team?

A

Identify factors that place the public at risk

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15
Q

The community health nurse is working with a group of clients who were victims of a terrorist act.
Which statement by the nurse would best facilitate recovery?

A

Describes some plans that you have made
since the event

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16
Q

The community health nurse is reviewing the disaster plan for a local community to verify that all
populations are represented in the plan. Which vulnerable population is often overlooked during a
disaster?

A

Children in childcare facilities

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17
Q

The community health nurse is coordinating the supplies required after a natural disaster. Which
government agency is responsible for managing the Strategic National Stockpile?

A

CDC centers for Disease control

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18
Q

The community health nurse is implementing tertiary intervention for disaster management. Which
action will the nurse plan to take?

A

Rebuilding signage that indicates evacuation routes

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19
Q

The community health nurse is developing a community-based education program. Which action will
the nurse plan to take first?

A

Determine the population

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20
Q

The community health nurse has taught a client how to perform colostomy care. Which action by the
nurse would best evaluate if teaching was effective?

A

Instruct the client to demonstrate how to preform
care

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21
Q

When designing an educational program, which action should the nurse take to develop a clear
educational session?

A

Provide handouts that highlight the key points

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22
Q

The community health nurse is planning teaching strategies for a group of adult clients who are
members of Generation X. Which strategy would be appropriate for these clients?

A

Group activity

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23
Q

The community health nurse performs a home assessment for a client recently discharged from the
hospital. Which statement made by the client indicates that the client is experiencing health illiteracy?

A

I have my daughter create pictures to go with my discharge instructions

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24
Q

The community health nurse planning an education session is using the Health Belief Model. Which
component of the model will the nurse include in the planning?

A

Perceived barrier

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25
Q

The community health nurse is delegating roles to a group of nurses during the implementation of an
educational program. Which describes the roles of the task specialist?

A

Keep the group focused on the
outcome

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26
Q

The community health nurse is reviewing a research study of a viral outbreak based on epidemiology.
Which finding should the nurse expect from the study?

A

Who was affected by the outbreak

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27
Q

The nurse is reviewing an epidemiology study that reports the risk of cancer in a specific population.
Which statement describes the meaning of the term risk?

A

The probability that cancer will occur in the
population

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28
Q

The community health nurse is calculating the cause specific mortality rate for a population. Which
formula for the calculation will the nurse use?

A

The number of deaths divided by the total risk population

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29
Q

The nurse is developing a research study using the epidemiologic triangle as the framework. Which
factor will the nurse identify as a host?

A

Immunological status

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30
Q

The community health nurse is designing an epidemiological study. Which study would be best for a
first-time study

A

Ecologic

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31
Q

The community health nurse is reviewing the Sheppard Towner Act. Which provision does the law
provide regarding the development of public health nursing? Select all that apply

A

Create standards for early developmental screenings, providing health services to women and children by nurses
defines the role of government in research
designates client education as essential

32
Q

Which describes a specific focus of the goals of Healthy People 2020?

A

Attaining a high quality life, and living a longer life free of preventable disease

33
Q

Which describes a service provided by the World Health Organization? Select all that apply.

A

-monitor adverse drug reactions
-establish standards for vaccinations
- disseminating iomedical research
-provide information on international diseases
-fostering collaboration for public health initiatives

34
Q

The nurse is reviewing the role of governmental agencies. Which agency is responsible for improving
the quality and safety of healthcare?

A

Agency for Healthcare research and Quality

35
Q

The community health nurse is assessing the environmental health risks of a client. Which question
would be most appropriate for the nurse to ask?

A

How often do you eat fish

36
Q

The community health nurse is developing a program for a group of migrant workers. Which program
would meet the Healthy People 2020 objectives for environmental health?

A

Promoting strategies to decrease pesticides exposure

37
Q

The community health nurse is assessing the environmental risk for a client who has small children.
Which statement made by the client would require immediate follow up?

A

We have started renovations on the kitchen

38
Q

The community nurse is reviewing the medical records for a group of clients. The nurse should
understand which client has the highest risk for developing occupation related respiratory conditions?

A

The client who works in constructions

39
Q

The nurse case manager is developing a program to meet the Healthy People 2020 case management
strategies. Which action would be appropriate for the nurse to take?

A

Partner with a fitness facility to offer
low-cost classes to clients with diabetes

40
Q

The nurse is reviewing the plan of care for a client who has a prescription to be discharged home.
Which information is a priority for the nurse report to the nurse case manager?

A

The client requires the use of home oxygen

41
Q

when requested to plan the response to the potential use of smallpox as a biological weapon, what should the ED nurse expect to obtain?

A

Vaccine

42
Q

The nurse cares for an alert homeless adult, who was admitted to the hospital with a chronic foot infection. Which intervention is priority to include in discharge of this patient?

A

refer the patient to social services for assessment of access to resources

43
Q

When caring for an older adult with hypertension who has been hospitalized for a TIA, which topic is most important for the nurse to include in discharge teaching?

A

Symptoms indicating the patient should contact the health care provider

44
Q

The community health nurse implements a surveillance system, which describes the function of this system?

A

The local health department will contact health care provider about existing cases?

45
Q

The nurse cares for an older client in a rural area, which intervention should the nurse plan to implement?

A

Ensure transportation to appointments

46
Q

Which care for the dying client can the nurse delegate to the LPN? select all.

A

Encourage family members to talk and reassure patient
Give morphine for pain
Postmortem care

47
Q

The nurse plans to care for a client diagnosed with type 2 diabetes, which task is appropriate to delegate to the UAP?

A

Daily bathe and oral care

48
Q

The community nurse understands which action supports the purpose of observation and surveillance?

A

Assess and report public health status

49
Q

The nurse cares for an older adult client who needs continuous nursing care and physical therapy to improve mobility after surgery, the nurse would help arrange transfer to what type of facility?

A

A transitional care facility

50
Q

A nurse implements tertiary prevention strategies as part of the quality management process. Which of the following best describes a strategy the nurse would use?

A

after evaluating response to an actual fire, new procedures implemented in the fire response protocol are distributed to employees

51
Q

The community health nurse develops a program that promotes social equity. Which ethical principle is this demonstrating?

A

Virtual

52
Q

the community health nurse works with a group to help them have access to healthcare, which factor will the nurse consider when planning care for this population? Select all that apply.

A

Financial Constraints
Traditional practices
Language barriers

53
Q

The nurse prepares to perform a quality assurance evaluation of a facility utilizing the tracer method.
Which factor(s) need to be included when selecting client groups to participate in the tracer methos? Select
all that apply.

A

Similar lifestyle
Same disease
Similar intervention
Same community
Same stage of illness

54
Q

The nurse performs data generation during a community assessment. Which type of data will the nurse plan to evaluate?

A

Social norms

55
Q

When completing a community assessment, which system category should the nurse include? Select all
that apply.

A

Recreation
Religion
Economics
Politics
Education

56
Q

The community health nurse conducts surveillance for food poising from contaminated lettuce . Which
terms describes the pattern of occurrence of the outbreak?

A

Intermittent outbreak

57
Q

The nurse reviews the plan of care for a client diagnosed with congestive heart failure (CHF) who has a
prescription to be discharged home. Which information is a priority for the nurse to report to the nurse case
manager?

A

The client reports living alone

58
Q

Which of the following infectious diseases interventions best represents the use of secondary
prevention?

A

Healthcare workers are required to have tuberculosis skin test or chest x-ray

59
Q

The nurse plans to perform a windshield survey for a community. Which information is a priority for the
nurses to understand before conducting the survey?

A

The boundaries of the community

60
Q

The home health nurse reviews the discharge instructions with a client who is Native American. Which
instruction would require the nurse to intervene?

A

Call your healthcare provider in about 3 weeks for a follow up appointment

61
Q

As a case manager concerns for liability exists when which conditions are met? Select all that apply

A

provider had a duty to provide reasonable carethe breach occurred through an act of omission to act
the act of omission caused injury or damage to client

62
Q

The school health nurse plans a community outreach campaign to prevent violence in the school and
community. Which primary prevention strategies could prove to be useful?

A

provide education about different forms of violent and techniques to get help and
intervene

63
Q

the community health nurse prepares an education using an affective domain for group of clients with diabetes.
Which topic would be most appropriate?

A

Exploring feelings related to living with diabetes

64
Q

the community health nurse explains to apparent the importance of vaccines as being one of the most effective methods of preventing communicable diseases for their adolescence. Which statement by the client would indicate to the nurse the client might require further teaching?

A

my child is not sexually active

65
Q

the nurse manager prepares to implement a continuous quality improvement project. Which outcome support
this project?

A

focusing on improving performance

66
Q

the community health nurse prepares to communicate with a client who is Hispanic. Which action will the nurse
anticipate taking when communicating with the client?

A

avoid the use of negative expressions

67
Q

the community health nurse prepares to communicate with a client who is Hispanic. Which action will the nurse
anticipate taking when communicating with the client?

A

avoid the use of negative expressions

68
Q

Which is the nurses priority when planning healthcare for a group of clients who are refugees?

A

access to therapeutic care

69
Q

Which is an example of tertiary prevention over a defined period?

A

tracking incidences of complication from vaccine preventable diseases over five years

70
Q

The community health nurse develops a quality improvement program to improve client satisfaction. Which program would improve the service tangible?

A

Implement a client satisfaction program for staff awareness

71
Q

The case manager follows the nursing process when advocating for a client need for self-determination when assessing/diagnosing by?

A

Exchanging information, gathering data and highlighting values.

72
Q

When applying utilitarianism theory to make an ethical decision the nurse will chose an action based on which
factor?

A

If the action justifies the means.

73
Q

Which of the following best describes why planning care for an individual is so challenging in todays
healthcare system?

A

Because of the new high technology constantly being created and used for client treatment.

74
Q

The community health nurse performs a needs assessment to develop a health program. Which action by the nurse demonstrates the reactive stage of the needs assessment?

A

Determining the problem based on past needs identified.

75
Q

Which statements is an example of an action the nurse will take during initial structure phase of quality
improvement (QI) project.

A

Clarify job descriptions.

76
Q

The community health nurse prepares a community assessment. Which data source would be appropriate to assess?
Select all that apply

A

Dimension of function
Dimension of place
Dimension of people/person

77
Q

The county health nurse implements a passive surveillance system. Which describes the function of this type of system?

A

Healthcare providers report any existing cases for further review.

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