Exam 3

Question 1

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

Answer 1

Census data
tourist bureau
civic groups
churches

Question 2

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

Answer 2

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

Question 3

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?

Answer 3

Meeting minutes

Question 4

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

Answer 4

A pastor
the mayor
the president of a healthcare clinic

Question 5

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?

Answer 5

The data listed is about the community

Question 6

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

Answer 6

Gaining acceptance

Question 7

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

Answer 7

The community residents are motivated to address the
problem

Question 8

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

Answer 8

Earthquakes
communicable disease epidemic
droughts
hurricanes

Question 9

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?

Answer 9

An emergency alert system that works on different platforms

Question 10

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

Answer 10

Identify how to turn off the utilities to your house

Question 11

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?

Answer 11

The amount of time for the emergency response to be activated

Question 12

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

Answer 12

Transportation,
temporary housing
medical resources
search and rescue
firefighting

Question 13

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?

Answer 13

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

Question 14

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?

Answer 14

Identify factors that place the public at risk

Question 15

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?

Answer 15

Describes some plans that you have made
since the event

Question 16

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?

Answer 16

Children in childcare facilities

Question 17

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

Answer 17

CDC centers for Disease control

Question 18

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

Answer 18

Rebuilding signage that indicates evacuation routes

Question 19

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

Answer 19

Determine the population

Question 20

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?

Answer 20

Instruct the client to demonstrate how to preform
care

Question 21

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

Answer 21

Provide handouts that highlight the key points

Question 22

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?

Answer 22

Group activity

Question 23

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?

Answer 23

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

Question 24

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?

Answer 24

Perceived barrier

Question 25

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?

Answer 25

Keep the group focused on the outcome

Question 26

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?

Answer 26

Who was affected by the outbreak

Question 27

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?

Answer 27

The probability that cancer will occur in the population

Question 28

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

Answer 28

The number of deaths divided by the total risk population

Question 29

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

Answer 29

Immunological status

Question 30

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

Answer 30

Ecologic

Question 31

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

Answer 31

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

Question 32

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

Answer 32

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

Question 33

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

Answer 33

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

Question 34

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

Answer 34

Agency for Healthcare research and Quality

Question 35

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

Answer 35

How often do you eat fish

Question 36

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?

Answer 36

Promoting strategies to decrease pesticides exposure

Question 37

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?

Answer 37

We have started renovations on the kitchen

Question 38

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?

Answer 38

The client who works in constructions

Question 39

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?

Answer 39

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

Question 40

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?

Answer 40

The client requires the use of home oxygen

Question 41

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

Answer 41

Vaccine

Question 42

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?

Answer 42

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

Question 43

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?

Answer 43

Symptoms indicating the patient should contact the health care provider

Question 44

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

Answer 44

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

Question 45

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

Answer 45

Ensure transportation to appointments

Question 46

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

Answer 46

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

Question 47

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

Answer 47

Daily bathe and oral care

Question 48

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

Answer 48

Assess and report public health status

Question 49

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?

Answer 49

A transitional care facility

Question 50

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?

Answer 50

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

Question 51

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

Answer 51

Virtual

Question 52

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.

Answer 52

Financial Constraints Traditional practices Language barriers

Question 53

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.

Answer 53

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

Question 54

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

Answer 54

Social norms

Question 55

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

Answer 55

Recreation Religion Economics Politics Education

Question 56

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

Answer 56

Intermittent outbreak

Question 57

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?

Answer 57

The client reports living alone

Question 58

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

Answer 58

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

Question 59

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?

Answer 59

The boundaries of the community

Question 60

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

Answer 60

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

Question 61

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

Answer 61

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

Question 62

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?

Answer 62

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

Question 63

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

Answer 63

Exploring feelings related to living with diabetes

Question 64

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?

Answer 64

my child is not sexually active

Question 65

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

Answer 65

focusing on improving performance

Question 66

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?

Answer 66

avoid the use of negative expressions

Question 67

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?

Answer 67

avoid the use of negative expressions

Question 68

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

Answer 68

access to therapeutic care

Question 69

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

Answer 69

tracking incidences of complication from vaccine preventable diseases over five years

Question 70

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

Answer 70

Implement a client satisfaction program for staff awareness

Question 71

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

Answer 71

Exchanging information, gathering data and highlighting values.

Question 72

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

Answer 72

If the action justifies the means.

Question 73

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

Answer 73

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

Question 74

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?

Answer 74

Determining the problem based on past needs identified.

Question 75

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

Answer 75

Clarify job descriptions.

Question 76

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

Answer 76

Dimension of function Dimension of place Dimension of people/person

Question 77

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

Answer 77

Healthcare providers report any existing cases for further review.