Exam 4 Review Flashcards
A nurse defines environmental health and the associated factors. The nurse recognizes that all factors are
related to environmental health, with the exception of the? Which one is NOT?
Mental
CORRECT:
- Chemical
- Biological
- Physical
A PHN works to prevent bioterrorism in their community. Which of the following would be considered to be the primary prevention method regarding bioterrorism?
Creating a bioterrorism response plan
A nurse reviews the American Nurses Association (ANA) principles of environmental health for guidance in becoming a health activist in their community; which of the following principles is NOT relevant to nursing?
Creating an environmental policy
CORRECT:
- Advocacy
- Assessing environmental hazards
- Understanding the environmental role in public health
The ANA principles were designed in order to help support the nurse in their role of health activists for the environment; which of the following are principles related to a healthy and safe environment?
- Utilization of risk communication strategies
- Understanding of legislation related to environmental health
- Knowledge of the role of the environment in individual health
- Assessment of environmental health hazards
- Advocacy
A public health nurse works to advocate for legislation in order to protect the environment. The nurse recognizes that the environmental regulations are often in conflict with which of the following at the industry level?
Economic benefits
A nurse assesses a client who has been affected by a hazardous substance for adverse effects. Which of the following factors should NOT be included in the nurse’s assessment?
Previous hazardous substance contact
CORRECT:
- Substance toxicity
- The amount of substance present
- If the substance reaches susceptible organs
A nurse uses a process to evaluate the extent to which a community may suffer health effects from
environmental exposure. What is the name of this process?
Exposure risk assessment
A nurse conducts an environmental health history in order to protect the health of their community. Which of the following components should be included in the initial assessment of the environmental health history?
Time (the other is location)
A PHN prepares for a home visit for the family with a child who has a high blood lead level; which of the following is NOT an objective of a home visit?
Reduce lead in drinking water in the home
CORRECT:
- Environmental assessment of the home
- Education regarding dietary actions to reduce lead poisoning
- Help with abatement in the home
There are many factors that play a role in the risk for environmental attributable disease. Which of the following should NOT be a factor involved in environmentally attributable disease?
Race
CORRECT:
- Age
- Gender
- Non-communicable disease
A nurse studies environmental hazards for children in an urban setting in their community. Which of the following is a relevant hazard for a child in an urban setting?
Threats of violence (other are limited playground equipment, faulty equipment, and exposure to chemicals)
A PHN recognized that climate change could have a significant impact on human health. For example, rising temperatures can contribute to severe weather. Severe weather can contribute to which of the following human health issues?
- Injuries
- Mental health impacts
- Fatalities
A nurse evaluates the degrees of air pollution in their community. Which of the following is a measure of air
pollution in this specific area?
Air quality index
A nurse looks to contact the organization responsible for helping to protect the public by enforcing federal guidelines in the workplace environment. Which organization should the nurse contact?
OSHA
An occupational health nurse works to promote health and safety. In a workplace environment, the nurse implements appropriate PPE for the employees. Which of the following prevention measures is reflected by the nurse’s actions?
Primary
A nurse cares for a client who recently had a hazard exposure in the workplace. The client has been exposed to excessively cold temperatures causing frostbite on their hands. Which of the following categories of exposure is most relevant?
Physical
An occupational health nurse performs a workplace assessment in order to observe operations taking place at a workplace facility. Which of the following questions is NOT important to be addressed during a workplace assessment?
What are the primary business expenses at the worksite?
An occupational Health nurse recognizes that job stress is a psychological hazard within a workplace setting. Which of the following can help assist employees to discuss work, financial or social issues in a confidential setting to help ease job stress?
Employee assistance program
A client recently enrolled in their employer’s health promotion program in order to help cope with job
stress. Which of the following is NOT an intervention that can help address workplace stress?
Job Sharing
CORRECT:
- Physical Exercise
- Meditation
- Relaxation
There are several criteria that need to be met for a client to be considered to meet a disability. Which of the following are the criteria of a disability?
- Physical or mental impairment that limits life activities
- Record of impairment
- Ability to perform their job is not possible without accommodations
A nurse works with minority clients within the workplace in order who are exposed to poor working conditions. Which of the following is the most appropriate nursing action to assist these clients?
Utilizing cultural competence when planning care
An occupational health nurse utilizes the hierarchy of controls in order to help control and prevent workplace hazards and injuries. Which level of control in the hierarchy of controls is considered most effective?
Eliminations/substitutions
An occupational health nurse implements a new workplace health promotion strategy, inclusive of discounted health club membership for company employees. Which of the following goals does the implementation of a discounted health club membership meet?
Improve sense of wellbeing
An Occupational health nurse assists a large corporation with emergency preparedness of planning. Which of the following are basic questions relevant to a basic assessment of emergency preparedness?
- Are the fire plans up to date
- What type of emergency supplies are needed
A challenge for nursing regarding primary care is how to engage primary prevention at individual and family levels. Which of the following is most helpful in order to make a plan to assist in primary prevention measures?
Community assessment
A nurse works with a school system to develop an anti-smoking campaign in order to help prevent smoking- related health consequences. What level of health care is the nurse practicing?
Primary
A primary health care nurse, which of the following is one of the most effective health promotion and protection efforts that can be conducted in primary health care?
Administration of vaccines
The WHO works to provide quality global access to health care. Which of the following levels of care does the WHO primarily promote?
Primary
A PHN responds to a biological event within their community of a widely distributive E. coli contamination and is planning on the appropriate response action. Which of the following PHN roles does this action follow?
Disaster preparedness
Case management is considered a collaborative process of the assessment, planning, facilitation, and advocacy for options and services to meet individual health needs through communication and available resources to promote quality, cost-effective outcomes. The nurse is working with a client who had a recent ED visit that does not have health insurance and gets the medication they need for discharge through a compassionate care program. Which objective in the definition of Case management is achieved through these actions?
Cost-effective outcomes
A nurse working in a case manager role assists a client with their health care needs. The nurse assists a homeless client with a substance abuse diagnosis to get into an addiction clinic program. The nursing action represents the role of the case manager?
Advocacy
A PHN works with a local developer in order to establish affordable housing options within a community for low-income clients with disabilities. This is an example of which of the following nurse roles?
Community partnership
A nurse recognizes which of the following are challenges relating to healthcare within in rural communities?
- Access
- Funding
- Staffing
Health disparities in rural communities are largely affected by which of the following factors?
Difficulty recruiting healthcare providers
A PHN who works in a rural community would not be expected to assist with the following roles?
Social justice reform
Which of the following nursing actions is important to address that the health care needs specific to a rural
community?
Used cultural competence when planning interventions
A PHN obtains a new role working within an urban community. The nurse recognizes which health factor
influences the health of the urban community?
- Crime rates
- Psychosocial distress
- Air quality
A PHN works within the community in order to identify a common goal and implement strategies for reaching its goals. Which action is the nurse achieving?
Community organizing
A nurse practices nursing within a faith community, which has its own scope and stand of practice. Which types of nursing is this nurse practicing?
Parish Nursing
A PHN organizes a community-based participatory research program, which individuals serve as the best resources for community-based participatory research?
Public health nurse
A NP staffs and owns a nurse-managed health center, which of the following is considered to be the benefit of care provided at a nurse-managed health center?
- Provided affordable care
- Provided high-quality care
- Training for future NP
A school Health nurse has a number of roles and responsibilities. Which of the following are within the scope of the school health nurse?
- Provide care coordination
- Advocate for quality student care
- Provide well-child services
- Bridge health care and education
Which of the following is the school nurse’s role in terms of immunizations?
Promote vaccination administration
A school nurse addresses the controversial topic of sex education with students. Which of the following
factors plays into the decision of what content should be taught in the school?
- Parental concerns
- Public health prevention concerns
- Role of the education system and PH prevention
A school nurse knows that violence prevention within the dating context is important specifically for HS students. Which of the following interventions is a primary prevention method in dating violence?
Screening students with high-risk behaviors for teen dating violence
A school nurse provides health screening in order to address potential health problems of students. Which of the following is not a health screening that a school nurse would NOT be expected to conduct?
Mental health
Students with disabilities have unique needs within a school environment. which of the following is not a potential need for a student with a disability that can be met by the school nurse?
Insurance coverage advocacy
A school nurse works as an advocate for various policies within the school. Which of the following is an example of local regulation?
Implement district policies and wellness programs
A school nurse prepares for a potentially life-threatening event at a school. which of the following actions by the school nurse is NOT relevant to preparing for an emergency in the school?
Ensure crash carts are available on site
A school, in conjunction with educators, recognize the issue of cyberbullying between students. What role does a school nurse play in terms of addressing cyberbullying?
- Prevention
- Early identification
- Provision of treatment for victims
The hazard communication standard policies require both an employee and employer to be knowledgeable about hazards. T or F?
True
The nurse implements a community-wide program to raise awareness about the dangers of nicotine use and creates a support group specifically aimed at teens looking to quit smoking. What type of prevention is this activity?
Health promotion
The PH department reached out to all the primary care providers to encourage all of their unvaccinated patients to get vaccinated and to encourage parents of unvaccinated children to get their vaccines up to date. What type of public health initiative is this activity?
Primary prevention approach focused on health protection
A new primary care nurse is creating a pamphlet of the 5 functions and attributes of a medical home. After showing it to the charge nurse, she is made aware of errors she made in the literature. Which of the following elements does not fit into the medical home model?
Specialized focus care
What is the primary characteristic of collaboration?
The nurse partners with key individuals, group coalitions, and organizations
A nurse is moving to a rural area and beginning work at a health clinic. The nurse is performing a basic
community assessment to prepare for working with this new community. The nurse knows that which of the following is NOT characteristic of the needs of a role population?
More likely to have a higher life expectancy
CORRECT:
- Most likely to smoke tobacco and drink alcohol
- Have less education and higher rates of poverty
- Most likely to have increased dental problems
A nurse has been volunteering at the free clinic located at a community center in a rural area twice monthly for several years. Over the last few months, the nurses noticed that the patient load has increased as the population of this community has aged it is not feasible for the nurse to spend more time at this center. What might be the most feasible action she could take to continue to serve the needs of the community?
Set up a telehealth arrangement so that the nurse can answer simple questions from home
A nurse is working with several community members in an inter-city environment to help address broken windows and damaged buildings within the community. They had several residents volunteer to form a group that would repair the damages and keeps the community well cared for. This is an example of a?
Community organization
A nurse is considering entering the specialty of parish nursing. Nurses working within this field perform which of the following activities specific to that of a parish nurse?
Improving spiritual health through practices such as grief counseling and prayer
A school nurse is assessing a report on the health education components of the whole school, whole community, and whole child WSSC program at one elementary school the nurse covers. Which of the following elements should she point out that is NOT a component of the WSSC?
The program is run for children in 1st - 5th grade
A role of the school nurse is health protection for the students. This element involves which of the following?
Conduct classes on healthy eating
A new school nurse is reviewing procedures put in place by prior nurse. A woman with more than 30 years of experience, the nurse notices that a school-wide scoliosis screening occurs every fall. How does the new nurse proceed?
Check state screening guidelines to see what is required for school nurses in the state
A school nurse is updating the designated medical emergency response plan. What recommendation should the school nurse make regarding this plan?
Practice the plan a number of times each year
John, the nurse manager in a large urban ED, was alerted to several patients who have come in with possible exposure to toxic substances. What would be used in the epidemiological triangle help him understand?
What is the interaction between the host and the environment?
A nurse working the evening shift in the ED has been assigned the patient who has arrived with a chief complaint of difficulty breathing after mixing house whole cleaning products. The nurse recognizes that this patient is suffering from exposure to which type of environmental hazards?
Mixed exposure
A family survived a dangerous weather event, but now they are suffering through another part of environmental risk. They are now feeling stress, pain, and anxiety. What are these elements considered?
Psychosocial
While doing a physical assessment of older adults, the nurse is concerned about the patient’s history of work exposure to the toxic chemical over his lifetime. Based on reports level of toxins where within normal limits, but the patient had worked in the plant for 50 years. What aspect of exposure is the nurse most worried about?
Bioaccumulation/Accumulation
A PHN is helping to manage and decrease air quality due to admissions from a chemical plant. Which term best describes a source that decreases in air quality?
Point source
An occupational nurse is starting a position with a new company with 35 employees, the nurses ask to see the OSHA 300 form but is told that the company is not required to use that form. How does the nurse replay?
“That’s incorrect. The OSHA 300 logs should be kept when the company has 10 employees”
A nurse describes the employee health prevention measures available to the hospital staff members. What level of prevention is the use of PPE?
Primary
A nurse is preparing a lecture about caring for the needs of the American workforce. Which of the following
statements is true?
Approximately 43% of teenagers are employed and in their first job by the age of 19 years
A PHN is volunteering at clinic that provides care to migrant workers who work in the fields and in their community in addition to routine health assessments what work related potential health issues would be important for the nurse to include as part of their routine screening?
Skin cancer
A nurse is among the first responders to a mass causality incidence and does not know what type of PPE is needed. Which of the following actions should the nurse take?
Choose the highest level of protection equipment available
The Purpose of this to prevent or reduce risk and adverse consequences posed by natural or man-made disasters?
Disaster planning
This can result in elevated body temp in relation to hyperthermia?
Heat exposure
