Pop 2 exam practice Flashcards

1
Q

A nurse is preparing to assess a community based on birth and death rates. Which type of assessment is this considered?

a) Epidemiologic transition
b) Era of Social Health Conditions
c) Era of Infectious Diseases
d) Demographic transition

A

d
Epidemiologic transition is based on health outcomes, which include not only some death and birth rates but also other conditions. An Era of Social Health Conditions focuses on neighborhoods, streets housing, and schools. An Era of Infectious Diseases is a period where a given population experiences high death and birth rates as a direct result of infectious diseases such as the plague and tuberculosis. Though birth and death are impacted, such an era is not the basis for assessing a community.

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1
Q

Which best describes global burden of disease? Select all that apply.

a) Calculation of disability years
b) Calculation of morbidity and mortality
c) Calculation of income projection in certain professions
d) Calculation of primary care projects
e) Calculation of health disparities

A

a,b,e

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2
Q

A nurse is teaching about preventing acute respiratory infections (ARIs) to the mother of a child diagnosed with an ARI. Which are included in the teaching plan? SATA

a) Provide plenty of fruits and vegetables during the infection and after.
b) Increase the amount of fluids while the child is not feeling well.
c) Return to make sure at all the child’s immunization is up-to-date.
d) Keep the child isolated from others while taking the antibiotics.
e) Take all the antibiotics prescribed.

A

a,b,c,e
The nurse should instruct the mother to take all the antibiotics until it is completed. This will reduce antibiotic residence and assist with the child’s immune response. Increasing fluids and eating nutrition is essential to good health. Immunizations are an easy way to reduce risk of ARIs. Keeping the child isolated from others should occur during the first few days of taking antibiotics so the infection is kept under control.

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3
Q

A nurse is reviewing upstream focus of how water is regulated in the community. Which concepts are important to consider in environmental health nursing? Select all that apply.

a) Lifestyle factors
b) Social determinants of health
c) Environmental factors
d) Chronic health problems
e) Health disparities

A

b,e

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4
Q

A work environment that is safe and healthy is a right assured to all nurses by:

a) environmental principles for public health nursing.
b) the American Nurses Association Scope and Standards of Nursing Practice.
c) ecology model for public health.
d) the ANA Principles of Environmental Health for Nursing Practice.

A

d

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5
Q

A public health nurse is developing a program to improve heart health in the community. On which actions would the nurse focus if using an “upstream approach”? SATA

a) Encouraging increased physical activity and smoking cessation
b) Evaluating available walking and bike paths and exposure to secondhand smoke
c) Promoting healthy diets
d) Assessing unhealthy food choices in school
e) Educating on cancer screening

A

b,d
Lifestyle approaches include promoting health diets and increasing physical activity as well as smoking cessation and cancer screenings. An upstream focus looks at social factors such as secondhand smoke in public places, unhealthy food choices in schools, and environments that promote safe outdoor activity.

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6
Q

Communicable disease is a global health concern with a primary goal of eradicating communicable diseases worldwide. Achievement of this goal would involve
A) interrupting disease in a limited, defined geographic area.
B) reducing the incidence and/or prevalence of communicable diseases.
C) establishing primary health care services for all people on the globe.
D) interrupting transmission and reservoir of infection to prevent further cases.

A

d
limited area may be a starting point, but more widespread involvement is needed.
Reducing the incidence or prevalence would provide indications about the effects of attempting to eradicate the disease.
Establishing primary health care services is the goal
of Alma-Ata “health for all.”

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7
Q

A community health nurse is working with an international agency in Australia. The
nurse would most likely encounter which type of health care system?
A) Entrepreneurial
B) Welfare-oriented
C) Comprehensive
D) Socialist

A

b
An Entrepreneurial Health
Care System, found in the United States.its political economy.

A Comprehensive Health Care System
Great Britain, and New Zealand.

Socialist Health Care Systems
Russia, Eastern Europe, Albania, Bulgaria, Czechoslovakia,
East Germany, Hungary, Poland, Romania, Yugoslavia, and China.

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8
Q

health status and their receptivity to community health nursing programs? SATA
A) Their perceptions of healthy food
B) Their attitudes toward women
C) Their culture
D) Their belief systems
E) Their geographic location

A

b,c,d

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9
Q

Which of the following statements about the International Council of Nurses (ICN) are accurate? SATA

A) ICN represents the global interests and concerns of the nursing profession.
B) The mission of ICN is to maintain the role of nursing in health care through its global voice.
C) ICN has, as members, nursing organizations from 130 countries representing 13 million nurses.
D) ICN is a governmental organization.
E) ICN employs Regional Nursing Advisors.

A

a,b,c

nurses. ICN is a
nongovernmental organization. Regional Nursing Advisors are employed at the international level of the World Health Organization.

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10
Q

Which of the following as the highest governing body?
A) World Health Assembly
B) WHO Collaborating Centers
C) The European Union
D) U.S. Agency for International Development

A

A
The World Health Assembly is the highest governing body within WHO.

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11
Q

The students demonstrate the need for additional study when they identify which of the following as an example?
A) Global Health Council
B) CARE
C) Carter Center
D) World Bank

A

d

The World Bank is an agency that focuses on economic development. It partners with countries, WHO, and other organizations. It is not a nongovernmental organization.

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11
Q

Which of the following concepts is used by public health professionals to illustrate that
the determinants of health interact to affect health?
A) Precautionary principle
B) Ecological perspective
C) Sustainability
D) Upstream focus

A

B
The precautionary principle states that in
the absence of clear data that indicates the safety of an action, chemical or material that
poses a threat to human health, it should not be used.Correct option
“You need to have the well water tested before drinking it.”

Sustainability is “the ability to meet the needs of the present without compromising the ability of future generations to meet their own needs.”

Upstream focus identifies the root causes of disease and
manufacturers of illness.

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11
Q

When the public health nurse uses an upstream approach to improve heart health, the
nurse would examine which one of the following factors?
A) Unhealthy diets
B) Decreased physical activity
C) Smoking tobacco
D) Lack of safe places to exercise

A

D

Healthy diets, increased physical activity, and
smoking cessation are all healthy lifestyle issues. The root causes of the decreased
physical activity would include lack of safe places to exercise.

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12
Q

The community health nurse is dealing with housing inequality experienced by low-income urban families. On which would the nurse focus on while advocating?

a) Shortenbed waiting periods for those applying for low-income housing
b) Construction of safe, affordable housing in low-income neighborhoods
c) Increased police presence in low-income housing areas
d) Simple application process to provide access to low-income housing

A

b

:As a community health nurse, he or she is expected to give voice to the disparities found in the communities he or she serves (e.g., substandard housing, high rates of unemployment, death, and disability). By simplifying the application process, shortening waiting periods, and providing police for safety will help with already-existing housing. Advocating for construction will provide more equality.

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12
Q

How can a community health nurse best ensure the safety and well-being of at-risk populations?

a) Contribute to research projects that focus on the health and safety of at-risk populations.
b) Educate the members of the at-risk populations to the concept of social justice.
c) Advocate for increased federal health care funding.
d) Engage in interprofessional collaboration.

A

d
Nurses must collaborate with community constituents and with nurses and other professionals to ensure the safety and well-being of groups and populations at risk. Funding, education, and research are important; however, collaboration is necessary to ensure safety and well-being of at-risk populations.

13
Q

a) A community of nurses are interested in influencing health policy regarding client-to-nurse ratios in their state. Which will they find most helpful?
b) Nursing most effectively contributes financially to political candidates who support nursing issues through?

A

a) Utilizing the National Nurses United (NNU) as a primary resource
b) the ANA’s political action committee (PAC).

14
Q

a) Which national nursing organization has advocated for health care reform since the 1950s?

A

a) American Nurses Association (ANA)

15
Q

Which is the community nurse engaging in individual advocacy?

a) Serving on a committee that is focusing on the writing of new legislation to control the use of pesticides within city limits
b) Addressing a local town counsel to provide funding to improve EMS that focus on care for older adult
c)Organizing a “Health Awareness Day” rally at the capitol building in the state’s capital
d) Preparing an article for the local newspaper that describes the role of the communit

A

b

individual advocacy, which is pleading the case of others; and legislative advocacy, which is changing or modifying state or federal laws.

Serving on a committee, preparing an article, and organizing a Health Awareness Day rally are excellent activities, but they do not focus on advocacy, rather on more awareness and education for the issues and population as a whole.

16
Q

the community health nurse addresses macroeconomic theory. Which of the following would the nurse include?
A) Quantity of services available
B) Consumer’s willingness to buy services
C) Aggregate perspective of economic stability
D) Allocation of the available resources

A

C

Macroeconomic is concerned with the broad variables that affect the status of the
economy as a whole, such as factors affecting aggregate consumptions, production,
investment, and international trade.
The focus is on the larger view of economic stability
and growth, providing a global or aggregate perspective.

Microeconomic theory
addresses supply (quantity of services available) and demand (consumer’s willingness to
buy services) and study how allocation and distribution affect consumer demand for
goods and services.

17
Q

As part of a community wide education program, a community health nurse is
developing a teaching plan about Medicare. Which of the following would the nurse
include in the Medicare info? SATA
A) It is a state health insurance program for elderly and the disabled.
B) Medicare Part A covers medically necessary hospitalization, home care, hospice
services, and limited-skilled nursing services.
C) Medicare Part D covers prescription drug costs.
D) Medicare Part A is supplementary and voluntary.
E) Medicare beneficiaries can make changes to their coverage at any time.

A

B, C

Medicare is a federal health insurance for over 65 years old (not a State program). permanent disabilities or chronic renal disease at any age.

Part A covers hospitalization, home care, hospice services, and skilled nursing service.
Part B out patient
part C combnetation
Part D drugs

Medicare beneficiaries can make changes to their
coverage during open enrollment periods.

18
Q

TB

A

Bacteria infection through the air
Tuberculin skin test(TST)48 and 72 hours

19
Q

The nurse’s INITIAL priority when managing a physically assaultive
client is to
1. restrict the client to the room.
2. place the client under one-to-one supervision.
3. restore the client’s self-control and prevent further loss of control.
4. clear the immediate area of other clients to prevent harm.

A

3

20
Q

When using restraints for an agitated/aggressive patient, which of the
following statements should NOT influence the nurse’s actions during this
intervention?
1. The restraints/seclusion policies set forth by the institution.
2. The patient’s competence.
3. The patient’s voluntary/involuntary status.
4. The patient’s nursing care plan.

A

3

21
Q

a 37-year-old woman with metastatic ovarian
cancer admitted for nausea and vomiting. The physician orders TPN. Which of
the following is the BEST indication that the patient’s nutritional status has improved after 4 days?
1. The patient eats most of the food served to her.
2. The patient has gained 1 pound since admission.
3. The patient’s albumin level is 4.0mg/dL.
4. The patient’s hemoglobin is 8.5g/dL.

A

3

22
Q

A 23-year-old woman at 32-weeks gestation is seen in the outpatient
clinic. Which of the following findings, if assessed by the nurse, would
indicate a possible complication?
1. The client’s urine test is positive for glucose and acetone.
2. The client has 1+ pedal edema in both feet at the end of the day.
3. The client complains of an increase in vaginal discharge.
4. The client says she feels pressure against her diaphragm when the baby moves.

A

1

23
Q

If urine test positive for glucose pregnancy means?

A

gestational diabetes

occurs during pregnancy when the body can’t produce enough insulin.
uring pregnancy, a hormone produced by the placenta prevents the body from using insulin effectively

24
Q
A