Practice Questions Flashcards
which of the following are included in the notion of social injustice
A. belief of those in power that others are inferior
B. denial of human rights to certain populations
C. disparities in access ti service, such as healthcare
D. all of the above
all of the above
T/F
accessibility is insuffient number and diversity of formal services and providers, or lack of acceptable services and human service infrastructure to elders in rural areas
false
- availability
t/f
environmental health is the branch of public health science that focuses on how the enviornemt influences chronic disease
false, human health not chronic disease
what is bioavailability
a. study of the adverse effects of chemical, physical, or biologic agents on people, agents on people, animals and the enviornment
B. an estimate that determines a persons level of exposure to a contaminant
C. amount of a contaimaint that actually ends up int he systemic circulation
D. process of using medical tests such as blood urine collection to determine if a person has been exposed to a contaminant and how much exposure he or she has received
C
T/F
enviornemtnal justice is the belief that no group of people should bear a disproportionate share of negative environmental health consequcen regardless of race alone
false, race culture or income
T/F
national institute of occupational safety and health is the federal agency that sets exposure standards and is responsible for enforcement of safety and health legislation
false
-osha
T/F
studies have documented that the American healthcare system has the best care in the world of seriously ill clients and their families
false
- substantial shortcomings
T/F
it must be remembered that a dying patient will go through denial, anger, bragging and acceptance stages of dying
false
- might skip a phase
T/F
short acting or immediate release agents are excellent PRN meds and their only use should be for control of breakthrough pain
true
The community/public health nurse understands that the
recovery phase of a disaster event is consistent with which
timeframe?
Approximately 12 hours after the disaster event occurs
* Long term after the response phase of the disaster event
* One or two days after the disaster event occurs
* Immediately after the onset of the disaster event
Long term after the response phase of the disaster
event
xThe role of the community/public health nurse in disaster and
post-disaster situations often includes which of the following?
* Working only at the community and systems levels
* A unique awareness of vulnerable populations in the
community who are at higher risk
* Limited awareness of disaster preparedness plans
* Working beyond the scope of the RN license and PHN practice
due to necessity
A unique awareness of vulnerable populations in the
community who are at higher risk
Which of the following actions by the community/public health
nurse are associated with the provision of psychological first
aid? (Select all that apply.)
* Working without a break because victims need timely help
* Giving clear and reliable information
* Helping survivors help themselves
* Being calm and compassionate
Being calm and compassionate, Helping survivors help
themselves, Giving clear and reliable information
A community/public health nurse suspects that a client who was
a victim of a disaster 3 months ago is experiencing
posttraumatic stress disorder (PTSD). Which of the following
would the nurse expect to find in this client? (Select all that
apply.)
* Feelings of detachment
* Diminished startle response
* Reports of flashbacks
* Hypervigilance
* Full range of emotions
Feelings of detachment, Hypervigilance, Reports of
flashbacks
According to a study by Zidek, West, Holmes, and Crytzer
(2014), approximately how many people who rely on electronic
medical equipment to maintain their health have no plan for a
sustained power outage?
* 10%
* 25%
* 75%
* 50%
25
The community/public health nurse is working with a community
that has experienced flooding associated with contaminated
floodwater. Which of the following organisms is the least likely
to be found in floodwater?
* Shigella
* Salmonella
* Hepatitis B
* E. coli
Daily Double
hepatitis B
Critical incident stress debriefing (CISD) is a group process by
which relief workers are able to emotionally reconcile their
experiences after responding to a disaster. Which of the
following statements have been associated with CISD? (Select
all that apply.)
* CISD reinforces or restores group cohesiveness
* Research regarding the effectiveness of CISD is strong.
* CISD reduces relief workers’ anxiety
* CISD accelerates the relief workers’ healing process.
* CISD acts as a good substitute for individual counseling
CISD reinforces or restores group
cohesiveness, CISD accelerates the relief workers’ healing
process., CISD reduces relief workers’ anxiety
The community/public health nurse knows that the recovery
phase of a disaster includes which of the following activities?
(Select all that apply.)
* Rebuilding of the community’s infrastructure o Relocation of
survivors who have lost their homes
* Triage and rescue of living casualties
* Stabilization of the community physically, economically, and
psychologically
* Notification of family members of deceased victims
Relocation of survivors who have lost their homes,
Stabilization of the community physically, economically, and
psychologically, Rebuilding of the community’s infrastructure
Assisting individuals and families adversely affected by a
natural disaster to rebuild their lives through counseling and
other services and support is an example of which level of
prevention?
* Tertiary prevention
* Secondary prevention
* Quaternary prevention
* Primary prevention
teritary
Which of the following measures helps flood victims avoid
waterborne diseases? (Select all that apply.)
* Use bottled water when brushing teeth.
* If bottled water is not available for handwashing, use water that
has been boiled for 2 minutes.
* Watch hands frequently with soap and a safe water supply.
* Use the normal water supply unless specifically directed
otherwise.
* Drink only bottled water.
Drink only bottled water., Watch hands
frequently with soap and a safe water supply., Use bottled water
when brushing teeth
A newly hired public health nurse is reviewing the disaster
management cycle. Which of the following actions is a component of
disaster prevention?
* Outlining specific roles in the ICD (Incident command center) and
utilizing the community agencies?
* Identifying community vulnerabilities?
* Prioritizing care of individuals?
* Providing stress counseling?
Identifying community vulnerabilities is a component of disaster
prevention
T/F case management is the development and coordination of care for a selected client and family
true
T/F home healthcare is a part of a continuum of care where clients have the opportunity to live through the experiences of subacute, acute, chronic and end of life care
true
T/F Telehealth is a form of electronic communication to deliver chronic care and speciality consoltations
false, acute care
T/F
disasters are considered events that require a swift, intense response on the part of existing community resources
false
emergies
t/f
all response begins at the state level, where the disaster management plan is implemented and responders are deployed
flase
- local
t/f
evacuation where people in a hospital or residential facility may be moved to another floor or area within the facility may occur
false
= potential for massive explosions and fire
invacuation occurs when people in a hospital are moved to another floor
t/f
case management is the coordination of a plan or process to bring health service together asa common whole in a cost effective way
false, this is care
the student is providing a lecture on home healthcare via TRICARE
military
to be reimbursed for home care when a patient has medicare the patient must meet the following criteria
homebound
have a care plan (OASIS) created
require skilled services
intermittent care
reasonably necessary
what is a health professional shortage area (HPSA)
a geographic area, population or medically facility with shortage of healthcare professionals to a degree that a full complement of healthcare services is not possible
An area with a lack of medical care services as determined by the number of primary medical care heathcare providers per 1000 population, infant mortality rate, percentage of the population with incomes below the poverty level, and percentage of the population 65 years or older
a geographic area, population or medically facility with shortage of healthcare professionals to a degree that a full complement of healthcare services is not possible
please select in what ways population-based studies are lacking in LGBT groups
- overall population based studies are lacking with the exception to HIV
- Specific question on surveys related to sexual orientation are lacking
- recognizing same-sex heads of the household has not always been included in survey data
all of then
the route of exposure
how the contaminant enters the body
knowing how the contaminant drum that is buried and leaking is best described by
transportat mechanism
the home care nurse provides care to an elderly senior, who lives with her daughter and granddaughter. She notices while in the home that it is an older home and most likely built before 1978. There is old paint and the windowsill are chipped. The nurse recommends a lead screening. the safe range of lead for children are between 7-8mcg/dL
false
- no safe blood level
select all that apply to the nurse when consider the principles of enviormental health for the nursing practice
- nurse participate research of best practice that promote a safe and healthy enviornment
- knowledge of environmental health concepts
- nurse participation in RCT when evaluating contamination impact on human
- utilizing the precautionary principle when counseling and advising
- nurse participates in analytic research to find the cause of health conditions
- nurse participate research of best practice that promote a safe and healthy enviornment
- knowledge of environmental health concepts
- utilizing the precautionary principle when counseling and advising
a simple way understand risk is
risk = hazard + exposure
infectious agents
biologic
poisonous plants
biologic
aerosols
chemical
hazardous drugs and toxin exposure
chemicaln
noise
physical
falls
physicali
interpersonal problems
phsycosocial
T/F
NOSH s the federal agency that sets exposure standards and is responsible for enforcement of safety and health legislation
false
- OSHA
who was the first occupational nurse
ada
select the comp entices required for an occupational nurse
- maternal and pediatric expreince
- knowledge of enviornemtal health concepts
- counsling
- safety
- management and budget skills
- toxicology, ergonomics, epidemiology
- knowledge of existing health hazards in the workplace
- knowledge of enviornemtal health concepts
- counsling
- safety
- management and budget skills
- toxicology, ergonomics, epidemiology
- knowledge of existing health hazards in the workplace
the nurse is just coming on shift and notices that the patients chart indicates CMO. She has a diagnosis of brain cancer. what order would you expect
- morphine for pain
- antibiotic
- radiaiton
- chemo
moriphe.
the nurse provides palliative care to a client with end stage renal disease and chronic upper respiratorty infection. Which intervention should the nurse ensure are included in this type of care
A. gently stretching the clients arms and legs to preserve ROM
B, assisting with kidney transplant
C. learning secretions
D. adminsierting ordered analgesic
E. providing the client with foot massage
A. gently stretching the clients arms and legs to preserve ROM
C. learning secretions
D. adminsierting ordered analgesic
E. providing the client with foot massage
the lecture by dr Murphy covers phsycioogy signs that death is imminent, which signs should the nurse anticipate. Select all
- buildup of alavia
- sighs of r alk
- eye appeared discolored, deeper, set, or bruised
- skin may appear dusky or gray
- deep breaths
- buildup of alavia
- eye appeared discolored, deeper, set, or bruised
- skin may appear dusky or gray
to avoid constipation with opioids, use encourage your patients to use bulking ages such as psyllium
false
most dying persons stop eating and drinking and anorziea and dehydration are common and normal at the end of life. To avoid this the nurse should encourage food and hydration hourly
false
- do not encourage food
qualifying for medicare hospice m=benefit occurs when a medical director certifies that the patient is terminally ill and has 6 mo or less to live
true
the role of the community/public health nurse in disaster and post disaster situations often includes which of the following
- unique awareness of vulnerable populations in the community who are at higher risk
- working only at the community and system levels
- limited awareness of disaster preparedness plans
- working beyond the scope of the RN license and PHN practice due to neccisty
- unique awareness of vulnerable populations in the community who are at higher risk
a public health nurse is presenting to her community organization on what to have in a basic disaster supplies kit
- flashlight
- two day supply of food
- portable battery powered tv or radio
- one gallon of water per person
- first aid
- flashlight
- portable battery powered tv or radio
- one gallon of water per person
- first aid
*3 day of food and water
all responses are handled from the beginning at the federal level through FEMA
false
-local
anthrax is category
A
