final prep

Which of the following is true about vulnerable and underserved populations? (could get wrong)
A. They are always more sensitive to risk factors because they are often exposed to cumulative risk factors
B. They are less likely to suffer from health disparities
C. Vulnerability often is a result from the combined effects of limited physical, environmental, personal resources, and biopsychosocial resources
D. They do not utilize health programs as they are all homeless

The nurse assesses a 15-year-old client who shows some signs of possible drug use. Which key indicators in the client's record should the nurse be prepared to discover to confirm the existence of an increased risk for substance use disorder?
(Select All That Apply.)
A. Obesity
B. Age at first use of illicit substance
C. Family history of substance use (addictive disorder)
D. Presence of a learning disability
E. Early onset of diabetes

Preventing intimate partner violence (IPV) and recurrence of violence requires targeting efforts at all three levels of prevention: primary, secondary, and tertiary. Which best represents a primary prevention strategy?
A. Educating the public to raise awareness about IPV
B. Putting up posters around the health provider's office that give tips on what to do if one is in an abusive relationship
C. Screening a client for evidence of abuse who has several risk factors for IPV
D. Providing a client who is being abused by the spouse the number to an abuse hotline to get help leaving the spouse

An underserved population is a subgroup of the population that has a higher risk of developing health problems due to inequities in which areas? (good to get wrong)
A. Socioeconomic status
B. Political affiliation
C. Religion
D. Education

Nurse King works with an agency that addresses the healthcare needs of the LGBTQ community. Recently there have been several incidences of violent acts to members of the LGBTQ community in which she is working. Which most accurately defines gender-based violence?
A. Violence that targets people or groups of people on the basis of their gender
B. Always a homicide of a female victim
C. Always a pattern of assaultive and coercive behaviors perpetrated against an individual by one who is, was, or wishes to be in an Intimate relationship with the victim
D. A type of violence typically committed by one gender but not the other

Megan comes to the clinic for a follow up visit after 8 days of treatment with antibiotics How do you evaluate the outcomes for this patient? Select All That Apply (good to get wrong)
A. Patient is symptom free
B. The antibiotic course is completed
C. The sexual partners are informed
D. Patient is abstaining from sexual intercourse for 7 days post treatment.
E. Patient continues sexual intercourse while on treatment.

The nurse is teaching the parents of a toddler how to prevent lead poisoning. Which of the following should be included?
Select all that apply
A. Provide a diet rich in iron sources
B. Run the cold water for 3 minutes in the morning before using for drinking
C. Wash childrens' hands before eating
D. Give syrup of ipecac if suspected lead ingestion
E. Check blood lead levels when the child is starting kindergarden

Preventing intimate partner violence (IPV) and recurrence of violence requires targeting efforts at all three levels of prevention: primary, secondary, and tertiary. Which is an appropriate secondary prevention strategy
A. Adding a question to the standard health history form that asks whether the client is currently experiencing
B. Putting up posters around the health provider's office that give tips on what to do if one is in an abusive relationship
C. Screening a client for evidence of abuse who has several risk factors for IPV
D. Providing a client who is being abused by the spouse the number to an abuse hotline to get help leaving the spouse

In caring for clients who have been diagnosed as being mentally ill, the most common reason for associated with a relapse of psychotic symptoms is often due to:
A. stress that effects their ability to cope
B. weight gain which changes the success of the prescribed medication
C. nonadherence to taking their medication
D. none of the above

When preparing a program about substance abuse prevention for adolescents. The community health nurse would focus on which substance is the most frequently used.
A. Cocaine
B. Alcohol
C. Adderal
D. Tobacco

The community health nurse is using a genogram to aid in the family assessment. What aspect of family connections and relationships should the nurse include in the genogram? (select all that apply) (good to get wrong)
A. Influence of other systems on families
B. Influence of groups on families
C. Family relationships and their vital connections
D. Relationships across two or more generations, and any known disease entities and morbidity/mortality status

A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which task best exemplifies a public health initiative?
A. Reading current nursing journals and integrating the latest research into daily practice
B. Instructing a client on how to best care for a suture site at home
C. Participating in a videoconference call with a client who lives in a remote area
D.Facilitating a community-wide smoking cessation program one month out of the year

Environmental justice is most accurately described as the bellef that:
A. Those who violate the environment should be required to pay significant fines.
B. Those who violate the environment will always face extensive prison sentences.
C. All people should have equal access to the environment
D. No group should suffer more from enviroamental health consequences than others.

The public health department is concerned there is an increase in violence among the children in the community. Which individual should the department involve in determining which children are most likely to be a victim or a perpetrator?
A. Pediatric primary Care Provider
B. Parent
C. School Nurse
D. Next door neighbor

The student nurse discusses the transmission of a pathogen to a susceptible host. Based on the chain of infection links, which exemplifies a vehicle?
A. Animals
B. Insects
C. Reptiles
D. Water

The clinic clients respond negatively to the need for a yearly flu shot. They ask why the medical communities don't just create one shot that will last for several years. Which explanation should the nurse give?
A.Genetic changes in the bacteria that cause the flu require a rotating course of antibiotics.
B. The strain of the virus changes from year to year.
C. There is more than one strain of the flu virus and you must be protected from all of them.
D. The shots last only for 3 to 6 months and must be renewed on a yearly basis

Ten documented cases of West Nile virus (WNV) have occurred recently in the community. To reduce the transmission of the virus, the nurse should educate the members of the community to address the vehicle of this vector borne illness. What teaching would the nurse provide?
A. Avoid exposure to the environment during the daylight hours
B. Eliminate standing water
C. Avoid those with a confirmed diagnosis
D. Avoid contact with birds

Tent communities are constructed in a rural community by the American Red Cross after a disaster. Because of overcrowding, surrounding states create accommodations for the displaced and homeless in the cities of four Southern states. Which factor may increase the possibility of disease emergence in the cities?
A. Decreased socialization
B. Poor sanitation
C. Decreased viral load
D. Increased violence

Absenteeism due to illness has increased recently in the local middle school. The increase is noted to be related to exacerbation of asthma symptoms in the student population. Which would be the most effective approach in decreasing absenteeism among this population? (good to get wrong)
A. Develop an asthma education and surveillance program that addresses students, families, and facuity members.
B. Develop a policy to exclude students with a diagnosis of asthma from admission to the school.
C. Create an asthma prevention plan within the school environment, based in the school nurse's office.
D. Create an education program for faculty related to the prevention of exacerbation of asthma systems.

Primary, secondary, and tertiary levels of prevention help reduce risk, identify and limit disabilities, and reduce complications of mental health problems. Which exemplifies a tertiary prevention strategy for mental health problems? (select all that apply)
A. Educate families and community groups about mental health issues, symptoms of stress, and barriers to seeking help
B. Screen for mental health disorders
C. refer to support groups for clients with mental health disorders
D. Initiate health-promotion activities as a part of rehabilitation services

The nurse cares for a client in a community health clinic. The nurse is uncomfortable because the client remains very close when communicating. This discomfort makes it difficult to concentrate on the interview. Which concept will have occurred if the nurse backs away and the client stops speaking and leaves?
A. Differing views of personal space
B. Treatment limitation
C. Aggressive behavior
D. xenophobia

A student nurse asks if an infectious disease is the same thing as a communicable disease. The nurse explains that an infectious disease is not necessarily a communicable disease. Which factor could the nurse point out that a communicable disease must have that an infectious disease would not have to have? (Select All That Apply.) (might wanna get wrong)
A. Pathogenic microorganism
B. Portal of exit from the infected person
C. Means of transmission
D. Portal of entry to a susceptible host
E.Organism that harbors the infectious agent

The faith community nurse assumes a variety of roles when working with clients in a particular congregation. These roles may include (Select All That Apply).
A. Provider of direct patient-centered care
B. Health educator
C. Religious teacher
D. Heaith counselor
E.Advocate

A newly hired occupational health nurse at an industrial facility is performing an initial workplace assessment. Which of the following information should the nurse determine when conducting a work site survey? (good to get wrong)
A. Work practices of employees
B. Past exposure to specific agents
C. Past jobs of individual employees
D. Length of time working in current role

A community health nurse is conducting a program for a group of leaders who are working to improve the health of persons with disabilities. When explaining the concept of disability to this group, which would be most appropriate for the community health nurse to include?
A. A disability is a condition that someone has, not something that someone is.
B. The plan of care for two persons with the same disability would be the same.
C. A disability refers to a person's inability to do something.
D. Handicap and disability are two terms that go hand in hand.

A community health nurse is making a home visit to a family. The family has a son with a disability who requires a motorized wheelchair. The family asks for the nurse's assistance. Which response by the nurse would be most appropriate?
A. "His disability should automatically cover the cost of the chair."
B. "We will need to check with the insurance company about coverage."
C. "You will probably be able to get it if you pay for half the cost."
D. "You might be able to get a regular wheelchair, but a motorized one is impossible."

A community health nurse is developing a plan of care for a family who is providing round-the-clock care in their home for a daughter who is chronically ill. Which area would be most important for the nurse to integrate into the plan?
A. Insurance limitations
B. Skill teaching
C. Flexible visiting
D. Respite care

A community health nurse is starting employment at a clinic that provides services to migrant workers and their families.
When preparing to work with this population, which information would the nurse need to keep in mind?
A. Migrant workers are usually paid fairlynand treated justly by their employers.
B. Men are often the only gender performing migrant work.
C. Migrant workers often work 6 days a week from sunrise to sunset.
D. The earning power of migrant workers is dependent only upon their skill.

Mrs. Jones, a ballet dancer is recovering from traumatic brain injury and is no longer able to work as a dancer. She has entered a sheltered workshop to retrain her for employment. Mrs. Jones is learning to operate a computer. Using the theory of Levels of Prevention (Preventive) Interventions, what level would you would assign this example? Select all that apply
A. NOT related to levels of prevention
B. secondary prevention
C. tertiary prevention
D. rehabilitation for occupational training

A nurse is preparing to develop a screening program for school-aged children to assess for adverse childhood events. Which question should be included in the screening?
A. "Have you witnessed anyone hurting one of your siblings?"
B. "Do you feel like you want to hurt yourself?"
C. " Do you like the neighborhood you live in?"
D. "How many times have you seen the police driving around the neighborhood?"

A nurse developing a community health program is determining resource barriers to community referrals. Which of the following would be considered resource barriers? (Select all that apply)
A. Costs associated with services
B. Decreased motivation
C. Inadequate knowledge of exercise
D. Limited number of service providers
E. Lack of interpreters

During a health fair, the population health nurse speaks with the parents of a ten year old child. The parents tell the nurse that over the past several months their child has been demonstrating severe fatigue and learning problems in school. In speaking with the family and assessing the situation the eurse notes that the family is renovation their older home over the past few months. What action should he nurse encourate the parents to take?
A. have the child tested for lead poisoning
B. give the child vitamins
C.remove the child from the home
D. send the child to counseling

The nurse in a day center is notified that a tornado is approaching. The nurse evacuate the children to a safe room with free standing gas heater. Which action does the nurse take first?
A. Comfort the frightened children
B.Offer the children fruit juice
C.Provide diversional activities
D. Turn off the gas heater

The community health nurse works in a country where malaria is endemic. The nurses' primary concern is to decrease the incidence of malaria. Which intervention should the nurse pursue?
A. Fuel alternatives to burning wood and animal dung (excretment)
B. Sanitized drinking water
C. Education regarding contraceptive use
D. Distribution of and education on daily use of insecticide-treated bed nets

In a mass casualty incident the nurse is participating in field triage. The rescue nurse responds to the scene and assesses an
35. individual with epistaxis, pulse palpable, oxygen saturation of 92%, and hysterically crying. The nurse triages the patient as delayed, and the individual is directed to the yellow triage area. Within 5 minutes, the responder manning the yellow triage mat notes an increase in epistaxis, oxygen saturation level of 85%, and increased respirations. What is the nurse's assessment of this change of status, and what triage color will the individual be moved to?
A. Urgent and critical, and move to the green triage area
B. Urgent and critical, and move to the black triage area
C. Urgent and critical, and move to the red triage area
D. The patient should not be redirected as time is of the essence in an emergency

The community health nurse is making a field visit to a home of an elderly couple. The nurse notes that the structure of the house is old. Why does the nurse consider the age of the house as part of questions pertaining to an environmental assessment?

A. The nurse is assessing for mold exposure
B. The nurse is assessing for asbestos exposure
C. The nurse is assessing for mildew exposure
D. The nurse is assessing for radon exposure

The nurse is a member of a disaster team responding to a chemical disaster. The nurse assesses clients in a systematic fashion, concentrating on their ability to breathe. When entering the evacuation site, before the physical assessments, the nurse should:
A. Don PPE
B. Interview the client
C. Report to the hot zone
D. Request a HAZMAT expert to witness the client assessment

What was the two-fold purpose of the Affordable Care Act? (maybe get wrong)
A. Create access to health services and to increase the number of US citizens covered with health insurance
B. Decrease technological costs and increase number of US citizens enrolled in Medicare
C. Determine appropriateness of health services and reduce costs
D. Increase state budgets to cover those in need of insurance and cut prescription costs

When an infectious agent enters the host and begins to multiply, an infection occurs. What is the time between exposure to an infectious agent and the manifestation of symptoms in the host is known as?
A. Carrier time
B. Colonization
C. Incubation period
D. Latent period

In educating young mothers in a primary prevention program, the nurse would include which of the following as part of their
education? (Select All That Apply)
A. parenting skills and coping strategies
B. Information about available support resources
C. need and rationale for Immunization
D. screening for communicable diseases

The public health nurse works in New England during the winter months. An ice storm cripples the city, and electrical outages affect the power grid. Trees and frozen power lines are down throughout the city, and the timeline for restoration of power is 7 to 10 days. The management team should classify this occurrence as:
A man made emergency
B. A natural disaster
C. Terrorism
D. An accidental disaster

When applying the epidemiologic triad model to a community's plan of care, which of the following would the community health nurse address?
A. Incidence, prevalence, and case fatality
B. Health, illness, and injury
C. Host, agent, and environment
D. always Host issues only

A brand new RN is working on the HIV floor. While having lunch with a friend he discusses his patient's HIV status. What ethical principle did this RN violate
A. Confidentiality
B. Self-determination
C. Beneficence
D. Autonomy

The home health nurse is meeting with a new older adult client whose primary caregiver has requested additional assistance due to other family obligations. Which findings on the assessment should raise a red flag to the nurse for the potential of elder abuse in this household? (Select All That Apply.)
A. Client appears dehydrated
B. The client mentions she is always hungry
C. Caregiver appears impatient with the session
D. Young children are playing with the client
E. The client prefers to remain in her bedroom watching television programs.

The school nurse works with a 10-year-old girl who is obese and has type 1 diabetes. As client advocate, which would be most appropriate nursing action?
A. Scold the student when she buys a soda from a vending machine at school.
B. Schedule a conference with the parents to discuss how to collaboratively manage her blood glucose level and encourage her to select appropriate foods in the cafeteria for lunch.
C. Perform a finger stick and check the student's blood glucose level when she reports feeling weak and dizzy.
D. Weigh the student each week in the office to help track her weight and hold her accountable to her weight loss goals.

When evaluating a client's eligibility for Medicare-reimbursed home nursing care, which of the following is crucial? good to get wrong
A.The client needs visits by a homemaker.
B. The client is homebound and requires intermittent, skilled nursing visits
C. The client is a veteran and has chronic illnesses that require assist with ADL's
D. The client is terminally Ill.

The nurse works in a facility that provides hospice/palliative care for clients with cancer diagnoses. The nurse recognizes that the care provided in this facility is tertiary in nature. When developing the care plan for these individuals, which functions should the nurse prioritize? (Select All That Apply.)
A.Symptom relief
B. Pain control
C. Isolation
D. Supportive spiritual development
E. Diminished involvement of significant others

A community health nurse is working with other professionals to develop preventive programs to address the leading cause of death in men and women. Which measure would be appropriate?
A. Risk reduction for heart disease
B. Cancer screening
C. Safety education
D. Flu vaccine immunization

When working with community groups to develop appropriate programs for adolescent health promotion, the nurse integrates knowledge of the Healthy People 2030 objectives. Which concern is addressed by many of those objectives?
Self-esteem improvement
Risk-taking behaviors
Control of disease
Behavioral issues

The nurse works with a 16-year-old client who has an alcohol use disorder. Which mental disorder, which is highly correlated to substance use disorder, should the nurse assess for in this client?
A. Obsessive compulsive disorder
B. Anxiety disorder
C. Major depression
D. Bipolar disorder