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Population And Community Health Nursing 6th Edition By Clark – Test Bank 

 

Population and Community Health Nursing, 6e (Clark)

Chapter 1   Population Health and Nursing

 

1) The nurse is designing a program for pregnant adolescents in the community. The program will focus on fetal development, appropriate nutrition, developing social support systems, and screening for potential abuse by partners or others. This is an example of:

  1. Community-driven care.
  2. Community-focused care.
  3. Community-based nursing.
  4. Population health nursing.

 

2) The nurse meets with members of the community in open forums to help determine ways to improve health. The nurse identifies health problems in the community based on the community input and the nurse’s community assessment. In this situation, the nurse is practicing:

  1. Public-health nursing.
  2. Community-driven care.
  3. Community-focused care.
  4. Community-oriented care.

 

3) The nurse holds community forums to gain input in determining the health needs for the community. Issues raised the forum focus on the need for nutrition education, but the nurse notices that many community members are outside smoking before entering the building. The nurse acknowledges the importance of nutrition education, but addresses the incorporation of smoking cessation education as part of a total lifestyle choice program. Which type of nursing is the nurse implementing?

  1. Public health nursing.
  2. Community-driven nursing.
  3. Population-focused nursing.
  4. Community-focused nursing.

4) The population health nurse reviews the standards for population-focused care prior to meeting with a group of patients. On which standards should the nurse focus to determine this population’s risk for developing health problems related to obesity? (Select all that apply.)

  1. Standard 1: Assessment.
  2. Standard 2: Diagnosis.
  3. Standard 8: Competency.
  4. Standard 12: Ethics.
  5. Standard 13: Evidence-based practice.

5) While working with a local community on an immunization program, the nurse is developing an evaluation tool that incorporates the standards of care for population health nursing practice. What standards should the nurse include in this tool? (Select all that apply.)

  1. Advocacy.
  2. Research.
  3. Collegiality.
  4. Autonomy.
  5. Leadership.

6) The nurse is reviewing the eight domains of competencies for population health nursing before structuring a program to address an identified health problem. What should the nurse keep in mind when reviewing these competencies?

  1. They reflect the practice of the experienced population health nurse at only the specialist level and include cultural competence.
  2. They reflect the practice of the experienced population health nurse at the generalist level and exclude communication.
  3. They include expectations, which range from awareness through knowledge to proficiency and include financial planning.
  4. They must all be incorporated into any population health nursing position and include advanced public health practice.

7) The population health nurse is helping a client identify alternative solutions for a health problem. In which focus and role is the nurse functioning in this situation?

  1. Client-oriented and educator.
  2. Delivery-oriented and case manager.
  3. Client-oriented and counselor.
  4. Population-oriented and counselor.

 

8) The population health nurse is demonstrating behavior to be learned by a client and the family. In which focus and role is the nurse providing care?

  1. Client-oriented and role model.
  2. Delivery-oriented and educator.
  3. Client-oriented and referral resource.
  4. Population-oriented and collaborator.

9) The nurse is functioning as a liaison within a local clinic. What action is the nurse performing in this role?

  1. Serving as initial point of contact between client and agency.
  2. Coordinating and directing the use of health care services.
  3. Organizing and integrating services.
  4. Creating alliances of individuals or groups to achieve a specific purpose.

 

10) The nurse is caring for a specific population within a community. Which nursing action should the nurse use to exemplify the population health nurse’s case finding role?

  1. Assess a client’s need for education.
  2. Advocate for a mother who is being seen in a clinic.
  3. Carry out an investigation of meningitis cases.
  4. Develop an educational plan for a group of adolescents.

11) The nurse is creating a program to address cigarette smoking by community members. Which Healthy People 2020 topical areas are relevant to this program? (Select all that apply.)

  1. Tobacco.
  2. Oral health.
  3. Substance abuse.
  4. Environmental quality.
  5. Clinical preventive services.

12) After completing a community assessment the nurse is preparing a plan to address behavioral determinants of health. Which topics should the nurse include in this plan? (Select all that apply.)

  1. Use of park and bicycle trails.
  2. Intake of fresh fruits and vegetables.
  3. Ease of obtaining marijuana and cocaine.
  4. Hours that the community health clinic is open.
  5. Use of protective gear when bicycling.

13) The population nurse becomes aware of a treatment plant that is depositing waste materials into the drinking water. Efforts to have this plant change its behavior have failed and the nurse has been asked by community members to intervene. Which action should the nurse perform when advocating for the community members?

  1. Provide a list of community members who are employees of the treatment plant.
  2. Analyze other community approaches used to address similar water treatment issues.
  3. Collect information about the waste materials being introduced into the water supply.
  4. Examine community members for health problems believed to be caused by the contaminated water.

14) The population health nurse is meeting with school district administrators to discuss strategies to promote healthy behaviors in the students who attend schools in the district. Which strategy should the community nurse emphasize as being important for the schools to implement?

  1. Provide fresh fruit for morning and afternoon snacks.
  2. Schedule scoliosis screening for all female students aged 12 through 16.
  3. Examine the quality of repairs made to the school pool after a recent landslide.
  4. Ensure safety equipment is available for all student use during sports activities.

15) A group of community members committed to increasing physical activity asks the nurse for help in implementing bicycle lanes on community roads. Which approach would the nurse use that demonstrates social marketing of this community goal?

  1. Determine the number of community members who use bicycles for transportation.
  2. Conduct a telephone survey of community members asking for their support for a bicycle lane.
  3. Approach elected officials and ask if the bicycle lane can be discussed during the next council meeting.
  4. Create a display explaining the advantages of a bicycle lane to be posted during the upcoming community health fair.

 

 

Population and Community Health Nursing, 6e (Clark)

Chapter 2   Population Health Nursing: Yesterday, Today, and Tomorrow

 

1) The population health nurse is reviewing the recommendations within the Report of the Massachusetts Sanitary Commission drafted by Lemuel Shattuck. What should the nurse identify as being the most important effect of this document?

  1. Establishing state boards of health.
  2. Establishing workhouses for the sick poor.
  3. Mobilizing social reform to sanitary engineering.
  4. Refuting that poverty was the result of deficiencies in moral character.

 

2) The nurse is reviewing the evolution of national health care systems in countries throughout Europe and the United States for a school project. In which century should the nurse emphasize that national health insurance in the United States was first proposed?

  1. Late 20th century.
  2. Mid-20th century.
  3. Early 20th century.
  4. Mid-19th century.

3) In preparation for a health fair the nurse wants to explain the role of ancient civilizations on water purification. Which civilizations should the nurse highlight as being advocates for clean water supplies? (Select all that apply.)

  1. Aztecs.
  2. Greeks.
  3. Romans.
  4. Germans.
  5. Egyptians.

 

4) The population health nurse is discussing the first organized approach to home nursing of the sick that was established in 1813 by the Ladies’ Benevolent Society of Charleston, SC, in response to a yellow fever epidemic. What important aspect of the care provided by this organization should the nurse emphasize?

  1. Restricted to women and children.
  2. Directed to those residing in the Jewish community.
  3. Restricted to those who were able to pay for services.
  4. Nondenominational and nondiscriminatory in an era of racial discrimination.

5) The population health nurse is researching the activities of Margaret Sanger for a school paper. The nurse should explain the actions of Ms. Sanger as combining social activism with nursing to her clients by:

  1. Advocating for better care for the mentally ill.
  2. Reducing rural childbirth morbidity and mortality rates.
  3. Providing information about contraceptive services to women.
  4. Providing education regarding improved nutrition for families.

 

6) Prior to providing care to a family the population health nurse reflects on the achievements of historical nurses who influenced approaches used today to provide care. Which historical figure should the nurse attribute to the combination of political activism with health promotion and disease prevention to improve individual and societal conditions affecting health?

  1. Lillian Wald.
  2. Lavinia Dock.
  3. Lina Struthers.
  4. Mary Brewster.

7) The nurse is preparing a seminar on population health for a group of staff nurses in a community health clinic. Which events that demonstrated the effectiveness of population health nursing in the United States should the nurse emphasize? (Select all that apply.)

  1. Formation of the Red Cross.
  2. School nursing program in New York City.
  3. Improvement of sanitary conditions in slum areas.
  4. Formation of benevolent societies to care for the sick poor.
  5. Visiting nurse services of Metropolitan Life Insurance Company.

8) While conducting a training class for hospice nurses, the nurse explains the actions taken by William Rathbone, a Quaker philanthropist who implemented nursing care at home for the sick in England. Mr. Rathbone enlisted Florence Nightingale’s assistance to develop a concept of nursing care, which he later adopted in the United States after witnessing its benefits to his dying wife. Which aspect of care should the nurse attribute to Mr. Rathbone?

  1. Home nursing.
  2. Parish nursing.
  3. District nursing.
  4. Community nursing.

9) The clinical trainer for a group of population health nurses is planning to present the historical events that shaped and formed the development of population nursing in the United States. Which events should the trainer include? (Select all that apply.)

  1. Creation of district nursing.
  2. Settlement house movement.
  3. Passage of immigration limiting legislation.
  4. Standardization of community nursing practice.
  5. Passage of legislation specific to community nursing.

10) A group of nursing students are researching governmental efforts to address health promotion-focused public health. Which legislation should the students identify as starting this change in providing care?

  1. Hill-Burton Act.
  2. Child Health Act.
  3. Social Security Act.
  4. Sheppard-Towner Act.

11) While reviewing the history of health care services as part of an education program the nurse learns that the passage of the amended Social Security Act created Medicare and Medicaid, which increased demands for health care services. How did The National Health Planning and Resources Development Act of 1974 attempt to address the demand for health care services?

  1. Increasing funds to improve the health status of the indigent poor.
  2. Recognizing that increased hospitals improved the public health status.
  3. Increasing funds for more health services to improve public health status.
  4. Recognizing the contribution of health practitioners to the public health status.

12) The nurse case manager is explaining to a group of health care providers how insurance expenditures for health spending led to the development of diagnosis-related groups (DRGs) in efforts to control spending. What should the case manager emphasize as the driving force for directing health efforts with DRGs?

  1. Organize services to be more cost-effective.
  2. Decreasing length of stays for hospitalizations.
  3. Placing the emphasis on the community to improve population health status.
  4. Emphasizing health promotion to decrease hospitalizations and medical costs.

13) As part of a school assignment the graduate nursing student is reviewing documents that address population health nursing practice in the United States. Which document should the student emphasize as being the most current policy promulgated by the U.S. Department of Health and Human Services?

  1. Lalonde Report.
  2. Healthy People 2010.
  3. Future of Public Health.
  4. Declaration of Alma Alta.

14) The population health nurse is reviewing the concept of health-for-all with a group of new nurses. What should the nurse explain as the significance of the Ottawa Charter for Health Promotion to population health nursing practice?

  1. Created specific mechanisms to categorize nursing services.
  2. Provided a mechanism for prospective payment for hospital services.
  3. Identified assessment, policy formation, and assurance as key indicators for global health.
  4. Focused on social, economic, and political reforms as strategies to improve global health.

15) The nurse is identifying events that can shape the future of population health nursing practice for a group of nursing students. Which event should the nurse emphasize?

  1. International effort to eradicate smallpox.
  2. Prospective payment for nursing services.
  3. Surveillance of the CDC on population health.
  4. Threat of terrorism to harm the public’s health.

16) The mental health nurse is seeing patients recovering from post-traumatic stress disorder in an out-patient health clinic. Which historical figure should the nurse recognize as being instrumental in improving the care provided to patients with mental disabilities?

  1. Clara Barton.
  2. Dorothea Dix.
  3. Harriet Tubman.
  4. Sojourner Truth.

17) A graduate nurse has scheduled an appointment with the director of the Center for Nursing Research within the National Institutes of Health. What types of research should the graduate nurse prepare to discuss during this meeting?

  1. Medication compliance.
  2. Reduction in sentinel events.
  3. Health promotion and illness prevention.
  4. Elimination of hospital-acquired infections.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 3   Epidemiology and Population Health Nursing

 

1) After being diagnosed with cancer the patient tells the population health nurse that the disease is punishment from God. Which theory of disease causation is this patient using to explain the illness?

  1. Environment.
  2. Physical forces.
  3. Specific organism.
  4. Divine intervention.

 

2) A patient diagnosed with a terminal illness asks why the disease developed when others who have less healthy lifestyle habits enjoy good health. Which theory of disease causation should the nurse use when responding to this patient’s enquiry?

  1. Environment.
  2. Divine intervention.
  3. Single cause theory.
  4. Multiple cause theory.

3) The population health nurse is visiting the home of a family whose youngest child developed chickenpox after being exposed to a classmate with the same disease. Of which criterion for establishing a causal relationship is this situation an example?

  1. Frequency.
  2. Consistency.
  3. Absolute risk.
  4. Susceptibility.

 

4) The population health nurse is trying to identify the causative relationship for a group of school students who developed viral meningitis. Which criterion must the nurse identify to prove causation for the development of the disease in these students?

  1. Coherence.
  2. Specificity.
  3. Consistency.
  4. Temporal relationship.

5) The population health nurse notes that the number of cases of diabetes in a community remained stable during the last year. However in January, ten new diagnoses of diabetes were confirmed. What type of data is the nurse analyzing?

  1. Incidence.
  2. Morbidity.
  3. Prevalence.
  4. Case fatality rate.

 

6) The population health nurse is compiling childhood illness statistics and finds that the morbidity for chickenpox is higher for one neighborhood in comparison to the local county. What does this information mean to the nurse?

  1. There are new cases of chickenpox in the neighborhood.
  2. There are a larger percentage of children with chickenpox in the neighborhood.
  3. A large group of children have been affected by chickenpox in the neighborhood.
  4. There has been a rise in the number of children with chickenpox during a specified period of time in the neighborhood.

7) The population health nurse is compiling statistics about lung cancer in one neighborhood that has experienced an average of 15 years from diagnosis to death. Which concept of epidemiology is the nurse analyzing?

  1. Mortality rate.
  2. Survival time.
  3. Morbidity rate.
  4. Survival rate.

 

8) The population health nurse is explaining the epidemiologic triad to a group of nursing students. What should the nurse use as an example of this triad?

  1. Sun, beach, and sunburn.
  2. Rural Mississippi, deer, and Lyme disease.
  3. Potato salad, outdoor picnic, and food poisoning.
  4. Standing water, mosquitoes, and warm weather.

9) The population health nurse is planning to use a “web of causation” to explain the development of a health problem in a group of patients. What should the nurse use as an example of the web of causation?

  1. Oil refinery, flare emissions, and asthma.
  2. Mosquitoes, West Nile virus, and decreased mosquito spraying.
  3. Adolescent pregnancy rate, lower socioeconomic status and education, and close friends with infants.
  4. Access to alcohol, decreased enforcement of minors, and attractive media portrayal of alcohol that contributes to adolescent alcohol usage.

10) The population health nurse is identifying determinants of health to address the development of cancer in a small rural neighborhood. Which determinants should the nurse identify? (Select all that apply.)

  1. Availability of health facilities.
  2. Mean age of the male population.
  3. Prevailing diet high in unprocessed foods and low fat.
  4. High percentage of tobacco use among the male population.
  5. Proximity of the community to chemical plants that have a poor history of regulating emissions.

11) The population health nurse is concerned that a group of lifeguards who refuse to use sunscreen might develop skin cancer. On what is the nurse focusing this concern?

  1. Risk.
  2. Cases.
  3. Mortality.
  4. Morbidity.

12) After reviewing data collected during a community health fair the population health nurse is concerned that 500 people have an absolute risk of developing peripheral vascular disease. How should the nurse explain this risk to the community leaders?

  1. Probability that any of the 500 people will develop peripheral vascular disease.
  2. Probability that one of the 500 people will develop peripheral vascular disease when compared to the rest of the population.
  3. The ability that the 500 people will be affected by factors that contribute to the development of peripheral vascular disease.
  4. The likelihood that the 500 people will be exposed to factors that contribute to the development of peripheral vascular disease.

13) The population health nurse is reviewing data collected on a group of patients to determine which patients are experiencing the same health problem. In which step of the epidemiologic process is the nurse functioning?

  1. Defining the condition.
  2. Developing control strategies.
  3. Identifying strategic points of control.
  4. Determining the natural history of the condition.

14) After collecting information from patients about a health problem the population health nurse is analyzing the information to determine the natural history of the condition. What elements of the natural history should the nurse identify? (Select all that apply.)

  1. Signs and symptoms of the health problem.
  2. The effects that the health problem has on the body.
  3. Length of time the health problem will affect the body.
  4. Factors that contribute to the development of the health problem.
  5. Outcomes and factors that affect the outcomes of the health problem.

15) A patient comes into the clinic with manifestations of an acute respiratory infection. When analyzing the natural history of the condition, the population health nurse identifies that this patient is in which stage?

  1. Clinical.
  2. Preclinical.
  3. Resolution.
  4. Susceptibility.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 4   Environmental Influences on Population Health

 

1) While making a home visit the population health nurse learns that the youngest child brought home a stray dog to be taken care of by the family members. What health risks does this child’s action pose to the family? (Select all that apply.)

  1. Bites.
  2. Diseases from fleas.
  3. Exposure to noroviruses.
  4. Potential rabies exposure.
  5. Risk for Clostridium perfringens.

 

2) An oil storage tank has leaked and the surrounding residential area has been saturated with the leaked oil. Which health precaution should the homeowner take?

  1. Use a strong detergent to clean the yards.
  2. Avoid planting vegetables in the contaminated soil.
  3. Inform the local media regarding the contaminant spill.
  4. Install smoke detectors in the home as a fire precaution.

3) A coal-fired energy plant is built next to a residential area. Since the plant opened the population health nurse notes an increase in respiratory diseases in individuals who live close to the plant. What should the nurse use to explain this phenomenon?

  1. Urban sprawl.
  2. Poor land use mix.
  3. The built environment.
  4. The community ecological footprint.

 

4) A once prosperous and thriving neighborhood has become run-down and its residents have a lower socioeconomic status. There is greater unemployment in this neighborhood and the police have seen a rise in crime in unemployed young adults. The population health nurse determines this as being an effect of a declining:

  1. Built environment.
  2. Social environment.
  3. Natural environment.
  4. Ecological environment.

5) As part of a school district health program for students, the nurse visits students diagnosed with asthma at home. Which home environment factor should the nurse identify as contributing to the development of this respiratory disease?

  1. Pesticides.
  2. Peeling paint.
  3. Secondhand smoke.
  4. A fuel source for cooking.

 

6) After a series of heavy rains, the nurse in the local health department increases the water monitoring of the local beach because several upstream creeks flow into it. Why did the nurse increase the water monitoring?

  1. Monitor the water purity of the creek flow.
  2. Make sure that no debris is swept into the water.
  3. Make sure that tidal currents are safe for swimming.
  4. Monitor the water for potential microorganisms that could prevent safe swimming.

7) The population health nurse learns of an area within the community that floods after heavy rains. Flooding has been a problem since development of this region over the last several years. What should the nurse realize as the most accurate explanation for the standing water?

  1. The drainage system has not been inspected regularly.
  2. There are insufficient storm sewers to handle the increased development.
  3. There has been an overall change in the precipitation patterns in the region.
  4. The development has increased the amount of impervious surfaces that do not absorb the rain water.

 

8) Due to budget cuts, a community has reduced its garbage pickup frequency from twice a week to once a week. Because of this the population health nurse should be concerned about the potential increase in:

  1. Making the area look unsightly.
  2. Animal pests that could spread disease.
  3. The amount of trash generated per household.
  4. Spreading weeds from uncollected grass clippings.

9) The population health nurse is working with city council members to identify environmental factors that negatively impact the health of community members. Which factors should the nurse call to the attention of the council members? (Select all that apply.)

  1. Urban sprawl.
  2. Gang violence.
  3. Green space in communities.
  4. Organized recreation programs.
  5. Disparities in socioeconomic status.

 

10) The population health nurse receives a report that provides statistics on the increasing number of telephone calls made to the poison control hotline. Based on this information, what should the nurse do?

  1. Enforce local ordinances for selling household chemical agents.
  2. Target homes for poisons contained in household cleaning agents.
  3. Promote legislation for restricting hazardous materials in the home.
  4. Educate the public about the hazards of household chemicals and medications and their proper storage.

11) The amount of trash collected in one community is overwhelming local resources to collect and store it. Which is the best approach for the population health nurse to take to help decrease the amount of generated trash?

  1. Encouraging use of fewer polluting products.
  2. Promoting recycling efforts in the community.
  3. Discouraging overuse of materials that generate trash.
  4. Educating the community about overbuying household products.

 

12) The population health nurse is aware of many young couples with children purchasing and renovating older community homes. What prevention measure should the nurse implement to ensure the safety of these families?

  1. Screen all members for lead levels.
  2. Monitor lead levels in the family members.
  3. Encourage the safe removal of lead-based paint in the homes.
  4. Institute chelating measures for lead removal in the family members.

13) During a health fair the population health nurse notes that a child of a family renovating an older home is demonstrating fatigue. What action should the nurse encourage the parents to take?

  1. Eat more foods with protein.
  2. Have the child go to bed earlier.
  3. Screen the child for serum lead levels.
  4. Screen the child for hearing difficulties.

 

14) Mosquito control services have been reduced in the community and the population health nurse is concerned about the rise of mosquito-borne diseases. What secondary prevention intervention measures should the nurse suggest to community leaders? (Select all that apply.)

  1. Instituting an education program about insect control.
  2. Promoting ordinances that control insect breeding areas.
  3. Monitoring the incidence of diseases caused by mosquitoes.
  4. Installing sentinel chicken monitoring stations in local firehouses.
  5. Promoting accessibility of diagnostic and treatment services for diseases caused by mosquitoes.

15) After a hurricane has devastated a community, the population health nurse becomes involved in local recovery efforts. Which tertiary prevention measure should the nurse consider to aid in the recovery of this community?

  1. Promote legislation to reduce pollutant emissions.
  2. Promote replacement of hazard-producing industrial processes.
  3. Screen for the effects of environmental changes that result from the hurricane.
  4. Promote environmental policies to prevent recurrence of problems that result from environmental changes caused by the hurricane.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 5   Cultural Influences on Population Health

 

1) The nurse is taking a class to become more culturally competent when providing care. In this class the nurse learns that the American work ethic is considered to be one that is hardworking and individualistic. The nurse should categorize the work ethic as being a part of:

  1. Culture.
  2. Ethnicity.
  3. Nationality.
  4. Acculturation.

 

2) Nursing students from various backgrounds enroll in a university’s nursing curriculum. The process by which they become nurses includes aspects of:

  1. Culture.
  2. Ethnicity.
  3. Worldview.
  4. Acculturation.

3) During a health history a patient states he is Asian American. What should the nurse realize this patient is describing?

  1. Race.
  2. Culture.
  3. Ethnicity.
  4. Nationality.

 

4) The population health nurse notes that the African American population of the United States has a higher incidence of cardiovascular disease and diabetes. What aspect of this population’s diet should the nurse relate to these health problems?

  1. High in fat and sugars.
  2. Low in processed foods and fat.
  3. Low in fiber-rich foods and exercise.
  4. High in starchy vegetables and sugars.

5) While providing health teaching to an older patient of Asian descent the nurse notes that the patient agrees to all questions the nurse asks. What method should the nurse use to determine that the patient understands health teaching?

  1. Use simple language that the person can understand.
  2. Have another member of the person’s family do the teaching.
  3. Ensure that there is an interpreter nearby while doing the health teaching.
  4. Ask the person to give an explanation, in their own words, of the health teaching.

 

6) During a home visit the nurse notes that a patient originally from Mexico seems passive during health teaching and follow-up questions about the home treatment plan. What should the nurse conclude about this patient’s behavior?

  1. The patient probably does not understand English.
  2. The patient is not interested in what the nurse is doing.
  3. There may be cultural factors that explain the patient’s behavior.
  4. The patient may be uncomfortable with having the nurse in the home.

7) The nurse desires to improve cultural competence when providing patient care. What action should the nurse take first to develop this competency?

  1. Understand the culture of the patient.
  2. Identify the goals for culturally competent care.
  3. Gain proficiency in another language beyond English.
  4. Understand and recognize the nurse’s own cultural background.

 

8) The population health nurse is planning to develop cultural competence within a community. Which actions should the nurse take? (Select all that apply.)

  1. Ensuring that all patients are treated in the same manner.
  2. Recognizing subgroup differences within cultural groups.
  3. Ensuring that health clinics employ minority staff to deliver care.
  4. Engaging in community partnerships to help design culturally relevant services.
  5. Maintaining an up-to-date demographic, cultural, and epidemiologic community profile.

9) A community has had an influx of immigrant workers due to new construction of businesses in the community. The staff of the local public health clinic know the level of their care meets and exceeds standards set and do not see a need to change. Which behavior is this staff displaying?

  1. Cultural blindness.
  2. Cultural proficiency.
  3. Cultural competence.
  4. Cultural destructiveness.

 

10) The local clinic employs a Hispanic receptionist, who is also used as an interpreter for the many non-English-speaking Latino patients who utilize the clinic. Members of the staff believe the patients should learn English, and they have refused offers from the receptionist to learn some basic phrases. Which behavior is the staff demonstrating about culturally competent care?

  1. Cultural blindness.
  2. Cultural incapacity.
  3. Cultural destructiveness.
  4. Cultural precompetence.

11) A local hospital has established outreach clinics in the community to provide health care. Several staff members within the clinic component refuse to go to some of the outreach clinics claiming that the clinics are in a bad section of the community and the residents there are not interested in health promotion. Which behavior is the staff demonstrating?

  1. Cultural blindness.
  2. Cultural incapacity.
  3. Cultural destructiveness.
  4. Cultural precompetence.

12) The nurse is preparing to complete a cultural assessment of a group. Which components should the nurse include in this assessment? (Select all that apply.)

  1. Ask personal questions about the group.
  2. Look for similarities in one’s own group.
  3. Talk and interview members of the group.
  4. Come prepared with prior research done on the group.
  5. Acknowledge the group’s reliance on alternative therapies.

13) A patient sees a physician for health needs as well as a practitioner of Chinese medicine. Which standards should the nurse identify are being met by the practitioner of Chinese medicine to ensure for the patient’s safety? (Select all that apply.)

  1. Causing no additional stress on the patient.
  2. Nationwide certification in Chinese medicine.
  3. USDA standards in the herbal preparations used.
  4. Safety, efficacy, and quality in the Chinese medicine practice.
  5. No adverse interactions between herbal preparations used and any prescription medications the patient might be on.

14) A hospital in an urban area has been identified as delivering culturally competent care. What characteristic will be obvious when entering this organization?

  1. Being aware of personal perspectives.
  2. Treating all who utilize its services in the same manner.
  3. Having conscious adaptation of care to the cultural context.
  4. Providing services that are accepting and respectful of diverse populations.

15) The health clinic staff is working on becoming culturally competent. Which strategies should the staff use when developing this competence? (Select all that apply.)

  1. Increasing the diversity of the staff providing care.
  2. Soliciting input from various cultural organizations.
  3. Holding cultural training sessions for its staff members.
  4. Developing a competence in the languages spoken by the patient population.
  5. Concluding that their current method of care delivery needs little modification.

16) A patient comes into the community clinic speaking a language in which there are no interpreters available. Which action should the population health nurse take to demonstrate cultural competence within the healthcare system?

  1. Ask the patient to seek medical care in the community hospital.
  2. Ask a staff member if they could attempt to communicate with the patient.
  3. Communicate to the patient that an interpreter is not available and ask them to return tomorrow.
  4. Contact a neighboring community health center to find out if their interpreter for this patient’s language can be borrowed for a short time.

 

17) The population health nurse is participating on a committee established to aid a multi-facility health center achieve cultural congruence. Which components should the nurse explain as being needed before the health center achieves this goal? (Select all that apply.)

  1. Cultural diversity.
  2. Cultural sensitivity.
  3. Cultural awareness.
  4. Cultural imposition.
  5. Cultural competence.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 6   Economic Influences on Population Health

 

1) The population health nurse is reviewing information to include in a presentation on the economics of health care. Which statements should the nurse include in this presentation?
(Select all that apply.)

  1. Health insurance guarantees a healthy workforce.
  2. Educational level is associated with health outcomes.
  3. Society benefits from an employed and healthy workforce.
  4. Chronic illness in a stable workforce does not impact productivity.
  5. Lost productivity from illness has minimal effect on societal outcomes.

2) The population health nurse learns that the state of practice received a block grant to address a health problem. Which problem should the nurse advocate to receive this grant?

  1. Developing public education programs to address smoking.
  2. Developing a research program to address causes of poverty.
  3. Increasing coverage for those meeting qualifications for Medicaid coverage.
  4. Opening statewide immunization centers to provide childhood immunization coverage.

 

3) The population nurse becomes aware of an increase in social instability in one neighborhood. This instability can affect societal health because it can lead to:

  1. Poverty.
  2. Social conflict.
  3. Developing alternative methods of health care.
  4. Ill health that results from disruptive economic conditions.

4) The population health nurse attends a seminar on health care economics. What should the nurse realize as one of the biggest concerns influencing the economic health status of the United States?

  1. Aging of citizens.
  2. Declining birth rate.
  3. Rise in asthma among children.
  4. Rise of adolescent mental health problems.

 

5) The population health nurse is participating in a discussion about the number of physicians in the United States being able to meet health care needs. What should the nurse identify as the primary reason for physicians contributing to escalating health care costs?

  1. Decreased hospital beds nationwide.
  2. Increased numbers of uninsured citizens.
  3. The higher number of specialists than generalists.
  4. More expensive prescription medications being prescribed.

6) The population health nurse providing care in an economically disadvantaged city is aware of many people receiving their health care through charity systems that are set up by local physicians. The nurse is concerned because this practice can contribute to rising health care costs by:

  1. Utilizing hospital beds.
  2. Affecting the consumer price index.
  3. Increased use of technology in diagnostic tests.
  4. Uncompensated care, which can lead to cost shifting.

 

7) The population health nurse is attending a community town hall meeting where an elected official is discussing the importance of extending tax cuts for the upcoming fiscal year. What should the nurse consider as the impact of these cuts on health care? (Select all that apply.)

  1. Scarcity of health resources.
  2. Reduction in chronic diseases.
  3. Increased number of care providers.
  4. Improved access to health care services.
  5. Negative effects on the health of the population.

8) The population health nurse is assisting with a booth at a health fair to help community members sign up for health insurance. For which reasons should the nurse promote the importance of having health insurance? (Select all that apply.)

  1. Eliminates health disparities.
  2. Means the individual has full-time employment.
  3. Guarantees no difficulty in obtaining health care.
  4. Ensures the individual has a regular source of care.
  5. The individual has a greater likelihood of receiving health promotive services.

9) During a home visit the population nurse learns that the family’s father has recently lost his job, and the mother continues to be unemployed but takes care of the family’s five children. The mother is concerned because charitable organizations are not eager to provide resources to help the family as they have in the past. What should the nurse explain as the primary reason for charitable organizations to have less funds to distribute?

  1. Charitable organizations are going out of business.
  2. Charitable giving decreases during hard economic times.
  3. The family is viewed as having received the maximum support.
  4. The parents’ ability to work is negatively impacting the response from charities.

10) The population health nurse is creating a tool to assess the economic status of a small rural neighborhood. What should the nurse include in this tool? (Select all that apply.)

  1. Number of members who are unemployed.
  2. Average income of neighborhood members.
  3. Number of members who are at poverty level.
  4. Average education level of neighborhood members.
  5. Ways in which health care is funded by the members.

11) An older community member is concerned about the rising cost of prescription medications. Which part of Medicare should the population health nurse review with this individual?

  1. Part A.
  2. Part B.
  3. Part C.
  4. Part D.

12) The population health nurse is preparing material for an educational seminar on the differences between Medicare and Medicaid. What should the nurse include in this teaching?

  1. Medicare only covers health care services for people over age 65.
  2. Medicare does not cover preventive services, but Medicaid provides such coverage.
  3. Medicare funding is solely on the federal level and Medicaid has no federal funding.
  4. Medicare provides partial coverage for health services when eligible for Social Security benefits and Medicaid provides health services to the indigent.

13) The population health nurse is reviewing the State Children’s Health Insurance Programs (SCHIP) with a mother who has seven children. During this conversation the nurse explains that this program was established by Congress to provide health insurance coverage for low-income children whose parents did not have insurance coverage or who did not qualify for Medicaid benefits and is administered by the state. What process is the nurse reviewing that highlights the transfer of federal oversight and responsibility to the states for this program?

  1. Devolution.
  2. Shared responsibility.
  3. Block grant funding.
  4. Health care innovation.

14) The population health nurse is explaining to a patient about the type of health services that are paid for by a third party such as private health insurance. What is the nurse explaining to this patient?

  1. Capitation payment.
  2. Deductible payment.
  3. Prospective reimbursement.
  4. Retrospective reimbursement.

15) A community member tells the population health nurse that a new health insurance program expects the patient to pay deductibles and other costs. What other type of cost sharing should the nurse explain to the individual?

  1. Capitation system.
  2. Co-payment made with each health service rendered.
  3. Out-of-pocket payment for services not covered by the insurance plan.
  4. Current Procedural Terminology (CPT) code utilized by the health service provider.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 7   Health System Influences on Population Health

 

1) The client is experiencing nasal congestion from a cold. The client self-administers an over-the-counter cold product to alleviate symptoms. The best description of the health care system the client is using is:

  1. Complementary health care.
  2. Scientific health care.
  3. Personal health care.
  4. Popular health care.

 

2) The client is being treated for chronic headache pain in a local clinic. In addition to the medical care the client is receiving, the client also visits an acupuncture clinic and states that both therapies help the headache pain. This type of health care subsystem the client is employing is:

  1. Complementary.
  2. Personal.
  3. Popular.
  4. Alternative.

3) West Nile virus has been diagnosed in the state. The state health department has ordered mosquito spraying in the affected area and public service announcements are being broadcast in the local media to alert the population to drain water from loose tires and other areas where there may be stagnant water. What obligations are being addressed by the state health department? (Select all that apply.)

  1. Prevent epidemics and the spread of disease.
  2. Protect the public from environmental hazards.
  3. Prevent injury.
  4. Promote healthy behavior and good mental health.
  5. Respond to disasters and assist.

 

4) After a hurricane has devastated an area, the United States Public Health service sends a group of health care workers to open satellite clinics in the area. This action is best considered:

  1. Preventing epidemics and the spread of disease.
  2. Preventing injury.
  3. Ensuring quality and accessibility of needed health care services.
  4. Promoting healthy behavior and good mental health.

5) The organizational structure of the United States health care delivery system can best be described by three subsystems:

  1. Personal health system, popular health system, and scientific health system.
  2. Popular health system, alternative health system, and scientific health system.
  3. Scientific health system, complementary health system, and alternative health system.
  4. Scientific health system, complementary health system, and popular health system.

 

6) The March of Dimes has instituted a public awareness campaign to decrease premature births. It has also conducted media campaigns to raise public awareness of this health problem in addition to research about prematurity and government lobbying efforts. Official government efforts to address prematurity include research and public awareness. As a voluntary agency the primary emphasis of the March of Dimes campaign is on:

  1. Funding, research, and education.
  2. Research, education, and policy development.
  3. Education, policy development, and funding.
  4. Policy development, research, and public health practice.

7) The “Tour for Cure” is an annual bike relay sponsored by the Multiple Sclerosis (MS) Society. Entrants are sponsored for each mile by voluntary donations, which go to the MS Society to fund research activities and provide services to those diagnosed with MS. The Tour highlights awareness and public education of the disease. As a voluntary health agency, which additional functions can the MS Society accomplish? (Select all that apply.)

  1. Promote legislation through lobbying.
  2. Health planning and organization.
  3. Ensure sufficient health professionals to care for those with MS.
  4. Enforce laws and regulations that help to diagnose and treat those with MS.
  5. Hire individuals with chronic diseases to assist with fund-raising efforts.

8) The nurse has been monitoring the community’s rates of cardiac disease and sees that they are increasing. The nurse holds a community forum to address the impact of cardiac disease on the community’s health. Those attending are given information about cardiac disease including interventions related to diet and exercise to decrease risk. Several church groups who attend the forum offer to host health fairs to provide additional information to the community as well as transportation to physician visits for older community members. Public health services exemplified in this situation include: (Select all that apply.)

  1. Monitoring health status to identify health problems.
  2. Diagnosing and investigating health problems and hazards.
  3. Informing, educating, and empowering people regarding health issues.
  4. Mobilizing community partnerships to identify and solve health problems.
  5. Engaging physicians to see older community members.

9) The population health nurse is diagnosing and investigating health problems and hazards in the community. Which action did the nurse most likely complete?

  1. Correlating pediatric asthma visits to the local ED with local emissions from a nearby fuel plant.
  2. Providing asthma education programs to local elementary school teachers.
  3. Informing the local health department about the increased rise in asthma attacks.
  4. Lobbying the local fuel plant to decrease its emissions.

10) A member of the community with tuberculosis (TB) refuses to be compliant with prescribed TB treatment protocol and is sent to a minimum security correctional facility to ensure that the TB medications are done with directly observed therapy (DOT) by the medical personnel. The client initiates legal action to prevent this from happening but is overruled by the judge. Which government level of authority authorizes this power?

  1. Local government.
  2. County government.
  3. State government.
  4. Federal government.

11) The population nurse is participating on a committee to improve the way health care is provided to individuals who live in the state. What characteristic of the population should the nurse identify to improve the organization and effectiveness of health care delivery? (Select all that apply.)

  1. Technological advances.
  2. Changes in delivery systems.
  3. Changing population demographics.
  4. More uninsured members in the state.
  5. Reduced numbers of healthcare providers.

12) During a meeting held at the county health department the population health nurse learns that to change the culture of health care from one of disease treatment to health promotion three aims must be achieved. What actions should the nurse take to help achieve these aims? (Select all that apply.)

  1. Teach the population ways to improve health.
  2. Structure care delivery so that the patient experience is enhanced.
  3. Critically analyze the utilization of resources when providing care.
  4. Support the delivery of population health services at the state level.
  5. Negotiate with voluntary agencies for grant moneys to help provide care.

13) The population health nurse is comparing the provisions of the Patient Protection and Affordable Health Care Act with the National Health Service approach used in the United Kingdom. What feature of both health care coverage approaches has been identified as a need?

  1. Promote efficiency.
  2. Implement research.
  3. Reduce chronic illnesses.
  4. Limit caregiver autonomy.

14) The population health nurse is preparing an educational seminar to be provided during the next community health fair that focuses on preventive health services. What topics should the nurse include in this educational session? (Select all that apply.)

  1. The need to explore emotional issues.
  2. The need for school-age children to have an annual eye examination.
  3. The need for annual blood pressure assessments for people with hypertension.
  4. The importance for older community members to receive annual influenza inoculations.
  5. The importance for people with diabetes to have a specific set of preventive measures.

15) While reviewing the indicators of healthy life the population health nurse decides that additional attention is needed on individuals in the community with specific health problems. On which community members should the nurse focus to help improve these indicators? (Select all that apply.)

  1. Persons being treated for cancer.
  2. Families with members identified with obesity.
  3. Individuals who have had myocardial infarctions and strokes.
  4. Individuals who continue to smoke after being advised to stop.
  5. Individuals with arthritis who have received joint replacements.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 8   Global Influences on Population Health

 

1) A national health budget is developed to provide preventive health services to all segments of the population. The majority of the population lives in outlying rural areas. A dilemma for this health service is:

  1. Reaching hard-to-serve populations.
  2. Reconciling individual practice patterns with national standards and systems.
  3. Balancing the need for regional and national coordination of health services.
  4. Integration of primary care with hospital and specialty services.

 

2) The Gates Foundation is funding the development of a viable AIDS vaccine and the eradication of childhood diseases through immunization. Though based in the United States, this foundation is considered a:

  1. Bilateral agency.
  2. Sector-wide approach to health.
  3. Unilateral agency.
  4. Non-governmental organization.

3) The population nurse is reviewing the purpose of multilateral health agencies, such as the World Health Organization (WHO). What should the nurse identify as this organization’s major purpose?

  1. Direct and coordinate global health efforts and work with countries to strengthen their health programs.
  2. Work on set programs with selected countries to improve health efforts.
  3. Improve health outcomes in Third World countries.
  4. Coordinate health programs and efforts with other United Nations Assembly members.

 

4) As part of the NAFTA trade agreement, sister cities in Mexico and the United States have had cultural exchanges to learn and share health practices and treatments. This could best be described as an effort of:

  1. Global health concerns.
  2. International health.
  3. Bilateral assistance.
  4. Border protection.

5) The population health nurse is comparing global health with international health for a group of community members. What should the nurse use as an example of global health?

  1. Peace Corps volunteers working in a Third World country helping to improve water quality in local villages.
  2. Rotary volunteers working in Nigeria to immunize children against polio.
  3. Doctors without Borders providing health care to war-torn areas in Indonesia.
  4. The World Bank providing funding grants to Middle Eastern countries to improve their health infrastructure.

6) One of the positive aspects of exporting U.S. technology globally has been to help improve the quality of health care through health innovations and information. A negative effect of introducing U.S. technology globally has:

  1. Created inequities for health innovations.
  2. Increased the spread of communicable diseases.
  3. Marketed unhealthful products such as tobacco and fast foods to a new population.
  4. Promoted economic growth and created job inequities.

7) One of the feared outcomes of NAFTA was job loss within the United States to the other non-United States partners in NAFTA. The argument against this outcome cited the following advantages:

  1. Promotion of economic growth through job creation in the other countries, thus improving health.
  2. Decreasing the spread of communicable diseases due to improved technology.
  3. Developing global health standards.
  4. Improving environmental outcomes.

 

8) A global health policy agenda should include which essential element?

  1. Primary health care for all.
  2. Eliminating all debt for developing countries.
  3. Creating a centralized agency for health policy with all nations.
  4. Supporting participation by the disadvantaged in health policy development.

9) Identify three elements of a global health policy agenda. (Select all that apply.)

  1. Sufficient financial aid to improve health and health infrastructure.
  2. Coordinate aid to match programs with needs.
  3. Create partnerships between government agencies, the private sector, and academia.
  4. Represent health interests in other policy-making sectors.
  5. Use communication technology to provide information.

10) The population health nurse is considering how best to educate the community about potential threats to health from terrorism. What is the best way to accomplish this? (Select all that apply.)

  1. Raise community awareness about increased immigrants to the population.
  2. Hold public forums to educate the community about coping with psychological effects.
  3. Hold public forums to educate the community about taping windows in the event of a chemical attack.
  4. Raise community awareness about the signs and symptoms of potential biologic agents.
  5. Conduct training sessions to review preventive measures in the event of a biologic attack.

11) The population health nurse has been asked to participate in an educational session about the latest Ebola virus epidemic. Which should the nurse include that demonstrates the dimensions of globalization? (Select all that apply.)

  1. Explain how exposure to the virus can occur within hours.
  2. Emphasize the importance of maintaining standard precautions.
  3. Review the impact of the illness on the victim’s livelihood and families.
  4. Focus on the importance of addressing the virus as a health problem for all.
  5. Highlight the ease in which it is to visit the countries in which the virus is present.

12) While attending a meeting which focused on global health initiatives the status of the millennial development goal to ensure environmental stability was reviewed. What information indicates that action is being taken to address this goal? (Select all that apply.)

  1. Carbon dioxide emissions have reduced by 10% over the last quarter.
  2. The number of deaths of school age children has decreased 1% worldwide.
  3. Enrollment in public school systems in South Africa have increased by 15%.
  4. Water purification programs have been implemented in 15 cities in West Africa.
  5. Portable sanitation stations have been installed in small towns along the East African border.

13) The population health nurse has been appointed to a committee to identify actions to achieve the millennial goal of improving maternal health by reducing the maternal mortality ratio by 78%. Which strategy should the nurse recommend to assist in achieving this goal?

  1. Explain dietary requirements to ensure a viable fetus.
  2. Prepare educational materials about the need for prenatal care from conception.
  3. Instruct women of childbearing age on the importance of receiving prenatal care.
  4. Establish portable health clinics in underdeveloped countries to provide prenatal care.

 

14) A nurse in the maternity ward of a U.S. hospital has been asked to participate in a humanitarian mission to Haiti. What should the nurse do to support global health objectives in preparation for this mission?

  1. Study the culture of Haiti.
  2. Pack clothing appropriate for the climate of Haiti.
  3. Contact the WHO office of Nursing and Midwifery.
  4. Learn some common words and phrase that are used in Haiti.

15) The Ebola virus has spread to several countries throughout Africa and Europe. As a member of an education subcommittee for the Global Alliance for Leadership in Nursing Education and Science what should the population health nurse prepare to present during the next scheduled meeting?

  1. Approaches to improve standard precautions in underdeveloped countries.
  2. Strategies to reduce travel to the countries experiencing outbreaks of the virus.
  3. Ways to provide face masks to travelers in the countries experiencing outbreaks.
  4. Documentation supporting the number of new cases identified over the last week.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 9   Political Strategies

 

1) After a natural disaster hits the community, a grassroots organization is formed to improve conditions post-recovery. The nurse joins the organization and volunteers to contact public officials about the organization’s concerns. This role is best described as:

  1. Politician.
  2. Activist.
  3. Citizen.
  4. Researcher.

 

2) As part of a public hearing on amending health policy in the state, the nurse is asked to present identified health issues that directly impact the community and to assess the current health policy. In this role, the nurse is operating as a(n):

  1. Citizen.
  2. Activist.
  3. Politician.
  4. Researcher.

3) After working many years as a population nurse, the nurse seeks appointment to a statewide board that is in charge of developing strategies to improve health outcomes in the state. This role is best described as:

  1. Citizen.
  2. Activist.
  3. Politician.
  4. Researcher.

 

4) The nurse stays informed of events that impact the community by going to public forums to learn more about various issues. The nurse also joins the state nursing organization. In this role, the nurse is a(n):

  1. Citizen.
  2. Activist.
  3. Politician.
  4. Researcher.

5) The nurse is a member of the state nursing organization, and is asked to speak before a state senate committee about a proposed bill to increase funding to outpatient mental health clinics to improve health outcomes for the mentally ill. Public policy development by this route is known as:

  1. Legislation.
  2. Administrative decision.
  3. Judicial decision.
  4. Regulation.

 

6) Amendments to the Nurse Practice Act in the state where the nurse is licensed now require that Advanced Practice Registered Nurses be board certified through a nationally recognized accrediting agency. Enforcement of this amendment is done through:

  1. Administrative decision.
  2. Legislation.
  3. Judicial decision.
  4. Regulation.

7) An amendment to a state law that bans smoking in local music clubs and bars has generated much opposition from the restaurant industry, which cites that it will decrease their business and reduce a tax income to the state. The legislative session where this amendment was proposed expires and the amendment is dead. However, the governor signs an executive order that puts this ban into effect. The restaurant industry sues the state and the court rules in favor of the governor. In this situation, health policy has been developed through: (Select all that apply.)

  1. Legislation.
  2. Administrative decision.
  3. Judicial decision.
  4. Regulation.
  5. Special interest lobbying.

8) The state medical board has proposed legislation to include physicians on the state board of nursing to interpret the Nurse Practice Act. Local nursing organizations have testified in public hearings opposing this measure. What aspect of policy development is this?

  1. Administrative decision.
  2. Legislation.
  3. Judicial decision.
  4. Regulation.

 

9) Activities and outcomes related to the evaluation aspect of policy development would include:

  1. Direction for future policy decisions based on implementation, performance, and impact from the policy.
  2. Impact of program performance with interpretation and resource acquisition.
  3. Policy statements with alternative development and coalition building.
  4. Policy agenda with support mobilization and problem definition.

10) Compromise, negotiation, networking, and coalition building are essential activities in policy development while:

  1. Implementing the program as a result of the developed policy.
  2. Evaluating how well the policy has been implemented.
  3. Formulating the goals and programs to result from the policy.
  4. Setting the agenda to define the problem to be addressed by the policy.

 

11) A health policy is developed that allows for creating housing for homeless men during adverse weather, but no provision is made for homeless families. The evaluation criterion that would best reflect this policy inequity is:

  1. Cost.
  2. Equity.
  3. Feasibility.
  4. Appropriateness.

12) A health policy proposed by the state Department of Health and Human Services addresses creating a charity health system in which all citizens can receive comprehensive preventive health care. While the health system is being debated in the legislature, which criteria for evaluation should be used to assess its potential effectiveness? (Select all that apply.)

  1. Cost.
  2. Feasibility.
  3. Resource needs.
  4. Location.
  5. Reimbursement guarantees from private insurance.

 

13) The local homeless shelter has a policy that requires that residents have documentation regarding their tuberculosis exposure. A member of the community states that this violates an individual’s right to privacy. What evaluation criterion would address this?

  1. Resource needs.
  2. Equity.
  3. Quality.
  4. Feasibility.

14) The most important criterion in evaluating health policy is its:

  1. Ability to be implemented.
  2. Ability to achieve the desired outcome on the target population.
  3. Equitable distribution of the health care resources.
  4. Effect on the target population.

 

15) The population health nurse is preparing information to share during a state judicial hearing to support the statewide implementation of pedestrian crosswalk signs. Which secondary data should the nurse include for this presentation? (Select all that apply.)

  1. Number of pedestrian accidents over the last 3 months.
  2. Number of accidents involving motor vehicles to avoid bicyclists.
  3. Number of schools in the state located on busy commercial highways.
  4. Number of tickets for jaywalking issued to pedestrians over the last 3 months.
  5. Results of a state survey asking residents if pedestrian crosswalk signs should be installed.

16) A city has adopted the policy of banning smoking in all public parks. When evaluating the policy, which issues should the nurse identify as potentially problematic? (Select all that apply.)

  1. Park maintenance crews will have less smoking debris to clean.
  2. Individuals who smoke may argue that their personal rights are being affected.
  3. The park employs two full-time and one part-time employee for 20 square miles.
  4. City dwellers will not be exposed to second-hand smoke while enjoying the park.
  5. Individuals who smoke will no longer utilize the services available through the park.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 10   Community Empowerment

 

1) A small city is attempting to rejuvenate itself through housing and business development. Which concept of community is this city implementing?

  1. Mobilization.
  2. Organization.
  3. Competence.
  4. Development.

 

2) The community has identified strategies for reaching the goals that were collectively set. This best describes the concept of community:

  1. Organization.
  2. Development.
  3. Building.
  4. Goal setting.

3) The nurse assists residents to collect information about pollution and to present a petition to the City Council requesting greater accountability from local businesses regarding pollution. This best describes:

  1. Individual empowerment.
  2. Community empowerment.
  3. Community competence.
  4. Individual accountability.

 

4) The population health nurse assists neighborhood residents to form a neighborhood watch to help control gang crimes. This best describes:

  1. Vertical empowerment.
  2. Internal empowerment.
  3. Horizontal empowerment.
  4. External empowerment.

5) The population health nurse assists a homeless adolescent with a substance abuse problem enroll in school, to find work, and to enroll in a recovery program. Recognizing that empowerment may occur at a variety of levels, what best describes the higher end of the continuum in relation to this scenario? The nurse assists:

  1. A community organization to link with legal advocates and others to promote legislation to protect the civil rights of homeless adolescents.
  2. A group of homeless adolescents to form a support group.
  3. In creating an organization composed of homeless adolescents and members of the social services community to address the health care needs of homeless adolescents.
  4. In organizing local housing for homeless adolescents.

 

6) The community health nurse is focusing on the use of families, friends, and neighbors within the community to help in resolving community problems. This best describes the:

  1. Community Organization model.
  2. Natural Helpers model.
  3. Community Action model.
  4. Planned Approach to Community Health model.

7) The group of community activists is selecting its members, and identifying goals and purposes. These group tasks are congruent with which stages of the nursing process? (Select all that apply.)

  1. Assessment.
  2. Diagnosis.
  3. Planning.
  4. Implementation.
  5. Evaluation.

 

8) The population nurse is completing a community assessment. In which way should the nurse use this information that supports the second general purpose of this assessment?

  1. Information for change.
  2. Stimulus for change.
  3. Data needed for the change.
  4. Information for empowerment.

9) The population health nurse is working with a group trying to determine the best location for a new community center. The elderly representatives in the group are not participating in the discussions. The nurse should:

  1. Respect their right to be silent and not encourage discussion from them.
  2. Manipulate the discussion so that they must contribute.
  3. Comment on the fact that they have not participated in the discussion and ask why.
  4. Encourage more discussion from the younger representatives as that will encourage the elderly to join in the discussion.

 

10) A community group is meeting to discuss the most critical issues related to the community’s health care delivery system. The nurse in charge of the meeting is encouraging all group members to participate and is trying to provide positive reinforcement for all group contributions. The nurse is most likely trying to:

  1. Establish a climate in which group members feel respected.
  2. Manipulate the discussion so that all must participate.
  3. Resolve conflict before it can occur.
  4. Encourage more discussion.

11) The population nurse is facilitating the operation stage of group development. In which stage of the nursing process is the nurse functioning?

  1. Assessment.
  2. Planning.
  3. Implementation.
  4. Evaluation.

 

12) The nurse is determining the effectiveness of community empowerment efforts. What should the nurse use as the final measure for this effectiveness?

  1. Budget was not overspent.
  2. Community members were included in policy making.
  3. Initial data was shown to be reliable.
  4. Time schedules were met.

13) The population health nurse is assisting community leaders in the implementation of the asset-based community development model. What action should the nurse take to help the leaders determine community strengths?

  1. Assist with asset mapping.
  2. Facilitate recognition of self-efficacy.
  3. Strategize ways to increase competence.
  4. Promote cooperation among community members.

 

14) A group of community leaders are planning to evaluate their organization’s structure. What should the population nurse encourage the leaders to examine during this evaluation? (Select all that apply.)

  1. If resources have been effectively mobilized.
  2. If resources have been appropriately allocated.
  3. If community leaders are able to foster participation.
  4. If the structure facilitates decision-making participation.
  5. If community leaders are able to facilitate problem resolution.

15) A community recovering from a devastating tornado calls upon local communities for assistance and establishes emergency housing for displaced community members in the high school auditorium and church school facilities. Which domain of this community’s empowerment has been effectively developed?

  1. Resource mobilization.
  2. Leadership development.
  3. Problem assessment capacity.
  4. Participation.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 11   Health Promotion and Health Education Strategies

 

1) The population health nurse is preparing material for a group of community members about health promotion. What should the nurse state that health promotion involves?

  1. Education about healthy behavior, which leads to behavioral change.
  2. Behavior manipulation through transfer of knowledge.
  3. Informing the client about the nature and causes of illness.
  4. Enabling clients and promoting community action.

 

2) The nurse is comparing and contrasting examples of health promotion and health education to a group of student nurses. Which topic is most appropriate to include in health education?

  1. Political lobbying.
  2. Raising critical consciousness.
  3. Developing self-care skills.
  4. Developing public policy.

3) After an outbreak of measles at a local high school the nurse encourages students who are susceptible to have the measles immunization because of the serious consequences from the disease. After educating the students on the benefits of the immunization most students decide the benefits outweigh the barriers. What model was used to guide health promotion in this situation?

  1. Precaution Adoption Process model.
  2. Health Belief model.
  3. Pender’s Health Promotion model.
  4. Theory of Reasoned Action model.

 

4) The nurse is using the premise that attitudes to a health-related behavior reflect a person’s attitudes to the expected consequences of the behavior. The nurse is using the:

  1. Theory of Reasoned Action model.
  2. Pender Health Promotion model.
  3. Precaution Adoption Process model.
  4. Health Belief model.

5) The population health nurse is using a health promotion strategy that emphasizes changing negative behaviors to benefit the patient and society. Which strategy is the nurse using?

  1. Empowerment.
  2. Social marketing.
  3. Health education.
  4. Manipulation.

 

6) A group of community leaders is using radio and television messages to try to educate high school students about the consequences of smoking. The social marketing “P” that the radio and television messages represent is:

  1. Product.
  2. Price.
  3. Place.
  4. Promotion.

7) The population health nurse is working with community leaders to ensure that community members’ voices are heard when designing activities to promote healthy living. What action is the nurse performing?

  1. Health education.
  2. Empowerment.
  3. Social marketing.
  4. Health learning.

 

8) The nurse is designing a health education program for the community. What action should the nurse take first?

  1. Prioritize learning needs.
  2. Write specific outcomes.
  3. Assess the community.
  4. Select teaching strategies.

9) The population nurse is determining the level of health literacy for a group of community members. Which definition should the nurse use when assessing health literacy?

  1. Members’ ability to use the information and services to enhance health.
  2. Members’ ability to read and explain the health information.
  3. Members’ ability to read, write, and interpret the health information.
  4. Members’ ability to understand and act on health instructions.

10) The nurse is writing an evaluating tool for the use of the Internet for health-related information. What elements should the nurse include in the evaluation? (Select all that apply.)

  1. Currency of information.
  2. Purpose of the site.
  3. Sources of financial support.
  4. Owner of the site.
  5. Popularity of the site.

11) The population nurse is evaluating a health promotion program for effectiveness. What should the nurse evaluate first?

  1. The characteristics of holism were evident.
  2. The cost of the program.
  3. The number of people who participated in the program.
  4. The extent that the program was empowering for the beneficiaries.

12) When presenting health information the population health nurse wants to create a climate where the participants do not feel threatened. Which topic and nursing action will help create this type of climate?

  1. Exercise, where the nurse begins the first session with a description of the difficulties the nurse sometimes finds in trying to exercise.
  2. Stress, where the nurse plays soft music throughout the first session.
  3. Good nutrition, where the nurse provides a meal for the first session.
  4. Diabetes, where the nurse asks a group of diabetics to talk to the class during the first session.

13) The population health nurse new to a community wants to provide an educational seminar to assist community members with smoking cessation. What learning principles should the nurse implement when preparing this program? (Select all that apply.)

  1. The readiness of community members to learn smoking cessation.
  2. The safety of the environment where mistakes can be freely made.
  3. The types of activities to support multi-sensory needs when learning.
  4. The cost to the community budget and community members to attend the program.
  5. The accountability of the nurse and community members to achieve learning outcomes.

14) The nurse is preparing an educational session for community members on bicycle safety. What strategies should the nurse keep in mind when preparing written materials for the presentation? (Select all that apply.)

  1. Place material in bullet points.
  2. Use a large type font with printed materials.
  3. Avoid professional jargon and use simple terms with one or two syllables.
  4. Place all written material on one sheet, limiting the amount of white space.
  5. Write at a grade level 1 to 2 grades below the highest educational level of the participants.

15) The population health nurse is working with a group of hospital administrators to create a health education program to address obesity in the adolescent population. Which questions should the nurse have answered when designing the social marketing for this program? (Select all that apply.)

  1. When should the program be provided to the adolescents?
  2. Where should the program be provided to the adolescents?
  3. Does the hospital have the resources to provide the program?
  4. How many computers are available for the adolescents to use?
  5. What follow-up is needed after the program to reinforce behaviors?

 

Population and Community Health Nursing, 6e (Clark)

Chapter 12   Case Management

 

1) The population health nurse is reviewing the goals for managing the care of a client. Which goal should the nurse identify as being client-centered?

  1. Cost containment and cost-efficiency.
  2. Improved quality of life.
  3. Decreased paperwork.
  4. Financial viability.

 

2) The population nurse is reviewing goals with a newly hired case manager. Which goal should the nurse identify as being system-centered?

  1. Reduced duplication of services.
  2. Better coordination of care.
  3. Access to affordable services.
  4. Ability to function independently.

3) The local health department has been criticized for not providing effective communicable disease control programs. What ethical problem should the population health nurse identify that the health department is committing?

  1. Negligence at the population level.
  2. Breach of contract at the population level.
  3. Abandonment at the individual level.
  4. Variance of care at the individual level.

 

4) The population health nurse case manager is determining a client’s need for case management. Which indicators should the nurse identify as being social? (Select all that apply.)

  1. History of drug abuse.
  2. Homelessness.
  3. Lack of insurance.
  4. History of family violence.
  5. Single parenthood.

5) A client who has asthma is being assisted by the case manager to achieve control of the disease. Which type of care is the case manager providing to the client?

  1. Case management.
  2. Disease management.
  3. Multidisciplinary care.
  4. Risk management.

 

6) The population nurse case manager is preparing a case management plan for a client. What should the nurse remember about this type of plan when creating it for the client?

  1. It is generic.
  2. It is static.
  3. It is time-limited.
  4. It is outcomes-based.

 

7) A client being case managed has become unstable. What should the nurse case manager do?

  1. Delegate the care to assistive personnel.
  2. Refuse to continue care.
  3. Retain care of the client.
  4. Make an automatic referral.

8) The nurse is deciding tasks to delegate to other caregivers. What should the nurse use to help making these delegation decisions?

  1. Age.
  2. Education.
  3. Ability for self-care.
  4. Ability to pay for services.

 

9) The nurse is making a referral for the client. What should be the nurse’s first consideration for this referral?

  1. Factors that might prevent the client from following through with the referral.
  2. Client’s eligibility for the service.
  3. Cost of the referral services.
  4. Acceptability of the referral to the client.

10) The case manager arranges for the transfer of the client’s records from the primary care provider to the home health agency. In which role is the case manager functioning?

  1. Clinical expert.
  2. Consultant.
  3. Coordinator of care.
  4. Change agent.

 

11) The population health nurse is evaluating outcomes for a group of clients based upon the best possible achievable outcome. Which action is the nurse completing?

  1. Assessing.
  2. Screening.
  3. Delegation.
  4. Benchmarking.

12) The diabetes nurse education is telephoning clients to assess current Hgb A1c rates and the results of their last ophthalmologic examinations. Which case management model is the nurse using to provide care?

  1. Linked.
  2. Intensive.
  3. Supportive.
  4. Disease-specific.

 

13) The nurse is managing the care of a client with end-stage renal failure, anemia, and chronic pain from osteoarthritis. Within the case management system, which tier should be used to guide this client’s care?

  1. Tier one–self-care support.
  2. Tier two–high-risk disease management.
  3. Tier three–complex needs to be addressed.
  4. Tier four–rehabilitation and ancillary service needs.

14) The population health nurse case manager is assisting a client identify the closest facility to have a required diagnostic test completed. Which principle of case management is the nurse performing with the client?

  1. Incorporating client advocacy.
  2. Promoting optimal client safety.
  3. Navigating the health care system.
  4. Linking with community resources.

15) The population health nurse case manager addresses the client’s holistic needs when managing the care of the client. What actions should the nurse expect to perform when adhering to this case management principle? (Select all that apply.)

  1. Discuss ways to eliminate smoking.
  2. Encourage to schedule an appointment for a mammogram.
  3. Review the current medication regimen for type 2 diabetes mellitus.
  4. Strategize ways to overcome feelings of inadequacy with unemployment.
  5. Methodically review the steps to take to improve compliance with a low-fat diet.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 13   Home Visits as a Population Health Nursing Strategy

 

1) The population health nurse visits a new mother and infant at home. During the visit, the nurse and mother discuss how the postpartal course is going and how the infant is doing with feeding and sleeping. The nurse provides information and answers any questions the mother may have and performs teaching as needed. In what role is the nurse functioning?

  1. Case finding and referral.
  2. Care of the sick.
  3. Health promotion and illness prevention.
  4. Home health nursing.

2) The nurse receives a referral to visit a client who neighbors fear is being abused by a spouse. The client allows the nurse inside but is obviously reluctant to have the nurse in the home. The nurse could best address the client’s concerns by: (Select all that apply.)

  1. Tactfully communicating the reason for the visit.
  2. Establishing appropriate expectations for the visit for the client and nurse.
  3. Starting to establish a rapport with the client.
  4. Stating that the neighbors made the referral.
  5. Informing the client that her name has been given to a local women’s shelter.

3) The population health care is planning to make a visit to the home of a new community member who is recovering from major surgery. What observations should the nurse identify as advantages to making this home visit? (Select all that apply.)

  1. Client’s home is neat, clean, and cheerful.
  2. Client and spouse sit together in the living room.
  3. Client ambulates safely with the use of a walker.
  4. Client requests no further visits because the neighbors will know.
  5. Client states that no care is needed because insurance won’t cover it.

4) The community has a large number of immigrants. The nurse organizes a home visiting program to this community area to address family health concerns and provide health information. This is considered:

  1. Care of the sick.
  2. Case finding and referral.
  3. Health promotion and illness prevention.
  4. Health protection.

5) The population nurse is planning to make a home visit. What should the nurse take into consideration for this visit? (Select all that apply.)

  1. Reason for the visit and age of the client.
  2. Surrounding neighborhood.
  3. Support systems employed by the client.
  4. Client’s ability to pay for services.
  5. Preliminary client treatment goals.

 

6) A client receiving telephonic care visits with a population health nurse asks why a home visit is needed after hospitalization. What should the population health nurse explain to the client?

  1. Home care is a subspecialty of population health care.
  2. The home care nurse reports to the population health nurse.
  3. A home visit is the only way that the population health nurse will be paid.
  4. The client is extremely ill and the population health nurse needs someone to make an assessment.

7) After several home visits, the nurse and the client have agreed to improve the client’s overall nutritional status. In order to achieve this outcome, the nurse should:

  1. Assess the client’s food preferences and methods of food preparation.
  2. Plan menus for the client to prepare.
  3. Accompany the client when food shopping.
  4. Refer the client to a Meals-on-Wheels program.

8) The population nurse is conducting a home visit. Which action should the nurse take during this visit?

  1. Continue to validate the accuracy of the assessment and resulting diagnosis.
  2. Focus on the plan of care as it is written.
  3. Concentrate on the already-identified needs.
  4. Plan to write an evaluation.

9) The nurse is making a home visit to a new client. The client is very friendly and welcomes the nurse into the home; however, the nurse sees that the client has a gun on the coffee table. The nurse hurriedly goes through the visit and leaves. What should the nurse do prior to the next visit?

  1. Call the police prior to making the visit.
  2. Call the client prior to the visit and state that there cannot be a visible firearm present during the visit.
  3. Cancel future visits to this client.
  4. Refer the client to another agency for visitation.

10) During a visit to the home of a client newly diagnosed with diabetes the nurse notes that the client constantly answers the cell phone and has conversations with those callers, which interrupts teaching. The client apologizes after each call. What action should the nurse take?

  1. Request that the client not answer the cell phone.
  2. Leave some pamphlets for the client to read.
  3. Have the client repeat back the information the nurse has given.
  4. Ask the client if another time would be better to complete this teaching.

11) The population health nurse is reviewing the long- and short-term criteria for a home visit to a client. The nurse completes this evaluation because it:

  1. Indicates whether reimbursement will be provided to the agency.
  2. Allows for tracking utilization of supplies for home visits.
  3. Determines the effectiveness and appropriateness of the interventions and the client’s response.
  4. Determines whether the interventions are at the primary, secondary, or tertiary level.

12) The home care nurse is using OASIS information to evaluate outcome measurements for client care. Which data should the nurse use for this evaluation?

  1. Client’s Braden Skin Assessment score is 12.
  2. Client has a stage 2 pressure ulcer on the sacrum.
  3. Client admission paperwork completed within 24 hours.
  4. Client self-administers insulin and changes foot wound dressing independently.

13) The population health nurse is working with a client who is receiving hospice care. In which areas should the nurse collaborate with other health care team members in the care of this client?

(Select all that apply.)

  1. Management of pain control.
  2. Assisting the family in adjusting to the eventual death of the client.
  3. Ensuring that all services provided are able to be reimbursed.
  4. Obtaining additional services for identified client needs.
  5. Ensuring the client has arrangements made for burial.

14) The home health nurse is making the initial assessment visit to a new client. After doing the assessment for treatment, the nurse completes an OASIS assessment form. How will this form be utilized?

  1. To ensure that the appropriate diagnosis-related group (DRG) is used for payment.
  2. By home health agencies who have certification.
  3. For reimbursement purposes in home health agencies with Medicare clients.
  4. As a requirement for all home health and hospice agencies.

15) The population health nurse is planning to terminate continuing home visits with a community member. Which actions should the nurse take to prepare the client for this termination?

(Select all that apply.)

  1. Review goals accomplished with the client.
  2. Make referrals for continuing care if needed.
  3. Plan for termination beginning with the first visit.
  4. Explain to the client the length of time visits that will be provided.
  5. Establish mutual goals with the client to meet identified needs.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 14   Care of Families

 

1) The nurse is completing an assessment on a 5-year-old child. One of the questions the nurse asks the mother is how many people live together in the house. The mother states that the father, two aunts, one uncle, three children, and she live together in the house. On the basis of the mother’s answer, how should the nurse describe this family type?

  1. Nuclear.
  2. Extended.
  3. Stepfamily.
  4. Blended.

 

2) The nurse learns that a client is married and has no children living at home. Which type of family should the nurse document for this client?

  1. Extended.
  2. Nuclear.
  3. Childless.
  4. Blended.

3) An adolescent tells the nurse that she lives with her mother from Monday to Friday each week and then she lives with her father on Saturday and Sunday. How should the nurse describe this client’s family structure?

  1. Nuclear.
  2. Stepfamily.
  3. Extended.
  4. Single-parent.

 

4) At the completion of a family assessment the nurse provides positive feedback to the parents and adult children. What type of feedback did the nurse most likely provide to this family?

  1. Father’s employer cut hours and salary.
  2. Mother starting a home sewing business.
  3. Oldest daughter starting a new job next week.
  4. Oldest son moving into an apartment within a month.

5) During a seminar with parents of adopted children the nurse explains that families pass through predictive stages. Upon which theory is the nurse basing this explanation?

  1. Symbolic interaction.
  2. Systems models.
  3. Family lifecycle models.
  4. Nuclear models.

 

6) The nurse is assessing a family dealing with the stress of unemployment and the stress of a child with chronic asthma. The assessment reveals that the family is attending to only those aspects of the situation that do not cause distress or pain. How should the nurse document this assessment finding?

  1. Denial.
  2. Selective inattention.
  3. Isolation.
  4. Rationalization.

7) The nurse assesses the father’s role within the family to be primarily formal. What did the family explain as being his major functions within the family? (Select all that apply.)

  1. Comforter.
  2. Chauffeur.
  3. Financial manager.
  4. Caregiver.
  5. Confidant.

 

8) The nurse suspects that a family is experiencing a developmental crisis. What is occurring within the family for the nurse to make this clinical decision?

  1. Oldest daughter getting married.
  2. Grandfather diagnosed with an illness.
  3. Uncle recently passed away.
  4. The home was damaged by a tornado a week ago.

9) The nurse is educating the family regarding general needs for adequate nutrition, rest, and physical activity. Which type of care is the nurse providing to this family?

  1. Health promotion.
  2. Health protections.
  3. Injury prevention.
  4. Illness prevention.

 

10) The population health nurse is advocating with local police for adequate protection for a woman and her children. Which family intervention is the nurse implementing?

  1. Health promotion.
  2. Illness prevention.
  3. Injury prevention.
  4. Problem resolution.

11) The nurse is assisting a family with crisis interventions. Which family-focused intervention is the nurse implementing?

  1. Health promotion.
  2. Problem resolution.
  3. Illness prevention.
  4. Health restoration.

 

12) The population health nurse is making a home visit with a family who has a child who recently became a paraplegic. The nurse suggests some home modifications to accommodate the child’s disability. Which family-focused intervention is the nurse using?

  1. Illness prevention.
  2. Problem resolution.
  3. Health restoration.
  4. Injury prevention.

13) The nurse is concerned that an adult daughter of a nuclear family is experiencing developmental, situational, and structural crises. What did the nurse assess to make this determination?

(Select all that apply.)

  1. Mother’s sister moved out of state.
  2. Aging father developed renal failure.
  3. Daughter recently remarried at age 45.
  4. Daughter’s spouse purchased a new car.
  5. Daughter expected to pay for aging parent’s health care.

14) The nurse has drawn an ecomap to assist the family who is experiencing some relationship difficulties. What purpose does the ecomap serve to this family? The ecomap:

  1. Diagrams the family tree.
  2. Demonstrates how healthy the family is.
  3. Prioritizes family relationships.
  4. Depicts the relationships within and outside the family.

 

15) The nurse observes that the family is exhibiting strengths in the face of a major unexpected adversity. What behavior should the nurse recognize this family is demonstrating?

  1. Faith.
  2. Resilience.
  3. Projection.
  4. Intellectualization.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 15   Care of Communities and Target Populations

 

1) A student asks an instructor to explain population health management. What should the instructor respond to the student’s question?

  1. Focuses on health promotion.
  2. Is designed to improve overall population health status.
  3. Is designed to identify particular health risk groups.
  4. Identifies illness prevention strategies.

 

2) During a discussion about factors affecting the health of population groups the nurse discusses the shorter life spans of Native Americans as compared to the rest of the population. Which determinant is the nurse explaining?

  1. Sociocultural determinant.
  2. Behavioral determinant.
  3. Biological determinant.
  4. Health system determinant.

3) Twelve new cases of the measles have been diagnosed last week in a particular county. In that same county, 20 children are currently under treatment for the measles. What should the population nurse identify as being the incidence rate of the measles infection?

  1. 8.
  2. 12.
  3. 20.
  4. Unknown.

 

4) After studying the community, the nurse reports widespread unemployment, lack of housing, and crowded living conditions as being major factors influencing community health. These factors are related to which determinant of health?

  1. Environmental determinant.
  2. Biological determinant.
  3. Psychological determinant.
  4. Behavioral determinant.

5) The nurse is reviewing factors that affect the health of a population. Which factors should the nurse identify as being sociocultural determinants? (Select all that apply.)

  1. Language.
  2. Annual birth rate.
  3. Family composition.
  4. Population density.
  5. Transportation accessibility.

6) The nurse is identifying a nursing diagnosis applicable to a specific population. What should the nurse include when making this diagnosis determination? (Select all that apply.)

  1. Population at risk.
  2. Potential adverse risk.
  3. Factors contributing to the risk.
  4. Evidence to support the risk.
  5. Population competencies.

7) The nurse is planning a health program for a community. The first task the nurse should consider when planning this program is:

  1. Analyze the issue.
  2. Create the planning group.
  3. Define and prioritize the issue.
  4. Set the stage for evaluation.

8) The nurse identified the members of the planning group for the community health program. The next step the nurse should take is to:

  1. Prioritize the issues.
  2. Analyze the issue.
  3. Develop the program.
  4. Start the evaluation.

9) The nurse is creating program objectives to address a population’s health problem. Which program objective should the nurse provide the planning committee?

  1. 75% of program participants will lose weight.
  2. 32% of program participants will demonstrate how to administer insulin by the end of the third week.
  3. 100% of program participants will understand the new food pyramid by the end of the second week.
  4. 50% of program participants will quit smoking.

10) The nurse is working in a weight control program and realizes that most of the participants want to lose weight, but they are unable to because of the difficulties involved in stopping an addictive behavior. This best demonstrates the theory of:

  1. Processing.
  2. Delineation.
  3. Implementation.
  4. Cause and effect.

11) The nurse is planning to conduct an evaluation of a population program. Which question should the nurse use to address analysis and use of evaluative data?

  1. What will be evaluated?
  2. What standards will be used to judge the program’s performance?
  3. What conclusions can be drawn from comparing program data with the standards selected?
  4. What evidence will be used to compare program performance with the standards selected?

12) The nurse is supporting population members to use an empowerment evaluation when determining the success of a health program. What purpose will this type of evaluation serve to population members?

  1. Improves their quality of life.
  2. Delays decisions about a program.
  3. Calls for a discontinuation of a program.
  4. Increases the resources in a program.

13) A population health nurse is asked to assist in an evaluation of an existing program for which evaluative mechanisms were not established during the program planning. Which type of evaluation should the nurse use for this program?

  1. Prospective evaluation.
  2. Outcome evaluation.
  3. Retrospective evaluation.
  4. Process evaluation.

14) The nurse is planning a program to encourage exercise among high school students. Teachers and parents will be involved in implementing the program. Which activity best describes the third level of acceptance of this health care program?

  1. Marketing the program to the high school students.
  2. Convincing the principal of the benefits of the program.
  3. Meeting with the teachers to explain the program.
  4. Encouraging parents to promote the program.

15) The nurse is reviewing the considerations needed when designing a program evaluation. What should the nurse keep in mind as the consideration that influences all other aspects of the evaluation process?

  1. Who should conduct the evaluation.
  2. The type of evaluation to be conducted.
  3. The design to be utilized.
  4. The purpose of the evaluation.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 16   Care of Child and Adolescent Populations

 

1) While attempting to resolve an adolescent’s current health problems the population nurse decides to screen for problems that could affect functioning in school. Which screenings should the nurse implement with this adolescent? (Select all that apply.)

  1. Vision.
  2. Hearing.
  3. Substance use.
  4. Driving safety.
  5. Safety in sports.

 

2) The nurse is teaching a class to recent nursing graduates who have decided to work in the area of pediatrics. The nurse explains that the most common cause of delayed motor development in this population is:

  1. Lead poisoning.
  2. Physical abuse.
  3. Cerebral palsy.
  4. Alcohol use during the third trimester.

3) The population health nurse is designing a program to educate parents of 12-year-old children. The nurse plans to explain the usual behavioral expectations of most 12-year-olds. The best description of this teaching would be that it involves:

  1. Anticipatory guidance.
  2. Behavior-focused teaching.
  3. Developmental psychology.
  4. Community-driven teaching.

 

4) The nurse is explaining how maintaining high rates of immunization among children not only protects individual children from disease, but also serves to protect other members of the population. This best describes:

  1. Active immunity.
  2. Passive immunity.
  3. Acquired immunity.
  4. Herd immunity.

5) The nurse is working with a family of five: the mother, father, and three children. The children are constantly exposed to hostility and aggressive behaviors by both parents. The nurse knows that these children will be more likely to:

  1. Run away from home at the time of adolescence.
  2. Commit suicide.
  3. Display these same behaviors themselves.
  4. Become submissive adults.

6) The population nurse is planning a program to address the problem of low birth weight babies. Which interventions should the nurse include in this program? (Select all that apply.)

  1. Promote smoking cessation.
  2. Support the use of folic acid.
  3. Review importance of adequate prenatal nutrition.
  4. Explain the importance of immunizations in well-baby care.
  5. Explain the hazards of alcohol consumption during pregnancy.

7) The population health nurse is caring for a family with a child diagnosed with a chronic illness. On what should the nurse focus when addressing the needs of the parents who are caring for this child? (Select all that apply.)

  1. Reorganizing family roles.
  2. Using the Internet for support.
  3. Developing specific care skills.
  4. Meeting other family responsibilities.
  5. Encouraging the child’s development.

8) The population health nurse encourages a single parent of a child with juvenile arthritis to participate in weekly yoga classes. Which type of coping is the nurse encouraging this parent to develop?

  1. Emotional.
  2. Future-focused.
  3. Problem-focused.
  4. Appraisal-focused.

 

9) During a home visit the population nurse determines that a child with type 1 diabetes mellitus is activity participating in self-management. What did the nurse observe to come to this conclusion?

  1. Mother makes the child lunch.
  2. Child measure capillary blood glucose.
  3. Brother waits to play with the child outdoors.
  4. Older sister takes the child to the playground.

10) The nurse is planning to teach a class about dental care to a group of expectant women. The nurse should teach that dental hygiene should begin:

  1. At birth.
  2. When the first tooth erupts.
  3. When the child can hold a toothbrush.
  4. When the child starts solid food.

 

11) An exacerbation of an adolescent child’s chronic health problem has been addressed. What action should the population health nurse plan to promote adjustment of the child and family?

  1. Discuss the child’s health needs with the school nurse.
  2. Encourage the family to see the routine Friday night movie.
  3. Suggest the child attend counseling to help with the problem.
  4. Schedule an assistant to help with child care while the parents take a weekend off.

 

12) The mother asks the nurse when her infant should be screened for tuberculosis (TB). The nurse should explain that routine screening for TB usually occurs initially:

  1. At birth.
  2. At four months of age.
  3. At three years of age.
  4. When the child starts school.

13) After attending a community meeting the population health nurse learns that 15 children in the community have terminal illnesses. What action should the nurse take to support the care of these children?

  1. Review the recommendations for each child’s ongoing care.
  2. Explain the importance of screening for illnesses early in a child’s life.
  3. Analyze family environments to reduce the risk of illness development.
  4. Ensure palliative and hospice care is available to the children and families.

 

14) There are three aspects to restoring health and managing long-term conditions with children and adolescents with a chronic illness of disability. Two of the aspects include preventing recurrence of problems and preventing further consequences. What is the third aspect that the population nurse needs to address?

  1. Promoting adjustment.
  2. Referring for other medical opinions.
  3. Providing palliative care.
  4. Diagnosing secondary problems.

15) At the completion of a population assessment the population health nurse determines that a community has several protective factors for child maltreatment. What did the nurse assess to make this decision? (Select all that apply.)

  1. Parental unemployment 1.2%.
  2. 90% of children in two-parent families.
  3. Six episodes of gang violence in the last month.
  4. Community health clinic available to all members.
  5. Eight families had parents hospitalized for drug overdoses.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 17   Care of Men

 

1) The population health nurse is preparing a seminar on men’s health issues for a community organization. For the presentation the nurse should explain that men are ________ as likely as women to die from heart disease and ________ times more likely to commit suicide.

  1. Three times, four.
  2. Four times, two.
  3. Twice, four.
  4. Twice, six.

 

2) The population health nurse is working with a community who is devoting a month to men’s health. Which information should be included on marketing material for this event?

  1. Men have lower rates of sexually transmitted diseases as compared to women.
  2. Men are less likely to die from cancer as are women.
  3. Men develop heart disease earlier and die more frequently than do women.
  4. Worldwide, the most frequent cause of death in young and middle adult men is prostate cancer.

3) The population health nurse is reviewing psychological determinants of health in preparation for a meeting with a group of male community leaders. What should the nurse keep in mind about the general dimensions of the stereotypical male role when meeting with the group?

  1. Freely demonstrate affection.
  2. Are more reliant on others.
  3. Participate in routine health care screenings.
  4. View oneself as superior to others.

 

4) The population health nurse decides to screen the male population of a small rural community for the presence of suicide risks. On which risks should the nurse focus? (Select all that apply.)

  1. Depression.
  2. Unemployment.
  3. Married.
  4. Substance abuse.
  5. Relationships with peers.

5) A male client is complaining of not being able to achieve and maintain an erection sufficient for sexual activity. The population health nurse realizes this client is experiencing a change in which determinant of health?

  1. Biological.
  2. Psychological.
  3. Environmental.
  4. Sociocultural.

 

6) The nurse is caring for a bisexual male client. In addition to routine adult immunizations, the nurse is aware that the client needs to receive the:

  1. Meningococcal vaccine.
  2. Hepatitis A and B vaccine.
  3. Hepatitis B vaccine.
  4. Pneumococcal vaccine.

7) The population health nurse is asked to participate on a committee to support health lifestyles for the entire family. What should the nurse suggest to support the men’s health promotion needs?

  1. Healthy diet and physical activity.
  2. Identification of medication side effects.
  3. Receiving recommended immunizations.
  4. Smoking cessation and limiting alcohol intake.

8) The population health nurse is concerned that a male community member is at risk for recidivism for heroin use. What did the nurse observe to cause this concern?

  1. Enrolling in college classes.
  2. Spending time with family members.
  3. Going out with friends who use heroin.
  4. Attends substance abuse meetings every other day.

9) A nurse is working with a group of elderly men in a community health clinic. Even though the nurse might need to discuss each of these statements, which statement should the nurse address first?

  1. “I know I can eat this fried chicken every day because I exercise a lot.”
  2. “I cannot eat as much as I used to.”
  3. “My sleep patterns have changed.”
  4. “I have to turn the volume up on the television these days.”

 

10) The nurse is trying to help the male client see the same situation in a different light. The best description of this technique is:

  1. Processing.
  2. Reframing.
  3. Acknowledgement.
  4. Cause and effect.

11) The population health nurse is using the six-point HEALTH program intended to facilitate creation of health care services that better meet the health promotion needs of men in the community. When using this program, what should be done for the letter T in the acronym?

  1. Typical.
  2. Transfer.
  3. Tailor.
  4. Temperature.

12) The population health nurse is working in a community health clinic and is planning a program to resolve health problems in male clients. One such example could be a program:

  1. That eliminates high-risk behaviors.
  2. Related to diabetes prevention.
  3. That encourages blood pressure screening.
  4. That explains adult immunizations.

13) The nurse is talking with a male client who is on a regimen of antihypertensive medications. The nurse knows that there are side effects that affect masculine roles associated with these medications. Those side effects include:

  1. Impotence and hyperglycemia.
  2. Impotence and dizziness.
  3. Decreased tolerance for physical activity and tremors.
  4. Erectile dysfunction and hoarseness.

14) The nurse is working with a client who had his testes surgically removed as part of treatment for testicular cancer. The treatment had a profound impact on his self-image. An important area of health restoration for this client would be:

  1. Encouraging him to join a support group.
  2. Referring him to a marriage counselor.
  3. Hormone therapy.
  4. Antidepressant medications.

15) The population health nurse realizes that behavioral factors seem to make a greater contribution to men’s health status as compared to women. This is most likely because:

  1. Men are more apt to perform healthful behaviors.
  2. Men are more reliant on others.
  3. Men are more educated about health issues.
  4. Men are generally more likely to engage in high-risk behaviors.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 18   Care of Women

 

1) The nurse is planning a class to promote women’s health. It would be appropriate to include:

  1. The leading cause of death among women in the United States is heart disease.
  2. The risk of breast cancer decreases with age.
  3. Rheumatoid arthritis is the most common chronic condition in women.
  4. Women with disabilities report less symptoms than men with disabilities.

 

2) A woman, age 22, is admitted to the hospital in labor. She admits to having no prenatal care. She is among what percentage of pregnancies in the United States that have late or no prenatal care?

  1. 6%.
  2. 10%.
  3. 15%.
  4. 20%.

3) The nurse is interviewing a female client who admits to having poor coping skills, drug abuse, and a recent divorce with loss of child custody. The nurse knows the client is most at risk for:

  1. Self-mutilation.
  2. Bulimia.
  3. Chronic fatigue syndrome.
  4. Depression.

4) During an interview, the client admits to the nurse that she self-induces vomiting after every meal and that she uses laxatives daily. The nurse recognizes that these symptoms best describe:

  1. An eating disorder found more in men.
  2. A post-traumatic stress disorder.
  3. A pattern of consumption.
  4. An eating disorder of old age.

5) The nurse is working on a psychiatric unit in a large hospital and encounters a female client with a history of being abused. What client statement best supports the belief that this client is at risk for more violence?

  1. “I am financially independent.”
  2. “My partner is enrolled in alcoholics anonymous.”
  3. “I want to finish high school but my husband won’t let me.”
  4. “My partner encourages me to use condoms.”

6) A female client experiencing manifestations of menopause asks for nonpharmacological ways to help manage the symptoms. What should the population health nurse suggest to this client?

(Select all that apply.)

  1. Yoga.
  2. Tai chi.
  3. Qi gong.
  4. Acupuncture.
  5. Artificial hormones.

7) The population health nurse receives a report identifying the number and types of injuries reported by women who work in a clothing manufacturing company. What should the nurse encourage the female employees to do to reduce the frequency of injuries at work? (Select all that apply.)

  1. Set realistic goals.
  2. Report safety hazards.
  3. Limit the intake of alcohol.
  4. Monitor response to exercise.
  5. Use personal protective equipment.

 

8) The nurse is working with a female client, trying to assist her in balancing personal needs with those of other family members. What is the goal that this intervention best relates to?

  1. Promoting healthy behaviors.
  2. Developing and maintaining healthy relationships and living conditions.
  3. Developing adequate coping strategies.
  4. Promoting healthy pregnancy outcomes.

9) The nurse is working with a group of abused women, trying to assist them in developing a sense of self so that they will avoid blaming themselves for the abuse. What is the goal that this intervention best relates to?

  1. Promoting healthy behaviors.
  2. Developing and maintaining healthy relationships and living conditions.
  3. Developing adequate coping strategies.
  4. Promoting healthy pregnancy outcomes.

 

10) The population health nurse is preparing a presentation for perimenopausal and postmenopausal female clients. Which statement by the nurse correctly describes health promotion needs of this population?

  1. Calcium supplementation does not affect risk of fractures.
  2. Dietary vitamin D supplementation is discouraged among this population.
  3. Women should be encouraged to limit alcohol intake because it increases calcium excretion.
  4. Smoking decreases calcium excretion.

11) The population health nurse is identifying strategies to support health problem resolution for women in a community. Which strategies should the nurse focus for this population? (Select all that apply.)

  1. Screening.
  2. Diagnosis.
  3. Treatment.
  4. Rehabilitation.
  5. Prevention.

 

12) The community health nurse is working with a 17-year-old mother of two. Evidence of spousal abuse is confirmed. The nurse knows that:

  1. It is unethical to confirm the diagnosis with the client.
  2. Part of the primary goal is to assist the woman to feel empowered.
  3. The nurse should become a source of control in the client’s life.
  4. The nurse should make immediate decisions for the client.

13) The nurse is working with a pregnant client who has six children. The ages of the children range from six months to twelve years of age. An example of health restoration when working with this client would include education regarding:

  1. Prenatal care.
  2. Appropriate nutrition.
  3. Dental hygiene.
  4. Effective contraception to prevent subsequent pregnancies.

 

14) The population health nurse is teaching a group of community members on women’s reproductive health. Which client statement indicates teaching has been effective?

  1. “Perimenopause occurs after menopause.”
  2. “Menopause typically occurs after the third pregnancy.”
  3. “The potential for childbearing is high during premenopause.”
  4. “Postmenopause occurs over a period of approximately three years.”

15) The population health nurse is identifying health restoration interventions for a female client with multiple sclerosis. Which intervention would be the most appropriate for this client?

  1. Discuss methods to reduce unwanted pregnancy.
  2. Analyze ways to address self-concept and eating disorders.
  3. Provide names of companies who install chair lifts in the home.
  4. Examine options to reduce the risk of sexually transmitted infections.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 19   Care of the Older Population

 

1) The population health nurse is presenting a workshop about aging. The nurse is including information about longevity and declining endocrine and immune function. In what theory category does this information belong?

  1. Psychological.
  2. Biological.
  3. Sociological.
  4. Individualism.

 

2) The nurse is comparing and contrasting examples from the psychological and sociological theories. Which should the nurse identify as a psychological theory?

  1. Error theory.
  2. Mutually exclusive theory.
  3. Jung’s theory.
  4. Disengagement theory.

3) A student is developing a poster for a class presentation. The purpose of the poster is to explain aging. Part of the information on the poster demonstrates how the elderly withdraw from life as a means of making way for a younger generation in preparation for death. The theory that the student is using is:

  1. Disengagement theory.
  2. Erikson’s theory.
  3. Programmed theory.
  4. Jung’s theory.

 

4) A client is experiencing changes of aging to the musculoskeletal and nervous system. What should the nurse expect to assess in this client?

  1. Loss of verbal ability and increased urine flow.
  2. Decreased walking speed and increase in verbal memory.
  3. Decreased reaction times and declining strength.
  4. Slowed reaction time and loss of skeletal muscle.

5) The population health nurse is reviewing health information for a group of community members. Which client should the nurse identify as having comorbidities?

  1. The 65-year-old client and his spouse both have diabetes mellitus.
  2. The 72-year-old client is taking an antihypertensive medication that interferes with his asthma.
  3. The 86-year-old client is the primary caregiver for his 90-year-old spouse.
  4. The 67-year-old client does not experience the usual symptoms that are associated with emphysema.

 

6) The population health nurse is assessing a 72-year-old client’s ability to perform the basic activities of daily living (BADLs). For which activities is the nurse assessing? (Select all that apply.)

  1. Walk at least 12 steps.
  2. Dress oneself.
  3. Bathe oneself.
  4. Feed oneself.
  5. Use the telephone.

7) The intervention that would be most appropriate for the client with functional incontinence would be to encourage the client:

  1. To empty the bladder every two hours while awake.
  2. Not to drink any liquids after 5:00 p.m. each evening.
  3. To call for assistance when the urge to urinate is felt.
  4. To wear an adult-type diaper during the daytime hours.

 

8) The population health nurse is preparing a presentation on healthy aging for a community group. During this presentation the nurse should explain that the reason health promotion is important for this population is because they are the:

  1. Group that has more acute illness.
  2. Fastest-growing segment of the population.
  3. Most politically involved group of the population.
  4. Group that is the most health-conscious.

9) The population health nurse is planning to evaluate care provided to a group of older clients. What should the nurse include when evaluating care on an individual basis? (Select all that apply.)

  1. End-of-life issues.
  2. Health risks and behaviors.
  3. Efforts taken to prevent health problems.
  4. Analysis of progress of health restoration.
  5. Effects of interventions to promote health.

 

10) The population health nurse is advocating for a screening service for older adults. Which type of activity is the nurse supporting for this population?

  1. Health promotion.
  2. Illness and injury prevention.
  3. Problem resolution.
  4. Health restoration.

11) The population health nurse is talking with a 78-year-old client who has chronic obstructive pulmonary disorder (COPD) and has described excessive use of cough medicine. The nurse should teach the client that this excessive use can make him more susceptible to respiratory infections by:

  1. Decreasing clearance of secretions.
  2. Decreasing his immunity.
  3. Causing less fluid intake.
  4. Decreasing nutritional intake.

 

12) The population health nurse is identifying health restoration activities for a group of older community members. Which areas should the nurse identify as being appropriate for this population? (Select all that apply.)

  1. Minimizing the use of medications.
  2. Palliative care.
  3. End-of-life care.
  4. Attaining maximum function.
  5. Providing rehabilitation.

13) The population health nurse is teaching a group of elderly clients. What action should the nurse take to circumvent hearing loss?

  1. Using a higher-pitched voice.
  2. Employing verbal teaching techniques.
  3. Facing the listener while speaking.
  4. Using background music.

 

14) The population health nurse is writing a pamphlet to be used by graduate students as they plan health promotion classes for elderly clients. What should be included in the pamphlet?

  1. Teaching sessions should be at least 30 minutes.
  2. Teaching sessions should occur prior to a mealtime.
  3. Older clients do not retain material as well as younger clients.
  4. Lessons should proceed at a slower pace.

15) The population health nurse is working with a 76-year-old client who has recently moved in with his daughter and her family. The most appropriate intervention to foster independence in the client would be to encourage the client to:

  1. Exercise several times a week.
  2. Move into an assisted living facility.
  3. Purchase a cellular phone.
  4. Assume specific roles within the household.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 20   Care of the GLBT Population

 

1) An adolescent shares with the nurse that he is gay and that he is going to tell his parents. The nurse knows that parental response to the disclosure of homosexuality is strongly influenced by the: (Select all that apply.)

  1. Strength of traditional gender role conceptions.
  2. Perceptions of the probable attitudes of significant others in the family’s network.
  3. Parental age.
  4. Parental education.
  5. Parental race.

2) A therapist who works primarily with gay and lesbian couples is aware that the same kinds of stress that affect heterosexual relationships also affect gay and lesbian relationships. But the therapist knows that the stress is different with respect to:

  1. Extended family involvement.
  2. Inequalities of power.
  3. Disparity in income.
  4. Coming out.

3) The population health nurse is interviewing a client who states that she is a lesbian. What statement by the client indicates the need for more education?

  1. “Since I only have sex with females I am at a lower risk for some sexually transmitted diseases.”
  2. “I have less risk factors for breast cancer than a heterosexual.”
  3. “I do need to have routine Pap smears.”
  4. “I have an increased risk of heart disease.”

4) The most accurate description the population health nurse could give a colleague about homophobia is that it:

  1. Prohibits homosexuals from serving as foster parents.
  2. Encompasses a belief system that is used to justify discrimination against lesbians.
  3. Is an intolerance of all homosexuals or of homosexual feelings within oneself.
  4. Has led to homosexual activity being criminalized in all states.

5) The nurse is working with a group of lesbian, bisexual, and transgender women. What statements should the nurse be most concerned about regarding psychological considerations in working this group of clients? (Select all that apply.)

  1. “I do not live my life openly, but I never fear someone will find out I am a lesbian.”
  2. “I constantly monitor everything I say and do for fear my mother will find out I am a lesbian.”
  3. “I constantly feel negative feelings about my sexual preference.”
  4. “I am coming out and sometimes I have contradictory feelings of excitement and relief.”
  5. “The excitement of coming out is overwhelming.”

6) The population health nurse is assessing a community member who identifies with the GLBT community. When discussing sexual orientation the nurse knows that three aspects are being assessed which are: (Select all that apply.)

  1. Identity.
  2. Behavior.
  3. Attraction.
  4. Acceptance.
  5. Coming out.

7) A client who identifies with the GLBT community tells the nurse that the only thing that makes him a male is having a penis and testosterone in the bloodstream. The population health nurse realizes that this client is using which perspectives to describe gender? (Select all that apply.)

  1. Hormonal.
  2. Behavioral.
  3. Anatomical.
  4. Chromosomal.
  5. Psychological.

 

8) During an assessment the population health nurse believes that a client who identifies with the GLBT community is a gender nonconforming individual. What did the nurse assess to make this clinical determination?

  1. Prefers to have sexual relations with both sexes.
  2. Does not confirm to societal gender expectations.
  3. Client states being a woman trapped in a man’s body.
  4. Self-perceived gender is congruent with assigned birth gender.

9) The population health nurse is concerned that members of a community are demonstrating heterosexism. Because of this, for which potential issues should the nurse be aware of occurring within the GLBT population? (Select all that apply.)

  1. Violence.
  2. Oppression.
  3. Stigmatization.
  4. Discrimination.
  5. Family rejection.

10) The population health nurse is asked by a member of the GLBT community for information on how to prevent the onset of illnesses. What should the nurse recommend to this client? (Select all that apply.)

  1. Recommend hormone therapy.
  2. Strengthen partner relationships.
  3. Practice safe sex to prevent HIV.
  4. Attend smoking cessation classes.
  5. Receive hepatitis A and B immunizations.

11) A member of the GLBT community admits that anal intercourse is often conducted unprotected. What should the population health nurse recommend to reduce this client’s risk of illness?

  1. Always use a condom.
  2. Have monthly HIV testing.
  3. Alter the type of intercourse.
  4. Consider a monogamous relationship.

 

12) A client who is awaiting FTM gender assignment surgery is scheduled for a routine health examination at the community clinic. What screenings should the client receive?

(Select all that apply.)

  1. Pap smear.
  2. Mammogram.
  3. Throat culture.
  4. Prostate exam.
  5. Tuberculosis test.

13) A client who is a MTG transgender is considering feminizing genitoplasty. Which surgical procedures should the population health nurse include when instructing this client? (Select all that apply.)

  1. Penectomy.
  2. Vovoplasty.
  3. Orchiectomy.
  4. Vaginoplasty.
  5. Reduction mammoplasty.

14) A client is recovering from MTF sexual reassignment surgery. What health teaching should the population health nurse provide to this client as a part of health restoration strategies?

(Select all that apply.)

  1. Having routine PSA levels drawn.
  2. Actions to prevent the development of a stroke.
  3. Explaining the risk of heart disease from hormone therapy.
  4. Importance of completing monthly breast self-examination.
  5. Discussing mammography as prescribed by the healthcare provider.

15) A client recovering from MTG sexual reassignment surgery asks what can be done to change the sex and name on the client’s driver’s license. What should the population health nurse do to assist the client with this issue?

  1. Nothing–birth gender cannot be legally changed.
  2. Complete paperwork through the client’s automotive club.
  3. Recommend waiting until the surgery is considered successful.
  4. Provide information to have gender identification legally changed.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 21   Care of Poor and Homeless Populations

 

1) The population health nurse is aware that many members of the community, though they are employed, need to obtain additional foodstuffs every month from the local community food bank. The nurse knows that this indicates that:

  1. There are insufficient employment opportunities in the community.
  2. Poverty is increasing in the community.
  3. Better information about food economy should be disseminated in the community.
  4. The local grocery stores do not carry sufficient supplies.

 

2) There is a low unemployment rate in a community that has experienced a large growth in gentrification. Yet, many community residents live in motels and campgrounds because there is a lack of affordable housing for lower-income residents. The population health nurse realizes that these residents could be considered:

  1. To be very close to poverty.
  2. To have problems with substance abuse.
  3. Homeless due to their transitory lodgings.
  4. An easily mobile workforce.

3) The population health nurse realizes that many of the young adult members of the community have poor nutrition habits and knows that these are risk factors for diabetes and cardiovascular disease. These risk factors can affect their:

  1. Future income and health potential.
  2. Ability to obtain health care.
  3. Ability to network social support systems.
  4. Future potential to change their dietary habits.

 

4) The population health nurse investigates a local park where several complaints have been lodged against people who sleep there at night and rummage through the trash cans. The nurse sees several inappropriately overdressed people sitting on the benches with many worn shopping bags clustered around them. After speaking with these people, the nurse contacts a local mental health agency to refer them for services. What is the best rationale for this intervention?

  1. Mental health agencies are the best source for homeless referrals.
  2. Shelters and shower facilities are easily obtained through mental health agencies.
  3. Homeless funding is best found in mental health agencies.
  4. Many homeless people have concurrent mental health illness.

5) In addressing factors that contribute to poverty, homelessness, and the health of the community, the nurse should assess:

  1. Employment and home environment.
  2. Lack of affordable housing and social support.
  3. Mental illness and social support.
  4. Mobility and age of client.

 

6) The population health nurse is implementing approaches to homelessness. Which step should the nurse take first when addressing homelessness in a community?

  1. Assess and diagnose community factors that lead to homelessness.
  2. Diagnose and implement community programs that address homelessness.
  3. Implement and evaluate community programs that address homelessness.
  4. Assess and evaluate community factors that lead to homelessness.

7) The major emphasis in prevention that relates to the health of the poor and homeless in a community is to:

  1. Have appropriate support services in place to address the health needs of these aggregates.
  2. Ensure health services in the schools to keep children healthy.
  3. Prevent the factors that cause homelessness and poverty.
  4. Ensure sufficient employment opportunities are available for all adults.

 

8) The population health nurse visits a family in the community and becomes aware that the family is facing loss of their house because of the primary income earner’s recent illness, which depleted the household income. The nurse should intervene to aid the family by:

  1. Referring them to their local church.
  2. Contacting local social service agencies for emergency housing funds.
  3. Finding employment for other family members.
  4. Arranging for home health services for the primary income earner.

9) The population health nurse notices that the population in the homeless shelters has increased, with a noticeable rise of pregnant women. The nurse coordinates with the shelter to provide meals that are more nutritionally adequate than the usual bologna sandwich, chips, and soda that is provided. This is considered:

  1. Preventing illness and injury.
  2. Preventing poverty and homelessness.
  3. Resolving existing problems.
  4. Health promotion.

 

10) The population health nurse is working with a runaway adolescent who has been living in a local shelter. The nurse and the adolescent have explored the possibility of the adolescent returning home, and the adolescent is amenable. The most appropriate nursing intervention is to:

  1. Contact the family and arrange for a time when the adolescent can return.
  2. Work with the shelter to improve conditions for adolescent residents.
  3. Work with the community to improve programs that address adolescent concerns.
  4. Arrange for counseling for the adolescent and family before and after the adolescent returns.

11) The population health nurse becomes politically involved in supporting a bill that is being debated in the state legislature. This bill would raise the minimum wage in the state and offer programs for reemployment in other job sectors. This is considered:

  1. Health promotion.
  2. Disease prevention
  3. Health restoration.
  4. Injury prevention.

12) A family has been able to earn enough money to raise their overall income level from the federal poverty guidelines. Health restoration strategies to maintain their income at this level would be to: (Select all that apply.)

  1. Assist the family in making and adhering to a budget.
  2. Explore the factors that led to the family earning less money before.
  3. Join a local cooperative to help buying efforts to stretch their income farther.
  4. Refer the family to a local social service agency for emergency funds should they need them.
  5. Encourage family members to seek higher income employment.

13) The population health nurse is planning teaching sessions for low-income community members. Which topics should the nurse include that focus on health promotion for this population?

(Select all that apply.)

  1. Importance of adequate rest.
  2. Strategies to improve job search results.
  3. Ways to ensure adequate nutrition on a fixed budget.
  4. Interventions to prevent exacerbation of chronic illnesses.
  5. Strategies to incorporate exercise into everyday activities.

 

14) Families who are living in a local shelter state that they fear their children may be subject to abuse from other residents in the shelter. Which solution should the population health nurse recommend for this issue?

  1. Restrict who uses the shelter.
  2. Have a separate family area in the shelter.
  3. Search everyone who uses the shelter prior to entering.
  4. Force the children to stay with their parents at all times.

15) The population health nurse is evaluating care provided to the poor and homeless. What should be the primary focus of this evaluation?

  1. Training programs employ the homeless.
  2. Systems-level outcomes are met.
  3. Client-level outcomes are met.
  4. Individual and population intervention objectives are met.

 

16) The population health nurse learns that efforts to improve the health of the poor and homeless in a community have not been effective. What should the nurse do to change this outcome going forward?

  1. Campaign to change the hours of community health clinics.
  2. Seek assistance from city council to meet the needs of the poor and homeless.
  3. Work with the school district to improve the nutritional status of students in the community.
  4. Focus programs on the national health objectives related to low-income individuals and families.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 22   Care of School Populations

 

1) The population health nurse at an elementary school in the community has developed an integrated program of health promotion and health surveillance, which has resulted in much lower rates of student absence than other similar schools in the community. What is the best conclusion to draw from this?

  1. Students are living in a healthier neighborhood in this school district.
  2. This student body has more effectively learned about healthy lifestyles.
  3. Lower absenteeism may result in a better academic achievement.
  4. Good parental involvement has contributed to this success of this program.

 

2) In the program that the school nurse developed to teach children about health, the teachers assume responsibility for teaching the health principles. The nurse becomes aware that program outcomes are not being achieved. What should the nurse do to resolve this?

  1. Reinforce to the teachers the importance of teaching health concepts.
  2. Plan to assume all teaching responsibilities for health in the school.
  3. Ask for parental involvement to help teach health concepts.
  4. Modify the program to include strategies to teach health in the classroom and the home.

3) The nurse being interviewed for a position at a local school expects that the position responsibilities will entail screening, monitoring immunization status, and performing minor first-aid duties. However the nurse is surprised to learn that other duties include: (Select all that apply.)

  1. Case finding and case management.
  2. Counseling and referrals to other services.
  3. Staff health promotion.
  4. Parental, student, and community involvement in school activities.
  5. Reviewing health policies in the community.

4) The majority of the student population at an inner city school is African American. The nurse should be alert to the number of students:

  1. With sickle cell disease.
  2. With asthma.
  3. Who are overweight.
  4. Who come from single parent homes.

 

5) The local school board has allowed students with certain chronic conditions to have their medications with them at all times. Which situation should the nurse be particularly alert to?

  1. The child with ADHD should take the appropriate medication at the appropriate time.
  2. The child with diabetes has a tube of glucagon in his or her backpack.
  3. The child with asthma knows how to correctly use the inhaler.
  4. The child with a neurogenic bladder is able to self-catheterize.

6) The nurse works in a school that is designated for students with special needs in the district. An important consideration specific to this population is to ensure that these students:

  1. Receive an annual flu immunization.
  2. Are able to have sufficient time at lunch to eat.
  3. Have physical education activities like all students.
  4. Have personal care attendants.

 

7) A local nursing program has contracted with an elementary school to conduct health teaching. As the school year closes, the nursing students plan to do one last health teaching program. What would be the most appropriate topic the nursing students should choose?

  1. Alcohol and nutritional supplements.
  2. Hand washing and hygiene.
  3. Sun, bike, and outdoor safety.
  4. Sexually transmitted diseases.

8) The nurse at the local high school is aware that students are particularly vulnerable during this developmental stage to many health challenges. What is an appropriate priority topic to support student self-development?

  1. Educate about sexually transmitted diseases.
  2. Provide strategies to minimize stress and promote self-esteem.
  3. Hold in-service programs for teachers to identify students at risk.
  4. Collaborate with the local mental health agency to refer students at risk.

9) The nurse is aware that most of the students prefer the fried food choices in the school cafeteria and that the many of the students are considered overweight by body mass index (BMI) standards. Strategies that the nurse can employ to ameliorate this concern include: (Select all that apply.)

  1. Demanding that the food staff eliminate all fried foods.
  2. Working with the food staff on menu planning and including healthier choices.
  3. Presenting programs to the students about nutrition and healthy choices.
  4. Presenting programs to families at parent-teaching association (PTA) meetings about school nutrition.
  5. Assigning mandatory exercise programs to all students whose BMI’s are considered overweight.

10) The nurse performs vision and hearing screening at the school to identify students who may need referrals for further testing. A responsibility of the nurse in screening is to:

  1. Monitor that students who need glasses wear them.
  2. Send letters home to parents reminding the students to wear the glasses.
  3. Follow up on referrals made to determine outcomes for those students with vision or hearing problems.
  4. Ask the teachers if they are aware of any other problems with students in the classroom.

11) After receiving a report from a teacher regarding a student who was previously outgoing and doing well in the classroom but is now appearing withdrawn, the nurse assesses the student. The nurse becomes aware that there is a possibility that abuse is happening in the home and notifies the appropriate agencies. In this example, the nurse is:

  1. Making an appropriate referral to ensure the health and safety of the student.
  2. Refusing to become involved in a domestic affair.
  3. Acting outside of the scope of practice.
  4. Releasing any further obligation to the student.

12) A ventilator-dependent student joins the school and does not need a personal care attendant. Before providing care to the student, the nurse should:

  1. Research tracheostomy-suctioning procedures.
  2. Teach the teacher how to provide appropriate tracheostomy care.
  3. Review the student’s Individualized Health Care Plan (IHP) for other aspects of care that the student may need in addition to tracheostomy care.
  4. Ask to have a joint conference with the parents, teachers, and school administrators about caring for this student.

13) The school nurse is completing a Continuous Quality Improvement Tool for School-based Health Centers. What should the nurse identify as sentinel events for high school students?

(Select all that apply.)

  1. Alcohol use.
  2. Depression risk.
  3. Risk for violence.
  4. Sexually transmitted infections (STI).
  5. After school employment hours.

14) A student has been diagnosed with a pulmonary condition that necessitates the use of continuous oxygen. The student’s family has limited means and expresses concerns about being able to pay for the use of the oxygen. An important action the nurse can take is to:

  1. Listen to the parents and express concern.
  2. Educate the teachers about positioning the student for the most effective oxygen consumption.
  3. Educate the school staff about the student’s condition.
  4. Refer the parents to the American Lung Association for possible financial help.

15) A student joins the school and the parent tells the nurse that the child has a learning disability. The nurse should ask the parent if the child has:

  1. Other conditions that the nurse should be aware of.
  2. An Individualized Education Plan (IEP).
  3. Difficulty in making new friends.
  4. Special equipment needs.

16) The school nurse is beginning an evaluation of the school-based health center as part of a school district annual report. Which tools should the nurse use that includes the eight components of the CDC model of a coordinated school health program? (Select all that apply.)

  1. School Health Index (SHI).
  2. Healthy School Report Card.
  3. Health People 2020 objectives.
  4. Health Education Curriculum Analysis Tool.
  5. Physical Education Curriculum Analysis Tool.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 23   Care of Employee Populations

 

1) The owner of a small business wants to improve the health of all employees. Which actions should the owner consider to meet this goal?

  1. Drop health insurance for employees.
  2. Provide on-site health care for employees.
  3. Mandate that all vacation days are taken each year.
  4. Reduce the number of sick days offered as a benefit.

 

2) The nurse who monitors the health of employees in a modern office building will need to be alert to what issue?

  1. Air quality from the ventilation system.
  2. Noise levels from the outside.
  3. Injuries sustained from weekend activities.
  4. The distance employees walk from the parking area to the building.

3) The nurse is employed by a white collar business in which the majority of the work is done on computers. Potential health and safety hazards include:

  1. Computers that are obsolete in their design and function.
  2. Workers who sit all day and become overweight.
  3. Poor ergonomic designs of workspace leading to back and carpal tunnel injuries.
  4. Insufficient break times that create pressure in employees and lead to stress.

4) The nurse visits the company warehouse and notices that the majority of the forklift operators appear to be between the ages of 18 and 21. For which issue should the nurse assess?

  1. The younger forklift operators have better control of the machine.
  2. The younger forklift operators should wear their helmets.
  3. The younger forklift operators may be more likely to be injured.
  4. Older forklift operators are not as capable of maneuvering the machines as the younger operators.

5) After a competing business opened a successful branch in the community, absenteeism has increased in the workplace where the nurse is employed. Management has increased work hours and instituted mandatory overtime. The nurse could conclude that:

  1. Workplace stress is affecting the employees and manifesting itself in absenteeism.
  2. The employees are taking time off to investigate working for the other business.
  3. Increased working hours are making the employees ill.
  4. Workers are showing increased productivity as a result of these changes.

 

6) The nurse has been able to have management institute a family-friendly policy for employees with small children or older parents, which allows them some latitude in job hours in order to attend to these needs. Productivity among the employees has actually risen and absenteeism has decreased. What conclusion can the nurse make from this finding?

  1. Having small children or older parents motivates an employee to work more productively.
  2. As long as the work gets done, it does not matter what hours are put in by the employees.
  3. Relieving the burden of caregiving stress on an employee can create a work climate that becomes more productive.
  4. The productivity and decreased absenteeism is due to employees without small children or older parents.

7) A new employee joins the workgroup and comes to the nurse to complain about one of the coworkers who makes inappropriate comments that make the employee uncomfortable. The other employees in the group identify this person to the nurse. What should the nurse tell the employee who made the complaint?

  1. Ignore this coworker.
  2. File a complaint against the coworker.
  3. Go with the new employee to discuss this with the management.
  4. Talk to the group to tell this coworker to cease making these comments.

 

8) A local company is attempting to decrease its insurance costs and embarks on several changes in its corporate attitude about health. It institutes low fat, heart-healthy food selections in the cafeteria, employs a fitness consultant for the workforce, and encourages the staff to use the stairs rather than the elevators for anything less than two floors. The scope of the company’s changes would be considered:

  1. Health promotion.
  2. Eliminating hazardous conditions.
  3. Comprehensive.
  4. Family-oriented.

9) A local company has set a standard within the community by establishing a child care facility on its premises, which enrolls children from six weeks of age to school age. The facility has a sick care area where children with noninfectious illnesses can come to so their parents do not have to call in sick. The company is considering establishing an adult day care center in addition to its child care facilities. What could be a reason for this company’s innovations?

  1. The company wants to be recognized for its family-friendly policies.
  2. The company wants to be a family-friendly employer.
  3. The company is aware of the correlation between family influences on employee performance and that addressing these concerns helps both the employee and company.
  4. The company realizes that it is important to have healthy children and healthy older adults in society.

 

10) The occupational health nurse works in a company that provides immunization services, postexposure prophylaxis for communicable disease exposures, modifies or eliminates risk factors in the work environment, and conducts stress reduction/management education for employees. Which type of activities is the nurse conducting within this organization?

  1. Health promotion.
  2. Illness prevention.
  3. Injury prevention.
  4. Violence prevention.

11) In order to address the potential for violence on its grounds, a company institutes a violence prevention program. Important elements of this program should include: (Select all that apply.)

  1. Developing reporting procedures for employees who suspect violence from others in the workplace.
  2. Educating employees about healthy behaviors.
  3. Developing worksite policies that promote health.
  4. Educating employees about violence prevention, anger management, and recognizing potentially violent situations.
  5. Monitoring effective use of equipment.

 

12) The occupational health nurse is beginning an annual audiology screening with employees of a manufacturing company. For this organization the nurse is performing screening to:

  1. Determine what first aid should be given.
  2. Advocate for adequate health insurance.
  3. Report and interpret findings for making referrals.
  4. Develop disaster emergency response plans.

13) The occupational health nurse learns of an emergency within a construction site. What interventions should the nurse expect to perform when responding to this emergency? (Select all that apply.)

  1. Refer to outside medical assistance as needed.
  2. Provide immediate first aid as needed.
  3. Respond to individual physical or emotional emergencies.
  4. Evaluate the health effects of occupational disasters.
  5. Refer to continued treatment as needed.

 

14) The occupational health nurse is determining an employee’s fitness to return to work. What should be the focus of this assessment?

  1. Modify the work environment to promote a return to work.
  2. Advocate for environmental modifications to prevent recurrent problems.
  3. Modify the work environment to accommodate limitations due to disability.
  4. Monitor treatment effects and disease status.

15) The occupational health nurse is planning to evaluate the effectiveness of interventions to help a group of employees reduce high blood pressure. Which outcomes indicate that the interventions have been effective? (Select all that apply.)

  1. Report that filing for overtime has decreased 25%.
  2. Average systolic blood pressure reduced by 10 mm Hg.
  3. Absenteeism has decreased 30% over the last month.
  4. Cafeteria offering low salt and no added salt menu items.
  5. Employees walking on afternoon break instead of smoking.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 24   Care of Correctional Populations

 

1) Clients in correctional settings have unique considerations for care. Providing care in a correctional setting has implications for the client population health as environmental conditions and behaviors in correctional facilities:

  1. Can spread communicable diseases.
  2. Are well-suited for health promotion interventions.
  3. Decrease the potential for communicable disease transmission.
  4. Eliminate unhealthy lifestyle behaviors.

2) The population health nurse is providing care to inmates. This provision of care protects constitutional rights of inmates and:

  1. Saves taxpayer monies as compared to providing transportation to health care services outside the facility.
  2. Ensures the inmate population is at its highest level of health.
  3. Allows health problems to be diagnosed earlier.
  4. Educates the inmate population about healthy behaviors.

3) An advanced population health nurse in a correctional setting can best utilize this role to:

  1. Provide basic care to inmates.
  2. Counsel inmates about health promotion activities.
  3. Formulate health care policy for inmates and evaluate the effects of the facility health care program.
  4. Treat disease and injuries that occur in this setting.

 

4) Inmates who are admitted to a long-term correctional facility should be:

  1. Tested for hepatitis B.
  2. Screened for mental health problems.
  3. Assessed for HIV symptomatology.
  4. Screened and tested for tuberculosis (TB).

5) Upon incarceration, female inmates should be asked for:

  1. Their gynecologic history.
  2. The names of their children.
  3. The date of their last menstrual period.
  4. The date of their last mammogram.

 

6) A dilemma for the nurse in correctional facilities is to:

  1. Administer care to a large, diverse population.
  2. Provide a therapeutic environment for health within an institutional framework that emphasizes punishment and security concerns.
  3. Limit the amount of time for providing care to inmates.
  4. Set priorities for the care of inmates.

7) Many inmates in correctional facilities have communicable diseases. The most important consideration for the nurse who works in a correctional facility is to:

  1. Control the spread of communicable diseases through client education.
  2. Advocate for programs that decrease the spread of communicable disease.
  3. Use universal precautions when handling blood and body fluids.
  4. Ensure that inmate immunizations are current.

Answer:  3

 

8) Ensuring that the facility has adequate nutrition for its inmates, providing opportunities for rest and exercise, and controlling communicable diseases address:

  1. The individual inmate’s health.
  2. Protecting the health of the whole rather than enhancing the health of the one.
  3. Aspects of advocacy for the nurse in the correctional setting.
  4. Needed aspects of care for a predominantly female inmate population.

9) The correctional facility nurse is planning diversion actions for individuals with mental illness. What needs to be created to support diversion for this population? (Select all that apply.)

  1. Specialized mental health courts.
  2. Crisis intervention team policing.
  3. Increased frequency of medical evaluations.
  4. Ongoing assessment of mental health problem.
  5. Scheduled times for medication administration.

10) Screening activities in a correctional facility can include screening for: (Select all that apply.)

  1. Communicable diseases.
  2. Treatment motivation.
  3. Chronic conditions.
  4. Diagnostic services.
  5. Emergency care.

11) Diagnosis and treatment in a correctional setting can pose a challenge to the nurse because treatment considerations such as medication distribution must be balanced with the institution’s security safeguards. Strategies to ensure success of medication administration include: (Select all that apply.)

  1. Directly observed therapy.
  2. Give the inmate a day’s worth of medication to self-administer.
  3. Place the inmate who will receive medication in the hospital wing of the facility.
  4. Combine or simplify medication regimens for fewer doses.
  5. Partner an inmate with another inmate receiving medication to ensure monitoring and compliance of medication administration.

12) As an inmate population ages, a consideration must be made for long-term care planning. One intervention for long-term care would be to:

  1. Arrange for Medicare coverage for the inmate.
  2. Have the inmate plan advance directives.
  3. Provide symptom control.
  4. Arrange for use of assistive devices as needed.

 

13) A health restoration intervention the nurse can implement at a correctional setting is advocacy for:

  1. Long-term care for inmates when discharged.
  2. Effective prerelease planning for all inmates.
  3. Medical parole and arrange for follow-up care.
  4. Use of advance directives when discharged.

14) Inmates can develop terminal illnesses while incarcerated and medical parole may not be indicated. Health restoration interventions for this population include:

  1. Assistance from a personal care attendant.
  2. Monitor for adverse effects of treatment.
  3. Provide emotional and spiritual support.
  4. Monitor treatment compliance.

 

15) The correctional nurse is meeting with county officials to review health promotion activities planned for a 150 person facility. Which activities should the nurse emphasize as being important for this population? (Select all that apply.)

  1. Ensuring adequate nutrition.
  2. Promoting stress reduction.
  3. Educating on self-care actions.
  4. Monitoring treatment compliance.
  5. Planning for adequate rest and exercise.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 25   Care of Clients in Disaster Settings

 

1) Earthquakes occur periodically on the West Coast, so residents in that area are encouraged to be prepared in the event of a large quake. What disaster characteristic does this best relate to?

  1. Frequency.
  2. Preventability.
  3. Imminence.
  4. Duration.

 

2) The population health nurse is preparing a presentation on the roles of the public health care system in preparing for a disaster. The best example of one of these roles would be to:

  1. Inspect shelters.
  2. Identify disaster risks.
  3. Assist in the prevention of injury.
  4. Coordinate the provision of emergency health care.

3) The community is conducting a planning session to identify potential disaster risks and to map potential disaster locations in the community. This period of planning and preparation is best described as the:

  1. Predisaster stage.
  2. Impact stage.
  3. Nondisaster stage.
  4. Recovery stage.

 

4) A family learns that there is a strong potential for a severe storm but does not go to the storm cellar. In which stage of a disaster is this family functioning?

  1. Nondisaster stage.
  2. Predisaster stage.
  3. Impact stage.
  4. Emergency stage.

5) The nurse is using a map to show a group of community members that several pockets of vulnerable populations are located in areas that are likely to be affected by flooding. This type of map is called a community:

  1. Resource map.
  2. Disaster map.
  3. Population map.
  4. Risk map.

 

6) The nurse is determining the extent of the damage caused by a huge tornado. The number of deaths and injuries caused by the tornado is included in the assessment. What type of assessment does this best describe?

  1. Predisaster assessment.
  2. Rapid postdisaster assessment.
  3. Postdisaster assessment.
  4. Disaster assessment.

7) The nurse was caring for a client who had a significant cardiac history. The client died from a myocardial infarction during a hurricane. This is an example of what type of disaster death?

  1. Direct.
  2. Indirect.
  3. Disaster-related natural.
  4. Coincidental.

 

8) The population health nurse is reviewing a community’s disaster plan. What should the nurse ensure is clearly identified for rescue operations?

  1. Documenting victims’ names and ages.
  2. Triaging victims as they are identified.
  3. Identifying where the victims were located.
  4. Removing victims from hazardous conditions.

9) The nurse is working with a group of elderly clients who were affected by the largest hurricane on record. The clients admit to many psychological responses, from confusion to hysteria. The nurse informs the group that the number of months it takes most people to psychologically recover from a disaster is:

  1. Two to three.
  2. Four to six.
  3. Six to eight.
  4. Six to twelve.

 

10) The population health nurse lives in an area that is at great risk for hurricanes. The nurse is advocating for stricter building codes and for barriers such as seawalls or dams. What type of planning is this nurse advocating?

  1. Health promotion.
  2. Injury prevention.
  3. Illness prevention.
  4. Advocacy.

11) A group of community leaders is meeting to plan for the upcoming hurricane season. The leader reminds the group that the general intent of disaster preparedness is to:

  1. Limit the morbidity and mortality that results from a disaster.
  2. Decrease the cost of the disaster to the community.
  3. Prepare the community for the impending effects.
  4. Increase public awareness of the potential for the disaster.

 

12) The population health nurse is reviewing a disaster response plan. For which principles should the nurse evaluate this plan? (Select all that apply.)

  1. Be written so specifically that they are not easily changed.
  2. Be based on knowledge about how people generally behave in emergency situations.
  3. Enlist the support and coordinate the efforts of the entire community.
  4. Account for primarily the physical health needs of victims and helpers.
  5. Be kept confidential until executed.

13) The community has brought in an expert on disaster planning to evaluate the community’s current disaster plan. For which characteristics should the expert evaluate the community’s plan?

(Select all that apply.)

  1. Notification.
  2. Warning.
  3. Control.
  4. Cost.
  5. Evacuation.

 

14) While triaging victims of a hurricane the population health nurse identifies the two victims who need green tags. What does this color designation communicate to all involved in the rescue operation?

  1. Local injuries without immediate systemic complications who can wait several hours for treatment.
  2. Life-threatening injuries but who can be stabilized and who have a probability of survival.
  3. Died.
  4. Systemic complications that are not yet life-threatening and who can wait 45 to 60 minutes for medical attention.

15) The nurse is working in a clinic that provides counseling for victims of a recent flood. Which type of care is the nurse providing?

  1. Health promotion.
  2. Illness prevention.
  3. Health restoration.
  4. Mental health care.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 26   Communicable Diseases

 

1) The student is preparing a poster for a presentation in a community health class. Which communicable disease on the poster should the student explain has been completely eradicated from the world?

  1. Poliomyelitis.
  2. Smallpox.
  3. Rubella.
  4. Tetanus.
  5. Mumps.

 

2) The population health nurse is working in a small rural community. For the last 12 months the community’s population has experienced outbreaks of various gastrointestinal diseases. For which type of disease should the nurse plan care?

  1. Epidemic.
  2. Endemic.
  3. Outbreak.
  4. Pandemic.

3) The population health nurse is making a graph to show some of the common diseases that are transmitted through sexual contact. The diseases that should be on the graph are:

  1. Chlamydia, hepatitis A, and human immunodeficiency virus.
  2. Gonorrhea, hepatitis C, and hepatitis A.
  3. Genital herpes, hepatitis B, and syphilis.
  4. Syphilis, haemophilus influenzae type B, and gonorrhea.

 

4) A client with an open wound was splashed with contaminated body fluid. The diseases the client is most at risk for developing include:

  1. All of the hepatitis diseases.
  2. HIV and only hepatitis C.
  3. Salmonellosis, typhoid, and HIV.
  4. HIV, and hepatitis B, C, and D.

 

5) A four year old child is seen in the emergency department for multiple tick bites over the abdomen and lower extremities. The child is most at risk for developing which communicable disease?

  1. Plague.
  2. Malaria.
  3. Rocky Mountain spotted fever.
  4. Rabies.

6) A client and the client’s caretaker are talking with the nurse in the community chronic disease clinic. The caretaker is complaining that the client is more difficult to care for and has altered behavior. The nurse suspects dementia. What disease does this scenario most likely describe?

  1. Tuberculosis.
  2. HIV/AIDS.
  3. Hepatitis C.
  4. Hepatitis A.

 

7) The population health nurse is working in a community that has significant problems with sanitation and disposal of both human and animal feces. Which communicable diseases is the community most at risk for developing?

  1. Hepatitis A, tetanus, and polio.
  2. Hepatitis A, botulism, and tuberculosis.
  3. Plague, malaria, and hepatitis E.
  4. Diphtheria, varicella, and tetanus.

8) The population health nurse is observing care being given by a health care provider in the community. What should the nurse recommend to reduce the risk of spreading communicable diseases?

  1. Wearing gloves when listening for lung sounds.
  2. Not recapping needles after providing an injection.
  3. Having the client wash hands before being examined.
  4. Wearing a mask while conducting the client interview.

 

9) The nurse is explaining the action of botulism, a disease in which the causative organism is ingested with contaminated food or water. Contamination usually occurs by accident through inadequate canning and preserving processes, but it also could occur as a result of:

  1. Preservatives used on the food.
  2. Environmental contamination.
  3. Bioterrorist activity.
  4. Insecticides used on crops.

10) The population health nurse came to work in the nursery after being sick for 24 hours with an elevated temperature and diarrhea. After working the 12-hour shift, several of the newborns showed the same symptoms. This best describes a(n):

  1. Communicable disease.
  2. Epidemic.
  3. Outbreak.
  4. Nosocomial infection.

11) The population health nurse is planning strategies to prevent communicable diseases in a community. On which areas should the nurse focus? (Select all that apply.)

  1. Postexposure prophylaxis.
  2. Immunizations.
  3. Screening.
  4. Surveillance.
  5. Monitoring.

12) The population health nurse is reviewing reporting requirements for communicable diseases. In which class should the nurse place the reporting of the common cold?

  1. Extremely urgent.
  2. Urgent.
  3. To be reported in the next cycle.
  4. Not to be reported.

13) The population health nurse is preparing information to present during a community health fair. What should the nurse include to reduce the susceptibility to communicable diseases in this population? (Select all that apply.)

  1. Maintain an adequate diet.
  2. Get plenty of rest and sleep.
  3. Be sure to exercise every day.
  4. Learn strategies to reduce stress.
  5. Isolate family members who are ill.

14) There is an epidemic of influenza in a small, rural community. The leaders of the community are so concerned about the epidemic that they canceled all planned public events. This is an example of:

  1. Social distancing.
  2. Quarantine.
  3. Isolation.
  4. Restricting.

 

15) A diabetic client is being screened for tuberculosis. The nurse administers the tuberculin skin test. Instructions related to the skin test should include:

  1. The client must return within 24 to 36 hours to have the test assessed.
  2. A positive reaction to the skin test is based upon redness around the injection site.
  3. An induration area of 15 mm or greater is significant in this client.
  4. An induration area of 10 mm or more is considered positive in this client.

16) The population health nurse is reviewing immunization records for a group of community members. For which clients should the nurse recommend an updated tetanus vaccination?

(Select all that apply.)

  1. Over the age of 65.
  2. Smokes 1 ppd of cigarettes.
  3. History of using injection drugs.
  4. Being treated for type 2 diabetes.
  5. Recovering from pacemaker insertion.

 

17) The population health nurse is following up on care provided to a client with a sexually transmitted disease. Which statement indicates that the client needs additional teaching?

  1. “I need to practice safe sex at all times.”
  2. “Once treated I will never contract gonorrhea again.”
  3. “Even after treatment I can contract the same disease.”
  4. “Having had mumps does not increase my risk of developing a sexually transmitted illness.”

========================================================================

 

Population and Community Health Nursing, 6e (Clark)

Chapter 27   Chronic Physical Health Problems

 

1) The student is preparing a presentation on common chronic diseases. Which definition should the student use for this presentation?

  1. A condition that persists over a period of time that cannot be cured but can be controlled.
  2. Problems in body function and structure such as significant deviation or loss.
  3. A multidimensional phenomenon that results from the interaction between people and their physical and social environment.
  4. Problems an individual may experience in life situations.

 

2) The population health nurse is preparing a class about pain. The percentage the nurse cites for how many adults in the United States experience daily pain is:

  1. 27%.
  2. 43%.
  3. 55%.
  4. 63%.

3) The population health nurse is planning a program focusing on the societal effects of chronic kidney disease. The community members with which health problems should the nurse encourage attending this program? (Select all that apply.)

  1. 64 year old male client with hypertension.
  2. 17 year old male client being treated for asthma.
  3. 78 year old female client diagnosed with osteoporosis.
  4. 58 year old female client with type 2 diabetes mellitus.
  5. 34 year old male client recovering from testicular cancer.

 

4) The population health nurse is preparing a presentation about pediatric health care. Since most people believe that chronic health problems occur primarily among the elderly, the nurse should include which information in the presentation?

  1. In the United States, 8% of children experience some form of disability related to a variety of chronic conditions.
  2. Disabilities are rarely seen in the pediatric population.
  3. Diabetes is more common in the pediatric population than in the adult population.
  4. Young children are the only high-risk age group for epilepsy.

5) The population health nurse is preparing a community health program about women’s health care issues. Which statement should the nurse include in the program?

  1. Women have higher incidence rates for hypertension.
  2. Women are more likely than men to die of chronic liver disease.
  3. Women have a higher risk of death from stroke.
  4. Women have a higher risk for arthritis than men.

6) The population health nurse is reviewing factors that help to identify persons who may have an elevated chance of developing a specific condition, but do not contribute to its development. What information is the nurse reviewing?

  1. Tendencies.
  2. Risk markers.
  3. Predispositions.
  4. Familial.

7) The population health nurse is planning to work with the group that is most at-risk for hypertension. Which group is this?

  1. Hispanics.
  2. Caucasians.
  3. African Americans.
  4. Latinos.

8) The population health nurse is identifying individuals with chronic health problems. For which health problems should the nurse recommend disease management to resolve the health issue? (Select all that apply.)

  1. COPD.
  2. Asthma.
  3. Epilepsy.
  4. Diabetes.
  5. Cardiovascular disease.

9) The population health nurse is discussing the effects of obesity with a group of adolescents. Information the nurse should share with the group includes: (Select all that apply.)

  1. Obesity may exacerbate the effects of arthritis.
  2. Obesity can contribute to heart disease.
  3. Obesity is associated with increased disability among people with chronic illnesses.
  4. Obesity is decreasing among the younger population.
  5. Obesity decreases with age.

 

10) The population health nurse is reviewing the factors that contribute to chronic health problems with a group of community members. What should the nurse identify as the major factor?

  1. Depression.
  2. Anxiety.
  3. Stress.
  4. Social isolation.

11) The population health nurse is planning a month-long series related to healthy lifestyles. Some of the most relevant topics should include: (Select all that apply.)

  1. Diet.
  2. Exercise.
  3. Pharmacotherapy.
  4. End-of-life care.
  5. Coping skills.

 

12) The population health nurse is working in a clinic whose clientele has existing liver disease. The nurse knows that these clients need which immunization?

  1. Pneumococcal.
  2. Meningococcal.
  3. Varicella.
  4. Rubella.

13) The population health nurse is planning the care of a group of clients that addresses one of the three major foci of resolving existing chronic physical health problems. On what should the nurse focus this care?

  1. Assisting the clients to adjust to a chronic condition.
  2. Providing end-of-life care.
  3. Screening for existing chronic conditions.
  4. Monitoring health status.

 

 

14) A community member returns home after having spinal fusion surgery for spinal stenosis. What recommendation should the population health nurse make to help with this client’s health restoration?

  1. Focusing on weight management activities.
  2. Participating in rehabilitation to promote maximum physical functioning.
  3. Encouraging to have needed vaccinations during the next care provider visit.
  4. Requesting prescriptions from the care provider to ensure adequate pain management.

15) The population health nurse is working with a client who is recovering from a debilitating stroke. The nurse is encouraging the client to continue to feed himself and to continue taking care of his toileting needs. What is the most important reason that the nurse is encouraging the client?

  1. Because it was a physician’s order.
  2. To promote a positive self-image.
  3. To prevent joint involvement.
  4. To prevent depression.

 

16) The population health nurse has been working with a family caring for a client with dementia. Which action by a family member indicates that interventions to promote caregiver health restoration have been effective?

  1. Spouse drops membership in a civic organization.
  2. Spouse begins attending caregiver support group in the community.
  3. Spouse changes from full-time to part-time employment to provide more care at home.
  4. Family’s oldest son and daughter move and get an apartment several miles from home.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 28   Mental Health and Mental Illness

 

1) A student is teaching a class on the impact of mental health on the community. The student should include which of the following information in the presentation?

  1. An estimated 25% of the population of the United States will experience a diagnosable mental illness in any given year.
  2. The incidence of depression is expected to decrease within the next ten years.
  3. Mental illness is an increasing problem only in the more populated areas of the world.
  4. Post-traumatic stress disorder is the most common of the anxiety disorders.

 

2) The population health nurse is concerned that a client with depression is at risk for deterioration of chronic health problems. The nurse is basing this concern on the client’s:

  1. Inability or lack of motivation for effective self-care.
  2. Side effects of the mental health medications.
  3. Loss of cognitive function.
  4. Feelings of inadequacy.

3) The population health nurse is caring for a client newly diagnosed with schizophrenia. The client asks if his son is at risk for the same health problem. On what should the nurse base a response to this client?

  1. The client’s son does not have a greater risk of developing schizophrenia.
  2. Schizophrenia skips a generation so the client’s son will not have a greater risk of developing schizophrenia.
  3. The son has a 10% to 15% greater risk for developing schizophrenia.
  4. Only the client’s daughters have a greater risk for developing schizophrenia.

4) The population health nurse is concerned that a client is at risk for developing a mental health disorder. Which psychological risk factors did the nurse assess to make this clinical determination? (Select all that apply.)

  1. Ninth grade education.
  2. Short-tempered with staff.
  3. Critical of health care workers.
  4. Recently lost both parents to death.
  5. Employed as a food service worker.

5) The population health nurse is helping a client develop psychological flexibility. What actions should the nurse take to help this client? (Select all that apply.)

  1. Mindfulness.
  2. Develop coping skills.
  3. Support effective parenting.
  4. Attend programs outside of the home.
  5. Acceptance and commitment therapy.

6) A client in the postpartum clinic is complaining of tearfulness, mood swings, feelings of guilt, and inability to cope. The population health nurse suspects that the client is suffering from which condition?

  1. Substance abuse.
  2. Postpartum psychosis.
  3. Seasonal affective disorder.
  4. Postpartum depression.

 

7) A client is complaining of episodes of intense fear without any identifiable basis. During the episodes the client says he experiences shortness of breath and palpitations. The population health nurse should suspect that this client is experiencing which disorder?

  1. Panic disorder.
  2. Bipolar disorder.
  3. Schizophrenia.
  4. Borderline personality disorder.

8) A client has been diagnosed with bulimia nervosa. The signs and symptoms the population health nurse knows are most characteristic of this disease include:

  1. Intense fear of gaining weight.
  2. Uncontrollable eating followed by purging.
  3. Excessive overeating without compensatory purging.
  4. Not eating for days at a time.

 

9) A client is experiencing a high level of work-related stress. What should the population health nurse do to help this client? (Select all that apply.)

  1. Encourage job control.
  2. Promote noise reduction.
  3. Refer to job training services.
  4. Plan relaxation training programs in the workplace.
  5. Implement a stress reduction program at the worksite.

10) The population health nurse becomes aware of a client being stigmatized after receiving treatment for a mental illness. Which actions should the nurse take to help with this client’s health restoration? (Select all that apply.)

  1. Monitoring adherence to treatment.
  2. Assisting the client with treatment side effects.
  3. Discussing ways for the client to deal with the stigma.
  4. Contacting local lawmakers to support antidiscrimination laws.
  5. Conducting a community program on mental health and illness.

 

11) A client is taking second-generation antipsychotic medications for schizophrenia. The most appropriate teaching topic for this client is:

  1. Diet and physical activity.
  2. The need for regular blood work.
  3. The probability of hair loss.
  4. The need to take the medications on an empty stomach.

12) The population health nurse is working with a group of elderly clients who are being treated for major depression. The goals for this groups’ care should include: (Select all that apply.)

  1. Increase compliance with medications.
  2. Improve level of function.
  3. Improve quality of life.
  4. Reduce suicide risk.
  5. Improve appetite.

13) The population health nurse is reviewing a list of medications prescribed for a client with a mental illness. When reviewing this list the nurse should recall that most pharmacologic agents that are used in the treatment of mental disorders act by: (Select all that apply.)

  1. Increasing the action of neurotransmitters in the brain.
  2. Decreasing the action of neurotransmitters in the brain.
  3. Slowing activity in the beta cells.
  4. Decreasing metabolic activity.
  5. Decreasing protein binding.

 

14) A client with a mental health problem asks the purpose of attending psychotherapy sessions. The population health nurse’s response should include that the intent of psychotherapy is to:

  1. Control one’s behavior.
  2. Develop an understanding of one’s problems.
  3. Promote medication compliance.
  4. Promote normal behaviors.

15) The population health nurse is working with a client who has a chronic mental illness. Which goal should be the nurse’s priority?

  1. Assess for circumstances that may contribute to mental health difficulties.
  2. Maintain the client’s level of function and prevent frequent hospitalizations.
  3. Increase the client’s ability to deal with challenges.
  4. Assist the client to develop coping skills.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 29   Substance Abuse

 

1) The population health nurse is completing a history on a client who has been referred to a substance abuse clinic. Which client statements indicate a problem with abuse of a psychoactive substance? (Select all that apply.)

  1. “I do not have a job.”
  2. “I cannot get along with people at work.”
  3. “I have never had a positive drug test.”
  4. “I am not married.”
  5. “I have been arrested several times in the last two months.”

2) The population health nurse suspects that a client has psychoactive substance dependence. Which assessment made the nurse most suspicious?

  1. Decreased tolerance to the substance.
  2. Lack of the characteristic withdrawal symptoms.
  3. Decreased substance use to decrease withdrawal symptoms.
  4. Increased time spent recovering from the effects.

3) The community is conducting a series of forums about alcoholism. What information should the forums include?

  1. Alcohol use is the tenth leading cause of death in the United States.
  2. Ten percent of high school students engage in periodic heavy drinking.
  3. Almost 1% of the United States population reports binge drinking.
  4. Alcohol use contributes to 2.5 million deaths worldwide.

4) The population health nurse is teaching a class about substance abuse. A portion of the class discusses the desirable initial effects of some of the substances. Which substances should be cited as producing a euphoric initial effect? (Select all that apply.)

  1. Phencyclidine (PCP).
  2. Cocaine.
  3. Nicotine.
  4. Amphetamines.
  5. Inhalants.

5) While interviewing the spouse of a client who is being treated for substance abuse, the population health nurse suspects codependence exists between the client and the spouse. What characteristic of codependence did the nurse assess?

  1. Evidence of high self-esteem.
  2. The ability to freely express feelings.
  3. Control of others.
  4. The ability to stand up for one’s own desires.

 

6) The population health nurse suspects that a client is experiencing nicotine withdrawal. What manifestations did the nurse use to make this clinical decision? (Select all that apply.)

  1. Anxiety.
  2. Nervousness.
  3. Disorientation.
  4. Increased appetite.
  5. Sleep disturbances.

7) A mother is concerned that her son is demonstrating some behaviors that place him at risk for substance abuse. Which behavior should the population health nurse explain that contributes to problems of substance abuse?

  1. Conformity.
  2. Patience with failure.
  3. Easily acknowledging feelings.
  4. Tolerance of deviant behavior.

8) The population health nurse is planning approaches to help community students cope with substance use. Which approaches should the nurse use to meet this goal? (Select all that apply.)

  1. Teach a class on coping strategies.
  2. Control access to abusive substances.
  3. Educate students on substance use risks.
  4. Implement a program for effective coping skills.
  5. Discuss incorporating coping strategies into the school curriculum.

9) The nurse manager of a community health clinic is designing a process to implement brief interventions when assisting a client to resolve a substance abuse issue. Which components should the nurse include in this process? (Select all that apply.)

  1. Provide feedback.
  2. Providing options to reduce use.
  3. Importance of client responsibility.
  4. Use an authoritative counseling style.
  5. Focus on self-efficacy when setting goals.

10) A client is beginning treatment for alcohol abuse. The population health nurse should ensure that the client is instructed on which types of medications used for this treatment? (Select all that apply.)

  1. Disulfiram.
  2. Naltrexone.
  3. Acamprosate.
  4. Amitriptyline.
  5. Buprenorphine.

 

11) An adolescent who has been treated twice in the last three years for substance abuse has been warned by the court that further problems with the law will result in his incarceration. The population health nurse is trying to convince the client’s mother to have the adolescent admitted to a local rehabilitative program. Which substance abuse treatment principle is the nurse implementing?

  1. Multiple episodes of treatment may be necessary.
  2. Medications in conjunction with other behavioral therapies are important to treatment.
  3. No single treatment is appropriate for all individuals.
  4. Treatment does not need to be voluntary to be effective.

12) City council asks the population health nurse to assist with preventing the relapse of substance abuse by community members returning from rehabilitation. What actions should the nurse take to help these community members? (Select all that apply.)

  1. Create relapse prevention groups.
  2. Alert law officials that community members are being released.
  3. Work with community members to identify triggers for drug use.
  4. Meet with family members to discuss relapse prevention strategies.
  5. Encourage family members to participate in relapse prevention groups.

13) The population health nurse suspects that a community member was facilitated by the health care system to develop substance abuse. What information in the client’s history caused the nurse to make this determination?

  1. Attending classes to complete a GED.
  2. Cancelling routine physical examinations.
  3. Employed part time as a food service worker.
  4. Receiving prescriptions for opioids to treat back pain.

14) The population health nurse is working in a methadone clinic. What type of intervention does this best describe?

  1. Health promotion.
  2. Health restoration.
  3. Illness prevention.
  4. Pharmacological intervention therapy.

15) During an assessment the population health nurse learns that a client is using blue velvet. For which substance should the nurse plan care for this client?

  1. Codeine.
  2. Demerol.
  3. Opium.
  4. Cocaine.

 

Population and Community Health Nursing, 6e (Clark)

Chapter 30   Societal Violence

 

1) The population health nurse is discussing child abuse with a group of new elementary teachers. One of the teachers asks who is most likely to be the perpetrator of child abuse. What should the nurse respond?

  1. Strangers.
  2. Babysitters.
  3. Parents.
  4. Siblings.

 

2) During a physical assessment the population health nurse learns that a client is experiencing nightmares, anxiety, and is 20 lbs. below normal weight. The client casually mentions a suicide attempt but refuses to discuss her relationship with her spouse. Which issue should the nurse suspect is occurring with this client?

  1. Anorexia.
  2. Intimate partner violence.
  3. Substance abuse.
  4. Child abuse.

3) The community is conducting a series of panel discussions about suicide. Information that should be discussed includes:

  1. Ten million Americans attempt suicide at some point in their life.
  2. Suicide is the tenth leading cause of death in the United States.
  3. Suicide ideation is a rare occurrence in Americans
  4. Suicide is the top cause of death worldwide.

 

4) The population health nurse is working with a young adult female who admits to being severely abused as a child. The teaching that would be most appropriate initially is about:

  1. The results of risky sexual behavior.
  2. The possibility of her becoming a child abuser.
  3. General hygiene needs.
  4. General coping skills.

5) The population health nurse notes that a community has taken action to prevent suicides. What environmental change did the nurse observe to come to this conclusion?

  1. Sponsoring support groups in the school library.
  2. Separating recyclables from other forms of trash.
  3. Installing bridge barriers along bridge walkways.
  4. Posting the telephone number for a crisis support line.

 

6) The population health nurse is identifying strategies to reduce child abuse in a community. Which strategy supports a health promotion approach to this potential problem?

  1. Recommend locations for caregiver respite care.
  2. Hold a class to review appropriate forms of discipline.
  3. Provide a list of babysitters available in the community.
  4. Identify attorneys who represent domestic violence cases.

7) A client is concerned about abusing an elderly parent because of the violence he was subjected to as a child. What should the population health nurse recommend to prevent this client from committing elder abuse?

  1. Advise the client to suppress the feelings.
  2. Recommend that the client move to another city.
  3. Discuss the need to report the client to the authorities.
  4. Suggest that the client enroll the elderly parent in adult day care.

 

8) The most appropriate intervention when screening to identify persons at risk for violence is to:

  1. Report instances of violence.
  2. Refer these persons for counseling.
  3. Engage in case finding to teach others how to recognize signs of abuse or potential violence.
  4. Engage in political activity to advocate for adequate treatment facilities for persons at risk.

9) What should a population health approach to provide treatment for violent persons include?

  1. Advocate for availability of treatment services and facilities.
  2. Referral for necessary services.
  3. Educate the public about factors that contribute to the risk of violence.
  4. Remove victims of abuse to safe environments as needed.

 

10) Advocating for available shelter and other resources and having a safety plan addresses which health restoration goal?

  1. Provide treatment for victims of violence.
  2. Identify persons at risk for violence.
  3. Identify episodes of violence.
  4. Provide safe environments.

11) What should the population health nurse recommend to prevent suicide clusters and copycat murders in a community?

  1. Assist family members who are affected work through feelings of guilt and grief.
  2. Advocate for services to address victims and perpetrators of violence.
  3. Assist in developing community response plans to these events.
  4. Reduce the sources that contribute to suicide or homicide.

12) The population health nurse is assisting a community member with ways to reduce stress. What should the nurse recommend for this client? (Select all that apply.)

  1. Referral to sources of assistance.
  2. Develop or expand social support networks.
  3. Assist with employment and other social needs.
  4. Arrange for respite care as needed.
  5. Assist in developing a community response plan to stress.

13) How should providing care to families of homicide and suicide victims best be addressed on the population level?

  1. Assist family members to work through feelings of grief and guilt.
  2. Advocate for support services for families of victims.
  3. Referral to assistance with legal and other tasks as needed.
  4. Assist families to find positive ways to cope with loss.

 

14) An important consideration for the population health nurse to address societal violence is to:

  1. Assess for environmental factors that could lead to violence.
  2. Ask all female members of the community if they have been abused.
  3. Ensure that adolescent males in the community are aware of suicide risks.
  4. Advocate for gun control in the community.

15) The unemployment rate has increased in the community. The population health nurse should:

  1. Monitor whether more community members receive food assistance.
  2. Monitor whether more community residents receive health services at the local health clinic.
  3. Monitor for an increase in domestic violence and child abuse as frustrations rise over loss of income.
  4. Monitor for an increase in liquor sales in the community.