Analysis and Action for Community Health (HIN 269) - Finals Review

A. Depression

A nurse working for a large business has noticed after annual health screenings that among the young adult population, there are a high number of employees with high blood pressure and high cholesterol. Understanding how psychological factors affect overall health, the nurse should also screen for:
A. Depression.
B. Bi-polar disorder.
C. Anxiety disorder.
D. Schizophrenia.

D. Providing condoms to inmates who are sexually active.

A community health nurse must advocate for inmates in all determinants of health. An example of advocacy in the behavioral dimension would include:
A. Advocating for adequate living space for each inmate, even in crowded conditions.
B. Assuring that all inmates have access to appropriate counseling services.
C. Holding annual hypertension and vision screenings.
D. Providing condoms to inmates who are sexually active.

A. Meningococcal meningitis.
C. Influenza.
E. Chicken pox.

The nurse is explaining the transmission of communicable diseases by the airborne route. Which diseases would be included in this mode of transmission? (Select all that apply.)
A. Meningococcal meningitis.
B. Hepatitis A.
C. Influenza.
D. Hepatitis B.
E. Chicken pox.

A. Poor weight gain.
B. Asthma.
E. Lead poisoning

Homeless children pose a particular challenge to the community health nurse. Identify those conditions of particular concern for the child who is homeless. (Select all that apply.)
A. Poor weight gain.
B. Asthma.
C. Cancer.
D. Diabetes.
E. Lead poisoning

B. "Have you noticed anything different about the client's behavior lately?

A community health nurse is working in a walk-in clinic that serves a large number of HIV/AIDS clients. Understanding the psychological consequences of this chronic disease, what would be an appropriate assessment question for the caregivers of these clients?
A. "Do you attend a support group?"
B. "Have you noticed anything different about the client's behavior lately?"
C. "Does the client seem depressed?"
D. "Other than the physical symptoms you reported last visit, have there been any new problems that have developed?

C. Petition for a medical parole.

A population health nurse is working within a correctional facility and is caring for a client who has terminal cancer. As an advocate for this client, an appropriate activity for this nurse would be to:
A. Assist the administrative sector with arranging the funeral.
B. Provide for the release of the inmate and return to his family.
C. Petition for a medical parole.
D. Allow the inmate to make his own decisions in regard to where he spends his remaining days.

C. It is often overlooked and under treated.

A geriatric nurse specialist had been visiting a senior community center and would like to screen the clients for substance abuse. The nurse realizes this is an important intervention in the care of older clients because:
A. Most primary care providers for older adults are able to handle this type of care in their clinics.
B. Substance abuse is not a problem in this age group.
C. It is often overlooked and under treated.
D. There are several community resources available for older clients who are substance abusers and the sooner it is detected the better for the client.

A. Consistency
C. Strength of association.
E. Temporal relationship.

The nurse working in the emergency department notices that every patient admitted this evening with nausea and vomiting ate at the local county fair. Which criteria for causality has the nurse identified? (Select all that apply.)
A. Consistency
B. Specificity
C. Strength of association.
D. Coherence
E. Temporal relationship.

D. "Smallpox disease has been eliminated from the world and could only be reintroduced by bioterrorism.

Parents who want to have their child immunized against smallpox approach a community health nurse. What is the best response by the nurse to these parents?
A. "You should be concerned that your child has their scheduled immunizations."
B. "I'll see what I can do to get your child the immunization."
C. "You'll have to ask your doctor to order this for you."
D. "Smallpox disease has been eliminated from the world and could only be reintroduced by bioterrorism.

D. Health promotion.

A nurse is working with a group of high achieving students who come from difficult home situations. The nurse has implemented an after-school program where the students have contact with positive community mentors. This is an example of:
A. Restoration.
B. Revitalization.
C. Resolution.
D. Health promotion.

D. Physical neglect

A school health nurse is working with a child who does not have warm clothes or shoes suitable for cold weather. When the parents are contacted about the situation, they state that the child's clothing is adequate. The nurse reports this situation to social services as:
A. Emotional neglect
B. Physical abuse
C. Psychological abuse
D. Physical neglect

D. As a mortality ratio.

A nurse reads that in a given community deaths from cardiovascular disease occur at a rate of 8 per 1000. How does the nurse describe this information?
A. As a case -adjusted occurrence ratio.
B. As a morbidity ratio.
C. As an absolute risk ratio.
D. As a mortality ratio.

B. The total number of people with influenza at a particular time increases in the winter.

The nurse understands that the prevalence of influenza increases in the winter. How does the nurse interpret this information?
A. There are an increase in the number of influenza in the winter
B. The relative risk of contracting influenza increases in the winter.
C. The total number of people with influenza at a particular time increases in the winter.
D. The number of people who are likely to be hospitalized with influenza increases in the winter.

D. "Do you have a place to sleep tonight?

A community health nurse is interviewing a teenage, homeless client. Which assessment question is of highest priority?
A. "When did you last see a doctor?"
B. "Do you have any allergies?"
C. "Are you taking any medication?"
D. "Do you have a place to sleep tonight?

A. Stroke
D. Heart disease
E. Breast cancer
Notes:
Heart disease
Correct: Hormone therapy may increase risk of heart disease.
Stroke
Correct: Hormone therapy may increase risk of stroke.
Breast cancer
Correct: Hormone therapy may increase risk of breast c

The population nurse is working with an individual who is taking hormone therapy as part of the gender recognition surgery. The nurse would teach the client to increase monitoring for which health problem? (SELECT ALL THAT APPLY)
A. Stroke
B. Sexually transmitted infection
C. Urinary tract infection
D. Heart disease
E. Breast cancer

B. "Parenteral attachment to the child is the primary factor in successful parenting.

A couple who are gay have adopted a child. The child's new grandfather says, "I'm worried about effects of their relationship on my grandchild." How should the population health nurse respond?
A. "Abuse potential is higher among same sex couples."
B. "Parenteral attachment to the child is the primary factor in successful parenting."
C. "The child will be adversely affected."
D. "The child will be more likely to be gay as an adult.

B. "...do not need to be screened for STDs

A nurse is working with a lesbian client. Which statement by the client would indicate a need for further teaching? "Because I am in a homosexual relationship, I ...
A. "...will get a mammogram every two years."
B. "...do not need to be screened for STDs"
C. "... should notify my partner(s) if I test positive for any sexually transmitted
disease."
D. "...will need to be screened for cervical cancer.

A. Cognition and memory.

A nurse is employed by a manufacturing company, and a large number of the employees are machinists. Understanding the risk associated with this particular group, the nurse will be sure to perform annual screens that focus on:
A. Cognition and memory.
B. Vision.
C. Hypertension
D. Skin problems

D. States they like the way they felt after one experimental episode. (search the book to clarify?)

A school nurse is taking a survey of high school students and their out-of-school activities. Of the following, which student is most at risk to abuse psychoactive substances? The student who:
A. Has a history of drug abuse in the family.
B. Is a high achiever abd frequebtly feels stress from having too much homework.
C. Is a loner and doesn't have many friends.
D. States they like the way they felt after one experimental episode.

B. "This action could increase public safety.

A population health nurse is lobbying legislators to create safe injections facilities (SFI) in the state. Which statement, made be a legislator, indicates additional education is required?
A. "I didn't think we should provide drugs to abusers."
B. "This action could increase public safety."
C. "we can save money on overdose treatment."
D. "These SFIs may increase the number of abusers who seek help in our drug treatment facilities.

D. They employ less than 10 people.

A community health nurse is working where there is a group of 5 migrant workers employed at various small hog farms in the surrounding area. The nurse has seen a fair number of these workers as they come to the office with asthma-like symptoms. The nurse understands that there is little legislative support for environmental controls since most of these employees do not have to worry about regulatory agencies such as OSHA because.
A. The employees do not have insurance.
B. State and federal laws regulate these types of agricultural facilities.
C. Regulatory agencies are not involved in agriculture.
D. They employ less than 10 people.

C. Provide ear protection.

A nurse is providing health care to employees in a large sheet-metal factory. After providing service on body mechanics and prevention of musculoskeletal injuries, the nurse should next be sure that employees are:
A. Provided information about stress reduction.
B. Screened annually for hypertension.
C. Provide ear protection.
D. Aware of mental health services within the community

C. Reduce the number of births directly related to prematurity.

The nurse is working with a group tasked to reduce the case fatality rate for premature birth in a given geographic locale. What is this group working to do?
A. Reduce the number of premature births.
B. Reduce the likelihood that an individual premature birth will occur.
C. Reduce the number of births directly related to prematurity.
D. Reduce the likelihood that an individual premature infant will die.

B. Questioning the inmates about symptoms such as night sweats and chronic cough.

A community health nurse is responsible for a county jail that houses incarcerated men and women in transit to the state penitentiary. As part of the plan to control communicable diseases, it would be important for the nurse to make sure which action is implemented as standard for inmates?
A. Providing yearly chest x-rays as a means of TB screening.
B. Questioning the inmates about symptoms such as night sweats and chronic cough.
C. Doing a routine CBC.
D. Providing yearly Mantoux testing.

B. Refer the client to a support group.(NOT SURE OF ANSWER)
C. Assess the client's background for causality of the abuse.

A client of a clinic is a substance abuser. Once the nurse has identified this being the case, the nurse should:
A. Educate the client regarding the effects of substance abuse.
B. Refer the client to a support group.
C. Assess the client's background for causality of the abuse.
D. Refer the client for in-patient substance withdrawal.

D. Clearly define what the infection is.

The nurse is part of a task force working on the epidemiology of an outbreak of E.coli infections. What is the first step in this work?
A. Identifying the signs and symptoms of infection.
B. Determining what will control the outbreak.
C. Evaluating the effects of previous control strategies.
D. Clearly define what the infection is.

B. "How many parents in this room were spanked as children?"
C. "How many people are victims of abuse?"(NOT SURE ANS.).

A nurse has been working with groups of parents from families who are either victims of abuse or are abusers themselves. The nurse asks which priority question to identify potential stressors that increase the risk of family violence?
A. "What kinds of activities do you engage in when there is a crisis in your family?"
B. "How many parents in this room were spanked as children?"
C. "How many people are victims of abuse?"
D. "Do your children create tension for you when you are home?

C. Document the situation, including education regarding consequences, and then have the inmate sign the entry.(?????).

An inmate has refused all diabetes medication. The nurse should:
A. Call for extra help and force the inmate to take the medication since nursing in correctional facility provides for that type of action.
B. Get the administrator to give the order to force the inmate to take their medication.
C. Document the situation, including education regarding consequences, and then have the inmate sign the entry.
D. Transfer the inmate to an in-patient facility so treatment could continue.

C. Provide healthier options such as fruit in vending machines.

A nurse is working is a correctional facility with a high number of type 2 diabetics. Understanding the difficulty in controlling their diet, the nurse advocates for which action?
A. Make sure diabetic inmates have regular access to health care via the nurse's office.
B. Allow inmates with diabetes more time in the exercise yard.
C. Provide healthier options such as fruit in vending machines.
D. Allow diabetic inmates to select their menus on a daily basis.

D. Access to affordable health care.

A community health nurse is working in a clinic that serves a large number of homeless clients. Of the following, which would not meet one of the 11 principles of the WHO document: Health Principles of Housing? The nurse helps assure that all clients have/are:
A. Access to safe drinking water.
B. Protected against chronic disease.
C. Provided information on stress reduction.
D. Access to affordable health care.

D. Most adoption agencies will accept applications from GLBT persons. (NOT SURE?)

A couple who are lesbian would like to adopt a child. Which information will the population health nurse provide?
A. Sexual orientation is not a significant factor in adoption.
B. This adoption will be prohibited by State law in all states.
C. This adoption will be prohibited by Federal law.
D. Most adoption agencies will accept applications from GLBT persons.

D. Restoration.

A community health nurse has set up evening workshops on money management and budget strategies focused on homeless individuals who have now obtained employment. What level of prevention does this represent?
A. Primary.
B. Resolution.
C. Promotion.
D. Restoration.

B. Misses school frequently because of physical problems.

A school nurse must always be on guard to identify children who are being abused. The nurse identifies which child is at the greatest risk potential for abuse? The child who:
A. Has difficulty with attention deficit disorder and has parents who are high achievers.
B. Misses school frequently because of physical problems.
C. Lives with grandparents.
D. Is hearing impaired and lives with his 17-year-old mother.

A. A teenage runaway.

A community health nurse is surveying clients from a free clinic. Which client is at greatest risk to contract HIV?
A. A teenage runaway.
B. An elderly female.
C. An elderly male.
D. A middle-aged male.

A. Developmental assessment

A public health nurse is working with a client who was an alcohol abuser throughout her pregnancy. Which action would be most appropriate throughout the next years for the child even though at birth, their were no adverse effects of the substance abuse?
A. Developmental assessment
B. Screening for liver disease.
C. Physical assessment.
D. Since the baby had no problems at birth, no follow-up would be necessary.

D. Mandate that employees under age 25 attend quarterly safety in-services.

An occupational health nurse is reviewing the statistics of the previous month's injuries among employees. Addressing the needs of all workers, but understanding the statistics of workplace injuries the nurse should:
A. Provide suggestions to enhance the creativity of older workers, which will help their overall safety habits.
B. Make older workers have a safer environment, as they are more prone to accidents.
C. Focus attention on workplace safety on the middle-aged worker.
D. Mandate that employees under age 25 attend quarterly safety in-services.

B. "Give this medicine to your partner.

A state health department has adopted "expedited partner therapy" in the treatment of sexually transmitted infections. Which direction would the nurse provide a client having this therapy?
A. "A nurse from the health department will schedule a time for your sexual contacts to be examined."
B. "Give this medicine to your partner."
C. "Computers will be used to track down the list of sexual contacts you have provided."
D. "Your partner will be seen immediately upon arrival at the health department and will not need to wait.

A. The majority of the client's social contacts and family are unaware that he is gay.

A client who is gay tells the nurse that he has disclosed his sexual preference to a few close friends, but has not come out. How does the nurse interpret this statement?
A. The majority of the client's social contacts and family are unaware that he is gay.
B. This client is confused as to the appropriate terms used for telling others
C. Once you have disclosed, coming out is inevitable.
D. Only the client's friends know that he is gay; his family does not.

D. "What kinds of games do you play with your mother or father?" (Not sure if this is correct).

A nurse suspects that a child is being sexually abused. Using understanding about sexual abuse, and wanting to investigate his own intuition into the matter, the nurse asks the child:
A. "Why don't you tell me exactly what goes on in your house?"
B. "Do you love your parents?"
C. "Does your mother or father hurt you?"
D. "What kinds of games do you play with your mother or father?

A. Malaise.
C. Fatigue.
E. Nausea.

For several months, a community health nurse has provided care for a client who was exposed to viral hepatitis. The nurse suspects the client is in the prodromal period of the disease because the client is experiencing the following symptoms: (Select all that apply.)
A. Malaise.
B. Has a yellowish coloration to their skin.
C. Fatigue.
D. Has noticeable enlargement of the liver.
E. Nausea.

Lillian Wald

A home health agency adapted the mission to care for the sick in their homes and provide education, but only secondary to care. This is most like the philosophy of which historical figure?
a. Lillian Wald
b. Dorothea Dix
c. Margaret Sanger
d. Clara Barton

b. Ladies' Benevolent Society

In a review of the beginnings of home health nursing, which group is recognized as the first to provide care in this setting? a. The Lying-in Charity for Attending Indigent Women in Their Homes b. Ladies' Benevolent Society c. The Act for Relief of Sick and Disabled Seamen d. The Massachusetts Sanitary Commission

A. Avoid the "warning" language. D. Use the word "no" frequently so your baby learns what it means. (Not sure about the correct answer.)

Which information should the nurse provide when discussing discipline with the parents of a two-year-old? A. Avoid the "warning" language. D. Use the word "no" frequently so your baby learns what it means.

a. An RN with a baccalaureate degree

A school system is interviewing candidates for the position of the school nurse. Of the following, which candidate would be the most likely selection for the position? The candidate who is: a. An RN with a baccalaureate degree
b. An LPN
c. Any RN
d. A pediatric nurse practitioner

c. Handled in the same manner as if the client were in a clinical setting.

A home health nurse is working with a client who has several open wounds. Soiled bandages from dressing changes, and equipment used for this client should be:
a. Disposed of in the same manner as the client's garbage.
b. Brought to the local landfill so as not to mix with the client's regular waste.
c. Handled in the same manner as if the client were in a clinical setting.
d. Handled as regular garbage, but marked as "Hazardous Waste.

B. Encourage the women to participate in weight bearing activities

A community health nurse identifies an increase in the occurrence of osteoporosis-related fractures in women experiencing menopause. Which of the following primary prevention strategies should the nurse implement?
A. Advise the women to keep their immunizations updated
B. Encourage the women to participate in weight bearing activities
C. Educate the women about the importance of limiting sun exposure
D. Instruct at risk women to increase their intake of foods high in vitamin E