Community Nursing Final Exam

Home

After teaching a group of nursing students about the similarities and differences between public health and community health which of the following statements by a nursing student would indicate knowledge of the similarities and differences between public

Community health nursing can shape the quality of community health services and improve the health of the general public.

Which of the following statements would best describe the difference between public health nursing and community health nursing?

In our textbook, the term community health practice refers to a focus on specific,
designated communities and is a part of the larger public health effort.

Which of the following is most accurate about the concept of community?

A community is a collection of people who share some important features of their
lives.

A group of students are reviewing material for a test on populations, communities, and aggregates. Which of the following indicates that the students understand these concepts?

Communities and populations are types of aggregates.

Which of the following would a community health nurse identify as a community of common interest?

National professional organization

The nurse is working with a community of solution. Which of the following would the nurse expect to find?

A health problem affecting the group

Which one of the following statements made by a student would the nurse educator recognize as evidence that a student understands the health continuum?

Illness refers to a state of being relatively unhealthy.

When discussing the concept of the health continuum with a class, the nurse educator would be certain to include which statement in the description?

Wellness is a relative concept, not an absolute, and illness is a state of being
relatively unhealthy.

After discussing the leading health indicators with a class, which condition if stated by the class as one of these indicators suggests that the class has understood the information?

Mental health

Which of the following statements about health promotion and disease prevention is the most accurate?

Disease prevention differs from health promotion in that disease prevention is targeted toward a specific disease or diseases.

A group of community health nursing students design a health education program for a group of pregnant teens that includes teaching nutrition during pregnancy, demonstrating helpful exercises, and discussing their concerns. This is an example of which of

Health promotion

The community health nurse is developing a plan of primary prevention activities. Which of the following might the nurse include? Select all that apply.

-Teaching about safe-sex practices to high school students.
-Encouraging older adults to install safety devices in the bathroom.
-Providing regular immunization programs for communicable diseases.

A community health nurse is preparing a presentation for a group of nursing students about community health nursing. Which of the following descriptions about community health nursing would the nurse most likely include in the presentation?

Working with the client as an equal partner

A community health nurse is working with other members of a team that will be implementing a citywide immunization program. The nurse is coordinating the services and addressing the needs of the population groups to ensure which of the following?

Continuity of service

A community health nurse works to ensure the greatest good for the greatest number of people by applying which of the following?

Utilitarianism

When working in the community, the community health nurse adopts the teaching plan to ensure that the population understands the basic information provided to address which of the following?

C) Health literacy

Which of the following would be crucial for the community health nurse to address as the priority when dealing with policy makers about the development of community health programs?

Research-based best practices

After a class that described the differences between acute care nursing and community health nursing, which statement by the class about community health nurses indicates successful teaching?

Seek out potential health problems.

Which of the following activities would be associated with a community health nurse? Select all that apply.

-Examining infants in a city well-baby clinic.
-Caring for elderly stroke victims in their homes.
-Carrying out epidemiologic research.
-Participating in health policy analysis.

The term health can be described in many different ways. A community health nurse would view health as which of the following?

A holistic state of well-being

While interviewing a client, which of the following statements would a nurse identify as reflecting an objective dimension of health?

I'm able to wash myself in the mornings with just a bit of help.

When employing a population-oriented focus, the community health nurse would do which of the following?

Assess the groups' relationships looking for a common need.

A community health nurse is involved in a project to evaluate the health of a city. Which of the following findings would suggest that the city would most likely need additional programs?

Approximately one third of the people are recently unemployed due to closure of the automotive factory.

A group of students are reviewing the various historical events associated with the evolution of community health nursing in preparation for a test. They identify the time from 1970 to the present as the era known as community health nursing based on the

The settings and the nurses delivering health care in the community

Before the mid-1800s, early home care nursing was best recognized by which of the following?

Care provided by family members, friends, and religious groups in the home

Community health nursing has a long history of contributing to the health of populations. Which of the following forms of service would the nurse identify as being most recent?

Focus on populations with community health nursing seen as a specialty field

Which factor was the most significant feature associated with district nursing?

Teaching hygiene and cleanliness

In their early stages, district nursing was sponsored by which of the following?

Religious organizations

Which of the following would characterize the public health stage of community health nursing?

Family considered as the primary unit of care

At which time did the focus of district nursing broadened to include the health and welfare of the general public?

Beginning of 20th century

A student is planning a presentation about the evolution of public health nursing. As part of the presentation, the student would identify which person as being the first one to use the term "public health nursing"?

Lillian Wald

Which of the following are important contributions made by Lillian Wald to the profession of public health nursing? Select all that apply.

-Demonstrating the effectiveness of placing school nurses in public schools to reduce absenteeism and improve follow-up of problems identified in school children
-Convincing the Metropolitan Life Company that nurse intervention could reduce death rates
-F

After a class discussion about the contributions of Lillian Wald to the advancement of community health nursing, which of the following if stated by the class indicates that the discussion was effective?

Establishment of family-centered nursing and outreach services in New York City at the turn of the 20th century

A group of nursing students are studying for an examination on influential nursing leaders involved in the advancement of community health nursing. The students demonstrate that they are prepared for the examination when they identify which person as the

Frances Root

Which of the following nurses openly defied a law that she saw as unjust and eventually resulted in the formation of The International Planned Parenthood Federation?

C) Margaret Sanger

The community health nurse is preparing a presentation for a group of nursing students about the societal influences on the development of community health nursing. Which factors should the nurse include that have influenced the growth of community health

-Advances in the technology
-Consumer demand for quality services coupled with community health nurses
-provision of holistic care

Which of the following actions by the community health nurse exemplifies the societal influence of causality on the practice of community health nursing?

Identifying multiple factors associated with promoting wellness

A community health nurse who is teaching a group of nursing students about the various societal influences on community health nursing is explaining the effects of the consumer movement. Which of the following student responses would lead the community he

Consumers are demanding more coordinated comprehensive care.

Which of the following most accurately reflects the response of community health nursing to economic forces?

Development of new services for generating revenue

A prospective nursing student is interested in working in community health nursing after graduation. Which type of education would be most appropriate for this student to choose?

Baccalaureate degree

A community health nurse desires to attain a tenure-track position at a local university to teach community health nursing. Which of the following would this nurse need?

Doctoral degree

A community health nurse is engaging in assurance activities. Which of the following would best explain these activities?

Being involved in activities to make certain that necessary services are being
provided to the community

When fulfilling the function of assessment, which of the following would be most important for the community health nurse to do?

Secure the trust of the clients

The community health nurse is engaging in the core function of policy development. With which of the activities would the nurse most likely be involved?

Empowering communities about important health issues

. A community health nurse is collaborating with local community leaders to prepare a community disaster plan. Which function is the nurse fulfilling?

Assurance

A community health nurse has collected data for several months on the birth weights of newborns to mothers who smoked throughout their pregnancy. This nurse is acting in which role?

Researcher

A nurse in community health nursing setting works with police officers, social workers, health educators, and other nurses to promote the health of clients. The nurse is acting in which role?

Collaborator

A community health nurse is interviewing for employment. The interviewer describes some of the typical activities that the nurse would be involved in, such as making home visits to families, holding immunization clinics for infants and children, and setti

Clinician

A community health nurse is reviewing his or her schedule for the day. Included in his or her activities are planning client care, leading a staff conference, and supervising a new staff member. This nurse is fulfilling which role?

Manager

While providing care to a family at a local center, the community health nurse contacts the local department of social services to help the family attain assistance with health insurance coverage. The nurse also gives the family a list of pharmacies where

Advocate

Which of the following best exemplifies the attributes of a community health nurse in the researcher role?

Evaluating the correlation between variables in specific health conditions

Which of the following statements about the role of educator within the framework of public health nursing functions is true?

The educator role has the potential for finding greater receptivity and providing higher-yield results.

Which of the following statements about the importance of the role of collaborator is true?

Successful community health practice depends on multidisciplinary collegiality and leadership

Which of the following statements about the community health nurse's selection and practice of each role is true?

The knowledge that vulnerable populations need someone to guide them through the complexities of the health care system and the nurse can serve as an advocate for them

A community health nurse is involved in education, screening, referral, and support for the individuals of a specific religious congregation. The nurse is practicing in which setting?

Faith community nursing

Which of the following differentiates the home setting for community health nursing from other settings?

The client is viewed within his or her environment.

After teaching a group of students about the various settings for community health nursing, the instructor determines that this teaching was successful when the students identify which of the following as an example of ambulatory service setting?

Family planning clinic

After teaching a group of students about the changing roles of the community health nurse in the occupational setting, the instructor determines that the students need additional teaching when they state which of the following?

There is a greater emphasis on the occupational health nurse's role as a clinician.

A community health nurse is working as a lobbyist for health legislation for AIDS research at the state capital. This nurse is practicing in which setting?

Community at large

Which of the following is included in the most accurate description of school nursing?

The practice of school nurses is widening.

A community health nurse is assuming the role of a manager. Which function would be most important for the nurse to address first?

Planning

A nursing student is interviewing a community health nurse about the various roles the nurse assumes and the skills and behaviors necessary to perform each role. Which of the following would the community health nurse identify as being essential to the ro

-Assertiveness
-Ability to negotiate
-Risk taking

A community health nurse works in a busy community health nursing practice. Today, the nurse is devoting the day to the educator role. With which of the following activities would the nurse be involved? Select all that apply.

-Working on a new curriculum for high-risk teens
-Ordering pamphlets over the Internet to be used in a parenting class

A community health nurse is devoting the day to being a manager. Which activities would the nurse expect to perform? Which of the following activities are part of this role? Select all that apply.

-Orienting three new community health nurses in the agency
-Attending a strategy meeting for a new service the community will be offering
-Reviewing the staff evaluations to assist with planning future in-services

Of all the nursing roles assumed by community health nurses, which role must be assumed in every situation?

Manager

Which of the following are core values of professional behavior that are unique to public health nursing? Select all that apply.

-Community/ population as client
-Prevention
-Partnership
-Healthy environment
-Diversity

After a class on important historical influences on community health care, the students are asked to describe the impact of the Shattuck Report. Which response indicates that the students have understood the information?

It emphasized sanitary progress forming the basis for current public health
practice.

Over the past century, many health-related changes have occurred affecting morbidity and mortality. As community health nurses assess and plan for services in the community, an understanding of which of the following changes would the nurses need to integ

-High levels of chronic disease
-Increased teen pregnancies
-Abuse of multiple substances
-Multidrug-resistant diseases

During a presentation at a local health department, a community health nurse discusses how society has changed over the past 100 years and the influence that these changes have had on the community's health care needs. Which of the following would the nur

widespread violence

When seeking employment, a community health nurse decides to focus the search on official health care agencies, based on the understanding that these agencies are

tax supported.

After describing the Public Health Service to a group of students, which description would indicate the need for additional discussion?

-The Secretary of Health and Human Services is an elected position.

A community health nurse is engaged in provision of care to clients in a clinic setting at the local health department. This nurse is engaging in which core public health function?

Assurance

Which of the following statements about the core public health functions are true?

Public health nurses practice as partners with other public health professionals
within these core functions.

Which one of the following groups of actions fulfills the three core public health functions in their proper order?

Counting the number of kindergarten students who are fully immunized,
encouraging the school officials to exclude children who are not fully immunized,
and offering immunization clinics at the school

A community health nurse primarily works with mothers and their high-risk children, often referring them to various voluntary agencies for services. Which of the following would be examples of voluntary health agencies? Select all that apply.

- American Diabetes Association
-National Society for Autistic Children
-Planned Parenthood Federation of America

Which of the following most well describes a public health care agency?

The agency is responsible for promoting and protecting the health of all within
their jurisdiction.

Which of the following statements best describes the difference between the function of public sector health care agencies and private sector health care agencies?

Public sector health care agencies usually meet the needs of people with special
needs.

Which of the following statements best describes the difference between the function of public sector health care agencies and private sector health care agencies?

Private sector health care agencies are more likely to promote health legislation.

Which of the following statements about the international health organization is most accurate?

UNICEF promotes child and maternal health and welfare globally.

An instructor is preparing a class presentation on landmark health legislation. Which of the following would the instructor include as the most significant legislation that attempts to ensure access to health care for Americans?

Patient Protection and Affordable Care Act

A group of students are preparing for an examination on the various events serving as landmarks for health care legislation. The students demonstrate understanding of these events by identifying which of the following statements about particular landmark

-The Occupational Safety and Health Act provided protection to workers against personal injury or illness resulting from hazardous working conditions.
-The Social Security Act Amendments of 1965 addressed a concern for some
version of national health insu

A community health nurse working at the local level is attending an in-service program about health care economics. The nurse asks the presenter, "Why do I need to know this information? My focus is my clients." Which response by the presenter would be mo

This knowledge is important to the success of your practice and for the agency's survival.

When discussing the economics of health care with colleagues, the community health nurse addresses macroeconomic theory. Which of the following would the nurse include?

Aggregate perspective of economic stability

As part of a community wide education program, a community health nurse is developing a teaching plan about Medicare. Which of the following would the nurse include in the plan? Select all that apply.

-Medicare Part A covers medically necessary hospitalization, home care, hospice services, and limited-skilled nursing services.
- Medicare Part D covers prescription drug costs.

After teaching a community group about the Medicaid program, which of the following would indicate to the nurse that additional teaching is necessary?

Medicaid has a monthly fee that recipients must pay.

Which of the following would the community health nurse identify as a drawback to retrospective reimbursement?

Services for sickness were encouraged rather than wellness.

Which of the following statements about trends and issues influencing health care economics and community health services delivery are true? Select all that apply.

- One explanation for the high cost of US Health Care System is the need to
practice defensive medicine by ordering excessive tests and x-rays.
- In the United States, the health-related quality of life is lower than for most other
countries.
- The United

Which of the following statements about Health Care Rationing is most accurate?

A danger of rationing is compromising quality and effectiveness.

When describing managed competition as a potential solution to resolve the health care crisis, which of the following would be included? Managed competition would

promote cost containment and universal access to health care

Which statement regarding the potential impact of health care reform on community health nursing is most accurate?

Public health nurses can lead the effort in making health care more accessible to all citizens.

An instructor is discussing the worldwide distribution of AIDS. Which term would the instructor use to describe this situation?

Pandemic

After a class describing the contributions of Florence Nightingale to epidemiology, the instructor determines that the class needs additional instruction when they state which of the following is associated with Nightingale?

A sophisticated coding system for medical conditions

When applying the epidemiologic triad model to a community's plan of care, which of the following would the community health nurse address?

Host, agent, and environment

Which of the following would the community health nurse identify as a key component of the host?

Inherent resistance

Which of the following statements apply to the concept of causality? Select all that apply.

-Causality is the relationship between cause and effect.
-The web of causation theory is the most recent theory of causality.
-Epidemiology has changed its view of causality over time.

A community health nurse is explaining the chain of causation to a family that includes a child who has developed Lyme disease. The nurse correctly describes the opening in the child's skin caused by the actual tick bite as the

portal of entry.

A community health nurse is integrating the epidemiology of wellness into practice. Which of the following would the nurse include?

Lifestyle with its self-created risks

The nurse is examining the possibility that multiple factors are involved in the development of a disorder. The nurse is applying which of the following?

Web of causation

The nurse is reviewing a research article that describes the use of the bacille Calmette-Guerin (BCG) vaccine to prevent tuberculosis that was given to individuals who were exposed to leprosy. The individuals did not develop the leprosy. The nurse interpr

Cross-immunity

The nurse educator knows that a nursing student understands the basics of immunity when the student nurse states

active immunity can be attained via the use of vaccines.

When assessing several populations, the nurse notes each population's relative risk. Using the relative risk ratios below, which population would require a major emphasis for risk reduction intervention?

2.45

Which of the following statements about risk is true? Select all that apply.

-Risk is the probability that a disease or unfavorable health condition will develop.
-Risk refers to positive and negative influences on a person's likelihood of
developing a specific disease.
- Risk can be measured using the relative risk ratio, which i

While visiting a family's home, the community health nurse finds out that the two children in the home were exposed to chickenpox. Assessment of the children reveals no signs of fever or lesions. The nurse determines that the children may be in which stag

Subclinical disease

During which stage of the natural history of a communicable disease would quarantine be most effective?

SUSCEPTIBILITY STAGE

The nurse is reviewing actual census data for information for use in an epidemiologic study. Which of the following would the nurse be least likely to find?

Births recorded

A community health nurse is looking for data on the use of nursing home services and the common diagnoses of those using these services. Which source of information would be most appropriate for the nurse to investigate?

National Center for Health Statistics

Which of the following is true about incidence and prevalence? Select all that apply.

-Incidence is the number of new cases of a disease or health condition.
-Prevalence refers to all of the people with a particular health condition existing in
a given population at a given point in time.
-When determining if a disease is endemic in a spec

A community health nurse is preparing to carry out an experimental epidemiologic study. Which of the following would be most important for the nurse to do?

Ensure carefully controlled conditions during the study

A community health nurse is participating in a case-control observational study. Which of the following would most likely explain this type of study?

Comparison of persons with and without a health-illness condition

After teaching a group of students about the various types of epidemiologic research studies that can be done, the instructor determines that the teaching was effective when the students describe a community trial as which of the following?

A type of experimental study conducted at the community level

When using descriptive epidemiology, which type of study would the community health nurse expect to include?

Count study

Organize the following steps in the epidemiologic study from the first step to the last.

-Identify the problem
-Review the literature
-design the study
-collect the data
-analyze the findings
-develop conclussions and applications-disseminate the findings.

When implementing an epidemiologic research study, which of the following would the community health nurse complete as the final step?

Disseminate findings

When reporting the identification of a communicable disease and need for investigation, which of the following must be notified first?

Local health department

Which of the following are appropriate communicable disease prevention interventions that may be implemented by community health nurses? Select all that apply.

-Immunization of children and adults. -Disease investigation and case/contact finding
-Environmental interventions
-Community Education

Which of the following statements accurately describes important steps that a community health nurse must take prior to contacting an individual for an interview regarding communicable disease? Select all that apply.

-Review the information received from the news media reporter for completeness
-Review disease information including the reservoir, incubation period, infectious
period, symptoms, and treatment

Which of the following entities would the community health nurse know are required to report known or suspected cases of reportable diseases in every state in the United States? Select all that apply.

-Physicians, dentists, and nurses
-Medical examiners
-Administrators of schools and child care centers

A community health nurse is presenting a program about hepatitis prevention and risk reduction to a local community group. The nurse determines that the group has understood the program when they identify which method as the major mode of transmission for

Exposure to contaminated blood

When reviewing the trends in communicable diseases for a county, the community health nurse notes that there was an increased incidence of Lyme's disease. The nurse develops a plan for prevention and control integrating the understanding that this disease

Vector

After a community health nurse implements an educational program for a local community group about food safety, which statement indicates that the teaching was successful?

After cooking the meat, we'll put it on the same platter that we used for the raw meat.

A community health nurse is teaching a group of clients about infection control and mentions the role of vectors in transmitting diseases. Which of the following would be examples of some common vectors? Select all that apply.

-Mosquitoes
-Fleas
-Roaches

Which of the following statements about modes of transmission are true? Select all that apply.

b)Indirect transmission is also known as vehicle-borne illness.
C) Food- and water-related illnesses are considered to be spread by indirect
transmission.
D) Vector transmission requires contact with a nonhuman carrier such as an animal
or insect.
E) Airb

Community health nurses practice within the three levels of prevention. Which of the following would the community health nurse engage in at the primary level of prevention for communicable disease control? Select all that apply.

b) Administering immunizations to senior citizens
C) Teaching kindergarten students to wash their hands
D) Encouraging parents to complete their children's immunizations

The nurse educator has just discussed education of aggregates using mass media with targeting health messages. Which of the following statements by the nursing student would demonstrate the student's ability to analyze and apply the information?

The target audience must be assessed for educational level, salience of the issue,
involvement in the issue, and access to the media channel used.

A community health nurse has identified the index case. The nurse is involved in which of the following?

Contact investigation

The three main approaches to the tertiary prevention of communicable disease include which of the following?

Care and treatment, isolation and quarantine, and safe handling and control of
infectious wastes

If an agency discards used needles and syringes in plastic milk jugs, which of the four key elements of an infectious waste management program that are applicable to community practice would the agency be violating?

Handling of the infectious wastes must be minimized. Containers should be rigid,
leak resistant, and impervious to moisture.

The community health nurse determines that the adult population in the community has an increased incidence of vaccine preventable disease. Which of the following are factors that may contribute to low vaccination levels among adults? Select all that appl

a)Lack of comprehensive vaccine delivery systems to the public and private sectors
for adults (similar to the Vaccines for Children program for children)
B) Lack of statutory requirements for vaccination of adults
C) Health care providers may lack current

A community health nurse would recommend pneumococcal vaccine for which group?

Adults over age 65 who have COPD

Which of the following statements about immunization is most accurate?

Immunization is the process of introducing a form of a disease-causing organism
into a person's system to promote the development of antibodies that will resist
the disease.

A family member has developed tuberculosis (TB) and the remainder of the family members are undergoing tuberculosis skin testing to determine their status. The nurse assesses the indurations and determines that a family member with which size induration i

5 mm

The community health nurse observes an increase in the development of multidrug-resistant tuberculosis. The nurse understands that a major reason for this occurrence for individual clients would most likely be

noncompliance with the therapy for the full, recommended period.

Which of the following statements about the prevention of sexually transmitted diseases is true? Select all that apply.

a) Many persons who have HIV infection can stave off AIDS by the use of
medications during the HIV stage of the spectrum.
B) Screening programs have actually reduced the incidence of Chlamydia as infected
persons are identified and treated.
d)Expedited pa

Which one of the following statements is true about the consequences of biologic terrorism with anthrax and smallpox?

As many as one in five persons who become ill with cutaneous anthrax die and
inhalation anthrax can cause death in 3 to 5 days.

Which of the following statements about confidentiality, privacy, and discrimination is the most accurate?

It is permissible for a community health nurse to reveal the name and any other
personal health information of a person who has a communicable disease to the
public health authorities.

A community health nurse is presenting an in-service for a group of other community health nurses about ecological perspective of environmental health. Which of the following would the nurse incorporate into the program when describing this concept?

Identification of not only the physical environment but also the social and cultural
factors that exist for populations

When applying the ecological perspective to environmental health, a community health nurse integrates which of the following concepts as most essential?

No one factor can be viewed in isolation.

Which of the following concepts is used by public health professionals to illustrate that the determinants of health interact to affect health?

Ecological perspective

Which of the following statements about an upstream focus is the most accurate?

The focus of an upstream approach is the institution and system level.

When the public health nurse uses an upstream approach to improve heart health, the nurse would examine which one of the following factors?

Lack of safe places to exercise

A public health nurse who uses the upstream approach would likely focus on which one of the following contributors to unhealthy diets in the community?

Marketing strategies of fast food businesses

The nursing student is preparing a report for class relating to Healthy People 2020 and environmental health. Which of the following should be included in this report? Select all that apply.

-The overall goal is to "promote health for all through a healthy environment."
-One of the six focus areas is global environmental health.
-The document provides guidance for nurses to identify targets for health

Which one of the following statements about assessment (one of the core public health functions) and how it can be applied to environmental health is most accurate?

Assessment includes the investigation of health hazards, surveillance of health
issues, examining causes, and assessing needs.

The core public health function of policy development related to environmental health includes which one of the following?

There are many ways for public health nurses to participate in policy development
related to environmental health.

A community health nurse is enacting policy development by preparing a presentation for a group of state health officials about the issue of water pollution in the United States. Which of the following would the nurse include? Select all that apply.

-Globally, the availability of clean water is becoming a very serious threat to
human survival.
-Recently, there has been an increase in the concern about pharmaceuticals
contaminating water supplies.
-The people most vulnerable to serious health problems

A community health nurse is working with the local health departments to educate the citizens about the effects of radon exposure and its link to possible illness. Which of the following would the nurse identify as being a major health concern associated

Lung cancer

During a community program about food safety, a participant asks, "I know it is important to use safe food practices to avoid microbial contamination, but what other possible risks are there with our food supply?" Which response by the nurse would be most

A recent concern has been raised about genetically modified foods being
marketed.

Which of the following groups of persons have increased vulnerability to environmental hazards to human health related to food? Select all that apply.

-Pregnant women are likely to transmit their exposure to chemicals, pesticides, and
toxins to the unborn fetus.
-Persons who have altered immunity are more likely to be affected by food
exposures.
-Children are more susceptible to hazards due to their imm

Which of the following are variables that occur in nature and could have a negative impact on humans? Select all that apply.

A)The effect of climate change upon weather extremes (droughts, floods, and
storms)
B) Changes in rainfall and water supply for soil
C) Ecology of microbial growth
D) Risks for waterborne and food-borne pathogens in drinking water, seafood, and
fresh prod

An instructor is reviewing the evolution of environmental health and the development of various agencies designed to protect health. As part of the review, the instructor includes the Environmental Protection Agency (EPA), describing its primary goal as w

Set standards and monitor and enforce environmental protection

After teaching a class about the stages of change, the instructor determines that the class understands the information when they identify the following as the proper sequence of stages?

Unfreeze, change, and refreeze

When implementing a program for teaching parenting to a group of teenagers, the community health nurse determines that the group is in the changing/moving stage of change when the group demonstrates which of the following?

Beginning adoption of the change

A client who needs to lose weight as part of an overall plan to become healthier has contracted with a nurse for behavior change. The client is working on increasing fruits and vegetables in his or her diet and currently consumes less than one fruit or ve

I have been reading a lot about the healing powers of many fruits and vegetables. I never ate many fruits and vegetables as a child so I am not sure how to prepare them. Can you refer me to some sources of information?

A community health nurse is applying the normative-reductive strategy of change when working with clients. In doing so, the nurse engages them into changing their behavior in addition to providing education, based on which assumption?

Information alone is not enough, and behaviors change through persuasion.

The community health nurse is presenting sexuality education to a group of sixth grade students. The community health nurse tells the students that they must never have unprotected sexual intercourse or they will die from a sexually transmitted infection

Power-coercive

As part of a community-wide program addressing the needs of seniors in the county, the nurse engages the seniors as well as their families in the program. The nurse is demonstrating which principle for effecting positive change?

Participation

The community health nurse evaluates his or her own past personal habit of smoking as he or she prepares to talk to a group of people about the importance of smoking cessation. The nurse recalls that he or she had several unsuccessful attempts before quit

Principle of self-understanding

The community health nurse is talking to a group of clients about the health importance of consuming a low-fat diet. The clients are members of a particular cultural group that grows their own food and consumes a lot of animal protein. The clients state t

Principle of resistance to change

Which of the following are examples of a community health nurse providing health promotion teaching? Select all that apply.

-The community health nurse teaches a class of kindergartners how to properly
wash their hands.
-The community health nurse teaches a group of preschoolers about different fruits
and vegetables that they might like to try.
-The community health nurse teac

Which of the following statements most accurately describes the nurse's role as an educator related to the social determinants of health?

The nurse must look at the root causes of disease and health inequities.

A community health nurse has been teaching nutrition to a group of seniors in a local senior center. After attending the nurse's class on nutrition, the nurse determines the group's cognitive level of learning. Which of the following indicates knowing?

Naming three foods high in iron

A teaching plan for a group of new mothers has the following objective: "The mothers will describe the principles that relate to safety while diapering their newborn." The nurse is attempting to achieve learning at which level of the cognitive domain?

Application

Which of the following interventions by the nurse is most likely to have a positive influence on the client's adoption of a new healthy behavior?

Providing feedback about what the client is doing correctly

To ensure learning in the psychomotor domain, which of the following would be most important for the nurse to ensure about the learner?

Has the ability to perform the necessary skill

A community health nurse develops a written teaching plan for a community education program about nutrition and salt-reduction. Which objective would reflect synthesis learning in the cognitive domain?

The client will create an enjoyable meal using low-sodium foods.

A community health nurse has been getting good attendance and group participation in her Saturday class on newborn care for young mothers. The participants receive free transportation and a $10 food voucher for attending. When they participate, prizes are

Changes in response to a stimulus

A 32-year-old wife and mother of two children was a bank manager before entering the nursing program. She is finishing a Baccalaureate nursing program in a few months. She learns best when she can plan and carry out her own learning activities, uses past

Knowles' adult learning theory

A community health nurse is preparing a teaching program for a group of elementary school-aged children about substance abuse awareness. The nurse would implement strategies that address which cognitive phase of development?

Concrete operations

When choosing an appropriate model for health education, community health nurses often select the PRECEDE-PROCEED model for which reason?

The steps are similar to those of the nursing process.

Which of the following statements accurately describe Pender's Health Promotion Model? Select all that apply.

-It has been revised to reflect a number of major theoretical changes.
-It allows the community health nurse to predict health promotion behaviors which
enhances the ability to work with clients.
- Individual characteristics and experiences are seen to in

Which of the following statements about teaching at three levels of prevention is most accurate?

It is ideal to focus on the primary level of prevention.

Which of the following is the best example of a community health nurse focusing on the secondary level of prevention?

Teaching clients how to navigate the health care system to receive prompt
treatment

When developing an educational program for the community, which of the following must the community health nurse do first?

Assess the clients' readiness to learn

A community health nurse is providing informal teaching to groups of parents about typical childhood developmental milestones. Which of the following would the nurse mostly likely be using?

Anticipatory guidance

Which question would the community health nurse use as a guide to determine a client's participation in a teaching program?

What does the client want to learn?

Which of the following is the best example of a positive learning environment for a group of developmentally disabled adults?

A brightly lit conference room with comfortable chairs

When a community health nurse is planning to teach a group of new immigrants from a non-English speaking country about the need for immunizations, the nurse should include which in his or her plans?

Using an interpreter

Which of the following are factors to consider related to the social determinants of health? Select all that apply.

-Access to safe housing
-Safe workplaces
-Access to social and economic opportunities

Which of the following endings to this sentence most accurately describes the reason a community health nurse must consider the social determinants of health? The community health nurse must consider the social determinants of health

because the social determinants of health affect a wide range of health,
functioning, and quality-of-life outcomes and risks.

Which of the following statements about competent communities are accurate? Select all that apply.

-A competent community is able to collaborate effectively identifying community needs and problems.
-A competent community is able to achieve a working consensus on goals and priorities.
-A competent community is able to agree on ways and means to impleme

Which of the following are overarching goals for the health of the nation presented in Healthy People 2020? Select all that apply.

A) To attain high-quality, longer lives free of preventable disease, disability, injury,
and premature death
B) To achieve health equity, eliminate disparities, and improve the health of all
groups
C) To create social and physical environments that promot

When the nursing student identifies the three dimensions of the health of a community, the nurse educator is aware that the student has grasped which of the following concepts?

Status/people, structure, and process

A community health nurse is working as part of a health planning team to determine the needs of pregnant teenagers in the community. Which of the following population variables would be important to assess? Select all that apply.

A) Rate of growth or decline among those in need
B) Health needs and practices of subculture groups
E) Social class of the community

A community health nurse avoids focusing care on illness and health problems, considering clients as which of the following?

Total system

When the nursing student identifies the concept of community as client as which of the following the instructor knows that the student has grasped this concept?

The community is a group or population of people as the focus of nursing service.

Which of the following statements about the structural dimension of the community as client are accurate? Select all that apply.

A) Structure of a community refers to its services and resources.
B) Community associations, groups, and organizations provide a means for accessing
needed services.
C) Adequacy and appropriateness of health services can be determined by examining
pattern

The community health nurse is determining the health of a community by examining status. Which of the following would the nurse examine?

Leading causes of death and illness

The community health nurse is assessing the health of a community by reviewing the dimension of process. Which of the following is true of this dimension?

Process reflects the community's ability to function effectively

As part of an orientation for a group of newly hired nurses for a community agency, a community health nurse emphasizes which of the following as crucial?

Interaction

When building a coalition, which of the following would the community health nurse do first?

Define goals and objectives

When assessing a community's needs, which of the following would the nurse most likely complete first?

Familiarization assessment

When completing a community assets assessment, the community health nurse would gather information about which of the following?

Strengths of the community

Nursing students in a community health nursing course identified toxic waste disposal to be a major problem in their community. The most cost-effective type of community assessment to determine the extent of the problem and the resources available to hand

problem-oriented assessment.

community health nurse involved in assessing community health needs is planning to get a group of approximately 10 similar individuals together to obtain information about opinions on first pregnancies. The nurse is using which assessment method?

Focus group

A community health nurse obtains data about the community from primary sources, including which of the following?

Community members

When developing community diagnoses, which of the following would the community health nurse do?

Substitute the terms client, family, group, or aggregate for the word patient

During which stage of the health planning process would the community health nurse create a plan?

Analysis and design

A community health nurse is engaged in evaluation of a health plan using a formative evaluation. The nurse would focus on which of the following?

Process during the actual intervention

When applying community development theory, which of the following would most likely be considered the agent of change?

Nurse

Which of the following would be most appropriate for the community health nurse to do first when planning an initial home visit to a family?

Review the referral information

When planning for a home visit, which of the following would be most helpful to ensure a successful home visit?

Scheduling an appropriate visit time

A community health nurse arrives at a family's home. Which of the following would behaviors by the nurse would be nontherapeutic?

Paging through paperwork for information

A community health nurse is about to make the first home visit to a family based on a referral from the hospital where the high-risk infant was born to an adolescent mother about 6 days ago. The nurse plans to assess the family and home environment and pr

You must be very tired caring for a newborn baby.

While making a family health visit, an older relative who is visiting has been drinking and becomes verbally abusive and increasingly loud. Which action by the community health nurse would be best?

Terminate the visit, making plans for another visit

Which of the following things does a nurse who is traveling by automobile to make a home visit need? Select all that apply.

A) A full gas tank and well-operating vehicle
B) A map that includes the geographic location where the home visit will be made
C) A cellular telephone

Which of the following are specific safety measures the nurse should apply when making a home visit? Select all that apply.

A) Plan to reschedule the visit if you find a large group of people assembled between
you and the client's door.
B) Immediately leave the home when family members begin to physically fight with
one another.
E) If someone approaches you and indicates that

Which one of the following has a negative influence on family health and individual health?

Individuals can obstruct the family's health and families can obstruct individual
family members' health.

When assessing a family, which of the following would lead the nurse to question the health of a family?

The family lacks regular links with the broader community.

During a home visit, a client asks the community health nurse to take his or her shopping to purchase some of the food items he or she needs for his or her diet. Which response by the nurse would be most appropriate?

I'll help you find a way to get to the store.

A community health nurse, visits an 81-year-old newly diagnosed insulin-dependent diabetic who lives alone. The nurse has visited the family three previous times and is visiting early in the morning to observe his client's insulin administration technique

Strengthening

Which one of the following is a principle that guides and enhances family nursing practice?

The nurse should start where the family is at the present time and not the ideal
level of functioning.

. A community health nurse is attempting to empower a family to become independent. Which of the following would be most appropriate?

Emphasize the family's strengths

A community health nurse is applying an interactional framework to assess a family's health. Which of the following would the nurse do?

View them in terms of the family's internal relationships

A community health nurse constructs an eco-map for a family based on the understanding that this tool is useful for which reason?

It was originally devised to depict the complexity of the client's story.

A community health nurse is collecting data about the family's demographics. Which of the following would the nurse include? Select all that apply.

D) Socioeconomic status
E) Education of members
F) Ethnicity

When a community health nurse is conducting a family assessment on an assigned family, which of the following would be most appropriate?

Make several visits and accumulate data from all family members

During a home visit and assessment of an infant and new mother, the nurse determines that the infant looks healthy. The mother asks several questions and listens attentively. One question she asks is whether the nurse is going to visit her again. Which re

I plan to visit again. What would you like to accomplish at the next visit.

A community health nurse determines that it is time for teaching a family about health promotion activities when they say which of the following?

It's time we do something about eating right.

Which of the following would a community health nurse use when conducting an outcome evaluation?

Family progress

The nurse educator knows that the nursing student has grasped the concept of self-evaluation when the nursing student makes which one of the following statements?

It is important for the nurse's growth and effectiveness as a community health
nurse.

As a guest speaker for a group of community health nurses who are considering corrections nursing as a career, a corrections nurse provides an overview of the history of corrections nursing. Which of the following would the nurse describe as the historic

Inmates were viewed as not deserving care paid by public dollars.

A nurse is considering a career in public health nursing. The nurse determines the need to obtain which of the following for entry-level practice?

Bachelor's degree in nursing

When describing the differences between public health nursing and nursing in general, which of the following would an instructor include as characteristic of public health nursing? Select all that apply.

B) Focus on the greater good
C) Seek out of clients in need
D) Community commitment

Which of the following activities best reflects a public health nurse's role in the public health function of assessment?

Prioritizing the issues of a community to determine appropriate interventions

Which one of the following statements best illustrates the similarities and differences between public health nursing and other types of nursing?

In hospital nursing, nurses must address the issues that come to them. Whereas in
public health nursing, it is necessary for the nurse to actively seek out and identify
potential problems and situations.

After teaching a group of students about the federal agencies involved in public health, the instructor determines that the teaching was successful when the students identify which agency as the main organization that is involved in public health?

Department of Health and Human Services

A public health nurse is employed by the Indian Health Services. This nurse is working at which of the following levels?

Federal

After teaching a group of students about public health nursing and the U.S. Public Health Service Commissioned Corps, the instructor determines that the students need additional instruction when they state which of the following is necessary to qualify fo

A) Age over 45 years

A public health nurse working with several communities to develop appropriate programs for health surveillance. Which agency would the nurse contact to obtain information on this topic?

Centers for Disease Control and Prevention

A community health nurse is advocating for the development of school-based health centers in the community high schools as a means to accomplish which of the following?

Increase ready access to health care services

Which one of the types of services that may be available in a school-based health center may be controversial and not be supported by all parents and community members?

On-site provision of contraceptives

During a class, an instructor reviews the impact of the Supreme Court decision regarding Estelle v. Gamble. The instructor determines that the students understand the material when they identify which of the following about this decision?

It led to major reforms including establishment of inmates' rights.

Which of the following health conditions would the corrections nurse expect to address as most prevalent? Select all that apply.

B) Tuberculosis
C) Hepatitis C
E) Substance abuse

A school nurse functions to promote a healthy school environment. Which of the following would be most appropriate for the nurse to do?

Advocating for proper nutrition and exercise to prevent and reduce the incidence
of obesity in school-age children

A school nurse who is not a nurse practitioner works in an elementary school (K-4) with 1,200 students. Which of the following would the nurse engage in with this group? Select all that apply.

B) Vision and hearing screening
C) Teaching basic health practices
D) Monitoring chronic illnesses

A school nurse is describing the responsibilities associated with this specialty to a group of students. Which of the following would the school nurse identify as a primary responsibility?

Preventing illness among the school community

A school nurse is reviewing the population of school age children for chronic conditions. Which of the following would the school nurse expect to find most often? Select all that apply

B) Asthma
C) Diabetes
F) Seizures

A school nurse is providing care to a group of children with severe food allergies. Which of the following would be most important for the nurse to include in the child's plan of care?

Ensuring that the child has ready available access to EpiPen

A corrections nurse is working to develop programs for inmates and reviews the demographics of this population to determine potential issues. Which of the following would the nurse expect to find?

Increasing numbers of women in prisons

A corrections nurse is proactively working with the institution to develop programs for the facility to address problems to address the trends for the future. Which type of program would be most appropriate for the nurse to recommend?

Dealing with older, sicker, and longer periods of incarceration for many inmates

A corrections nurse is visiting a local nursing school to describe this career. Which of the following would the nurse include in the discussion?

Extensive employee benefits

A school nurse is addressing the dental health issues of the local community of school children. Which activity would be most appropriate at the community level?

Advocating for the fluoridation of drinking water

Which of the following would the school nurse who is dealing with a primarily adolescent school population focus on? Select all that apply.

A) Substance abuse
B) Eating disorders
C) Suicide prevention
D) Sexual activity

Which one of the following statements about the common roles and functions of public health nurses, school nurses, and corrections nurses is most accurate?

Nurses in all of these areas serve the population as client as opposed to individuals
as clients

After reviewing the history of nurse-managed health centers, the instructor determines that the teaching was successful when the students identify which of the following as the beginnings of today's model?

1960s

2. When describing nurse-managed health centers to a group of students, which of the following would the instructor emphasize?

Use as a vital safety net health care provider

After describing the various models for nurse-managed health centers, the instructor determines that the student understand the information when they identify which organization structure as being partnered legally with a human services organization?

Affiliated center

Which of the following statements about the focus of nurse-managed health centers is most accurate?

They are truly community oriented.

A nursing instructor is preparing a group of students for a clinical rotation in a nurse-managed health center. Which of the following would the instructor include when describing the students' role?

Implementation of best practices

Which of the following would be the most likely source of funding for services provided in a comprehensive primary care center?

Medical insurance plans

Which of the following criteria must a nurse-managed health center meet to ensure designation as a Federally Qualified Health Center?

Consumers comprise the majority of the board of directors.

Which of the following statements about funding sources for nurse-managed health clinics is most accurate?

Grants can be used as a source of initial start up funding and/or to support
ongoing activities.

After discussing nurse-managed care centers with a group of community health nursing students, the instructor determines that the teaching was effective when the students identify which of the following as one of the main challenges?

Continuing services after funding has stopped

Which party is usually required to describe detailed plans for sustainability after the award period ceases?

The providing organization

Which of the following statements about faith community nursing is most accurate?

Faith community nursing is one of the newest nursing specialties, and one of the
oldest means of health care delivery.

A community health nursing instructor is developing a class plan about faith community nursing for a group of community health nursing students. Which of the following would the instructor expect to include?

Diversity in activities and interventions

Which of the following agencies was instrumental in developing the first Scope and Standards of Parish Nursing Practice?

Health Ministries Association

Faith community nurses engage in seven diverse nursing roles. Which one of the roles is distinctly unique to faith community nursing?

Integrator of faith and health

Which of the following roles would be critical to a faith community nurse to assume to achieve the goals of this practice? Select all that apply.

A) Advocate
B) Health educator
C) Volunteer coordinator
D) Health counselor

A faith community health networks with a local transportation service to provide service to several clients in the community needing rides to health care appointments. The nurse is functioning in which of the following roles?

Referral agent

Place in order, the steps involved in creating a faith community nursing position within a faith community.

C) Assess the community the nurse plans to serve and identify the health needs of the faith community and the roles of the faith community nurse that meet those needs.
A) Seek support of the faith community members and staff.
D) Solicit input from the sta

Which of the following are the main categories of occupational health nursing practice? Select all that apply.

B) Compliance
C) Health promotion
D) Care

An occupational and environmental health nurse recently treated approximately 20 employees for hand injuries. The employees all work on the factory assembly line. The nurse decides to implement a program for primary prevention. Which of the following acti

Institute an orientation for employees about the equipment

When describing the major functions of an occupational and environmental health nurse, which of the following would the nurse identify as being the most time consuming?

Care of injured employees

After teaching a group of community health nursing students about the trends affecting occupational and environmental health nursing, the instructor determines that more teaching is needed when the students identify which of the following as a trend?

Upturn in the global economy

Which activity would an occupational and environmental health nurse expect to perform in the future based on current trends?

Suggest cost-effective in-house health services

Which of the following would an occupational and environmental health nurse need to keep in mind when selecting the field of nursing?

Production or service is a primary goal.

A community health nursing student is interviewing several occupational and environmental health nurses about their experiences. Each of the nurses works in a small organization and is the only nurse for the company. Which of the following would the stude

Use of critical thinking skills

Which of the following about the educational preparation for occupational and environmental health nursing is most accurate?

Ideally, a nurse would be prepared for these specialties at the graduate level.

Which of the following are adverse working conditions that may impact the health status of nurses. Select all that apply.

A) Physical hazards
B) Radiation hazards
C) Biological hazards
D) Chemical hazards

After discussing the effects of shift work on workers' health, the nurse educator knows that the nursing students understand this concept when the nursing students make which of the following comments?

Rotating shifts negatively impacts sleep and rest cycles.

Which of the following statements about nurse entrepreneurship in community/public health practice is most accurate?

It allows for innovation in meeting needs of the community.