Community Health -NCLEX

The three components of the Intervention Wheel are:
A) Communities, systems, and individuals/families.
B) Interventions, color wedges, and levels of practice.
C) Population base, levels of practice, and public health interventions.
D) Populations at risk,

C) Population base, levels of practice, and public health interventions.

Public health nursing practice is guided by the community's priorities as identified by community:
A) Assessment.
B) Diagnosis.
C) Interventions.
D) Planning.

A) Assessment

Collaboration is an intervention that would be located where in the Intervention Wheel?
A) Red wedge at the individual/family level of practice.
B) Blue wedge at the community level of practice.
C) Orange wedge at the community level of practice.
D) Green

C) Orange wedge at the community level of practice.

The intervention used to influence the knowledge, attitudes, values, beliefs, behaviors, and practices of the population of interest is referred to as:
A) Advocacy.
B) Coalition building.
C) Consultation.
D) Social marketing.

D

Promotion of the creation of immunization registries that combine immunization information from different sources into a single electronic record to provide official immunization records for schools, daycare centers, health departments, and clinics is a g

D

When confirmed cases of the mumps, a vaccine-preventable disease, emerged on college campuses in fall 2006, public health nurses conducted outreach at campuses and collaborated with student health officials to increase the number of students with full imm

A

A nursing diagnosis of Increased risk for delayed development, injury, and disease because of inadequate parenting by a primary parent experiencing depression would most likely indicate that the nursing process is being applied at the _______ level of pra

A

After consulting with the health department director, a public health nurse collaborates with a housing advocate service and legal counsel on behalf of the nurse's clients who live in substandard housing under fear of eviction. The nurse is applying the _

C

A community-level intervention designed to increase the sense of belonging among older community residents at risk for social isolation was implemented by opening a senior center every other Wednesday at a local church that provided lunch and social progr

A

Factors related to the determinants of health identified in Healthy People 2020 include which of the following (select all that apply)?
A) Education and literacy.
B) Genetic endowment.
C) Gender.
D) Culture.
E) Social status.

A,B,C,D,E

A nurse identifies higher-than-normal levels of lead when screening a 3-year-old child. The nurse works with the local health department to put together a team to address the environmental issues responsible for the child's abnormal lead level. Team membe

D

An occupational health nurse practitioner's physical assessment of a factory worker identifies an acute-onset pruritic dermatitis extending over the face, hands, neck, and forearms. The nurse's priorities should be to:
A) Contact factory senior management

D

A college health nurse is working with students, faculty, and staff to improve environmental air quality. To address the primary cause of air pollution on campus, the nurse plans a precautionary intervention. Which of the following interventions best demo

B

Campaigns to decrease the inequitable burden of environmental risks on the poor and people of color in the United States strive to apply the ethical principle of:
A) Societal justice.
B) Nonmaleficence.
C) Compliance and enforcement of the Environmental P

D

A community health nurse manager has integrated exposure history elements into the assessment practices of the health department that are relevant to the urban industrial community served. This strategy indicates that the nurse manager is aware of the rel

B

The Superfund Amendments and Reauthorization Act (SARA) increased the involvement of the states and their citizens in the cleanup of toxic waste sites and stressed the importance of permanent remedies and innovative treatment technologies. Another importa

B

The monitoring and public reporting of air quality in a local community to assist individuals with asthma or other respiratory conditions best illustrates the application of:
A) Compliance and enforcement.
B) Environmental epidemiology.
C) Secondary preve

B

When applying the nursing process to environmental health, the nurse would:
A) Conduct an assessment focused on the client's presenting problem.
B) Coordinate interventions with the primary care provider of record.
C) Examine criteria that are limited to

D

When a nurse evaluates the completeness and accuracy of information made available to community residents regarding the impact of rezoning of land parcels for industrial use, the nurse can best be described as:
A) Advocating for ethical choices.
B) Commun

A

The role of the nurse who wants to become more active in environmental health could include which of the following (select all that apply)?
A) Assessing farmworkers for pesticide exposure and providing pesticide risk education.
B) Conducting epidemiologic

A,B,C,D,E

Which of the following article titles include(s) an example of epidemiologic distribution and determinants (select all that apply)?
A) Can Operating Room Nurses Measurably Reduce Patient Anxiety?
B) Characteristics of Patients Newly Diagnosed with Tubercu

C

A state public health region reported 39 cases of meningitis in children 15 years of age and younger to date this year. Seven of those children died. The total population of the region is 780,000, of whom 84,000 are children age 15 years old and younger.

C

A state public health region reported 39 cases of meningitis in children 15 years of age and younger to date this year. Seven of those children died. The total population of the region is 780,000, of whom 84,000 are children 15 years old and younger. What

A

A state public health region reported 39 cases of meningitis in children 15 years of age and younger to date this year. Seven of those children died. The total population of the region is 780,000, of whom 84,000 are children age 15 years old and younger.

B

John Snow played a critical role in the development of modern disease surveillance when he:
A) Devised a more statistically valid method of analyzing epidemiologic data.
B) Discovered causal agents for anthrax, tuberculosis, and cholera.
C) Tracked the in

D

A business executive develops flu-like symptoms 1 day after returning by air from a trans-Atlantic 2-day conference that involved lengthy meetings into the evening. The scenario best illustrates the interaction of:
A) Host and agent.
B) Host, agent, and e

B

A nurse teaches an asthmatic client to recognize and avoid exposure to asthma triggers and assists the client's family in implementing specific protection strategies in the home, such as removing carpets and avoiding pets. This nurse's activities can best

B

A nurse is concerned about the accuracy of the purified protein derivative (tuberculin) test in screening individuals with tuberculosis exposure for followup chest radiography. The nurse's concern is related to which aspect of the test's validity?
A) Reli

B

Case fatality from breast cancer has decreased in recent years, although the incidence of breast cancer has increased. Descriptive epidemiology would use the component of time to explain this change in terms of:
A) Cyclical patterns.
B) Even-related clust

D

When the association between maternal alcohol use and low birth weight is being studied, the nurse investigator's failure to consider the variable of smoking could introduce bias into the observed association, because smoking has a correlation with both f

B

A local health department in the Midwest reports cases of certain diseases to the state health department for inclusion in the National Notifiable Diseases Surveillance System (NNDSS). From the perspective of community-level disease monitoring, which of t

C

A 6-year-old is brought to the emergency department with a full-body rash and fever. During the nursing assessment, which of the following findings would be most relevant to recognizing the case as potential smallpox rather than varicella?
A) Fever has re

B

A school nurse notes that 60 children have missed days of high school because of pertussis this past year and this rate has been relatively constant for the past 5 years. The nurse plans to work with the community to increase awareness of the seriousness

A

The World Health Organization (WHO) developed the Five Keys to Safer Food campaign in 2001 to address the problem of foodborne and waterborne diarrheal diseases worldwide. This campaign emphasizes which of the following practices?
A) Keep clean, separate

A

An American takes a long-awaited vacation in sunny Mexico, spending days on the beach eating fresh raspberries from a nearby vendor and drinking bottled water. The tourist may be altering:
A) Agent-host-environment interaction.
B) Circadian rhythms.
C) He

A

An example of secondary prevention of infectious disease is:
A) Malaria chemoprophylaxis.
B) Pneumocystis carinii pneumonia chemoprophylaxis for people with AIDS.
C) Quarantine.
D) Restaurant inspections.

C

In an effort to address West Nile virus, a community increased livestock immunization, began a vector control program, and initiated a community campaign to eliminate standing water reservoirs. This best exemplifies communicable disease control through:
A

B

When a situation exists in which there is potential contact with blood or body fluids, health care workers must always perform hand hygiene and wear gloves, masks, protective clothing, and other indicated personal protective barriers. The underlying reaso

A

Although infectious disease epidemics are still the major cause of death worldwide, they have subsided in the United States because of improvements in nutrition and sanitation, the discovery of antibiotics, and the development of vaccines. Infectious dise

C

Emerging infectious diseases may arise as a result of factors operating singly or in combination, and these factors may include which of the following (select all that apply)?
A) Environmental changes.
B) Host behavior.
C) Improved surveillance.
D) Microb

A,B,D,E

A school nurse is teaching a class of sophomores about the relationship between the risk of sexually transmitted disease (STD) and risk-taking behaviors. A key point to include is:
A) All STDs are easily preventable with consistent condom use.
B) Once a y

D

A client newly diagnosed with human papillomavirus (HPV) infection, herpes simplex virus 2 (HSV-2) infection, and syphilis asks, "Okay, so how do I get rid of all this stuff?" In developing a plan of care, the nurse recognizes that it is essential to addr

C

A nurse is assigned to teach clients sexually transmitted disease (STD) prevention information. The nurse updates her teaching plan to incorporate new guidelines from the Centers from Disease Control and Prevention (CDC). She includes which of the followi

B

A woman comes to the community health center complaining of increasing lower abdominal pain, fever, and abnormal menses for several months. During the assessment, the client indicates that she is aware that her husband has had multiple sex partners in the

A

The clients most at risk of reactivation of latent infections of tuberculosis (TB) are:
A) Immunocompromised persons, substance abusers, and those with diabetes.
B) Individuals previously treated for TB.
C) Long-term cigarette smokers.
D) Persons with new

A

Community health nurses conducting health education among populations vulnerable to HIV infection should explain the natural history of the infection, including the fact that HIV infection may go undetected during the primary infection stage because:
A) A

A

A client comes to the local clinic with acute symptoms of fever, nausea, lack of appetite, malaise, and abdominal discomfort. During the course of the assessment, the nurse determines that the client is a health care aide working at a daycare center. Thes

B

Many behaviors place any individual-regardless of age, gender, ethnicity, or other characteristics-at greater risk for sexually transmitted diseases (STDs). The nurse should include primary prevention interventions in all client encounters through the dis

B

A population-level tertiary prevention intervention typically carried out by nurses caring for those with communicable disease in the community is:
A) HIV test results counseling.
B) Needle exchange.
C) Partner notification.
D) Instruction in standard pre

D

A client diagnosed with human papillomavirus (HPV) infection states, "I'm not concerned, I know the warts disappear after a while." The nurse should counsel the client regarding which of the following? Select all that apply.
A) Link between HPV and cervic

A,C,E

Today, an evidence-based nursing practice can best be defined as which of the following?
A) Approach to the integration of the best research available, nursing expertise, and the preferences/values of the clients served.
B) Concept developed by acute care

A

Community-oriented nurses use evidence-based practice (EBP) most effectively when they:
A) Base care on nationally accepted clinical guidelines, informing clients and community groups that the accepted standards of care need to be universally applied.
B)

B

A community-oriented nurse seeks to implement evidence-based practice (EBP) in the community clinic's programs. The best model for the nurse to apply is:
A) Action research and review.
B) Community development.
C) Community research utilization.
D) EBP.

B

A community-oriented nurse introduces a community partnership group to the Healthy People 2020 information access objective to use electronic personal health management tools. This is an example of:
A) Meta-analysis of research evidence.
B) Primary preven

B

When nurses work with communities, "best practices"-the application of the best available evidence to improve practice-must also be:
A) Accessible and diverse.
B) Competent and compliant.
C) Culturally and financially appropriate.
D) Reasonable and delive

C

Although the definitions of evidence-based practice (EBP) in the literature vary widely, their common thread across all health care disciplines is:
A) Application of the best available evidence to improve practice.
B) Definition of what counts as evidence

A

Examples of the application of evidence-based practice (EBP) to improve public health nursing can be found in research projects designed to test the effectiveness of public health nursing interventions related to the core functions and essential services

C

When a public health nurse uses evidence-based interventions to evaluate the effectiveness, accessibility, and quality of population-based services within the community, the nurse is addressing the core public health function of:
A) Assessment.
B) Assuran

B

Randomized controlled trials are often inappropriate for evaluating many public health interventions. The most common approach to establishing evidence in public health is the use of:
A) Blinded studies.
B) Case-control studies.
C) Expert opinion.
D) Rese

B

A community health nurse is revising the agency's nursing protocols to incorporate current evidence-based practice (EBP) clinical practice guidelines. Common barriers to EBP implementation that could be faced include which of the following (select all tha

A,B,D,E

Which action by the community-oriented nurse best illustrates a partnership for health?
A) Assisting a school nurse in conducting vision screening of elementary school children.
B) Developing a volunteer program for teaching parenting skills.
C) Helping a

C

A rural public health nurse is in the first phase of a community assessment to determine the community health status characteristics of the local county. This initial data gathering should most likely begin with which agency?
A) County public health depar

C

Which community attribute is an indicator of a community's health status?
A) Mean educational level.
B) Location of health facilities within the community.
C) Ratio of police to citizens.
D) Suicide rate.

D

A community-oriented nurse leader is working with a community partnership to improve access to services for the underserved by planning an expansion of the local community health clinic. This nursing intervention strategy is focused on which of the follow

D

The community practice nurse is preparing to initiate a community partnership with a neighborhood watch association to address teenager street vandalism. The nurse is evaluating the community health dimension of process and seeks to determine the communit

A

The most important aspect of the nursing community assessment phase can best be described as:
A) Analyzing and synthesizing data.
B) Collecting and gathering data.
C) Formulating a community nursing diagnosis.
D) Identifying problem correlates.

C

A rural community health nurse has made sure that male and female lay advisors are involved in the health department's migrant worker outreach program. The nurse believes this intervention strategy is important because the nurse knows that such individual

A

The community planning board's evaluation of a community intervention (child immunization campaign) carried out by the health department determined that some progress was made toward the desired outcome (target rate of childhood immunization), but the deg

B

If the community is where nurses practice and apply the nursing process, and the community is the client in that practice, then nurses will want to analyze and synthesize information about:
A) Boundaries, parts, and dynamic processes of the client communi

A

Which of the following are the best argument(s) for supporting community-as-client nursing (select all that apply)?
A) Change for the benefit of the community-client must often occur at several levels.
B) Changes in the health of individuals will affect t

A,B,C,D

Public health nurses are challenged to respond to public health-related trends of the twenty-first century, which include:
A) Racial, ethnic, and economic health disparities; rise of drug-resistant pathogens; unequal access to health care; and violence.
B

A

Rapid changes in public health are providing a challenge to public health nurses because there is neither time nor staff to provide nurses with the on-the-job training needed to acquire the core public health competencies required of the public health nur

C

A public health nurse in the local health department assists the community in identifying the health need priorities and the services that can best meet these needs in a cost-effective manner. This is an example of the tertiary prevention public health nu

B

State public health agency responsibilities include:
A) Conducting community health assessments.
B) Enforcing public health codes.
C) Monitoring health status.
D) Providing expertise that facilitates evidence-based practice.

C

The public health nurse serves as a bridge between at-risk populations and the community's health care resources. This role is based on the nurse's responsibility to:
A) Collect and analyze data on public health programs.
B) Ensure that all populations ha

B

If the two major goals of Healthy People 2020 are to be achieved, collaboration is essential for public health nursing practice, and collaboration with existing groups at the local level is encouraged for which of the following reasons?
A) The federal gov

C

The public health nurse ensures that a local community coalition for improving school lunches takes the time to listen to each stakeholder's view, develops a common validated language for discussing the initiative, and shares the credit for the success of

B

The federal-state-local partnership teams with other organizations to develop and implement responses to identified public health concerns because:
A) Community health is a shared responsibility.
B) Health objectives are defined nationally.
C) Population

A

The public health nurse applies knowledge in working with a local school board coalition to develop a helmet safety campaign in the middle and high schools. This best exemplifies which aspect of public health?
A) Core competency.
B) Core function.
C) Nurs

A

The Quad Council of Public Health Nursing identified eight principles that distinguish the public health nursing specialty from other nursing specialties, including which of the following (select all that apply)?
A) Collaboration with other professions, o

A,B,C,E

In 1988 the Institute of Medicine (IOM) published a report on the future of public health and its mission that defined public health as:
A. What public-private partnerships do to treat vulnerable populations.
B. What the government does to ensure that vit

D

A registered nurse is seeking a position as a public health nurse. In reviewing the job description the nurse would expect to find a description of a position that focused on functions such as:
A. Monitoring pregnant teenagers for symptoms of complication

C

A public health nurse leader is encountering barriers when trying to shift the public health agency's efforts to a population-focused practice. The reasons peers are not supportive of the proposed shift to a population focus are most likely related to:
A.

D

The role and goals of the community health nursing practice can best be described as:
A. Community-based interventions aimed at promoting, preserving, and maintaining the health of populations residing in institutional facilities such as nursing homes.
B.

C

A community-oriented nurse has identified obesity as a problem in the middle school. The next step in a population-focused practice is to make information available about the health of the middle school students. This describes the core public health func

A

The state public health agency has received multiple complaints regarding the availability of elder transportation services to a specific county senior center. The state agency assigns a public health nurse to work with the community to evaluate its progr

A

A nurse planning a smoking cessation clinic for adolescents in the local middle schools and high schools is providing:
A. Community-oriented care.
B. Community-based care.
C. Secondary care.
D. Tertiary care.

A

A community-oriented nurse conducts home visits to new parents to assess the health status of the infant, the parent-child relationship, the parents' knowledge regarding the care of the infant, and the need for health department and social services referr

A

Nurses should consider opportunities for population-focused practice that result from the rapid transformation of health care delivery from a medical model to a health promotion/disease prevention model. An example of such opportunity is:
A. Operator of a

B

Public health nursing specialists are interested in which of the following topic(s)? Select all that apply.
A. Educational materials for individuals with HIV/AIDS.
B. Evaluation of an outreach program for at-risk pregnant teenagers.
C. Community subpopula

BCE