Community Health - exam 1

92. A community health nurse is preparing a presentation for a group of local community health nurses about the impact of genetics and genetic engineering on community health nursing practice. Which of the following would the nurse include as potential ca

C) Long-term consequences from alteration

93. Which social issue that influences contemporary community/public health nursing care should contemporary public health nurses should be especially aware of?
A) Climate changes
B) Mutual interaction between nursing and technology
C) Genetics, genomics,

B) Mutual interaction between nursing and technology

94. 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?
A) Process of a community refers to its services and resources.
B) Process reflects the communit

B) Process reflects the community's ability to function effectively.

95. A community health nurse obtains data about the community from primary sources, including which of the following?
A) World Health Organization
B) Community members
C) State health department
D) Other community health nurses

B) Community members

96. During which stage of the health planning process would the community health nurse create a plan?
A) Assessment
B) Analysis and design
C) Implementation
D) Evaluation

B) Analysis and design

97. When applying community development theory, which of the following would most likely be considered the agent of change?
A) Clients
B) Nurse
C) Families
D) Community leaders

B) Nurse

98. An instructor in community health nursing teaches a group of students about the role of the World Health Organization and global health, reviewing the importance of the Declaration of Alma-Ata. The instructor determines that the students have grasped

B) A formal document written by 134 nations in 1978 to achieve "health for all

99. Which of the following statements about the International Council of Nurses (ICN) are accurate? Select all that apply.
A) ICN represents the global interests and concerns of the nursing profession.
B) The mission of ICN is to maintain the role of nurs

ABC
A) ICN represents the global interests and concerns of the nursing profession.
B) The mission of ICN is to maintain the role of nursing in health care through its global voice.
C) ICN has, as members, nursing organizations from 130 countries represent

1. The nurse educator knows that the nursing student understands the contributions that Lillian Wald made to home care when the nursing student makes which one of the following statements?
A) "Lillian Wald made the earliest known effort to care for the si

C) "Lillian Wald began home visiting in New York City and is famed for professionalizing visiting nurses.

2. After reviewing the various events associated with the history of home health care, the students demonstrate understanding of the events when they state which of the following as the most significant influence on the growth of home care agencies?
A) Cr

C) Enactment of the Balanced Budget Act

3. Which one of the following statements best describes the family caregiver burdens of providing home care?
A) Family members are expected to contribute financially to cover all of the costs of home care.
B) Individuals recovering from severe illness or

D) Caregivers often describe themselves as emotionally and physically drained.

4. When evaluating a client's eligibility for Medicare-reimbursed home care, which of the following is crucial?
A) The client needs visits by a homemaker.
B) The client is homebound.
C) The client is a veteran.
D) The client is terminally ill.

B) The client is homebound.

5. An instructor is describing the various types of home health care agencies and uses the visiting nurse association as an example of which of the following types?
A) Voluntary nonprofit
B) Hospital-based
C) For-profit proprietary
D) Noncertified

A) Voluntary nonprofit

6. 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?
A

D) Affiliated center

7. 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?
A) Clinical supervision
B) Passive participation
C)

D) Implementation of best practices

8. Which of the following criteria must a nurse-managed health center meet to ensure designation as a Federally Qualified Health Center?
A) Located in a densely populated area
B) For profit status
C) Consumers comprise the majority of the board of directo

C) Consumers comprise the majority of the board of directors.

9. 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
E) Case manager
F) Direct care

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

10. 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?
A) Developer of support g

B) Referral agent

11. A community health nurse is meeting with a group of individuals who have been diagnosed with a serious mental illness. The nurse interprets this to mean which of the following?
A) The clients have impaired level of functioning and quality of life.
B)

A) The clients have impaired level of functioning and quality of life.

12. After teaching a group of women in the community about common mental health disorders affecting them, the community health nurse determines that the teaching has been effective when the group identifies which one of the following?
A) Anxiety disorders

B) Women of color, women on welfare, poor women, and uneducated women are more likely to experience depression than women in the general population.

13. After teaching a class about commonly used illicit substances, the instructor determines that the teaching was successful when the class identifies which of the following as the most frequently reported illicit drug?
A) Heroin
B) Methamphetamine
C) Ma

C) Marijuana

14. When working with the community to develop effective plans to meet the needs of people with disabilities, the community health nurse reviews the statistics involving individuals with disabilities. Which of the following would the nurse identify as acc

C) 36 million people�about 12% of the US population

15. When explaining the concept of disability to a local community group, which of the following descriptions would be most appropriate for the nurse to include?
A) A disability is a condition someone has, not something one is.
B) The plan of care for two

A) A disability is a condition someone has, not something one is.

16. Which of the following would a community health nurse use to define vulnerable populations?
A) Those persons with higher mortality rates
B) Individuals with lower life expectancy
C) Those with increased risk for adverse health outcomes
D) Individuals

C) Those with increased risk for adverse health outcomes

17. When assessing vulnerable populations, a community health nurse uses a popular model that contains three related concepts. Which of the following would the nurse include? Select all that apply.
A) Resource availability
B) Relative risk
C) Health statu

ABC
A) Resource availability
B) Relative risk
C) Health status

18. A community health nurse is applying the Behavioral Model for Vulnerable Populations when evaluating a local community. Which of the following would the nurse include as an enabling factor?
A) Insurance
B) Acculturation
C) Knowledge of disease
D) Mari

A) Insurance

19. Which of the following would be least helpful to a novice community health nurse working with vulnerable populations who is feeling overwhelmed and somewhat guilty about his or her personal situation as compared to his or her clients?
A) Setting up an

C) Sending a personal donation to an agency in the area

20. When describing the changes occurring in the older adult population globally, which of the following would be most accurate?
A) The over-80 years age group is the fastest growing segment of the group.
B) Males have a longer projected life expectancy w

A) The over-80 years age group is the fastest growing segment of the group.

21. A community health nurse is working with an older adult population ranging in age from 75 to 85 years. The nurse correctly classifies this group as which of the following?
A) Young-old
B) Old-old
C) Oldest-old
D) Elite-old

B) Old-old

22. While working with another group of community health nurses, a nurse overhears one of the nurses saying, "That older man should just retire. He's 70 years old. How productive can he be?" The nurse interprets this statement as reflecting which of the f

C) Ageism

23. Which of the following statements are common misconceptions about older adults? Select all that apply.
A) It is normal for older adults to become more confused and childlike, forgetful, and lose contact with reality as they age. They become "senile.

AD
A) It is normal for older adults to become more confused and childlike, forgetful, and lose contact with reality as they age. They become "senile."
D) As age increases, older adults withdraw, become inactive, and cease being productive.

24. When describing elder abuse to the families of older adults who are attending a local community presentation, which of the following would the community health nurse identify most commonly as the perpetrator?
A) Elder's adult child
B) Elder's partner

B) Elder's partner

25. A community health nurse is working with other professionals to develop preventive programs to address the leading cause of death in men and women. Which of the following would be appropriate?
A) Risk reduction for heart disease
B) Cancer screening
C)

A) Risk reduction for heart disease

26. Which one of the following statements about life expectancy is most accurate?
A) The life expectancy for White women is 4 years greater than for Black women.
B) The life expectancy for Black men is 6 years greater than for White men.
C) In the United

A) The life expectancy for White women is 4 years greater than for Black women.

27. A community health nurse is working with a grant funded project to address stroke prevention nationwide. After reviewing statistics related to stroke, which would the nurse identify as having the greatest need for this type of program?
A) North centra

B) Southeast

28. The nurse educator is aware that the nursing student has a grasp of the major health problems of adults when the nursing student makes which one of the following statements?
A) "Morbidity and mortality among adults does not vary much by age, gender, a

C) "Diseases of the heart and cerebrovascular diseases are the first and third causes of death in adults.

29. A community health nurse is preparing a presentation about drug use and abuse for a group of adults. Which of the following would the nurse include as the one of the fastest growing forms of drug abuse?
A) Cocaine
B) Alcohol
C) Prescription drugs
D) H

C) Prescription drugs

30. As part of a health screening program, a community health nurse determines that a client is infected with the human papilloma virus (HPV). The community health nurse encourages the client to do which of the following?
A) Get a mammogram immediately
B)

D) Have a pelvic examination and Pap smear

31. A community health nurse who is participating in a nutritional screening program with school-age children measures their body mass index (BMI). The majority of children fall within the 45th to 65th percentile for their age. The nurse would classify th

B) Healthy weight

32. Which of the following measures would be most appropriate for a community health nurse to include when developing programs to address childhood obesity?
A) Encouraging television watching for about 3 hours per day
B) Suggesting that families eat less

C) Urging participation in physical activity for 30 minutes per day

33. Which one of the following statements about low-birth-weight and very-low-birth-weight babies is most accurate?
A) Low-birth-weight is more common in Whites and Hispanics than African Americans.
B) Birth weight is one of the most important predictors

B) Birth weight is one of the most important predictors of infant mortality.

34. A community health nurse is integrating the Healthy People 2010 goals into suggested programs for a local community. Which of the following goals would the nurse identify as having been met?
A) Reduction in low-birth-weight infants
B) Reduction in tot

C) Increase in the number of infants put to sleep on their backs

35. Which Healthy People 2020 goal that has been established has been met?
A) The number of infants being put to sleep on their backs and the rate for sudden infant death syndrome
B) Improving the proportion of infants who are breast-fed
C) Reduce the rat

A) The number of infants being put to sleep on their backs and the rate for sudden infant death syndrome

36. A community health nurse is providing a class for pregnant women about the dangers of alcohol consumption during pregnancy. Which of the following would the nurse include as an effect on the newborn? Select all that apply.
A) Intellectual impairment
B

ABE
A) Intellectual impairment
B) Low-birth-weight
E) Altered growth and development

37. A pregnant woman with hypertensive disease comes to the community health center for follow up. Which of the following would be appropriate to include when teaching the woman about controlling her blood pressure at this time?
A) Ensuring rest periods w

A) Ensuring rest periods with legs elevated

38. A community health nurse is reviewing the medical records of several families in the community who have experienced varying crises. The nurse identifies which of the following as developmental crises? Select all that apply.
A) A windstorm that damaged

BCD
B) Grandpa Jones dying at age 82 years
C) A couple getting engaged
D) The Smiths getting a divorce

39. Which one of the following statements about primary prevention for family violence is most accurate?
A) The cycle of violence within the family cannot be interrupted.
B) Persons who have been victims of family violence will repeat the behavior with ot

C) Primary prevention includes planned activities undertaken by the nurse to prevent an unwanted event from occurring.

40. After teaching a class about family and domestic violence directed toward children as a community health problem, which of the following if stated by the class indicates to the instructor that the teaching was effective?
A) Family violence is new and

B) Family violence has occurred in most countries for centuries as children have been thought of as the property of their parents.

41. After teaching a group of students about abuse and families, the instructor determines that the students have an understanding of this issue when they state which of the following?
A) Less than 10% of women worldwide reported being physically abused b

C) Intimate partner violence is a leading cause of morbidity and mortality in women worldwide.

42. When discussing elder abuse with a senior citizen group, which of the following would the community health include?
A) Older men experienced abuse at a higher rate than elderly women.
B) Types of elder abuse include physical abuse, emotional abuse, ne

B) Types of elder abuse include physical abuse, emotional abuse, neglect, and exploitation.

43. When planning for a home visit, which of the following would be most helpful to ensure a successful home visit?
A) Documentation in a timely manner
B) Summarizing the main visit points
C) Providing incidental teaching
D) Scheduling an appropriate visi

D) Scheduling an appropriate visit time

44. 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?
A) Continue the visit with caution
B) Suggest the rel

D) Terminate the visit, making plans for another visit

45. 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

ABC
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

46. 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

ABEF
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

47. A community health nurse is applying an interactional framework to assess a family's health. Which of the following would the nurse do?
A) View them in terms of the family's internal relationships
B) Look at them from a life-cycle perspective
C) Evalu

A) View them in terms of the family's internal relationships

48. A community health nurse is collecting data about the family's demographics. Which of the following would the nurse include? Select all that apply.
A) Dietary patterns
B) Housing
C) Climate
D) Socioeconomic status
E) Education of members
F) Ethnicity

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

49. When preparing for a class on family and family health, which of the following would the instructor include as the most appropriate description of family?
A) The members of the family are self-defined.
B) Persons are related by a common bloodline.
C)

A) The members of the family are self-defined.

50. Which of the following statements about family health nursing are true? Select all that apply.
A) There are multiple ways that community health nurses can approach families.
B) When providing care to individuals, it is not necessary to include the fam

ACDE
A) There are multiple ways that community health nurses can approach families.
C) Some nurses view family nursing as its own distinct specialty.
D) Nurses can provide care to individuals within the family or to the family as the client or to the fami

51. Which one of the following statements about family health nursing is most accurate?
A) The family does not play a critical role in the health of its members.
B) The community health nurse is in a unique position to influence and promote family health.

B) The community health nurse is in a unique position to influence and promote family health.

52. Community health nurses need to know that families are systems. Which of the following attributes of systems are also attributes of families? Select all that apply.
A) Families are part of a larger suprasystem that includes many subsystems.
B) Family

ACD
A) Families are part of a larger suprasystem that includes many subsystems.
C) A family is greater than the sum of all its parts.
D) A change within the family system not only affects the individual member but all of the family members.

53. Which definition of family is most inclusive and yet the simplest?
A) Families are the primary social agent in the promotion of health and well-being.
B) Families consist of two or more individuals who share a residence or live near one another.
C) Fa

D) Families are defined by the members.

54. Which one of the statements about families is most accurate?
A) Culture explains why families behave as they do.
B) Individual family members decide which one role they will play.
C) Family behavior influences family values.
D) Family members are alwa

C) Family behavior influences family values.

55. A community health nurse is preparing a presentation for a local community group of families who are in the childbearing stage of the family life cycle. Which of the following would the nurse address as critical for this group?
A) Establishing a mutua

B) Adjusting to infants to encourage their development

56. A community health nurse working as a part of a disaster response team is told that the disaster is classified as a multiple-casualty incident. The nurse would interpret this to mean which of the following?
A) There is more than 1 but less than 10 cas

B) The number of casualties is between 2 and 100.

57. Which of the following examples of disasters are natural disasters? Select all that apply.
A) The Earthquake and tsunami in Japan in 2011
B) The 2008 shootings at Virginia Tech
C) The terrorist attacks on the United States on September 11, 2001
D) Wil

AD
A) The Earthquake and tsunami in Japan in 2011
D) Wildfires that affected California in October 2007

58. Which of the following federal agencies would a community health nurse expect to be contacted to assist with a disaster in the United States?
A) American Red Cross
B) Federal Emergency Management Agency (FEMA)
C) WHO's Emergency Relief Operations
D) P

B) Federal Emergency

59. The nurse is using the epidemiological triad to explain the factors contributing the disaster. Which one of the following statements about the environment factors that contribute to disasters is most accurate?
A) The environment is the natural or tech

C) Factors that could potentially contribute to or mitigate a disaster are environmental.

60. A community health nurse is working with a community that is involved with identifying risk factors for program development in case of a disaster. This community is in which phase of disaster management?
A) Prevention
B) Preparedness
C) Response
D) Re

A) Prevention

61. When describing the global framework, which of the following would the community health nurse be least likely to include?
A) Population
B) Provider
C) Procedure
D) Physician

D) Physician

62. A community health nurse has identified noise as an environmental hazard. Using the Blumenthal classification, the nurse would identify this as which of the following class?
A) Infectious agents
B) Asphyxiates
C) Poison
D) Physical agents

D) Physical agents

63. When reviewing statistics about illnesses worldwide, which of the following would the nurse identify as the most common and a leading cause of mortality?
A) Tuberculosis
B) Smallpox
C) Acute respiratory tract infection
D) Infectious diarrheal disease

C) Acute respiratory tract infection

64. Which of the following statements about competent communities are accurate? Select all that apply.
A) A competent community is able to collaborate effectively identifying community needs and problems.
B) A competent community is able to achieve a work

ABCE
A) A competent community is able to collaborate effectively identifying community needs and problems.
B) A competent community is able to achieve a working consensus on goals and priorities.
C) A competent community is able to agree on ways and means

65. A community health nurse avoids focusing care on illness and health problems, considering clients as which of the following?
A) Aggregate
B) Agent
C) Community
D) Total system

D) Total system

66. During an interview with several clients, the community health nurse assumes responsibility for and strives to understand the feelings and thoughts of the client. The nurse is demonstrating which of the following?
A) Reflection
B) Respect
C) Empathy
D

D) Active listening

67. Which of the following statements about immunization is most accurate?
A) Immunization is helpful in the spread of all communicable diseases.
B) Immunization cannot provide herd immunity.
C) Immunization is the process of introducing a form of a disea

C) 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.

68. 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 indurati

D) 5 mm

69. 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
A) political and social response to decli

C) noncompliance with the therapy for the full, recommended period.

70. Which action by a community health nurse demonstrates respect to the client?
A) Feeling the same emotion that the client has
B) Addressing the client as "Mr." or "Mrs."
C) Being open and genuine with the client
D) Having self-awareness

B) Addressing the client as "Mr." or "Mrs.

71. Which one of the following statement about health literacy and health outcomes is most accurate for clients who have low literacy?
A) It is important to make the message as basic and simple as possible because the client likely has low intelligence.
B

C) It is very important for clients who have low literacy to have ample opportunity to provide feedback.

72. The core public health function of policy development related to environmental health includes which one of the following?
A) Policy development is best left to legislators.
B) To be an effective advocate for change, it is only necessary that the nurs

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

73. 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 associa

B) Lung cancer

74. 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 f

ABCD
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 fres

75. Which of the following is the best example of a community health nurse focusing on the secondary level of prevention?
A) Teaching clients how to navigate the health care system to receive prompt treatment
B) Teaching clients about the importance of im

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

76. 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?
A) Lecture
B) Demonstration
C) Anticipatory guidance
D) Visua

C) Anticipatory guidance

77. Which of the following is the best example of a positive learning environment for a group of developmentally disabled adults?
A) A local diner, seated near the door to the kitchen during lunchtime
B) A brightly lit conference room with comfortable cha

B) A brightly lit conference room with comfortable chairs

78. 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
A) because the so

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

79. 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 pro

ABCD
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 pa

80. Which of the following would be least appropriate source of information for the nurse to investigate when attempting to determine the importance of an issue for a community-based intervention?
A) Special interest groups
B) Client's concern
C) State he

B) Client's concern

81. One community health agency has developed a clinical pathway that has proved useful with clients with heart failure. After review, another community health agency providing care to similar clients decides to implement that pathway. This reflects which

D) Benchmarking

82. When devising a social marketing strategy for a community health issue, which of the following concepts is being integrated when the selection of one option inherently requires giving up on another option?
A) Self-interest
B) Competition
C) Consumer o

B) Competition

83. As the community health nurse engages in the process of seeking grant funding, the nurse ensures that the appropriate steps are followed. Place the following in their proper sequence.
A) Contact funders
B) Acquire proposal guidelines
C) Define the pro

CDABE
C) Define the project
D) Identify the proper funding source
A) Contact funders
B) Acquire proposal guidelines
E) Be aware of submission deadline

84. The community health nurse integrates concepts of relationship-based care by which of the following?
A) Providing education about communicable diseases
B) Applying epidemiologic information to a community problem
C) Using research for assessing the co

D) Using listening skills to determine health care needs

85. Which activity best reflects a community health nurse's population focus?
A) Obtaining epidemiologic data about the community
B) Developing a program to prevent a future disease
C) Engaging in a caring relationship with groups
D) Advocating for increa

A) Obtaining epidemiologic data about the community

86. Which of the following effects of a health system in disarray have the most direct influence for a public health nurse at this present time?
A) The United States is often touted as having the best health care system in the world.
B) Fewer jobs for nur

C) Crisis in public health related to underfunding and under appreciation of the core functions of public health leading to substantial reduction in public health programs

87. Which of the following statements about power and empowerment are true accurate? Select all that apply.
A) Power is the ability to act or produce an effect and possess control, authority, or influence over others.
B) Empowerment is a process of assist

ABCE
A) Power is the ability to act or produce an effect and possess control, authority, or influence over others.
B) Empowerment is a process of assisting communities to come together to express their values and ideas to those outside the community.
C) I

88. How can nursing fulfill the potential to transform nursing and take the power to influence policy development? Select all that apply.
A) Practicing to the full extent of their education and training
B) Achieving higher levels of education and training

ABCD
A) Practicing to the full extent of their education and training
B) Achieving higher levels of education and training through an improved education system that promotes seamless academic progression
C) Act as full partners, with physicians and other

89. Organize the following stages in the policy process in the order they should be considered.
A) Policy Adoption
B) Policy Evaluation
C) Policy Formulation
D) Policy Implementation

CADB
C) Policy Formulation
A) Policy Adoption
D) Policy Implementation
B) Policy Evaluation

90. A community health nurse uses Roy's model with a community that is dealing with a particular health issue. The nurse would focus community assessment on which of the following?
A) A community's coping mechanisms for use in adaptation
B) A community's

A) A community's coping mechanisms for use in adaptation

91. When applying Neuman's Health Care Systems model, the community health nurse assesses a community's sense of responsibility for health. This assessment addresses which of the following?
A) Basic survival abilities
B) Normal line of defense
C) Flexible

C) Flexible line of resistance

100. After teaching a class of community health nursing students about the World Health Organization, the instructor determines that the teaching was successful when the class identifies which of the following as the highest governing body?
A) World Healt

A) World Health Assembly

101. Which of the following statements about the World Health Organization is accurate?
A) The World Health Organization does not provide technical support for interventions or provide assistance developing nursing knowledge and skills.
B) The World Healt

B) The World Health Organization can help a member state determine the drugs that are essential and will assist in developing health policy, project plans, and programs.

102. Which of the following statements regarding WHO Collaborating Centers is most accurate?
A) One or two Regional Nursing Advisors carry out the work of a region that might be the home to thousands of nursing personnel.
B) The World Health Organization

B) The World Health Organization Collaborating Centers in Nursing and other fields focus on specific areas of expertise and carry out the work of the member countries in these areas.

103. A community health nurse suspects that a client who was a victim of a disaster 3 months ago is experiencing post-traumatic stress disorder. Which of the following would the nurse expect to find? Select all that apply.
A) Diminished startle response
B

B) Hypervigilance
C) Feelings of detachment
D) Flashbacks

104. A group of ten people from the commune in the hills come into town dressed in robes and have their faces covered. They have weapons hidden in their clothing and begin entering the three banks in town to rob them. These actions can be classified as wh

D) Adventitious crisis

105. After teaching a group of students about agents associated with chemical warfare, the instructor determines that additional teaching is needed when the students identify which as an example?
A) Explosives
B) Nerve agents
C) Anthrax
D) Jet fuel

C) Anthrax

106. Which of the following would be most appropriate for community health nurses to encourage when helping communities cope with the anxiety associated with terrorism?
A) Maintaining high levels of alertness and fear
B) Spending time with children and yo

B) Spending time with children and young people

107. After teaching a class about the functions of a family, the instructor determines that the class needs further instruction when they identify which of the following statements as true of family functions?
A) One family function is providing affection

B) Family functions include ensuring the happiness of all family members.

108. A community health nurse is asked to be part of a community-wide effort to address the issue of teen parenthood. When planning appropriate programs, which of the following would be important to include as the priority?
A) Increased focus on preventin

A) Increased focus on preventing teen pregnancy

109. When working with gay and lesbian families, which of the following is the most important challenge?
A) Determining if the union is legal in the state that the family resides
B) Creating an environment in which the family feels confident, relaxed, and

B) Creating an environment in which the family feels confident, relaxed, and comfortable

110. When a community health nurse is conducting a family assessment on an assigned family, which of the following would be most appropriate?
A) Use quantitative data only to maintain and preserve objectivity
B) Interview one family member to avoid confus

D) Make several visits and accumulate data from all family members

111. 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. Whi

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

112. A community health nurse determines that it is time for teaching a family about health promotion activities when they say which of the following?
A) "Is there a place we can go for the medicine?"
B) "It's time we do something about eating right."
C)

B) "It's time we do something about eating right.

113. Which of the following would a community health nurse use when conducting an outcome evaluation?
A) Organization
B) Family progress
C) Timing
D) Performance

B) Family progress

114. A community health nurse is designated as a "mandated reporter." Which of the following best describes this designation?
A) The nurse must witness abuse and neglect before being mandated to report.
B) The nurse commands that battered women report the

D) The nurse must report any case of known or suspected abuse and neglect in children or elders.

115. A community health nurse is providing a community education program about suicide. Which of the following would the nurse include as a common method used by women?
A) Hanging
B) Firearms
C) Vehicle crash
D) Overdose

D) Overdose

116. Which of the following would be least appropriate for a community health nurse to include in a plan of care at the secondary prevention level for families who may need to respond in a case of crisis in the future?
A) Teaching social problem-solving s

D) Helping to reestablish as sense of safety

117. A community health nurse is developing a plan of care for families in crisis. Which of the following would be most appropriate for the nurse to include?
A) Encourage clients to suppress feelings to minimize pain
B) Avoid correcting distorted facts to

D) Help clients confront crisis

118. During a home postpartum visit, a community health nurse suspects that the woman is experiencing depression. Which of the following responses would be most appropriate?
A) "You should try drinking more caffeine to help you be less tired."
B) "Don't w

C) "Try napping when the baby is napping.

119. After teaching a group of students about various community nutritional programs, the instructor determines that the teaching has been successful when the students identify which of the following as a result of the WIC program?
A) Increased expenditur

C) Reduced rates of infant iron deficiency anemia

120. A community health nurse is developing a plan to address the nutritional needs of infants, toddlers, and preschoolers. Which of the following would the nurse need to incorporate as a major issue associated with nutritional problems?
A) Life in the cu

B) Overfeeding of an infant

121. A community health nurse is making a family home visit. The family consists of the mother, father, 1-year-old, and 4-year-old. The mother states that the 4-year-old who is in preschool had a cold last week and now the 1-year-old has it. She asks the

C) "That type of medicine should not be used in children under age 2.

122. A community health nurse is working with a group of parents who have infants and toddlers. Which of the following would the nurse include in a teaching plan for this group about reducing dental caries?
A) Serving sugary foods at mealtimes and not sna

A) Serving sugary foods at mealtimes and not snacks

123. As one aspect of ensuring adequate brain development in a child, a community health nurse would encourage the intake of which during the first 2 years of life?
A) Vitamins
B) Fats
C) Protein
D) Carbohydrates

B) Fats

124. Which of the following would a community health nurse expect to assess in the adolescent population with an eating disorder?
A) High levels of peer support
B) Clear sense of self
C) Feelings of being in control
D) Distorted body image

D) Distorted body image

125. A community health nurse is working with local community agencies to provide services for children and adolescents with disabilities. Based on the nurse's knowledge of the most common disabilities affecting this group, the nurse would advocate for wh

A) Special education services

126. A community health nurse is providing immunizations to school-age children at a local health department. At which age would the nurse expect to administer the first dose of human papilloma virus (HPV) vaccine?
A) 9
B) 11
C) 13
D) 15

B) 11

127. A community health nurse is speaking to a group of parents of incoming college freshmen students who will be living in the dormitories. The focus of the program is on the college health program, health issues, and immunizations. Which immunization wo

C) Meningococcal vaccine

128. When working with community groups to develop appropriate programs for adolescent health promotion, the nurse integrates knowledge of the Healthy People 2020 objectives, keeping in mind that many of the objectives address which of the following?
A) S

B) Risk-taking behaviors

129. A nurse is instructing the adult male members of a family on how to perform testicular self examination. Which of the following would the nurse include?
A) Performing the examination every 3 months
B) Completing the exam right after a hot shower
C) E

B) Completing the exam right after a hot shower

130. When developing a plan of care for a group of male patients experiencing erectile dysfunction, which of the following would the nurse expect to institute first?
A) Lifestyle changes
B) Adjustments to current medications
C) Psychotherapy
D) Behavior m

A) Lifestyle changes

131. Which of the following would a community health nurse recommend adult men and women over the age of 50 receive yearly?
A) Electrocardiogram
B) Tetanus booster
C) Flexible endoscopy
D) Hemoccult stool testing

D) Hemoccult stool testing

132. Which of the following comprise the primary criteria for effective programs for older adults?
A) Coordination
B) Accessibility
C) Comprehensive
D) Complex
E) Quality

ABCE
A) Coordination
B) Accessibility
C) Comprehensive
E) Quality

133. A group of community health nurses who work in continuing care retirement centers are asked to talk to a group of seniors about what they do. Which of the following would the nurses identify as unique for this setting?
A) Accept clients who primarily

D) Provide a variety of housing and care options that elders need as they age

134. Which of the following care options would be most appropriate for an older adult who experiences confusion, requires daily insulin injections and blood glucose monitoring, and needs assistance with bathing, dressing, and feeding?
A) Personal care hom

D) Skilled nursing facility

135. Which one of the following statements is most accurate when differentiating hospice from palliative care?
A) Both palliative care and hospice focus on cure; however, hospice focuses on terminal illnesses, and palliative care focuses on diseases that

B) Palliative care consists of comfort and symptom management and is often a part of hospice care.

136. When working with the older adult population in the community, which of the following would be most important for the community health nurse to do?
A) Develop case management programs to channel clients to appropriate services
B) Place the older adul

A) Develop case management programs to channel clients to appropriate services

137. After teaching a group of students about the socioeconomic gradient in health, the instructor determines that the students understand the concept when they state that the relationship between social class and health is which of the following?
A) Dire

B) Inverse

138. Which of the following are types of health disparities that are due to inequities that can be corrected? Select all that apply.
A) Patients feel that they are unable to trust the information given to them and may not follow it as explained.
B) Limite

ABCD
A) Patients feel that they are unable to trust the information given to them and may not follow it as explained.
B) Limited access to appropriate level of care
C) Poor access to quality care
D) Overt discrimination

139. Which of the following vulnerable populations have been subjected to perceived poor quality of care and access to care? Select all that apply.
A) HIV-infected persons
B) Persons who use illicit drugs
C) People of non-White race/ethnicity
D) People of

ABCE
A) HIV-infected persons
B) Persons who use illicit drugs
C) People of non-White race/ethnicity
E) Homeless persons

140. In Healthy People 2020, what is the emphasis of the categories of objectives that relate to the goal of "Disability and Health to promote the health and well-being of people with disabilities?"
A) A growing emphasis on a holistic approach that recogn

A) A growing emphasis on a holistic approach that recognizes life satisfaction is just as important to health and well-being as preventative services

141. Which of the following are the three areas has Healthy People identified for public health action for the year 2020 using the International Classification of Functioning, Disability, and Health? Select all that apply.
A) Improve the conditions of lif

ABC
A) Improve the conditions of life for persons with disabilities
B) Address the inequitable distribution of resources among people with disabilities and those without disabilities
C) Expand the knowledge base and raise awareness about determinants of h

142. A community health nurse is preparing for a presentation on disabilities and is planning to include information about Healthy People 2020 goals. When addressing these goals, the nurse identifies differences from the goals addressed by Healthy People

ABD
A) Rather than individuals with disabilities and/or chronic illnesses being defined by their limiting conditions, they are viewed as having the potential to meet and exceed health promotion and disease prevention goals set for the nation's population

143. A community health nurse is developing a plan of care for a family who is providing round-the-clock care in their home for a daughter who is chronically ill. Which of the following would be most important for the nurse to integrate into the plan?
A)

D) Respite care

144. When developing programs to assist individuals with disability and chronic illness, which of the following would be most important?
A) Narrow focus
B) Holistic practice
C) Orientation to the present
D) Episodic care

B) Holistic practice

145. A community health nurse is providing information handouts that describe the need for annual gynecologic exams to local health clinics that provide care for individuals with disabilities. The nurse is fulfilling which role?
A) Advocate
B) Coordinator

D) Educator

146. A community health nurse is reviewing the effects of the Americans with Disabilities Act of 1990. Which of the following would the nurse identify as a major result of this legislation?
A) Employers with five or more employees must abide by the Americ

B) Architectural barriers must be removed from pathways so that they are accessible by wheelchair.

147. Which one of the following statements regarding the etiology of substance use disorders is most accurate?
A) It is believed that nurture has substantially more influence on the development of substance use disorders than nature.
B) With the mapping o

C) Alcohol dependence is thought to be a multigenomic disorder influenced by the environment (gene-environment interaction).

148. A community health nurse is providing an in-service program to the agency staff about effect theory, which will be used to develop behavioral intervention programs. The nurse determines that the staff needs additional teaching when they identify whic

D) Process theory

149. A community health nurse is applying the Institute of Medicine model based on Gordon's Classification of Disease Prevention model to address prevention of alcohol use during pregnancy and prevention of fetal alcohol syndrome. Which of the following p

D) Pregnant women who have a child with fetal alcohol syndrome

150. A community health nurse is working with a political group to lobby for changes in funding for a mental health promotion program. The nurse is functioning in which role?
A) Educator
B) Collaborator
C) Advocate
D) Case manager

C) Advocate

151. Which one of the following are the primary roles that the community health nurse must use to understand and serve populations with mental illness?
A) Advocate
B) Educator
C) Case manager
D) Consumer of epidemiologic data

D) Consumer of epidemiologic data

152. Which of the following are involved in accessing and using epidemiologic data to understand and serve populations with mental illness? Select all that apply.
A) Identifying the incidence and prevalence of mental disorders
B) Understanding that all da

ACD
A) Identifying the incidence and prevalence of mental disorders
C) Examining the causes and risk factors associated with mental illness
D) Identifying the needs of people with mental disorders

153. Place in order, the steps involved in creating a faith community nursing position within a faith community.
A) Seek support of the faith community members and staff.
B) Seek formal approval from the organization's governing body.
C) Assess the commun

CABD
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.
B) Seek formal approval

154. An instructor reviews the definition of homelessness according to the McKinney Vento Homeless Assistance Act with a group of community health nursing students. The instructor determines that the students need clarification when they include which of

C) Someone who is incarcerated

155. When addressing homeless children and youth, which of the following situations are also considered homeless according to the education subtitle of the McKinney-Vento Homeless Assistance Act? Select all that apply.
A) Children who share housing with o

ABCD
A) Children who share housing with others due to economic hardship or loss of housing
B) Children who are abandoned in hospitals
C) Children who are awaiting placement in foster care
D) Children who are living in motels, trailer parks, or camping gro

156. Which of the following would likely provide the best estimate of the number of persons who are homeless?
A) Counting the number of homeless people on a particular day
B) Counting the persons who are homeless in a given week
C) Counting the number of

D) The number of people who have been homeless over the course of a year

157. After teaching a group of community health students about public and private sector programs and initiatives aimed at combating homelessness, the instructor determines that they need additional teaching when they identify which of the following as a

C) National Resource Center on Homelessness and Mental Illness

158. A community health nurse who will be working with a homeless population is planning care. Which of the following would the nurse need to do first?
A) Develop trust with the population
B) Clarify personal values and beliefs
C) Focus on the issue of ho

B) Clarify personal values and beliefs

159. When preparing a plan of care for a group of women who are victims of intimate partner violence, the nurse develops interventions aimed at the primary level of prevention. Which of the following would be most appropriate for the nurse to include?
A)

A) Assisting them to locate a safe shelter

160. A community health nurse is working with a group of homeless clients with substance abuse problems. Which of the following would be appropriate for the nurse to do at the tertiary level of prevention?
A) Conduct mass screening for common communicable

D) Assist in ensuring participation in substance abuse rehabilitation programs

161. 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?
A) Maintain the current absentee rate
B) Provide contraceptive services
C) Increa

C) Increase ready access to health care services

162. 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?
A) On-site sexually transmitted infections testing and treatment
B) On-site provi

B) On-site provision of contraceptives

163. After teaching a group of students about the concept of social justice, which of the following if stated by the group as a component indicates effective teaching?
A) Decreased burden borne by all
B) Increased benefits obtained for all
C) Narrow isola

D) Diversity viewed as a strength

164. A rural community health nurse is a guest speaker at a nearby nursing school. The nurse is describing how rural community health nursing compares with community health nursing in urban and suburban areas. Which of the following would the nurse includ

C) Nurses viewed as active, highly respected community members

165. A community health nurse implements the use of promotoras to promote health in migrant communities. Which of the following best describes a promotora?
A) Nonprofessional community outreach worker
B) Trained childbirth assistant
C) Retired nurses know

A) Nonprofessional community outreach worker

166. Which of the following activities best exemplifies a community health nurse forging a relationship?
A) Dealing with sensitive subjects
B) Introducing one's self as a community health nurse
C) Listening to more than just what is said
D) Being aware of

B) Introducing one's self as a community health nurse

167. After teaching a class on urban health to a group of community health nursing, the instructor determines that the teaching was successful when the students describe it as which of the following?
A) Providing care to those individuals who are living i

C) Considering effects of environment on the health of large cities

168. Which of the following health conditions would the corrections nurse expect to address as most prevalent? Select all that apply.
A) Heart disease
B) Tuberculosis
C) Hepatitis C
D) Asthma
E) Substance abuse

BCE
B) Tuberculosis
C) Hepatitis C
E) Substance abuse

169. A school nurse functions to promote a healthy school environment. Which of the following would be most appropriate for the nurse to do?
A) Advocating for proper nutrition and exercise to prevent and reduce the incidence of obesity in school-age child

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

170. 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?
A) Treatment of

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

171. A corrections nurse is visiting a local nursing school to describe this career. Which of the following would the nurse include in the discussion?
A) Lower salaries than other fields
B) Primarily assessment oriented
C) Extensive employee benefits
D) L

C) Extensive employee benefits

172. 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?
A) Educating parents about the importance of oral health
B) Teaching children how to bru

D) Advocating for the fluoridation of drinking water

173. 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?
A) Activities involving safety education
B) Care of injured employees
C) Programs

B) Care of injured employees

174. 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?

B) Upturn in the global economy

175. 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

A) Use of critical thinking skills

176. After teaching a community group about the Medicaid program, which of the following would indicate to the nurse that additional teaching is necessary?
A) Medicaid has a monthly fee that recipients must pay.
B) Medicaid is administered individually by

A) Medicaid has a monthly fee that recipients must pay.

177. Which of the following would the community health nurse identify as a drawback to retrospective reimbursement?
A) Spending was limited to the most necessary tests and treatments.
B) Services for sickness were encouraged rather than wellness.
C) Consu

B) Services for sickness were encouraged rather than wellness.

178. Which of the following about the educational preparation for occupational and environmental health nursing is most accurate?
A) Any licensed nurse can provide the services necessary.
B) Because it is a specialty of nursing, a Bachelor's degree in nur

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

179. When working with different cultural groups in the area of health care practices, the nurse acts as an effective advocate for the client. Which of the following must the nurse do first?
A) Prepare to teach clients about the limits and benefits of cul

D) Be knowledgeable about health care practices and choices

180. When working with immigrant groups in community health care, which of the following would be least appropriate for the community health nurse to do?
A) Permit ample time for interviewing to allow time to evaluate beliefs
B) Develop educational progra

C) Assume that the client has a basic understanding of health issues

181. A home health care nurse performs an initial visit to a client and determines that the client meets the criteria for services with Medicare reimbursement. The nurse understands that this service will be reimbursed for which period?
A) 30 days
B) 60 d

B) 60 days

182. Which of the following is included in the most accurate description of school nursing?
A) This is one community health setting where the role is static.
B) The primary role of school nurses is clinician.
C) The practice of school nurses is widening.

C) The practice of school nurses is widening.

183. 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.
A) Planning seven home v

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

184. Which of the following are core values of professional behavior that are unique to public health nursing? Select all that apply.
A) Community/population as client
B) Prevention
C) Rehabilitation
D) Partnership
E) Healthy environment
F) Diversity

ABDEF
A) Community/population as client
B) Prevention
D) Partnership
E) Healthy environment
F) Diversity

185. When using descriptive epidemiology, which type of study would the community health nurse expect to include?
A) Prevalence study
B) Case-control study
C) Cohort study
D) Count study

D) Count study

186. Organize the following steps in the epidemiologic study from the first step to the last.
A) Collect the data.
B) Identify the problem.
C) Analyze the findings.
D) Disseminate the findings.
E) Review the literature.
F) Develop conclusions and applicat

BEGACFD
B) Identify the problem.
E) Review the literature.
G) Design the study.
A) Collect the data.
C) Analyze the findings.
F) Develop conclusions and applications.
D) Disseminate the findings.

187. After teaching a class on ethical principles, the instructor determines that the class needs additional instruction when they identify which of the following as an ethical principle?
A) Respect
B) Autonomy
C) Morality
D) Justice

C) Morality

188. A community health nurse working with a group of families who come to local community health care center tells them that she is going to be setting up child care so that the families can participate in the various classes being offered by the center.

B) Fidelity

189. Which of the following activities would be associated with a community health nurse? Select all that apply.
A) Examining infants in a city well-baby clinic
B) Caring for elderly stroke victims in their homes
C) Providing emergency care in an acute ca

ABDE
A) Examining infants in a city well-baby clinic
B) Caring for elderly stroke victims in their homes
D) Carrying out epidemiologic research
E) Participating in health policy analysis

190. The term health can be described in many different ways. A community health nurse would view health as which of the following?
A) The absence of disease
B) The potential to lead a productive life
C) An environment free of toxins
D) A holistic state o

D) A holistic state of well-being

191. 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?
A) Citizens are actively involved in the city's department of

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

192. At which time did the focus of district nursing broadened to include the health and welfare of the general public?
A) Beginning of 20th century
B) In the late 19th century
C) Prior to the 1850s
D) By the early 1970s

A) Beginning of 20th century

193. Which of the following actions by the community health nurse exemplifies the societal influence of causality on the practice of community health nursing?
A) Using computer-based education programs for client education
B) Engaging in video conferencin

C) Identifying multiple factors associated with promoting wellness

194. Which of the following most accurately reflects the response of community health nursing to economic forces?
A) Decreased competition with other community health service providers
B) Reduction in available programs and services
C) Development of new

C) Development of new services for generating revenue

195. A public health nurse is faced with an ethical dilemma. Which question should the nurse consider first when deciding how to resolve the dilemma?
A) "What exactly is the ethical dilemma?"
B) "What are the alternative courses of action?"
C) "What are t

A) "What exactly is the ethical dilemma?

196. A home health care nurse is working with informal caregivers. Which of the following is most important?
A) Include the client's spouse or significant other in the plan
B) Visit frequently to manage and maintain equipment
C) Focus on caretaker abiliti

C) Focus on caretaker abilities, not their limitations

197. When providing home health care, which individual is responsible for coordinating the care?
A) Registered nurse
B) Social worker
C) Physician
D) Dietician

A) Registered nurse

198. A client will receive hospice care under the Medicare Hospice Benefit. The nurse understands that which of the following is true?
A) The client denies terminal prognosis.
B) The client has a prognosis of at least 6 months of life.
C) The client choos

D) The hospice acts as clinical and financial case manager.

199. When describing the role of hospice nurses to a group of students, a hospice nurse identifies which of the following as most important?
A) Speaking the truth
B) Sustaining oneself
C) Encouraging choice
D) Strengthening the family

B) Sustaining oneself

200. Which of the following Medicare definitions prevent people who could benefit from home care services from receiving those services, even when it would be most cost effective for the client to receive home care rather than more expensive emergent and

ABD
A) Home-bound status
B) Medical necessity
D) Skilled nursing