Violence is a major public health problem in our communities that causes premature mortality and lifelong disability. Violence-related morbidity is a significant factor in:
Community deterioration
Health care costs
Juvenile delinquency
Population density
Health care costs
A large industrial plant has recently laid off a significant portion of its workforce because of scalebacks in production. The occupational health nurse proposes education sessions with the remaining employees about effective strategies for managing stres
Work-related stress
A nurse in community health is working with a parent whose spouse has been called up for active duty in the military reserve. The family is experiencing financial strain due to decreased income. The extended family lives at a distance. The parent is strug
Child abuse
A nurse in community health conducting a home visit notices a 4-year-old girl sitting on a stool in an adjoining room. The girl is quiet and withdrawn, rarely makes eye contact, and does not leave the room. The nurse proceeds to ask about the child and at
Emotional neglect
A father brings his stepdaughter to the family clinic for an immunization update prior to the new school year. The nurse notices the interaction between the young girl and her stepfather. The child appears tense and cautious and wraps her arms around hers
Father-daughter incest
6.ID: 180369866
All adults should be assessed for violence in their primary intimate relationships. The abuse of female partners has the most serious community health ramifications because of the greater prevalence, the more serious long-term emotional an
Homicide
7.ID: 180369869
The nurse at the adult day care center notices bruises on the wrists of a 90-year-old client. Besides the physical assessment of the client, the nurse should:
Confront the daughter when she arrives to pick the father up
Discuss the finding
Discuss the findings with the caregivers to determine the
8.ID: 180369872
In giving care to the survivors of violence, the nurse should demonstrate respect and caring for all family members, insist that safety is the first priority, and demonstrate intolerance for violent behavior. Additionally, the nurse should
Absolutely honest about what will be reported and what the family can expect
9.
A nurse new to the community evaluates the resources available to a father that has sought help with his escalating abuse and threats of violence to his family. After making the referral, the nurse approaches the local newspaper about running a series
Increase awareness of community resources to address violence and abuse
A city uses the local media (radio, television, and newspapers) to post ratings of air quality on days when the air quality is poor. This notification is directed toward older adults, very young members of the community, and those with chronic breathing p
Vulnerable populations
A poor older Native Alaskan woman lives in a small remote village near the Canadian border. She has been diagnosed with hypertension and diabetes but rarely makes it to the regional clinic in a distant town for checkups. This woman is most at risk for:
Di
Health disparities
A young adult with a history of prior parental abuse has recently been diagnosed with a stress-related illness. The individual works at a local convenience store, earning a little more than the federal poverty level, but receives no health benefits. This
Vulnerability
A nurse participates with a community planning board addressing housing strategies and future community needs. The nurse is aware that the community has a population of homeless families served by local churches. The nurse is also aware that this agricult
Invisible to the community
A nurse volunteering at the free clinic in her community informs a client seeking treatment for hypertension that the family's children may qualify for enrollment in the State Children's Health Insurance Program (SCHIP). The nurse's intervention can reduc
Funds to insure currently uninsured children
6.
The Medicare Prescription Drug Improvement and Modernization Act of 2003 creates a prescription drug benefit as Part D of Medicare that will be purchased through private companies with their own formularies. This design benefits individuals in the low-
Disadvantaged populations
The most critical strategy that can be used by nurses in community health to improve the health status of migrant workers that spend only a few months in a geographic location is to:
Conduct a comprehensive assessment and formulate a plan for treatment
Es
Use every opportunity to teach about preventive health care
A nurse in community health directly contacts a mammography clinic to arrange an appointment for a female migrant worker with limited English language abilities. The nurse communicates with the client through an interpreter to ensure that the client's app
Advocacy
Health education is often used as a strategy in working with vulnerable populations. The benefits of health education can be greatly affected by:
Dependency cycle
Health literacy
Income level
Race and ethnicity
Health literacy
Which of the following are factors that may contribute to vulnerability? Select all that apply.
Exercise habits
Crime
Peeling lead paint
Social isolation
Illiteracy
(All)
Exercise habits
Crime
Peeling lead paint
Social isolation
Illiteracy
A recent movie release portrays a criminal as a black female drug user whose abusive boyfriend has two children by different women, living in the riot-torn inner city of a large metropolitan area with high levels of poverty and unemployment. This best dem
Cultural
A nurse in community health working in an inner city clinic with high poverty and unemployment rates recognizes the need for programs for pregnant women because these women often receive late or no prenatal care and deliver:
At home
Full term
Identical tw
Low-birthweight babies
3.ID: 180368449
A case management nurse for a locally funded program for special-needs children is increasingly concerned about a recent referral for a 1-year-old child with a congenital illness that is residing in poverty-stricken community. The nurse kn
Developmental delays
For the homeless, health care is usually crisis oriented and sought in emergency departments. The most difficult challenge for nurses treating this vulnerable population is to recognize the client's:
Limitations in following treatment protocols
Limited nu
Limitations in following treatment protocols
5.
The nurse must ask about violence at each prenatal and postpartum visit, especially with vulnerable populations such as teenagers, as well as observe for signs of violence on each visit. The nurse should be aware that the peak for postpartum intimate p
3 months for African-American and Hispanic/Latino mothers
6.ID: 180368458
A nurse in community health is following a pregnant teenager that attends school. The nurse plans to discuss self-care activities that will be important for the teen during her pregnancy. The discussion should include:
Carrying heavy book
Carrying heavy book bags
7.ID: 180368461
The goal of deinstitutionalization was to improve the quality of life for people with mental disorders by providing services in the communities where they lived rather than in large institutions. At what program level did this change in lo
Implementation level
8.ID: 180368464
A hospice nurse is working with a cancer client and his family. The client's 7-year-old son has developed recent school and peer problems. Understanding the risk for disruption of normal development, the nurse plans to first screen the chi
Mental health problems
9.
A nurse in community health conducts quarterly mental health-promotion and depression-screening programs at the local senior center. The nurse is aware that older adults are at increased risk for developing depression. Using such an intervention also a
Underutilization of the mental health system
10.ID: 180368470
It is estimated that one in 15 males becomes a father during his teen years. The nurse should be aware that many young men facing paternity have specific challenges such as (select all that apply):
Acting as though they are interested whe
Desiring and needing to be involved with their children
Being rejected by the young woman's family
A nurse in community health is working with a single parent of three children, ages 4, 6, and 8. The 6-year-old has cerebral palsy. The 4-year-old has asthma. The maternal grandmother lives with the family and has diabetes. The nurse understands the impor
Responsible for providing/managing the care of their members
The nurse in community health uses information about family structure, household composition, marriage, divorce, birth, death, adoption, and other family life events to forecast and predict stresses and developmental changes experienced by families and id
Family demographics
3.ID: 180365891
The current-day definition of family refers to two or more individuals who depend on one another for emotional, physical, and/or financial support. Which of the following is the most important principle to support this broader definition?
Members of a family are self-defined.
4.ID: 180365894
A family nurse is working with a married couple that has decided to remain childfree. The nurse recognizes this decision as a:
Biological necessity
Contemporary family function
Religious belief decision
Threat to family survival
Contemporary family function
The theoretical framework for family nursing that views the family as an open social system that maintains some boundaries is a comprehensive approach that views families in the broader community in which they live. This type of approach:
Allows for dynam
Views the family as a static picture
In applying the developmental theory, a family nurse determines the developmental stage of the family based on:
Age of the eldest child
Family strengths
Individual growth patterns
Overall tasks of the family
Age of the eldest child
7.ID: 180366303
In working with the families within the community, the public health nurse is aware that many marriages in the community are dual-career marriages. The nurse is aware that dual employment positively affects children if it includes involvem
Parenting and supervision
8.ID: 180366306
A barrier to the practice of family nursing would be:
Charting systems oriented to individual clients
Inability to define a healthy family
Increase in interracial marriages
Length of time between divorce and remarriage
Charting systems oriented to individual clients
9.ID: 180366309
The family nurse conducts the family nursing assessment with the family as a unit. Using a systematic process, family problems are identified and family strengths are emphasized as building blocks for interventions. Which of the following
Fosters equal family and provider commitment to success
Family health can be defined as a dynamic, changing, relative state of well-being that includes the biological, psychological, sociological, cultural, and spiritual factors of a family system. This family health approach would best include which of the fo
Family functioning affects the health of individuals.
The individual's health affects family functioning.
Simultaneous assessment of individual family members and the family system as a whole is important to family health.
During a family nursing assessment, a parent questions whether God is punishing the family, because one of the children has just been diagnosed with leukemia. The most facilitative response by the nurse would be:
"God is loving and doesn't punish people.
Tell me more about your family's spiritual beliefs.
2.
A nurse doing a family assessment asks the client, "Have any of your blood relatives had mental illness?" The nurse is asking this question to:
Determine whether the family is stable
Assess for biological risk factors
Decide whether this family member
Assess for biological risk factors
One member of an older couple has just retired. This is considered a:
Developmental stage that will help the family with stress reduction
Nonnormative event that will have psychological impact on the family
Normative event and can increase the family's ri
Normative event and can increase the family's risk for illness
4.ID: 180366685
A parent with two school-age children has just finished a family health assessment questionnaire. The parent asks the nurse why one of the questions asks whether there is a neighborhood playground. The nurse's best response would be:
"Don'
It's important to good health to have adequate recreation resources.
5.ID: 180366692
A nurse in community health decides to form a contract with a family. The contract states that the family will designate one night as a family night. The nurse is most likely using the contract to:
Make sure the family does what is expecte
Shift the responsibility so that it becomes a shared effort
6.ID: 180366698
A nurse in community health is conducting a parenting class for prospective parents that will focus on the development of new skills, identification of needed resources, planning, and other preparations for the arrival of a newborn. This i
Transitions
7.ID: 180366804
A nurse in community health is conducting an assessment on a family of four. During the course of the assessment, the nurse collects information about previous generations of the family and siblings. The results are used to create a diagra
A genogram
Many families have financial resources that allow them to maintain themselves but limit the quality of their purchasing power. Food high in fat and calories may be affordable, whereas fresh fruits and vegetables may not be affordable. A federal program th
Women, Infants, and Children (WIC)
9.ID: 180366816
Nursing interventions and approaches for helping individuals and families to assume an active role in their care should focus on empowerment rather than on enabling. The underlying principle to empowerment is:
Client dominance
Decreased co
Professional-client partnership
10.ID: 180366821
The problem of the working poor and uninsured places a major burden on the current health care system that affects those families and the community in general. Nurses in community health see this as a major (select all that apply):
Access
Access issue
Policy issue
Professional issue
Social issue
Systems issue
1.ID: 180370100
Society bears the burden of infectious disease. That burden includes the effects of morbidity and mortality as well as the staggering:
Economic burden
Fear burden
Incidence burden
Vulnerability burden
Economic burden
.ID: 180370103
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:
Agent-host-environment interaction
Circadian rhythm
Agent-host-environment interaction
3.ID: 180370106
An example of secondary prevention for infectious disease prevention is:
Malaria chemoprophylaxis
Pneumocystis carinii pneumonia (PCP) chemoprophylaxis for people with AIDS
Quarantine
Incorrect Restaurant inspections
Quarantine
Factors that contribute to newly emerging or reemerging infectious disease can be related to microbial adaptation and changes made by the infectious agent. However, most of the emergence factors are related to environmental changes and:
Consequences of hu
Consequences of human activities/behaviors
5.ID: 180370112
For the nurse to fully understand the threat associated with the release of biological agents and participate in an appropriate response, the Centers for Disease Control and Prevention (CDC) has stated that the biological agents most likel
Major panic and social disruption
6.ID: 180370115
To reach the desired goal of maximizing the full immunization rates for preventable communicable disease and increasing herd immunity levels, it is crucial for the nurse to:
Assume that the primary care physician has provided all appropria
Check an individual's immunization status at each and every visit
Protecting the nation's food supply from contamination by all the virulent microbes is complex, costly, and time consuming. However, much foodborne illness, regardless of causal organisms, can be prevented through simple changes in:
Food preparation, hand
Food preparation, handling, and storage
8.
Universal precautions is a policy for all health care settings, where potential contact with blood or other body fluids exists, and requires that health care workers always perform hand hygiene and wear gloves, masks, protective clothing, and other ind
Blood and body fluids of all clients be handled as if infected
9.ID: 180370124
A multisystem approach to community disease control would include such interventions as (select all that apply):
Community action programs
Control of vectors
Improved surveillance systems
Legislation
Provision of chemotherapy
Community action programs
Control of vectors
Improved surveillance systems
Legislation
Provision of chemotherapy