Community Health Exam 2: Environmental Health and Nursing Questions and Answers, Exams of Nursing

Download Community Health Exam 2: Environmental Health and Nursing Questions and Answers and more Exams Nursing in PDF only on Docsity! Community Health Exam 2 Questions and Answers rated A A Public health nurse working with a family living in poverty recognizes that they are more likely to be exposed to environmental hazards because they have (select all that apply): A.) Limited funds to pay for health care B.) Poorer nutrition c.) Homes more likely located closer to hazardous waste sites D.) Less education E.) Cleaner than average air - A.) Limited funds to pay for health care B.) Poorer nutrition c.) Homes more likely located closer to hazardous waste sites D.) Less education Why is it important for nurses to understand the premises of environmental health? A.) Nurses should be able to assess risks and advocate for policies that support healthy environments. B.) Toxicologists often consult nurses about environmental pollutants. Community Health Exam 2 Questions and Answers rated A C.) Pollutant exposures such as lead are reported by nurses t the Environmental Protection Agency. D.) Many Americans live in areas that do not meet current national air quality standards - A.) Nurses should be able to assess risks and advocate for policies that support healthy environments. An example of secondary prevention is : A.) Screening children for lead poisoning B.) working with communities on emergency preparedness plans C.) Developing social networking interventions t modify community norms D.) Educating patients with strokes as rehab centers to help organize to help optimize their functioning - A.) Screening children for lead poisoning Which example contains the components necessary to form an epidemiologic triangle? A.) Pesticides, water, food B.) Lead, mercury, soil Community Health Exam 2 Questions and Answers rated A 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 casual agents for anthrax, tuberculosis, and cholera C.) Tracked the incidence of tuberculosis in the tenements of New York City D.) Used geographic mapping to demonstrates the connection between water supply and cholera - D.) Used geographic mapping to demonstrates the connection between water supply and cholera A new group of migrant farmworkers has arrived in an community. The local public health nurse realizes that an important step before scheduling clinic services is to: A.) Consult the public health staff regarding their scheduling preferences B.) Learn about farmworkers' concept of time and their work schedule to determine when and how services can best be scheduled C.) Review written materials about the farmworkers' culture of origin D.) Visit the farmworker camp and tell the camp leaders when clinic services will be available - B.) Learn about farmworkers' concept of time and their work schedule to determine when and how services can best be scheduled Community Health Exam 2 Questions and Answers rated A A nurse takes the time to read and understand the community's disaster plans and participates in mock disaster drills as a leader of the triage team. The nurse obtained disaster management training through the local Red Cross chapter and registered with the state as a disaster management nurse. The best description of the nurse's activities is: A.) American Red Cross Disaster training B.) Community preparedness C.) Personal preparedness D.) Professional Preparedness - B.) Community preparedness A newly hired public health nurse is familiarizing himself with the levels of disaster management. Which of the following actions is a component of disaster preparedness? A.) Outlining specific roles of community agencies B.) Identifying community vulnerabilities C.) Prioritizing care of individuals D.) Providing stress counseling - A.) Outlining specific roles of community agencies Community Health Exam 2 Questions and Answers rated A A nurse is assigned to provide community outreach to a small town that was partially destroyed by a tornado 3 years earlier and has been rebuilt. The first client is a family who lost their home and their best friend in the tornado. The best intervention would include: A.) A assessment of the family's home environment to rule out safety issues B.) Avoidance of discussion of the disaster of 3 years ago C.) Consideration that the family will have worked through the emotional aftermath by now D.) Support of the family in preparing a personal disaster response plan - D.) Support of the family in preparing a personal disaster response plan The highest priority for a nurse who is among the first responders to a disaster is: A.) arranging for shelter disaster providers B.) Beginning community assessment as soon as possible to ensure a rapid recovery C.) Beginning surveillance and planning needed health education for disaster survivors Community Health Exam 2 Questions and Answers rated A C.) Examine their personal beliefs, values experiences D.) Understand the federal criteria and guidelines for poverty - C.) Examine their personal beliefs, values experiences Health education s often used as a strategy in working with vulnerable populations. The benefits of health education can be greatly affected by the individual's or group's: A.) Cycle of dependency B.) Health literacy C.) Level of income D.) Race and ethnicity - B.) Health literacy An undocumented migrant farm worker, who can speak some English, has been diagnosed with TB. The local health department, using a Spanish translator, initiates treatment by dispensing the first month's supply of medication and educates the client on the need to continue treatment for 6 to 12 months. A major challenge the the client may face to ongoing treatment for TB is: A.) Affordable care Community Health Exam 2 Questions and Answers rated A B.) Discrimination C.) Fragmented Services D.) Language barriers - C.) Fragmented Services A nurse volunteering as a local homeless shelter notes that many of the clients have acute and chronic illnesses and are in need of primary health care services. The most effective strategy to consider when networking with homeless individuals, families, or populations is to: A.) Form a community partnership to establish a clinic for a homeless persons B.) Create a trusting environment and establish a therapeutic relationship C.) Collaborate with the local United Way to obtain funding for primary care services D.) Dialogue with local clergy to address the unmet primary care need for homeless persons - B.) Create a trusting environment and establish a therapeutic relationship Which is an example of an agent in the epidemiologic triangle? A.) Human population distribution Community Health Exam 2 Questions and Answers rated A B.) Salmonella C.) Genetic susceptibility D.) climate - B.) Salmonella The time interval between invasion by an infectious agent and the first appearance of signs and symptoms of the disease is called: A.) Communicable period B.) Incubation period C.) Infectiousness D.) Pathologic reaction - B.) Incubation period West Nile Virus is an example of which of the following types of illness? A.) Foodborne B.) Vectorborne C.) Waterborne D.) Zoonoses - B.) Vectorborne Community Health Exam 2 Questions and Answers rated A An example of a vertical transmission of a disease is through: A.) Breast milk B.) Sexual transmission C.) Mosquitoes D.) Contaminated food - A.) Breast milk Match each term with the correct example. A.) endemic B.) Pandemic C.) Epidemic 1.)Malaria is present in Africa at all times because of the presence of infected mosquitoes. Malaria is _________ in Africa. 2.) The Ebola virus in parts of Africa is in excess of what is expected for this region. This virus is a/an _________ Community Health Exam 2 Questions and Answers rated A 3.) HIV/AIDS is one of the worst global diseases in history. It is a/an ________ - (1,A) (2,C) (3,B) 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.) Microbial adaption E.) Public health infrastructure deterioration - A.) Environmental changes B.) Host behavior D.) Microbial adaption E.) Public health infrastructure deterioration The nurse teaches food handlers to wash utensils after contact with raw meat. This prevention focus on the: Community Health Exam 2 Questions and Answers rated A A.) Agent B.) Host C.) Environment D.) Food Handler - C.) Environment Which information is important for the nurse to know about preventing and controlling parasitic infections? A.) The medication to prescribe to treat infections B.) The nature and symptoms of all parasitic illnesses C.) What specimens to collect and how and when to collect them D.) Public policy about parasitic infections - C.) What specimens to collect and how and when to collect them An example of a bacterial STD is: A.) Trichomonas B.) HIV Community Health Exam 2 Questions and Answers rated A B.) Antibody production by the immune system increases C.) incubation period is prolonged D.) Symptoms include myalgias, sore throats, and rash - C.) incubation period is prolonged The nurse counsels a client to have the enzyme linked immunosorbent assay (EIA) test in order to: A.) Indicate the presence to the antibody to HIV B.) Reveal whether or not the client has AIDS C.) Isolate the HIV virus D.) Confirm HIV after having a positive Western Blot - A.) Indicate the presence to the antibody to HIV A Community health nurse visits a homeless shelter that has several clients with tuberculosis who are taking antimicrobial drugs. Supervised drug administration may be done on a daily basis with persons with poor adherence because: A.) This type of client does not care about his or her health Community Health Exam 2 Questions and Answers rated A B.) homeless people have no access to medications C.) Poor adherence can result in drug resistance D.) the antimicrobials are so powerful, clients must be observed for reactions - C.) Poor adherence can result in drug resistance A community health nurse is determining available and needed supplies in the event of a bioterrorism attack. The nurse should be aware that community members exposed to anthrax will need access to which of the following medications? A.) Metronidazole (Flagyl) B.) Ciprofloxin (Cipro) C.) Zanamivir (Relenza) D.) Fluconazole (diflucan) - B.) Ciprofloxin (Cipro) The nurse is counseling a female who has recently tested positive for HIV. The nurse educates her that she is responsible to (select all that apply) A.) Have regular medical evaluations and follow-ups Community Health Exam 2 Questions and Answers rated A B.) Donate blood, plasma, body organs, or sperm C.) Inform health care providers about the HIV infection D.) Consider the risk of perinatal transmission E.) Never use barrier methods of birth control - A.) Have regular medical evaluations and follow-ups C.) Inform health care providers about the HIV infection D.) Consider the risk of perinatal transmission Nurses need to be aware that, when a disease or event outbreak occurs as a result of a purposeful introduction of an agent into the population, then the: A.) Case definition must be validated by laboratory results B.) Predictable patterns may not exist C.) Surveillance systems can detect the event D.) Source of contamination must be identified to respond appropriately - B.) Predictable patterns may not exist Community Health Exam 2 Questions and Answers rated A A mother and her four year old child were recently infected with E.Coli infections. What are the possible types of transmission to consider? Select all that apply A.) Vertical B.) Horizontal - direct C.) Vectors D.) Horizontal - common vehicle E.) Airborne - B.) Horizontal - direct D.) Horizontal - common vehicle Which of the following agents of bioterrorism is manifested in 3 ways? A.) Plague B.) Smallpox C.) Anthrax D.) Tularemia - C.) Anthrax Community Health Exam 2 Questions and Answers rated A A nurse is working in a health department when a patient arrives who has been traveling to South America and has been diagnosed with malaria. The nurse knows: A.) The morbidity and mortality weekly report should be consulted to investigate the rate of malaria in the US B.) This is a disease that must be reported to the state health department C.) The nurse should take precautions to wear a mask and gown to avoid exposure D.) The patient is very ill and should be sent to the hospital immediately - B.) This is a disease that must be reported to the state health department