Public Health and Community Health Nursing: Exam Questions and Answers, Exams of Nursing

Download Public Health and Community Health Nursing: Exam Questions and Answers and more Exams Nursing in PDF only on Docsity! NUR-441 PUBLIC HEALTH EXAM 1 QUESTIONS WITH CORRECT ANSWERS 2024 UPDATE CHAPTER 1  After teaching a group of nursing students about the similarities and differences between public health and community health, identification of which of the following as a core public health function would indicate the need for additional teaching? A) Assessment B) Policy development C) Assurance D) Sanitation  The nurse is preparing a presentation to a local group about community health practice. Which of the following would the nurse include as most important? A) A focus on the use of technological skills to promote client health B) Focus on health promotion and prevention of health problems C) Emphasis of care being provided to individuals rather than families or groups D) Independent practice with occasional interaction with other health providers  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 of well- being  A group of community health nursing students design a health education program for a group of pregnant teens that includes teaching nutrition during pregnancy, demonstrating helpful exercises, and discussing their concerns. This is an example of which of the following? A) Health promotion B) Treatment of disorders C) Rehabilitation D) Evaluation  After discussing the leading health indicators with a class, which condition if stated by the class as one of these indicators suggests that the class has understood the information? A) Cardiac disease B) Mental health C) Sedentary lifestyle D) Maternal health care  The nurse is working with a “community of solution.” Which of the following would the nurse expect to find? A) A health problem affecting the group B) Common goal binding members together C) Sharing of a similar goal D) Locational boundaries  A group of students are reviewing material for a test on populations, communities, and aggregates. Which of the following indicates that the students understand these concepts? A) Members of a population share a sense of belonging. B) Communities and populations are types of aggregates. C) Individuals of a community are loosely connected. D) Members of an aggregate share a strong bond.  While interviewing a client, which of the following statements would a nurse identify as reflecting an objective dimension of health? A) “I'm feeling better since I started taking that medication.” B) “Life is pretty good right now, except for an occasional upset stomach.” C) “I'm able to wash myself in the mornings with just a bit of help.” D) “Sometimes when I wake up, I don't even want to face the day.”  When employing a population-oriented focus, the community health nurse would do which of the following? A) Assess the groups' relationships, looking for a common need B) Consider the members individually, looking for similarities C) Focus on the geographical area of the population D) Promote the groups' dependency for improving health  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 care facility D) Carrying out epidemiologic research E) Participating in health policy analysis  Which of the following would a community health nurse identify as a community of common interest? A) The global community B) Small rural town in a northern state C) National professional organization D) Counties addressing water pollution  A community health nurse is preparing a presentation for a group of nursing students about community health nursing. Which of the following descriptions about community health nursing would the nurse most likely include in the presentation? A) Focusing on addressing continuous needs B) Working with the client as an equal partner C) Engaging in tertiary prevention as the priority D) Encouraging clients to reach out to the nurse  A community health nurse is working with other members of a team who will be implementing a citywide immunization program. The nurse is coordinating the services and addressing the needs of the population groups to ensure which of the following? A) Involvement of the community B) Client participation C) Continuity of service D) Plan for follow-up  The community health nurse is developing a plan of primary prevention activities. Which of the following might the nurse include? Select all that apply. A) Teaching high school students about safer-sex practices B) Encouraging older adults to install safety devices in the bathroom C) Providing regular immunization programs for communicable diseases D) Participating in cholesterol screening programs at health fairs member. This nurse is fulfilling which role? A) Advocate B) Manager C) Collaborator D) Researcher 8. The community health nurse is engaging in the core function of policy development. With which the activities would the nurse most likely be involved? A) Monitoring health status to identify community health problems B) Teaching communities about important health issues C) Linking individuals to needed personal health services D) Ensuring that a competent health care workforce is available 9. A community health nurse is assuming the role of a manager. Which function would be most important for the nurse to address first? A) Planning B) Organizing C) Leading D) Controlling 10. While providing care to a family at a local center, the community health nurse contacts the local department of social services to help the family obtain health insurance coverage. The nurse also gives the family a list of pharmacies where they can get their prescriptions filled. The nurse is acting in which role? A) Educator B) Leader C) Clinician D) Advocate 11. Which of the following differentiates the home setting for community health nursing from other settings? A) The nurse acts primarily as an educator. B) The client is viewed within his or her environment. C) Technologically advanced care is limited. D) The home is being used less frequently today. 12. After teaching a group of students about the various settings for community health nursing, the instructor determines that this teaching was successful when the students identify which of the following as an example of an ambulatory service setting? A) Preschool B) Halfway house C) Continuing care center D) Family planning clinic 13. A nursing student is interviewing a community health nurse about the various roles the nurse assumes and the skills and behaviors necessary to perform each role. Which of the following would the community health nurse identify as being essential to the role of an advocate? Select all that apply. A) Assertiveness B) Ability to plan C) Ability to negotiate D) Risk-taking E) Holistic view F) Questioning attitude 14. 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 visits B) Working on a new curriculum for high-risk teens C) Meeting with colleagues to discuss organizational changes in the office D) Ordering pamphlets over the Internet to be used in a parenting class E) Tabulating data from surveys distributed to elders during a flu-shot clinic F) Going to social services to speak up for a family in her caseload 15. A community health nurse is collaborating with local community leaders to prepare a community disaster plan. Which function is the nurse fulfilling? A) Research B) Assurance C) Policy development D) Assessment 16. A community health nurse is devoting the day to being a manager. Which of the following activities are part of this role? Select all that apply. A) Orienting three new community health nurses in the agency B) Attending a strategy meeting for a new service the community will be offering C) Working with a team to direct a smoking cessation program D) Investigating an outbreak of salmonella in the community E) Tabulating the findings of a study exploring immunization practices among teens F) Reviewing staff evaluations to assist with planning future in-services 17. Which of the following best exemplifies the attributes of a community health nurse in the researcher role? A) Gaining the trust and respect of staff members B) Interpreting abstract ideas so others can understand C) Implementing a staff development program for a technique D) Evaluating the possible causes and effects of a situation 18. After teaching a group of students about the changing roles of the community health nurse in the occupational setting, the instructor determines that the students need additional teaching when they state which of the following? A) Occupational health nurses are increasing their role as employee advocates. B) Health education is a key function of the occupational health nurse. C) There is a greater emphasis on the occupational health nurse's role as a clinician. D) Collaboration with other health care providers fosters the offering of better services. 19. A community health nurse is working as a lobbyist for health legislation for AIDS research at the state capitol. This nurse is practicing in which setting? A) Faith community B) Ambulatory service C) Residential institution D) Community at large 20. Of all the nursing roles assumed by community health nurses, which role must be assumed in every situation? A) Researcher B) Manager C) Leader D) Clinician CHAPTER 12 1. After teaching a class about the stages of change, the instructor determines that the class understands the information when they identify the following as the proper sequence of stages? A) Unfreeze, plan, integrate B) Plan, organize, coordinate C) Plan, relearn, integrate D) Unfreeze, change, refreeze 2. A community health nurse is applying the normative-reeducative strategy of change when working with clients. In doing so, the nurse engages them into changing their behavior in addition to providing education, based on which assumption? A) Information alone is not enough, and behaviors change through persuasion. B) Compliance by the client system will occur through the use of power to effect change. C) People are rational and will adopt a new practice because it is in their best interest. D) Clients can assume a high degree of responsibility for their own help. 3. A community health nurse has been teaching nutrition to a group of seniors in a local senior center. After giving the class on nutrition, the nurse assesses the group's knowledge. Which of the following indicates the knowledge level of the cognitive domain of learning? A) Comparing the nutrient value in foods B) Eating well-balanced meals C) Planning meals that are low in fat D) Naming three foods high in iron 4. A community health nurse has been getting good attendance and group participation in her Saturday class for young mothers about newborn care. The participants receive free transportation and a $10 food voucher for attending. When they participate, prizes are distributed. This nurse is using behavioral theory to encourage clients, focusing the teaching on which of the following concepts? A) Meeting a hierarchy of needs B) The learners' self-confidence and personal mastery C) A person's natural tendency to learn D) Changes in response to a stimulus 5. When preparing a teaching plan for a group of new mothers on how to bathe their newborns, a community health nurse focuses on the psychomotor domain of learning. Which of the following would the nurse include? A) Having the group state the steps of the task B) Having the group demonstrate the task on a doll C) Having the group describe how to bathe the baby D) Having the group compare how it differs from adult bathing 6. A 32-year-old mother of two children was a bank manager before coming to the nursing program. She will be finishing a baccalaureate nursing program in a few months. She learns best when she can plan and carry out her own learning activities, she uses past experiences to help with current learning, and she applies learning immediately. Which learning theory best fits this woman's learning style? A) Knowles' adult learning theory B) Bandura's social learning theory C) Gestalt-Field family of theories D) PRECEDE model 14. When choosing an appropriate model for health education, community health nurses often select the PRECEDE-PROCEED model for which reason? A) It emphasizes the desired outcome of the teaching. B) The steps are similar to those of the nursing process. C) The nurse's perception of the problem is key. D) Evaluation of outcomes is the final step. 15. When developing an educational program for the community, which of the following must the community health nurse do first? A) Assess the client's readiness to learn B) Ensure a conducive environment for learning C) Assess the client's perception of the problem D) Determine the appropriate subject matter 16. A community health nurse is providing informal teaching to groups of parents about typical childhood developmental milestones. Which of the following formats would the nurse mostly likely be using? A) Lecture B) Demonstration C) Anticipatory guidance D) Visual images 17. Which question would the community health nurse use as a guide to determine a client's participation in a program? A) “What does the client know about the current problem?” B) “How does the client view the current situation?” C) “Does the client need special seating?” D) “What does the client want to learn?” 18. During a teaching session with a group of adults, a member begins to monopolize the discussion, answering questions asked by others. Which action by the community health nurse would be most appropriate? A) Ignore the member's behaviors B) Tell the member to leave the group C) Acknowledge the member's input D) Ask the member to speak only when asked 19. To ensure learning in the psychomotor domain, which of the following would be most important for the nurse to ensure about the learner? A) Has a sensory image of how to do the skill B) Has the ability to perform the necessary skill C) Is willing to listen to the information about the skill D) Can continue to practice the skill independently 20. A community health nurse develops a written teaching plan for a community education program about nutrition and salt reduction. Which objective would reflect synthesis learning in the cognitive domain? A) The client will create an enjoyable meal using low-sodium foods. B) The client will compare the salt content in a variety of packaged foods. C) The client will practice eating meals that contain low-sodium foods. D) The client will list foods that are low in sodium. CHAPTER 15 1. Which of the following community health nursing activities best reflects the concept of the community as the client? A) Speaking to city council members about the need for additional senior services B) Assisting a factory worker injured in an occupational accident C) Checking an elementary school child's hair for signs of lice and nits D) Counseling a young man about safe sex and the risk of contracting HIV/AIDS 2. Students in a community health nursing course identified toxic waste disposal as a major problem in their community. The most cost-effective type of community assessment to determine the extent of the problem and the resources available to handle it would be a: A) Familiarization assessment B) Community subsystem assessment C) Problem-oriented assessment D) Comprehensive community assessment 3. Data obtained from a community assessment and survey can be used as the basis for developing a plan to eliminate the risk of a toxic waste dump. A good way to begin program implementation would be to: A) Plan a cleanup committee made up of student nurses B) Petition the state government about the danger of genetic problems C) Write to a local news station or a national TV news show for public disclosure D) Ask the city council to hold a town meeting to discuss the problem 4. A community health nurse is working as part of a health planning team to determine the needs of pregnant teenagers in the community. Which of the following population variables would be important to assess? Select all that apply. A) Rate of growth or decline of those in need B) Health needs and practices of subculture groups C) Geographic placement of proposed health services D) Functions of community organizations E) Social class of the community F) Level of agreement on community goals 5. 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 6. A community health nurse identifies a community's needs, which must be translated into which of the following to give direction and meaning to the plan of action in the community? A) Goals B) Activities C) Outcomes D) Diagnoses 7. A community health nurse is writing objectives to accomplish goals. Which of the following would be most important for the nurse to integrate about objectives? A) Should be comprehensive and inclusive of desired outcomes B) Need to focus on a nursing need C) Address a single idea with descriptive behavior D) Are kept broad and general to allow for unpredictable changes 8. When evaluating a community health plan, the nurse understands that this process is important for: A) Determining the nurse's effectiveness B) Eliminating unnecessary phases in the nursing process C) Measuring the effectiveness of goal attainment D) Producing additional goals and objectives for inclusion 9. The community health nurse is determining the health of a community by examining status. Which of the following would the nurse examine? A) Leading causes of death and illness B) Adequacy of health services C) Socioeconomic distributions D) Strengths of the community 10. When assessing a community and its health, the community health nurse investigates variables associated with social system. Which of the following would the nurse include? A) Geographic features B) Community boundaries C) Climate D) Economic systems 11. As part of an orientation for a group of newly hired nurses at a community agency, a community health nurse emphasizes which of the following as crucial to nursing process? A) Cyclic nature B) Client focus C) Interaction D) Flexibility 12. When building a coalition, which of the following would the community health nurse do first? A) Conduct a community assessment B) Identify key players C) Identify potential members D) Define objectives 13. When assessing a community's needs, which of the following would the nurse most likely complete first? A) Familiarization assessment B) Problem-oriented assessment C) Community subsystem assessment D) Comprehensive assessment 14. When completing a community assets assessment, the community health nurse would gather information about which of the following? A) Key informants B) Strengths of the community C) Specific problem of the community D) Overall life of the community 15. A community health nurse involved in assessing community health needs is planning to B) Health maintenance organization C) Medicare D) Preferred provider organization 9. A home health care nurse makes 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 days C) 90 days D) 120 days 10. Quality measures are being determined for a home health care agency. For which of the following would the agency want to achieve higher percentage rates? A) Hospital admissions B) Urgent unplanned medical care C) Deteriorating wound status D) Decreased pain with movement 11. When visiting a client in the home for the first time, which of the following is critical to remember? A) There may be dangers lurking around every corner. B) Clients are glad to have the nurse in their home. C) The nurse is a guest in the client's home. D) The nurse knows what is best for the client. 12. When developing the plan of care for a client receiving home health care services, which of the following would be the most important goal? A) Promoting client independence B) Resolving the problem completely C) Detecting family conflicts D) Ensuring access to resources 13. A home health care nurse is assigned to visit a client's home. The nurse identifies the area as a problem neighborhood. Which of the following would be most appropriate for the nurse to do? A) Perform the visit via telephone. B) Have another nurse come along. C) Reschedule the visit for another time. D) Leave the cell phone at home. 14. After teaching a group of students about hospice and its view of end-of-life care, which statement by the students indicates a need for additional teaching? A) Care should attend to the body, mind, and spirit. B) Death is not considered a taboo topic. C) Medical technology should be used widely. D) Clients have a right to truthful discussion. 15. 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 chooses life-extending care. D) The hospice acts as clinical and financial case manager. 16. 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 17. When providing palliative care to a client receiving hospice care, which of the following would be important? Select all that apply. A) Assume nothing about what is wrong. B) Use the most complex interventions first. C) Believe what the client is reporting. D) Be persistent in trying different strategies. E) Wait until the symptoms recur to relieve them. 18. The family of a hospice client are holding a vigil at the client's bedside. During a visit, a hospice nurse participates in this vigil and encourages each of the family members to say their good-byes. The nurse is demonstrating which of the following? A) Palliative care B) Guided letting go C) Connecting D) Responsive use of self 19. As part of a group exercise, students are to compare and contrast home care and hospice care. The instructor determines that the activity was successful when the students identify which of the following as reflective of home health care? A) Emphasis on rehabilitation B) Focus on health of the whole family C) Expert use of opioids for suffering D) Management of symptoms 20. A home health care nurse is invited as a guest speaker to talk to a group of students about the challenges of working in the home. As part of the discussion, the nurse describes medication safety. Which of the following would the nurse include as a measure to address this issue? A) Asking the client what he takes the drug for B) Throwing out any medications over 1 month old C) Reconciling drugs in the home with those on the discharge sheet D) Setting up medication boxes to organize medications