Community Practice Exam 2
1. Communicable disease statistics
2. Determining locations where family violence is increasing
3. Contributing factors to childhood obesity
4. Documenting population characteristics for healthy older citizens
1. Community B—with 45 single teenage pregnancies in a city of 1000
2. Community D—with 90 single teenage pregnancies in a city of 1500
3. Community C—with 90 single teenage pregnancies in a city of 2000
4. Community A—with 23 single teenage pregnancies in a city of 500
2. An epidemic
1. Twenty cases per 1,000 population.
2. Two hundred cases per 30,000 population.
3. Twenty cases per 500 population.
4. Two cases per 1,000 population.
1. Cause-specific mortality rate
2. Attack rate
3. Infant mortality rate
4. Cause-specific morbidity rate
1. Epidemiologic triangle
2. Health promotion
3. Web of causality
4. Levels of prevention
1. Chemical agent factors
2. Host factors
3. Physical agent factors
4. Environmental factors
1. Health care manpower
2. Health facilities
3. Community awareness
4. Vital statistics
1. Doing so is a moral obligation for community health nurses
2. Such partners will encourage their neighbors and friends to attend
3. Participation in planning results in having a vested interest in the outcome.
4. Having many partners helps publicize the programs in the involved neighborhoods
1. Health board members
2. Federal senators and representatives
3. State public health official
4. Local politicians, such as the town mayor
1. To generate nonstatistical data such as values, beliefs, and perceived needs
2. To encourage community partners to feel they “own” the data
3. To confirm the nurse’s initial findings and conclusions
4. To ensure that others agree with the nurse’s plans for interventions
1. A problem that is very easy and inexpensive to address
2. A problem in an area in which the nurse is very comfortable and has a great deal of expertise
3. A problem that affects the most disadvantaged residents in the community, since there is a moral obligation to do so
4. A particular problem that is of high concern to the community
1. All monitored patients will receive abortive therapy for lethal dysrhythmias within 3 minutes of dysrhythmia recognition.
2. Of mothers receiving nutrition counseling, 80% will identify five sources of calcium by the end of class.
3. 95% of children will be immunized by 1 year of age.
4. There will be a 25% reduction in health disparities by 2007.
1. When leaving in the evening, the nurse has more time to write down the results of the earlier assessment
2. Driving through twice allows the nurse to see the community when many residents are at work or at school and then again when most are at home.
3. Repeating the experience ensures that the nurse absorbed all the relevant details.
4. On the second trip, the nurse can carefully confirm the results of the first assessment.
1. Surveying community members
2. Performing a windshield survey
3. Conducting health risk assessments of randomly selected individuals
4. Reviewing facility permits and consumer confidence reports
1. Notify the Environmental Protection Agency (EPA).
2. Consult the Centers for Disease Control and Prevention
3. Check the most recent consumer confidence report.
4. Place a call to the poison control center
1. Conserve water by bathing less often.
2. Replace all his appliances with new energy-efficient ones
3. Downsize to a smaller living space
4. Reduce, reuse, and recycle
1. To provide exposure to oversight
2. To enforce local laws and regulations
3. To monitor employee safety
4. To ensure compliance
1. Environmental justice
2. Equal rights
3. Risk protection
4. Primary prevention
1. Referring a child with toxic lead levels to a neurologist
2. Teaching parents of a 2-year-old about the dangers of lead-based paint in older homes
3. Collecting blood specimens from preschool children to check for lead levels
4. Meeting with local government officials to request that the city clean up a hazardous vacant lot
1. Developing countries with limited resources
2. Industrialized countries with much to lose
3. Water-boundary regions that are prone to floods and hurricanes
4. Arid regions that are prone to drought
1. Devastation that cannot be relieved without assistance
2. When the event results in multiple injuries and deaths as well as property damage
3. Devastation that covers a broad geographic area
4. Any event that results in multiple deaths
1. To increase global stability
2. To prevent disasters from occurring
3. To improve overall community functioning
4. To manage response to disasters
1. Before the disaster occurs
2. Immediately following the disaster
3. During the disaster
4. During the recovery period
1. American Red Cross
2. The local public health department
3. Centers for Disease Control and Prevention
4. Office of Emergency Management
1. Differentiate the defined roles of the first responders in the field
2. Have clear lines of authority to prevent confusion in the field
3. Keep the plan simple, realistic, and flexible to implement
4. Be as detailed and specific as possible regarding who does what where
1. Detecting an increase in people with similar signs and symptoms
2. Identifying typical chemical or biological agents
3. Recognizing areas of vulnerability within an area
4. Identifying factors that put people at risk
1.Explain that the headache and problems focusing are probably the result of worry, so he should concentrate on the work at hand and deal with emotions later.
2. Explain to the worker that this is a common problem when multitasking under pressure and suggest that he focus on one task at a time.
3. Explain that he is experiencing signs and symptoms of psychological stress and recommend that he take some time off for a break.
4. Suspect dehydration and encourage the worker to drink more fluids.
1. Secondary prevention
2. Tertiary prevention
3. Primary prevention
4. All prevention levels
1. To determine a local baseline rate and immediately notice any change
2. Because it is still part of the nurse’s responsibilities, even if it is a waste of time
3. Because such data are legally required
4. To determine differences among communities in need for state assistance
1. Because nurses are often the first to recognize and respond to a problem
2. Because nurses are typically the ones to interact with the public and the media
3. Because nurses are employed in public health agencies
4. Because nurses are responsible for ensuring that action is taken when necessary
1. To evaluate effectiveness of health promotion programs
2. To obtain mortality data for the local area
3. To ensure that local causes of death are consistent with national causes of death
4. To confirm that no local health problems are beginning
1. The nurse is asked to report the incidence of a specific nonreportable common problem in the community.
2. A real-time ongoing communication channel is established to monitor a particular symptom.
3. Several children become ill with GI upset at one local school.
4. A newspaper wants to know the incidence of asthma in the community
1. Because the children’s parents need to know whom to sue for their medical expenses
2. So that the children’s families know the public health department cared about them
3. To confirm that the symptoms were due to an infectious disease
4. So that action could be taken to avoid any such future episodes
1. The agent’s invasiveness
2. The agent’s infectivity
3. The agent’s pathogenicity
4. The agent’s virulence
1. Assess, plan, implement, evaluate
2. Identify, initiate, implement
3. Organize, operationalize, mobilize, subsidize
4. Substantiate, negotiate, evaluate
1. Prevent unnecessary duplication of services
2. Avoid unanticipated conflicts in the program development phase
3. Ensure adequate funding to meet the program’s resource requirements
4. Ensure that health care services are acceptable, equal, effective, and efficient
1. By the end of the program each participant will report walking at least 30 minutes a day at least 5 days out of 7.
2. By the end of the program each participant will voice a commitment to walk at least 30 minutes a day.
3. Each participant will voice a commitment to engage in physical exercise each day.
4. By the end of the program each participant will understand the need for physical exercise
1. What is the program cost compared with the program benefit?
2. Has obesity in school-age children decreased?
3. Are school-age children satisfied with the program?
4. Can parents and guardians support the program requirements?
1. Hospital administrator
2. National expert on cultural competency
3. Politician or county official
4. Hispanic community leader
1. Focus groups
3. Community forums
4. Examination of community indicators
1. Are program participants continuing to attend the programs, and do their satisfaction scores indicate that they are pleased with the program?
2. How do statistics for injuries and deaths associated with drunk driving compare for teens in the year following the program?
3. What problems are identified as the program is implemented?
4. How does the amount of alcohol intake by teens compare before and after participants enter into the program?
1. Providing cardiovascular fitness evaluations at annual health fairs
2. Providing a diabetes management program for persons with diabetes mellitus
3. Setting up free blood pressure screening at popular department stores and supermarkets
4. Developing an in-school clinic that provides birth control counseling and contraception
1. Because the guidelines have been published.
2. Because they are based on research and expert opinion.
3. Because the long term nurse trusts them.
4. Because the agency supports their use.
1. Media such as films highlighted the reality of current medical care
2. The number of malpractice claims had increased.
3. A very famous movie and television star died as the result of a medical error.
4. Publicity about a few unfortunate cases caused consumers to become concerned.
1. At the yearly employee picnic, teams compete in putting out trash can fires and racing while carrying mock victims , using safe evacuation techniques.
2. Mock fire drills are carried out twice a year to assess response and readiness in the event of a real fire.
3. All new employees complete a program on fire safety that details what to do in the event of a fire.
4. After evaluation of response to an actual fire, new procedures implemented in the fire response protocol are distributed to employees.
1. The CQI team will try to determine how the error occurred.
2. The pharmacist will be disciplined.
3. The pharmacist will be reported to the state pharmacy board.
4. The nurse will receive a commendation for recognition of the error.
1. Personnel complaints about schedules and workload
2. Constantly increasing costs of giving care
3. Client complaints, injury, or death
4. Reduced governmental reimbursement (Medicare and Medicaid)
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