Which of the following statements most clearly demonstrates a normative need?
A member of the community thinks that there is too much gang violence in their neighborhood.
A nurse thinks that moving away from the air pollution in her patient's city will improve their asthma.
A patient voices concern over being able to regulate and control their hypertension.
The mayor of a city states that substance abuse is the leading cause of death amongst citizens and needs to be controlled.
Which of the following is not a social determinant of health?
Economic stability
Healthcare
Built environment
Lifestyle
A nurse goes to the clinic for her annual PPD test. A PPD test is an example of what level of prevention?
Primary
Secondary
Tertiary
A PPD test does not fall under any level of prevention.
The Social Security Act of 1935 affects people of a wide range of ages and life situations. Which of the following statutes falls under the Social Security Act?
Governs health needs and risks in the workplace and environment
Requires employers to offer federally qualified health maintenance organizations as a health care coverage option to employees
Provides welfare for high risk mothers and children
Requires emergency services to provide care regardless of coverage by Medicare or ability to pay
The Institute of Medicine provides reports that examine the quality of health care. Which report focuses mainly on the development of a new health care system for the twenty-first century?
"To Err Is Human: Building a Safer Health System"
"Crossing the Quality Chasm"
"Leadership by Example"
"Who Will Keep the Public Healthy"
A local or regional effort to prevent the sale of tobacco or alcohol to minors is an example of which kind of policy?
Public policy
Health policy
Nursing policy
Social policy
Which of the twelve cultural competency standards addresses the nurse's ability to influence individuals, groups, and systems to achieve positive outcomes of culturally competent care for diverse populations?
Social Justice
Knowledge of Cultures
Culturally Competent Practice
Cross Cultural Leadership
Some demographics are more at risk for poverty than others. Select all the demographics that are most at risk.
Urban areas
Large families
Rural areas
Children under the age of 6
Asian Americans
Which of the following dimensions is not an aspect of Leninger's Sunrise Model?
Religious and philosophical factors
Educational factors
Geographical community factors
Political and legal factors
The secret to sustained change in learning theory is building a trusting relationship with the education provider.
You are assessing a patient using the REALM tool. The patient's native language is English and at the conclusion of the exam, you determine the patient has a score of 15. This score would indicate
the patient has a poor general literacy level.
the patient has a poor health literacy level.
the patient has a high general literacy level.
the patient has an 8th grade literacy level.
Education begins with words of instruction.
Which of the following encompasses one of the roles of a case manager?
Helps clients navigate the health care system.
A part of a care team that helps determine necessities of care and issue orders.
Helps healthcare providers perform utilization reviews.
Directs patients towards the resources that are best for their situation and that the case manager has the best relationship with.
You are caring for a patient who is 13 weeks gestation and is due for some vaccinations. Which of the following would be safe for this patient?
MMR
Varicella
Polio
Yellow fever
You are caring for an elderly patient with COPD. He comes to the clinic because he is having trouble breathing. You know that the EPA air assessment reading today in your area is 163. What recommendation would you give your patient?
The air quality is great. His troubled breathing is unrelated and can be managed with his home prescriptions.
The air quality is moderate. It could be affecting his breathing but is unlikely. You recommend he continue his home prescriptions.
The air quality is unhealthy for sensitive people. You suggest that he remain indoors until the air quality improves.
The air quality is unhealthy. This patient should avoid going outside at all costs.
