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407 exam 2

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Quiz on 407 exam 2, created by India Curenton on 27/04/2019.
India Curenton
Quiz by India Curenton , updated more than 1 year ago
India Curenton
Created by India Curenton about 5 years ago
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Resource summary

Question 1

Question
Which is a disease that was once isolated and rare but is now widespread throughout the world?
Answer
  • Malaria
  • Smallpox
  • Acquired immunodeficiency syndrome (AIDS)
  • Measles

Question 2

Question
A nurse plans to implement a primary prevention strategy in the community. Which of the following would the nurse most likely complete? (Select all that apply)
Answer
  • Development of a smoke prevention program
  • Development of a safe patient handling program
  • Development of a support group for widows
  • Development of a hospice care program
  • Development of a hypertension screening program

Question 3

Question
A Medicare recipient has elected to pay a monthly premium for Medicare that will cover expenses, such as hospital care, skilled nursing care and hospice care. Which of the following parts of Medicare is being described?
Answer
  • Part A
  • Part B
  • Part C
  • Part D

Question 4

Question
A nurse is applying the ethical principle of non-maleficence. Which of the following describes the action that the nurse is taking?
Answer
  • Administering medications using the “five rights”
  • Allowing clients to be active participants in their care
  • Providing patient privacy when delivering care
  • Referring a client to a physical therapist

Question 5

Question
Which of the following is an epidemiologic function of the nurse during an epidemic?
Answer
  • Conducting assessment of suspected cases to detect the communicable diseases
  • Participating in the investigation to determine the source of epidemic
  • Monitoring the condition of the cases affected by the communicable disease
  • Educating the community on preventive measures against the disease

Question 6

Question
A nurse is educating the community about modifiable factors. Which of the following is the nurse most likely to discuss? (select all that apply).
Answer
  • Smoking
  • Poor diet
  • Alcohol consumption
  • age
  • congenital abnormalities

Question 7

Question
A nurse using the integrative model for community health promotion. Which of the following best describes how the nurse would apply the dimension of client system?
Answer
  • Studying client-centered initiatives
  • Concentrating on individual health behaviors
  • Providing multidimensional nursing care among various levels of clients
  • Focusing on disease-oriented care

Question 8

Question
A health educator is trying to change a client’s attitudes about smoking. Which of the following domains would be used?
Answer
  • psychmotor
  • cognitive
  • developpmental
  • affective

Question 9

Question
A community health nurse is writing an objective. Which of the following would be most appropriate for the nurse to write?
Answer
  • Fifty percent of the eligible women seen in the clinic will return for their scheduled mammogram appointment.
  • The community will take their children to receive immunizations within 1 month of the immunization due date.
  • The client will perform a blood sugar test on herself with an accurate blood sugar reading.
  • Each member of the family will give an insulin injection to the client with accurate dosage 100% of the time for 10 consecutive trials

Question 10

Question
The nurse is discussing breast self-examination for a postmenopausal client. Which of the following should the nurse let the client know that she can do?
Answer
  • Switch to an annual schedule, because she does not have periods
  • Continue to palpate monthly, picking her own meaningful date.
  • Discontinue self-examination, because hormone changes decrease her risks
  • Wait until her mammogram shows some findings.

Question 11

Question
The nurse has been working with a 45-year-old African American who bicycles to work. Lab tests show low serum lipids. The nurse knows that the client's risk factors for primary (essential) hypertension include which of the following?
Answer
  • being under age 65
  • race
  • low serum lipids
  • activity lifestyle

Question 12

Question
The nurse is providing education at a senior center. Which of the following measures will the nurse say is MOST effective in attaining normal blood sugar levels in a client with type 2 diabetes?
Answer
  • Decreasing daily exercise
  • Increasing potassium and calcium intake
  • Decreasing sodium intake
  • Reaching recommended weight

Question 13

Question
A nurse is working with a group of clients diagnosed with diabetes and is teaching a class about avoiding the long-term effects of diabetes. The nurse begins the class by reviewing the basic physiology of diabetes, which was taught the week before. Which of the following principles of effective education is the nurse using?
Answer
  • Gaining attention
  • Stimulating recall of prior learning
  • Presenting the material
  • Providing learning guidance

Question 14

Question
A nurse centers his practice around the principle of doing the greatest good for the greatest number. Which of the following ethical principles is being applied?
Answer
  • Utilitarianism
  • Distributive justice
  • Social justice
  • Health disparities

Question 15

Question
A nurse is completing a community assessment. Which of the following actions would be most likely for the nurse to complete?
Answer
  • Determine the weaknesses of a community
  • Identify community needs and clarify problems
  • Perform the core functions of public health nursing
  • Assess individual needs within a community

Question 16

Question
A nurse collects data about seat belt usage by interviewing key informants and observing behaviors in the community. Which of the following types of data is being collected?
Answer
  • Participant observation
  • Quantitative
  • Qualitative
  • Focus groups

Question 17

Question
Community diagnoses are based on
Answer
  • court records
  • a single method, without bias
  • the community assessment process
  • the intuition of the skilled community nurse

Question 18

Question
A nurse gathers information about the condition of homes, size of lots, neighborhood hangouts, road conditions, and modes of transportation. Which method of data collection is being used?
Answer
  • Informant interviews
  • Focus group
  • Participant observation
  • Windshield survey

Question 19

Question
Which two substances do rural adolescents use/abuse more than their urban counterparts?
Answer
  • tobacco and alcohol
  • anabolic steroids and alcohol
  • anabolic steroids and tobacco
  • cocaine and tobacco

Question 20

Question
Compared with urban Americans, rural residents:
Answer
  • are less likely to be exposed to occupational and environmental hazards.
  • are more likely to engage in preventive health behavior.
  • have a higher rate of chronic illness.
  • rate their overall health status more favorably.

Question 21

Question
A nurse is providing maternal-child care for rural women. The nurse would like to intervene with pregnant women who are at risk for poor health outcomes. Which of the following populations would be the target population for the nurse’s care?
Answer
  • Caucasians who live in remote areas
  • Latinos who live in urban environments
  • Those who live on or near Indian reservations
  • Those who seek health from general practitioners

Question 22

Question
A nurse is planning interventions that will be used when providing care for a rural client. Which of the following characteristics of rural life should the nurse anticipate? (Select all that apply.)
Answer
  • Higher prevalence of high-risk occupations
  • Lack of anonymity
  • Churches and schools as socialization centers
  • Preference for interacting with outsiders
  • increase mobility

Question 23

Question
A nurse utilizes the Centers for Disease Control and Prevention’s (CDC’s) Healthy Communities Program. Which of the following factors should the nurse recognize that will influence the continuance of this program?
Answer
  • Federal involvement
  • Time
  • Community participation
  • technology

Question 24

Question
Traditionally, what level of prevention has been linked with health promotion?
Answer
  • primary
  • secondary
  • tertiary
  • higher

Question 25

Question
Which of the following is an example of high-level wellness?
Answer
  • keeping up a level of perfect physical health
  • recovering quickly from a broken arm
  • following an imposed physical training regimen for someone else's benefit
  • managing one's chronic illness while living a happy life, doing the most one can

Question 26

Question
What factor among the following can influence food choice?
Answer
  • distance from grocery store
  • connivence foods
  • lack of exercise
  • mortality statstics

Question 27

Question
What cognitive factor has been shown to be important to clients' health-promoting behaviors?
Answer
  • control
  • access to care
  • demographics
  • environment

Question 28

Question
The Healthy Cities movement focuses on
Answer
  • providing hospitals in urban areas.
  • promoting health and preventive health in urban areas
  • funding city governments to demolish old housing
  • moving residents out of areas in the city center

Question 29

Question
Healthy Communities and Cities is based on which of the following premises?
Answer
  • When health professionals assume a leadership role, the health of the community will improve.
  • When the health of a community is improved, the focus will be on life expectancy rather than quality of life.
  • When people have the opportunity to work out their own locally defined health problems, they will find sustainable solutions to those problems
  • When cities recruit enough health professionals to care for those needing medical care, the cities health will improve

Question 30

Question
Which of the following is the best description of the focus of transcultural nursing?
Answer
  • holistic and comprehensive ways to know and serve immigrants
  • holistic and comprehensive ways to know and serve people of diverse cultures
  • holistic and comprehensive ways to know and serve in your own community
  • holistic and comprehensive ways to know and serve an individual through the life cycle

Question 31

Question
What is a cultural barrier?
Answer
  • varying cultural ways to prevent illness
  • geographic limits of a culture
  • an obstacle that prevents cooperation between cultures
  • social structures defending cultures from subcultures

Question 32

Question
What was established by the 1960s' amendments to the Social Security Act of 1935?
Answer
  • Medicare and Medicaid
  • indemnity insurance
  • Blue Cross insurance
  • health insurance for federal employees

Question 33

Question
Which of the following is a factor that has contributed to high and rising health costs?
Answer
  • American belief in the value of individualism
  • increased government health care payments
  • increased prosperity
  • increased reliance on private funding

Question 34

Question
Which of the following is a strategy to contain the cost of health care?
Answer
  • investing in advanced technology
  • providing patients with the drugs marketed by pharmaceutical companies
  • practicing defensive medicine
  • focusing on prevention of illness rather than on treatment

Question 35

Question
The nurse provides footwear and gloves to leprosy clients to prevent trauma to their insensitive and deformed hands and feet. Which of the following best describes the intervention used by the nurse?
Answer
  • Secondary level of prevention
  • Primary level of prevention
  • Tertiary level of prevention
  • primary healthcare

Question 36

Question
Which of the following best describes "ethical dilemma"?
Answer
  • a problem that can be solved by community advocacy
  • a situation that requires more than one person to solve
  • problem that is insoluble
  • a situation where rights or obligations conflict

Question 37

Question
What major infectious disease was eradicated by the World Health Organization (WHO)?
Answer
  • polio
  • smallpox
  • yaws
  • Tuberculosis

Question 38

Question
A nurse is employed by an agency that addresses global health needs. Which of the following roles is the nurse most likely to provide? (Select all that apply.)
Answer
  • Direct patient care for members of the community
  • Knowledge and skill in countries where nursing is an organized profession
  • Consultation to auxiliary personnel
  • Facilitation of education and health promotion within the community
  • Medications and vaccines for worldwide use

Question 39

Question
Which of the following is an example of a public health prevention policy?
Answer
  • higher cigarette taxes
  • funding for building hospitals
  • managed care health systems
  • higher deductions for Social Security

Question 40

Question
Which federal government component is responsible for enforcing the Occupational Safety and Health Act?
Answer
  • U.S. Department of Labor
  • U.S. Department of Education
  • U.S. Department of Health and Human Services
  • U.S. Public Health Service Corps

Question 41

Question
Issuing professional licenses for nurses is controlled by what level of authority?
Answer
  • Municipal
  • Federal
  • State
  • Judicial

Question 42

Question
A client eats a nutritious, balanced diet on a daily basis to keep the current state of health. This is described as _____ behavior.
Answer
  • Health protective
  • Health maintenance
  • Health promotion
  • Illness prevention

Question 43

Question
A client would like to enroll in a smoking cessation program. Which type of nursing center would be most likely to provide this type of programming?
Answer
  • Special Care
  • wellness
  • Comprehensive Primary Care
  • Academic Nursing

Question 44

Question
An example of tertiary prevention is:
Answer
  • Parenting education
  • Rehabilitative job training
  • Testicular self-examination
  • Family counseling

Question 45

Question
Immunization for measles is an example of:
Answer
  • Health promotion
  • Tertiary prevention
  • secondary prevention
  • primary prevention

Question 46

Question
In which situation would a nurse be using the Health Insurance Portability and Accountability Act (HIPAA)?
Answer
  • When counseling an employee that his insurance will remain the same after changing jobs
  • When an employee takes additional time off of work to care for a sick family member
  • When supervising staff to ensure that all work has been completed
  • When adhering to client confidentiality when providing care

Question 47

Question
Screening for hearing defects is an example of:
Answer
  • Primary prevention
  • Secondary prevention
  • Tertiary prevention
  • Health promotion

Question 48

Question
The biomedical model defines health as the
Answer
  • Protection from illness and disease states
  • Promotion of healthy behaviors
  • Absence of disease
  • Avoidance of illness

Question 49

Question
The factors, exposures, characteristics, and behaviors that determine patterns of disease are described using:
Answer
  • Descriptive epidemiology
  • Determinants
  • Analytic epidemiology
  • Distribution

Question 50

Question
The steps of the Community Health Promotion Model resemble the
Answer
  • CDC’s monitoring program
  • WHO’s Ottawa Charter
  • Nursing process
  • Collaboration process

Question 51

Question
The wearing of seat belts is required in many communities. Children of a certain age must be restrained in a car seat or seat belt when riding in a car. This is an example of:
Answer
  • Healthy public policy
  • Media interest in protecting the public
  • Participation in health fairs
  • Unilateral action of lawmakers

Question 52

Question
West Nile Virus is an example of which of the following types of illness?
Answer
  • Zoonoses
  • Waterborne
  • Vectorborne
  • Foodborne

Question 53

Question
What is the best method for preventing hospital-acquired infections?
Answer
  • Isolate every patient having surgery.
  • Prevention is almost impossible due to the high infection rates in hospitals
  • Perform good hand washing before and after approaching every patient
  • Use contact isolation for every patient at risk

Question 54

Question
Which type of hepatitis would likely be found where sanitation is inadequate?
Answer
  • A
  • B
  • C
  • D

Question 55

Question
A nurse administers a rabies immunization post-exposure to an animal bite. Considering the interventions used with infectious disease, which of the following levels of prevention is being used?
Answer
  • Primary prevention
  • Tertiary prevention
  • Assessment
  • Secondary prevention

Question 56

Question
A nurse refers a client with a neuromuscular disease to a vocational rehabilitation program. Which of the following best describes the action of the nurse?
Answer
  • Primary prevention
  • Secondary prevention
  • Health promotion
  • Tertiary prevention

Question 57

Question
A community health nurse is prioritizing health-promotion activities with the local rural community. An understanding of the health status and health risks of the rural community would lead the nurse to give priority to:
Answer
  • motor vehicle and farm accident prevention project and prenatal care outreach program
  • aerobic exercise classes and an exercise class for seniors with arthritis
  • English as a second language program using health promotion literature as reading materials
  • mentoring program to increase adult literacy

Question 58

Question
A district health nurse is assigned to two rural communities in the state. To achieve the best outcomes possible in reducing the health disparities for the large number of frail elderly clients in the two counties, the nurse should consider using what community-oriented nursing approach?
Answer
  • Assessment
  • Geriatrics
  • Tertiary prevention
  • Case Management

Question 59

Question
Depression among rural residents appears to be more persistent and endemic. Which of the following factors may contribute to this level of depression? (Select all that apply.)
Answer
  • Delays in seeking mental health services
  • High rate of poverty
  • Gaps in the continuum of mental health services
  • Tolerance for destructive coping mechanisms
  • Sufficient number of mental health services

Question 60

Question
Scientific and medical advancements have affected the practice of public health and community-oriented nursing throughout history. An advancement in recent years that best exemplifies a public health impact in relation to community-oriented nursing practice is:
Answer
  • Health information privacy practices
  • generic formative
  • genomics
  • point-of-care technology

Question 61

Question
In today's health care reform discussions, the central issue that relates most directly to community-oriented nursing practice would be:
Answer
  • access to comprehensive health promotion services
  • educational preparation of public health nurses
  • reimbursement rates for primary care services
  • universal health care coverage

Question 62

Question
With the history as our guide, the factor that would be most significant in ensuring the development of a comprehensive approach to improving health status of American is:
Answer
  • improved primary care and public health efforts
  • IOM's report, the Future of Public Health (1988)
  • Nurse-managed centers
  • passage of laws to prohibit unhealthy behaviors.

Question 63

Question
The most important focus of community-oriented nursing practice is:
Answer
  • Head Start programs
  • immunization programs
  • maternal-child health programs
  • programs for disadvantaged and vulnerable populations

Question 64

Question
A nurse has been newly appointed as commissioner of the state health department services. the programs the nurse will most likely include:
Answer
  • administration of Medicare reimbursement rates and eligibility determination.
  • programs involving citizens in the local community, including sanitation and communicable disease contact tracing.
  • disaster response, health care financing and administration of programs such as Medicaid, and establishment of health codes
  • monitoring of drugs and over-the -counter products available for sale and use by consumers

Question 65

Question
The U.S. public health system is operated at three distinct levels with collaboration and interface across all levels. The agency that assumes the responsibility for regulating health care and overseeing the health status of Americans is the:
Answer
  • U.S. Department of Health and Human Services (USDHHS)
  • Department of Homeland Security
  • Local Health department
  • State department of health

Question 66

Question
Canada is the leader in promoting a population health framework. Using such a framework, a state health department nurse with budgetary responsibility would determine that funding priorities should focus on:
Answer
  • chronic disease surveillance and treatment programs.
  • pediatric and adolescent primary care and nutrition programs.
  • promotion of healthy lifestyles or improvement of social and physical environments
  • well and sick clinics

Question 67

Question
The most important features of the Affordable Health Care Act for America of 2010 that the community-oriented nurse needs to understand to provide resource information to clients are that the Act:
Answer
  • provides insurance reform
  • increases access to affordable health care insurance.
  • transforms the health care system from a sick care system to health care system.
  • uses piecemeal approach to strengthen the safety net.
  • replaces the rational equitable health care system

Question 68

Question
The WHO initiative Health for All in the 21st century can best be described as which of the following?
Answer
  • Social justice initiative
  • Primary care initiative
  • National initiative
  • Environmental initiative

Question 69

Question
To understand the causes of health and disease, epidemiology studies:
Answer
  • indiviudals
  • groups
  • families
  • populations

Question 70

Question
The most chronic blood-borne infection in the United States is:
Answer
  • hepatitis A
  • hepatitis B
  • hepatitis C
  • HIV

Question 71

Question
The case rate of new TB is highest among which ethnicity in the United States?
Answer
  • African American
  • Native American
  • Asian American
  • White American

Question 72

Question
The most common reportable infectious disease in the United States is:
Answer
  • gonorrhea
  • syphilis
  • Herpes
  • Chylamidia

Question 73

Question
A nurse is examine a child in the earl stages of HIV infection. Which of the following would the nurse expect to find?
Answer
  • Failure to thrive and developmental delays
  • Kaposi's sarcoma and developmental delays
  • Toxoplasmosis and oral candidiasis
  • Fatigue and shortness of breath

Question 74

Question
A nurse counsels a client to have the enzyme-linked immunosorbent assay (EIA) test. Which of the following best describes the rationale for this test?
Answer
  • To indicate the presence of the antibody to HIV
  • To reveal whether or not the client has AIDS
  • To isolate the HIV
  • To confirm HIV after having a positive Western blot

Question 75

Question
A nurse is working in a public health center. a patient who has been newly diagnosed as HIV positive comes for counseling. By law, which of the following actions must be taken by the nurse?
Answer
  • Give antiviral medications to the patient
  • Ask the person to name all of his or her sexual contacts
  • Refer the patient to the social worker as someone possibly needing case management
  • Report the HIV-infected person to the state health department
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