Question 1
Question
A public health nurse (PHN) reports an attack rate. which of the following has most likely been reported?
Answer
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The number id beef cattle inoculated against mad-cow disease on a farm
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The number of people who died of ebola in a given year
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Proportion of people becoming ill after eating at a fast food resturant
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Number of cases of cancer recorded at a medical center
Question 2
Question
To better address emerging public health issues, a public health nurse enrolls in a course addressing which content area?
Answer
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Communication
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Ethics
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Leadership
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Finance
Question 3
Question
A nurse is advocating for local leaders to place a newly approved community health clinic in an area. The nurse is advocating for the leaders to uphold which of the following ethical principles?
Answer
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Respect for autonomy
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veracity
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fidelity
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Distributive justice
Question 4
Question
A nurse is teaching members of the community about vertical transmission of a disease. Which of the following would the nurse mot likely discuss?
Answer
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Transmission through contaminated food
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Transmission through sexual contact
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Transmission through breast milk
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Transmission from mosquito bite
Question 5
Question
Medicare and medicaid are
Answer
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available to any citizen who wishes to enroll
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funded by the state government
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private insurance providers
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two federal programs that provide insurance to special groups
Question 6
Question
A nurse is educating intravenous (IV) drug users about sharing equipment. Which of the following information would be most appropriate for the nurse to include in this education?
Answer
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Tell the client to throw away their equipment after one use
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Suggest limiting the number of people who share the equipment
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provide clean needles and syringes to whoever wants them
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Educate the clients on using full-strength bleach on their drug paraphernalia for 30 seconds
Question 7
Question
Neighborhood centers that provided health care, education, and social welfare programs were called:
Answer
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Nurse-managed clinics
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Settlement houses
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Public health services
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Nursing care centers
Question 8
Question
Which ethical principle requires "doing no harm"?
Answer
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Distributive justice
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beneficence
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Non-maleficence
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Respect for autonomy
Question 9
Question
A 35-year old man from Russia come to the United States seeking asylum because of religious persecution in his native country. Which of the following best describes this type of immigrant?
Question 10
Question
A nursse is applying the knowledge of processes of ethics to the examination of ethical problems in the healthcare. Which of the following describes the actions of the nurse?
Answer
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Values
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ethics
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Bioethics
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morality
Question 11
Question
A nurse is examining the income levels and social networks of individuals in a community. Which of the following is the nurse investigating?
Answer
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Determinants
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Community
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Development
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Culture
Question 12
Question
The public health nurse must participate in the essential services of public health. These include
Answer
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Informing, educating, and empowering people about health issues
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working in law enforcement to regulate health and ensure safety
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diagnosing and investigating health problems in the world
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monitoring health status by completing a community assessment
Question 13
Question
What task would have been a responsibility of a nurse who was employed by the Marine Hospital Service?
Answer
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Providing health care for merchant seamen
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identifying and improving environment condition
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Setting policy on quarantine legislation for immigrants
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Establishing hospital-based programs to care for the sick at home
Question 14
Question
An epidemiologist wants to know what caused severe diarrhea and vomiting in several people at a local banquet.
Answer
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Distribution
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descriptive epidemiology
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Determinants
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Analytic epidemiology
Question 15
Question
A public health nurse (PHN) conducts an immunization clinic for measles. Which of the following is being implemented?
Answer
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Primary prevention
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Secondary prevention
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Health promotion
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Tertiary prevention
Question 16
Question
An intervention that focuses on the tertiary level of prevention is implemented by the nurse? Which of the following did the nurse most likely complete?
Question 17
Question
The health priorities in HEALTH21 are based on the concept of:
Answer
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provisions for the creation of the united nations children;s fund (UNICEF)
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social justice and solidarity with an emphasis on the responsibility for health
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world trade and knowledge sharing about health concerns
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eradication of communicable disease worldwide.
Question 18
Question
A community health nurse has recently become involved in surveillance. Which of the following describes the situation that the nurse is in?
Answer
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Educating clients about influenza immunizations
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Collecting information about occurrence of measles
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evaluating the effectiveness of an HIV/AIDS prevention program
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Advocating for changes in the national disease reporting requirements
Question 19
Question
An employee is able to receive health insurance from a former employer after changing jobs. Which of the following best describes the legislation that makes this possible?
Answer
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Social security act of 1935
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Health Insurance Portability and Accountability Act (HIPPA)
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Balanced budget act of 1997
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Omnibus budget Reconciliation act
Question 20
Question
Residents of rural communities report that they must travel for long distances to obtain health care services. As a result, they seek health care only for emergencies and severe illnesses. Which aspect of the health care system in the United states is illustrated in this situation?
Answer
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Cost
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Access to care
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Quality
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Advances in technology
Question 21
Question
A screening for diabetes revealed 20 previously diagnosed diabetics and 10 probable new cases were later confirmed, for a total of 30 cases. Which of the following best describes what is being measured?
Answer
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Prevalence
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Incidence
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Attack rate
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Morbidity rate
Question 22
Question
which statement is true about mortality rates? Mortality rates:
Answer
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Reveal the risk of getting a particular disease
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provide information about the existing disease in the population
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are calculated using a population estimate at year-end
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are informative only for fatal disease
Question 23
Question
A nurse is caring for a client whois from different culture than him/herself. When beginning the cultural assessment, which of the following actions should the nurse take first?
Answer
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gather data about the client's cultural belief.
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Determine the clients perception of his current health status
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Determine how the client's culture may impact the effectiveness of nursing actions
Question 24
Question
which of the following is the most prominent feature of public health nursing?
Answer
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services are provided free of charge to people within the catchment area
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it involves providing home care to sick people who are not confined in the hospital
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The public nurse functions as part of a team providing a public health nursing service
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Public health nursing focuses on preventive, not curative service
Question 25
Question
Factors that influence health care costs include which of the following? (Select all that apply)
Question 26
Question
A community health nurse reviews Healthy People 2020 when considering the health needs that will be addressed in the community. Which goal would the nurse find in this document?
Answer
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provide primary care to all citizens
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promote healthy behaviors for children
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cure cancer
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Eliminate health disparities
Question 27
Question
A nurse is preparing an educational program on cultural perspectives in nursing. The nurse should include that which of the following are influenced by an individual's culture? (select all that apply)
Answer
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Nutritional practices
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Family structure
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views about illness
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health care interactions
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biological variations
Question 28
Question
African American females have a high mortality rate from breast cancer than Caucasian females. This is an example of:
Answer
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a sentinel event
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projection
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Disparity
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racism
Question 29
Question
A public health nurse (PHN) is reviewing healthy people 2020 to determine where to prioritize programming for the county health department. Based on Healthy people 2020, which of the following areas would the nurse most likely plan to implement programming?
Answer
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Reduce deaths from gonorrhea
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Reduce the rate of HIV transmission among adults and adolescents
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Eliminate sexually transmitted diseases (STDs) from developed countries
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Increase awareness about HIV in lesbian females
Question 30
Question
The 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
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Health promotion
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secondary prevention
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Tertiary prevention
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Primary prevention
Question 31
Question
A nurse offers a screening for hearing defects at a local community center.. Which of the following best describes the action of the nurse?
Answer
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primary prevention
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secondary prevention
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tertiary prevention
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health promotion
Question 32
Question
which statement about the reimbursement of health service for nurses is accurate?
Answer
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Nursing care reimbursed separately from medical care in outpatient setting
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Nursing care is separate budget item in determining hospital service costs
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Nurse practitioners and clinical nurse specialists are reimbursed for Medicare Part B services
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Reimbursement for healthcare services can be directed only to physicians
Question 33
Question
If a 25 year old woman visits a community health center to obtain a gynecological examination and birth control pills, these activities are termed_____ care.
Answer
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primary health
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specialized care
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tertiary health
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public health
Question 34
Question
The nurse teaches the family of an AIDS client about managing symptomatic illness by preventing deteriorating conditions, such as diarrhea, skin breakdown, and inadequate nutrition. Which of the following best describes the action taken by the nurse?
Answer
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primary prevention
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secondary prevention
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Tertiary prevention
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primary healthcare
Question 35
Question
A public health nurse provides a clinic for HIV-positive citizens in the community. This is an example of:
Answer
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Policy making
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Secondary prevention
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Tertiary prevention
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Primary prevention
Question 36
Question
A nurse is uncomfortable discussing such topics as sexual behavior and sexual orientation when counseling clients and avoids this topic with clients. Which of the following is the most likely outcome of avoidance?
Answer
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Clients will develop a trusting relationship with healthcare providers
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Potential risks and risky behaviors will not be identified
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The nurse will be violating the laws in several states
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Transmission of STDs will remain unchanged.