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Community Health Exam 1
When planning health services in other cultures, Leininger's Transcultural Nursing Model facilitates effective programs through the consideration of
Worldview, cultural values, and beliefs
An example of a non-governmental organization that partners with international organizations to improve health care access is
Doctors without Borders
The process of communication between the nurse and the client places responsibility on the nurse to adapt his or her communication to most effectively meet the clients' needs. The term for this process is called
Encoding
The United Nations' universal call to action to overcome suffering as a result of extreme poverty is outlined by focused initiatives called the:
Sustainable Development Goals
The disability-adjusted life year (DALY) calculation combines years of life lost due to premature mortality and:
Years of life lived with a disability
When caring for a patient with a suspected Ebola viral exposure and headache, weakness, muscle pain, vomiting, diarrhea, and abdominal pain, the first priority is to:
Isolate the patient with standard, contact, and droplet precautions
Which type of healthcare system is utilized by the United States? Entrepreneurial
One example of an emerging pathogen identified since 1973 which has resulted in significant economic losses, travel restrictions, and significant loss of life include: Ebola virus
The top three leading causes of death in developing countries are:
Road injuries, Malaria, Diarrhea
When seeking donor support for a global health intervention, what is the most important information for the nurse to communicate?
Sustainability
A nurse is establishing health promotion goal for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should the nurse include?
A. The client will list foods that are high in Calcium, which should be avoided B. The client will walk for 30 min 5 days a week. C. The client will increase calorie intake by 200 cal per day D. The client will replace cigarettes with smokeless tobacco products.
B. The client will walk for 30 min 5 days a week.
A public health nurse is assessing an older adult client who lives with a family member. the nurse identifies several bruises in various stages of healing. The client and family member explain that the bruises are a result of clumsiness. However, based on the distribution of the bruises, the nurse suspects abuse. Which of the following actions should the nurse take first?
A. Document the bruises in the client's chart B. Report the findings to a supervisor C. Provide the client with a crisis hotline number D. Discuss respite care with the client's family
B. Report the findings to a supervisor
A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local fair. Which of the following instructions should the nurse include?
A. Expect some breast dimpling or discharge with age B. For those who have menstrual cycle, perform a BSE every month, 2 or 3 days before menstruation C. Using the palm of the hand feel for lumps using a circular motion D. Breasts can be examined in the shower with soapy hands
D. Breasts can be examined in the shower with soapy hands
A community health nurse in a pediatric clinic is reviewing the history of a 12-year old client. Which of the following immunizations should the nurse expect to administer?
A. Meningococcal conjugate B. Herpes zoster
An older adult client who lives alone tells a clinic nurse that he is unable to drive himself to the store and is afraid to cook on teh stove. Which of the following community resources should the nurse recommend for this client?
A. Hospice Care B. Meals on Wheels C. A rehabilitation facility D. Temporary Assistance for the Needy Families (TANF)
B. Meals on Wheels
A nurse is working with an interdisciplinary disaster committee to develop a community wide emergency response plan in the event of a non biological or chemical incident. The nurse should include which of the following agencies to be notified immediately after calling 911?
A. Office of Emergency Management (OEM) B. Federal Emergency Management Agency (FEMA) C. American Red Cross (ARC) D. U.S. Department of Homeland Security (DHS)
A.Office of Emergency Management (OEM)
An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy?
A. Teach plant workers about proper lifting techniques B. Set up an influenza campaign C. Help plant workers identify signs of carpal tunnel syndrome D. Collaborate with physical therapists to develop programs for injured employees to return to work.
C. Help plant workers identify signs of carpal tunnel syndrome
A public health nurse is teaching a group of nurses about smallpox. Which of the following statements by one of the nurses indicates understanding of the teaching?
A. There are rare occasional occurrences of smallpox B. Vaccination against smallpox provides lifelong immunity C. Smallpox lesions appear in various stages of healing D. Unlike chickenpox the vesicles of smallpox are more abundant on the face
D. Unlike chickenpox the vesicles of smallpox are more abundant on the face
A school nurse receives a call that some children and teachers report being exposed to an undetermined noxious gas odor presenting in the classrooms and are experiencing dizziness. Which of the following actions should the nurse take?
A. Have students evacuated from the school and establish a triage area in the school parking lot B. Move individuals who are reporting symptoms to one the affected classrooms and create a triage area inside the room C. Arrange the client transportation to the nearest emergency department and tell the group triage will occur there D. Transport all children and school personnel to the nearest medical facility using school buses.
A. Have students evacuated from the school and establish a triage area in the school parking lot
A nurse is working with an emergency response team in caring for a group of people who may have been exposed to anthrax while doing farm work, but are not exhibiting manifestations of illness. Which of the following is the appropriate action for the nurse to take?
A. Place the clients in isolation B. Initiate client decontamination C. Administer antibiotic therapy D. treat clients with an antitoxin
C. Administer antibiotic therapy
A nurse is participating in a biological disaster simulation where citizens are exposed to pneumonic plague. Which of the following isolation precautions should the nurse plan to use while caring for these clients?
A. Airborne B. Contact C. Droplet D. Protective
C. Droplet
A nurse is among the first responders to a mass casualty incident and does not know what type of personal protective equipment (PPE) is needed. Which of the following actions should the nurse take?
A. Wait until the type of equipment needed in known B. Decontaminate victims before intervening C. Choose the highest level of protection equipment available D. Use the dosimeter to measure the level of radiation in the area before intervening
C. Choose the highest level of protection equipment available
A nurse is trigaing vitims of a multiple motor vehicle crash. The nurse assesses a client trapped under a car who is apneic and has a weak pulse at 120/min. After repositioning his upper airway, the client remains apneic. Which of the following actions should the nurse take?
A. Start CPR B. Place a red tag on the client's upper body and obtain immediate help from other personnel C. Place a black bag on the client's upper body and attempt to help the next client in need D. Reposition the client's upper airway a second time before assessing his respirations
C. Place a black bag on the client's upper body and attempt to help the next client in need
A nurse is triaging clients injured during a tornado. The nurse assesses a client who has an open fracture of his arm. Which of the following actions should the nurse take?
A. Place a yellow tag on the clients upper body B. Place a red tag on the client's upper body C. Perform a rapid head to toe assessment D. Have the client's wife drive his to the hospital
A. Place a yellow tag on the clients upper body
A nurse is the triage officer in the emergency department when four clients arrive following a factory explosion. Which of the following clients should the nurse care for first?
A. A conscious adult client who reports shortness of breath, RR of 24/min, and cap refill of < 2 seconds B. An unconscious adult client who has a sucking chest wound, RR of 38/min, and cap refill of < 2 seconds C. A conscious adult client who has a dislocated right shoulder, RR of 18/min, and cap refill of < 2 seconds D. An unconscious adult client who has no respirations, cap refill is < 2 seconds, and paramedics have already tried to reposition airway without results
B. An unconscious adult client who has a sucking chest wound, RR of 38/min, and cap refill of < 2 seconds
A nurse is educating community members about how to prepare for a disaster. Which of the following supplies should the nurse instruct the clients to include in a disaster preparedness kit? (SATA)
A. Three quarts of water per person B. Clean clothing C. Personal identification D. Matches E. Prescription meds
B. Clean clothing C. Personal identification D. Matches E. Prescription meds
A nurse is assisting with triaging clients following an explosion. Which of the following clients should the nurse identify as the highest priority?
A. An unconscious adult who has a large head wound w/ gray matter exposed, absent RR B. A conscious adult client who has second degree burns on both lower legs, RR is > 30/min C. An unconscious 6 month old infant with no RR; no visible injuries D. A conscious adult client wearing a medical alert diabetic bracelet, client reports feeling clammy and shaky
B. A conscious adult client who has second degree burns on both lower legs, RR is > 30/min
A nurse is reviewing the guidelines for reporting nationally notifiable infectious disease. Which of the following diseases should the nurse plan to report to the Centers for Disease Control and Prevention (CDC)?
A. Lyme Dz B. Cytomegalovirus C. Streptococcus pharyngitis D. Toxoplasmosis
A. Lyme Dz
A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention?
A. Providing treatment for clients who has chronic obstructive pulmonary disease B. Performing screening for sexually transmitted infections C. Administering influenza immunizations at a local fair D. Testing new nurses for exposure to TB
A. Providing treatment for clients who has chronic obstructive pulmonary disease
A charge nurse is discussing staff nurses' responsibilities in preplanning for response to a disaster. Which of the following responsibilities should the nurse include in the discussion?
A. Identify community resources that are available B. Evaluate the impact of a disaster on the community C. Assess survivors of a disaster for levels of psychological stress D. Link victims with support agencies to help with food, clothing, shelter, and counseling needs
A. Identify community resources that are available
B. Initiate contact precautions
A nurse is planning a staff education session regarding biological weapons of mass destruction. Which of the following should he plan to include in the session? (SATA)
A. Sarin B. Smallpox C. Anthrax D. Hydrogen cyanide E. Botulism
B. Smallpox C. Anthrax E. Botulism
A charge nurse is discussing the phases of community response to disaster with nursing staff. Which of the following statements indicates an understanding of the heroic phase of disaster response?
A. Personnel are willing to work in dangerous conditions to provide assistance B. Survivors come together and share stories of survival C. Responders experience exhaustion d/t extended relief efforts D. Normalcy begins to return to community
A. Personnel are willing to work in dangerous conditions to provide assistance
A community health nurse is providing a community education program about disaster preparedness. Which of the following should the nurse recommend that clients include in their family's disaster readiness supply hit or go bag? (SATA)
A. Pencil and paper B. Whistle C. Antibiotics D. Copies of Insurance cards E. Household bleach
A. Pencil and paper B. Whistle D. Copies of insurance cards E. household bleach
A nurse is reinforcing teaching with a group of adolescent females who are pregnant about expected changes related to pregnancy. Which of the following client statements indicates understanding of the teaching?
A. It is normal to have a white vaginal discharge B. I should recognize fetal movement by 12 weeks C. I will take fluid pills if my ankles bgin to swell D. My nipples are areolae will become pale as my breasts enlarge.
A. It is normal to have a white vaginal discharge
A nurse is leading a therapeutic group for clients at an outpatient mental health clinic. Which of the following client statements indicates a problems with role transition?
A. If my husband had gone to the doctor like I told him to, he'd be alive today B. I am so angry with my husband's attitude. He thinks he knows everything! C. I want to have an intimate relationship, but I end up breaking off relationships as soon as they begin D. I just can't seem to find any energy to take care of my children since my husband divorced me.
C. I just can't seem to find any energy to take care of my children since my husband divorced me.
A nurse is prepared to administer ciprofloxacin to a client. The nurse should identify that the medication is treatment for exposure to which of the following agents?
A. Smallpox B. Sarin gas C. Ebola virus D. Anthrax
D. Anthrax
A nurse is caring for a client who suspects recent exposure to inhalation anthrax. Which of the following findings indicate possible exposure?
A. Flu-like symptoms B. Sloughing of skin C. Vesicles of the skin D. Respiratory failure
A. Flu-like symptoms
