Public Health Nursing Trends and Responsibilities, Exams of Public Health

Download Public Health Nursing Trends and Responsibilities and more Exams Public Health in PDF only on Docsity! Community & Public Health nursing exam practice questions and answers Vulnerable population groups are those that, in comparison with the population as a whole, have which of the following characteristics? - CORRECT ANSWER Greater likelihood of exposure to risk factors To provide effective care and advocacy for individuals, families and populations living in poverty, nurses must first: - CORRECT ANSWER Examine their personal beliefs, values, and experiences Which of the following best represents the concept of homelessness as crisis poverty? - CORRECT ANSWER B. Recently unemployed man evicted from his apartment An undocumented migrant farm worker, who can speak some English, has been diagnosed with TB. The local health department, using a Spanish translator, initiates TX by dispensing the first month's supply of medication and educates the client on the need to continue TX for 6-12m. A major challenge that client may face to ongoing TX for TB is: - CORRECT ANSWER Fragmented services A group of migrant farmworkers has arrived in a community. The local public health nurse realizes that an important step before scheduling clinic services is to: A. Consult the public health staff regarding their scheduling preferences B. Learn about the farmworkers' concept of time and their work schedule to determine when and how services can best be scheduled C. Review written materials about the farmworkers' culture of origin D. Visit the farmworker camp and tell the camp leaders when clinic services will be available. - CORRECT ANSWER B. Learn about the farmworkers' concept of time and their work schedule to determine when and how services can best be scheduled A nurse is implementing a population-focused model of home care delivery. Which of the following actions would most likely be taken by the nurse? A. use an assessment protocol when conducting visits B. Collaborate with other disciplines C. Provide care for a specific population D. Apply high-intensity interventions - CORRECT ANSWER A. use an assessment protocol when conducting visits A nurse is coordinating care to ensure a comfortable and peaceful death. Which of the following factors should be an important consideration for the nurse? A. The unique stress dying patients often experience B. Cultural values, expectations, and preferences of the family C. The communication style of each family member D. The abilities of the nurse and health care team - CORRECT ANSWER B. Cultural values, expectations, and preferences of the family A nurse has referred a home care client to hospice care. Which of the following best explains the rationale for this referral? A. To provide comfort and peace at a difficult time B. To reduce the cost of care for the terminally ill C. To keep clients at home until the end of life D. To provide care for terminally ill clients expected to live longer than 6 months - CORRECT ANSWER A. To provide comfort and peace at a difficult time The nurse provides direct care services to a stroke victim to avoid complications. Which of the following levels of prevention is being implemented A. primary intervention B. secondary intervention C. tertiary intervention D. assessment - CORRECT ANSWER C. tertiary intervention PHNs are challenged to respond to public health-related trends of the twenty-first century, which include: A. racial, ethnic, and economic health disparities; rise of drug-resistant pathogens; unequal access to health care; violence B. violence; availability of health care for all; and increasing life expectancy C. health disparities, access issues, and adequate mental health program funding D. rise of drug-resistant organisms, increased life-expectancy, societal violence, and more effective disease surveillance - CORRECT ANSWER A. racial, ethnic, and economic health disparities; rise of drug-resistant pathogens; unequal access to health care; violence State public health agency responsibilities include: A. conducting community health assessments B. enforcing public health codes C. monitoring health status D. Providing expertise that facilitates EBP - CORRECT ANSWER C. monitoring health status What is the goal of local public health departments? A. monitor communicable diseases B. improve health status of communities C. To offer services for the uninsured D. enforce environmental codes and laws - CORRECT ANSWER B. improve health status of communities A PHN assists a client in identifying the services needed the most at the least cost. Which of the following best describes the role that the nurse is being used? A. Role Model B. Case manager C. Consultant Correct D. Counselor - CORRECT ANSWER A. Health Educator A site that provides primary health care services to children and youths by NPs in the school setting is a: A. primary care clinic B. School-based health center C. School health services D. Child health improvement plan - CORRECT ANSWER B. School-based health center A nurse identifies a child who may be abused or receives information from a teacher that a child may have been abused. Which of the following actions must the nurse take? A. Call the police immediately to take the child to a safe place B. Contact the parents and ask about it C. Contact the legal authorities as well as the school's principal D. Examine the child to see if the abuse really occurred - CORRECT ANSWER C. Contact the legal authorities as well as the school's principal A nurse is developing a community-based exercise program for a group of women who have CV disease. Which of the following levels of prevention is being used? A. primary B. secondary C. tertiary D. health promotion - CORRECT ANSWER C. tertiary To develop a baseline for a presentation at the local women's club about the status of women's health in the community, a community-oriented nurse researches national vital statistics to establish the leading cause of women's death in the US. In the US, the leading cause for death is: A. cancer B. Heart disease C. Stroke D. Infectious disease - CORRECT ANSWER B. Heart disease The population that best represents the differential vulnerability hypothesis is a group of: A. Children with family history of sickle cell and HTN B. homeless pregnant teens in substance abuse program C. Native Americans at risk for DM D. overweight children - CORRECT ANSWER B. homeless pregnant teens in substance abuse program In an effort to decrease health disparities and improve life expectancy, the Social Security Act was amended in 1998 to provide federal funding to: A. Assure access for health care to elderly Americans B. Build hospitals to care for the medically indigent C. Insure children without health insurance D. Provide supplementary income for citizens with disabilities - CORRECT ANSWER C. Insure children without health insurance Vulnerability is multidimensional, and one of the primary contributors to vulnerability is: A. Gender B. Race and ethnicity Resource limitations D. urban and rural residency - CORRECT ANSWER Resource limitations A nurse providing a tertiary prevention intervention to a population of women who are HIV positive will most likely: A. Educate about self-care and the women's rights as employees B. establish a partnership with a community to initiate community health center C. Help identify new cases and ensure that clients receive proper TX D. teach how to lobby state legislators - CORRECT ANSWER A. Educate about self-care and the women's rights as employees After performing an assessment of a client seeking treatment for hypertension at the local free clinic, the nurse informs the client that the family's children may qualify for enrollment in the state children's health insurance program. The nurse provides the enrollment forms and reviews them with the client, emphasizing how to apply for the benefits. This best exemplifies which principle for intervening with vulnerable populations? A. Carry out primary prevention B. Setting family-center, culturally sensitive goals C. Trying to minimize "hassle factor" D. Using the MAP-IT approach - CORRECT ANSWER C. Trying to minimize "hassle factor" A community health nurse directly contacts a mammography clinic to arrange an appointment for a migrant worker with limited English language skills. The nurse communicates with the client through an interpreter to ensure that the appointment is scheduled to meet her needs and that the client understands the procedure to be performed. The role played by the nurse in this encounter with a member of a vulnerable population can best be described as: A. Advocacy B. Empowerment C. Partnership D. Social Justice - CORRECT ANSWER A. Advocacy Health education is often used as a strategy in working with vulnerable populations. The benefits of health education can be greatly affected by the individuals or groups: A. Cycle of dependency B. Health Literacy C. Level of income D. Race and ethnicity - CORRECT ANSWER B. Health Literacy Congress passed the Balanced Budget Act of 1997 with provisions intended to ensure the appropriateness of home health services for those who received them; however, the act may have increased health disparities for vulnerable populations such as: A. Frail older adults B.Low-income families with newborns C. Poor client’s d/c from acute care D. Clients requiring IV antibiotics - CORRECT ANSWER A. Frail older adults An unemployed individual with AIDS develops recurrent opportunistic infections that require repeated visits to the health clinic and the purchase of various medications to combat the infections and treat their associated side effects. This best demonstrates how the stress caused by poor health status can be related to: A. Barriers to access B. Cascade effects C. Cumulative risk D. Socially based inequity - CORRECT ANSWER B. Cascade effects Vulnerable population groups are those that, in comparison with the population as a whole, have which of the following characteristics (select all that apply)? A. Better access to health care but poor outcomes B. Greater likelihood of exposure to Risk factors C. Multiple risk factors but equal outcomes D. Worse health outcomes - CORRECT ANSWER B. Greater likelihood of exposure to Risk factors D. Worse health outcomes A nurse volunteering at a local homeless shelter notes that many of the clients have acute and chronic illnesses and are in need of primary health care services. The most effective strategy to consider when networking with homeless individuals, families or populations is to: A. Form a community partnership to establish a clinic for homeless persons. B. Create a trusting environment and establish a therapeutic relationship C. Collaborate with the local United Way to obtain funding for primary care services. D. Dialogue with local clergy to address the unmet primary care need for homeless persons - CORRECT ANSWER B. Create a trusting environment and establish a therapeutic relationship Which of the following best represents the concept of homelessness as crisis poverty? A. Man with chronic alcoholism and drug abuse living in a halfway house. B. Recently unemployed man evicted from his apartment. C. Teenager living on the streets and abusing drugs. D. Woman with schizophrenia who is living in a shelter. - CORRECT ANSWER B. Recently unemployed man evicted from his apartment. D. Weight gain. - CORRECT ANSWER A. Reduced lifetime earning potential. The challenges faced by a pregnant teen when attempting to establish paternity may be impacted by: A. Beliefs that impregnating a women proves masculinity. B. Demands for involvement in the child's birth. C. Denial of paternity because of associated financial obligations. D. Involvement of the legal system to acknowledge paternity. - CORRECT ANSWER D. Involvement of the legal system to acknowledge paternity. For the pregnant adolescent, the factors that pose the greatest nutritional challenge are: A. Chronological age and fetal growth. B. Family support and teen attitude. C. Lifestyle, growth, and development. D. Need to limit weight gain and increase exercise. - CORRECT ANSWER C. Lifestyle, growth, and development. The community health nurse visits the home of a pregnant teen who lives with her parents, one older brother, and two preteen sisters. The best strategy for meeting the objectives of Healthy People 2020 would be for the nurse to offer which of the following for the entire family? A. Anticipatory guidance addressing sexuality issues. B. Assessment for financial assistance. C. Assessment of family dynamics. D. Environmental assessment addressing suitability for child rearing. - CORRECT ANSWER A. Anticipatory guidance addressing sexuality issues. Teens are at higher risk for becoming pregnant because of the presence of multidimensional factors that include such things as adolescent immaturity, low levels of contraceptive use, and: A. Early age of initiation of sexual activity, sexual victimization, and peer pressure. B. Parenting styles, family structure, and paternity issues. C. Partner pressure, discouragement of abortion, and poor nutrition. D. Poor nutrition, preterm delivery, and late-term prenatal care. - CORRECT ANSWER A. Early age of initiation of sexual activity, sexual victimization, and peer pressure. Adolescents who feel competent as parents have enhanced self-esteem, which, in turn, positively influences their relationship with their child and response to the child's cues signaling basic needs or distress. It is important for the nurse to initiate parenting education for both parents as early as possible to increase the teens' understanding of their child's growth, development, and needs in order to reduce the risk for: A. Academic behavior problems in the future. B. Abusive parenting. C. Limited verbal communication with the infant. D. Negative parenting feedback. - CORRECT ANSWER B. Abusive parenting. Factors that are associated with decreased sexual risk behaviors in teens include higher levels of parental education and: A. Age-restricted discussion of sexual issues. B. Good family health practices. C. Strict parental rules on behaviors. D. Membership in the white majority versus other racial groups. - CORRECT ANSWER B. Good family health practices. The nurse is following a pregnant teen who attends the local high school. The nurse plans to discuss self-care activities that will be important for the teen during her pregnancy and assist in keeping the teen in school. The nurse's interventions will involve the teen and the staff and teachers at the local high school. These interventions should address specific needs related to: A. Adequate hydration and screening for depression. B. Desk space and desk location in the classroom. C. Frequency of bathroom breaks and modifications to book bag weight. D. Use of the stairs and consumption of high-carbohydrate sodas for snacks. - CORRECT ANSWER C. Frequency of bathroom breaks and modifications to book bag weight. A nurse planning a primary intervention program for adolescent pregnancy reviews trends in adolescent pregnancy, births, abortions, and adoption and notes that comparisons with other developed countries indicates which of the following (select all that apply)? A. Adolescent pregnancy rates continue to rise because of unreliable contraceptive methods. B. Use of contraceptives is limited among teens in the United States. C. the U.S. population is generally ambivalent about providing comprehensive sexuality education at home and at school. D. Female students are more likely to initiate sexual activity before the age of 13 years. E. Changes in parental notification or consent requirements for minors impacted rates of teen abortions. - CORRECT ANSWER B. Use of contraceptives is limited among teens in the United States. C. the U.S. population is generally ambivalent about providing comprehensive sexuality education at home and at school. E. Changes in parental notification or consent requirements for minors impacted rates of teen abortions. The most effective primary prevention intervention to reduce the incidence of child abuse is: A. Adolescent role playing of the realities of parenting. B. Education of grandparents on the risk factors and indicators of child abuse. C. Provision of parenting classes for college students. D. Provision of parenting and conflict-management classes for survivors of child abuse. - CORRECT ANSWER D. Provision of parenting and conflict-management classes for survivors of child abuse. Nurses must be aware of the incidence of incest, its signs and symptoms, and the psychological and physical trauma it causes. One fact relevant to comprehensive nursing assessment is that incest: A. Occurs in all races, religious groups, and socioeconomic classes. B. Often occurs in father-son relationships. C. Occurs only in father-daughter relationships. D. Never occurs in stepparent-child relationships. - CORRECT ANSWER A. Occurs in all races, religious groups, and socioeconomic classes. In conducting a nursing assessment of new parents the nurse should be aware of the warning signs of actual or potential abuse, including: A. History of adolescent depression and suicidal thoughts. B. Intermittent religious affiliations. C. Lack of legal marital status. D. Verbal aggressiveness or detachment. - CORRECT ANSWER D. Verbal aggressiveness or detachment. In caring for a rape victim/survivor, the nurse should be aware that the client will initially exhibit: A. Anger and fear with repeated recounting of the sequence of events during the assault. B. Crying, shouting, and hysteria followed by helplessness and self-blame. C. Different responses that vary from client to client and may include emotional withdrawal, silence, and/or repeated verbal description of the event. D. Symptoms of early onset posttraumatic stress disorder. - CORRECT ANSWER C. Different responses that vary from client to client and may include emotional withdrawal, silence, and/or repeated verbal description of the event. Professional nursing organizations recommend that all women be routinely screened for domestic violence when they: A. Come to the emergency department with physical trauma. B. Come to any health care setting. C. Repeatedly visit their primary care provider with symptoms of depression or anxiety. D. Report increased financial stress in the home. - CORRECT ANSWER B. Come to any health care setting. In following the principles of nursing interventions with violent families, nurses should: A. Avoid provoking the perpetrator by initially suggesting that the victim leave the relationship. B. Indicate zero tolerance for any further violence, degradation, or exploitation of family members. C. Provide assurances that the family's confidentiality will not be violated. D. Threaten to report child abuse to the authorities. - CORRECT ANSWER B. Indicate zero tolerance for any further violence, degradation, or exploitation of family members. Community-level factors that influence violence and human abuse are: D. Coping with staff nurse resentment of the advanced practice role and independent practice. - CORRECT ANSWER C. Obtaining institutional hospital privileges. The purpose of professional certification is to: A. Assure the public that advanced practice nurses have achieved an appropriate level of competence. B. Determine competency for graduation from a community health advanced practice nursing programs. C. Establish a standardized national examination mandated for all community health advanced practice nurses. D. Meet state board requirements for licensure as an advanced practice nurse. - CORRECT ANSWER A. Assure the public that advanced practice nurses have achieved an appropriate level of competence. A nurse practitioner (NP) is employed at a small rural primary health clinic on a Hopi reservation in the Southwest as a member of the National Health Service Corps. This practice arena for the advanced practice nurse can best be described as: A. Governmental. B. Independent. C. Industrial. D. Private/joint. - CORRECT ANSWER A. Governmental. Changes in the health care system and nursing have occurred in the past few decades because of a shift in: A. Educational preparation for advanced practice nurses. B. Legislative initiatives. C. Physician shortages. D. Societal demands and needs. - CORRECT ANSWER D. Societal demands and needs. Major stressors frequently encountered by the advanced public health nurse (APHN) in the community include which of the following (select all that apply)? A. Conflicting expectations. B. Liability. C. Professional isolation. D. Professional responsibilities. E. Reimbursement issues. - CORRECT ANSWER A. Conflicting expectations. B. Liability. C. Professional isolation. D. Professional responsibilities. The shift of home care away from its charitable and public health-oriented roots toward current models in use can be attributed to: A. Consolidation of voluntary and official home health agencies. B. Expansion of home care to include community health needs. C. Integration of home care into benefit programs. D. Passage of the Medicare prospective payment system. - CORRECT ANSWER C. Integration of home care into benefit programs. Medicare regulations, professional organizations, and state licensing boards dictate the responsibilities and functions of health professionals in providing home care, and a variety of specialized services can be included in home care either through direct care service, staff education, or consultation. Because of this need for various knowledge, skills, and perspectives, successful functioning in the provision of services requires: A. Certified advance practice home health nurses. B. Integration of home health aide and homemaker roles. C. Interprofessional teams. D. Physician certification of the medical problem and plan of care. - CORRECT ANSWER C. Interprofessional teams. Hospice care would be an appropriate option to discuss with which of the following patients? A. Patient with stage II lung cancer who is undergoing chemotherapy. B. Patient with early Alzheimer's disease whose caregiver needs respite care. C. Patient with metastatic breast cancer who has discontinued chemotherapy and radiation treatment. D. Patient with severe debilitating osteoporosis. - CORRECT ANSWER C. Patient with metastatic breast cancer who has discontinued chemotherapy and radiation treatment. The minimum requirements for entry into home care practice should be: A. Baccalaureate in nursing. B. Baccalaureate in nursing and clinical nurse specialist (CNS) certification. C. Master's in nursing. D. Master's in nursing and CNS certification. - CORRECT ANSWER A. Baccalaureate in nursing. The incentives and pressures for cost control and improved health outcomes have promoted the development of technologies that are simpler, more reliable, and: A. More acceptable to the patient. B. Less expensive. C. More expensive. D. Safer for home use. - CORRECT ANSWER D. Safer for home use. The Omaha System was initially designed to the address the concerns of nurses practicing in the community in the following areas (select all that apply): A. Documentation. B. Information management. C. Nursing practice. D. Telehealth. E. Specialty certification. - CORRECT ANSWER A. Documentation. B. Information management. C. Nursing practice. In home health care, the use of performance improvement programs, evidence-based practice guidelines, and appropriate communication, documentation, and telehealth technologies are strategies to address the issue of: A. Agency accreditation. B. Professional performance standards. C. Malpractice risk reduction. D. Regulatory compliance. - CORRECT ANSWER C. Malpractice risk reduction. To promote quality improvement, the documented plan of care for an elderly home care patient should include which of the following? Listing of community resources available to meet the patient's needs. Expected patient outcomes for each identified problem or diagnosis. Correct Formulated nursing diagnosis. Objective physical assessment data. - CORRECT ANSWER The American Nurses Association (ANA) Standards of Home Health Nursing Practice is composed of two parts: Standards of Care, which follow the six steps of the nursing process, and Standards of Professional Performance, which include which of the following (select all that apply)? Quality of care. Correct Performance appraisal. Correct Collegiality. Correct Outcome identification. Incorrect Resource use. Correct - CORRECT ANSWER A home health nurse is charged with identifying opportunities for health promotion and illness primary prevention. The activity that bests demonstrate this focus is: Collaborating with the chaplain to address the spiritual needs of a hospice patient. Educating a school nurse on the care regime of a returning student newly diagnosed with asthma. Incorrect Referring a newly diagnosed diabetic patient to the nutritionist for dietary teaching. Tracking the immunization status of patients. Correct - CORRECT ANSWER In designing a substance abuse primary prevention education program for the secondary schools in the community, it would be most important for the school nurse to include content related to the latest trend in the use of: Cocaine. Ecstasy. Correct Heroin. Marijuana. - CORRECT ANSWER A middle school student approaches the school nurse and says, "Can I talk to you about something important?" The school nurse responds affirmatively but should clarify: "Anything you tell me will be kept private and confidential." Physical agents associated with workplace hazards can best be addressed through engineering strategies and: Practice of safe work habits. Correct Workplace redesign. Blood borne pathogen standards. Incorrect Material safety data sheets. - CORRECT ANSWER When preparing a report on work-health interactions, the occupational health nurse should include which of the following information (select all that apply)? Accidental deaths and deaths associated with occupationally acquired illness. Correct Numbers of workers requiring vision correction while working. Incorrect Rates and types of injuries that occurred while workers were on the job. Correct Worker illnesses potentially associated with workplace chemical agent exposure. Correct - CORRECT ANSWER Occupational health nursing can best be described as which of the following? Enforcement of Occupational Safety and Health Administration (OSHA) requirements. Identification and management of health and safety cases in workplace settings. Incorrect Promotion of wellness in the workplace. Promotion, prevention, and restoration of health in the workforce aggregate. Correct - CORRECT ANSWER Recent trends in the characteristics of the U.S. workforce that will present new challenges to protecting worker safety and health include: Better job security, more equitable work hours, and compressed work weeks. Decrease in the retirement age and increase in the number of people with chronic illness. Incorrect Increase in the numbers of people with chronic illness, women, and older workers, and increase in racial diversity. Correct Increased racial diversity and better health, longer period of productivity, and longer life expectancy of workers. - CORRECT ANSWER The transmission of tuberculosis (TB) in health care settings has reemerged as a major public health problem. In terms of the host-agent-environment epidemiologic triad, it can best be described as involving which type of workplace agent? Biological. Correct Chemical. Incorrect Enviromechanical. Physical. - CORRECT ANSWER During routine nursing assessments, the nurse should ask clients about their current and past jobs, exposures to any agents that potentially relate to their symptoms and activities at work, and which of the following (select all that apply)? Disabling conditions. Correct Immunization history. Incorrect Lifestyle history. Correct Previous injuries. Correct Underlying illnesses. Correct - CORRECT ANSWER As the nature of work has changed over time, the nature of work-related illness and injury has also changed. The best example of a work related-illness/injury associated with changed work characteristics is: Carpal tunnel syndrome. Correct Byssinosis (brown lung disease). Incorrect Pneumoconiosis (black lung disease). Fatal work injuries in miners. - CORRECT ANSWER Holistic health care is an approach to nursing care that is: Critical to a successful parish nursing health ministry. Correct Inconsistent with many congregations' theologies. Incorrect Provided in clinics staffed by complementary and alternative medicine providers. Separate from but complementary to parish nursing. - CORRECT ANSWER A parish nurse has entered into a written contract to provide spiritual care at two local nursing homes and the community hospital. This best represents the implementation of which model of parish nursing? Congregational model. Health ministry model. Holistic care model. Incorrect Institutional model. Correct - CORRECT ANSWER The parish nurse works with a congregant with early stage Alzheimer's disease and with the individual's family to design a progressive quality-of-life plan that addresses the need for legal, financial, health care, and end-of-life decision-making strategies as the disease progresses. This approach to well-being for the individual can best be characterized as an example of the philosophy of parish nursing that: Emphasizes strengths of individuals, families, and communities. Emphasizes the spiritual dimension. Focuses on the faith community and its ministry. Incorrect Considers the ongoing, dynamic nature of health, spiritual health, and healing. Correct - CORRECT ANSWER The congregational wellness committee expresses the desire to establish a seasonal shelter for homeless women and children in the community as part of its health ministry. The parish nurse prepares a resource assessment for the next committee meeting. This intervention reflects the parish nurse's responsibility for which type of practice issues? Ethical. Financial. Correct Legal. Incorrect Professional. - CORRECT ANSWER In the context of Healthy People 2020 initiatives, the most appropriate intervention for adolescent congregants with disabilities would be which of the following? Exercise program integrating movements from a sitting or standing position. Correct Class to promote a healthy self-image. Incorrect Monthly onsite access to bio touch and massage therapists. Training program for runners. - CORRECT ANSWER The scope of practice of the parish nurse would most likely include which of the following independent nursing functions (select all that apply)? Completing a physical examination and instructing a client regarding the best over-the- counter medication to choose for back pain. Incorrect Conducting a health education session about clients' self-care regimens for hypertension, including medication and self-monitoring of blood pressure. Correct Initiating a bereavement support group. Correct Providing a health risk appraisal and intervention plan for an elderly couple. Correct Providing spiritual care during a time of severe illness. Correct - CORRECT ANSWER An example of an effective strategy in carrying out the health education role of the parish nurse is: Organizing health fairs. Correct Conducting prayer circles. Providing volunteer training. Incorrect Planning congregational meals. - CORRECT ANSWER Parish nurses can best be described as: Advanced practice nurses working in churches throughout the United States to provide holistic nursing care and spiritual healing. Nurses with baccalaureate-level preparation volunteering in faith communities to assist the congregations in their health ministries. Incorrect Institutionally based nurses coordinating health fairs and other congregational health outreach programs within geographically delineated faith communities. Professional nurses engaging in a specialized practice in which they partner with populations of faith communities and respond to health and wellness needs in these communities. Correct - CORRECT ANSWER Several faith communities are jointly operating and staffing a food pantry for community members in need that coordinates assistance with the local health department's Women, Infants, and Children program. The parish nurse in one of the faith communities coordinates the overall partnership and the care teams to staff the project. This best demonstrates which role of the parish nurse? Facilitator. Correct Spiritual caregiver. Incorrect Health educator. Health counselor. - CORRECT ANSWER Engagement with clients as an equal partner. Correct - CORRECT ANSWER To develop a baseline for a presentation at the local women's club about the status of women's health in the community, a community-oriented nurse researches national vital statistics to establish the leading cause of women's deaths in the United States. In the United States, the leading causes of death for women are: Domestic violence, heart disease, and cancer. Heart disease, cancer, and stroke. Correct Heart disease, stroke, and emphysema. Infectious disease, cancer, and heart disease. - CORRECT ANSWER Counseling regarding hormone replacement therapy (HRT) should include the following information: Menopause is a result of hormone deficiency, and therefore HRT is appropriate for all women to treat all symptoms. HRT should be used to prevent osteoporosis only among women who are unable to take non-estrogen medication. Correct Research concludes that HRT does prevent heart disease in menopausal women. HRT should be considered for prevention of osteoporosis in all women. - CORRECT ANSWER At the request of a local senior women's group, a nurse is developing an osteoporosis primary prevention program. An appropriate strategy for the program would be to: Design a nurse-directed program instead of a peer-directed program. Encourage exercise and consideration of hormone replacement therapy (HRT). Incorrect Promote diets rich in calcium and vitamin D and daily weight-bearing exercise. Correct Promote swimming and supplementation with calcium and vitamin D. - CORRECT ANSWER To detect the presence of the leading cause of disease burden for women in the United States, a screening program for women would include: Blood pressure screening, mammography, and dietary assessment. Correct Testing for HIV/AIDS and sexually transmitted diseases. Pap smear, screening for smoking, and assessment for exposure to violence. Questions about a family history of depression, employment status, and chronic diseases. - CORRECT ANSWER In comparison with women, men: Engage in more risk-taking behavior. Correct Experience lower survival rates in the first year after myocardial infarction. Incorrect Metabolize alcohol more efficiently. More actively initiate preventive health care interventions. - CORRECT ANSWER Although all men are at risk for developing prostate cancer and African-American men have a 51% higher incidence of prostate cancer than white men, those at greatest risk are men who: Have erectile dysfunction. Fail to undergo prostate-specific antigen testing or digital rectal screening. Incorrect Have a history of prostate cancer in the immediate family. Correct Have multiple sex partners. - CORRECT ANSWER A new primary health clinic is established to address the top causes of mortality in men. The nurse at the clinic uses a community-focused nursing process to plan interventions aimed at reducing the incidence of: Cardiovascular accident, lung cancer, alcoholism, and drug abuse. Depression, alcohol abuse, obesity, intravenous drug use, and prostate disease. Incorrect Cardiovascular and cerebrovascular disease, chronic pulmonary disease, unintentional injuries, cancer, and diabetes. Correct Mental illness, drug and alcohol abuse, cardiovascular disease, accidents, and suicide. - CORRECT ANSWER To develop a comprehensive population-based health plan that includes men, the nurse must examine male health from various perspectives, such as: Existing physical, psychological, and social contexts that constitute men's intrapersonal and environmental conditions. Correct Income, culture, ethnicity, and race. Media and marketing initiatives that target male concerns regarding quality of life and degree of disability. Incorrect National vital statistics on morbidity and mortality. - CORRECT ANSWER Diabetes mortality rates continue to rise for all ethnic and socioeconomic groups, but evidence shows that which of the following is (are) true (select all that apply)? Addressing the diabetic epidemic involves more than a focus on individual factors. Correct Community-based education programs have done little to address the problem. Incorrect Complications and mortality rates are highest among low-income and minority groups. Correct Selection of healthy food options is both an availability issue and an education issue. Correct Standard of living does not affect decision making. Incorrect - CORRECT ANSWER A community-oriented nurse is developing goals for a community health center's senior center. The goals should focus on which of the following (select all that apply)? Meeting social and recreation needs. Correct Helping elders accept the inevitability of the debilitation of aging. Incorrect Maximizing functional status and minimizing functional decline. Correct Implementing secondary and tertiary prevention measures. Correct - Correct Answer