COMMUNITY HEALTH EXAM 2 QUESTIONS WITH 100% CORRECTLY SOLVED ANSWERS, Exams of Community Health

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COMMUNITY HEALTH EXAM 2

QUESTIONS WITH 100%

CORRECTLY SOLVED ANSWERS

A Public health nurse working with a family living in poverty recognizes that they are more likely to be exposed to environmental hazards because they have (select all that apply): A.) Limited funds to pay for health care B.) Poorer nutrition c.) Homes more likely located closer to hazardous waste sites D.) Less education E.) Cleaner than average air -- Correct Answer ✔✔ A.) Limited funds to pay for health care B.) Poorer nutrition c.) Homes more likely located closer to hazardous waste sites D.) Less education Why is it important for nurses to understand the premises of environmental health? A.) Nurses should be able to assess risks and advocate for policies that support healthy environments. B.) Toxicologists often consult nurses about environmental pollutants. C.) Pollutant exposures such as lead are reported by nurses to the Environmental Protection Agency. D.) Many Americans live in areas that do not meet current national air quality standards -- Correct Answer ✔✔ A.) Nurses should be able to assess risks and advocate for policies that support healthy environments.

An example of secondary prevention is : A.) Screening children for lead poisoning B.) working with communities on emergency preparedness plans C.) Developing social networking interventions to modify community norms D.) Educating patients with strokes as rehab centers to help organize to help optimize their functioning -- Correct Answer ✔✔ A.) Screening children for lead poisoning Which example contains the components necessary to form an epidemiologic triangle? A.) Pesticides, water, food B.) Lead, mercury, soil C.) trichloroethylene, water, infants D.) Children under 12, elderly, temperature -- Correct Answer ✔✔ C.) trichloroethylene, water, infants Material safety data sheets (MSDSs) are written by the chemical manufacturer and made available to any employee or their representative as required by the Occupational Safety and Health Administration (OSHA). This is an example of environmental health approach of: A.) Environmental exposure history B.) Environmental health assessment C.) Right to know D.) Risk assessment -- Correct Answer ✔✔ C.) Right to know A community health nurse asks her client "When was residence built?" The nurse is asking this question because she is conducting the client's: A.) Environmental health assessment B.) Environmental history C.) Risk assessment

A.) Consult the public health staff regarding their scheduling preferences B.) Learn about 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 farmworkers' concept of time and their work schedule to determine when and how services can best be scheduled A nurse takes the time to read and understand the community's disaster plans and participates in mock disaster drills as a leader of the triage team. The nurse obtained disaster management training through the local Red Cross chapter and registered with the state as a disaster management nurse. The best description of the nurse's activities is: A.) American Red Cross Disaster training B.) Community preparedness C.) Personal preparedness D.) Professional Preparedness -- Correct Answer ✔✔ B.) Community preparedness A newly hired public health nurse is familiarizing himself with the levels of disaster management. Which of the following actions is a component of disaster preparedness? A.) Outlining specific roles of community agencies B.) Identifying community vulnerabilities C.) Prioritizing care of individuals D.) Providing stress counseling -- Correct Answer ✔✔ A.) Outlining specific roles of community agencies A nurse is assigned to provide community outreach to a small town that was partially destroyed by a tornado 3 years earlier and has been rebuilt. The first client is a family who lost their home and their best friend in the tornado. The best intervention would include:

A.) A assessment of the family's home environment to rule out safety issues B.) Avoidance of discussion of the disaster of 3 years ago C.) Consideration that the family will have worked through the emotional aftermath by now D.) Support of the family in preparing a personal disaster response plan -- Correct Answer ✔✔ D.) Support of the family in preparing a personal disaster response plan The highest priority for a nurse who is among the first responders to a disaster is: A.) arranging for shelter disaster providers B.) Beginning community assessment as soon as possible to ensure a rapid recovery C.) Beginning surveillance and planning needed health education for disaster survivors D.) Immediately developing plans for effective triage and client management -- Correct Answer ✔✔ D.) Immediately developing plans for effective triage and client management A nurse is working with a disaster medical assistance team as it responds to a disaster. A new team member excitedly instincts that its personnel can exceed their 12-hour shifts and do not need breaks. The best intervention on the part of the nurse is to A.) Arrange for the team members to be transferred to another unit B.) Arrange for the team member to leave duty, return home, and talk with his or her pastor C.) educate the rescuer about necessary stress-management techniques and offer to pair up with the individual so that each can monitor the other's stress level D.) Help the team member to call home to speak with his or her family -- Correct Answer ✔✔ C.) educate the rescuer about necessary stress- management techniques and offer to pair up with the individual so that each can monitor the other's stress level

D.) Race and ethnicity -- Correct Answer ✔✔ B.) Health literacy An undocumented migrant farm worker, who can speak some English, has been diagnosed with TB. The local health department, using a Spanish translator, initiates treatment by dispensing the first month's supply of medication and educates the client on the need to continue treatment for 6 to 12 months. A major challenge the client may face to ongoing treatment for TB is: A.) Affordable care B.) Discrimination C.) Fragmented Services D.) Language barriers -- Correct Answer ✔✔ C.) Fragmented Services A nurse volunteering as 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 a 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 is an example of an agent in the epidemiologic triangle? A.) Human population distribution B.) Salmonella C.) Genetic susceptibility D.) climate -- Correct Answer ✔✔ B.) Salmonella

The time interval between invasion by an infectious agent and the first appearance of signs and symptoms of the disease is called: A.) Communicable period B.) Incubation period C.) Infectiousness D.) Pathologic reaction -- Correct Answer ✔✔ B.) Incubation period West Nile Virus is an example of which of the following types of illness? A.) Foodborne B.) Vector borne C.) Waterborne D.) Zoonoses -- Correct Answer ✔✔ B.) Vector borne To understand the causes of health and disease, epidemiology studies: A.) Individuals B.) Families C.) Groups D.) Populations -- Correct Answer ✔✔ D.) Populations Which example contains the components necessary to form an epidemiologic triangle? A.) Pesticides, water, food B.) Lead, mercury, soil C.) Trichloroethylene, water, infants D.) Children under 12, elderly, temperature -- Correct Answer ✔✔ C.) Trichloroethylene, water, infants A public health nurse wanting to know what caused severe nausea, vomiting, and diarrhea in a large group of people on a cruise ship would be using: A.) Descriptive epidemiology B.) Analytic epidemiology

3.) HIV/AIDS is one of the worst global diseases in history. It is a/an ________ -- Correct Answer ✔✔ (1,A) (2,C) (3,B) Emerging infectious diseases may arise as a result of factors operating singly or in combination and these factors may include which of the following (select all that apply)? A.) Environmental changes B.) Host behavior C.) Improved surveillance D.) Microbial adaption E.) Public health infrastructure deterioration -- Correct Answer ✔✔ A.) Environmental changes B.) Host behavior D.) Microbial adaption E.) Public health infrastructure deterioration The nurse teaches food handlers to wash utensils after contact with raw meat. This prevention focus on the: A.) Agent B.) Host C.) Environment D.) Food Handler -- Correct Answer ✔✔ C.) Environment Which information is important for the nurse to know about preventing and controlling parasitic infections? A.) The medication to prescribe to treat infections B.) The nature and symptoms of all parasitic illnesses C.) What specimens to collect and how and when to collect them D.) Public policy about parasitic infections -- Correct Answer ✔✔ C.) What specimens to collect and how and when to collect them An example of a bacterial STD is:

A.) Trichomonas B.) HIV C.) Syphilis D.) Genital warts -- Correct Answer ✔✔ C.) Syphilis A client comes to the local clinic with acute symptoms of fever, nausea, lack of appetite, malaise, and abdominal discomfort. During the course of the assessment, the nurse determines that the client is a health care aide working at a daycare center. These facts are important because: A.) Acute hepatitis B is self-limiting B.) Hepatitis A outbreaks commonly occur in facilities where staff change diapers C.) Hepatitis C is a "silent stalker" D.) Individuals with chronic liver disease are greater risk for hepatitis A -- Correct Answer ✔✔ B.) Hepatitis A outbreaks commonly occur in facilities where staff change diapers A school nurse is teaching class of sophomores about the relationship between the risk of sexually transmitted disease (STD) and risk-taking behaviors. A key point to include is: A.) All STDs are preventable with consistent condom use B.) Once a young woman is pregnant, she is no longer at risk for most STD's C.) STD's are most likely to be transmitted during a student's initial sexual encounter D.) Use of alcohol and drugs makes a student more likely to make decisions that result in exposure to and infections with STDs -- Correct Answer ✔✔ D.) Use of alcohol and drugs makes a student more likely to make decisions that result in exposure to and infections with STDs Pelvic inflammatory disease (PID) is a common complication of: A.) Gonorrhea B.) Syphilis

aware that community members exposed to anthrax will need access to which of the following medications? A.) Metronidazole (Flagyl) B.) Ciprofloxin (Cipro) C.) Zanamivir (Relenza) D.) Fluconazole (diflucan) -- Correct Answer ✔✔ B.) Ciprofloxin (Cipro) The nurse is counseling a female who has recently tested positive for HIV. The nurse educates her that she is responsible to (select all that apply) A.) Have regular medical evaluations and follow-ups B.) Donate blood, plasma, body organs, or sperm C.) Inform health care providers about the HIV infection D.) Consider the risk of perinatal transmission E.) Never use barrier methods of birth control -- Correct Answer ✔✔ A.) Have regular medical evaluations and follow-ups C.) Inform health care providers about the HIV infection D.) Consider the risk of perinatal transmission Nurses need to be aware that, when a disease or event outbreak occurs as a result of a purposeful introduction of an agent into the population, then the: A.) Case definition must be validated by laboratory results B.) Predictable patterns may not exist C.) Surveillance systems can detect the event D.) Source of contamination must be identified to respond appropriately -- Correct Answer ✔✔ B.) Predictable patterns may not exist The nurse is monitoring illness trends in the community and notes there were 60 cases of varicella during the seconds week of September. All cases resolved without complications. What term represents this information?

A.)Mortality B.)Morbidity C.)Attack rate D.)Recovery trend -- Correct Answer ✔✔ B.)Morbidity When a situation exists in which there is potential contact with blood or body fluids, health care workers must always perform hand hygiene and wear gloves, masks, protective clothing, and other indicated personal protective barriers. The underlying reason for requiring these practices, known as universal precautions, is that: A.) Blood and body fluids of all clients need to be handled as if they were infected B.) Effective infection control surveillance programs are in place C.) Health care settings are reservoirs of infection D.) Health care workers do not effectively use hand hygiene. -- Correct Answer ✔✔ A.) Blood and body fluids of all clients need to be handled as if they were infected A nurse is presenting information to the county health department about potential bioterrorism threats. Which of these agents would the nurse discuss in this presentation? A.) Smallpox B.) West nile virus C.) Severe acute respiratory syndrome (SARS) D.) Novel influenza A H1N1 -- Correct Answer ✔✔ A.) Smallpox An American takes a long-awaited vacation in sunny Mexico, spending days on the beach eating fresh raspberries from a nearby vendor and drinking bottled water. The tourist may be altering: A.)Agent-host-environment interaction B.) Circadian rhythms C.) Herd immunity D.) Host resistance -- Correct Answer ✔✔ A.)Agent-host-environment interaction