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NUR426 EXAM 1 EXAM
An elderly client in a wheelchair is brought to the ED after a fall. What risk factor can lead to elderly abuse? - ANSWERS-Financial issues
The PHN is preparing a presentation to reduce heart disease risk factors. What should the nurse exclude from the presentation? - ANSWERS-Avoid irrelevant statistics and focus on actionable steps
During a communication with a Hispanic couple, the nurse learns about the client's rising A1C levels. What is a patient-centered approach for the client? - ANSWERS-Continuing education on diet, exercise, and meal planning
Americans are living longer today. What is not a factor contributing to increased life expectancy? - ANSWERS-Greater distribution of wealth
A nurse is caring for a group of clients in a community. Which scenario is not an example of community collaboration? - ANSWERS-City council passing an anti- smoking ordinance
A nurse wants to create a program for healthy aging. What should be considered with a primary prevention focus? - ANSWERS-Implementing an immunization program
To assess disease prevalence in a population, what does a prevalence pot help determine? - ANSWERS-Total number of cases considering all disease stages
A nurse caring for a group of clients in a community should know that diversity. - ANSWERS-Adjusted side 2
A nurse caring for a group of clients in a community should know that which of the following is not considered one of the six standards of practice for the public health? - ANSWERS-Mitigation
The PHN working in a small public local health department should know that licensing of local hospitals would be outside of their scope of practice. - ANSWERS-Adjusted side 2
The PHN presenting information specific to healthy aging to members at a wellness fair should not incorporate traveling often in the teaching. - ANSWERS- Adjusted side 2
A lesbian couple relocating to a rural community as part of a job relocation would not be influenced by overabundance to healthcare for LGBTQ in rural communities. - ANSWERS-Adjusted side 2
The PHN working on recommendations for policymakers regarding health risks of locally incarcerated community members should prioritize limited access to care for this vulnerable population. - ANSWERS-Adjusted side 2
A nursing program is interested in integrating more opportunities for undergraduate and graduate students to address health equity and social determinants of health. Which of the following is NOT an example of a change in curriculum to support social determinants of health and health experiences - ANSWERS-Clinical experiences primarily in acute care settings
A nurse is about to interview a client which of the following is most important for the nurse to consider before beginning the interview. 64-year-old Hispanic female admitted per chart from the ED for dehydration. A&O x3, vitals stable, IV patent in the right AC, normal saline infusing 100ml/hour. Client has traditional beliefs about health and illness. - ANSWERS-Ask the client if cultural healer should be contacted
The school nurse works with a growing number of students and families from varying cultures. What is the best way to help the school nurse in providing culturally competent care for all students? - ANSWERS-Increase knowledge and skills through web-based resources
The public health team is focused on implementing initiatives to reduce inequities associated with access to behavioral health. Which is the best example of a population level behavioral health intervention - ANSWERS-Flexibility in treatment policies and payments
Results of a community health assessment indicate increasing obesity rates of residents a top priority. Using the ecological model (upstream) what is the least appropriate recommendation to focus on for the increasing obesity concern? - ANSWERS-Avoid focusing on individual behavior change
The nurse provides annual education to elementary aged children what is the most effective primary prevention intervention that the nurse can focus on to reduce the risk for disease? - ANSWERS-Emphasize proper hand hygiene
A skilled care facility has noticed an increase in the number of falls during the last quarter. Which of the following is not supportive of reducing falls - ANSWERS- Providing fall education without personalized fall risk assessment
The public health nurse puts together an informational handout for community members regarding vision and hearing screening. What important strategy can the nurse take when creating the informational handout to improve health literacy - ANSWERS-Ensure the use of clear and simple language
The nurse works on discharge plans for an individual who is homeless. What is the most difficult challenge for nurses with regards to treating vulnerable populations
- ANSWERS-Addressing social determinants of health
Recent studies suggest that nearly 1 in 5 members of LGBTQ community avoid medical care because they have faced or fear facing discrimination. What is the most efficient way to identify if an individual identifies with an LGBTQ community to avoid discrimination? - ANSWERS-Implement LGBTQ inclusive practices in intake procedures
The nurse is completing the ages and stages screening tool on a 2-year-old child. The parent of the child asks the nurse 'what is the purpose of performing screenings'. Which is the best response by the nurse? - ANSWERS-Screenings can detect developmental delays early
Which statement regarding health disparities among LBGTQ population is incorrect? - ANSWERS-c. Transgender youth are at the lowest risk for homelessness
Discharging an agricultural migrant worker hospitalized for a burn injury, what disparity puts the client at highest risk for readmission? - ANSWERS-Nature of work
A pregnant incarcerated woman with type 1 diabetes experiencing hypoglycemia, what significant disparity does she face? - ANSWERS-Access to care
What is the important health outcome to improve the quality of life of residents in an assisted living setting? - ANSWERS-Mental well being
Assessing an older client's ability to return home after a fall due to alcohol consumption, what intervention should the nurse initiate? - ANSWERS-Ask about current and prior alcohol use
During a well visit, what vaccine is recommended for a 65-year-old client who is current on tetanus and influenza vaccines? - ANSWERS-Pneumococcal
Working with a family transitioning to palliative care, which statement is not part of palliative care treatment? - ANSWERS-Palliative care means stopping all medical treatment
Which client would be the best candidate for hospice care? - ANSWERS-42-year- old with autoimmune disease no longer responding to treatment
Reviewing statistics on older adults in the community, what recommendation is not supported for wellness? - ANSWERS-Recommend aerobic classes at nighttime
A hospice nurse is admitting a client to the facility. During the admission the family asks the nurse what a hospice nurse does. Which of the following statements is the best response? - ANSWERS-Educates, advises, provides emotional support, and helps prepare clients and families for the dying process
An ambulatory clinic has noticed an increase in missed follow-up appointments in individuals in a rural community with limited access to primary care clinics. Which of the most effective approach to improve compliance? - ANSWERS-Offer telehealth or communication through health applications for follow-up
The nurse manager reviews the following nursing note concerns and comments made by the primary nurse. After reviewing the information provided what is the best step the nurse manager should take? - ANSWERS-Notify Adult Protective Services (APS)
Several families within a community are caregivers to loved ones suffering with dementia and are gathering at a support group session. What strategy are most helpful to review with families during this support group session regarding safety and supervision - ANSWERS-Modify environments to limit potential harm, similar to childproofing
staying with her brother who is a US citizen. Which of the following statuses is the mother eligible to apply for? - ANSWERS-Asylee
A nurse caring for a young man squatting in an abandoned factory a mile away from the clinic. What type of homelessness would the nurse document? - ANSWERS-Primary
Public health nurse found higher obesity rate in a neighborhood due to limited access to full service grocery stores and lack of exercise venues. What category of determinants of health do these issues fall into? - ANSWERS-Upstream
Increase in prevalence of noncommunicable and chronic diseases with aging. What is the most pressing issue from a public health perspective? - ANSWERS- Increase demand for long term care
International medical community involving WHO to contain worldwide pandemics. What is the goal of WHO? - ANSWERS-a. The public health arm of the United Nations.
b. Improve health and well-being globally
c. Work with nurses for public health interventions
d. All of the above
PHNs in a county with measles increase using national history of disease framework for primary prevention program. What is the first step? - ANSWERS- Conduct outreach to parents for children vaccination
Nurse developing educational program on diet reviews availability of fresh fruits and vegetables in the community. Which determinant of health best reflects this decision? - ANSWERS-Social determinants of health
In traditional public health framework, which prevention level includes early detection for treatment initiation? - ANSWERS-Secondary
Patient with DM educating himself on managing health. What method of adult learning is this? - ANSWERS-Humanism
Nurse wonders why patient with DMII struggles despite education. What should nurse check first before providing more information? - ANSWERS-Health Literacy Level
Nurse in home care agency providing hospice care. What is the primary role of the nurse in hospice care? - ANSWERS-Assist patient and family through dying process towards a good death
A patient's wife asks a clinic nurse about safe alcohol consumption for her 82- year-old husband. What is the nurse's response based on age-related standards? - ANSWERS-3 standard drinks per day and no more than 7 per week
A nurse is caring for a group of clients in a community. What should the nurse know about health disparities among the LGBTQ community? - ANSWERS- Identifying correct information is essential
c. Free health clinics
d. Free distribution of condoms
e. Free dental clinics
The Public Health Nurse is providing care at a free clinic. The next client is a Mexican migrant worker with a history of DMII, HTN, and a pressure on the calcaneus. Which interventions performed by the nurse are tertiary prevention? - ANSWERS-a. Provide free diabetic education and access to medication and testing
b. Provide smoking cessation resources
c. Assist with wound care
d. Identify community resources for free socks and resources
e. Review immunization records and provide immunizations if needed
The Community Health Nurse reviews statistics about health disparities in the community. Which interventions would be considered upstream and help reduce rates of obesity in the community? (SATA) - ANSWERS-a. Remove high fat fast food options in the community
b. Promote fresh healthy food options by starting a farmers market
c. Work with local agricultural business to increase the amount of fresh produce in the area
The Home Health Nurse reviews the chart for all the clients for the day. The nurse is providing tertiary prevention interventions to which clients? - ANSWERS-a. 26- year-old DM1 living in a homeless shelter requiring a dressing change for a stage 2 ulcer
b. 45-year-old migrant worker who needs DM education due to recent diagnosis
c. 89-year-old Caucasian client who is recently homeless but now lives with her grown children and needs a referral for home health services
Who does the Health Occupations Area (HOA) fall under? - ANSWERS-UN
A Nurse is conducting a home visit for a client with COPD. What is a key intervention to promote respiratory health? - ANSWERS-Teach proper inhaler technique and breathing exercises
A Public Health Nurse is organizing a community health fair. What is an effective strategy to promote attendance? - ANSWERS-Offer free health screenings and educational workshops
A School Nurse is developing a program to address childhood obesity. What is a primary prevention strategy for promoting healthy eating habits? - ANSWERS- Implement nutrition education in school curriculum and offer healthy snack options
A Community Health Nurse is working with a local shelter to address hygiene among homeless individuals. What is a tertiary prevention intervention for promoting personal hygiene? - ANSWERS-Provide access to showers and hygiene kits
