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COMMUNITY HEALTH NCLEX EXAM
QUESTIONS AND 100% EXACT
ANSWERS 2024 LATEST UPDATED AND
GRADED A+
A, C, E - Exact answer A community health nurse has conducted a needs assessment in a rural community and established a diagnosis of knowledge deficit related to IV drug use and HIV transmission. She wants to implement an educational program to reduce the fear and stigma surrounding IV drug use. Which of the following aggregates within the community would be the most appropriate targets for this program (select all that apply)? A) police officers and first responders B) certified nursing assistants at the local nursing home C) parents of the local high school D) kindergarten teachers within the school corporation E) the nursing staff at the local clinic A, B, E - Exact answer A community health nurse has noticed an increase in childhood obesity and a decrease in physical activity among the local students. She wants to perform a needs assessment regarding the local sidewalks and ability for kids to walk to school. Which forms of data collection would be useful in her assessment (select all that apply)? A) interviewing parents on the condition of their neighborhoods, their feeling of safety, and if they would allow their child to walk to school B) initiating a community forum in which members of the community are able to share their thoughts on the local sidewalks, physical activity, and walking to school C) extracting data regarding the average family income of each neighborhood D) creating a focus group to determine cafeteria workers feel about the lunches they serve E) direct observation of the ways in which children get to school, and the usage of sidewalks in the community
D - Exact answer a nurse is hoping to implement a Syringe Access Program into her community due to the recent increase in individual's newly diagnosed with hepatitis C. She is experiencing pushback from local officials. Which of the following is the best response to the effectiveness of SAPs. A) once we have made contact with users, it will be easy to convince them to enter a treatment program B) the addicts will find needles on their own, we might as well give them clean ones C) SAPs will increase the number of syringes in the community D) SAPs are an example of harm reduction which proves to be effective in preventing disease transmission and linking individuals to social services and health care they might require B - Exact answer A nurse wants to assess a community's perspective and concerns regarding health care needs in this community. What would be the best first approach for the nurse to take to gather data about the community? A) hold a community forum to discuss concerns in the community B) interview key informants in the community C) mail surveys to members of the community who were not willing to talk in person D) form focus groups to promote more interaction and expression of ideas C - Exact answer A high school nurse is collaborating with the sexual education instructor to educate young women on ways to prevent breast cancer. Which of the following is an example of primary prevention? A) perform a self breast exam every month B) education on when to start getting routine mammograms C) educate young girls on how to care for their own body D) contact your primary health care provider if you notice an abnormal lump during a self-breast exam D - Exact answer A community health nurse in paoli, IN has recently launched a diabetes prevention program. The nurse wants to begin nutrition classes for the elementary schools in Orange County. She plans to assess the progress of the program in 1 year. Which of the following would a nurse NOT use to evaluate the progress the community has made toward the goal of the program? A) construct benchmarks to gauge achievement of the program goal
B - Exact answer the nurse is precepting a new nurse on their current assignment of assessing the various communities surrounding their community. Which of the following comments made by the new nurse should be corrected by the precepting nurse? A) increasing physical activity can improve the overall health in the community by helping people place an importance on their health. leading to healthier food choices and lifestyle choices B) having more sidewalks placed around the community could not increase physical activity C) the assessments a nurse makes about a community are important because they can then lead to a diagnosis, planning, intervention, and evaluation D) community health is important for prevention of diseases C - Exact answer a nurse is performing a full assessment on a patient who came in reporting uncomfortable and difficult breathing. the nurse discovers through assessment that the patient works in a factory and suspects this could be the cause of difficulty breathing. what is this community nurses first priority? A) make a public service announcement to the community to prevent further cases B) inform the factory of this finding so they can make improvements to prevent further cases C) inform the physician of your assessment findings D) call the insurance so they can start a lawsuit for the employees against the company A - Exact answer there is a current community flu pandemic occurring in many places around the world. fortunately, it has not impacted your community yet. in regards to community health, what is the community health nurses top priority? A) preventing an outbreak of the flu through community awareness efforts B) treating the patient with the flu C) researching the flu symptoms D) diagnosing the patient with the flu A, B, C, D, E - Exact answer factors related to the determinants of health identified in Healthy People 2020 include which of the following (select all that apply)? A) education and literacy
B) genetic endowment C) gender D) culture E) social status D - Exact answer when applying the nursing process to environmental health, the nurse would: A) conduct an assessment focused on the client's presenting problem B) coordinate interventions with the primary care provider of record C) examine criteria that are limited to the client's immediate response D) include outcome measures that involve mitigation and elimination of the contributing factors B - Exact answer a nurse teaches an asthmatic client to recognize and avoid exposure to asthma triggers and assists the client's family in implementing specific protection strategies in the home, such as removing carpets and avoiding pets. the nurse's activities can be described as: A) comprehensive assessment B) primary prevention C) secondary prevention D) treatment intervention C - Exact answer a community health nurse is planning to conduct a study to address health disparities in paoli, IN. to set the focus for the study, the nurse is conducting a needs assessment. which of the following would be the most important first intervention to begin the needs assessment? A) compile local, regional, and state government reports to identify certain trends in the population over time B) determine if the sample will be representative of the whole population C) gather subjective information from community members to identify the specific gaps in services and community access D) collect samples from local water way to compare water quality in paoli, IN to surrounding aggregates C - Exact answer a new nurse is educating a group of nursing students on the purpose of a windshield survey. which of the following statements made by the new nurse would require intervention by the experienced nurse? A) "a windshield survey offers the nurse an opportunity to observe people and their role in the community"
nurse emphasized the importance of inspecting the skin daily for dryness, cuts, or redness. this can be described as an example of -- A) primary prevention B) secondary prevention C) tertiary prevention D) comprehensive assessment A - Exact answer if a nurse researcher needed to know certain demographic variables such a the distribution of age, sex, etc. for the community in which they are performing their research, where would they look to find this information? A) the US census B) the local physician's office C) the American community survey D) ask the first 50 people you see to fill out a survey for you B - Exact answer a nurse researcher is conducting a needs assessment in a community where there is an obesity problem. what would be the first approach to gather data for this needs assessment? A) look at the US census for crime levels in the area B) interview local doctors, school officials C) interview the manager of the local restaurant D) interview individuals who are overweight as you pass them on the street A, B, C, D, - Exact answer a nurse researcher surveyed a community and came up with a community diagnosis of the health problems affecting the community. which components of her community diagnosis followed the correct format of a community diagnosis? A) the identification of the health problem B) the affected aggregate or community C) the etiological or casual or statement D) the evidence or support for the diagnosis E) the nurses' recommendation on how to solve the identified health promotion A, B, D - Exact answer a nurse is doing a windshield survey in a rural population that she is about to work in. what should she be looking for during this windshield survey? select all that apply. A) determine areas that need further investigations B) tone of the community
C) communicating with politicians about available resources D) available resources that the community has access to E) discussing resources that need to be implemented D - Exact answer a patient wants to know what are some resources that are available to her since she lives in a food desert. the nurse is concerned that this patient will not be able to get the proper food that she needs to better her health and decrease her blood sugar. what should the nurse communicate in this situation? A) there are resources further away that you could take advantage of B) here are some pamphlets that discuss growing groceries in your backyard C) could there be someone else that could get groceries for you and your family? D) what type of resources would you like to learn about and are there resources that you have already tried? C - Exact answer in order to best control the spread of diseases in rural communities, what should the nurse communicate to her community and patients?
- implementing a needle exchange
- providing education about the spread of diseases
- present patients with the statistics about the spread of diseases
- identify risk factors that the patients could come across A) 1, 2, 3, 4 B) 3, 1, 2 C) 2, 4, 1 D) 4, 3, 1 C - Exact answer a community health nurse is trying to gain an understanding of the environmental layout to locate any concern through the idea of "sight, sense, and sound." which is the following ways is the best way for the nurse to observe the community and their roles? A) the nurse should take a look at the social system of the community to understand the relationships B) the nurse should analyze the geographic community to define landmarks in each neighborhood C) the nurse should conduct a windshield survey in order to learn about the community
D) interview key informants in the community B - Exact answer a student is working with a public health nurse to perform a community assessments on a local town. during the assessment phase of the process, the student nurse volunteers to carry out a windshield survey of the area. which statement made by the student indicates a need for further teaching? A) "I will drive around the area and make organized observations of what I see" B) "I will interview locals to further clarify my observations" C) "I will take note of health resources being utilized and look for evidence of wellness care" D) "I will assess the conditions of the built environment" C - Exact answer the nurse is educating the patient on disease prevention regarding a recent outbreak of influenza within the community. which statement below is the most correct? A) getting the flu vaccine is a great example of tertiary prevention as it reduces your chances of getting the flu significantly B) be sure to stay clear from anyone who may cough or sneeze, even if they cover their face C) going for a checkup when you exhibit muscle aches and a cough is a good practice of secondary prevention for the flu D) primary prevention is used for early detection and treatment of the flu B - Exact answer a community nurse is interested in gathering data about a random community for a research project. what is the best first step in gathering this information? A) the nurse should conduct a windshield survey to make an observation of the community's businesses, schools, sidewalks, homes, and restaurants B) checking the census should be the nurse's first step as it obtains information regarding sex, population, age, race, and ethnicity C) the nurse should check into vital statistics to check records of deaths, births, and marriages D) the national center for health statistics (NCHS) should be the first step as this would tell the nurse statistics on disability, illness, and other health variables
C - Exact answer a new community nurse wants to do a needs assessment for her community. which statement made by the nurse is incorrect? A) "before I can identify required information needed, I must engage the community. otherwise, it will not work out" B) "my very first step should be identifying where the community is lacking in access so that I do not repeat what does not work" C) "key informants are helpful for data collection, but not needed" D) "a few examples of data collection instruments that I may use are surveys or interviews" C - Exact answer a community health nurse must perform a needs assessment before implementing any intervention so as to identify gaps in access and not waste resources. which is the first step of a needs assessment? A) identify required information B) select data collection method C) identify aggregate D) engage community A, B, D, E - Exact answer a community health or public health nurse has noticed an increase in youth tobacco use in her community. which of the following aggregates would a nurse want to direct education about tobacco use towards? select all that apply. A) school-aged children B) parents of school aged children C) older adults D) administrators/educators E) pediatric nursing staff B - Exact answer a public health nurse has noted an increase in HIV and hep. c cases in her county over the past two years. she has begun an initiative to screen at-risk populations in her community. which level of prevention would this be considered? A) primary prevention B) secondary prevention C) tertiary prevention D) general prevention
following resources would be most beneficial to contact to promote this idea? (select all that apply) A) community supported agriculture programs B) farmers market C) elementary schools D) community grocery stores E) local health clinics true - Exact answer true or false: the surveys conducted by the US census bureau, including surveys on crime, housing, and labor, census reports, and vital statistics can all be accessed through the public library and the internet B - Exact answer a community health care nurse is preparing a needs assessment which of the following is the best course of action for planning the assessment? A) use a census for information B) involve community members C) ask for help from nurses from outside the community D) pick a state to focus on C - Exact answer a nurse is assessing a community and determining what sources of data are best to use. which of the following statements by the nurse about data and its sources is incorrect: A) "a windshield survey can help me understand the environmental layout and locate areas of concern" B) "the American community survey reports data about income, poverty, and occupational factors" C) "all community aspects have formal data collection, no additional data collection will be necessary" D) "local libraries, in addition to the internet, can provide results of US census bureau surveys, reports, and vital statistics" B - Exact answer a nurse is starting the process of assessing a community's health and diagnosis its health needs. which of the following should the nurse do first? A) involve the community B) define the community C) create a hypothesis about the community's health and health problems D) select method(s) of gathering data
B - Exact answer a nurse at the IU health center notices a dramatic increase in chlamydia cases on campus. what is the nurse's first priority when conducting a needs assessment? A) call every patient with chlamydia and ask them about their sexual behaviors B) identify resources for sex education and free/low-cost forms of birth control (condoms) on campus C) ask the office of public safety to send out a university-wide email asking everyone to be tested for chlamydia D) the nurse does not need to conduct a needs assessment as this issue is not of her concern A, C - Exact answer a doctor in Monroe county has already seen 5 cases of hepatitis c in the month of January. last year, he only saw 6 cases throughout the entirety of the year. who should the doctor suspect to be the aggregates in the recent uprise in these cases? select all that apply. A) IV drug users B) people with hep. B C) those who have a risky sex life D) construction workers E) people with pets A, B, D - Exact answer IU health Bedford has been receiving more opioid overdoses in the ER than usual. an ER nurse notices this and wants to find more data on opioid overdoses. what are some reliable sources of data? A) national center for health statistics B) the world health organization (WHO) C) websites that end in ".com" D) center for disease control and prevention (CDC) E) a journal article from 1992 B - Exact answer the HIV outbreak in southern Indiana stemmed from a new drug called opana. this drug specifically increased HIV incidences because: A) it is the most addictive drug on the market B) it requires around 15 injections a day C) users were marking red dots on HIV infected needles D) it causes more bleeding than other drugs
A) by comparing the current census data with past data and information, nurses can detect trends and differences that occur over time in a community B) the census collects information regarding population size, age distribution, sex, race, and ethnicity C) the census counts each individual separately; the characteristics of each person within the household are documented separately D) the census allows us to collect specific data to describe characteristics of smaller populations within the US (states, counties, etc.) E) a census tract is the largest reporting unit, consisting of 600,00+ people C - Exact answer a nurse in on a college campus performing a secondary prevention method about HIV/AIDS. which of the following topics would the nurse be using? A) educate students on the practice of sexual abstinence or safe sex B) provide education on management of HIV infection for those who are HIV positive C) encourage testing and counseling for clients with known exposure or who are in high risk groups D) explain to students how HIV/AIDS is spread and how to avoid transmission A, B, C, D, E - Exact answer a community health nurse wants to launch a diabetes prevention program in the local schools. who would be key informants that her team would meet with? select all that apply. A) school nurse B) lunchroom staff C) students D) parents of the students E) school administrators A - Exact answer the nurse is working on a committee to evaluate the need for a needle exchange program in the community. in doing so, the nurse is fostering the concept of what? A) health promotion B) education of IV drug use C) illness avoidance D) encouraging IV drug use
C - Exact answer a school nurse is planning to teach an education class on the increased risk of undetected testicular cancer in young men. she will be teaching the class to junior and senior boys. what teaching point should NOT be included in the health education class? A) how to identify testicular lesions at an early stage and seek care promptly B) men ages 20-35 are at the highest risk C) men should begin self examinations at the age of 21 D) self-detection techniques and understanding of testicular cancer D - Exact answer a nurse has been caring for a patient who was admitted to the ED with complaints of fatigue, joint pain, and persistent coughing. the patient was diagnosed with HIV/AIDS and contracted the disease from dirty needle drug use. what tertiary prevention activity should the nurse complete with this patient before discharge? A) screen the patient's partner for HIV B) teach the client about prevention of contracting HIV with clean needle use C) provide referral for follow-up since the patient tested positive D) provide education on the management of HIV infection, advocacy, care management, and other interventions D - Exact answer a group of nurses are working at a clinic in a rural community with a population that heavily struggles with diabetes management, obesity, tobacco use, and depression. the nurses want to know what, if any, role these risk factors and diseases play in the mortality/morbidity rate in the community. what source of data would be the most helpful? A) windshield survey B) electronic survey C) census data D) vital statistics A - Exact answer A community health nurse reviewed a census report and discovered that a district contained many elderly people. This knowledge directed the nurse toward further assessment of the social resources (i.e., housing, transportation, and community centers), health resources (i.e., hospitals, nursing homes, and geriatric clinics), and health problems among aging people. By identifying the trends in the population over time, the community health nurse BIGGEST concern is:
D) falls A - Exact answer a nurse needs to know that drug addiction can be treated, anyone can develop a drug dependence, and: A) any drug can be abused B) abused drugs are illegal drugs C) dependence comes from illegal drugs only D) OTC cannot be abused B - Exact answer a nurse is doing a home visit and sees a young girl in the room over that avoids making eye contact, is very withdrawn, and is unable to engage in conversation. which should the nurse assess for within child abuse? A) emotional abuse B) emotional neglect C) physical abuse D) physical neglect A, B, C, D - Exact answer what are types of communities that community health nurses can assess? select all that apply. A) a dorm B) a school C) a club D) a town B - Exact answer after you assess a boy's and girl's club in Indianapolis, what is the next step your team needs to take before being able to make a plan to help that community? A) assessment B) diagnosis C) planning D) evaluation B, C, D - Exact answer what is considered a problem that a community health nurse should help find issues for? select all that apply. A) not enough mcdonald's restaurants B) no place to buy fresh fruits/vegetables/or meat C) no transportation to health care services D) no place to get prescriptions in the community
A - Exact answer as a nurse you identify an opioid crisis in your county. you know you need to complete a needs assessment as your first step in data collection. what is the vital first step? A) identify gaps in service and access B) engage the community to gain support C) select the type of data collection method you want to use based on your research question D) identify procedures to collect consistent data A - Exact answer You have partnered with a team of nurses, physicians, and public health workers to take on the high obesity rates within your county. Which of the following data collection approaches should you utilize first? A) interviewing key informants B) hold a community forum C) organize focus groups D) mail surveys to a more diverse group A, B - Exact answer Your team is holding a public health fair in your community which has been identified by the CDC as the county with the highest rates of diabetes in northeast Indiana. What would you include as primary prevention? Select all that apply. A) dietary teaching B) education on early signs and symptoms of diabetes C) counseling on diabetes management D) A1C screenings E) exercise therapy for those with type 2 diabetes C - Exact answer which of the following would be the least effective way to advance the quality of health of rural communities? A) providing home health visits for those who cannot access transportation to health care facilities B) starting a clinic in a community that lacks numerous health resources C) providing preventative screenings for free at a local clinic D) utilizing telehealth programs for those with little access to health centers D - Exact answer what would be the first step a nurse conducting a "needs assessment" on a rural community would prioritize as his/her first step in the process? A) determine the population of the community
