Public Health Nursing and Disaster Management, Exams of Community Health

Download Public Health Nursing and Disaster Management and more Exams Community Health in PDF only on Docsity! 1 / 28 Community Health final II Exam Questions with Answers 1.1. What occurs during an act of biological terrorism? a.The intentional release of hazardous chemicals into the environment b. Environmental and occupational exposure to biological toxins c. Immunity to toxins related to repeated exposures d. An intentional release of viruses, bacteria, or other toxins: An intentional release of viruses, bacteria, or other toxins 2.A community is concerned about the threat of bioterrorism. Which of the following best describes the basis for this concern? a. Bioterrorism has the potential to dissolve community-based programs. b.This threat could cause the healthcare system to collapse. c.The threat may divert funds from other public safety health care programs. d. Fear of bioterrorism will increase the need for shelters.: The threat may divert funds from other public safety health care programs. 3.A nurse is investigating a potential bioterrorism attack. What evidence would a nurse find if bioterrorism attack occurred? a. Many cases of influenza b. A case of cholera in a local politician following a trip to India c. Dengue fever in a group of students who just returned from a mission trip 2 / 28 d. An unusual illness in a population: An unusual illness in a population 4.Public health department's legal authority, scope, duties and responsi- bilities:: Health departments usually have legal authority to investigate unusual clusters of illness. Public health nurses are first responders in emergency situations in the community, they can lead and manage in the field and in the incident command center, and they are able to collaborate with others to sustain the emergency infrastructure 5.A nurse is using surveillance to collect outcome data. What information would most likely be collected? a. Number of clinic services which use evidence-based protocols b. Proportion of the population vaccinated against influenza c. Incidence of breast cancer in the population d. Probability of a bioterrorism attack occurring in the community: Incidence of breast cancer in the population 6.What information is shared among agencies when they collaborate to im- plement a quality surveillance system? a. How to use algorithms to identify which events should be investigated? b. Who is to blame for a disease outbreak? c. What shelters will be used and by whom? 5 / 28 c. "The United States is a certified polio-free country." d. "The onset of tularemia is characterized by a distinct skin lesion often called a bull's-eye lesion.: The United States is a certified polio-free country." 12.. A nurse administers a rabies immunization post-exposure to an animal bite. Considering the interventions used with infectious disease, which of the following levels of prevention is being used? a. Primary prevention b. Secondary prevention c.Tertiary prevention d. Assessment: Secondary prevention 13.A nurse promotes the use of universal precautions by all health care workers. Which of the following best describes the action that was taken by the nurse? a. Primary prevention b. Secondary prevention c.Tertiary prevention d. Health care-associated infection: Primary prevention 6 / 28 14.Which behavioral risk factor is a major contributor to morbidity and mor- tality in the United States? b. Homicide or suicide c. Motor vehicle accidents d. Chronic disease e. Substance use and abuse: Substance use and abuse 15.Which are lifestyle habits that have been shown to decrease morbidity and mortality? (Select all that apply.) b. Sleeping 7 to 8 hours daily c. Eating breakfast d. Eating between meals e. Vigorous daily physical activity f. Maintaining full-time employment: Sleeping 7 to 8 hours daily 16.The SARS (severe acute respiratory syndrome) outbreak was an epidemic that spread over several countries. Which of the following terms describes what happened? a. Hyperendemic b. Pandemic c. Mixed outbreak 7 / 28 d. Holoendemic: Pandemic 17.A nurse would identify which as a point source of air pollution? b. A smoke stack c.The number of cars and trucks d.The amount of fossil fuel consumed in a community e. Ground ozone levels: A smoke stack 18.What is considered a nonpoint source of pollution? b. Hazardous waste site c. Animal waste from wildlife d. Chlorine poured down a well e. Stagnant water: Animal waste from wildlife 19.Which elements of surveillance does a nurse use? (Select all that apply.) a. Mortality registration b. Epidemic field investigation c. Laboratory reporting d. Individual case investigation e. Application of research: Mortality registration 20.A nurse is caring for a client who has been diagnosed with West Nile Virus. Which of the following types of illness does the client have? 10 / 28 having her infant immunized for measles, mumps, and rubella. Which of the following best describes the type of immunity that will be provided? a. Active: Active 26.A nurse is discussing the role of a vector in the spread of disease. Which of the following is the nurse most likely referring to? a. Contaminated water b. A tick c. A dirty needle d. An infected person: A tick 27.What is the most common vector-borne disease in the United States? a. Malaria d.Yellow fever e. Lyme disease f. Rocky Mountain spotted fever: Lyme disease 28.The nurse teaches food handlers to wash utensils after contact with raw meat. Which of the following best describes the focus of this education? a. Agent b. Host 11 / 28 c. Environment d. Food handler: Environment 29.Which example contains the components necessary to form an epidemio- logic triangle? a. Pesticides, water, food b. Lead, mercury, soil c.Trichloroethylene, water, infants d. Children under 12, elderly, temperature: Trichloroethylene, water, infants 30.How have nurses historically learned to identify a possible relationship between environmental chemical exposures and their potential harm? a. Extrapolation by toxicologists b. Biomonitoring c. Completing chemistry courses d. Observing signs and symptoms in clients: Observing signs and symptoms in clients 31.A nurse is using the provisions of the Family Medical Leave legislation. Which of the following actions would the nurse take? a. Resigning from employment, but retaining health insurance 12 / 28 b. Sharing family information with colleagues c. Providing Medicaid to a family who cannot afford health insurance d.Taking a defined amount of time off of work for family events without fear of job loss: Taking a defined amount of time off of work for family events without fear of job loss 32.A family has experienced a family crisis. Which of the following best describes this situation? a. Husband loses job and family is now homeless. b. Child dies, and parents go to grief counseling. c. Mother is hospitalized for 2 weeks and neighbors help care for the children. d. Nurse goes to home to give chemotherapy to child with cancer.: Husband loses job and family is now homeless. 33.A nurse is discussing internal family coping strategies with a family follow- ing a family crisis. Which of the following would the nurse be explaining? a. Asking a distant relative for a loan b.Talking to relatives about stresses and worries c. Attending a local worship service 15 / 28 b. Fear of loss of independence c. Violence d. Regression: Fear of loss of independence 40.A nurse experiencing a stress reaction while working with the survivors of a disaster is likely to experience what problem? a. Making effective decisions to assist with care coordination of the survivors b. Sharing with the supervisor of the disaster the details of the care that was provided c. Crying after returning home at the end of the day d. Refusing to follow orders: Refusing to follow orders 41.Which statement describes what occurs during the preparedness stage of disaster management? a. Heightened inspection and increased security in the community b. Incorporation of provision for pets into local disaster plans c. Purchase of personal protective equipment for all citizens d. Assembly of disaster kits for the home, workplace, and car: Assembly of disaster kits for the home, workplace, and car 42.A public health nurse (PHN) is working with a community during the recovery phase of a disaster. Which of the following attributes would be 16 / 28 most important for the nurse to possess? a. Flexibility b. Organization skills c. Personable: Flexibility 43.A nurse is assessing persons arriving at an alternate care center following a disaster. Which of the following actions should the nurse take first? a. Assess the amount of equipment and medications needed for each client. b. Determine if the client has a psychological condition requiring special attention. c. Assess whether this type of facility is appropriate for the client. d. Determine if the client has a support system to assist with additional care needs.: Assess whether this type of facility is appropriate for the client. 44.A nurse is volunteering on a disaster medical assistant team as a first responder. Which of the following tasks would the nurse be prepared to perform? a. Set up immunization clinics. b. Assist in triaging disaster victims. 17 / 28 c. Provide all the medical care for disaster victims. d. Complete a needs assessment of the community: Assist in triaging disaster victims 45.A nurse responding to a disaster places the priority on which disaster response? a. Cleaning up the environment b. Handling the stress reaction of the victims c. Bringing in as many aid workers and nurses as possible d. Reestablishing sanitary barriers and focus on basic needs: Reestablishing sanitary barriers and focus on basic needs 46.A nurse is examining the future of disaster management. Which of the following should the nurse anticipate? a.Vague and unorganized future due to constant emergence of new disasters b. Increasing sophistication in technology and surveillance c. Lack of involvement by national and state officials d. Decreasing need for public health workers to provide care: Increasing so- phistication in technology and surveillance 47.Which populations are at greatest risk for disruption after a disaster? (Select all that apply.) 20 / 28 nurse? a. Working with community aggregates b. Working with systems of disease c. Working with individuals d. Working with outcomes management processes: Working with individuals 53.A public health nurse (PHN) is working with the chronically ill and families with young children needing age-specific health maintenance. Which of the following models of case management is being used? a. Client-focused b. System-focused c. Social service d. Long-term care: Client-focused 54.A nurse using a critical path when providing care for a client is most likely engaged in what activity? a. Implementing the six "rights" of case management b. Demonstrating competencies required for practicing case management c. Attempting to achieve a measurable outcome for a specific client d. Effectively managing conflict resolution: Attempting to achieve a 21 / 28 measurable outcome for a specific client 55.Which knowledge domains are used in case management? a. Legal issues, malpractice recognition, and community involvement b.Teaching, counseling, and education skills c. Advocacy, political campaigning, and legislative change d. Grant application, bargaining contracts, and securing funding: Teaching, counseling, and education skills 56.What are the six "rights" of case management? a. Care, time, provider, setting, price, and outcomes b. Patient, medication, route, time, documentation, and evaluation c. Place, setting, patient, plan, outcomes, and documentation d. Disease process, time, place, beneficence, advocate, and care provider: - Care, time, provider, setting, price, and outcomes 57.Mutual benefit with limited loss for everyone is a goal of what process? a. Negotiating b. Assertiveness c. Conflict management: Conflict management 58.A nurse is working with an individual who pursues neither his concerns nor another's concerns. Which of the following conflict management 22 / 28 behav- iors is being used? a. Accommodating b. Collaborating c. Avoiding d. Compromising: Avoiding 59.A public health nurse (PHN) is working with families and communities. Which of the following best illustrates the nursing action that is being imple- mented? a. Learning about the core competencies for public health professionals b. Facilitating a client discharge from an inpatient facility c. Assessing the structure of a family d. Assisting clients who are uninsured in finding resources and services: As- sisting clients who are uninsured in finding resources and services 60.The nurse visits a household that consists of an elderly person living with 2 individuals who rent rooms in the house. Which of the following describes this type of household? a. Single-family household b. Family household c. Non-family household 25 / 28 c. Resources, such as food stamps and budget management, can be shared. d. Cohabitants are using this as a trial period to assess whether to marry. e. Resources can be received by multiple individuals.: Cohabitants would marry, but do not for economic reasons. 67.Government actions that have a direct or indirect effect on families are called what type of policy? a. Social b. Family c. Public d. Financial: Family 68.A nurse uses the term family policy. Which of the following explains what the nurse is describing? a. Anything that is done by the government that directly or indirectly affects families. b. Laws that affect families and family living. c. Requirements for immunizations for the entire family. d. Healthy People 2020 guidelines for healthy families: . Anything that is done by the government that directly or indirectly affects families. 69.Which statement best describes the effects of life events on family 26 / 28 health risk? a. Normative events require very little change in family structures and roles. b. Positive events are unlikely to place stress on a family. c. Normative and nonnormative events pose potential risks to the health of families. d. Negative life events require change and place stress on a family: Normative and nonnormative events pose potential risks to the health of families 70.A public health nurse (PHN) understands that the emergence of new infectious diseases is influenced by the what? a. Increased availability of immunizations b. Globalization of food supplies c. Decreased use of child care facilities d. Creation of sanitation systems in third world countries: Globalization of food supplies 71.Which organizations offer volunteer opportunities in disaster work for nurses? (Select all that apply.) a. American Red Cross (ARC) b. American Red Cross (ARC) 27 / 28 c. American Nurses Association d. National Public Health Training Centers e. Sigma Theta Tau International: American Red Cross (ARC) 72.A case manager submits documentation that a nursing visit was complet- ed at a client's home, but it was never performed. According to the general areas of legal risk, how would this action best be categorized? a. Liability for managing care b. Fraud/abuse c. Negligent referral d. Confidentiality/security: Fraud/abuse 73.Which knowledge domains are used in case management? a. Legal issues, malpractice recognition, and community involvement b.Teaching, counseling, and education skills c. Advocacy, political campaigning, and legislative change d. Grant application, bargaining contracts, and securing funding: Teaching, counseling, and education skills 74.A nurse is planning to implement Wagner's Chronic Care Model (CCM). Which of the following essential elements would the nurse consider? (Select all that apply.)