Epidemiology and Communicable Diseases
A nurse is planning measures to reduce the incidence of obesity. Which of the following interventions affects the environment, according to the epidemiological triangle?
A. Determine whether clients have a family history of obesity
B. Measure the clients' BMI
C. Provide low-fat meal options at public schools
D. Ask affected adults to keep a diary of food intake
C. Provide low-fat meal options at public schools
A nurse is conducting a community assessment. Which of the following data collection methods is the nurse using when having direct conversations with individual members of the community?
A. Key informant interviews
B. Participant observation
C. Focus groups
D. Health surveys
A. Key informant interviews
A nurse is talking to a client who asks for additional information about hospice. Which of the following statements should the nurse make?
A. "Clients who require skilled nursing care at home qualify for hospice care"
B. "One function of hospice is to provide teaching to clients about life-sustaining measures"
C. "Hospice assists clients to develop the skills needed to care for themselves independently"
D. "A component of hospice care is to control the client's manifestations"
D. "A component of hospice care is to control the client's manifestations"
Controlling the client's manifestations of medical problems or the dying process and improving quality of life are components of hospice care
A nurse at a community clinic is conducting a well-child visit with a preschool-age child. The nurse should identify which of the following manifestations as a possible indication of child neglect? (Select all that apply)
A. Underweight
B. Healing spiral fracture of the arm
C. Genital irritation
D. Burns on the palms of the hands
E. Poor hygiene
A. Underweight
E. Poor hygiene
A nurse is reviewing the various roles of a community health nurse. Which of the following actions is an example of a nurse functioning as a consultant?
A. Advocating for federal funding of local health screening programs
B. Updating state officials about health needs of the local community
C. Facilitating discussion of a client's ongoing needs with an interprofessional team
D. Performing health screens for high blood pressure at a local health fair
B. Updating state officials about health needs of the local community
A nurse is preparing a community health program on communicable diseases. When discussing modes of transmission, the nurse should include which of the following illnesses as airborne?
A. Cholera
B. Malaria
C. Influenza
D. Salmonellosis
C. Influenza
A nurse is completing a needs assessment and beginning analysis of data. Which of the following actions should the nurse take first?
A. Determine health patterns within collected data
B. Compile collected data into a database
C. Ensure data collection is complete
D. identify health needs of the local community
B. Compile collected data into a database
A school nurse is scheduling visits with a physical therapist for a child who has cerebral palsy. In which of the following roles is the nurse functioning?
A. Direct caregiver
B. Consultant
C. Case manager
D. Counselor
C. Case manager
In the role of case manager, a school nurse coordinates comprehensive services for students who have complex health needs
A nurse is planning interventions for migrant farm workers in a rural area. Which of the following should the nurse include as part of primary prevention?
A. Establish food banks at locations throughout the community
B. Provide employers handouts on recognizing pesticide toxicity
C. Partner with clinics to provide on-site care for acute injuries
D. Create handouts for identifying skin cancer in multiple languages
A. Establish food banks at locations throughout the community
Food insecurity is a problem for many migrant workers. Providing healthy, accessible foods promotes overall health, which is a characteristic of primary prevention
A nurse is creating partnerships to address health needs within the community. The nurse should be aware that which of the following characteristics must exist for partnerships to be successful? (Select all that apply)
A. Being a leading partner with decision-making authority
B. Flexibility among partners when considering new ideas
C. Adherence of partners to ethical principles
D. Varying goals for the different partners
E. Willingness of partners to negotiate roles
B. Flexibility among partners when considering new ideas
C. Adherence of partners to ethical principles
E. Willingness of partners to negotiate roles
A nurse is preparing an educational program on disease transmission for employees at a local day care facility. When discussing the epidemiological triangle, the nurse should include which of the following factors as agents? (Select all that apply)
A. Resource availability
B. Ethnicity
C. Toxins
D. Bacteria
E. Altered immunity
C. Toxins
D. Bacteria
Page 23 Content Mastery Series Review Module, RN Community Health Nursing Edition 8.0 ATI
A nurse is planning a community health program. Which of the following actions should the nurse include as part of the evaluation plan?
A. Determine availability of resources to initiate the plan
B. Gain approval for the program from local leaders
C. Establish a timeline for implementation of interventions
D. Compare program impact to similar programs
D. Compare program impact to similar programs
An occupational health nurse is consulting with senior management of a local industrial facility. When discussing work-related illness and injury, the nurse should include which of the following factors as physical agents? (select all that apply)
A. Noise
B. Age
C. Lighting
D. Viruses
E. Stress
A. Noise
C. Lighting
A community health nurse is developing an education program on substance use disorders for a group of adolescents. Which of the following information should the nurse include when discussing nicotine and smoking?
A. Smoking is the fifth-most preventable cause of death in the United States
B. Nicotine is a central nervous system depressant
C. Withdrawal effects from smoking are minimal
D. Tolerance to nicotine develops quickly
D. Tolerance to nicotine develops quickly
A case management nurse is preparing to initiate referrals for a client as part of discharge planning. Which of the following actions should the nurse take first?
A. Monitor the client's satisfaction with the referral
B. Provide the client's information to referral agencies
C. Review available resources with the client
D. Identify referrals that the client needs
D. Identify referrals that the client needs
A nurse is reviewing data on the rates of varicella zoster (chicken pox) for a county. If there were 416 cases of varicella in one year among a population of 32,000 people, what should the nurse record as the incidence rate per 1,000 people?
13 cases per 1,000 people
#cases/#population X 1000 = incidence rate per 1,000 people
A nurse is preparing to conduct a windshield survey. Which of the following data should the nurse collect as a component of this assessment? (Select all that apply)
A. Ethnicity of community members
B. Individuals who hold power within the community
C. Natural community boundaries
D. Prevalence of disease
E. Presence of public protection
A. Ethnicity of community members
C. Natural community boundaries
E. Presence of public protection
A newly hired occupational health nurse at an industrial facility is performing an initial workplace assessment. Which of the following information should the nurse determine when conducting a work site survey?
A. Work practices of employees
B. Past exposure to specific agents
C. Past jobs of individual employees
D. Length of time working in current role
A. Work practices of employees
A community health nurse is developing strategies to prevent or improve mental health issues in the local area. In which of the following situations is the nurse implementing a tertiary prevention strategy?
A. Provide support programs for new parents
B. Screen a client whose partner recently died for suicide risk
C. Teaching a client who has schizophrenia about medication interactions
D. Discussing stress reduction techniques with employees at an industrial site
C. Teaching a client who has schizophrenia about medication interactions
A nurse developing a community health program is determining barriers to community resource referrals. Which of the following factors should the nurse include as an example of a resource barrier?
A. Costs associated with services
B. Decreased motivation
C. Inadequate knowledge of resources
D. Lack of transportation
A. Costs associated with services
A nurse is determining the attack rate following an E. coli outbreak at a restaurant. If 84 people ate contaminated lettuce, and 13 people developed an E. coli infection, what should the nurse conclude as the attack rate?
15%
# of exposed persons who developed infection/# exposed persons = attack rate
A nurse is collecting data to identify health needs in the local community. Which of the following examples should the nurse identify as secondary data? (Select all that apply)
A. birth statistics
B. Previous health survey results
C. Windshield survey
D. Community forum
E. Health Records
A. birth statistics
B. Previous health survey results
E. Health Records
Pg. 32 Secondary data
A school nurse is planning health promotion and disease prevention activities for the upcoming school year. In which of the following situations is the nurse planning a secondary prevention strategy?
A. Placing posters with images of appropriate hand hygiene near restrooms
B. Routinely checking students for pediculosis throughout the school year
C. Implementing age-appropriate injury prevention programs for each grade level
D. Working with a dietician to determine carbohydrate counts for students who have diabetes mellitus
B. Routinely checking students for pediculosis throughout the school year
A nurse at an urban community health agency is developing an education program for city leaders about homelessness. Which of the following groups should the nurse include as the fastest-growing segment of the homeless population?
A. Families with children
B. Adolescent runaways
C. Individuals who have experienced spouse or partner violence
D. Older adults
A. Families with children
A nurse is working with a client who has systemic lupus erythematosus and recently lost their health insurance. Which of the following actions should the nurse take in the implementation phase of the case management process?
A. Coordinating services to meet the client's needs
B. Comparing outcomes with original goals
C. Determining the client's financial constraints
D. Clarifying roles of interprofessional team members
A. Coordinating services to meet the client's needs