Chapter 2
Which nursing intervention would have most likely been used by Florence Nightingale when treating wounded soldiers?
A. Change their bandages
B. Bury them
C. Establish private spousal visits
D. Support the front lines
Change their bandages
Which best describes the primary reason that Americans are concerned about health care?
A. Politicians are discussing how to improve health care.
B. The media has provided mixed messages about the health care system.
C. Our national health care costs keep increasing.
D. The new health care system offers free services to Americans.
Our national health care costs keep increasing.
A major limitation of the Health Belief Model is that the burden of action related to health behaviors is exclusively on the aggregate.
False
Which risk factors are least subject to modification?
A. Choice of lifestyle behaviors
B. Environmental exposure
C. Nutritional options
D. Recreational activities
Environmental exposure
One of the first steps in community assessment may involve the community health nurse driving or walking through an area and making observations about such things as environmental layout and location of agencies, hospitals, industries, and so forth. This is called a(n)
A. census survey.
B. needs survey.
C. informant survey.
D. windshield survey
windshield survey
John Snow recognized a water source was causing deaths. What was these disease he discovered?
A. cholera
B. plaque
C. smallpox
D. cowpox
cholera
How does community health nursing define community?
A. A group of persons living within specific geographic boundaries
B. A group of persons who share a common identity and environment
C. A group of persons who work together to meet common goals
D. A group of persons who resolve a community concern
B. A group of persons who share a common identity and environment
A nurse is using a macroscopic approach when providing care. Which would the nurse most likely demonstrate?
A. Emphasizing behaviors that will help in healing
B. Examining the family’s responses to illness
C. Explaining how these actions will help in healing
D. Providing testimony to legislators concerning proposed legislation
Providing testimony to legislators concerning proposed legislation
Which best describes why risk reduction is of such importance in the United States today?
A. Families suffer when family members die from avoidable causes.
B. Risk reduction activities will decrease insurance costs to individuals and their employers.
C. The leading causes of death are all related to lifestyle choices.
D. Risk reduction can decrease the ongoing rise in national health care expenditures.
The leading causes of death are all related to lifestyle choices.
Public service announcements, dissemination of pamphlets, and focus groups are examples of measures that can be used by the community health nurse. These are also known as
A. levels of intervention.
B. nursing assessment.
C. evaluation methods.
D. nursing interventions
. nursing interventions
What discovery by Edward Jenner resulted in one of the greatest medical advances of the 18th century?
a. cowpox
b. smallpox
c. diptheria
d. cholera
smallpox
What is the health issue causing the most concern in the United States today?
A. Diabetes epidemic
B. Increase in cardiac disease
C. Increase in obesity
D. Rise in cancer rates
Increase in obesity
A client did not attend the clinic for required follow-up care after his extensive surgery. Using the Health Belief Model, which would be the most appropriate conclusion for the nurse to make?
A. The client is noncompliant.
B. The client is suffering from self-neglect.
C. The health care system is not meeting the client’s perceived needs.
D. The health care system is not accessible for the client.
The health care system is not meeting the client’s perceived needs
Which is the cause of most preventable deaths in the United States?
A. Alcohol
B. Drug addictions
C. Sexually transmitted diseases
D. Tobacco
Tobacco
Learner assessment is an important aspect of health education. The assessment performed by the community health nurse includes questions about the client's age, family roles, social roles, and various responsibilities. Which is the most important reason for obtaining this information?
A. The nurse will need this information to plan the meetings with the client.
B. The information will help the nurse to understand the client's desired outcomes.
C. The client's developmental stage and roles have an impact on readiness to learn.
D. The information is necessary to understand how much time the client will have.
The client's developmental stage and roles have an impact on readiness to learn
A nurse has determined that there is always a consistent level of people in the population who experience pneumonia. Which best describes the prevalence of this disease?
A. Endemic
B. Epidemic
C. Pandemic
Endemic
What is definition of health?
A. Complete state of health and well being
B. Health is a person’s goal-directed purposeful process toward well-being or wholeness.
C.Health is families and aggregates choosing actions to ensure safety and well-being
D. Health is the mutual adaptation between a person and his or her environment in meeting daily existence.
A. Complete state of health and well being
Which statement best describes “thinking upstream”?
A. Modifying economic, political, and environmental factors
B. Preparing for nursing career long-term goals by planning now
C. Seeking causes of water and air pollution “upstream” from cities
D. Trying to understand how or why someone got ill
Modifying economic, political, and environmental factors
Which best describes the reason why so many Americans are obese?
A. For many people, caloric intake is more than needed for their physical activity.
B. Physical education is no longer a required subject in most elementary and secondary schools.
C. The expected portion size in restaurants has vastly increased over time.
D. Culture requires eating at celebrations and holidays.
For many people, caloric intake is more than needed for their physical activity.
Which best describes why community health education programs are important?
A. It provides a way to reinforce voluntary behavior changes.
B. Health education is an area that has desperately needed improvement.
C. Health education prevents the occurrence of disease.
D. It is the most cost-effective way of improving health.
It provides a way to reinforce voluntary behavior changes.
Which best describes the district nursing service created in the United States by Lillian Wald and Mary Brewster?
A. House on Henry street
B. Wald and Brewster Nursing Service
C. American Nurses Association
D. Home care Nurses Association
House on Henry street
Which factor is most responsible for differences in an individual’s health?
A. Culture of the majority of the community’s citizens
B. Individual’s education and income
C. Number of physicians and other health care providers in the community
D. Quality of the community health agency and hospital in the community
Individual’s education and income
A microscopic approach to the community health problem of childhood obesity would focus on
A. asking an obese child and his or her parent(s) to complete a 24-hour food diary.
B. analyzing aggregate body mass indexes (BMIs) of school-age children in a school.
C. advocating for a change in health policy related to school lunches.
D. exploring changing cultural changes and societal values related to activity.
asking an obese child and his or her parent(s) to complete a 24-hour food diary.
A young couple is searching for a home in a new neighborhood. Which neighborhood would most likely promote a healthy lifestyle?
A. One near a large active military base
B. One with excellent health facilities nearby
C. One with high walkability
D. One with superb recreational facilities
One with high walkability
The steps in the community assessment process for community health nurses are (Select all that apply.)
A. writing a community diagnosis.
B. evaluating the outcomes.
C. collecting assessment data.
D. identifying the cause of the problem.
E. planning community interventions
planning community interventions
writing a community diagnosis.
evaluating the outcomes.
collecting assessment data.