Child and Adolescent
The community health nurse is aware that one of the five leading causes of infant death in the United States is
A. respiratory distress.
B. circulatory system disease.
C. neonatal infections.
D. sudden infant death syndrome (SIDS)
sudden infant death syndrome (SIDS)
41-year-old pregnant black client, who is at 35 weeks of gestation, has not seen a physician throughout her pregnancy. Which factor places her most at risk for maternal mortality?
A. Sexually transmitted infections and disorders
B. Lack of prenatal care and advanced maternal age
C. Cultural and ethnic influences
D. Socioeconomic status and urban dwelling
Lack of prenatal care and advanced maternal age
Mr. H, an 85-year-old-man, has recently lost his wife. He comes to the local health department to have his blood pressure checked quite often. The nurse should recognize that Mr. H is at greater risk for what?
A. Suicide
B. Homicide
C. Accidental injury
D. HIV infection
A. Suicide
Which statement best describes the demographics of rural America?
A. Despite the shrinking number of family farms and full-time farmers, agriculture continues to be an important part of the rural and U.S. economy.
B. There has been a shift in the economic base of rural America as more communities are dependent on income generated from mining and construction.
C. There has been a decline in diversity in rural America, with more Hispanics and youth moving to urban areas rather than rural communities and small towns.
D. There are more positive health behaviors (e.g., less smoking, obesity, and drug use) among residents of rural America when compared with urban America.
A. Despite the shrinking number of family farms and full-time farmers, agriculture continues to be an important part of the rural and U.S. economy.
The greatest promise for improving health outcomes for rural residents is
A. the increase in health care providers migrating to rural areas.
B. the expansion in Medicare services to rural hospitals and clinics.
C. the increase in distribution of technology, providing more education and health services.
D. the expansion of public transportation, allowing rural residents to travel to tertiary care hospitals for specialty services.
C. the increase in distribution of technology, providing more education and health services.
A school nurse performs all activities. Which one demonstrates primary prevention?
A. Establishing an after-school group for latch-key children
B. Reviewing immunization records
C. Obtaining grant funding to test for serum lead levels
D. Vision and hearing screening
B. Reviewing immunization records
Which statement is true?
A. Women experience fewer disabilities resulting from chronic conditions than men do.
B. Most women do not actively seek information that will allow them to be in control of their own health.
C. Many factors that lead to morbidity and mortality among women are preventable.
D. Women report a lower incidence of acute conditions than do males.
Ectopic pregnancy
Which statement comparing health risks between men and women is true?
A. Men have a higher incidence rate for acute infective and parasitic diseases, digestive system conditions, and respiratory conditions than women.
B. Men are at greater risk for higher morbidity and mortality rates for conditions that are the leading causes of death (e.g., heart disease, cancer, stroke) compared with women.
C. Men are less likely than women to die from unintentional injuries.
D. Men are less likely than women to be involved in criminal activities.
B. Men are at greater risk for higher morbidity and mortality rates for conditions that are the leading causes of death (e.g., heart disease, cancer, stroke) compared with women.
The number one health concern identified by the majority of rural health care leaders is
A. lack of health insurance.
B. limited access to health care.
C. increase in communicable diseases.
D. social isolation of rural dwellers
A. lack of health insurance
The community health nurse's commitment to health for all requires an increased awareness of men's health issues; however, men are less likely than women to be seen by a community health nurse. This is because
A. maternal and child care are the major focus of many public health departments.
B. preventative reproductive health care is the only service available for men.
C. community health nurses do not have the competencies to focus on men's health care needs.
D. health department hours are flexible
A. maternal and child care are the major focus of many public health departments.
Health prevention activities targeting the 13- to 18-year-old population must be based on the knowledge that a priority health threat faced by adolescents is
A. inadequate problem solving and coping skills.
B. avoidance of preventive health services.
C. engaging in risk-taking behaviors.
D. sexual activity.
C. engaging in risk-taking behaviors.
jane, who is 12 weeks' pregnant, has been having preterm complications with her pregnancy, and her physician has placed her on bed rest. As a result, she will be unable to return to work. Which law will protect her future employment?
A. The Family and Medical Leave Act (FMLA)
B. Affordable Health Care Act (ACA)
C. Social Security Act
D. Public Health Service Act
The Family and Medical Leave Act (FMLA)
Mr. C, age 40 years, has recently sustained an injury at work. The occupational health nurse knows that based on gender-specific socialization processes, Mr. C would more than likely comply with his medical regimen if he were to
A. remain off work for several weeks.
B. retire from his job.
C. go back to work in an altered capacity.
D. start a new job.
C. go back to work in an altered capacity.
Agricultural workers are at high risk for occupational injuries and illnesses. To reduce the most common cause of fatalities among youth on farms, which is the most important strategy for the community nurse to implement?
A. Planning a community media campaign advocating the use of helmets
B. Partnering with the county extension agent to offer tractor safety classes
C. Working with local health care providers to encourage use of personal protective equipment, such as hearing and respiratory protection
D. Offering a class for local health care providers addressing the signs and symptoms of pesticide toxicity
B. Partnering with the county extension agent to offer tractor safety classes
Which statement is true?
A. Women experience fewer disabilities resulting from chronic conditions than men do.
B. Most women do not actively seek information that will allow them to be in control of their own health.
C. Many factors that lead to morbidity and mortality among women are preventable.
D. Women report a lower incidence of acute conditions than do males.
C. Many factors that lead to morbidity and mortality among women are preventable.
A community health nurse may work in a collaborative role with which program that provides nutritious foods, nutrition education, and referral to millions of American pregnant and nursing women and infants and small children?
A. Medicaid
B. School-based health services
C. Women, Infants, and Children (WIC)
D. Maternal and Child Health (MCH) Block
D. Maternal and Child Health (MCH) Block
American Cancer Society (ACS) (2016) recommendations for breast self-examination (BSE) include (Select all that apply.)
A. BSE should be taught to women beginning in their 40s.
B. BSE should be performed once monthly.
C. women should be familiar with the look and feel of their breasts.
D. women should report breast changes to a health care provider.
E. clinical breast examination now takes the place of BSE
C. women should be familiar with the look and feel of their breasts.
D. women should report breast changes to a health care provider.
Many barriers exist that prohibit positive male health behavior. One barrier that may exist for men is illness orientation. This is because
A. men may be aware of being ill, but they make a conscious decision not to seek health care to avoid being labeled as "sick."
B. men do not have routine reproductive health checkups that include screening.
C. men may be less willing to talk, may not recall health problems, and may lack a health vocabulary.
D. male health concerns are addressed by specialists and generalists who have not received gender-specific training that would enable them to focus on men's health needs.
A. men may be aware of being ill, but they make a conscious decision not to seek health care to avoid being labeled as "sick."
Migrant and seasonal farm workers constitute a high-risk population because of their low income and migratory status. These workers lack adequate access to preventive services. The most important role of the rural community health nurse in meeting the health care needs of this vulnerable population is to
A. address the multiple communicable diseases of these farm workers.
B. serve as an advocate working to gain health care access for these farm workers.
C. participate in political activities with an emphasis on changing immigration laws.
D. learn to speak Spanish to improve communication with this specific population.
B. serve as an advocate working to gain health care access for these farm workers.
Despite nursing activities and public awareness campaigns on this topic, many women face barriers to good health throughout their lives. The barriers to good health women face include the following: (Select all that apply.)
A. Racism
B. Poverty
C. Violence
D. Living in a suburban area
E. Lack of access to health care
A. Racism
B. Poverty
C. Violence
E. Lack of access to health care
Preterm birth and low birth weight are the most important predictors of infant health. Factors associated with preterm birth and low birth weight include (Select all that apply.)
A. age younger than 25 years.
B. chronic stress.
C. poverty.
D. minority status.
E. first pregnancy.
B. chronic stress.
C. poverty.
D. minority status.
A 35-year-old woman came to her appointment for her yearly mammogram and Pap smear. Her physician discussed with her the risk factors for developing breast cancer. The following are risk factors for breast cancer: (Select all that apply.)
A. Personal or family history of breast cancer
B. Early age of menarche
C. Late age at menopause
D. Fibrocystic breast disease
E. Multiparous
A.Personal or family history of breast cancer
B. Early age of menarche
C.Late age at menopause
Public health nurses should be aware that factors that impede men's health include (Select all that apply.)
A. risk-taking behaviors.
B. infrequent use of the health care system.
C. gaps in preventative health behaviors.
D. lack of male health care providers.
E. financial ability.
A. risk-taking behaviors.
B. infrequent use of the health care system.
C. gaps in preventative health behaviors.
Based on the common illnesses and risky health behaviors among farmers, the community health nurse should implement which health promotion activity?
A. Partner with the local health department to offer smoking cessation classes for farmers and their spouses.
B. Collaborate with health care providers and provide support and education for farmers with respiratory conditions and their families.
C. Collaborate with health care providers to conduct skin assessments at a meeting of local farmers.
D. Work with mental health consultations to outline a community-based program to address the high rate of suicide and depression among farmers.
E. Plan, implement, and evaluate an outreach program designed to improve the cardiovascular status of farmers and their families
B. Collaborate with health care providers and provide support and education for farmers with respiratory conditions and their families.
All contribute to obesity among lower income communities except
A. the high cost of healthy foods.
B. food insecurity.
C. decreased availability of fast food.
D. lack of access to safe places to exercise
C. decreased availability of fast food