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Overview and Influences
Program Planning and Aggregates
Special Populations and Disasters
Continuity of Care and Mortland's Mind
The rest of Mortland's Mind
100
A nurse manager at a community agency is developing an orientation program for newly hired nurses. When discussing the differences between community-based and community oriented nursing, the nurse should include which of the following as examples of community-based nursing? (Select all that apply). a. A home health nurse performing wound care for a client who is immobile b. An occupational health nurse providing classes on body mechanics at a local industrial plant c. A school nurse teaching a student who has asthma about medications d. A parish nurse teaching a class on low-sodium cooking techniques e. A mental health nurse discussing stress management techniques with a support group
What is: A and C Wound care in the home and teaching a student about meds.
100
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
What is A C and E Ethnicity of community members Natural community boundaries Presence of public protection
100
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 as a manifestation 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
What is A and E. Underweight and Poor hygiene
100
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. 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
What is B, C, and E Flexibility among partners, adherence to ethical principles, and a willingness to negotiate roles
100
Upon completing a community assessment, which of the following data WOULD NOT be included: a. Crime rate b. Curbside garbage pick up c. National statistics on prevalence of diabetes d. Public transportation
What is C National statistics on prevalence of diabetes.
200
A nurse is advocating for local leaders to place a newly approved community health clinic in an area of the city that has fewer resources than other areas. The nurse is advocating for the leaders to uphold which of the following ethical principles? a. Distributive justice b. Fidelity c. Respect for autonomy d. Veracity
What is A. Distributive justice
200
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
What is B Compile collected data into a database.
200
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following findings is a manifestation of withdrawal? a. Decreased blood pressure b. Diaphoresis c. Pin-point pupils d. Bradycardia
What is B. Diaphoresis
200
A nurse is reviewing the various roles of a community health nurse. Which of the following 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 screenings for high blood pressure at a local health fair
What is B. Updating state officials about health needs of the local community
200
An intervention to improve access to health care for vulnerable populations would be: a. Create partnerships to provide free or reduced health care services b. Coordinate services at a central location c. Ensure the availability of translators with medical training d. All other options
What is D. All of the options are correct!
300
A nurse is preparing an education 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 agents? (Select all that apply). a. Resource availability b. Ethnicity c. Toxins d. Bacteria e. Altered immunity
What is: C and D Toxins and Bacteria!!
300
A nurse is talking to a client who asks for additional information about hospice. Which of the following is an appropriate statement by the nurse? 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 symptoms.”
What is D A component of hospice care is to control the client's symptoms.
300
A nurse is preparing a community health program on communicable diseases. When discussing modes of transmission, the nurse should include which of the following as an airborne illness? a. Cholera b. Malaria c. Influenza d. Salmonella
What is C, Influenza
300
A case management nurse at an acute care facility is conducting an initial visit with a client to identify needs prior to discharge home. After developing a working relationship with the client, the nurse is engaging in the referral process. Which of the following should be the first action by the nurse? a. Monitor the client’s satisfaction with the referral b. Provide client information to referral agencies c. Review available resources with the client d. Identify referrals that the client needs
What is D. Identify referrals that the client needs
300
The nurse has developed a program to provide group therapy for clients with depression, which of the following issues for the vulnerable population are being addressed? a. Violence b. Poverty c. Mental health issues d. Homelessness
What is C. Mental health issues
400
A nurse is preparing an educational program on cultural perspective in nursing. The nurse should include that which of the following are influenced by an individual’s culture? (Select all that apply.) a. Nutritional practices b. Family structure c. Health care interactions d. Biological variations e. Views about illness
What is A, B, C, and E Nutritional practices, family structure, health care interactions, and views about illness.
400
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 as physical agents? a. Noise b. Age c. Lighting d. Viruses e. Stress
What is A and C Noise and Lighting
400
A home health nurse is discussing portals of entry with a group of newly hired assistive personnel. Which of the following are portals of entry the nurse should discuss? (select all that apply) a. Respiratory secretions b. Skin c. Genitourinary tract d. Saliva e. Mucous membranes
What is B, C, and E. Skin Genitourinary tract Mucous membranes
400
The nurse is preparing primary prevention activities for varied age groups. Which of the following are primary prevention activities? a. Educating about dental health b. Substance use prevention education c. Performing tuberculin skin tests d. Screening for lead exposure e. Discussing seat belt safety
What is: A, B, and E Educating about dental health Substance use prevention Discussing seat belt safety
400
A nurse working in the ED of a small rural hospital, discusses treatment over a secure video/audio line with a physician in a large city 2 hours away. This is an example of the use of: a. Occupational health nursing b. Informatics c. Telehealth d. Parish nursing
What is C Telehealth
500
A nurse is caring for a client who is from a different culture than himself. When beginning the cultural assessment, which of the following actions should the nurse take first? a. Determine the client’s perception of his current health status b. Gather data about the client’s cultural beliefs c. Determine how the client’s culture may impact the effectiveness of nursing actions. d. Gather information about previous client interactions with the health care system
What is B Gather data about the client's cultural health.
500
A newly hired occupational health nurse at an industrial facility is performing an initial workplace assessment. Which of the following 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
What is A work practices of employees
500
A newly hired public health nurse is familiarizing himself with the levels of disaster management. Which of the following actions is a component of disaster prevention? a. Outlining specific roles of community agencies b. Identifying community vulnerabilities c. Prioritizing care of individuals d. Providing stress counseling
What is B. Identifying community vulnerabilities
500
Administering medications to treat the chronic condition of asthma is a: a. Primary prevention activity b. Secondary prevention activity c. Tertiary prevention activity d. Nursing only function
What is C Tertiary prevention activity
500
Which of the following interventions would be included when educating a family on environmental health? (select all that apply) a. Some plentiful sources of lead include playground equipment, vinyl mini-blinds, pottery, water, battery casings, and metal jewelry. b. Teach older children to wash hands when coming in from outside and prior to playing with the newborn. c. It is okay to keep toxic agents in an unlocked cabinet. d. Be certain to cook meats completely and to wash hands and sanitize countertops after preparing raw meats.
What is A, B, and D. sources of lead, hand washing and cooking safety