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Community / Mental Final 2020
Community / Mental Final 2020
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1
Who is responsible for ensuring the safety and welfare of communities?
Federal government
Local government
Federal Emergency Management Agency
State government
2
A student athlete receives a screening examination before being active in school sports. Which level of prevention is it
Secondary prevention
Primary prevention
Tertiary prevention
Health prevention
3
Which step should the nurse take first when triaging a victim of a disaster?
Assess blood pressure
Assess perfusion
Assess mental status
Assess respirations
4
Which technique will best communicate to a pt that the nurse is interested in listening?
Make a judgement about the pt's problem
Say, "I understand what you're saying".
Re-state a feeling or though the pt expressed
Ask a direct question, such as "did you feel angry?"
5
What are the leading health indicators found in Healthy People 2020? SATA
Individual behaviors
Legislative issues
Physical & social environmental factors
Health system issues
6
Which strategy should be used to lower the risk of malaria among the world’s population
Spray neighborhoods with insecticides
Educate people to keep their windows closed at night
Spread DDT on bodies of water to prevent larva growth
Distribute insecticide-treated nets and antimalarials
7
Agency resp for overseeing actions of protecting, responding to, recovering from & preventing disaster effects
The National Incident Management System (NIMS)
Federal Emergency Management Agency (FEMA)
American Red Cross (ARC)
The Department of Homeland Security (DHS)
8
What are the primary distinguishing factors between the behavior of a child with ODD and those w/conduct disorder. SATA
ODD relives tramatic events by acting them out
OD often violates rights of others
CD uses stereotypical or repetitive language
ODD test limits and disobeys authority figures
9
Soldier retuned from duty 3 months ago & is diagnosed with PTSD. Which social event would most likely be disturbing?
Singing carols around a Christmas tree
Fourth of July fireworks display
Halloween festival with neighborhood children
Family outing to the ocean
10
Which would be one of the first steps in attempting to control a disease?
Measure the extent of its spread geographically
Create an appropriate screening test for widespread use
Define what the disease looks like in confirmed or probable cases
Determine the disease’s portal of entry and portal of exit
11
Nurse warns a pt taking an MAOI to avoid certain food and drugs because of the risk of
cardiac dysrhythmias
hypertensive crisis
hypotensive shock
cardiogenic shock
12
Which description best applies to a hallucination? A patient:
tries to hit the nurse when vital signs are taken
states, "I feel bugs crawling on my legs and biting me"
becomes anxious when the nurse leaves his bedside
looks at shadows on a wall & says "I see scary faces"
13
A nurse wants to enhance the growth of a pt by showing positive regard. The action consistent with this wish is:
staying with a tearful patient
examining personal feelings about a patient
administering daily medication
making rounds daily
14
Which person with a mental illness may need emergency or involuntary hospitalization for mental illness? the person who
throws a heavy plate at a waiter at command of hallucinations
reports hearing angels playing harps during storms
resumes using heroin while still taking methadone
doesn't show up for outpatient appt with mental health nurse
15
Which statement best defines epidemiological transition?
A change from mainly infectious diseases to chronic diseases
change in life spans of various age groups in a specific country
Change in morbidity from one inf disease to a different inf disease
Change in disease caused by a different host, agent, or environment
16
Which statement best describes how the Centers for Disease Control and Prevention (CDC) differs from many peer agencies
t responds to health emergencies.
It uses years of experience as the basis for its actions
It is a uniquely American approach to problem resolution.
It focuses primarily on prevention.
17
Pt. should be considered for involuntary commitment for psychiatric care when he
threatens to harm self and others
is non-compliant w/ treatment regimin
fraudulently files bankruptcy
sold, sells and distributes illegal drugs
18
Nurse wants to demonstrate genuineness w a pt dx with schizophrenia. The nurse should?
restate what the patient says
use congruent communication strategies
Consistently interpret pt's behaviors
use self-revelation in pt interactions
19
Which assessment finding would a nurse expect in a patient with delirium? SATA
Impaired level of conciousness
Agnosia
Wondering attention
Disorientation to place and time
20
What feelings are most commonly experienced by nursing working with abusive families?
Outrage toward the victim & sympathy for the abuser
Sympathy for victim & anger for abuser
Vulnerability for self and empathy with the abuser
21
What is the nurse's legal responsibility if child abuse / neglect is suspected?
Continue the assessment
Report the suspected abuse / neglect according to state regulations
Document observations in medical record
Discuss findings with school psychologist
22
Which type of maps is crucial to be included in any disaster plan?
Response maps showing sites of first responders, fire stations & Police
Geographic map showing, for example, roads, highways, and train routes
Communication map showing telephone wires and cell phone towers
Resource map showing potential resources in persons and supplies
23
A patient with confusion and disturbed orientation shouts "Bugs are crawling on my legs! Get them off!" is experiencing?
Dystonia
Mnemonic distrubance
Tactile hallucinations
Aphasia
24
Which statement best describes why the incidence and prevalence of gonorrhea is unknown?
People are ashamed to admit they have gonorrhea.
Gonorrhea can vary in how long the infection remains in the body.
Gonorrhea can be cured with antibiotics
Gonorrhea is not a reportable condition.
25
When does disaster management begin?
Throughout the disaster period
Immediately after the disaster
Before a disaster occurs
When the disaster begins
26
What statement describes substance dependence?
Sx occur when 2 or more drugs affect the CNS have addictive effects
Involves taking combination of substances to inhibit affect of another drug
occurs when psychoactive drugs interfere with function
a lack of control over use. Tol and w/drawal sx occur if stopped or lowered
27
Which referral is most appropriate for a woman severely beaten by spouse w/o family/friends, & limited resources
Support group
Women's shelter
Law enforcement
vocational counseling
28
Describe advantage of the web of causation model in comparison with the epidemiological triangle model?
The web of causation model is easier to understand and use.
the web of causation model is more recent and current.
The web of causation model shows the relationships among variables.
The web of causation model is more widely known and publicized.
29
50 yr old woman is getting her first mammogram. Which best describes the action of this client?
Health improvement
Primary health promotion
Disease prevention
Health promotion
30
Which intervention is appropriate with either delirium or dementia?
Touch patient before speaking
Re-introduce the healthcare worker at each contact
Speak in a loud, firm voice
Put aggressive patient in restraints
31
In which situation does a nurse have a duty to intervene and report? SATA
A peer tries to provide pt care in an alcohol impaired state
A peer in unable to write behavioral outcomes
A team member violated boundaries of a vulnerable patient
A pt refuses medication prescribed by their physician
32
Most of a country’s citizens have died from malnutrition or as the result of violence. Which conclusion can be drawn?
They live in a developed country involved in a war.
They live in a country where weather interferes with food crops.
They live in a developing country.
Their country has a problem with an adequate water supply for agriculture
33
Older adult stopped by police for running a red light & asked for his license he hands them his sunglasses. Dementia sx?
Apraxia
Agnosia
Aphasia
Memory impairment
34
Which is the most effective way to determine if Healthy People 2020 is improving the health of Americans?
Increased financing to allow ongoing collation of information
Comprehensive and systematically collected surveillance data
Willingness of individuals to share health information with the federal gov
Availability of relatable data on total population’s health problems
35
Which nongovernment organization (NGO) is active in improving health on a global scale?
Carter Center
Pan American Health Organization
Centers for Disease Control and Prevention (CDC)
UNICEF
36
Pt. w/bor PD, hx of self mutilation & suicide attempts, revels feelings of depression & anger w/life. expected med is?
Antipsychotic
MAOI
SSRI
Benzodiazepine
37
A female client dev fungal vag inf after being treated w antibiotics for strep throat. Which is primarily responsible
Host
Environment
Agent
Interaction of agent and environment
38
Nurse assesses health of soldiers returning from war. Screening will be a priority for S&S of which health problems SATA
Schizophrenia
Traumatic brain injury
Eating disorder
Posttraumatic stress disorder
39
Disturbed body image is ND for pt with an eating disorder. Which outcome indicator is most appropriate to monitor
Patient express satisfaction with body appearance
Calorie intake is within required parameter of tx plan
weight reaches the established normal range for pt
Wt, muscle, and fat are congruent with Ht, frame age and sex
40
Older pt in ICU has visual and auditory illusions. Which intervention will be most helpful?
use patient's glasses and hearing aids
Place large clocks and claendars on the wall
Place personally meaningful object in view
Keep the room brightly lit at all times
41
Which infection continues to increase in the United States?
Measles
Sexually transmitted diseases (STDs)
Pertussis
Hepatitis A, B, and C
42
Older adult w/moderate stage dementia forgets where toilet is & has episodes of incontinence. Nurse should suggest..
Take them to the bathroom hourly
Make sure they don't eat nonfood items
Label the bathroom door
Place them in a disposable adult diaper
43
Which best describes the term "literally homeless"? SATA
Living full-time in an RV
Lackin a fixed, reg & adequate nighttime residence
Living in a place not typically used for human sleeping
Lacking a family residence
44
Two brothers played with their cousin. One brother later became quite ill, whereas the other did not. Explain
Difference in genetic inheritance between the two brothers
Difference in how actively the children played
Difference in lifestyle between the two brothers
Difference in length of time exposed
45
Which statement best describes "thinking upstream"?
Preparing fro a nursing career long-term goals by planning now
Seeking causes of water and air pollution "upstream" from cities
Trying to understand how or why someone got ill
Modifying economic, politica, and environmental factors
