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nur 426 CH exam 3 Flashcards | StudBud
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nur 426 CH exam 3
nur 426 CH exam 3
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1
Noncommunicable diseases. Nurse is instituting an integrated care delivery model which focuses on which stage of care?
Home health
Hospice
Acute
Chronic
2
commonly seen infectious disease respiratory disease r/t increased mortality in children, which is included on list?
Influenza
Mumps
Chicken pox
TB
3
older adult client who admits to alcohol use. Which of the following risks should the nurse be most concerned about?
sexual activities
dancing all night
Increased fall potential
go out with friends
4
Which of the following would the nurse consider mark of disgrace, where it will influence treatment?
withdrawal
patterns
tolerance
stigma
5
surveillance for a known rise in TB cases within the community. Which of the following is NOT active surveillance?
Collecting data on recently reported TB data secondary
Interviewing healthcare providers
Reviewing medical records
Surveying those exposed to TB
6
Which of the following community factors are considered barriers to the treatment and prevention of substance use? SATA
Limited resources
Stigma concerns
Limited transportation options
Substandard housing options better than being homeless
Multiplex treatment system
none of the above
7
A nurse has volunteered, women rape, which type of violence is this?
community
stranger
collective
interpersonal
8
When developing a program for drug use, the school use also want to included what psychoactive substance?
Hallucinogens
Dissociative anesthetics
don't pick this one
Non-narcotics
9
Application of which concept can cause an ethical dilemma when applied in nursing practice?
biostatistics
outbreak investigations
genomics
web of causation
10
teaching new hire, explains there has been an increase of MVA, what are the 3 types of distracted driving?
Cognitive, behavioral, environmental
Behavioral, environmental, manual
Manual, cognitive, visual
Manual, situational, visual
11
substance abuse education for client. which population are the most vulnerable to the effect of drugs? SATA
Mature adult
Young adult
the ugly
Youth
Fetus
Elderly
12
The team works to isolate the source. Which of the following goals is the priority in the management of an epidemic?
Generating a hypothesis on sources of infection
Alerting the public to threat of infection
Coordinate data collection
Breaking the cycle of transmission
13
John, a PHN, has been tasked with developing a child prevention program, using nurse family partnership model?
Building resilience in children
Promoting and reinforcing selective protective factors
Identifying families at risk and referring for counseling
Improving the link between child protective services and the PHD
14
A nurse reviews a child client, which of the following is an indiv risk factor?
Intimate partner violence
Social isolation
Chronic physical illness Biggest risk factor in a child
Community violence
15
The nurse performs a screening on a client for tobacco use. Which of the following screening questions needs correction?
When was the last time you tried to quit using tobacco?
Do you smoke cigarettes?
Have you ever used tobacco?
How much tobacco do you use on a daily basis?
16
The nurse knows the proportion of people exposed to an agent to those who become infected is known as which concept?
secondary response rate
infectivity
prevalence
incidence
17
10 risk factors of mortality and the top 2 of 3 causes of preventable deaths worldwide risk with young adults
Tobacco use
Depression
Drug use
Alcohol use
18
incidence on noncommunicable disease. Which of the following factors should the nurse consider to create materials?
Budget
Personal projection
Global context?
Culture
19
Nurses working pt that have chronic non-communicable disease, the 4 most common modifiable RF are
?
Poor nutrition, low physical activity, tobacco use, alcohol use
Age, tobacco use, poor nutrition, low physical activity
Poor nutrition, low physical activity, medication adherence, tobacco use
Low physical activity, tobacco use, elicit drug use, poor nutrition
20
A nurse works to reduce Community violence, which age group should be a target?
children
elderly
mature adult
youth
21
A nurse treats a pt with lime disease ____ as a vector to its host?
A hookworm
A virus
Protozoa
An anthropod
22
The nurse recognized there are 4 main acts of violence, which is not considered an act of violence?
neglect
alcohol impaired driving
psychological abuse
sexual assault
23
tools used in epidemiology in order to study health and wellness and create interventions to help the population? SATA
retrospective
clinical trials
enviroment
biostatistics
demography
active surveillance
24
risky behavior through the harm reduction model. Which of the following is not one of the principal models?
Relapse should not be considered failure
The goal should be to abstain from the targeted risky behavior
Clients should be offered a range of treatment outcomes
Clients respond to nonjudgmental service delivered in a respectful manner
25
A 20 year with tactile hallucinations, dilated pupils, anorexia, euphoric, based the nurse concluded he was using?
Methamphetamine
None of the above
Alcohol
Cocaine
26
Assessment of risk associated with sub abuse goes with duration, relation, and pattern of abuse
?
All of the above
Duration of use
Frequency of consumption
Quantity consumed
27
Which of the following should not be included in the category of psychosocial consequences associated with alcohol use?
Loss of employment
Increased cancer risk
Legal problems
Family conflict
28
behavioral risk factors for noncommunicable disease. Which of the following classes would not be relevant to this topic?
Pollutants in the community
Nutrition environment and services
12 step addiction programs
Physical education and activity
29
areas that effect the health of the public. Which of the following are considered environmental risk factors? SATA
water supplies
playing
safe soils
climate
education
air quality
30
these diseases have modifiable risk factors. which of the following is the leading cause of death according to the CDC?
Heart disease
Suicide
Diabetes
Alzheimer’s
31
a disease of unknown pathogen within the community. Why is it most helpful to uncover the causative pathogen
The pathogen can determine the course of treatment
The client can get appropriately vaccinated
The client can follow proper precautions
The disease can be properly reported
32
a family history of CAD. Which of the following are considered risk factors for non communicable disease? SATA
Tobacco use
Nutrition
Ethnicity
Alcohol use
looking cute
Physical activity
33
protecting environment from the spread of infect agents, must be able to identify cycle of disease transmission, except?
Antibiotics against agent
Susceptible host
Reservoir
Portal of entry
34
Public health officials utilize surveillance data of communicable diseases for the purpose of which if the following?
investigate disease patterns
contact tracing
reprimand those who spread the disease
mandated reporting
35
office is discussing risk factors for fall in children with new parent, which factor does not put a child at fall risk
hazardous enviroments
poverty
having a single parent
immobile infant
36
Type 2 DM pt seeing their PCP for a checkup. Which of the following actions is not considered a primary intervention?
Screening the patient for type 2 DM
Referral to a dietician
Encouraging smoking cessation
Provide resources for recreation activities
37
Changing? Interventions in order to reduce self direct violence within the community.
reduce access to opioid medication
follow up care with the community those who have made suicide attempts
Promote responsible media reporting
do nothing
38
PHN researching RF for mortality are ___ and ___ are leading cause of preventable death?
Cannabis and alcohol
Opioids and tobacco
Alcohol and tobacco
Opioids and cannabis
39
Which of the following group of people are at increased risk for intimate partner violence?
LGBTQ population
males
females
elderly
40
in order to reduce drug use related harm. Which measure would be considered to reduce drug use related harm? SATA
none of the above
Consider needle exchange programs
Provide community programs to dispel stigma against drug treatment
Assist physicians to prescribe opioids over NSAIDs
Increase public funds, targeting substance use
Initiate drug prevention programs in elementary school settings
41
Which of the following conditions is considered a non-communicable diseas
Legionnaires disease
Pinworm
Type 1 DM
Typhoid fever
42
Vaccine is developed to help decrease a particular disease, which part of the epi. Triangle does this most reflect
none
host
all of the above
agent environment
43
The nurse utilizes PBRIT? To screen for abuse and treatment measure of which substance?
Alcohol
Tobacco
Marijuana
Alcohol
44
The nurse teaches a class on unintentional injuries, teaching on prevention poisoning, which? sata
proper use of medication
reducing prescription of opiods
use condoms daily
proper disposal of medication
not sharing the medication
using button batteries over alkaline
45
a well-baby visit the DOVE tool, mother disclosed that she a victim of IPV, which actions is Laura required to perform?
Referral to a shelter for victims of IPV and report to the physician
Further assessment, appropriate referrals, and discussion of a safety plan
Provide with pamphlets on escaping domestic violence, appropriate referrals
Further assessment, report to the physician, discuss a safety plan
46
which of the following communicable diseases is not required for the nurse to report to the state health department?
Gonorrhea
influenza B
Anthrax
HIV
47
Which of the following type of a violence is trauma that involved tactics?
sexual violence
physical violence
stalking
psychological violence
48
list of social determinants of health to study within the community. Which of the following is not a SDH
Climate
Gender
Education
Genetics
49
Which of the following elements is not involved in epidemiology?
agent
cause
environment
Host
50
nurse is educating new staff at ED, the nurse mentions that this population is at risk for unintentional injuries
men over 45
men under 45
women under 45
women over 45
51
Fire prevention edu, which of the following groups is not at higher risk for suffering fires at home?
women
men
older adults
children
52
A nurse manager in PHC, she found that top substance abuse in US?
Hallucinogens
Cocaine
Non medical use of psychotherapeutics
Marijuana
53
edu. to pregnant women , with the exception of which problem below, contribute to fetal alcohol syndrome?
Physical
Emotional
Learning
Behavioral
54
The nurse prepares an isolation room for a client with TB. Which of the following preparations are incorrect?
Healthcare personnel are required to wear an N95
Healthcare personnel are required to wear a gown upon room entry
The client wear a surgical mask when leaving the room for testing
The client is in a negative pressure room
55
class on mental health and is discussing the risk factors involved with self directed violence? Which of the following
history of mental disorder
previous suicide attempt
middle class
physical illness
parties
isolation
56
A PHN edu dangers of substance use, which of the following is not a communicable decease in sub abuse?
Thrush
hepatitis
TB
HIV
57
A nurse volunteering at a clinic in west African disease, diarrheal disease, which would she not consider?
Food borne
Vector contact
Person to person contact
Water borne
58
Most Common diseases the nurse can encounter?
Chicken pox
all of above
Influenza
TB
59
syphilis in the city has increased 40 % as part of the investigation team first determined that the numbers were above?
Attack rate
Point sourse?
Epidemic threshold
Epidemic curve
60
MV data to compare the cities mortality rate with state and national, which of the would give most comprehensive date?
department of motor vehicle
vital statistics
department of transportation
national violent death reporting system
61
nurse cares for a child who has been a victim of client, which is inappropriate to build a trusting relationship?
Complete mandatory reporting
Help the client develop a safety plan
Provide emergency care
Focus on the situation rather than the client
62
The nurse reviews CDC to prevent drowning, which is not a primary measure for drowning prevention?
learning to swim
barriers
CPR
the life jacket use
63
Valorie a school nurse working at a HS and give edu about harm associated with alcohol abuse?
None of the above
Universal
Selective
Indicated
64
The nurse reviews CDC to prevent MVA, which would be considers primary measure for MVA?
decreasing alcohol use
traffic light installation
sking on sand
proper installment of car seats before leaving the hospital with a newborn
laws making texting and driving illegal
development of level 1 trauma units
65
A nurse studying harm associated with substance abuse, learns that alcohol is leading factor in how many diseases?
5
6
7
200
66
Which age group does the nurse know to focus on as the most vulnerable population related to tobacco use?
Children
Young adults
Teenagers
Elderly
67
nurse is reviewing the safety procedure and protections in place, which policy was put in place to promote fire safety?
Presence of two regular doors next to revolving
All of the above
Absence of flammable decorations on the walls
Brightly lit “EXIT” signs
68
The nurse recognizes that this is not a risk factor for violence in the community
A socioeconomic status
high level of diversity
high rates of transiency
fewer resources
69
Which of the following actions is considered primary prevention of a communicable disease? SATA
educate the public on the importance of vaccines
screening clients to increase detection rates
counsel clients travelling abroad about international disease prevention
point client to community resources
70
immune to mumps for the remainder of their life due to which of the following?
Humeral immunity
Active immunity
Cellular immunity
Passive immunity
71
Which of the following meds would the nurse expect to be available to prepare for the client who overdose of opioids?
Epinephrine
Atropine
Fluconazole
Naloxone
72
A nurse is teaching water safety an mentions which of the following is the greatest risk factor for drowning?
income
gender
age
education
73
flu report and tracks trends around the country. Knowing that influenza peaks in _____ and again in _____
September, February
December, February
December, April
October, march
74
suffering an rape at school last year. She is unable to go back to college and her grades are suffering as a result.
Major depression
PTSD
General anxiety disorder
Personality disorder
