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Duplicate of Community Health Exam 1 Flashcards | StudBud
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Duplicate of Community Health Exam 1
Duplicate of Community Health Exam 1
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1
A school nurse works with varying cultures. What is the best way to help provide culturally competent care?
Increase knowledge and skills from web-based resources
Embrace cultural humility and go in blind
Use Wikipedia
Use WebMD
2
SDOH are social and environmental conditions in which people live in and work.
True
False
3
In aging, there is an increase in prevalence of noncommunicable and communicable diseases because...
Inadequate nurse to client ratios
Refusal of getting vaccines
Increase need for long-term care
Poor nutrition
4
Limited access to care
is a priority disparity for incarceration populations
True
False
5
Which of the following clients would be the best candidate to implement hospice care?
11 year old child with a broken foot
37 year old diabetic patient who recently started dialysis
42 year old with autoimmune disease that is not responding to treatment
77 year old diabetic patient with dementia
6
To PROMOTE healthy aging, this is a primary prevention...
Narcotics
Immunization programs
Sedentary lifestyle
Smoking
7
Which of the following is NOT supportive of reducing risk for falls?
Educate staff on fall risk identifiers
Providing fall education with medication education during discharge
Instill protocol for elderly patients to be near the nurses station
Ensure access to call light, phone, and water are at the bedside
8
A client was discharged home with home health orders. Which service in the community would benefit the client the most?
Admission to a long-term care facility
Immunization clinics
CPS to report elder abuse
Hospice
9
A client uses HUMANISM to inform himself of what he can do to improve his outcome in health and takes action.
False
True
10
What important strategy can a nurse take when creating an informational handout to improve health literacy?
Write in APA citation with elevated language
Use plain language
Use fear tactics to gain attention
Pretend that this is an assignment you have to turn in for a grade
11
Which of the following regarding health disparities amongst the LGBTQ population is INCORRECT?
Transgendered youth are the lowest risk for homelessness
High risk of being a victim of violence
High risk of suicide
High risk of mental health disorders
12
The nurse is providing tertiary precautions to which clients?
Homeless man requiring a dressing change for a stage 2 ulcer
Homeless man who needs a referral to home health services
Migrant worker needing education about their recent diagnosis of diabetes
All of the above
13
What is the most effective primary prevention intervention to reduce the risk of disease?
PPE
Education
Proper hand hygiene
Immunizations
14
What is the most efficient way to identify if an individual identifies with the LGBTQ community to avoid discrimination?
Offer LGBTQ inclusive medical intake forms and specific assessments
Ask the client directly if they are apart of the LGBTQ community
Assess if they are at risk for STDs or STIs
State to identify their sexual orientation
15
A nurse should know that which of the following is the best example of upstream healthcare practice?
Prescribing Ozempic to the obese
Supplying the homeless with food banks
Providing clean needles to addicts
No cost preventive health services
16
HEALTH INEQUITY is an example of lack of access to affordable prenatal care
True
False
17
A nurse is focusing on DISTRIBUTING vaccines to keep the population disease free. What type of prevention is this?
Primary
Universal
Tertiary
Secondary
18
A nurse reviews the availability of foods in a community. Which SDOH best reflects the decision to gather this?
Environmental
Education access
Economic stability
SOCIAL and Community Context
19
A nurse wants to support wellness of an aging population. Which of the following is NOT supportive of this?
Promote mental and physical health education
Recommending aerobic activities at NIGHTTIME
Schedule checkups with the doctor
Prevent social isolation and lonliness by encouraging acitivies
20
What healthcare priorities are pertinent to the homeless population?
Distribution of free condoms
Local screening clinics
Free vaccination program
Free health clinics and dental programs
21
Greater distributions of wealth
is NOT a factor for increased life span
True
False
22
Which of the following is NOT a part of the palliative care treatment plan?
Identifying spiritual needs
Stopping all medications/ medical treatment
Providing comfort care for coping
Alleviating symptoms and pain
23
Call the WHO during a pandemic. Why? Their goal is to...
Be the public health arm of the United Nations
Work to improve health and well being for global population
ALL OF THE ABOVE
Work with nurses to promote public health interventions
24
What are examples of tertiary preventions?
Assist with wound care
Identify community resources for free socks, shoes, and toiletries
Providing free diabetic education + smoking cessation programs
Access to medication and testing supplies
25
What is the most effective approach to improve compliance with follow ups in a rural area with low access to clinics?
Tell them that I can drive you
Apologize for the inconvenience
Offer options for telehealth visits or communication applications
Give them money to move into the city
26
Based on age standards for alcohol consumption, what is safe for an 82-year-old man to drink?
Bottom is the answer
To the right is the answer -->
Yep, just go with this answer
Three standard drinks a day, no more than seven in a week
27
Migrant workers go to another state to work on crops
True
False
28
A nurse reviews a chart prior to a home visit to address primary prevention. What is an example of this?
Screening A1C in a diabetic patient
Vaccines
Universal seat belt commercial
Education on mastectomy during breast cancer
29
The nurse is caring for a group of migrants. Which is a potential health disparity the migrant community faces?
All of the above esp. HUMAN TRAFFICKING
Incidence of TB
HUMAN TRAFFICKING !!!!!
Poor housing + nutrition
30
The primary role of the hospice nurse is to assess the patient and ensure they are having a good death
True
False
31
A nurse should know that EQUITY is the underlying concept of optimum health.
False
True
32
A migrant worker cannot follow up on his appt. Which disparity puts the client at the highest risk for readmission?
Poor housing
Poor nutrition
Nature of work
Lack of transportation
33
A female admits her partners culture views women as inferior. What health inequity places this client at highest risk?
Ethnicity
Race
Sexual orientation
Gender
34
Using the ecological model (UPSTEAM APPROACH), what is the LEAST appropriate way to address the growing obesity concern?
Enhance access to outdoor physical activities
Focus on nutritional health teaching
Increase availability for healthier food in public service venues
Improve access to supermarkets
35
An elderly client has a vaccine of zoster, influenza, and tetanus. What vaccine is recommended for them to receive next?
Pneumococcal
Flu
Tdap
Shingles
36
How can nurses improve health and wellbeing for people in the communities?
Offer opportunities for individuals to access food within their community
Promote tobacco free environments
Offer opportunities for access to learning at a public charter school
Increase number of safe light paths and trails
37
How can a nurse explain the purpose of the AGES/STAGES screening tool to a parent?
Disregard the parents question
Screenings are essential to prevent cultural bias
Screenings are standard protocol
Screenings can help us identify unrecognized disease
38
A Native American community is 70% non-compliant. What is the best strategy the agency can improve compliance?
All of the above
Discuss opportunities to improve appointment compliance
Collaborate with local community leaders and members
Find out what is optimal health in their culture
39
This level of prevention includes early detection in order to initiate treatment at the earliest stage possible
Secondary
Tertiary
Primary
Quaternary
40
According to the public health nurse’s standards of practice, the nurse’s primary goal are to perform the following:
IMPLEMMENT an intervention for vaccination stations
ASSESS the nursing home to determine why the outbreaks are occurring
CREATE A PLAN to vaccinate members of nursing homes who are not up to date
EVALUATE success of vaccination station
41
A nurse visits an elderly diabetic in a rural community. He missed his follow ups and has foul smelling dressing. Ask...
How do you get to your appointments? Is transportation a problem?
Do you have a caregiver at home to take care of you?
How do you get your groceries?
How do you perform your ADLs?
42
What type of homeless lives in an abandoned factory?
Seconday
Primary
Sadly just homeless ):
Tertiary
43
The family asks what a hospice nurse does. Which of the following statements is the best response?
They always welcome a good hug awww
They help them accept its okay to cry
Educate, give advice, provide support, and prepare for dying process
Idk but that is a really hard job
44
Statistics from Healthy People 2020 indicate several priorities for the next ten years:
Mental health
Prevention + Environment
Obesity
Access to healthcare services
45
A nurse should always assess a client's LEVEL OF HEALTH LITERACY before providing literature on diabetes management
False
True
46
To educate on healthy aging at a wellness fair, which of the following could the nurse NOT incorporate?
Annual check ups
Immmunization
Traveling often
Healthy eating
47
What is the most difficult challenge for nurses in regard to treating vulnerable populations, such as the HOMELESS?
To put yourself in their shoes
Understanding the limitations in following treatment recommendations
To prevent them from misusing drug prescriptions
To embrace cultural humility
48
A tornado has hit immigrant families and now lack resources. What is a positive approach to address health inequities?
This is a sad question
Give to the wealthy than the poor
NOOOO NOT A TORNADO
Give the most to those who have the least
49
A large number of homeless people were utilizing the local emergency department. What should the nurse do first?
Care for non homeless people first
Apply for grant application to obtain funds for the clinic
Deny homeless patients because of their substance use disorder
Give them water and food instead of medical care
50
A client without citizenship fled her country because of violence she experienced and lives with her brother. She is a..
Refugee
Asylee
Migrant
Homeless person
51
A primary nurse has concerns about suspected abuse. What is the best step that the nurse manager should take?
Get a chest X-ray
Notify Adult Protective Services (APS)
Call a code blue
Call 911
52
FINANCIAL ISSUES is a risk factor that could lead to elderly abuse
True
False
53
What is the most important outcome to improve the quality of life for residents at an assisted living facility?
Providing medical support
Mental wellbeing because of depression
Administering medication
Ambulating every 2 hours
54
Obesity is increasing due to limited access to full-service grocery stores and a safe venue for exercise. This is...
Downstream thinking
Universal thinking
UPSTREAM THINKING
Midstream thinking
55
Licensing of local hospitals
is OUTSIDE of a nurses scope of practice
True
False
56
A presentation aims to reduce risk factors associated with heart disease. What information should the nurse EXCLUDE?
Cancer is the 3rd leading cause of death
Cardiovascular disease is the leading cause of death
The CDC says cardiovascular disease is the 3rd leading cause of death
COVID-19 is the 4th leading cause of death
57
A T2 diabetic wants to avoid injections. What is a patient-centered approach to best manage this?
Continue to provide education on reducing risks associated with T2DM
ALL OF THE ABOVE
Continue to provide information on meal planning
Continue to provide information on diet + exercise
58
A nurse is about to interview a client. Which of the following is most important to consider prior to the interview?
Ask the client if cultural healers should be contacted
Determine if the patient does not like you
Nothing. Cultural competency does not matter.
DO NOT consider their cultural norms
59
An incarcerated woman who is 34 weeks pregnant has T1DM. What is the most significant disparity the client faces?
Having hepatitis and HIV
Having substance use disorder
Mental health issues
Access to care
60
To reduce inequities, what is the best example of a population level behavioral health intervention?
Turning down addicts who come in for more narcotics
Give a SINGLE addict Narcan (Naloxone)
Flexibility in treatment policies and pain medications
Provide a brochure on the consequences of addiction
61
A nurse aims to address health equity and social determinants of health. What is NOT an example of SDOH?
Clinical experiences primarily in the acute care setting
Unemployment and Job security
Income and Education
Racism, Discrimination, and violence in the community
62
Which of the following are upstream interventions in reducing rates of obesity in the community?
Support local agricultural businesses and farmers
Remove high fat fast food options within the community
Teach individuals different anaerobic and aerobic exercise activities
Educate patients with high BMIs on healthy foods
63
What strategies are most helpful for families with loved ones with dementia regarding safety and supervision?
Administer donepezil in the morning
Let them wear slippery socks
Modify the environment (child-proof) to limit exposure to potential harm
Make sure the bed is high
64
What are challenges related to public health infrastructure?
Public health workforce
Access to IT
All of the above
Public health agencies accessing and responding to public health needs
65
From a public health perspective, what is the nurse’s best action? (such as a rise in COVID-19 incidences)
Notify the health department because it is something communicable
Help the need as best as you can
Call of work to prevent from getting sick
Perform a rapid COVID test on all patients
66
What is the first step a nurse should take to develop a primary prevention protocol program to prevent measles?
Conduct an outreach to all parents to have their children vaccinated
Consult their primary care physician
Medicate patients with acetaminophen
Educate patient to take Vitamin A to decrease the severity of symptoms
67
The city council passing an ordinance to stop smoking at restaurants is an example of
community collaboration
False
True
68
Which factor does NOT influence vulnerability for LGBTQ communities?
Overabundance of access to healthcare
Mental health issues
Substance use disorder
Being a victim of violence
69
Prevalence pot
assesses the total number of cases of any disease taking into account
ALL STAGES
of the disease
False
True
70
What is the first step to be taken towards globalization of healthcare and is the arm of the United Nations?
Health People 2023
Center for Disease and Control
World Health Organization
Community Collaboration
71
A nurse should know that diversity refers to all of the following except for which concept?
Race
Ethnicity
Culture
School
72
An elderly client falls after drinking alcohol. Which intervention should the nurse initiate before discharge?
Educate the client to have lighted hallways
Educate the client to remove throw rugs
Ask the client information about current/prior/duration of alcohol use
Advocate for the client to wear his glasses
