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Community health exam 1 Flashcards | StudBud
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Community health exam 1
Community health exam 1
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1
A public health nurse (PHN) is assessing a 65-year-old man at a community health fair. Which does the nurse suggest?
depression screening
blood pressure screening
dietition consult
OBGYN appointment
2
Health practice consists of which of the following functions?
going to the hospital
addressing environmental safety and improvement
preventing disease
Promotion of health
3
Andragogoy
the correct use of teaching strategies to provide the best learning
Art and science of helping adults learn using the correct strategies
4
Reliability applies to the ability of a screening for adult learning
True
False
5
Pedagogy
The art & science of helping adults learn using correct strategies
the correct use of teaching strategies to provide the best learning.
6
What recommendations identified by healthy people 2020 could be implemented at individual, family and community levels?
Reduce barrier & ensure access to effective healthcare & prevention service
healthy people 2030
All of them
promote good health for all
7
emerging communicable diseases in the elderly include
HIV
Chronic Hepatitis C
STDs
Turberculosis
8
Cultural identity provides a sense of connection to community of people who share in that culture. lead to increase in
economic stability
Social capital
social networks
health status
9
A primary care nurse is assessing a 65-year-old woman whose skin is thin and dry. Which question is best?
have you had you flu vaccine?
Have you had a shingles vaccine?
do you have any allergies?
have you been moisturizing?
10
High incidence of asthma-related complications in community. What social determinants of health should be considered?
ability to pay for medications
safety along routes to health providers
access to public transportation
age and condition of housing
11
Upstream determinants of health
Focuses on eliminating factors that increase risk to a population's health
Represents actions taken after a disease or injury has occurred
Primary prevention, before patient goes to the hospital
When they actually go to a dr and they tell them what to do
12
A migrant woker stating that she is being forced to work in a factory is an example of what
child labor
Human trafficking
agricultural worker
bonded labor
13
Which of the following is an example of a selective prevention intervention?
Banning smoking in public places
A colonoscopy on a 45-year-old man whose father died of colon cancer
PAP smear when a woman reaches age 21
Vaccinations
14
This statement is incorrect: Health disparities exist in each country and between countries.
False
True
15
Duties of local health departments
conduct research and maintain national surveillance
outbreak investigation
reporting to state health departments and to the CDC
surveillance
16
Which of the following are included in the Public Health Nursing Core Competencies?
cultural competency
being a good nurse
analytic assessment
Communication
17
Screening for early disease detection is the priority to address noncommunicable diseases among older adults
True
False
18
What is the purpose of the National Prevention Strategy?
Health promotion
risk reduction
Increase the number of healthy Americans at all stages of life
disease prevention
19
Nurses planning a screening for depression. Most important consideration is access to & availability of healthcare
False
True
20
Which of the following is NOT one of the health universal precautions?
aftercare (including rehabilitation)
compliance with long-term treatment
Standard treatment for known disorders
Increasing the health literacy of patients who appear to need assistance
21
Aggregate: group of persons who share one or more characteristics (subgroup)
False
True
22
Family of 90yo man with advanced lung cancer wants their father to be comfortable w little medication. recommendation?
Hospice care
palliative care
rdaiation therapy
Chemo
23
Downstream determinants of health
eliminating the factors that increase risk to a population's health
Primary prevention, before patient goes to the hospital
Represents actions taken after a disease or injury has occurred
When they actually go to a dr and they tell them what to do
24
Healthy People 2020 added the topic area Older Adults for which reason?
they are not going to hospitals as much
Chronic conditions are leading cause of death & disability for older adults
Older adults are among the slowest growing age groups
Many older adults are not going to nursing homes
25
Americans are living longer today than at any other time in history. Which factors account for increased lifespan?
Penicillin
flushing toilets
cancer screenings
improved prenatal and obstetrical care
26
In 1958, Malcolm Knowles identified 6 suppositions for adult learning. Which of the following is NOT one of them?
The adult needs to know why he or she is learning something.
Adults do not need to participate in evaluation of their learning
Adults learn better if the information has immediate relevance.
The adult’s own experiences are an important part of the learning process.
27
What could a nurse do for low-income senior citizens with uncontrolled diabetes and HTN.
Host a health fair about controlling diabetes & HTN thru physical activity
if they say they feel fine, you can do nothing
Host health fair about controlling diabetes & HTN thru healthy eating
tell them to go to the doctor and get medications
28
Examples of social determinants of health
community violence
family history
housing
economic status
29
A nurse is caring for a 68-year-old man with peripheral vascular disease (PVD). Which is the nurse's best question?
"Do you use tobacco products?"
when did you first develope symptoms?
how long have you known about your disease
Do you drink alcohol?
30
Promoting healthy behaviors and building the ability of populations and individulas to protect against disease is
Healthy people 2030
tertiary prevention
Secondary prevention
Primary prevention
31
Discussing strategies client can use to modify her dietary habits and physical activity. What strategy is being used?
environmental prevention
Behavioral prevention
primary prevention
clinical prevention
32
Roles of a public health nurse include
Collaboration
identifying, interpreting, implementing public health laws
Advocacy
health promotion and education
33
Which statements indicate the nurse understands that rates of HIV & STIs are increasing among older adults
Divorce rates among older adults are higher.
Older adults change sexual partners more often.
older adults just tend to care less
Many older adults do not use condoms.
34
The plan for pt who screen positive for a disease shouls be priority during a health screening program in the community
True
False
35
Which if the following is not an example of health promotion?
responsible drinking
Providing immunizations at a health department clinic
exercise promotion
smoking cessation
36
The socioecological model uses:
a social approach
an ecological approach
a downstream approach
an upstream approach
37
Main categories of noncommunicable chronic disease?
cancer
cardiovascular diseas
diabetes
chronic respiratory disease
38
Specificity
Ability of screening test to give + finding when pt truly has disease
Ability of the screening test to give neg finding when person truly disease
39
Nurse concerned abt lack of fresh fruit and veg in meals provided by school. Best action in support of social justice?
Meet with school admin to request funding for healthier foods in meals
bringing in fresh fruits and veg for the school
telling admin it is unfail to the kids
making the healthy foods less expensive
40
Distinguishing changes related to natural aging vs. those due to disease. Which indicates disease-related change?
Sudden loss of long-term memory
difficulty with balance
decreased skin integrity
gradual vision loss
41
Social justice: addressing health disparities, Actions to promote = opportunity to max health of individual & community
False
True
42
Which of the following is an example of a health inequity?
Insufficient access to essential health-care services for diabetic patients
free COVID vaccination
health fair with screening available for everyone
43
According to the Intervention Wheel, what are the areas of focus for individual level practice?
Community
Beliefs
Knowlege
Attitudes
44
Nurse interested in developing a program to reduce # of falls among older adults at senior living. What strategy is best
better food
Dont let any pt walk alone
Organize an adult exercise program to improve balance.
non skid socks
45
Which of the following are included in the Standards of Public Health Nursing Practice?
Integration of research into practice
Application of public health policies
The client or unit of care is the community
collaboration
46
Socioeconomic status is a comosite measure of
occupation
education
relationships
Income
47
Which of the following groups are at greater risk for poor health outcomes in the United States?
Individuals living below the poverty line
individuals who live above the poverty line but struggle
Individuals who are incarcerated
Individuals of African American decent
48
Local health providers concerned about increasing tobacco use. Best source of data regarding tobacco use in community?
Adult protective services
Local public health departments
WHO
CDC
49
Which of the following statements reflects an understanding of cultural humility?
not caring for someone bc they have a diff culture
Approaching someone how you would approahc anyone else
How can I approach the physical exam to make you the most comfortable?
telling the person you understand their culture
50
The nurse is examining social determinants of health within a community. This is the assessment part of nursing process
False
True
51
“I usually eat out, but I want to figure out how to cook at home so my blood sugar stays under control” represnts
constructivism
cognitive framework
behaviorism
Humanism
52
First action when developing population-level intervention is to gather data
False
True
53
Those living in poverty are at greater risk for poor health due to lack of economic resources
True
False
54
prevalence pot: Includes assessing the total number of cases over disease, taking into account all stages of the disease
False
True
55
"Our tradition states that the woman is the primary caregiver in the family." This is an example of
Diversity
Culture
Roles
Ethnicity
56
walking for 30 minutes every day will help older adults keep a good health status and personality
True
False
57
Environmental and societal factors into consideration when exam individual’s health choices: known as upstream approach
True
False
58
Primary prevention is a priority in public health nursing
True
False
59
According to Healthy People 2020, which are examples of the impact of social and physical determinants of health?
Access to parks & safe sidewalks associated w physical activity in adults.
Education associated w long life & improved health & quality of life.
Discrimination can increase blood pressure, heart rate and stress.
The conditions in which we live dont affect our health
60
strategies to increase cultural competency w/in hospital: What strategy best demonstrate competency of hospital staff?
Ongoing staff development program regarding culturally competent care
quizing them every month
client surveys of hospital stay
61
Older adults are less vulnerable to communicable diseases and have increased immunity
False
True
62
Social capital- resources available to individuals and communities based on membership in social networks
False
True
63
Nurse notices erythema around a bedridden client sacral area, implements turning schedule of Q2H. This is an example of
primary prevention
SEcondary prevention
tertiary prevention
64
Hospitalist ordered stat blood work for a newly admitted 60-year-old patient. Which blood test does the nurse expect?
Pneumonia
Diabetes
HIV
Hepatitis C
65
Home visit: erythema & yellow drainage at end of incision spanish speaking pt. Intervention could have prevevented this?
Teach back in english
telling them twice at discharge
Providing client w/ written discharge instructions translated into Spanish
speaking with family
66
You can implement quarantine, investigate outbreaks in the community, start surveillance at LOCAL LEVEL ONLY as a PHN
True
False
67
"Aging in place is difficult since many older adults live in nursing homes." this indicates a further need for teaching
False
True
68
The prevalence of noncommunicable illnesses is higher among aging populations.
False
True
69
Which of the following is NOT included in the list of Healthy people 2030 principles?
achieving health equity, and attaining health literacy.
Health and well-being of the population and communities
eliminating health disparities
Investing to maximize the health and well-being of the nation
70
Sensitivity
Ability of the screening test to give neg finding when person truly disease
Ability of screening test to give + finding when pt truly has disease
71
A community member calls the smoking cessation hotline. This is an example of health protection
False
True
72
Keys to healthy aging
maintaining social contact
Keeping current on immunizations
being physically active
smoke less
73
The nurse is going over a 64yo female medication list. Which would be the most important question to ask the patient?
do you take any herbal supplements?
"How many alcoholic drinks do you consume per week?”
any allergies?
do you smoke tobacco?
74
A clients learning styles do not need to be assessed after a clinets learning needs are assessed for a tecahing plan.
True
False
75
A person without adequate shelter, someone living in a vehicle or squatting in abandoned building is
primary homelessness
living below the poverty line
secondary homelessness
tertiary homelessness
76
Nurse is preparing a health education program for young adults regarding STIs. What should the nurse do first?
Talk to their parents
Pregnancy test
Ask them if they are having sex
Assess the cultural and religious beliefs of the young adults.
77
CDC is diff from other public health agencies d/t ability to apply evidence-based findings to individuals daily lives?
False
True
78
The Centers for Disease Control and Prevention (CDC) was established after World War II to help control of malaria
True
False
79
Which statement causes the nurse to suspect elder maltreatment?
"She's a handful. No wonder I drink so much!"
Being a caregiver is hard but I am doing my best
"This woman is driving me crazy!"
"I shouldn't have to take care of this old lady."
80
Prevention of disability and premature death and rehabilitation for those diagnosed w disease is
tertiary prevention
secondary prevention
Primary prevention
81
early detection and initiation of treatment for diseas is
primary prevention
secondary prevention
tertiary prevention
