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