An RN is using the critical theoretical perspective in practice. Which activity would the nurse most likely complete?

expose social values underlying the health care system

A nurse is using Healthy People 2020 as a guide to improve health & well-being of her comm. What strategy does she use?

Address the root causes of health problems

Which statement best describes a weakness of early nursing theories?

most nursing theories focused on microscopic individual concerns

The RN works w/pt to change behavior & asks the pt to bring fam to the next visit. why does the RN want fam to come?

to evaluate the family's approval of the proposed changes

Which provides the most accurate way to explain community health nursing?

focusing care on the community as a whole

Which legislation marked the first entry of the federal government into school health?

The National School Lunch Program

Which should be included when the nurse writes a proposed treatment plan for a home health client?

types of servieces needed * frequency visits by each discipline

Which legislation marked the first entry of the federal government into school health?

The National School Lunch Program

An individual lives in a healthy community. Which characteristic would this community most likely display?

ability to adapt & respond to changes

Which primary prevention would the school nurse choose to address the school's number of unwed pregnancies?

Convince the school board to allow sex ed. classes & birth control measures

A nurse is completing a health history with a client. Which question would be most important to include?

what kinds of tobacco do you use daily?

A nurse is using Milio's approach when caring for a client. Which advantage will the nurse experience?

it will encourage assessment of the personal & societal resources of the pt

An RN uses the theory of reasoned action when working w/a pt to exercise regularly. How does the RN know this will work?

the pt's intention to exercise regularly

An RN is using Milio's framework for prevention to improve the hlth of pts. Which would the nurse most likely implement?

Create appropriate national health policies

In addition to their homes, where are children most likely to be injured?

at school especially on playgrounds

RN decides that a high-risk aggregate needs education about diabetes. Which would be the best approach when teaching?

involve participants in small group activities applying the info

What is the best use of the nurse's time while en route to a client's home?

assess the surrounding neighborhood and exterior of the client's home

Which best describes how the Health Planning Model for care of aggregates differs from the care of an individual?

RN must first decide on and define the aggregate to receive care

Which of the following statements best describes "thinking upstream"?

Modifying economic, policial, and environmental factors

An individual lives in a healthy community. Which characteristic would this community most likely display?

Ability to adapt and respond to changes

Some people believe that the air w/in their workplace makes them ill. Which premises support this belief?

they consistently feel worse on workdays & weeks w/out holidays

An RN has become frustrated w/a noncompliant pt despite education. Which principle has the nurse forgotten?

information, while important, will not motivate people to change

Which of the following statement best summarizes Lillian Wald's achievements?

She demonstrated how to improve health in communities.

Based on statistics, which group is probably more physically active?

a group of highly paid college graduates

A hospice pt is taking narcotics w/good pain control. Pt's fam wants to stop bc fear of addiction. What should RN say?

You may deve. tolerance, but can't be addicted when using for pain control

Which activity would be most helpful to a person in whom a serious chronic illness has been diagnosed?

join a support group of others with the same illness

Which best describes what Lillian Wald suggested in regards to providing care to individuals and families?

PHN should see larger social & economic forces the family can't control

A nurse is using a macroscopic approach when providing care. Which would the nurse most likely demonstrate?

providing testimony to legislators concerning proposed legislation

Which best describes when a community health nurse would try to collect data on a health issue?

When there is no source previously collected data

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Community Health 3480 Exam 1 Midterm Review Round II

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Questions 38

Answers

1
An RN is using the critical theoretical perspective in practice. Which activity would the nurse most likely complete?
expose social values underlying the health care system
criticize health insurance programs as a barrier to health care
exert control over the client's environment
promote individual freedom and decision-making
2
A nurse is using Healthy People 2020 as a guide to improve health & well-being of her comm. What strategy does she use?
continue funding expansion of the health care system
expand efforts to put all med. records on electronic media
Address the root causes of health problems
concentrate on the goals of improving the quality of life
3
Which statement best describes a weakness of early nursing theories?
the theories did not refelct the actual world of nursing practice
most nursing theories focused on microscopic individual concerns
Many nurses did not know or understand the theoretical basis of nursing
the theories had global applicability to nursing practice
4
The RN works w/pt to change behavior & asks the pt to bring fam to the next visit. why does the RN want fam to come?
to evaluate the family's approval of the proposed changes
to determine the family's support of the client
To analyze the family's beliefs about health
to establish the family's communication patterns
5
Which health-related variable is examined by the critical theoretical perspective?
cultural beliefs
ethnic and racial differences
social inequalities
effects of history and tradition
6
Which provides the most accurate way to explain community health nursing?
providing care within the community, rather than a hospital
being employed outside a medical center, such as in a physican's office
focusing care on the community as a whole
working for the public health department
7
Which legislation marked the first entry of the federal government into school health?
The Education for the Handicapped Act
The Safe & Drug Free Schools & Communities Act
The Drug-Free Schools and Community Act
The National School Lunch Program
8
A young couple is searching for a home in a new neighborhood. Which area would most likely promote a healthy lifestyle?
one with excellent health facilities nearby
one with high walkability
one with superb recreational facilities
one near a large active military base
9
Which should be included when the nurse writes a proposed treatment plan for a home health client?
typical nursing care plan information form the assessment to evaluation
types of servieces needed * frequency visits by each discipline
specific nursing interventions to treat identified client problems
outline of specific client goals with measureable outcomes
10
Which legislation marked the first entry of the federal government into school health?
The National School Lunch Program
The Drug-Free Schools Community Act
The Education for the Handicapped Act
The Safe and Drug Free Schools and Communities Act
11
Which is the cause of most preventable deaths in the U.S.?
tobacco
drug addictions
sexually transmitted diseases
alcohol
12
An individual lives in a healthy community. Which characteristic would this community most likely display?
lack of environmental pollution
low unemployment rate
ongoing growth in population
ability to adapt & respond to changes
13
Which primary prevention would the school nurse choose to address the school's number of unwed pregnancies?
employ moms to be as 1hour a day employee in school daycare
Convince the school board to allow sex ed. classes & birth control measures
Create a class on parenting for both the moms-to-be and the dads-to-be
establish a class for unwed moms
14
A nurse is completing a health history with a client. Which question would be most important to include?
how many alcoholic drinks do you have in a day?
how many sexual partners have you had in the past month?
what kinds of tobacco do you use daily?
what nonprescription drugs do you take on a routine basis?
15
A nurse is using Milio's approach when caring for a client. Which advantage will the nurse experience?
It will allow for care interventions outside the hospital system
it facilitates open communication between the client and the nurse.
it will dem. the effectiveness of using a variety of community resources
it will encourage assessment of the personal & societal resources of the pt
16
An RN uses the theory of reasoned action when working w/a pt to exercise regularly. How does the RN know this will work?
society's emphasis on the importance of regular exercise
the pt's intention to exercise regularly
the pt's perception of the threat of illness if he doesn't exercise
the pros and cons of regular exercise
17
What is the best definition of health?
a goal and resource for living
a lack of disease
complete state of well-being
freedom from pain
18
An RN is using Milio's framework for prevention to improve the hlth of pts. Which would the nurse most likely implement?
Create appropriate national health policies
stress that clients are responsible for their own health
develop health programs that make healthy choices the easiest choices
promote nationwide education programs w/info on making healthy choices
19
In addition to their homes, where are children most likely to be injured?
at entertainment sites (theaters, amusement parks)
at their part time jobs
at school especially on playgrounds
transportation (automobiles, school buses)
20
RN decides that a high-risk aggregate needs education about diabetes. Which would be the best approach when teaching?
use handouts and pamphlets w/pictures consistent w/local cultural groups
organize the info into a visual presentation
involve participants in small group activities applying the info
shaare the RN's expertise w/the group at a meeting
21
A 50 y/o woman clomes to the clinic for her first mammogram. Which best describes the action of the client?
health improvement
disease prevention
primary health promotion
health protection
22
What is the best use of the nurse's time while en route to a client's home?
consider if another home health agency would be closer to the client's home
assess the surrounding neighborhood and exterior of the client's home
begin the client record using a computer of oral recording device
look for appropriate places to obtain food, fuel, or rest stops for the RN
23
Which best describes how the Health Planning Model for care of aggregates differs from the care of an individual?
RN must choose which health care need should have priority
RN must first decide on and define the aggregate to receive care
RN must be aware of age, gender, race, ethnicgroup, religion, & occupation
RN must determine how best to ensure that each person receives equality
24
Which risk factors are least subject to modification?
recreational activities
nutritritional options
choice of lifestyle behaviors
environmental exposure
25
Which of the following statements best describes "thinking upstream"?
Preparing for nursing career long term goals by planning now
seeking causes of water and air pollution "upstream" from cities
Modifying economic, policial, and environmental factors
Trying to understand how or why someone became ill
26
An individual lives in a healthy community. Which characteristic would this community most likely display?
Low unemployment rate
Lack of environmental pollution
Ongoing growth in population
Ability to adapt and respond to changes
27
A RN reviews info before meeting w/ community residents attending a program on healthy living. The RN demonstrates...
health promotion
specific protection
Disease prevention
health improvement
28
Some people believe that the air w/in their workplace makes them ill. Which premises support this belief?
research had demonstrated that some buildings emit poisonous vapors
they consistently feel worse on workdays & weeks w/out holidays
when a small group of persons begins to believe something
there has been media coverage of "sick buildings" where there is little air
29
An RN has become frustrated w/a noncompliant pt despite education. Which principle has the nurse forgotten?
information, while important, will not motivate people to change
people need repetition over time to be able to absorb information
physican, not nurses, are perceived as experts in health
a person may have a higher priority than improving their health
30
Which of the following best describes the primary purpose of nursing theory?
to improve nursing practice
to organize nursing knowledge
to demonstrate that nursing is a profession
to serve as a basis for ongoing nursing research
31
Which of the following statement best summarizes Lillian Wald's achievements?
She was appointed a national nursing leader
She demonstrated how to improve health in communities.
She gave expert clinical nursing care to her clients
She suggested new nursing specialities
32
All of the following places that an occupational health nurse can work except...
factory
college/university
Outpatient cardiac rehab
hospital employee health
33
Based on statistics, which group is probably more physically active?
a group of adults living in the southern U.S. states
a group of highly paid college graduates
a group of elderly mall walkers
a group of high school graduates employed in blue collar occupations
34
A hospice pt is taking narcotics w/good pain control. Pt's fam wants to stop bc fear of addiction. What should RN say?
but you're dying, what difference will it make if you become addicted?
we'll keep you comfortable using some non-narcotic drugs instead
You may deve. tolerance, but can't be addicted when using for pain control
you need strong meds to control your pain. we want you to be comfortable
35
Which activity would be most helpful to a person in whom a serious chronic illness has been diagnosed?
tell extended family bc many diseases have a genetic component
share the diagnosis with coworkers & neighbors to gain sympathy & support
Discuss it with a religious leader on a confidential, do-no-tell basis
join a support group of others with the same illness
36
Which best describes what Lillian Wald suggested in regards to providing care to individuals and families?
PHN should see larger social & economic forces the family can't control
PHN should focus on providing care in the client's home
PHN should understand that educating pts on being healthy is their job
PHN should encourage clients to join the Henry St. settlement
37
A nurse is using a macroscopic approach when providing care. Which would the nurse most likely demonstrate?
explaining how these actions will help in healing
examining the family's responses to illness
providing testimony to legislators concerning proposed legislation
emphasizing behaviors that will help in healing
38
Which best describes when a community health nurse would try to collect data on a health issue?
When available data exists
When data must purchased from the agency that collects it
When the data previously collected is available to the public
When there is no source previously collected data

Community Health 3480 Exam 1 Midterm Review Round II Flashcards | StudBud