Community Midterm Flashcards Quizlet PDF

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Community Midterm Flashcards | Quizlet

Science / Medicine / Public Health

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Terms in this set (62) 1. When conducting key informant interviews in a small community which source should the nurse contact? (a) Local priest for community information

(a) Local priest for community information (b) Surrounding communities for crime data (c) The CDC for the history of illnesses in the area (d) State department of health for death records

2. Developing a city-wide ordinance to prevent smoking in public places demonstrates which core public health function? (b) Policy development

(a) Assessment (b) Policy development (c) Assurance (d) Prevention

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3. Which skill is most significant for a community health nurse to possess while building a trusting relationship with the community? (c) The ability to build

(a) Technical skills with an acute care nursing

coalitions and form

background

community partnerships

(b) Computer and smart-phone skills (c) The ability to build coalitions and form community partnerships (d) The knack to lobby with state legislators

4. Which statements in regard to health literacy (b) Seniors are at high risk for chronic disease, and hospital readmission (d) Instructions are commonly written at a reading level above 10th grade (e) Low health literacy includes being unable to utilize numeracy

levels does the community health nurse acknowledge as being true? (Select all that apply) (a) Fewer than 10% of all Americans function at a low literacy level (b) Seniors are at high risk for chronic disease, and hospital re-admission (c) Low health literacy skills place clients at a lower risk for poor health (d) Instructions are commonly written at a reading level above 10th grade (e) Low health literacy includes being unable to utilize numeracy

5. Which program strives to identify nationwide health improvement priorities to increase public awareness of determinants of health, disease and (d) Healthy People

disability and to promote healthier outcomes?

2020.

(a) Patient Protection and Affordable Care Act 2010. (b) The Office of Public Health Services. (c) U. S. Department of Homeland Security.

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6. The nurse recognizes which as the agent in an epidemiologic triangle? (a) Environment (b) Malaria

(b) Malaria (c) Climate (d) Host

7. Enforcing quarantine laws to protect public health and ensure public safety characterizes which core public health function? (c) Assurance

(a) Assessment (b) Policy development (c) Assurance (d) Policy evaluation

8. The nurse recognizes which negative outcome may result from a client with low health literacy? (a) Taking the wrong dose of medicine. (a) Taking the wrong

(b) Understanding the need for referrals to

dose of medicine.

specialist. (c) Recognizing the importance of follow-up visits. (d) Being at decreased risk for serious disease and complications.

9. Which statement represents a community health nurse's role when conducting the core health function of assessment? (d) Monitors recently reported flu-likeillnesses for trends

(a) Meets with community members to explain services (b) Develops core competencies for staff members (c) Reviews state communicable disease reporting laws (d) Monitors recently reported flu-like-illnesses for

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10. Examining one's own beliefs, values and cultural influences represents which cultural concept? (a) Cultural skill (d) Cultural awareness

(b) Cultural sensitivity (c) Cultural competence (d) Cultural awareness

11. Which action best represents a community health nursing intervention? (a) Applying a wet-to-dry dressing to a patient in an (b) Developing a

ambulatory clinic.

community health plan

(b) Developing a community health plan for

for healthier outcomes.

healthier outcomes. (c) Answering calls at the local fire station and noting the call time. (d) Attending a leadership workshop to improve basic leadership skills.

12. The population of Surf City USA on March 30, 2016 was 58,000. The number of active Tuberculosis (TB) cases on June 30th, 2016 was 250.00. What is the prevalence rate of active TB in Surf City ? (c) 43 per 10,000

(K=10,000) (a) 40 per 100,000 (b) 42 per 1,000 (c) 43 per 10,000 (d) 43 per 100,000

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13. The nurse recognizes which as a public health law established to protect the health of the community? (a) A requirement for all citizens to have life (c) A mandate requiring

insurance coverage.

immunizations for

(b) An obligation to administer flu shots in the late

children entering

fall and early spring.

kindergarten.

(c) A mandate requiring immunizations for children entering kindergarten. (d) An option to attend a driver safety course for those over the age of 65.

14. Which public health measure contains transmission of infectious disease by sequestering symptomatic patients? (c) Isolation

(a) Quarantine (b) Case tracking (c) Isolation (d) Surveillance

15. Which cue should a nurse recognize as an indicator of low health literacy? (a) Stating they will read the material later

(a) Stating they will read the material later (b) Reading and comprehending medicine labels (c) Completing a survey without any assistance (d) Meeting all scheduled follow-up appointments

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16. A mother refuses to vaccinate her child against pertussis. Which response should the nurse provide? (a) Vaccinating your child ensures life-time (d) Preventing pertussis

protection against pertussis

protects the community

(b) Autonomy is a community health principle more

and lessens the burden

important than vaccinating your child

of the disease

(c) Client advocacy is a community health principle more important than providing protection (d) Preventing pertussis protects the community and lessens the burden of the disease

17. When assigned to care for an adult client of a different culture which is the best way for the nurse to build client rapport and trust? c) Plan a cultural encounter with the client to learn about the client's needs and preferences.

(a) Ask a family member of the client for information pertaining to any special needs or wants. (b) Assure the client the clinic staff is professional and competent and will provide safe care. (c) Plan a cultural encounter with the client to learn about the client's needs and preferences. (d) Provide the client with informative handouts, brochures and resources on clinic services

18. During a local influenza epidemic a client presents to the emergency room with an elevated temperature, headache and cough. Which first (a) Don PPE including a

action should the nurse take before initiating triage?

mask

(a) Don PPE including a mask (b) Isolate patient after triage (c) Order specific diagnostic labs

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19. A nurse obtains census bureau data from a public health department website. What type data is the nurse utilizing? (b) Secondary analysis

(a) Informant interview data.

data.

(b) Secondary analysis data. (c) Primary analysis data. (d) Windshield Survey data.

20. Which factor represents why seniors are at greater risk for medication error? (b) Most often take

(a) Lack motivation to take medications.

multiple medications

(b) Most often take multiple medications. (c) Less competent to take medications. (d) Need supervision to take medications.

21. The nurse understands which may result by providing care that is not culturally competent? (b) Increase in the cost

(a) Enhancement of communication.

of healthcare.

(b) Increase in the cost of healthcare. (c) Achievement of health indicators. (d) Improvement in client compliance.

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22. Which actions of a community health nurse promote healthier community outcomes? 1. Move the community to act on their community problems 2. Encourage people to be aware of their community problems 3. Enable the nurse to solve the community problems (d) 1,2,4

4. Offer people means of solving their community problems (a) 1,2,3 (b) 1,2,3,4 (c) 1,2 (d) 1,2,4

23. During 2016, 150 new cases of syphilis were reported to a County Health District. In July 2016, there were approximately 50,000 residents in the county. The incidence of syphilis for 2016 was? (b) 30 per 10,000

(K=10,000) (a) 31 per 1,000 (b) 30 per 10,000 (c) 35 per 100,000 (d) 38 per 10,000

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24. Which action should the nurse initiate before opening an investigation of a reported case of measles in the community? (d) Validate the reported case as

(a) Classify the case as an epidemic or an outbreak.

suspect or confirmed

(b) Report the case of measles to the CDC. (c) Identify the date the case was reported. (d) Validate the reported case as suspect or confirmed

25. Which population has the greatest difficulty negotiating the health care system in reference to low health literacy? (b) Ethnic minorities

(a) Acculturated immigrants (b) Ethnic minorities (c) Educated white males (d) Non-Hispanic citizens

26. Which illustrates active immunity? (a) Receiving

(a) Receiving vaccinations

vaccinations

(b) Acquiring immunity from the mother (c) Protecting 90% of a cohort (d) Administering immune globulin

27. A public health nurse is aware that immunity represents which factor of the epidemiological triangle? (b) host

(a) agent (b) host (c) environmental (d) vector

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28. Which measure can best assist the nurse to develop cultural self-awareness? (a) Objectively examines one's own beliefs, values (a) Objectively examines

and practices.

one's own beliefs,

(b) Recognize a need for cultural awareness and

values and practices.

competency. (c) Celebrate Cinco de Mayo, Independence Day, and Veterans Day. (d) Refuse to learn another language, and care for diverse populations

29. There is a correlation between the marketing of tobacco and the use of tobacco among youth. (d) Marketing tobacco products to attract youth

Which best describes this statement? (a) Endorsing smoke-free policies (b) Increasing the sales tax on tobacco (c) Promoting smoking cessation classes (d) Marketing tobacco products to attract youth

30. What first action should the nurse initiate prior to (b) Conduct a community windshield survey

identifying a community need? (a) Perform a complete health data analysis (b) Conduct a community windshield survey (c) Contact the local Parent Teacher Organization (d) Form a town hall meeting for community citizens

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31. The community is considered the client when the focus of practice is centered upon which population? (d) the core of the community

(a) individuals in the community (b) families in the community c) minorities in the community (d) the core of the community

32. If a large percentage of the population is vaccinated for the measles there is a reduced risk that the unvaccinated population will contract the disease. This is which type of immunity? (b) Herd immunity. (a) Active immunity. (b) Herd immunity. (c) Natural immunity. (d) Passive immunity.

33. Which is representative of a community health nursing diagnosis?

(d) High infant mortality rates related to inadequate antepartum care at a local community hospital as evidenced by vital statistics.

(a) Stress and anxiety of being criminally victimized related to reported community crimes. (b) Lack of health programs to meet the needs of Asian immigrants in a local community related to the language barrier. (c) Inadequate income to buy essential medical items as reported by a county public health nurse related to poor choices. (d) High infant mortality rates related to inadequate antepartum care at a local community hospital as evidenced by vital statistics.

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34. An occupational health nurse develops a community nursing diagnosis: Potential for employee wrist pain and disability related to repetitive motion as manifested by an increase in the number of employee reports of wrist pain and workman's compensation claims. Which evaluation (c) The number of

measure should the nurse address?

employees reporting wrist pain and Workman's comp claims.

(a) The potential for wrist pain and weakness in employees. (b) Prolonged hours of repetitive keyboard activity in employees. (c) The number of employees reporting wrist pain and Workman's comp claims. (d) Implementing ergonomic computer stations for employees with wrist pain.

35. The Severe Acute Respiratory Syndrome (SARS) spread to multiple countries. What was the magnitude of this disease? (b) Pandemic

(a) Endemic (b) Pandemic (c) Outbreak (d) Epidemic

36. A nurse comparing teenage pregnancy rates in various areas of the county is utilizing which public health core function? (d) assessment

(a) assurance (b) policy development (c) prevention (d) assessment

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37. Which nursing action best represents the primary goal of a community health plan? (d) Cultivate healthier outcomes for the

(a) Complete a windshield survey of the community

community

(b) Identify a health need in the community (c) Develop a community nursing diagnosis (d) Cultivate healthier outcomes for the community

nursing using data as in minutes is what kind of data secondary nurse should always advocate for their patients

epidemic endemic

...

1 case of small pox were previously eradicated would be? 1000 of cases of gonorrhea would be what

what the video. Rima who live in Los angels, California

• __- someone that can give us knowledgeable A key informant

information based on the question

Secondary data

• __- not first hand, public records; ex: minutes from a meeting

Primary data • __- talking to someone who was there; windshield ask the people within

survey

the community • Best way for us to help determine what the need is set of goals/initiatives,

of the community-__

promote a healthy lifestyle

• Healthy People 2020- know definition- a set of __/__, promote a __

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oPrimary- education,

• Levels of prevention

immunizations

oPrimary- __

oSecondary-

oSecondary- __

screenings, surveys (screening for

oTertiary- __

information) oTertiary- support group

• Core Functions of Public Health • Ex: Charge nurse assures quality care

o Assurance (assures patients that they will get safe quality care) • Ex: __

• Ex: Windshield survey

o Assessment (research to see if there is a problem) • Ex:__

• Ex: No smoking in restaurants

o Health Policy (implement a change for a healthier outcome) • Ex:___

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•How to measure evaluation ? o __&__ o __ •Prevalence of Incidence o Pre and post test o Survey

• __- how does it influence policy : endorsement ex: smoking they have dr and nurses and actors and

politics

sports figure endorsing and advertising their product making them feel safe that if a Dr. is

Assurance

smoking it is ok for them to do the same •What core health function influences/enforces quarantine? o __

1. A nurse wishing to conduct key informants interviews in a small community, who should she contact? a. Local grandmother who volunteers in the

a. Local grandmother who volunteers in the

community

community b. Surrounding communities for crime comparison c. CDC for illness in the area d. State Department of health for death records

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Which skill is most significant for a community health nurse to possess while building a trusting relationship with the community c. The ability to form community partnerships

a. Technical skills with an acute care nursing background b. Computer and smart phone skills c. The ability to form community partnerships d. The enthusiasm to lobby with state legislation

3. A community health nurse understands which b. Seniors are particularly at risk for chronic disease related to poor health litera...