NUR 439 Exam 2 UPDATED ACTUAL Questions and CORRECT
Answers
Healthy People 2020 is a guidepost for nurses and A) Adolescent Health
interdisciplinary teams in community and public health. C) Genomics
New Focal Areas for HP 2020 include (select all the E) Social Determinants of Health
apply)
A) Adolescent health
B) Diabetes
C) Genomics
D) Nutrition and Weight status
E) Social Determinants of Health
The nurse identifies the specific indicators and focal areas B.) Develop a plan to meet the costs and promote the benefits of the project
needed to establish immunization and well-child clinics in
a low-income neighborhood. What actions are needed to
meet the health outcomes of the project?
A) Identify the need in the community for the clinic on the
basis of subjective data.
B) Develop a plan to meet the costs and promote the
benefits of the project.
C) Consider the identified neighborhood's need for
healthcare compared with that of other low-income
neighborhoods by interviewing the members of the
neighborhood.
D) Assume that the neighborhood will welcome the
institution of a well-child and immunization clinic.
Absenteeism due to illness has increased recently in the A) Develop an asthma education and surveillance program that addresses
local middle school. The increase is noted to be related students, families, and faculty members.
to exacerbation of asthma symptoms in the student
population. Which would be the most effective approach
in decreasing absenteeism among this population?
A) Develop an asthma education and surveillance
program that addresses students, families, and faculty
members.
B) Develop a policy to exclude students with a diagnosis
of asthma from admission to the school.
C) Create an asthma prevention plan within the school
environment, based in the school nurse's office.
D) Create an education program for faculty related to the
prevention of exacerbation of asthma systems.
,Multiple family units in an underserved neighborhood C) Interview members of the neighborhood to determine why they do not use the
have children who have not been vaccinated per health clinic.
guidelines. The nurse researches the problem and
establishes a well-child clinic within walking distance to
the neighborhood. The clinic is poorly attended. Which
would be the nurse's best action to revise the program
and improve attendance to the clinic?
A) Determine whether the location of the clinic is not
conducive to attendance.
B) Discuss the problem of attendance at the next
community council meeting.
C) Interview members of the neighborhood to determine
why they do not use the clinic.
D) Discuss the problem with the local minister and
request him to discuss the clinic at the next prayer
service.
The local clinic is dedicated to the well adult and child. It A) Primary
has evening hours and offers varied programs for the
community. The programs include immunizations and
classes on fire safety, health education, and car safety, to
name a few. How would the nurse explain the level of
prevention used in this setting to your colleagues?
A) Primary
B) Secondary
C) Tertiary
D) Quaternary
Using the tenets of secondary prevention, the committee B) The hospital can more easily implement programs of care for the clients.
seeks to establish an HIV/AIDS clinic. The nurse states
that it is important for the location of the clinic to be
associated with the local hospital. The committee states
that the cost of the clinic associated with the hospital is
higher than one that is free standing. Which presents the
best rationale for the nurse's suggestion?
A) Third-party insurance will reimburse the clinic visits
only if the clinic is attached to the hospital.
B) The hospital can more easily implement programs of
care for the clients.
C) The hospital will cover the clients only if the clinic is
approved by the hospital governance board.
D) The hospital will have a vested interest in the success
of the clinic.
, The nurse works in a facility that provides hospice care A) Palliative Care
for clients with cancer diagnoses. The nurse recognizes B) Pain Control
that the care provided in this facility is tertiary in nature. D) Supportive Spiritual Development
The nurse develops a plan for the clients that would
include the tenets of tertiary prevention. The plan would
include: (Select all that apply.)
A) Palliative care
B) Pain control
C) Isolation
D) Supportive spiritual development
E) Diminished involvement of significant others
An immigrant from Guatemala, age 47, is admitted to the B) Developing culturally relevant and gender-sensitive interventions
coronary care unit with congestive heart failure. This is
the fourth admission for this client, and the physician
believes that the client's inability to adhere to his diet and
medication regimen is the reason for his frequent
admissions. The physician refers the client to the local
community health nurse, on discharge from the hospital.
Which would be most appropriate for the nurse to
include in this client's plan of care?
A) Insisting that the client adhere to his diet
B) Developing culturally relevant and gender-sensitive
interventions
C) Teaching the family to adapt their cultural dietary plans
to the client's diagnosis
D) Assessing the client's financial needs and obtaining
financial assistance as needed
The nurse conducts a class on the basics of nutrition to a C) Encourage the group to participate in the decision making
group of obese adults. The nurse counsels the audience,
telling them that they need to change their behaviors. By
the end of the class, the nurse has lost the audience. To
enhance audience participation and learning in the next
class, the nurse should:
A) Use consistent methods of persuasion
B) Offer advice while the participants are passive
C) Encourage the group to participate in the decision
making
D) Encourage the group to continue ambivalent
behaviors
Answers
Healthy People 2020 is a guidepost for nurses and A) Adolescent Health
interdisciplinary teams in community and public health. C) Genomics
New Focal Areas for HP 2020 include (select all the E) Social Determinants of Health
apply)
A) Adolescent health
B) Diabetes
C) Genomics
D) Nutrition and Weight status
E) Social Determinants of Health
The nurse identifies the specific indicators and focal areas B.) Develop a plan to meet the costs and promote the benefits of the project
needed to establish immunization and well-child clinics in
a low-income neighborhood. What actions are needed to
meet the health outcomes of the project?
A) Identify the need in the community for the clinic on the
basis of subjective data.
B) Develop a plan to meet the costs and promote the
benefits of the project.
C) Consider the identified neighborhood's need for
healthcare compared with that of other low-income
neighborhoods by interviewing the members of the
neighborhood.
D) Assume that the neighborhood will welcome the
institution of a well-child and immunization clinic.
Absenteeism due to illness has increased recently in the A) Develop an asthma education and surveillance program that addresses
local middle school. The increase is noted to be related students, families, and faculty members.
to exacerbation of asthma symptoms in the student
population. Which would be the most effective approach
in decreasing absenteeism among this population?
A) Develop an asthma education and surveillance
program that addresses students, families, and faculty
members.
B) Develop a policy to exclude students with a diagnosis
of asthma from admission to the school.
C) Create an asthma prevention plan within the school
environment, based in the school nurse's office.
D) Create an education program for faculty related to the
prevention of exacerbation of asthma systems.
,Multiple family units in an underserved neighborhood C) Interview members of the neighborhood to determine why they do not use the
have children who have not been vaccinated per health clinic.
guidelines. The nurse researches the problem and
establishes a well-child clinic within walking distance to
the neighborhood. The clinic is poorly attended. Which
would be the nurse's best action to revise the program
and improve attendance to the clinic?
A) Determine whether the location of the clinic is not
conducive to attendance.
B) Discuss the problem of attendance at the next
community council meeting.
C) Interview members of the neighborhood to determine
why they do not use the clinic.
D) Discuss the problem with the local minister and
request him to discuss the clinic at the next prayer
service.
The local clinic is dedicated to the well adult and child. It A) Primary
has evening hours and offers varied programs for the
community. The programs include immunizations and
classes on fire safety, health education, and car safety, to
name a few. How would the nurse explain the level of
prevention used in this setting to your colleagues?
A) Primary
B) Secondary
C) Tertiary
D) Quaternary
Using the tenets of secondary prevention, the committee B) The hospital can more easily implement programs of care for the clients.
seeks to establish an HIV/AIDS clinic. The nurse states
that it is important for the location of the clinic to be
associated with the local hospital. The committee states
that the cost of the clinic associated with the hospital is
higher than one that is free standing. Which presents the
best rationale for the nurse's suggestion?
A) Third-party insurance will reimburse the clinic visits
only if the clinic is attached to the hospital.
B) The hospital can more easily implement programs of
care for the clients.
C) The hospital will cover the clients only if the clinic is
approved by the hospital governance board.
D) The hospital will have a vested interest in the success
of the clinic.
, The nurse works in a facility that provides hospice care A) Palliative Care
for clients with cancer diagnoses. The nurse recognizes B) Pain Control
that the care provided in this facility is tertiary in nature. D) Supportive Spiritual Development
The nurse develops a plan for the clients that would
include the tenets of tertiary prevention. The plan would
include: (Select all that apply.)
A) Palliative care
B) Pain control
C) Isolation
D) Supportive spiritual development
E) Diminished involvement of significant others
An immigrant from Guatemala, age 47, is admitted to the B) Developing culturally relevant and gender-sensitive interventions
coronary care unit with congestive heart failure. This is
the fourth admission for this client, and the physician
believes that the client's inability to adhere to his diet and
medication regimen is the reason for his frequent
admissions. The physician refers the client to the local
community health nurse, on discharge from the hospital.
Which would be most appropriate for the nurse to
include in this client's plan of care?
A) Insisting that the client adhere to his diet
B) Developing culturally relevant and gender-sensitive
interventions
C) Teaching the family to adapt their cultural dietary plans
to the client's diagnosis
D) Assessing the client's financial needs and obtaining
financial assistance as needed
The nurse conducts a class on the basics of nutrition to a C) Encourage the group to participate in the decision making
group of obese adults. The nurse counsels the audience,
telling them that they need to change their behaviors. By
the end of the class, the nurse has lost the audience. To
enhance audience participation and learning in the next
class, the nurse should:
A) Use consistent methods of persuasion
B) Offer advice while the participants are passive
C) Encourage the group to participate in the decision
making
D) Encourage the group to continue ambivalent
behaviors
