NURSING
Jennifer is a community health nurse in a large metropolitan area. According to the American
Nurses Association's Code of Ethics (2001), community health nurses must align themselves
with public health programs that promote and preserve the health of populations by influencing:
sociocultural issues.
After a suprapubic prostatectomy, a client's plan of care will include the prevention of
postoperative deep vein thrombosis. The nurse recalls that this can be achieved best by
increasing the:
Velocity of the venous return
For which clinical indicator should a nurse monitor a client with end-stage renal disease?
Azotemia
Mary is a nursing student doing her senior project in community health. Part of her assignment is
to conduct an activity that illustrates "social health" within a group in her community. The most
appropriate activity for Mary to organize would be a:
food bank in a local church.
It has been estimated that individual behaviors and environmental factors are responsible for
what percentage of all premature deaths in the United States?
50%
Early public health nurse Lillian Wald and her associates were successful in addressing health
and disease in the immigrant community by:
supporting political activities to improve social and environmental conditions of immigrant
families.
Disease prevention activities protect people from disease and the effects of disease. An example
of primary disease prevention is:
administering vaccines to children before kindergarten
Every 10 years, the U.S. Department of Health and Human Services publishes a national
prevention initiative titled Healthy People. One of the new objectives for Healthy People 2020 is
to:
improve the nation's ability to prevent, prepare for, respond to, and recover from a major health
incident.
Which of the following is an example of "community health nursing" rather than "community-
based nursing"?
An RN reviewing school clinic records to determine which children are not up to date on their
immunizations
Which of the following entities strives to improve the health of all the public by promoting
healthy lifestyles, preventing disease and injury, and protecting the health of communities?
Public health system
A variety of health indicators are used by health providers, policy makers, and community health
nurses to measure the health of the community. Indicators that illustrate the health status of a
community and may be useful in analyzing health patterns over time include: (Select all that
apply.)
morbidity
,mortality
life expectansy
cancer incidence rates
Public health efforts focus on prevention and promotion of population health. The local level of
the health care system provides direct services to community members through community and
personal health services. An example of a health service that targets the larger community, rather
than individuals, is: (Select all that apply.)
a mobile immunization clinic.
condemning or repairing unsafe housing.
airing a weekly public service announcement to remind women to do breast self-examination.
Which of the following statements is NOT true about the "thinking upstream" model of
community health nursing practice?
It focuses the nurse on short-term, individual-based nursing interventions.
A microscopic approach to the community health problem of childhood obesity would focus on:
asking an obese child and his or her parent(s) to complete a 24-hour food diary.
Which of the following theories is based on the assumption that individual needs and related
activities are the focus of nursing care?
Orem's self-care deficit theory
A community health nurse explores a group of teenagers' beliefs about the seriousness of eating
disorders and their related susceptibility. The nurse is applying principles from which theory?
The health belief model
A major limitation of the health belief model is that the burden of action related to health
behaviors is exclusively on the aggregate.
False
The belief that health deficits result from an imbalance between the population's health needs and
its health-sustaining resources is the premise of which theory?
Milio's framework
The community health nurse is teaching a prenatal class and includes the societal cost of fetal
alcohol syndrome in one of the educational sessions. The nurse is demonstrating an
understanding of:
critical theoretical perspective
Which of the following nurse leaders formulated the first theory-based conceptual model for
nursing care?
Florence Nightingale
Using theory to guide community health nursing practice serves to: (Select all that apply.)
guide data collection and interpretation in a clear and organized manner
improve community health nursing practice
focus the student on factors that are critical to understanding the situation
The use of theory in population-focused community health nursing encourages which of the
following? (Select all that apply.)
A proactive approach to care
Development of population-focused programs
,Receiving immunizations, regular health screenings, and physical exams is an example of:
health protection.
Which of the following "determinants of health" refers to factors that are experienced with the
senses-things that can be seen, touched, heard, and smelled?
Physical environment
Which of the following "determinants of health" would include predisposition to prostate cancer
and a history of depression?
Biology
According to the health belief model, the inconvenience of driving to a gym to exercise is an
example of a:
perceived barrier.
A man has been smoking for 20 of his 40 years. He smokes a pack of cigarettes daily and states,
"My dad smoked two packs a day and lived to be almost 90. Besides, I'm going to die from
something anyway, so why quit"? He is in which "stage of change" in the transtheoretical model?
Precontemplation
A smoking cessation class stresses increased lung function, money saved that is not spent on
cigarettes, and smelling clean and fresh as benefits to quitting smoking. These support which of
the following concepts?
Decisional balance
A risk factor refers to a(n):
exposure that is associated with a disease
What is the most common chemical dependence in the United States?
Nicotine
A 22-year-old college student explains to the nurse at the health clinic that she drinks four to five
beers when she goes out with friends on Saturday nights. Otherwise, she rarely drinks during the
week because of her classes, studying, and part-time job. This would be considered:
binge drinking.
Which of the following is an example of a modifiable risk factor? (Select all that apply.)
Cigarette smoking
Sexual practices
Diet
, Pregnancy, Labor, Childbirth,
Postpartum - Uncomplicated
A client at 11 weeks' gestation reports having to urinate more often. The nurse explains that urinary frequency often
occurs because bladder capacity during pregnancy is diminished by:
► Compression by the enlarging uterus
Immediately after the third stage of labor a nurse administers the prescribed oxytocin (Pitocin) infusion. Why is this
medication administered?
►To help the uterus contract
Which position does the nurse teach the client to avoid when she experiences back pain during labor?
►Supine position
During a counseling discussion of nutrition, a nurse explains to a pregnant client that she will need additional calcium
during pregnancy and that the best source is milk. The client states, "I never drink milk or eat milk products. They turn
my stomach." What is the nurse's best reply?
"Your practitioner can prescribe calcium supplements."
A nurse is preparing a pregnant client for an amniocentesis. What should nursing care include?
Encouraging her to void before the test
A nurse assesses the frequency of a client's contractions by timing them from the beginning of a contraction until the:
Beginning of the next contraction
A nurse is assessing a primigravida who was admitted in early labor after her membranes ruptured. She is at 41
weeks' gestation. Her contractions are irregular and her cervix is dilated 3 cm. The fetal head is at station 0 and the
fetal heart rate tracing is reactive. How can the nurse help the client facilitate labor?
Take a walk around the unit with her.
A nurse plans to assess a postpartum client's uterine fundus. What should the nurse ask the client to do before this
assessment?
Empty her bladder.
A 16yearold adolescent at 24 weeks' gestation visits the prenatal clinic for the first time. After the physical
examination she tells the nurse, "I can't believe how big I am. Will I get much bigger?" What information about
adolescent growth and development does the nurse need to know before responding?
Body image is very important to adolescents, so pregnant teenagers are concerned about body size.
A 29yearold gravida 3 para 3, was admitted to the recovery unit 2 hours after the birth of a 9lb baby girl. The nurse
assesses the client an hour later and finds her fundus, which is slightly boggy, three fingerbreadths above the
umbilicus and displaced to the right. The peripad, which was changed before the client's transfer, is now saturated.
The nurse recognizes:
A distended bladder
A nurse is obtaining the health history of a woman who is visiting the prenatal clinic for the first time. She states that
she is 5 months pregnant. For what positive sign of pregnancy should the nurse look in this patient?
Audible fetal heartbeat
A woman at 40 weeks' gestation is having contractions. Wondering whether she is in true labor, she asks, "How will
you know if I'm really in labor?" What knowledge must the nurse have before responding?
Jennifer is a community health nurse in a large metropolitan area. According to the American
Nurses Association's Code of Ethics (2001), community health nurses must align themselves
with public health programs that promote and preserve the health of populations by influencing:
sociocultural issues.
After a suprapubic prostatectomy, a client's plan of care will include the prevention of
postoperative deep vein thrombosis. The nurse recalls that this can be achieved best by
increasing the:
Velocity of the venous return
For which clinical indicator should a nurse monitor a client with end-stage renal disease?
Azotemia
Mary is a nursing student doing her senior project in community health. Part of her assignment is
to conduct an activity that illustrates "social health" within a group in her community. The most
appropriate activity for Mary to organize would be a:
food bank in a local church.
It has been estimated that individual behaviors and environmental factors are responsible for
what percentage of all premature deaths in the United States?
50%
Early public health nurse Lillian Wald and her associates were successful in addressing health
and disease in the immigrant community by:
supporting political activities to improve social and environmental conditions of immigrant
families.
Disease prevention activities protect people from disease and the effects of disease. An example
of primary disease prevention is:
administering vaccines to children before kindergarten
Every 10 years, the U.S. Department of Health and Human Services publishes a national
prevention initiative titled Healthy People. One of the new objectives for Healthy People 2020 is
to:
improve the nation's ability to prevent, prepare for, respond to, and recover from a major health
incident.
Which of the following is an example of "community health nursing" rather than "community-
based nursing"?
An RN reviewing school clinic records to determine which children are not up to date on their
immunizations
Which of the following entities strives to improve the health of all the public by promoting
healthy lifestyles, preventing disease and injury, and protecting the health of communities?
Public health system
A variety of health indicators are used by health providers, policy makers, and community health
nurses to measure the health of the community. Indicators that illustrate the health status of a
community and may be useful in analyzing health patterns over time include: (Select all that
apply.)
morbidity
,mortality
life expectansy
cancer incidence rates
Public health efforts focus on prevention and promotion of population health. The local level of
the health care system provides direct services to community members through community and
personal health services. An example of a health service that targets the larger community, rather
than individuals, is: (Select all that apply.)
a mobile immunization clinic.
condemning or repairing unsafe housing.
airing a weekly public service announcement to remind women to do breast self-examination.
Which of the following statements is NOT true about the "thinking upstream" model of
community health nursing practice?
It focuses the nurse on short-term, individual-based nursing interventions.
A microscopic approach to the community health problem of childhood obesity would focus on:
asking an obese child and his or her parent(s) to complete a 24-hour food diary.
Which of the following theories is based on the assumption that individual needs and related
activities are the focus of nursing care?
Orem's self-care deficit theory
A community health nurse explores a group of teenagers' beliefs about the seriousness of eating
disorders and their related susceptibility. The nurse is applying principles from which theory?
The health belief model
A major limitation of the health belief model is that the burden of action related to health
behaviors is exclusively on the aggregate.
False
The belief that health deficits result from an imbalance between the population's health needs and
its health-sustaining resources is the premise of which theory?
Milio's framework
The community health nurse is teaching a prenatal class and includes the societal cost of fetal
alcohol syndrome in one of the educational sessions. The nurse is demonstrating an
understanding of:
critical theoretical perspective
Which of the following nurse leaders formulated the first theory-based conceptual model for
nursing care?
Florence Nightingale
Using theory to guide community health nursing practice serves to: (Select all that apply.)
guide data collection and interpretation in a clear and organized manner
improve community health nursing practice
focus the student on factors that are critical to understanding the situation
The use of theory in population-focused community health nursing encourages which of the
following? (Select all that apply.)
A proactive approach to care
Development of population-focused programs
,Receiving immunizations, regular health screenings, and physical exams is an example of:
health protection.
Which of the following "determinants of health" refers to factors that are experienced with the
senses-things that can be seen, touched, heard, and smelled?
Physical environment
Which of the following "determinants of health" would include predisposition to prostate cancer
and a history of depression?
Biology
According to the health belief model, the inconvenience of driving to a gym to exercise is an
example of a:
perceived barrier.
A man has been smoking for 20 of his 40 years. He smokes a pack of cigarettes daily and states,
"My dad smoked two packs a day and lived to be almost 90. Besides, I'm going to die from
something anyway, so why quit"? He is in which "stage of change" in the transtheoretical model?
Precontemplation
A smoking cessation class stresses increased lung function, money saved that is not spent on
cigarettes, and smelling clean and fresh as benefits to quitting smoking. These support which of
the following concepts?
Decisional balance
A risk factor refers to a(n):
exposure that is associated with a disease
What is the most common chemical dependence in the United States?
Nicotine
A 22-year-old college student explains to the nurse at the health clinic that she drinks four to five
beers when she goes out with friends on Saturday nights. Otherwise, she rarely drinks during the
week because of her classes, studying, and part-time job. This would be considered:
binge drinking.
Which of the following is an example of a modifiable risk factor? (Select all that apply.)
Cigarette smoking
Sexual practices
Diet
, Pregnancy, Labor, Childbirth,
Postpartum - Uncomplicated
A client at 11 weeks' gestation reports having to urinate more often. The nurse explains that urinary frequency often
occurs because bladder capacity during pregnancy is diminished by:
► Compression by the enlarging uterus
Immediately after the third stage of labor a nurse administers the prescribed oxytocin (Pitocin) infusion. Why is this
medication administered?
►To help the uterus contract
Which position does the nurse teach the client to avoid when she experiences back pain during labor?
►Supine position
During a counseling discussion of nutrition, a nurse explains to a pregnant client that she will need additional calcium
during pregnancy and that the best source is milk. The client states, "I never drink milk or eat milk products. They turn
my stomach." What is the nurse's best reply?
"Your practitioner can prescribe calcium supplements."
A nurse is preparing a pregnant client for an amniocentesis. What should nursing care include?
Encouraging her to void before the test
A nurse assesses the frequency of a client's contractions by timing them from the beginning of a contraction until the:
Beginning of the next contraction
A nurse is assessing a primigravida who was admitted in early labor after her membranes ruptured. She is at 41
weeks' gestation. Her contractions are irregular and her cervix is dilated 3 cm. The fetal head is at station 0 and the
fetal heart rate tracing is reactive. How can the nurse help the client facilitate labor?
Take a walk around the unit with her.
A nurse plans to assess a postpartum client's uterine fundus. What should the nurse ask the client to do before this
assessment?
Empty her bladder.
A 16yearold adolescent at 24 weeks' gestation visits the prenatal clinic for the first time. After the physical
examination she tells the nurse, "I can't believe how big I am. Will I get much bigger?" What information about
adolescent growth and development does the nurse need to know before responding?
Body image is very important to adolescents, so pregnant teenagers are concerned about body size.
A 29yearold gravida 3 para 3, was admitted to the recovery unit 2 hours after the birth of a 9lb baby girl. The nurse
assesses the client an hour later and finds her fundus, which is slightly boggy, three fingerbreadths above the
umbilicus and displaced to the right. The peripad, which was changed before the client's transfer, is now saturated.
The nurse recognizes:
A distended bladder
A nurse is obtaining the health history of a woman who is visiting the prenatal clinic for the first time. She states that
she is 5 months pregnant. For what positive sign of pregnancy should the nurse look in this patient?
Audible fetal heartbeat
A woman at 40 weeks' gestation is having contractions. Wondering whether she is in true labor, she asks, "How will
you know if I'm really in labor?" What knowledge must the nurse have before responding?
