COMMUNITY HEALTH(CH) 2022 FINAL EXAMS

CH FINAL C) "Lillian Wald began home visiting in New York City and is famed for professionalizing visiting nurses." Correct Answer: The nurse educator knows that the nursing student understands the contributions that Lillian Wald made to home care when the nursing student makes which one of the following statements? A) "Lillian Wald made the earliest known effort to care for the sick poor at home." B) "Lillian Wald trained nurses so that wealthy women would hire them as visiting nurses." C) "Lillian Wald began home visiting in New York City and is famed for professionalizing visiting nurses." D) "Lillian Wald approached congress with the idea of Medicare Home Health Benefit." C) Enactment of the Balanced Budget Act Correct Answer: After reviewing the various events associated with the history of home health care, the students demonstrate understanding of the events when they state which of the following as the most significant influence on the growth of home care agencies? A) Creation of the visiting nurse associations B) Era of the Medicare Home Health Benefit C) Enactment of the Balanced Budget Act D) Discharge of nonacute clients D) Caregivers often describe themselves as emotionally and physically drained. Correct Answer: Which one of the following statements best describes the family caregiver burdens of providing home care? A) Family members are expected to contribute financially to cover all of the costs of home care. B) Individuals recovering from severe illness or living with debilitating chronic illness rely on family members for unpaid assistance. C) Informal caregivers assume a considerable physical, psychological, and economic burden in the care of their loved one at home. D) Caregivers often describe themselves as emotionally and physically drained. B) The client is homebound. Correct Answer: When evaluating a client's eligibility for Medicare-reimbursed home care, which of the following is crucial? A) The client needs visits by a homemaker. B) The client is homebound. C) The client is a veteran. D) The client is terminally ill. A) Voluntary nonprofit Correct Answer: An instructor is describing the various types of home health care agencies and uses the visiting nurse association as an example of which of the following types? A) Voluntary nonprofit B) Hospital-based C) For-profit proprietary D) Noncertified D) Affiliated center Correct Answer: After describing the various models for nurse-managed health centers, the instructor determines that the student understand the information when they identify which organization structure as being partnered legally with a human services organization? A) Academic nursing center B) Freestanding center C) Subsidiary center D) Affiliated center D) Implementation of best practices Correct Answer: A nursing instructor is preparing a group of students for a clinical rotation in a nurse-managed health center. Which of the following would the instructor include when describing the students' role? A) Clinical supervision B) Passive participation C) Use of tertiary-level activities D) Implementation of best practices C) Consumers comprise the majority of the board of directors. Correct Answer: Which of the following criteria must a nurse-managed health center meet to ensure designation as a Federally Qualified Health Center? A) Located in a densely populated area B) For profit status C) Consumers comprise the majority of the board of directors. D) Care provision to women and children exclusively A) Advocate B) Health educator C) Volunteer coordinator D) Health counselor Correct Answer: Which of the following roles would be critical to a faith community nurse to assume to achieve the goals of this practice? Select all that apply. A) Advocate B) Health educator C) Volunteer coordinator D) Health counselor E) Case manager F) Direct care provider B) Referral agent Correct Answer: A faith community health networks with a local transportation service to provide service to several clients in the community needing rides to health care appointments. The nurse is functioning in which of the following roles? A) Developer of support groups B) Referral agent C) Advocate D) Health counselor A) The clients have impaired level of functioning and quality of life. Correct Answer: A community health nurse is meeting with a group of individuals who have been diagnosed with a serious mental illness. The nurse interprets this to mean which of the following? A) The clients have impaired level of functioning and quality of life. B) The clients' disorder is chronic and persistent. C) The clients have issues of impaired control and dependency. D) The clients have a significant behavior syndrome with present distress. B) Women of color, women on welfare, poor women, and uneducated women are more likely to experience depression than women in the general population. Correct Answer: After teaching a group of women in the community about common mental health disorders affecting them, the community health nurse determines that the teaching has been effective when the group identifies which one of the following? A) Anxiety disorders and mood disorders occur twice as frequently in men as in women. B) Women of color, women on welfare, poor women, and uneducated women are more likely to experience depression than women in the general population. C) The three main types of eating disorders affect more men than women. D) The three main types of eating disorders include undereating due to food unavailability. C) Marijuana Correct Answer: After teaching a class about commonly used illicit substances, the instructor determines that the teaching was successful when the class identifies which of the following as the most frequently reported illicit drug? A) Heroin B) Methamphetamine C) Marijuana D) Cocaine C) 36 million people—about 12% of the US population Correct Answer: When working with the community to develop effective plans to meet the needs of people with disabilities, the community health nurse reviews the statistics involving individuals with disabilities. Which of the following would the nurse identify as accurately reflecting the number of persons with ongoing disability? A) 10 million people—less than 5% of the US population B) 27 million people—about 10% of the US population C) 36 million people—about 12% of the US population D) 150 million people—almost 50% of the US population A) A disability is a condition someone has, not something one is. Correct Answer: When explaining the concept of disability to a local community group, which of the following descriptions would be most appropriate for the nurse to include? A) A disability is a condition someone has, not something one is. B) The plan of care for two persons with the same disability would be the same. C) A disability refers to a person's inability to do something. D) Handicap and disability are two terms that go hand in hand. C) Those with increased risk for adverse health outcomes Correct Answer: Which of the following would a community health nurse use to define vulnerable populations? A) Those persons with higher mortality rates B) Individuals with lower life expectancy C) Those with increased risk for adverse health outcomes D) Individuals with chronic illness A) Resource availability B) Relative risk C) Health status Correct Answer: When assessing vulnerable populations, a community health nurse uses a popular model that contains three related concepts. Which of the following would the nurse include? Select all that apply. A) Resource availability B) Relative risk C) Health status D) Housing E) Education A) Insurance Correct Answer: A community health nurse is applying the Behavioral Model for Vulnerable Populations when evaluating a local community. Which of the following would the nurse include as an enabling factor? A) Insurance B) Acculturation C) Knowledge of disease D) Marital status C) Sending a personal donation to an agency in the area Correct Answer: Which of the following would be least helpful to a novice community health nurse working with vulnerable populations who is feeling overwhelmed and somewhat guilty about his or her personal situation as compared to his or her clients? A) Setting up an community agency clothing drive collection B) Working for changes in community attitudes C) Sending a personal donation to an agency in the area D) Remaining grounded A) The over-80 years age group is the fastest growing segment of the group. Correct Answer: When describing the changes occurring in the older adult population globally, which of the following would be most accurate? A) The over-80 years age group is the fastest growing segment of the group. B) Males have a longer projected life expectancy when compared with females. C) Most countries have adequate numbers of social programs for older adults. D) Adults over age 65 are expected to account for about 25% of the population by 2050. B) Old-old Correct Answer: A community health nurse is working with an older adult population ranging in age from 75 to 85 years. The nurse correctly classifies this group as which of the following? A) Young-old B) Old-old C) Oldest-old D) Elite-old C) Ageism Correct Answer: While working with another group of community health nurses, a nurse overhears one of the nurses saying, "That older man should just retire. He's 70 years old. How productive can he be?" The nurse interprets this statement as reflecting which of the following? A) Prejudice B) Bias C) Ageism D) Insight A) It is normal for older adults to become more confused and childlike, forgetful, and lose contact with reality as they age. They become "senile." D) As age increases, older adults withdraw, become inactive, and cease being productive. Correct Answer: Which of the following statements are common misconceptions about older adults? Select all that apply. A) It is normal for older adults to become more confused and childlike, forgetful, and lose contact with reality as they age. They become "senile." B) As older adults age, they become more different and less alike other older adults. C) Older people are very capable of learning new things. D) As age increases, older adults withdraw, become inactive, and cease being productive. B) Elder's partner Correct Answer: When describing elder abuse to the families of older adults who are attending a local community presentation, which of the following would the community health nurse identify most commonly as the perpetrator? A) Elder's adult child B) Elder's partner C) Elder's neighbor D) Elder's grandchild A) Risk reduction for heart disease Correct Answer: A community health nurse is working with other professionals to develop preventive programs to address the leading cause of death in men and women. Which of the following would be appropriate? A) Risk reduction for heart disease B) Cancer screening C) Safety education D) Flu vaccine immunization A) The life expectancy for White women is 4 years greater than for Black women. Correct Answer: Which one of the following statements about life expectancy is most accurate? A) The life expectancy for White women is 4 years greater than for Black women. B) The life expectancy for Black men is 6 years greater than for White men. C) In the United States, life expectancy continues to decline. D) There is a gap in life expectancy between women and men of more than 6 years. B) Southeast Correct Answer: A community health nurse is working with a grant funded project to address stroke prevention nationwide. After reviewing statistics related to stroke, which would the nurse identify as having the greatest need for this type of program? A) North central B) Southeast C) Southwest D) Pacific northwest C) "Diseases of the heart and cerebrovascular diseases are the first and third causes of death in adults." Correct Answer: The nurse educator is aware that the nursing student has a grasp of the major health problems of adults when the nursing student makes which one of the following statements? A) "Morbidity and mortality among adults does not vary much by age, gender, and race/ethnicity." B) "The six leading causes of death in adults include suicide, Alzheimer's disease, and homicide." C) "Diseases of the heart and cerebrovascular diseases are the first and third causes of death in adults." D) "Malignant neoplasms, chronic lower respiratory diseases, unintentional injuries, and diabetes mellitus are not among the six leading causes of death in adults." C) Prescription drugs Correct Answer: A community health nurse is preparing a presentation about drug use and abuse for a group of adults. Which of the following would the nurse include as the one of the fastest growing forms of drug abuse? A) Cocaine B) Alcohol C) Prescription drugs D) Heroin D) Have a pelvic examination and Pap smear Correct Answer: As part of a health screening program, a community health nurse determines that a client is infected with the human papilloma virus (HPV). The community health nurse encourages the client to do which of the following? A) Get a mammogram immediately B) Have her blood glucose level checked C) Undergo testing for a breast cancer gene D) Have a pelvic examination and Pap smear B) Healthy weight Correct Answer: A community health nurse who is participating in a nutritional screening program with school-age children measures their body mass index (BMI). The majority of children fall within the 45th to 65th percentile for their age. The nurse would classify these children as which of the following? A) Underweight B) Healthy weight C) At risk for overweight D) Overweight C) Urging participation in physical activity for 30 minutes per day Correct Answer: Which of the following measures would be most appropriate for a community health nurse to include when developing programs to address childhood obesity? A) Encouraging television watching for about 3 hours per day B) Suggesting that families eat less meals together at home C) Urging participation in physical activity for 30 minutes per day D) Limiting the intake of unsaturated oils in cooking B) Birth weight is one of the most important predictors of infant mortality. Correct Answer: Which one of the following statements about low-birth-weight and very-low-birth-weight babies is most accurate? A) Low-birth-weight is more common in Whites and Hispanics than African Americans. B) Birth weight is one of the most important predictors of infant mortality. C) The incidence of low-birth-weight in the United States is decreasing in relation to the increase in multiple births. D) Recent trends in very-low-birth-weight babies show that they continue to have morbidity with significant increases in survival. C) Increase in the number of infants put to sleep on their backs Correct Answer: A community health nurse is integrating the Healthy People 2010 goals into suggested programs for a local community. Which of the following goals would the nurse identify as having been met?