Community Health Nursing 206 - exam 1 Questions With Complete Solutions

113. Which of the following would a community health nurse use when conducting an outcome evaluation? A) Organization B) Family progress C) Timing D) Performance Correct Answer B) Family progress 114. A community health nurse is designated as a "mandated reporter." Which of the following best describes this designation? A) The nurse must witness abuse and neglect before being mandated to report. B) The nurse commands that battered women report the abuse. C) The supervising community health nurse is responsible for reporting only known cases of elder abuse. D) The nurse must report any case of known or suspected abuse and neglect in children or elders. Correct Answer D) The nurse must report any case of known or suspected abuse and neglect in children or elders. 115. A community health nurse is providing a community education program about suicide. Which of the following would the nurse include as a common method used by women? A) Hanging B) Firearms C) Vehicle crash D) Overdose Correct Answer D) Overdose 116. Which of the following would be least appropriate for a community health nurse to include in a plan of care at the secondary prevention level for families who may need to respond in a case of crisis in the future? A) Teaching social problem-solving skills B) Helping women develop assertiveness skills C) Providing parenting classes D) Helping to reestablish as sense of safety Correct Answer D) Helping to reestablish as sense of safety 117. A community health nurse is developing a plan of care for families in crisis. Which of the following would be most appropriate for the nurse to include? A) Encourage clients to suppress feelings to minimize pain B) Avoid correcting distorted facts to reduce stress C) Allow clients to blame others for the crisis D) Help clients confront crisis Correct Answer D) Help clients confront crisis 118. During a home postpartum visit, a community health nurse suspects that the woman is experiencing depression. Which of the following responses would be most appropriate? A) "You should try drinking more caffeine to help you be less tired." B) "Don't worry. Good mothers don't hurt their babies." C) "Try napping when the baby is napping." D) "You should be able to achieve perfection with housekeeping tasks while you are still on maternity leave." Correct Answer C) "Try napping when the baby is napping." 119. After teaching a group of students about various community nutritional programs, the instructor determines that the teaching has been successful when the students identify which of the following as a result of the WIC program? A) Increased expenditures for health care B) Decreased rates of large for gestational age babies C) Reduced rates of infant iron deficiency anemia D) Drop in breast-feeding rates Correct Answer C) Reduced rates of infant iron deficiency anemia 120. A community health nurse is developing a plan to address the nutritional needs of infants, toddlers, and preschoolers. Which of the following would the nurse need to incorporate as a major issue associated with nutritional problems? A) Life in the culture of poverty B) Overfeeding of an infant C) Cultural food preferences D) Rapid growth spurts Correct Answer B) Overfeeding of an infant 121. A community health nurse is making a family home visit. The family consists of the mother, father, 1-year-old, and 4-year-old. The mother states that the 4-year-old who is in preschool had a cold last week and now the 1-year-old has it. She asks the nurse if she can use the over-the-counter cold medication that she gave to the 4-year-old for the 1-year-old. Which response would be most appropriate? A) "It shouldn't be a problem if you use that same medication for the 1-year-old." B) "I don't know if the medicine will work, but you can try it and see." C) "That type of medicine should not be used in children under age 2." D) "You should use a smaller dose but watch if it makes him irritable." Correct Answer C) "That type of medicine should not be used in children under age 2." 122. A community health nurse is working with a group of parents who have infants and toddlers. Which of the following would the nurse include in a teaching plan for this group about reducing dental caries? A) Serving sugary foods at mealtimes and not snacks B) Providing juice in a sippy cup between meals C) Allowing the older infant to fall asleep with a bottle D) Permitting snacking throughout the day Correct Answer A) Serving sugary foods at mealtimes and not snacks 123. As one aspect of ensuring adequate brain development in a child, a community health nurse would encourage the intake of which during the first 2 years of life? A) Vitamins B) Fats C) Protein D) Carbohydrates Correct Answer B) Fats 124. Which of the following would a community health nurse expect to assess in the adolescent population with an eating disorder? A) High levels of peer support B) Clear sense of self C) Feelings of being in control D) Distorted body image Correct Answer D) Distorted body image 125. A community health nurse is working with local community agencies to provide services for children and adolescents with disabilities. Based on the nurse's knowledge of the most common disabilities affecting this group, the nurse would advocate for which of the following to address the largest group? A) Special education services B) Speech therapy services C) Mental health services D) Mental retardation services Correct Answer A) Special education services 126. A community health nurse is providing immunizations to school-age children at a local health department. At which age would the nurse expect to administer the first dose of human papilloma virus (HPV) vaccine? A) 9 B) 11 C) 13 D) 15 Correct Answer B) 11 127. A community health nurse is speaking to a group of parents of incoming college freshmen students who will be living in the dormitories. The focus of the program is on the college health program, health issues, and immunizations. Which immunization would the nurse most strongly encourage the students to receive if they have not received it previously? A) Varicella virus vaccine B) Human papilloma virus vaccine C) Meningococcal vaccine D) Influenza vaccine Correct Answer C) Meningococcal vaccine 128. When working with community groups to develop appropriate programs for adolescent health promotion, the nurse integrates knowledge of the Healthy People 2020 objectives, keeping in mind that many of the objectives address which of the following? A) Self-esteem improvement B) Risk-taking behaviors C) Control of disease D) Behavioral issues Correct Answer B) Risk-taking behaviors 129. A nurse is instructing the adult male members of a family on how to perform testicular self examination. Which of the following would the nurse include? A) Performing the examination every 3 months B) Completing the exam right after a hot shower C) Examining both testicles at the same time D) Reporting a slight difference in size of one testicle Correct Answer B) Completing the exam right after a hot shower 130. When developing a plan of care for a group of male patients experiencing erectile dysfunction, which of the following would the nurse expect to institute first? A) Lifestyle changes B) Adjustments to current medications C) Psychotherapy D) Behavior modification Correct Answer A) Lifestyle changes 131. Which of the following would a community health nurse recommend adult men and women over the age of 50 receive yearly? A) Electrocardiogram B) Tetanus booster C) Flexible endoscopy D) Hemoccult stool testing Correct Answer D) Hemoccult stool testing 132. Which of the following comprise the primary criteria for effective programs for older adults? A) Coordination B) Accessibility C) Comprehensive D) Complex E) Quality Correct Answer ABCE A) Coordination B) Accessibility C) Comprehensive E) Quality 133. A group of community health nurses who work in continuing care retirement centers are asked to talk to a group of seniors about what they do. Which of the following would the nurses identify as unique for this setting? A) Accept clients who primarily need skilled nursing services B) Are similar to board and care homes C) Are respite centers for family members of older adults D) Provide a variety of housing and care options that elders need as they age Correct Answer D) Provide a variety of housing and care options that elders need as they age 134. Which of the following care options would be most appropriate for an older adult who experiences confusion, requires daily insulin injections and blood glucose monitoring, and needs assistance with bathing, dressing, and feeding? A) Personal care home B) Respite care C) Intermediate care facility D) Skilled nursing facility Correct Answer D) Skilled nursing facility 135. Which one of the following statements is most accurate when differentiating hospice from palliative care? A) Both palliative care and hospice focus on cure; however, hospice focuses on terminal illnesses, and palliative care focuses on diseases that are more chronic in nature. B) Palliative care consists of comfort and symptom management and is often a part of hospice care. C) Hospice is more of a specific place than a concept of care, whereas palliative care is more of a concept of care. D) Hospice is intended for people who have a projected life expectancy of 6 months or more, and palliative care is intended for people who are actively dying. Correct Answer B) Palliative care consists of comfort and symptom management and is often a part of hospice care. 136. When working with the older adult population in the community, which of the following would be most important for the community health nurse to do? A) Develop case management programs to channel clients to appropriate services B) Place the older adult in skilled nursing facilities for the best care available C) Raise funds to support the needs of the older adults in the community D) Emphasize tertiary prevention at this stage in the lives of the older adult Correct Answer A) Develop case management programs to channel clients to appropriate services 137. After teaching a group of students about the socioeconomic gradient in health, the instructor determines that the students understand the concept when they state that the relationship between social class and health is which of the following? A) Direct B) Inverse C) Positive D) Unequal Correct Answer B) Inverse 138. Which of the following are types of health disparities that are due to inequities that can be corrected? Select all that apply. A) Patients feel that they are unable to trust the information given to them and may not follow it as explained. B) Limited access to appropriate level of care C) Poor access to quality care D) Overt discrimination E) Health-damaging behaviors that are chosen by an individual despite health education and counseling efforts Correct Answer ABCD A) Patients feel that they are unable to trust the information given to them and may not follow it as explained. B) Limited access to appropriate level of care C) Poor access to quality care D) Overt discrimination 139. Which of the following vulnerable populations have been subjected to perceived poor quality of care and access to care? Select all that apply. A) HIV-infected persons B) Persons who use illicit drugs C) People of non-White race/ethnicity D) People of White race/ethnicity E) Homeless persons Correct Answer ABCE A) HIV-infected persons B) Persons who use illicit drugs C) People of non-White race/ethnicity E) Homeless persons 140. In Healthy People 2020, what is the emphasis of the categories of objectives that relate to the goal of "Disability and Health to promote the health and well-being of people with disabilities?" A) A growing emphasis on a holistic approach that recognizes life satisfaction is just as important to health and well-being as preventative services B) A growing realization that healthy-life years for persons with disabilities do not equate to decreased health costs at local, state,