NUR 426 Exam 4 2025
When providing care within the context of primary health care, the most important
person is/are:
1.
The individual/family
2.
The population
3.
The primary-care physician
4.
The medical specialist - answer The individual/ Family
A nurse is looking to reduce the number of adolescents in her community that are using
tobacco. The nurse implements a community-wide program to raise awareness about
the dangers of nicotine use and creates a support group specifically aimed at teens
looking to quit smoking. This is an example of:
1.
Health protection.
2.
Health promotion.
3.
Risk reduction.
4.
Tertiary prevention. - answerHealth Promotion
The nurse at a community-based primary care organization is educating newly hired
nurses about the process used at the clinic for developing public health programs aimed
at benefiting community members whether they attend the clinic or not. The nurse
explains that even though the primary care offered at the clinic focuses on caring for an
individual, the health promotion activities that they are developing for the community are
focused on:
1.
The family.
2.
The health-care provider.
3.
The health-care organization.
4.
The population. - answerThe population
A young woman presents to her primary care provider. Her mother has just been
diagnosed with Huntington's disease, and several other members of her family have
,been diagnosed with the condition as well. She wants to know her options regarding
testing to see if she is a genetic carrier. From an ethical perspective, what issue would
be most important to discuss with the patient?
1.
The cost of Huntington's disease screening
2.
Whether the test is available at the local lab
3.
What will happen when her insurance finds out the results
4.
The fact that there is no known treatment that can alter the progression of the disease -
answerThe fact there there is no known treatment that can alter the progression of the
disease.
A nurse is working with a community center that primarily serves a nearby Native
American tribe. The nurse knows that many of the tribe members suffer from type 2
diabetes. which of the following interventions is an example of tertiary prevention?
1.
Teaching school-aged children healthy exercise.
2.
Conducting a blood glucose screening for program for the adults in the community.
3.
Actively encouraging patients diagnosed with type 2 diabetes to have foot, eye, and
hemoglobin A1C screening tests every 3 months.
4.
Publishing a culturally grounded guide about preventing diabetes using input from the
tribal leaders and distributing it to all persons who come to the clinic. - answerActively
encouraging patients diagnosed with type 2 diabetes to have foot, eye, and hemoglobin
A1C screening tests every 3 months.
A nurse is speaking with her accountant about opening a free clinic as a 501(c)(3)
organization. The accountant advises the nurse:
1.
To charge patients his or her regular fees.
2.
To waive her professional fees but charge for testing and more advanced care.
3.
To charge a nominal fee if the patient can afford to pay but provide services regardless.
4.
To charge a small fee, usually around 25% of the service value. - answerTo charge a
nominal fee if the patient can afford to pay but provide services regardless.
The public health department (PHD) is concerned about an outbreak of measles that
has occurred in a country adjacent to theirs. Although there are currently no reported
cases, as one of their actions the PHD reaches out to all the primary care providers to
encourage all of their unvaccinated patients to get vaccinated and to encourage the
,parents of unvaccinated children to get their vaccinations up to date. Such a public
health initiative is an example of:
1.
A secondary prevention approach related to screening.
2.
A primary prevention approach focused on health protection.
3.
A primary prevention approach focused on health promotion.
4.
A primary prevention approach focused on screening. - answerPrimary prevention
approach focused on health protection.
A nurse working in an inner-city community health clinic is concerned that her patient
education efforts related to achieving a healthy lifestyle are not resulting in any
substantial changes in her patients. When she discussed this with one mother whose
children are struggling with obesity, the mother explained that she is unable to find fresh
fruits and vegetables in their neighborhood and resorts to the use of fast food. This
information makes the nurse wonder if this is true for other families. What should she do
next?
1.
Ask families she sees to keep a food journal to see what food substitutions could be
made.
2.
Perform a problem- or health-issue-based assessment beginning with an assessment of
sources of healthy foods such as supermarkets and farmers markets available in the
community.
3.
Arrange for free bussing from the community center to the closest supermarket.
4.
Refer them to the local supplemental nutri - answerPerform a problem or health issue
based assessment beginning with an assessment of sources of healthy foods such as
supermarkets and farmers markets available in the community.
A new strain of flu has emerged, and the CDC has released a new vaccine that is for
use in high-risk populations. which population is most apt to be high-risk?
1.
Pregnant women
2.
Older adults
3.
Children
4.
All of the above - answerPregnant women, older adults, and children
, A nurse has worked at a community health center for many years. Over the last several
months, the nurse has noticed a significant decline in community members using the
resources available at the clinic. What is the first thing the nurse should do?
1.
Begin offering day care services and free transportation to the clinic to make it more
convenient.
2.
Reach out to former patients to determine why they are no longer returning to the clinic.
3.
Perform a community assessment.
4.
Begin offering a new patient reduced fee rate. - answerReach out to former patients to
determine why they are no longer returning to the clinic.
A nurse is meeting with a patient with no history of IV drug use after he has spoken with
the doctor and received a diagnosis of hepatitis B and E/ The patient expresses concern
that someone will find out about his diagnosis. How does the nurse respond? "I can
understand that you are concerned about this.."
1.
"You do not need to worry because this patient information is protected by HIPAA, and I
am not allowed to provide this information to anyone who is not responsible for your
clinical care."
2.
"However, it is your responsibility to inform all of your previous sexual partners."
3.
"However, this is a reportable disease in this state. This means the public health
department will ask you for all your possible contacts that might requiring counseling
and/or post-exposure prophylaxis."
4.
None of the above. - answerHowever, This is a reportable disease in this state. This
means the public health department will ask you for all your possible contacts that might
require counseling and/or post exposure prophylaxis
A primary Health nurse has observed an increase in the rate of patients being treated
for pertussis in her community. The nurse has seen multiple news reports on the issue
and knows that this isn't an isolated problem. The nurse decides to brainstorm
strategies to reduce the pertussis rate in her community. First, the nurse should:
1.
Consult with local pediatricians about increasing vaccination rates in children.
2.
Begin creating patient education materials to distribute in the waiting room.
3.
Perform a health and cultural evaluation of her community.
4.
Begin offering vaccinations free of charge. - answerPerform a health and cultural
evaluation of her community.
When providing care within the context of primary health care, the most important
person is/are:
1.
The individual/family
2.
The population
3.
The primary-care physician
4.
The medical specialist - answer The individual/ Family
A nurse is looking to reduce the number of adolescents in her community that are using
tobacco. The nurse implements a community-wide program to raise awareness about
the dangers of nicotine use and creates a support group specifically aimed at teens
looking to quit smoking. This is an example of:
1.
Health protection.
2.
Health promotion.
3.
Risk reduction.
4.
Tertiary prevention. - answerHealth Promotion
The nurse at a community-based primary care organization is educating newly hired
nurses about the process used at the clinic for developing public health programs aimed
at benefiting community members whether they attend the clinic or not. The nurse
explains that even though the primary care offered at the clinic focuses on caring for an
individual, the health promotion activities that they are developing for the community are
focused on:
1.
The family.
2.
The health-care provider.
3.
The health-care organization.
4.
The population. - answerThe population
A young woman presents to her primary care provider. Her mother has just been
diagnosed with Huntington's disease, and several other members of her family have
,been diagnosed with the condition as well. She wants to know her options regarding
testing to see if she is a genetic carrier. From an ethical perspective, what issue would
be most important to discuss with the patient?
1.
The cost of Huntington's disease screening
2.
Whether the test is available at the local lab
3.
What will happen when her insurance finds out the results
4.
The fact that there is no known treatment that can alter the progression of the disease -
answerThe fact there there is no known treatment that can alter the progression of the
disease.
A nurse is working with a community center that primarily serves a nearby Native
American tribe. The nurse knows that many of the tribe members suffer from type 2
diabetes. which of the following interventions is an example of tertiary prevention?
1.
Teaching school-aged children healthy exercise.
2.
Conducting a blood glucose screening for program for the adults in the community.
3.
Actively encouraging patients diagnosed with type 2 diabetes to have foot, eye, and
hemoglobin A1C screening tests every 3 months.
4.
Publishing a culturally grounded guide about preventing diabetes using input from the
tribal leaders and distributing it to all persons who come to the clinic. - answerActively
encouraging patients diagnosed with type 2 diabetes to have foot, eye, and hemoglobin
A1C screening tests every 3 months.
A nurse is speaking with her accountant about opening a free clinic as a 501(c)(3)
organization. The accountant advises the nurse:
1.
To charge patients his or her regular fees.
2.
To waive her professional fees but charge for testing and more advanced care.
3.
To charge a nominal fee if the patient can afford to pay but provide services regardless.
4.
To charge a small fee, usually around 25% of the service value. - answerTo charge a
nominal fee if the patient can afford to pay but provide services regardless.
The public health department (PHD) is concerned about an outbreak of measles that
has occurred in a country adjacent to theirs. Although there are currently no reported
cases, as one of their actions the PHD reaches out to all the primary care providers to
encourage all of their unvaccinated patients to get vaccinated and to encourage the
,parents of unvaccinated children to get their vaccinations up to date. Such a public
health initiative is an example of:
1.
A secondary prevention approach related to screening.
2.
A primary prevention approach focused on health protection.
3.
A primary prevention approach focused on health promotion.
4.
A primary prevention approach focused on screening. - answerPrimary prevention
approach focused on health protection.
A nurse working in an inner-city community health clinic is concerned that her patient
education efforts related to achieving a healthy lifestyle are not resulting in any
substantial changes in her patients. When she discussed this with one mother whose
children are struggling with obesity, the mother explained that she is unable to find fresh
fruits and vegetables in their neighborhood and resorts to the use of fast food. This
information makes the nurse wonder if this is true for other families. What should she do
next?
1.
Ask families she sees to keep a food journal to see what food substitutions could be
made.
2.
Perform a problem- or health-issue-based assessment beginning with an assessment of
sources of healthy foods such as supermarkets and farmers markets available in the
community.
3.
Arrange for free bussing from the community center to the closest supermarket.
4.
Refer them to the local supplemental nutri - answerPerform a problem or health issue
based assessment beginning with an assessment of sources of healthy foods such as
supermarkets and farmers markets available in the community.
A new strain of flu has emerged, and the CDC has released a new vaccine that is for
use in high-risk populations. which population is most apt to be high-risk?
1.
Pregnant women
2.
Older adults
3.
Children
4.
All of the above - answerPregnant women, older adults, and children
, A nurse has worked at a community health center for many years. Over the last several
months, the nurse has noticed a significant decline in community members using the
resources available at the clinic. What is the first thing the nurse should do?
1.
Begin offering day care services and free transportation to the clinic to make it more
convenient.
2.
Reach out to former patients to determine why they are no longer returning to the clinic.
3.
Perform a community assessment.
4.
Begin offering a new patient reduced fee rate. - answerReach out to former patients to
determine why they are no longer returning to the clinic.
A nurse is meeting with a patient with no history of IV drug use after he has spoken with
the doctor and received a diagnosis of hepatitis B and E/ The patient expresses concern
that someone will find out about his diagnosis. How does the nurse respond? "I can
understand that you are concerned about this.."
1.
"You do not need to worry because this patient information is protected by HIPAA, and I
am not allowed to provide this information to anyone who is not responsible for your
clinical care."
2.
"However, it is your responsibility to inform all of your previous sexual partners."
3.
"However, this is a reportable disease in this state. This means the public health
department will ask you for all your possible contacts that might requiring counseling
and/or post-exposure prophylaxis."
4.
None of the above. - answerHowever, This is a reportable disease in this state. This
means the public health department will ask you for all your possible contacts that might
require counseling and/or post exposure prophylaxis
A primary Health nurse has observed an increase in the rate of patients being treated
for pertussis in her community. The nurse has seen multiple news reports on the issue
and knows that this isn't an isolated problem. The nurse decides to brainstorm
strategies to reduce the pertussis rate in her community. First, the nurse should:
1.
Consult with local pediatricians about increasing vaccination rates in children.
2.
Begin creating patient education materials to distribute in the waiting room.
3.
Perform a health and cultural evaluation of her community.
4.
Begin offering vaccinations free of charge. - answerPerform a health and cultural
evaluation of her community.
