1.
A nurse organizes a community action group to help resolve health problems in a low income neighborhood
with a large population of recent immigrants from Africa. What problem should the nurse address first?
A) High rate of unemployment.
Feedback: INCORRECT
B)
C) Provision of substandard health care.
Feedback: INCORRECT
D) Access to bilingual care providers.
Feedback: INCORRECT
Feedback: INCORRECT
In the early phase of a community group, it is important for the group to experience success in resolving a
problem so that they feel encouraged and empowered to continue working together. (B) is the problem
easiest to tackle. While (A and C) are important, they are complex problems to address, and it is crucial for
the group to experience success on a smaller scale issue so that they will be encouraged to attempt
resolving more complex problems in the future. (D) is important, particularly with Hispanic immigrant
populations, but not as important as initial group success to this non-Hispanic majority.
Points Earned: 0.0/1.0
Correct Answer(s): B
2.
The nurse is developing a plan to provide quality health care for a certain community. Data obtained from
which resources should be helpful to the nurse in developing a community healthcare plan for this
community? (Select all that apply.)
A) Census data.
Feedback: CORRECT
B) Risk management data.
Feedback: CORRECT
C) Budgeting process information.
Feedback: CORRECT
D) Available workforce in the community.
Feedback: INCORRECT
, E) Client-satisfaction surveys.
Feedback: CORRECT
F) Changes in the community's demographic data.
Feedback: CORRECT
Feedback: INCORRECT
Census data (A), risk management data (B), budgeting process information (C), data obtained from client-
satisfaction surveys (E), and changes in the community's demographic data (F) provide pertinent data for
planning for the current and future healthcare needs of the community. Available workforce (D), although a
concern, is not a factor in quality-assurance directives.
Points Earned: 0.0/5.0
Correct Answer(s): A, B, C, E, F
3.
The nursing education coordinator is creating employee orientation materials for staff nurses who plan to
work at a clinic that serves a lower socioeconomic neighborhood. What information should the educator
include regarding the clinic's client population? (Select all that apply.)
A) Most of the clients are unemployed or disabled.
Feedback: CORRECT
B) Access to mass transit may be an issue.
Feedback: CORRECT
C) Clients will need reminders to bring insurance cards.
Feedback: INCORRECT
D) Basic physiologic needs of this population are often unmet.
Feedback: CORRECT
E) Clients who are homebound will qualify for Medicaid.
Feedback: INCORRECT
F) Nonadherence to healthcare recommendations is likely.
Feedback: INCORRECT
Feedback: INCORRECT
, Correct choices are (A, B, and D). The unemployed or disabled will likely comprise a majority of this
clinic's clients (A); the lack of access to mass transit may affect the population's ability to keep health care
appointments (B); and low-income clients are at risk for basic physiologic needs being left unmet (D). Most
clients are not likely to have health insurance (C) because they lack the funds to pay the insurance
premiums. Homebound status is not a defining qualification for public assistance, such as Medicaid (E). To
state that a low-income population is more likely to be non-compliant with healthcare recommendations is
an example of stereotyping (F).
Points Earned: 0.0/3.0
Correct Answer(s): A, B, D
4.
The nurse is teaching a community group about risks of cardiovascular disease. Several clients ask the
nurse to determine their risk. Which client should the nurse identify as having the greatest risk for
cardiovascular disease?
A) A male with a serum cholesterol level of 199 mg/dl.
Feedback: INCORRECT
B)
C)
D) A female with a low-density-lipoprotein (LDL) level of 160 mg/dl.
Feedback: INCORRECT
Feedback: INCORRECT
The risk factors for cardiovascular disease include nonmodifiable variables, such as gender, family history,
and race, and modifiable variables, such as underlying diseases (hypertension, diabetes mellitus,
hyperlipidemia, and obesity, smoking, sedentary lifestyle, and stress). Laboratory results that support these
risk factors include elevated LDL and serum cholesterol levels, so (C), being male, has a higher risk than
(D). (A and B) have borderline results.
Points Earned: 0.0/1.0
Correct Answer(s): C
5.
An occupational health nurse is reviewing a 20-year-old trend in the United States that has resulted in an
increase in certain medical conditions due to the rapid expansion of an urban industrial workforce. Which
medical conditions are specifically identified with this trend? (Select all that apply.)
A)
B) Alcoholism.
Feedback: INCORRECT
A nurse organizes a community action group to help resolve health problems in a low income neighborhood
with a large population of recent immigrants from Africa. What problem should the nurse address first?
A) High rate of unemployment.
Feedback: INCORRECT
B)
C) Provision of substandard health care.
Feedback: INCORRECT
D) Access to bilingual care providers.
Feedback: INCORRECT
Feedback: INCORRECT
In the early phase of a community group, it is important for the group to experience success in resolving a
problem so that they feel encouraged and empowered to continue working together. (B) is the problem
easiest to tackle. While (A and C) are important, they are complex problems to address, and it is crucial for
the group to experience success on a smaller scale issue so that they will be encouraged to attempt
resolving more complex problems in the future. (D) is important, particularly with Hispanic immigrant
populations, but not as important as initial group success to this non-Hispanic majority.
Points Earned: 0.0/1.0
Correct Answer(s): B
2.
The nurse is developing a plan to provide quality health care for a certain community. Data obtained from
which resources should be helpful to the nurse in developing a community healthcare plan for this
community? (Select all that apply.)
A) Census data.
Feedback: CORRECT
B) Risk management data.
Feedback: CORRECT
C) Budgeting process information.
Feedback: CORRECT
D) Available workforce in the community.
Feedback: INCORRECT
, E) Client-satisfaction surveys.
Feedback: CORRECT
F) Changes in the community's demographic data.
Feedback: CORRECT
Feedback: INCORRECT
Census data (A), risk management data (B), budgeting process information (C), data obtained from client-
satisfaction surveys (E), and changes in the community's demographic data (F) provide pertinent data for
planning for the current and future healthcare needs of the community. Available workforce (D), although a
concern, is not a factor in quality-assurance directives.
Points Earned: 0.0/5.0
Correct Answer(s): A, B, C, E, F
3.
The nursing education coordinator is creating employee orientation materials for staff nurses who plan to
work at a clinic that serves a lower socioeconomic neighborhood. What information should the educator
include regarding the clinic's client population? (Select all that apply.)
A) Most of the clients are unemployed or disabled.
Feedback: CORRECT
B) Access to mass transit may be an issue.
Feedback: CORRECT
C) Clients will need reminders to bring insurance cards.
Feedback: INCORRECT
D) Basic physiologic needs of this population are often unmet.
Feedback: CORRECT
E) Clients who are homebound will qualify for Medicaid.
Feedback: INCORRECT
F) Nonadherence to healthcare recommendations is likely.
Feedback: INCORRECT
Feedback: INCORRECT
, Correct choices are (A, B, and D). The unemployed or disabled will likely comprise a majority of this
clinic's clients (A); the lack of access to mass transit may affect the population's ability to keep health care
appointments (B); and low-income clients are at risk for basic physiologic needs being left unmet (D). Most
clients are not likely to have health insurance (C) because they lack the funds to pay the insurance
premiums. Homebound status is not a defining qualification for public assistance, such as Medicaid (E). To
state that a low-income population is more likely to be non-compliant with healthcare recommendations is
an example of stereotyping (F).
Points Earned: 0.0/3.0
Correct Answer(s): A, B, D
4.
The nurse is teaching a community group about risks of cardiovascular disease. Several clients ask the
nurse to determine their risk. Which client should the nurse identify as having the greatest risk for
cardiovascular disease?
A) A male with a serum cholesterol level of 199 mg/dl.
Feedback: INCORRECT
B)
C)
D) A female with a low-density-lipoprotein (LDL) level of 160 mg/dl.
Feedback: INCORRECT
Feedback: INCORRECT
The risk factors for cardiovascular disease include nonmodifiable variables, such as gender, family history,
and race, and modifiable variables, such as underlying diseases (hypertension, diabetes mellitus,
hyperlipidemia, and obesity, smoking, sedentary lifestyle, and stress). Laboratory results that support these
risk factors include elevated LDL and serum cholesterol levels, so (C), being male, has a higher risk than
(D). (A and B) have borderline results.
Points Earned: 0.0/1.0
Correct Answer(s): C
5.
An occupational health nurse is reviewing a 20-year-old trend in the United States that has resulted in an
increase in certain medical conditions due to the rapid expansion of an urban industrial workforce. Which
medical conditions are specifically identified with this trend? (Select all that apply.)
A)
B) Alcoholism.
Feedback: INCORRECT
