Exam (elaborations)
Community 2
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Exam of 10 pages for the course ch1 Nursing. at ch1 Nursing. (Community 2)
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Community 2What are the major types of interventions typically planned by community health nurses.
1. Policy setting and implementation.
2. Screening programs
3. Increase community self help
4. Health education programs
5. Designing public green spaces
6. Establishment of service - correct answer-Explanation:
1. CORRECT - policy development that support health of the population and implementation
of theses policies is part of the nursing role; example would be the development of and
campaigning for a clean needle exchange program.
2. CORRECT - screening programs wound be part of the assessment done by the nurse;
example would be blood pressure screenings at a health fair.
3. CORRECT - by increasing ability of the individuals of the community to care for
themselves helps to increase the overall health of the community; example would be
program for expectant parents about infant care
4. CORRECT - health education programs assures that the public has been taught important
health care issues and its preventative aspects; example would be programs presented at
church regarding foods on a low sodium, low fat diet.
5. Community health nurses may take an active role in all health-related areas listed with the
exception of planning green spaces. This project would be a local government civic
responsibility.
6. CORRECT - part of the nursing role is to guarantee that the services needed to support
the health of the community are available; example would be enough nurses to stall the
clinics.
A nurse designs a project to investigate the use of smokeless tobacco of male graduates
from a local high school and their incidence of oral cancer ten years later. This represents
what type of study?
1. Experimental
2. Prospective
3. Cross-sectional
4. Retrospective - correct answer-Explanation:
1. involves the investigator controlling or changing factors suspected of causing the condition
and observing the results.
2. CORRECT - looks forward to find a causal relationship.
3. explores a health condition's relationship to other variables in a specified population at
specific point in time.
4. looks backward in time to find a causal relationship.
, The community nurse plans to address the physical environment within a community through
assessing the:
1. amount of theater performances and art shows offered during the previous year.
2. number of homes in the area with in-ground swimming pools.
3. annual per capita use of tobacco products
4. use and adequacy of emergency response systems. - correct answer-Explanation:
1. example of the sociocultural environment.
2. CORRECT - information about homes represents the physical environment
3. lifestyle choices reflect the behavioral environment.
4. services such as "911", police protection, and civil defense enhances feelings of safety
and security to the community, thus the psychological environment.
A mass screening for hyperlipidemia is being planned by a community nurse. Which of the
following represents the best target group for this project.
1. Women with a BMI of 40 or greater
2. Adults who consume fast food daily
3. Employees at a local manufacturing plant.
4. Males who consume three or more servings of alcohol daily. - correct answer-Explanation:
1. group would not be readily accessible due to potential body image disturbance
2. group would not be easily accessibe.
3. CORRECT - group is accessible and easily identifiable through "contained" place of
employment
4. group would not be easily accessible.
When applying the epidemiological triangle to a disaster event, the nurse recognizes the
host as which of the following?
1. Efforts utilized to prevent, predict, and control the victim's needs.
2. The physical item actually causing the destruction
3. Human characteristics that influence the severity of the disaster effects
4. Factors that directly affect the outcome of the disaster - correct answer-Explanation:
1. not considered a part of the triangle (host, agent nor environment)
2. represents the agent involved in the disaster; examples are infectious agents (bacteria,
viruses, fungi, parasites, etc.), chemical agents (heavy metals, toxic chemicals, pesticides,
etc.), and physical agents (radiation, heat, cold, machinery, power tools).
3. CORRECT - host is represented by the human aspect; examples are genetic
susceptibility, immutable characteristics (family history, age, sex, etc.), acquired
characteristics (immunologic status, heart disease, obesity, etc.), and lifestyle factors (diet,
exercise, drug use, intake of caffeine, use of tobacco products, etc.).
4. represents the environment of the triangle; examples are climate (temperature, rainfall,
number of days of sun, etc.), plant and animal life (agents of reservoirs or habitats for
agents, types and numbers, etc.), human population distribution (crowding, social support,
apartments versus subdivision, number of people per acre/block of land, etc.),
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