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NMNC 1220 Combined Sets Exam @
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NMNC 1220 Combined Sets Exam@ 2024-2025
Which term best describes the concept of the health outcomes of a defined group of
people along with the distribution of health outcomes within that group?
a. Public health
b. Community health
c. Population health
d. Health equity - Answer c
What is the primary difference between community and public health nursing?
a. Public health nurses work with at-risk populations to prevent disease and protect
health, whereas community health nurses' focus is on health promotion.
b. Community health nursing focuses on care provided at the primary prevention level,
whereas public health focuses on care provided at the tertiary prevention level.
c. Public Health nurses work for a recognized public unit and are legally responsible for
ensuring the public's health, whereas community health nurses work for community or
faith-based agencies that are not affiliated with any government or political unit.
d. Public health nursing focuses on assessment of population health needs and policy
development to reduce health risks to populations, whereas community health nursing
focuses on assuring that the population's health needs are met. - Answer c
Which nursing intervention best illustrates a population health activity at the community
level of practice?
a. Revises the training requirements for school health aides
b. Presents a petition to Congress for healthcare coverage for migrant workers
c. Counsels an older adult about treatment of sexually transmitted infections
d. Works with a coalition to develop a teen crisis hotline - Answer d
Which factors are considered social determinants of health? (Select all that apply.)
a. Age
b. Income
,c. Discrimination
d. Education
e. Sex
f. Family history of heart disease - Answer b,c,d
Using Healthy People 2020 as a guide, which of the following would improve delivery of
care to a community? (Select all that apply.)
1. Community assessment
2. Implementation of public health policies
3. Home safety assessment
4. Increased access to care
5. Determining rates of specific illnesses - Answer 1,2,4,5
A community health nurse is working in a clinic with a focus on asthma and allergies.
What is the primary focus of the community health nurse in this clinic setting? (Select all
that apply.)
1. Decrease the incidence of asthma attacks in the community
2. Increase patients' ability to self-manage their asthma
3. Treat acute asthma in the hospital
4. Provide asthma education programs for the teachers in the local schools
5. Provide scheduled immunizations to people who come to the clinic - Answer 1,2,4
The nurse caring for a refugee community identifies that the children are
undervaccinated and the community is unaware of resources. The nurse assesses the
community and determines that there is a health clinic within a 5-mile radius. The nurse
meets with the community leaders and explains the need for immunizations, the location
of the clinic, and the process of accessing health care resources. Which of the following
practices is the nurse providing? (Select all that apply.)
1. Raising awareness about community resources for the children
2. Teaching the community about health promotion and illness prevention
3. Promoting autonomy in decision making about health practices
4. Improving the health care of the community's children
5. Participating in professional development activities to maintain nursing competency -
Answer 1,2,4
,What factor results in vulnerable populations being more likely to develop health
problems?
1. The ability to use available resources to find housing
2. Adequate transportation to the grocery store and community clinics
3. Availability of others to help provide care
4. Limited access to health care services - Answer 4
Many older homes in a neighborhood are undergoing a lot of restoration. Lead paint was
used to paint the homes when they were built. The community clinic in the neighborhood
is initiating a lead screening program. This activity is based on which social determinant
of health? - Answer Physical environment
A community health nurse conducts a community assessment focused on adolescent
health behaviors. The nurse determines that a large number of adolescents smoke.
Designing a smoking cessation program at the youth community center is an example of
which nursing role?
1. Educator
2. Counselor
3. Collaborator
4. Case manager - Answer 2
A nurse in a community health clinic reviews screening results from students in a local
high school during the most recent academic year. The nurse discovers a 10% increase
in the number of positive tuberculosis (TB) skin tests when comparing these numbers to
the previous year. The nurse contacts the school nurse and the director of the health
department. Together they begin to expand their assessment to all students and
employees of the school district. The community nurse was acting in which nursing
role(s)? (Select all that apply.)
1. Epidemiologist
2. Counselor
3. Collaborator
4. Case manager
5. Caregiver - Answer 1,3
A nursing student is giving a presentation to a group of other nursing students about the
needs of patients with mental illnesses in the community. Which statement by the
student indicates that the nursing professor needs to provide further teaching?
, 1. "Many patients with mental illness do not have a permanent home."
2. "Unemployment is a common problem experienced by people with a mental illness."
3. "The majority of patients with mental illnesses live in long-term care settings."
4. "Patients with mental illnesses are often at a higher risk for abuse and assault." -
Answer 3
The nurse in a new community-based clinic is requested to complete a community
assessment. Order the steps for completing this assessment.
1. Structure or locale
2. Social systems
3. Population - Answer 1,3,2
The public health nurse is working with the county health department on a task force to
fully integrate the goals of Healthy People 2020. Most of the immigrant population do not
have a primary care provider, nor do they participate in health promotion activities; the
unemployment rate in the community is 25%. How does the nurse determine which goals
need to be included or updated? (Select all that apply.)
1. Assess the health care resources within the community.
2. Assess the existing health care programs offered by the county health department.
3. Compare existing resources and programs with Healthy People 2020 goals.
4. Initiate new programs to meet Healthy People 2020 goals.
5. Implement educational sessions in the schools to focus on nutritional needs of the
children. - Answer 1,2,3
A nurse in a clinic that provides direct care services to clients with tuberculosis would
be classified as practicing:
a. community-based nursing.
b. community-oriented nursing.
c. institutional nursing.
d. public health nursing. - Answer a
Jennifer is a nurse in a family medicine clinic. Today she is assessing Jose, a 4-year-old
who is being seen for an earache. The type of nursing Jennifer practices is:
a. community-oriented nursing.
b. community-based nursing.
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