Community Health Theory Exam 1 Questions and Answers

Community Health Theory Exam 1 Questions and Answers What statement is most accurate about the concept of community? A.A community is a collection of people who share some important features of their lives. B.Community members live in the same geographic location. C.Community members are biologically related. D.A community is made up of people who do not necessarily interact with one another and do not necessarily share a sense of belonging to that group. A. A community is a collection of people who share some important features of their lives. Which statement would best describe the difference between public health nursing and community health nursing? A.Public health nursing is focused on the private aspects of health, and community health nursing is focused on the public aspects of health. B.Community health practice refers to a focus on specific, designated communities and is a part of the larger public health effort. C.Public health nursing and community health nursing relate to the very same types of services and perspectives. D.Both public health nursing and community health nursing are practiced exclusively within institutions. B. Community health practice refers to a focus on specific, designated communities and is a part of the larger public health effort. The nurse is working with a community of solution. Which would the nurse expect to find? A.Locational boundaries B.Sharing of a similar goal C.Common goal binding members together D.A health problem affecting the group D. A health problem affecting the group The term health can be described in many different ways. A community health nurse would interpret health as? A.The absence of disease B.The potential to lead a productive life C.An environment free of toxins D.A holistic state of well-being D. A holistic state of well-being A nurse is discussing the growth and changes of community health nursing with a group of student nurses. Which factor will the nurse mention is most notable before 1850? A.Technical advances with the Industrial Revolution making major changes B.Care provided by family members, friends, and religious groups in the home C.Accomplishments stemming from the work of Florence Nightingale D.Formal organization of visiting nursing to provide care to the sick poor B. Care provided by family members, friends, and religious groups in the home The initiation of district nursing in the late 1800s continued to advance the field of public health nursing. Which most important contributing factor should the nurse recognize from district nursing? A.Cared for the sick B.Taught hygiene and cleanliness C.Prevented illness D.Gathered statistical data B. Taught hygiene and cleanliness A nurse is preparing a presentation outlining the history of community health nursing. Which individual will the nurse present as the first community health nurse in the United States? A.Frances Root B.Mary Robinson C.Mary Seacole D.Reba Thelin A. Frances Root A class of nursing students are studying district nursing. The instructor recognizes the class understands the information by identifying which source as the early sponsors? A.Public funding B.Contributions C.Private philanthropy D.Religious organizations D. Religious organizations Which activity would the community health nurse be involved with at the primary level of prevention? A. Screening B. Partner notification C. Immunization D. Isolation C. Immunization Primary level of prevention would include education and immunization. Screening, partner notification, and isolation are secondary level prevention strategies. Implementing any of the three main approaches to the tertiary prevention of communicable disease includes: A. Education, immunization, and screening. B. Screening, immunization, and isolation and quarantine. C. Case and contact investigation, notification, and treatment. D. Care and treatment, isolation and quarantine, and safe handling and control of infectious wastes. D. Care and treatment, isolation and quarantine, and safe handling and control of infectious wastes The community health nurse is investigating the role of an agent in the cause of an illness. What is the nurse examining? A. Host B. Portal of exit C. Infectiousness D. Virus D. Virus Which communicable disease prevention interventions are appropriate to be implemented by community health nurses? Select all that apply. A. Immunization of children and adults B. Disease investigation and case/contact finding C. Diagnosing cases of communicable diseases D. Prescribing treatment for communicable diseases E. Environmental interventions F. Community education A. Immunization of children and adults B. Disease investigation and case/contact finding E. Environmental interventions F. Community education A community health nurse is presenting a program about hepatitis prevention and risk reduction to a local community group. The nurse determines that the group has understood the program when they identify which method as the major mode of transmission for hepatitis B? A. Oral-fecal route B. Exposure to contaminated blood C. Airborne droplet nuclei D. Infected rodents, such as mice and rats B. Exposure to contaminated blood When reporting the identification of a communicable disease and need for investigation, which organization would the community health nurse notify first? A. CDC B. State health department C. Local health department D. National Reported Disease list C. Local health department Community health nurses' practice within the three levels of prevention. In which actions would the community health nurse engage at the primary level of prevention for communicable disease control? Select all that apply. A. Providing TB skin test to children entering kindergarten B. Administering immunizations to senior citizens C. Teaching kindergarten students to wash their hands D. Encouraging parents to complete their children's immunizations E. Providing chest x-rays to people with TB skin tests F. Administering prompt treatment for the symptoms of gonorrhea B) Administering immunizations to senior citizens C) Teaching kindergarten students to wash their hands D) Encouraging parents to complete their children's immunizations Which statement about assessment (one of the core public health functions) and how it can be applied to environmental health is most accurate? A. Assessment includes the investigation of health hazards, surveillance of health issues, examining causes, and assessing needs. B. Assessment is least valuable when related to where the person attends school. C. It is not necessary for nurses to have a background in the environmental health sciences. D. Assessment should be limited to the general population and should not include the increased vulnerability of certain groups. A. Assessment includes the investigation of health hazards, surveillance of health issues, examining causes, and assessing needs. The core public health function of policy development related to environmental health includes: A.Policy development is best left to legislators. B.To be an effective advocate for change, it is only necessary that the nurse speak out. C.There are many ways for public health nurses to participate in policy development related to environmental health. D.Public health nurses are public servants and therefore cannot advocate for public policy. C. There are many ways for public health nurses to participate in policy development related to environmental health. A community health nurse is working with the local health departments to educate the citizens about the effects of radon exposure and its link to possible illness. Which condition would the nurse identify as being a major health concern associated with radon? A.Skin cancer B.Lung cancer C.Diarrhea D.Cardiovascular disease B. Lung cancer Employees working with hazardous chemicals have the "Right to Know" about the chemicals they are working with. Which resource teaches employees about information regarding the chemicals they may be exposed to? A.Material Safety Data Sheet (MSDS) B.Consumer Confidence Report C.Centers for Disease Control and Prevention (CDC) Fact Sheets D.AQI Reports A. Material Safety Data Sheet (MSDS) Which source of information would be least appropriate for the nurse to investigate when attempting to determine the importance of an issue for a community-based intervention? A.Special interest groups B.Client's concern C.State health department D.Local community priorities B. Client's concern A community health nurse has identified the target population and is determining an appropriate intervention. Which action would be most important for the nurse to take next? A.Develop an intervention based on the nurse's previous experiences B.Review the literature for research on previously attempted interventions C.Access the National Center for Health Statistics Web site for data D.Learn about the target population's beliefs and ideas D. Learn about the target population's beliefs and ideas When the community health nurse is examining barriers to successful behavioral change, the nurse identifies that there are no laws in the community that prohibit smoking in public areas, which leads to increased smoking and increased risks to health related to secondhand smoke. The nurse believes that a possible solution is to advocate for a citywide bans on smoking in public locations. Which type of factor is affecting the behavior in the community? A.Enabling factors B.Predisposing factors C.Reinforcing factors D.Unrelated factors A. Enabling factors The community health nurse is discussing the causal pathway framework with a nursing student while assessing the local community. Which statement made by the student indicates the correct application of planning backward? A.Impact, Outcomes, Outputs, Activities, and Input B.Input, Activities, Outputs, Outcomes, and Impact C.Activities, Outputs, Impacts, Outcomes, and Input D.Outcomes, Outputs, Outcomes, and Activities A. Impact, Outcomes, Outputs, Activities, and Input A nursing instructor has encouraged nursing students to research and formulate a health care policy to address a specific need which they feel will be beneficial and determine whom to contact to discuss the suggested policy with. Which group best understands the process? A.Encourage rezoning to allow a farmer's market in a food desert with the city council. B.Request a federal mandate to limit hunting to 18 years and older to prevent accidental shootings. C.Approach several state legislators with proposed changes to Medicare to consider. D.Petition their congressional Senators to pass a bill allowing individuals to have a garden. A. Encourage rezoning to allow a farmer's market in a food desert with the city council.