Exam (elaborations)
Community Final Part 1.
- Institution
- Final Community NCLEX Questiosn.
Community Final Part 1.
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Community Final Part 1Jennifer 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.
C. public health nursing.
D. tertiary health nursing. - correct answer-B. community-based nursing.
A community-oriented nurse has identified obesity as a problem in the middle school. The
next step in a population-focused practice is to make information available about the health
of the middle school students. This describes the public health core function of:
A. assessment.
B. assurance.
C. policy development.
D. research. - correct answer-A. assessment.
A state agency has received multiple complaints regarding the availability of elder
transportation services to a specific county senior center. The state agency assigns a public
health nurse to work with the community to evaluate its program for elder transportation
services to publicly sponsored elder care programs. The public health core function applied
is:
A. assurance.
B. policy development.
C. primary prevention.
D. public transportation. - correct answer-A. assurance.
A nurse planning a smoking cessation clinic for adolescents in the local middle schools and
high schools is providing:
A. community-oriented care.
B. community-based care.
C. secondary care.
D. tertiary care. - correct answer-A. community-oriented care.
Public health nursing is a specialty with a distinct focus and scope of practice and requires a
special knowledge base different from other specialty areas of nursing. A public health nurse
would first be interested in:
A. drug treatments for diabetes.
B. populations with the highest rate of diabetes.
C. educational materials for individuals with diabetes.
D. new technology for diabetic care. - correct answer-B. populations with the highest rate of
diabetes.
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. - correct answer-A. community-based nursing.
A school nurse teaches three middle school students with asthma conditions techniques to
minimize their incidence of bronchial spasms. This is an application of:
A. community-based nursing.
B. community-oriented nursing.
C. institutional nursing.
D. public health nursing. - correct answer-A. community-based nursing.
In a community clinic that screens and treats individuals for cardiovascular disorders, the
nurse practicing public health/population-focused nursing would most likely ascertain:
A. a holistic treatment plan.
B. a specific clinical diagnosis.
C. individual dietary interventions for cardiovascular disorders.
D. the prevalence rate of cardiovascular disorders among various groups. - correct
answer-D. the prevalence rate of cardiovascular disorders among various groups.
In a federally funded preschool program such as Head Start, nursing services that include
conducting developmental-level screening for cognitive and psychomotor development of
individual children would most likely be considered community-oriented nursing care when:
A. individual results are compared with established standards for children of the same age
group.
B. program characteristics are assessed for their effectiveness in making the school
population healthier.
C. referral is provided for a child identified with delayed psychomotor development.
D. treatment is initiated for a child with an identified learning disability. - correct answer-A.
individual results are compared with established standards for children of the same age
group.
The public health nurse deals with the examination of a community setting to determine the
community's health status. Which of the following activities should be considered in the
assessment phase? (Select all that apply.)
A. Assisting communities to implement and evaluate plans and projects
B. Building constituencies to work with the community
C. Collecting, analyzing, and disseminating information
D. Evaluating the social, economic, and environmental characteristics of the population
E. Questioning the availability of health services to the community - correct answer-C.
Collecting, analyzing, and disseminating information
D. Evaluating the social, economic, and environmental characteristics of the population
E. Questioning the availability of health services to the community
The term "instructive district nursing" was coined in the nineteenth century to describe the
relationship of nursing to:
A. health education.
B. home health care.
C. settlement houses.
,D. visiting nurse services. - correct answer-A. health education.
In the United States, the current system of the local government's responsibility for providing
care for the disenfranchised emerged from:
A. Elizabethan Poor Law
B. Florence Nightingale
C. Public Health Service (PHS)
D. Federal Emergency Relief Administration (FERA) - correct answer-A. Elizabethan Poor
Law
Community-oriented nursing in the twenty-first century has been influenced by historical
events and government initiatives that support the approach of:
A. caring for the disenfranchised.
B. illness care.
C. keeping the public healthy.
D. preventing acute illness. - correct answer-C. keeping the public healthy.
In 1902 Lillian Wald introduced the concept of school nursing to address the problem of
student absenteeism by:
A. enforcing the Department of Health's rules and regulations.
B. excluding infectious children from the school environment.
C. providing and obtaining medical treatment for absent students.
D. providing shoes and clothing for absent students. - correct answer-C. providing and
obtaining medical treatment for absent students.
The historical nursing figure who contributed to establishing the foundation for current
community health and nursing in community health by working in military field hospitals
using a population-based approach that improved nursing care and environmental conditions
was:
A. Florence Nightingale.
B. Frances Root.
C. Lillian Wald.
D. Mary Breckinridge. - correct answer-A. Florence Nightingale.
Mary Breckinridge established the Frontier Nursing Service (FNS) in 1925. One of
Breckinridge's primary contributions to health care in the United States was:
A. the Federal Emergency Relief Administration (FERA).
B. introduction of the first nurse-midwives.
C. the nursing process.
D. occupational health nursing. - correct answer-B. introduction of the first nurse-midwives.
Congress-supported categorical funding has produced what negative effect on the delivery
of health care services?
A. Beginning of 2-year associate's degree programs in nursing.
B. A reduction in comprehensive community health programs
C. End of insurance company support for visiting nurses.
D. Rise in hospital-based care. - correct answer-B. A reduction in comprehensive community
health programs
, Which of the following statements accurately reflects the current status of nursing in
community health?
A. Each type of nurse is needed in today's communities.
B. Community health serves only clients with chronic conditions.
C. Comprehensive reform of health care is required.
D. People no longer believe they can protect themselves. - correct answer-A. Each type of
nurse is needed in today's communities.
Which of the following factors assisted such community-oriented nursing pioneers as Lillian
Wald to develop approaches and programs to solve the health care and social problems of
the late 1800s? (Select all that apply.)
A. Community health's focus on teaching and prevention
B. Establishment of settlement houses
C. Establishment of the Town and Country Nursing Services in large cities
D. Lack of public interest in limiting disease
E. Middle and upper class fear of diseases - correct answer-A. Community health's focus on
teaching and prevention
B. Establishment of settlement houses
E. Middle and upper class fear of diseases
What was the initial impact of African-American nurses working in the public health setting?
(Select all that apply.)
A. African-American nurses in the South were paid less than their white counterparts.
B. African-American nurses held supervisory roles.
C. Public health nursing certificate and graduate education programs were segregated in the
South.
D. Nursing education for southern nurses was provided through free educational grants.
E. Study outside the South for southern nurses was difficult to afford and study leaves from
the workplace were rarely granted. - correct answer-A. African-American nurses in the South
were paid less than their white counterparts.
C. Public health nursing certificate and graduate education programs were segregated in the
South.
E. Study outside the South for southern nurses was difficult to afford and study leaves from
the workplace were rarely granted.
The federal agency most responsible for improving the health status of the American people
is the:
A. Office of Health Preparedness.
B. Office of Global Affairs.
C. Food and Drug Administration.
D. U.S. Department of Health and Human Services. - correct answer-D. U.S. Department of
Health and Human Services.
A nurse works in a free clinic for uninsured low-wage employees in the community. The free
clinic setting operates in a primary health care (PHC) strategy. The nurse would most likely
focus on:
A. Incidence of the disease.
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