NR442 / NR-442 Exam 1 (Latest Update ):
Community Health Nursing | Complete Guide with
Questions and Verified Answers | 100% Correct -
Chamberlain
Which factor is most responsible for differences in an individual's health?
a. Culture of the majority of the community's citizens
b. Individual's education and income
c. Number of physicians and other health care providers in the community
d. Quality of the community health agency and hospital in the community - ANSWERb
A 50-year-old woman comes to the clinic for her first mammogram. Which of the
following best describes the action of this client?
a. Disease prevention
b. Health improvement
c. Health protection
d. Primary health promotion - ANSWERc
A case of severe acute respiratory syndrome (SARS) was diagnosed immediately on
signs of illness at a tourist site in China. Which of the following actions should be taken
to protect the badly needed income from tourist dollars?
a. Close the airports and refuse to let the tourists in the area leave
b. Begin to immunize everyone in the immediate area with protective vaccine as soon
as possible
c. Quarantine the ill person and use isolation techniques when providing care
d. Screen everyone in the area by requiring a blood and urine sample - ANSWERc
A city that depended on tourist dollars had feedback that tourists were saying they were
never returning because of the constant mosquito bites. Which of the following actions
should be taken by the city?
a. Do not have any tourist events at dawn or dusk.
b. Have everyone in town search for and remove any standing stagnant water.
c. Give free bug repellent to each tourist.
d. Tell tourists to avoid wearing bright colors. - ANSWERb
A client has developed pellagra because of a lack of certain B vitamins. Which of the
following best describes the classification of the nutritional deficiency?
a. Relative risk factor
b. Agent factor
c. Environment factor
d. Host factor - ANSWERb
,A community health clinic put a tax levy on the ballot. An angry man asks a nurse, "How
can you ask me to pay taxes to buy immunizations for parents who do not want to pay
for their kids to get their shots?" Which of the following is the most appropriate response
by the nurse?
a. "Don't you think ethically we should help if we can?"
b. "For many of us, our faith says we have to treat our neighbor as ourselves."
c. "Only by getting almost everyone immunized can we prevent epidemics that can hurt
us all."
d. "The law requires childhood immunizations, and, if parents can't afford it, you and I
will have to help pay." - ANSWERc
A community health nurse determined exactly how many cases of a particular disease
were currently occurring in the community. Which of the following actions should the
nurse take before determining what interventions should be planned?
a. Analyze whether the disease was a priority to the nurse's agency
b. Compare the current rate with the previous rate of disease
c. Determine what resources are available to intervene
d. Share the findings with the public health agency leadership - ANSWERb
A community health nurse found a very small number of families in the community who
were desperately in need of basic preventive health services. Which of the following
ethical approaches supports expending agency resources on these few, but needy,
families?
a. Beneficence suggests focusing on the most needy, so resources should be expended
on these families.
b. Deontological ethics suggest that the nurse must give priority to the intervention that
would have the broadest impact.
c. Utilitarianism (the most good for the largest number) would suggest continuing to
focus on broader community needs.
d. Virtue ethics would suggest focusing on these families to support the nurse's own
character development. - ANSWERa
A community health nurse has completed a community assessment and is now writing a
community diagnosis for the problem. Which component of the diagnosis will be used to
summarize the assessment data of the problem?
a. Identification of the health risk
b. Evidence supporting the choice of priority
c. The aggregate that needs the intervention
d. The cause of the identified health problem - ANSWERa
A community health nurse has determined that the number one priority is to help
families in which one member has diabetes. Which of the following actions would be
most appropriate to maximize services to persons with diabetes?
a. Ask friends with diabetes about what services they want improved.
b. Duplicate the diabetic organization's services, because not all patients with diabetes
have yet received services.
,c. Meet with the diabetic organization to see how the public health department can
augment what it is offering.
d. Submit a request for funding so that the public health department can also offer
services to patients with diabetes. - ANSWERc
A community health nurse is overwhelmed with all that needs to be done in one day.
Which task could most easily be postponed?
a. Reviewing the most recent hospital patient data collected by the local college of
nursing
b. Deciding which of several possible new clinic options would be most effective in
better meeting the needs of the local community
c. Evaluating the results of the most recent community-wide screening program before
planning for the next community health program
d. Giving testimony to the state legislature on a new health and safety bill - ANSWERa
A day care center asked the nurse to come because they had several children out as a
result of chickenpox. Which of the following statements should the nurse make to the
staff?
a. "Chickenpox has low infectivity so few children will get sick."
b. "Chickenpox has low pathogenicity so the children won't be sick enough to stay home
if the parents really need to go to work."
c. "Chickenpox has low virulence so the children will be back at the day care center in a
week or so."
d. "Adults never catch chickenpox, so the staff are safe and may continue working." -
ANSWERc
A female client develops a fungal vaginal infection after being treated with antibiotics for
strep throat. Which of the following components of the epidemiological triangle is
primarily responsible?
a. Agent
b. Environment
c. Host
d. Interaction of agent and environment - ANSWERc
A new public health nurse carefully assessed all the local mortality and morbidity data in
preparation for making appropriate planning suggestions at a meeting next week. What
other action is crucial before the nurse can feel prepared?
a. Ask other nursing staff their perceptions of the community's needs
b. Assess the nurse's own assets, strengths, and ability to contribute
c. Meet members of the community to determine their culture and values
d. Review discussions and decisions from previous meetings - ANSWERc
A nurse assessed carefully and created a comprehensive intervention plan including
primary, secondary, and tertiary care for individuals and families. Which of the following
factors may the nurse have overlooked?
a. Are other staff members interested in such a project?
, b. Are there adequate resources for such a project?
c. Is there support from the administration for the project?
d. Does the nurse have adequate energy and time for such a project? - ANSWERb
A nurse begins to collect information about a particular health problem from community
residents. Which of the following potential problems would most likely arise?
a. Residents might become suspicious about why the nurse needs this information.
b. Residents might believe the nurse is becoming intrusive in their personal lives.
c. Residents might wonder why they are being asked about the problem when previous
surveys may also have asked about the same problem.
d. Residents might begin to expect service to be given to address the problem. -
ANSWERd
A nurse decided that a high-risk aggregate most needed education about diabetes.
Which of the following would be the best approach when teaching the group?
a. Involve participants in small group activities applying the information.
b. Organize the information into a visual presentation such as a PowerPoint
presentation.
c. Share the nurse's expertise directly with the group at a meeting for that purpose.
d. Use handouts and pamphlets with pictures consistent with the local cultural groups
throughout. - ANSWERa
A nurse found that several professionals resented time spent interacting with and
teaching clients. Which of the following describes the most likely underlying motivation
for resisting client involvement?
a. Believing that people could change their lives if they really wanted to do so.
b. Empowering others shifts power from the experts to the community.
c. It is more efficient to plan appropriate care without listening to client ideas.
d. Longtime experience with community members has led to disillusionment. -
ANSWERb
A nurse had all the details carefully arranged for a project: location, speaker, seating
arrangement, refreshments, handouts, visual aids, and students to distribute and collect
evaluation sheets. Which of the following aspects of the project may be a problem?
a. The administrator's greetings went over time.
b. The environment was so comfortable that no one listened to the presentation.
c. Something totally unexpected and unplanned for happened.
d. A student lost the evaluation sheets. - ANSWERc
A nurse has assessed an aggregate, determined the priority health needs, and decided
on what intervention to offer. Which of the following will best determine if the
intervention will be successful?
a. Accuracy of the nurse's assessment
b. Careful planning and implementation of the intervention
c. Determination of the aggregate's perspective of the need for the intervention
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