The three components of the Intervention Wheel are: |
C |
Public health nursing practice is guided by the community’s priorities as identified by community: |
A |
Collaboration is an intervention that would be located where in the Intervention Wheel? |
C |
The intervention used to influence the knowledge, attitudes, values, beliefs, behaviors, and practices of the population of interest is referred to as: |
D |
Promotion of the creation of immunization registries that combine immunization information from different sources into a single electronic record to provide official immunization records for schools, daycare centers, health departments, and clinics is a goal of: |
D |
When confirmed cases of the mumps, a vaccine-preventable disease, emerged on college campuses in fall 2006, public health nurses conducted outreach at campuses and collaborated with student health officials to increase the number of students with full immunization compliance. This is an example of: |
A |
A nursing diagnosis of Increased risk for delayed development, injury, and disease because of inadequate parenting by a primary parent experiencing depression would most likely indicate that the nursing process is being applied at the _______ level of practice and the _______ level of prevention. |
A |
After consulting with the health department director, a public health nurse collaborates with a housing advocate service and legal counsel on behalf of the nurse’s clients who live in substandard housing under fear of eviction. The nurse is applying the _______ component of the nursing process to a _______ level of practice. |
C |
A community-level intervention designed to increase the sense of belonging among older community residents at risk for social isolation was implemented by opening a senior center every other Wednesday at a local church that provided lunch and social programs. At the end of 6 months, the attendees were surveyed to determine their experience with the program, barriers to attendance, expansion of their social networks, and involvement in other community activities. This survey allowed the community health nurse to _______ the program and design program improvements. |
A |
Factors related to the determinants of health identified in Healthy People 2020 include which of the following (select all that apply)? |
A,B,C,D,E |
A nurse identifies higher-than-normal levels of lead when screening a 3-year-old child. The nurse works with the local health department to put together a team to address the environmental issues responsible for the child’s abnormal lead level. Team members should include the following specialists: |
D |
An occupational health nurse practitioner’s physical assessment of a factory worker identifies an acute-onset pruritic dermatitis extending over the face, hands, neck, and forearms. The nurse’s priorities should be to: |
D |
A college health nurse is working with students, faculty, and staff to improve environmental air quality. To address the primary cause of air pollution on campus, the nurse plans a precautionary intervention. Which of the following interventions best demonstrates an appropriate approach? |
B |
Campaigns to decrease the inequitable burden of environmental risks on the poor and people of color in the United States strive to apply the ethical principle of: |
D |
A community health nurse manager has integrated exposure history elements into the assessment practices of the health department that are relevant to the urban industrial community served. This strategy indicates that the nurse manager is aware of the relationship between: |
B |
The Superfund Amendments and Reauthorization Act (SARA) increased the involvement of the states and their citizens in the cleanup of toxic waste sites and stressed the importance of permanent remedies and innovative treatment technologies. Another important aspect of this federal legislation was that it: |
B |
The monitoring and public reporting of air quality in a local community to assist individuals with asthma or other respiratory conditions best illustrates the application of: |
B |
When applying the nursing process to environmental health, the nurse would: |
D |
When a nurse evaluates the completeness and accuracy of information made available to community residents regarding the impact of rezoning of land parcels for industrial use, the nurse can best be described as: |
A |
The role of the nurse who wants to become more active in environmental health could include which of the following (select all that apply)? |
A,B,C,D,E |
Which of the following article titles include(s) an example of epidemiologic distribution and determinants (select all that apply)? |
C |
A state public health region reported 39 cases of meningitis in children 15 years of age and younger to date this year. Seven of those children died. The total population of the region is 780,000, of whom 84,000 are children age 15 years old and younger. What is the prevalence proportion of meningitis in this region thus far in the current year? |
C |
A state public health region reported 39 cases of meningitis in children 15 years of age and younger to date this year. Seven of those children died. The total population of the region is 780,000, of whom 84,000 are children 15 years old and younger. What is the age-specific meningitis death rate for children age 15 years and younger for this region to date this year? |
A |
A state public health region reported 39 cases of meningitis in children 15 years of age and younger to date this year. Seven of those children died. The total population of the region is 780,000, of whom 84,000 are children age 15 years old and younger. Only four cases of meningitis were reported in the public health region during the previous year. No other public health region in the state has an incidence of meningitis that is higher than expected for that region. Based on the information given, the relative frequency of meningitis in the region at this time can best be described as: |
B |
John Snow played a critical role in the development of modern disease surveillance when he: |
D |
A business executive develops flu-like symptoms 1 day after returning by air from a trans-Atlantic 2-day conference that involved lengthy meetings into the evening. The scenario best illustrates the interaction of: |
B |
A nurse teaches an asthmatic client to recognize and avoid exposure to asthma triggers and assists the client’s family in implementing specific protection strategies in the home, such as removing carpets and avoiding pets. This nurse’s activities can best be described as: |
B |
A nurse is concerned about the accuracy of the purified protein derivative (tuberculin) test in screening individuals with tuberculosis exposure for followup chest radiography. The nurse’s concern is related to which aspect of the test’s validity? |
B |
Case fatality from breast cancer has decreased in recent years, although the incidence of breast cancer has increased. Descriptive epidemiology would use the component of time to explain this change in terms of: |
D |
When the association between maternal alcohol use and low birth weight is being studied, the nurse investigator’s failure to consider the variable of smoking could introduce bias into the observed association, because smoking has a correlation with both factors. This effect could best be described as: |
B |
A local health department in the Midwest reports cases of certain diseases to the state health department for inclusion in the National Notifiable Diseases Surveillance System (NNDSS). From the perspective of community-level disease monitoring, which of the following 3-year trends in incidence rates for hepatitis A would be of local, state, and national interest? |
C |
A 6-year-old is brought to the emergency department with a full-body rash and fever. During the nursing assessment, which of the following findings would be most relevant to recognizing the case as potential smallpox rather than varicella? |
B |
A school nurse notes that 60 children have missed days of high school because of pertussis this past year and this rate has been relatively constant for the past 5 years. The nurse plans to work with the community to increase awareness of the seriousness of this disease for children younger than 6 months of age and to raise and maintain the immunization rates, because in this community the pertussis is: |
A |
The World Health Organization (WHO) developed the Five Keys to Safer Food campaign in 2001 to address the problem of foodborne and waterborne diarrheal diseases worldwide. This campaign emphasizes which of the following practices? |
A |
An American takes a long-awaited vacation in sunny Mexico, spending days on the beach eating fresh raspberries from a nearby vendor and drinking bottled water. The tourist may be altering: |
A |
An example of secondary prevention of infectious disease is: |
C |
In an effort to address West Nile virus, a community increased livestock immunization, began a vector control program, and initiated a community campaign to eliminate standing water reservoirs. This best exemplifies communicable disease control through: |
B |
When a situation exists in which there is potential contact with blood or body fluids, health care workers must always perform hand hygiene and wear gloves, masks, protective clothing, and other indicated personal protective barriers. The underlying reason for requiring these practices, known as universal precautions, is that: |
A |
Although infectious disease epidemics are still the major cause of death worldwide, they have subsided in the United States because of improvements in nutrition and sanitation, the discovery of antibiotics, and the development of vaccines. Infectious diseases have not vanished, however, and remain a continuing cause of concern. Healthy People 2020 has a number of objectives aimed at reducing these illnesses because of the morbidity, mortality, and costs associated with infectious diseases. One such costly disease trend related to an increase in the performance of invasive diagnostic and surgical procedures, the use of broad-spectrum antibiotics, and treatment with immunosuppressive drugs is the rise of: |
C |
Emerging infectious diseases may arise as a result of factors operating singly or in combination, and these factors may include which of the following (select all that apply)? |
A,B,D,E |
A school nurse is teaching a class of sophomores about the relationship between the risk of sexually transmitted disease (STD) and risk-taking behaviors. A key point to include is: |
D |
A client newly diagnosed with human papillomavirus (HPV) infection, herpes simplex virus 2 (HSV-2) infection, and syphilis asks, "Okay, so how do I get rid of all this stuff?" In developing a plan of care, the nurse recognizes that it is essential to address: |
C |
A nurse is assigned to teach clients sexually transmitted disease (STD) prevention information. The nurse updates her teaching plan to incorporate new guidelines from the Centers from Disease Control and Prevention (CDC). She includes which of the following as updated information during her next teaching session? |
B |
A woman comes to the community health center complaining of increasing lower abdominal pain, fever, and abnormal menses for several months. During the assessment, the client indicates that she is aware that her husband has had multiple sex partners in the past two years. Appropriate intervention by the nurse would be to: |
A |
The clients most at risk of reactivation of latent infections of tuberculosis (TB) are: |
A |
Community health nurses conducting health education among populations vulnerable to HIV infection should explain the natural history of the infection, including the fact that HIV infection may go undetected during the primary infection stage because: |
A |
A client comes to the local clinic with acute symptoms of fever, nausea, lack of appetite, malaise, and abdominal discomfort. During the course of the assessment, the nurse determines that the client is a health care aide working at a daycare center. These facts are important because: |
B |
Many behaviors place any individual-regardless of age, gender, ethnicity, or other characteristics-at greater risk for sexually transmitted diseases (STDs). The nurse should include primary prevention interventions in all client encounters through the discussion of: |
B |
A population-level tertiary prevention intervention typically carried out by nurses caring for those with communicable disease in the community is: |
D |
A client diagnosed with human papillomavirus (HPV) infection states, "I’m not concerned, I know the warts disappear after a while." The nurse should counsel the client regarding which of the following? Select all that apply. |
A,C,E |
Today, an evidence-based nursing practice can best be defined as which of the following? |
A |
Community-oriented nurses use evidence-based practice (EBP) most effectively when they: |
B |
A community-oriented nurse seeks to implement evidence-based practice (EBP) in the community clinic’s programs. The best model for the nurse to apply is: |
B |
A community-oriented nurse introduces a community partnership group to the Healthy People 2020 information access objective to use electronic personal health management tools. This is an example of: |
B |
When nurses work with communities, "best practices"-the application of the best available evidence to improve practice-must also be: |
C |
Although the definitions of evidence-based practice (EBP) in the literature vary widely, their common thread across all health care disciplines is: |
A |
Examples of the application of evidence-based practice (EBP) to improve public health nursing can be found in research projects designed to test the effectiveness of public health nursing interventions related to the core functions and essential services of public health. These projects are associated with: |
C |
When a public health nurse uses evidence-based interventions to evaluate the effectiveness, accessibility, and quality of population-based services within the community, the nurse is addressing the core public health function of: |
B |
Randomized controlled trials are often inappropriate for evaluating many public health interventions. The most common approach to establishing evidence in public health is the use of: |
B |
A community health nurse is revising the agency’s nursing protocols to incorporate current evidence-based practice (EBP) clinical practice guidelines. Common barriers to EBP implementation that could be faced include which of the following (select all that apply)? |
A,B,D,E |
Which action by the community-oriented nurse best illustrates a partnership for health? |
C |
A rural public health nurse is in the first phase of a community assessment to determine the community health status characteristics of the local county. This initial data gathering should most likely begin with which agency? |
C |
Which community attribute is an indicator of a community’s health status? |
D |
A community-oriented nurse leader is working with a community partnership to improve access to services for the underserved by planning an expansion of the local community health clinic. This nursing intervention strategy is focused on which of the following community health dimensions? |
D |
The community practice nurse is preparing to initiate a community partnership with a neighborhood watch association to address teenager street vandalism. The nurse is evaluating the community health dimension of process and seeks to determine the community’s: |
A |
The most important aspect of the nursing community assessment phase can best be described as: |
C |
A rural community health nurse has made sure that male and female lay advisors are involved in the health department’s migrant worker outreach program. The nurse believes this intervention strategy is important because the nurse knows that such individuals can be: |
A |
The community planning board’s evaluation of a community intervention (child immunization campaign) carried out by the health department determined that some progress was made toward the desired outcome (target rate of childhood immunization), but the degree of progress achieved was not sufficient to offset the initial effort in terms of cost and time to launch the campaign. The community determined that the rate gain was not adequate when compared with that achieved through similar initiatives in other communities, which obtained better results by using more efficient strategies. The budget for this program was cut. This community decision best exemplifies which statement about evaluation? |
B |
If the community is where nurses practice and apply the nursing process, and the community is the client in that practice, then nurses will want to analyze and synthesize information about: |
A |
Which of the following are the best argument(s) for supporting community-as-client nursing (select all that apply)? |
A,B,C,D |
Public health nurses are challenged to respond to public health-related trends of the twenty-first century, which include: |
A |
Rapid changes in public health are providing a challenge to public health nurses because there is neither time nor staff to provide nurses with the on-the-job training needed to acquire the core public health competencies required of the public health nurse. This resulted in revisions to the American Nurses Association (ANA)’s Scope and Standards of Public Health Nursing Practice in 2005 that established: |
C |
A public health nurse in the local health department assists the community in identifying the health need priorities and the services that can best meet these needs in a cost-effective manner. This is an example of the tertiary prevention public health nursing function of: |
B |
State public health agency responsibilities include: |
C |
The public health nurse serves as a bridge between at-risk populations and the community’s health care resources. This role is based on the nurse’s responsibility to: |
B |
If the two major goals of Healthy People 2020 are to be achieved, collaboration is essential for public health nursing practice, and collaboration with existing groups at the local level is encouraged for which of the following reasons? |
C |
The public health nurse ensures that a local community coalition for improving school lunches takes the time to listen to each stakeholder’s view, develops a common validated language for discussing the initiative, and shares the credit for the success of the initiative. The public health nurse is adhering to the principles of: |
B |
The federal-state-local partnership teams with other organizations to develop and implement responses to identified public health concerns because: |
A |
The public health nurse applies knowledge in working with a local school board coalition to develop a helmet safety campaign in the middle and high schools. This best exemplifies which aspect of public health? |
A |
The Quad Council of Public Health Nursing identified eight principles that distinguish the public health nursing specialty from other nursing specialties, including which of the following (select all that apply)? |
A,B,C,E |
In 1988 the Institute of Medicine (IOM) published a report on the future of public health and its mission that defined public health as: |
D |
A registered nurse is seeking a position as a public health nurse. In reviewing the job description the nurse would expect to find a description of a position that focused on functions such as: |
C |
A public health nurse leader is encountering barriers when trying to shift the public health agency’s efforts to a population-focused practice. The reasons peers are not supportive of the proposed shift to a population focus are most likely related to: |
D |
The role and goals of the community health nursing practice can best be described as: |
C |
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 core public health function of: |
A |
The state public health 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 eldercare programs. The public health core function applied is: |
A |
A nurse planning a smoking cessation clinic for adolescents in the local middle schools and high schools is providing: |
A |
A community-oriented nurse conducts home visits to new parents to assess the health status of the infant, the parent-child relationship, the parents’ knowledge regarding the care of the infant, and the need for health department and social services referrals to support the needs of the new parents and the infant. This can best be described as an example of: |
A |
Nurses should consider opportunities for population-focused practice that result from the rapid transformation of health care delivery from a medical model to a health promotion/disease prevention model. An example of such opportunity is: |
B |
Public health nursing specialists are interested in which of the following topic(s)? Select all that apply. |
BCE |
Community Health -NCLEX Questions
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