Health Promotion and Disease Prevention Textbook Exam Questions - 1214 Verified Questions

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Health Promotion and Disease Prevention

Textbook Exam Questions

Course Introduction

Health Promotion and Disease Prevention explores the principles and strategies essential for improving individual and community health outcomes. The course examines determinants of health, behavioral change theories, and evidence-based interventions designed to prevent disease and promote overall well-being. Students will analyze social, environmental, and policy factors that influence health, learn about risk reduction, health education, and advocacy efforts, and evaluate programs targeting chronic and infectious diseases. Emphasizing a multidisciplinary approach, the curriculum integrates case studies and real-world examples, equipping students with practical skills to design, implement, and assess effective health promotion initiatives in diverse populations.

Recommended Textbook

Public Health Nursing Population Centered Health Care in the Community 9th Edition by Stanhope

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Chapter 1: Community and Prevention-Oriented,

Population-Focused Practice: The Foundation of

Specialization in Public Health Nursing

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Q1) Which of the following statements about public health is accurate?

A) Prevention of early deaths can be more effectively accomplished by medical treatment than by public health approaches.

B) Expenditures and resources for public health have increased in recent years.

C) Historically, gains in the health of populations have been related largely to changes in safety, sanitation, and personal behavior.

D) Reform of the medical insurance system is the single change needed to improve the health of Americans.

Answer: C

Q2) A nurse is implementing community-based nursing care.Which of the following nursing interventions is the nurse most likely to complete?

A) Assessing the health needs of a defined community

B) Providing care to families in a community

C) Promoting the health of an entire community

D) Investigating environmental health problems in a community

Answer: B

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Chapter 2: History of Public Health and Public and Community Health Nursing

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Q1) Nurses who provided care to people in their homes and provided that care to several people at a time were called _____ nurses.

A) private duty

B) visiting

C) public health

D) community health

Answer: B

Q2) The document Visiting Nursing in the United States highlighted the fact that:

A) nurses were trained by Boards of Education.

B) trained nurses adequately covered less-densely populated areas.

C) visiting nurse services were concentrated in the northeastern United States.

D) nurses were curing diseases such as TB and typhoid fever.

Answer: C

Q3) A PHN became involved in health care reform.Which of the following best describes the purpose of this action?

A) Promote the nursing profession

B) Increase funding for public health nursing

C) Address the concerns of nurses

D) Improve health care access and reduce health care costs

Answer: D

Page 4

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Chapter 3: The Changing USHealth and Public Health Care Systems

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Q1) In the United States,the majority of health care dollars are spent on:

A) prescription drugs.

B) hospital care.

C) physician services.

D) public health services (PHSs).

Answer: B

Q2) What are some of the untoward events categorized in the Institute of Medicine (IOM)report about medical errors? (Select all that apply.)

A) Wrong-site surgery

B) Adverse drug events

C) Improper transfusions

D) Restraint related deaths

E) Poor staffing patterns

Answer: A,B,C,D

Q3) What initiative began as a result of a resolution adopted by the WHO in 1977?

A) Declaration of Alma Ata

B) Medicare

C) Healthy People

D) PHC movement

Answer: D

Page 5

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Chapter 4: Perspectives in Global Health Care

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Q1) A nurse has promoted the introduction of health care technology into lesser-developed countries,but this has led to less-than-satisfactory results.Which of the following best describes why this has happened?

A) People do not want to use newer technology.

B) The cost is so high that they cannot afford to use new technology.

C) The community may not be ready for this technology.

D) Technology is too complex for people in lesser-developed countries.

Q2) A nurse plans to contact a multilateral organization.Which of the following would the nurse most likely contact?

A) United Nations (UN)

B) United States Agency for International Development (USAID)

C) Project Hope

D) Catholic Relief Services

Q3) A nurse is examining the income levels and social networks of individuals in a community.Which of the following is the nurse investigating?

A) Culture

B) Development

C) Community

D) Determinants

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Page 6

Chapter 5: Economics of Health Care Delivery

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Q1) When a third-party payer establishes the amount of money that will be paid for the delivery of a particular service before offering the service to the client,it is called:

A) retrospective reimbursement.

B) prospective reimbursement.

C) fee-for-service.

D) capitation.

Q2) A business offers wellness incentives to its employees and then notices a decrease in the frequency of physician visits among employees.Which of the following terms best describes what has happened?

A) Macroeconomic theory

B) Efficiency

C) Supply and demand

D) Microeconomic theory

Q3) Public health economics focuses on the:

A) use of resources.

B) availability and usage of goods and services related to public health.

C) scarcity of resources in the health care industry.

D) management and use of monies to improve the health of populations.

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7

Chapter 6: Application of Ethics in the Community

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Q1) The growing multiculturalism of American society can contribute to ethnicity conflicts when:

A) providing care to different cultural groups.

B) individual values align with the cultural norms.

C) ethnic groups overburden the health care system.

D) the greater community's values are jeopardized by specific ethnic values.

Q2) A public health nurse is examining several issues within daily practice.Which of the following issues would be considered an ethical dilemma?

A) Whether or not to establish a community health center in a rural area

B) Allocating resources in a natural disaster

C) Deciding to withdraw care on a hospice patient

D) Applying the principles of Florence Nightingale in Bangladesh

Q3) An orderly process that considers ethical principles,client values,and professional obligations is:

A) moral distress.

B) ethical decision making.

C) a value.

D) a code of ethics.

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8

Chapter 7: Cultural Diversity in the Community

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Q1) A nurse is working with a population that exhibits a large amount of diversity.The nurse recognizes that skin color of individuals within this population is an example of:

A) multiculturalism.

B) ethnicity.

C) race.

D) culture.

Q2) A nurse demonstrates cultural desire to provide culturally competent care.Which of the following actions would be taken by the nurse?

A) Relying on a textbook for information about an ethnic group

B) Bringing a translator to the local community clinic

C) Taking Spanish classes in the evening at a local college

D) Judging others using his or her own cultural values

Q3) A nurse is observing behaviors that may be defined by culture.Which of the following is the nurse most likely to observe?

A) Speaking a dialect of a language in a local region

B) Standing when an older adult gets on the bus to give him a seat

C) Immigrating to the United States and seeking work

D) An organizational structure of a cultural group

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Chapter 8: Public Health Policy

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Q1) A nurse investigates the interpretation of a state's right to grant abortions.Which of the following branches of government would the nurse be looking at?

A) Executive

B) Legislative

C) Judicial

D) Federal

Q2) One effect of the use of block grants was a:

A) reduction of federal expenditures.

B) decreased ability of states to spend money on programming.

C) guaranteed continuation of programs with demonstrated effectiveness.

D) shift from hospital-based to community-based nursing care.

Q3) A nurse provides health services for women and children in the community.Which of the following provides the provisions to offer these services?

A) Sheppard-Towner Act

B) Public Protection of Maternity and Infancy program

C) Early Periodic Screening and Developmental Testing (EPSDT) program

D) Women, Infants, and Children (WIC) program

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Chapter 9: Population-Based Public Health Nursing

Practice: The Intervention Wheel

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Q1) A nursing student develops a teaching plan about hand washing to present to a group of elementary school children at the local school.Which of the following public health interventions is being implemented?

A) Collaboration

B) Surveillance

C) Health teaching

D) Screening

Q2) Public health interventions are implemented with:

A) legislators, policy makers, and community leaders.

B) individuals and families, communities, and systems.

C) children, adolescents, and adults.

D) health departments, public health agencies, and visiting nurses associations.

Q3) PHNs utilize registries to identify children with delayed or missing immunizations.They subsequently follow up with families by phone calls or home visits.Which of the following levels of practice is being implemented?

A) Systems

B) Community

C) Policy

D) Individual

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Chapter 10: Environmental Health

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Q1) Which example contains the components necessary to form an epidemiologic triangle?

A) Pesticides, water, food

B) Lead, mercury, soil

C) Trichloroethylene, water, infants

D) Children under 12, elderly, temperature

Q2) A city sets the standard of an acceptable level of emissions or a maximum contaminant level allowed for factories.Which of the following concepts is being applied?

A) Controlling pollution

B) Waste minimization

C) Land use planning

D) Environmental standard

Q3) A nurse works at the individual level to reduce pollution in the environment.Which of the following actions would most likely be taken by the nurse?

A) Provide a tax incentive to factories that do not pollute

B) Make laws related to allowed levels of pollution in the area

C) Recycle paper, glass, cans, and plastic

D) Move to an area with less pollution

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Page 12

Chapter 11: Genomics in Public Health Nursing

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Q1) A nurse is counseling a client who has just learned that she is a carrier of the BRCA-2 gene.Which of the following best describes potential reactions by this client? (Select all that apply.)

A) Feelings of guilt

B) Fear of loss of insurance coverage

C) Feelings of anxiety

D) Fear for children

E) Feelings of insecurity

Q2) The father of genetics is:

A) Charles Darwin.

B) Gregor Mendel.

C) James Watson.

D) Francis Galton.

Q3) A nurse is caring for a client who has been diagnosed with a multifactorial disease.Which of the following best describes the client's diagnosis?

A) Measles

B) Hepatitis B

C) Eczema

D) Type I diabetes

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Page 13

Chapter 12: Epidemiology

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Sample Questions

Q1) A nurse states that she has been reading about an epidemic that has been occurring in the world.Which of the following is she most likely referring to?

A) "Bird" flu in China

B) Adult obesity in the United States

C) An isolated case of smallpox in Africa

D) The nursing shortage in the United States

Q2) Voters have recently decided to have fluoride added to the city water system.Epidemiologists now want to study the effect of fluoride on dental caries in this population.Which of the following would be conducted by the epidemiologists?

A) Ecological study

B) Double-blind study

C) Community trial

D) Screening

Q3) To understand the causes of health and disease,epidemiology studies:

A) individuals.

B) families.

C) groups.

D) populations.

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Chapter 13: Infectious Disease Prevention and Control

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Q1) A nurse is working in a health department when a patient arrives who has been traveling to South America and has been diagnosed with malaria.Which of the following considerations should be made by the nurse?

A) The Morbidity and Mortality Weekly Report should be consulted to investigate the rate of malaria in the United States.

B) This is a disease that must be reported to the state health department.

C) The nurse should take precautions to wear a mask and gown to avoid exposure.

D) The patient is very ill and should be sent to the hospital immediately.

Q2) What is the best method for preventing health care-associated infections?

A) Perform good hand washing before and after approaching every patient.

B) Prevention is almost impossible due to the high infection rates in hospitals.

C) Isolate every patient having surgery.

D) Use contact isolation for every patient at risk.

Q3) A community health nurse has recently become involved in surveillance.Which of the following describes the situation that the nurse is in?

A) Educating clients about influenza immunizations

B) Collecting information about occurrence of measles

C) Evaluating the effectiveness of an HIV/AIDS prevention program

D) Advocating for changes in the national disease reporting requirements

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Page 15

Chapter 14: Communicable and Infectious Disease Risks

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Q1) A nurse is caring for a client who is HIV positive.Which of the following roles of the nurse would be the most important for the nurse to implement?

A) Advocate, lobbying for AIDS research

B) Counselor, discussing implications of future sexual activity

C) Role model, providing supportive care

D) Policy maker, addressing laws governing privacy rights of HIV-positive persons

Q2) A community health nurse visits a homeless shelter to provide directly observed therapy (DOT)to several clients who have been diagnosed with TB.Which of the following best describes the rationale for this nursing intervention?

A) Homeless clients do not care about their health.

B) Homeless clients do not have access to medications.

C) Poor adherence can result in drug resistance.

D) These medications are so powerful, clients must be observed for reactions.

Q3) Which type of hepatitis would likely be found where sanitation is inadequate?

A) A

B) B

C) C

D) D

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Chapter 15: Evidence-Based Practice

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Q1) A PHN uses a published systematic review to determine which exercises should be incorporated into a newly developed older adult exercise program.Which of the following resources would most likely contain this information?

A) Evidence-Based Practice for Public Health Project

B) PubMed

C) Cochrane Public Health Group (PHRG)

D) Task Force on Community Preventive Services

Q2) A nurse who is working in a community setting applies evidence-based practice when planning community health education.Which of the following should the nurse use in order to enrich the application of this evidence?

A) Randomized clinical trials

B) Qualitative studies

C) Quantitative studies

D) Multiple research methods

Q3) The term evidence-based was first used in:

A) Canada.

B) Great Britain.

C) the United States.

D) Australia.

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Page 17

Chapter 16: Changing Health Behavior Using Health

Education with Individuals, Families, and Groups

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Sample Questions

Q1) A client diagnosed with diabetes reports to the nurse that she has been learning more about controlling her blood sugars by reading information found on the Internet.Which of the following statements by the nurse would be appropriate?

A) "Looking at the date the content was posted on the website is important."

B) "The Internet is an unreliable source of information and should not be used."

C) "The best sources of information are found on pharmaceutical websites."

D) "Your physician will provide you better information than the Internet."

Q2) A nurse is implementing a community health education program at a local church.Which of the following educational principles should the nurse implement when providing this education?

A) Refer to trustworthy sources

B) Use an active voice

C) Create the best learning environment

D) Accentuate the positive health behaviors of the participants

Q3) Which statement about education is true?

A) It emphasizes the provider of knowledge and skills.

B) It emphasizes the recipient of knowledge and skills.

C) It is a process of gaining knowledge and expertise.

D) It results in behavioral change.

Page 18

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Chapter 17: Building a Culture of Health through Community

Health Promotion

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Q1) A nurse is utilizing a disease-oriented approach when providing care to a client.Which of the following interventions will the nurse most likely provide?

A) Promotion of a greater level of positive health

B) Education about common disease processes

C) Acute care management of chronic disease

D) Education about medication compliance

Q2) The Framingham Heart Study was successful in:

A) providing information on the effectiveness of risk-reduction interventions.

B) documenting the relationship between social variables and heart disease.

C) identifying factors contributing to the development of coronary heart disease (CHD).

D) demonstrating the effects of mass media in modifying high-risk behavior.

Q3) Which of the following describes one advantage of the Health Belief Model (HBM)?

A) It is one of the most recently developed models based on evidence-based practice principles.

B) It can reduce the incidence of diseases and disabilities.

C) It can assist with planning programs to increase an individual's motivation to take positive health action.

D) It promotes individual's participation in community-based screening programs.

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Chapter 18: Community as Client: Assessment and Analysis

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Q1) A nurse interviews the school nurses in a community to determine their roles in schools because this data is not available.Which of the following processes is the nurse using?

A) Photovoice

B) Spatial data

C) Primary data

D) Secondary data

Q2) A nurse is investigating the structure of the community.Which of the following indicators would the nurse most likely collect data about?

A) Infant mortality rate

B) Effective communication

C) Crime rate

D) Emergency room utilization

Q3) A nurse analyzes data from minutes at a community meeting when completing a community assessment.Which of the following methods of data collection is being used?

A) Secondary data

B) Informant interviews

C) Primary data

D) Windshield survey

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Chapter 19: Population-Centered Nursing in Rural and Urban Environments

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Q1) A nurse is providing maternal-child care for rural women.The nurse would like to intervene with pregnant women who are at risk for poor health outcomes.Which of the following populations would be the target population for the nurse's care?

A) Latinos who live in urban environments

B) Caucasians who live in remote areas

C) Those who live on or near Indian reservations

D) Those who seek health from general practitioners

Q2) A nurse who had been working in an urban area is now employed in a rural area.Which of the following differences between the populations is the nurse most likely to notice?

A) Increased number of residents under age 18

B) Increased number of residents over age 50

C) Increased number of residents who are married

D) Increased number of residents who have more years of formal education

Q3) Which group is over-represented in rural areas when compared with urban areas?

A) African Americans

B) Asian-Pacific Islanders

C) Caucasians

D) Native Americans

Page 21

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Chapter 20: Promoting Health Through Healthy

Communities and Cities

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Q1) The Healthy Communities and Cities initiative supports the idea that:

A) healthy cities and communities must be both environmentally and socially sustainable.

B) healthy public policy is the responsibility of elected officials.

C) physical environments cannot be changed, thus strategies must be developed in order to cope with them.

D) the World Health Organization (WHO) is the primary source of information for cities.

Q2) A nurse uses the Community Health Promotion Model to address the problem of increasing teenage pregnancy rates in the community.Which of the following steps would be used by the nurse? (Select all that apply.)

A) Identifying interest in the topic through use of community forums

B) Building a partnership with parents of teenagers to address this problem

C) Counseling teenagers about effective birth control methods

D) Contacting other cities with similar problems and issues

E) Referring teenagers to Planned Parenthood

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Chapter 21: The Nurse-led Health Center: A Model for Community Nursing Practice

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Q1) A nurse would like to improve the ability of the nursing center to be responsive to the needs of the community.Which of the following best describes how this can be accomplished?

A) Having staff examine the needs of the community

B) Determining the services to be provided by the center

C) Involving the community in assessing its own needs

D) Addressing the problems in the community

Q2) A nursing student would like to become involved by working at a nursing center.Which of the following would be an appropriate role for a nursing student?

A) Leader

B) Follower

C) Advocate

D) Researcher

Q3) What was the overarching concept upon which Healthy People 2020 was built?

A) Establish nursing centers for the purpose of health promotion

B) Create partnerships among individuals, communities, and systems

C) Eliminate disease in lesser-developed countries

D) Further the agenda of the World Health Organization (WHO)

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Chapter 22: Case Management

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Q1) A case manager submits documentation that a nursing visit was completed at a client's home,but it was never performed.According to the general areas of legal risk,how would this action best be categorized?

A) Liability for managing care

B) Fraud/abuse

C) Negligent referral

D) Confidentiality/security

Q2) A case manager has contacted providers and has negotiated services and prices.Which of the following phases of the nursing process is being demonstrated?

A) Assessment

B) Diagnosis

C) Planning/outcome

D) Implementation

Q3) What are the six "rights" of case management?

A) Care, time, provider, setting, price, and outcomes

B) Patient, medication, route, time, documentation, and evaluation

C) Place, setting, patient, plan, outcomes, and documentation

D) Disease process, time, place, beneficence, advocate, and care provider

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Chapter 23: Public Health Nursing Practice and the Disaster Management Cycle

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Q1) Community preparedness is being used to plan for a disaster.Which of the following tasks is being implemented?

A) Assembling emergency supplies

B) Understanding the workplace disaster plan

C) Taking a disaster training course

D) Developing an evacuation plan to remove individuals from danger

Q2) A nurse is assessing persons arriving at an alternate care center following a disaster.Which of the following actions should the nurse take first?

A) Assess the amount of equipment and medications needed for each client

B) Determine if the client has a psychological condition requiring special attention

C) Assess whether this type of facility is appropriate for the client

D) Determine if the client has a support system to assist with additional care needs

Q3) What is the purpose of the National Incident Management System (NIMS)?

A) Create a new branch of government that deals with bioterrorism

B) Establish a way for the Red Cross to carry out its mission

C) Develop a nationwide all-hazards approach to domestic incident management

D) Extend presidential power to act quickly upon acts of bioterrorism

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Page 25

Chapter 24: Public Health Surveillance and Outbreak Investigation

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Q1) What information is shared among agencies when they collaborate to implement a quality surveillance system?

A) How to use algorithms to identify which events should be investigated

B) Who is to blame for a disease outbreak

C) What shelters will be used and by whom

D) How political action will be necessary to ensure public health

Q2) A nurse is conducting disease surveillance.Which of the following describes the rationale for this action?

A) To eradicate a disease before it starts

B) To establish a baseline rate of disease occurrence and patterns of spread

C) To target populations for triage

D) To reduce the incidence of heart disease in a community

Q3) The SARS (severe acute respiratory syndrome)outbreak was an epidemic that spread over several countries.Which of the following terms describes what happened?

A) Hyperendemic

B) Pandemic

C) Mixed outbreak

D) Holoendemic

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Chapter 25: Program Management

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Q1) The process of program management is similar to:

A) the nursing process.

B) the medical model of care delivery.

C) the requirements for licensure as a registered nurse.

D) summative and formative evaluation.

Q2) A nurse is implementing basic program planning.Which of the following would occur during the formulating stage?

A) The client and provider analyze available solutions.

B) The best plan for funding is presented to administrators.

C) The provider group identifies solutions.

D) The client identifies problems.

Q3) A nurse collects data about productivity of staff members in order to evaluate a program.Which type of study is the nurse completing?

A) Cost-accounting study

B) Cost-benefit study

C) Cost-effectiveness study

D) Cost-efficiency study

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Chapter 26: Quality Management

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Q1) A student has obtained a Bachelor of Science in Nursing degree.Which of the following describes why the student must be licensed as a registered nurse before beginning practice?

A) To formally recognize the student as a competent professional

B) To define the scope of professional practice

C) To control the quality of professional practice

D) To establish standards for educational programs

Q2) What is the purpose of implementing total quality management (TQM)?

A) Provide quality care within an organization

B) Provide cost-efficient care across all age groups

C) Provide necessary care to clients in a cost-effective system

D) Provide efficient systems of primary care

Q3) A nurse is developing a QI program.Which of the following would be the most important aspect of the program that should be considered?

A) Vision and values of the agency

B) Standards used to provide care

C) Results of nursing care

D) Evaluation of process changes

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Chapter 27: Working with Families in the Community for Healthy Outcomes

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Q1) A nurse is using the provisions of the Family Medical Leave legislation.Which of the following actions would the nurse take?

A) Resigning from employment, but retaining health insurance

B) Sharing family information with colleagues

C) Providing Medicaid to a family who cannot afford health insurance

D) Taking a defined time off of work for family events without fear of job loss

Q2) A nurse asks,"Where is this family on the continuum of the family cycle?" Which of the following theories is being used?

A) Bioecological systems

B) Family systems

C) Family developmental and life cycle

D) Capacity -building model

Q3) A nurse is assessing family structure.Which of the following describes what the nurse should recognize?

A) An individual may experience many different family structures over a lifetime.

B) The variations in family structure are becoming less common.

C) The traditional nuclear family is the most common family structure.

D) There is great variation among family structures.

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Chapter 28: Family Health Risks

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Q1) A family has experienced a nonnormative life event.Which of the following best describes this situation?

A) Adoption of a child

B) Loss of a job

C) Marriage of a child

D) Retirement from work

Q2) A nurse uses the term family policy.Which of the following explains what the nurse is describing?

A) Anything that is done by the government that directly or indirectly affects families

B) Laws that affect families and family living

C) Requirements for immunizations for the entire family

D) Healthy People 2020 guidelines for healthy families

Q3) Which of the following are benefits of home visits? (Select all that apply.)

A) Promote health for adolescent mothers

B) Identify barriers and provide support for family health promotion goals

C) Allow families to maintain a sense of control in meeting their health care needs

D) Prolong the nurse-client relationship

E) Establishment of healthy behaviors

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Chapter 29: Child and Adolescent Health

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Sample Questions

Q1) A nurse is working with a child who lives in poverty.Which of the following best describes this child?

A) A child who has poor academic performance

B) A child whose parents have a college education

C) A child of Caucasian descent

D) A child living in a single-parent household

Q2) A nurse is actively participating in efforts to reduce gun violence among young people.Which of the following actions is most likely being taken by the nurse?

A) Identifying populations at risk for violence

B) Passing legislation to support gun control

C) Searching lockers at school looking for weapons and contraband

D) Caring for clients who have sustained gunshot wounds

Q3) Which statement is true about the role of nurses in community health?

A) The nurse provides direct services to children and their families.

B) A major role of community health nurse is the provision of immunizations.

C) Children are not the primary focus of community health, since they are often acutely ill.

D) Complementary therapies and environmental toxins are often the focus of the health care of children.

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Page 31

Chapter 30: Major Health Issues and Chronic Disease

Management of Adults Across the Life Span

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Sample Questions

Q1) A nurse is providing home care for several elderly clients in the community.Which of the following situations would most likely be indicative of elder abuse?

A) A daughter refuses to visit her mother due to work commitments.

B) A child runs around a grandparent's house breaking items.

C) A young man repeatedly steals money from his grandmother.

D) An older person demands that the family come for dinner.

Q2) Current research on hormone replacement therapy (HRT)has found that it:

A) does not prevent heart disease.

B) should be used to prevent osteoporosis.

C) is useful with complementary therapies.

D) causes breast cancer.

Q3) Which of the following factors are cited as obstacles to improving men's health? (Select all that apply.)

A) Reluctance to consult their primary care provider

B) Emphasis of physical strength and competitiveness on masculinity

C) Lack of a primary care provider

D) Lack of access to health care by African American and Hispanic men

E) Emphasis on the male role as the head of the family

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Chapter 31: Disability Health Care Across the Life Span

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Q1) An employee who is blind brings a service animal to work.Which of the following legislative acts includes this provision?

A) The Rehabilitation Act of 1973

B) The Americans with Disabilities Act of 1990

C) The Individuals with Disabilities Education Act of 1975

D) The Developmental Disabilities Act and Bill of Rights Act of 2000

Q2) A nurse is working to improve the health and wellness of persons with disabilities.Which of the following actions should be taken by the nurse?

A) Treat the whole person, not just the disability

B) Focus on the disability and the related illnesses

C) Acknowledge the ability, not the disability

D) Ensure persons with disabilities have access to home health care

Q3) How does Healthy People 2020 address persons with disabilities?

A) Suggests specific therapies and techniques for working with this population

B) Recognizes disabled individuals as productive citizens

C) Recommends the development of community health centers

D) Emphasizes increased access to services for this population

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Sample Questions

Q1) A nurse is caring for a population that has experienced a health disparity.Which of the following best describes a health disparity?

A) Low childhood immunization rates

B) High dropout rates

C) Unemployment

D) Income below poverty level

Q2) A nurse considers an audience's ability to read,comprehend,and act on medical instructions while preparing health education materials.Which of the following factors is the nurse considering?

A) Health literacy

B) Resilience

C) Social justice

D) Health disparity

Q3) A set of actions one undertakes on behalf of another is:

A) social justice.

B) advocacy.

C) resilience.

D) risk.

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Chapter 33: Poverty and Homelessness

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Q1) A community health nurse is caring for an individual who is experiencing crisis poverty.Which of the following characteristics would this individual most likely display?

A) Episodic homelessness

B) Physical disability

C) Mental disability

D) Drug abuse

Q2) A nurse is providing care to populations who are from different socioeconomic and cultural backgrounds.Which of the following barriers should the nurse be aware of that may prevent full engagement in a relationship?

A) Fears and misconceptions related to poverty

B) Lack of tangible and emotional resources

C) Lack of knowledge about people who live in poverty

D) Perception that the poor don't need to be poor

Q3) Which statement regarding the effects of homelessness on health is accurate?

A) Peripheral vascular disease and hypertension are lessened by this lifestyle.

B) The incidence and virulence of infections are decreasing.

C) Trauma is a significant cause of death and disability.

D) Crowded living conditions result in decreased risk for exposure to infections.

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Chapter 34: Migrant Health Issues

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Q1) Which factor may limit access to care for migrant farm workers?

A) Unwillingness to seek affordable health care

B) Lack of knowledge regarding services

C) Availability of 24-hour health care services

D) Adequate transportation

Q2) Which statement about migrant and seasonal farm workers is true?

A) The economic status of migrant workers has improved over the last decade.

B) This is a transient population that does not need nursing care.

C) Most migrant workers are eager to accept health care services.

D) Availability of food in the United States depends on these individuals.

Q3) A nurse is working with a client whose principal employment is in agriculture on a seasonal basis and has established temporary housing in the area while employed.Which of the following terms best describes this laborer?

A) Seasonal farm worker

B) Migrant farm worker

C) Transient worker

D) Share cropper

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36

Chapter 35: Teen Pregnancy

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Sample Questions

Q1) A nurse is teaching a pregnant teenager about the risks of contracting a sexually transmitted infection.Which of the following statements would the nurse most likely make?

A) Transmission of sexually transmitted infections is unlikely when you are pregnant.

B) Contracting a sexually transmitted infection may cause your infant to require assistance immediately after birth.

C) Sexually transmitted infections can cause premature labor.

D) The father of the baby is at high risk to contract a sexually transmitted infection.

Q2) A teenage mother discusses with the school nurse the possibility of having a second child.Which of the following risk factors would place this client at risk for having a second pregnancy?

A) Remaining in school

B) Reporting an unplanned first pregnancy

C) Being from a small family

D) Having a disadvantaged background

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Chapter 36: Mental Health Issues

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Sample Questions

Q1) A nurse worked in a psychiatric institution during the hospital expansion era.Which of the following best describes the location where the nurse most likely worked?

A) Near small communities with access to families and activities

B) In rural areas removed from family and social activities

C) Near urban areas with access to families and low-paying jobs

D) In urban areas without access to families and jobs

Q2) A client who has been diagnosed with major depression works with other mental health consumers to advocate for establishment of additional self-help services for individuals and families with mental illness in a community.Which of the following best describes the organization that the client is likely involved with?

A) Community Support Program (CSP)

B) NIMH

C) Mental Health Study

D) National Alliance for the Mentally Ill (NAMI)

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Chapter 37: Alcohol, Tobacco, and Other Drug Problems

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Q1) A client has not yet made a commitment to take action to change his health behaviors.Which stage of change is the client experiencing?

A) Precontemplation

B) Contemplation

C) Preparation

D) Action

Q2) A nurse lobbies with legislators for the passage of legislation to prohibit smoking of tobacco products in public places.Which of the following levels of prevention is being implemented?

A) Primary

B) Secondary

C) Tertiary

D) Health promotion

Q3) A school nurse is coordinating the implementation of a drug education program in the school.Which of the following levels of prevention is being implemented?

A) Primary level of prevention

B) Secondary level of prevention

C) Tertiary level of prevention

D) Primary health care prevention

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Page 39

Chapter 38: Violence and Human Abuse

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Sample Questions

Q1) A nurse is working with a recent rape survivor.Which of the following actions would be most appropriate for the nurse to implement?

A) Provide continuous care once the victim enters the health care system

B) Examine evidence for its authenticity

C) Work with the criminal justice system to find the rapist

D) Provide long-term therapy for psychological trauma

Q2) A nurse is caring for a child who lives in extreme poverty.Which of the following types of abuse is this child at greatest risk for?

A) Sexual abuse

B) Emotional neglect

C) Physical neglect

D) Child abuse

Q3) A nurse is counseling a client who has been abusive toward a spouse.Which of the following experiences has the client most likely had in the past?

A) Perceived or actual crisis

B) History of social isolation

C) Previous exposure to violence

D) Long-term marital strain

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Chapter 39: The Advanced Practice Nurse in the Community

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Q1) An APHN is completing the process for certification renewal in the specialty.What time period has passed making renewal necessary?

A) 1 year

B) 3 years

C) 5 years

D) 7 years

Q2) An APHN provides other nurses with information about how to improve client care.Which of the following roles is being performed?

A) Researcher

B) Administrator

C) Educator

D) Consultant

Q3) Which functions are shared by APHNs and NPs? (Select all that apply.)

A) Leadership

B) Research

C) Comprehensive assessment

D) Systems focus

E) Community assessment

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Chapter 40: The Nurse Leader in the Community

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Q1) A nurse is functioning in the role of a community-oriented nurse manager.Which of the following interventions would most likely be performed?

A) Help personnel perform their responsibilities effectively and efficiently

B) Work with others to ensure a healthy community

C) Serve as an advocate for vulnerable and high-risk populations

D) Participate in establishing public and organizational policies

Q2) Which are goals of community-oriented nursing leadership? (Select all that apply.)

A) To work with others to ensure a healthy community

B) To serve as an advocate for vulnerable and high-risk populations

C) To work with interprofessional teams to design ways to coordinate care

D) To make policies for the public good

E) To meet the needs of the middle-class families

Q3) A nurse considers interdependence among organizations when planning health interventions for the community.Which of the following categories of theories is being applied?

A) Structural contingency

B) Organizational

C) Resource dependence

D) Systems

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Page 42

Chapter 41: The Nurse in Home Health, Palliative Care, and Hospice

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Sample Questions

Q1) Which are categories of classifying interventions according to the Omaha System Intervention Scheme? (Select all that apply.)

A) Health education

B) Case management

C) Treatments and procedures

D) Direct care services

E) Skilled nursing care

Q2) Which illegal and unethical activities have occurred in health care systems in the past? (Select all that apply.)

A) Inappropriate use of home health services

B) Inaccurate billing for services

C) Excessive administrative staff

D) "Kickbacks" for referrals

E) Primary care services provided in the home

Q3) Medicare-certified home health agencies place emphasis on _____ care.

A) chronic

B) distributive

C) intermittent

D) primary

43

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Chapter 42: The Nurse in the Schools

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Sample Questions

Q1) A nurse is administering medications at school.Which of the following guidelines should be used by the nurse?

A) A current drug reference should be available in case information is needed.

B) The nurse should administer medications brought by the child.

C) Medications cannot be administered without a physician order.

D) Narcotics and controlled substances should be kept in a locked cabinet.

Q2) A nurse is implementing the Centers for Disease Control and Prevention (CDC)School Health Program within a school.Which components of school health will need to be evaluated? (Select all that apply.)

A) Health promotion for students

B) Nutrition services

C) Counseling, psychological, and social services

D) Health education

E) Community safety

Q3) Which statement about head lice is true?

A) Prevalence of head lice in U.S. schools is nearly 50%.

B) Most cases of head lice are found in white, middle-class children.

C) Having head lice is associated with living in an unclean home.

D) Most incidents of head lice occur in those with dirty hair.

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Page 44

Chapter 43: The Nurse in Occupational Health

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Sample Questions

Q1) An occupational health has become a member of the AAOHN.Why would a nurse join this organization? (Select all that apply.)

A) To promote the health and safety of workers

B) To lobby in Congress for safer work places

C) To advance the profession by supporting research

D) To promote and provide continuing education in the specialty

E) To obtain certification as a specialist in occupational health nursing

Q2) A nurse is assessing host factors as part of the epidemiologic triad.Which of the following factors would the nurse most likely assess?

A) Crowding

B) Shift work

C) Worker's family

D) Chemical exposure

Q3) Which was the first legislation that specifically required certain prevention programs for workers?

A) Occupational Safety and Health Act

B) NIOSH

C) Mine Safety and Health Act

D) SIC Code

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Page 45

Chapter 44: Forensic Nursing in the Community

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Sample Questions

Q1) What has been the focus of the majority of scientific research in forensic nursing?

A) Role of the forensic nurse and client population

B) Sexual assault team response

C) Client satisfaction with forensic nurses

D) Collaboration with other disciplines

Q2) A nurse is conducting a community assessment in a healthy community.Which of the following findings should the nurse anticipate?

A) Low crime rates

B) High rates of injury

C) Significant health disparities

D) Low mortality rates

Q3) What is the extent of the economic burden of injuries in the United States?

A) It is extensive, including medical treatment and lost productivity.

B) It is minimal, as limited funds are spent treating injuries.

C) It varies depending on the extent of the injury.

D) It has been reduced through risk reduction strategies.

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Chapter 45: The Nurse in the Faith Community

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Sample Questions

Q1) A nurse wants to know the functions of a faith community nurse.Which of the following resources would the nurse consult?

A) Board of Nursing

B) Scope and Standards

C) Health Cabinet

D) Individual faith community

Q2) A nurse is working in a congregational community who gathers in a church and has common faith traditions.Which of the following best describes this community?

A) Health ministry

B) Faith community nursing

C) Faith community

D) Holistic care center

Q3) Which functions are the faith community nurse most likely to perform? (Select all that apply.)

A) Personal health counselor

B) Facilitator

C) Referral agent

D) Case manager

E) Direct caregiver

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Page 47

Chapter

National Levels

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Sample Questions

Q1) A nurse is working in a public health department.Which of the following would most likely be the focus of the care that is provided?

A) Home visiting and hospice care

B) Care of communicable diseases

C) Health maintenance and health promotion

D) Illness prevention

Q2) Which agency delegates the authority of the local health department?

A) The federal government

B) The state

C) Local authorities

D) Regional governing boards

Q3) A nurse is implementing tertiary prevention strategies in the community.Which of the following best describes what the nurse is doing?

A) Providing immunizations

B) Conducting lead screening activities for children

C) Providing case management services for clients with chronic illness

D) Identifying and treating clients in a tuberculosis (TB) clinic

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Page 48

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Health Promotion and Disease Prevention Textbook Exam Questions - 1214 Verified Questions by Quizplus - Issuu