(Test Bank) Community and Public Health Nursing Evidence for Practice

DeMarco, 3

Nursing

Test Bank

3rd Edition

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Test Bank for Community and Public Health Nursing Evidence for Practice, The downloadable file consists of 162 pages, and the total size of the file is 1.57 MB. Purchase now only for highly discounted price.

Author(s): DeMarco

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Page 1 Test Bank for Community and Public Health Nursing Evidence for Practice, 3e Rosanna DeMarco (All Chapters Answer at the end of each Chapter) 1. A nurse is striving to practice client -centered care at a hospital. Which action best exemplifies providing client -centered care? A) Having a client complete a self -reported functional status indicator and then reviewing it with the client B) Explaining to a client the benefits of computer -assisted robotic surgical techniques, which the hospital recently implemented C) Recording a client's signs and symptoms in an electronic health record D) Performing continuous glucose monitoring of a client while the client is in the hospital 2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitus. Which social determinant would the nurse predict are most likely influencing this client's choices? (Select all that apply.) A) Household income of $23,000 per year B) Reading level of a third grader C) Medication ineffective due to error in prescription D) Originally from Sudan E) No family in the area 3. A nurse successfully persuades an obese client to perform a weekly weigh -in at home using a digital scale and record the weight in a log. Which strategy is the nurse implementing in this case? A) Telehealth B) Health information technology C) Personal responsibility for health D) Evidence -based nursing 4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which task best exemplifies public health? A) Reading current nursing journals and integrating the latest research into daily practice B) Instructing a client on how to be st care for a suture site at home C) Participating in a videoconference call with a client who lives in a remote area D) Facilitating a community -wide smoking cessation program 1 month out of the year Page 2 5. Public health nursing is distinguished from other specialties by adherence to eight principles. Which principle will a public health nurse prioritize when providing care? A) Will see the population as the “client” B) Will focus on research to improve health C) Will develop independent agencies to provide care to the community D) Will focus on secondary prevention to improve the health of the community 6. Public health nursing is distinguished from other specialties by adherence to eight principles. Which principle will a public health nurse prioritize in the community? A) Focuses policies on the individual's healthcare B) Ensures the community has an ind ependent agency to provide care C) Focuses efforts on primary prevention of illness in the community D) Presents t he client with a nursing care plan to follow after completing an assessment 7. A high school graduate is interested in pursuing public health nursing after shadowing the local public health nurse in the community. Which principles will this student be introduced to in preparing for this career path? (Select all that apply.) A) Assessing the clients based on intuition B) Using competent organizational skills C) Actively reaching out to all who will benefit the most from a specific service D) Developing cultural competence skills E) Developing appropriate marketing skills 8. A group of student nurses are preparing a poster that will depict the responsibilities of nurses in the late 1800s. Which duties should the students include in the section illustrating some of the duties of nurses in England? A) Use epidemiologic knowledg e and methods B) Encourage community organization C) Report facts to and ask questions of physicians D) Assist physicians with surgery in the newly constructed hospitals 9. The public health nurse is preparing to lead a discussion at the local library centering on improving health in the local community. Which goal from the Healthy People 2020 should the nurse prioritize ? A) Decrease the incidence of preventable disease, disability, injury, and premature death B) Reduce health inequity, decrease disparities, and improve the health of certain groups C) Create social and physical environments that promote good health for all D) Promote healthy development and healthy behaviors for the geriatric stage of life Page 3 10. A nurse is coordinating a plan to bring vacci nations in a cost -effective way to a rural community that currently lacks access to them. Which type of intervention is the nurse implementing in this community? A) Surveillance B) Outreach C) Screening D) Case management 11. The nurse is locating populations in her region who are exposed to lead -based paint and providing them with information regarding the dangers of lead poisoning. Which intervention is this nurse prioritizing in this outreach? A) Surveillance B) Outreach C) Screening D) Case management 12. A public health nurse is prep aring a poster to share at Career Day at the local high school to encourage students to consider entering the public health field. Which 20th century achievements should this nurse point out as significant on this poster? (Select all that apply.) A) Elimi nation of common infectious diseases B) Recognition of tobacco as a health hazard C) Fluoridation of drinking water D) Healthier mothers and babies E) Decline in the percentage of obese and overweight people 13. Demographic characteristics indicate that people in developed countries are living longer, healthier lives, yet tremendous health and social disparities exist. Which factor best represents the se social determinants of health? A) What society does collectively to ensure the conditions exist in which people can be healthy B) Social conditions in which people live and work C) Context of preventing disease and disability and promoting and protecting the health of the entire community D) Comprehensive management of health information and its secure exchange between consumers, providers, government and quality entities, and insur ers Page 4 14. A nurse works at a large university medical center but spends most of the time providing care for indi viduals via monitoring devices. How should the nurse explain the increased use of home monitoring devices when questioned by family members? (Select all that apply.) A) Rising number of people with acute conditions B) Increased need to deliver healthcare to medically underserved populations C) Advances in technology to assess clients' conditions in their home D) Performing assessments in real time using internet video systems E) Decline in the number of older adults 15. Personal responsibility for health involves active participation in one's own health through education and lifestyle changes. Which exemplify personal responsibility? (Select all that apply.) A) Reviewing one's own medical records B) Monitoring the positive and negative effects of prescription and over -the-counter medications C) Avoiding tobacco and recreational drug use D) Showing up for scheduled tests and procedures E) Eating the types of f oods one most enjoys 16. A nurse who has been providing care to the local community for many years has noted an increase in the number of acute and chronically ill people in the community who require professional nursing care. Which is one factor that the nurse can point out as having greatly contributed to the increase in this situation? A) Shorter length of stay in long -term care facilities B) Increase in ambulatory surgery C) Decrease in the use of outpatient clinics D) Increase in length of stay in emergency departments 17. A group of nursing students are exploring the various options available for specialized training and are considering public health nursing. Which organization should these students research online to discover the essentials of public health nursing and the activities and accountabilities that are characteristics of practice at all levels and settings? A) Association of Community Health Nurse Educators (ACHNE) B) American Nurses Association (ANA) C) American Public Health Association (APHA) D) Association of State and Territorial Directors of Nursing (ASTDN) Page 5 18. A high school graduate has decided to pursue a career in public health nursing. Which represents the minimum educational credential that this student will need to obtain entry into public health nursing practice? A) Associate's B) Baccalaureate C) Master's D) Doctorate 19. A team of nursing students are to present an oral report that will outline the various accomplishments of individuals throughout the history of nursing. Which individual pointed out that much of the ill health and disability i n American cities in 1850 could be traced to unsanitary conditions? A) Clara Barton B) Dorothea Dix C) Lemuel Shattuck D) Lillian Wald 20. During the Civil War, a nurse made history by distributing supplies to wounded soldiers and caring for the casualties with the help of a team of nurses. Which individual accomplished this and, in the process, changed the course of nursing practice? A) Clara Barton B) Dorothea Dix C) Lemuel Shattuck D) Lillian Wald 21. In the United Stat es, the state and federal government are actively involved in assisting with healthcare. Which actions are considered core functions of the government which address the health of its citizens? (Select all that apply.) A) Providing healthcare directly to its citizens B) Assessing healthcare problems C) Developing healthcare policy that provides access to services D) Building state -of-the-art hospitals E) Ensuring delivery of healthcare services and achievement of desire d outcomes Page 6 Answer Key 1. A 2. A, B, D, E 3. C 4. D 5. A 6. C 7. C, D 8. C 9. C 10. D 11. B 12. B, C, D 13. B 14. B, C, D 15. A, B, C, D 16. B 17. B 18. B 19. C 20. A 21. B, C, E Page 1 1. A registered nurse from France has moved to the United States and is now employed at a health facility. Which characteristic will this nurse discover does not occur in the United States as it does in France? A) Healthcare providers are evenly distributed between rural and urban areas. B) About 40% of healthcare providers are women. C) Healthcare provider visits can take 15 to 30 minutes. D) Healthcare providers see about 15 clients a day. 2. A nurse is interested in exploring initiatives related to health, poverty, and development in Africa. Which organization should this nurse consider prioritizing to accomplish this goal? A) Bill and Melinda Gates Foundation B) Living Proof Project C) International Committee of the Red Cross D) Oxfam International 3. The nurse desires to become more involved with an organization that has not been created by the government. Which factor will set these types of organizations apart from other types? A) Based in only one country but provides services to many other countri es. B) Acquires resources to help others from private rather than public sources. C) Collects data related to healthcare use across a variety of professional and service parameters. D) Uses endowed funds or private fundraising to address the needs of individuals, families, and populations. 4. A nursing student, close to graduation, is exploring the various options for employment. Which option should this individual prioritize if becom ing involved with a bilateral agency is the chosen goal? A) The United Nations B) The World Health Organization (WHO) C) The World Bank D) The U.S. Agency for International Development (USAID) Page 2 5. A public health nurse provides care to the community while following the various rules and regulations established by the federal government. Which areas will most likely be regulated by the federal government? (Select all that apply.) A) Food B) Medicat ions C) School health D) Devices E) Environment 6. A nurse is coordinating an initiative in the community to make sure that the healthcare needs of local refugees and asylees are recognized and addressed. Which federal agency should this nurse prioritize contacting to assist with this effort? A) United St ates Department of Health and Human Services B) National Institutes of Health C) Agency for Healthcare Research and Quality D) Centers for Disease Control and Prevention 7. A group of public health nurses are meeting to develop some goals for their community with the main goal of improving the health of their community. Which goal should this group prioritize to achieve this outcome? A) To restore the ability of an 80 year old to perform activities of daily living after a stroke B) To lobby for legislation that ensures the accessibility to health insurance on the basis of one's health C) To develop treatments to address symptoms related to chemotherapy D) To establish a free exercise program at a community center to promote fitness in a low-income neighborhood with high obesity rates 8. A group of nursing students are exploring the history of healthcare in the United States. Which type of care should these students discover has always received the most support? A) Individual care with a focus on cure B) Community care with a focus on cu re C) Individual care with a focus on prevention D) Community care with a focus on prevention Page 3 9. A nurse works predominantly with clients who are active military personnel. Which program will these individuals most likely be receiving health benefits through? A) Medicare B) Medicaid C) TRICARE D) CHIP 10. A public health nurse is seeking funds to help provide an "office on wheels" to take to various locations in the local rural communities. Which factor is the nurse prioritizing by seeking a philanthropic organization for the needed funds? A) Agency that i s based in only one country but provides services to many other countries B) Agency that acquires resources to help others from private rather than public sources C) A group that collects data related to healthcare use across a variety of professional and service parameters D) An organization that uses endowed funds or private fundraising to address the needs of individuals, families, and populations 11. A nurse is p reparing a poster for a health fair depicting the cost of healthcare around the world. Which country should the nurse prioritize as the one who spends the most? A) Canada B) England C) Japan D) United States 12. A couple nursing students are preparing a class project which will explore the statistics of the cost of healthcare in the United States. Which expenditure should these students point out is the fastest growing? A) Healthcare technology B) Hospital care C) Outpatient treatment and surgery D) Prescription medications 13. The public health nurse is appraising the latest estimates the community may be spending on healthcare. Which percentage will the nurse discover in the government reports for healthcare spending? A) 2 B) 3 C) 4 D) 5 Page 4 14. The client is a single mother of two who earns minimum wage at a part -time job and never graduated from high school. Which healthcare -related outcomes is the client at increased risk for, based on her circumstances? (Select all that apply.) A) Morbidity B) Mortality C) Genetic disorder D) Difficulty accessing care E) Negative outcomes when receiving care 15. The nurse is preparing a poster for a health fair illustrating the various categories in which health disparities are noted. Which areas shoul d the nurse prioritize on this poster? (Select all that apply.) A) Infant mortality B) Cancer screening C) Cardiovascular disease D) Diabetes E) End-stage renal disease 16. A nurse in the Canadian healthcare system is concerned because a client has been denied a surgical procedure that the nurse believes is essential to the client's recovery. Which individual will be best for this nurse to contact to seek a reversal of this decision? A) Nurse practitioner B) Healthcare providers C) Private insurance company D) Health administrator 17. The nurse is caring for a tourist from Germany who needs emergency healthcare. Which factor might this client find challenging when comparing the healthcare at home with the healthcare in the United States? A) Health insurance payments based on risk, not income B) Ambulatory care provided by centralized nonprofit hospitals C) An average hospital stay of 9 days D) Nurse practitioners operating independently Page 5 18. The nursing instructor has completed a session comparing the healthcare systems of various countries to the United States. The instructor determines the session is successful when the students correctly choose which fact concerning the payment system of th e Netherlands? A) Universal long -term payment system B) Dual -level payment system C) Private health insurance linked to employment D) Free health insurance paid by the government 19. A nurse has recently j oined an organization which provides healthcare to the local community. Which factor will best indicate this nurse is now employed by a multilateral agency? A) Is based in only one country but provides services to many other countries. B) Is responsible for the health and welfare of citizens nationally. C) Receives funding from both governmental and nongovernmental sources. D) Acquires resources to help others from private rather than public sources. 20. A new nurse graduate is considering joining a group which is part of the International Council of Nurses (ICN). Which area will this nurse most likely become involved with through this federation? A) Basic nursing practice B) Secondary healthcare C) Women's health D) Safe immunization programs 21. A hurricane recently struck a nurse's hometown, and the nurse on behalf of the hospital is coordinating local relief efforts with nongovernmental organizations (NGOs). Which organization should this nurs e most expect to work with in this situation? A) Bill and Melinda Gates Foundation B) Living Proof Project C) International Committee of the Red Cross D) Oxfam International Page 6 Answer Key 1. C 2. A 3. B 4. D 5. A, B, D, E 6. A 7. D 8. A 9. C 10. D 11. D 12. D 13. B 14. A, B, D, E 15. A, B, C, D 16. D 17. C 18. B 19. C 20. C 21. C Page 1 1. The nurse is passionate about research for a cure for pediatric leukemia and has written the state representatives in Congress to urge them to expand federal funding for this research. Which area of involvement is this nurse prioritizing with this action? A) Policy B) Politics C) Public health D) Equity 2. The nursing instructor is preparing a session which will delve into the relationship of healthcare and politics. Which factors should the instructor point out in this session? (Select all that apply.) A) Politics has a limited effect on healthcare B) The government should be interested in health matters when a problem affects a specific group or a whole population C) Politics has only negative effects on healthcare D) Republicans and Democrats generally agree on healthcare policies E) Political solutions can be achieved at both the federal and state levels 3. The nurse is interested in taking on a role in the state's political decision -making process. Which politica l skills should the nurse prioritize to be effective in this role? (Select all that apply.) A) Ability to understand others' behaviors B) Social skills C) Diagnostic skills D) Ability to network E) Ability to lie convincingly 4. A nurse has become involved in the policy -making process at the state level. Which order of events will the nurse be prepared to participate in as this process progresses? A) (1) Policy formulation; (2) policy assessment; (3) policy adoption; (4) policy implementation; (5) policy modification; and (6) setting an agenda B) (1) Setting an agenda; (2) policy formulation; (3) policy assessment; (4) policy modification; (5) policy adoption; and (6) policy implementation C) (1) Policy formulation; (2) setting an agenda; (3) policy implementation; (4) policy modification; (5) policy assessment; and (6) policy adoption D) (1) Setting an agenda; (2) policy formulation; (3) policy adop tion; (4) policy implementation; (5) policy assessment; and (6) policy modification Page 2 5. The nurse meets with a group of fellow nurses. They discuss the number of children who have died in hot cars and how likely they are to gain support from their state legislators to address the problem. Which step of the policy -making process are these nurses prioritizing at this time? A) Formulation B) Adoption C) Setting an agenda D) Assessment 6. The hospital board is in the process of developing a policy regarding the use of cell phones within the hospital. At the current meeting, the board has decided to limit the use of cell phones within certain waiting areas. Which stage of policy making does this action represent? A) Formulation B) Adoption C) Implementation D) Assessment 7. A hospital board has completed a 6 -month trial of a new policy concerning cell phone usage in the facility, as well as ongoing evaluation by individual board members. Which stage of policy making is the board employing if it is now expanding the locations of areas where cell phones may be used? A) Modification B) Adoption C) Implementation D) Assessment 8. The nurse applies a cost –benefit analysis to the healthcare model. Which costs should the nurse point out are primary concerns of the client? (Select all that apply.) A) Total payment for the service B) Out-of-pocket payment C) Suffering and pain D) Actual and direct cost of p roviding a service E) Psychological costs Page 3 9. A client visits the office of an independent nurse practitioner to have routine blood work done. The client returns 1 week later for a follow -up visit to discuss the results and formulate a new treatment plan. On the basis of the client's insurance plan, t he client is only obligated to pay $15 copay for this service. The total payment that the client's insurance company provides the practitioner is $180, which covers the $80 fee for a 15-minute visit and the $100 cost of laboratory services. On the basis of the nurse's current client load, $40 of the $80 fee for the visit covers overhead and the remaining $40 is profit. In terms of cost –benefit analysis, which is the actual financial cost to the nurse for providing this service? A) $100 B) $15 C) $180 D) $140 10. A family member receives Medicaid. Which factor would the nurse predict will most likely limit access of this person to healthcare? A) Inability to find a provider who accepts Medicaid B) Pre-existing conditions C) Lack of insurance D) Large insurance premiums 11. A client receives Medicare, has limited income, and lives in a large city. Which factors are likely to limit the client's ability to access healthcare? (Select all that apply.) A) Inability to afford supplemental insurance B) Living in an urban environme nt C) High out -of-pocket expenses D) Pre-existing conditions E) Lack of in -network providers in her or his region 12. A nursing instructor has completed a class session explaining various characteristics of healthcare. The instructor would determine the class is successful after the students correctly choose which definition that best describes “quality of care”? A) Degr ee to which health services increase the likelihood of desired outcomes and are consistent with current knowledge B) Improvement of what is wrong or unsatisfactory C) Economic approach or analysis tool used to evaluate the effectiveness of a treatment or intervention D) Presence of a variety of ethnic, racial, and cultural backgrounds of the workers in a specific area such as the health sector Page 4 13. A nurse has just f inished providing teaching and care to a child with type 1 diabetes. Which indicators of quality care should be apparent after this teaching? (Select all that apply.) A) Safely self -injected insulin in the office B) Has maintained an appropriate blood glucose level consistently for 6 months C) Was seen by the nurse 2 hours after arriving for a scheduled appointment D) Received care that was identical to that provided to six other clients of various racial background s E) Received instructions directly from the nurse in the office, not via a parent 14. A nurse desires to become more involved in the policy -making process. Which area of expertise would this nurse predict be the most beneficial in this process? (Select all that apply.) A) Clinical practice B) Administration C) Education D) Political science E) Research 15. A team of nurses are seeking the opportunity to assist with policy making. Which activities should these nurses prioritize to accomplish this goal? (Select all that apply.) A) Testify at congressional hearings B) Disseminate information on health issues in the media C) Serve as members of governing boards D) Document client symptoms following a physical examination E) Review articles in recent nursing journals 16. A nurse is working for a rural healthcare provider who is in the process of improving the information management in his practice. Which primary action by the federal government is most likely encouraging this change? A) Publishing of guidelines for increa sed efficiency in filing client records B) Tax deductions for the installation of new telephone systems C) Reimbursement and bonuses for healthcare providers and hospitals for adopting electronic health records D) Grants for hiring office managers trained in health information technology Page 5 17. The public health nurses at the local community health clinic have contacted the Community Transformation Grant program for possible assistance. Which program are these nurse s' most likely be trying to establish? (Select all that apply.) A) Tobacco -free living B) Physical activity C) Autism awareness D) Healthy eating E) Managing attention deficit disorder 18. The nurse is working through an ethical dilemma using a decision -making process developed by the Ohio Nurses Association. Which step should the nurse prioritize after determining an ethical dilemma exists? A) Clarify personal values and moral position B) Determine options on the basis of consideration of benefits and risks C) Make a responsible decision about actions or recommendations D) Gather and analyze relevant information 19. A nursing student is reviewing the ethical principles as established by the American Nurses Association (ANA). Which principles should this nurse be able to point out are included in the Code of Ethics for Nurses? (Select all that apply.) A) Compassion an d respect for the dignity, worth, and uniqueness of every individual B) Primary commitment to the healthcare provider C) Promotion and advocacy to protect the client's health, safety, and rights D) Participation in establishing, maintaining, and improvi ng healthcare environments and conditions E) Self-sufficiency and lack of dependence on other healthcare professionals in caring for the client 20. A group of nursing students are examining the Patient Protection and Affordable Care Act (ACA) of 2010. Which goals should the students be able to point out were the main focus of this legislation? (Select all that apply.) A) Shifting the focus of the hea lthcare delivery system from prevention to treatment B) Reducing the costs and improving the efficiency of healthcare C) Allowing insurers to deny healthcare coverage on the basis of pre -existing conditions D) Expanding health insurance coverage E) Expanding healthcare access to children Page 6 21. A nurse is examining the various steps as outlined by Porter in 2009. Which steps will the nurse discover are emphasized by Porter as necessary to improve the United Sta tes healthcare system? (Select all that apply.) A) Measurement and dissemination of health outcomes must be shared. B) The existing system of delivery of prevention, wellness , screening, and routine health maintenance services must be preserved. C) Care delivery must be reorganized around the availability of healthcare providers. D) Providers must compete for nurses on the basis of the quality of the care provided. E) Clien ts' involvement in their health must improve and incentives for client involvement should be considered. Page 7 Answer Key 1. B 2. B, E 3. A, B, D 4. D 5. C 6. B 7. A 8. B, C, E 9. D 10. A 11. A, C 12. A 13. A, B, D, E 14. A, B, C, E 15. A, B, C 16. C 17. A, B, D 18. D 19. A, C, D 20. B, D, E 21. A, E Page 1 1. The nurse is considering seeking a position with the World Health Organization (WHO). Which presents the best example for defining health per WHO? A) 72-year-old woman with well -managed diabetes who walks 2 miles (3 kilometers) every day and takes classes at the local community college B) 20-year-old man with no significant history of disease who smokes, works a stressful job, and is sedentary C) 50-year-old woman with no health complaints who h as alcohol use disorder, lives alone with little social contact, and is obese D) 98-year-old man with dementia who resides in an assisted living facility 2. The nurse collects specific data related to risk factors, health indicators, and health outcomes that determine the burden of disease. Which data should the nurse prioritize to complete the HALE component? A) Average number of years a newborn is expected to live if current mortality rates continue to apply B) Average number of years that a person can expect to live in “full health” by taking into account years lived in less than full health due to disease and/or injury C) Quantifying the burden of diseas e to a healthy life on the basis of the loss of years related to the burden of disease. The gap in years reflects the current state of health compared with an optimum state of health of a nation. D) Quantifying the burden of acute illness to a healthy life on the basis of the loss of years related to the burden of acute illness. The gap in years reflects the current state of health compared with an optimum state of health of a nation. 3. The nrse i s preparing a presentation about the World Health Organization's World Health Statistics Report for 2016. Which trend should the nurse point out is currently relevant? A) 4.2 million children die before reaching the age of 5 years B) 303,000 women die due to complications of pregnancy and childbirth C) 1.7 million people need treatment for neglected tropical disease D) 1.25 million people die from train accident injuries 4. A team of nurses are developing an organization that will help provide healthcare in third world countries. Which risk factors for poor health should the nurses be prepared to deal with as they implement their program? (Select all that apply.) A) Burning of wood and dung for cooking and heat B) Low status of women C) Sedentary lifestyle D) Not wrapping an infant immediately after birth E) Overconsumption of fatty foods Page 2 5. The nurse is assigned to prepare the yearly goals for the community health agency in a developing nation. Which goals, on the basis of the United Nations' Sustainable Development Goals should the nurse incorporate? (Select all that apply.) A) Initiate an afterschool sports program at every school in the nation to increase physical activity among children. B) Distribute a mosquito bed net to every home in the nation. C) Provide one million free allergy shots to people at highest risk. D) Increase the number of girls who attend primary schools by 100%. E) Provide training on prevention of postpartum hemorrhage to all healthcare workers. 6. The community health nurse works in a low -income country. The nurse's primary concern is to decrea se the incidence of malaria. Which intervention should the nurse pursue? A) Fuel alternatives to burning wood and dung B) Sanitized drinking water C) Education regarding contraception use D) Distribution of and education on the daily use of insecticide -treated bed nets 7. A nurse has recently begun providing care to a community in a low -income country. Which factors will this nurse discover most likely contributes to a rise in noncommunicable diseases? (Select all that apply.) A) Tobacco use B) Insufficient physical activ ity C) Unclean water D) Cardiovascular disease E) Lack of contraceptive use 8. The parish community health nurse is assigned to prepare the goals fo r a 6-month mission trip to a developing nation. Which challenge to the Sustainable Development Goals should the nurse prioritize? A) Child mortality has increased 21% since 1990 B) The percentage of people living on less than $0.25 a day rose from 22% in 1990 to 47% in 2010 C) The number of children out of school worldwide increased from 57 million to 102 million D) 793 million people still do not consume enough food to meet their nutritional energy requirements Page 3 9. A nurse is preparing a project for a local health fair. Which factor should the nurse prioritize when illustrating Smith's eudaimonistic model? A) Elimination of disease or symptoms B) A fit between people and social roles C) Adaptation to the environment D) Actualization or realization of human potential 10. A public health nurse is preparing a report exploring the various health factors of the local community. Which factor will the nurse prioritize as determinants of health? (Select all that apply.) A) Living in a community with clean, fluoridated water B) Having a death rate of 500 per 100,000 population C) Living in neighborhood with a high crime rate D) Smoking two packs of cigarettes per day E) Having an infant mortality rate of 95 deaths per 1,000 live births 11. The nurse works to discover epidemiologic transitions in the community. Which factor exemplifies an epidemiologic transition? A) High fertility and high mortality, resulting in slow population growth B) Improvement in hygiene and nutrition, leading to a decreased burden of infectious disease C) High and fluctuating mortality, due to poor health, epidemics, and famine D) Mortality declines and, later, fertility declines 12. The nurse is trying to analyze the various factors within the community. Which risk factor should the nurse point out tha t is associated with overall health? A) Allergy B) Traumatic injury C) Air pollution D) Down syndrome 13. The nurse recently learned that more than 100 infants and children in the community have received vaccinations at the health clinic in the past month. These data are an example of which health indicator? A) Morbidity and mortality B) Risk factors C) Health service coverage D) Health system resources Page 4 14. A community health nurse visits a village in Chad. The nurse has just finished assessing a 10-year-old girl who reports always being hungry. She lives in a home with her mother and father, who both work. She says she's never been to a healthcare provider before. Which level of poverty should the nurse most suspect in this girl and her family? A) Middle B) Moderate C) Relative D) Extreme 15. The community health nurse manager works to determine how to manage the local health workforce shortage effectively. Using the World Health Organization's (WHO) recommendations, which suggestion should the nurse manager prioritize to the agency? A) Increa se the agency's investment in the education and training of new healthcare workers B) Offer incentives to attract workers to thriving urban areas C) Attract men to the health professions D) Provide cures for common health problems to reduce demand for health services 16. The nurse manager at a healthcare facility in a developing nation regularly loses nurses to positions in developed nations. According to the World Health Organization, whi ch action would be most appropriate for the nurse manager to implement to address this problem? A) Lobby for local legislation that prevents migration of healthcare workers. B) Encourage the facility to build workforce capacity within the country. C) Institute HIV prevention measures and treatment for health workers. D) Treat expatriate workers with the same dignity and respect as all healthcare workers. 17. In a healthcare facility, a client is regarded as being healthy if he or she has no diagnosed diseases and is free of any symptoms. Which model of health is prioritized at this facility? A) Clinical model B) Role performance model C) Adaptive model D) Eudaimonistic model Page 5 18. A client reluctantly came to the clinic only after his daughter insisted that he do so. The nurse finds that he has type 2 diabetes. When the nurse explains that he has a serious condition, the client brushes it off and says, “I can still work and provide for my family. I'm not si ck.” Which model of health has this client adopted? A) Clinical model B) Role performance model C) Adaptive model D) Eudaimonistic model 19. The nurse works to identify epidemiologic transitions in the community. Which example would the nurse interpret as a demographic transition? A) High fertility and high mortality, resulting in slow population growth B) Progressive declines in mortality, as epidemics become less frequent C) High and fluctuating mortality, due to poor health, epidemics, and famine D) Further declines in mortality, increasing life expectancy, and predominance of noncommunicable diseases 20. The nurse is migrating from a developing nation to a developed nation. Which action of the nurse will result in the most benefit for the nurse's home country? (Select all that apply.) A) Returns to the home country with advanced practice skills B) Returns to the home country and teach others what was learned C) Shares with the new coworkers nursing practices unique to the nurse's home country D) Earn more money in the position in the ne w country E) Is safer from exposure to HIV in the new country 21. The community health nurse in a low -income c ountry is working to decrease the incidence of diarrheal illnesses. Which intervention would most likely best produce the best results? A) Providing fuel alternatives to burning wood and dung B) Providing sanitized drinking water C) Education regarding contraception use D) Distribution of and education on the daily use of insecticide -treated bed nets Page 6 Answer Key 1. A 2. B 3. B 4. A, B, D 5. B, D, E 6. D 7. A, B, D 8. D 9. D 10. A, C, D 11. C 12. C 13. C 14. D 15. A 16. C 17. A 18. B 19. A 20. A, B 21. B