A nurse is conducting a health promotion campaign aimed at reducing smoking rates in a community with a high prevalence of smoking among teenagers and young adults. Which intervention is more likely to be effective with this population?
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Question 2 of 98
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:
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Question 3 of 98
What are the newest threats to health in the United States that community health nurses deal with?
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Question 4 of 98
The intervention used to influence the knowledge, attitudes, values, beliefs, behaviors, and practices of the population of interest is referred to as:
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Question 5 of 98
A public health nurse (PHN) collects data and monitors the health status of the population. Which of the following core public health functions is the nurse addressing?
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Question 6 of 98
A nurse working in a community health clinic is caring for a middle-aged client who is being seen for a routine check-up. The nurse assesses the clients' vital signs, height, and weight and performs point-of-care glucose and cholesterol tests. After reviewing the results with the provider, the client is identified as being at an increased risk for developing diabetes. Which level of prevention does this visit reflect?
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Question 7 of 98
After teaching a group of students about the major types of cancer affecting men and women, the instructor determines that the teaching was successful when the students identify which of the following as the number one cause of cancer deaths among adults?
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Question 8 of 98
The necessary basic preparation for public health nursing is what level of nursing education?
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Question 9 of 98
Which action by the nurse is a primary prevention strategy?
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Question 10 of 98
When should controlled substances be signed out from the perpetual inventory log book?
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Question 11 of 98
For nurses who are familiar with evidence-based practice(EBP) and want to implement EBP into their care of clients, what might be the biggest challenge?
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Question 12 of 98
Which of the following is the primary reason that only a small percentage of those eligible participate in COBRA insurance?
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Question 13 of 98
When explaining the concept of disability to a local community group, which of the following descriptions would be most appropriate for the nurse to include?
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Question 14 of 98
The changes in biochemical and physiological processes that occur during a child's growth are especially pronounced during the first_____ years of life.
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Question 15 of 98
The role and goals of the community health nursing practice can best be described as:
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Question 16 of 98
Excluding war, what is the leading cause of disability for Americans 15 to 44 years of age?
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Question 17 of 98
Many hospitals avoid accidental fluid overload by enacting policies that prohibit the use of_____ IV bags with pediatric patients.
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Question 18 of 98
A public health nurse (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?
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Question 19 of 98
Two nurses plan to walk under a huge downtown bridge where various homeless persons live. Why would the nurses go to such an unsafe area?
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Question 20 of 98
A nurse is using a population focus when providing public health nursing care. Which statement best describes the care that is being provided?
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Question 21 of 98
Which nursing action following World War II represents an autonomous public-health nursing function?
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Question 22 of 98
After a series of heavy rains, the nurse in the local health department increases the water monitoring of the local beach because several upstream creeks flow into it. Why did the nurse increase the water monitoring?
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Question 23 of 98
What factor predisposes many migrant farmworkers to disenfranchisement?
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Question 24 of 98
The population health nurse is aware of many young couples with children purchasing and renovating older community homes. What prevention measure should the nurse implement to ensure the safety of these families?
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Question 25 of 98
Which statement describes the consequence of the successful implementation of the Affordable Care Act?
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Question 26 of 98
Which one of the following statements is most accurate when differentiating hospice from palliative care?
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Question 27 of 98
Which condition would the school nurse tell caregivers of adolescents is a protective relationship factor that can protect against suicide?
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Question 28 of 98
A nurse finds several studies that suggest that social factors, such as ____, are more important than behavioral choices in causing heart disease.
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Question 29 of 98
How did the Industrial Revolution result in previous caregiving approaches, such as care by families, friends, and neighbors, becoming inadequate?
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Question 30 of 98
Which layer of government is primarily responsible for issuing quarantines during a communicable disease outbreak?
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Question 31 of 98
A registered nurse was just employed as a public health nurse. Which question would be the most relevant for the nurse to ask?
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Question 32 of 98
The most important aspect of the nursing community assessment phase can best be described as:
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Question 33 of 98
Public health nursing specialists are interested in which of the following topic(s)?
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Question 34 of 98
Which of the following is most involved in using epidemiologic data to understand populations with mental illness?
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Question 35 of 98
Which of the following actions by Florence Nightingale demonstrates her role as an epidemiologist?
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Question 36 of 98
Which of the following bills would the nurse lobbyist, who believes strongly in social justice, encourage legislators to support?
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Question 37 of 98
The health priorities in HEALTH21 are based on what concept?
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Question 38 of 98
What is the most helpful intervention a nurse in community health can initiate to increase lasting resilience among new immigrants?
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Question 39 of 98
After teaching a class about the International Classification of Functioning, Disability, and Health (ICF), the instructor determines that the teaching was successful when the students identify which of the following as a personal factor?
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Question 40 of 98
A community health nurse collects data about the number and proportion of persons aged 25 or older with less than a high school education. Which term best describes this type of data?
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Question 41 of 98
Why is health care of the homeless so expensive to the community?
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Question 42 of 98
Local health departments were formed in urban areas in the late 1800s to accomplish what goal?
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Question 43 of 98
Which intervention is most appropriate at the primary prevention level for women victims of intimate partner violence?
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Question 44 of 98
A community is concerned about the threat of bioterrorism. Which of the following best describes the basis for this concern?
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Question 45 of 98
How might a nursing administrator who wishes to develop a work environment conducive to the implementation of evidence-based practice(EBP) best achieve this goal?
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Question 46 of 98
What are some of the untoward events categorized in the Institute of Medicine (IOM) report about medical errors?
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Question 47 of 98
Which of the following would have been the focus of a school nurse in the early 20th century?
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Question 48 of 98
Hickman, BROVIAC, triple lumen, and Quinton are types of
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Question 49 of 98
A major provision of the Social Security Act of 1935 was the establishment of which service?
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Question 50 of 98
Which one of the following statements about elder abuse is most accurate?
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Question 51 of 98
What has happened to the funds set aside for nutrition and food programs, such as WIC?
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Question 52 of 98
Which is an example of tertiary prevention by a nurse?
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Question 53 of 98
A community health nurse working in a local women's health clinic is planning a teaching session for a group of women about menopause. Which of the following would the nurse include in the session?
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Question 54 of 98
Institutional pharmacies generally track all scheduled substances using a_____ inventory system.
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Question 55 of 98
Which of the following is considered a primary prevention measure to address homelessness?
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Question 56 of 98
A community health nurse is teaching nursing students about the development of the modern public health system. Which reform movement will the nurse note as foundational to the modern public health system?
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Question 57 of 98
Which type of policy is the public health nurse engaging in when trying to reduce the speed limit around a community playground?
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Question 58 of 98
A nurse documents that a young man squatting in an abandoned factory is experiencing what type of homelessness?
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Question 59 of 98
Which of the following is an effective measure nurses can take to reduce health disparities?
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Question 60 of 98
Which of the following would be least helpful to a novice community health nurse working with vulnerable populations who is feeling overwhelmed and somewhat guilty about his or her personal situation as compared to his or her clients?
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Question 61 of 98
When inserting a PCA needle-and-syringe unit into the injection port of an IVPB base solution bag, the needle should be inserted
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Question 62 of 98
The nurse wanted to engage in primary prevention in relation to the vulnerable populations for whom the nurse provided care. For what might the nurse choose to volunteer?
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Question 63 of 98
A member of a community weight-loss group has maintained a healthy weight for 2 years through healthy eating and daily exercise. At which step of the affective domain is this participant?
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Question 64 of 98
A public health staff nurse (PHN) who has a clear understanding of population-focused practice, would most likely engage in what activity?
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Question 65 of 98
A nurse working in a lesser-developed country is caring for the women in the local community. Which existing factor regarding the women would be an important consideration for the nurse?
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Question 66 of 98
Which action will the community health nurse take when engaged in the activity of social prescribing?
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Question 67 of 98
A community health nurse is assessing a population for socioeconomic resources. Which of the following would the nurse address?
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Question 68 of 98
Which of the following is a characteristic of healthy older adults?
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Question 69 of 98
A community health nurse would like to implement an intervention to increase lasting resilience among new immigrants. Which of the following actions should be taken by the nurse?
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Question 70 of 98
Why are homeless youth at higher risk for HIV, hepatitis, and STIs?
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Question 71 of 98
Which goal would a nurse utilize when developing a program to improve care for vulnerable populations based on the Future of Nursing Report 2020-2030?
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Question 72 of 98
Which data should the nurse utilize to determine the leading cause of death across the population?
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Question 73 of 98
Which one of the following statements is true regarding social capital?
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Question 74 of 98
Which device is used with a continuous IV infusion to reduce the likelihood of fluid overload in pediatric patients?
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Question 75 of 98
Which subpopulation is more likely to be sheltered homeless in urban areas?
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Question 76 of 98
The nurse recognizes that the concept of universal design emphasizes which component?
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Question 77 of 98
A nurse is meeting to discuss problems and solutions with a group of teenagers who have been newly diagnosed with diabetes. One teenager states 'My mom found this particular brand of popcorn that has only 15 carbohydrates in the whole giant bag.' What group purpose is being served by the teenager's statement?
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Question 78 of 98
An 80-year-old client comes to the community health center with a large bag of medications. The client tells the nurse these medications are unaffordable on just Social Security. Which statement is the best response by the nurse?
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Question 79 of 98
A nurse is providing public health education based on the teachings of Lillian Wald. Which of the following topics will the nurse most likely discuss?
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Question 80 of 98
A nurse interacts with a 25-year-old woman at a community health center who is obtaining a gynecological examination and birth control pills. Which of the following types of care is the client receiving?
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Question 81 of 98
The Institute of Medicine (IOM), now known as the Health and Medicine Division (HMD) of the National Academies of Sciences, Engineering, and Medicine, stated in their report, The Future of the Public's Health, that there are three core functions that society carries out to collectively support the optimum conditions for public health. Which one of the following is not one of these functions?
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Question 82 of 98
A nurse is working as a case manager with a vulnerable population. Which of the following actions should the nurse do when providing care?
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Question 83 of 98
Residents of rural communities report that they must travel for long distances to obtain health care services. As a result, they seek health care only for emergencies and severe illnesses. Which aspect of the health care system in the United States is illustrated in this situation?
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Question 84 of 98
Which of the following is responsible for the dramatic increase in life expectancy during the 20th century?
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Question 85 of 98
What behavior would most likely lead to a positive interaction for the nurse working with Mexican immigrants?
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Question 86 of 98
When assessing a population for health disparities, which of the following would the nurse least likely evaluate?
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Question 87 of 98
A public health nurse (PHN) becomes involved in health care reform. Which of the following best describes the purpose of this action?
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Question 88 of 98
A nurse is looking for evidence-based practice (EBP) to support the methods used to facilitate smoking cessation. Which of the following types of evidence would be the first four to the nurse to examine?
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Question 89 of 98
What are the two primary causes of death in children who live in rural areas?
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Question 90 of 98
A community health nurse is providing information handouts that describe the need for annual gynecologic exams to local health clinics that provide care for individuals with disabilities. The nurse is fulfilling which role?
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Question 91 of 98
According to the Federal Register, what is the minimum income needed by a family of four to meet the basic needs for healthy living(that is, an income below this amount is considered insufficient to provide the food, shelter and clothing needed to preserve health)?
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Question 92 of 98
Premixed PN solutions are used primarily in_____ situations.
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Question 93 of 98
Which of the following would a community health nurse recommend adult men and women over the age of 50 receive yearly?
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Question 94 of 98
A community health nurse meets with a group of adults at the local senior center. They range in age from 65 to 70 years. The nurse would recommend vision screening at which frequency?
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Question 95 of 98
Which stage of the stage-sequential model of policy development is the nurse engaged in when determining the effectiveness of a policy?
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Question 96 of 98
Many of the emerging threats for public health are tied to increasing globalization. Which of the following reflects the most significant globalization threat?
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Question 97 of 98
The federal-state-local partnership teams with other organizations to develop and implement responses to identified public health concerns because:
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Question 98 of 98
The nurse was assessing a child who had spent the last 3 years living with her mother in homeless family shelters. Which of the following would the nurse expect of the child in relation to intellectual development?
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