What condition of the rural environment provides increased opportunities for teaching?
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Question 2 of 60
A migrant farmworker's family seemed to be very stressed, although their employer had given them the day off to visit the clinic and told them to take all the time they needed. In addition to the health issue, what might be the family's fear?
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Question 3 of 60
What is the chief group pressuring clinicians to use evidence-based practice (EBP)?
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Question 4 of 60
A teenager with diabetes doesn't want to inject insulin. The nurse tries to be empathetic while teaching the teenager how to give insulin and clarifying why insulin and glucose level control are so important. The teenager still refuses. The diabetic educator decides that the teenager needs a facilitator. What behaviors can a facilitator use beyond what the nurse-teacher has done? Select all that apply.
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Question 5 of 60
What advice would you give a new nurse on how to care for very poor families? Select all that apply.
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Question 6 of 60
A nurse is caring for an adolescent hospitalized for cellulitis. The nurse notes that the adolescent experiences many “mood swings†throughout the day. How should the nurse interpret this behavior?
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Question 7 of 60
A friend who is a nurse tells you that her family is moving from the urban area where you both live to a rural area to be near her spouse's parents, who are becoming less independent. What advice would you give for the nurse in preparing for any possible nursing role changes? Select all that apply.
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Question 8 of 60
The nursing staff has worked very hard this year in trying to screen essentially the entire African- American population in the community for diabetes. How can the success of the nursing staff's efforts be immediately verified?
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Question 9 of 60
Which of the following would be included on a genogram?
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Question 10 of 60
Which model would be helpful to the nurse in examining all the various factors that can lead to disease?
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Question 11 of 60
A principal comments to the school nurse that it seems there are a lot more problems with asthma among the students than there were before the school was remodeled and expanded a couple of years ago. The nurse decides to check on the principal's observation by reviewing all the school records to determine visits to the health office because of asthma by week and month for the past 5 years. What sort of study is the nurse doing?
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Question 12 of 60
A school nurse was caring for an 8-year-old child who had been hurt on the school playground. During the nurse's assessment, the child admitted that her mother was working but didn't make much money so the girl and her mother were living in their car. Based on this information, what might the nurse suspect?
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Question 13 of 60
Statistics clearly demonstrate that there are significantly more cases of a disease in one particular neighborhood than in all the rest of the city. Assuming all else is the same, what is the most likely explanation for a single neighborhood having such a different pattern of illness?
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Question 14 of 60
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 15 of 60
A nurse has been making ongoing visits to a preschool to help the staff teach the children important skills, such as brushing their teeth after meals. Now the nurse is scheduled to teach carbohydrate counting to adults newly diagnosed with diabetes. What will the nurse need to do differently for this audience? Select all that apply.
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Question 16 of 60
Which part of an educational program probably needs improvement if only 25% of community members meet the learning objectives after completing it?
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Question 17 of 60
Which best describes the documentation that the nurse should expect to complete during the home visit?
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Question 18 of 60
The nurse is working with a group of older adult couples to help them learn more about fall prevention and how to make modifications in their home to decrease their risk of falls. This is an example of which level of health promotion?
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Question 19 of 60
According to Erikson, which psychosocial task is developing in adolescence?
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Question 20 of 60
What are health professional shortage areas (HPSAs)?
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Question 21 of 60
A busy school health nurse concerned over the rising incidence of obesity wants to implement evidence-based practice (EBP) but faces barriers because of time constraints. How might a knowledge manager benefit this nurse?
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Question 22 of 60
Aggregates at high risk for having poor health outcomes because of limited resources are called:
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Question 23 of 60
Persons in an auditorium might have been exposed to a disease. If they are infected, it is crucial that they receive immediate treatment and not take the problem home to their families. What is the most important factor about the screening test used?
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Question 24 of 60
A client was admitted to home care and was dismayed to find the nurse discussing such uncomfortable topics as advance directives, living will, and durable power of attorney. Which is the most appropriate response by the nurse?
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Question 25 of 60
A school health nurse plans to use evidence-based practice (EBP) to guide the development of health education programs most likely to increase retention of learning in elementary school children. What may be the best way to use EBP in this situation?
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Question 26 of 60
A client was quite ill and the family was doing their best. After careful assessment and diagnosis, the home health nurse was setting priorities for care. Which should be the basis for deciding which intervention to implement first?
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Question 27 of 60
Which finding in a young single pregnant woman would cause you the most concern?
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Question 28 of 60
A nurse is investigating bacteria that have caused a health problem in the community. Only some of the people exposed to the bacteria have become ill. What could account for this?
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Question 29 of 60
Which predisposes the adolescent to feel an increased need for sleep?
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Question 30 of 60
Based on research, what is the best way to increase the number of persons who come to their screening test appointments?
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Question 31 of 60
What is the initial indication of puberty in girls?
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Question 32 of 60
Which of the following is the best learning objective for teaching testicular self-examination (TSE)?
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Question 33 of 60
A public health nurse found that out of the 70 people who ate the potato salad at a school picnic, 63 developed symptoms of food poisoning. What is the attack rate?
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Question 34 of 60
The nurse observes the interaction between a father and his school-age child during which the father tells the
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Question 35 of 60
A mother and her son are in the emergency department. The mother is extremely upset. Earlier, the son had become so angry that he put his hand through a glass window and had to have stitches. The physician suggested a psychiatric consult. Now the mom asks, "Do you think my son is crazy?" Which is the most appropriate response?
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Question 36 of 60
Which level of prevention is represented by a nurse who offers homeless clients yearly tuberculosis (TB) screening and free treatment for those who test positive for TB?
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Question 37 of 60
A nurse is concerned about the high incidence of STDs in the community college population and sets up a special STD screening. Which students would not be encouraged to attend?
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Question 38 of 60
Which action should the home health nurse take to get in touch with a client if the client apparently has no telephone?
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Question 39 of 60
A client needed a great deal of care. During a morning visit, the nurse shared information with the client's caregiver and demonstrated technical procedures. Which is most important for the nurse to assess?
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Question 40 of 60
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 41 of 60
Which is required for an agency to receive reimbursement for care given from Medicare?
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Question 42 of 60
What kind of prevention is a nurse implementing when advising a client with osteoporosis to have three servings of milk or dairy products daily?
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Question 43 of 60
A nurse is concerned about stress related to the heavy caregiving burden assumed by adult children of older clients. What action by the nurse would use secondary prevention to limit caregiver stress?
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Question 44 of 60
A teenager who has just come in for her prenatal visit appears to be about 6 months pregnant. What are the most typical reasons that a teenage girl might wait so long to come in for prenatal care? Select all that apply.
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Question 45 of 60
What can the nurse do to decrease the risk for depression in older adults?
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Question 46 of 60
Some faculty at the College of Nursing decide to establish an innovative new program to help families with technology-dependent children. The program will include home care and respite care, among other services. When the group is applying for funding, what would such a service be called?
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Question 47 of 60
Which bill would the nurse lobbyist, who believes strongly in social justice, encourage legislators to support?
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Question 48 of 60
A Mexican immigrant mother tells the nurse she is concerned that people in the community will give her daughter mal de ojo. To what folk illness is her mother referring?
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Question 49 of 60
What are some of the best ways in which nurse managers can facilitate incorporation of evidence-based practice (EBP) in the clinical setting?
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Question 50 of 60
A nurse explained to a family exactly how to care for their family member, who had just been discharged home from the hospital. When the nurse visited the family 3 days later, it was apparent that neither the patient nor the family had completed certain activities since the previous visit. What is the most probable explanation?
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Question 51 of 60
Parents are concerned about the number of hours their teenage daughter spends with peers. The nurse explains that peer relationships are important during adolescence for which reason?
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Question 52 of 60
A school health nurse presents a program on preventing teen pregnancy to a group of parents. Following the presentation, what comment by a parent would cause concern?
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Question 53 of 60
A nurse who is providing diabetes screening at a community clinic discovers that a new client has type 2 diabetes mellitus. The nurse provides counseling, refers the client to an endocrinologist for initial assessment and treatment, arranges for the client to see someone regarding financial assistance, contacts the mobile van to arrange transportation, and sets up a follow-up appointment. Which type of service do these actions represent?
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Question 54 of 60
From whom is a rural resident with asthma most likely to receive health care services?
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Question 55 of 60
In what way could Florence Nightingale be considered an epidemiologist?
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Question 56 of 60
A nurse was considering self-employment by starting a home health managed care agency. Which risk is the nurse taking, particularly in the beginning?
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Question 57 of 60
A nurse believes the new mouth care procedure (MCP) is causing more mouth problems than it is helping to avoid. What must be present for the nurse to go to administration with confidence that the new mouth care procedure (MCP) is causing problems? Select all that apply.
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Question 58 of 60
When nurses interact with clients with SUDs, which of the following terms/language would be best to avoid because it may promote stigmatization of SUDs?
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Question 59 of 60
Which is the major assumption of Albrecht's conceptual model?
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Question 60 of 60
The community health nurse is performing an admission assessment on a client with a substance use disorder. Which of the following questions is most appropriate for the nurse to use when interviewing the client about their substance use history?
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