Question 1

Which of the following factors has the largest impact on health disparities among all populations?

Accepted Answer

A)  Ethnicity 
B)  Education level 
C)  Lifestyle choices 
D)  Poverty 
A)  Ethnicity 
B)  Education level 
C)  Lifestyle choices 
D)  Poverty

Question 2

A nurse is implementing a tertiary prevention program to promote health among middle-aged women with diabetes.Which of the following best describes the intervention being implemented by the nurse?

Accepted Answer

A)  Developing lifestyle improvement programs for women at risk for diabetes 
B)  Presenting lifestyle management presentations at women's conferences 
C)  Monitoring blood glucose levels closely and modifying diet accordingly 
D)  Screening glucose levels of women at risk for development of diabetes 
A)  Developing lifestyle improvement programs for women at risk for diabetes 
B)  Presenting lifestyle management presentations at women's conferences 
C)  Monitoring blood glucose levels closely and modifying diet accordingly 
D)  Screening glucose levels of women at risk for development of diabetes

Question 3

Toward whom is the TLC model targeted?

Accepted Answer

A)  Caregivers of older persons with health problems 
B)  Community organizations that offer services for the elderly 
C)  Elderly clients with health problems 
D)  Nurses who care for older clients 
A)  Caregivers of older persons with health problems 
B)  Community organizations that offer services for the elderly 
C)  Elderly clients with health problems 
D)  Nurses who care for older clients

Question 4

A nurse wants to promote improved health for obese children in the community.Which of the following best describes a tertiary prevention measure that the nurse would implement?

Accepted Answer

A)  Establish lifestyle improvement programs through local youth organizations. 
B)  Evaluate the food intake of a group of children for a 48-hour period. 
C)  Provide education programs to overweight expectant parents. 
D)  Evaluate the body mass index of children at regularly scheduled well-child exams. 
A)  Establish lifestyle improvement programs through local youth organizations. 
B)  Evaluate the food intake of a group of children for a 48-hour period. 
C)  Provide education programs to overweight expectant parents. 
D)  Evaluate the body mass index of children at regularly scheduled well-child exams.

Question 5

A client has designated someone else to make health care decisions when he or she is unable to do so.Which of the following methods is the client using to make health care decisions?

Accepted Answer

A)  An advance directive 
B)  A living will 
C)  A durable power of attorney 
D)  A Do-Not-Resuscitate (DNR) order 
A)  An advance directive 
B)  A living will 
C)  A durable power of attorney 
D)  A Do-Not-Resuscitate (DNR) order

Question 6

A nurse is implementing Wagner's Chronic Care Model (CCM).Which of the following actions would the nurse most likely take?

Accepted Answer

A)  Educate a community group about hypertension control. 
B)  Create a budget for chronic disease management. 
C)  Administer immunizations to community members. 
D)  Conduct depression screenings in the community. 
A)  Educate a community group about hypertension control. 
B)  Create a budget for chronic disease management. 
C)  Administer immunizations to community members. 
D)  Conduct depression screenings in the community.

Question 7

A client explains to the nurse that it is just impossible for her and her husband to continue to have his mother in the home alone during the day while they work because the woman becomes confused and has fallen twice.Which of the following community resources should the nurse recommend?

Accepted Answer

A)  Adult day health 
B)  Home health 
C)  Long-term care 
D)  Senior center 
A)  Adult day health 
B)  Home health 
C)  Long-term care 
D)  Senior center

Question 8

A mother says,"My son wants me to let him buy a car.I must admit,I certainly get tired of driving him around to all his sports and other activities.Do you think I should let him have a car?" Which of the following statements would be the best response by the nurse?

Accepted Answer

A)  "Absolutely, it will help him recognize the cost of gas and maintenance." 
B)  "Certainly. Most young men want their own car, and peer pressure can be painful." 
C)  "It depends on whether you trust your son to drive safely." 
D)  "No, adolescent males cannot be trusted with an automobile." 
A)  "Absolutely, it will help him recognize the cost of gas and maintenance." 
B)  "Certainly. Most young men want their own car, and peer pressure can be painful." 
C)  "It depends on whether you trust your son to drive safely." 
D)  "No, adolescent males cannot be trusted with an automobile."

Question 9

A nurse's mother leans forward and says,"My best friend fell the other day and now she's in the hospital.I'm really worried about getting osteoporosis.What do you think I should do?" What should the nurse recommend?

Accepted Answer

A)  Ask your doctor for hormone replacement therapy. 
B)  Continue to abstain from alcohol and not use tobacco. 
C)  Eat foods high in calcium such as fortified skim milk. 
D)  Eat lots of green leafy vegetables. 
A)  Ask your doctor for hormone replacement therapy. 
B)  Continue to abstain from alcohol and not use tobacco. 
C)  Eat foods high in calcium such as fortified skim milk. 
D)  Eat lots of green leafy vegetables.

Question 10

A nurse would like to learn more about the overall health of a population.Which of the following indicators would the nurse most likely use?

Accepted Answer

A)  Life expectancy 
B)  Mortality rate 
C)  Morbidity rate 
D)  Health status 
A)  Life expectancy 
B)  Mortality rate 
C)  Morbidity rate 
D)  Health status

Question 11

Which of the following behaviors results in men being less healthy than women?

Accepted Answer

A)  Concentration on sports, hunting, and other dangerous recreational choices 
B)  Employment in stressful positions more so than women 
C)  Preference to spend money on priorities other than health care 
D)  Reluctance to visit physicians 
A)  Concentration on sports, hunting, and other dangerous recreational choices 
B)  Employment in stressful positions more so than women 
C)  Preference to spend money on priorities other than health care 
D)  Reluctance to visit physicians

Question 12

Which of the following characteristics indicates a man is at a higher risk for developing prostate cancer?

Accepted Answer

A)  Being of Caucasian descent 
B)  Has not had a PSA test 
C)  Has a father or brother who has had prostate cancer 
D)  Has benign prostatic hypertrophy 
A)  Being of Caucasian descent 
B)  Has not had a PSA test 
C)  Has a father or brother who has had prostate cancer 
D)  Has benign prostatic hypertrophy

Question 13

A nurse is new to the community but wants to begin planning immediately for health promotion programs.Even though the nurse does not yet know the community,which of the following programs would be good to plan first?

Accepted Answer

A)  Alcohol and tobacco cessation programs 
B)  Cancer screening programs 
C)  Cardiac health education programs 
D)  Exercise for life programs 
A)  Alcohol and tobacco cessation programs 
B)  Cancer screening programs 
C)  Cardiac health education programs 
D)  Exercise for life programs

Question 14

A nurse wants to establish a program to decrease the death rate among children.Which of the following health problems should be the target of this program?

Accepted Answer

A)  Accidents and injuries 
B)  AIDS 
C)  Childhood obesity 
D)  Vaccine-preventable diseases 
A)  Accidents and injuries 
B)  AIDS 
C)  Childhood obesity 
D)  Vaccine-preventable diseases

Question 15

After seeing a public education program on the need for screening colonoscopy and the dangers of colorectal cancer,an older friend asks the nurse,"I'm really scared of getting cancer.What can I do to avoid that kind of cancer?" Which of the following recommendations should be made by the nurse?

Accepted Answer

A)  Avoid smoking or much alcohol. 
B)  Choose poultry or fish rather than red or processed meat. 
C)  Eat lots of fruits, vegetables, and fiber every day. 
D)  Try to get at least 8 hours of sleep a night. 
A)  Avoid smoking or much alcohol. 
B)  Choose poultry or fish rather than red or processed meat. 
C)  Eat lots of fruits, vegetables, and fiber every day. 
D)  Try to get at least 8 hours of sleep a night.

Question 16

Which of the following adolescent(s)would receive care from the advanced practice nurse without parental consent?

Accepted Answer

A)  A 16-year-old who is living on his own (not with his parents) 
B)  A pregnant adolescent 
C)  An adolescent in an emergency situation 
D)  An adolescent whose diagnosis has a serious prognosis 
A)  A 16-year-old who is living on his own (not with his parents) 
B)  A pregnant adolescent 
C)  An adolescent in an emergency situation 
D)  An adolescent whose diagnosis has a serious prognosis

Question 17

A nurse is providing nutrition counseling to the parents of a 4-year-old.Which of the following recommendations is the nurse most likely to provide?

Accepted Answer

A)  It is recommended that the child consume approximately 10 ounces of grains on a daily basis. 
B)  It is recommended that the child consume approximately four cups of dairy on a daily basis. 
C)  It is recommended that the child consume approximately four cups of fruits and vegetables daily. 
D)  It is recommended that the child consume approximately 10 ounces of protein on a daily basis. 
A)  It is recommended that the child consume approximately 10 ounces of grains on a daily basis. 
B)  It is recommended that the child consume approximately four cups of dairy on a daily basis. 
C)  It is recommended that the child consume approximately four cups of fruits and vegetables daily. 
D)  It is recommended that the child consume approximately 10 ounces of protein on a daily basis.

Exam 20: Health Risks Across the Life Span

Which of the following factors has the largest impact on health disparities among all populations?

A nurse is implementing a tertiary prevention program to promote health among middle-aged women with diabetes.Which of the following best describes the intervention being implemented by the nurse?

Toward whom is the TLC model targeted?

A nurse wants to promote improved health for obese children in the community.Which of the following best describes a tertiary prevention measure that the nurse would implement?

A client has designated someone else to make health care decisions when he or she is unable to do so.Which of the following methods is the client using to make health care decisions?

A nurse is implementing Wagner's Chronic Care Model (CCM).Which of the following actions would the nurse most likely take?

A client explains to the nurse that it is just impossible for her and her husband to continue to have his mother in the home alone during the day while they work because the woman becomes confused and has fallen twice.Which of the following community resources should the nurse recommend?

A mother says,"My son wants me to let him buy a car.I must admit,I certainly get tired of driving him around to all his sports and other activities.Do you think I should let him have a car?" Which of the following statements would be the best response by the nurse?

A nurse's mother leans forward and says,"My best friend fell the other day and now she's in the hospital.I'm really worried about getting osteoporosis.What do you think I should do?" What should the nurse recommend?

A nurse would like to learn more about the overall health of a population.Which of the following indicators would the nurse most likely use?

Which of the following behaviors results in men being less healthy than women?

Which of the following characteristics indicates a man is at a higher risk for developing prostate cancer?

A nurse is new to the community but wants to begin planning immediately for health promotion programs.Even though the nurse does not yet know the community,which of the following programs would be good to plan first?

A nurse wants to establish a program to decrease the death rate among children.Which of the following health problems should be the target of this program?

After seeing a public education program on the need for screening colonoscopy and the dangers of colorectal cancer,an older friend asks the nurse,"I'm really scared of getting cancer.What can I do to avoid that kind of cancer?" Which of the following recommendations should be made by the nurse?

Which of the following adolescent(s)would receive care from the advanced practice nurse without parental consent?

A nurse is providing nutrition counseling to the parents of a 4-year-old.Which of the following recommendations is the nurse most likely to provide?

Community- and Prevention-Oriented Practice to Improve Population Health

The History of Public Health and Public and Community Health Nursing

The Changing Ushealth and Public Health Care Systems

Ethics in Public and Community Health Nursing Practice

Cultural Influences in Nursing in Community Health

Environmental Health

Government, The Law, and Policy Activism

Economic Influences

Epidemiological Applications

Evidence-Based Practice

Using Health Education and Groups in the Community

Community Assessment and Evaluation

Case Management

Disaster Management

Surveillance and Outbreak Investigation

Program Management

Managing Quality and Safety

Family Development and Family Nursing Assessment

Family Health Risks

Vulnerability and Vulnerable Populations: An Overview

Rural Health and Migrant Health

Poverty, Homelessness, Teen Pregnancy, and Mental Illness

Alcohol, Tobacco, and Other Drug Problems in the Community

Violence and Human Abuse

Infectious Disease Prevention and Control

HIV Infection, Hepatitis, Tuberculosis, and Sexually Transmitted Diseases

Nursing Practice at the Local, State, and National Levels in Public Health

The Faith Community Nurse

The Nurse in Home Health and Hospice

The Nurse in the Schools

The Nurse in Occupational Health

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