Diversity
12. Which theory views the family with boundaries that are affected by the environment?
a. Family developmental and life cycle theory
b. Bioecological systems theory
c. Microsystems
d. Family systems theory
ANS: D
13. A nurse organizes care for a family by focusing on the common tasks of family life and
considering a longitudinal view of the family life cycle. Which of the following theories is
being applied?
a. Family systems
b. Bioecological systems
c. Family developmental and life cycle
d. Capacity-building model
ANS: C
14. A nurse examines family interactions. Which of the following identifies the theory that is
being applied?
a. Bioecological systems
b. Family systems
c. Family developmental and life cycle
d. Capacity-building model
ANS: B
18. A nurse displays pertinent family information in a multigenerational family tree format.
Which of the following best describes this format?
a. Family intervention
b. Family assessment
c. Genogram
d. Ecomap
ANS: C
28. A nurse’s excessive attention to cost containment impairs the nurse’s duty to provide
measures to improve health. Which of the following ethical principles is being influenced?
a. Autonomy
b. Beneficence-provide measures to improve health
c. Veracity
d. Nonmaleficence
ANS: B
29. Care in a managed system is provided by less experienced providers. Which of the
following ethical principles is being influenced in this situation?
a. Autonomy
b. Beneficence
c. Nonmaleficence
d. Justice
ANS: D
1. A nurse who is using population management needs to be able to work with integrated care
delivery systems. Which of the following describes the rationale for this competency?
a. Management has shifted from inpatient care to primary care providers as points of
entry.
b. Emphasis is on episodic illness care for individuals rather than on population
management.
c. Care management services and programs do not provide access and accountability,
as provided by case management services.
d. Assessment of the needs of the population is no longer necessary.
ANS: A
2. A nurse is using population management as part of the nursing care that is provided. Which
of the following activities is the nurse most likely completing?
a. Census taking to determine the total number of people in the population
b. Assessing the needs of the client population through compilation of health histories
c. Providing case management services for every citizen in the community
d. Selecting programs for wellness that are repeated annually
ANS: B
3. An enduring process in which a manager establishes systems and monitors the health status,
resources, and outcomes for a targeted aggregate of the population is referred to by what
term?
a. Case management
b. Care management
c. Disease management
d. Demand management
ANS: B
manager establishes systems and monitors
4. A patient with a long history of asthma with many hospital admissions is referred to a case
manager for disease management. Which of the following best describes the purpose of this
referral?
a. Chronic and costly disease conditions that require long-term care interventions
b. Patients who cannot handle their disease
c. Those who seek to control use by providing clients with correct information
d. Patients who will need an advanced practice nurse instead of physician for
monitoring
ANS: A
5. A nurse is assisting clients to improve their health status. Which of the following types of
management is being used by the nurse?
a. Care management
b. Case management
c. Disease management
d. Demand management
ANS: D
6. A bachelor’s prepared nurse is providing case management services. Which of the following
activities would most likely be provided by this nurse?
a. Working with community aggregates
b. Working with systems of disease
c. Working with individuals
d. Working with outcomes management processes
ANS: C
9. A nurse is working as a case manager and is in the process of performing interdisciplinary,
family and client conferences. Which of the following phases of the nursing process is being
implemented?
a. Assessment
b. Diagnosis
c. Planning for outcomes
d. Implementation
ANS: B
10. 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
ANS: D
14. Which knowledge domains are used in case management?
a. Legal issues, malpractice recognition, and community involvement
b. Teaching, counseling, and education skills
c. Advocacy, political campaigning, and legislative change
d. Grant application, bargaining contracts, and securing funding
ANS: B
15. A nurse is using life care planning when working with a client. What would be the most
appropriate time for planning to be used?
a. When organizing a timeline of life events
b. When documenting client information and requests
c. When assessing present and future client needs
d. When estimating future costs for medical care
ANS: C
16. A nurse is working as a case manager. Which of the following best describes the diagnoses
that the case manager is most likely to encounter?
a. Bankruptcy, financial distress, and depression
b. Flu, colds, and frequent headaches
c. Malaria, bird flu, and Dengue fever
d. AIDS, spinal cord injury, and ventilator dependency
ANS: D
17. A public health nurse (PHN) is working with the chronically ill and families with young
children needing age-specific health maintenance. Which of the following models of case
management is being used?
a. Client-focused
b. System-focused
c. Social service
d. Long-term care
ANS: A
18. Which model addresses the structure and processes of using the population-based tools of
disease management and critical pathways to offer care for client populations?
a. Client-focused
b. System-focused
c. Social service
d. Long-term care
ANS: B
21. A case manager supports a client’s decision to return home after having a total hip
replacement rather than go to a skilled nursing facility. Which of the following phases of the
nursing process is being used?
a. Assessment
b. Planning/outcome
c. Implementation
d. Evaluation
ANS: C
28. A nurse’s excessive attention to cost containment impairs the nurse’s duty to provide
measures to improve health. Which of the following ethical principles is being influenced?
a. Autonomy
b. Beneficence
c. Veracity
d. Nonmaleficence
ANS: B
4. Which behavioral risk factor is a major contributor to morbidity and mortality in the United
States?
a. Homicide or suicide
b. Motor vehicle accidents
c. Chronic disease
d. Substance use and abuse
ANS: D
6. Which health risk category is one of the foremost predictors of health?
a. Biological
b. Economic
c. Lifestyle
d. Social
ANS: B
10. A client is experiencing a social risk. Which of the following best describes this risk?
a. Inadequate housing
b. Lack of education
c. High-crime neighborhood
d. Lack of insurance
ANS: C
14. A nurse is assessing the health risks of a family. Which of the following health risks would
the family be most likely to voluntarily assume?
a. Newly built power plant
b. Smoking cigarettes
c. Speeding vehicles near playground
d. Industrial pollution
ANS: B
24. A nurse uses a behavioral health risk survey and identifies the factors leading to obesity in
the family. Which of the following levels of prevention best describes the nurse’s action?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Assessment
1. To understand the causes of health and disease, epidemiology studies which population?
a. Individuals
b. Families
c. Groups
d. Populations
ANS: D
2. What is used to determine patterns of disease using existing factors, exposures,
characteristics, and behaviors?
a. Descriptive epidemiology
b. Analytic epidemiology
c. Distribution
d. Determinants
ANS: D
3. An epidemiologist wants to know what caused severe diarrhea and vomiting in several
people at a local banquet. Which of the following principles is being applied in this
situation?
a. Descriptive epidemiology
b. Analytic epidemiology
c. Distribution
d. Determinants
ANS: B
4. John Snow is called the “father of epidemiology” because of his work with which disease?
a. Cholera
b. Malaria
c. Polio
d. Smallpox
ANS: A
8. A screening for diabetes revealed 20 previously diagnosed diabetics and 10 probable new
cases, which were later confirmed, for a total of 30 cases. Which of the following best
describes what is being measured?
a. Prevalence
b. Incidence
c. Attack rate
d. Morbidity rate
ANS: A
9. Which statement is true about mortality rates?
a. They are informative only for fatal diseases.
b. They provide information about existing disease in the population.
c. They are calculated using a population estimate at year-end.
d. They reveal the risk of getting a particular disease.
ANS: A
10. A public health nurse (PHN) reports an attack rate. Which of the following has most likely
been reported?
a. Number of cases of cancer recorded at a medical center.
b. Number of people who died of Ebola in a given year.
c. Number of beef cattle inoculated against mad-cow disease on a farm.
d. Proportion of people becoming ill after eating at a fast-food restaurant.
ANS: D
11. What is the interaction between an agent, a host, and the environment called?
a. Natural history of disease
b. Risk
c. Web of causality
d. The epidemiologic triangle
ANS: D
12. Public health professionals refer to three levels of prevention as tied to specific stages in
what related factor?
a. An epidemiologic triangle
b. A web of causation
c. The natural history of disease
d. The surveillance process
ANS: C
14. A public health nurse (PHN) implements a primary prevention intervention in the
community. Which of the following is most likely being implemented?
a. Pap smear
b. Blood pressure screening
c. Diet and exercise
d. Physical therapy
ANS: C
20. An intervention that focuses on the tertiary level of prevention is implemented by the nurse.
Which of the following did the nurse most likely complete?
a. Rehabilitative job training
b. Parenting education
c. Testicular self-examination
d. Family counseling
ANS: A
21. A nurse is told that a screening test has high specificity. Which of the following is the best
interpretation of this information?
a. The test provides precise and consistent readings.
b. The test accurately identifies those with the condition or trait.
c. The test accurately identifies those without the trait.
d. The test has a high level of false positives.
ANS: C
6. The nurse is doing a walk through to identify workplace hazards. Which of the following
levels of prevention is being implemented?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Assessment
ANS: A
8. A nurse is employed in an occupational health setting. Which of the following activities
would be a primary role of the nurse?
a. Caring for employees and their families
b. Providing health promotion and emergency care
c. Updating the Material Safety Data Sheets (MSDSs)
d. Reporting communicable diseases
ANS: B
9. An occupational health nurse is assessing workplace hazards. Which of the following would
be the best method for the nurse to use?
a. Review incident reports.
b. Walk through the worksite.
c. Interview key employees.
d. Read the Standard Industrial Classification (SIC) Code.
ANS: B
12. An occupational health nurse is educating employees about work-related hazards. Which of
the following hazards would the nurse most likely discuss in the presentation?
a. Workplace stress leading to hypertension and cardiovascular disease
b. Asbestos, plastics, lead, and solvents leading to dermatitis
c. Cement dust and metals leading to bronchitis
d. Hormones and nitroglycerine leading to reproductive effects
ANS: A
18. An employee has come into contact with a biological agent. Which consideration should be
made by the nurse?
a. The biological agent may cause accidents in the work environment.
b. The biological agent is commonly found in the agriculture industry.
c. The biological agent may potentiate stress in the workplace.
d. The biological agent indicates exposure to bacteria, viruses, fungi, or parasites.
ANS: D
20. An occupational health nurse refers an employee to an employee assistance program. Which
of the following problems would most likely be addressed?
a. Obesity
b. Smoking
c. Alcohol abuse
d. Lack of exercise
ANS: C
21. A nurse is conducting an occupational health assessment. Which of the following best
describes the rationale for this assessment?
a. It is required by the Occupational Safety and Health Act (OSHA).
b. It is required by National Institute for Occupational Safety and Health (NIOSH).
c. It helps to identify agent and host factors that place employees at risk.
d. It helps to educate workers about potential hazards.
ANS: C
22. What is the purpose of the Occupational Safety and Health Act (OSHA)?
a. Educating occupational health and safety professionals
b. Identifying and research occupational health and safety hazards
c. Distributing research findings relevant to occupational health and safety
d. Educating employers about occupational health and safety
ANS: D
24. An occupational health nurse is assessing the need for safety data sheets (SDSs) at the
worksite. Which of the following items would require an SDS?
a. Hand soap
b. Eye goggles
c. Aprons
d. Earplugs
ANS: A
26. An occupational health nurse is involved in disaster planning. Which of the following
actions would be most appropriate for the nurse to take?
a. Assess for possible disasters.
b. Prevent injuries and death of workers.
c. Store Medical Data Sheets in a safe place.
d. Collaborate with government authorities to plan disaster management.
ANS: B
1. Historically, which of the following population groups would have been least likely to
receive community assistance?
a. Widowed women
b. Orphaned children
c. Mentally ill
d. Injured laborers
ANS: C
2. A nurse is trying to provide effective nursing care to poor persons, families, and populations
in a variety of settings. Which of the following actions should be taken by the nurse?
a. Move to the area where people are living to understand their plight.
b. Understand the concept of poverty on many levels.
c. Take a trip abroad to see how poverty exists in other countries.
d. Become fully immersed in the concept of poverty for at least a year.
ANS: B
3. 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
ANS: A
10. Which is a characteristic of persons living in poverty?
a. Longer life expectancy
b. Simple health problems
c. Higher rates of chronic illness
d. Fewer hospitalizations
ANS: C
12. A nurse is conducting a community assessment in a poor neighborhood. Which of the
following is the nurse most likely to find?
a. Fewer minority groups
b. Increased exposure to environmental hazards
c. More available health care services
d. Lower rates of crime and substance abuse
ANS: B
14. The community health nurse is caring for a client who is living in persistent poverty. Which
of the following best describes this client?
a. Severe mental illness
b. Transient homelessness
c. Victim of domestic violence
d. Temporary housing
ANS: A
17. A nurse is providing primary prevention when working with the homeless. Which of the
following best describes what is being implemented?
a. Providing emergency housing aid
b. Creating drug and alcohol treatment options
c. Offering effective job training programs
d. Evaluating comprehensive case management programs
ANS: C
2. Which statement about migrant and seasonal farmworkers 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.
ANS: D
3. 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 farmworker
b. Migrant farmworker
c. Transient worker
d. Share cropper
ANS: B
1. What is the cause of teen pregnancy?
a. Changing moral attitudes
b. Sexual code
c. Economic circumstances
d. No uniform reason
ANS: D
2. According to the 2017 Youth Risk Behavior Surveillance System, fewer teens reported
engaging in which behavior?
a. Riding in a car with a driver who had been drinking
b. Current alcohol usage
c. Trying marijuana
d. Episodic heavy drinking
ANS: A
3. Which statement best illustrates why the main causes of teen mortality are high-risk
behaviors?
a. Teenagers generally leave home before they are mature enough.
b. Teenagers often engage in activities that put them at risk for life-threatening
diseases.
c. Teenagers are prone to developing chronic diseases that lead to disability early in
life.
d. Teenagers want to get pregnant at an early age to be able to enjoy life later on.
ANS: B
9. Which factor increases a young woman’s risk for early sexual experiences and pregnancy?
a. History of sexual abuse
b. Parents who have high demands for their children to act maturely
c. Parents who communicate openly with their teens about birth control and sexuality
d. Male partner of the same age
ANS: A
5. 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
ANS: B
6. A nurse has specialized knowledge and skills in mental health illness and problems to
provide effective nursing care for this population. Which of the following best describes the
need for this knowledge and skills?
a. Services for people with mental disorders are inadequate.
b. The effects of mental health are universal.
c. Mental health disorders affect small sectors of the population.
d. Current health objectives can be met without the influence of nursing.
ANS: A
2. Which health problem causes more deaths, illnesses, and disabilities than any other in the
United States?
a. Tobacco addiction
b. Alcohol abuse
c. Substance abuse
d. Caffeine addiction
ANS: C
5. Homicides are least likely to be perpetrated by what cohort?
a. Friends
b. Acquaintances
c. Family members
d. Strangers
ANS: D
6. Of the following, what is the greatest risk factor for suicide in adult women?
a. Divorce
b. Unemployment
c. Intimate partner violence
d. Terminal illness
ANS: C
5. A nurse is caring for a client who, according to the Social Security Administration, is
considered disabled. Which of the following best describes the client?
a. A wheelchair-bound person
b. A person unable to engage in any gainful activity because of a medical impairment
c. A handicapped person
d. A person who has had a stroke or has lost the use of a lower extremity
ANS: B
6. A nurse is caring for a client who has a disability. Which of the following would be the
correct way to refer to this individual?
a. A handicapped person
b. A person who has an amputation
c. An amputee
d. A wheelchair-bound afflicted person
ANS: B
9. A nurse is providing care to a family who has a child with a disability. Which of the
following individuals would most likely report high levels of stress, anxiety, and
depression?
a. Mother
b. Father
c. Teacher
d. Home health nurse
ANS: A
17. A nurse speaks on behalf of others who are unable to speak for themselves. Which of the
following roles is being performed?
a. Advocate
b. Caregiver
c. Coordinator
d. Collaborator
ANS: A
1. Which type of nursing center actively integrates service, education, and research in its
model?
a. Special care
b. Free-standing
c. Fee-for-service
d. Academic
ANS: D
2. Which characteristic is common among all nursing centers?
a. Provision of community-based culturally competent care
b. Services provided by physicians and health care providers
c. Focus on the biological factors contributing to the development of disease
d. Fee-for-service reimbursement model
ANS: A
3. A nurse is employed by a nursing center. Which of the following types of services will be
provided here?
a. Illness-oriented care
b. Direct access to nursing services
c. Free services
d. Physician diagnosis of health problems
ANS: B
4. A nurse working at a nursing center has been asked to develop materials about a health
promotion topic that can be used at the center. Which of the following topics would the
nurse most likely select?
a. Advanced care of the chronically ill elderly at home
b. Smoking cessation and weight management techniques
c. How to access specialty services
d. Providing financial support for nursing students
ANS: B
5. Which type of nursing center operates under a service model?
a. Free-standing center
b. Affiliated center
c. Comprehensive primary care center
d. Proprietary
ANS: C
6. What is the focus of a special care nursing center?
a. A demographical group with special care needs
b. An affiliation with a school of nursing
c. Providing services while maintaining a not-for-profit status
d. Providing fee-for-service care with designated Health Maintenance Organization
(HMO) providers
ANS: A
7. A client would like to enroll in a smoking cessation program. Which of the following types
of nursing centers would be most likely to provide this type of programming?
a. Academic Nursing
b. Wellness
c. Comprehensive Primary Care
d. Special Care
ANS: B
9. Individuals, families, groups, organizations, policy makers, and staff who are involved in
community collaboration are identified by what term?
a. Nursing center workers
b. Policy makers
c. Stakeholders
d. Diversity
ANS: C
10. What was the overarching concept upon which Healthy People 2020 was built?
a. Establish nursing centers for improving 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).
ANS: B
12. Which term addresses the multiple levels of intervention required for bringing about and
sustaining change?
a. Community collaboration
b. Community assessment
c. Strategic planning
d. Partnership
ANS: C
13. 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
ANS: C
15. A nursing center is going to be placed in a rural community. Which of the following would
have the most power and influence on model development and team composition?
a. The rural community
b. The community’s mayor
c. The nursing center’s executive
d. The center’s staff
ANS: A
16. A nurse executive is managing a nursing center. Which of the following would be an
expected responsibility of a nurse in this role?
a. Managing the business operations
b. Managing the data systems
c. Providing patient care and referral
d. Overseeing contracts and grants
ANS: D
17. A nurse executive would like to hire a neighborhood resident who is trained in community
outreach to work at the nursing center. Which of the following would most likely be the title
of this position?
a. Community health worker
b. Support staff member
c. Clinical specialist
d. Specialty care provider
ANS: A
18. 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
ANS: C
19. A nurse needs to make the final decision about establishing a nursing center in the local
community. Which of the following factors would be the most important for the nurse to
consider?
a. Legal and regulatory considerations
b. Community involvement
c. Nursing interest
d. Potential grant funding
ANS: A
1. What are the critical attributes in the definition of community?
a. Families, groups, and health organizations
b. Health needs, geographical boundaries, and target population
c. People, place, and functions
d. Populations and health resources
ANS: C
3. A nurse is caring for the community as the client. Which of the following is most likely the
focus of the nurse’s care?
a. Providing care for aggregates living in the community
b. The collective good of the population
c. The provision of care for families in the home setting
d. Providing health education in the community
ANS: B
4. A collection of individuals who have one or more personal or environmental characteristics
in common is defined as what?
a. Community
b. Group
c. Family
d. Aggregate
ANS: D
7. A nurse centers practice around the principle of doing the greatest good for the greatest
number. Which of the following ethical principles is being applied?
a. Distributive justice
b. Utilitarianism
c. Social justice
d. Health disparities
ANS: B
9. A nurse focuses intervention strategies on the structural dimension of community health.
Which of the following best describes the focus of these strategies?
a. Health services
b. Primary prevention
c. Health promotion
d. Secondary prevention
ANS: A
10. A leader of a support group introduces a nurse to its members and discusses the professional
relationship he has with the nurse for the past several years. Which of the functions is the
leader performing?
a. Gatekeeper
b. Insider
c. Community health workers
d. Advocate
ANS: A
11. A community has residents who provide information to the city council so that decisions can
be made about the health of the community. Which of the following characteristics is being
displayed?
a. Active partnerships
b. Passive participation
c. Gatekeeping
d. Focus groups
ANS: B
12. A nurse lives in a community that demonstrates commitment. Which of the following would
most likely be supported within this community?
a. Creation of a community club by the city council to facilitate community
involvement
b. Collaboration among area restaurant owners to develop healthier menus
c. Collaboration with the health department to build a new recreation center
d. Development of a cooperative agreement with a neighboring city to share needed
services
ANS: C
14. What are the main characteristics of partnership?
a. Awareness, flexibility, and distribution of power
b. Rights, responsibilities, and consensus
c. Commitment, participation, and articulation
d. Collaboration, advocacy, and utility
ANS: A
15. A nurse has identified the boundaries of the community. Which of the following steps
should the nurse take next when completing a community assessment?
a. Gather relevant existing data and generating missing data.
b. Plan interventions that benefit the entire community.
c. Formulate nursing diagnoses.
d. Evaluate the interventions that were used.
ANS: A
16. A nurse is completing a community assessment. Which of the following actions would be
most likely for the nurse to complete?
a. Identify community needs and clarify problems.
b. Determine the weaknesses of a community.
c. Perform the core functions of public health nursing.
d. Assess individual needs within a community.
ANS: A
20. A nurse collects data about seat belt usage by interviewing key informants and observing
behaviors in the community. Which of the following types of data is being collected?
a. Quantitative
b. Qualitative
c. Focus groups
d. Participant observation
ANS: B
22. A nurse gathers information about the condition of homes, size of lots, neighborhood
hangouts, road conditions, and modes of transportation. Which method of data collection is
being used?
a. Participant observation
b. Windshield survey
c. Focus group
d. Informant interviews
ANS: B
24. A nurse is using health status indicators to complete a community assessment. Which of the
following best explains what the nurse is doing?
a. Interviewing key informants in the community
b. Examining morbidity and mortality rates in the community
c. Surveying local businesses in the community
d. Observing community members
ANS: B
Why primary prevention, secondary, tertiary are important?
-optimal health
Ability of an agent to produce severe pathophysiology reaction
-virulence
2. A nurse is assessing a family. Which of the following behaviors would the nurse recognize
as being learned within the family structure?
a. Smoking habits and heart disease
b. Health values and health habits
c. Chronic illness and disease risk
d. Societal norms and values
ANS: B
2. An older person is in the last stages of dying. Which type of care would be the best for this
client?
a. Home health
b. Assisted living
c. Nursing home
d. Hospice
ANS: D
7. A nurse is investigating the overall health status of a population. Which of the following
indicators would most likely be used by the nurse?
a. Life expectancy
b. Health status
c. Morbidity rate
d. Prevalence
ANS: A
8. Which of the following characteristics indicates a man is at a higher risk for developing
prostate cancer?
a. Being of Caucasian descent.
b. Has not had a prostate-specific antigen (PSA) test.
c. Has a father or brother who has had prostate cancer.
d. Has benign prostatic hypertrophy (BPH).
ANS: C
10. A nurse is implementing Wagner’s Chronic Care Model (CCM). Which of the following
actions would most likely be taken by the nurse?
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.
ANS: A
20. Which of the following statements about health disparities is accurate?
a. African American women have a much higher incidence of breast cancer.
b. Health disparities are the result of negligent health care practices.
c. Health disparities vary among racial/ethnic groups.
d. Men have more obstacles to receiving health care than women.
ANS: C
21. Which of the following factors has the largest impact on health disparities among all
populations?
a. Ethnicity
b. Education level
c. Lifestyle choices
d. Poverty
ANS: D
25. An elderly person is living independently in a single room in a full-service life care
community. Which of the following terms best describes this living arrangement?
a. Adult daycare
b. Home care
c. Nursing home
d. Assisted living
ANS: D
5. A nurse is working with a 17-year-old pregnant cocaine addict who is homeless. Which of
the following best describes this client?
a. At risk
b. A special population
c. A Healthy People 2020 target group
d. A vulnerable individual
ANS: D
6. The wide variations in health services and health status between certain population groups
are identified by what term?
a. Vulnerable population groups
b. Health disparities
c. Disadvantaged populations
d. Risk markers
ANS: B
19. A nurse is working to remove barriers to receiving health care. Which of the following
actions is the nurse most likely to support?
a. Discrimination against certain groups
b. Treatment of pets at the same facility
c. Provision of free food at a food bank
d. Providing services for a rural population by using a mobile clinic
ANS: D
20. A set of actions one undertakes on behalf of another is identified by what term?
a. Social justice
b. Advocacy
c. Resilience
d. Risk
ANS: B
21. A nurse works with a group of abused women to enhance their levels of self-esteem. Which
of the following levels of prevention is being performed?
a. Primary level of prevention
b. Secondary level of prevention
c. Tertiary level of prevention
d. Health promotion
ANS: C
22. A nurse is promoting social justice. Which of the following actions would the nurse most
likely take?
a. Contacting lawmakers about environmental health issues
b. Assisting at homeless shelters
c. Advocating for policies to improve social conditions
d. Serving on a local coalition to prevent obesity
ANS: C
Why do we use evidence practice?
-
Simply because we need evidence
1. Historically, which of the following population groups would have been least likely to
receive community assistance?
a. Widowed women
b. Orphaned children
c. Mentally ill
d. Injured laborers
ANS: C
3. 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
ANS: A
PHN usually doing assessments
10. Which is a characteristic of persons living in poverty?
a. Longer life expectancy
b. Simple health problems
c. Higher rates of chronic illness
d. Fewer hospitalizations
ANS: C
14. The community health nurse is caring for a client who is living in persistent poverty. Which
of the following best describes this client?
a. Severe mental illness
b. Transient homelessness
c. Victim of domestic violence
d. Temporary housing
ANS: A
2. According to the 2017 Youth Risk Behavior Surveillance System, fewer teens reported
engaging in which behavior?
a. Riding in a car with a driver who had been drinking
b. Current alcohol usage
c. Trying marijuana
d. Episodic heavy drinking
ANS: A
3. Which statement best illustrates why the main causes of teen mortality are high-risk
behaviors?
a. Teenagers generally leave home before they are mature enough.
b. Teenagers often engage in activities that put them at risk for life-threatening
diseases.
c. Teenagers are prone to developing chronic diseases that lead to disability early in
life.
d. Teenagers want to get pregnant at an early age to be able to enjoy life later on.
ANS: B
Case management is tertiary care
2. Which health problem causes more deaths, illnesses, and disabilities than any other in the
United States?
a. Tobacco addiction
b. Alcohol abuse
c. Substance abuse
d. Caffeine addiction
ANS: C
3. The use of any substance that threatens a person’s health or impairs his or her social or
economic functioning is referred by what term?
a. Drug dependence
b. Substance abuse
c. Drug addiction
d. Illegal
ANS: B
7. A nurse is caring for a client who is experiencing a drug addiction. Which of the following
is the client most at risk for having?
a. Infant with a high birth weight
b. Easily cured illness or disease
c. Accident or committing suicide
d. Problem finding employment
ANS: C
24. A nurse is implementing the harm reduction model. Which of the following will be the
focus of nurse when using this approach?
a. Education
b. Law enforcement
c. Scare tactics
d. Rehabilitation
ANS: A
3. What factor associated with crime and violence is particularly important to community
health nursing practice?
a. Violence is a universal problem.
b. Violence impacts everyone in the United States.
c. Nurses must spend a great deal of time on the results of violence.
d. Significant mortality and morbidity result from violence.
ANS: D
8. A nurse is developing a community program to prevent violence. Which of the following
should be the first action taken by the nurse?
a. Talk to people who are victims of violence for their opinion.
b. Identify factors that lead to violence.
c. Develop a plan of action to combat violence.
d. Evaluate current community programs.
ANS: B
15. A nurse is completing a community assessment. Which of the following community
characteristics would be identified as a factor for violence?
a. Lack of family cohesion
b. High crime rate
c. Social isolation
d. Substance abuse
ANS: B
5. A nurse is caring for a client who, according to the Social Security Administration, is
considered disabled. Which of the following best describes the client?
a. A wheelchair-bound person
b. A person unable to engage in any gainful activity because of a medical impairment
c. A handicapped person
d. A person who has had a stroke or has lost the use of a lower extremity
ANS: B
3. A provider and a client consider the possibilities of solving a problem using one of the
solutions identified. Which of the following phases of the program planning process is being
used?
a. Conceptualizing
b. Detailing
c. Implementing
d. Evaluating
ANS: B
6. A nurse completes a program evaluation to identify if the objectives of the program were
met. Which of the following describes the action of the nurse?
a. Assessment
b. Evaluation
c. Formative evaluation (process)
d. Summative evaluation
ANS: C
7. A nurse surveys a program’s participants after completion of a wellness program to
determine if the participants have increased their involvement in daily exercise. Which of
the following describes the action of the nurse?
a. Assessment
b. Evaluation
c. Formative or process evaluation
d. Summative or impact evaluation
ANS: D
12. After conducting a comprehensive client assessment, the nurse would organize information
about the client’s medication regimen into which domain of the Omaha System Problem
Classification Scheme?
a. Environmental
b. Psychosocial
c. Physiological
d. Health-related behaviors
ANS: D
2. Which characteristic is common among all nursing centers?
a. Provision of community-based culturally competent care
b. Services provided by physicians and health care providers
c. Focus on the biological factors contributing to the development of disease
d. Fee-for-service reimbursement model
ANS: A
3. A nurse is employed by a nursing center. Which of the following types of services will be
provided here?
a. Illness-oriented care
b. Direct access to nursing services
c. Free services
d. Physician diagnosis of health problems
ANS: B
5. Which type of nursing center operates under a service model?
a. Free-standing center
b. Affiliated center
c. Comprehensive primary care center
d. Proprietary
ANS: C
The most drug famous drug in the world?
-Alcohol
What is the lowest education you may have in order to be a Public health nurse?
-Bachelors
10. 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 what?
a. Multiculturalism
b. Ethnicity
c. Race
d. Culture
ANS: C
What is biological terrorism?
Know OSHA-safe/healthful work condition (training, outreach, education, assistance)
A nurse is involved in identifying individuals with unrecognized health risk factors or asymptomatic
disease is using which intervention?
Screening
2. Mortality rates are best defined as
A. The number of deaths in a given area or period or from a particular cause
1. Which of the following describes a valid way to collect data for a community assessment?
-using a library database to conduct a literature review
-reading government documents to find if similar data have
-using surveys or questionnaires
4. Which example contains the components necessary to form an epidemiologic triangle?
-trichloroethylene, water, infants
6. How can the equilibrium of supply and demand in healthcare be defined?
-The state in which market supply and demand balance each other and stable….
7. The underlying reason for requiring the practice known as universal precaution is that
-blood and body fluids of all clients need to be handled as if they were infected
8. The cornerstones of public health nursing practice includes which of the following? SATA
-focus
-reflect community
-promote
Goal of 2020 healthy people=eliminate health disparities.
10. What is most likely focus of the nurse when caring in the community as the client?
-the collective good of the population
12. A nurse is looking for financial support when developing nursing center.
-foundation
-private pledges
-grant funding
-charitable organizations
24. Health policy can best be defined as a set course of action to
-obtain a desired health outcome for an individual, faily, group, community, or society.
25. Public health nurses (PHN) are challenged to respond to public health-related trends of the twentyfirst century….
-racial, ethnic, and economic health disparities…….