Community Health Nursing

Study online at https://quizlet.com/_fx436r

The public health nurse (PHN) knows that he must approach a
public health problem with an understanding of the related under-
lying risk factors in order to develop effective nursing interventions.
He must also consider that these risk factors can be either ______
based or ______ based.
a) Individual; population
a) Epidemic; population
b) Disease; individual
c) Individual; population
d) Intervention; government
If the international medical community was working to contain
several worldwide pandemics, they would look to the World Health
Organization (WHO), which is:

a) Working to improve health and well being for the global popu- d) All of the above
lation
b) The public health arm of the united nations
c) Working with nurses to promote public health interventions
d) All of the above
The Institute of Medicine (IOM) 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?
c) Prevention
a) Assessment
b) Assurance
c) Prevention
d) Policy development
With aging, there is an increase in noncommunicable (chronic)
illness. The PHN recognizes that an example of a noncommuni-
cable illness is:
a) Heart disease
a) Heart disease
b) Severe acute respiratory syndrome (SARS)
c) HIV
d) Hepatitis
The obesity rate in a local neighborhood is partially the product
of a limited access to full service grocery stores and a lack of
dedicated safe venues for exercise. This is an example of is-
sues related to the "upstream" determinants of public health that
contribute to the ecology of a community's health "downstream."
The PHN understands that upstream determinants include social
d) Social and economic policies
relations, neighborhoods and communities, institutions, and ____.

a) Tertiary nursing interventions

b) Availability of medicine to treat disease
c) Increasing the number of primary care provider
d) Social and economic policies
A nursing instructor is giving a lecture on community participation
in an ecological public health system. She teaches that the bene-
fits of this collaboration for participants in the community's public
health are that their efforts increase effectiveness and productivity,
empower the participants, strengthen social engagement, and
____. d) Ensure accountability

a) Increase the number of medical facilities

b) Decrease disease rates
c) Monitor childhood illnesses
d) Ensure accountability

1 / 21
 Community Health Nursing
Study online at https://quizlet.com/_fx436r
Which layer of government is responsible for issuing quarantines
during a communicable disease outbreak?

a)State b) Local
b) Local
c) Federal
d) All of the above
The nursing student is taught correctly that local health depart-
ments do not oversee which of the following?

a) The surveillance of disease c) Licensing of local hospitals

b) Public sanitation and water supply
c) Licensing of local hospitals
d) Investigation of disease outbreaks
The PHN recognizes that environmental science, epidemiology,
biostatistics, biomedical sciences, and ______ form the founda-
tional subjects of public health.
a) Social and behavioral sciences
a) Social and behavioral sciences
b) The humanities
c) Anthropology
d) economics
If a PHN meets the PHN Core Competencies, he or she should
be able to do which of the following? Select all that apply
a) Work with corporations to create an emergency response pro-
a) Work with corporations to create an emergency response pro-
gram to bioterrorism
gram to bioterrorism
d) Understand the dietary restrictions of new immigrants
b) Create a financial plan for a clinic and manage the budget
e) Develop policy for handling a local quarantine
c) Function as a medical doctor at a clinic if there is none
d) Understand the dietary restrictions of new immigrants
e) Develop policy for handling a local quarantine
In 2011, the National Prevention Strategy released a plan to
increase the number of Americans who are healthy at every stage
of life. Which of the following is not one of the strategic directions
included in the strategy?
c) Increasing access to care
a) Eliminating health disparities
b) Building healthy and safe community efforts
c) Increasing access to care
d) Empowering people to make healthy choices
A nursing student is studying the seven priorities of the National
Prevention Strategy. The student correctly identifies which one
of the following interventions as not reflecting any of the seven
priorities in this plan?

a) Conducting a smoking cessation clinic b) Assisting low-income families to sign up for health-care insur-
b) Assisting low-income families to sign up for health-care insur- ance
ance
c) Providing nutrition classes which offer weekly fill-in guides for
grocery shopping
d) Building a health and exercise center in a hospital near the
physical and occupational therapy areas

If a nurse is using the natural history of a disease to help develop

a primary prevention program for a specific disease, he or she
would begin with:
b) Studying the continuum of the disease with a focus on the
a) Making sure that everyone in a certain area receives treatment. disease free state.
b) Studying the continuum of the disease with a focus on the
disease free state.
c) Looking at screening tools for identifying person who may have
2 / 21
 Community Health Nursing
Study online at https://quizlet.com/_fx436r
the disease.
d) Going to the autopsies of the patients who have died.
When a health-care provider offers nutritional health teaching on
portions, patterns, and choices, he or she is using which type of
approach?
b) Downstream
a) Ecological
b) Downstream
c) Upstream
d) Health promotion
A school cafeteria is planning menus for the school year. They
used the 2012 national law that calls for school lunch programs to
have larger portions of fruits and vegetables, less sodium, and no
trans fats as their guide. This is an example of:
a) An upstream approach
a) An upstream approach
b) An examination of the social aspects of obesity
c) A downstream approach
d) A and C
A public health nurse (PHN) notices the rising incidence of H1N1
(swine flu) in a geographic area. The nurse considers possible
interventions, knowing that the preclinical phase of H1N1 lasts:
a) One to two days
a) One to two days
b) Two to four days
c) Three to four days
d) Five to seven days
In the traditional public health prevention framework, the level of
prevention that includes early detection and initiation of treatment
for disease, or screening, is referred to as the:
d) Secondary level
a) Clinical level
b) Primary level
c) Tertiary level
d) Secondary level
Attributable risk is the proportion of cases or injuries that would be
eliminated if a risk factor did not occur, but preventable fraction is:

a) The number of cases that actually occur in a given population

at a specific point in time. b) What could be achieved with a program implemented in a
b) What could be achieved with a program implemented in a community setting within the at-risk population when community
community setting within the at-risk population when community members actually participate in the program.
members actually participate in the program.
c) The number of cases that require intervention.
d) An estimation of the number of cases with the high-risk fac-
tor(s).
Population attributable risk (PAR) is based on the assumption
that the risk factor is removed from the entire population being
targeted. It also can be used to calculate the cost benefit and the
____ of a prevention program.
a) Cost effectiveness
a) Cost effectiveness
b) Necessity
c) Population ecology
d) Percent of repeat participant
The nursing student is studying learning theories. He learns that
television commercials are an example of which learning theory?
c) Bandura's theory of social learning
a) Constructivism
b) Cognitivist
3 / 21
 Community Health Nursing
Study online at https://quizlet.com/_fx436r
c) Bandura's theory of social learning
d) Behaviorism
A patient diagnosed with diabetes buys books, reads articles,
talks with knowledgeable people, informs himself about what he
can do to improve his health, and takes action. The nurse recog-
nizes this method of adult learning as:
d) Humanism
a) Pedagogy
b) Andragogy
c) Constructivism
d) Humanism
A nursing student is listening to a lecture on poor health outcomes.
Based on research by the Institute of Medicine (IOM), the instruc-
tor says that for an individual with a non-communicable disease
less knowledge of chronic disease management and performance
of fewer health promotion activities at home, most likely reflects:
a) Low health literacy
a) Low health literacy
b) Lack of adequate health insurance
c) Limited access to medical services
d) Few prevention programs within the community
Which of these tests is not an indicator of health literacy?

a) The Test of Functional Health Literacy in Adults (TOFHLA)

c) National Quality Forum (NQF)
b) Rapid Estimate of Adult Literacy in Medicine (REALM)
c) National Quality Forum (NQF)
d) Suitability Assessment of Material (SAM
A nursing student is studying preventable causes of death. In
2011, what was not one of the four leading at-risk behaviors that
were underlying causes of disease and preventable death?

a) Tobacco use b) Falls

b) Falls
c) Alcohol use
d) Lack of exercise or physical activity
e) Poor nutrition
If the total number of cases of a disease is 100, and the total num-
ber of persons in a population is 1,000, what would the prevalence 0.1
be? Record answer as a decimal. ________________________
In a hypertensive study, nurses took the blood pressure readings
of 250 participants. In order to determine the accuracy of their
readings, they wanted to test the sensitivity of their instruments.
If the number of true positives is 40, and the total number of 72.7%
participants with disease (true positives plus false negatives) is
55, the sensitivity of the instrument is __________________.
Record answer with one decimal place.
When screening for, monitoring, and diagnosing disease, a
health-care provider always evaluates a measurement tool for
which of the following attributes? Select all that apply.
a) Reliability
b) Validity
a) Reliability
d) Sensitivity
b) Validity
e) Specificity
c) Functionality
d) Sensitivity
e) Specificity

In order to assess the prevalence of a disease in a population, a

PHN can use the prevalence pot to help better understand the
occurrence of disease in her or his community. The prevalence
pot: Select all that apply.

4 / 21
 Community Health Nursing
Study online at https://quizlet.com/_fx436r

a) Depicts the total number of current cases in the population.

b) Takes into account duration and incidence of the disease.
a) Depicts the total number of current cases in the population.
c) Includes assessing the total number of cases of a disease
b) Takes into account duration and incidence of the disease.
taking into account all of the stages of the disease.
c) Includes assessing the total number of cases of a disease
d) Is a method of calculating the potential number of new cases
taking into account all of the stages of the disease.
in a population.
e) Determines the amount of primary medications used to treat
diseases in a certain population.
Based on the Social-Ecological model of health, which of the
following are components of health? Select all that apply.

a) Physical environments a) Physical environments

b) Social environments b) Social environments
c) Social relations
d) Political systems
e) Health-care systems
A PHN is assigned to an area to do a community assessment. The
demographic data the nurse collects includes:

a) Insurance company preference c) Educational levels

b) Vaccination rates
c) Educational levels
d) Medical results
A nursing instructor explains to a nursing student that information
about a community's health services and resources includes all
of the following factors except:
c) Insurance costs
a) Service use patterns
b) Treatment data
c) Insurance costs
d) provider/client ratios
A nursing instructor describes one approach to conducting an
assessment as a collection of data about the populations living
within the community; an assessment of the assets within the
community, such as the local health department capacity; and the
identification of problems and issues in the community, such as
unmet needs and health disparities and opportunities for action.
b) Comprehensive community assessment
The instructor explains that this type of approach is called a:

a) Rapid needs assessment

b) Comprehensive community assessment
c) Population focused assessment
d) Health impact assessment
A PHN is looking for a tool to help conduct a community assess-
ment. The nurse can get such a tool from the:

a) National institute of occupational safety and health (NIOSH) d) Centers for Disease Control and Prevention (CDC) Community
b) Affordable care act (ACA) Health Assessment and Group Evaluation (CHANGE)
c) Institute of Medicine (IOM)'s report The future of public health
d) Centers for Disease Control and Prevention (CDC) Community
Health Assessment and Group Evaluation (CHANGE)
A PHN goes to a factory to find out why employees are missing
so many work days. What type of assessment would be the most
appropriate in this case?
a) Setting specific assessment
a) Setting specific assessment
b) Health impact assessment
c) Problem or health issue based assessment
d) Population focused assessment

5 / 21
 Community Health Nursing
Study online at https://quizlet.com/_fx436r
In order to develop maintenance and survival strategies for a
community in the event of an emergency, a PHN looks for useful
places, persons, and systems. This part of the assessment is
called:
d) Asset mapping
a) Capacity building
b) Needs assessment
c) Participatory research
d) Asset mapping
A PHN encourages her public health department to use the Mo-
bilizing for Actions through Planning and Partnerships (MAPP)
strategic model because the six phases of the MAPP process
includes:
c) The full scope of health planning
a) Financial planning
b) Mortality review
c) The full scope of health planning
d) Geographic data collection
A PHN is using the MAPP model to conduct an assessment within
the community and has reached Phase 3, performing the four as-
sessments. The analysis of the legislation, technology, and other
external positive and negative influences that have an impact on
the promotion and protection of the public's health is called a:
b) Forces of change assessment
a) Community themes and strengths assessment
b) Forces of change assessment
c) Community health status assessment
d) Local public health system assessment
A PHN was asked to come to a town that was having some
noticeable health problems. Driving through town, the nurse noted
that there were many for-sale signs, as well as very little green
space and some trash in the street. This preassessment phase is
called a:
d) Windshield survey
a) Community themes and strengths assessment
b) Community health assessment and group evaluation
(CHANGE)
c) Community health status assessment
d) Windshield survey
According to the CHANGE model, the aspect of a community that
includes community-wide efforts that have an effect on the social
and built environments such as improving food access, walkability
or bike-ability, tobacco use or exposure, or personal safety is
called the:
c) Community at large sector
a) Community institution or organization sector
b) Health care sector
c) Community at large sector
d) Preventative sector
A nurse is studying the increased infant mortality rate at a local
hospital in a largely African American community. The nurse notes
that there are very few options for prenatal care in the community
and recognizes that this is an example of:
c) Health inequity.
a) Health disparity.
b) Social determinant of health.
c) Health inequity.
d) Health injustice.

Which of the following is the definition of health disparity?

6 / 21
 Community Health Nursing
Study online at https://quizlet.com/_fx436r
a) Access to healthcare for everyone without financial hardship
b) A social factor that impacts health outcomes and contributes to
disparity c) A difference in health outcomes
c) A difference in health outcomes
d) An unequal and unjust difference in health outcomes
In many countries, which factors are associated with a decrease
in infant mortality rate?

a) Education level c) Both A and B

b) Income
c) Both A and B
d) Neither A nor B
Which of the following programs was specifically designed to work
toward optimal health for all Americans?

a) Healthy People 2020 a) Healthy People 2020

b) Agency for Health Care Research and Quality (AHRQ)
c) Universal Health Care
d) Racial and Ethnic Approaches to Health (REACH)
A nurse manager has been working in a community health center
for many years. In the recent months, the nurse manager has
noticed a dramatic increase in the number of Hispanic clients
coming into the center with uncontrolled diabetes. Which of the
following is the best way to address the situation?

a) Speak with local providers about decreasing the length of time d) Perform a community assessment to determine why community
between follow-up visits. members seem unsuccessful in care management.
b) Involve pharmacists in counseling newly diagnosed patients
about their insulin regimen.
c) Develop several educational handouts about managing dia-
betes and have them translated into Spanish. Correct!
d) Perform a community assessment to determine why community
members seem unsuccessful in care management.
Researchers have found that investment in which of the following
would have had a greater effect on health disparities than the
investment in new medical technology?
c) Increasing access to education for everyone
a) Implementing universal health care
b) Decreasing crime rate
c) Increasing access to education for everyone
d) Improving quality of healthcare
A nurse is teaching an in-service for new nurses on the impor-
tance of cultural sensitivity when caring for patients. Which of the
following statements is incorrect?

a) Ethnic diversity of health-care staff plays little role in the reduc-

tion of health-care inequalities. a) Ethnic diversity of health-care staff plays little role in the reduc-
b) Translators should always be used when a patient does not tion of health-care inequalities.
speak English as a primary language.
c) Nurses and other health-care workers may often display dis-
criminatory behavior without realizing it.
d) Nurses must always work as patient advocates to make sure
that the patient is receiving culturally sensitive care.

A nurse is performing an assessment of a very economically

diverse community and realizes that while comparing income to
health outcomes, the nurse must be careful to:
b) Recognize that income and outcomes exist on a scale, and look
across the entire spectrum.
a) Evaluate only the poorest health outcomes and where they land
on the income spectrum.
b) Recognize that income and outcomes exist on a scale, and look
7 / 21
 Community Health Nursing
Study online at https://quizlet.com/_fx436r
across the entire spectrum.
c) Compare only the outcomes of the richest community members
to the outcomes of the poorest community members.
d) Evaluate only the poorest community members and their health
outcomes.
A nurse is looking at reasons why members of a community are
more likely to die from heart disease. The nurse finds several
studies that suggest that social factors, such as ____, are more
important than behavioral choices.
c) Poverty
a) Lack of exercise
b) Smoking
c) Poverty
d) High-fat or high-sugar diets
During a lecture on health disparities, a student asks the instructor
how communities with great access to health care can still have
poor health outcomes. How should the instructor respond?

a) The student is incorrect. Communities with good access to care

have good health outcomes. b) Social determinants of health determine how people respond
b) Social determinants of health determine how people respond to health threats and how they access preventative care.
to health threats and how they access preventative care.
c) Members of these communities only have access to prima-
ry-care providers, which reduces the quality of care they receive.
d) This phenomenon only occurs in communities where the quality
of health care is poor.
A nurse is organizing a round table presentation at a conference.
The nurse asks the other participants for suggestions on actions
that nurses can take to reduce national health disparities. Which
of the following suggestions are known to be effective measures
for the reduction of health disparities? Select all that apply. a) Support initiatives that increase physical education classes and
healthy school meals.
a) Support initiatives that increase physical education classes and b) Discuss social and health disparity information with coworkers
healthy school meals. to promote awareness.
b) Discuss social and health disparity information with coworkers d) Design and create research studies that address inequities and
to promote awareness. support vulnerable populations.
c) Volunteer with an international organization that supports build- e) Act as advocates for patients, families, and communities in
ing infrastructure in underdeveloped areas. reducing inequities.
d) Design and create research studies that address inequities and
support vulnerable populations.
e) Act as advocates for patients, families, and communities in
reducing inequities.
According to O'Donnell's definition of health promotion, how could
a public health nurse advise a company to encourage its employ-
ees to work toward good health?

a) Lower insurance premiums for employees who demonstrate

d) All of the above
good health habits
b) Have employee exercise classes or discounted health club
memberships
c) Have incentives for healthy eating
d) All of the above

As defined by the WHO, an example of a health promotion in-

tervention is ______ whereas a risk reduction/health protection
intervention is ____.
b) Giving a free exercise class; conducting a flu vaccine outreach
a) Conducting a health fair; funding a school exercise program program
b) Giving a free exercise class; conducting a flu vaccine outreach
program
c) Providing flu medication free to older adults; a diet class for

8 / 21
 Community Health Nursing
Study online at https://quizlet.com/_fx436r
teenagers
d) Offering a tour of a hospital; a relaxation technique class
Globalization, which is a new challenge for public health, includes
which of the following problems? Select all that apply.
a) Greater disparities between rich and poor
a) Greater disparities between rich and poor b) Environmental degradation
b) Environmental degradation d) Greater distribution of tobacco and alcohol
c) Greater need for newer technology e) Emergence or re-emergence of communicable diseases
d) Greater distribution of tobacco and alcohol
e) Emergence or re-emergence of communicable diseases
Several nurses who work in the emergency room of an urban
hospital notice that a sizable number of children in a certain ethnic
population have come in with an illness, all presenting with similar
symptoms. The nurses, who are not public health specialists, can
intervene in the health of a community through their work with b) Identifying characteristics of the disease
individuals by doing which of the following? Select all that apply. c) Grouping patients by diagnosis
d) Giving classes on how to avoid infections
a) Increasing antibiotic therapy availability e) Assessing the environment of the patients
b) Identifying characteristics of the disease
c) Grouping patients by diagnosis
d) Giving classes on how to avoid infections
e) Assessing the environment of the patients
The nursing student is taught correctly that local health depart-
ments do not oversee which of the following?

a) The surveillance of disease c) Licensing of local hospitals

b) Investigation of disease outbreaks
c) Licensing of local hospitals
d) Public sanitation and water supply
The obesity rate in a local neighborhood is partially the product
of a limited access to full service grocery stores and a lack of
dedicated safe venues for exercise. This is an example of is-
sues related to the "upstream" determinants of public health that
contribute to the ecology of a community's health "downstream."
The PHN understands that upstream determinants include social
a) Social and economic policies
relations, neighborhoods and communities, institutions, and ____.

a) Social and economic policies

b) Availability of medicine to treat disease
c) Tertiary nursing interventions
d) Increasing the number of primary care providers
The PHN recognizes that environmental science, epidemiology,
biostatistics, biomedical sciences, and ______ form the founda-
tional subjects of public health.
c) Social and behavioral sciences
a) Economics
b) The humanities
c) Social and behavioral sciences
d) Anthropology
The public health nurse (PHN) knows that he must approach a
public health problem with an understanding of the related under-
lying risk factors in order to develop effective nursing interventions.
He must also consider that these risk factors can be either ______
based or ______ based.
d) Individual; population
a) Disease; individual
b) Intervention; government
c) Epidemic; population
d) Individual; population

9 / 21
 Community Health Nursing
Study online at https://quizlet.com/_fx436r
A nurse is presenting a lecture about global health and life ex-
pectancy and states that in America, the biggest reason for the
increase in life expectancy is:
a) Better public health practices
a) Better public health practices
b) Increased education
c) Decreased crime
d) Improved housing
A nurse is preparing to volunteer with a charity organization work-
ing in India that provides medical care to underserved communi-
ties. The nurse is performing a cultural and community assess-
ment and determines that their per capita income is $2,97c. This
classifies the country as:
b) Lower middle income
a) Low income
b) Lower middle income
c) Upper middle income
d) High income
A public health nurse (PHN) is teaching a class about global health
issues when a student asks why the health of other countries is
relevant to the United States. The nurse replies:

a) "Because of the global world we live in, the health of one

country can profoundly affect the health, economy, and security
a) "Because of the global world we live in, the health of one country
of the rest of the world."
can profoundly affect the health, economy, and security of the rest
b) "It doesn't, but being aware of health issues in other countries
of the world."
allows nurses who are interested to volunteer their services inter-
nationally."
c) "Being aware of health issues in other countries gives us
information about what not to do as public health nurses."
d) "Looking at global health issues gives us information about how
to treat medical emergencies here."
A PHN is teaching a class about international health policy. In that
class, what does primary health care refer to?

a) The first point of contact within the health-care system b) The essential care needed for health, both in individuals and
b) The essential care needed for health, both in individuals and within the community
within the community
c) The acute care setting
d) The coordinator of more specialized care
A nurse is working with an organization that has established
objectives to assist LICs within their purview to achieve the Millen-
nium Development Goals (MDGs). They need additional funding,
though, to help them reach their policy goals. Which organization
might they contact for help?
c) World Bank
a) WHO
b) PAHO
c) World Bank
d) CDC
A nurse has been contacted to consult with the coordinating health
organization of the U.N. This means that the nurse will be working
with:
a) WHO
a) WHO
b) Global Health Center
c) World Bank
d) CDC

A nurse is looking for international volunteer opportunities working

with women to promote reproductive health. Which organization is
10 / 21
 Community Health Nursing
Study online at https://quizlet.com/_fx436r
a good place to contact?

a) Catholic Relief service

b) USAID
b) USAID
c) CDC
d) WHO
A PHN is presenting a lecture to a nursing class about the Millen-
nium Development Goals (MDGs) and progress in meeting them.
Which of the following statements is correct?

a) The goal is to achieve them by 2020.

d) There was significant progress in meeting some of the goals,
b) The selected outcomes are used to measure progress in each
but there was a lack of progress for other goals.
country.
c) Each goal and its outcome criteria is independent of the other
objectives within the MDGs.
d) There was significant progress in meeting some of the goals,
but there was a lack of progress for other goals.
A PHN is teaching a class about the global health issues that face
the world's population. Many of the students express frustration
at the lack of progress and ask what they can do. The nursing
instructor responds that which of the following may be the most
effective, long-term solution?
c) Promoting health literacy and increasing health education
a) Regular volunteer work and mission trips to foreign countries
b) Financial contributions to organizations providing health ser-
vices
c) Promoting health literacy and increasing health education
d) Increasing the number of nursing education programs
A nurse is working with a local community group in a LIC with
a serious problem from lack of adequate nursing staff. How can
nurses be encouraged to stay within the community?

a) Recruit more nurses from the local, rural community.

b) Institute continuing education programs for nurses to continue d) All of the above
their learning.
c) Provide education for nurses working in these areas about
issues related to working with the limited resources they have
available.
d) All of the above
A nurse is evaluating the global issues surrounding nutrition and
accessibility of health food options. One unintended health conse-
quence of the globalization and industrialization of food production
has been a(n):

a) Increase in noncommunicable diseases such as diabetes and a) Increase in noncommunicable diseases such as diabetes and
heart disease in LICs. heart disease in LICs.
b) Decrease in maternal and child health issues in LICs.
c) Shift in the distribution of deaths from older populations to
younger populations in LICs.
d) Decline in noncommunicable diseases, especially in areas
where communicable disease is declining.
A nurse is working in a community clinic in Bangladesh treating
many members of the medically-indigent population. A young man
comes into the clinic with a large ulcerated lump on the back of
his leg. He reports having noticed a fly bite at that spot a few days
ago. What does the nurse suspect?
a) Leishmaniasis
a) Leishmaniasis
b) Malaria
c) Dengue fever
d) Severe acute respiratory syndrome (SARS)
11 / 21
 Community Health Nursing
Study online at https://quizlet.com/_fx436r
An experienced emergency department nurse is beginning a vol-
unteer experience at a large rural hospital in sub-Saharan Africa.
Before beginning work the next week, what should the nurse do
first?

a) Visit the hospital to figure out the layout, supply situation, and a) Visit the hospital to figure out the layout, supply situation, and
the patient care model used. the patient care model used.
b) Begin studying the language.
c) Review advanced cardiac life support (ACLS) and basic life
support (BLS) protocols.
d) Perform a cultural assessment of the community in which he or
she will be working.
A nurse is caring for a young man in the emergency department.
He presents with severe headache, a rash, joint pain, and a fever
of 10c.5° F. He reports having traveled to India recently. What does
the nurse suspect?
b) Dengue fever
a) Leishmaniasis
b) Dengue fever
c) Severe acute respiratory syndrome
d) Malaria
A nurse is working at a very crowded hospital in Southeast Asia.
There are not enough staff members or supplies for the nurse to
properly care for many of the patients. How can the nurse handle
the immediate situation?

a) Post ads to recruit new health-care staff.

c) Delegate routine care and hygiene tasks to family members who
b) Close the hospital to further patients until the staffing situation
are staying with their loved ones.
improves.
c) Delegate routine care and hygiene tasks to family members
who are staying with their loved ones.
d) Develop continuing education programs about caring for cultur-
ally diverse populations for the nurses to complete in their spare
time.
A nurse is educating emergency department nurses about the
symptoms of Avian influenza, as there is some evidence of in-
fection overseas. The nurse wants the staff to be aware of the
symptoms so they can closely monitor for the virus. Which of the
a) Eye infections
following symptoms should be included?
b) Pneumonia
c) Fever
a) Eye infections
e) Cough
b) Pneumonia
c) Fever
d) Muscle weakness and paralysis
e) Cough
A nurse is assisting a primary health clinic in a rural South Ameri-
can country in establishing a quality and inclusive primary care
program. The nurse reviews the WHO components of primary
health care for guidance. Which of the following components are
included in the WHO guide? a) Diminish social disparities in health.
c) Better organize health care around the needs of the community.
a) Diminish social disparities in health. e) Increase collaborative relationships and stakeholder participa-
b) Improve maternal and child health care. tion in public policy development.
c) Better organize health care around the needs of the community.
d) Improve funding for primary-care programs.
e) Increase collaborative relationships and stakeholder participa-
tion in public policy development.
A nurse working in a clinic in South America suspects that a
patient, a young woman, has Chagas. What contraindications
should the nurse screen for before initiating treatment?

12 / 21
 Community Health Nursing
Study online at https://quizlet.com/_fx436r
a) Liver disease
b) Renal disease a) Liver disease
c) Bleeding abnormalities b) Renal disease
d) Pulmonary disease e) Pregnancy
e) Pregnancy
Two nurses are establishing a primary health-care clinic in a rural
part of Africa. Their goal is to include as many of the essential
components of primary health care, as defined during a WHO
conference in Alma Alta. Which of the following functions would a) Patient education about health problems
likely be included in their model of care? Select all that apply b) Maternal and child health care
c) Principles of proper nutrition
a) Patient education about health problems d) Adequate supply of safe water and healthy foods
b) Maternal and child health care e) Treatment and prevention of local infectious diseases
c) Principles of proper nutrition
d) Adequate supply of safe water and healthy foods
e) Treatment and prevention of local infectious diseases
A nurse is teaching a class about different models of care. The
nurse explains that ____ is the most important person in the
primary health-care model.
a) The individual/family
a) The individual/family
b) The population
c) The primary-care physician
d) The medical specialist
A nurse is looking to reduce the number of teen smokers in her
community. The nurse implements a community-wide program to
raise awareness about the dangers of nicotine use and creates a
support group specifically aimed at teens looking to quit smoking.
This is an example of:
b) Health promotion.
a) Health protection.
b) Health promotion.
c) Risk reduction.
d) Tertiary prevention.
A community health nurse is training new nurses about the devel-
opment of public health programs to benefit community members.
The nurse explains that even though primary care focuses on
caring for an individual, health promotion activities need to focus
on:
d) The community.
a) The family.
b) Each individual patient.
c) Good medical care.
d) The community.
A young woman presents to her primary care provider. Her mother
has just been diagnosed with Huntington's disease and several
other members of her family have been diagnosed with the con-
dition as well. She wants to know her options regarding testing to
see if she is a genetic carrier. From an ethical perspective what
issue would be most important to discuss with the patient? d) The fact that there is no known treatment that can alter the
progression of the disease.
a) The cost of Huntington's disease screening
b) Whether the test is available at the local lab
c) What will happen when her insurance finds out the results
d) The fact that there is no known treatment that can alter the
progression of the disease.

A nurse is working with a community center that primarily serves

a nearby Native American tribe. The nurse knows that many of the
tribe members suffer from type 2 diabetes. Which of the following
interventions is an example of a tertiary prevention?
13 / 21
 Community Health Nursing
Study online at https://quizlet.com/_fx436r

a) Teaching school aged children healthy exercise.

b) Conducting a blood glucose screening program for the adults
in the community.
c) Actively encouraging patients diagnosed with type 2 diabetes to
c) Actively encouraging patients diagnosed with type 2 diabetes to
have foot, eye, and hemoglobin A1C screening tests every three
have foot, eye, and hemoglobin A1C screening tests every three
months.
months.
c) Publishing a culturally grounded guide about preventing dia-
betes using input from the tribal leaders and distributing it to all
persons who come to the clinic.
A nurse working in a primary health-care setting is reviewing the
patient education materials they keep in the office. How should
the nurse consider updating the forms?

a) Review for medical accuracy and update as needed.

d) All of the above
b) Perform a cultural assessment to see how the population has
changed since the forms were created.
c) Translate into the languages of cultural groups who frequently
use the community center.
d) All of the above
A nurse takes a new job in an inner city community health clinic.
The nurse discusses with the families she sees how to achieve a
healthy lifestyle without seeing any change. She finally discusses
this with one mother whose children are struggling with obesity.
The mother states that she is unable to find fresh fruits and
vegetables in their neighborhood and resorts to the use of fast
food. This information makes the nurse wonder if this is true for
other families. What would be the nurse's next step?
b) Perform a community assessment to determine what stores and
food sources are available in the community.
a) Ask families she sees to keep a food journal to see what food
substitutions could be made.
b) Perform a community assessment to determine what stores
and food sources are available in the community.
c) Arrange for free bussing from the community center to the
closest supermarket.
d) Refer them to the local supplemental nutrition assistance pro-
gram (SNAP) office to help them obtain benefits.
A new strain of flu has emerged, and the CDC has released a new
vaccine that is for use in high-risk populations. Which population
is most apt to be high-risk?
d) All of the above
a) Pregnant women
b) Older adults
c) Children
d) All of the above
A nurse has worked at a community health center for many years.
Over the last several months, the nurse has noticed a significant
decline in community members using the resources available at
the clinic. What is the first thing the nurse should do?
b) Reach out to former patients to determine why they are no
a) Begin offering daycare services and free transportation to the
longer returning to the clinic.
clinic to make it more convenient.
b) Reach out to former patients to determine why they are no
longer returning to the clinic.
c) Perform a community assessment.
d) Begin offering a new patient reduced fee rate.
A school nurse is assessing the health education component of
the coordinated school health program at one of the elementary
schools that is covered. Which of the following is not a part of this
component?

14 / 21
 Community Health Nursing
Study online at https://quizlet.com/_fx436r
a) A qualified trained person teaches the program.
b) The program is run for children in first through fifth grade.
c) It assists students in maintaining and improving health.
b) The program is run for children in first through fifth grade.
d) The comprehensive health education curriculum addresses the
physical, emotional, social, and mental health of its students and
families.
A school nurse recently accepted a position to run a school-based
health center. At the center the nurse will be able to do all but
which of the following?
a) Treatment for tuberculosis (TB)
a) Treatment for tuberculosis (TB)
b) Acute care evaluation
c) Noncommunicable disease management
d) Sexually transmitted infection (STI) testing
A school nurse is reviewing the vaccination records of the stu-
dents. Several children are missing one or more vaccinations. How
should the nurse proceed?

a) Call the parents and inform them that their child is missing some
vaccinations and explain the importance of staying current with a) Call the parents and inform them that their child is missing some
the vaccination schedules. vaccinations and explain the importance of staying current with
b) Inform the principal and have the students removed from class the vaccination schedules.
the next day until the parents bring proof of the immunizations.
c) Do nothing; the parents have the right to refuse vaccinations for
their child.
d) Order the vaccine and start administering vaccines as needed
during the school day.
A new school nurse is reviewing the procedures put in place by
the prior nurse, a woman with over 30 years of experience. The
nurse notices that a school-wide scoliosis screening occurs every
fall. How does the new nurse proceed?
d) Check state screening guidelines to see what is required for
a) Continue performing the scoliosis screenings each year.
school nurses in the state.
b) Only continue scoliosis screening on students who are symp-
tomatic.
c) Eliminate scoliosis screenings altogether.
d) Check state screening guidelines to see what is required for
school nurses in the state.
A school nurse is performing a quarterly inspection of the equip-
ment in the school. The nurse's priority is to make sure which piece
of equipment is present and working properly?
b) Automated external defibrillator (AED)
a) Code cart
b) Automated external defibrillator (AED)
c) Otoscope
d) Flowmeter
A school nurse is preparing a presentation for the rest of the
teaching staff about severe allergic reactions and anaphylaxis.
Which of the following statements is correct?

a) The most common food allergens are soy, chocolate, and b) The EpiPen Act of 2013 improves management of anaphylaxis
strawberries. in the school setting.
b) The EpiPen Act of 2013 improves management of anaphylaxis
in the school setting.
c) Most anaphylactic reactions occur at home.
d) Reported food allergies are decreasing among children.

A school nurse is speaking with one of the teachers in the el-

ementary school. The teacher is discussing one of the students
who has become very disruptive in the classroom. The student's
grades are suffering and the teacher notices that the student is
15 / 21
 Community Health Nursing
Study online at https://quizlet.com/_fx436r
frequently out of his chair and not paying attention to what the rest
of the class is doing. How should the nurse handle the situation?

a) Call the student's physician on file. The nurse should speak

with the physician about prescribing attention deficit hyperactivity
disorder (ADHD) medication. c) Instruct the teacher and the student's parents to complete a
b) Inform the student's parents about the situation and let them Conners Rating Scale. The nurse should also observe the student
decide how to proceed. in the classroom.
c) Instruct the teacher and the student's parents to complete a
Conners Rating Scale. The nurse should also observe the student
in the classroom.
d) Suggest methods of age-appropriate discipline for the teacher
to try with the student.
A parent has called the school nurse's office to discuss her daugh-
ter's new diagnosis of type 1 diabetes. The parent is inquiring
about what role the nurse will play in managing her care while the
girl is in school. How does the nurse respond?

a) "As a nurse, I can help her if she becomes ill in class, but I can't
d) "I can help administer the prescribed insulin dose, perform
help her manage her diabetes."
blood glucose testing, and manage symptoms of hypoglycemia."
b) "I can help her adjust her insulin dosing as needed to ensure
that she stays at a proper blood glucose level."
c) "I will help regulate her diet so that she doesn't consume too
much sugar."
d) "I can help administer the prescribed insulin dose, perform
blood glucose testing, and manage symptoms of hypoglycemia."
A school nurse has observed a slight increase in teacher ab-
senteeism due to illness and decides to implement several new
programs to boost employee wellness. What is the nurse's first
step?
a) Send out questionnaires to all of the staff members to see what
a) Send out questionnaires to all of the staff members to see what
type of programs they would be interested in.
type of programs they would be interested in.
b) Set a goal to reduce absenteeism by 5 percent within the next
year.
c) Start a yearly health fair to set goals for the following year.
d) Implement a staff-wide weight loss competition.
A nurse has observed that a particular fifth grade student visits
the office two to three times each week with stomach aches,
headaches, and vague complaints of not feeling well. This has
been continuing for several months. What is the most appropriate
action for the nurse to take?
b) Call his parents to discuss his symptoms and the need to be
a) Refuse to see the child anymore. evaluated by his pediatrician.
b) Call his parents to discuss his symptoms and the need to be
evaluated by his pediatrician.
c) Send the child home until he obtains medical clearance to
return.
d) Refer him to the school psychiatrist for mental evaluation.
A nurse is working with local government officials and political
lobbyists to prompt a vote to improve the school lunch program.
The nurse knows that this is an example of:
a) Advocacy.
a) Advocacy.
b) Public health policy.
c) Health equity.
d) Public health economics.
A nurse is working at a local community health center. The nurse
is speaking with an elderly Native American man who lives on a
nearby reservation. He reports that many members of his tribe
are unable to afford health care and many have an alcohol use
16 / 21
 Community Health Nursing
Study online at https://quizlet.com/_fx436r
disorder and/or type 2 diabetes. What program should the nurse
suggest that the gentleman contact?

a) Indian Health Services a) Indian Health Services

b) Medicaid
c) Medicare
d) Alcoholics Anonymous
A nurse is looking to create policies that would reduce the rate
of tobacco use by teenagers in the local community. Who would
be the most important group to consult with when performing a
community assessment?
b) Local teenagers
a) Physicians and educators
b) Local teenagers
c) Public health and tobacco experts
d) Local shop owners and community council members
A school nurse is evaluating the lunch program in the district after
a student had a serious anaphylactic reaction to peanuts. The
school is located in a lower socioeconomic area of the city. What
new policy would make the most sense in this school?

a) Mandate that all students purchase their food on campus and c) Make the school a completely peanut-free campus.
not bring any food into the building.
b) Obtain funding to provide free school lunches for everyone.
c) Make the school a completely peanut-free campus.
d) Ensure that every classroom has access to an EpiPen in case
of future reactions.
A nurse is giving a lecture about public policy and policy changes.
A student wants to know about the rights of individuals when
setting public health policy. How should the nurse respond?

a) The rights of individuals always outweigh the collective good. d) Public health policy is based on the assumption that society has
b) The collective good always outweighs the rights of individuals. the right to collectively assure conditions for healthy people while
c) Public health policy is based on governmental interests and not taking into account the rights of individuals.
the collective good or individual rights.
d) Public health policy is based on the assumption that society has
the right to collectively assure conditions for healthy people while
taking into account the rights of individuals.
A nurse is working with the local representative to pass a law
raising the legal age for purchasing tobacco to 21 years old. It has
been passed into the committee phase of the legislative process.
How should the nurse prepare for the next step?

a) Contact all of the local legislators to lobby for passing of the bill. c) Prepare evidence-based research and current clinical studies
b) Encourage local citizens to vote on the bill and promote a local to support their position and educate committee members about
grassroots campaign base in the community. the medicine behind nicotine addiction in youths.
c) Prepare evidence-based research and current clinical studies
to support their position and educate committee members about
the medicine behind nicotine addiction in youths.
d) Inform local store owners about the impending change in the
law.
An occupational health nurse is speaking with union representa-
tives about a long-standing problem with insufficient safety equip-
ment at a local surgical center. Where does the nurse suggest they
report the problem?
a) OSHA
a) OSHA
b) JCAHO
c) City council
d) The medical director

17 / 21
 Community Health Nursing
Study online at https://quizlet.com/_fx436r
A team of nursing students are working with the public health
department to obtain funding for community outreach health clin-
ics in an underserved neighborhood. They have been asked to
include a budget for the clinic and a plan for obtaining funding.
The students are specifically utilizing:
b) Public health finance.
a) Health economics.
b) Public health finance.
c) Market economy.
d) Federal funding guidelines.
A nurse is counseling a young woman with a new diagnosis of
gonorrhea. What should be included in her care?

a) The nurse will need to contact all of the woman's prior sexual
b) Since filing a partner management report with the state health
partners to inform them of her diagnosis.
department is mandated, the nurse should inform the patient that
b) Since filing a partner management report with the state health
she will be sending a report.
department is mandated, the nurse should inform the patient that
she will be sending a report.
c) All of the above
d) None of the above
A nurse is having a discussion with a patient about who should be
responsible for overseeing the public health system and the health
of American citizens. The patient states that each person should
be responsible for his or her own health. The nurse replies that the
American Constitution gives this power to:
b) State governments.
a) Federal government.
b) State governments.
c) Local governments.
d) Private insurance companies
A nurse is working in a prison health center with female prisoners.
The nurse is anticipating having to manage which of the following
conditions is three to five times higher in women prisoners than
rates in the general population?
d) Mental disorders
a) Cognitive disorders
b) HIV
c) Dental problems
d) Mental disorders
A school nurse has observed an increase in bullying behavior in
her school. The nurse has noticed that a lot of it seems to be
directed toward two gay students and wonders if a school policy
change is required to change this behavior. How should the school
nurse proceed?
c) Perform a community assessment to see why the bullying
a) Institute a zero tolerance policy for any bullying behavior. behavior has increased.
b) Set goals for zero incidents of bullying next year.
c) Perform a community assessment to see why the bullying
behavior has increased.
d) Get the teachers involved in teaching anti-bullying behavior in
the classroom.
A nurse is sitting in a community clinic and chatting with a South
American patient. He reports that other members of the commu-
nity are rude to him and his family and act as if he and his family
are not part of the community. He mentions that this is a common
experience among the South American population living in town. d) Marginalization can lead to increased vulnerability and health
The nurse knows that: disparities.

a) This likely plays no role in his health or health status.

b) This family is being stigmatized.
c) The family needs to focus on bonding with their South American
18 / 21
 Community Health Nursing
Study online at https://quizlet.com/_fx436r
community.
d) Marginalization can lead to increased vulnerability and health
disparities.
A public health nurse (PHN) is starting a study of different pop-
ulations in the community to see which groups have faced mar-
ginalization, and to what degree. The PHN is looking for evidence
that:

a) A group has been discriminated against based on their race or

b) A group has been treated as if they are not important or of little
ethnicity.
consequence to the rest of society.
b) A group has been treated as if they are not important or of little
consequence to the rest of society.
c) A group has been labeled by society as possessing a particular
characteristic that is not valued, leading to a loss of status.
d) A group has been assigned a negative or positive belief that is
believed to apply to the entire group.
A nurse is working with the local government to determine where
best to spend money obtained from a new funding program. The
nurse is looking for particularly vulnerable communities. Which of
the following communities might be best served by the increased
funding?

a) A primarily Hispanic community that is rich in culture and b) A low socioeconomic Caucasian community that is facing ab-
community normally high levels of lung cancer
b) A low socioeconomic Caucasian community that is facing ab-
normally high levels of lung cancer
c) A middle class African American community with an obesity
rate of 15 percent
d) An upper class community where there is an outbreak of hand,
foot, and mouth disease
A nurse is teaching a class about the effect of socioeconomic sta-
tus on health outcomes. The nurse explains that socioeconomic
status is related to:
d) All of the above.
a) Income.
b) Occupation.
c) Education.
d) All of the above.
A nurse is caring for a young homeless man on the medical floor
of the local hospital. He was admitted several days ago to safely
detox from alcohol. He reports having nowhere to go once he is
discharged. Who should be involved in his discharge planning?
d) All of the above
a) Social worker
b) Addiction specialist
c) Psychiatrist
d) All of the above
A nurse is caring for a young man who is squatting in an old factory
a mile away. The nurse documents that he is experiencing what
type of homelessness?

a) Primary a) Primary
b) Secondary
c) Tertiary
d) He is not homeless because he has an indoor shelter in which
to sleep.

A nurse received funding to start a mobile health unit to serve the

health needs of the homeless population. In addition to having
a good understanding of noncommunicable diseases, what other
specialty areas would be helpful in caring for this population?
19 / 21
 Community Health Nursing
Study online at https://quizlet.com/_fx436r

a) Treatment of substance use disorders

b) Treatment of communicable diseases d) All of the above
c) Treatment of mental health disorders
d) All of the above
A nurse is performing a pelvic exam on a woman in her mid-twen-
ties who has self-identified as a lesbian. The nurse asks the
woman what type of birth control she uses and the woman asks
her why she would need birth control since she is not at risk for
becoming pregnant. How should the nurse respond?
c) "You still need to use a barrier contraceptive because of the risk
a) "That's correct, you do not need contraception." of sexually transmitted infections."
b) "You should consider contraception anyway, just in case you
ever decide to be intimate with a man."
c) "You still need to use a barrier contraceptive because of the risk
of sexually transmitted infections."
d) "Hormonal contraceptives might be a good option for you."
A nurse is working within a community clinic on the Mexican-Cali-
fornian border. The nurse frequently takes care of refugee families
when they first arrive in the United States. When meeting with a
new family, the nurse makes sure to inform them that they are
eligible for which of the following services?
c) Housing and food support
a) Medicaid eligibility
b) Free health insurance for 1 year
c) Housing and food support
d) Free English classes
A nurse encounters a young woman with her child in the commu-
nity. They do not speak English, but the nurse is fluent in Spanish
and is able to communicate with them in their native language.
The woman is very frightened and states that she can't go back to
her country because the local government will harm her and her
child if she does not convert to Catholicism. The nurse takes the
a)Asylee
woman to the local immigration office to apply for what status?

a)Asylee
b) Refugee
c) Immigrant
d) Permanent resident
A nurse is speaking with politicians about the need to modify the
poverty threshold to be fairer to people living in poverty and people
living just over the poverty line. Which of the following are potential
ways that the poverty threshold could be amended to be more
a) Amend it to reflect increased spending on healthcare and
accurate or fair? Select all that apply.
transportation.
b) Amend it to reflect increased housing costs.
a) Amend it to reflect increased spending on healthcare and
c) Amend it to reflect increased need and cost of childcare.
transportation.
e) Amend it to reflect regional cost of living.
b) Amend it to reflect increased housing costs.
c) Amend it to reflect increased need and cost of childcare.
d) Amend it to reflect increased spending on food.
e) Amend it to reflect regional cost of living.
A nurse is training for a new job at a community clinic after mov-
ing to Central California, an area rich in agriculture and migrant
workers. The nurse asks about specific social and health issues
a) They have difficulty establishing residency in a single location,
that the migrant worker population faces and the nurse supervisor
making them ineligible for government benefits.
replies: Select all that apply.
b) Most of them lack access to workers compensation or disability
insurance.
a) They have difficulty establishing residency in a single location,
c) Frequent travel and location changes make it difficult for them
making them ineligible for government benefits.
b) Most of them lack access to workers compensation or disability
insurance.
20 / 21
 Community Health Nursing
Study online at https://quizlet.com/_fx436r
c) Frequent travel and location changes make it difficult for them
to establish continuity of care with a single provider. to establish continuity of care with a single provider.
d) Illegal immigration status is often a problem. e) Language is often a barrier.
e) Language is often a barrier.
A nurse is preparing a class on caring for the homeless population.
The nurse asks the class to brainstorm some risk factors for
becoming homeless. Which of the following should the class list
as known risk factors for homelessness? Select all that apply.
c) Single men
d) African Americans
a) Young families
e) Having a mental disorder
b) Caucasians
c) Single men
d) African Americans
e) Having a mental disorder
It is the first day of orientation for new graduate public health
nurses. The instructor explains that as PHNs they will need to fill
many roles, including which of the following? Select all that apply.
b) Advocate
a) Educator
d) Researcher
b) Advocate
c) Administrator
d) Researcher
e) Social worker

21 / 21