NSG 420 Community Health Nursing final Exam- Straighterline

CH 1

1. A community is concerned about the threat of bioterrorism. Which of the following best describes

the basis for this concern?

a. Bioterrorism has the potential to dissolve community-based programs.

b. This threat could cause the health care system to collapse.

c. The threat of bioterrorism may divert funds from other public safety health care

programs.

d. Fear of bioterrorism will increase the need for shelters.

ANS: C

Bioterrorism may have an impact on the availability of resources for public safety health care

programs. Because funds are diverted it is possible that community-based programs would be

eliminated, the health care system could experience changes, and that there would be an increase

in the need for shelter. However, all of these things would happen because of the diversion of

funds.

DIF: Cognitive level: Analyzing REF: p. 5 TOP: Nursing process: Diagnosis

MSC: NCLEX: Psychosocial Integrity

2. A nurse provides for the availability of essential personal health services for people who would

otherwise not receive health care. Which of the public health core functions is being used?

a. Assessment

b. Prevention

c. Assurance

d. Policy development

ANS: C

Assurance deals with the availability of health services. Prevention is not a core function,

assessment refers to systematic data collection, and policy development refers to the need to

provide leadership in developing health policies.

DIF: Cognitive level: Applying REF: p. 6

TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion and Maintenance

 1

3. The nurse is investigating environmental health problems caused by contaminated ground water.

Which of the following types of nursing practice is being used?

a. Community-oriented

b. Community-based

c. Policy development

d. Tertiary care

ANS: A

Community-oriented nursing emphasizes the prevention of disease and disability. Communitybased nursing practice is a setting-specific practice whereby care is provided for clients and

families where they live, work, and attend school. Policy development seeks to build

constituencies that can help bring about change in public policy. Tertiary care focuses on highly

specialized medical care.

DIF: Cognitive level: Analyzing REF: p. 16 (Box 1-5)

TOP: Nursing process: Implementation MSC: NCLEX: Health Promotion and Maintenance

END CH 1

CH 4

4. A nurse is examining the income levels and social networks of individuals in a community. Which of

the following is the nurse investigating?

a. Culture

b. Development

c. Community

d. Determinants

ANS: D

Determinants are conditions and factors that are important considerations in population health.

Culture refers to the beliefs and customs of a certain group. Development refers to something

that is being created. Community is a group of people living in the same geographic location.

DIF: Cognitive level: Applying REF: p. 66

TOP: Nursing process: Assessment

MSC: NCLEX: Safe and Effective Care Environment: Management of Care

 2

5. A nurse is assessing a refugee who fled the genocide in Darfur. Which of the following

 disease/disorder should the nurse anticipate finding?

a. TB

b. Post-traumatic stress disorder (PTSD)

c. Chronic obstructive pulmonary disorder (COPD)

d. Malnutrition

ANS: B

The biopsychological changes seen following genocide include physical stress reactions

(cardiovascular, neurological) and mental stress responses, especially PTSD and depression. The

biopsychosocial changes are the major concern over any physical illnesses that may be present.

DIF: Cognitive level: Analyzing REF: p. 87

TOP: Nursing process: Assessment

MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control

End CH 4

CH 6

6. A nurse has used the steps of the ethical decision-making process when making a decision. Which of

 the following is most similar to this process?

a. Healthy People 2010

b. Deontology

c. The nursing process

d. Advocacy

ANS: C

The steps of the ethical decision-making framework are to first identify the ethical issues and

dilemmas, then place them within a meaningful context, obtain all relevant facts, reformulate

ethical issues and dilemmas if needed, consider appropriate approaches to actions or options,

make decisions and take action, and evaluate decisions and action. The nursing process involves

the same basic steps: assessment, diagnosis, planning, implementation, and evaluation. Healthy

People 2010, deontology, and advocacy do not involve these multiple steps described by the

ethical decision-making framework and the nursing process.

DIF: Cognitive level: Analyzing REF: p. 124 (Table 6-1)

TOP: Nursing process: Implementation

MSC: NCLEX: Safe and Effective Care Environment: Management of Care