Community Health Nurse Question & Answer Guide (With Explanation)

Understanding this question requires applying core subject principles.

What This Question Is About

This question relates to community health nurse and requires a structured academic response.

How to Approach This Question

Break the problem into smaller parts and analyze each logically.

Key Explanation

This topic involves community health nurse. A strong answer should include explanation, application, and examples.

Original Question

1. As a community health nurse you are working in clinic that provides service for underserved persons. Which statement below best reflects why you suspect an epidemic? a. A client seek care for usual expected numbers of conditions related to exposure to the sun b. a pregnant homeless teenager presents with s/s of 4th STI during visits to the clinic c. you see a higher number than expected of clients with high fever chills aches severe tiredness and headache d. you are seeing a large number of people who have no access to primary care providers 2. After attending pre-school an unvaccinated child presents in the care providers office with an itchy rash and red sports all over the body. The diagnosis is measles. Using the epidemiology triad which of the following are environmental factors for the nurse to consider a. the child b. Varicella virus c. Pre-school and home d. Mosquito 3. The public health nurse is investigating an illness outbreak related to skin irritation and respiratory difficulties. The findings may indicate an exposure an exposure to an airborne chemical. Which of the epidemiological triangle is being identified? a. Agent b. Host c. Vector d. Environment 4. Epidemiology is used for understanding what aspect of public health? Select all that apply a. Use of technology for acute illnesses in individuals b. The relationship between the environment and disease in a population c. The distribution of illness in a population d. Discovering a host, the provides adequate living conditions for any given infectious agent e. Making decision about how to control health problems in a population 5. Which of the following data does the public health nurse consider and gather that influence the prevalence rate? a. Number of people newly diagnosed in a given period b. A measure of existing disease in a population at a particular time c. Number of people who have recovered from an illness d. Causative factors of individual health habits e. Number of people who have died from an illness 6. A public health nurse is conducting a community assessment for the year. The assessment will be used for which of the following? Select all that apply A. Attain funding and writing grants for public health programs B. Identify health needs and decide which programs are necessary and effective for this community C. Permanently change the scopes of practice for medical personnel D. Evaluate the performance of health care workers in the community E. Identify community resources available and those needed to impact health 7. Public health nurses are conducting a community assessment for Broomfield County. To find out the personal experiences as well as insider specific knowledge about living in Broomfield County, which type of data would they use? A. Key informant interviews B. State level secondary data C. Windshield Survey D. Participant Observation 8. Community health nurses are designing programs to prevent teen alcohol use. IN partnership with the community, they want to understand all factors the contribute to teen alcohol use. Which method will give them the best insight about this health issue and how factors are related? a. epidemiology triangle b. Crude death rate c. Infant mortality rate d. Web of causation 9. The public health nurse is try to assess the risk of getting the flu for a population A. Prevalence rate B. Population census C. Incidence rate D. Age demographic of population 10. The public health nurse is try to assess the risk of getting the flu for a population E. Prevalence rate F. Population census G. Incidence rate H. Age demographic of population 11. A public health nurse is investigating an illness outbreak and suspects it is caused by the Hanta Virus. The nurse must find if there is a link between animal droppings, the host and the environment. The best model for investigation is which of the following? A. web of causation B. Epidemiologic Triangle C. Community health partnerships I. Level of prevention 12. The center for disease control monitors the number of new cases of rubella. A public health nurse obtains reports containing the number of rubella cases from the CDC. What surveillance system is the nurse relying primarily on to collect data? A. passive B. Active C. Sentinel D. Special 13. To find out the burden in cost to the community from HIV/AIDS the public health nurse should use what data source? a. Prevalence rate b. Incidence rate c. Mortality rate d. Morbidity rate 14. The community health nurse has found that a community has a much higher number of cases of flu than the previous years. What is this phenomenon considered? A. endemic B. Pandemic C. Epidemic D. Andemic 15. . Public health nurses working at the local department are primarily concerned with which of the following? Select all that apply a. Primary prevention is an important focus for public health b. Secondary prevention is a focus that is met through immunization clinics c. Tertiary prevention is the most import goal of public health d. Primary care is provided only where there is a gap in care provision in the community e. Tertiary prevention is import but not a primary focus of public health 16. A nurse is employed as a nurse epidemiologist at the state health department. Which of the activities would most likely be completed by the nurse? a. Eliciting the health history of a client presenting with an illness b. Evaluating the number of clients presenting with similar disease c. Performing a physical examination of an ill client d. Providing treatment and health education to a client with a disease 17. This year a total of 500 young woman age 17 to 20 years at a university health center had a diagnosis of a sexually transmitted infection (STI). Which of the following terms best describes this data? a. An epidemic b. Incidence c. Prevalence d. Risk 18. A nurse is investigating a bacterial illness in the community. Only some of the people exposed to the bacteria have become ill. Which of the following factors best explains why this would have happened? a. Chemical agent factors b. Environmental factors c. Host Factors d. Physical Agent Factors 19. A school nurse wants to decrease the incidence of obesity in elementary school children. Which of the following describes an effective primary prevention activity that the nurse could implement? Select all that apply a. Giving a presentation on the importance of exercise and physical fitness b. Designing a game to which students select healthy food choices c. Weighing students to identify those who are overweight d. Putting students on a diet if they weight greater than 20% of their ideal weight 20. A nurse is examining all of the various factors which can lead to disease. Which of the following models would the nurse most likely use? a. Epidemiologic triangle b. Health promotion c. Levels of prevention d. Natural history of disease 21. A nurse is examining various factors that lead to suicide and finds several areas where nurses could intervene to reduce future incidence of suicide use in a community. Which of the following models would the nurse most likely use? A. Epidemiologic triangle B. Health promotion C. Levels of prevention D. Web of causality 22. A community health nurse is conducting a community assessment. Which of the following data collection methods is the nurse using when a meeting is scheduled with a nurse of people at one time who live and work in the community to gain the perspective regarding their needs? It can be a common approach that hospitals utilize to determine programs that could be beneficial to members of that community. a. Key informant interviews b. Participant observations c. Focus groups d. Health Surveys 23. A community health nurse is developing strategies to prevent or improve mental health issues in the local area. In which of the following situations is the nurse implementing a tertiary prevention strategy? a. Providing support programs for new parents b. Screening a client whose spouse recently died for suicide risk c. Teaching a client who has been diagnosed with an eating disorder about medication interactions d. Discussing stress reduction techniques with employees at an industrial site 24. A school nurse wants to decrease the incidence of obesity in elementary school children. Which of the following describes the best secondary prevention activity that the nurse could implement? a. Giving a presentation on the importance of exercise and physical fitness b. Designing a game to which students select healthy food choices c. Weighing students to identify those who are overweight d. Putting students on a diet if they weight greater than 20% of their ideal weight 25. A nurse advises a client with osteoporosis to have three servings of milk or dairy products daily. Which of the following levels of prevention is being used by the nurse? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Treatment, not prevention 26. A community health nurse has invited several agencies to a meeting to discuss the disaster plan for their community. Which of the following best describes this stage of disaster management? a. response b. Recovery c. Protection d. Preparedness 27. To assess cultural factors for family health and behaviors, the nurse uses which of the following questions? ( Select all that apply) a. what is the meaning of family for you? b. how long have you had diabetes c. tell me about your family and who is responsible for making decisions? d. what does health mean to you???what does it mean when someone gets sick? 28. A nurse wishes to develop cultural competence. Which of the following actions should the nurse take first? a. Complete survey of all the various ethnicities represented in the nurse’s community b. Consider how culture might influence the nurses own personal belief and decisions c. Invite a family from another culture to join the nurse for an event d. Study the beliefs and traditions of persons living in the other cultures 29. Some nurses are debating about the appropriate action to take in relation to a families in the community. One member of the family is ill, and the other family members have chosen to keep working rather than take time off to care for the ill family member. One nurse states, “it’s important that we provide services for the families affected by illnesses to better support families. Which of the following ethical approaches is being used by this nurse? A. Communitarianism B. Deontology C. Principlism D. Unitarianism 30. A nurse is assessing persons arriving at a shelter following a disaster. Which of the following would be the first action the nurse should take? a. Limit the amount of equipment and medication brought into the shelter b. diagnose the psychological condition in people entering the shelter c. Assess if this type of facility is appropriate for each person d. provide medical care for persons as if they were in a hospital

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